chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram coronary artery abnormal, Coronary artery disease, Coronary artery surgery, Sleep disorder, Ventricular extrasystoles
Clinical narrative: In the evening I began to notice what seemed to be Premature ventricular contractions. Antacids did not seem to help. I had two nights of unrestful sleep because the PVCs were waking me up. After two nights things seem to settle a bit. I called my cardiologists and had an appointment on 04/25/2022 and he arranged for a coronary CT which was done on 04/28/2022. The results showed a saphenous vein graft, my obtuse marginal one artery was down. That surgery was performed originally in 05/2016. Since then the frequency and force of the ventricular contractions has diminished. I have had no medication changed and symptoms are continuing to be monitored.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Monoclonal gammopathy, SARS-CoV-2 test
Clinical narrative: recent mild COVID infection (4/8/2022), monoclonal gammopathy,  retest 4/30/2022
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Deep vein thrombosis, Ultrasound Doppler, Venogram
Clinical narrative: 2/17/22 diagnosed deep vein thrombosis (diagnosed by MD, oncologist/hematologist) - 4 blood clots found in right calf; no previous history of DVT
Age: 36.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Back pain, Chest discomfort, Gait disturbance, Limb discomfort
Clinical narrative: "Patient presenting with chest pressure, back pain, bilateral hip pain radiating down to knees s/p covid vaccine 3 weeks prior.   Patient states she had a reaction to covid booster 3 weeks ago and has been having ""issues ""ever since.  Positive history of the same: Patient states she intermittently has joint pain, which is since been exacerbated.  She was recently seen at Hospital for similar symptoms and states she had troponin which was borderline and morphine administered which did not help.  In attempt to alleviate symptoms patient took tramadol, ibuprofen and Zyrtec with no relief.  She states she originally had reaction to ""all lymph nodes which have since resolved, but today I feel swelling under my right arm radiating through the arm.""  She states her legs feel like heavy and she is unsteady when she walks." Pain is described as moderate in nature. Patient was later discharged from the ED, and sent home with strict return precautions.
Age: 36.0
Sex: F
Vaccine: UNK
Symptoms: Lymphadenopathy, Pain, Troponin abnormal
Clinical narrative: "Patient presenting with chest pressure, back pain, bilateral hip pain radiating down to knees s/p covid vaccine 3 weeks prior.   Patient states she had a reaction to covid booster 3 weeks ago and has been having ""issues ""ever since.  Positive history of the same: Patient states she intermittently has joint pain, which is since been exacerbated.  She was recently seen at Hospital for similar symptoms and states she had troponin which was borderline and morphine administered which did not help.  In attempt to alleviate symptoms patient took tramadol, ibuprofen and Zyrtec with no relief.  She states she originally had reaction to ""all lymph nodes which have since resolved, but today I feel swelling under my right arm radiating through the arm.""  She states her legs feel like heavy and she is unsteady when she walks." Pain is described as moderate in nature. Patient was later discharged from the ED, and sent home with strict return precautions.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive on at home COVID-19 antigen test on 4/28/22, was being tested at his facility due to a COVID-19 outbreak
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Blood magnesium normal, Chest pain, Coronavirus infection
Clinical narrative: Patient is fully vaccinated and boosted. 78y.o. male with a PMHx of diabetes mellitus, hyperlipidemia, renal transplant who presents to hospital after testing positive for corona Virus. He reports for the past 3 days having cough and congestion.  Positive for fever. Mg 1.5. Positive for chest pain. EKG showing no ischemic changes and normal sinus rhythm.  Lab values showing initial troponin elevated and increasing slightly with repeats.  Patient received IV fluids.  Due to NSTEMI, patient began on heparin. DVT prophylaxis with heparin. Cardiology consult.  Discharged home.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Electrocardiogram normal, Laboratory test abnormal, Pyrexia, Respiratory tract congestion
Clinical narrative: Patient is fully vaccinated and boosted. 78y.o. male with a PMHx of diabetes mellitus, hyperlipidemia, renal transplant who presents to hospital after testing positive for corona Virus. He reports for the past 3 days having cough and congestion.  Positive for fever. Mg 1.5. Positive for chest pain. EKG showing no ischemic changes and normal sinus rhythm.  Lab values showing initial troponin elevated and increasing slightly with repeats.  Patient received IV fluids.  Due to NSTEMI, patient began on heparin. DVT prophylaxis with heparin. Cardiology consult.  Discharged home.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient is fully vaccinated and boosted. 78y.o. male with a PMHx of diabetes mellitus, hyperlipidemia, renal transplant who presents to hospital after testing positive for corona Virus. He reports for the past 3 days having cough and congestion.  Positive for fever. Mg 1.5. Positive for chest pain. EKG showing no ischemic changes and normal sinus rhythm.  Lab values showing initial troponin elevated and increasing slightly with repeats.  Patient received IV fluids.  Due to NSTEMI, patient began on heparin. DVT prophylaxis with heparin. Cardiology consult.  Discharged home.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Oropharyngeal pain, Paracentesis, SARS-CoV-2 test positive
