chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Experienced chills about 2 am, tested for fever at 3:30 pm (101 degrees F), pain in right arm and inability to raise arm without pain. All symptoms abated by 12/24/2021.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt received 2 doses of Pfizer COVID-19 Vaccine (3/25/2021 & 4/15/2021). On/around 12/29/2021, pt developed SOB. On 12/22/21, she presented to the hospital. On 12/23/2021, she tested positive for acute COVID-19 infection.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Tunnel vision
Clinical narrative: 3 minutes after the injection, I immediately experienced sweating from head to toe, followed by tunnel vision. I was certain if I stood up,  I would've fainted. After 10 minutes, the symptoms disappeared completely quickly as they appeared. I thought maybe it could've been psychosomatic, but I had no trouble with the first 2 doses and had nothing at all like that on my mind.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Client received pediatric rather than adult dose.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Joint injury, Loss of consciousness, Peripheral swelling, Stress fracture
Clinical narrative: Patient blacked-out (unconscious) in the bathroom (two and half hours after the Moderna booster shot). He fell down and realized he was on the floor. He injured his left leg (ankle), and could not get up on his own. He asked for help. Saw orthopedic doctor. On x-ray, doctor saw hairline fracture in the left ankle. His leg was swollen and could not put weight on it. Doctor recommended wearing boots for 6 months.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Patient blacked-out (unconscious) in the bathroom (two and half hours after the Moderna booster shot). He fell down and realized he was on the floor. He injured his left leg (ankle), and could not get up on his own. He asked for help. Saw orthopedic doctor. On x-ray, doctor saw hairline fracture in the left ankle. His leg was swollen and could not put weight on it. Doctor recommended wearing boots for 6 months.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Electrocardiogram abnormal, Enzyme activity normal, Full blood count, Heart rate increased
Clinical narrative: Within 24 hours of receiving my booster, I had a sudden onset of heart palpitations and a racing heart. My pulse was around 100 BPM and would not go down. I could tell I was experiencing arrhythmia. It was diagnosed yesterday from the Hospital to be Sinus Arrhythmia. I had an EKG, complete blood comprehensive panel and checked my blood enzymes. The enzymes were excellent. There was no indication of myocarditis or pericarditis. Based on my blood work, my white blood cell count was normal.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Sinus arrhythmia, White blood cell count normal
Clinical narrative: Within 24 hours of receiving my booster, I had a sudden onset of heart palpitations and a racing heart. My pulse was around 100 BPM and would not go down. I could tell I was experiencing arrhythmia. It was diagnosed yesterday from the Hospital to be Sinus Arrhythmia. I had an EKG, complete blood comprehensive panel and checked my blood enzymes. The enzymes were excellent. There was no indication of myocarditis or pericarditis. Based on my blood work, my white blood cell count was normal.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Vomiting, Weight decreased
Clinical narrative: Vomiting and Diarrhea with 10% dehydration by weight loss
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, Death, Endotracheal intubation
Clinical narrative: pt to ED with altered mental state x 2-3days; went into respiratory failure and stop shock; intubated with mechanical ventilation; pt's COVID test was positive; condition deteriorated; per death certificate pt died in the hosp; AHRF due to COVID, septic shock, AKI.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Mechanical ventilation, Mental disorder, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: pt to ED with altered mental state x 2-3days; went into respiratory failure and stop shock; intubated with mechanical ventilation; pt's COVID test was positive; condition deteriorated; per death certificate pt died in the hosp; AHRF due to COVID, septic shock, AKI.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Septic shock
Clinical narrative: pt to ED with altered mental state x 2-3days; went into respiratory failure and stop shock; intubated with mechanical ventilation; pt's COVID test was positive; condition deteriorated; per death certificate pt died in the hosp; AHRF due to COVID, septic shock, AKI.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Oral herpes, Swelling face, Urticaria
Clinical narrative: After receiving the Janssen vaccine I endured full body hives, cold sores inside my mouth, and extreme effects to my blood sugar.  I also had jaw swelling that extended up into my cheek.  I  ended up having to make a trip to a medical facility
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received in error 0.3ml of the pf Covid-19 vaccine the 17- 12yr dose vs the 11-5yr dose. Patient tolerated the vaccine well with no adverse immediate reaction.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: Missed period
