chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Congestive cardiomyopathy, Diastolic dysfunction, Dyspnoea exertional, Echocardiogram, Laboratory test
Clinical narrative: Patient had external administration for vaccine.  From chart review, patient saw PCP last month on 5/10 complaining of progressively worsening dyspnea on exertion as well as abdominal and lower extremity swelling. Outpatient workup was suspicious of CHF so she was started on lasix and TTE. Since starting diuretic, she has lossed a significant amount of weight and has felt better. She went for TTE on 5/22 which was recently read by Cardiologist with new findings of HFrEF of 27%.  After review of TTE today, patient was contacted by Dr. to go to ED for urgent evaluation.   BNP elevated. CXR pending. BP elevated.   TTE (5/22)  Summary  Delay in reporting as the study was not assigned for reporting. Reviewed  today prior to scheduled consult  Severely reduced left ventricular systolic function with an ejection fraction of 27 % using biplane method.  Global left ventricular hypokinesis  Grade II diastolic dysfunction with elevated LA pressures.  Dilatation of cardiac chambers suggests dilated cardiomyopathy.  The estimated RVSP is 43 mmHg.  Moderate tricuspid regurgitation.  A trivial pericardial effusion is present.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Left ventricular dysfunction, Pericardial effusion, Peripheral swelling, Polyuria, Tricuspid valve incompetence
Clinical narrative: Patient had external administration for vaccine.  From chart review, patient saw PCP last month on 5/10 complaining of progressively worsening dyspnea on exertion as well as abdominal and lower extremity swelling. Outpatient workup was suspicious of CHF so she was started on lasix and TTE. Since starting diuretic, she has lossed a significant amount of weight and has felt better. She went for TTE on 5/22 which was recently read by Cardiologist with new findings of HFrEF of 27%.  After review of TTE today, patient was contacted by Dr. to go to ED for urgent evaluation.   BNP elevated. CXR pending. BP elevated.   TTE (5/22)  Summary  Delay in reporting as the study was not assigned for reporting. Reviewed  today prior to scheduled consult  Severely reduced left ventricular systolic function with an ejection fraction of 27 % using biplane method.  Global left ventricular hypokinesis  Grade II diastolic dysfunction with elevated LA pressures.  Dilatation of cardiac chambers suggests dilated cardiomyopathy.  The estimated RVSP is 43 mmHg.  Moderate tricuspid regurgitation.  A trivial pericardial effusion is present.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular hypokinesia, Weight decreased
Clinical narrative: Patient had external administration for vaccine.  From chart review, patient saw PCP last month on 5/10 complaining of progressively worsening dyspnea on exertion as well as abdominal and lower extremity swelling. Outpatient workup was suspicious of CHF so she was started on lasix and TTE. Since starting diuretic, she has lossed a significant amount of weight and has felt better. She went for TTE on 5/22 which was recently read by Cardiologist with new findings of HFrEF of 27%.  After review of TTE today, patient was contacted by Dr. to go to ED for urgent evaluation.   BNP elevated. CXR pending. BP elevated.   TTE (5/22)  Summary  Delay in reporting as the study was not assigned for reporting. Reviewed  today prior to scheduled consult  Severely reduced left ventricular systolic function with an ejection fraction of 27 % using biplane method.  Global left ventricular hypokinesis  Grade II diastolic dysfunction with elevated LA pressures.  Dilatation of cardiac chambers suggests dilated cardiomyopathy.  The estimated RVSP is 43 mmHg.  Moderate tricuspid regurgitation.  A trivial pericardial effusion is present.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Yes
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthma, Condition aggravated, Cough, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient is a 75-year-old female presents emergency room ambulatory stable vital signs complaining of shortness of breath.  She has a history of asthma.  Started having exacerbation on Monday and started herself on steroids.  She is on day 4 of prednisone.  She went to her primary care physician today and was given some updraft however her breathing did not improve so she presents to the emergency department.  Denies any hemoptysis.  No leg swelling.  No chest pain. Associated Symptoms: cough, shortness of breath, URI symptoms, wheezing
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory rate decreased, Respiratory symptom, SARS-CoV-2 test, Wheezing
Clinical narrative: Patient is a 75-year-old female presents emergency room ambulatory stable vital signs complaining of shortness of breath.  She has a history of asthma.  Started having exacerbation on Monday and started herself on steroids.  She is on day 4 of prednisone.  She went to her primary care physician today and was given some updraft however her breathing did not improve so she presents to the emergency department.  Denies any hemoptysis.  No leg swelling.  No chest pain. Associated Symptoms: cough, shortness of breath, URI symptoms, wheezing
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Brain oedema, CSF glucose increased, CSF lymphocyte count increased, CSF protein increased, CSF white blood cell count increased
