chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Central venous catheterisation, Chest X-ray, Chills, Computerised tomogram thorax, Cough
Clinical narrative: Had chills and shaking a couple days after the vaccine. The following week he started having a dry cough. He also developed pleurisy. Went to the doctor on Aug 31st. He continued coughing.  When taking long walks or walking up any steps he becomes winded. On Oct 12th he went back to the dr and that's when they discovered a large avocado size Empyema in  his chest. He had major surgery on Oct 19th to remove the Empyema. He was started on antibiotics and they put in a pick line in his left arm and he had to get antibiotics in it every 6wks. 2wks after he had to take oral antibotics.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Infectious pleural effusion, Lung operation, Pleurisy, Scan with contrast
Clinical narrative: Had chills and shaking a couple days after the vaccine. The following week he started having a dry cough. He also developed pleurisy. Went to the doctor on Aug 31st. He continued coughing.  When taking long walks or walking up any steps he becomes winded. On Oct 12th he went back to the dr and that's when they discovered a large avocado size Empyema in  his chest. He had major surgery on Oct 19th to remove the Empyema. He was started on antibiotics and they put in a pick line in his left arm and he had to get antibiotics in it every 6wks. 2wks after he had to take oral antibotics.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Had chills and shaking a couple days after the vaccine. The following week he started having a dry cough. He also developed pleurisy. Went to the doctor on Aug 31st. He continued coughing.  When taking long walks or walking up any steps he becomes winded. On Oct 12th he went back to the dr and that's when they discovered a large avocado size Empyema in  his chest. He had major surgery on Oct 19th to remove the Empyema. He was started on antibiotics and they put in a pick line in his left arm and he had to get antibiotics in it every 6wks. 2wks after he had to take oral antibotics.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Hospitalized with breakthrough COVID-19.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Dyspnoea
Clinical narrative: Acute confusion/SOB - hiospitalization
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Headache
Clinical narrative: Extreme fatigue, muscle weakness and pain, joint pain, nausea, fever, chills, headache, body aches, muscle tightness, and lack of energy. Symptoms started early morning hours Friday, and lasted 9 days. The Moderna shot was a booster shot, administered on January 13th at work. My original vaccine was Johnson and Johnson, which I received in April, 2021. I was healthy at the time of the booster, and had no other illness during the 9-day period than these side effects. On Tuesday January 18th, I had a Covid test done at Pharmacy just to make sure I did not have Covid - the result came back negative from the lab. I had virtually no treatment, as instructions were not to take any medicine so the vaccine booster would work naturally. I finally took ibuprofen and Nyquil after 8 days so I could have some relief and sleep.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Muscle tightness, Muscular weakness, Myalgia, Nausea
Clinical narrative: Extreme fatigue, muscle weakness and pain, joint pain, nausea, fever, chills, headache, body aches, muscle tightness, and lack of energy. Symptoms started early morning hours Friday, and lasted 9 days. The Moderna shot was a booster shot, administered on January 13th at work. My original vaccine was Johnson and Johnson, which I received in April, 2021. I was healthy at the time of the booster, and had no other illness during the 9-day period than these side effects. On Tuesday January 18th, I had a Covid test done at Pharmacy just to make sure I did not have Covid - the result came back negative from the lab. I had virtually no treatment, as instructions were not to take any medicine so the vaccine booster would work naturally. I finally took ibuprofen and Nyquil after 8 days so I could have some relief and sleep.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Extreme fatigue, muscle weakness and pain, joint pain, nausea, fever, chills, headache, body aches, muscle tightness, and lack of energy. Symptoms started early morning hours Friday, and lasted 9 days. The Moderna shot was a booster shot, administered on January 13th at work. My original vaccine was Johnson and Johnson, which I received in April, 2021. I was healthy at the time of the booster, and had no other illness during the 9-day period than these side effects. On Tuesday January 18th, I had a Covid test done at Pharmacy just to make sure I did not have Covid - the result came back negative from the lab. I had virtually no treatment, as instructions were not to take any medicine so the vaccine booster would work naturally. I finally took ibuprofen and Nyquil after 8 days so I could have some relief and sleep.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Diplopia, Feeling hot, Headache, Magnetic resonance imaging head normal, Taste disorder
Clinical narrative: After the first vaccine, she developed warmth and lasted for weeks, but no temperature After the second vaccine, she developed taste aversion after 3 days, followed by headache for 3 days After the booster, she developed double vision 5 days later as documented in initial report
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Lymphadenopathy, X-ray
Clinical narrative: My lymph nodes under my right arm swelled up a lot, then a week or two later what I believe to be my lymph nodes in my chest on the right side swelled to a pretty big lump.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product administration error
Clinical narrative: Vaccine administration error.  The Moderna COVID 19 vaccine Lot# 048F21A  expiration date: 01/22/22.  The vaccine was administered on 01/24/22.  Two days past the expiration date.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Cough, Musculoskeletal chest pain, Nasal congestion, Oropharyngeal pain
Clinical narrative: sore throat (has improved), cough, nonproductive cough, chills, sinus congestion (Improving), nasal congestion, post nasal drainage, some pain in ribs. starting  1/12/2022
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sinus congestion, Upper-airway cough syndrome
Clinical narrative: sore throat (has improved), cough, nonproductive cough, chills, sinus congestion (Improving), nasal congestion, post nasal drainage, some pain in ribs. starting  1/12/2022
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long. We have recommended to the patient to get revaccinated.