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Shingels on left hand/wrist, over 5 weeks now. No pain everything else.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Blood test, Computerised tomogram, Myalgia
Clinical narrative: 48 hours after being vaccinated, my muscles in my arm were really painful and sore abnormally. I couldn't pick up my newborn and then, I got a sharp pain by my kidney, and I felt like I was having labor contractions. I was in crippling pain, and nothing would relieve the pain. The pain radiated from my stomach to my back. Went to the ER the same day.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Renal pain
Clinical narrative: 48 hours after being vaccinated, my muscles in my arm were really painful and sore abnormally. I couldn't pick up my newborn and then, I got a sharp pain by my kidney, and I felt like I was having labor contractions. I was in crippling pain, and nothing would relieve the pain. The pain radiated from my stomach to my back. Went to the ER the same day.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated on 3-12-21 and tested positive for COVID on 11-20-21.  He expired 12-17-21.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Injection site pain, Injection site swelling, Lymph node pain
Clinical narrative: I was very sleepy and tired. I had swollen and pain where the injection site.  A week later, I was still very fatigue.  I had sneezing, nose running, and diarrhea. My lymph nodes in my face was a little sore and swollen.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Rhinorrhoea, Sneezing, Somnolence
Clinical narrative: I was very sleepy and tired. I had swollen and pain where the injection site.  A week later, I was still very fatigue.  I had sneezing, nose running, and diarrhea. My lymph nodes in my face was a little sore and swollen.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hive-like rash with intense itching began on 26Dec2021,  starting with abdomen and upper and left side on back. It then spread to upper left arm and shoulder. I took 1 Benadryl which decreased rash on abdomen within a few hours. Noticed rash had spread to left side of neck and a new patch formed in groin area.  Before going to sleep I took another Benadryl. Upon waking the rash on the abdomen had disappeared but the rash on my neck worsened, and spread into my scalp. Rash noticed on eyelids, forehead, and chin.  A few hours later itchiness noticed on arms and hands. New rash appeared on lower back. Another Benadryl tablet taken.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Nausea, Pallor, Presyncope
Clinical narrative: The patient had a vasovagal response about 10 minutes into the 15 minute holding protocol. Passed out in the chair, got pale, and very sweaty. The patient came to after about 1 minute. Stayed conscious enough to sip water and say he was ok.. He then passed out again. We called 911, an ambulance came, but the patient didn't want to be taken to the hospital. The patient then sat for another 15 to 20 minutes.  He had regained his color, and was no longer nauseous. He went home after this additional waiting period.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Cardiac monitoring abnormal, Catheterisation cardiac normal, Echocardiogram, Electrocardiogram
Clinical narrative: Syncope 3/24/2021, ER visit 3/24/2021, Syncope in 4/2021, 5/2021, 6/2021  Syncope on 7/22/2021, 7/26/2021, 7/27/2021 ER visit with Cardiac Arrest and Syncope on 7/29/2021 . Admit to hosp. From 7/29/2021-8/03/2021. Implanted loop recorder with monitor by heart clinic on 8/2/2021. On 10/20/2021 had episode and diagnosed   with polymorphic ventricular tachycardia related to Clovid 19 vaccine and had immediate Heart Catheterization and no blockage found so was immediately taken to have an Implantable cardioverter defibrillator and loop recorder removed. Have to take medication [toporol and amiodarone].
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram, Fibrin D dimer increased, Implantable cardiac monitor insertion, Implantable defibrillator insertion, Implantable defibrillator removal
Clinical narrative: Syncope 3/24/2021, ER visit 3/24/2021, Syncope in 4/2021, 5/2021, 6/2021  Syncope on 7/22/2021, 7/26/2021, 7/27/2021 ER visit with Cardiac Arrest and Syncope on 7/29/2021 . Admit to hosp. From 7/29/2021-8/03/2021. Implanted loop recorder with monitor by heart clinic on 8/2/2021. On 10/20/2021 had episode and diagnosed   with polymorphic ventricular tachycardia related to Clovid 19 vaccine and had immediate Heart Catheterization and no blockage found so was immediately taken to have an Implantable cardioverter defibrillator and loop recorder removed. Have to take medication [toporol and amiodarone].
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Medical device removal, Positron emission tomogram, Syncope, Ventricular tachycardia
Clinical narrative: Syncope 3/24/2021, ER visit 3/24/2021, Syncope in 4/2021, 5/2021, 6/2021  Syncope on 7/22/2021, 7/26/2021, 7/27/2021 ER visit with Cardiac Arrest and Syncope on 7/29/2021 . Admit to hosp. From 7/29/2021-8/03/2021. Implanted loop recorder with monitor by heart clinic on 8/2/2021. On 10/20/2021 had episode and diagnosed   with polymorphic ventricular tachycardia related to Clovid 19 vaccine and had immediate Heart Catheterization and no blockage found so was immediately taken to have an Implantable cardioverter defibrillator and loop recorder removed. Have to take medication [toporol and amiodarone].
