chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunoglobulin therapy, Oedema peripheral, Onychalgia, Painful respiration, Positive airway pressure therapy
Clinical narrative: 58 y.o. male PMH obesity, fibromyalgia, hypertension, sleep apnea on CPAP, chronic respiratory failure, dermatomyositis with interstitial lung disease on immune suppression, depression.    Today, he mentions that he noted SOB which started about 3-4d ago progressively worsening with increased O2 needs. Associated symptoms include inspiratory chest pain and notable work of breathing, no cough, reported "fever" 99.7F, chills, occasional abdominal pain, decreased appetite, increased LE edema, skin changes w/ "splotches" on his hands similar to past admissions w/ flares w/ associated pain on his fingernails. Denies recent sick contacts, n/v, diarrhea, cough, congestion, cp. No treatments tried at home including his inha lers as he does not feel they are helpful. Does not think that his recent prednisone taper has been an issue but instead that his IVIG is wearing off. Closely follows w/ both Pulm and Rheum outpt for his Dermatomyositis w/ associated ILD.   Saw Rheum yesterday in which he states that his breathing was better than it is today however, worse than his baseline. During this visit he was advised to continue his tacrolimus, continue his 10mg  Prednisone per day, restart IVIG 150g per month in 2 dived doses, continue cylophosphamide cycle 6 of6 on 2/17.   Uses 3.5L O2 at home w/ 5Lw/ activity. Uses CPAP at night. Uses a walker at home. Regular care and PCP at the VA. No smoking or regular alcohol use. Denies history of blood clots. He is not interested in talking to palliative medicine during this admission.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Rash macular, Walking aid user
Clinical narrative: 58 y.o. male PMH obesity, fibromyalgia, hypertension, sleep apnea on CPAP, chronic respiratory failure, dermatomyositis with interstitial lung disease on immune suppression, depression.    Today, he mentions that he noted SOB which started about 3-4d ago progressively worsening with increased O2 needs. Associated symptoms include inspiratory chest pain and notable work of breathing, no cough, reported "fever" 99.7F, chills, occasional abdominal pain, decreased appetite, increased LE edema, skin changes w/ "splotches" on his hands similar to past admissions w/ flares w/ associated pain on his fingernails. Denies recent sick contacts, n/v, diarrhea, cough, congestion, cp. No treatments tried at home including his inha lers as he does not feel they are helpful. Does not think that his recent prednisone taper has been an issue but instead that his IVIG is wearing off. Closely follows w/ both Pulm and Rheum outpt for his Dermatomyositis w/ associated ILD.   Saw Rheum yesterday in which he states that his breathing was better than it is today however, worse than his baseline. During this visit he was advised to continue his tacrolimus, continue his 10mg  Prednisone per day, restart IVIG 150g per month in 2 dived doses, continue cylophosphamide cycle 6 of6 on 2/17.   Uses 3.5L O2 at home w/ 5Lw/ activity. Uses CPAP at night. Uses a walker at home. Regular care and PCP at the VA. No smoking or regular alcohol use. Denies history of blood clots. He is not interested in talking to palliative medicine during this admission.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 08/23/2021.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Oesophageal rupture
Clinical narrative: Boerhaave syndrome. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered Beyond Use Date.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Oropharyngeal pain, Pain in extremity, Pruritus, Sinus congestion
Clinical narrative: Sore arm, bruising, and intense itching on same side thigh, sore throat, congestion in sinuses.
Age: 87.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Hallucination, Injection site pain, Pain in extremity, Pyrexia
Clinical narrative: Patient's wife called to report that her husband has been experiencing arm soreness, fever, and hallucinations following a Shingrix vaccine. Pt. received his vaccine on 2/1/2022. The next day he complained of significant arm pain at the injection site and subjective fever. He also had fatigue and was in bed for 2-3 days. Estimated date of 2/6/2022, pt. was described as having hallucinations during the night including getting out of bed "looking for something". His wife also stated that he was talking in his sleep. The patient saw his PCP the next day and was told to take benadryl that night. He was reported to have a slept very well with no issues that night (2/7/22) but the episodes recurred again last night, 2/8-2/9 and that he "seems to be getting worse".  I encouraged them to follow up with their PCP or seek emergency services, which she agreed.