Age: 63.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Bipolar I disorder, Mania, Psychotic disorder
Clinical narrative: Bipolar I disorder, single manic episode, severe, with psychosis. ED visit and hospital admission. This visit was within 6 weeks of receiving COVID vaccine.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Speech disorder, Thinking abnormal
Clinical narrative: Brain fog.  Trouble with speech and thinking recall.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after vaccination. C/O runny nose, sore throat, cough, and congestion, onset 1/19/2022
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Nausea, Pharyngeal paraesthesia, Throat irritation
Clinical narrative: COVID VACCINE REACTION  Patient presented for second Pfizer/Covid vaccination;  about 10 minutes post-injection she started to cough.  She complained of throat tingling.   VS:  Pulse 81, BP 130/75, P02 98%.    She was given water to drink and expressed that she wanted to lay down on a stretcher.  She was attended by the charge nurse and a vaccinator.  The cough persisted and she developed pruritus in the throat but without dyspnea, as well as nausea and headache, and was administered diphenhydramine 25 mg by IM (per policy, 65 year old).    VS: 10 minutes after diphenhydramine: Pulse 74, BP 120/17, P02 97%   Patient stated she was feeling better.  Was offered transport by ambulance to hospital but refused.  The patient is ESRD on dialysis.  She has a history of anaphylaxis to ACE inhibitors.   her rheumatologist, recommended she take the Covid vaccination while still on prednisone.  Advised her to follow up with rheumatologist prior to next dose of Covid vaccine regarding any pre-medication.   The patient decided to leave on her own in satisfactory condition, approximately 1 hour after onset of symptoms.   VS: Blood pressure 120/75, pulse 79 P02 99%.    ADDENDUM:  At 11:00 am patient decided to be transported to hospital due to recurring throat symptoms.  EMS called.  She was administered second dose of diphenhydramine 25 mg prior to transport at 11:13 am.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Feeling jittery, Heart rate increased, Throat tightness
Clinical narrative: Patient presents to Vaccine clinic for Pfizer Booster. She had J&J Vaccine as her Primary dose. Due to history of allergies wait time initially was to be 30 minutes in Lobby waiting area. She has allergy to shellfish, Iodine, Morphine, and Regular fish. Time of onset of symptoms 7:45AM; 10-15 minutes after vaccine. Symptoms include: Lightheaded and dizzy, Anxious,"feeling like throat closing and jittery". Vitals: 7:49AM  Blood Pressure right arm Large Cuff 122/76, Pulse 99, Pulse oximetry 99%; 7:54AM BP 142/82; Respirations 24, Pulse 108, Pulse oximetry 99; 8:00AM 128/78, Respirations 16, Pulse 99-95 with slow deep breathing, Pulse Oximetry 99%; 8:13AM BP 130/76, 18 respirations, Pulse 92-99-80's, Pulse oximetry 100%. 7:53AM Zyrtec 10 MG PO oral disintegrating administered. At onset of symptoms transferred to flat lying gurney for 5 minutes initially then sitting up for fluids and graham crackers. 8:00AM Patient reports, throat does feel like it's improving. 8:05AM sitting upright; feels 60% recovered. 8:13AM Patient has been eating graham crackers and drinking apple juice. Conversing and is "feeling 100%". 8:20AM "Feels back to Normal" - No throat closing, Not feeling jittery, and No dizziness. 8:25AM Up to Bathroom to empty bladder. 8:30AM 132/80 BP, Respirations 20, Pulse 90, Pulse oximetry 99%. History Notes: She had not eaten this morning and had rushed to get here from bus stop. 7:54AM Became anxious with increased HR - laying down; zyrtec had just been dissolved. She has taken zyrtec before. Talking well, Visual of throat reveals no swelling and no erythema. Initially had "felt like tongue sliding back and closing. 8:36AM Back to Baseline and will wait additional 20 minutes in waiting area watching TV & being monitored. 9:00AM Discharge Home; Patient aware to follow-up with PCP/Urgent Care/ER as needed and verbalizes understanding
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: NSTEMI - hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Memory impairment, Paraesthesia, Rash, Rash erythematous
Clinical narrative: Felt the medicine go through arm and hands. Right eye dropped. Rash and welts on face, neck, arms, chest and stomach. Felt like sunburn rolling around in fiberglass. Felt like thousands of needles pricking were the rash and welts were.  Went to the emergency room. Took Benedryl at home.  Advised not to take 2nd shot or to take 2nd shot with epipen. Memory fog. Ringing in right ear.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance, Tinnitus, Urticaria
Clinical narrative: Felt the medicine go through arm and hands. Right eye dropped. Rash and welts on face, neck, arms, chest and stomach. Felt like sunburn rolling around in fiberglass. Felt like thousands of needles pricking were the rash and welts were.  Went to the emergency room. Took Benedryl at home.  Advised not to take 2nd shot or to take 2nd shot with epipen. Memory fog. Ringing in right ear.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient was given a Lower than authorized dose of the correct formulation due to being mixed with dilutent.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Injection site pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: My arm at the injection site got real sore and was  tired for about 24hrs and all subsided within 12-14 hrs after.  And on 1/10 I begin sneezing and got really congested so per my job protocol I had to take a COVID test so on 1/13 the PCR test showed I was positive for COVID
