chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Erythema, Hypoaesthesia, Pain in extremity, Paraesthesia, Skin warm
Clinical narrative: Approx. days post injection, pain started  in top of left foot ; pain  intensified and lower left leg became red and warm to touch. saw primary physician the following week -  steroid injection and pain injection in buttocks and doppler performed on left leg - no relief, gabapintin 100 mg began on 10/19 and rapidly inreased to 300 mg at bedtime to sleep...intense pain in top of left foot and toes..physical therapy assessment and one session...(did not help and unclear on issue) only relief is when standing with pressure on foot  Numbness and tingling in both foot and both hands began ..Nov. 1, saw podiatrist - steriod injection given in peroneal nerve area - some resolution with this and continued gabipentin.  Primary feels symptoms are coincidential.  Podiatrist thinks may be vaccine related.  Spoke with pharmacist who felt sysmptoms were related to vaccine and advised to complete this form
Age: 69.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Ultrasound Doppler normal
Clinical narrative: Approx. days post injection, pain started  in top of left foot ; pain  intensified and lower left leg became red and warm to touch. saw primary physician the following week -  steroid injection and pain injection in buttocks and doppler performed on left leg - no relief, gabapintin 100 mg began on 10/19 and rapidly inreased to 300 mg at bedtime to sleep...intense pain in top of left foot and toes..physical therapy assessment and one session...(did not help and unclear on issue) only relief is when standing with pressure on foot  Numbness and tingling in both foot and both hands began ..Nov. 1, saw podiatrist - steriod injection given in peroneal nerve area - some resolution with this and continued gabipentin.  Primary feels symptoms are coincidential.  Podiatrist thinks may be vaccine related.  Spoke with pharmacist who felt sysmptoms were related to vaccine and advised to complete this form
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: SORE THROAT, HEAD CONGESTION, HEADACHE
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: SORE THROAT, HEAD CONGESTION, HEADACHE
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Oxygen saturation decreased, Rhinorrhoea
Clinical narrative: runny nose, fatigue, decreased O2 saturation (85%).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Extra dose administered, Influenza like illness, Pain in extremity, Skin warm
Clinical narrative: Local reaction R arm red, raised, warm, painful 12 cm by 7 cm. Flu like symptoms.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Gait disturbance, Pruritus, Urticaria
Clinical narrative: Itchy hives all over my chest and both arms. Palms of my hands and soles of my feet were itchy. Fatigue. Difficulty or weakness while walking up or down the stairs. I was prescribed Prednisone and Benadryl.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: The same day I got the shot, I started my period. I wasn't due to start for another 2 weeks, and my period is like clockwork. I spotted for a few days, stopped, then skipped a month. Then I started July 25th, and have not stopped bleeding since. Normal to heavy bleeding, for now 106 days strait.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Chest discomfort, Chest pain, Chills, Dyspnoea
Clinical narrative: Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Fever-Severe, Systemic: Headache-Severe, Additional Details: pt experienced severe headache, fever, body aches, chest tightness, shortness of breath, generalized pain. went to dr for evaluation and EKG showed pt had myocarditis that she did not previously have history of. pt and dr both believe this was a result of booster vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Headache, Myocarditis, Pain, Pyrexia
Clinical narrative: Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Fever-Severe, Systemic: Headache-Severe, Additional Details: pt experienced severe headache, fever, body aches, chest tightness, shortness of breath, generalized pain. went to dr for evaluation and EKG showed pt had myocarditis that she did not previously have history of. pt and dr both believe this was a result of booster vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Interchange of vaccine products, Peripheral swelling
Clinical narrative: PATIENT RECEIVED A MODERNA COVID 19 ON 01/25/2021, MODERNA COVID 19 VACCINE ON 12/30/2020 AND ON 10/12/2021 RECEIVED A PFIZER COVID 19  SHE CAME IN FOR OFFICE VISIT ON 10/25/2021 WITH COMPLAINTS STATES SHE HAS NOTICED A CHANGE IN HER BODY SINCE SHE RECEIVED 3RD COVID 19 DOSE.  SHE STATES HER ARMS AND LEGS GET SWOLLEN. THE EPISODE STARTED 1 TO 4 WEEKS AGO.  THE PROBLEM OCCURS CONSTANTLY ASSOCIATED SYPTOMS INCLUDE FATIGUE.  PATIENT REPORTS OVERALL FEELING OF SWELLING IN HER EXTREMITIES SYPMTOMS WORSEN AS THE DAY GOES ON.  SHE HAS BEEN TAKING BENADRYL AT NIGHT.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose of Pfizer COVID-19 vaccine administer 14 days after 1st dose not 21 days.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Hypotension, Nausea, Sepsis
Clinical narrative: Low blood pressure, nausea, sepsis, acute kidney injury
