chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Decreased appetite, Hallucination, Influenza virus test negative, Lethargy, Pyrexia
Clinical narrative: Two days after receiving vaccinations on 12/15/2021, parent of patient reported a high fever (103 degrees and fatigue). After further testing (covid, strep and flu) at the Emergency Department all tests were negative. Patient came in office on 1/4/22 with reports of high fevers (104) on and off with hallucinations that occur with and without fevers present. Patient was also lethargic and decreased appetite. All tests in the clinic were negative at office visit on 1/4/22. Provider ordered further labs and neurology referral.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Two days after receiving vaccinations on 12/15/2021, parent of patient reported a high fever (103 degrees and fatigue). After further testing (covid, strep and flu) at the Emergency Department all tests were negative. Patient came in office on 1/4/22 with reports of high fevers (104) on and off with hallucinations that occur with and without fevers present. Patient was also lethargic and decreased appetite. All tests in the clinic were negative at office visit on 1/4/22. Provider ordered further labs and neurology referral.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Memory impairment, Paraesthesia, Seizure like phenomena
Clinical narrative: tingling in hands and lightheadedness like drifting off. memory issues and attention issues, seizure-like symptoms both doses.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: tingling in hands and lightheadedness like drifting off. memory issues and attention issues, seizure-like symptoms both doses.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated with Pfizer (3/9/21, 4/6/21,8/25/21)  Patient admitted to hospital after testing COVID+
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood creatinine increased, COVID-19, Chest X-ray abnormal, Decreased appetite
Clinical narrative: 12/24/2021: Event occurred after 2nd vaccine.   72-year-old female who comes to the ED for evaluation of weakness.  Patient admits to low-grade fevers, decreased appetite, short of breath, and weak. Denies any chest pain.  In ED, initially SPO2 92% on 4 L. Creatinine 2.02, positive for Covid.  CXR with pneumonia.  patient had to be placed on 9 L mid flow with SPO2 in the low to mid 90s.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/24/2021: Event occurred after 2nd vaccine.   72-year-old female who comes to the ED for evaluation of weakness.  Patient admits to low-grade fevers, decreased appetite, short of breath, and weak. Denies any chest pain.  In ED, initially SPO2 92% on 4 L. Creatinine 2.02, positive for Covid.  CXR with pneumonia.  patient had to be placed on 9 L mid flow with SPO2 in the low to mid 90s.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Dizziness, Eye irritation
Clinical narrative: Husband drove me this time. Sat there 10 minutes, no problem. Drove 3 miles home. Got out of the car and began feeling dizzy. Sat in lounge chair all day with ice bag over sinus and burning eyes. Was like that for 2 days. 3 days to feel back to myself. More memory loss. Very hard time recalling names or even something just said to me.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular, Ultrasound scan normal
Clinical narrative: Menstrual irregularity, spotting. Periods had been normal and always on time, like clockwork.  No spotting, ever. Spotting/Bleeding began at almost two weeks past first dose of Pfizer. Bleeding not particularly heavy but lasted long. After third dose of Pfizer, booster shot, in December,  I experienced heavy, heavy bleeding, fora week, again out of sync with my usual cycle. My gynecologist who conducted a thorough exam, including ultrasound,  said there was no indication of perimenopause nor any indication of another gynecological isssue. He conjectured that the immune response from the vaccine affected the lining of my uterus. My periods did not fully return to their normal, clock work timing post my vaccination.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Swelling
Clinical narrative: localized swelling to upper lip
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperthyroidism, Thyroid disorder
Clinical narrative: Developed thyroid issues causing me to have hyperthyroidism, had to take medication and still not completely at stable thyroid levels off the medication.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive unknown contact
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Dizziness, Echocardiogram, Electrocardiogram
Clinical narrative: At vaccination site I had the red itchy painful raised rash that was hot to the touch. I also experienced extreme fatigue, elevated temperature.  I fainted at work as a result from a dizzy spelled and chest pain.  I had periods of lightheadedness, dizziness, extreme fatigue, rash on my forearm on both sides, brain fogginess.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Pyrexia, Rash, Rash erythematous