Clinical narrative: Pt is a 39 Y with no significant past medical history came to the emergency department with above complaints. Patient reported that she felt her left upper extremity and lower extremity numbness on Tuesday at 5:30 AM, felt like her arm and leg were asleep.  Patient denied any fevers, nausea, vomiting, headaches, confusion, sick contacts She went to ED that day and got a head CT which showed:Multiple bilateral white matter hypodensities, left more than the right side, involving the left frontal, temporal and parietal and right frontal white matter with minimal surrounding edema are noted. Neurology was consulted and patient was sent to ED for an MRI which showed-Numerous intracranial metastatic lesions.   Oncology was consulted and patient was called back for a whole-body CT scan which is negative. Neurology today recommended getting lumbar puncture, which showed CSF WBC of 13, glucose 85, protein 46, lymphocytes 95   ID was consulted who recommended starting patient on Rocephin, vancomycin   Patient being admitted for IV antibiotics. If CSF serology comes back negative patient will need to be transferred to neurosurgery for a brain biopsy
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Computerised tomogram normal, Hypoaesthesia, Laboratory test, Lumbar puncture
Clinical narrative: Pt is a 39 Y with no significant past medical history came to the emergency department with above complaints. Patient reported that she felt her left upper extremity and lower extremity numbness on Tuesday at 5:30 AM, felt like her arm and leg were asleep.  Patient denied any fevers, nausea, vomiting, headaches, confusion, sick contacts She went to ED that day and got a head CT which showed:Multiple bilateral white matter hypodensities, left more than the right side, involving the left frontal, temporal and parietal and right frontal white matter with minimal surrounding edema are noted. Neurology was consulted and patient was sent to ED for an MRI which showed-Numerous intracranial metastatic lesions.   Oncology was consulted and patient was called back for a whole-body CT scan which is negative. Neurology today recommended getting lumbar puncture, which showed CSF WBC of 13, glucose 85, protein 46, lymphocytes 95   ID was consulted who recommended starting patient on Rocephin, vancomycin   Patient being admitted for IV antibiotics. If CSF serology comes back negative patient will need to be transferred to neurosurgery for a brain biopsy
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Paraesthesia, White matter lesion
Clinical narrative: Pt is a 39 Y with no significant past medical history came to the emergency department with above complaints. Patient reported that she felt her left upper extremity and lower extremity numbness on Tuesday at 5:30 AM, felt like her arm and leg were asleep.  Patient denied any fevers, nausea, vomiting, headaches, confusion, sick contacts She went to ED that day and got a head CT which showed:Multiple bilateral white matter hypodensities, left more than the right side, involving the left frontal, temporal and parietal and right frontal white matter with minimal surrounding edema are noted. Neurology was consulted and patient was sent to ED for an MRI which showed-Numerous intracranial metastatic lesions.   Oncology was consulted and patient was called back for a whole-body CT scan which is negative. Neurology today recommended getting lumbar puncture, which showed CSF WBC of 13, glucose 85, protein 46, lymphocytes 95   ID was consulted who recommended starting patient on Rocephin, vancomycin   Patient being admitted for IV antibiotics. If CSF serology comes back negative patient will need to be transferred to neurosurgery for a brain biopsy
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Fatigue, Tinnitus
Clinical narrative: Permanent hearing loss, severe fatigue. Went to ENT diagnosed with tinnitus 75% loss of hearing. Audiology test was done.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient signed up to receive Pfizer COVID vaccine and was given Moderna 0.25ml booster vaccine instead
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Yes
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Abscess, Computerised tomogram, Dialysis, Endotracheal intubation, Inflammation
Clinical narrative: Severe acute pancreatitis with multiple organ failure due to severe inflammatory response.  Spent 192 days (7 months) in the hospital fighting for my life.  I was intubated on a respirator several times, had kidney failure due to the inflammation, required dialysis, developed fluid abscesses, pleural effusions, was in a  drug-induced coma for 11 days, had respiratory failure on 9/27/21. I survived but not without lifelong effects now. Doctors said based on what I went through I am lucky to be alive.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Mechanical ventilation, Medical induction of coma, Multiple organ dysfunction syndrome, Pancreatitis acute
Clinical narrative: Severe acute pancreatitis with multiple organ failure due to severe inflammatory response.  Spent 192 days (7 months) in the hospital fighting for my life.  I was intubated on a respirator several times, had kidney failure due to the inflammation, required dialysis, developed fluid abscesses, pleural effusions, was in a  drug-induced coma for 11 days, had respiratory failure on 9/27/21. I survived but not without lifelong effects now. Doctors said based on what I went through I am lucky to be alive.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Renal failure, Respiratory failure, X-ray
Clinical narrative: Severe acute pancreatitis with multiple organ failure due to severe inflammatory response.  Spent 192 days (7 months) in the hospital fighting for my life.  I was intubated on a respirator several times, had kidney failure due to the inflammation, required dialysis, developed fluid abscesses, pleural effusions, was in a  drug-induced coma for 11 days, had respiratory failure on 9/27/21. I survived but not without lifelong effects now. Doctors said based on what I went through I am lucky to be alive.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Allergy test negative, Asthenia, Blood bicarbonate increased, Blood gases
