chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Cyst, Cyst rupture, Furuncle, Hemiplegia, Magnetic resonance imaging normal
Clinical narrative: I received the vaccine and took a nap and woke up and felt paralyzed on the right side and I got up out of the bed and started walking around and that went away and two days later I developed a fever and the next day after that I developed a boil and I went to see the primary care doctor, I thought it was a blood clot and I went to see the Dr and she said that it was a cyst and she gave me an antibiotic to take for 10 days and a suave for 5 days and then I went to the urgent care and they decided for me to have a full evaluation and they wrote a report that I gave to my PCP and saw my cardiologist and they took meds away.  I just had another boil come up last week.  I am in physical therapy now and he works on my knees.  It started to aggravate me and  Sunday night it busted and the doctor gave me more antibiotics.  The doctor said it was the best thing that could happen because the other one never ruptured and none of this was going on till I taken the shot.  I had no reverse things till this came about.  I told the doctors they are going to have to work with me and I have never seen a heart doctor till this came about.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I received the vaccine and took a nap and woke up and felt paralyzed on the right side and I got up out of the bed and started walking around and that went away and two days later I developed a fever and the next day after that I developed a boil and I went to see the primary care doctor, I thought it was a blood clot and I went to see the Dr and she said that it was a cyst and she gave me an antibiotic to take for 10 days and a suave for 5 days and then I went to the urgent care and they decided for me to have a full evaluation and they wrote a report that I gave to my PCP and saw my cardiologist and they took meds away.  I just had another boil come up last week.  I am in physical therapy now and he works on my knees.  It started to aggravate me and  Sunday night it busted and the doctor gave me more antibiotics.  The doctor said it was the best thing that could happen because the other one never ruptured and none of this was going on till I taken the shot.  I had no reverse things till this came about.  I told the doctors they are going to have to work with me and I have never seen a heart doctor till this came about.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Respiratory failure
Clinical narrative: pt had been in the hospital with COVID from 12/4 - 12/20/21; treated with O2, dexamethasone, remdesivir, Tocilizumab; discharged to home; per death certificate, pt died in the home with causes of death being respiratory failure and COVID 19
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute pulmonary oedema, Back pain, COVID-19, Cardiac failure, Culture urine positive
Clinical narrative: Acute pulmonary edema. Patient tested positive for COVID-19 in early February, has not recovered fully from it and presented to ER on 03/12/2022 with increasing shortness of breath backache headache dysuria. thickening but at no tenderness in the right upper quadrant.  Treated as heart failure initially with IV Lasix infusion, responded to this, IV Lasix twice daily and changed to oral Lasix at discharge. She received ceftriaxone for UTI, urine grew Klebsiella pneumoniae. Changed to oral cipro at discharge. She required oxygen a few days but not at the time of discharge.  ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dysuria, Gastrointestinal wall thickening, Headache, Klebsiella test positive
Clinical narrative: Acute pulmonary edema. Patient tested positive for COVID-19 in early February, has not recovered fully from it and presented to ER on 03/12/2022 with increasing shortness of breath backache headache dysuria. thickening but at no tenderness in the right upper quadrant.  Treated as heart failure initially with IV Lasix infusion, responded to this, IV Lasix twice daily and changed to oral Lasix at discharge. She received ceftriaxone for UTI, urine grew Klebsiella pneumoniae. Changed to oral cipro at discharge. She required oxygen a few days but not at the time of discharge.  ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Acute pulmonary edema. Patient tested positive for COVID-19 in early February, has not recovered fully from it and presented to ER on 03/12/2022 with increasing shortness of breath backache headache dysuria. thickening but at no tenderness in the right upper quadrant.  Treated as heart failure initially with IV Lasix infusion, responded to this, IV Lasix twice daily and changed to oral Lasix at discharge. She received ceftriaxone for UTI, urine grew Klebsiella pneumoniae. Changed to oral cipro at discharge. She required oxygen a few days but not at the time of discharge.  ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: While patient was in office he received an additional COVID-19 booster. First/original booster wasn't pushed onto database therefore, there wasn't any way of knowing he had already received this. The following day the patient brought in his immunization card (to be updated), and it appeared, on the card,  he had already received a booster elsewhere. No symptoms were reported from the patient and there was no treatment necessary.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia
Clinical narrative: A day or 2 after the first dose EVERYTHING I started eating/drinking had a metallic taste to it.  I can taste things still but the metallic taste overtakes most flavors/scents.  It has lasted over a month and I assumed maybe I had bad batches of the food in my house.  I have since replaced the food in my house and the metallic taste is there no matter what I eat or drink and has not dulled yet which is concerning to me.