Age: 87.0
Sex: M
Vaccine: VARZOS
Symptoms: Sleep talking
Clinical narrative: Patient's wife called to report that her husband has been experiencing arm soreness, fever, and hallucinations following a Shingrix vaccine. Pt. received his vaccine on 2/1/2022. The next day he complained of significant arm pain at the injection site and subjective fever. He also had fatigue and was in bed for 2-3 days. Estimated date of 2/6/2022, pt. was described as having hallucinations during the night including getting out of bed "looking for something". His wife also stated that he was talking in his sleep. The patient saw his PCP the next day and was told to take benadryl that night. He was reported to have a slept very well with no issues that night (2/7/22) but the episodes recurred again last night, 2/8-2/9 and that he "seems to be getting worse".  I encouraged them to follow up with their PCP or seek emergency services, which she agreed.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 13 year old client received Moderna.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Pregnancy test negative
Clinical narrative: Delay of the menstrual cycle by 9 days.  I also had a delay of my menstrual cycle with vaccine number 1 of 15 days late. My menstrual cycle is an average of 29 days with these outliers included but prior to these covid vaccines, my cycles were averaging fewer than 28 days.  It may seem small but in 2 of 3 of my cycles following my vaccines I have had a dramatic shift in cycle length.  It did not change the bleeding duration and appears to return to a normal 26-29 day cycle.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Biopsy skin normal, Blister, Dermatitis, Erythema
Clinical narrative: red,itchy, burning inflammation about the size of  between a quarter and half dollar in my upper chest about  an inch below clavicle. Center was white, with very rough inflamed skin,white bubble type areas, lasting over a month ( still red and inflammed)
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: patient has been getting joint pain
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Seizure in drive-through clinic - have video of event
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 07/23/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Alcohol use disorder, Alcoholism
Clinical narrative: Alcohol use disorder, severe, dependence. Behavioral health admit to the hospital after ED visit. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: After adminsitering 0.2ml dose it was noticed that the pediatric pfizer bottle had not been reconstituted..  there was not adverse reaction after monitoring patient in the store for 30 minutes.  Adminstering pharmacist called Pfizer to identify any monitoring parameters and informed patient/mother accordingly.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia
Clinical narrative: Bradycardia. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Asthenia, Atrial fibrillation, Blood thyroid stimulating hormone normal
Clinical narrative: History of Present Illness 84-year-old male with history of hypertension, hyperlipidemia, solitary kidney presenting with weakness.  Patient reports 10 days of weakness, fatigue, decreased appetite and weight loss.  No fevers or chills.  No cough.  No chest pain or shortness of breath.  No abdominal pain.  Patient endorses urinary frequency but is only urinating a small amount when he goes.  No diarrhea.  Discharge Diagnosis Weakness, fatigue, loss of appetite-possibly related to covid 19 infection AKI 2/2 CKD stage III Covid-19 pneumonia Metabolic acidosis Hyperkalemia Paroxysmal atrial fibrillation Chronic lower extremity edema Hypertension CAD s/p CABG Anemia Solitary right kidney secondary to history of left nephrectomy for renal cell carcinoma Gout BPH  Hospital Course This is a 84-year-old male with past medical history of CKD, CAD status post CABG, right solitary kidney, anemia, hypertension who was admitted to a local Hospital on 12 8 for AKI. Nephrology was consulted for AKI and noted metabolic acidosis. Patient was on diuretic therapy for chronic lower extremity edema, diuretics were placed on hold and patient was placed on bicarb drip with noted improvement and resolution of metabolic acidosis. Patient's diuretics and lisinopril were stopped on discharge. Patient's hospital course was complicated by noted weakness, fatigue and loss of appetite and shortness of breath. Patient had informed he was exposed to Covid person outside hospital, was tested for Covid and noted to be positive. Infectious disease was consulted and chest x-ray was obtained which noted Faint left mid/lower lung pneumonia. Patient did not qualify for remdesivir therapy due to duration of onset of symptoms. He was placed on p.o. Decadron and oxygen supplementation. He was discharged to finish course of p.o. Decadron and remained on 2 to 3 L oxygenation. Toward the end of the hospital stay, patient was noted to go in and out of atrial fibrillation, this was felt to be new onset as no known history was noted. Cardiology was consulted. TSH was normal. Echocardiogram was unremarkable. He was started on Eliquis BID and metoprolol per Cardiology. Patient also noted to have impaired mobility and was evaluated by PT/OT who recommended SNF placement. Once medically stable he was discharged to . All other chronic conditions remained stable and no further interventions warranted.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Decreased appetite, Dyspnoea