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: My arm at the injection site got real sore and was  tired for about 24hrs and all subsided within 12-14 hrs after.  And on 1/10 I begin sneezing and got really congested so per my job protocol I had to take a COVID test so on 1/13 the PCR test showed I was positive for COVID
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Infection, Pyrexia, Respiratory tract congestion
Clinical narrative: Breakthrough case after vaccination, C/O fever, cough, N/V, sneezing, & congestion, onset 1/20/2022
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: Breakthrough case after vaccination, C/O fever, cough, N/V, sneezing, & congestion, onset 1/20/2022
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Viral test
Clinical narrative: Sore throat, Headache
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Cerebellar stroke, Computerised tomogram, Magnetic resonance imaging
Clinical narrative: Stroke. It was a stroke to the cerebellum area of the brain. I was treated at the hospital after the stroke occurred on January 18/January 19, 2022 and remained in the hospital until Sunday, January 23. I am virtually fully recovered as of Tuesday, January 25, 2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus
Clinical narrative: Type 2 diabetes mellitus without complication, without long-term current use of insulin. Office visit within 6 weeks of receiving the COVID vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asymptomatic COVID-19, Gait disturbance, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Pt presents for follow-up of right hip and leg pain.  He had an epidural injection which she says did not help.  More recently has had increasing right hip pain he now is unable to walk he complains of severe stabbing aching pain with attempted weightbearing most in the groin and anterior thigh but also radiating down the lateral right leg.  Imaging  shows right femoral head fracture.  Will require total hip replacement.  Given his inability to bear weight pt admitted to the hospital. Pre-op covid test positive. Patient asymptomatic.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient got a "full dose" (0.5ml) instead of a "half dose" (0.25ml) as her booster.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Communication disorder, Emotional disorder, Feeling abnormal, Neurological decompensation
Clinical narrative: Patient received the first covid 19 vaccine shot on 11/25.  Three days after the shot she started asking a lot of questions and seemed very confused about the most basic questions.  We thought this was a phase at the time.  She received the 2nd shot on 12/15 and within 5 days had completely deteriorated neurologically.  She developed acute severe OCD, significant age regression, and was unable to function.  She lost the ability to communicate, just pointing and grunting for things that she wanted.  She became completely emotionally disconnected (unable to say I love you or sorry or anything with emotion).  Almost overnight she turned into a 4 year old with autism and ocd.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Obsessive-compulsive disorder, Regressive behaviour
Clinical narrative: Patient received the first covid 19 vaccine shot on 11/25.  Three days after the shot she started asking a lot of questions and seemed very confused about the most basic questions.  We thought this was a phase at the time.  She received the 2nd shot on 12/15 and within 5 days had completely deteriorated neurologically.  She developed acute severe OCD, significant age regression, and was unable to function.  She lost the ability to communicate, just pointing and grunting for things that she wanted.  She became completely emotionally disconnected (unable to say I love you or sorry or anything with emotion).  Almost overnight she turned into a 4 year old with autism and ocd.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: NSTEMI - ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2
Clinical narrative: no symptoms, had exposure on 1/17/22
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: ADMINISTRATION ERROR: Immunizer, reports an incident in which she immunizes a 10-year-old male minor with his second dose in the left arm and when removing the needle, she realizes that the syringe did not have the dose of the vaccine. talks to the mother about what happened and explains that he would investigate what happened, for which he proceeds to estimate the syringe in the presence of the nursing director, I. and the shift leader, Indeed, the syringe was completely dry and without any residue of the COVID-19 vaccine dose. Doctor is notified and the mother of the minor is spoken to to explain the situation and the patient is vaccinated correctly.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as inpatient on 1/12/22 due to atrial fibrillation with RVR. Patient was tested for COVID-19 and was positive on 1/10/22.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient received a lower than authorized dose of the correct formulation with a mixed with to much diluent.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TIA (transient ischemic attack) - ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Nausea, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Nausea and vomiting the morning after receiving (2nd) dose the previous evening. General malaise. No fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, SARS-CoV-2 test negative
Clinical narrative: Loss of taste and smell for 48 hours after the shot. Took a COVID PCR test to confirm I wasn't sick and it was negative.
