chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Fatigue, Lung opacity
Clinical narrative: Presented to ED with fatigue, sore throat, gen weakness & cough: + Covid in ED: CXR: opacity in RL base, concerning for PNA; initially on room air; TX: startedon maxipime, rocephin, 12/19 Vit C, Zithromax, decadron, lovenox,   zinc added 12/21 pt worsened overnight with increasing O2 requirements and elevated temp; CRP up to 5.17; remdesivir added; O2 @ 2 LPM via NC 12/22 O2 @ 4 LPM; discussed Toci tx but pt declined; prone positioning ad lib; 12/24 O2 @ 5 LPM; CRP trending down (peaked as 12.81) 12/27 afib with RVR; Cardizem started; O2 @ 6 LPM; 12/28 NSR, 4 lpm O2 12/31 off supplemental O2; remains on room air; doing well
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Prone position, SARS-CoV-2 test positive, Sinus rhythm
Clinical narrative: Presented to ED with fatigue, sore throat, gen weakness & cough: + Covid in ED: CXR: opacity in RL base, concerning for PNA; initially on room air; TX: startedon maxipime, rocephin, 12/19 Vit C, Zithromax, decadron, lovenox,   zinc added 12/21 pt worsened overnight with increasing O2 requirements and elevated temp; CRP up to 5.17; remdesivir added; O2 @ 2 LPM via NC 12/22 O2 @ 4 LPM; discussed Toci tx but pt declined; prone positioning ad lib; 12/24 O2 @ 5 LPM; CRP trending down (peaked as 12.81) 12/27 afib with RVR; Cardizem started; O2 @ 6 LPM; 12/28 NSR, 4 lpm O2 12/31 off supplemental O2; remains on room air; doing well
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, Computerised tomogram thorax normal, Dyspnoea
Clinical narrative: presented with weakness/SOB . COVID positive.  He required 4 L of supplemental oxygen on admission. The patient uses 2 L at baseline for his COPD. CT chest was done which was negative. The patient was treated with IV steroids, IV remdesivir, zinc supplementation and Lovenox. Gradually his symptoms improved and he was feeling better clinically. However upon ambulation he was noted to be desaturating and requiring 6 L of oxygen. He was continued on IV steroids with gradual improvement in his symptoms. He had a walk study done today and required 4 L of supplemental oxygen with ambulation and will be discharged home on the same.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Mineral supplementation, Oxygen saturation decreased, SARS-CoV-2 test positive, Walking distance test abnormal
Clinical narrative: presented with weakness/SOB . COVID positive.  He required 4 L of supplemental oxygen on admission. The patient uses 2 L at baseline for his COPD. CT chest was done which was negative. The patient was treated with IV steroids, IV remdesivir, zinc supplementation and Lovenox. Gradually his symptoms improved and he was feeling better clinically. However upon ambulation he was noted to be desaturating and requiring 6 L of oxygen. He was continued on IV steroids with gradual improvement in his symptoms. He had a walk study done today and required 4 L of supplemental oxygen with ambulation and will be discharged home on the same.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood lactic acid, C-reactive protein normal, COVID-19
Clinical narrative: Pt c/o cough, vomiting, low BP, weakness, dizziness, SOB x 1 wk. + covid in ED; CXR clear; Labs: D-dimer 0.64 CRP <.20; Lactic Acid 2.98, Ferritin 411.44  TX: started on Maxipime, Decadron, Remdesivir, Rocephin, Vit D3, Vit B12, Lovenox, Singulair, zinc; O2 @ 3 LPM NC with admit; down to room air at d/c
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Cough, Dizziness, Dyspnoea, Fibrin D dimer
Clinical narrative: Pt c/o cough, vomiting, low BP, weakness, dizziness, SOB x 1 wk. + covid in ED; CXR clear; Labs: D-dimer 0.64 CRP <.20; Lactic Acid 2.98, Ferritin 411.44  TX: started on Maxipime, Decadron, Remdesivir, Rocephin, Vit D3, Vit B12, Lovenox, Singulair, zinc; O2 @ 3 LPM NC with admit; down to room air at d/c
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, SARS-CoV-2 test positive, Serum ferritin increased, Vomiting
Clinical narrative: Pt c/o cough, vomiting, low BP, weakness, dizziness, SOB x 1 wk. + covid in ED; CXR clear; Labs: D-dimer 0.64 CRP <.20; Lactic Acid 2.98, Ferritin 411.44  TX: started on Maxipime, Decadron, Remdesivir, Rocephin, Vit D3, Vit B12, Lovenox, Singulair, zinc; O2 @ 3 LPM NC with admit; down to room air at d/c
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Erythema, Injection site swelling, Pain, Pruritus
Clinical narrative: Parent noted swelling at site of injection on 9/8/23. Approximately 48 hours after injection administered. Developed redness, pain and pruritis as well. Diagnosed with cellulitis Treated with oral antibiotic.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Chills, Pyrexia
Clinical narrative: fever, chills 16 hours post injection, mildly febrile 24 hours later
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: Bivalent vaccine was given after 1pm on 9/11/2023 when EUA for this vaccine was removed from EUA use today.  No adverse effect on patient.
