chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was Dx was metastatic pancreatic cancer in Oct 2020 and was discharged on 2/5/21 with home hospice after being hospitalized with sepsis. He had comorbidities of a recent PE, COPD and diabetes.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypophagia, Nausea
Clinical narrative: Narrative:  Patient with history of diabetes and hypertension. He had been off all medications for the past 2 weeks. Started to feel intermittent lightheadedness and nausea with poor PO intake a few days ago. After receiving his vaccine, these same symptoms started so he was brought to the ED for further evaluation.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fall, Head injury
Clinical narrative: Narrative: patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing and adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient deceased after falling and hitting head. Patient had a h/o of ICM with an ICD and was already being seen by palliative care/hospice prior to COVID vaccinations.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received 2nd dose of COVID Vaccine, Moderna on 4/1/21. He had no history of covid infection. There were no reported side effects from vaccination. Patient accepted hospice care on 4/9/21 and passed away at home on 4/12/21. Placed on hospice due to myelodysplastic syndrome and prostate cancer. Patient had no history of adverse reaction to any vaccines. At the time of death there was concern that he may have gangrenous Rt toe/foot (has PVD) and did not want any aggressive care or work up. Death was likely multifactorial, but not related to COVID vaccination.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Rash erythematous, Rash pruritic, Throat tightness
Clinical narrative: Narrative: 56-year-old male presents emergency room complaining of tightness in his throat and rash. Patient had his first COVID vaccine yesterday. States he "felt bad" last night when he went to bed. Woke this morning feeling some tightness in his throat and covered with a red rash. Some itchiness to the rash. No similar episodes with vaccines in the past. Pt was treated in the ER with IV Pepcid, IV Benadryl & IV Solumedrol. Pt ordered Rxs for oral prednisone, oral famotidine oral diphenhydramine.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Mental status changes, Pneumonia, Sepsis
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 84 and admitted on 2/21/21 with sepsis, pneumonia, and altered mental status which were the eventual causes of death.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Death, Disease progression
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 89 and cause or notice of death not listed. On 8/7/2020 patient was admitted with aspiration pneumonia, Patient had chronic inflammatory demyelinating polyneuritis and was suffering disease progression with dysphonia and dysphagia. Death was likely caused by disease progression.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. No cause of death listed in chart, but patient was 87 w/ Alzheimer's, CKD, and CAD.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Paraesthesia
Clinical narrative: Narrative:  Patient reported immediate tingling to his left arm and hand where the vaccine was given and a headache. He was monitored for 25 minutes. He reported improvement. He was advised to follow-up with his PCC if the symptoms persist longer than 3 days. He expressed understanding.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative:  Timing ERROR only, 2nd dose given 47 days after 1st
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Narrative:  Patient receiving the vaccine around 0900 and the diarrhea started around 2pm. He reports eating 2 peanut butter sandwiches to stop it.Lasted a couple of hours. Did not seek medical attention.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Narrative:  SWELLING AT INJECTION SITE
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Feeling abnormal, Nausea, Pain
Clinical narrative: Narrative:  Patient reported body aches, extreme fatigue and weakness, brain fog, and nausea after receiving his first COVID-19 vaccine. Symptoms resolved after approximately 8 days.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Gastrooesophageal reflux disease, Pain
Clinical narrative: Narrative:  30 yo MALE p/w chest pain. The patient states his pain started at 8 PM this evening. He states the pain is 5/10 intensity and described as a sharp type sensation that radiates vertically up from his epigastrium. He did receive his first Covid vaccination earlier today in his left arm. Ate some pizza earlier and wonders if that is related. Given GI cocktail for GERD On re-evaluation, the pain had resolved.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Narrative:  Pt presented to emergency department 04/15/2021. He reports having SOB since 04/12/2021. Patient had been watching news reports and is concerned that he may have a PE. No evidence of PE found.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site paraesthesia