Clinical narrative: First odd event was 15-day menstrual period that began around Dec. 8 and began again on Jan. 4 for six days. Right around Christmas she began faint wheezing (patient was non-verbal & cognitively impaired) and by Dec. 30 she was having difficulty swallowing  and breathing --  which sounded like it was from throat tightening or spasms.  She was also rapidly losing weight.   By late January she seemed very weak and was no longer able or willing to stand/support her weight (she normally could walk with assistance and support her weight) and by February was having a lot of difficulty sleeping because she seemed particularly uncomfortable lying down -- especially on her back and appeared to be very uncomfortable & restless most of the time. Always seemed to want to sit up and lean forward.  Swallowing liquids appeared to be painful ... she would cry briefly after swallowing liquids, but not food.  Intermittenly one or both feet would be purple & cold or become hot, red, puffy & painful.  Treatment consisted of changing to a pureed diet, increase dosage of omeprazole (40 mg. 2x day for 4 wks following a Jan. 12 EGD) and eventual placement of a g-tube on March 30 because she was losing so much weight and unable to eat more than 1/3-1/2 cup of food at meals; and using a cool-mist humidifier to relieve throat spasm (if that's what it was) episodes.   Also took mag citrate chews as needed to alleviate constipation.   Her symptoms did not improve, she was finally admitted to the hospital on April. 6 from the emergency department where she was taken for difficulty breathing. Arterial blood gas tests showed increased CO2/bicarbonate levels & elevated white count; pulmonologist  described her as failing to thrive, her diaphragm was failing and our choice was to either place her on a ventilator or take her home w/Hospice care. There was a consensus from critical care staff that she would not come off the ventilator so we took her home w/Hospice and she died on April 12.   The cause of death on the death certificate was listed as aspiration pneumonia ... but that was never mentioned to us while she was hospitalized. Pulmonologist said he thought the increased white count was from the UTI, but she had been on cefpodoxime for that for more than a week already.   Patient had zero previous problems with difficulty swallowing or breathing.   When she died she was being treated for a UTI with cefpodoxime; and had been treated for another UTI in early Feb. with 5-days of IV levaquin.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood test normal, Carbon dioxide increased, Chest X-ray normal, Constipation
Clinical narrative: First odd event was 15-day menstrual period that began around Dec. 8 and began again on Jan. 4 for six days. Right around Christmas she began faint wheezing (patient was non-verbal & cognitively impaired) and by Dec. 30 she was having difficulty swallowing  and breathing --  which sounded like it was from throat tightening or spasms.  She was also rapidly losing weight.   By late January she seemed very weak and was no longer able or willing to stand/support her weight (she normally could walk with assistance and support her weight) and by February was having a lot of difficulty sleeping because she seemed particularly uncomfortable lying down -- especially on her back and appeared to be very uncomfortable & restless most of the time. Always seemed to want to sit up and lean forward.  Swallowing liquids appeared to be painful ... she would cry briefly after swallowing liquids, but not food.  Intermittenly one or both feet would be purple & cold or become hot, red, puffy & painful.  Treatment consisted of changing to a pureed diet, increase dosage of omeprazole (40 mg. 2x day for 4 wks following a Jan. 12 EGD) and eventual placement of a g-tube on March 30 because she was losing so much weight and unable to eat more than 1/3-1/2 cup of food at meals; and using a cool-mist humidifier to relieve throat spasm (if that's what it was) episodes.   Also took mag citrate chews as needed to alleviate constipation.   Her symptoms did not improve, she was finally admitted to the hospital on April. 6 from the emergency department where she was taken for difficulty breathing. Arterial blood gas tests showed increased CO2/bicarbonate levels & elevated white count; pulmonologist  described her as failing to thrive, her diaphragm was failing and our choice was to either place her on a ventilator or take her home w/Hospice care. There was a consensus from critical care staff that she would not come off the ventilator so we took her home w/Hospice and she died on April 12.   The cause of death on the death certificate was listed as aspiration pneumonia ... but that was never mentioned to us while she was hospitalized. Pulmonologist said he thought the increased white count was from the UTI, but she had been on cefpodoxime for that for more than a week already.   Patient had zero previous problems with difficulty swallowing or breathing.   When she died she was being treated for a UTI with cefpodoxime; and had been treated for another UTI in early Feb. with 5-days of IV levaquin.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Diaphragmatic disorder, Discomfort, Dysphagia, Dyspnoea