Clinical narrative: was found to be COVID positive with mild sore throat and some shortness of breath persisting after paracentesis but much improved and remains on room air, afebrile, no cough.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Pyrexia
Clinical narrative: presents with altered mental status.  Her medical comorbidities include chronic kidney disease stage III, hypertension, depression, hyperlipidemia, and history of endometrial cancer status post hysterectomy in 2021.  was febrile at 38.1° C
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Blood clot
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine received Expired on 4-17-22, report to Moderna, findings from internal review of vaccine:  "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on April 19, 20, 21, 2022 from lot number 016J21-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Death of relative, Malaise, Nausea
Clinical narrative: First thing is COVID-19 infection. the Patient's husband recently died, and her whole immediate family developed COVID-19 after the funeral.  She started to have symptoms yesterday.  And she tested positive this morning.  This is a home test.  The patient has a sore throat and slight cough.  She is not short of breath.  She has not had fevers.  She does have some nausea.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: First thing is COVID-19 infection. the Patient's husband recently died, and her whole immediate family developed COVID-19 after the funeral.  She started to have symptoms yesterday.  And she tested positive this morning.  This is a home test.  The patient has a sore throat and slight cough.  She is not short of breath.  She has not had fevers.  She does have some nausea.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 positive; mild disease without hypoxia; extensive comorbidities including COPD, heart failure, CKD IV.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Chest pain, Dyspnoea, Hypoaesthesia, Pain
Clinical narrative: Patient presenting to ED with intermittent chest pain with mild shortness of breath that began 2 weeks ago.  Pain started gradually.  She states symptoms began after receiving the COVID-19 vaccination to the left arm.  It is described as "numbness" radiating into the left arm. Pain is described as moderate upon onset and is currently mild. Patient was stabilized and prescribed Ibuprofen 400mg, and given strict return precautions if symptoms persist.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough case Symptoms began: 8/21/2021 Lab confirmed: 8/25/2021
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine received Expired on 4-17-22, report to Moderna, findings from internal review of vaccine:  "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on April 19, 20, 21, 2022 from lot number 016J21-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine received Expired on 4-17-22, report to Moderna, findings from internal review of vaccine:  "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on April 19, 20, 21, 2022 from lot number 016J21-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Influenza like illness, Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: A couple of hours after the vaccine I developed a fever, nausea, flu like symptoms, I had swelling, redness and soreness in my arm. I took some Tylenol for my symptoms that lasted for three days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: A couple of hours after the vaccine I developed a fever, nausea, flu like symptoms, I had swelling, redness and soreness in my arm. I took some Tylenol for my symptoms that lasted for three days.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Computerised tomogram thorax abnormal, Cough, Decreased appetite
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/3/21 (EN6204) Pfizer Dose 2 3/24/21 (EP6955) COVID Positive 11/21/21  11/21/21: 75-year-old male with obstructive sleep apnea on CPAP, type 2 diabetes mellitus, hyperlipidemia, hypothyroidism and hearing loss presented with congestion and shortness of breath. Patient is very hard of hearing making history taking challenging.   Patient reports symptoms started about 1 week ago with chest congestion associated with shortness of breath, cough, fever, decreased appetite and generalized weakness.  Reportedly wife tested positive for COVID-19, patient is fully vaccinated for COVID x2.  No known or documented immune compromised status.  Patient hypoxic 89% maintaining normal oxygenation on 2 L, unremarkable CMP and CBC.  CT chest showed no pulmonary embolism noted bilateral pneumonia.  11/26/21: Patient is admitted to the hospital, placed on contact and droplet precautions, treated with IV remdesivir, IV antibiotics and the IV dexamethasone. Patient is currently on bronchodilators and Mucinex. Attempted to wean off oxygen.  Patient has remained afebrile and hemodynamically stable.  Inflammatory markers are trending down.  He has completed IV remdesivir and IV antibiotics.  Patient is stable for discharge.  Today prior to discharge oxygen walk test is done to determine the need for home oxygen therapy.  Patient qualifies for home oxygen 3 L by nasal cannula continuous. Findings discussed with the patient and he is agreeable to have home oxygen.  Discussed with care coordination team, oxygen cylinders are being delivered at home, both portable and stationary as patient is mobile.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Full blood count normal, Hypoxia, Inflammatory marker test