Clinical narrative: Narrative:  53 year-old patient received 2nd vaccination on 3/30/21 at 12:17pm. At 12:32, self reported tingling sensation from the injection site on left arm down to fingers. No redness, swelling or any other signs and symptoms of adverse reaction reported. At 12:40 patient reported lessening of symptom and left the site.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Narrative:  DIARRHEA CHILL FEVER HEADACHE MUSCLE PAIN FATIGUE Patient reports taking Ibuprofen. Did not seek medical attention.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Narrative:  DIARRHEA CHILL FEVER HEADACHE MUSCLE PAIN FATIGUE Patient reports taking Ibuprofen. Did not seek medical attention.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Failure to thrive
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 94 and presented to the hospital on 2/26/21 with a chief complaint of failure to thrive and deceased on 2/27/21. He had a PMH of CKD, CVA, dementia, CAD, and COPD.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 85 but no other contributors to death can be determined. No clinical notes/history available on patient in system listing comorbidities or pertinent medical history. Patient did not appear to receive medical care through facility system, so no apparent comorbidities are on record.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Death occurred out of state and no details were provided. Patient was 86 with CHF and requiring a pacemaker. Call to nurse on 2/17/21 showed complaints of SOB with sats in the 80s but declined suggestions to go to ER
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fluid retention
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine not was there an ADR that occurred between the observation period and the date of death. Cause of death unknown. Found deceased on the floor by suspected natural causes. Patient had lupus disease of the lung, interstitial lung disease due to collagen vascular disease and depended and supplemental oxygen. Had some complaints of fluid retention on ARNP visit on 3/3/21. Patient was homeless and had a history of cocaine dependence.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypertension, Tachycardia
Clinical narrative: Narrative:  46 yo female with facial flushing, tachycardia, and hypertension after second dose of Pfizer COVID vaccine. Patient was seen in the emergency department where she received diphenhydramine, methylprednisolone, and famotidine for a possible hypersensitivity to the vaccine. Patient was then discharged home in stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Secretion discharge
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 80 and suffering with untreatable lung cancer since 2019 for which he was being referred to hospice before his passing on 2/27/21. Patient was experiencing increased shortness of breath and mucous in the airways before his death.
Age: 99.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Condition aggravated, Death, Dementia, Dyspnoea
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient had acute on chronic worsening dementia along with being admitted on 2/26/2021 for CHF exacerbation with SOB and lower leg edema. Comorbidities include CAD, atrial fibrillation, CKD, and hypertension. He was also 97. During last admission, he was desatting into the 70s and had possible aspiration pneumonia diagnosis on 3/3/2021 which lead to inpatient hospice consult before he passed away on 3/4/21
Age: 99.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Oxygen saturation decreased
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient had acute on chronic worsening dementia along with being admitted on 2/26/2021 for CHF exacerbation with SOB and lower leg edema. Comorbidities include CAD, atrial fibrillation, CKD, and hypertension. He was also 97. During last admission, he was desatting into the 70s and had possible aspiration pneumonia diagnosis on 3/3/2021 which lead to inpatient hospice consult before he passed away on 3/4/21
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was found deceased in his apartment. Chart shows a history of noncompliance to medical care and refusal to treatment of his CHF with an EF of 25-29%. He had not been seen in the clinic since 7/2020
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies. etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Circumstances regarding potential cause of death not evident in charge. Note from 1/21/21 states patient has had poor appetite since May 2020 and has lost 30 pounds. Patient was 78 with Parkinson's Disease and dementia, CAD w/ multiple stents, and anemia.