Age: 87.0
Sex: M
Vaccine: FLU4
Symptoms: Epistaxis
Clinical narrative: nosebleed
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Death, Dyspnoea, Positive airway pressure therapy
Clinical narrative: pt admitted to hosp with increasing SOB; found to be positive for COVID; DNR/DNI; O2 supplementation; steroids, remdesivir; O2 needs increased; pt on 100% BiPAP with O2 sats in 50-60%; pt experienced a MI; asystole; pt passed away in the hosp
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt admitted to hosp with increasing SOB; found to be positive for COVID; DNR/DNI; O2 supplementation; steroids, remdesivir; O2 needs increased; pt on 100% BiPAP with O2 sats in 50-60%; pt experienced a MI; asystole; pt passed away in the hosp
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Humerus fracture, Skin laceration, Subdural haematoma
Clinical narrative: Patient was found to have a right proximal humerus fx, SDH, and right forehead laceration.  She arrived hemodynamically stable and was admitted to the hospital by trauma service and neurosurgery and orthopedics were consulted.  Treated is hospital. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Limb discomfort, Pain in extremity, Pyrexia, Rash
Clinical narrative: I received the vaccination 12/1/2021 and the next day I felt heaviness and soreness in my arm. I then started spiking with fevers of 101. I took Tylenol for the symptoms and the symptoms somewhat subside. The next day my grandson noticed the big bump and it was very red. It was also hot like my arm had a fever. I put ice on my arm and called the Pharmacist. I noticed that the bump started to subside after a few days. I also started getting rashes here and there but they would go away. I used ointment to treat the. I still experience outbreaks from time to time.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling
Clinical narrative: I received the vaccination 12/1/2021 and the next day I felt heaviness and soreness in my arm. I then started spiking with fevers of 101. I took Tylenol for the symptoms and the symptoms somewhat subside. The next day my grandson noticed the big bump and it was very red. It was also hot like my arm had a fever. I put ice on my arm and called the Pharmacist. I noticed that the bump started to subside after a few days. I also started getting rashes here and there but they would go away. I used ointment to treat the. I still experience outbreaks from time to time.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arthritis, Audiogram, Magnetic resonance imaging abnormal, Magnetic resonance imaging head normal
Clinical narrative: Multijoint inflammation and bilateral tinnitus onset within the week of the injection. The joint inflammation quickly subsided except for the left shoulder which has been diagnosed with adhesive capsulitis.  Full orthopedic workup shows no other left shoulder injury.  A full ENT evaluation, MRI and MRA of the head and audiology exam show no other cause for the bilateral tinnitus. No prior history of tinnitus or hearing loss.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Periarthritis, Tinnitus
Clinical narrative: Multijoint inflammation and bilateral tinnitus onset within the week of the injection. The joint inflammation quickly subsided except for the left shoulder which has been diagnosed with adhesive capsulitis.  Full orthopedic workup shows no other left shoulder injury.  A full ENT evaluation, MRI and MRA of the head and audiology exam show no other cause for the bilateral tinnitus. No prior history of tinnitus or hearing loss.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood lactic acid increased, Dyspnoea, Hypoxia, Influenza A virus test positive
Clinical narrative: Acute respiratory failure with hypoxia - admitted with SOB and positive influenza A test. Did meet sepsis criteria due to fever, tachy up to 107,  rr, hypoxia, elevated lactic.  During his stay he had an episode of severe hypoxia and respiratory failure- he was started on bipap and stabilized.  Since that time he has continued to improve and by the time of discharge he is breathing comfortably on room air without hypoxia and requesting to return home. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pyrexia, Sepsis, Tachycardia
Clinical narrative: Acute respiratory failure with hypoxia - admitted with SOB and positive influenza A test. Did meet sepsis criteria due to fever, tachy up to 107,  rr, hypoxia, elevated lactic.  During his stay he had an episode of severe hypoxia and respiratory failure- he was started on bipap and stabilized.  Since that time he has continued to improve and by the time of discharge he is breathing comfortably on room air without hypoxia and requesting to return home. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 35.0
Sex: F
Vaccine: DTAP
Symptoms: Exposure during pregnancy, Fatigue, Headache, Injection site swelling, Pain
Clinical narrative: 28 week and 2 days gestation at time of Tdap administration. Patient reports "extreme fatigue" and inability to stay awake over the course of > 24 hours. She also reports headaches, arm pain and body pain along with swollen at injection site. Denies redness or pain at injection site.