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral palsy, Herpes zoster, Magnetic resonance imaging
Clinical narrative: Was prescribed medications for Shingles by healthcare provider. Was diagnosed with Cerebral Palsy; has been seen by neurologist.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Bacteraemia, Bacterial test positive, Blood culture positive
Clinical narrative: Deceased 12/16/2021; Hospitalized 12/15/2021; COVID-19 positive 12/15/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 12/15 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 86 year old male with past medical history significant for non-hodkin's lymphoma, CAD, CABG in 1992, COPD, DMT2 who presented to the ED 12/15 with altered mental status and SOB. He was in respiratory distress upon arrival to ED and was intubated. Found to be COVID positive. He developed septic shock requiring Epi, NE, and vasopressin. Blood cultures positive for GPCs in pairs and chains. Strep pneumo urine antigen negative. UA positive for blood, bacteria, leukocytes. He was started on broad spectrum antibiotics. Labs were notable for AKI, elevated troponin, leukocytosis, thrombocytopenia. On 12/16am, patient developed pulseless VT. ROSC after ~7 minutes. US 12/16 showing right peroneal vein DVT.    GOC discussion with family 12/16: All family in agreement that patient would never be happy with a quality of life where he was dependent on machines or others to help hi live. He would never want to be confined to a nursing home. If he could not go back to the quality of life he had before admission, he would not want to continue care. Given heart failure/cardiac arrest, circulatory shock, acute renal failure, bacteremia, underlying lymphoma that cannot be treated at present time, and COVID requiring a ventilator, family is requesting DNR with plans to transition to comfort care this afternoon after daughter arrives. All family in agreement. Dr. present for length of goals of care discussion (see separate note) and in agreement with plan.  On follow up, all children and spouse present and in agreement to withdraw care. Patient has one brother who family has been keeping updated and in agreement with whatever patient's spouse and children decide. Family tearful but appropriate. Dr. updated.   I was called by nurse for signs of death. On exam, no heart or lung sounds auscultated for 2 minutes. No palpable pulse for two minutes. No discernible chest rise or fall. No spontaneous movements. Pupils fixed and dilated. No response to noxious stimuli. Time of death 1615. Dr. updated.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood urine present, Breath sounds absent, COVID-19, Cardiac arrest, Cardiac failure
Clinical narrative: Deceased 12/16/2021; Hospitalized 12/15/2021; COVID-19 positive 12/15/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 12/15 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 86 year old male with past medical history significant for non-hodkin's lymphoma, CAD, CABG in 1992, COPD, DMT2 who presented to the ED 12/15 with altered mental status and SOB. He was in respiratory distress upon arrival to ED and was intubated. Found to be COVID positive. He developed septic shock requiring Epi, NE, and vasopressin. Blood cultures positive for GPCs in pairs and chains. Strep pneumo urine antigen negative. UA positive for blood, bacteria, leukocytes. He was started on broad spectrum antibiotics. Labs were notable for AKI, elevated troponin, leukocytosis, thrombocytopenia. On 12/16am, patient developed pulseless VT. ROSC after ~7 minutes. US 12/16 showing right peroneal vein DVT.    GOC discussion with family 12/16: All family in agreement that patient would never be happy with a quality of life where he was dependent on machines or others to help hi live. He would never want to be confined to a nursing home. If he could not go back to the quality of life he had before admission, he would not want to continue care. Given heart failure/cardiac arrest, circulatory shock, acute renal failure, bacteremia, underlying lymphoma that cannot be treated at present time, and COVID requiring a ventilator, family is requesting DNR with plans to transition to comfort care this afternoon after daughter arrives. All family in agreement. Dr. present for length of goals of care discussion (see separate note) and in agreement with plan.  On follow up, all children and spouse present and in agreement to withdraw care. Patient has one brother who family has been keeping updated and in agreement with whatever patient's spouse and children decide. Family tearful but appropriate. Dr. updated.   I was called by nurse for signs of death. On exam, no heart or lung sounds auscultated for 2 minutes. No palpable pulse for two minutes. No discernible chest rise or fall. No spontaneous movements. Pupils fixed and dilated. No response to noxious stimuli. Time of death 1615. Dr. updated.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Death, Deep vein thrombosis, Dyspnoea, Endotracheal intubation
