chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: Became ill on 01/21/2022.  There are 2 issues.  1:  At the emergency room I had an EKG.  It showed Tachycardia, which I have never had before.  2:  I was diagnosed with Acute Appendicitis.  Surgery for removal was 01/23/2022.  The appendix was abscessed and perforated.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Condition aggravated, Echocardiogram abnormal, Ejection fraction, Inflammation
Clinical narrative: Patient received covid 19 pfizer vaccine on 5/22/21 and 6/12/21. Patient had a cardiology visit on 9/15/21 with intermittent chest pain for 2 years. Patient had recurrence of chest pain in Jan, Mar, Apr, and June of 2021 and was diagnosed with scapular dyskinesia by rheumatology and orthopedics. Patient was seen in cardiology clinic in summer when he had a fever of 103 and echocardiogram showing a large circumferential pericardial effusion.   Below is the cardiac mri imaging on 9/24/21: IMPRESSIONS: 1. The left ventricular size is normal. The left ventricular ejection fraction is 65 % by Simpson's method. Global left ventricular function is normal. There are no regional wall motion abnormalities of the left ventricular wall. The left ventricular mass is normal.   2. There is no myocardial late gadolinium enhancement to suggest prior infarct, inflammation, or infiltration. There is no evidence of myocardial edema by T2 weighted imaging.   3. The right ventricular size is normal. Global right ventricular function is normal. There are no regional wall motion abnormalities of the right ventricular wall.   4. Left atrial size is normal. Right atrial size is normal.   5. The pericardium thickness is normal. There is circumferential pericardial late gadolinium enhancement. There is no evidence of pericardial edema on T2-weighted imaging.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Pyrexia, Scapular dyskinesis
Clinical narrative: Patient received covid 19 pfizer vaccine on 5/22/21 and 6/12/21. Patient had a cardiology visit on 9/15/21 with intermittent chest pain for 2 years. Patient had recurrence of chest pain in Jan, Mar, Apr, and June of 2021 and was diagnosed with scapular dyskinesia by rheumatology and orthopedics. Patient was seen in cardiology clinic in summer when he had a fever of 103 and echocardiogram showing a large circumferential pericardial effusion.   Below is the cardiac mri imaging on 9/24/21: IMPRESSIONS: 1. The left ventricular size is normal. The left ventricular ejection fraction is 65 % by Simpson's method. Global left ventricular function is normal. There are no regional wall motion abnormalities of the left ventricular wall. The left ventricular mass is normal.   2. There is no myocardial late gadolinium enhancement to suggest prior infarct, inflammation, or infiltration. There is no evidence of myocardial edema by T2 weighted imaging.   3. The right ventricular size is normal. Global right ventricular function is normal. There are no regional wall motion abnormalities of the right ventricular wall.   4. Left atrial size is normal. Right atrial size is normal.   5. The pericardium thickness is normal. There is circumferential pericardial late gadolinium enhancement. There is no evidence of pericardial edema on T2-weighted imaging.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Computerised tomogram, Lymphadenitis, Lymphadenopathy
Clinical narrative: I HAD PAIN IN MY RIGHT SIDE ABDOMEN AND SIATIC PAIN DOWN MY RIGHT LEG. I WAS DIAGNOSISED WITH MESENTERICADENITIS. I FOLLOWED THE DOCTOR'S INSTRUCTIONS THEY SAID I HAD SWOLLEN LYMPH NODES.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sciatica
Clinical narrative: I HAD PAIN IN MY RIGHT SIDE ABDOMEN AND SIATIC PAIN DOWN MY RIGHT LEG. I WAS DIAGNOSISED WITH MESENTERICADENITIS. I FOLLOWED THE DOCTOR'S INSTRUCTIONS THEY SAID I HAD SWOLLEN LYMPH NODES.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms 1/1/22
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Headache, Injection site rash
Clinical narrative: patient , CALLED THE PHARMACY ON 02/04/2022 AT 1:01 PM , REPORTING THAT SHE HAS ADVERSE REACTION AFTER THE SECOND DOSE OF THE PFIZER BIONTECH SERIES .  LOT FK9729 , REPORTING  RASH IN THE SITE OF THE INJECTION ( LEFT  ARM) , ALONG WITH HEADACHE  AND ADMITTED TO HOSPITAL FOR IMMEDIATE CARE ON 02/02/2022 3:00 PM
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Bleeding in between periods, irregular menstrual cycle
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-platelet antibody, Antinuclear antibody, Contusion, Laboratory test, Platelet count decreased
Clinical narrative: Severe thrombocytopenia. He presented covered with bruises, with weight loss, and severely low platelets.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenia, Weight decreased
Clinical narrative: Severe thrombocytopenia. He presented covered with bruises, with weight loss, and severely low platelets.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: felt achy all over since it started tuesday and have been achy since then. Feels a little better 2/4/22
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given the pfizer 5-11 vaccine when she is 12 years old.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Head discomfort, Laboratory test, Magnetic resonance imaging
Clinical narrative: Throwing up. chills, heavy head pressure, head fullness, fatigue. Experienced symptoms from both vaccines and booster shot.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Throwing up. chills, heavy head pressure, head fullness, fatigue. Experienced symptoms from both vaccines and booster shot.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling hot, Headache, Vomiting
Clinical narrative: Says her sister is hot and tired. Dizziness and vomiting also headaches.