Clinical narrative: At vaccination site I had the red itchy painful raised rash that was hot to the touch. I also experienced extreme fatigue, elevated temperature.  I fainted at work as a result from a dizzy spelled and chest pain.  I had periods of lightheadedness, dizziness, extreme fatigue, rash on my forearm on both sides, brain fogginess.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, Syncope, Vaccination site rash, Vaccination site reaction
Clinical narrative: At vaccination site I had the red itchy painful raised rash that was hot to the touch. I also experienced extreme fatigue, elevated temperature.  I fainted at work as a result from a dizzy spelled and chest pain.  I had periods of lightheadedness, dizziness, extreme fatigue, rash on my forearm on both sides, brain fogginess.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site warmth
Clinical narrative: At vaccination site I had the red itchy painful raised rash that was hot to the touch. I also experienced extreme fatigue, elevated temperature.  I fainted at work as a result from a dizzy spelled and chest pain.  I had periods of lightheadedness, dizziness, extreme fatigue, rash on my forearm on both sides, brain fogginess.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: I got my vaccination in November and my Menstrual Cycle started a couple of days later and it lasted 3 weeks. It went on for a while and I contacted my doctor but he didn't give me anything.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Dosage Error, Booster Dose: Pfizer-BionTech 5-11 formulation (orange cap) administered to a person 18 years or older.  Patient notified and was informed that repeat dose was available.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: My menstrual cycle was not like the usual cycle for many years. I had my period 5 days earlier.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with Covid Aspirin, Remdesivir In-patient
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Bradycardia, Cerebrovascular accident, Computerised tomogram, Magnetic resonance imaging
Clinical narrative: Patient reports TIA 24 hours after vaccination followed by stroke 10 days later. Stroke resulted in Bradycardia requiring Atropine due to pulse of 20 BPM. Clot buster TNK administered successfully
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: Patient reports TIA 24 hours after vaccination followed by stroke 10 days later. Stroke resulted in Bradycardia requiring Atropine due to pulse of 20 BPM. Clot buster TNK administered successfully
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Cerebrovascular accident, Confusional state, Heart rate, Memory impairment
Clinical narrative: Patient reports TIA 24 hours after vaccination followed by stroke 10 days later. Stroke resulted in Bradycardia requiring Atropine due to pulse of 20 BPM. Clot buster TNK administered successfully
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER BOOSTER VACCINE.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Menstrual disorder, Ultrasound scan
Clinical narrative: Prior to pt receiving her second dose of Moderna she had a relatively regular menstruation cycle occurring about every 28-38 days with the last date of menstruation occurring in May 2021. Pt did not have another menstruation until July 2021 and since then has had her cycle roughly about every month and a half on a regular basis.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Dyspnoea, Dyspnoea exertional, Electrocardiogram
Clinical narrative: Patient first received J&J vaccine 3/3/21 then received Pfizer dose in December 2021. Two days after receiving vaccine, patient reported dyspnea.  She reported that she now gets short of breath with minimal activity such as going to the bathroom. She was found to have atrial fibrillation with rapid ventricular rate. She was hospitalized and chemically cardioverted.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Atrial fibrillation, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized 12/26/2021; COVID-19 positive 12/26/2021; fully vaccinated plus booster  BRIEF OVERVIEW:  Admission Date: 12/26/2021 Discharge Date: 01/03/2022 HOSPITAL COURSE: a 91 y.o. male with history of insulin-dependent type 2 diabetes, coronary artery disease, CKD 3 A who presented with weakness and cough.  Patient was found to have COVID with mild hypoxia requiring oxygen.  He was started on Decadron PT and OT were consulted who recommended subacute rehab. Physical therapy and occupational therapy reassessed on 1/2 when patient was out of isolation and confirmed this..    Consults: None   Procedures: None    "   Interim hospital course:  Patient hospitalized for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Patient was treated with Decadron with improvement in his symptoms weaned to room air and stable with his oxygen saturations prior to discharge.  Patient was also seen by PT OT for generalized weakness with recommendation for subacute rehab which he will discharge to in stable medical condition on 01/03/2022.  