chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Rash macular
Clinical narrative: On Friday, April 1st at ~11:30AM I received the Shingrix vaccine. At 6PM the same day I started experiencing the following symptoms: Redness on my left cheek, and an ice pick headache. Over the course of the weekend the red blotch grew to what I thought was a huge skin infection and the ice pick headache was enhanced to include what can only be described as brain seizures/electric shocks which would last 1 second but were happening 3 or four times a minute. The pain in my face was and is excruciating; like getting burned with a blow torch. On Monday, after seeing the appearance of a cold sore on my upper, something I have never had in my life, I went to the Drs. office and was diagnosed by with shingles. I was prescribed an anti-viral; 1 gram Valacyclovir to be take 3 times a day every 8 hours for 7 days. At this point cold sores had started to break out on my upper lip. As of today, April 6th, 2022, I have boils on my upper lip, the strip of skin under the nose, on my nose and multiple on my cheek. The inside upper left gums are extremely sensitive making it super painful to eat or brush. The ice pick head and seizures continue although they are somewhat diminished. The area on my head where these are generated is extra sensitive to the touch due to the non-stop activity. The medication seems to be having a slowing effect as I do not see it spreading further. Other than 3 advils I have taken no prescription pain medication. The ?Vaccine Information Statement? I received from my Dr. did NOT include the risk that the shingles vaccine would trigger a shingles outbreak. Had I known this I would not have taken the vaccine. Hopefully my experience will help others make better informed decisions.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Activated partial thromboplastin time normal, Angiogram normal, Aphasia, Blood folate normal, Blood thyroid stimulating hormone normal
Clinical narrative: On 2/9/22 at approximately 7p, I suddenly developed severe dizziness followed by whole right side paralysis, aphasia, & confusion.  The symptoms lasted about 5 mins. EMT arrived at my home and transported me to the ER. While in route to the hospital via ambo, the dizziness, paralysis, aphasia, and confusion started again. This was all observed my medics. I was hospitalized from 2/9/22 - 2/11/22. I had an extensive work-up done which was all negative. I continue to feel dizzy after my hospitalization. The dizziness increased to several times a week to several times a day. I went back to the ER on 3/16 for the dizziness ( all diagnostic test and labs were negative). I have since started vestibular physical therapy and is awaiting to see an ENT specialist scheduled later in April 2022.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram normal, Confusional state, Dizziness, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: On 2/9/22 at approximately 7p, I suddenly developed severe dizziness followed by whole right side paralysis, aphasia, & confusion.  The symptoms lasted about 5 mins. EMT arrived at my home and transported me to the ER. While in route to the hospital via ambo, the dizziness, paralysis, aphasia, and confusion started again. This was all observed my medics. I was hospitalized from 2/9/22 - 2/11/22. I had an extensive work-up done which was all negative. I continue to feel dizzy after my hospitalization. The dizziness increased to several times a week to several times a day. I went back to the ER on 3/16 for the dizziness ( all diagnostic test and labs were negative). I have since started vestibular physical therapy and is awaiting to see an ENT specialist scheduled later in April 2022.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Full blood count normal, Glycosylated haemoglobin normal, Hemiplegia, Lipids normal, Magnetic resonance imaging normal
Clinical narrative: On 2/9/22 at approximately 7p, I suddenly developed severe dizziness followed by whole right side paralysis, aphasia, & confusion.  The symptoms lasted about 5 mins. EMT arrived at my home and transported me to the ER. While in route to the hospital via ambo, the dizziness, paralysis, aphasia, and confusion started again. This was all observed my medics. I was hospitalized from 2/9/22 - 2/11/22. I had an extensive work-up done which was all negative. I continue to feel dizzy after my hospitalization. The dizziness increased to several times a week to several times a day. I went back to the ER on 3/16 for the dizziness ( all diagnostic test and labs were negative). I have since started vestibular physical therapy and is awaiting to see an ENT specialist scheduled later in April 2022.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Metabolic function test normal, Prothrombin time normal, SARS-CoV-2 test negative, Urine analysis normal, Vitamin B12 normal