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/3/21 (EN6204) Pfizer Dose 2 3/24/21 (EP6955) COVID Positive 11/21/21  11/21/21: 75-year-old male with obstructive sleep apnea on CPAP, type 2 diabetes mellitus, hyperlipidemia, hypothyroidism and hearing loss presented with congestion and shortness of breath. Patient is very hard of hearing making history taking challenging.   Patient reports symptoms started about 1 week ago with chest congestion associated with shortness of breath, cough, fever, decreased appetite and generalized weakness.  Reportedly wife tested positive for COVID-19, patient is fully vaccinated for COVID x2.  No known or documented immune compromised status.  Patient hypoxic 89% maintaining normal oxygenation on 2 L, unremarkable CMP and CBC.  CT chest showed no pulmonary embolism noted bilateral pneumonia.  11/26/21: Patient is admitted to the hospital, placed on contact and droplet precautions, treated with IV remdesivir, IV antibiotics and the IV dexamethasone. Patient is currently on bronchodilators and Mucinex. Attempted to wean off oxygen.  Patient has remained afebrile and hemodynamically stable.  Inflammatory markers are trending down.  He has completed IV remdesivir and IV antibiotics.  Patient is stable for discharge.  Today prior to discharge oxygen walk test is done to determine the need for home oxygen therapy.  Patient qualifies for home oxygen 3 L by nasal cannula continuous. Findings discussed with the patient and he is agreeable to have home oxygen.  Discussed with care coordination team, oxygen cylinders are being delivered at home, both portable and stationary as patient is mobile.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Pneumonia, Pulmonary congestion, Pyrexia, Respiratory tract congestion
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/3/21 (EN6204) Pfizer Dose 2 3/24/21 (EP6955) COVID Positive 11/21/21  11/21/21: 75-year-old male with obstructive sleep apnea on CPAP, type 2 diabetes mellitus, hyperlipidemia, hypothyroidism and hearing loss presented with congestion and shortness of breath. Patient is very hard of hearing making history taking challenging.   Patient reports symptoms started about 1 week ago with chest congestion associated with shortness of breath, cough, fever, decreased appetite and generalized weakness.  Reportedly wife tested positive for COVID-19, patient is fully vaccinated for COVID x2.  No known or documented immune compromised status.  Patient hypoxic 89% maintaining normal oxygenation on 2 L, unremarkable CMP and CBC.  CT chest showed no pulmonary embolism noted bilateral pneumonia.  11/26/21: Patient is admitted to the hospital, placed on contact and droplet precautions, treated with IV remdesivir, IV antibiotics and the IV dexamethasone. Patient is currently on bronchodilators and Mucinex. Attempted to wean off oxygen.  Patient has remained afebrile and hemodynamically stable.  Inflammatory markers are trending down.  He has completed IV remdesivir and IV antibiotics.  Patient is stable for discharge.  Today prior to discharge oxygen walk test is done to determine the need for home oxygen therapy.  Patient qualifies for home oxygen 3 L by nasal cannula continuous. Findings discussed with the patient and he is agreeable to have home oxygen.  Discussed with care coordination team, oxygen cylinders are being delivered at home, both portable and stationary as patient is mobile.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection, Walking distance test abnormal
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/3/21 (EN6204) Pfizer Dose 2 3/24/21 (EP6955) COVID Positive 11/21/21  11/21/21: 75-year-old male with obstructive sleep apnea on CPAP, type 2 diabetes mellitus, hyperlipidemia, hypothyroidism and hearing loss presented with congestion and shortness of breath. Patient is very hard of hearing making history taking challenging.   Patient reports symptoms started about 1 week ago with chest congestion associated with shortness of breath, cough, fever, decreased appetite and generalized weakness.  Reportedly wife tested positive for COVID-19, patient is fully vaccinated for COVID x2.  No known or documented immune compromised status.  Patient hypoxic 89% maintaining normal oxygenation on 2 L, unremarkable CMP and CBC.  CT chest showed no pulmonary embolism noted bilateral pneumonia.  11/26/21: Patient is admitted to the hospital, placed on contact and droplet precautions, treated with IV remdesivir, IV antibiotics and the IV dexamethasone. Patient is currently on bronchodilators and Mucinex. Attempted to wean off oxygen.  Patient has remained afebrile and hemodynamically stable.  