Clinical narrative: First odd event was 15-day menstrual period that began around Dec. 8 and began again on Jan. 4 for six days. Right around Christmas she began faint wheezing (patient was non-verbal & cognitively impaired) and by Dec. 30 she was having difficulty swallowing  and breathing --  which sounded like it was from throat tightening or spasms.  She was also rapidly losing weight.   By late January she seemed very weak and was no longer able or willing to stand/support her weight (she normally could walk with assistance and support her weight) and by February was having a lot of difficulty sleeping because she seemed particularly uncomfortable lying down -- especially on her back and appeared to be very uncomfortable & restless most of the time. Always seemed to want to sit up and lean forward.  Swallowing liquids appeared to be painful ... she would cry briefly after swallowing liquids, but not food.  Intermittenly one or both feet would be purple & cold or become hot, red, puffy & painful.  Treatment consisted of changing to a pureed diet, increase dosage of omeprazole (40 mg. 2x day for 4 wks following a Jan. 12 EGD) and eventual placement of a g-tube on March 30 because she was losing so much weight and unable to eat more than 1/3-1/2 cup of food at meals; and using a cool-mist humidifier to relieve throat spasm (if that's what it was) episodes.   Also took mag citrate chews as needed to alleviate constipation.   Her symptoms did not improve, she was finally admitted to the hospital on April. 6 from the emergency department where she was taken for difficulty breathing. Arterial blood gas tests showed increased CO2/bicarbonate levels & elevated white count; pulmonologist  described her as failing to thrive, her diaphragm was failing and our choice was to either place her on a ventilator or take her home w/Hospice care. There was a consensus from critical care staff that she would not come off the ventilator so we took her home w/Hospice and she died on April 12.   The cause of death on the death certificate was listed as aspiration pneumonia ... but that was never mentioned to us while she was hospitalized. Pulmonologist said he thought the increased white count was from the UTI, but she had been on cefpodoxime for that for more than a week already.   Patient had zero previous problems with difficulty swallowing or breathing.   When she died she was being treated for a UTI with cefpodoxime; and had been treated for another UTI in early Feb. with 5-days of IV levaquin.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Epigastric discomfort, Erythema, Failure to thrive, Full blood count normal
Clinical narrative: First odd event was 15-day menstrual period that began around Dec. 8 and began again on Jan. 4 for six days. Right around Christmas she began faint wheezing (patient was non-verbal & cognitively impaired) and by Dec. 30 she was having difficulty swallowing  and breathing --  which sounded like it was from throat tightening or spasms.  She was also rapidly losing weight.   By late January she seemed very weak and was no longer able or willing to stand/support her weight (she normally could walk with assistance and support her weight) and by February was having a lot of difficulty sleeping because she seemed particularly uncomfortable lying down -- especially on her back and appeared to be very uncomfortable & restless most of the time. Always seemed to want to sit up and lean forward.  Swallowing liquids appeared to be painful ... she would cry briefly after swallowing liquids, but not food.  Intermittenly one or both feet would be purple & cold or become hot, red, puffy & painful.  Treatment consisted of changing to a pureed diet, increase dosage of omeprazole (40 mg. 2x day for 4 wks following a Jan. 12 EGD) and eventual placement of a g-tube on March 30 because she was losing so much weight and unable to eat more than 1/3-1/2 cup of food at meals; and using a cool-mist humidifier to relieve throat spasm (if that's what it was) episodes.   Also took mag citrate chews as needed to alleviate constipation.   Her symptoms did not improve, she was finally admitted to the hospital on April. 6 from the emergency department where she was taken for difficulty breathing. Arterial blood gas tests showed increased CO2/bicarbonate levels & elevated white count; pulmonologist  described her as failing to thrive, her diaphragm was failing and our choice was to either place her on a ventilator or take her home w/Hospice care. There was a consensus from critical care staff that she would not come off the ventilator so we took her home w/Hospice and she died on April 12.   The cause of death on the death certificate was listed as aspiration pneumonia ... but that was never mentioned to us while she was hospitalized. Pulmonologist said he thought the increased white count was from the UTI, but she had been on cefpodoxime for that for more than a week already.   Patient had zero previous problems with difficulty swallowing or breathing.   When she died she was being treated for a UTI with cefpodoxime; and had been treated for another UTI in early Feb. with 5-days of IV levaquin.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrostomy, Heavy menstrual bleeding, Hypophagia, Insomnia, Menstrual disorder
Clinical narrative: First odd event was 15-day menstrual period that began around Dec. 8 and began again on Jan. 4 for six days. Right around Christmas she began faint wheezing (patient was non-verbal & cognitively impaired) and by Dec. 30 she was having difficulty swallowing  and breathing --  which sounded like it was from throat tightening or spasms.  She was also rapidly losing weight.   By late January she seemed very weak and was no longer able or willing to stand/support her weight (she normally could walk with assistance and support her weight) and by February was having a lot of difficulty sleeping because she seemed particularly uncomfortable lying down -- especially on her back and appeared to be very uncomfortable & restless most of the time. Always seemed to want to sit up and lean forward.  Swallowing liquids appeared to be painful ... she would cry briefly after swallowing liquids, but not food.  Intermittenly one or both feet would be purple & cold or become hot, red, puffy & painful.  Treatment consisted of changing to a pureed diet, increase dosage of omeprazole (40 mg. 2x day for 4 wks following a Jan. 12 EGD) and eventual placement of a g-tube on March 30 because she was losing so much weight and unable to eat more than 1/3-1/2 cup of food at meals; and using a cool-mist humidifier to relieve throat spasm (if that's what it was) episodes.   