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: case fully vaccinated with moderna. Second dose given on 3/8/2021. Tested positive for covid on 10/15/2021. Admitted to  Medical Center on 10/21/2021. Expired on 10/30/2021 while still hospitalized.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient was admitted to the hospital on 10/14/2021 with SOB and hypoxia.  He was intubated and on a ventilator from 10/14/2021 to 10/18/2021.  He received 5 days of remdesivir, glucocorticoids x 22 days.   Patient was still on oxygen via heated high flow at the time of discharge to a long term acute care hospital.   Discharge diagnosis was acute respiratory failure with hypoxia and septic shock due to COVID-19 pneumonia.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Mechanical ventilation, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Patient was admitted to the hospital on 10/14/2021 with SOB and hypoxia.  He was intubated and on a ventilator from 10/14/2021 to 10/18/2021.  He received 5 days of remdesivir, glucocorticoids x 22 days.   Patient was still on oxygen via heated high flow at the time of discharge to a long term acute care hospital.   Discharge diagnosis was acute respiratory failure with hypoxia and septic shock due to COVID-19 pneumonia.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pain in extremity, Pyrexia
Clinical narrative: Arm soreness and fever started the day after vaccination.  On Nov. 6, patient noted redness and swelling around injection site and symptoms remained to this day.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Injection site cellulitis, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: The first dose I had swelling and a hard lump and warm to touch and I contacted my doctor and at that time it became cellulite. I had swelling for a long time.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: The first dose I had swelling and a hard lump and warm to touch and I contacted my doctor and at that time it became cellulite. I had swelling for a long time.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Severe hives. On going everyday . On steroids and Benadryl nothing is working
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No Adverse event. On 11/03/2021 the Vaccine Refrig data logger showed a temperature excursion occurred on 10/29/2021 at 10:48 a.m. of +50.7 (F). The timeframe documented is 13 mins with n 5 min alarm notification totaling 18 min. The vaccine providers were not aware that the vaccine needed to be used within a 24 hour timeframe of the excursion prior to discussion with the health department on 11/3/2021. A clinic was scheduled for Moderna Booster doses for their employees for 11/1/2021. This clinic did occur with the Moderna Vaccine with Lot # 076C21A between the hours of 3:00-5:00 p.m. A total of 16 people received Moderna Booster shots 0.25ml.  The vaccine provider learned on 11/3/2021 in conversations with the health department that due to the excursion, the vaccine should be discarded if not used within 24 hours of the temperature excursion. With the instructional education provided via the health department, all remaining doses of Moderna with Lot# 076C21A was wasted.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Herpes zoster, Pruritus, Sleep disorder
Clinical narrative: Woke up in the middle of the night after receiving the vaccination with itchiness/irritation on the back left side of my head.  In the next couple of days, it got worse (including painful to touch) and spread over left side including head, ear, neck, shoulder and chest.  Went to doctor and she said I had shingles.  Since I had chicken pox as a child and they share a virus, shingles can be triggered by the vaccine she told me.  I was prescribed anti-viral and steroids and it took about three weeks to heal.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Vomiting
Clinical narrative: patient says he had chills the night of vaccination on 11/6/2021, then vomitting several times and diarrhea, still expiriencing diarrhea
Age: 69.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Chills, Syncope
Clinical narrative: Patient stated that the next day she went to work and had chills and fainted. The paramedics came and helped her regain consciousness and evaluated her. She had no further incidents and felt fine the next day.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia
Clinical narrative: Vitals:  11/08/21 1037 11/08/21 1042 BP: (!) 155/90 125/81 Pulse: 67 66 Resp: 18 15 SpO2: 100% 100%  Vital signs at 1058 BP 122/80, HR at 66, sat 99% in room air  1037 Patient c/o numbness and tingling in the lips and right fingertips. Taken to gurney. Checked vital signs. Please see vital signs. Denies pain, denies SOB, no redness, no swelling in lips, tongue or throat. No rash noted. Speaks in full sentences. No audible wheezing noted.  Patient states the same thing happen on his first dose, benadryl helped per patient.  1040 bendaryl given 25mg ORAL x1  1042 patient states the numbness in the lips is going away, but numbness to fingers still present Vital signs remain stable at this time 1053 remains stable.  Denies pain, denies SOB, no redness, no swelling in lips, tongue or throat. Speaks in full sentences. No audible wheezing noted.  11:00 patient states he is having chest pain. 1/10. New onset, never happened before per patient. Vital signs stable. 130/76, 64HR 100% in roomair. Afebrile. Placed in 2LNC Paramedics called  Taken via gurney to ER for further eval