Age: 68.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, C-reactive protein, COVID-19, COVID-19 pneumonia, Fibrin D dimer
Clinical narrative: c/o COVID-19 onset 6 days ago., positive for COVID-19 3 days ago and had N/V with a fever, bilat rash to legs on day of admit; Labs:  d-dimer 1.65, CRP 8.90, Ferritin 279 CTA chest: consistent findings for COVID pneumonia, focal consolidation in th RLL; Dx: Covid PNA; TX: Zithromax, Rocephin, Vit C, Vit D3, Decadron (started 1/24) , Doxycycline, Lovenox, Singulair, Zinc pt not hypoxic with admit, no remdesivir given; remained on room air during hospitalization
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lung consolidation, Nausea, Pyrexia, Rash, SARS-CoV-2 test positive
Clinical narrative: c/o COVID-19 onset 6 days ago., positive for COVID-19 3 days ago and had N/V with a fever, bilat rash to legs on day of admit; Labs:  d-dimer 1.65, CRP 8.90, Ferritin 279 CTA chest: consistent findings for COVID pneumonia, focal consolidation in th RLL; Dx: Covid PNA; TX: Zithromax, Rocephin, Vit C, Vit D3, Decadron (started 1/24) , Doxycycline, Lovenox, Singulair, Zinc pt not hypoxic with admit, no remdesivir given; remained on room air during hospitalization
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin increased, Vomiting
Clinical narrative: c/o COVID-19 onset 6 days ago., positive for COVID-19 3 days ago and had N/V with a fever, bilat rash to legs on day of admit; Labs:  d-dimer 1.65, CRP 8.90, Ferritin 279 CTA chest: consistent findings for COVID pneumonia, focal consolidation in th RLL; Dx: Covid PNA; TX: Zithromax, Rocephin, Vit C, Vit D3, Decadron (started 1/24) , Doxycycline, Lovenox, Singulair, Zinc pt not hypoxic with admit, no remdesivir given; remained on room air during hospitalization
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Chemotherapy, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Presented with SOB; + Covid 18 days PTA; rec'd monoclonal antibodies and already taking zithromax and steroids; admitted due to immunocompromised st (finished chemo month prior); Labs: D-dimer 0.67; CRP 13.37; Ferritin 540; CXR - severe bilat PNA; TX: Merrem, Rocephin, cont zithromax and decadron, remedesivir, Vit C, Vit b12, Lovenox, Singulair,  Zinc; Room air through hospitalization; developed LUE swelling, superficial thrombosis, improved by d/c
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Immunodeficiency, Peripheral swelling, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB; + Covid 18 days PTA; rec'd monoclonal antibodies and already taking zithromax and steroids; admitted due to immunocompromised st (finished chemo month prior); Labs: D-dimer 0.67; CRP 13.37; Ferritin 540; CXR - severe bilat PNA; TX: Merrem, Rocephin, cont zithromax and decadron, remedesivir, Vit C, Vit b12, Lovenox, Singulair,  Zinc; Room air through hospitalization; developed LUE swelling, superficial thrombosis, improved by d/c
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin increased, Superficial vein thrombosis
Clinical narrative: Presented with SOB; + Covid 18 days PTA; rec'd monoclonal antibodies and already taking zithromax and steroids; admitted due to immunocompromised st (finished chemo month prior); Labs: D-dimer 0.67; CRP 13.37; Ferritin 540; CXR - severe bilat PNA; TX: Merrem, Rocephin, cont zithromax and decadron, remedesivir, Vit C, Vit b12, Lovenox, Singulair,  Zinc; Room air through hospitalization; developed LUE swelling, superficial thrombosis, improved by d/c
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Presented with ongoing SOB since 1/13 (initial dx of Covid): admitted for Covid PNA; CXR  bilateral interstitial pulmonary infiltrates; Labs: D-dimer 2.04; CRP 10.77; Ferritin 866; Tx: Zithromax, Decadron, baricitinib, Rocephin, Vit D3, Lovenox, Singulair, zinc; O2 up to 7 L HFNC; back to room air by d/c; but home on home O2
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Lung infiltration, Serum ferritin increased
Clinical narrative: Presented with ongoing SOB since 1/13 (initial dx of Covid): admitted for Covid PNA; CXR  bilateral interstitial pulmonary infiltrates; Labs: D-dimer 2.04; CRP 10.77; Ferritin 866; Tx: Zithromax, Decadron, baricitinib, Rocephin, Vit D3, Lovenox, Singulair, zinc; O2 up to 7 L HFNC; back to room air by d/c; but home on home O2
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray normal
Clinical narrative: positive COVID-19 infection with hypoxia, admitted to hospital further management of COVID-19 pneumonia, acute respiratory failure with hypoxia. Labs: D-dimer 1.49 CRP 6.4 Ferritin 257 CXR clear;  Treated with steroids, bronchodilators, Vit C, Vit D3, Lovenox, singulair, zinc:  Rec'd 2 doses of Remdesivir but Out of window for remdesivir, so it was discontinued. symptoms improved. Hypoxia resolved;  stable on room air at rest and after ambulation with pulse ox greater than 93%
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hypoxia, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: positive COVID-19 infection with hypoxia, admitted to hospital further management of COVID-19 pneumonia, acute respiratory failure with hypoxia. Labs: D-dimer 1.49 CRP 6.4 Ferritin 257 CXR clear;  Treated with steroids, bronchodilators, Vit C, Vit D3, Lovenox, singulair, zinc:  Rec'd 2 doses of Remdesivir but Out of window for remdesivir, so it was discontinued. symptoms improved. Hypoxia resolved;  stable on room air at rest and after ambulation with pulse ox greater than 93%
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 72.0
Sex: M
Vaccine: RSV
Symptoms: Chills
Clinical narrative: Started having severe chills which lasted from about 9:00 PM until noon the next day.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Cough, Dyspnoea, Fibrin D dimer