In regards to his insulin he had been requiring Lantus 48 units during his stay while on Decadron, dexamethasone will be discontinued at discharge and insulin will be reduced to 35 units from his home 30 units given that he will not be on Ozempic while at subacute rehab.  Recommend patient follow-up with his home primary care physician, other medications remain the same at discharge.  Do recommend the patient continue to hold midodrine given his normotensive pressures here in the hospital.  Of note patient did have an EKG at the onset of his hospitalization that was noted by previous physician read as AFib, I do note P waves although does appear irregular with PVCs would recommend routine cardiology follow-up as deemed necessary by primary care physician following repeat EKG on follow-up care as an outpatient.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Electrocardiogram abnormal, Hypoxia, SARS-CoV-2 test positive, Ventricular extrasystoles
Clinical narrative: Hospitalized 12/26/2021; COVID-19 positive 12/26/2021; fully vaccinated plus booster  BRIEF OVERVIEW:  Admission Date: 12/26/2021 Discharge Date: 01/03/2022 HOSPITAL COURSE: a 91 y.o. male with history of insulin-dependent type 2 diabetes, coronary artery disease, CKD 3 A who presented with weakness and cough.  Patient was found to have COVID with mild hypoxia requiring oxygen.  He was started on Decadron PT and OT were consulted who recommended subacute rehab. Physical therapy and occupational therapy reassessed on 1/2 when patient was out of isolation and confirmed this..    Consults: None   Procedures: None    "   Interim hospital course:  Patient hospitalized for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Patient was treated with Decadron with improvement in his symptoms weaned to room air and stable with his oxygen saturations prior to discharge.  Patient was also seen by PT OT for generalized weakness with recommendation for subacute rehab which he will discharge to in stable medical condition on 01/03/2022.  In regards to his insulin he had been requiring Lantus 48 units during his stay while on Decadron, dexamethasone will be discontinued at discharge and insulin will be reduced to 35 units from his home 30 units given that he will not be on Ozempic while at subacute rehab.  Recommend patient follow-up with his home primary care physician, other medications remain the same at discharge.  Do recommend the patient continue to hold midodrine given his normotensive pressures here in the hospital.  Of note patient did have an EKG at the onset of his hospitalization that was noted by previous physician read as AFib, I do note P waves although does appear irregular with PVCs would recommend routine cardiology follow-up as deemed necessary by primary care physician following repeat EKG on follow-up care as an outpatient.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: Vaccine x2, Asymptomatic
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Product administered to patient of inappropriate age, Vomiting
Clinical narrative: Given outside of recommendations.  Follow up with Mother on 12/31/21 - Mother stated was having vomiting and diarrhea but she felt it was not related to the vaccine that was given.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Electrocardiogram
Clinical narrative: Chest pain Increased blood pressure
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Computerised tomogram, Diarrhoea, Electrocardiogram
Clinical narrative: I had diarrhea for 2 days, severe headache and chest pains.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging, Ventilation/perfusion scan
Clinical narrative: I had diarrhea for 2 days, severe headache and chest pains.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: Felt faint, sleepy, pain in head, blood pressure jumped to 185, tingling and numbness on right-side of face.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Felt faint, sleepy, pain in head, blood pressure jumped to 185, tingling and numbness on right-side of face.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Bad Cough, Fever
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal, Feeling hot
Clinical narrative: Had 1st dose of  pfizer "felt bad" . He said he feels weak & hot.  got him in medical tent placed in supine position spoke to his wife regarding him allergies. "Horse Serum" After few minutes he felt better.  Refused OJ & water.   Hx. of covid 19 seven months ago.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure congestive, Death, Incisional drainage, Localised infection
Clinical narrative: per nursing home records, pt was admitted to nursing home with a diagnosis of CHF and post-op care after incision and drainage of an infected foot; pt tested positive for COVID and died in the nursing home of a respiratory infection from COVID 19 virus
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: per nursing home records, pt was admitted to nursing home with a diagnosis of CHF and post-op care after incision and drainage of an infected foot; pt tested positive for COVID and died in the nursing home of a respiratory infection from COVID 19 virus