Clinical narrative: History of Present Illness 84-year-old male with history of hypertension, hyperlipidemia, solitary kidney presenting with weakness.  Patient reports 10 days of weakness, fatigue, decreased appetite and weight loss.  No fevers or chills.  No cough.  No chest pain or shortness of breath.  No abdominal pain.  Patient endorses urinary frequency but is only urinating a small amount when he goes.  No diarrhea.  Discharge Diagnosis Weakness, fatigue, loss of appetite-possibly related to covid 19 infection AKI 2/2 CKD stage III Covid-19 pneumonia Metabolic acidosis Hyperkalemia Paroxysmal atrial fibrillation Chronic lower extremity edema Hypertension CAD s/p CABG Anemia Solitary right kidney secondary to history of left nephrectomy for renal cell carcinoma Gout BPH  Hospital Course This is a 84-year-old male with past medical history of CKD, CAD status post CABG, right solitary kidney, anemia, hypertension who was admitted to a local Hospital on 12 8 for AKI. Nephrology was consulted for AKI and noted metabolic acidosis. Patient was on diuretic therapy for chronic lower extremity edema, diuretics were placed on hold and patient was placed on bicarb drip with noted improvement and resolution of metabolic acidosis. Patient's diuretics and lisinopril were stopped on discharge. Patient's hospital course was complicated by noted weakness, fatigue and loss of appetite and shortness of breath. Patient had informed he was exposed to Covid person outside hospital, was tested for Covid and noted to be positive. Infectious disease was consulted and chest x-ray was obtained which noted Faint left mid/lower lung pneumonia. Patient did not qualify for remdesivir therapy due to duration of onset of symptoms. He was placed on p.o. Decadron and oxygen supplementation. He was discharged to finish course of p.o. Decadron and remained on 2 to 3 L oxygenation. Toward the end of the hospital stay, patient was noted to go in and out of atrial fibrillation, this was felt to be new onset as no known history was noted. Cardiology was consulted. TSH was normal. Echocardiogram was unremarkable. He was started on Eliquis BID and metoprolol per Cardiology. Patient also noted to have impaired mobility and was evaluated by PT/OT who recommended SNF placement. Once medically stable he was discharged to . All other chronic conditions remained stable and no further interventions warranted.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Exposure to SARS-CoV-2, Fatigue, Gout, Hyperkalaemia
Clinical narrative: History of Present Illness 84-year-old male with history of hypertension, hyperlipidemia, solitary kidney presenting with weakness.  Patient reports 10 days of weakness, fatigue, decreased appetite and weight loss.  No fevers or chills.  No cough.  No chest pain or shortness of breath.  No abdominal pain.  Patient endorses urinary frequency but is only urinating a small amount when he goes.  No diarrhea.  Discharge Diagnosis Weakness, fatigue, loss of appetite-possibly related to covid 19 infection AKI 2/2 CKD stage III Covid-19 pneumonia Metabolic acidosis Hyperkalemia Paroxysmal atrial fibrillation Chronic lower extremity edema Hypertension CAD s/p CABG Anemia Solitary right kidney secondary to history of left nephrectomy for renal cell carcinoma Gout BPH  Hospital Course This is a 84-year-old male with past medical history of CKD, CAD status post CABG, right solitary kidney, anemia, hypertension who was admitted to a local Hospital on 12 8 for AKI. Nephrology was consulted for AKI and noted metabolic acidosis. Patient was on diuretic therapy for chronic lower extremity edema, diuretics were placed on hold and patient was placed on bicarb drip with noted improvement and resolution of metabolic acidosis. Patient's diuretics and lisinopril were stopped on discharge. Patient's hospital course was complicated by noted weakness, fatigue and loss of appetite and shortness of breath. Patient had informed he was exposed to Covid person outside hospital, was tested for Covid and noted to be positive. Infectious disease was consulted and chest x-ray was obtained which noted Faint left mid/lower lung pneumonia. Patient did not qualify for remdesivir therapy due to duration of onset of symptoms. He was placed on p.o. Decadron and oxygen supplementation. He was discharged to finish course of p.o. Decadron and remained on 2 to 3 L oxygenation. Toward the end of the hospital stay, patient was noted to go in and out of atrial fibrillation, this was felt to be new onset as no known history was noted. Cardiology was consulted. TSH was normal. Echocardiogram was unremarkable. He was started on Eliquis BID and metoprolol per Cardiology. Patient also noted to have impaired mobility and was evaluated by PT/OT who recommended SNF placement. Once medically stable he was discharged to . All other chronic conditions remained stable and no further interventions warranted.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic acidosis, Oedema peripheral, Pneumonia, Pollakiuria, SARS-CoV-2 test positive
Clinical narrative: History of Present Illness 84-year-old male with history of hypertension, hyperlipidemia, solitary kidney presenting with weakness.  Patient reports 10 days of weakness, fatigue, decreased appetite and weight loss.  No fevers or chills.  No cough.  No chest pain or shortness of breath.  No abdominal pain.  Patient endorses urinary frequency but is only urinating a small amount when he goes.  No diarrhea.  