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Vitals:  11/08/21 1037 11/08/21 1042 BP: (!) 155/90 125/81 Pulse: 67 66 Resp: 18 15 SpO2: 100% 100%  Vital signs at 1058 BP 122/80, HR at 66, sat 99% in room air  1037 Patient c/o numbness and tingling in the lips and right fingertips. Taken to gurney. Checked vital signs. Please see vital signs. Denies pain, denies SOB, no redness, no swelling in lips, tongue or throat. No rash noted. Speaks in full sentences. No audible wheezing noted.  Patient states the same thing happen on his first dose, benadryl helped per patient.  1040 bendaryl given 25mg ORAL x1  1042 patient states the numbness in the lips is going away, but numbness to fingers still present Vital signs remain stable at this time 1053 remains stable.  Denies pain, denies SOB, no redness, no swelling in lips, tongue or throat. Speaks in full sentences. No audible wheezing noted.  11:00 patient states he is having chest pain. 1/10. New onset, never happened before per patient. Vital signs stable. 130/76, 64HR 100% in roomair. Afebrile. Placed in 2LNC Paramedics called  Taken via gurney to ER for further eval
Age: 23.0
Sex: M
Vaccine: FLU4
Symptoms: Chest discomfort, Chills, Dizziness, Dyspnoea, Electrocardiogram PR segment depression
Clinical narrative: Hours after administration (Fri afternoon)-Body aches, chills  Next morning (Saturday)-body aches, chills, itching hives, chest pressure, SOB, light headed, fatigue (Sunday/Monday)-body aches, chills, itching hives, chest pressure, SOB, light headed, fatigue
Age: 23.0
Sex: M
Vaccine: FLU4
Symptoms: Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Fatigue, Pain, Pruritus
Clinical narrative: Hours after administration (Fri afternoon)-Body aches, chills  Next morning (Saturday)-body aches, chills, itching hives, chest pressure, SOB, light headed, fatigue (Sunday/Monday)-body aches, chills, itching hives, chest pressure, SOB, light headed, fatigue
Age: 23.0
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Hours after administration (Fri afternoon)-Body aches, chills  Next morning (Saturday)-body aches, chills, itching hives, chest pressure, SOB, light headed, fatigue (Sunday/Monday)-body aches, chills, itching hives, chest pressure, SOB, light headed, fatigue
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Developed hives  approximately 6 hours after injection. Hives present on both upper thighs near bikini line and underside of both arms. No reaction at injection site. Hives still present on 11/2
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizzyness, worse next day, lessened day after but continued at same level for 2-3 months. Eventually disappeared.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Diarrhoea, Fatigue, Hyperhidrosis, Injection site reaction
Clinical narrative: Bad congestion and runny nose starting 48 hours after booster, continuing to present (about 94 hrs).  Mild diarrhea (not too loose but frequent). No fever registered (1 degree below normal), but sweaty and shaky. Tired. Clear mucus, one change to yellow last night but then right back to clear. Sneezing was first noticed symptom, that started about 42 or so hours after booster. Noticed shot was given very high on arm (much higher than original doses) and left swollen pimple type protrusion (did not happen with original doses), which is also odd. Quite chaotic at the pharmacy that day. Could be a cold or covid (test pending),  but concerned and wanted to report.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Bad congestion and runny nose starting 48 hours after booster, continuing to present (about 94 hrs).  Mild diarrhea (not too loose but frequent). No fever registered (1 degree below normal), but sweaty and shaky. Tired. Clear mucus, one change to yellow last night but then right back to clear. Sneezing was first noticed symptom, that started about 42 or so hours after booster. Noticed shot was given very high on arm (much higher than original doses) and left swollen pimple type protrusion (did not happen with original doses), which is also odd. Quite chaotic at the pharmacy that day. Could be a cold or covid (test pending),  but concerned and wanted to report.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Secretion discharge, Sneezing, Tremor
Clinical narrative: Bad congestion and runny nose starting 48 hours after booster, continuing to present (about 94 hrs).  Mild diarrhea (not too loose but frequent). No fever registered (1 degree below normal), but sweaty and shaky. Tired. Clear mucus, one change to yellow last night but then right back to clear. Sneezing was first noticed symptom, that started about 42 or so hours after booster. Noticed shot was given very high on arm (much higher than original doses) and left swollen pimple type protrusion (did not happen with original doses), which is also odd. Quite chaotic at the pharmacy that day. Could be a cold or covid (test pending),  but concerned and wanted to report.