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Condition aggravated, Fatigue, Heart rate increased, Interchange of vaccine products
Clinical narrative: Atrial fibrillation (aFib), rapid heart rate, swollen lymph nodes in arm pits (More pronounced in right arm pit), fever, fatigue, and aches.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Atrial fibrillation (aFib), rapid heart rate, swollen lymph nodes in arm pits (More pronounced in right arm pit), fever, fatigue, and aches.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient Contracted COVID-19
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient passed out in chair after covid then flu shot given.  He was breathing but unresponsive for about 30 seconds.  He slowly came back to but was not very verbal for 5 or so minutes.  Blood pressure was 112 when first taken and 129 about 5 min later.  Mother called 911 while I was monitoring his breathing.  EMTs came about 10 min later and took him outside to the ambulance for observation.  Patient said he was doing better before the EMTs got there but he was very pale.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure, Death
Clinical narrative: Death 06-04-2021 heart failure
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood gases abnormal, COVID-19, Cough
Clinical narrative: Patient is a 91 year old male with hx of Afib on chronic warfarin tx, CAD s/p stents, PPM placement, CKD III, and prostate CA s/p suprapubic catheter placement, who presented to the ER due to positive home COVID test 12/29.  Pt states that he had approximately 20 family members visiting from all around the country (some of whom are still at his home).  Two 13yo family members tested positive yesterday during their drive back and were positive.  He reports that his test came back positive, but that 4-5 other household contacts have all tested negative so far.  He reports that all of those gathered that were vaccine-eligible were vaccinated and that the adults had received boosters.  Pt reports that for the last 2 days he has had some mild increase in his baseline cough, SOB, and pinkish blood-tinged sputum, as well as reported low-grade fever ~100.1.  His daughter-in-law, who is a nurse, recommended that he come to the ER.  Pt has not noted any change in his taste or smell or appetite, no HA, or myalgias.  He has not hand nausea/vomiting, loose stools (notes constipation at baseline), or change in urinary habits.  Pt states that his last 2 home INR checks have been elevated (on Tuesday INR>8) and he did not take a dose last night.  He indicates that Prednisone was started a few months ago "for more energy."  Pt's O2 sats were reported as low at home (70's?), 86% on RA ABG in ER.  Discharged on Discharge DX: 1. 2019 novel coronavirus disease (COVID-19), Discharge, 12/30/2021 2. Acute respiratory failure with hypoxemia, Discharge, 12/30/2021 3. Sleep apnea on CPAP, Discharge, 12/30/2021 4. Chronic atrial fibrillation, Discharge, 12/30/2021 5. Chronic anticoagulation, Discharge, 12/30/2021 6. Supratherapeutic INR, Discharge, 12/30/2021 7. Type 2 Diabetes mellitus with hyperglycemia, Discharge, 12/30/2021 8. Peripheral neuropathy, Discharge, 12/30/2021 9. CKD (chronic kidney disease), stage III, Chronic renal insufficiency, stage III (moderate) 10. Anemia, Discharge, 12/30/2021 11. Essential hypertension, Hypertension 12. Sinoatrial node dysfunction s/p PPM, Discharge, 12/30/2021 14. Hypercholesteremia, Discharge, 12/30/2021 15. Chronic diastolic congestive heart failure, Discharge, 12/30/2021 16. Coronary artery disease s/p stents, Discharge, 12/30/2021 17. GERD - Gastro-esophageal reflux disease, Discharge, 12/30/2021  Discharged home with family.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Haemoptysis, International normalised ratio increased, Oxygen saturation decreased
Clinical narrative: Patient is a 91 year old male with hx of Afib on chronic warfarin tx, CAD s/p stents, PPM placement, CKD III, and prostate CA s/p suprapubic catheter placement, who presented to the ER due to positive home COVID test 12/29.  Pt states that he had approximately 20 family members visiting from all around the country (some of whom are still at his home).  Two 13yo family members tested positive yesterday during their drive back and were positive.  He reports that his test came back positive, but that 4-5 other household contacts have all tested negative so far.  He reports that all of those gathered that were vaccine-eligible were vaccinated and that the adults had received boosters.  Pt reports that for the last 2 days he has had some mild increase in his baseline cough, SOB, and pinkish blood-tinged sputum, as well as reported low-grade fever ~100.1.  His daughter-in-law, who is a nurse, recommended that he come to the ER.  Pt has not noted any change in his taste or smell or appetite, no HA, or myalgias.  He has not hand nausea/vomiting, loose stools (notes constipation at baseline), or change in urinary habits.  