Also took mag citrate chews as needed to alleviate constipation.   Her symptoms did not improve, she was finally admitted to the hospital on April. 6 from the emergency department where she was taken for difficulty breathing. Arterial blood gas tests showed increased CO2/bicarbonate levels & elevated white count; pulmonologist  described her as failing to thrive, her diaphragm was failing and our choice was to either place her on a ventilator or take her home w/Hospice care. There was a consensus from critical care staff that she would not come off the ventilator so we took her home w/Hospice and she died on April 12.   The cause of death on the death certificate was listed as aspiration pneumonia ... but that was never mentioned to us while she was hospitalized. Pulmonologist said he thought the increased white count was from the UTI, but she had been on cefpodoxime for that for more than a week already.   Patient had zero previous problems with difficulty swallowing or breathing.   When she died she was being treated for a UTI with cefpodoxime; and had been treated for another UTI in early Feb. with 5-days of IV levaquin.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Nasoendoscopy, Odynophagia, Oesophagogastroduodenoscopy abnormal, Pain in extremity
Clinical narrative: First odd event was 15-day menstrual period that began around Dec. 8 and began again on Jan. 4 for six days. Right around Christmas she began faint wheezing (patient was non-verbal & cognitively impaired) and by Dec. 30 she was having difficulty swallowing  and breathing --  which sounded like it was from throat tightening or spasms.  She was also rapidly losing weight.   By late January she seemed very weak and was no longer able or willing to stand/support her weight (she normally could walk with assistance and support her weight) and by February was having a lot of difficulty sleeping because she seemed particularly uncomfortable lying down -- especially on her back and appeared to be very uncomfortable & restless most of the time. Always seemed to want to sit up and lean forward.  Swallowing liquids appeared to be painful ... she would cry briefly after swallowing liquids, but not food.  Intermittenly one or both feet would be purple & cold or become hot, red, puffy & painful.  Treatment consisted of changing to a pureed diet, increase dosage of omeprazole (40 mg. 2x day for 4 wks following a Jan. 12 EGD) and eventual placement of a g-tube on March 30 because she was losing so much weight and unable to eat more than 1/3-1/2 cup of food at meals; and using a cool-mist humidifier to relieve throat spasm (if that's what it was) episodes.   Also took mag citrate chews as needed to alleviate constipation.   Her symptoms did not improve, she was finally admitted to the hospital on April. 6 from the emergency department where she was taken for difficulty breathing. Arterial blood gas tests showed increased CO2/bicarbonate levels & elevated white count; pulmonologist  described her as failing to thrive, her diaphragm was failing and our choice was to either place her on a ventilator or take her home w/Hospice care. There was a consensus from critical care staff that she would not come off the ventilator so we took her home w/Hospice and she died on April 12.   The cause of death on the death certificate was listed as aspiration pneumonia ... but that was never mentioned to us while she was hospitalized. Pulmonologist said he thought the increased white count was from the UTI, but she had been on cefpodoxime for that for more than a week already.   Patient had zero previous problems with difficulty swallowing or breathing.   When she died she was being treated for a UTI with cefpodoxime; and had been treated for another UTI in early Feb. with 5-days of IV levaquin.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Peripheral swelling, Pneumonia aspiration, Restlessness, Skin discolouration
Clinical narrative: First odd event was 15-day menstrual period that began around Dec. 8 and began again on Jan. 4 for six days. Right around Christmas she began faint wheezing (patient was non-verbal & cognitively impaired) and by Dec. 30 she was having difficulty swallowing  and breathing --  which sounded like it was from throat tightening or spasms.  She was also rapidly losing weight.   By late January she seemed very weak and was no longer able or willing to stand/support her weight (she normally could walk with assistance and support her weight) and by February was having a lot of difficulty sleeping because she seemed particularly uncomfortable lying down -- especially on her back and appeared to be very uncomfortable & restless most of the time. Always seemed to want to sit up and lean forward.  Swallowing liquids appeared to be painful ... she would cry briefly after swallowing liquids, but not food.  Intermittenly one or both feet would be purple & cold or become hot, red, puffy & painful.  Treatment consisted of changing to a pureed diet, increase dosage of omeprazole (40 mg. 2x day for 4 wks following a Jan. 12 EGD) and eventual placement of a g-tube on March 30 because she was losing so much weight and unable to eat more than 1/3-1/2 cup of food at meals; and using a cool-mist humidifier to relieve throat spasm (if that's what it was) episodes.   Also took mag citrate chews as needed to alleviate constipation.   Her symptoms did not improve, she was finally admitted to the hospital on April. 6 from the emergency department where she was taken for difficulty breathing. Arterial blood gas tests showed increased CO2/bicarbonate levels & elevated white count; pulmonologist  described her as failing to thrive, her diaphragm was failing and our choice was to either place her on a ventilator or take her home w/Hospice care. There was a consensus from critical care staff that she would not come off the ventilator so we took her home w/Hospice and she died on April 12.   The cause of death on the death certificate was listed as aspiration pneumonia ... but that was never mentioned to us while she was hospitalized. Pulmonologist said he thought the increased white count was from the UTI, but she had been on cefpodoxime for that for more than a week already.   Patient had zero previous problems with difficulty swallowing or breathing.   When she died she was being treated for a UTI with cefpodoxime; and had been treated for another UTI in early Feb. with 5-days of IV levaquin.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Spinal X-ray normal, Urinary tract infection, Weight bearing difficulty, Weight decreased