Clinical narrative: c/o worseing cough and SOB after a recent diagnosis of Covid 19, already rec'd monoclonal antibody therapy; CT: left greater than right lower lung consolidations which may be atelectasis/pneumonia; Labs: D-dimer 1.31 Tx: Decadron, Vit C, Doxycycline, Lovenox, Levaquin, zinc; O2 @ 3 LPM; discharged with home O2
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Lung consolidation
Clinical narrative: c/o worseing cough and SOB after a recent diagnosis of Covid 19, already rec'd monoclonal antibody therapy; CT: left greater than right lower lung consolidations which may be atelectasis/pneumonia; Labs: D-dimer 1.31 Tx: Decadron, Vit C, Doxycycline, Lovenox, Levaquin, zinc; O2 @ 3 LPM; discharged with home O2
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Diarrhoea, Dyspnoea, End stage renal disease
Clinical narrative: Admitted with diarrhea/sob; hypoxia; Covid +; No steroids as pt remained stable with oxygenation; no remdesivir due to ESRD; D-dimer 1.07 CRP 5.06; Ferritin 1035; O2 @ 2 LPM during hospitalization; No specific tx for covid; No home O2 at d/c
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hypoxia, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: Admitted with diarrhea/sob; hypoxia; Covid +; No steroids as pt remained stable with oxygenation; no remdesivir due to ESRD; D-dimer 1.07 CRP 5.06; Ferritin 1035; O2 @ 2 LPM during hospitalization; No specific tx for covid; No home O2 at d/c
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, C-reactive protein normal, COVID-19, Chest X-ray normal, Cough
Clinical narrative: presented with cough;  + covid; CRP normal; D-dimer 3.0 trended down to 1.5; Ferritin 663 trended down to 577;  CXR clear; O2 between 2-4 LPM NC during stay; discharged at 2 LPM; Tx: Vit C, Decadron, Eliquis, Rocephin, Vit D3, Singulair, Zinc; No remdesivir due to AKI and no actemra or baricitanib due to normal CRP;
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: presented with cough;  + covid; CRP normal; D-dimer 3.0 trended down to 1.5; Ferritin 663 trended down to 577;  CXR clear; O2 between 2-4 LPM NC during stay; discharged at 2 LPM; Tx: Vit C, Decadron, Eliquis, Rocephin, Vit D3, Singulair, Zinc; No remdesivir due to AKI and no actemra or baricitanib due to normal CRP;
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Atelectasis, C-reactive protein, COVID-19
Clinical narrative: Admitted from HD with weakness, fever & hypoxia; Covid +; CXR "Low lung volumes with bibasilar subsegmental atelectasis"; Labs: D-dimer 1.11; CRP 6.5; Ferritin 702; Tx Maxipime, Merrem, Remdesivir, Decadron, Vit D3, Heparin, Singulair, zinc ; 2 LPM O2 initially; down to room air at d/c
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Fibrin D dimer, Haemodialysis, Hypoxia, Pyrexia
Clinical narrative: Admitted from HD with weakness, fever & hypoxia; Covid +; CXR "Low lung volumes with bibasilar subsegmental atelectasis"; Labs: D-dimer 1.11; CRP 6.5; Ferritin 702; Tx Maxipime, Merrem, Remdesivir, Decadron, Vit D3, Heparin, Singulair, zinc ; 2 LPM O2 initially; down to room air at d/c
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Serum ferritin increased, Total lung capacity decreased
Clinical narrative: Admitted from HD with weakness, fever & hypoxia; Covid +; CXR "Low lung volumes with bibasilar subsegmental atelectasis"; Labs: D-dimer 1.11; CRP 6.5; Ferritin 702; Tx Maxipime, Merrem, Remdesivir, Decadron, Vit D3, Heparin, Singulair, zinc ; 2 LPM O2 initially; down to room air at d/c
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Admitted for cough/sob; CXR L basilar infiltrate; + covid in ED; Labs: D-dimer 6.11; CRP 22.13 Ferritin 234; Tx: Decadron, Remdesivir, Rocephin, Doxycycline, Lovenox, FiO2 @ 2 LPM initially, down to room air at d/c;
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Lung infiltration, SARS-CoV-2 test positive, Serum ferritin normal
Clinical narrative: Admitted for cough/sob; CXR L basilar infiltrate; + covid in ED; Labs: D-dimer 6.11; CRP 22.13 Ferritin 234; Tx: Decadron, Remdesivir, Rocephin, Doxycycline, Lovenox, FiO2 @ 2 LPM initially, down to room air at d/c;
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Admitted with SOB; CXR: bronchitis, ? infiltrate; + covid PTA at SNF;  Labs: D-dimer 8.43, CRP 1.64 Ferritin 1283.6 Tx: Maxipime, Remdesivir, Vit D3, Vit B12, merrem, solu-medrol, singulair, Zinc:   Initially on 4 LPM NC O2; down to room air at D/C
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Lung infiltration, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: Admitted with SOB; CXR: bronchitis, ? infiltrate; + covid PTA at SNF;  Labs: D-dimer 8.43, CRP 1.64 Ferritin 1283.6 Tx: Maxipime, Remdesivir, Vit D3, Vit B12, merrem, solu-medrol, singulair, Zinc:   Initially on 4 LPM NC O2; down to room air at D/C
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Electromyogram, Muscular weakness, Neck pain
Clinical narrative: Pain,  weakness, tingling in the shoulder and neck
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Paraesthesia
Clinical narrative: Pain,  weakness, tingling in the shoulder and neck
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Death
Clinical narrative: Death
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered, Wrong product administered
Clinical narrative: Gave Bivalent booster 9/12/2023 instead of new approved booster
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Tinnitus in left ear.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Arrhythmia, Cardiac imaging procedure abnormal, Dyspnoea, Electrocardiogram ambulatory abnormal, Influenza like illness
Clinical narrative: shortly after the vaccine, I had flu like symptoms.  In the past I was always tired after the previous vaccines with body aches and headaches. this vaccine symptoms progress and I was short of breath with heart palpations.  I called my doctor for follow up.