Discharge Diagnosis Weakness, fatigue, loss of appetite-possibly related to covid 19 infection AKI 2/2 CKD stage III Covid-19 pneumonia Metabolic acidosis Hyperkalemia Paroxysmal atrial fibrillation Chronic lower extremity edema Hypertension CAD s/p CABG Anemia Solitary right kidney secondary to history of left nephrectomy for renal cell carcinoma Gout BPH  Hospital Course This is a 84-year-old male with past medical history of CKD, CAD status post CABG, right solitary kidney, anemia, hypertension who was admitted to a local Hospital on 12 8 for AKI. Nephrology was consulted for AKI and noted metabolic acidosis. Patient was on diuretic therapy for chronic lower extremity edema, diuretics were placed on hold and patient was placed on bicarb drip with noted improvement and resolution of metabolic acidosis. Patient's diuretics and lisinopril were stopped on discharge. Patient's hospital course was complicated by noted weakness, fatigue and loss of appetite and shortness of breath. Patient had informed he was exposed to Covid person outside hospital, was tested for Covid and noted to be positive. Infectious disease was consulted and chest x-ray was obtained which noted Faint left mid/lower lung pneumonia. Patient did not qualify for remdesivir therapy due to duration of onset of symptoms. He was placed on p.o. Decadron and oxygen supplementation. He was discharged to finish course of p.o. Decadron and remained on 2 to 3 L oxygenation. Toward the end of the hospital stay, patient was noted to go in and out of atrial fibrillation, this was felt to be new onset as no known history was noted. Cardiology was consulted. TSH was normal. Echocardiogram was unremarkable. He was started on Eliquis BID and metoprolol per Cardiology. Patient also noted to have impaired mobility and was evaluated by PT/OT who recommended SNF placement. Once medically stable he was discharged to . All other chronic conditions remained stable and no further interventions warranted.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine output decreased, Weight decreased
Clinical narrative: History of Present Illness 84-year-old male with history of hypertension, hyperlipidemia, solitary kidney presenting with weakness.  Patient reports 10 days of weakness, fatigue, decreased appetite and weight loss.  No fevers or chills.  No cough.  No chest pain or shortness of breath.  No abdominal pain.  Patient endorses urinary frequency but is only urinating a small amount when he goes.  No diarrhea.  Discharge Diagnosis Weakness, fatigue, loss of appetite-possibly related to covid 19 infection AKI 2/2 CKD stage III Covid-19 pneumonia Metabolic acidosis Hyperkalemia Paroxysmal atrial fibrillation Chronic lower extremity edema Hypertension CAD s/p CABG Anemia Solitary right kidney secondary to history of left nephrectomy for renal cell carcinoma Gout BPH  Hospital Course This is a 84-year-old male with past medical history of CKD, CAD status post CABG, right solitary kidney, anemia, hypertension who was admitted to a local Hospital on 12 8 for AKI. Nephrology was consulted for AKI and noted metabolic acidosis. Patient was on diuretic therapy for chronic lower extremity edema, diuretics were placed on hold and patient was placed on bicarb drip with noted improvement and resolution of metabolic acidosis. Patient's diuretics and lisinopril were stopped on discharge. Patient's hospital course was complicated by noted weakness, fatigue and loss of appetite and shortness of breath. Patient had informed he was exposed to Covid person outside hospital, was tested for Covid and noted to be positive. Infectious disease was consulted and chest x-ray was obtained which noted Faint left mid/lower lung pneumonia. Patient did not qualify for remdesivir therapy due to duration of onset of symptoms. He was placed on p.o. Decadron and oxygen supplementation. He was discharged to finish course of p.o. Decadron and remained on 2 to 3 L oxygenation. Toward the end of the hospital stay, patient was noted to go in and out of atrial fibrillation, this was felt to be new onset as no known history was noted. Cardiology was consulted. TSH was normal. Echocardiogram was unremarkable. He was started on Eliquis BID and metoprolol per Cardiology. Patient also noted to have impaired mobility and was evaluated by PT/OT who recommended SNF placement. Once medically stable he was discharged to . All other chronic conditions remained stable and no further interventions warranted.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 08/25/2021.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asthenia, COVID-19, COVID-19 pneumonia, Fall
Clinical narrative: Patient presented to the ED on 1/18/22 for flu like symptoms, tested positive for COVID-19 and was discharged home.  He later returned on 1/25/22 with weakness, lethargy, and fever. He was admitted to the hospital. Severe sepsis with lactic acidosis, leukocytosis, suspected source of infection-lung. UA (+) for mild pyuria but no bacteriuria noted. 2/2 COVID-19 PNA. Date of Admission: 01/25/2022. Currently on Room Air. Patient has bilateral chest infiltrates. Found to have subdural hematoma from frequent falls. Patient continued to deteriorate, NSTEMI, patient discharged to Hospice 2/9/22. Patient previously vaccinated with Moderna 3/17/21 & 4/14/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Influenza like illness, Lactic acidosis, Lethargy, Leukocytosis