Pt states that his last 2 home INR checks have been elevated (on Tuesday INR>8) and he did not take a dose last night.  He indicates that Prednisone was started a few months ago "for more energy."  Pt's O2 sats were reported as low at home (70's?), 86% on RA ABG in ER.  Discharged on Discharge DX: 1. 2019 novel coronavirus disease (COVID-19), Discharge, 12/30/2021 2. Acute respiratory failure with hypoxemia, Discharge, 12/30/2021 3. Sleep apnea on CPAP, Discharge, 12/30/2021 4. Chronic atrial fibrillation, Discharge, 12/30/2021 5. Chronic anticoagulation, Discharge, 12/30/2021 6. Supratherapeutic INR, Discharge, 12/30/2021 7. Type 2 Diabetes mellitus with hyperglycemia, Discharge, 12/30/2021 8. Peripheral neuropathy, Discharge, 12/30/2021 9. CKD (chronic kidney disease), stage III, Chronic renal insufficiency, stage III (moderate) 10. Anemia, Discharge, 12/30/2021 11. Essential hypertension, Hypertension 12. Sinoatrial node dysfunction s/p PPM, Discharge, 12/30/2021 14. Hypercholesteremia, Discharge, 12/30/2021 15. Chronic diastolic congestive heart failure, Discharge, 12/30/2021 16. Coronary artery disease s/p stents, Discharge, 12/30/2021 17. GERD - Gastro-esophageal reflux disease, Discharge, 12/30/2021  Discharged home with family.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 91 year old male with hx of Afib on chronic warfarin tx, CAD s/p stents, PPM placement, CKD III, and prostate CA s/p suprapubic catheter placement, who presented to the ER due to positive home COVID test 12/29.  Pt states that he had approximately 20 family members visiting from all around the country (some of whom are still at his home).  Two 13yo family members tested positive yesterday during their drive back and were positive.  He reports that his test came back positive, but that 4-5 other household contacts have all tested negative so far.  He reports that all of those gathered that were vaccine-eligible were vaccinated and that the adults had received boosters.  Pt reports that for the last 2 days he has had some mild increase in his baseline cough, SOB, and pinkish blood-tinged sputum, as well as reported low-grade fever ~100.1.  His daughter-in-law, who is a nurse, recommended that he come to the ER.  Pt has not noted any change in his taste or smell or appetite, no HA, or myalgias.  He has not hand nausea/vomiting, loose stools (notes constipation at baseline), or change in urinary habits.  Pt states that his last 2 home INR checks have been elevated (on Tuesday INR>8) and he did not take a dose last night.  He indicates that Prednisone was started a few months ago "for more energy."  Pt's O2 sats were reported as low at home (70's?), 86% on RA ABG in ER.  Discharged on Discharge DX: 1. 2019 novel coronavirus disease (COVID-19), Discharge, 12/30/2021 2. Acute respiratory failure with hypoxemia, Discharge, 12/30/2021 3. Sleep apnea on CPAP, Discharge, 12/30/2021 4. Chronic atrial fibrillation, Discharge, 12/30/2021 5. Chronic anticoagulation, Discharge, 12/30/2021 6. Supratherapeutic INR, Discharge, 12/30/2021 7. Type 2 Diabetes mellitus with hyperglycemia, Discharge, 12/30/2021 8. Peripheral neuropathy, Discharge, 12/30/2021 9. CKD (chronic kidney disease), stage III, Chronic renal insufficiency, stage III (moderate) 10. Anemia, Discharge, 12/30/2021 11. Essential hypertension, Hypertension 12. Sinoatrial node dysfunction s/p PPM, Discharge, 12/30/2021 14. Hypercholesteremia, Discharge, 12/30/2021 15. Chronic diastolic congestive heart failure, Discharge, 12/30/2021 16. Coronary artery disease s/p stents, Discharge, 12/30/2021 17. GERD - Gastro-esophageal reflux disease, Discharge, 12/30/2021  Discharged home with family.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Headache, Injection site erythema
Clinical narrative: *Hard, red, swollen, hot, and sore injection site. *Bad headache, mostly on both sides of my temples, feeling like there is something tied or tightening on my head. *Body aches in my arms, top of back, shoulder, legs, neck. *Fatigue *Very swollen lymph node on left side of neck/top of chest at clavicle ( on injection site side)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: *Hard, red, swollen, hot, and sore injection site. *Bad headache, mostly on both sides of my temples, feeling like there is something tied or tightening on my head. *Body aches in my arms, top of back, shoulder, legs, neck. *Fatigue *Very swollen lymph node on left side of neck/top of chest at clavicle ( on injection site side)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Tension headache
Clinical narrative: *Hard, red, swollen, hot, and sore injection site. *Bad headache, mostly on both sides of my temples, feeling like there is something tied or tightening on my head. *Body aches in my arms, top of back, shoulder, legs, neck. *Fatigue *Very swollen lymph node on left side of neck/top of chest at clavicle ( on injection site side)
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Febrile convulsion
Clinical narrative: Febrile seizure x3, no medications given, patient admitted to PICU for observation
