chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syncope, Unresponsive to stimuli, Visual impairment
Clinical narrative: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Severe
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Headache-Medium, Systemic: Unable to Sleep-Severe, Additional Details: local site reaction, patient did not seek outside medical care
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Insomnia, Pain, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Headache-Medium, Systemic: Unable to Sleep-Severe, Additional Details: local site reaction, patient did not seek outside medical care
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia oral, Lip swelling
Clinical narrative: Systemic: Slight swelling of lip and numbness of tongue-Mild, Additional Details: Patient complained of slight swelling of the lips and numbness of tongue. Symptoms resolved once patient was at home.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia, Dizziness, Immediate post-injection reaction, Impaired work ability, Iron binding capacity total normal
Clinical narrative: IMMEDIATELY AFTER RECEIVING THE BOOSTER THAT WAS REQUIRED BY MY JOB TO GET I WAS DIZZY, LETHARGIC AND ACHY, SO MUCH SO THAT I HAD TO CALL OUT OF WORK FOR THE REST OF THE WEEK. I HAVE NEVER CALLED OUT OF WORK MORE THAN FIVE TIMES IN THE 35 YRS. I HAVE WORKED AS A NURSE.  AT THE END  OF MARCH BEGINNING OF APR. I NOTICED MORE HAIR IN MY BRUSH THAN USUAL.  WHEN I WENT TO THE HAIRDRESSER FOR MY SUMMER CUT IN JUNE SHE NOTICED SEVERAL BALD PATCHES. AND BY THE MIDDLE OF JULY I WAS COMPLETELY BALD AND HAD NO BODY HAIR ANYWHERE.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test normal, Lethargy, Liver function test normal, Metabolic function test normal, Pain
Clinical narrative: IMMEDIATELY AFTER RECEIVING THE BOOSTER THAT WAS REQUIRED BY MY JOB TO GET I WAS DIZZY, LETHARGIC AND ACHY, SO MUCH SO THAT I HAD TO CALL OUT OF WORK FOR THE REST OF THE WEEK. I HAVE NEVER CALLED OUT OF WORK MORE THAN FIVE TIMES IN THE 35 YRS. I HAVE WORKED AS A NURSE.  AT THE END  OF MARCH BEGINNING OF APR. I NOTICED MORE HAIR IN MY BRUSH THAN USUAL.  WHEN I WENT TO THE HAIRDRESSER FOR MY SUMMER CUT IN JUNE SHE NOTICED SEVERAL BALD PATCHES. AND BY THE MIDDLE OF JULY I WAS COMPLETELY BALD AND HAD NO BODY HAIR ANYWHERE.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Serum ferritin normal, Tri-iodothyronine free normal, Tri-iodothyronine normal
Clinical narrative: IMMEDIATELY AFTER RECEIVING THE BOOSTER THAT WAS REQUIRED BY MY JOB TO GET I WAS DIZZY, LETHARGIC AND ACHY, SO MUCH SO THAT I HAD TO CALL OUT OF WORK FOR THE REST OF THE WEEK. I HAVE NEVER CALLED OUT OF WORK MORE THAN FIVE TIMES IN THE 35 YRS. I HAVE WORKED AS A NURSE.  AT THE END  OF MARCH BEGINNING OF APR. I NOTICED MORE HAIR IN MY BRUSH THAN USUAL.  WHEN I WENT TO THE HAIRDRESSER FOR MY SUMMER CUT IN JUNE SHE NOTICED SEVERAL BALD PATCHES. AND BY THE MIDDLE OF JULY I WAS COMPLETELY BALD AND HAD NO BODY HAIR ANYWHERE.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, Incorrect product formulation administered
Clinical narrative: Patient received pfizer bivalent as first vaccine
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Severe tremor activity in the bilateral arms and hands. Medications increased/changed to manage sx.