Inflammatory markers are trending down.  He has completed IV remdesivir and IV antibiotics.  Patient is stable for discharge.  Today prior to discharge oxygen walk test is done to determine the need for home oxygen therapy.  Patient qualifies for home oxygen 3 L by nasal cannula continuous. Findings discussed with the patient and he is agreeable to have home oxygen.  Discussed with care coordination team, oxygen cylinders are being delivered at home, both portable and stationary as patient is mobile.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine received Expired on 4-17-22, report to Moderna, findings from internal review of vaccine:  "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on April 19, 20, 21, 2022 from lot number 016J21-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Gynaecological examination, Pelvic floor dysfunction, Urethral disorder, Uterine prolapse
Clinical narrative: Pelvic wall collapse, urethral and uterine prolapse
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pt was given dosage for a 12yr old. No symptoms or reactions at time of vaccine given. Provider spoke with mom and advised.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Cardioversion, Electrocardiogram, Laboratory test
Clinical narrative: New diagnosis of paroxysmal of Afib March 21, 2022.  Treatment included anticoagulatant, Cardioversion, Metoprolol BID. Ablation has been scheduled for May 20.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac imaging procedure abnormal, Chest X-ray, Chest pain, Dyspepsia
Clinical narrative: A bit of body aches  and fatigue after the shot. Intense chest pain, shortness of breath, stomach burning, and neurological symptoms started end of January. To this day I am discovering new neurological symptoms (mostly numb and prickling sensations all over my body) as well as new daily headaches and chest pain that comes and goes.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Fatigue, Headache, Hypoaesthesia
Clinical narrative: A bit of body aches  and fatigue after the shot. Intense chest pain, shortness of breath, stomach burning, and neurological symptoms started end of January. To this day I am discovering new neurological symptoms (mostly numb and prickling sensations all over my body) as well as new daily headaches and chest pain that comes and goes.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis, Neurological symptom, Pain, Paraesthesia, Pericardial effusion
Clinical narrative: A bit of body aches  and fatigue after the shot. Intense chest pain, shortness of breath, stomach burning, and neurological symptoms started end of January. To this day I am discovering new neurological symptoms (mostly numb and prickling sensations all over my body) as well as new daily headaches and chest pain that comes and goes.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Pain
Clinical narrative: 3 day history of progressive shortness of breath and transient aching chest pain.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Chills, Cough
Clinical narrative: Patient is fully vaccinated.  Tested + for COVID at ED visit on 4/15/2022. Patient presents to the ED secondary to a 5-day history of cough, nausea and vomiting, sore throat, subjective fevers and chills.Positive for headache and myalgias and weakness. Denies any chest pain.  No shortness of breath.  No abdominal pain.  No EKG changes. CXR: Minimal left basilar interstitial opacities correlates with history of Covid infection. Medications: fluids, zofran, cepacol. Discharged to home.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lung opacity, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Patient is fully vaccinated.  Tested + for COVID at ED visit on 4/15/2022. Patient presents to the ED secondary to a 5-day history of cough, nausea and vomiting, sore throat, subjective fevers and chills.Positive for headache and myalgias and weakness. Denies any chest pain.  No shortness of breath.  No abdominal pain.  No EKG changes. CXR: Minimal left basilar interstitial opacities correlates with history of Covid infection. Medications: fluids, zofran, cepacol. Discharged to home.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient is fully vaccinated.  Tested + for COVID at ED visit on 4/15/2022. Patient presents to the ED secondary to a 5-day history of cough, nausea and vomiting, sore throat, subjective fevers and chills.Positive for headache and myalgias and weakness. Denies any chest pain.  No shortness of breath.  No abdominal pain.  No EKG changes. CXR: Minimal left basilar interstitial opacities correlates with history of Covid infection. Medications: fluids, zofran, cepacol. Discharged to home.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: DOD 04/24/2022
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough case Symptoms began: 08/29/2021 Lab confirmed: 09/02/2021
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine received Expired on 4-17-22, report to Moderna, findings from internal review of vaccine:  "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on April 19, 20, 21, 2022 from lot number 016J21-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Cardiac failure, Cerebrovascular accident, Computerised tomogram head abnormal, Death