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient here for adult booster dose Moderna Covid-19 vaccine. Nurse inadvertantly gave Pfizer Covid-19 vaccine for children age 5-11 dose (0.2ml).  This was during a clinic time for Pfizer children age 5-11 only appt. The patient had an appt. for vaccination . Children's vaccine was on counter where gave vaccine.  The Moderna Covid-19 vaccine was drawn up and on counter across the room. This medication error was noted later and the patient was notified later that same day.  No adverse event was reported.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE SECOND PFIZER VACCINE.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Balance disorder, Computerised tomogram, Fatigue
Clinical narrative: On the 25th, I woke up completely exhausted. On 12/26/2021 I woke up and I was very shaky and weak, no headache, it felt like I could not walk. I asked my doctor if this could be a reaction, and they stated it may. On 12/27/2021 I went to the doctor and saw that when I was walking I was extremely wobbly. Found that I was in A-Fib. Currently I still feel fatigued, and have low strength in my legs.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Tremor
Clinical narrative: On the 25th, I woke up completely exhausted. On 12/26/2021 I woke up and I was very shaky and weak, no headache, it felt like I could not walk. I asked my doctor if this could be a reaction, and they stated it may. On 12/27/2021 I went to the doctor and saw that when I was walking I was extremely wobbly. Found that I was in A-Fib. Currently I still feel fatigued, and have low strength in my legs.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Gave booster shot for 12 yo. Only approved for 16 and over at the moment in state
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Diarrhoea, Dyspnoea
Clinical narrative: 12/24/2021: Event occurred after 2nd vaccine.  Patient is a 61-year-old male presents emerged from and secondary difficulty breathing for 2 to 3 days.  Denies chest pain fever.  He has had a mild cough. He states he has had diarrhea. Associated Symptoms: cough, Shortness of breath
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, SARS-CoV-2 test positive
Clinical narrative: 12/24/2021: Event occurred after 2nd vaccine.  Patient is a 61-year-old male presents emerged from and secondary difficulty breathing for 2 to 3 days.  Denies chest pain fever.  He has had a mild cough. He states he has had diarrhea. Associated Symptoms: cough, Shortness of breath
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Rash, Rash pruritic, Rash pustular
Clinical narrative: Redness and small bumps on my face  Rashes are itchy, and fluids on them   It started from chin now it is growing all over my face. Very uncomfortable
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Fever 103 that would not common down with Tylenol or motrin (for 48 hours). Severe body aches - handle of coffee mug hurt hand too bad to hold to drink hot tea. Severe chills, severe headache, severe nausea, severe fatigue, dizziness .
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever 103 that would not common down with Tylenol or motrin (for 48 hours). Severe body aches - handle of coffee mug hurt hand too bad to hold to drink hot tea. Severe chills, severe headache, severe nausea, severe fatigue, dizziness .
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Vomiting
Clinical narrative: Vaccinated: 13:36 Reaction: 13:38 2 minutes after vaccination, patient reported vomiting and dizziness Vitals: 97/60, 71, 18 No medications were administered and patient became stable and was released from vaccination site.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Dyspnoea, Electrocardiogram, Influenza virus test
Clinical narrative: Symptoms: Sore throat, Trouble breathing, chills, fever, neusea, muscle aches. Outcome: "Patchy hazy opacities/infiltrates are present of the right upper lung and left lung base raising concern for covid-19 pneumonia"
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung opacity, Myalgia, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Symptoms: Sore throat, Trouble breathing, chills, fever, neusea, muscle aches. Outcome: "Patchy hazy opacities/infiltrates are present of the right upper lung and left lung base raising concern for covid-19 pneumonia"
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Symptoms: Sore throat, Trouble breathing, chills, fever, neusea, muscle aches. Outcome: "Patchy hazy opacities/infiltrates are present of the right upper lung and left lung base raising concern for covid-19 pneumonia"
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd vaccine. Patient was diagnosed of Covid Ascorbic acid, Tylenol Discharged Home
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE SECOND PFIZER VACCINE.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Mother reported hives onset within 48 hours of vaccination. Patient is currently being managed by her pediatrician (over the counter hydrocortisone, children's diphenhydramine, cetirizine).