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Myocarditis, Palpitations, Positron emission tomogram, Ventricular extrasystoles
Clinical narrative: shortly after the vaccine, I had flu like symptoms.  In the past I was always tired after the previous vaccines with body aches and headaches. this vaccine symptoms progress and I was short of breath with heart palpations.  I called my doctor for follow up.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Blood test, Cardiac monitoring, Echocardiogram, Electrocardiogram
Clinical narrative: On evening of 9/9, I developed pain in my left elbow.  Over time it got much worse, and spread down my arm.  Could not fully straighten arm, limited ability to raise hand  to head or should level.  The pain of Movement during sleep would awaken me.  I went to the ER the next day because the pain was very unusual and I know that pain in the left arm can be a signal of a heart attack in women.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Injected limb mobility decreased, Magnetic resonance imaging, Pain, Pain in extremity, Sleep disorder
Clinical narrative: On evening of 9/9, I developed pain in my left elbow.  Over time it got much worse, and spread down my arm.  Could not fully straighten arm, limited ability to raise hand  to head or should level.  The pain of Movement during sleep would awaken me.  I went to the ER the next day because the pain was very unusual and I know that pain in the left arm can be a signal of a heart attack in women.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Ultrasound Doppler, Urine analysis, X-ray
Clinical narrative: On evening of 9/9, I developed pain in my left elbow.  Over time it got much worse, and spread down my arm.  Could not fully straighten arm, limited ability to raise hand  to head or should level.  The pain of Movement during sleep would awaken me.  I went to the ER the next day because the pain was very unusual and I know that pain in the left arm can be a signal of a heart attack in women.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Shortly after receiving the second dose of the Covid vaccine, I noticed ringing in my ears.  This has continued without relief to date.  I have not been treated for this as it seems unlikely anything can be done for it.   I thought I should report it.  Due to the short time between getting the vaccine and the onset of the tinnitus, I feel certain the vaccine caused the issue.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea
Clinical narrative: 93-year-old gentleman who is being admitted for shortness of breaths secondary to COVID 19 pneumonia
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Back pain, Chest discomfort, Dizziness, Headache, Heart rate increased
Clinical narrative: Woke up with mild headache the morning of 9/8/23.  She began with elevated HR up to 170 that day.  Had mild chest tightness and lightheadedness also.  Had a temp up to 99.7.  Had back pain also.  Continued with back pain, elevated HR and chest tightness on 9/9/23.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Influenza virus test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: Woke up with mild headache the morning of 9/8/23.  She began with elevated HR up to 170 that day.  Had mild chest tightness and lightheadedness also.  Had a temp up to 99.7.  Had back pain also.  Continued with back pain, elevated HR and chest tightness on 9/9/23.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness, Pain, Pain in extremity, Rash, Rash erythematous
Clinical narrative: Dizzy and body aches 09-06-2023 and 09-07-2023 plus extra pain in left arm into left chest  Treated with (2 ) 500 mg Tylenol which I continued q 4-6 hours. On morning of 09-08-2023, I woke at 6:00 am with red rash on left side of neck.  Rash progressed back of neck, front and back of truck.  I went to Urgent Care at 8:00 am.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urticaria
Clinical narrative: Dizzy and body aches 09-06-2023 and 09-07-2023 plus extra pain in left arm into left chest  Treated with (2 ) 500 mg Tylenol which I continued q 4-6 hours. On morning of 09-08-2023, I woke at 6:00 am with red rash on left side of neck.  Rash progressed back of neck, front and back of truck.  I went to Urgent Care at 8:00 am.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness, Pain, Pain in extremity, Rash, Rash erythematous
Clinical narrative: Pt developed hives all over the body 3 days after vaccine.  Went to urgent care clinic and they would not treat her (with steroids) because they did not want to inhibit the immune response from the vaccine.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urticaria
Clinical narrative: Pt developed hives all over the body 3 days after vaccine.  Went to urgent care clinic and they would not treat her (with steroids) because they did not want to inhibit the immune response from the vaccine.
Age: 17.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Patient noted a enlarged lymph node located left side of neck on 9/12/2023. States slight tenderness noted
Age: 76.0
Sex: M
Vaccine: FLUA4
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Hyperhidrosis
Clinical narrative: I woke up at 0630 on 2 September with chills, sweating, severe headache, fatigue, nausea and explosive diarrhea. I spent the next 3 days suffering from the effects. It was not until Wed 6 September that I was able to function normally.
Age: 76.0
Sex: M
Vaccine: FLUA4
Symptoms: Nausea
Clinical narrative: I woke up at 0630 on 2 September with chills, sweating, severe headache, fatigue, nausea and explosive diarrhea. I spent the next 3 days suffering from the effects. It was not until Wed 6 September that I was able to function normally.
