chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Condition aggravated, Dysarthria, Eye disorder, Facial operation
Clinical narrative: Temporary numbing of his left arm. Bells Palsy. Paralysis of the left side of his face. Very droopy eye. Very droopy left side of his face. He has had multiple surgeries to correct the droopiness of his bottom eyelid and left cheek. His eye doctor was concerned about debris getting in because it was so droopy. His eye also waters constantly. His speech is very slurred. It's difficult to understand certain words. Strangers have an even harder time understanding him. He has difficulty chewing food on the left side of his mouth. He has gone to therapy trying to improve all these things, but after zero improvements, vacated the therapy sessions.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia, Lacrimation increased, Mastication disorder
Clinical narrative: Temporary numbing of his left arm. Bells Palsy. Paralysis of the left side of his face. Very droopy eye. Very droopy left side of his face. He has had multiple surgeries to correct the droopiness of his bottom eyelid and left cheek. His eye doctor was concerned about debris getting in because it was so droopy. His eye also waters constantly. His speech is very slurred. It's difficult to understand certain words. Strangers have an even harder time understanding him. He has difficulty chewing food on the left side of his mouth. He has gone to therapy trying to improve all these things, but after zero improvements, vacated the therapy sessions.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Insomnia
Clinical narrative: achey last night:  had a hard time sleeping.  Head ache:  right behind my eyeballs.  Front of shoulders sore, shot area tender.  Mid section achy.  Feet sore.  I got up at midnight and took two tylenol.  It helped.  This is my fourth covid shot.  The last three I had similar symptoms--I called in sick once because I was washed out.  I think I will take a nap right now.  None of my friends or relatives have these symptoms.  I very seldom take medications.  I will be fine in a couple days.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Malaise, Pain, Pain in extremity
Clinical narrative: achey last night:  had a hard time sleeping.  Head ache:  right behind my eyeballs.  Front of shoulders sore, shot area tender.  Mid section achy.  Feet sore.  I got up at midnight and took two tylenol.  It helped.  This is my fourth covid shot.  The last three I had similar symptoms--I called in sick once because I was washed out.  I think I will take a nap right now.  None of my friends or relatives have these symptoms.  I very seldom take medications.  I will be fine in a couple days.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Vision blurred, Visual impairment
Clinical narrative: Patient received second dose. After about 5-6 hours started getting headache and blurred vision with black dots. patient then reported to ER. Last BP in the ED was 201/198
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient received the vaccine before the authorized age.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient received vaccine before authorized age
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Dyspnoea, Nausea, SARS-CoV-2 test positive
Clinical narrative: I got positive a test for COVID-19, and I scheduled a virtual appointment with the doctor, and he prescribed Paxlovid. I had nausea, caught, diarrhea, shortness of breath. I took medicine and I felt fine. This is the third time I got COVID-19.
Age: 45.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Therapeutic response changed
Clinical narrative: Intradermal injection given to left forearm but did not wheal. Repeat injection given to successfully to back of left arm.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient has not yet received a COVID 19 vaccine primary series and was given Pfizer bivalent booster as dose #1
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: She got her vaccine, she did not have any symptoms.  Since March or April of this year she started having pain in her knees real bad, and also her legs.  Her left arm also hurts, her shoulder, sometimes she has it in her fingers and her thumb, arms, round in the middle of her back.  She saw her PCP 2 weeks ago who asked her if she fell and she felt that it was from her shot, as she heard other people state that they had problems from it.  She states she is not taking the boosters and not taking the chance of having reactions.  Her doctor felt that he did not know what her symptoms were from.  She was given some prescriptions for the symptoms but she continues to have symptoms.  Her whole body hurts.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Fatigue, Feeling abnormal, Headache
Clinical narrative: Fatigued, Headaches, Swelling in the lymph nodes in the same arm as the injection size of a golf ball, Muscle pain, Joint pain, Chills, Brain fog.   Time Course 9-19-2022 continuous
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymphadenopathy, Myalgia
Clinical narrative: Fatigued, Headaches, Swelling in the lymph nodes in the same arm as the injection size of a golf ball, Muscle pain, Joint pain, Chills, Brain fog.   Time Course 9-19-2022 continuous
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient received vaccine before authorized age.