Age: 41.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Gangrene
Clinical narrative: Gangrene of foot - hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Contusion, Pain, Peripheral swelling
Clinical narrative: The symptoms i have endured are from my left wrist to my neck then down my left side to my hips is in excruciating pain. My left breast and ribs under it feel as though I have been stabbed. My left arm pit stings and hurts when touched. I am starting to bruise along my left side and my left breast. My left arm is swollen and feels paralyzed   The pain started around 4:00pm on January 24, 2022. The pain got worse as the night went on. Any move I make puts the pain into power mode.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Calcinosis, X-ray
Clinical narrative: Calcium deposit
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient received a lower than authorized dose of the correct formulation with a mixed with to much diluent.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: vaccine was kept in freezer for 3 weeks instead of 2 weeks, patient had no adverse reactions and does not want to receive another vaccine at this time
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Pregnancy, SARS-CoV-2 test positive, Vaginal haemorrhage
Clinical narrative: Patient is a 28 year old G1P0 at 38 weeks & 1 days confirmed by ultrasound for an EDD of 2/1/22. She presented to L&D for IOL 2/2 vaginal bleeding, CTX, COVID positive, 38 week gestation. Patient reports feeling well, has no complaints.  Patient report uncomplicated pregnancy thus far. Denies headache, change in vision, loss of fluid, vaginal discharge, swelling, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, dysuria, fever/chills. She reports good fetal movement throughout pregnancy. Takes PNV. OB Hx: G1P0 uncomplicated pregnancy.  DISHCARGE HAS NOT BEEN UPLOADED AT THIS TIME.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Head discomfort, Headache, Pain
Clinical narrative: Later that night after the vaccine I developed a headache, fever, body aches which all lasted about 48 hrs.  On 1/1  my head got really stuffy and started to hurt and my nose got real runny.  I got extremely tired so I took a COVID test and on 1/3 I tested positive to COVID-19.  Im still pretty tired to date but most all symptoms have subsided
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Later that night after the vaccine I developed a headache, fever, body aches which all lasted about 48 hrs.  On 1/1  my head got really stuffy and started to hurt and my nose got real runny.  I got extremely tired so I took a COVID test and on 1/3 I tested positive to COVID-19.  Im still pretty tired to date but most all symptoms have subsided
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID 19
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pfizer dose #2 given 14 days after dose #1 (12-30-2021)
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient received a lower than authorized dose of the correct formulation with a mixed with to much diluent.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: CHEST PAIN.  PATIENT HAS AN EXTENSIVE CARDIAC HISTORY INCLUDING CABG AND PAST MI. MD ORDERED PATIENT TO BE SENT TO ACUTE HOSPITAL FOR OBSERVATION. PATIENT WAS GIVEN NYTROGLYCERIN  EN ROUTE. PATIENT DENIES ANY OTHER ASSOCIATED SYMPTOMS. PATIENT DENIES ANY ALLEVIATING OR AXACERBATING FACTORS.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthma, Chest X-ray normal, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Patient already on ventilator at time of my exam. Received report from Dr and nursing.  Seen at bedside with Dr.  Per ED:  41-year-old female with history of asthma presents to the emergency department with an asthma exacerbation.  Patient reports she began having cough and shortness of breath on Sunday.  She states she was seen at an outside hospital and given IV steroids and DuoNeb.  She states she was sent home with steroids, but never got these filled as she did not have a ride.  She reports her breathing got significantly worse last night.  She has given herself 6 DuoNebs throughout the night, with minimal improvement.  Patient denies vomiting or diarrhea.  She states she has had a cough.  Denies recent sick contacts.  Patient is in moderate respiratory distress.  She is able to speak in very short sentences/phrases only.   She was intubated in ED after bipap failed to get her pH improved or CO2 down. Chest Xray clear, now on vent no audible wheezing. Vitals fairly stable.  Reviewed imaging with nursing and NG in stomach. Fairly difficult to get sedated on versed and propofol.   PT IS CURRENTLY INPATIENT.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Gastrointestinal tube insertion, Mechanical ventilation, Positive airway pressure therapy, Respiratory distress