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization requiring supplemental oxygen
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PPV, RVX
Symptoms: Death
Clinical narrative: Patient died one day after receiving vaccine series.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Feeling abnormal, Palpitations
Clinical narrative: It was a weird experience that's why I waited to see the doctor. I had a really pressured pain that started in chest area that felt like it traveled to my arm for a bit. Then at one point, it traveled to my leg. So I waited a few times before I saw my NP primary care. After the 3/4 time of it happening I ended going in to see my NP on June 3rd. They did an EKG and didn't find anything and referred me to the Cardiologist. I saw the Cardiologist on 9/27/2021 they did an EKG and didn't find anything and she was reviewed my family history. And there was no conclusion to it. The symptoms now changed and every once in a while I feel a sharp pain in my chest, it doesn't last too long. I've never had sharp pains before. I've had racing heart but that's a symptom of Hashimoto's.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death
Clinical narrative: 72-year-old gentleman with significant past medical history for prostate cancer, GERD/coronary artery disease/hypertension, presented due to complaintof shortness of breath.  Covid + test on 11/3/2021.  Admission dx pneumonia due to COVID-19, acute hypoxic respiratory failure.  AKI on presentation.  D-dimer elevated.  Hyponatrimia. RRT called for hypoxia SpO2 71-82%.  pt intubated on 11/4/2021. Treatment: barcitinib, remdisivir, ICU management, decadron, Lovenox to heparin.    Pt expired.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Fibrin D dimer increased, Hyponatraemia, Hypoxia
Clinical narrative: 72-year-old gentleman with significant past medical history for prostate cancer, GERD/coronary artery disease/hypertension, presented due to complaintof shortness of breath.  Covid + test on 11/3/2021.  Admission dx pneumonia due to COVID-19, acute hypoxic respiratory failure.  AKI on presentation.  D-dimer elevated.  Hyponatrimia. RRT called for hypoxia SpO2 71-82%.  pt intubated on 11/4/2021. Treatment: barcitinib, remdisivir, ICU management, decadron, Lovenox to heparin.    Pt expired.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, SARS-CoV-2 test positive
Clinical narrative: 72-year-old gentleman with significant past medical history for prostate cancer, GERD/coronary artery disease/hypertension, presented due to complaintof shortness of breath.  Covid + test on 11/3/2021.  Admission dx pneumonia due to COVID-19, acute hypoxic respiratory failure.  AKI on presentation.  D-dimer elevated.  Hyponatrimia. RRT called for hypoxia SpO2 71-82%.  pt intubated on 11/4/2021. Treatment: barcitinib, remdisivir, ICU management, decadron, Lovenox to heparin.    Pt expired.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Facial pain, Herpes zoster, Ophthalmological examination, Rash
Clinical narrative: On the afternoon of December 31st a rash broke out on my forehead.  When I woke up on January 1st it had started changing to blisters and the whole right side of my face hurt and started swelling.  I thought it was just a contact dermatitis.  Woke up the next day and it had gotten worse.  Finally, on the morning of the 3rd I realized it was something else and went to the urgent care.  I was immediately diagnosed with Shingles and was prescribed and anti-viral medication.  Because of the location I immediately had to go to the Opthamologist to make sure it was not in my eye.  At this point it is not in my eye but I have to go back to the Doctor again on Monday the 10th for another staining.  It has continued to worsen over the last 2 days.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: On the afternoon of December 31st a rash broke out on my forehead.  When I woke up on January 1st it had started changing to blisters and the whole right side of my face hurt and started swelling.  I thought it was just a contact dermatitis.  Woke up the next day and it had gotten worse.  Finally, on the morning of the 3rd I realized it was something else and went to the urgent care.  I was immediately diagnosed with Shingles and was prescribed and anti-viral medication.  Because of the location I immediately had to go to the Opthamologist to make sure it was not in my eye.  At this point it is not in my eye but I have to go back to the Doctor again on Monday the 10th for another staining.  It has continued to worsen over the last 2 days.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: came to ER 12/25/21 after 1-2 wk h/o cough DC home 12/27/21 as was felt stable only to return to ER 12/29/21 in resp distress and died on 1/1/22
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER BOOSTER VACCINE.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Product administration error, Product preparation issue
Clinical narrative: 0.2cc undiluted Pfizer 5-11 administered in Left Deltoid on 12-30-21 at 1030. the error was noted after administration and the mother was notified at 1200 that day. At that time, the client had no side effects. On 1-5-22 the mother was interviewed. She reported that the client had "a little soreness" at the site of administration and "a little headache". No fever, No redness, No swelling. the mild symptoms lasted one day.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: breakthrough COVID-19 infection
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Computerised tomogram abnormal, Dyspnoea, Electrocardiogram
Clinical narrative: Nov 21-Dec21 Chest pressure discomfort, shortness of breath, rapid abnormal heartbeat. Heartbeat over 168 bpm while sleeping. Pre-vaccine heart never came close to this rate per FITBIT log. Went to Urgent Care 1-3-22-EKG and blood test. D-Dimer 1.25. Went to emergency room. EKG, blood test CT Scan. CT Scan showed blood clot upper left lung. Prescribed Eliquis.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Heart rate abnormal, Heart rate increased, Pulmonary thrombosis
Clinical narrative: Nov 21-Dec21 Chest pressure discomfort, shortness of breath, rapid abnormal heartbeat. Heartbeat over 168 bpm while sleeping. Pre-vaccine heart never came close to this rate per FITBIT log. Went to Urgent Care 1-3-22-EKG and blood test. D-Dimer 1.25. Went to emergency room. EKG, blood test CT Scan. CT Scan showed blood clot upper left lung. Prescribed Eliquis.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort
Clinical narrative: 40 minutes after receiving vaccine pt c/o abdominal discomfort. when asked said she did not eat breakfast
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Headache and nausea began within a few hours of vaccination and persisted for approximately 36 hours before resolving. The following day fatigue set in and this has persisted to this day, 2 weeks later. The fatigue is present despite sleeping at least 7 hours a night regularly and 10 hours a night for several nights in the past 2 weeks when able. Headaches have been occurring regularly with headaches on approximately 50% of days since vaccination which is abnormal for me,
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Thrombosis, Ultrasound scan abnormal
Clinical narrative: Developed blood clot on left leg on 11/12/21 . Called MD and referred for Ultra Sound. Saw hematologist and all other tests. Now on Eliquis x12 months.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: URI sx
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Influenza, Nasal congestion, Pain
Clinical narrative: Flu, cough, aches, headache, stuffy/runny nose
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Flu, cough, aches, headache, stuffy/runny nose
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Fatigue, Headache, Impaired work ability
Clinical narrative: Hardened sore  lump at injection site Excessive chills Headache Feeling of heaviness Fatigue Couldn?t go to work.   My first vaccine was Johnson and Johnson with absolutely no reaction!