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Induration, Pain, Parotid gland enlargement, Salivary gland induration, Salivary gland pain
Clinical narrative: Onset 24 hours from vaccine, left parotid gland became hard, tender and enlarged.  Patient denied dental pain, there is only one intact molar on the lower jaw and it was not tender, and the gum was normal. Patient denied fever, chills, n/v, difficulty swallowing or any other new complaints.  No axillary or cervical lymphadenopathy, no pain with percussion of tooth.  Skin temperature and color over the parotid were normal.  Pain with opening mouth, but able to open it to a normal amount.  Over the course of 5 days the parotid returned to normal.  Patient sucked on lemon candies .  Patient denied dry mouth.  She took less than 5 doses of acetaminophen, and used heat and ice for comfort.  No antibiotics were given.  Patient opted not to seek in person care at her physician's office since the ventilation is very poor there and she didn't want to remove her mask. CO2 reaches 3000 ppm in the exam room and is consistently over 1200 ppm in the waiting room.  They do not use portable HEPA. (It would be really great if CDC addresses ventilation in physician offices.) I examined my Mother via video and my sister performed the exam in person by my instructions.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient received vaccine before authorized age.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Device intolerance, General physical health deterioration, Intensive care
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 10/1/21, LOT #FF8839; pt transported from a residential facility to hospital due to not tolerating BiPAP well; when EMS arrived O2 saturation was 70%; placed on NRB 15L O2; found to be positive for COVID; given ABX and IVFs; ICU; respiratory failure; condition worsened; multiorgan failure; pt passed away in the hospital
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Multiple organ dysfunction syndrome, Positive airway pressure therapy, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 10/1/21, LOT #FF8839; pt transported from a residential facility to hospital due to not tolerating BiPAP well; when EMS arrived O2 saturation was 70%; placed on NRB 15L O2; found to be positive for COVID; given ABX and IVFs; ICU; respiratory failure; condition worsened; multiorgan failure; pt passed away in the hospital
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient received the vaccine before the authorized age
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Pain in extremity, Pyrexia, Syncope
Clinical narrative: Morning after- fainted, low grade fever 99.8, chills, injection arm soreness.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Grip strength decreased, Hypoaesthesia, Injection site erythema, Injection site inflammation, Pain in extremity
Clinical narrative: States received Pfizer Bivalent Booster on 9/19/2022, for several days noticed (L) arm was sore with some redness and inflammation to area of site. Then on 9/21/2022 woke up around 0400 with arm numbness and tingling sensation that radiated down (L) arm into fingers and palm of hand and felt as if were unable to grasp/grip anything or open/close hand properly, patient felt was due to possibly slept wrong and went back to sleep.  Patient then woke up around 0630 and states some of the numbness/tingling had subsided but continued to have numbness to (L) ring/pinky fingers and palm of hand, denies any type of slurred speech or any other symptoms that occurred with this event.  She reported to the unit at 0900 with the complaints, observation by RN is slight inflammation and slight erythema at site, no swelling or abnormalities to the any other part of the (L) arm, appears as a local adverse reaction as could be a potential from any other vaccination.   Instructed to have further evaluation by PCP for possible other health related issues and contact after evaluation with outcome.  Does not have any slurred speech
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Paraesthesia, Sleep disorder
Clinical narrative: States received Pfizer Bivalent Booster on 9/19/2022, for several days noticed (L) arm was sore with some redness and inflammation to area of site. Then on 9/21/2022 woke up around 0400 with arm numbness and tingling sensation that radiated down (L) arm into fingers and palm of hand and felt as if were unable to grasp/grip anything or open/close hand properly, patient felt was due to possibly slept wrong and went back to sleep.  Patient then woke up around 0630 and states some of the numbness/tingling had subsided but continued to have numbness to (L) ring/pinky fingers and palm of hand, denies any type of slurred speech or any other symptoms that occurred with this event.  She reported to the unit at 0900 with the complaints, observation by RN is slight inflammation and slight erythema at site, no swelling or abnormalities to the any other part of the (L) arm, appears as a local adverse reaction as could be a potential from any other vaccination.   Instructed to have further evaluation by PCP for possible other health related issues and contact after evaluation with outcome.  Does not have any slurred speech
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: 1) moderate arm pain, slight swelling, redness and bruise at injection site  starting 9/15/22 @ 3:00pm until 9/17/22 @ 9:00pm. 2)Tiredness, muscle pain and headache starting  9/16/22 4:00am until 9/17/22 @ 12:00pm
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Myalgia
Clinical narrative: 1) moderate arm pain, slight swelling, redness and bruise at injection site  starting 9/15/22 @ 3:00pm until 9/17/22 @ 9:00pm. 2)Tiredness, muscle pain and headache starting  9/16/22 4:00am until 9/17/22 @ 12:00pm
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site swelling, Palpitations, Peripheral swelling
Clinical narrative: Two days after being giving combination of the flu, COVID, and Tetna Shot, I was having swelling in the right arm where I had the Tetna shot at, and then I started getting fatigue during normal daily activities like a week or two after the vaccine, and that continued after months and I also had a racing heart with little to no activity, my heart beat would 170 without me doing any walking.  If I did any activity I would need to sleep for a day or two just to recover.  This has lasted for the last three weeks and is ongoing. Will be making an appointment with my Dr. after I come from traveling. I spoke to my GYN Dr. which I had to see for a different reason and she informed me that this could also be the result of me having COVID-19 which I contracted in June with very mild symptoms like a cold.