Age: 5.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Acne, Polymerase chain reaction, Scab, Skin lesion
Clinical narrative: 5 year old boy, born at 39 + 1 via c-section without complications. No significant past medical history. Presents to the clinic with scattered, umbilicated lesions over bilateral forearms, left medial thigh and bilateral lower legs. Lesions were first noted on 9/6/2022 in the afternoon. They looked like big bites, firm, non tender, non pruritic and had no umbilication. By Friday 9/9/2022 the lesions had umbilicated and by Saturday 9/10/2022 they developed a crust in the umbilicated area. Lesions never oozed. He had a peds appointment on Friday but had to be cancelled and therefore he had not seen anybody until today.(9/12/22) His mother is a physician and received dose #1 of intradermal live-attenuated non replicating Jynneos vaccine on 8/30, one week prior to the child developing lesions. Mother states that on 9/1/2022 she felt a pimple like lesion on the hair line behind her right ear but due to location, was unable to see it and had husband take a picture of the lesion (poor quality picture). The lesion disappeared on its own in 24h and she did not develop any other lesions. Neither the child nor the mother developed fever, chills or any oral/genital/mucosal lesions. The child has been eating, sleeping and playing well. Now the 1 year and 11 month old sister has a noticeable red bump lesion over her right lower leg and seems like she is developing 2 other lesions that are still not red in the same leg. The child comes for MPX testing There is concern for MPX vs vaccinia generalized rash.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Exposure to SARS-CoV-2, Headache, Pyrexia, Vision blurred, Visual impairment
Clinical narrative: After receiving the new Moderna BiValent vaccine, I began to notice some visual changes the 2nd day, and worsening to some degree on the 3rd day. This also happened after my 2nd regular Moderna booster, and it was irritating for about 2 weeks, and cleared up without any treatment. I thought it was possibly allergies at the time. But, since this has occurred again, I felt I should let the FDA know. Distance vision has seemed stable, but reading was blurry when it happened before, and it seems the same this time. If it doesn't clear up in a few days, I will see my ophthalmologist for evaluation. I have experienced headaches after each vaccine and booster, but more severe with the 1st one. Also ran a low grade fever for about 2 days each time. Temp less than 100 degrees. All vaccines and boosters have been Moderna. I am 71 years of age, and in good health. No underlying medical conditions, and do not take any prescription meds on a regular basis. I do take vitamins and mineral supplements I have not had Covid to the best of my knowledge. I have been directly exposed several times, but have never tested positive.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Product packaging confusion
Clinical narrative: Fluzone high dose is packaged with 2 vials which causes a safety concern. Administers are unsure whether to use both vials or 1.
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Individual developed urticaria on bilateral upper extremities, chest and face. Mild shortness of breath reported. ER provider documented no angioedema.
Sex: F
Vaccine: COVID19-2
Symptoms: Adverse event
Clinical narrative: MODERNA COVID 19 VACCINE BIVALENT
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Cardiac monitoring normal, Cardiac stress test normal, Chest discomfort, Electrocardiogram normal
Clinical narrative: I received my second Pfizer vaccine 6-11-2022. I started having numbness in my right hand and chest pressure. The person that administered the shot recommend I go to my doctor. So I went to my regaler hospital. The Urgent care referred me to Hospital Emergency Room. They said it sounds muscle skeletal and probably hit a nerve giving the ejection instead of a bad reaction. My primary car doctor said its most luckily anxiety and my cardiologists EKG and stress test wear normal. My hart monitor also came back normal.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: I received my second Pfizer vaccine 6-11-2022. I started having numbness in my right hand and chest pressure. The person that administered the shot recommend I go to my doctor. So I went to my regaler hospital. The Urgent care referred me to Hospital Emergency Room. They said it sounds muscle skeletal and probably hit a nerve giving the ejection instead of a bad reaction. My primary car doctor said its most luckily anxiety and my cardiologists EKG and stress test wear normal. My hart monitor also came back normal.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Mobility decreased, Monoplegia
Clinical narrative: I received the second shot of Shingrix 2 months after the first shot. After 3 days muscles in arms and legs were paralyzed. Had a hard time lifting myself from bed or the floor. Saw a physician who prescribed me 3 days of steroids. It is now September 2022, though I have improved, I can still feel a lack of strength in my muscles (legs mainly). I saw in PI that Guillain Barre is a possible adverse reaction. I am a 57 years old female in good health.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Toothache