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Vaccine was given subcutaneously in error, it should have been administered intramuscullarly.  Pt reported red hot patch and soreness at injection site.  She reports that her symptoms have improved and she did not feel it required any medical care.  She treated at home with otc medications
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anti-cyclic citrullinated peptide antibody, Antinuclear antibody negative, Arthralgia, Blood creatine phosphokinase normal, C-reactive protein increased
Clinical narrative: chronic joint pain and muscle aches with elevated inflammatory markers, began around 12/01/2022- present
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Full blood count normal, Myalgia, Red blood cell sedimentation rate increased, Rheumatoid factor negative, Vitamin D
Clinical narrative: chronic joint pain and muscle aches with elevated inflammatory markers, began around 12/01/2022- present
Age: 84.0
Sex: F
Vaccine: UNK
Symptoms: Headache
Clinical narrative: PATIENT STATED SHE IS EXPERIENCE HEADACHES
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Adult dose given instead of pediatric dose (incorrect order placed)
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder cancer, Condition aggravated, Deep vein thrombosis, Melaena, Metastases to the mediastinum
Clinical narrative: I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 6/19/2023 MELENA I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 6/19/2023 HX OF URINARY BLADDER CANCER I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 6/19/2023 CANCER METASTATIC TO MEDIASTINUM
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial flutter, Cardiogenic shock, Respiratory failure
Clinical narrative: J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/24/2023 ATRIAL FLUTTER, PAROXYSMAL R57.0 CARDIOGENIC SHOCK 5/24/2023 ATRIAL FLUTTER, PAROXYSMAL J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/24/2023 CARDIOGENIC SHOCK R57.0 CARDIOGENIC SHOCK 5/24/2023 CARDIOGENIC SHOCK
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect dose administered
Clinical narrative: On 09/11/2023 patient was giving the wrong dose of flu vaccine. She received high dose and needed regular flu. Patient was called and notified of the incident and provider also notified. Was document and manager was notified.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Breast mass, Hyperlipidaemia, Hypotension, Hypoxia
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 VASCULAR INSUFFICIENCY OF LIMB, UNSPECIFIED TYPE I95.9 HYPOTENSION 8/7/2023 VASCULAR INSUFFICIENCY OF LIMB, UNSPECIFIED TYPE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 VASCULAR INSUFFICIENCY OF LIMB, UNSPECIFIED TYPE R09.02 HYPOXIA 8/7/2023 VASCULAR INSUFFICIENCY OF LIMB, UNSPECIFIED TYPE G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 PLEURAL EFFUSION I95.9 HYPOTENSION 8/7/2023 PLEURAL EFFUSION J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 PLEURAL EFFUSION R09.02 HYPOXIA 8/7/2023 PLEURAL EFFUSION G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE I95.9 HYPOTENSION 8/7/2023 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE R09.02 HYPOXIA 8/7/2023 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 HYPERLIPIDEMIA I95.9 HYPOTENSION 8/7/2023 HYPERLIPIDEMIA J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 HYPERLIPIDEMIA R09.02 HYPOXIA 8/7/2023 HYPERLIPIDEMIA G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 RIGHT BREAST LUMP I95.9 HYPOTENSION 8/7/2023 RIGHT BREAST LUMP J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 RIGHT BREAST LUMP R09.02 HYPOXIA 8/7/2023 RIGHT BREAST LUMP
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Pleural effusion, Vascular insufficiency
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 VASCULAR INSUFFICIENCY OF LIMB, UNSPECIFIED TYPE I95.9 HYPOTENSION 8/7/2023 VASCULAR INSUFFICIENCY OF LIMB, UNSPECIFIED TYPE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 VASCULAR INSUFFICIENCY OF LIMB, UNSPECIFIED TYPE R09.02 HYPOXIA 8/7/2023 VASCULAR INSUFFICIENCY OF LIMB, UNSPECIFIED TYPE G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 PLEURAL EFFUSION I95.9 HYPOTENSION 8/7/2023 PLEURAL EFFUSION J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 PLEURAL EFFUSION R09.02 HYPOXIA 8/7/2023 PLEURAL EFFUSION G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE I95.9 HYPOTENSION 8/7/2023 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE R09.02 HYPOXIA 8/7/2023 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 HYPERLIPIDEMIA I95.9 HYPOTENSION 8/7/2023 HYPERLIPIDEMIA J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 HYPERLIPIDEMIA R09.02 HYPOXIA 8/7/2023 HYPERLIPIDEMIA G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 8/7/2023 RIGHT BREAST LUMP I95.9 HYPOTENSION 8/7/2023 RIGHT BREAST LUMP J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/7/2023 RIGHT BREAST LUMP R09.02 HYPOXIA 8/7/2023 RIGHT BREAST LUMP
Age: 1.58
Sex: F
Vaccine: HPV9
Symptoms: No adverse event, Wrong product administered
Clinical narrative: HPV vaccine given by mistake instead of the correctly ordered PCV15  No adverse reactions noted on day of vaccination.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Lip swelling
Clinical narrative: the patient called and said she woke up this morning and her lip was swollen and the only thing different was the vaccines she had the day before. She said she was going to take benadryl and I suggested she needed to contact her physician. she said she was going to call her md.
Age: 13.0
Sex: U
Vaccine: COVID19-2
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: Deauthorization: - 428293 - 429461 - 416762  No reaction
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Condition aggravated, Dysstasia, Myalgia, Pain in extremity
Clinical narrative: In mid-afternoon of the day I received the vaccination (and for the next 3 to 4 afternoons), I experienced joint and muscle aches.  I had difficulty standing up from a seated position, which is abnormal for me, and experienced aches running down my legs.  I have arthritis so joint aches are nothing extraordinary for me, but these were a good deal stronger and more persistent than the usual.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Rash
Clinical narrative: rash to abdomen and back area quickly resolved
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Decreased appetite, Dizziness, Feeling abnormal, Pyrexia
Clinical narrative: Right away I went back to bed, dizzy, no appitite, feeling really bad. 101 fever.
Age: 83.0
Sex: M
Vaccine: FLU4
Symptoms: Decreased appetite, Dizziness, Feeling abnormal, Headache, Pyrexia
Clinical narrative: Right away I went back to bed, dizzy, no appitite, feeling really bad. Weak headache. 102 fever.