Clinical narrative: Deceased 12/16/2021; Hospitalized 12/15/2021; COVID-19 positive 12/15/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 12/15 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 86 year old male with past medical history significant for non-hodkin's lymphoma, CAD, CABG in 1992, COPD, DMT2 who presented to the ED 12/15 with altered mental status and SOB. He was in respiratory distress upon arrival to ED and was intubated. Found to be COVID positive. He developed septic shock requiring Epi, NE, and vasopressin. Blood cultures positive for GPCs in pairs and chains. Strep pneumo urine antigen negative. UA positive for blood, bacteria, leukocytes. He was started on broad spectrum antibiotics. Labs were notable for AKI, elevated troponin, leukocytosis, thrombocytopenia. On 12/16am, patient developed pulseless VT. ROSC after ~7 minutes. US 12/16 showing right peroneal vein DVT.    GOC discussion with family 12/16: All family in agreement that patient would never be happy with a quality of life where he was dependent on machines or others to help hi live. He would never want to be confined to a nursing home. If he could not go back to the quality of life he had before admission, he would not want to continue care. Given heart failure/cardiac arrest, circulatory shock, acute renal failure, bacteremia, underlying lymphoma that cannot be treated at present time, and COVID requiring a ventilator, family is requesting DNR with plans to transition to comfort care this afternoon after daughter arrives. All family in agreement. Dr. present for length of goals of care discussion (see separate note) and in agreement with plan.  On follow up, all children and spouse present and in agreement to withdraw care. Patient has one brother who family has been keeping updated and in agreement with whatever patient's spouse and children decide. Family tearful but appropriate. Dr. updated.   I was called by nurse for signs of death. On exam, no heart or lung sounds auscultated for 2 minutes. No palpable pulse for two minutes. No discernible chest rise or fall. No spontaneous movements. Pupils fixed and dilated. No response to noxious stimuli. Time of death 1615. Dr. updated.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart sounds abnormal, Impaired quality of life, Laboratory test abnormal, Leukocytosis, Lymphoma
Clinical narrative: Deceased 12/16/2021; Hospitalized 12/15/2021; COVID-19 positive 12/15/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 12/15 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 86 year old male with past medical history significant for non-hodkin's lymphoma, CAD, CABG in 1992, COPD, DMT2 who presented to the ED 12/15 with altered mental status and SOB. He was in respiratory distress upon arrival to ED and was intubated. Found to be COVID positive. He developed septic shock requiring Epi, NE, and vasopressin. Blood cultures positive for GPCs in pairs and chains. Strep pneumo urine antigen negative. UA positive for blood, bacteria, leukocytes. He was started on broad spectrum antibiotics. Labs were notable for AKI, elevated troponin, leukocytosis, thrombocytopenia. On 12/16am, patient developed pulseless VT. ROSC after ~7 minutes. US 12/16 showing right peroneal vein DVT.    GOC discussion with family 12/16: All family in agreement that patient would never be happy with a quality of life where he was dependent on machines or others to help hi live. He would never want to be confined to a nursing home. If he could not go back to the quality of life he had before admission, he would not want to continue care. Given heart failure/cardiac arrest, circulatory shock, acute renal failure, bacteremia, underlying lymphoma that cannot be treated at present time, and COVID requiring a ventilator, family is requesting DNR with plans to transition to comfort care this afternoon after daughter arrives. All family in agreement. Dr. present for length of goals of care discussion (see separate note) and in agreement with plan.  On follow up, all children and spouse present and in agreement to withdraw care. Patient has one brother who family has been keeping updated and in agreement with whatever patient's spouse and children decide. Family tearful but appropriate. Dr. updated.   I was called by nurse for signs of death. On exam, no heart or lung sounds auscultated for 2 minutes. No palpable pulse for two minutes. No discernible chest rise or fall. No spontaneous movements. Pupils fixed and dilated. No response to noxious stimuli. Time of death 1615. Dr. updated.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mechanical ventilation, Mental status changes, Mydriasis, Non-Hodgkin's lymphoma, Pulse absent
Clinical narrative: Deceased 12/16/2021; Hospitalized 12/15/2021; COVID-19 positive 12/15/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 12/15 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 86 year old male with past medical history significant for non-hodkin's lymphoma, CAD, CABG in 1992, COPD, DMT2 who presented to the ED 12/15 with altered mental status and SOB. He was in respiratory distress upon arrival to ED and was intubated. Found to be COVID positive. He developed septic shock requiring Epi, NE, and vasopressin. Blood cultures positive for GPCs in pairs and chains. Strep pneumo urine antigen negative. UA positive for blood, bacteria, leukocytes. He was started on broad spectrum antibiotics. Labs were notable for AKI, elevated troponin, leukocytosis, thrombocytopenia. On 12/16am, patient developed pulseless VT. ROSC after ~7 minutes. US 12/16 showing right peroneal vein DVT.    GOC discussion with family 12/16: All family in agreement that patient would never be happy with a quality of life where he was dependent on machines or others to help hi live. He would never want to be confined to a nursing home. If he could not go back to the quality of life he had before admission, he would not want to continue care. Given heart failure/cardiac arrest, circulatory shock, acute renal failure, bacteremia, underlying lymphoma that cannot be treated at present time, and COVID requiring a ventilator, family is requesting DNR with plans to transition to comfort care this afternoon after daughter arrives. All family in agreement. Dr. present for length of goals of care discussion (see separate note) and in agreement with plan.  On follow up, all children and spouse present and in agreement to withdraw care. Patient has one brother who family has been keeping updated and in agreement with whatever patient's spouse and children decide. Family tearful but appropriate. Dr. updated.   I was called by nurse for signs of death. On exam, no heart or lung sounds auscultated for 2 minutes. No palpable pulse for two minutes. No discernible chest rise or fall. No spontaneous movements. Pupils fixed and dilated. No response to noxious stimuli. Time of death 1615. Dr. updated.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pupil fixed, Respiratory distress, SARS-CoV-2 test positive, Sepsis, Shock