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Narrative:  Patient reports possible signs and symptoms since injection of"pain in my legs since i got the shot, especially when im walking and i think it could be a blood clot." This RN instructed him to notify his PC to schedule US to r/o blood clot. He has not yet notified them in the last month. This RN told him to go to ER for any significant symptoms for shortness of breath, swelling in extremities/heat at calf site. Patient states that he will tell his home health nurse on Monday to see about scheduling and US of extremities and that he will go to ER if he has worse symptoms between now and then. Patient instructed to monitor for the following symptoms over the course of three weeks after the vaccination. * A headache that occurs 6 days or more after vaccination * A headache that is different from other headaches you have had * Confusion or trouble thinking clearly * Visual changes, such as blurry vision * Weakness, numbness, or trouble moving one or more parts of your body of your body, trouble speaking or seizures * Tiny spots under the skin away from the area where you had the infection (this is a sign of low platelets) Patient instructed to contact their agency health care provider if one or more of these symptoms develop. If symptoms are severe, seek immediate medical attention at the closest emergency department or call 9-1-1
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Anaemia splenic, Cardioversion, Condition aggravated, Death
Clinical narrative: Narrative: Patient was not previously Covid psitive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing and adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient presented to ED on 3/16/21 adter his ICD activated due to an episode of vtach. His hospital stay progressed to an inability to void urine, worsening renal function, dysphagia, and anemia and anemia from a splenic bleed requiring blood transfusions requiring a transition to palliative care before he deceased on 3/26/21. Patient had a PMH significant for HFrEF w/ICD, CAD s/p CABGx5, HTN, Afib, and vtach.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Renal impairment, Splenic haemorrhage, Transfusion, Urinary retention
Clinical narrative: Narrative: Patient was not previously Covid psitive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing and adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient presented to ED on 3/16/21 adter his ICD activated due to an episode of vtach. His hospital stay progressed to an inability to void urine, worsening renal function, dysphagia, and anemia and anemia from a splenic bleed requiring blood transfusions requiring a transition to palliative care before he deceased on 3/26/21. Patient had a PMH significant for HFrEF w/ICD, CAD s/p CABGx5, HTN, Afib, and vtach.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular tachycardia
Clinical narrative: Narrative: Patient was not previously Covid psitive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing and adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient presented to ED on 3/16/21 adter his ICD activated due to an episode of vtach. His hospital stay progressed to an inability to void urine, worsening renal function, dysphagia, and anemia and anemia from a splenic bleed requiring blood transfusions requiring a transition to palliative care before he deceased on 3/26/21. Patient had a PMH significant for HFrEF w/ICD, CAD s/p CABGx5, HTN, Afib, and vtach.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Lethargy
Clinical narrative: Narrative:  Post covid vaccine dose #2, patient was waiting for 30 minutes in the observation area. Patient was c/o dizziness after 15 min of waiting. Patient then c/o feeling numb in his upper extremities and lethargy. It was determined to send the patient to the emergency room. Transport was called. 0835 Patient was transported to ER via agency transport. Pt's chart flagged with ADE.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Infection, Laboratory test, Sexually transmitted disease test
Clinical narrative: Narrative: Multiple pending lab tests obtained to r/o other sources of infection (STD testing) that could have led to clinical presentation. These lab tests have not yet returned. Given this reaction was in relation to COVID19 vaccine and led to hospitalization, felt important to document.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Cardiogenic shock, Death, Diarrhoea, Influenza like illness
Clinical narrative: Narrative: Patient reported to ED on 4/15/21 stating that he received 2nd dose of covid-19 vaccination about 2 weeks ago and within 2 hours of receiving that dose, began experiencing flu-like symptoms including nausea/vomiting/diarrhea to the point of unable to keep Heart Failure medications down. As of 4/15 presentation to ED and quick progression to admission to ICU was in cardiogenic shock, elevated LFTs, and possible acute renal failure. ICU team treated with pressors initially. During course of evenign on 4/15, patient experienced 3-4 seizures while in CCU. Keppra was administered. After final seizure, Code was called with ACLS algorithm followed. Coded on 4/16 and was pronounced dead at 4 a.m. It is unknown where or which Covid vaccine that patient received as is not in our records.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Life support, Liver function test increased, Nausea, Seizure