Age: 59.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythema and swelling distal of injection site
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: Chest pain 10 days. Left arm sharp pain which traveling from injection site to my heart area 5 days. Shortness on breath 10 days. Hurt to breath 7 days. Headache. Body ache 7 days. Left shoulder to the neck had sharp pain 5 days. Mid spinal cord had sharp pain intermittent 4 days. Neck glands swollen for 5 days.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Headache, Injection site pain, Lymphadenopathy
Clinical narrative: Chest pain 10 days. Left arm sharp pain which traveling from injection site to my heart area 5 days. Shortness on breath 10 days. Hurt to breath 7 days. Headache. Body ache 7 days. Left shoulder to the neck had sharp pain 5 days. Mid spinal cord had sharp pain intermittent 4 days. Neck glands swollen for 5 days.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Pain, Troponin I, White blood cell count
Clinical narrative: Chest pain 10 days. Left arm sharp pain which traveling from injection site to my heart area 5 days. Shortness on breath 10 days. Hurt to breath 7 days. Headache. Body ache 7 days. Left shoulder to the neck had sharp pain 5 days. Mid spinal cord had sharp pain intermittent 4 days. Neck glands swollen for 5 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Rt upper arm where booster shot was given was red and warm and tender to the touch.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Child was giving the adult dosage of 0.3mL, was monitored with no adverse effects
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient's mother falsefied DOB on consent form. Correct DOB of patient is unspecified (4 years old).  DOB provided on form by mother was unspecified. Patient was not eligible for vaccine due to age but received the first dose of pfizer as a 4 year old. Discovery of error was made while billing vaccine administration fee after vaccine given. Mother admitted to falsifying DOB on consent form. As of 3 hours after administration, no adverse events have occured.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulation drug level above therapeutic, Aortic aneurysm, Aortic arteriosclerosis, Arteriosclerosis coronary artery
Clinical narrative: final diagnosis.      Death Summary   Date of Admission: 10/17/2021   Date of Death:10/30/2021   Reason for Hospital Admission (Admitting Diagnosis): Acute Hypoxemic Respiratory Failure   Hospital Course and Significant Findings: Patient was a 72 Y male with history of renal transplant in 2017, on chronic immunosuppression (cellcept, prograf, pred), CKD who presented with 2 weeks of productive cough, decreased appetite and a positive COVID test on 10/11. Despite being vaccinated on 04/2021 with J&J. In the ED, the patient desatted (87%) with ambulation. He was admitted for hypoxemic respiratory failure. He became gradually more confused, developed worsening kidney injury. The patient also had a CT with evidence of an intramuscular hematoma attributed to coughing with supratherapeutic INR. This was reversed with Kcentra. For his COVID pneumonia treatment, he was given regneron, decadron 6mg, remdesivir for 5 days and tocilizumab once on 10/24. He had multiple rapid responses called on 10/24 and 10/26 for increasing O2 requirements. His confusion and respiratory status worsened and on 10/27 he was admitted to the ICU. He was intubated on 10/29, found to have elevated troponin, worsening renal failure and CT findings of cavitary lesions and severely damaged lungs. This was relayed to the patient's family and he was ultimately transitioned to comfort care. The patient died at 2:40am, on 10/30/21.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Confusional state, Death
Clinical narrative: final diagnosis.      Death Summary   Date of Admission: 10/17/2021   Date of Death:10/30/2021   Reason for Hospital Admission (Admitting Diagnosis): Acute Hypoxemic Respiratory Failure   Hospital Course and Significant Findings: Patient was a 72 Y male with history of renal transplant in 2017, on chronic immunosuppression (cellcept, prograf, pred), CKD who presented with 2 weeks of productive cough, decreased appetite and a positive COVID test on 10/11. Despite being vaccinated on 04/2021 with J&J. In the ED, the patient desatted (87%) with ambulation. He was admitted for hypoxemic respiratory failure. He became gradually more confused, developed worsening kidney injury. The patient also had a CT with evidence of an intramuscular hematoma attributed to coughing with supratherapeutic INR. This was reversed with Kcentra. For his COVID pneumonia treatment, he was given regneron, decadron 6mg, remdesivir for 5 days and tocilizumab once on 10/24. He had multiple rapid responses called on 10/24 and 10/26 for increasing O2 requirements. His confusion and respiratory status worsened and on 10/27 he was admitted to the ICU. He was intubated on 10/29, found to have elevated troponin, worsening renal failure and CT findings of cavitary lesions and severely damaged lungs. This was relayed to the patient's family and he was ultimately transitioned to comfort care. The patient died at 2:40am, on 10/30/21.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Diverticulum intestinal, Emphysema, Endotracheal intubation, Haematoma muscle