Clinical narrative: Deceased 12/16/2021; Hospitalized 12/15/2021; COVID-19 positive 12/15/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 12/15 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 86 year old male with past medical history significant for non-hodkin's lymphoma, CAD, CABG in 1992, COPD, DMT2 who presented to the ED 12/15 with altered mental status and SOB. He was in respiratory distress upon arrival to ED and was intubated. Found to be COVID positive. He developed septic shock requiring Epi, NE, and vasopressin. Blood cultures positive for GPCs in pairs and chains. Strep pneumo urine antigen negative. UA positive for blood, bacteria, leukocytes. He was started on broad spectrum antibiotics. Labs were notable for AKI, elevated troponin, leukocytosis, thrombocytopenia. On 12/16am, patient developed pulseless VT. ROSC after ~7 minutes. US 12/16 showing right peroneal vein DVT.    GOC discussion with family 12/16: All family in agreement that patient would never be happy with a quality of life where he was dependent on machines or others to help hi live. He would never want to be confined to a nursing home. If he could not go back to the quality of life he had before admission, he would not want to continue care. Given heart failure/cardiac arrest, circulatory shock, acute renal failure, bacteremia, underlying lymphoma that cannot be treated at present time, and COVID requiring a ventilator, family is requesting DNR with plans to transition to comfort care this afternoon after daughter arrives. All family in agreement. Dr. present for length of goals of care discussion (see separate note) and in agreement with plan.  On follow up, all children and spouse present and in agreement to withdraw care. Patient has one brother who family has been keeping updated and in agreement with whatever patient's spouse and children decide. Family tearful but appropriate. Dr. updated.   I was called by nurse for signs of death. On exam, no heart or lung sounds auscultated for 2 minutes. No palpable pulse for two minutes. No discernible chest rise or fall. No spontaneous movements. Pupils fixed and dilated. No response to noxious stimuli. Time of death 1615. Dr. updated.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Streptococcus test negative, Thrombocytopenia, Troponin increased, Ultrasound scan abnormal, Unresponsive to stimuli
Clinical narrative: Deceased 12/16/2021; Hospitalized 12/15/2021; COVID-19 positive 12/15/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 12/15 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 86 year old male with past medical history significant for non-hodkin's lymphoma, CAD, CABG in 1992, COPD, DMT2 who presented to the ED 12/15 with altered mental status and SOB. He was in respiratory distress upon arrival to ED and was intubated. Found to be COVID positive. He developed septic shock requiring Epi, NE, and vasopressin. Blood cultures positive for GPCs in pairs and chains. Strep pneumo urine antigen negative. UA positive for blood, bacteria, leukocytes. He was started on broad spectrum antibiotics. Labs were notable for AKI, elevated troponin, leukocytosis, thrombocytopenia. On 12/16am, patient developed pulseless VT. ROSC after ~7 minutes. US 12/16 showing right peroneal vein DVT.    GOC discussion with family 12/16: All family in agreement that patient would never be happy with a quality of life where he was dependent on machines or others to help hi live. He would never want to be confined to a nursing home. If he could not go back to the quality of life he had before admission, he would not want to continue care. Given heart failure/cardiac arrest, circulatory shock, acute renal failure, bacteremia, underlying lymphoma that cannot be treated at present time, and COVID requiring a ventilator, family is requesting DNR with plans to transition to comfort care this afternoon after daughter arrives. All family in agreement. Dr. present for length of goals of care discussion (see separate note) and in agreement with plan.  On follow up, all children and spouse present and in agreement to withdraw care. Patient has one brother who family has been keeping updated and in agreement with whatever patient's spouse and children decide. Family tearful but appropriate. Dr. updated.   I was called by nurse for signs of death. On exam, no heart or lung sounds auscultated for 2 minutes. No palpable pulse for two minutes. No discernible chest rise or fall. No spontaneous movements. Pupils fixed and dilated. No response to noxious stimuli. Time of death 1615. Dr. updated.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis abnormal, Urine leukocyte esterase positive, Ventricular tachycardia
Clinical narrative: Deceased 12/16/2021; Hospitalized 12/15/2021; COVID-19 positive 12/15/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 12/15 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 86 year old male with past medical history significant for non-hodkin's lymphoma, CAD, CABG in 1992, COPD, DMT2 who presented to the ED 12/15 with altered mental status and SOB. He was in respiratory distress upon arrival to ED and was intubated. Found to be COVID positive. He developed septic shock requiring Epi, NE, and vasopressin. Blood cultures positive for GPCs in pairs and chains. Strep pneumo urine antigen negative. UA positive for blood, bacteria, leukocytes. He was started on broad spectrum antibiotics. Labs were notable for AKI, elevated troponin, leukocytosis, thrombocytopenia. On 12/16am, patient developed pulseless VT. ROSC after ~7 minutes. US 12/16 showing right peroneal vein DVT.    