Clinical narrative: Patient presented to the ED on 1/18/22 for flu like symptoms, tested positive for COVID-19 and was discharged home.  He later returned on 1/25/22 with weakness, lethargy, and fever. He was admitted to the hospital. Severe sepsis with lactic acidosis, leukocytosis, suspected source of infection-lung. UA (+) for mild pyuria but no bacteriuria noted. 2/2 COVID-19 PNA. Date of Admission: 01/25/2022. Currently on Room Air. Patient has bilateral chest infiltrates. Found to have subdural hematoma from frequent falls. Patient continued to deteriorate, NSTEMI, patient discharged to Hospice 2/9/22. Patient previously vaccinated with Moderna 3/17/21 & 4/14/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Pneumonia, Pyrexia, Pyuria, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ED on 1/18/22 for flu like symptoms, tested positive for COVID-19 and was discharged home.  He later returned on 1/25/22 with weakness, lethargy, and fever. He was admitted to the hospital. Severe sepsis with lactic acidosis, leukocytosis, suspected source of infection-lung. UA (+) for mild pyuria but no bacteriuria noted. 2/2 COVID-19 PNA. Date of Admission: 01/25/2022. Currently on Room Air. Patient has bilateral chest infiltrates. Found to have subdural hematoma from frequent falls. Patient continued to deteriorate, NSTEMI, patient discharged to Hospice 2/9/22. Patient previously vaccinated with Moderna 3/17/21 & 4/14/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Subdural haematoma, Urine analysis abnormal
Clinical narrative: Patient presented to the ED on 1/18/22 for flu like symptoms, tested positive for COVID-19 and was discharged home.  He later returned on 1/25/22 with weakness, lethargy, and fever. He was admitted to the hospital. Severe sepsis with lactic acidosis, leukocytosis, suspected source of infection-lung. UA (+) for mild pyuria but no bacteriuria noted. 2/2 COVID-19 PNA. Date of Admission: 01/25/2022. Currently on Room Air. Patient has bilateral chest infiltrates. Found to have subdural hematoma from frequent falls. Patient continued to deteriorate, NSTEMI, patient discharged to Hospice 2/9/22. Patient previously vaccinated with Moderna 3/17/21 & 4/14/21.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Dyspnoea exertional
Clinical narrative: Hospitalized with cough and dyspnea on exertion. Covid positive SX from increased chills with rigors, fever, fatigue, weakness, headache. Remdesivir 5 day course.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with cough and dyspnea on exertion. Covid positive SX from increased chills with rigors, fever, fatigue, weakness, headache. Remdesivir 5 day course.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Migraine, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I was visiting some family. On 12/31/2022 I was having a runny  nose, Migraine, some diarrhea and I was tested and I was told I positive with COVID.  I was told to get retested 10 days later after the first test.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Positive COVID-19
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Cyst, Cyst removal, Fatigue
Clinical narrative: Sore arm, large red patch at injection site, felt like sleeping for 1 week after ( so tired), within 2 months,  , walking difficulties, joint pain in both hips, both knees and left hand. Diagnosis: cyst removed left hand and arthritis in left hand. Inflamed left hip bursa, osteoarthritis in right knee.  Treatments all starting from Dec 2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Inflammation, Injection site erythema, Osteoarthritis, Pain in extremity
Clinical narrative: Sore arm, large red patch at injection site, felt like sleeping for 1 week after ( so tired), within 2 months,  , walking difficulties, joint pain in both hips, both knees and left hand. Diagnosis: cyst removed left hand and arthritis in left hand. Inflamed left hip bursa, osteoarthritis in right knee.  Treatments all starting from Dec 2021.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered BUD
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Facial paralysis, Muscular weakness
Clinical narrative: Right frontal CVA with left facial droop and LUE weakness. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Impaired driving ability, Impaired self-care, Loss of personal independence in daily activities
Clinical narrative: With in 1 week my father went from living in his own apartment taking care of himself, driving to his own appointments and cooking for himself to not knowing where he was - wrong city, thinking he is in a hotel instead of apartment - not knowing how to drive or fix food for him self. We had to have someone check on him every day and make him meals and just put him in a home.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Computerised tomogram normal, Hypoacusis, Tinnitus
Clinical narrative: I had ringing in my ear like a buzz sound. I went to a hearing doctor and another doctor in another area. I had a significant drop of hearing in my left ear and that was compared to a hearing test that I had previously done at a pharmacy. It seems to sometimes get better and then it will get worse again. I thought it was almost gone but whenever I got the booster it came back and it was severely worse. I also had a CT Scan done to test for a brain tumor or anything like that but that came back normal. I have another follow up appointment scheduled.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dizziness
Clinical narrative: Patient presented for a vaccine at our clinic. According to her husband, three years ago, she underwent stem cell treatment for lymphoma and has had a history of reactions after obtaining various vaccines.   According to LPN, patient appeared anxious and asked several questions prior to being vaccinated. After the administration, patient asked what she should do if she felt post-vaccine sideaffects and expressed concern about going to a hospital due to COVID census being reported in the news. She ambulated to the observation area of the clinic under her own power and did not appear to have any problems.  Beginning approximately 15 minutes in the observation area, she notified clinic observation staff that she felt dizzy. Staff assisted her to a treatment cot and obtained vital signs. Patient as given juice and water to drink which she did, and rested.  