Age: 35.0
Sex: F
Vaccine: DTAP
Symptoms: Pain in extremity, Somnolence
Clinical narrative: 28 week and 2 days gestation at time of Tdap administration. Patient reports "extreme fatigue" and inability to stay awake over the course of > 24 hours. She also reports headaches, arm pain and body pain along with swollen at injection site. Denies redness or pain at injection site.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Condition aggravated, Dyspnoea exertional, Erythema
Clinical narrative: On March 2, 2021 I had an ocular migraine in my left eye. On March 3, 2021 I had an ocular migraine in both eyes. On March 4, 2021 it continued in both eyes. On March 5, 2021 I got a rash and my arm swelled up. My whole arm was red. The rash was on my lower arms then the rash started to spread. I started feeling tired and a little feverish on March 9, 2021. In March 2021 I went to see my doctor about it and she said it was probably a reaction to the vaccine. On March 12, 2021 I broke out in shingles, but I think it had it on March 10th because I had a rash that was on my neck, stomach, and arm where I got the vaccine. I got the anti-viral called acyclovir on the 12th of March 2021. The shingles were on the left side and they had spread to my face. This is the first time I had ever had shingles. I started to get a flare up of my scleroderma because my joints were starting to hurt on March 19, 2021. I was also kind of out of breath when walking. My blood pressure would also spike up.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Herpes zoster, Immunisation reaction, Injection site rash, Ophthalmic migraine
Clinical narrative: On March 2, 2021 I had an ocular migraine in my left eye. On March 3, 2021 I had an ocular migraine in both eyes. On March 4, 2021 it continued in both eyes. On March 5, 2021 I got a rash and my arm swelled up. My whole arm was red. The rash was on my lower arms then the rash started to spread. I started feeling tired and a little feverish on March 9, 2021. In March 2021 I went to see my doctor about it and she said it was probably a reaction to the vaccine. On March 12, 2021 I broke out in shingles, but I think it had it on March 10th because I had a rash that was on my neck, stomach, and arm where I got the vaccine. I got the anti-viral called acyclovir on the 12th of March 2021. The shingles were on the left side and they had spread to my face. This is the first time I had ever had shingles. I started to get a flare up of my scleroderma because my joints were starting to hurt on March 19, 2021. I was also kind of out of breath when walking. My blood pressure would also spike up.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Rash, Scleroderma
Clinical narrative: On March 2, 2021 I had an ocular migraine in my left eye. On March 3, 2021 I had an ocular migraine in both eyes. On March 4, 2021 it continued in both eyes. On March 5, 2021 I got a rash and my arm swelled up. My whole arm was red. The rash was on my lower arms then the rash started to spread. I started feeling tired and a little feverish on March 9, 2021. In March 2021 I went to see my doctor about it and she said it was probably a reaction to the vaccine. On March 12, 2021 I broke out in shingles, but I think it had it on March 10th because I had a rash that was on my neck, stomach, and arm where I got the vaccine. I got the anti-viral called acyclovir on the 12th of March 2021. The shingles were on the left side and they had spread to my face. This is the first time I had ever had shingles. I started to get a flare up of my scleroderma because my joints were starting to hurt on March 19, 2021. I was also kind of out of breath when walking. My blood pressure would also spike up.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Headache
Clinical narrative: HEADACHE, FLUSHING OF FACE, FATIGUE, DIZZINESS
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Bone scan, Breast cancer female, Breast cancer stage III, Computerised tomogram
Clinical narrative: Developed sudden onset of breast cancer, stage III
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Mammogram, Ultrasound scan
Clinical narrative: Developed sudden onset of breast cancer, stage III
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal compression fracture
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for Compression fracture of lumbar vertebra within 6 weeks of receiving covid vaccination.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis, Arthralgia, Peripheral swelling, Surgery
Clinical narrative: Appendicitis, left leg swelling, left knee joint pain
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received the Janssen COVID vaccination at age 17 years, 11 months. Patient should not have received the vaccination until he was 18 years of age. He reported no adverse reaction to the Janssen COVID vaccination. VAERS report has been completed because the patient was not yet 18 years of age when he received the vaccination.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No Reaction
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Death, Fall
Clinical narrative: pt brought to hosp from his home after a fall and worsening mental state ; history of positive COVID test 9 days prior; dx with COVID pneumonia; poor prognosis; AKI; DNR;  comfort care; started on comfort medication and kept comfortable until he passed away in the hosp
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, SARS-CoV-2 test positive
Clinical narrative: pt brought to hosp from his home after a fall and worsening mental state ; history of positive COVID test 9 days prior; dx with COVID pneumonia; poor prognosis; AKI; DNR;  comfort care; started on comfort medication and kept comfortable until he passed away in the hosp