Age: 0.25
Sex: M
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: Patient was given IM HIB vaccine to left thigh that expired 8/12/23.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Patient received Moderna Bivalent Booster on same day FDA revoked authorization.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Blood lactic acid, Blood potassium increased, Bradycardia
Clinical narrative: To ED for cough, dyspnes, fever;  +covid 12/24; Initial CXR: moderate infiltrates DX: Covid PNA, AKI Labs:  D-dimer 1.04; Cr. 4.37 (baseline 1.9- no HD PTA), CRP 12.53; Lactic Acid <1.02 TX: 60L/100% FiO2 HFNC in ED; Meds: No Remdesiver (symptoms started 9 days prior to arrival); Tocilizumab, eliquis, decadron, zinc, Vit C, melatonin intitated with admission 1/1/22 inflam markers: D-dimer 1.09; CRP: 2.84; Ferritin 3693; Procal 0.50; Rocephin started (empiric) AirVo 60/100 with intermittant NRB;  desats easily to 70's; gently hydration; prone positioning; refusing intubation 1/2 AirVo 60/100; spO2 91; prone positioning, 1/3 NSVT; AirVo 60/84; SpO2 96, prone; heparin added; 1/4 Airvo 60/100 SpO2 91; 1/5 AirVo 50/80; SpO2 90-91; 1/6 AirVo 60/80 SpO2 94; keeps taking oxygen off;  1/7 Airvo 55/75 Spox 86-91; 1/8 pt with self prone; spo2 to 60's; unresponsive; RRT intitated repositioned to supine; O2 to 100 BVM then to bipap after return to responsive Hgb drop; Upper GI bleed; protonix intitiated; no endoscopy due to instability; 1/11 Bipap continuously; GI stable, no further bleeding; 1/12 intubated; 1/13 kidneys failing; oliguric, K+ elevated; HD initiated; 1/14 Placed on Rotoprone bed; levo gtt started; DNR status; 1/15 Pt with bradycardia, hypotensive, hypoxic; pt expired
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Creatinine renal clearance
Clinical narrative: To ED for cough, dyspnes, fever;  +covid 12/24; Initial CXR: moderate infiltrates DX: Covid PNA, AKI Labs:  D-dimer 1.04; Cr. 4.37 (baseline 1.9- no HD PTA), CRP 12.53; Lactic Acid <1.02 TX: 60L/100% FiO2 HFNC in ED; Meds: No Remdesiver (symptoms started 9 days prior to arrival); Tocilizumab, eliquis, decadron, zinc, Vit C, melatonin intitated with admission 1/1/22 inflam markers: D-dimer 1.09; CRP: 2.84; Ferritin 3693; Procal 0.50; Rocephin started (empiric) AirVo 60/100 with intermittant NRB;  desats easily to 70's; gently hydration; prone positioning; refusing intubation 1/2 AirVo 60/100; spO2 91; prone positioning, 1/3 NSVT; AirVo 60/84; SpO2 96, prone; heparin added; 1/4 Airvo 60/100 SpO2 91; 1/5 AirVo 50/80; SpO2 90-91; 1/6 AirVo 60/80 SpO2 94; keeps taking oxygen off;  1/7 Airvo 55/75 Spox 86-91; 1/8 pt with self prone; spo2 to 60's; unresponsive; RRT intitated repositioned to supine; O2 to 100 BVM then to bipap after return to responsive Hgb drop; Upper GI bleed; protonix intitiated; no endoscopy due to instability; 1/11 Bipap continuously; GI stable, no further bleeding; 1/12 intubated; 1/13 kidneys failing; oliguric, K+ elevated; HD initiated; 1/14 Placed on Rotoprone bed; levo gtt started; DNR status; 1/15 Pt with bradycardia, hypotensive, hypoxic; pt expired
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, Fibrin D dimer, Haemodialysis
Clinical narrative: To ED for cough, dyspnes, fever;  +covid 12/24; Initial CXR: moderate infiltrates DX: Covid PNA, AKI Labs:  D-dimer 1.04; Cr. 4.37 (baseline 1.9- no HD PTA), CRP 12.53; Lactic Acid <1.02 TX: 60L/100% FiO2 HFNC in ED; Meds: No Remdesiver (symptoms started 9 days prior to arrival); Tocilizumab, eliquis, decadron, zinc, Vit C, melatonin intitated with admission 1/1/22 inflam markers: D-dimer 1.09; CRP: 2.84; Ferritin 3693; Procal 0.50; Rocephin started (empiric) AirVo 60/100 with intermittant NRB;  desats easily to 70's; gently hydration; prone positioning; refusing intubation 1/2 AirVo 60/100; spO2 91; prone positioning, 1/3 NSVT; AirVo 60/84; SpO2 96, prone; heparin added; 1/4 Airvo 60/100 SpO2 91; 1/5 AirVo 50/80; SpO2 90-91; 1/6 AirVo 60/80 SpO2 94; keeps taking oxygen off;  1/7 Airvo 55/75 Spox 86-91; 1/8 pt with self prone; spo2 to 60's; unresponsive; RRT intitated repositioned to supine; O2 to 100 BVM then to bipap after return to responsive Hgb drop; Upper GI bleed; protonix intitiated; no endoscopy due to instability; 1/11 Bipap continuously; GI stable, no further bleeding; 1/12 intubated; 1/13 kidneys failing; oliguric, K+ elevated; HD initiated; 1/14 Placed on Rotoprone bed; levo gtt started; DNR status; 1/15 Pt with bradycardia, hypotensive, hypoxic; pt expired
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypotension, Hypoxia, Lung infiltration, Positive airway pressure therapy