Serial vital signs were obtained. At least another 15 minutes later, patient later complained of "a weight on her chest", and chills. She had her eyes closed and was slower to answer questions. EMS was notified and patient required assistance to be lifted onto the stretcher by EMS and clinic staff.  Patient was transported to Hospital for further treatment.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt denied any adverse reactions and stated that she felt fine. Pt stayed in room with me after it was noticed that vaccine was given 1 month too early and there was no signs/symptoms of adverse reaction to the 4th Moderna booster.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: I just started having a bad headache & it continued for hours & then it was everyday for about 2 or 3 hrs. at a time so I went to the dr. and he put me on migraine medication & I'm still having them then I got covid in Dec 2021 & the headaches have gotten worse.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 07/26/2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardio-respiratory arrest, Dyspnoea, Endotracheal intubation, General physical health deterioration
Clinical narrative: To ED on 1/17/2022 with shortness of breath and fever. COVID (+) on 1/17/2022. Admitted for IV Remdesivir and steroid treatment. Received 5 days of treatment and continued to decline. Respiratory status declined with oxygen increased to BIPAP 100% and progressed to need for intubation/vent. Coded on 2/6/2022 with Ventricular Tachycardia. Family contacted and Code called after 1 hour without response to CPR/ACLS measures.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Life support, Mechanical ventilation, Positive airway pressure therapy, Pyrexia, Resuscitation
Clinical narrative: To ED on 1/17/2022 with shortness of breath and fever. COVID (+) on 1/17/2022. Admitted for IV Remdesivir and steroid treatment. Received 5 days of treatment and continued to decline. Respiratory status declined with oxygen increased to BIPAP 100% and progressed to need for intubation/vent. Coded on 2/6/2022 with Ventricular Tachycardia. Family contacted and Code called after 1 hour without response to CPR/ACLS measures.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Ventricular tachycardia
Clinical narrative: To ED on 1/17/2022 with shortness of breath and fever. COVID (+) on 1/17/2022. Admitted for IV Remdesivir and steroid treatment. Received 5 days of treatment and continued to decline. Respiratory status declined with oxygen increased to BIPAP 100% and progressed to need for intubation/vent. Coded on 2/6/2022 with Ventricular Tachycardia. Family contacted and Code called after 1 hour without response to CPR/ACLS measures.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Hypoaesthesia, Pain
Clinical narrative: I few days after receiving my second dose of vaccine, I had to end up going to my dr office, because I felt numbed and started experiencing minor aches, pain and loss of taste. My provider stated that its a strong possibility that the cause of these events was due to the vaccine. I received an injection while I was at the provider's office for Hydrocortisone and he also prescribed nerve pain medicine. The next morning following my immediate appointment with my provider, I started feeling better. Maybe a week after that my taste returned. Now I have fully recovered.
Age: 66.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 73.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Small intestinal obstruction
Clinical narrative: SBO (small bowel obstruction). ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Gastrointestinal disorder
Clinical narrative: I was test positive 01/04/2022 for COVID 19. I was sick for three days and I had a high fever 102, body aches, server fatigue, GI tract issues and shortness of breathe. Day 4/5 I broke out with hives on my entire body. It lasted until the end of January, 2022, I still get the hives under my arm pits. I also still have a cough and shortness of breathe, nothing really major. I did go to the ER at Hospital for the hives. They medication prednisone and Pepcid Histamine. My PCP gave me cough syrup promethazine w/codeine, prednisone, azithromycin, benzonatate 200mg, albuterol inhaler 8.5 grams. The f/u 01/01/2022 he gave me methylprednisolone 4mg, and doxepin 25 mgs
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Illness, Pain, Pyrexia, SARS-CoV-2 test positive, Urticaria
Clinical narrative: I was test positive 01/04/2022 for COVID 19. I was sick for three days and I had a high fever 102, body aches, server fatigue, GI tract issues and shortness of breathe. Day 4/5 I broke out with hives on my entire body. It lasted until the end of January, 2022, I still get the hives under my arm pits. I also still have a cough and shortness of breathe, nothing really major. I did go to the ER at Hospital for the hives. They medication prednisone and Pepcid Histamine. My PCP gave me cough syrup promethazine w/codeine, prednisone, azithromycin, benzonatate 200mg, albuterol inhaler 8.5 grams. The f/u 01/01/2022 he gave me methylprednisolone 4mg, and doxepin 25 mgs
Sex: M
Vaccine: UNK
Symptoms: Pain in extremity, Peripheral arterial occlusive disease, Peripheral artery bypass
Clinical narrative: Patient was admitted to inpatient level of care on 2-3 for right femoral to posterior tibial artery bypass due to chronic limb threatening ischemia with severe left foot pain
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations for five months
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Headache, Lymphadenopathy, Palpitations
Clinical narrative: Chest pain, headache, pounding heart with dizziness, swollen lymph nodes ( left armpit).