Clinical narrative: on March 11th, patient suffered a stroke resulting in respiratory failure and worsening heart failure that ultimately led to her clinically meeting the criteria for myocarditis. Her troponin blood test was elevated (it was 85, with normal being below 14) and her EKG did show t wave changes (her t axis degrees changed from 75 to 153, which anything more than a 60 degree change being considered significant). She passed away from complications on March 16th, 2022
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram T wave abnormal, Myocarditis, Respiratory failure, Troponin increased
Clinical narrative: on March 11th, patient suffered a stroke resulting in respiratory failure and worsening heart failure that ultimately led to her clinically meeting the criteria for myocarditis. Her troponin blood test was elevated (it was 85, with normal being below 14) and her EKG did show t wave changes (her t axis degrees changed from 75 to 153, which anything more than a 60 degree change being considered significant). She passed away from complications on March 16th, 2022
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Head discomfort, Neck pain, Pain in extremity
Clinical narrative: Sore arm, neck and lower back Lots of pressure in head and behind eyes Chills Took  400mg advil 12 hours and 16 hours after onset of symptoms
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough case; Symptoms began:  Lab confirmed: 9/30/2021.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Brain injury, COVID-19 pneumonia, Death, Dyspnoea, Fatigue
Clinical narrative: Patient presents to the ED with complaints of worsening shortness of breath and fatigue. She was subsequently admitted for further management of COVID-19 pneumonia. She was  admitted to the ICU with suspected bibasilar pneumonia. Neurologic exam showed patient was no meaningful brain activity and she subsequently passed away 4 days after ED presentation.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Neurological examination abnormal
Clinical narrative: Patient presents to the ED with complaints of worsening shortness of breath and fatigue. She was subsequently admitted for further management of COVID-19 pneumonia. She was  admitted to the ICU with suspected bibasilar pneumonia. Neurologic exam showed patient was no meaningful brain activity and she subsequently passed away 4 days after ED presentation.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough case Symptoms began: 05/08/21 Lab confirmed: 05/13/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine received Expired on 4-17-22, report to Moderna, findings from internal review of vaccine:
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose increased, COVID-19 pneumonia, Intensive care, Mental status changes
Clinical narrative: Patient fully vaccinated and boosted with Pfizer on 1/8/21, 1/29/21, and 8/15/21. Patient received a kidney transplant in 2018. Presented to the ED on 11/20/21 with altered mental status and blood glucose of 700. Patient was admitted to the ICU for severe covid pneumonia. Patient was later discharged on 12/28/21
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nerve injury, Product administered at inappropriate site
Clinical narrative: Moderna booster given on 4/19/2022-- Patient states that the injection went too deep and caused pulsing pain during the shot. The patient states that after a couple of days the patient was experiencing pain that had her pain level  at an 8 on the pain scale for 1 week. Patient states that she has taking a steroid dose pack and is still in pain. Patient states that she has went to her massage therapist and chiropractor. Patient stated that the physician had told that the injection had nicked a nerve and possibly hit the bone.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Contracted COVID 19 on 3/25/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine received Expired on 4-17-22, report to Moderna, findings from internal review of vaccine:  "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on April 19, 20, 21, 2022 from lot number 016J21-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Injection site pain, Peripheral swelling
Clinical narrative: pain at injection site, lt ar swollewn diarhea
Age: 22.0
Sex: M
Vaccine: HPV9
Symptoms: Feeling hot, Hyperhidrosis, Hypopnoea, Nausea, Seizure
Clinical narrative: When I approached patient he was sitting in a chair in our waiting room unresponsive and slumped over. The patients brother was present and called 911 for me. The patient's arm was outstretched and he was slightly convulsing so I immediately checked for a radial pulse. He finally came to about a minute or so later and stated that his breathing was shallow and complained of being hot (sweating). The pharmacy manager brought the emergency kit to me but I did not end up using anything out of it. I had the manager bring the patient a bottle of water and the nurse practitioner from the Clinic came out and brought a cold wet napkin that was placed on the patients neck. Roughly 3 minutes into the situation the patient stated that he was feeling nauseous so I grabbed a plastic bag and held it for the patient who proceeded to throw up. EMS arrived approximately 6-10 minutes into the ordeal and took over from there, I briefed them on the situation and they put him on a stretcher and took him to be evaluated.