GOC discussion with family 12/16: All family in agreement that patient would never be happy with a quality of life where he was dependent on machines or others to help hi live. He would never want to be confined to a nursing home. If he could not go back to the quality of life he had before admission, he would not want to continue care. Given heart failure/cardiac arrest, circulatory shock, acute renal failure, bacteremia, underlying lymphoma that cannot be treated at present time, and COVID requiring a ventilator, family is requesting DNR with plans to transition to comfort care this afternoon after daughter arrives. All family in agreement. Dr. present for length of goals of care discussion (see separate note) and in agreement with plan.  On follow up, all children and spouse present and in agreement to withdraw care. Patient has one brother who family has been keeping updated and in agreement with whatever patient's spouse and children decide. Family tearful but appropriate. Dr. updated.   I was called by nurse for signs of death. On exam, no heart or lung sounds auscultated for 2 minutes. No palpable pulse for two minutes. No discernible chest rise or fall. No spontaneous movements. Pupils fixed and dilated. No response to noxious stimuli. Time of death 1615. Dr. updated.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Cough, Dizziness, Headache
Clinical narrative: Right after the vaccine developed severe arm pain, dizziness and headache. That same night of the dose I developed a high fever, severe muscle aches pains, bad sore throat, severe cough and chest pains, with my oxygen dropping to 88-91%. These symptoms lasted up to ( ? days and was not able to even get out of bed. It felt like catching COVID all over again.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperpyrexia, Mobility decreased, Myalgia, Oropharyngeal pain, Pain in extremity
Clinical narrative: Right after the vaccine developed severe arm pain, dizziness and headache. That same night of the dose I developed a high fever, severe muscle aches pains, bad sore throat, severe cough and chest pains, with my oxygen dropping to 88-91%. These symptoms lasted up to ( ? days and was not able to even get out of bed. It felt like catching COVID all over again.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Ovarian cyst
Clinical narrative: Right after receiving the vaccine I didn't really have any adverse effects except tiredness. When I went to my gynecologist appointment they found a 2 inch cyst that was located on my right ovary. I haven't had troubles with cyst before. I have an upcoming follow up appointment on Wednesday for an ultrasound.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Patient complained of Chest Pain. Workup showed no cardiac cause. Patient was treated in Emergency Room and prescribed Aspirin 81mg for one month in case there was a cardiac cause. Patient sent home.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Headache, SARS-CoV-2 test positive
Clinical narrative: COVID-19 symptoms started on December 21 with sinus congestion, coughing, 1 day of weakness, scratchy throat, and headache. I tested positive for COVID-19 on December 22. This is still ongoing.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Throat irritation
Clinical narrative: COVID-19 symptoms started on December 21 with sinus congestion, coughing, 1 day of weakness, scratchy throat, and headache. I tested positive for COVID-19 on December 22. This is still ongoing.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: I had body aches, fatigue, fever, and chills.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: I went to Urgent Care to get a PCR test because of COVID-like symptoms that had lasted longer than booster side effects should. I missed work that day and the next because of fatigue and cough. Here's the timeline of symptoms starting with the booster on 12/16:  four days of intermittent fatigue, chills, muscle aches, diarrhea, and I think runny nose. Then starting Mon 12/20, 3 days of fatigues, headache, nasal congestion, rattling in throat/chest and cough -- sometimes dry, sometimes rattling, which made me thing of asthma cough. Worked fewer hours than usual those days. Then starting Thu 12/23 until today (12/27), fatigue; congestion in nose, sinuses, upper chest, and occasionally ears; cough; occasional breathlessness after light exertion. All the symptoms except cough and upper chest congestion/rattle have decreased over that period and are nearly gone.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nasal congestion, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I went to Urgent Care to get a PCR test because of COVID-like symptoms that had lasted longer than booster side effects should. I missed work that day and the next because of fatigue and cough. Here's the timeline of symptoms starting with the booster on 12/16:  four days of intermittent fatigue, chills, muscle aches, diarrhea, and I think runny nose. Then starting Mon 12/20, 3 days of fatigues, headache, nasal congestion, rattling in throat/chest and cough -- sometimes dry, sometimes rattling, which made me thing of asthma cough. Worked fewer hours than usual those days. Then starting Thu 12/23 until today (12/27), fatigue; congestion in nose, sinuses, upper chest, and occasionally ears; cough; occasional breathlessness after light exertion. All the symptoms except cough and upper chest congestion/rattle have decreased over that period and are nearly gone.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Wheezing