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fall, Hyporesponsive to stimuli, Injury, Moaning
Clinical narrative: Chief Complaint:  Trauma, fall   Source of Information:  Available medical record   Mechanism of Injury/Details of Event:    This is a 101y.o. female with a past medical  History of atrial fibrillation/flutter, heart failure, and hyperlipidemia that presented to the ER following an unwitnessed fall at the HCF. Staff at the facility stated that she is normally alert and oriented and talkative. They checked on her this morning and gave her breakfast. When they returned they found her on the ground next to her bed minimally responsive. She was brought into the ER shortly thereafter. She was found to have an extensive SAH as well as a SDH and was activated as a level two trauma. She is currently resting in bed unable to follow commands. She is able to state her name, but only groans out in pain. She is positive for COVID-19.   Past History:
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Subarachnoid haemorrhage, Subdural haematoma, Unresponsive to stimuli
Clinical narrative: Chief Complaint:  Trauma, fall   Source of Information:  Available medical record   Mechanism of Injury/Details of Event:    This is a 101y.o. female with a past medical  History of atrial fibrillation/flutter, heart failure, and hyperlipidemia that presented to the ER following an unwitnessed fall at the HCF. Staff at the facility stated that she is normally alert and oriented and talkative. They checked on her this morning and gave her breakfast. When they returned they found her on the ground next to her bed minimally responsive. She was brought into the ER shortly thereafter. She was found to have an extensive SAH as well as a SDH and was activated as a level two trauma. She is currently resting in bed unable to follow commands. She is able to state her name, but only groans out in pain. She is positive for COVID-19.   Past History:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Fall, Gait disturbance, Hypoaesthesia
Clinical narrative: I started feeling numbness in my hands and legs.  I had difficult walking.  It happen 3 times.  I wind up falling to the ground.  I was not able to walk any more and was unable to talk correctly.  I am getting physical therapy and speech therapy now.  I still am having trouble walking and talking today.  They said it could be FND.  They said that they did not know what was causing it.  They did a spinal tab, blood work, x-rays, CT scan, and MRI.  They checked me for neuro problems but nothing showed up.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Speech disorder, X-ray
Clinical narrative: I started feeling numbness in my hands and legs.  I had difficult walking.  It happen 3 times.  I wind up falling to the ground.  I was not able to walk any more and was unable to talk correctly.  I am getting physical therapy and speech therapy now.  I still am having trouble walking and talking today.  They said it could be FND.  They said that they did not know what was causing it.  They did a spinal tab, blood work, x-rays, CT scan, and MRI.  They checked me for neuro problems but nothing showed up.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: My staff pharmacist gave 0.2 ml of Pfizer adult covid19 vaccine to a twins 10 Years 11 months 25 days years old while they were supposed to get Pfizer Pediatric shot 5-11 years old. When I arrived afternoon to the pharmacy and learned about what happened, I called the mom and they told me the kids are doing well after the shot. I apologized and disclosed what happened.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: A 15-year-old male patient mistakenly received a booster with the Moderna action vaccine, which does not comply with the CDC guidelines.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Bradykinesia, Dizziness, Feeling cold, Feeling hot
Clinical narrative: Patient came to receive her covid vaccine at 11:00. This was her first dose in the series. She received the Pfizer vaccine. She has no known allergies. I gave paitent her injection at 11:10. I told her to wait 15 minutes in the waiting room in case of an adverse reaction. At 11:20 she reported feeling cold and dizzy. I brought her back to our injection room and had her sit down. She was pale, sweating, and moving very slow. She reported feeling very dizzy, nauseous, and reported having stomach cramps. When she sat down she said she was hot, so I helped her remove her jacket. I checked her vitals at 11:25 - HR was 107, BP 116/75, O2 saturation 100%. I continued to sit with her and her symptoms persisted. Her vitals at 11:33  - BP 112/75, HR 87, 02 100% on room air.  At 11:40 she said the dizziness was easing off, but the cramping was remaining. She was not sweating anymore but was still a little pale. Her vitals were BP 109/98, HR 99, O2 99%.  At 12:00 I had NP-C come assess and talk to patient. Patient was still cramping and felt dizzy when she stood and her heart rate did increase to 110 when she stood, but it came back down to the 80s within a short time. Patient reported feeling her heart rate increase in her chest, but did not feel faint. She sat back down and I checked her vitals again. HR 80 and O2 100%. At 12:30 she stood again and did not feel dizzy. Her skin tone was back to normal and not pale. We stood together for a little while to assess how she was feeling.  