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm, Suture removal
Clinical narrative: Pt reports, redness, swelling, warmth and pain in the are of the deltoid, ~5cm oval. Still painful and mild swelling 7 days later. Improving. Denies, itching, hives or throat swelling. Pt reported to different clinic when he presented for suture removal.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No Reactions
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: No adverse effects.  Just got COVID on March 27, 2022
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Pericardial effusion, Peripheral swelling, Pleural effusion, Surgery
Clinical narrative: Blood clot in her legs which led to surgery, and after surgery unable to walk. After months in hospital unable to walk again. Fluid around the heart and lungs, and really swollen right arm.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Blood clot in her legs which led to surgery, and after surgery unable to walk. After months in hospital unable to walk again. Fluid around the heart and lungs, and really swollen right arm.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No Reaction
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Cerebral infarction, Death, Endoscopic ultrasound, Endotracheal intubation
Clinical narrative: Malignant small cell cancer. admitted on 12/27/2021 from planned endoscopy / EUS with hypoxia. She developed worsening resp failure and was intubated with subsequent 7 minute cardiac arrest. She subsequently developed MSOF and severe septic shock. She remains unresponsive off sedation and MRI brain revealed multifocal infarcts. Family were counseled on terminal nature of patients condition and elected to transition to comfort cares. She passed away 1/10/2022. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Magnetic resonance imaging head abnormal, Multiple organ dysfunction syndrome, Respiratory failure, Septic shock
Clinical narrative: Malignant small cell cancer. admitted on 12/27/2021 from planned endoscopy / EUS with hypoxia. She developed worsening resp failure and was intubated with subsequent 7 minute cardiac arrest. She subsequently developed MSOF and severe septic shock. She remains unresponsive off sedation and MRI brain revealed multifocal infarcts. Family were counseled on terminal nature of patients condition and elected to transition to comfort cares. She passed away 1/10/2022. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Small cell lung cancer, Unresponsive to stimuli
Clinical narrative: Malignant small cell cancer. admitted on 12/27/2021 from planned endoscopy / EUS with hypoxia. She developed worsening resp failure and was intubated with subsequent 7 minute cardiac arrest. She subsequently developed MSOF and severe septic shock. She remains unresponsive off sedation and MRI brain revealed multifocal infarcts. Family were counseled on terminal nature of patients condition and elected to transition to comfort cares. She passed away 1/10/2022. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chronic obstructive pulmonary disease, Cystitis
Clinical narrative: Patient presented to the ED and was subsequently hospitalized on 1/28/22 for COPD exacerbation. She also presented to the ED on 1/23/22 for acute cystitis without hematuria, and on 1/25/22 for chest heaviness. These visits are within 6 weeks of receiving covid vaccination.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test, Thrombosis
Clinical narrative: Blood clots in legs went to ER.  Shortness of breathe.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No Reaction
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram ambulatory, Heart rate abnormal, Insomnia
Clinical narrative: After receiving my booster, a week later I was short of breath, a tight feeling in my chest, and my heart felt like it was pounding uncontrollably. It got to the point where I couldn't sleep because the beating of my heart was so loud. I contacted my cardiologist and he stated I had all the symptoms of myocarditis. To get rid of it I was taking 400 mg of ibuprofen 4 times a day for 5 days. My heart rate has been off and have been prescribed metoprolol PRN when symptoms show. I have been struggling and having many of these similar issues as before. I was given a heart monitor for a week and will be seeing my cardiologist this following week to discuss findings.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis, Palpitations
Clinical narrative: After receiving my booster, a week later I was short of breath, a tight feeling in my chest, and my heart felt like it was pounding uncontrollably. It got to the point where I couldn't sleep because the beating of my heart was so loud. I contacted my cardiologist and he stated I had all the symptoms of myocarditis. To get rid of it I was taking 400 mg of ibuprofen 4 times a day for 5 days. My heart rate has been off and have been prescribed metoprolol PRN when symptoms show. I have been struggling and having many of these similar issues as before. I was given a heart monitor for a week and will be seeing my cardiologist this following week to discuss findings.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Patient presents with new onset a fib with RVR. Controlled initially on Diltiazem in ER and now rate is controlled with oral metoprolol. Treated and discharged. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No Reaction
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: expired vaccine. working with Pfizer, recommending repeating dose.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Pain, Periarthritis