Age: 75.0
Sex: M
Vaccine: FLUA4, VARZOS
Symptoms: Extra dose administered
Clinical narrative: A third Shingrix dose was given to the patient, identified after checking system to document administration. Patient was contacted about the event, and told that he will not need an additional dose, and that his series is complete.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Pfizer vaccine for 5-11yo, but was only 3years 10 months old at time of vaccination
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Neck pain
Clinical narrative: Arthritic pain in back, neck, wrists, and ankles. Symptoms continuing to present. Patient concerned of  bi variant Booster.  No treatment other than exercise , due to kidney disease.
Age: 16.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product administration error, Wrong product administered
Clinical narrative: ADMINISTRATION ERROR:   She was supposed to get the 2nd Pfizer vaccine and instead received the Bivalent booster.  She waited at least 20-30 minutes and she did not have any AE.  The doctor went in to talk to her as well and she did not have anything out of the norm and said that she felt fine.
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported reaction once she arrived to clinic on 9/21/22 for dose #2. She stated she noticed soreness, swelling, itching and warm to touch. She sought no medical treatment, but did take Tylenol and rubbed Benadryl cream on the site to help with the itching.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever 99.5 F and fatigues
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asthenia, COVID-19, Death, Diarrhoea
Clinical narrative: pt hospitalized from 1/8/22 - 1/13/22 with severe HTN and developing NSTEMI; c/o severe weakness and diarrhea x 1 wk; found to be positive for COVID; no respiratory distress; elevated troponin; DNR/DNI; steroids and ABX given; dc'd to nursing home, where she later passed away
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: pt hospitalized from 1/8/22 - 1/13/22 with severe HTN and developing NSTEMI; c/o severe weakness and diarrhea x 1 wk; found to be positive for COVID; no respiratory distress; elevated troponin; DNR/DNI; steroids and ABX given; dc'd to nursing home, where she later passed away
Age: 37.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: Intradermal administration did not create wheal. Patient revaccinated  with intradermal dose 2
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cardiac monitoring, Chest pain, Confusional state
Clinical narrative: Patient to ED 8/24 ED for Dialysis from Nursing home. Patient COVID+ 8/24. 8/25 patient remains very weak with infrequent non productive cough. 8/26 Patient A0X4, denies any complaints of CP/SOB. 8/29 patient is resting with no dyspnea, poor oral intake, on nasal cannula. 8/31 patient respirations even and unlabored and chest expansion is symmetrical. Patient placed on cardiac monitor, denies shortness of breath or chest pain. 9/3 patient is A&Ox4, on RA, no signs of respiratory distress noted. 9/7 transferred out of the ICU, is resting and weak. 9/8 patient is A&O x 2-3 with periods of confusion, lethargic, denies any SOB/chest pain, no S/S of acute distress. Patient complaining of chest pain, worsened by cough. 9/14 patient discharged.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Dialysis, Hypophagia, Intensive care, Lethargy
Clinical narrative: Patient to ED 8/24 ED for Dialysis from Nursing home. Patient COVID+ 8/24. 8/25 patient remains very weak with infrequent non productive cough. 8/26 Patient A0X4, denies any complaints of CP/SOB. 8/29 patient is resting with no dyspnea, poor oral intake, on nasal cannula. 8/31 patient respirations even and unlabored and chest expansion is symmetrical. Patient placed on cardiac monitor, denies shortness of breath or chest pain. 9/3 patient is A&Ox4, on RA, no signs of respiratory distress noted. 9/7 transferred out of the ICU, is resting and weak. 9/8 patient is A&O x 2-3 with periods of confusion, lethargic, denies any SOB/chest pain, no S/S of acute distress. Patient complaining of chest pain, worsened by cough. 9/14 patient discharged.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient to ED 8/24 ED for Dialysis from Nursing home. Patient COVID+ 8/24. 8/25 patient remains very weak with infrequent non productive cough. 8/26 Patient A0X4, denies any complaints of CP/SOB. 8/29 patient is resting with no dyspnea, poor oral intake, on nasal cannula. 8/31 patient respirations even and unlabored and chest expansion is symmetrical. Patient placed on cardiac monitor, denies shortness of breath or chest pain. 9/3 patient is A&Ox4, on RA, no signs of respiratory distress noted. 9/7 transferred out of the ICU, is resting and weak. 9/8 patient is A&O x 2-3 with periods of confusion, lethargic, denies any SOB/chest pain, no S/S of acute distress. Patient complaining of chest pain, worsened by cough. 9/14 patient discharged.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Generalized stiffness pain, leg leg pain especially the knees with an unstable gait.  Her gait improved but it took 4 months for her symptoms to be much better.  Knee is still can be more stiff than she had prior to the Moderna.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Left arm is very sore, and swollen with a large red area that is warm to the touch.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: was given the less than 5 year , instead  of the 5-11 year dose
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Peripheral swelling, Swelling face
Clinical narrative: Employee reported, via telephone, left arm became swollen several hours after receiving Heplisav-B injection. She also stated the left side of her face is affected with swelling but denies hives, urticaria, itching, swelling of tongue-denied difficulty breathing. Employee waiting in ER at time of VAERS write-up and was in no distress during phone conversation.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Discomfort, Fatigue