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Infection, Pneumonia
Clinical narrative: Pneumonia of right lower lobe due to infectious organism. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 07/20/2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Diarrhoea, Dyspnoea, Malaise
Clinical narrative: 1-3 days after his booster Covid shot (1/31/2022), he developed fevers (>101 F), loose stools, malaise. This continued for a few days. He developed dyspnea and was seen in the ER 2/8 and found to have large left lower extremity DVT and bilateral PEs.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Pyrexia, Ultrasound Doppler abnormal
Clinical narrative: 1-3 days after his booster Covid shot (1/31/2022), he developed fevers (>101 F), loose stools, malaise. This continued for a few days. He developed dyspnea and was seen in the ER 2/8 and found to have large left lower extremity DVT and bilateral PEs.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angiogram, COVID-19 pneumonia, Chest pain, Computerised tomogram thorax abnormal
Clinical narrative: Hospitalized for chest pain NSTEMI requiring angiogram done,  Remdesivir 5 day course.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Sinusitis
Clinical narrative: Became very congested and stopped up. Thought she had a sinus infection,
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient requested Moderna booster at check-in and received Pfizer booster. Pharmacist explained to patient and counseled on the different mRNA vaccines and how it's able to be interchanged. Patient verbalized understanding.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 08/05/2021.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram abnormal, Sudden hearing loss, Tinnitus
Clinical narrative: Sudden hearing loss, tinnitus
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19 Abbott BinaxNOW test.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, Joint injury, Orthopaedic procedure, Pain in extremity, Splint application
Clinical narrative: Patient is 89-year-old female had a mechanical fall while using her walker and injured her left wrist primarily.  Had some left arm pain so x-rays were obtained.  Patient was hung in finger traps and a sugar-tong splint was placed.  She is neurovascularly intact.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Walking aid user, X-ray
Clinical narrative: Patient is 89-year-old female had a mechanical fall while using her walker and injured her left wrist primarily.  Had some left arm pain so x-rays were obtained.  Patient was hung in finger traps and a sugar-tong splint was placed.  She is neurovascularly intact.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Gastric cancer
Clinical narrative: Malignant neoplasm of pyloric antrum. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered Beyond Use Date
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Palpitations, Supraventricular extrasystoles, Ventricular extrasystoles
Clinical narrative: The next day 24 hours later I started getting heart palpitations. I thought I was getting heart attack afternoon at 5:00PM. I went to the local urgent care clinic. They got me a heart monitor for three days. After that they found out I got PVC/PCA. After I went to heart institute they told me that my heart was fighting with too many infections. It was over drive. They told me that I have to live with it.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Influenza A virus test negative, Influenza B virus test, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19 result noted incidently when admitted for unrelated event.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Pruritus
Clinical narrative: patient had rash at injection site and itchiness all over body starting approximately 2 hours after dose . Patient applied hydrocortisone cream on rash and used diphenhydramine capsules to help with the itch...patient reported in the morning after receiving dose . With follow up call 8 hours later patient stated itching and rash improving . will continue treatment until gone
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Administration site pain, Arthralgia, Neck pain, Pain, Pain in extremity
Clinical narrative: Pain in area of administration beginning in  late November 2021; somewhat  mild. After  acquiring Booster, pain became constant,  traveling down left arm, into hand and fingers, on occasion as well as left shoulder and neck.   Pain can be constant and continue during sleep and sometimes continue for days at a time. No topical  nor oral meds taken to date for this issue.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 10  test
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Right after the shot I felt short of breath and light headed. I went home and took ibuprofen and used the Breo inhaler. I felt that way the rest of the night and it continued on for the next few days. I continued taking my normal medicines and on day three I felt 90% okay.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiomegaly, Chest X-ray abnormal, Dizziness, Dyspnoea exertional
Clinical narrative: History of Present Illness Patient office with tired dizziness and was positive Covid patient sent to ER because of mild tachypnea and dyspnea on exertion chest x-ray some left-sided pleural effusion with cardiomegaly patient admitted for further evaluation patient found to be Covid positive patient had been Covid positive before in the past 2 weeks ago  Subjective pt is afebrile today and on room air. Pt cleared for DC by pulmonary service. No other active co. ROS All other systems reviewed and negative except mentioned above. DISCHARGED ON 12/17/21