Clinical narrative: First odd event was 15-day menstrual period that began around Dec. 8 and began again on Jan. 4 for six days. Right around Christmas she began faint wheezing (patient was non-verbal & cognitively impaired) and by Dec. 30 she was having difficulty swallowing  and breathing --  which sounded like it was from throat tightening or spasms.  She was also rapidly losing weight.   By late January she seemed very weak and was no longer able or willing to stand/support her weight (she normally could walk with assistance and support her weight) and by February was having a lot of difficulty sleeping because she seemed particularly uncomfortable lying down -- especially on her back and appeared to be very uncomfortable & restless most of the time. Always seemed to want to sit up and lean forward.  Swallowing liquids appeared to be painful ... she would cry briefly after swallowing liquids, but not food.  Intermittenly one or both feet would be purple & cold or become hot, red, puffy & painful.  Treatment consisted of changing to a pureed diet, increase dosage of omeprazole (40 mg. 2x day for 4 wks following a Jan. 12 EGD) and eventual placement of a g-tube on March 30 because she was losing so much weight and unable to eat more than 1/3-1/2 cup of food at meals; and using a cool-mist humidifier to relieve throat spasm (if that's what it was) episodes.   Also took mag citrate chews as needed to alleviate constipation.   Her symptoms did not improve, she was finally admitted to the hospital on April. 6 from the emergency department where she was taken for difficulty breathing. Arterial blood gas tests showed increased CO2/bicarbonate levels & elevated white count; pulmonologist  described her as failing to thrive, her diaphragm was failing and our choice was to either place her on a ventilator or take her home w/Hospice care. There was a consensus from critical care staff that she would not come off the ventilator so we took her home w/Hospice and she died on April 12.   The cause of death on the death certificate was listed as aspiration pneumonia ... but that was never mentioned to us while she was hospitalized. Pulmonologist said he thought the increased white count was from the UTI, but she had been on cefpodoxime for that for more than a week already.   Patient had zero previous problems with difficulty swallowing or breathing.   When she died she was being treated for a UTI with cefpodoxime; and had been treated for another UTI in early Feb. with 5-days of IV levaquin.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing, White blood cell count increased, X-ray dental normal
Clinical narrative: First odd event was 15-day menstrual period that began around Dec. 8 and began again on Jan. 4 for six days. Right around Christmas she began faint wheezing (patient was non-verbal & cognitively impaired) and by Dec. 30 she was having difficulty swallowing  and breathing --  which sounded like it was from throat tightening or spasms.  She was also rapidly losing weight.   By late January she seemed very weak and was no longer able or willing to stand/support her weight (she normally could walk with assistance and support her weight) and by February was having a lot of difficulty sleeping because she seemed particularly uncomfortable lying down -- especially on her back and appeared to be very uncomfortable & restless most of the time. Always seemed to want to sit up and lean forward.  Swallowing liquids appeared to be painful ... she would cry briefly after swallowing liquids, but not food.  Intermittenly one or both feet would be purple & cold or become hot, red, puffy & painful.  Treatment consisted of changing to a pureed diet, increase dosage of omeprazole (40 mg. 2x day for 4 wks following a Jan. 12 EGD) and eventual placement of a g-tube on March 30 because she was losing so much weight and unable to eat more than 1/3-1/2 cup of food at meals; and using a cool-mist humidifier to relieve throat spasm (if that's what it was) episodes.   Also took mag citrate chews as needed to alleviate constipation.   Her symptoms did not improve, she was finally admitted to the hospital on April. 6 from the emergency department where she was taken for difficulty breathing. Arterial blood gas tests showed increased CO2/bicarbonate levels & elevated white count; pulmonologist  described her as failing to thrive, her diaphragm was failing and our choice was to either place her on a ventilator or take her home w/Hospice care. There was a consensus from critical care staff that she would not come off the ventilator so we took her home w/Hospice and she died on April 12.   The cause of death on the death certificate was listed as aspiration pneumonia ... but that was never mentioned to us while she was hospitalized. Pulmonologist said he thought the increased white count was from the UTI, but she had been on cefpodoxime for that for more than a week already.   Patient had zero previous problems with difficulty swallowing or breathing.   When she died she was being treated for a UTI with cefpodoxime; and had been treated for another UTI in early Feb. with 5-days of IV levaquin.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Cardiac function test, Condition aggravated, Electrocardiogram, Neurological symptom