Clinical narrative: I am still recovering. I am super tired. I initially woke up with a light sore throat that progressed during the day. At about 4PM I noticed that I was having discomfort in the glands in my neck. About 6:00PM I was able to complete a COVID-19 home test and it was positive. By that evening I was not able to get myself into bed. I was very weak and confused by Tuesday. I slept and sweat a lot but my temperature would get up to 100.0. There were several nights where I just slept. I developed a headache that was really bad. I still have a bad headache and I am extremely tired and exhausted. I called the doctors office and had a virtual visit. I told the doctor what my oxygen was 95% and I still had a temperature. I was given anti-viral molnupiravir and I began taking it the medication on September 13, 2022. My symptoms have improved but I am still working on getting my strength back and I still have the headache.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Hypersomnia, Lymphadenopathy, Mobility decreased
Clinical narrative: I am still recovering. I am super tired. I initially woke up with a light sore throat that progressed during the day. At about 4PM I noticed that I was having discomfort in the glands in my neck. About 6:00PM I was able to complete a COVID-19 home test and it was positive. By that evening I was not able to get myself into bed. I was very weak and confused by Tuesday. I slept and sweat a lot but my temperature would get up to 100.0. There were several nights where I just slept. I developed a headache that was really bad. I still have a bad headache and I am extremely tired and exhausted. I called the doctors office and had a virtual visit. I told the doctor what my oxygen was 95% and I still had a temperature. I was given anti-viral molnupiravir and I began taking it the medication on September 13, 2022. My symptoms have improved but I am still working on getting my strength back and I still have the headache.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I am still recovering. I am super tired. I initially woke up with a light sore throat that progressed during the day. At about 4PM I noticed that I was having discomfort in the glands in my neck. About 6:00PM I was able to complete a COVID-19 home test and it was positive. By that evening I was not able to get myself into bed. I was very weak and confused by Tuesday. I slept and sweat a lot but my temperature would get up to 100.0. There were several nights where I just slept. I developed a headache that was really bad. I still have a bad headache and I am extremely tired and exhausted. I called the doctors office and had a virtual visit. I told the doctor what my oxygen was 95% and I still had a temperature. I was given anti-viral molnupiravir and I began taking it the medication on September 13, 2022. My symptoms have improved but I am still working on getting my strength back and I still have the headache.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, RV5
Symptoms: Brief resolved unexplained event, Respiratory arrest
Clinical narrative: Pt had a brief resolved unexplained event early Monday morning in which he was found in bassinet not breathing, mom slapped his back and in a few seconds he recovered
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Pain, Vaginal ulceration
Clinical narrative: Product was administered 19 days after refrigeration expiration date but before 1 year post manufacture expiration date. Patient states she developed vaginal ulcers 2-4 days after vaccine administration, saw a provider who prescribed an antibiotic, a narcotic for pain, and lidocaine for pain. The ulcers cleared up after 7 days from onset and denies any further issues or complications.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Turner's syndrome
Clinical narrative: pt states she lost mobility in arm, pt states she has pain from shoulder to elbow, pt states she had to do physical tx, pt states she was dx with turner syndrome
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Haemorrhage, Laboratory test, Muscle spasms, Premature delivery
Clinical narrative: I was pregnant when I received the first dose of the vaccination. I started to have cramping and bleeding and was determined that I went into early labor around 8/29/2021. I stayed in the hospital until I gave birth. My estimated due date was 12/7/2021 which was consistent with all pregnancy imaging/ ultrasounds/ testing.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Premature labour, Ultrasound antenatal screen
Clinical narrative: I was pregnant when I received the first dose of the vaccination. I started to have cramping and bleeding and was determined that I went into early labor around 8/29/2021. I stayed in the hospital until I gave birth. My estimated due date was 12/7/2021 which was consistent with all pregnancy imaging/ ultrasounds/ testing.
Age: 42.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature Excursion
Age: 13.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given a Moderna Bivalent and should have received a Pfizer Bivalent. He was 13 years old and Moderna Bivalent was for ages 18 and older. Patients father registered him and the administration person registered him for the wrong vaccine. Once patient reached the vaccination site, did not verify the correct age and did not check his CDC  card which is our protocol prior to vaccinating, thus, giving him the incorrect vaccine. His father was notified and I informed him we would be entering the VAERS and would be following up with him. He did not experience any side effects during our 15-minute observation time.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse events. Wrong dose given, patient to restart series.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear pain, Gait inability, Nausea
Clinical narrative: Next morning after vaccine I started feeling dizzy, nauseas and pain in my ear. It became progressively worse thru the Sunday to the point that I could not walk. I contacted my physician and was prescribed Hydroxyzine and Naproxen (for ear pain) .I am progressively getting better.
Age: 6.0
Sex: F
Vaccine: DTAPIPV, HEP, IPV, MMR, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Vaccine administration error: Child was given sister's immunizations initially, the MMR, Tdap and IPV. The nurse then, without discussion with the physician, administered a Quadracel and Hep B. Child did not receive varivax, which was ordered and will have to return for this. No adverse events or reactions  documented. Counseling and follow up recommendations provided to mother by physician.