Clinical narrative: final diagnosis.      Death Summary   Date of Admission: 10/17/2021   Date of Death:10/30/2021   Reason for Hospital Admission (Admitting Diagnosis): Acute Hypoxemic Respiratory Failure   Hospital Course and Significant Findings: Patient was a 72 Y male with history of renal transplant in 2017, on chronic immunosuppression (cellcept, prograf, pred), CKD who presented with 2 weeks of productive cough, decreased appetite and a positive COVID test on 10/11. Despite being vaccinated on 04/2021 with J&J. In the ED, the patient desatted (87%) with ambulation. He was admitted for hypoxemic respiratory failure. He became gradually more confused, developed worsening kidney injury. The patient also had a CT with evidence of an intramuscular hematoma attributed to coughing with supratherapeutic INR. This was reversed with Kcentra. For his COVID pneumonia treatment, he was given regneron, decadron 6mg, remdesivir for 5 days and tocilizumab once on 10/24. He had multiple rapid responses called on 10/24 and 10/26 for increasing O2 requirements. His confusion and respiratory status worsened and on 10/27 he was admitted to the ICU. He was intubated on 10/29, found to have elevated troponin, worsening renal failure and CT findings of cavitary lesions and severely damaged lungs. This was relayed to the patient's family and he was ultimately transitioned to comfort care. The patient died at 2:40am, on 10/30/21.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Lung consolidation, Lung opacity, Osteoarthritis, Oxygen saturation decreased
Clinical narrative: final diagnosis.      Death Summary   Date of Admission: 10/17/2021   Date of Death:10/30/2021   Reason for Hospital Admission (Admitting Diagnosis): Acute Hypoxemic Respiratory Failure   Hospital Course and Significant Findings: Patient was a 72 Y male with history of renal transplant in 2017, on chronic immunosuppression (cellcept, prograf, pred), CKD who presented with 2 weeks of productive cough, decreased appetite and a positive COVID test on 10/11. Despite being vaccinated on 04/2021 with J&J. In the ED, the patient desatted (87%) with ambulation. He was admitted for hypoxemic respiratory failure. He became gradually more confused, developed worsening kidney injury. The patient also had a CT with evidence of an intramuscular hematoma attributed to coughing with supratherapeutic INR. This was reversed with Kcentra. For his COVID pneumonia treatment, he was given regneron, decadron 6mg, remdesivir for 5 days and tocilizumab once on 10/24. He had multiple rapid responses called on 10/24 and 10/26 for increasing O2 requirements. His confusion and respiratory status worsened and on 10/27 he was admitted to the ICU. He was intubated on 10/29, found to have elevated troponin, worsening renal failure and CT findings of cavitary lesions and severely damaged lungs. This was relayed to the patient's family and he was ultimately transitioned to comfort care. The patient died at 2:40am, on 10/30/21.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumomediastinum, Pneumothorax, Productive cough, Pulmonary artery dilatation, Pulmonary cavitation
Clinical narrative: final diagnosis.      Death Summary   Date of Admission: 10/17/2021   Date of Death:10/30/2021   Reason for Hospital Admission (Admitting Diagnosis): Acute Hypoxemic Respiratory Failure   Hospital Course and Significant Findings: Patient was a 72 Y male with history of renal transplant in 2017, on chronic immunosuppression (cellcept, prograf, pred), CKD who presented with 2 weeks of productive cough, decreased appetite and a positive COVID test on 10/11. Despite being vaccinated on 04/2021 with J&J. In the ED, the patient desatted (87%) with ambulation. He was admitted for hypoxemic respiratory failure. He became gradually more confused, developed worsening kidney injury. The patient also had a CT with evidence of an intramuscular hematoma attributed to coughing with supratherapeutic INR. This was reversed with Kcentra. For his COVID pneumonia treatment, he was given regneron, decadron 6mg, remdesivir for 5 days and tocilizumab once on 10/24. He had multiple rapid responses called on 10/24 and 10/26 for increasing O2 requirements. His confusion and respiratory status worsened and on 10/27 he was admitted to the ICU. He was intubated on 10/29, found to have elevated troponin, worsening renal failure and CT findings of cavitary lesions and severely damaged lungs. This was relayed to the patient's family and he was ultimately transitioned to comfort care. The patient died at 2:40am, on 10/30/21.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Renal failure, Renal injury, SARS-CoV-2 test positive, Spinal osteoarthritis, Traumatic lung injury
Clinical narrative: final diagnosis.      Death Summary   Date of Admission: 10/17/2021   Date of Death:10/30/2021   Reason for Hospital Admission (Admitting Diagnosis): Acute Hypoxemic Respiratory Failure   Hospital Course and Significant Findings: Patient was a 72 Y male with history of renal transplant in 2017, on chronic immunosuppression (cellcept, prograf, pred), CKD who presented with 2 weeks of productive cough, decreased appetite and a positive COVID test on 10/11. Despite being vaccinated on 04/2021 with J&J. In the ED, the patient desatted (87%) with ambulation. He was admitted for hypoxemic respiratory failure. He became gradually more confused, developed worsening kidney injury. The patient also had a CT with evidence of an intramuscular hematoma attributed to coughing with supratherapeutic INR. This was reversed with Kcentra. For his COVID pneumonia treatment, he was given regneron, decadron 6mg, remdesivir for 5 days and tocilizumab once on 10/24. He had multiple rapid responses called on 10/24 and 10/26 for increasing O2 requirements. His confusion and respiratory status worsened and on 10/27 he was admitted to the ICU. He was intubated on 10/29, found to have elevated troponin, worsening renal failure and CT findings of cavitary lesions and severely damaged lungs. This was relayed to the patient's family and he was ultimately transitioned to comfort care. The patient died at 2:40am, on 10/30/21.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: final diagnosis.      