Clinical narrative: On 2/9/22 at approximately 7p, I suddenly developed severe dizziness followed by whole right side paralysis, aphasia, & confusion.  The symptoms lasted about 5 mins. EMT arrived at my home and transported me to the ER. While in route to the hospital via ambo, the dizziness, paralysis, aphasia, and confusion started again. This was all observed my medics. I was hospitalized from 2/9/22 - 2/11/22. I had an extensive work-up done which was all negative. I continue to feel dizzy after my hospitalization. The dizziness increased to several times a week to several times a day. I went back to the ER on 3/16 for the dizziness ( all diagnostic test and labs were negative). I have since started vestibular physical therapy and is awaiting to see an ENT specialist scheduled later in April 2022.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Two weeks after Pfizer vx, my heartbeat started increasing from around 68 to 106 (approx). Has permenent stayed at over 100 BPM.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Erythema, Feeling abnormal
Clinical narrative: 0935 Employee is taken into the back to receive Pfizer booster. Employee is asked if she is currently having any Covid symptoms. Her answer is "No".  Employee is asked if she has had any reaction to her previous two Pfizer shots she said yes. Employee does have a history Asthma. Her reactions are SOB, lightheadedness, rash to her face and neck. Per her PCP she is cleared to receive the Pfizer booster. At 0935, employee was given Pfizer gray cap booster shot Lot#FK9893 to her left deltoid. At 0952 employee starts to feel lightheaded, with mild redness to face and is having chills. Employee is still alert oriented x3 with mild distress but as able to drink water with no issues.  Per protocol Epi Pen is nearby to administer. Vital signs are taken and they are 142/90 with HR of 116bpm. At 0953 transport is called to pick up patient to help transfer to the ER.  Rapid Response is called at 0953. Rapid response team arrives at 0958 with report given to RN  and is taken down alert and oriented with mild distress at 1005.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site swelling
Clinical narrative: Day of the injection I started having pain in the left shoulder and I got an egg yolk size ball at the injection site with a lot of redness. The swelling resolved in about a week, but the has not gone away. It comes intermittently, but when it happens it is more intense.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Headache, Pain in extremity, Sleep disorder
Clinical narrative: A lot of pain in my legs; walking very hard; pain wakes me up at night; headaches;
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: left arm muscular pain, whole body muscular pain
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Aspartate aminotransferase increased, Asthenia, Bacterial test positive, Bilirubin urine present
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood ethanol normal, Blood glucose normal, COVID-19, Cardiac arrest, Cardio-respiratory arrest
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Computerised tomogram head normal, Culture urine, Death
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Device use issue, Diarrhoea, Drug screen positive, Dyspnoea, Fatigue
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Headache, Hypertension, Hypoxia, Imaging procedure
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Mechanical ventilation, Nausea, Nitrite urine absent, Opiates positive
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pneumonia, Positive airway pressure therapy, Productive cough, Protein urine present
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, Resuscitation, SARS-CoV-2 test positive, Seizure, Sputum discoloured
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Urinary incontinence, Urine ketone body present, Urine leukocyte esterase, Urobilinogen urine
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Weaning failure, White blood cell count normal
Clinical narrative: Patient tested COVID positive.  She reports increasing shortness of breath. When EMS arrived at her home, patient was not on her home oxygen. She had her CPAP on, but it was not hooked up properly. Her initial oxygen saturation was noted to be 81% on room air. She was brought to the emergency room for evaluation. Patient reports having fatigue, weakness. She denies having fever, but states she has had some chills. Has had a mild headache. She notes a productive cough with thick rust colored sputum. She denies having any chest pain. She does report some nausea, but no vomiting. She notes that she had an episode of diarrhea earlier today, is incontinent of urine. During her emergency room evaluation, patient was mildly hypoxic on 4 L nasal cannula at 92%. Her oxygen saturation dropped to the 80s and the patient was placed on Vapotherm at 30 liters 70% Fi02. Oxygen saturations are in the mid 90s. Patient was noted also to be hypertensive. She underwent medical imaging and had laboratory studies obtained. Laboratory studies show a white count that is within normal limits at 5.2, mildly anemic with hemoglobin of 10.4. Glucose is slightly elevated at 138. Chemistries essentially unremarkable except for mildly elevated AST at 52. Troponin was within normal limits at 0.03. A urine drug screen was obtained, which was positive for opiates. Ethanol level was less than 10. Urinalysis is showing protein 300, ketones at 80, bilirubin at 0.5, urobilinogen at 3, negative for leukocytes and nitrites, and trace bacteria. Urine culture was sent Chest x-ray is showing extensive bilateral mixed infiltrates reflecting pneumonia versus edema. CT of her head was obtained, which showed no acute intracranial abnormality. No medications were given while in the emergency room.     