Clinical narrative: Patient already on ventilator at time of my exam. Received report from Dr and nursing.  Seen at bedside with Dr.  Per ED:  41-year-old female with history of asthma presents to the emergency department with an asthma exacerbation.  Patient reports she began having cough and shortness of breath on Sunday.  She states she was seen at an outside hospital and given IV steroids and DuoNeb.  She states she was sent home with steroids, but never got these filled as she did not have a ride.  She reports her breathing got significantly worse last night.  She has given herself 6 DuoNebs throughout the night, with minimal improvement.  Patient denies vomiting or diarrhea.  She states she has had a cough.  Denies recent sick contacts.  Patient is in moderate respiratory distress.  She is able to speak in very short sentences/phrases only.   She was intubated in ED after bipap failed to get her pH improved or CO2 down. Chest Xray clear, now on vent no audible wheezing. Vitals fairly stable.  Reviewed imaging with nursing and NG in stomach. Fairly difficult to get sedated on versed and propofol.   PT IS CURRENTLY INPATIENT.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaemia, Asthenia, Atrial fibrillation, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient is a 75 year old female with a PMH significant for CAD, HTN, Ventricular tachycardia s/p AICD placement in 2019, left ventricular wall aneurysm on Xarelto, type 2 diabetes mellitus and GERD who presents to the emergency department with progressive weakness and SOB. She was diagnosed with COVID19 on 1/13/2022 and has been taking mucinex and tylenol at home. Since that time she states she has been more weak at home and this morning had what she believes was a panic attack and felt as though she could not breathe. She states there has been several times this week that she has felt her heart has been racing and noticed her HR was in "cardio zone" for several hours at a time which(while sitting still) on  her watch which indicates faster HRs than usual. She denies h/o atrial fibrillation. She has been on xarelto for about a year due to concern of "something in the bottom of her heart". Upon chart review, it appears there was an ECHO performed in 12/2020 which mentioned a lateral wall aneurysm located in her left ventricle. No personal h/o thrombus or DVT. She denies fever, chills, CP, abd pain, changes in bowel or bladder habits or swelling in extremities. She has had a productive cough with dark colored sputum for the last week or so. Fever up to 100 several days ago but none since.   In the ER, patient found to be in atrial fibrillation with RVR. HR was up to 140s. She was given 10mg IV dilt and started on a dilt drip @10mg/hr. She was also hypoxic on room air and placed on supplemental oxygen with improvement in saturation. CXR with cardiomegaly but no acute abnormalities. Laboratory studies significant for mild leukocytosis, anemia (chronic), hyperglycemia and elevated BNP of 4243. Admission was requested.  PT IS INPATIENT AT THIS TIME.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Dyspnoea, Heart rate increased, Hyperglycaemia
Clinical narrative: Patient is a 75 year old female with a PMH significant for CAD, HTN, Ventricular tachycardia s/p AICD placement in 2019, left ventricular wall aneurysm on Xarelto, type 2 diabetes mellitus and GERD who presents to the emergency department with progressive weakness and SOB. She was diagnosed with COVID19 on 1/13/2022 and has been taking mucinex and tylenol at home. Since that time she states she has been more weak at home and this morning had what she believes was a panic attack and felt as though she could not breathe. She states there has been several times this week that she has felt her heart has been racing and noticed her HR was in "cardio zone" for several hours at a time which(while sitting still) on  her watch which indicates faster HRs than usual. She denies h/o atrial fibrillation. She has been on xarelto for about a year due to concern of "something in the bottom of her heart". Upon chart review, it appears there was an ECHO performed in 12/2020 which mentioned a lateral wall aneurysm located in her left ventricle. No personal h/o thrombus or DVT. She denies fever, chills, CP, abd pain, changes in bowel or bladder habits or swelling in extremities. She has had a productive cough with dark colored sputum for the last week or so. Fever up to 100 several days ago but none since.   In the ER, patient found to be in atrial fibrillation with RVR. HR was up to 140s. She was given 10mg IV dilt and started on a dilt drip @10mg/hr. She was also hypoxic on room air and placed on supplemental oxygen with improvement in saturation. CXR with cardiomegaly but no acute abnormalities. Laboratory studies significant for mild leukocytosis, anemia (chronic), hyperglycemia and elevated BNP of 4243. Admission was requested.  PT IS INPATIENT AT THIS TIME.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Laboratory test abnormal, Leukocytosis, Palpitations, Panic attack