Clinical narrative: Narrative: Patient reported to ED on 4/15/21 stating that he received 2nd dose of covid-19 vaccination about 2 weeks ago and within 2 hours of receiving that dose, began experiencing flu-like symptoms including nausea/vomiting/diarrhea to the point of unable to keep Heart Failure medications down. As of 4/15 presentation to ED and quick progression to admission to ICU was in cardiogenic shock, elevated LFTs, and possible acute renal failure. ICU team treated with pressors initially. During course of evenign on 4/15, patient experienced 3-4 seizures while in CCU. Keppra was administered. After final seizure, Code was called with ACLS algorithm followed. Coded on 4/16 and was pronounced dead at 4 a.m. It is unknown where or which Covid vaccine that patient received as is not in our records.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Narrative: Patient reported to ED on 4/15/21 stating that he received 2nd dose of covid-19 vaccination about 2 weeks ago and within 2 hours of receiving that dose, began experiencing flu-like symptoms including nausea/vomiting/diarrhea to the point of unable to keep Heart Failure medications down. As of 4/15 presentation to ED and quick progression to admission to ICU was in cardiogenic shock, elevated LFTs, and possible acute renal failure. ICU team treated with pressors initially. During course of evenign on 4/15, patient experienced 3-4 seizures while in CCU. Keppra was administered. After final seizure, Code was called with ACLS algorithm followed. Coded on 4/16 and was pronounced dead at 4 a.m. It is unknown where or which Covid vaccine that patient received as is not in our records.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Pt received COVID-19 vaccine (1st dose) on 1/26/21 but developed pneumonia 2/22/21 and was treated with Augmentin but continued to be SOB and came to the ER 2/23/21 where the pt tested positive for COVID and passed away 2/24/21. Pt did not receive 2nd dose.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Mouth swelling, Pruritus, Pyrexia
Clinical narrative: Narrative:  Patient presented to clinic on 1/19/21. PCP reported patient received moderna covid vaccine on 1/14 at the agency clinic. He reported 2 days later he developed pruritus on chest and then rash. PCP documented there was no evidence of fever/chills, sob, swelling of mouth or tongue. Patient denies change in medications, brands of meds, change in detergent, soaps, etc. PCP advised patient not to receive the second dose of the moderna vaccine because of reaction. PCP instructed the patient to taking Benadryl prn q8 hours for itching, OTC hydrocortisone cream, and calmoseptine prn. Doses of medications not documented.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Swollen tongue
Clinical narrative: Narrative:  Patient presented to clinic on 1/19/21. PCP reported patient received moderna covid vaccine on 1/14 at the agency clinic. He reported 2 days later he developed pruritus on chest and then rash. PCP documented there was no evidence of fever/chills, sob, swelling of mouth or tongue. Patient denies change in medications, brands of meds, change in detergent, soaps, etc. PCP advised patient not to receive the second dose of the moderna vaccine because of reaction. PCP instructed the patient to taking Benadryl prn q8 hours for itching, OTC hydrocortisone cream, and calmoseptine prn. Doses of medications not documented.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cold sweat, Headache, Hypotension, Syncope
Clinical narrative: Narrative:  Appears c/o clammy ,light HA, syncope & hypotension VS: B/p 98/61,HR 72,RR 22 O2 100% of sat, appears anxious lying on the floor which improved w//in few seconds. repeat VS: @1243: B/P 113/73 HR: 83; RR 20 W100% on RA ; @1250: B/P 120-115/69-74; HR 78; RR 20. stable.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Blepharitis, Diarrhoea, Erythema of eyelid
Clinical narrative: Narrative:  56 YO M with PMH GERD, hypopituitarism, allergic rhinitis, DM, OSA reported blepharitis of right eye which developed within 18 hours of first COVID-19 vaccination on 3/9/21. Upper and lower lids swollen, red, and 2/10 painful, observed 3/18/21 with continued swelling and redness. Patient used OTC diphenhydramine and cold pack with slight improvement. Cephalexin tablets and tobramycin eye drops prescribed, however patient did not take as symptoms resolved the following day (3/19/21). Patient received second COVID-19 vaccination on 3/30/21, reaction did not reoccur. Does report slight GI upset (diarrhea, stomach ache) and possible irritation of left eye after second dose, but resolved within days without intervention.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Eyelid pain, Swelling of eyelid
Clinical narrative: Narrative:  56 YO M with PMH GERD, hypopituitarism, allergic rhinitis, DM, OSA reported blepharitis of right eye which developed within 18 hours of first COVID-19 vaccination on 3/9/21. Upper and lower lids swollen, red, and 2/10 painful, observed 3/18/21 with continued swelling and redness. Patient used OTC diphenhydramine and cold pack with slight improvement. Cephalexin tablets and tobramycin eye drops prescribed, however patient did not take as symptoms resolved the following day (3/19/21). Patient received second COVID-19 vaccination on 3/30/21, reaction did not reoccur. Does report slight GI upset (diarrhea, stomach ache) and possible irritation of left eye after second dose, but resolved within days without intervention.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Facial pain, Herpes zoster, Herpes zoster reactivation, Neck pain