NP-C said that she approved for her to go home now, and instructed her not to go back to work, but to go home and rest. NP-C told patient that if she had chest pain or tightness later to go to the emergency room. I walked with  down the stairs, out the door, and to her car. She left at 12:40. Patient text me at 1:08 and let me know that she had made it home.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Patient came to receive her covid vaccine at 11:00. This was her first dose in the series. She received the Pfizer vaccine. She has no known allergies. I gave paitent her injection at 11:10. I told her to wait 15 minutes in the waiting room in case of an adverse reaction. At 11:20 she reported feeling cold and dizzy. I brought her back to our injection room and had her sit down. She was pale, sweating, and moving very slow. She reported feeling very dizzy, nauseous, and reported having stomach cramps. When she sat down she said she was hot, so I helped her remove her jacket. I checked her vitals at 11:25 - HR was 107, BP 116/75, O2 saturation 100%. I continued to sit with her and her symptoms persisted. Her vitals at 11:33  - BP 112/75, HR 87, 02 100% on room air.  At 11:40 she said the dizziness was easing off, but the cramping was remaining. She was not sweating anymore but was still a little pale. Her vitals were BP 109/98, HR 99, O2 99%.  At 12:00 I had NP-C come assess and talk to patient. Patient was still cramping and felt dizzy when she stood and her heart rate did increase to 110 when she stood, but it came back down to the 80s within a short time. Patient reported feeling her heart rate increase in her chest, but did not feel faint. She sat back down and I checked her vitals again. HR 80 and O2 100%. At 12:30 she stood again and did not feel dizzy. Her skin tone was back to normal and not pale. We stood together for a little while to assess how she was feeling.  NP-C said that she approved for her to go home now, and instructed her not to go back to work, but to go home and rest. NP-C told patient that if she had chest pain or tightness later to go to the emergency room. I walked with  down the stairs, out the door, and to her car. She left at 12:40. Patient text me at 1:08 and let me know that she had made it home.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administration Error: A 16-year-old female patient receives her booster dose of the Moderna vaccine, an action which does not comply with the established CDC booster dose guidelines.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 8/29/21
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Blood test, Chest pain, Dyspnoea, Echocardiogram normal
Clinical narrative: I got my booster and the next day at 4pm. I started having chest pain on my left side and shortness of breath.  I called my PCP and they recommended the ER on 10-29-2021. I went to the urgent care instead, but they sent me to the ER. I stayed waiting until 1 am 10-30-2021 at the ER. They ran test but kept in waiting for 7 hours. I left the ER and went home.  I continued to have the chest pain; it has decreased. I am currently still having the same chest pain now. It comes and goes, but it is continuing. I called my PCP in November, he preformed a echo. It was fine. He referred me to a cardiologist, and he performed a cardiac MRI and he said it may have to do with inflammation in my lungs. I got COVID in early January, but I have been asymptomatic. My heart rate is running high. I have a reduction in my quality of life because the pain is still occurring.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Heart rate increased, Magnetic resonance imaging heart
Clinical narrative: I got my booster and the next day at 4pm. I started having chest pain on my left side and shortness of breath.  I called my PCP and they recommended the ER on 10-29-2021. I went to the urgent care instead, but they sent me to the ER. I stayed waiting until 1 am 10-30-2021 at the ER. They ran test but kept in waiting for 7 hours. I left the ER and went home.  I continued to have the chest pain; it has decreased. I am currently still having the same chest pain now. It comes and goes, but it is continuing. I called my PCP in November, he preformed a echo. It was fine. He referred me to a cardiologist, and he performed a cardiac MRI and he said it may have to do with inflammation in my lungs. I got COVID in early January, but I have been asymptomatic. My heart rate is running high. I have a reduction in my quality of life because the pain is still occurring.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given Pfizer 12+ and she is only 8 years old.  No side effects or adverse reactions noted.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: Patient presented with progressive numbness of his upper and lower extremites after receiving Shingrix vaccine. Patient was admitted to the hospital and evaluated by neurology.  Patient recieved IVIG for  diagnosis of Guillain-Barre.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization with covid; fully vaccinated with booster
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms 12/26/2021
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Vaccine was accidentally drawn up from an undiluted vial, so patient received 0.2ml of vaccine without diluent added.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Acidosis, Aphasia, Blood creatinine increased, Blood gases abnormal, Blood glucose increased