Death Summary   Date of Admission: 10/17/2021   Date of Death:10/30/2021   Reason for Hospital Admission (Admitting Diagnosis): Acute Hypoxemic Respiratory Failure   Hospital Course and Significant Findings: Patient was a 72 Y male with history of renal transplant in 2017, on chronic immunosuppression (cellcept, prograf, pred), CKD who presented with 2 weeks of productive cough, decreased appetite and a positive COVID test on 10/11. Despite being vaccinated on 04/2021 with J&J. In the ED, the patient desatted (87%) with ambulation. He was admitted for hypoxemic respiratory failure. He became gradually more confused, developed worsening kidney injury. The patient also had a CT with evidence of an intramuscular hematoma attributed to coughing with supratherapeutic INR. This was reversed with Kcentra. For his COVID pneumonia treatment, he was given regneron, decadron 6mg, remdesivir for 5 days and tocilizumab once on 10/24. He had multiple rapid responses called on 10/24 and 10/26 for increasing O2 requirements. His confusion and respiratory status worsened and on 10/27 he was admitted to the ICU. He was intubated on 10/29, found to have elevated troponin, worsening renal failure and CT findings of cavitary lesions and severely damaged lungs. This was relayed to the patient's family and he was ultimately transitioned to comfort care. The patient died at 2:40am, on 10/30/21.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No Adverse event   On 11/03/2021 the Vaccine Refrig data logger showed a temperature excursion occurred on 10/29/2021 at 10:48 a.m. of +50.7 (F). The timeframe documented is 13 mins with n 5 min alarm notification totaling 18 min. The vaccine providers were not aware that the vaccine needed to be used within a 24 hour timeframe of the excursion prior to discussion with the health department on 11/3/2021. A clinic was scheduled for Moderna Booster doses at a High School for their employees for 11/1/2021. This clinic did occur with the Moderna Vaccine with Lot # 076C21A between the hours of 3:00-5:00 p.m. A total of 16 people received Moderna Booster shots 0.25ml.  The vaccine provider learned on 11/3/2021 in conversations with the health department that due to the excursion, the vaccine should be discarded if not used within 24 hours of the temperature excursion. With the instructional education provided via the health department, all remaining doses of Moderna with Lot# 076C21A was wasted.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased
Clinical narrative: Some of the information is missing due to her not realizing this was a possible side effect until much later, Her right eye started "weeping" and just keeps watering all day and night.  This happened 2 to 3 weeks after her second shot.  A few weeks later she had already scheduled Cataract surgery and thought she could just get that "Fixed" while the Dr. was in that area anyway.  That would not happen that way.  The Eye surgeon says if it was doing it before, then he had nothing to do with it, he has put her on Antibiotics and they had drops for her but 6 months later and it is still constant weeping.  No answer and nothing else has changed in her over the course of the last year.  Just the need to keep a towel or washcloth handy at all times.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiocardiogram, Angiogram, Arthralgia, Back pain, Blood glucose increased
Clinical narrative: 10/12/2021 at 1:15 am Sharp Left ear pain, left jaw pain, neck pain chest pain extreme pounding of the left side of heart sharp left wrist pain, extreme itching then noticed new eczema rash left arm and left axilla enlarged painful burning lymph node. Sharp right knee pain and left and right big toes. Chest pain began to pierce through to left side of back when inhaling and exhaling. Blood pressure 190s over 120s and blood sugars in high 200s low 300s blood pressure, and insulin medication not working. Chest pain never went away Tylenol and Ibuprofen did not work and blood pressure continued to be high. 10/12/2021 Notified PCP at 11 am. PCP replied on 10/13/2021 at 8:30 am giving instructions to go to Urgent Care went to Urgent care and ECG had inverted T waves paramedics called.  1st admission 10/13/2021-10/15/2021 2nd Admission 10/17-10/19/2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest X-ray, Chest pain, Computerised tomogram abdomen, Computerised tomogram thorax
Clinical narrative: 10/12/2021 at 1:15 am Sharp Left ear pain, left jaw pain, neck pain chest pain extreme pounding of the left side of heart sharp left wrist pain, extreme itching then noticed new eczema rash left arm and left axilla enlarged painful burning lymph node. Sharp right knee pain and left and right big toes. Chest pain began to pierce through to left side of back when inhaling and exhaling. Blood pressure 190s over 120s and blood sugars in high 200s low 300s blood pressure, and insulin medication not working. Chest pain never went away Tylenol and Ibuprofen did not work and blood pressure continued to be high. 10/12/2021 Notified PCP at 11 am. PCP replied on 10/13/2021 at 8:30 am giving instructions to go to Urgent Care went to Urgent care and ECG had inverted T waves paramedics called.  1st admission 10/13/2021-10/15/2021 2nd Admission 10/17-10/19/2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Echocardiogram, Eczema, Electrocardiogram, Electrocardiogram T wave inversion
Clinical narrative: 10/12/2021 at 1:15 am Sharp Left ear pain, left jaw pain, neck pain chest pain extreme pounding of the left side of heart sharp left wrist pain, extreme itching then noticed new eczema rash left arm and left axilla enlarged painful burning lymph node. Sharp right knee pain and left and right big toes. Chest pain began to pierce through to left side of back when inhaling and exhaling. Blood pressure 190s over 120s and blood sugars in high 200s low 300s blood pressure, and insulin medication not working. Chest pain never went away Tylenol and Ibuprofen did not work and blood pressure continued to be high. 10/12/2021 Notified PCP at 11 am. PCP replied on 10/13/2021 at 8:30 am giving instructions to go to Urgent Care went to Urgent care and ECG had inverted T waves paramedics called.  1st admission 10/13/2021-10/15/2021 2nd Admission 10/17-10/19/2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Insulin resistance, Lymph node pain, Lymphadenopathy, Neck pain, Pain