Clinical narrative: Patient reports burning pain for several months and she was not able to use her arm in the workplace. Patient states that she is still not able to lift her arm over her head.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pain in extremity, Periarthritis
Clinical narrative: Patient reports burning pain for several months and she was not able to use her arm in the workplace. Patient states that she is still not able to lift her arm over her head.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Bronchial obstruction, Dysphagia, Echocardiogram, Ejection fraction normal
Clinical narrative: Bronchial obstruction. Patient had a history of paroxysmal atrial fibrillation.  Troponin was negative.  Transthoracic echocardiogram showed ejection fraction more than 70%.  Patient was started on metoprolol 12.5mg twice a day.  She was discharged on Eliquis 5 mg twice a day for prophylaxis of thromboembolic complications of atrial fibrillation. Patient was seen by gastroenterology due to dysphagia.  It was felt to be due to previous radiation therapy.  Recommendations were to do outpatient EGD. Patient was discharged home in a stable condition. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: Bronchial obstruction. Patient had a history of paroxysmal atrial fibrillation.  Troponin was negative.  Transthoracic echocardiogram showed ejection fraction more than 70%.  Patient was started on metoprolol 12.5mg twice a day.  She was discharged on Eliquis 5 mg twice a day for prophylaxis of thromboembolic complications of atrial fibrillation. Patient was seen by gastroenterology due to dysphagia.  It was felt to be due to previous radiation therapy.  Recommendations were to do outpatient EGD. Patient was discharged home in a stable condition. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Administered  Pfizer-BioNTech COVID-19 Vaccine (Orange Cap) 0.2ml IM prior to dilution. LOT:  FL0007.  Manufacture date 09/2021 with Expiration date of 05/31/2022 and a beyond use date from Pharmacy of 04/28/2022. Notified provider - FNP, Pharmacist, PHN. Pharmacist also aware. Notified patient's mother at 11:50  AM.  States child is doing OK so far and is running around and playing.  Asked about giving him Tylenol and Motrin.  Either OK per Pharmacist and FNP.  States will be needing more Tylenol and will pick up today at Pharmacy.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, Blood electrolytes, Cellulitis, Computerised tomogram, Electrocardiogram
Clinical narrative: Patient presented to emergency department with 4/4 positive findings for systemic inflammatory response syndrome and lactic acidosis associated with recurrent right lower extremity cellulitis secondary to skin grafting of flame burn sites (45% of total body surface area) suffered 1 year previously. Cultures were positive for methicillin susceptible and resistant Staphylococcus aureus and multi-drug resistant Pseudomonas aeruginosa. Fluid resuscitation and IV antibiotics were initiated and without further eventualities patient was discharged home with follow-up care to include extended outpatient IV antibiotic therapy.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Lactic acidosis, Multiple-drug resistance, Pseudomonas test positive, Skin graft infection
Clinical narrative: Patient presented to emergency department with 4/4 positive findings for systemic inflammatory response syndrome and lactic acidosis associated with recurrent right lower extremity cellulitis secondary to skin grafting of flame burn sites (45% of total body surface area) suffered 1 year previously. Cultures were positive for methicillin susceptible and resistant Staphylococcus aureus and multi-drug resistant Pseudomonas aeruginosa. Fluid resuscitation and IV antibiotics were initiated and without further eventualities patient was discharged home with follow-up care to include extended outpatient IV antibiotic therapy.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test positive, Systemic inflammatory response syndrome
Clinical narrative: Patient presented to emergency department with 4/4 positive findings for systemic inflammatory response syndrome and lactic acidosis associated with recurrent right lower extremity cellulitis secondary to skin grafting of flame burn sites (45% of total body surface area) suffered 1 year previously. Cultures were positive for methicillin susceptible and resistant Staphylococcus aureus and multi-drug resistant Pseudomonas aeruginosa. Fluid resuscitation and IV antibiotics were initiated and without further eventualities patient was discharged home with follow-up care to include extended outpatient IV antibiotic therapy.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Death, Decreased appetite
Clinical narrative: pt admitted to hosp with c/o SOB, body aches, decreased appetite; states had a positive COVID test on 1/6/22, on 2nd round of ABX; rapid COVID test was negative in ED; PCR test was positive; O2 supplementation; COVID pneumonia, ARF with hypoxia, AKI; steroids, ABX, breathing treatments, zinc, vitamins C and D3; proning; DNR/DNI; became hypotensive; transitioned to comfort care; he passed away in the hosp
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypotension, Hypoxia, Pain, SARS-CoV-2 test negative
Clinical narrative: pt admitted to hosp with c/o SOB, body aches, decreased appetite; states had a positive COVID test on 1/6/22, on 2nd round of ABX; rapid COVID test was negative in ED; PCR test was positive; O2 supplementation; COVID pneumonia, ARF with hypoxia, AKI; steroids, ABX, breathing treatments, zinc, vitamins C and D3; proning; DNR/DNI; became hypotensive; transitioned to comfort care; he passed away in the hosp