Clinical narrative: Chief Complaint: AMS   Source of Information: Available medical record   History of Present Illness:  This is a 91y.o. male with hx of HFrEF 25%, COPD, DM T2, dementia, sick sinus syndrome with pacemaker, AAA who presents to hospital with a chief complaint of decreased appetite and generalized fatigue x2 days.  Patient has also been vomiting this morning.  Facility is also noted cold toes and fingers that were blue.  Patient is nonverbal.   Per report from EMS the patient has been slowly declining over the last 2-3 days. The patient has a recent history of COVID-19 infection, unclear what treatment the patient received. The patient was reported to have received two doses of the Moderna vaccine.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Blood ketone body, Blood urea abnormal, Body temperature decreased, COVID-19, Cyanosis
Clinical narrative: Chief Complaint: AMS   Source of Information: Available medical record   History of Present Illness:  This is a 91y.o. male with hx of HFrEF 25%, COPD, DM T2, dementia, sick sinus syndrome with pacemaker, AAA who presents to hospital with a chief complaint of decreased appetite and generalized fatigue x2 days.  Patient has also been vomiting this morning.  Facility is also noted cold toes and fingers that were blue.  Patient is nonverbal.   Per report from EMS the patient has been slowly declining over the last 2-3 days. The patient has a recent history of COVID-19 infection, unclear what treatment the patient received. The patient was reported to have received two doses of the Moderna vaccine.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, General physical health deterioration, Hypotension, Intensive care
Clinical narrative: Chief Complaint: AMS   Source of Information: Available medical record   History of Present Illness:  This is a 91y.o. male with hx of HFrEF 25%, COPD, DM T2, dementia, sick sinus syndrome with pacemaker, AAA who presents to hospital with a chief complaint of decreased appetite and generalized fatigue x2 days.  Patient has also been vomiting this morning.  Facility is also noted cold toes and fingers that were blue.  Patient is nonverbal.   Per report from EMS the patient has been slowly declining over the last 2-3 days. The patient has a recent history of COVID-19 infection, unclear what treatment the patient received. The patient was reported to have received two doses of the Moderna vaccine.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic acidosis, Metabolic function test abnormal, Peripheral coldness, Septic shock
Clinical narrative: Chief Complaint: AMS   Source of Information: Available medical record   History of Present Illness:  This is a 91y.o. male with hx of HFrEF 25%, COPD, DM T2, dementia, sick sinus syndrome with pacemaker, AAA who presents to hospital with a chief complaint of decreased appetite and generalized fatigue x2 days.  Patient has also been vomiting this morning.  Facility is also noted cold toes and fingers that were blue.  Patient is nonverbal.   Per report from EMS the patient has been slowly declining over the last 2-3 days. The patient has a recent history of COVID-19 infection, unclear what treatment the patient received. The patient was reported to have received two doses of the Moderna vaccine.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm, Vomiting
Clinical narrative: Chief Complaint: AMS   Source of Information: Available medical record   History of Present Illness:  This is a 91y.o. male with hx of HFrEF 25%, COPD, DM T2, dementia, sick sinus syndrome with pacemaker, AAA who presents to hospital with a chief complaint of decreased appetite and generalized fatigue x2 days.  Patient has also been vomiting this morning.  Facility is also noted cold toes and fingers that were blue.  Patient is nonverbal.   Per report from EMS the patient has been slowly declining over the last 2-3 days. The patient has a recent history of COVID-19 infection, unclear what treatment the patient received. The patient was reported to have received two doses of the Moderna vaccine.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given Moderna instead of Pfizer. Patient is too young for Moderna vaccine. No side effects or adverse reactions noted.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: On 01/25/2022 patient walked in while we were having the COVID clinic and stated  that he had his Pfizer booster on 1/19/2022 at about noon and by 3 O'clock that  after noon his left hand had swelled up and warm to the touch.  Patient stated  that he got his vaccine in the left deltoid.  No other symptoms noted.  He just  wanted us to know.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Heart rate increased
Clinical narrative: Accelerated heart rate, dizziness, out of breath and fatigue feeling.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient injected undilute pediatric pfizer, filled out scrt, mom and md informed, child monitor. currently mom said kids are doing fine and will monitor kids for any issue. md had suggested to monitor breathing and if any issue to seek medical attention.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Influenza like illness, No adverse event, SARS-CoV-2 test positive