The patient was treated and monitored for her seizure activity and attempt for ventilation and weaning off the vent was made. However, difficulty to wean off the vent despite appropriate COVID treatment. Imaging revealed no issues of the brain and no acute pathology related to bleeding. Unfortunately, she passed on 01/04 after a Code Blue, persistent asystole and multiple attempts with resuscitation between time of 22:49 and 23:15 including chest compression, epinephrine and sodium bicarb chalks. ER physician was running the code at bedside. Family was notified of the patient's condition and a decision was made to withdraw care
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was provided an expired DTaP vaccine today at 11:45am in the same thigh as her  Varicella vaccine. At this time no adverse reaction. will reach out to mom to make her aware of the situation and have her watch for fevers, redness, warmth, and swelling to the area.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injected limb mobility decreased
Clinical narrative: Pt could not move arm for week after injection given. Went to ER and pt stated ER physician said injection given to high and might of hit tendons/nerve.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Chills, Echocardiogram, Ejection fraction, Electrocardiogram ST segment elevation
Clinical narrative: A day after receiving his vaccine (April 1) he started developing chest pain, described as squeezing substernal pain, with palpitations.  He also had some fever, chills, body aches and headache in the first 24 hours following the March 31 vaccine. He was admitted to the hospital on April 2, and discharged from the hospital on April 5 He had ST elevations on ECG, troponin of 12,891, echocardiogram showing ejection fraction of 45 to 50% with inferior wall motion abnormality. By hospital discharge, his chest pain symptoms had resolved.  He did not develop any tachyarrhythmias, ectopy, or heart failure symptoms.  He will have a cardiac MRI scan as an outpatient and close follow-up with cardiology.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Pain, Palpitations, Pyrexia, Troponin
Clinical narrative: A day after receiving his vaccine (April 1) he started developing chest pain, described as squeezing substernal pain, with palpitations.  He also had some fever, chills, body aches and headache in the first 24 hours following the March 31 vaccine. He was admitted to the hospital on April 2, and discharged from the hospital on April 5 He had ST elevations on ECG, troponin of 12,891, echocardiogram showing ejection fraction of 45 to 50% with inferior wall motion abnormality. By hospital discharge, his chest pain symptoms had resolved.  He did not develop any tachyarrhythmias, ectopy, or heart failure symptoms.  He will have a cardiac MRI scan as an outpatient and close follow-up with cardiology.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lethargy, Peripheral swelling
Clinical narrative: Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Medium, Additional Details: Symptoms have been ongoing for 9 days. Pt also reports experiencing arm swelling and incredible fatigue after Shingrix.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: hospitalized for COVID sepsis, Bilateral COVID pneumonia, acute hypoxemic respiratory failure
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: hospitalized for COVID sepsis, Bilateral COVID pneumonia, acute hypoxemic respiratory failure
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Magnetic resonance imaging abnormal, Ultrasound scan abnormal
Clinical narrative: Prominent level 1 left auxiliary lymph nodes are identified.  Follow up 12 weeks There are six lymph nodes identified in the left axilla. Lymph node labeled #4 demonstrates uniform cortical thickening up to 3.5 mm, likely decreased since 12/09/2021 MRI. The remaining lymph nodes have thin cortices and preserved fatty hila. IMPRESSION: Left axillary lymph node labeled #3 is borderline enlarged and probably benign. The lymph node is likely decreased in size s/p Covid vaccine injection into the left arm. Recommend follow up ultrasound in 2 months at time of scheduled mammogram (May 2022). A unilateral ultrasound of the left breast is recommended in 2 months.  Ultra sound guided biopsy was performed  Reactive/hyperplastic lymph node. 4 months later still enlarged lymph nodes  *Also acquired shingles possibly from the 2nd vaccine given on 4/08/21 Still suffering residual effects from this as well