Clinical narrative: Got omicron booster at pharmacy on 09/21/22 at 3:30 pm started with level 7 backpain about 7 hours later, now at 16.5 hours later I'm having to take 800 ibuprofen (mind you i already take 5/325 oxycodone daily) Also this morning about 5 am i woke up with 2 molars hurting (did not have tooth pain prior) took 800 ibuprofen again it helped some. I thought these were strange reactions that's why I'm reporting
Sex: F
Vaccine: FLUA4
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Pain in extremity, Radial nerve injury, Tenderness
Clinical narrative: LPNN came to get provider immediately after administering this pt's flu vaccine. Per LPN, pt reported immediate pain and numbness in the entire length of the RUE following admin of flu shot. Provider went to the bedside and found pt sitting comfortably, but holding her right arm out in front of her. Pt tells me that she felt immediate, severe pain upon insertion of the vaccine in her arm. She still had this pain, though slightly improved, upon my entrance into the room. Pt says she was still experiencing numbness in the entire RUE, including all fingers, and she had never had anything like this before. She says that she does have some numbness in the right 4th digit at baseline, but this is different. Pt will full ROM of neck and RUE upon my evaluation. Grip strength was intact and arm was TTP. I asked pt to show me the injection site and found the Band-Aid placed in the middle of her right upper arm. I spoke with the LPN who advised she used a 1 inch needle but did not insert this needle all the way given the pt's small stature (87 lbs). Pt did report immediate symptoms. Provider explained to pt, and LPN, that it was a clinical suspicion that pt suffered a radial nerve injury during this vaccine administration. Provider explained to the pt what sx she may expect in the coming days and advised she treat with tylenol and ice/heat. Follow up on the patient 2 days later showed patient was much improved. Still tender and sore, but Tylenol helping.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse drug reaction, Apathy, Balance disorder, Fatigue, Feeling abnormal
Clinical narrative: Starting with the first Phizer covid shot I started experiencing fatigue, brain fog, balance control. headaches in the back of my head (which I never had before the shots), and not wanting to do anything, The "side effects" have been getting worse as time goes on. First shot 06/11/21. second shot 07/02/21, booster 01/12/22
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Starting with the first Phizer covid shot I started experiencing fatigue, brain fog, balance control. headaches in the back of my head (which I never had before the shots), and not wanting to do anything, The "side effects" have been getting worse as time goes on. First shot 06/11/21. second shot 07/02/21, booster 01/12/22
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pfizer bivalent booster was incorrectly administered for the second dose of the primary series.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Underdose
Clinical narrative: Pfizer bivalent booster was incorrectly administered for the second dose of the primary series.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Problem was first noticed in Q2, 2022, I don't remember specifically when. I have long had mild tinnitus in my right ear. Last spring it became much worse and also started in my left ear. I consulted an ENT specialist last week who told asked me when I had my COVID boosters. I had my first booster, from Moderna, on December 22, 2021, and my second booster,  from Pfizer on May 21, 2022. He has had many patients report increased tinnitus correlating with their COVID boosters. I have not test results as tinnitus cannot be measure, as I understand it.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Dyspnoea, Erythema, Throat tightness, Urticaria
Clinical narrative: Shingles vaccine caused hives everywhere above waist, had to get a steroid shot on Tuesday the 6th of September and didn't resolve completely...I still have redness on forearms, September 24th. Experienced throat tightness and shortness of breath as well. Burning instead of itching on the hives. I have been advised to not get the second dose.
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Cutaneous vasculitis, Full blood count normal, Liver function test normal, Renal function test normal
Clinical narrative: Experienced leucocytoclastic vasculitis in both calves 14 days 4th covid vaccination. Easy bruising on arms and legs. No history of either condition. Wore compression stockings and applied topical hydrocortisone ointment 1%. Resolving 5 weeks out. J&J 1805022 03/08/21 Moderna booster 939964 10/29/21 Pfizer booster FK9893 04/15/22 Moderna booster 052B22A 08/15/22
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Vitiligo
Clinical narrative: Vitiligo spots appeared 2 months after getting COVID-19 vaccine. We have no family history of this disease.