Clinical narrative: No adverse effect with vaccine.  on 2-3-2022 symptomatic with flu like symptoms.  Urgent care COVID-19 test positive.  Received call from CDC-VSAFE Reg @ 2-4-2022 -12:09 CST and told to fill out this form.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: IMMUNIZATION GIVEN TOO SOON, PT'S MOTHER BROUGHT PT  IN TO SOON (ON DAY 11 INSTEAD OF DAY 21) FOR 2ND DOSE.  PT'S MOTHER NOTIFIED, MOTHER STATES SHE WILL BRING PT BACK TO CLINIC ON FEB. 24, 2022 TO OBTAIN THE 2ND DOSE.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient came in to have a flu vaccine. Technician accidently gave 1 dose of Covid-19 Pfizer. Spoke to the patient to inform her of the error followed by apologizing . Patient was very understanding .Told her to monitor if any adverse effects and if  occurs to contact her MD or go to an ER. Contacted the patient twice that afternoon and evening to check in with her, patient stated she is feeling fine with no adverse effects. Told patient we will continue to call her over the next few days to see how she is doing.  We have contacted her doctor to inform them about the vaccine incident.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest pain, Ejection fraction decreased, Left ventricular dilatation, Left ventricular dysfunction
Clinical narrative: Patient received 1 dose of pfizer vaccine on 5/26/21. Patient presented to a local ED on 8/23/21 with left sided chest pain. Troponin 41, CRP <3, ESR 2, covid neg.  Below is mri cardiac imaging impression done on 8/30/21.  IMPRESSIONS:   1. The left ventricular size is mildly dilated. The left ventricular ejection fraction is 54 % by Simpson's method. The left ventricular end-diastolic volume index is 111 ml/m2. There are no clear regional wall motion abnormalities. Global left ventricular function is low normal. The left ventricular mass is normal.   2. There is a large amount of primarily subepicardial late gadolinium enhancement (LGE) which is essentially circumferential in the basal segments. This subepicardial LGE extends into the mid and apical inferior and inferolateral walls. There is also focal subepicardial LGE in the anterior wall at the midventricular level. There is no evidence of focal myocardial edema by T2 weighted imaging. T1 mapping images are non-diagnostic due to artifact in the apical and basal segments, however in the midventricular segment, extracellular volume is elevated in the corresponding regions of LGE (40-50%) but is normal in the other segments, measuring 25 % (normal values 3T: 27-32%).   3. The right ventricular size is normal. The right ventricular ejection fraction is 60 % by Simpson's method. Global right ventricular function is normal. There are no regional wall motion abnormalities of the right ventricular wall. There is no late gadolinium enhancement of the right ventricle.   4. Left atrial size is normal. Right atrial size is normal.   5. There is a trivial inferior pericardial effusion.  Patient is managed by a cardiologist and the decision was made not to get the booster vaccine.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart, Myocarditis, Pericardial effusion, Red blood cell sedimentation rate decreased, Right ventricular ejection fraction decreased
Clinical narrative: Patient received 1 dose of pfizer vaccine on 5/26/21. Patient presented to a local ED on 8/23/21 with left sided chest pain. Troponin 41, CRP <3, ESR 2, covid neg.  Below is mri cardiac imaging impression done on 8/30/21.  IMPRESSIONS:   1. The left ventricular size is mildly dilated. The left ventricular ejection fraction is 54 % by Simpson's method. The left ventricular end-diastolic volume index is 111 ml/m2. There are no clear regional wall motion abnormalities. Global left ventricular function is low normal. The left ventricular mass is normal.   2. There is a large amount of primarily subepicardial late gadolinium enhancement (LGE) which is essentially circumferential in the basal segments. This subepicardial LGE extends into the mid and apical inferior and inferolateral walls. There is also focal subepicardial LGE in the anterior wall at the midventricular level. There is no evidence of focal myocardial edema by T2 weighted imaging. T1 mapping images are non-diagnostic due to artifact in the apical and basal segments, however in the midventricular segment, extracellular volume is elevated in the corresponding regions of LGE (40-50%) but is normal in the other segments, measuring 25 % (normal values 3T: 27-32%).   3. The right ventricular size is normal. The right ventricular ejection fraction is 60 % by Simpson's method. Global right ventricular function is normal. There are no regional wall motion abnormalities of the right ventricular wall. There is no late gadolinium enhancement of the right ventricle.   4. Left atrial size is normal. Right atrial size is normal.   5. There is a trivial inferior pericardial effusion.  Patient is managed by a cardiologist and the decision was made not to get the booster vaccine.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Ventricular hypokinesia
Clinical narrative: Patient received 1 dose of pfizer vaccine on 5/26/21. Patient presented to a local ED on 8/23/21 with left sided chest pain. Troponin 41, CRP <3, ESR 2, covid neg.  Below is mri cardiac imaging impression done on 8/30/21.  IMPRESSIONS:   1. The left ventricular size is mildly dilated. The left ventricular ejection fraction is 54 % by Simpson's method. The left ventricular end-diastolic volume index is 111 ml/m2. There are no clear regional wall motion abnormalities. Global left ventricular function is low normal. The left ventricular mass is normal.   2. There is a large amount of primarily subepicardial late gadolinium enhancement (LGE) which is essentially circumferential in the basal segments. This subepicardial LGE extends into the mid and apical inferior and inferolateral walls. There is also focal subepicardial LGE in the anterior wall at the midventricular level. There is no evidence of focal myocardial edema by T2 weighted imaging. T1 mapping images are non-diagnostic due to artifact in the apical and basal segments, however in the midventricular segment, extracellular volume is elevated in the corresponding regions of LGE (40-50%) but is normal in the other segments, measuring 25 % (normal values 3T: 27-32%).   