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass, Injection site pain, Interchange of vaccine products
Clinical narrative: Hardened sore  lump at injection site Excessive chills Headache Feeling of heaviness Fatigue Couldn?t go to work.   My first vaccine was Johnson and Johnson with absolutely no reaction!
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Fluarix vaccine was received in clinic on 9/15/21. Reportedly, it was discovered to be out of refrigeration around 9/20/2021 and was placed in the fridge at that time and the person didn't tell anyone what they did.  I received the vaccine on 10/6/2021.  Someone in the clinic told us in Dec 2021 that the vaccine had been left out of the refrigerator without knowing that 7 of us in the pharmacy had received that vaccine.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/25/2021: Event occurred after 2nd vaccine. 83-year-old male who comes emergency department today for shortness of breath. as feeling okay and then today became short of breath and he went to the ER to be evaluated.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Inappropriate schedule of product administration, Muscle spasms, Vaginal haemorrhage
Clinical narrative: My first Pfizer vaccine was on March 31, 2021. The second Pfizer vaccine was on April 23, 2021. I understand us to have conceived our baby on February 26, 2021. I saw the baby's heartbeat at the doctors office on May 5, 2021. I had started light spotting on Tuesday, May 4. Around 1 am on Mothers Day I started cramping which resulted in a full miscarriage by 7 am that morning of May 9, 2021.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Blood test, Carotid artery thrombosis, Cerebral thrombosis
Clinical narrative: On November 2nd I started getting a headache in the back of my head, it was dull and I didn't think much of it.  On November 3rd my hand was a bit tingly but assumed it was nerve damage.  On November 5th, after a workout, I got a terrible headache that was debilitating.  That morning I threw up 4 times, had trouble keeping my eyes open, and was having trouble focusing.  My coworker brought me to Emergency Room.  After being admitted and brought back, I don't remember anything until the evening of November 7th.  I was told I was discharged from Emergency Room, and my boyfriend brought me to facility the following day where I was helicoptered to Hospital.  I was there until November 12th.  They found blood clots in my neck and brain.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Disturbance in attention, Eyelid function disorder, Headache, Magnetic resonance imaging
Clinical narrative: On November 2nd I started getting a headache in the back of my head, it was dull and I didn't think much of it.  On November 3rd my hand was a bit tingly but assumed it was nerve damage.  On November 5th, after a workout, I got a terrible headache that was debilitating.  That morning I threw up 4 times, had trouble keeping my eyes open, and was having trouble focusing.  My coworker brought me to Emergency Room.  After being admitted and brought back, I don't remember anything until the evening of November 7th.  I was told I was discharged from Emergency Room, and my boyfriend brought me to facility the following day where I was helicoptered to Hospital.  I was there until November 12th.  They found blood clots in my neck and brain.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Venogram, Vomiting
Clinical narrative: On November 2nd I started getting a headache in the back of my head, it was dull and I didn't think much of it.  On November 3rd my hand was a bit tingly but assumed it was nerve damage.  On November 5th, after a workout, I got a terrible headache that was debilitating.  That morning I threw up 4 times, had trouble keeping my eyes open, and was having trouble focusing.  My coworker brought me to Emergency Room.  After being admitted and brought back, I don't remember anything until the evening of November 7th.  I was told I was discharged from Emergency Room, and my boyfriend brought me to facility the following day where I was helicoptered to Hospital.  I was there until November 12th.  They found blood clots in my neck and brain.