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular
Clinical narrative: PT DEVELOP 2 SPOT OF RASH THE SIZE OF A COIN ON LEFT SIDE OF FACE 35-45 MINUTES AFTER VACCINATION.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Condition aggravated, Death
Clinical narrative: pt admitted to hospital with disorientation, N/V; treated for CHF exacerbation; during hospitalization, pt tested positive for COVID; COVID pneumonia and Respiratory Distress; pt's condition worsened; DNR and transitioned to comfort care; transferred to inpatient hospice where she passed away
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, General physical health deterioration, Nausea, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: pt admitted to hospital with disorientation, N/V; treated for CHF exacerbation; during hospitalization, pt tested positive for COVID; COVID pneumonia and Respiratory Distress; pt's condition worsened; DNR and transitioned to comfort care; transferred to inpatient hospice where she passed away
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: pt admitted to hospital with disorientation, N/V; treated for CHF exacerbation; during hospitalization, pt tested positive for COVID; COVID pneumonia and Respiratory Distress; pt's condition worsened; DNR and transitioned to comfort care; transferred to inpatient hospice where she passed away
Age: 13.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Covid Booster on 1/26/2022. Patient got lot number FF2587 which expires on 11/11/2021. Provider is going to reach out to patient.
Age: 18.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Erythema, Induration, Pain in extremity, Pyrexia
Clinical narrative: Arm pain, induration, erythema and swelling. Chills, tactile fever.
Age: 18.0
Sex: M
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: Arm pain, induration, erythema and swelling. Chills, tactile fever.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Nurse came to me and asked " what is the booster dose for Moderna. How many ml". I told nurse that the booster dose for Moderna is half the regular dose of 0.5. At that point nurse said to me she had just given patient 0.5ml instead of 0.25ml.  Patient had no adverse effects from the vaccine.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster shot given to soon
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Continued reaction from the 1st vx: Heart rate became higher. I used to always stay below 70 BPM, now it's permanently increased and stays above 100.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Crying, Fatigue, Feeling abnormal, Gait disturbance
Clinical narrative: Over the course of 5 months, I have gradually been having very extreme fatigue like I am being weighted down. I have bouts of crying, brain fog and headaches.  Each and every day, since around November, the fatigue has gotten worse, to the point now where it feels like I am dragging a ton of lead behind me and it is dragging me down.  It is very hard to explain, but it is overwhelming.   You are supposed to wake up in the morning feeling refreshed, but I don't.  I wake up feeling very, very tired.  I also have problems with my walking, like I am going to stumble.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Over the course of 5 months, I have gradually been having very extreme fatigue like I am being weighted down. I have bouts of crying, brain fog and headaches.  Each and every day, since around November, the fatigue has gotten worse, to the point now where it feels like I am dragging a ton of lead behind me and it is dragging me down.  It is very hard to explain, but it is overwhelming.   You are supposed to wake up in the morning feeling refreshed, but I don't.  I wake up feeling very, very tired.  I also have problems with my walking, like I am going to stumble.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I had running nose, serve headache, congestive, and sore throat that lasted for about 3 to 4 days. On Oct 12th, I tested positive for COVID-19. I contacted my doctor. They did an infusion therapy.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had running nose, serve headache, congestive, and sore throat that lasted for about 3 to 4 days. On Oct 12th, I tested positive for COVID-19. I contacted my doctor. They did an infusion therapy.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest discomfort, Condition aggravated, Echocardiogram normal, Inflammation
Clinical narrative: I had pericarditis after my second Moderna shot and it had cleared up. The pericarditis recurred after this Pfizer booster. Symptoms were pressure in upper middle chest and trouble lying down to sleep. Inflammation was seen in blood work to confirm the diagnosis that the pericarditis had returned. I am on a 3-month course of high dose ibuprofen and colchicine for treatment.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Interchange of vaccine products, Pericarditis