Clinical narrative: 10/12/2021 at 1:15 am Sharp Left ear pain, left jaw pain, neck pain chest pain extreme pounding of the left side of heart sharp left wrist pain, extreme itching then noticed new eczema rash left arm and left axilla enlarged painful burning lymph node. Sharp right knee pain and left and right big toes. Chest pain began to pierce through to left side of back when inhaling and exhaling. Blood pressure 190s over 120s and blood sugars in high 200s low 300s blood pressure, and insulin medication not working. Chest pain never went away Tylenol and Ibuprofen did not work and blood pressure continued to be high. 10/12/2021 Notified PCP at 11 am. PCP replied on 10/13/2021 at 8:30 am giving instructions to go to Urgent Care went to Urgent care and ECG had inverted T waves paramedics called.  1st admission 10/13/2021-10/15/2021 2nd Admission 10/17-10/19/2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pain in jaw, Painful respiration, Palpitations, Pruritus
Clinical narrative: 10/12/2021 at 1:15 am Sharp Left ear pain, left jaw pain, neck pain chest pain extreme pounding of the left side of heart sharp left wrist pain, extreme itching then noticed new eczema rash left arm and left axilla enlarged painful burning lymph node. Sharp right knee pain and left and right big toes. Chest pain began to pierce through to left side of back when inhaling and exhaling. Blood pressure 190s over 120s and blood sugars in high 200s low 300s blood pressure, and insulin medication not working. Chest pain never went away Tylenol and Ibuprofen did not work and blood pressure continued to be high. 10/12/2021 Notified PCP at 11 am. PCP replied on 10/13/2021 at 8:30 am giving instructions to go to Urgent Care went to Urgent care and ECG had inverted T waves paramedics called.  1st admission 10/13/2021-10/15/2021 2nd Admission 10/17-10/19/2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Ultrasound Doppler, X-ray limb
Clinical narrative: 10/12/2021 at 1:15 am Sharp Left ear pain, left jaw pain, neck pain chest pain extreme pounding of the left side of heart sharp left wrist pain, extreme itching then noticed new eczema rash left arm and left axilla enlarged painful burning lymph node. Sharp right knee pain and left and right big toes. Chest pain began to pierce through to left side of back when inhaling and exhaling. Blood pressure 190s over 120s and blood sugars in high 200s low 300s blood pressure, and insulin medication not working. Chest pain never went away Tylenol and Ibuprofen did not work and blood pressure continued to be high. 10/12/2021 Notified PCP at 11 am. PCP replied on 10/13/2021 at 8:30 am giving instructions to go to Urgent Care went to Urgent care and ECG had inverted T waves paramedics called.  1st admission 10/13/2021-10/15/2021 2nd Admission 10/17-10/19/2021
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Headache, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Patient fainted after 30 seconds to 1 minute after receiving the vaccine for 30 seconds to 1 minute. Symptoms include excessive sweating, dizziness, headache, and shortness of breath.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted after 30 seconds to 1 minute after receiving the vaccine for 30 seconds to 1 minute. Symptoms include excessive sweating, dizziness, headache, and shortness of breath.
Age: 21.0
Sex: F
Vaccine: FLU4, HEPAB, TDAP
Symptoms: Chills, Contusion, Fall, Head injury, Loss of consciousness
Clinical narrative: after the 3rd vaccine twinrix,  immediate fainting  by falling off of the chair on to the floor and one leg shivering for a minute. Came back to consciousness and didn't know what happened. Patient bumped the head to the other chair and got bruised
Age: 21.0
Sex: F
Vaccine: FLU4, HEPAB, TDAP
Symptoms: Memory impairment, Syncope
Clinical narrative: after the 3rd vaccine twinrix,  immediate fainting  by falling off of the chair on to the floor and one leg shivering for a minute. Came back to consciousness and didn't know what happened. Patient bumped the head to the other chair and got bruised
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Crying, Depression, Extra dose administered, Pain
Clinical narrative: I had the typical mild arm pain and body aches. The major adverse even that i noticed was severe depression. I would just cry for no reason. I had no symptoms the first 2 vaccines (not even arm pain), but this third one is really affecting me. I'm only reporting the depression because multiple coworkers and mentioned depression after their 3rd shot as well. it's been 3 days and I'm still crying for no reason.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I had the typical mild arm pain and body aches. The major adverse even that i noticed was severe depression. I would just cry for no reason. I had no symptoms the first 2 vaccines (not even arm pain), but this third one is really affecting me. I'm only reporting the depression because multiple coworkers and mentioned depression after their 3rd shot as well. it's been 3 days and I'm still crying for no reason.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiac index decreased, Cardiogenic shock, Catheterisation cardiac abnormal, Chronic obstructive pulmonary disease
Clinical narrative: Admitted to hospital on 11/5/2021 with community acquired pneumonia, COPD exacerbation, benign essential htn, on 11/5/2021.  On 11/7 developed acute STEMI, likely RV infarct at ~8am.  Code STEMI, transferred to hospital for emergent cardiac cath, possible PCI.  Noted to have cardiogenic shock, respiratory failure, Acute mycodardial infarct, lactic acidosis, which was deemed non-survivable.  Expired at 1:25 pm on 11/7/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Coronary artery occlusion, Death, Essential hypertension, Lactic acidosis