Clinical narrative: In 2014 I  experienced an adverse event following the influenza vaccine . It caused me to have neurological problems, along with breathing and cardiac issues. My condition was exacerbated after receiving my second dose of Pfizer vaccine. My neurological and cardiac issues have returned. I am currently seeing  a Cardiologist but they have not provided a diagnosis as of yet however I am getting tested for Pericarditis.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: I received my Covid vaccine on 05/20/2022. On the afternoon of 05/30/2022 I started feeling sore throat nasal congestion, fatigue, and mild headache. I then took an home Covid test and was diagnosed for Covid on 06/01/2022. I then reached out to my doctor and was prescribed PAXLOVID. I took the PAXLOVID for 5 days and the symptoms went down. I retested 06/06/2022 and was negative. I had then accumulated sides effects from the medication PAXLOVID.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I received my Covid vaccine on 05/20/2022. On the afternoon of 05/30/2022 I started feeling sore throat nasal congestion, fatigue, and mild headache. I then took an home Covid test and was diagnosed for Covid on 06/01/2022. I then reached out to my doctor and was prescribed PAXLOVID. I took the PAXLOVID for 5 days and the symptoms went down. I retested 06/06/2022 and was negative. I had then accumulated sides effects from the medication PAXLOVID.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Pyrexia
Clinical narrative: I did not have an adverse reaction to the vaccination but I tested positive for Covid 19 on January 7, 2022. I began having symptoms on January 4: runny nose, cough, fatigue, fever and chills. I took MUCINEX, cough syrup and TYLENOL which helped. I just stayed home and road it out. I did not contact my primary care physician.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccination but I tested positive for Covid 19 on January 7, 2022. I began having symptoms on January 4: runny nose, cough, fatigue, fever and chills. I took MUCINEX, cough syrup and TYLENOL which helped. I just stayed home and road it out. I did not contact my primary care physician.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Lower respiratory tract infection, Oropharyngeal pain
Clinical narrative: I had a headache and sore throat, my temperature moved to a second degree above normal (99), chest cold. I email my doctor and tell me to take TYLENOL for the fever and MUCINEX for the chest cold. I took it for 7-10 days. I was fever but I still have cough for 3 weeks. I still have flame. I have allergy season. I took the home test, and it was positive. I have COVID.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a headache and sore throat, my temperature moved to a second degree above normal (99), chest cold. I email my doctor and tell me to take TYLENOL for the fever and MUCINEX for the chest cold. I took it for 7-10 days. I was fever but I still have cough for 3 weeks. I still have flame. I have allergy season. I took the home test, and it was positive. I have COVID.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitilization
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Dark circles under eyes, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Second dose for child. Child had typical side effects until day 3 and woke up with rash on trunk, fronts and backs of legs, and buttocks. 6/1/22: sore arm 6/2/22: sore arm, headache, nausea 6/3/22: Extreme Fatigue 6/4/22: Rash on trunk, legs, and buttocks. Dark circles under eyes
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Second dose for child. Child had typical side effects until day 3 and woke up with rash on trunk, fronts and backs of legs, and buttocks. 6/1/22: sore arm 6/2/22: sore arm, headache, nausea 6/3/22: Extreme Fatigue 6/4/22: Rash on trunk, legs, and buttocks. Dark circles under eyes
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: 5/27  I experienced headache, sore throat, and fatigue. Symptoms got worse on 5/28, I had painful swallowing, stomach cramping and diarrhea started late in the day, into 5/29. 5/29 loss of appetite along with increased fatigue.  Tested positive with At home test on 5/29. Telemedicine with doctor on 5/29, who prescribed Paxlovid. 5/30 Swollen glands in neck. 6/4 symptoms noticeably improved, stomach pain continued. Fatigue, Stomach issues, sore throat persist to present. No fever at any point.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Gastric disorder, Headache, Lymphadenopathy, Malaise, Odynophagia
Clinical narrative: 5/27  I experienced headache, sore throat, and fatigue. Symptoms got worse on 5/28, I had painful swallowing, stomach cramping and diarrhea started late in the day, into 5/29. 5/29 loss of appetite along with increased fatigue.  Tested positive with At home test on 5/29. Telemedicine with doctor on 5/29, who prescribed Paxlovid. 5/30 Swollen glands in neck. 6/4 symptoms noticeably improved, stomach pain continued. Fatigue, Stomach issues, sore throat persist to present. No fever at any point.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: 5/27  I experienced headache, sore throat, and fatigue. Symptoms got worse on 5/28, I had painful swallowing, stomach cramping and diarrhea started late in the day, into 5/29. 5/29 loss of appetite along with increased fatigue.  Tested positive with At home test on 5/29. Telemedicine with doctor on 5/29, who prescribed Paxlovid. 5/30 Swollen glands in neck. 6/4 symptoms noticeably improved, stomach pain continued. Fatigue, Stomach issues, sore throat persist to present. No fever at any point.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pyrexia, Rhinorrhoea