3. The right ventricular size is normal. The right ventricular ejection fraction is 60 % by Simpson's method. Global right ventricular function is normal. There are no regional wall motion abnormalities of the right ventricular wall. There is no late gadolinium enhancement of the right ventricle.   4. Left atrial size is normal. Right atrial size is normal.   5. There is a trivial inferior pericardial effusion.  Patient is managed by a cardiologist and the decision was made not to get the booster vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Ammonia normal, Asthenia, Blood creatinine increased, Blood potassium normal, Blood sodium normal
Clinical narrative: ? Dialysis Access     PT missed dialysis due to unsteady gait. PT has left arm swelling and is vomiting        HPI:   This is a 65y.o. male with significant past medical history of HTN, T2DM, CVA, COPD, ESRD on hemodialysis, DVT, MI, and PVD that presented to the hospital with chief complaint of missed hemodialysis. Patient reportedly tested positive for COVID-19 on 1/5/22. He has since missed 3 of his hemodialysis sessions secondary to inability to tolerate, weakness, fatigue, and shortness. For the past two weeks he has had decreased mentation. He was brought to the ED for further evaluation and management.   In the ED, patient normotensive, afebrile, stable SPO2 on room air. Cr 12.99, K 5.0, Na 137, Hb 12.4. Ammonia 43. CXR with bibasilar airspace opacities. He has been admitted for further evaluation and management with ID and nephrology consultations.   Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Condition aggravated, Dyspnoea, Fatigue
Clinical narrative: ? Dialysis Access     PT missed dialysis due to unsteady gait. PT has left arm swelling and is vomiting        HPI:   This is a 65y.o. male with significant past medical history of HTN, T2DM, CVA, COPD, ESRD on hemodialysis, DVT, MI, and PVD that presented to the hospital with chief complaint of missed hemodialysis. Patient reportedly tested positive for COVID-19 on 1/5/22. He has since missed 3 of his hemodialysis sessions secondary to inability to tolerate, weakness, fatigue, and shortness. For the past two weeks he has had decreased mentation. He was brought to the ED for further evaluation and management.   In the ED, patient normotensive, afebrile, stable SPO2 on room air. Cr 12.99, K 5.0, Na 137, Hb 12.4. Ammonia 43. CXR with bibasilar airspace opacities. He has been admitted for further evaluation and management with ID and nephrology consultations.   Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Haemodialysis complication, Haemoglobin decreased, Lung opacity, Mental status changes
Clinical narrative: ? Dialysis Access     PT missed dialysis due to unsteady gait. PT has left arm swelling and is vomiting        HPI:   This is a 65y.o. male with significant past medical history of HTN, T2DM, CVA, COPD, ESRD on hemodialysis, DVT, MI, and PVD that presented to the hospital with chief complaint of missed hemodialysis. Patient reportedly tested positive for COVID-19 on 1/5/22. He has since missed 3 of his hemodialysis sessions secondary to inability to tolerate, weakness, fatigue, and shortness. For the past two weeks he has had decreased mentation. He was brought to the ED for further evaluation and management.   In the ED, patient normotensive, afebrile, stable SPO2 on room air. Cr 12.99, K 5.0, Na 137, Hb 12.4. Ammonia 43. CXR with bibasilar airspace opacities. He has been admitted for further evaluation and management with ID and nephrology consultations.   Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, SARS-CoV-2 test positive, Therapy interrupted, Vomiting
Clinical narrative: ? Dialysis Access     PT missed dialysis due to unsteady gait. PT has left arm swelling and is vomiting        HPI:   This is a 65y.o. male with significant past medical history of HTN, T2DM, CVA, COPD, ESRD on hemodialysis, DVT, MI, and PVD that presented to the hospital with chief complaint of missed hemodialysis. Patient reportedly tested positive for COVID-19 on 1/5/22. He has since missed 3 of his hemodialysis sessions secondary to inability to tolerate, weakness, fatigue, and shortness. For the past two weeks he has had decreased mentation. He was brought to the ED for further evaluation and management.   In the ED, patient normotensive, afebrile, stable SPO2 on room air. Cr 12.99, K 5.0, Na 137, Hb 12.4. Ammonia 43. CXR with bibasilar airspace opacities. He has been admitted for further evaluation and management with ID and nephrology consultations.   Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 60.0
Sex: M
Vaccine: UNK
Symptoms: Atrial fibrillation, Cardiac failure congestive, Computerised tomogram abnormal, Electrocardiogram abnormal, Pericardial effusion
Clinical narrative: CHF.  AFIB. Fluid around heart
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Husband called stating pt was experiencing "Significant chest pain." Instructed him to seek immediate emergency medical care  for her as that could be a sign of a blood clot.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Lymphadenopathy, Pain
Clinical narrative: Employee stated "Yesterday 2/3/22 in the morning it was hurting like burning pain first I thought it was common. When I came home at 2:30 pm I noticed a big ball swelling in my left arm pit. I took Tylenol but it does not help".