Clinical narrative: Patient is a 75 year old female with a PMH significant for CAD, HTN, Ventricular tachycardia s/p AICD placement in 2019, left ventricular wall aneurysm on Xarelto, type 2 diabetes mellitus and GERD who presents to the emergency department with progressive weakness and SOB. She was diagnosed with COVID19 on 1/13/2022 and has been taking mucinex and tylenol at home. Since that time she states she has been more weak at home and this morning had what she believes was a panic attack and felt as though she could not breathe. She states there has been several times this week that she has felt her heart has been racing and noticed her HR was in "cardio zone" for several hours at a time which(while sitting still) on  her watch which indicates faster HRs than usual. She denies h/o atrial fibrillation. She has been on xarelto for about a year due to concern of "something in the bottom of her heart". Upon chart review, it appears there was an ECHO performed in 12/2020 which mentioned a lateral wall aneurysm located in her left ventricle. No personal h/o thrombus or DVT. She denies fever, chills, CP, abd pain, changes in bowel or bladder habits or swelling in extremities. She has had a productive cough with dark colored sputum for the last week or so. Fever up to 100 several days ago but none since.   In the ER, patient found to be in atrial fibrillation with RVR. HR was up to 140s. She was given 10mg IV dilt and started on a dilt drip @10mg/hr. She was also hypoxic on room air and placed on supplemental oxygen with improvement in saturation. CXR with cardiomegaly but no acute abnormalities. Laboratory studies significant for mild leukocytosis, anemia (chronic), hyperglycemia and elevated BNP of 4243. Admission was requested.  PT IS INPATIENT AT THIS TIME.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Productive cough, Pyrexia, Sputum discoloured
Clinical narrative: Patient is a 75 year old female with a PMH significant for CAD, HTN, Ventricular tachycardia s/p AICD placement in 2019, left ventricular wall aneurysm on Xarelto, type 2 diabetes mellitus and GERD who presents to the emergency department with progressive weakness and SOB. She was diagnosed with COVID19 on 1/13/2022 and has been taking mucinex and tylenol at home. Since that time she states she has been more weak at home and this morning had what she believes was a panic attack and felt as though she could not breathe. She states there has been several times this week that she has felt her heart has been racing and noticed her HR was in "cardio zone" for several hours at a time which(while sitting still) on  her watch which indicates faster HRs than usual. She denies h/o atrial fibrillation. She has been on xarelto for about a year due to concern of "something in the bottom of her heart". Upon chart review, it appears there was an ECHO performed in 12/2020 which mentioned a lateral wall aneurysm located in her left ventricle. No personal h/o thrombus or DVT. She denies fever, chills, CP, abd pain, changes in bowel or bladder habits or swelling in extremities. She has had a productive cough with dark colored sputum for the last week or so. Fever up to 100 several days ago but none since.   In the ER, patient found to be in atrial fibrillation with RVR. HR was up to 140s. She was given 10mg IV dilt and started on a dilt drip @10mg/hr. She was also hypoxic on room air and placed on supplemental oxygen with improvement in saturation. CXR with cardiomegaly but no acute abnormalities. Laboratory studies significant for mild leukocytosis, anemia (chronic), hyperglycemia and elevated BNP of 4243. Admission was requested.  PT IS INPATIENT AT THIS TIME.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram normal, Fatigue
Clinical narrative: Tightness in center and left side of chest within 3/4 days of vaccine, lasting 3-4 weeks after each dose. Some shortness of breath and fatigue along with 3rd dose.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: Reported multiple TIA and hospitalizations
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Cholelithiasis, Condition aggravated, Liver function test normal, Nausea
Clinical narrative: Patient is a 53-year-old female who began having right upper quadrant pain earlier in the day on Thursday.  Got progressively worse.  She had associated nausea vomiting.  She has known gallbladder disease.  Couple years ago before COVID she had an intact with similar had ultrasound showing sludge in gallstones.  She presented emergency room last night with a white count of 11000.  Ultrasound showed gallstones with a stone lodged in the neck of the gallbladder.  Liver function tests were within normal limits.  She had ongoing symptoms and pain which was only controlled with morphine.  I was asked admitted for management of symptomatic cholelithiasis. DISCHARGE SUMMARY HAS NOT BEEN UPLOADED AT THIS TIME.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Ultrasound abdomen abnormal, Vomiting, White blood cell count increased