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt admitted to hosp with c/o SOB, body aches, decreased appetite; states had a positive COVID test on 1/6/22, on 2nd round of ABX; rapid COVID test was negative in ED; PCR test was positive; O2 supplementation; COVID pneumonia, ARF with hypoxia, AKI; steroids, ABX, breathing treatments, zinc, vitamins C and D3; proning; DNR/DNI; became hypotensive; transitioned to comfort care; he passed away in the hosp
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Ear infection, Illness, Magnetic resonance imaging normal, Middle ear effusion
Clinical narrative: Aside from becoming incredibly sick, my ear started ringing noticeably shortly after my second Moderna dose.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo
Clinical narrative: Aside from becoming incredibly sick, my ear started ringing noticeably shortly after my second Moderna dose.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Dialysis, Endotracheal intubation, General physical health deterioration
Clinical narrative: Initially became symptomatic with Covid-19 on 12/20/2021, tested positive on 12/25/2021, admitted to hospital on 12/29/2021.  Treated with steroids, Remdesivir and and in complete course of baricitinib.  Conditioned progressively worsened.  Intubated on 01/11/2022 and had high FiO2 and PEEP requirements.  Renal failure worsened and dialysis initiated on 01/24/2022.  Developed an ileus, developed severe septic shock accompanied by severe metabolic acidosis and hyperkalemia.  Family acknowledged severity of illness and elected to discontinue vent and pressor support.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperkalaemia, Ileus, Illness, Inappropriate schedule of product administration, Lung opacity
Clinical narrative: Initially became symptomatic with Covid-19 on 12/20/2021, tested positive on 12/25/2021, admitted to hospital on 12/29/2021.  Treated with steroids, Remdesivir and and in complete course of baricitinib.  Conditioned progressively worsened.  Intubated on 01/11/2022 and had high FiO2 and PEEP requirements.  Renal failure worsened and dialysis initiated on 01/24/2022.  Developed an ileus, developed severe septic shock accompanied by severe metabolic acidosis and hyperkalemia.  Family acknowledged severity of illness and elected to discontinue vent and pressor support.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mechanical ventilation, Metabolic acidosis, Positive end-expiratory pressure, Renal failure
Clinical narrative: Initially became symptomatic with Covid-19 on 12/20/2021, tested positive on 12/25/2021, admitted to hospital on 12/29/2021.  Treated with steroids, Remdesivir and and in complete course of baricitinib.  Conditioned progressively worsened.  Intubated on 01/11/2022 and had high FiO2 and PEEP requirements.  Renal failure worsened and dialysis initiated on 01/24/2022.  Developed an ileus, developed severe septic shock accompanied by severe metabolic acidosis and hyperkalemia.  Family acknowledged severity of illness and elected to discontinue vent and pressor support.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock
Clinical narrative: Initially became symptomatic with Covid-19 on 12/20/2021, tested positive on 12/25/2021, admitted to hospital on 12/29/2021.  Treated with steroids, Remdesivir and and in complete course of baricitinib.  Conditioned progressively worsened.  Intubated on 01/11/2022 and had high FiO2 and PEEP requirements.  Renal failure worsened and dialysis initiated on 01/24/2022.  Developed an ileus, developed severe septic shock accompanied by severe metabolic acidosis and hyperkalemia.  Family acknowledged severity of illness and elected to discontinue vent and pressor support.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Skin candida, Suicidal ideation
Clinical narrative: Patient presented to the ED on 12/4/2021 for candidal intertrigo. Patient presented to the ED on 12/28/21 for suicidal ideation and was subsequently hospitalized. These visits are within 6 weeks of receiving covid vaccination.
Age: 57.0
Sex: F
Vaccine: IPV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Given the Polio 0.1ml on the left forearm intrademally.  Patient was called to be notify after speaking with Provider and notify. Patient agree to come back into the office. Stated she was feeling fine and advise she could still receive the PPD as sch. Patient agree had PPD done on right forearm No complications to report
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Attention deficit hyperactivity disorder, Bipolar II disorder, Generalised anxiety disorder, Psychomotor hyperactivity
Clinical narrative: Patient returned to the hospital just 3 days after discharging. Generalized anxiety disorder, Attention deficit disorder, unspecified hyperactivity presence, High risk medication use (polypharmacy with multiple controlled substances), Bipolar 2 disorder. Treated in behavioral health and released. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 68.0
Sex: M
Vaccine: PNC13
Symptoms: Product administered to patient of inappropriate age, Product availability issue, Wrong product administered
Clinical narrative: Patient came in for pneumococcal vaccine. Prevnar 13 was administered for first dose. Prevnar 20 was approved via cdc guidelines but not available/not in stock at time of administration.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: COVID symptoms and a positive home test.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Approximately around 3 months after my booster shot, I tested positive for COVID and experienced the following symptoms: Fatigue, Phlegm in my throat, Head congestion and Brain fog. I took Dayquil and Nyquil for treatment, and my symptoms lasted for 2 weeks overall except for my Brain fog which lasted for about 3-4 weeks.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Approximately around 3 months after my booster shot, I tested positive for COVID and experienced the following symptoms: Fatigue, Phlegm in my throat, Head congestion and Brain fog. I took Dayquil and Nyquil for treatment, and my symptoms lasted for 2 weeks overall except for my Brain fog which lasted for about 3-4 weeks.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Increased upper airway secretion, Oropharyngeal pain