Age: 22.0
Sex: M
Vaccine: HPV9
Symptoms: Unresponsive to stimuli, Vomiting
Clinical narrative: When I approached patient he was sitting in a chair in our waiting room unresponsive and slumped over. The patients brother was present and called 911 for me. The patient's arm was outstretched and he was slightly convulsing so I immediately checked for a radial pulse. He finally came to about a minute or so later and stated that his breathing was shallow and complained of being hot (sweating). The pharmacy manager brought the emergency kit to me but I did not end up using anything out of it. I had the manager bring the patient a bottle of water and the nurse practitioner from the Clinic came out and brought a cold wet napkin that was placed on the patients neck. Roughly 3 minutes into the situation the patient stated that he was feeling nauseous so I grabbed a plastic bag and held it for the patient who proceeded to throw up. EMS arrived approximately 6-10 minutes into the ordeal and took over from there, I briefed them on the situation and they put him on a stretcher and took him to be evaluated.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I experienced severe Tinnitus in both ears and it is 24/7 and it is still occurring. I am taking a supplement that was recommended from a friend that suffers from it.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropod bite, Back pain, Breast pain, Dyspnoea, Flank pain
Clinical narrative: I had difficulty moving the next day and I started having a strange pain going down the right side. Starting with my upper arm and down my side. It started spreading around my back where my bra is and then went around my body and my breasts were sore. I have not been able to wear a bra since this started, it really hurts. Just a pain - no rash. At one point,  I was leaning over in pain and if I were to sneeze I would have fallen over. Basically catching my breath was difficult. It is hard to tell how long it lasted, I was traveling for 12 days., I started doing better on the last three days and three days after I got home, I was bitten by a tick and have Lyme Disease. I am not sure what pain is from what thing. There were 4-5 days in there where I was feeling okay. I did see a doctor for the Lyme Disease but not for the reaction from the vaccine. I was given medication for Lyme disease. I am currently feeling better about 14 days after the vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Loss of personal independence in daily activities, Lyme disease, Pain in extremity
Clinical narrative: I had difficulty moving the next day and I started having a strange pain going down the right side. Starting with my upper arm and down my side. It started spreading around my back where my bra is and then went around my body and my breasts were sore. I have not been able to wear a bra since this started, it really hurts. Just a pain - no rash. At one point,  I was leaning over in pain and if I were to sneeze I would have fallen over. Basically catching my breath was difficult. It is hard to tell how long it lasted, I was traveling for 12 days., I started doing better on the last three days and three days after I got home, I was bitten by a tick and have Lyme Disease. I am not sure what pain is from what thing. There were 4-5 days in there where I was feeling okay. I did see a doctor for the Lyme Disease but not for the reaction from the vaccine. I was given medication for Lyme disease. I am currently feeling better about 14 days after the vaccine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient fully vaccinated and double boosted admitted to local hospital for PE on 4/11/22. Previously vaccinated with Moderna on 2/22/21, 3/22/21, and 11/16/21. Second booster was Pfizer given on 4/8/22.  Patient discharged on 4/15/22.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Dyspnoea, Electrocardiogram abnormal, Fatigue
Clinical narrative: Patient is fully vaccinated.  COVID positive on 4/17/2022 at ED visit. Pt presented to the ED with lightheadedness syncope and a sore throat. Felt lightheaded and passed out several days ago.  Has not done so since.  No chest pain palpitations, some occasional shortness of breath. Positive for fatigue and fever. EKG with SR. Discharged home.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Sinus rhythm
Clinical narrative: Patient is fully vaccinated.  COVID positive on 4/17/2022 at ED visit. Pt presented to the ED with lightheadedness syncope and a sore throat. Felt lightheaded and passed out several days ago.  Has not done so since.  No chest pain palpitations, some occasional shortness of breath. Positive for fatigue and fever. EKG with SR. Discharged home.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient is fully vaccinated.  COVID positive on 4/17/2022 at ED visit. Pt presented to the ED with lightheadedness syncope and a sore throat. Felt lightheaded and passed out several days ago.  Has not done so since.  No chest pain palpitations, some occasional shortness of breath. Positive for fatigue and fever. EKG with SR. Discharged home.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough case Symptoms began:  Lab confirmed: 9/30/2021
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure increased, COVID-19, Cough, Malaise, SARS-CoV-2 test positive