Clinical narrative: Admitted to hospital on 11/5/2021 with community acquired pneumonia, COPD exacerbation, benign essential htn, on 11/5/2021.  On 11/7 developed acute STEMI, likely RV infarct at ~8am.  Code STEMI, transferred to hospital for emergent cardiac cath, possible PCI.  Noted to have cardiogenic shock, respiratory failure, Acute mycodardial infarct, lactic acidosis, which was deemed non-survivable.  Expired at 1:25 pm on 11/7/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Multiple organ dysfunction syndrome, Pneumonia, Respiratory failure
Clinical narrative: Admitted to hospital on 11/5/2021 with community acquired pneumonia, COPD exacerbation, benign essential htn, on 11/5/2021.  On 11/7 developed acute STEMI, likely RV infarct at ~8am.  Code STEMI, transferred to hospital for emergent cardiac cath, possible PCI.  Noted to have cardiogenic shock, respiratory failure, Acute mycodardial infarct, lactic acidosis, which was deemed non-survivable.  Expired at 1:25 pm on 11/7/2021
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Approximately 2 weeks after receiving the vaccine the area of the injection site started to ache - to describe it - it started as a dull pain inside the area of the injection site - it is feeling worse every day to the point that I am in pain trying to lift my arm - I have not went to the doctor yet, but I probably will call them to inform them.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hyperhidrosis, Hypoaesthesia oral, Lip swelling, Nausea
Clinical narrative: lips/tongue numb, tingly, swollen dyspnea diaphoretic slight nausea after leaving clinic MJCH LESS INTENSE THAN PREVIOUS TWO REACTIONS
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: lips/tongue numb, tingly, swollen dyspnea diaphoretic slight nausea after leaving clinic MJCH LESS INTENSE THAN PREVIOUS TWO REACTIONS
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Cardiac pacemaker insertion, Chest X-ray abnormal, Computerised tomogram thorax
Clinical narrative: Patient admitted to hospital on 10/24 with complaints of myalgias sore throat cough of 3 days duration and was found to have rapid COVID-19 positive.  Multiple family members at home sick with COVID-19.  Patient states he did take single dose vaccine by Johnson and Johnson in June of this year.  His CXR and CTA chest were suggestive of viral pneumonitis there was concern about ongoing CHF also.  Patient was hypoxic and placed on 2 L O2 nasal cannula with O2 saturations in 94%.  He was started on Decadron as well as remdesivir and IV antibiotics.  His EKG again shows bradycardia with AV disassociation which upon my review concerning for third-degree heart block.  Patient overnight at this facility noticed to have severe bradycardia with heart rate dropping to 35 bpm however patient remains asymptomatic with it. Reviewed case again with cardiologist who recommended patient be transferred to higher level of care for EP evaluation and possible pacemaker placement.  Patient was transferred to outside hospital on 10/25/2021 for placement of permanent pacemaker.  He completed 5 days of remdesivir, course of IV antibiotics (for UTI), and steroids.  He was discharged to an ECF on 11/4/2021.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Electrocardiogram abnormal, Heart rate decreased, Hypoxia, Myalgia
Clinical narrative: Patient admitted to hospital on 10/24 with complaints of myalgias sore throat cough of 3 days duration and was found to have rapid COVID-19 positive.  Multiple family members at home sick with COVID-19.  Patient states he did take single dose vaccine by Johnson and Johnson in June of this year.  His CXR and CTA chest were suggestive of viral pneumonitis there was concern about ongoing CHF also.  Patient was hypoxic and placed on 2 L O2 nasal cannula with O2 saturations in 94%.  He was started on Decadron as well as remdesivir and IV antibiotics.  His EKG again shows bradycardia with AV disassociation which upon my review concerning for third-degree heart block.  Patient overnight at this facility noticed to have severe bradycardia with heart rate dropping to 35 bpm however patient remains asymptomatic with it. Reviewed case again with cardiologist who recommended patient be transferred to higher level of care for EP evaluation and possible pacemaker placement.  Patient was transferred to outside hospital on 10/25/2021 for placement of permanent pacemaker.  He completed 5 days of remdesivir, course of IV antibiotics (for UTI), and steroids.  He was discharged to an ECF on 11/4/2021.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pneumonia viral, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient admitted to hospital on 10/24 with complaints of myalgias sore throat cough of 3 days duration and was found to have rapid COVID-19 positive.  Multiple family members at home sick with COVID-19.  Patient states he did take single dose vaccine by Johnson and Johnson in June of this year.  His CXR and CTA chest were suggestive of viral pneumonitis there was concern about ongoing CHF also.  Patient was hypoxic and placed on 2 L O2 nasal cannula with O2 saturations in 94%.  He was started on Decadron as well as remdesivir and IV antibiotics.  His EKG again shows bradycardia with AV disassociation which upon my review concerning for third-degree heart block.  Patient overnight at this facility noticed to have severe bradycardia with heart rate dropping to 35 bpm however patient remains asymptomatic with it. Reviewed case again with cardiologist who recommended patient be transferred to higher level of care for EP evaluation and possible pacemaker placement.  Patient was transferred to outside hospital on 10/25/2021 for placement of permanent pacemaker.  He completed 5 days of remdesivir, course of IV antibiotics (for UTI), and steroids.  He was discharged to an ECF on 11/4/2021.