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pleural effusion, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: History of Present Illness Patient office with tired dizziness and was positive Covid patient sent to ER because of mild tachypnea and dyspnea on exertion chest x-ray some left-sided pleural effusion with cardiomegaly patient admitted for further evaluation patient found to be Covid positive patient had been Covid positive before in the past 2 weeks ago  Subjective pt is afebrile today and on room air. Pt cleared for DC by pulmonary service. No other active co. ROS All other systems reviewed and negative except mentioned above. DISCHARGED ON 12/17/21
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Positive COVID-19
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asymptomatic COVID-19, COVID-19, Diverticulitis
Clinical narrative: Hospitalized for COVID 19 and diverticulitis, abdominal pain no COVID infection symptoms Remdesivir x t days, dexamethasone x 10 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: We administered the COVID Vaccine after the thawed expiration date.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anion gap normal, Blood gases, COVID-19, Chest X-ray abnormal, Diet noncompliance
Clinical narrative: Presented to the ED due to shortness of breath.  Was seen 1 day earlier on 01/29/2022 for similar symptoms and was found to be COVID positive.  Had normal saturations on room air was discharged home per his request.  Return to the ED via EMS due to worsening shortness of breath, fatigue.  Patient does admit to non-compliance with diet by eating a pizza, which resulted in increased LE edema and sob.  Per EMS patient's oxygen saturations was in the 80s on their arrival.  Patient placed on supplemental oxygen with improvement in oxygen saturation.  On arrival to the ED, ABG revealed 7.37/34.4/64.5/20 with normal anion gap. - Chest x-ray with bilateral opacities that appear as pulmonary edema however cannot rule out multifocal pneumonia.  Patient received a complete course of remdesivir, discharged with 2 more days to finish decadron.   Discharged 2/7/22.  Patient previously vaccinated with Moderna 3/11/21 & 4/7/21  LOT #'s unavailable
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Lung opacity, Oedema peripheral, Pulmonary oedema
Clinical narrative: Presented to the ED due to shortness of breath.  Was seen 1 day earlier on 01/29/2022 for similar symptoms and was found to be COVID positive.  Had normal saturations on room air was discharged home per his request.  Return to the ED via EMS due to worsening shortness of breath, fatigue.  Patient does admit to non-compliance with diet by eating a pizza, which resulted in increased LE edema and sob.  Per EMS patient's oxygen saturations was in the 80s on their arrival.  Patient placed on supplemental oxygen with improvement in oxygen saturation.  On arrival to the ED, ABG revealed 7.37/34.4/64.5/20 with normal anion gap. - Chest x-ray with bilateral opacities that appear as pulmonary edema however cannot rule out multifocal pneumonia.  Patient received a complete course of remdesivir, discharged with 2 more days to finish decadron.   Discharged 2/7/22.  Patient previously vaccinated with Moderna 3/11/21 & 4/7/21  LOT #'s unavailable
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented to the ED due to shortness of breath.  Was seen 1 day earlier on 01/29/2022 for similar symptoms and was found to be COVID positive.  Had normal saturations on room air was discharged home per his request.  Return to the ED via EMS due to worsening shortness of breath, fatigue.  Patient does admit to non-compliance with diet by eating a pizza, which resulted in increased LE edema and sob.  Per EMS patient's oxygen saturations was in the 80s on their arrival.  Patient placed on supplemental oxygen with improvement in oxygen saturation.  On arrival to the ED, ABG revealed 7.37/34.4/64.5/20 with normal anion gap. - Chest x-ray with bilateral opacities that appear as pulmonary edema however cannot rule out multifocal pneumonia.  Patient received a complete course of remdesivir, discharged with 2 more days to finish decadron.   Discharged 2/7/22.  Patient previously vaccinated with Moderna 3/11/21 & 4/7/21  LOT #'s unavailable
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19 TEST
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19 TEST
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Albumin globulin ratio, Blood bicarbonate decreased, Blood glucose increased, COVID-19, Chest X-ray abnormal
Clinical narrative: o Reason for Admission COVID with Hypoxic respiratory failure, DKA Pertinent HPI: Sx Onset 2/1 with myalgias, headache, shortness of breath, cough scant mucous, also nausea, retching, diarrhea O2 high 80s on RA, corrected with 3L Covid positive, CXR showing bilateral infiltrates.  Found to be in DKA with AG  24 glucose 628, HCO3<7.  EKG movement artifacts at rate of 100. Given 1.5 liters of fluid, 6 units regular insulin IV then 6 units IV per hour, 2 gm of magnesium and dexamethasone 6 mg in ER. Patient received 1&2 COVID 19 dose but has not received a booster
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Diabetic ketoacidosis, Diarrhoea, Dyspnoea
Clinical narrative: o Reason for Admission COVID with Hypoxic respiratory failure, DKA Pertinent HPI: Sx Onset 2/1 with myalgias, headache, shortness of breath, cough scant mucous, also nausea, retching, diarrhea O2 high 80s on RA, corrected with 3L Covid positive, CXR showing bilateral infiltrates.  Found to be in DKA with AG  24 glucose 628, HCO3<7.  EKG movement artifacts at rate of 100. Given 1.5 liters of fluid, 6 units regular insulin IV then 6 units IV per hour, 2 gm of magnesium and dexamethasone 6 mg in ER. Patient received 1&2 COVID 19 dose but has not received a booster