Clinical narrative: Narrative:  56 YO M with PMH gastritis, HTN, HLD, and mental health conditions reported sore arm for one day following first dose of COVID-19 vaccination on 1/26/2021 which resolved within 24 hours without intervention. On 2/2/2021, patient developed sharp, needle-prick pain on scalp with redness, which spread to face and neck with 8-9/10 pain on scalp, face, jaw, upper neck which is triggered by movement and contact. Also reports itching and "welts"; small vesicular lesions seen on examination (3/17/21). Most lesions resolved without intervention. Suspected shingles/zoster reactivation, carbamazepine and valacyclovir initiated 3/17/21, patient no longer taking. Symptoms improved as of 4/24/21 but not completely resolved. Follow-up ongoing, may require MRI imagine if flare returns.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pain in jaw, Pain of skin, Pruritus
Clinical narrative: Narrative:  56 YO M with PMH gastritis, HTN, HLD, and mental health conditions reported sore arm for one day following first dose of COVID-19 vaccination on 1/26/2021 which resolved within 24 hours without intervention. On 2/2/2021, patient developed sharp, needle-prick pain on scalp with redness, which spread to face and neck with 8-9/10 pain on scalp, face, jaw, upper neck which is triggered by movement and contact. Also reports itching and "welts"; small vesicular lesions seen on examination (3/17/21). Most lesions resolved without intervention. Suspected shingles/zoster reactivation, carbamazepine and valacyclovir initiated 3/17/21, patient no longer taking. Symptoms improved as of 4/24/21 but not completely resolved. Follow-up ongoing, may require MRI imagine if flare returns.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Skin lesion, Urticaria
Clinical narrative: Narrative:  56 YO M with PMH gastritis, HTN, HLD, and mental health conditions reported sore arm for one day following first dose of COVID-19 vaccination on 1/26/2021 which resolved within 24 hours without intervention. On 2/2/2021, patient developed sharp, needle-prick pain on scalp with redness, which spread to face and neck with 8-9/10 pain on scalp, face, jaw, upper neck which is triggered by movement and contact. Also reports itching and "welts"; small vesicular lesions seen on examination (3/17/21). Most lesions resolved without intervention. Suspected shingles/zoster reactivation, carbamazepine and valacyclovir initiated 3/17/21, patient no longer taking. Symptoms improved as of 4/24/21 but not completely resolved. Follow-up ongoing, may require MRI imagine if flare returns.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Nodule, Pain in extremity
Clinical narrative: Knot painful to Right Arm Aleve & Heatpacks
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative: ED visit without hospital admission
Age: 66.0
Sex: M
Vaccine: MNQ
Symptoms: Unevaluable event
Clinical narrative: Narrative: Symptoms improved 11/16/2020
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: Narrative:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Narrative: Patient developed a rash on most of body including arms and legs after receiving the COVID-19 vaccinations. She self-treated with Benadryl which seemed to improve the rash for a little bit and then it would return. She was given the OK to received the second COVID-19 vaccination after which the rash got worse.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site urticaria, Rash, Rash vesicular, Varicose vein
Clinical narrative: Narrative:  PATIENT REPORTS RECEIVING HER FIRST COVID INJECTION ON 03/18/21, ON THAT SAME DAY SHE REPORTS HAVING A BLISTERY RASH AROUND HER WRIST AND THAT HER VEINS TURNED BLACK & bulging ON THE LEFT ARM. Also hives and itching at the area of injection site. SHE DID NOT SEEK MEDICAL ATTENTION AND SAYS THE RASH DISSIPATED 1.5 HOURS LATER AND HAS NEVER RETURNED. NO OTHER EFFECTS REPORTED. WHEN SHE WENT TO GET HER SECOND INJECTION (on 4/15/21) AT THE HOSPITAL. SHE SHOWED PICTURES TO THE STAFF AND THEY DECLINED TO GIVE HER THE SHOT AND ADVISED HER TO SEEK ADVICE FROM PCP FIRST. Vaccination clinic instructed pt to have PCP provide a note approving administration of covid dose #2.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vein discolouration
Clinical narrative: Narrative:  PATIENT REPORTS RECEIVING HER FIRST COVID INJECTION ON 03/18/21, ON THAT SAME DAY SHE REPORTS HAVING A BLISTERY RASH AROUND HER WRIST AND THAT HER VEINS TURNED BLACK & bulging ON THE LEFT ARM. Also hives and itching at the area of injection site. SHE DID NOT SEEK MEDICAL ATTENTION AND SAYS THE RASH DISSIPATED 1.5 HOURS LATER AND HAS NEVER RETURNED. NO OTHER EFFECTS REPORTED. WHEN SHE WENT TO GET HER SECOND INJECTION (on 4/15/21) AT THE HOSPITAL. SHE SHOWED PICTURES TO THE STAFF AND THEY DECLINED TO GIVE HER THE SHOT AND ADVISED HER TO SEEK ADVICE FROM PCP FIRST. Vaccination clinic instructed pt to have PCP provide a note approving administration of covid dose #2.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Muscle rigidity