Sex: M
Vaccine: HPV9
Symptoms: Erythema
Clinical narrative: After having second dose of guardrail vaccine had red dots appear on head of penis for several days and then they went away. They were no itchy or painful.
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: My four year old daughter was incorrectly given the adult Pfizer Covid 19 vaccine, instead of her 3 toddler dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arrhythmia, Atrial fibrillation, Electrocardiogram abnormal, Laboratory test normal
Clinical narrative: The day I received a Moderna Covid vaccine, I had an intense bout of heart palpitations. I had to call the medics, who did an ekg. I did not go to the ER. However these bouts have continued occasionally since, but the hospital couldn't accommodate my schedule to get cardiac tests done. Then this entire week, the palpitations have gotten worse, and are now happening for most of the day, so I went to the ER and was diagnosed with atrial fibrillation. I was given two medicines, a beta blocker and blood thinner and will follow up with a cardiologist. I did not have this issue before that booster.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: The day I received a Moderna Covid vaccine, I had an intense bout of heart palpitations. I had to call the medics, who did an ekg. I did not go to the ER. However these bouts have continued occasionally since, but the hospital couldn't accommodate my schedule to get cardiac tests done. Then this entire week, the palpitations have gotten worse, and are now happening for most of the day, so I went to the ER and was diagnosed with atrial fibrillation. I was given two medicines, a beta blocker and blood thinner and will follow up with a cardiologist. I did not have this issue before that booster.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Loss of personal independence in daily activities, Pain, Tendonitis
Clinical narrative: Day 7 after second Moderna booster" tendonitis" prohibiting self grooming and dressing . I am in a month of PT to try and get my ROM back without pain
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Balance disorder, Buttock injury, Contusion, Fall, Feeling abnormal
Clinical narrative: Loss of consciousness leading to fall. Struck shoulders and buttocks, sprain and bruising.  Five days after vaccine administered still have balance issues and brain fog.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ligament sprain, Limb injury, Loss of consciousness
Clinical narrative: Loss of consciousness leading to fall. Struck shoulders and buttocks, sprain and bruising.  Five days after vaccine administered still have balance issues and brain fog.
Age: 13.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was given the Pfizer bivalent booster as her 1st covid vaccine instead the Pfizer monovalent for her 1st covid vaccine
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Ischaemia, Magnetic resonance imaging head, Scan with contrast
Clinical narrative: Stroke,3mm focu of ischemia, subacutet CVA in right frontal gyrus.     No obvious outward symptoms.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Both hands went numb while sleeping.  Right leg and foot had tingling pain, like I had small slivers all over.  My right leg is the site of my shingles when I had it 12/21 and 1/17.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer 4/8/21, 5/6/21. Positive on 10/4/22.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: I left you a voicemail also. I am just letting you know that I had the Booster this past Friday and I had a bad reaction on my left arm. Left arm was swollen , beet red, itchy and sore. I did put Ice and alcohol to calm the itch. Today seems somewhat better but still a little red. I Left a message with my PCP but no response. I just wanted to let you know so you are aware and to note on my file that I had this reaction
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Tremor, Vomiting
Clinical narrative: A few hours after receiving the vaccine I started experiencing extreme nausea , body aches, fever, shaking uncontrollably, and vomiting until about 8:00 AM the following day.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Nausea, Pain, Pyrexia, Tremor
Clinical narrative: A few hours after receiving the vaccine I began experiencing extreme flu like symptoms: nausea, vomiting, body aches, fever, shaking uncontrollably.  This continued throughout the entire night and I had recovered by the following day.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: A few hours after receiving the vaccine I began experiencing extreme flu like symptoms: nausea, vomiting, body aches, fever, shaking uncontrollably.  This continued throughout the entire night and I had recovered by the following day.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test