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The patient was administered his first dose of Pfizer Pediatric Covid-19, but the vial was not diluted prior to administration.  The patient was given 0.2ml of undiluted Pfizer Pediatric.  Parents have been notified and instructed to watch for side effects of fever, sore arm, fatigue.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: DATE OF BIRTH WRITTEN INCORRECTLY AND AGE WRITTEN AS 12 YEARS ON CONSENT SIGNED BY INDIVIDUAL PRESENTING AS MOTHER.  IDENTIFIED IN DATABSE WITH DATE OF BIRTH WHICH MAKES CHILD TOO YOUNG AND NOT ELIGIBLE FOR VACCINE IN 5/2021.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Colour blindness, Magnetic resonance imaging normal, Ophthalmic migraine, Tunnel vision, Vertigo
Clinical narrative: Pt. states that after receiving the 3rd dose of Moderna 01/04/2022, started experiencing symptoms 01/05/2022 of Optical Migraine with tunnel vision, loss of color, and vertigo. Primary visit 01/06/2022/Ophthalmologist with recommendations of MRI (Normal). Symptoms have subsided.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Endotracheal intubation, Haemoptysis, Intensive care
Clinical narrative: Patient received Moderna COVID vaccine on 1/16/21 (lot # 042L20A), 2/11/21 (lot # 024M20A), and Pfizer COVID vaccine on 9/3/21 (lot # FD8448). On 1/3/22 and 2/1/22, patient tested positive for COVID. On 2/1/22, patient admitted to our CCU intubated with acute respiratory failure with hypoxia, hemoptysis, and recently diagnosed  NSCLC of right lung with metastasis to bone, liver, and likely brain. As of today (2/4/22), patient is still intubated in CCU.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Metastases to bone, Metastases to central nervous system, Metastases to liver, Non-small cell lung cancer, SARS-CoV-2 test positive
Clinical narrative: Patient received Moderna COVID vaccine on 1/16/21 (lot # 042L20A), 2/11/21 (lot # 024M20A), and Pfizer COVID vaccine on 9/3/21 (lot # FD8448). On 1/3/22 and 2/1/22, patient tested positive for COVID. On 2/1/22, patient admitted to our CCU intubated with acute respiratory failure with hypoxia, hemoptysis, and recently diagnosed  NSCLC of right lung with metastasis to bone, liver, and likely brain. As of today (2/4/22), patient is still intubated in CCU.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain
Clinical narrative: Injection site was sore for 3 days.  Body aches began 24hrs after injection, lasting another 36hrs.  Chills also began 24hrs after injection, but only lasted 8hrs. No fever. No respiratory or nasal symptoms. No superpowers. Treated with ibuprofen.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: Patient became lightheaded, short of breath, and shaking 10 mins after receiving vaccine. Vitals were checked and member had elevated BP of 159/95mmhg and HR of 149bpm, SpO2 of 99% on room air. Resolved completely after 20-30 mins of rest and water. No oral swelling. Lungs and heart auscultated and normal. No medications or labs provided - only reassurance and close monitoring. Member was quite nervous going into this first COVID vaccination - mandated.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Patient became lightheaded, short of breath, and shaking 10 mins after receiving vaccine. Vitals were checked and member had elevated BP of 159/95mmhg and HR of 149bpm, SpO2 of 99% on room air. Resolved completely after 20-30 mins of rest and water. No oral swelling. Lungs and heart auscultated and normal. No medications or labs provided - only reassurance and close monitoring. Member was quite nervous going into this first COVID vaccination - mandated.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient's Moderna Booster administered at a 3 month interval instead of a 5 month interval.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Insomnia
Clinical narrative: Patient said she started to experience back pain the evening after her injection. She stated it was severe enough to keep her awake at night. Ibuprofen helped to numb the pain slightly, but it was still there.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Hypoaesthesia, Immediate post-injection reaction, Injection site erythema, Musculoskeletal discomfort
Clinical narrative: I began to feel a cold feeling in my fingers immediately after injection, and then in my back about 2-3 days later. I began to develop a big red spot on the site of injection. When I went to the doctors they sent me to get an x-ray that came back clear. Bloodwork was ordered and showed low platelet count. I still currently have numbness in my back however no pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Platelet count decreased, X-ray
Clinical narrative: I began to feel a cold feeling in my fingers immediately after injection, and then in my back about 2-3 days later. I began to develop a big red spot on the site of injection. When I went to the doctors they sent me to get an x-ray that came back clear. Bloodwork was ordered and showed low platelet count. I still currently have numbness in my back however no pain.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Psoriasis
Clinical narrative: patient states has worsening psoriasis symptoms that were previously under control
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Bacterial test positive, Blood creatine phosphokinase increased, Blood urine present, COVID-19