Clinical narrative: Narrative:  Patient received Janssen vaccine yesterday 4/12/21 at 9:30am. This morning his mother presented to clinic to report that he experienced muscle rigidity of his upper and lower extremities. He also experience profuse diaphoresis that lasted for a short time. He did not report any other type of neurologic, respiratory or cardiac symptom. The muscle rigidity lasted a few hours and has now resolved. Discussed need for immediate emergency room evaluation with verbal understanding. Mother will take him to medical facility now.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Computerised tomogram abnormal, Injection site cellulitis, Injection site swelling, Sepsis
Clinical narrative: Narrative: 5/22/19 PPSV23 given in the right arm 5/25/19-5/28/19 admitted for RUE cellulitis with sepsis, CT of the RUE showing mild swelling, but no gas, no drainable abscess.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Narrative:  Patient reported that he was hospitalized at hospital overnight after his first covid vaccine (did not notify primary care) and for 2 nights after the second one. Hospital records indicate he was tx for "COPD exacerbation" and symptoms resolved with steroids, nebs, antibiotic.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicitis perforated, Death, Septic shock
Clinical narrative: Narrative:  Patient died from septic shock secondary to perforated appendicitis on 4/3/2021
Age: 90.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling abnormal, Hypersomnia, Injection site discolouration, Injection site rash, Pain
Clinical narrative: Narrative: pt contacted clinic states he had his 2nd shingles vaccine on 3/5 and that afternoon started feeling awful, pain, and slept most of the next day. Had a rash to left arm where injection was given with white spot in center.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Abnormal behaviour, Arthralgia, Asthenia
Clinical narrative: Narrative: Patient's wife contacted telephone triage nurse today requesting advice. She is crying on telephone, "My husband had the Johnson & Johnson covid vaccine 3 weeks ago and something is seriously wrong with him." States right after vaccine was provided, patient developed fatigue, weakness & chills. States symptoms did not improve after 2 weeks, "So I took him to the emergency room." States ER physician did a CXR, lab work and discharged him home, told to f/u with PCP clinic. States since patient received the vaccine, he is also experiencing nausea, abdominal pain/bloating/intermittent confusion, "severe sore throat", difficulty breathing and "He just stares at the wall like a zombie sometimes - he is just not acting right, there is something seriously wrong - this confusion scares me and I can't keep him awake. He is just not getting better and I don't know what to do." States he has been sleeping 15 hours/day. Patient was put on telephone, states "I just haven't felt right since I got the vaccine, just feel very sick." Patient states he is not getting confused, but is getting episodes of severe shortness of breath, "I'll just be outside pick up sticks and if I bend over to get it, I notice my equilibrium is off, and I can't breathe - I just get these random episodes where I can't get a full breath - I get real lightheaded when that happens and just can't breath- my equilibrium gets way off like I'm going to fall over." (Wife is arguing, states "no, he gets confused - he's not being honest with you.. When he walks in the door from outside, he walks in staring like he doesn't know he even lives here") She is again crying - states, "this has happened at least 4-5 times where he's just been out in the yard and he's been very, very confused." Patient is also c/o "pain" in the back of his R thigh, "from the knee all the way up, just aches." No prior h/o PE or DVT. No RLE swelling. Recommended her return to local ER now. Wife states she will take him now. Please follow up, thank you.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Chest X-ray, Chills, Confusional state, Dizziness
Clinical narrative: Narrative: Patient's wife contacted telephone triage nurse today requesting advice. She is crying on telephone, "My husband had the Johnson & Johnson covid vaccine 3 weeks ago and something is seriously wrong with him." States right after vaccine was provided, patient developed fatigue, weakness & chills. States symptoms did not improve after 2 weeks, "So I took him to the emergency room." States ER physician did a CXR, lab work and discharged him home, told to f/u with PCP clinic. States since patient received the vaccine, he is also experiencing nausea, abdominal pain/bloating/intermittent confusion, "severe sore throat", difficulty breathing and "He just stares at the wall like a zombie sometimes - he is just not acting right, there is something seriously wrong - this confusion scares me and I can't keep him awake. He is just not getting better and I don't know what to do." States he has been sleeping 15 hours/day. Patient was put on telephone, states "I just haven't felt right since I got the vaccine, just feel very sick." Patient states he is not getting confused, but is getting