Clinical narrative: To ED for cough, dyspnes, fever;  +covid 12/24; Initial CXR: moderate infiltrates DX: Covid PNA, AKI Labs:  D-dimer 1.04; Cr. 4.37 (baseline 1.9- no HD PTA), CRP 12.53; Lactic Acid <1.02 TX: 60L/100% FiO2 HFNC in ED; Meds: No Remdesiver (symptoms started 9 days prior to arrival); Tocilizumab, eliquis, decadron, zinc, Vit C, melatonin intitated with admission 1/1/22 inflam markers: D-dimer 1.09; CRP: 2.84; Ferritin 3693; Procal 0.50; Rocephin started (empiric) AirVo 60/100 with intermittant NRB;  desats easily to 70's; gently hydration; prone positioning; refusing intubation 1/2 AirVo 60/100; spO2 91; prone positioning, 1/3 NSVT; AirVo 60/84; SpO2 96, prone; heparin added; 1/4 Airvo 60/100 SpO2 91; 1/5 AirVo 50/80; SpO2 90-91; 1/6 AirVo 60/80 SpO2 94; keeps taking oxygen off;  1/7 Airvo 55/75 Spox 86-91; 1/8 pt with self prone; spo2 to 60's; unresponsive; RRT intitated repositioned to supine; O2 to 100 BVM then to bipap after return to responsive Hgb drop; Upper GI bleed; protonix intitiated; no endoscopy due to instability; 1/11 Bipap continuously; GI stable, no further bleeding; 1/12 intubated; 1/13 kidneys failing; oliguric, K+ elevated; HD initiated; 1/14 Placed on Rotoprone bed; levo gtt started; DNR status; 1/15 Pt with bradycardia, hypotensive, hypoxic; pt expired
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin, Pyrexia, Renal failure, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: To ED for cough, dyspnes, fever;  +covid 12/24; Initial CXR: moderate infiltrates DX: Covid PNA, AKI Labs:  D-dimer 1.04; Cr. 4.37 (baseline 1.9- no HD PTA), CRP 12.53; Lactic Acid <1.02 TX: 60L/100% FiO2 HFNC in ED; Meds: No Remdesiver (symptoms started 9 days prior to arrival); Tocilizumab, eliquis, decadron, zinc, Vit C, melatonin intitated with admission 1/1/22 inflam markers: D-dimer 1.09; CRP: 2.84; Ferritin 3693; Procal 0.50; Rocephin started (empiric) AirVo 60/100 with intermittant NRB;  desats easily to 70's; gently hydration; prone positioning; refusing intubation 1/2 AirVo 60/100; spO2 91; prone positioning, 1/3 NSVT; AirVo 60/84; SpO2 96, prone; heparin added; 1/4 Airvo 60/100 SpO2 91; 1/5 AirVo 50/80; SpO2 90-91; 1/6 AirVo 60/80 SpO2 94; keeps taking oxygen off;  1/7 Airvo 55/75 Spox 86-91; 1/8 pt with self prone; spo2 to 60's; unresponsive; RRT intitated repositioned to supine; O2 to 100 BVM then to bipap after return to responsive Hgb drop; Upper GI bleed; protonix intitiated; no endoscopy due to instability; 1/11 Bipap continuously; GI stable, no further bleeding; 1/12 intubated; 1/13 kidneys failing; oliguric, K+ elevated; HD initiated; 1/14 Placed on Rotoprone bed; levo gtt started; DNR status; 1/15 Pt with bradycardia, hypotensive, hypoxic; pt expired
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Upper gastrointestinal haemorrhage
Clinical narrative: To ED for cough, dyspnes, fever;  +covid 12/24; Initial CXR: moderate infiltrates DX: Covid PNA, AKI Labs:  D-dimer 1.04; Cr. 4.37 (baseline 1.9- no HD PTA), CRP 12.53; Lactic Acid <1.02 TX: 60L/100% FiO2 HFNC in ED; Meds: No Remdesiver (symptoms started 9 days prior to arrival); Tocilizumab, eliquis, decadron, zinc, Vit C, melatonin intitated with admission 1/1/22 inflam markers: D-dimer 1.09; CRP: 2.84; Ferritin 3693; Procal 0.50; Rocephin started (empiric) AirVo 60/100 with intermittant NRB;  desats easily to 70's; gently hydration; prone positioning; refusing intubation 1/2 AirVo 60/100; spO2 91; prone positioning, 1/3 NSVT; AirVo 60/84; SpO2 96, prone; heparin added; 1/4 Airvo 60/100 SpO2 91; 1/5 AirVo 50/80; SpO2 90-91; 1/6 AirVo 60/80 SpO2 94; keeps taking oxygen off;  1/7 Airvo 55/75 Spox 86-91; 1/8 pt with self prone; spo2 to 60's; unresponsive; RRT intitated repositioned to supine; O2 to 100 BVM then to bipap after return to responsive Hgb drop; Upper GI bleed; protonix intitiated; no endoscopy due to instability; 1/11 Bipap continuously; GI stable, no further bleeding; 1/12 intubated; 1/13 kidneys failing; oliguric, K+ elevated; HD initiated; 1/14 Placed on Rotoprone bed; levo gtt started; DNR status; 1/15 Pt with bradycardia, hypotensive, hypoxic; pt expired
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood sodium decreased, C-reactive protein, COVID-19, Carbon dioxide decreased
Clinical narrative: To ED from MAB infusion clinic with hypoxia; + covid on 10/28/21; also had fever, headache, body aches; Labs: D-dimer: 0.63; CO2: 19; Na: 135; CRP: 9.31; CXR with pulmonary edema, multifocal pneumonia, or other pneumonitis: Meds: Decadrom, Remdesivir, tocilizumab, pulimicort, Brovana nebs/alb nebs; Tessalon perles, singulair, lovenox, zinc, O2 initially on 60% bipap;; 11/15 pt with acute spontaneous pneumothorax, CT inserted; ; 11/22 CT came out; reinserted due to low O2 sats and High O2 need; 11/25 Pneumo resolved; CT removed; O2 @ 4 LPM NC at discharge
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest tube insertion, Chest tube removal, Fibrin D dimer, Headache