Clinical narrative: 1/8/2022- Chief Complaint: Lethargy- Source of Information: Available medical record. History of Present Illness:  This is a 69 y.o. female with PMH of being a conjoined twin, developmental delay, GERD, hyperlipidemia, hypertension, seizure disorder, and hypothyroidism presents to the emergency department chief complaint of lethargy and altered mental status. The patient has none nonverbal at baseline with occasional "yes "or "no". History is provided by the patient's first cousin who was the patient's guardian. Guardian states that the patient has had poor p.o. intake over the last 6 days. She states that typically the patient is able to ambulate on her own with a walker but has not done so over the past 6 days. She states that she is fully vaccinated against the coronavirus and is vigilant about cleaning the house every day with disinfectants. The patient has multiple family members who are healthcare providers and also take care of the patient. ED vitals: Blood pressure on arrival was 153/67, SPO2 90% on room air, heart rate 81. Patient did test positive for the coronavirus. Her last dose of the vaccine was in May 2021. Labs were remarkable for hemoglobin of 15.7, AST 79, creatinine kinase 1826, urinalysis 20 ketones, 2+ blood, greater than 20 RBCs, 11-20 WBCs, greater than 50 squamous cells, 2+ bacteria. CXR: No acute cardiopulmonary disease/process or significant change from prior given patient rotation. CT head: No acute intracranial process, re-demonstration of remote injuries involving the right parietal, frontal parietal regions.  Bilateral mastoid effusions with associated opacification of the middle ear, nonspecific white matter changes likely related to chronic ischemic small vessel disease
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral small vessel ischaemic disease, Chest X-ray normal, Computerised tomogram head abnormal, Gait disturbance, Haemoglobin normal
Clinical narrative: 1/8/2022- Chief Complaint: Lethargy- Source of Information: Available medical record. History of Present Illness:  This is a 69 y.o. female with PMH of being a conjoined twin, developmental delay, GERD, hyperlipidemia, hypertension, seizure disorder, and hypothyroidism presents to the emergency department chief complaint of lethargy and altered mental status. The patient has none nonverbal at baseline with occasional "yes "or "no". History is provided by the patient's first cousin who was the patient's guardian. Guardian states that the patient has had poor p.o. intake over the last 6 days. She states that typically the patient is able to ambulate on her own with a walker but has not done so over the past 6 days. She states that she is fully vaccinated against the coronavirus and is vigilant about cleaning the house every day with disinfectants. The patient has multiple family members who are healthcare providers and also take care of the patient. ED vitals: Blood pressure on arrival was 153/67, SPO2 90% on room air, heart rate 81. Patient did test positive for the coronavirus. Her last dose of the vaccine was in May 2021. Labs were remarkable for hemoglobin of 15.7, AST 79, creatinine kinase 1826, urinalysis 20 ketones, 2+ blood, greater than 20 RBCs, 11-20 WBCs, greater than 50 squamous cells, 2+ bacteria. CXR: No acute cardiopulmonary disease/process or significant change from prior given patient rotation. CT head: No acute intracranial process, re-demonstration of remote injuries involving the right parietal, frontal parietal regions.  Bilateral mastoid effusions with associated opacification of the middle ear, nonspecific white matter changes likely related to chronic ischemic small vessel disease
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Lethargy, Mastoid effusion, Mental status changes, Middle ear disorder
Clinical narrative: 1/8/2022- Chief Complaint: Lethargy- Source of Information: Available medical record. History of Present Illness:  This is a 69 y.o. female with PMH of being a conjoined twin, developmental delay, GERD, hyperlipidemia, hypertension, seizure disorder, and hypothyroidism presents to the emergency department chief complaint of lethargy and altered mental status. The patient has none nonverbal at baseline with occasional "yes "or "no". History is provided by the patient's first cousin who was the patient's guardian. Guardian states that the patient has had poor p.o. intake over the last 6 days. She states that typically the patient is able to ambulate on her own with a walker but has not done so over the past 6 days. She states that she is fully vaccinated against the coronavirus and is vigilant about cleaning the house every day with disinfectants. The patient has multiple family members who are healthcare providers and also take care of the patient. ED vitals: Blood pressure on arrival was 153/67, SPO2 90% on room air, heart rate 81. Patient did test positive for the coronavirus. Her last dose of the vaccine was in May 2021. Labs were remarkable for hemoglobin of 15.7, AST 79, creatinine kinase 1826, urinalysis 20 ketones, 2+ blood, greater than 20 RBCs, 11-20 WBCs, greater than 50 squamous cells, 2+ bacteria. CXR: No acute cardiopulmonary disease/process or significant change from prior given patient rotation. CT head: No acute intracranial process, re-demonstration of remote injuries involving the right parietal, frontal parietal regions.  Bilateral mastoid effusions with associated opacification of the middle ear, nonspecific white matter changes likely related to chronic ischemic small vessel disease