Clinical narrative: I had pericarditis after my second Moderna shot and it had cleared up. The pericarditis recurred after this Pfizer booster. Symptoms were pressure in upper middle chest and trouble lying down to sleep. Inflammation was seen in blood work to confirm the diagnosis that the pericarditis had returned. I am on a 3-month course of high dose ibuprofen and colchicine for treatment.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cancer in remission, Gastrointestinal endoscopic therapy, Oesophageal carcinoma, Oesophagectomy, Surgery
Clinical narrative: About two months after receiving my third dose, I was diagnosed with esophageal cancer. I did not have chemo or radiation treatment, but I did have surgery on March 16th, 2022 to remove the cancer. As of my last checkup, I am showing that I am currently cancer free.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Cardio-respiratory arrest, Death
Clinical narrative: pt admitted to hosp from ED with generalized weakness; found to be positive for COVID; O2 supplementation; pt experienced cardiorespiratory arrest; CPR; intubated; transferred ICU; family then made pt DNR; AKI with hyperkalemia; sepsis from multiple infected chronic wounds - pt not stable enough to have surgery on wounds; pt's condition worsened requiring 3 vasopressors; transitioned to comfort care; pt passed away in the hospital
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Hyperkalaemia, Intensive care, Resuscitation
Clinical narrative: pt admitted to hosp from ED with generalized weakness; found to be positive for COVID; O2 supplementation; pt experienced cardiorespiratory arrest; CPR; intubated; transferred ICU; family then made pt DNR; AKI with hyperkalemia; sepsis from multiple infected chronic wounds - pt not stable enough to have surgery on wounds; pt's condition worsened requiring 3 vasopressors; transitioned to comfort care; pt passed away in the hospital
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Wound infection
Clinical narrative: pt admitted to hosp from ED with generalized weakness; found to be positive for COVID; O2 supplementation; pt experienced cardiorespiratory arrest; CPR; intubated; transferred ICU; family then made pt DNR; AKI with hyperkalemia; sepsis from multiple infected chronic wounds - pt not stable enough to have surgery on wounds; pt's condition worsened requiring 3 vasopressors; transitioned to comfort care; pt passed away in the hospital
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Pruritus, Urticaria
Clinical narrative: 3 days after receiving the shingle vaccine, left side of neck and face broke out with large whelps and then opened up and sores, itching and burning.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Exposure to SARS-CoV-2, Malaise
Clinical narrative: I had an exposure to COVID by family member who tested positive. I then began to feel unwell on 01/23/2022 and  Tested positive for COVID 01/25/2022. My experience on the fourth day, the virus went into my chest and I had trouble breathing and coughing pretty bad. Went to see physician in parking lot and I was prescribed Z pak and prednisone. By that evening my cough was gone and my condition was improving.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had an exposure to COVID by family member who tested positive. I then began to feel unwell on 01/23/2022 and  Tested positive for COVID 01/25/2022. My experience on the fourth day, the virus went into my chest and I had trouble breathing and coughing pretty bad. Went to see physician in parking lot and I was prescribed Z pak and prednisone. By that evening my cough was gone and my condition was improving.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, COVID-19, Condition aggravated, Cough, Dyspnoea
Clinical narrative: COVID Break through case. Was very stuffed up, runny nose, coughing like a maniac, very achy, very short of breath, very fatigued. Memory loss, where you go to look for something and you go back and it was right in front of you the entire time.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypertension, Illness, Nasal congestion, Pain
Clinical narrative: COVID Break through case. Was very stuffed up, runny nose, coughing like a maniac, very achy, very short of breath, very fatigued. Memory loss, where you go to look for something and you go back and it was right in front of you the entire time.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: COVID Break through case. Was very stuffed up, runny nose, coughing like a maniac, very achy, very short of breath, very fatigued. Memory loss, where you go to look for something and you go back and it was right in front of you the entire time.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Both doses given 4/22/21 and 5/20/21 before the age of 18.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, C-reactive protein, C-reactive protein increased, Erythema
Clinical narrative: Joint swelling, pain and stiffness on both left and right side of the body. Knees swelling, finger and toe joints swelling, red, warm and painful. Wrist stiffness and pain. Started every couple weeks, then went to weekly. Seeing Rheumatogist