episodes of severe shortness of breath, "I'll just be outside pick up sticks and if I bend over to get it, I notice my equilibrium is off, and I can't breathe - I just get these random episodes where I can't get a full breath - I get real lightheaded when that happens and just can't breath- my equilibrium gets way off like I'm going to fall over." (Wife is arguing, states "no, he gets confused - he's not being honest with you.. When he walks in the door from outside, he walks in staring like he doesn't know he even lives here") She is again crying - states, "this has happened at least 4-5 times where he's just been out in the yard and he's been very, very confused." Patient is also c/o "pain" in the back of his R thigh, "from the knee all the way up, just aches." No prior h/o PE or DVT. No RLE swelling. Recommended her return to local ER now. Wife states she will take him now. Please follow up, thank you.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Hypersomnia, Laboratory test
Clinical narrative: Narrative: Patient's wife contacted telephone triage nurse today requesting advice. She is crying on telephone, "My husband had the Johnson & Johnson covid vaccine 3 weeks ago and something is seriously wrong with him." States right after vaccine was provided, patient developed fatigue, weakness & chills. States symptoms did not improve after 2 weeks, "So I took him to the emergency room." States ER physician did a CXR, lab work and discharged him home, told to f/u with PCP clinic. States since patient received the vaccine, he is also experiencing nausea, abdominal pain/bloating/intermittent confusion, "severe sore throat", difficulty breathing and "He just stares at the wall like a zombie sometimes - he is just not acting right, there is something seriously wrong - this confusion scares me and I can't keep him awake. He is just not getting better and I don't know what to do." States he has been sleeping 15 hours/day. Patient was put on telephone, states "I just haven't felt right since I got the vaccine, just feel very sick." Patient states he is not getting confused, but is getting episodes of severe shortness of breath, "I'll just be outside pick up sticks and if I bend over to get it, I notice my equilibrium is off, and I can't breathe - I just get these random episodes where I can't get a full breath - I get real lightheaded when that happens and just can't breath- my equilibrium gets way off like I'm going to fall over." (Wife is arguing, states "no, he gets confused - he's not being honest with you.. When he walks in the door from outside, he walks in staring like he doesn't know he even lives here") She is again crying - states, "this has happened at least 4-5 times where he's just been out in the yard and he's been very, very confused." Patient is also c/o "pain" in the back of his R thigh, "from the knee all the way up, just aches." No prior h/o PE or DVT. No RLE swelling. Recommended her return to local ER now. Wife states she will take him now. Please follow up, thank you.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Nausea, Oropharyngeal pain, Pain in extremity, Staring
Clinical narrative: Narrative: Patient's wife contacted telephone triage nurse today requesting advice. She is crying on telephone, "My husband had the Johnson & Johnson covid vaccine 3 weeks ago and something is seriously wrong with him." States right after vaccine was provided, patient developed fatigue, weakness & chills. States symptoms did not improve after 2 weeks, "So I took him to the emergency room." States ER physician did a CXR, lab work and discharged him home, told to f/u with PCP clinic. States since patient received the vaccine, he is also experiencing nausea, abdominal pain/bloating/intermittent confusion, "severe sore throat", difficulty breathing and "He just stares at the wall like a zombie sometimes - he is just not acting right, there is something seriously wrong - this confusion scares me and I can't keep him awake. He is just not getting better and I don't know what to do." States he has been sleeping 15 hours/day. Patient was put on telephone, states "I just haven't felt right since I got the vaccine, just feel very sick." Patient states he is not getting confused, but is getting episodes of severe shortness of breath, "I'll just be outside pick up sticks and if I bend over to get it, I notice my equilibrium is off, and I can't breathe - I just get these random episodes where I can't get a full breath - I get real lightheaded when that happens and just can't breath- my equilibrium gets way off like I'm going to fall over." (Wife is arguing, states "no, he gets confused - he's not being honest with you.. When he walks in the door from outside, he walks in staring like he doesn't know he even lives here") She is again crying - states, "this has happened at least 4-5 times where he's just been out in the yard and he's been very, very confused." Patient is also c/o "pain" in the back of his R thigh, "from the knee all the way up, just aches." No prior h/o PE or DVT. No RLE swelling. Recommended her return to local ER now. Wife states she will take him now. Please follow up, thank you.