Clinical narrative: I got COVID after Dose 3 started with low grad fever, sore throat with a lot of drainage, fatigue and headache symptoms lasted for a week a 1/2.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I got COVID after Dose 3 started with low grad fever, sore throat with a lot of drainage, fatigue and headache symptoms lasted for a week a 1/2.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Behaviour disorder, Fall, Mental status changes
Clinical narrative: Patient admitted to the the hospitalist service on 3/6/22 for evaluation and treatment of AMS associated with falls. Polypharmacy most likely secondary to behaviors  - consultation with tele psyche who recommended discontinuation of :  cogentin, risperdal, zanaflex, topamax, and trazadone  - patient was discharge on minimal antipsychotic medications ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Death, Dyspnoea, Hypoxia
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Moderna product on 12/30/2020, 01/27/2021, and 11/01/2021. The individual became symptomatic for COVID-19 approximately 01/15/2022 and tested positive on 01/18/2022 at the assisted living facility at which they were a resident. The individual was brought to emergency department on 01/22/2022 with primary complaints of hypoxia and shortness of breath. They were admitted to hospital on 01/22/2022. They were found to have had a myocardial infarction and an acute kidney injury. The individual refused any further lab workups and treatment and was transitioned to comfort cares only. The individual died on 01/23/2022. The hospital discharge notes indicate that no autopsy was performed.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myocardial infarction, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Moderna product on 12/30/2020, 01/27/2021, and 11/01/2021. The individual became symptomatic for COVID-19 approximately 01/15/2022 and tested positive on 01/18/2022 at the assisted living facility at which they were a resident. The individual was brought to emergency department on 01/22/2022 with primary complaints of hypoxia and shortness of breath. They were admitted to hospital on 01/22/2022. They were found to have had a myocardial infarction and an acute kidney injury. The individual refused any further lab workups and treatment and was transitioned to comfort cares only. The individual died on 01/23/2022. The hospital discharge notes indicate that no autopsy was performed.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Aphonia, Body temperature increased, COVID-19, Cough, Feeling abnormal
Clinical narrative: On January 15th at 08:00AM I started having brain fog and off. I didn't really feel very sick but after work I took my temperature and I was at 101. Over the course of the night I was at 104 and by the 16th I was 101. After that I was at 99-100 for next couple of days. I had a cough and lost my voice and that's about it. I took an at-home Covid test on January 15th and it was negative and another on the 16th and it was positive. I called the nurse line and I was told to take a steamy shower and drink warm liquids. My mom found me a clinic for Monoclonal antibodies treatment for a Sotrovimab Xevudy infusion. I was already steadily improving and I can't really say if the infusion helped because I wasn't suffering severe symptoms.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: On January 15th at 08:00AM I started having brain fog and off. I didn't really feel very sick but after work I took my temperature and I was at 101. Over the course of the night I was at 104 and by the 16th I was 101. After that I was at 99-100 for next couple of days. I had a cough and lost my voice and that's about it. I took an at-home Covid test on January 15th and it was negative and another on the 16th and it was positive. I called the nurse line and I was told to take a steamy shower and drink warm liquids. My mom found me a clinic for Monoclonal antibodies treatment for a Sotrovimab Xevudy infusion. I was already steadily improving and I can't really say if the infusion helped because I wasn't suffering severe symptoms.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fatigue, Headache, Rhinorrhoea
Clinical narrative: Constant headaches.  Sinus drainage, especially in AM.  Tired an.d can?t do exercise due being out of breath in short period of time
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Dyspnoea, Gastrointestinal haemorrhage, Leukocytosis
Clinical narrative: Diagnosed with covid and presented to ED with labored respirations, and edema of both lower extremities.  Started on IV heparin by continuous infusion.  Completed Remdesivir.  GI bleed, and 1 unite of PRBC transfused.  Family requested hospice care.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Pelvic venous thrombosis, Procalcitonin increased, Red blood cell transfusion, Ultrasound Doppler abnormal
Clinical narrative: Diagnosed with covid and presented to ED with labored respirations, and edema of both lower extremities.  Started on IV heparin by continuous infusion.  Completed Remdesivir.  GI bleed, and 1 unite of PRBC transfused.  Family requested hospice care.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Diagnosed with covid and presented to ED with labored respirations, and edema of both lower extremities.  Started on IV heparin by continuous infusion.  Completed Remdesivir.  GI bleed, and 1 unite of PRBC transfused.  Family requested hospice care.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Interchange of vaccine products, Rash