Clinical narrative: Patient is a 53-year-old female who began having right upper quadrant pain earlier in the day on Thursday.  Got progressively worse.  She had associated nausea vomiting.  She has known gallbladder disease.  Couple years ago before COVID she had an intact with similar had ultrasound showing sludge in gallstones.  She presented emergency room last night with a white count of 11000.  Ultrasound showed gallstones with a stone lodged in the neck of the gallbladder.  Liver function tests were within normal limits.  She had ongoing symptoms and pain which was only controlled with morphine.  I was asked admitted for management of symptomatic cholelithiasis. DISCHARGE SUMMARY HAS NOT BEEN UPLOADED AT THIS TIME.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient received a lower than authorized dose of the correct formulation with a mixed with to much diluent.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Endotracheal intubation, Mechanical ventilation, Positive airway pressure therapy, Pyrexia
Clinical narrative: Hx unobtainable from patient as he is sedated and on a ventilator. His wife is in 3100 COVID unit and provides hx for me.  He left here 15 days ago and went to a HCF for Skilled nursing care. She states she had URI symptoms about 9 days ago and visited him daily. She did not think she had COVID as she did not have a fever. About Monday of this week, he developed congestion , cough and low grade fever. Looks like they were able to get him Molnupiravir and he is on day 4. Despite this, his respiratory status has declined despite using his home CPAP. EMS summoned and he was intubated prior to ED arrival.   I spoke with his wife in her room and she was very clear, despite talks with his Pulmonologist and other physic she and her daughter wish him to be full code, as they state this has always been his wishes, even during recent hospital stay.  PT IS CURRENTLY INPATIENT.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory disorder, Respiratory tract congestion
Clinical narrative: Hx unobtainable from patient as he is sedated and on a ventilator. His wife is in 3100 COVID unit and provides hx for me.  He left here 15 days ago and went to a HCF for Skilled nursing care. She states she had URI symptoms about 9 days ago and visited him daily. She did not think she had COVID as she did not have a fever. About Monday of this week, he developed congestion , cough and low grade fever. Looks like they were able to get him Molnupiravir and he is on day 4. Despite this, his respiratory status has declined despite using his home CPAP. EMS summoned and he was intubated prior to ED arrival.   I spoke with his wife in her room and she was very clear, despite talks with his Pulmonologist and other physic she and her daughter wish him to be full code, as they state this has always been his wishes, even during recent hospital stay.  PT IS CURRENTLY INPATIENT.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Fall, Head discomfort, Head injury, Illness
Clinical narrative: The patient presents with 90 year old male presents after a fall. He was in his usual state of chronic illness when he was trying to get out of bed and he fell. It was an unwitnessed fall. Apparently fell onto his head and left side. He is unaware if he had any LOC or AMS. He only reports some discomfort to the right supraorbital region and left chestwall. He is not anticoagulated. Unable to provide more history secondary to dementia. He denies SOB or cough..     DISCHARGE SUMMARY HAS NOT BEEN UPLOADED AT THIS TIME.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Influenza virus test negative
Clinical narrative: Tested COVID positive  01/20/2022 at Doctore and home test was done on 01/18/2022.Medication /Molnupiravin 200 mg 4 capcuples every 12 hour for five prescibed for COVID.  Short supply at Phramacy.  Major sick feeling , tired, night sweats, head hurting, eyes noise pour water, whezzing and brocoli tubes. Was prescibed medication since she has ashma,  to alleviate conditions.  Mild symptoms coughing during the night and sinus pressure in face but still recovering.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Malaise, Night sweats, Paranasal sinus discomfort, Rhinorrhoea
Clinical narrative: Tested COVID positive  01/20/2022 at Doctore and home test was done on 01/18/2022.Medication /Molnupiravin 200 mg 4 capcuples every 12 hour for five prescibed for COVID.  Short supply at Phramacy.  Major sick feeling , tired, night sweats, head hurting, eyes noise pour water, whezzing and brocoli tubes. Was prescibed medication since she has ashma,  to alleviate conditions.  Mild symptoms coughing during the night and sinus pressure in face but still recovering.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Wheezing
Clinical narrative: Tested COVID positive  01/20/2022 at Doctore and home test was done on 01/18/2022.Medication /Molnupiravin 200 mg 4 capcuples every 12 hour for five prescibed for COVID.  Short supply at Phramacy.  Major sick feeling , tired, night sweats, head hurting, eyes noise pour water, whezzing and brocoli tubes. Was prescibed medication since she has ashma,  to alleviate conditions.  Mild symptoms coughing during the night and sinus pressure in face but still recovering.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient received a lower than authorized dose of the correct formulation with a mixed with to much diluent.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Bacterial infection, Blood bicarbonate decreased, Blood chloride decreased