Clinical narrative: To ED from MAB infusion clinic with hypoxia; + covid on 10/28/21; also had fever, headache, body aches; Labs: D-dimer: 0.63; CO2: 19; Na: 135; CRP: 9.31; CXR with pulmonary edema, multifocal pneumonia, or other pneumonitis: Meds: Decadrom, Remdesivir, tocilizumab, pulimicort, Brovana nebs/alb nebs; Tessalon perles, singulair, lovenox, zinc, O2 initially on 60% bipap;; 11/15 pt with acute spontaneous pneumothorax, CT inserted; ; 11/22 CT came out; reinserted due to low O2 sats and High O2 need; 11/25 Pneumo resolved; CT removed; O2 @ 4 LPM NC at discharge
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Oxygen saturation decreased, Pain, Pneumonia, Pneumonitis
Clinical narrative: To ED from MAB infusion clinic with hypoxia; + covid on 10/28/21; also had fever, headache, body aches; Labs: D-dimer: 0.63; CO2: 19; Na: 135; CRP: 9.31; CXR with pulmonary edema, multifocal pneumonia, or other pneumonitis: Meds: Decadrom, Remdesivir, tocilizumab, pulimicort, Brovana nebs/alb nebs; Tessalon perles, singulair, lovenox, zinc, O2 initially on 60% bipap;; 11/15 pt with acute spontaneous pneumothorax, CT inserted; ; 11/22 CT came out; reinserted due to low O2 sats and High O2 need; 11/25 Pneumo resolved; CT removed; O2 @ 4 LPM NC at discharge
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax spontaneous, Positive airway pressure therapy, Pulmonary oedema, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: To ED from MAB infusion clinic with hypoxia; + covid on 10/28/21; also had fever, headache, body aches; Labs: D-dimer: 0.63; CO2: 19; Na: 135; CRP: 9.31; CXR with pulmonary edema, multifocal pneumonia, or other pneumonitis: Meds: Decadrom, Remdesivir, tocilizumab, pulimicort, Brovana nebs/alb nebs; Tessalon perles, singulair, lovenox, zinc, O2 initially on 60% bipap;; 11/15 pt with acute spontaneous pneumothorax, CT inserted; ; 11/22 CT came out; reinserted due to low O2 sats and High O2 need; 11/25 Pneumo resolved; CT removed; O2 @ 4 LPM NC at discharge
Age: 59.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Dizziness, Fatigue, Feeling abnormal, Feeling hot
Clinical narrative: HEADACHE, PAIN RIGHT SIDE STARTED IN ARM WORKED ITS WAY TO MY NECK, BACK AND HEAD, SORENESS THROUGHOUT BODYACHES, LIGHTHEADED, NAUOUS FEELING, FEEL OUT OF SORTS, HOT HUMID FEELING, TIRED AND OUT OF SORTS JUST DONT FEEL LIKE MYSELF
Age: 59.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Nausea, Neck pain, Pain, Pain in extremity
Clinical narrative: HEADACHE, PAIN RIGHT SIDE STARTED IN ARM WORKED ITS WAY TO MY NECK, BACK AND HEAD, SORENESS THROUGHOUT BODYACHES, LIGHTHEADED, NAUOUS FEELING, FEEL OUT OF SORTS, HOT HUMID FEELING, TIRED AND OUT OF SORTS JUST DONT FEEL LIKE MYSELF
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented to the ED for fever.Positive for COVID19 on testing, COVID-19 virus infectionhypoxic on room air,  placed on supplemental O2, Decadron,
Age: 100.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administration error
Clinical narrative: ADMINISTRATION ERROR
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Just received email that this booster is no longer indicated.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Just received email that this vaccine is no longer indicated.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Presents to the ED for shortness of breath, Tested positive for COVID,remdesivir, Decadron.Supplemental O2
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMR, VARCEL
Symptoms: No adverse event, Product preparation error
Clinical narrative: MMR and Varicella were diluted usinf normal saline instead of sterile water. Patient did not have any adverse reaction post vaccination. patient will be contacted to repeat MMR and Varicella vaccine in no earlier than 28 days
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, Pneumonia, Respiratory distress
Clinical narrative: Admitted with,Acute SARS-CoV-2 Infection with Multifocal Pneumonia and Acute Hypoxemic Respiratory Distress, Adverse Drug Reaction to Regeneron(outpatient  received prior to hosipital admission),IV Solu-Medrol,remdesivir,tocilizumab, supplemental O2
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Immunisation reaction, Laboratory test, Pericardial effusion, Pericarditis, Pleural effusion
Clinical narrative: Patient developed pericarditis with pericardial effusion and pleuritis with pleural effusion starting about 3 weeks later and no othewr cause besides PCV20 was identified.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Pleurisy
Clinical narrative: Patient developed pericarditis with pericardial effusion and pleuritis with pleural effusion starting about 3 weeks later and no othewr cause besides PCV20 was identified.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray
Clinical narrative: Severe pain in left arm and hand.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Bundle branch block left, Chest pain
Clinical narrative: Chest pain.  Has just been diagnosed as left bundle branch block.