Clinical narrative: Covid like symptoms 24 hours after receiving the booster  vitamin C,D and Zinc
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, Blood culture positive, COVID-19, Cardiac telemetry
Clinical narrative: Patient tested + for covid  6-28-22.  I do not have details of treatment given at that time.  He was admitted  to hospital on 7-18-22    with dyspnea and per dc summary reported to have had long COVID.  cxr showed mixed interstitial infiltrates with patchy consolidation  throughout both lungs.  IV zosym was started but later stopped in favor of rocephin, vanco and azithromycin. .  oxygen was titrated.  In ICU.  Elevated troponins felt to be from hypoxia and cardiology recommended outpt stress test.   Had acute kidney injury on chronic kidney disease.   Anemia - given packed RBC.  Ct of neck showed large soft tissue mass about the epiglottis.    Oncology consulted.  altered mental status as well with negative CT of head.    Steroids were stopped due to confusion.  He improved enough to be transferred to telemetry  and on 8/1/22 code blue was called, acls performed but patient expired 8-1-22. .  Blood cultures later showed esbl e coli that were collected 8/1/22.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Chest X-ray abnormal, Computerised tomogram head normal, Computerised tomogram neck, Confusional state
Clinical narrative: Patient tested + for covid  6-28-22.  I do not have details of treatment given at that time.  He was admitted  to hospital on 7-18-22    with dyspnea and per dc summary reported to have had long COVID.  cxr showed mixed interstitial infiltrates with patchy consolidation  throughout both lungs.  IV zosym was started but later stopped in favor of rocephin, vanco and azithromycin. .  oxygen was titrated.  In ICU.  Elevated troponins felt to be from hypoxia and cardiology recommended outpt stress test.   Had acute kidney injury on chronic kidney disease.   Anemia - given packed RBC.  Ct of neck showed large soft tissue mass about the epiglottis.    Oncology consulted.  altered mental status as well with negative CT of head.    Steroids were stopped due to confusion.  He improved enough to be transferred to telemetry  and on 8/1/22 code blue was called, acls performed but patient expired 8-1-22. .  Blood cultures later showed esbl e coli that were collected 8/1/22.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Escherichia test positive, Hypoxia, Intensive care
Clinical narrative: Patient tested + for covid  6-28-22.  I do not have details of treatment given at that time.  He was admitted  to hospital on 7-18-22    with dyspnea and per dc summary reported to have had long COVID.  cxr showed mixed interstitial infiltrates with patchy consolidation  throughout both lungs.  IV zosym was started but later stopped in favor of rocephin, vanco and azithromycin. .  oxygen was titrated.  In ICU.  Elevated troponins felt to be from hypoxia and cardiology recommended outpt stress test.   Had acute kidney injury on chronic kidney disease.   Anemia - given packed RBC.  Ct of neck showed large soft tissue mass about the epiglottis.    Oncology consulted.  altered mental status as well with negative CT of head.    Steroids were stopped due to confusion.  He improved enough to be transferred to telemetry  and on 8/1/22 code blue was called, acls performed but patient expired 8-1-22. .  Blood cultures later showed esbl e coli that were collected 8/1/22.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Life support, Lung consolidation, Lung infiltration, Mental status changes, Post-acute COVID-19 syndrome
Clinical narrative: Patient tested + for covid  6-28-22.  I do not have details of treatment given at that time.  He was admitted  to hospital on 7-18-22    with dyspnea and per dc summary reported to have had long COVID.  cxr showed mixed interstitial infiltrates with patchy consolidation  throughout both lungs.  IV zosym was started but later stopped in favor of rocephin, vanco and azithromycin. .  oxygen was titrated.  In ICU.  Elevated troponins felt to be from hypoxia and cardiology recommended outpt stress test.   Had acute kidney injury on chronic kidney disease.   Anemia - given packed RBC.  Ct of neck showed large soft tissue mass about the epiglottis.    Oncology consulted.  altered mental status as well with negative CT of head.    Steroids were stopped due to confusion.  He improved enough to be transferred to telemetry  and on 8/1/22 code blue was called, acls performed but patient expired 8-1-22. .  Blood cultures later showed esbl e coli that were collected 8/1/22.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell transfusion, SARS-CoV-2 test positive, Soft tissue mass, Troponin increased