Clinical narrative: 78 y/o female ( pt) with PMH of BLLE lymphedema, chronic wounds, and recurrent cellulitis.  She presents s/p falls x2 last night with increased illness, increased lower extremity pain, redness, swelling,  and worsening purulence  despite being on oral bactrim and keflex since 1/18/22.  She was last admitted here in Sept 2021 w/  b/l lower extremity cellulitis (no bacteremia) and treated with IV cefazolin with improvement.  No wound cx avail  from that visit but records show  prev  cultures were positive for PSAR,  +Corynebacterium striatum and have been periodic dating back to 2019. The patient notes she is seen by Dr in the wound clinic and also Dr  has followed and treated her with both oral an antibx and IV courses at the facility.  She denies previous surgical interventions such as debridements and has had no recent hospitalizations elsewhere.  She notes she has been quite weak the last few days, and had #2 falls last night where she just collapses.   She stated no LOC. She c/o's acute on chronic Left hip/buttock pain and is restless on stretcher.   She has had intermittent chills, no fevers, no n/v/d and has been eating normally, no urinary symptoms (other than chronic incontinence-wearing diaper), she is voiding, no ShOB, no CP, no syncope, no palpitations  but reports a chronic productive cough  --she keeps expectorating pale tan phlegm in room-- no hemoptysis; c/o thirst   Mild nausea, no diarrhea, no abd pain.  She is constipated--last BM 34 days ago. In the ER  she is afebrile.  BPs on higher side,  HRs stable in NSR on monitor; no respiratory distress.   NCCT Head: no  acute IC abnormality;  there is acute sinus dis.  pCXR and Left hip/pelvic XR pndg--note has h/o severe OA with avascular necrosis possibly noted in past.     Her labs show leukocytosis to 19K, left shift,  PCT elevated @ 1.42, hgb 8.8 (from 9.3 in Dec).  Sodium 127,  K+ 6 (4.8 in Dec), Cl 93, bicarb 18, no gap, BUN/creat 149/3.4 (73/1.5 in Dec),  CK pndg, gluc 119,lactate 1.4, COVID -19 positive (was known positive 1/13/22 --asymptomatic though chronic cough).  WC ordered  1/17/22 Outpt WC obtained by Dr positive for GBS, light PSAR (pansensitive), light MRSA w/ MDRO. She meets sepsis criteria w/ qSOFA of 2..  She received 500 cc of IV NS in ED --will cont w NS @ 125cc/h, and started on IV vanco, cefepime, & LVQ.   Hospital Medicine has been asked to admit the patient.    PT IS INPATIENT AT THIS TIME.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase, Blood creatinine increased, Blood glucose normal, Blood lactic acid, Blood potassium increased
Clinical narrative: 78 y/o female ( pt) with PMH of BLLE lymphedema, chronic wounds, and recurrent cellulitis.  She presents s/p falls x2 last night with increased illness, increased lower extremity pain, redness, swelling,  and worsening purulence  despite being on oral bactrim and keflex since 1/18/22.  She was last admitted here in Sept 2021 w/  b/l lower extremity cellulitis (no bacteremia) and treated with IV cefazolin with improvement.  No wound cx avail  from that visit but records show  prev  cultures were positive for PSAR,  +Corynebacterium striatum and have been periodic dating back to 2019. The patient notes she is seen by Dr in the wound clinic and also Dr  has followed and treated her with both oral an antibx and IV courses at the facility.  She denies previous surgical interventions such as debridements and has had no recent hospitalizations elsewhere.  She notes she has been quite weak the last few days, and had #2 falls last night where she just collapses.   She stated no LOC. She c/o's acute on chronic Left hip/buttock pain and is restless on stretcher.   She has had intermittent chills, no fevers, no n/v/d and has been eating normally, no urinary symptoms (other than chronic incontinence-wearing diaper), she is voiding, no ShOB, no CP, no syncope, no palpitations  but reports a chronic productive cough  --she keeps expectorating pale tan phlegm in room-- no hemoptysis; c/o thirst   Mild nausea, no diarrhea, no abd pain.  She is constipated--last BM 34 days ago. In the ER  she is afebrile.  BPs on higher side,  HRs stable in NSR on monitor; no respiratory distress.   NCCT Head: no  acute IC abnormality;  there is acute sinus dis.  pCXR and Left hip/pelvic XR pndg--note has h/o severe OA with avascular necrosis possibly noted in past.     Her labs show leukocytosis to 19K, left shift,  PCT elevated @ 1.42, hgb 8.8 (from 9.3 in Dec).  Sodium 127,  K+ 6 (4.8 in Dec), Cl 93, bicarb 18, no gap, BUN/creat 149/3.4 (73/1.5 in Dec),  CK pndg, gluc 119,lactate 1.4, COVID -19 positive (was known positive 1/13/22 --asymptomatic though chronic cough).  WC ordered  1/17/22 Outpt WC obtained by Dr positive for GBS, light PSAR (pansensitive), light MRSA w/ MDRO. She meets sepsis criteria w/ qSOFA of 2..  She received 500 cc of IV NS in ED --will cont w NS @ 125cc/h, and started on IV vanco, cefepime, & LVQ.   Hospital Medicine has been asked to admit the patient.    PT IS INPATIENT AT THIS TIME.