Clinical narrative: I broke out in a severe rash 4 weeks after vaccine #3 (Pfizer), went to ER per transplant team and was successfuly treated with 50mg of prednisone for 5 days (prior two vaccines were Moderna - both uneventful); then I tested positive for Covid19 on 1/1/22,  had a monoclonal antibodies infusion on 1/2/22 and broker out into a much worse full-body rash, was successfully treated with 50 mg prednisone for 5 days but after waiting about 2 days to get an order; and on 3.25.22 I received my 4th vaccine (Moderna) at a sponsored clinic and 24 hours later I broke out into a full body rash again, not as bad as after the infusion, contacted the team at Facility and was given a prescription for 5 days of 50 mg of prednisone - all good after 3 doses and now all 5 are done.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis, Blindness, Cardiac dysfunction, Hypoperfusion, Orthostatic hypotension
Clinical narrative: Binocular vision loss - Vascular consulted: felt central pathology more likely etiology (Atherosclerosis vs poor cardiac function) rather than focal carotid or vertebral artery pathology alone.  Recommend consider cardiology consultation, antiplatelet agent, high-intensity statin.  Vascular consulted: felt central pathology more likely etiology (Atherosclerosis vs poor cardiac function) rather than focal carotid or vertebral artery pathology alone.  Recommend consider cardiology consultation, antiplatelet agent, high-intensity statin.  In summary suspect his visual symptoms were related to hypoperfusion due to orthostatic hypotension.  The symptoms improved with fluid resuscitation, stopping amlodipine, losartan, Robaxin.  Sodium bicarb was started by nephrology, possibly losing bicarb with his ostomy output. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: hair loss
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Central venous catheterisation, Computerised tomogram abnormal, Portal vein thrombosis, Streptococcal bacteraemia
Clinical narrative: Streptococcal bacteremia. A CT scan on 10/9/21 indicated that she has a portal vein thromboses.  She was started on a heparin drip 48 hours post-operatively.  Her case was also discussed with hematology who recommended Xarelto or Eliquis for a duration of 3 months.   She was also found to be bacteremic with streptococcus gordonii and infectious disease was consulted for antibiotic management.  She required a long term dose of IV Ceftriaxone through 10/27/21 and will discharge to home with a PICC and HHC,  ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Extra dose administered, Feeling abnormal
Clinical narrative: pt stated after getting her 2nd Pfizer Booster she initially felt flushed, ill and lightheaded.  She waited 30 minutes before leaving the vax location.  She went home and called the clinic back to let them know she was having a reaction to the vaccine and that the lady that gave her the vaccine had left the room and came back in the room before giving  her the shot, so she was concerned on what she was actually given.  Upon getting home she developed severe flu like symptoms.  She became nauseous, had chills and fever, had a headache, ringing in the right ear and diarhea later in the evening.   She was not expecting to feel this bad after not having any issues with the other 3 injections.   The ringing in the ears only lasted one day but the other flu like symptoms lingered around for three days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Headache, Illness, Influenza like illness, Nausea
Clinical narrative: pt stated after getting her 2nd Pfizer Booster she initially felt flushed, ill and lightheaded.  She waited 30 minutes before leaving the vax location.  She went home and called the clinic back to let them know she was having a reaction to the vaccine and that the lady that gave her the vaccine had left the room and came back in the room before giving  her the shot, so she was concerned on what she was actually given.  Upon getting home she developed severe flu like symptoms.  She became nauseous, had chills and fever, had a headache, ringing in the right ear and diarhea later in the evening.   She was not expecting to feel this bad after not having any issues with the other 3 injections.   The ringing in the ears only lasted one day but the other flu like symptoms lingered around for three days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus
Clinical narrative: pt stated after getting her 2nd Pfizer Booster she initially felt flushed, ill and lightheaded.  She waited 30 minutes before leaving the vax location.  She went home and called the clinic back to let them know she was having a reaction to the vaccine and that the lady that gave her the vaccine had left the room and came back in the room before giving  her the shot, so she was concerned on what she was actually given.  Upon getting home she developed severe flu like symptoms.  She became nauseous, had chills and fever, had a headache, ringing in the right ear and diarhea later in the evening.   She was not expecting to feel this bad after not having any issues with the other 3 injections.   The ringing in the ears only lasted one day but the other flu like symptoms lingered around for three days.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Swelling face
Clinical narrative: Employee Candidate came to Employee Health and said she has swelling in right lower jaw.  States she doesn't have any pain.  Came in to Employee Health to report because the only thing different she knew of was getting the MMR on 3/29/22.