Clinical narrative: Patient tested + for covid  6-28-22.  I do not have details of treatment given at that time.  He was admitted  to hospital on 7-18-22    with dyspnea and per dc summary reported to have had long COVID.  cxr showed mixed interstitial infiltrates with patchy consolidation  throughout both lungs.  IV zosym was started but later stopped in favor of rocephin, vanco and azithromycin. .  oxygen was titrated.  In ICU.  Elevated troponins felt to be from hypoxia and cardiology recommended outpt stress test.   Had acute kidney injury on chronic kidney disease.   Anemia - given packed RBC.  Ct of neck showed large soft tissue mass about the epiglottis.    Oncology consulted.  altered mental status as well with negative CT of head.    Steroids were stopped due to confusion.  He improved enough to be transferred to telemetry  and on 8/1/22 code blue was called, acls performed but patient expired 8-1-22. .  Blood cultures later showed esbl e coli that were collected 8/1/22.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Biopsy skin abnormal, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: Patient with 2 COVID vaccines who admitted with COVID detected PCR and PNA.  Provider d/c note:  "77 yoF with a history of Afib, T2DM, PE, HTN, seizures, and chronic pruritus who presented to ER for generalized weakness and GLF found to have COVID PNA, not needing decadron or Remdesivir due to clinical stability. Her stay was complicated by MRSA bacteremia without overt source, but likely from chronic non healing extremity wounds, so Vancomycin initiated with continuations through 10/3/22. There was concern for mycosis fungoides given her chronic overwhelming pruritus in setting of non healing wounds, so biopsy was done demonstrating spongiotic dermatis. Steroid cream and topical benadryl added with escalation of anti pruritic agents and referral to dermatology ordered prior to discharge. She was discharged in a stable condition to SNF with appropriate follow up."
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eczema, Fall, Impaired healing, Limb injury, Pruritus
Clinical narrative: Patient with 2 COVID vaccines who admitted with COVID detected PCR and PNA.  Provider d/c note:  "77 yoF with a history of Afib, T2DM, PE, HTN, seizures, and chronic pruritus who presented to ER for generalized weakness and GLF found to have COVID PNA, not needing decadron or Remdesivir due to clinical stability. Her stay was complicated by MRSA bacteremia without overt source, but likely from chronic non healing extremity wounds, so Vancomycin initiated with continuations through 10/3/22. There was concern for mycosis fungoides given her chronic overwhelming pruritus in setting of non healing wounds, so biopsy was done demonstrating spongiotic dermatis. Steroid cream and topical benadryl added with escalation of anti pruritic agents and referral to dermatology ordered prior to discharge. She was discharged in a stable condition to SNF with appropriate follow up."
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Staphylococcal bacteraemia
Clinical narrative: Patient with 2 COVID vaccines who admitted with COVID detected PCR and PNA.  Provider d/c note:  "77 yoF with a history of Afib, T2DM, PE, HTN, seizures, and chronic pruritus who presented to ER for generalized weakness and GLF found to have COVID PNA, not needing decadron or Remdesivir due to clinical stability. Her stay was complicated by MRSA bacteremia without overt source, but likely from chronic non healing extremity wounds, so Vancomycin initiated with continuations through 10/3/22. There was concern for mycosis fungoides given her chronic overwhelming pruritus in setting of non healing wounds, so biopsy was done demonstrating spongiotic dermatis. Steroid cream and topical benadryl added with escalation of anti pruritic agents and referral to dermatology ordered prior to discharge. She was discharged in a stable condition to SNF with appropriate follow up."
Age: 74.0
Sex: F
Vaccine: PNC20
Symptoms: Abdominal pain upper, Diarrhoea, Feeling abnormal, Influenza like illness, Pain in extremity
Clinical narrative: She got her vaccine, she had no reaction other than a sore arm.  She was busy and doing stuff all day long, got home around 8:00 or so and then started to get severe stomach ache, and feeling that it may have been something she ate.  She then had vomiting, and went in to bed, really didn't sleep but felt that it would pass.  In the middle of the night she had vomiting again, 2 times of diarrhea and now is feeling much better.  Had flu-like symptoms, and feels kind of wiped out.    She had a pneumococcal vaccine 14 years ago and had a similar reaction to this, but not quite as severe.  She believes it was the pneumovax.