Clinical narrative: I went to Urgent Care to get a PCR test because of COVID-like symptoms that had lasted longer than booster side effects should. I missed work that day and the next because of fatigue and cough. Here's the timeline of symptoms starting with the booster on 12/16:  four days of intermittent fatigue, chills, muscle aches, diarrhea, and I think runny nose. Then starting Mon 12/20, 3 days of fatigues, headache, nasal congestion, rattling in throat/chest and cough -- sometimes dry, sometimes rattling, which made me thing of asthma cough. Worked fewer hours than usual those days. Then starting Thu 12/23 until today (12/27), fatigue; congestion in nose, sinuses, upper chest, and occasionally ears; cough; occasional breathlessness after light exertion. All the symptoms except cough and upper chest congestion/rattle have decreased over that period and are nearly gone.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Prolonged joint pain
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Electrocardiogram, Feeling abnormal, Full blood count, Metabolic function test
Clinical narrative: Persistent brain fog, palpitations, and panic attacks
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Panic attack
Clinical narrative: Persistent brain fog, palpitations, and panic attacks
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: none observed
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Magnetic resonance imaging head abnormal, Movement disorder, Tremor
Clinical narrative: Dysarthria, tremor and inability to control the right hand.  Brain MRI findings of increased signal intensity in the  bilateral putamen and thalami
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Rapid heart rate over 200 beats per minute and the duration is 2 minutes and I have to hold my breath or practice a bowel movement in order to stop the this from happening. It lasted from vaccination date through summer 2021.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Hepatic enzyme increased, Hepatic pain
Clinical narrative: Painful liver. Elevated liver enzyme. Not yet resolved.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Seizure
Clinical narrative: Seizure following fever
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: After booster I started feeling nauseous and it feels like vertigo. It?s lasted every day since the last shot December 2021.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient given adult dose instead of the children's dose. No actual adverse reaction known.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Magnetic resonance imaging
Clinical narrative: Left shoulder pain, unable to lift my arm, started shortly after I got Covid vaccine #1. on April 17.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pallor, Skin discolouration
Clinical narrative: father of patient came to me shortly after giving him the vaccine and said is it normal to feel dizzy afterwards. I told him it could happen and checked on patient and told him to remain seated for a little bit.  I then checked on him about 5 minutes later he had turned green and said he felt like he was going to throw up but did not feel like he could stand and make it to the restroom. I gave him a bag but he never vomited .  in a few more minutes all color had drained from him and I offered him a bottle of water to sip on and after about 15 minutes he said he felt better and they left. I called in an hour or so and his parent said he was feeling much better
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure acute, Cardiac failure congestive, Cardiogenic shock, Condition aggravated, Death
Clinical narrative: Death.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives that occurred 10 days following Moderna booster shot Hives have persisted now x 1 month
Age: 40.0
Sex: M
Vaccine: FLUA4
Symptoms: Arthralgia, Injection site pain, Muscular weakness, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: I had the regular flu shot and the nurse seemed to inject me way higher than normal (I have pictures of mark). I?ve had the flue shot and Covid shots many times but this one hurt upon injection and then an hour or two later my entire arm/shoulder became incredibly stiff and painful. The major stiffness/pain lasted about 48-72 hours. Since then there has been dull pain and stiffness and noticeable weakness now for 2.5 months and not healing. I?ve had many shots in my past and have never experienced anything remotely close to this. My arm and shoulder were also 100% healthy before shot.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Extrasystoles, Heart rate irregular
Clinical narrative: Next day after vaccination I felt like I was getting a skipped heartbeat. So I went to see a cardiologist and they specialize in monitoring regular heartbeats 11/17/2021. They put me on a medication to slow down my heart rate.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dysgeusia, Headache, Hypoaesthesia
Clinical narrative: Fever, Chills, Pain in shoulder, metallic taste to food and water within the first 6 hours that lasted into the next day. Second day fever that came and went for the next week, fever broke 3 days later. Joint pain and headache lasted for a week. Joint pain comes and goes at random, mostly in arm along with numbness in left hand.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, Chills, Pain in shoulder, metallic taste to food and water within the first 6 hours that lasted into the next day. Second day fever that came and went for the next week, fever broke 3 days later. Joint pain and headache lasted for a week. Joint pain comes and goes at random, mostly in arm along with numbness in left hand.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: pt in error given 0.3ml pf covid vaccine for 12-17yr.  mom told while waiting in car at vaccine clinic and told vaers and report will be done and apologized to. discussed concerns and gave numbers to call if concerns
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax, Deep vein thrombosis, Pulmonary embolism, Ultrasound Doppler abnormal
Clinical narrative: DVT/PE; IV Heparin; Xarelto.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hyperhidrosis, Lip swelling, Pruritus, Rash