Age: 15.0
Sex: M
Vaccine: COVID19, FLU4, HPV9
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was scheduled for and received a COVID-19 Monovalent booster vaccine during the first week of September 2022. During this same week, the CDC published guidance recommending the Bivalent booster vaccine for 12 years and up. The patient was informed about the difference and the option of getting a Bivalent booster in 2 months.
Age: 30.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature excursion
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Death, Dyspnoea, Encephalopathy
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 7/29/21 and 8/19/21.  Presented to ED 9/1/22 following same day d/c. Recently admitted and tx'd for Hypertensive urgency and acute on chronic renal failure requiring HD for volume removal. Later returned to ED with c/o SOB and difficulty ambulating. Found to be hypoxemic with O2 sats in the low 80s on RA. Imaging also revealed PNA and Covid +. Intubated on 9/4/22, pulmonary status did not improve and remained encephalopathic. Transitioned to comfort care on 9/11/22. Ex'd 9/12/22. Tx'd w/nafcillin, cefepime, and decadron.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Gait disturbance, Haemodialysis, Hypertensive urgency, Hypoxia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 7/29/21 and 8/19/21.  Presented to ED 9/1/22 following same day d/c. Recently admitted and tx'd for Hypertensive urgency and acute on chronic renal failure requiring HD for volume removal. Later returned to ED with c/o SOB and difficulty ambulating. Found to be hypoxemic with O2 sats in the low 80s on RA. Imaging also revealed PNA and Covid +. Intubated on 9/4/22, pulmonary status did not improve and remained encephalopathic. Transitioned to comfort care on 9/11/22. Ex'd 9/12/22. Tx'd w/nafcillin, cefepime, and decadron.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Imaging procedure abnormal, Lung disorder, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 7/29/21 and 8/19/21.  Presented to ED 9/1/22 following same day d/c. Recently admitted and tx'd for Hypertensive urgency and acute on chronic renal failure requiring HD for volume removal. Later returned to ED with c/o SOB and difficulty ambulating. Found to be hypoxemic with O2 sats in the low 80s on RA. Imaging also revealed PNA and Covid +. Intubated on 9/4/22, pulmonary status did not improve and remained encephalopathic. Transitioned to comfort care on 9/11/22. Ex'd 9/12/22. Tx'd w/nafcillin, cefepime, and decadron.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 9/4 for SOB and cough. COVID+ 8/26 at urgent care, symptoms progressively getting worse. 9/5  no anti-COVID rx needed, no signs of acute distress. Pt discharged 9/6.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: ON 09/21/22 THE PATIENT RECEIVED MODERNA 2ND BOOSTER WHICH HAD EXPIRED ON 09/15/22. PT WAS OBSERVED FOR 30 MINUTES POST VACCINATION, NO ADVERSE REACTION NOTICED AT TIME , PT WAS TOLD TO GO TO THE EMERENCY ROOM IF ANY ADVERSE EVENT. PT VERBABLIZED THAT SHE DID NOT FEEL ANY SYMPTOMS OF ADVERSITY.   CONTACTED MODERNA TO REPORT THE EVENT. AWAITING REPORT FOR LOT NUMBER ANALYSIS FROM MODERNA .
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Nodule, Skin discolouration
Clinical narrative: Little black circles all over body and nodules
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site vesicles
Clinical narrative: The next morning there was a blister at the injection site
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in jaw, Toothache, X-ray dental normal
Clinical narrative: Pfizer booster Over the course of 4 days, I experienced extreme pain in my right upper and lower jaw, then it was reduced to upper jaw, then reduced to one or two teeth.  By yesterday,  Tuesday September 20th, all pain had gone away.
Age: 52.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature excursion
Age: 27.0
Sex: F
Vaccine: COVID19-2, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: PATIENT HAD PRESENTED TO PHARMACY FOR A BOOSTRIX SHOT AND GOT THE COVID BIVALENT BOOSTER PFIZER INSTEAD. PATIENT DID NOT HAVE ANY IMMEDIATE  SIDE EFFECTS AT TIME OF GETTING THE VACCINE. SHE WAS ADMNISTERED THE CORRECT SHOT SHORTLY AFTER GETTING THE INCORRECT ONE.