Clinical narrative: Adverse effects Tested positive for Covid 19  on 01/14/2022 Lingering side effects were continuous cough in upper chest, lingering malaise, blood pressure increased.  Went to Dr about continous cough - just give it time to get over cough - cough is subsiding after 4 months, but still occurs occasionally. Received a Z-Pak and steroid shot on 02/15/2022 More sensitive to allergens and airborne particles which results in the cough returning.  Dr's also increased blood pressure medication to keep it within acceptable limits.Covid19( vaccine Pfizer shots were received on 01/16/2021, 02/06/2021, the 1st Pfizer booster shot was given on 10/3/2021 at the pharmacy
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red swollen area to L elbow, warm to touch, c/o abdominal pain/ distention- this was his 2nd Booster dose; no other vaccines were given one month prior to the date of this vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Headache, Lower respiratory tract infection
Clinical narrative: On 3/28/2022, I started with a bad chest cold, runny nose, a headache, and congestion. The next day I tested positive for COVID-19. I was really tired that whole week. I felt stuffy and ran down. When I called the doctor, they prescribed me with prednisone and benzonatate. Those symptoms lasted for almost 3 weeks. I would be feeling better, and then I would start feeling tired and lousy again. This week I felt tired, run down, and lousy. Each time when I start feeling bad again, I would test negative for COVID-19. Off and on I feel good and then bad again.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 3/28/2022, I started with a bad chest cold, runny nose, a headache, and congestion. The next day I tested positive for COVID-19. I was really tired that whole week. I felt stuffy and ran down. When I called the doctor, they prescribed me with prednisone and benzonatate. Those symptoms lasted for almost 3 weeks. I would be feeling better, and then I would start feeling tired and lousy again. This week I felt tired, run down, and lousy. Each time when I start feeling bad again, I would test negative for COVID-19. Off and on I feel good and then bad again.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough case Symptoms began: 08/06/2021 Lab confirmed: 08/06/2021
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine was expired at time of administration.  It was past the 10 week time frame in the fridge.  Vaccine expired 3/28/22
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Breakthrough case of COVID-19. I had a sore throat, headache, cough, and runny nose. I took two home test and both showed I was positive for COVID-19. I called my doctor and was prescribed Paxlovid.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19. I had a sore throat, headache, cough, and runny nose. I took two home test and both showed I was positive for COVID-19. I called my doctor and was prescribed Paxlovid.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine received Expired on 4-17-22, report to Moderna, findings from internal review of vaccine:  "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on April 19, 20, 21, 2022 from lot number 016J21-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: pt was given 4th moderna dose when they are not yet eligible.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, Nasopharyngitis, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: I had a breakthrough case of COVID 19. Very mild cold symptoms, no fever,  Symptoms and positive test began April 20. 2022. Took Paxlovid for 5 days.  Symptoms over and negative test by April 27. Note:  I had one more vaccination March 21, 2021 and a booster 09/25/21 and a second Booster 04/12/22.  All Pfizer. The breakthrough case of COVID followed all of these vaccinations.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Fatigue, Injection site bruising, Injection site paraesthesia, Migraine
Clinical narrative: Severe migraine, swollen face, left eye was irritated, extreme fatigue, left arm tingling from injection site to entire hand, where injection placed a dark bruise. Migraine continued for 6 days. Swollen face continued for 1 week, red eye continued for 1 week, fatigue for 3 days, left arm tingling 7 days, dark bruise I still have to this day.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Paraesthesia, Swelling face
Clinical narrative: Severe migraine, swollen face, left eye was irritated, extreme fatigue, left arm tingling from injection site to entire hand, where injection placed a dark bruise. Migraine continued for 6 days. Swollen face continued for 1 week, red eye continued for 1 week, fatigue for 3 days, left arm tingling 7 days, dark bruise I still have to this day.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling cold, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  She was evaluated in urgent care and had a positive swab for COVID. She states that yesterday she started feeling fatigued and chills.  She states that she woke up this morning with a sore throat. She denies chest pain, shortness of breath, hemoptysis, lower extremity swelling, history of PE or DVT. vital signs are stable. CXR: No acute pulmonary process. Medications: Nirmatrelvir, ritonavir. No respiratory distress. Patient stable and discharged home.