Age: 74.0
Sex: F
Vaccine: PNC20
Symptoms: Vomiting
Clinical narrative: She got her vaccine, she had no reaction other than a sore arm.  She was busy and doing stuff all day long, got home around 8:00 or so and then started to get severe stomach ache, and feeling that it may have been something she ate.  She then had vomiting, and went in to bed, really didn't sleep but felt that it would pass.  In the middle of the night she had vomiting again, 2 times of diarrhea and now is feeling much better.  Had flu-like symptoms, and feels kind of wiped out.    She had a pneumococcal vaccine 14 years ago and had a similar reaction to this, but not quite as severe.  She believes it was the pneumovax.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Biopsy breast abnormal, Breast cancer female, Breast mass, Computerised tomogram abnormal
Clinical narrative: October 2021 I had mammograms that was clear, had scare on right breast. It was just a cyst. Was also having swollen lymph nodes I was so scared about it I paid for my own full body PET scan (went to oncologist) and we did diagnostic and ultra sound. It came up clear for whole body.  I had to hold off starting vaccines to make sure not cancer. Again it was clear and no cancer on PET scan. Got first vaccine in Nov. 2021 Got second in Dec. 2021 Got booster in April 2022. All shots were on left arm. All caused joint pain and unwell feeling, tired, 3rd shot caused arm swelling and a goose egg knot. Got mammograms in August 2022, showed lump in left breast. After further testing and biopsy I have breast cancer.  No family history. Got genetic testing back all 36 genetic testing came back negative. My cousin was just diagnosed last year (approx. 9 months after her vaccines started, same side, same manufacture, all shots in left arm. Same cancer. Same time frame.  Her genetic testing came back negative. (as a side note, my father (step father) has multiple myeloma, he was in remission within weeks after 2 part Pfizer, he came out of remission and now cancer treatment is not reacting, oncologist even said it should be, he has had 3 boosters. I am high risk to covid illness, my dad is high risk to covid illness, my cousin is not
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Gene mutation identification test negative, Malaise, Mammogram abnormal, Nodule
Clinical narrative: October 2021 I had mammograms that was clear, had scare on right breast. It was just a cyst. Was also having swollen lymph nodes I was so scared about it I paid for my own full body PET scan (went to oncologist) and we did diagnostic and ultra sound. It came up clear for whole body.  I had to hold off starting vaccines to make sure not cancer. Again it was clear and no cancer on PET scan. Got first vaccine in Nov. 2021 Got second in Dec. 2021 Got booster in April 2022. All shots were on left arm. All caused joint pain and unwell feeling, tired, 3rd shot caused arm swelling and a goose egg knot. Got mammograms in August 2022, showed lump in left breast. After further testing and biopsy I have breast cancer.  No family history. Got genetic testing back all 36 genetic testing came back negative. My cousin was just diagnosed last year (approx. 9 months after her vaccines started, same side, same manufacture, all shots in left arm. Same cancer. Same time frame.  Her genetic testing came back negative. (as a side note, my father (step father) has multiple myeloma, he was in remission within weeks after 2 part Pfizer, he came out of remission and now cancer treatment is not reacting, oncologist even said it should be, he has had 3 boosters. I am high risk to covid illness, my dad is high risk to covid illness, my cousin is not
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Positron emission tomogram abnormal, Ultrasound scan abnormal, X-ray abnormal
Clinical narrative: October 2021 I had mammograms that was clear, had scare on right breast. It was just a cyst. Was also having swollen lymph nodes I was so scared about it I paid for my own full body PET scan (went to oncologist) and we did diagnostic and ultra sound. It came up clear for whole body.  I had to hold off starting vaccines to make sure not cancer. Again it was clear and no cancer on PET scan. Got first vaccine in Nov. 2021 Got second in Dec. 2021 Got booster in April 2022. All shots were on left arm. All caused joint pain and unwell feeling, tired, 3rd shot caused arm swelling and a goose egg knot. Got mammograms in August 2022, showed lump in left breast. After further testing and biopsy I have breast cancer.  No family history. Got genetic testing back all 36 genetic testing came back negative. My cousin was just diagnosed last year (approx. 9 months after her vaccines started, same side, same manufacture, all shots in left arm. Same cancer. Same time frame.  Her genetic testing came back negative. (as a side note, my father (step father) has multiple myeloma, he was in remission within weeks after 2 part Pfizer, he came out of remission and now cancer treatment is not reacting, oncologist even said it should be, he has had 3 boosters. I am high risk to covid illness, my dad is high risk to covid illness, my cousin is not