Clinical narrative: Booster/3rd shot on 11/19/2021. Itchy spot at watchband line started 12/1/2021. Scalp itching and redness in sweat areas on 12/2/21. What appeared to be bug bites on arm and elbow morning of 12/3/21. Lips began swelling by noon on 12/3/21.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Myalgia, Pain in extremity, Paraesthesia
Clinical narrative: The patient has experienced lingering arm and muscle pain in the vaccinated arm. There is also numbness/tingling in three fingers of the same hand.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis atopic, Eczema, Exfoliative rash, Rash, Rash erythematous
Clinical narrative: Within a week or so I developed a rash which turned out to be a bad case of eczema. It was on my neck and back. It was red, itchy, bumpy, and scaly. I used OTC medications. I went to see a dermatologist in May 2021. They said I had atopic dermatitis. I haven't had this before . I was prescribed a cream for it, and it worked and was gone within 3 or 4 weeks. When I got the booster on 11/19/2021 it came back. It is going away now after I was prescribed more cream for it.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Within a week or so I developed a rash which turned out to be a bad case of eczema. It was on my neck and back. It was red, itchy, bumpy, and scaly. I used OTC medications. I went to see a dermatologist in May 2021. They said I had atopic dermatitis. I haven't had this before . I was prescribed a cream for it, and it worked and was gone within 3 or 4 weeks. When I got the booster on 11/19/2021 it came back. It is going away now after I was prescribed more cream for it.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: Patient experienced syncope and fell down while shopping in the store following vaccination. Patient had sat in a chair for 15 minutes following her booster shot, had been jovial and in good spirits post-vaccine.  When asked how she was feeling, after waiting , she said she felt fine, but was ready to go home. She was provided with a small bottle of water, not at her request, but as a courtesy. Pharmacy staff did not witness her fall, but her husband said she fell quietly and he only heard her fountain drink hit the ground. EMS was called. Her sister, who was a nurse, was with her as well. BP was taken and was 144/83 and HR was 76. Her husband reported that those values were low for her normal BP. She did not go to hospital and ambulated out of the warehouse on her own.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Blood test normal, Cough, Dyspnoea
Clinical narrative: At the time I was short of breath and severely coughing and I went to the doctor and he gave me an antibiotic for 7 days. Before 7 days I went to the hospital because the cough continued and they changed the antibiotic, they did not find anything and then I went to the primary doctor and changed to a third antibiotic and I went to Urgent Care and they told me better go see a cardiologist. The Cardiologist told me that I have problems and has sent me to have an MRI. I have the appointment for February 7, 2022.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Seizure
Clinical narrative: The nurse administered the vaccine into patients arm.  He then walked over to the waiting area with his parents.  This took a few minutes.  Within about 8-10 minutes of receiving the vaccine, he said he was feeling "light-headed" and then he passed out.  He seized for about 30 seconds before regaining consciousness.  The paramedics were called and they tried to get his blood pressure up.  They were not able to get it to come up and so they transported him to the hospital.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache
Clinical narrative: The client notified RN  that she received a dose of Janssen COVID vaccine on 06/17/21. The client reported that about three hours after receiving the vaccine she developed dizziness, weakness, and a headache. The client stated the symptoms lasted about one hour and then she went to sleep. The client denied any persistent symptoms when she woke up the next morning. The client took Tylenol which helped her symptoms. The client denies any chronic conditions or medications. The client has no known allergies.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Needle issue, Pain in extremity, Underdose
Clinical narrative: Needle malfunctioned while administering injection, so pharmacist estimated that appx 0.1ml may have gone into the arm and gave a 2nd shot on the same day -- pharmacist stated she gave "slightly less" than 0.5 ml on the 2nd dose.  After administration, arm was very sore and has sensation of numbness in elbow & hand of same arm.  Called doctor, they said to watch and wait.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Electrocardiogram normal, Eye movement disorder, Somnolence, Syncope
Clinical narrative: Approximately 3-5 minutes after receiving the vaccine, while sitting down, the patient's eyes rolled to the back of her head and she began involuntarily jerking.  The episode lasted less than 5 seconds (approximately 3 seconds per the patient's mom who witnessed the event).  When she regained consciousness, she was alert and aware of her surroundings, but did report some drowsiness.  She reported no difficulty breathing.  EMS evaluated the patient for a potential seizure, however they deemed she likely experienced vasovagal syncope.  The patient was stable and did not have to be transported to the hospital via EMS.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin discolouration, Skin swelling, Urticaria
Clinical narrative: Severe itching that seems spontaneous? like an allergic reaction, looks like hives on my shoulders, back, and lower torso area. I inevitably scratch and then it looks like pink, raised lines all over.  Usually disappears after 30-45 minutes but happens daily. Sometimes it?s not too bad, I started taking Zyrtec and that helps