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/20/21 (038A21A) Moderna Dose 2 4/17/21 (040B21A) COVID Positive 11/9/21  11/9/21: Patient is 70-year-old male with past medical history of hypertension, dyslipidemia, hypothyroidism and unspecified leukemia status post chemotherapy P in remission.  He is being transferred from Medical Center ED for further evaluation of acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  He presented to the emergency room with a complaint of cough productive of sputum and shortness of breath X 2 weeks. Patient was in relatively good state of health until 2 weeks ago when he started to have cough productive of brown sputum.  He also reported associated shortness of breath. He reported generalized body ache, generalized weakness and fatigue.  Reported decreased appetite but no nausea vomiting abdominal pain or diarrhea.  Patient denied fever chills or rigors.  Since a week ago, he was not able to do his regular work.  He is a truck driver by trade.  Patient is fully vaccinated for COVID-19.  He denied use of tobacco products or alcohol.  Upon evaluation at referring facility ED, he was hypoxic with saturation as low as 78% on room air requiring 7 L of oxygen to maintain saturation.  He was hemodynamically stable and afebrile.  Significant lab findings were hyponatremia of 132, lactic acidosis at 2.5. Nasopharyngeal swab was positive for COVID-19.  Chest x-ray was suggestive of vascular congestion.  CT chest with IV contrast was suggestive of viral pneumonitis with no acute pulmonary embolus. At the referring facility ED, patient received ceftriaxone 1 g IV, azithromycin 500 mg IV and remdesivir to 100 mg stat.  He also received Lasix 40 mg IV.  11/23/21: As noted patient presented to the hospital with shortness of breath cough fatigue weakness for 3 weeks. Patient COVID-19 positive with COVID-19 pneumonitis.  Was placed on high-flow oxygen in ICU, patient received remdesivir, Decadron, Actemra, Rocephin/azithromycin, along with supportive measures and pulmonary toileting.. Gradually clinically improved, his oxygen requirements continued to decrease and eventually was weaned down to room air.  Finish course of antibiotics, discharged on Decadron taper.  Patient will be discharged to skilled nursing facility.  Patient's losartan was held on discharge is pressures were normotensive, can restart as clinically appropriate.  All ED and RTC precautions were provided to patient, clearly endorsed understanding and was in agreement with plan as outlined.  Will follow up with PCP within 7 days of discharge.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Decreased appetite, Dyspnoea, Fatigue, Hyponatraemia
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/20/21 (038A21A) Moderna Dose 2 4/17/21 (040B21A) COVID Positive 11/9/21  11/9/21: Patient is 70-year-old male with past medical history of hypertension, dyslipidemia, hypothyroidism and unspecified leukemia status post chemotherapy P in remission.  He is being transferred from Medical Center ED for further evaluation of acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  He presented to the emergency room with a complaint of cough productive of sputum and shortness of breath X 2 weeks. Patient was in relatively good state of health until 2 weeks ago when he started to have cough productive of brown sputum.  He also reported associated shortness of breath. He reported generalized body ache, generalized weakness and fatigue.  Reported decreased appetite but no nausea vomiting abdominal pain or diarrhea.  Patient denied fever chills or rigors.  Since a week ago, he was not able to do his regular work.  He is a truck driver by trade.  Patient is fully vaccinated for COVID-19.  He denied use of tobacco products or alcohol.  Upon evaluation at referring facility ED, he was hypoxic with saturation as low as 78% on room air requiring 7 L of oxygen to maintain saturation.  He was hemodynamically stable and afebrile.  Significant lab findings were hyponatremia of 132, lactic acidosis at 2.5. Nasopharyngeal swab was positive for COVID-19.  Chest x-ray was suggestive of vascular congestion.  CT chest with IV contrast was suggestive of viral pneumonitis with no acute pulmonary embolus. At the referring facility ED, patient received ceftriaxone 1 g IV, azithromycin 500 mg IV and remdesivir to 100 mg stat.  He also received Lasix 40 mg IV.  11/23/21: As noted patient presented to the hospital with shortness of breath cough fatigue weakness for 3 weeks. Patient COVID-19 positive with COVID-19 pneumonitis.  Was placed on high-flow oxygen in ICU, patient received remdesivir, Decadron, Actemra, Rocephin/azithromycin, along with supportive measures and pulmonary toileting.. Gradually clinically improved, his oxygen requirements continued to decrease and eventually was weaned down to room air.  Finish course of antibiotics, discharged on Decadron taper.  Patient will be discharged to skilled nursing facility.  Patient's losartan was held on discharge is pressures were normotensive, can restart as clinically appropriate.  All ED and RTC precautions were provided to patient, clearly endorsed understanding and was in agreement with plan as outlined.  Will follow up with PCP within 7 days of discharge.