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Peripheral swelling, Rash, Throat tightness
Clinical narrative: 24hrs post vaccination, patient developed bilateral arm swelling and redness with sandpaper like rash on both arms and chest. She developed throat tightness and went to ED and given IV steroids and benadryl.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, COVID-19, COVID-19 pneumonia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 3/17/21 and 4/14/21. Presented to ED w/worsening SOB and vomiting. Dx'd w/covid 2 weeks prior. Admitted to ICU for acute hypoxemic resp failure requiring intubation, COVID PNA, AKI, and severe septic shock. Had an NSTEMI; evaluated and tx'd by cardiology. Condition deteriorated w/worsening lactic acidosis, renal failure requiring CRRT, liver failure, and signs of worsening neurologic function. Per surgery not stable for acute abdomen exploration. Code blue called for asystole, no ROSC. Exp'd on 9/15/22. Pt tx'd with cefepime, metronidazol, bactrim, azithromycin, decadron, and ceftriaxone.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Cardio-respiratory arrest, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 3/17/21 and 4/14/21. Presented to ED w/worsening SOB and vomiting. Dx'd w/covid 2 weeks prior. Admitted to ICU for acute hypoxemic resp failure requiring intubation, COVID PNA, AKI, and severe septic shock. Had an NSTEMI; evaluated and tx'd by cardiology. Condition deteriorated w/worsening lactic acidosis, renal failure requiring CRRT, liver failure, and signs of worsening neurologic function. Per surgery not stable for acute abdomen exploration. Code blue called for asystole, no ROSC. Exp'd on 9/15/22. Pt tx'd with cefepime, metronidazol, bactrim, azithromycin, decadron, and ceftriaxone.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Haemofiltration, Hepatic failure, Inappropriate schedule of product administration, Intensive care
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 3/17/21 and 4/14/21. Presented to ED w/worsening SOB and vomiting. Dx'd w/covid 2 weeks prior. Admitted to ICU for acute hypoxemic resp failure requiring intubation, COVID PNA, AKI, and severe septic shock. Had an NSTEMI; evaluated and tx'd by cardiology. Condition deteriorated w/worsening lactic acidosis, renal failure requiring CRRT, liver failure, and signs of worsening neurologic function. Per surgery not stable for acute abdomen exploration. Code blue called for asystole, no ROSC. Exp'd on 9/15/22. Pt tx'd with cefepime, metronidazol, bactrim, azithromycin, decadron, and ceftriaxone.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lactic acidosis, Neurological symptom, Renal failure, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 3/17/21 and 4/14/21. Presented to ED w/worsening SOB and vomiting. Dx'd w/covid 2 weeks prior. Admitted to ICU for acute hypoxemic resp failure requiring intubation, COVID PNA, AKI, and severe septic shock. Had an NSTEMI; evaluated and tx'd by cardiology. Condition deteriorated w/worsening lactic acidosis, renal failure requiring CRRT, liver failure, and signs of worsening neurologic function. Per surgery not stable for acute abdomen exploration. Code blue called for asystole, no ROSC. Exp'd on 9/15/22. Pt tx'd with cefepime, metronidazol, bactrim, azithromycin, decadron, and ceftriaxone.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 3/17/21 and 4/14/21. Presented to ED w/worsening SOB and vomiting. Dx'd w/covid 2 weeks prior. Admitted to ICU for acute hypoxemic resp failure requiring intubation, COVID PNA, AKI, and severe septic shock. Had an NSTEMI; evaluated and tx'd by cardiology. Condition deteriorated w/worsening lactic acidosis, renal failure requiring CRRT, liver failure, and signs of worsening neurologic function. Per surgery not stable for acute abdomen exploration. Code blue called for asystole, no ROSC. Exp'd on 9/15/22. Pt tx'd with cefepime, metronidazol, bactrim, azithromycin, decadron, and ceftriaxone.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood creatinine increased, Blood lactic acid decreased
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 2/20/2021, 3/23/21 and 10/22/21. Presented to ED with fever, weakness and incontinence. Pt was no longer receiving further Ca tx. Workup in ED significant for UA without evidence of infection, BUN 34, creatinine 1.91, AST 424, ALT 892, lactic acid 1.4, procalcitonin 0.40, INR 2.5, PTT 28.7, hemoglobin 11.7, hematocrit 35.7, platelets 146, COVID-19 positive, CXR w/LLL PNA. Admitted for covid 19 PNA, liver failure, general debility. Transitioned to comfort care/ hospice. Pt expired on 9/15/22. Pt treated with zosyn, ceftriaxone, and azithromycin.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood urea increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Death