Clinical narrative: 03/14/2022 Started getting cold symptoms with a runny nose and low grade fever. He went to the doctor April 14, 2022. These symptoms had been going for a month. The doctor thinks it is a cold and prescribed Claritin, 10 mg. After a week, it did not seem to help. We called the doctor back and he was put on Zyrtec. It has helped some, he is better than he was.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, SARS-CoV-2 test positive, Sinus operation
Clinical narrative: 5 months after dose 3 vaccination, I started having fatigue, upper resp. cough and sinus drainage. I took a home Covid test on 5-9-2022 and it was positive so I had a telehealth visit with my PCP that same day. They prescribed PAXLOVID. I took all of that medication. I am feeling a lot better today. There is a lingering cough but it is not limiting my ability to function. I am reporting my breakthrough case of Covid.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: 5 months after dose 3 vaccination, I started having fatigue, upper resp. cough and sinus drainage. I took a home Covid test on 5-9-2022 and it was positive so I had a telehealth visit with my PCP that same day. They prescribed PAXLOVID. I took all of that medication. I am feeling a lot better today. There is a lingering cough but it is not limiting my ability to function. I am reporting my breakthrough case of Covid.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I began to experience symptoms on 05/20/2022 and tested positive (PCR) on 05/21/2022. Fever for two days.  I continued to experience other symptoms for 7 days.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Immunisation reaction, Injection site swelling, Joint range of motion decreased
Clinical narrative: 102 fever, severe fatigue, nausea, severe pain in arm by 6:00 PM same evening as vaccine for 5 days. Large goose egg at vaccination site from day of injection through last day of physical therapy, June 3, 2022, for acute tendonitis in arm due to the injection. Pain has radiated into the shoulder joint. Range of motion due to arm and shoulder pain remains limited almost 5 months after the vaccination and six weeks of physical therapy.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Tendonitis
Clinical narrative: 102 fever, severe fatigue, nausea, severe pain in arm by 6:00 PM same evening as vaccine for 5 days. Large goose egg at vaccination site from day of injection through last day of physical therapy, June 3, 2022, for acute tendonitis in arm due to the injection. Pain has radiated into the shoulder joint. Range of motion due to arm and shoulder pain remains limited almost 5 months after the vaccination and six weeks of physical therapy.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: patient rec'd grey cap pfizer vaccine after it was stored in freezer for 22 days- pt will be in at somepoint for replacement dose
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Condition aggravated, Food allergy, Pruritus, Urticaria
Clinical narrative: My current peanut allergy got way worse than it initially was. When I walked pass my neighbors who were cooking with peanuts, I only smelled it. And when i got back to my apt I started itching on my back and I got hives on my front chest area.   I was only able to calm it down when in my apartment that was bleached and ventilated and that was after 30 minutes.  It was way worse than I just ate peanuts and had an antiphallic reaction. Technically this response to breathing  in peanuts and not being able to even in a room with the smell of peanuts started at the Moderna Covid 2nd dose. This never happened before- and this is the only adverse reaction I've been having.  And I almost died from having COVID in 2020 Nov.  I've had the anaphallitic reaction to peanuts since I was three years old (which is very severe to the point that I'm not able to have a allergy test because I could have a anaphallic reaction to the actual test), never had an airborne reaction to peanuts until after Moderna dose 2.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Death, Dyskinesia, Dysphagia
Clinical narrative: Moderna COVID vaccine given 11/8/21, lot # 077C21B; 11/29/21 pt admitted to Hospital for altered mental state, weight loss, poor po intake, trouble swallowing and weakness x 1 wk; found to be positive for COVID; severe tremors and jerks - given carbidopa-levodopa; PEG tube placed; pt went into Hospice where he passed away
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrostomy, Hypophagia, Mental status changes, SARS-CoV-2 test positive, Tremor
Clinical narrative: Moderna COVID vaccine given 11/8/21, lot # 077C21B; 11/29/21 pt admitted to Hospital for altered mental state, weight loss, poor po intake, trouble swallowing and weakness x 1 wk; found to be positive for COVID; severe tremors and jerks - given carbidopa-levodopa; PEG tube placed; pt went into Hospice where he passed away
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Moderna COVID vaccine given 11/8/21, lot # 077C21B; 11/29/21 pt admitted to Hospital for altered mental state, weight loss, poor po intake, trouble swallowing and weakness x 1 wk; found to be positive for COVID; severe tremors and jerks - given carbidopa-levodopa; PEG tube placed; pt went into Hospice where he passed away
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Joint swelling, Lung disorder
Clinical narrative: I started sneezing and got a little bit of shortness of breath and it made me think it was my Asthma and I was doing a lot of walking on my trip and my ankles were swollen and I also had a stuffy nose and had congestion with a cough.  I wore a double mask on the plane on the way home. I never ran a fever the whole time. My blood oxygen was running low and I was keeping an eye on that. I was put on Prednisone and PAXLOVID and had to stop my supplements. I came down with thrush because of the medication. It felt like my lungs were filling up with fluid. I started feeling better about a week ago. I was sick for about 2 to 2 1/2 weeks.