Age: 20.0
Sex: M
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Arthralgia, Chills, Diarrhoea, Dizziness, Headache
Clinical narrative: Narrative: Pt had multiple immunizations yesterday, has headache minimal fever chills began last night one episode loose bm no blood no cough no sob no chest pain mild light headed no sore throat no rash mild right knee pain no swelling had negative covid
Age: 20.0
Sex: M
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Narrative: Pt had multiple immunizations yesterday, has headache minimal fever chills began last night one episode loose bm no blood no cough no sob no chest pain mild light headed no sore throat no rash mild right knee pain no swelling had negative covid
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dyspepsia, Fatigue, Feeling abnormal, Feeling of body temperature change
Clinical narrative: Narrative:  Patient contacted telephone triage nurse today requesting advice. Patient states he received his second covid vaccine on 4/8/2021, "starting feeling very bad right afterward - just a little nauseated, weak, tired, muscle pains all over." Patient states symptoms progressed over the next few days, "I was very nauseated all day yesterday and more tired out, then when I woke up today I started vomiting up some blood." States he vomited a large amount of bright red blood. No abdominal pain, "Just heartburn very bad, and I just feel sick." States he is also very weak "and my forehead is all broke out into a sweat - hot and cold flashes." Patient reported to hospital yesterday as recommended. States he was given an IV for hydration, along with Zofran, and was also checked for Covid. PLAN/FOLLOW-UP (Describe): Covid test was negative, no further nausea or vomiting. Taking in fluids well today and was also able to eat. States "I'm on the upswing". Advised to call clinic or report back to ER if symptoms recurr.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Haematemesis, Hyperhidrosis, Malaise, Myalgia
Clinical narrative: Narrative:  Patient contacted telephone triage nurse today requesting advice. Patient states he received his second covid vaccine on 4/8/2021, "starting feeling very bad right afterward - just a little nauseated, weak, tired, muscle pains all over." Patient states symptoms progressed over the next few days, "I was very nauseated all day yesterday and more tired out, then when I woke up today I started vomiting up some blood." States he vomited a large amount of bright red blood. No abdominal pain, "Just heartburn very bad, and I just feel sick." States he is also very weak "and my forehead is all broke out into a sweat - hot and cold flashes." Patient reported to hospital yesterday as recommended. States he was given an IV for hydration, along with Zofran, and was also checked for Covid. PLAN/FOLLOW-UP (Describe): Covid test was negative, no further nausea or vomiting. Taking in fluids well today and was also able to eat. States "I'm on the upswing". Advised to call clinic or report back to ER if symptoms recurr.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test negative
Clinical narrative: Narrative:  Patient contacted telephone triage nurse today requesting advice. Patient states he received his second covid vaccine on 4/8/2021, "starting feeling very bad right afterward - just a little nauseated, weak, tired, muscle pains all over." Patient states symptoms progressed over the next few days, "I was very nauseated all day yesterday and more tired out, then when I woke up today I started vomiting up some blood." States he vomited a large amount of bright red blood. No abdominal pain, "Just heartburn very bad, and I just feel sick." States he is also very weak "and my forehead is all broke out into a sweat - hot and cold flashes." Patient reported to hospital yesterday as recommended. States he was given an IV for hydration, along with Zofran, and was also checked for Covid. PLAN/FOLLOW-UP (Describe): Covid test was negative, no further nausea or vomiting. Taking in fluids well today and was also able to eat. States "I'm on the upswing". Advised to call clinic or report back to ER if symptoms recurr.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pulmonary embolism
Clinical narrative: Narrative:  Patient was not feeling well 2 weeks after Covid vaccination and developed a saddle pulmonary embolism with no prior history
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory distress syndrome, Anticoagulant therapy, Atrial fibrillation, Bacteraemia
Clinical narrative: Narrative:  Patient presented to outside facility on 3/28/2021 after receiving second dose of covid vaccine on 3/19. Patient was found to have COVID pneumonia, upgraded to medical ICU with hypoxia and shock. Patient rapidly progressed to ARDS and MODS. Required intubation and mechanical ventilation, sedation and paralytic and proning protocol. Developed shock and acute kidney injury and required vasopressors, start of CVVH and bicarb for metabolic acidosis. Patient continued to decline despite aggressive measures. Developed refractory acidosis and up-trending need for vasopressors. He required cardioversion for afib with rvr. Abx for bactermia. Hep gtt for presumed PE. Family aware of poor prognosis and DNR decision made. He continued to decline and escalated vasopressors 2/2 refractory acidosis. Family made decision for comfort care. Patient expired 4/2 @ 1224 am.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardioversion, Death, Endotracheal intubation, General physical health deterioration
Clinical narrative: Narrative:  Patient presented to outside facility on 3/28/2021 after receiving second dose of covid vaccine on 3/19. Patient was found to have COVID pneumonia, upgraded to medical ICU with hypoxia and shock. Patient rapidly progressed to ARDS and MODS. Required intubation and mechanical ventilation, sedation and paralytic and proning protocol. Developed shock and acute kidney injury and required vasopressors, start of CVVH and bicarb for metabolic acidosis. Patient continued to decline despite aggressive measures. Developed refractory acidosis and up-trending need for vasopressors. He required cardioversion for afib with rvr. Abx for bactermia. Hep gtt for presumed PE. Family aware of poor prognosis and DNR decision made. He continued to decline and escalated vasopressors 2/2 refractory acidosis. Family made decision for comfort care. Patient expired 4/2 @ 1224 am.