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 2/20/2021, 3/23/21 and 10/22/21. Presented to ED with fever, weakness and incontinence. Pt was no longer receiving further Ca tx. Workup in ED significant for UA without evidence of infection, BUN 34, creatinine 1.91, AST 424, ALT 892, lactic acid 1.4, procalcitonin 0.40, INR 2.5, PTT 28.7, hemoglobin 11.7, hematocrit 35.7, platelets 146, COVID-19 positive, CXR w/LLL PNA. Admitted for covid 19 PNA, liver failure, general debility. Transitioned to comfort care/ hospice. Pt expired on 9/15/22. Pt treated with zosyn, ceftriaxone, and azithromycin.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hepatic failure, Inappropriate schedule of product administration, Incontinence
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 2/20/2021, 3/23/21 and 10/22/21. Presented to ED with fever, weakness and incontinence. Pt was no longer receiving further Ca tx. Workup in ED significant for UA without evidence of infection, BUN 34, creatinine 1.91, AST 424, ALT 892, lactic acid 1.4, procalcitonin 0.40, INR 2.5, PTT 28.7, hemoglobin 11.7, hematocrit 35.7, platelets 146, COVID-19 positive, CXR w/LLL PNA. Admitted for covid 19 PNA, liver failure, general debility. Transitioned to comfort care/ hospice. Pt expired on 9/15/22. Pt treated with zosyn, ceftriaxone, and azithromycin.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: International normalised ratio increased, Platelet count decreased, Pneumonia, Procalcitonin, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 2/20/2021, 3/23/21 and 10/22/21. Presented to ED with fever, weakness and incontinence. Pt was no longer receiving further Ca tx. Workup in ED significant for UA without evidence of infection, BUN 34, creatinine 1.91, AST 424, ALT 892, lactic acid 1.4, procalcitonin 0.40, INR 2.5, PTT 28.7, hemoglobin 11.7, hematocrit 35.7, platelets 146, COVID-19 positive, CXR w/LLL PNA. Admitted for covid 19 PNA, liver failure, general debility. Transitioned to comfort care/ hospice. Pt expired on 9/15/22. Pt treated with zosyn, ceftriaxone, and azithromycin.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urine analysis normal
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 2/20/2021, 3/23/21 and 10/22/21. Presented to ED with fever, weakness and incontinence. Pt was no longer receiving further Ca tx. Workup in ED significant for UA without evidence of infection, BUN 34, creatinine 1.91, AST 424, ALT 892, lactic acid 1.4, procalcitonin 0.40, INR 2.5, PTT 28.7, hemoglobin 11.7, hematocrit 35.7, platelets 146, COVID-19 positive, CXR w/LLL PNA. Admitted for covid 19 PNA, liver failure, general debility. Transitioned to comfort care/ hospice. Pt expired on 9/15/22. Pt treated with zosyn, ceftriaxone, and azithromycin.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, COVID-19 pneumonia, Condition aggravated, Death
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/13/2021, 2/10/2021, 10/15/2021 and 3/14/22. Presented to ED 09/12/22 w/increasing SOB and O2 needs. In ER, patient in afib RVR, HFNC 60L/60%, given IV MP 100, vanc/cefe, lasix, diltiazem gtt. Admitted for afib, Covid PNA and interstitial lung dx. Episodes of delirium w/decreased sleep, improved with nightly prn precedex. Cont'd increasing O2 demands,  eventually max'd on Airvo. Became increasingly tired, requested to change status to DNR. Expired on 9/17/22. Tx'd w/remdesivir, methylprednisolone, bactrim, doxycycline, vancomycin, cefepime, and acyclovir.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Delirium, Dyspnoea, Fatigue, Insomnia, Interstitial lung disease
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/13/2021, 2/10/2021, 10/15/2021 and 3/14/22. Presented to ED 09/12/22 w/increasing SOB and O2 needs. In ER, patient in afib RVR, HFNC 60L/60%, given IV MP 100, vanc/cefe, lasix, diltiazem gtt. Admitted for afib, Covid PNA and interstitial lung dx. Episodes of delirium w/decreased sleep, improved with nightly prn precedex. Cont'd increasing O2 demands,  eventually max'd on Airvo. Became increasingly tired, requested to change status to DNR. Expired on 9/17/22. Tx'd w/remdesivir, methylprednisolone, bactrim, doxycycline, vancomycin, cefepime, and acyclovir.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/13/2021, 2/10/2021, 10/15/2021 and 3/14/22. Presented to ED 09/12/22 w/increasing SOB and O2 needs. In ER, patient in afib RVR, HFNC 60L/60%, given IV MP 100, vanc/cefe, lasix, diltiazem gtt. Admitted for afib, Covid PNA and interstitial lung dx. Episodes of delirium w/decreased sleep, improved with nightly prn precedex. Cont'd increasing O2 demands,  eventually max'd on Airvo. Became increasingly tired, requested to change status to DNR. Expired on 9/17/22. Tx'd w/remdesivir, methylprednisolone, bactrim, doxycycline, vancomycin, cefepime, and acyclovir.
Age: 30.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received the Covid monovalent booster which was the only available vaccine at the time of visit. Have not receivedd the shipment of the bivalent covid vaccines. Communication regarding the new approved covid booster recommendation was still being clarified and distributed by the leadership team and the current standing order was not in force at the time of vaccination. Clients were contacted and notified that this resets the timeframe for their future booster dose and were advised to return after 2 mos for the bivalent booster dose.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal distension, Acinetobacter bacteraemia, Acute respiratory failure, Aspartate aminotransferase increased, Blood bilirubin increased
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/11/2021, 2/8/2021, 9/18/21 and 4/11/22. Admitted for acute hypoxemic resp failure 2/2 PNA in severe resp distress, Tachypnea 40s, O2 sat 70s, pink frothy sputum, BL Ronchi, distended abd, bruises, edentulous. In ED, placed on Airvo 60L/60% with O2 sat 84-89%, rapidly declined requiring  emergent intubation. Pertinent labs include COVID-19 positive, Lactic acid 2.2-- >1.9, Procal 3.90, CRP 1.9, Troponin 40-- >38, NT-proBNP 20679, Scr 1.41, bilirubin 1.2, AST 55, and PLTs 118. CXR c/w RLL infiltrate. Influenza A/B. Head & Cervical spine CT w/o acute injury. Admitted to ICU s/p intubation for HLOC. Febrile at 103, v-paced rhythm 80-90s, and SBP 102-140s. Dx'd w/Acute hypoxemic resp failure 2/2 COVID, Acinetobacter, and Moraxella pneumonia and also developed Acinetobacter Bacteremia. Ex'd 9/14/22 after code blue for PEA arrest. After 20 minutes of CPR, family withdrew care. Tx'd with remdesivir, cefepime, vancomycin, unasyn, methylprednisolone, and metronidazole
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, Blood lactic acid, C-reactive protein increased, COVID-19, Cardio-respiratory arrest
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/11/2021, 2/8/2021, 9/18/21 and 4/11/22. Admitted for acute hypoxemic resp failure 2/2 PNA in severe resp distress, Tachypnea 40s, O2 sat 70s, pink frothy sputum, BL Ronchi, distended abd, bruises, edentulous. In ED, placed on Airvo 60L/60% with O2 sat 84-89%, rapidly declined requiring  emergent intubation. Pertinent labs include COVID-19 positive, Lactic acid 2.2-- >1.9, Procal 3.90, CRP 1.9, Troponin 40-- >38, NT-proBNP 20679, Scr 1.41, bilirubin 1.2, AST 55, and PLTs 118. CXR c/w RLL infiltrate. Influenza A/B. Head & Cervical spine CT w/o acute injury. Admitted to ICU s/p intubation for HLOC. Febrile at 103, v-paced rhythm 80-90s, and SBP 102-140s. Dx'd w/Acute hypoxemic resp failure 2/2 COVID, Acinetobacter, and Moraxella pneumonia and also developed Acinetobacter Bacteremia. Ex'd 9/14/22 after code blue for PEA arrest. After 20 minutes of CPR, family withdrew care. Tx'd with remdesivir, cefepime, vancomycin, unasyn, methylprednisolone, and metronidazole
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Computerised tomogram spine, Contusion, Death
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/11/2021, 2/8/2021, 9/18/21 and 4/11/22. Admitted for acute hypoxemic resp failure 2/2 PNA in severe resp distress, Tachypnea 40s, O2 sat 70s, pink frothy sputum, BL Ronchi, distended abd, bruises, edentulous. In ED, placed on Airvo 60L/60% with O2 sat 84-89%, rapidly declined requiring  emergent intubation. Pertinent labs include COVID-19 positive, Lactic acid 2.2-- >1.9, Procal 3.90, CRP 1.9, Troponin 40-- >38, NT-proBNP 20679, Scr 1.41, bilirubin 1.2, AST 55, and PLTs 118. CXR c/w RLL infiltrate. Influenza A/B. Head & Cervical spine CT w/o acute injury. Admitted to ICU s/p intubation for HLOC. Febrile at 103, v-paced rhythm 80-90s, and SBP 102-140s. Dx'd w/Acute hypoxemic resp failure 2/2 COVID, Acinetobacter, and Moraxella pneumonia and also developed Acinetobacter Bacteremia. Ex'd 9/14/22 after code blue for PEA arrest. After 20 minutes of CPR, family withdrew care. Tx'd with remdesivir, cefepime, vancomycin, unasyn, methylprednisolone, and metronidazole
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Edentulous, Endotracheal intubation, General physical health deterioration, Influenza A virus test, Influenza B virus test
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/11/2021, 2/8/2021, 9/18/21 and 4/11/22. Admitted for acute hypoxemic resp failure 2/2 PNA in severe resp distress, Tachypnea 40s, O2 sat 70s, pink frothy sputum, BL Ronchi, distended abd, bruises, edentulous. In ED, placed on Airvo 60L/60% with O2 sat 84-89%, rapidly declined requiring  emergent intubation. Pertinent labs include COVID-19 positive, Lactic acid 2.2-- >1.9, Procal 3.90, CRP 1.9, Troponin 40-- >38, NT-proBNP 20679, Scr 1.41, bilirubin 1.2, AST 55, and PLTs 118. CXR c/w RLL infiltrate. Influenza A/B. Head & Cervical spine CT w/o acute injury. Admitted to ICU s/p intubation for HLOC. Febrile at 103, v-paced rhythm 80-90s, and SBP 102-140s. Dx'd w/Acute hypoxemic resp failure 2/2 COVID, Acinetobacter, and Moraxella pneumonia and also developed Acinetobacter Bacteremia. Ex'd 9/14/22 after code blue for PEA arrest. After 20 minutes of CPR, family withdrew care. Tx'd with remdesivir, cefepime, vancomycin, unasyn, methylprednisolone, and metronidazole