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Breast cancer, Investigation, Positron emission tomogram
Clinical narrative: October 2021 I had mammograms that was clear, had scare on right breast. It was just a cyst. Was also having swollen lymph nodes I was so scared about it I paid for my own full body PET scan (went to oncologist) and we did diagnostic and ultra sound. It came up clear for whole body.  I had to hold off starting vaccines to make sure not cancer. Again it was clear and no cancer on PET scan. Got first vaccine in Nov. 2021 Got second in Dec. 2021 Got booster in April 2022. All shots were on left arm. All caused joint pain and unwell feeling, tired, 3rd shot caused arm swelling and a goose egg knot. Got mammograms in August 2022, showed lump in left breast. After further testing and biopsy I have breast cancer.  No family history. Got genetic testing back all 36 genetic testing came back negative. My cousin was just diagnosed last year (approx. 9 months after her vaccines started, same side, same manufacture, all shots in left arm. Same cancer. Same time frame.  Her genetic testing came back negative. (as a side note, my father (step father) has multiple myeloma, he was in remission within weeks after 2 part Pfizer, he came out of remission and now cancer treatment is not reacting, oncologist even said it should be, he has had 3 boosters. I am high risk to covid illness, my dad is high risk to covid illness, my cousin is not
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I tested positive for Covid the day after booster.  I had bad sinusitis symptoms, i.e. congestion, drainage, sore throat, cough,
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinusitis
Clinical narrative: I tested positive for Covid the day after booster.  I had bad sinusitis symptoms, i.e. congestion, drainage, sore throat, cough,
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Acute myocardial infarction, COVID-19, Catheterisation cardiac abnormal, Chest discomfort
Clinical narrative: Patient admitted with incidental COVID detected PCR.  Provider d/c note:  "55 YO female who presented with primarily RUQ abd pain on 9/23. She was diagnosed with inferior STEMI by EKG and was taken for cardiac cath on 9/23. Proximal RCA 100% was reduced to 0% post DES. She was taken back to cath lab on 9/26 due to rising troponin and chest discomfort, which did not demonstrate in stent restenosis. Pt had HIDA scan and US RUQ done, which were negative for acute cholecystitis and showed cholelithiasis. General Surgery was consulted. They plan to follow up with her outpatient and does not plan to intervene surgically for 6 weeks due to recent STEMI. GI was consulted due to the abdominal pain and they recommend follow up outpatient and continuing empiric treatment for PUD with PPI BID x 6 weeks. Pt discharged to home in stable condition.    Issues Requiring Follow Up:  PCP for transition of care  Cardiology to follow up on STEMI General Surgery to follow up on chronic cholecystitis/symptomatic cholelithiasis GI to follow up on chronic RUQ abd pain   "
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cholecystitis chronic, Cholelithiasis, Coronary arterial stent insertion, Coronary artery occlusion, Electrocardiogram abnormal
Clinical narrative: Patient admitted with incidental COVID detected PCR.  Provider d/c note:  "55 YO female who presented with primarily RUQ abd pain on 9/23. She was diagnosed with inferior STEMI by EKG and was taken for cardiac cath on 9/23. Proximal RCA 100% was reduced to 0% post DES. She was taken back to cath lab on 9/26 due to rising troponin and chest discomfort, which did not demonstrate in stent restenosis. Pt had HIDA scan and US RUQ done, which were negative for acute cholecystitis and showed cholelithiasis. General Surgery was consulted. They plan to follow up with her outpatient and does not plan to intervene surgically for 6 weeks due to recent STEMI. GI was consulted due to the abdominal pain and they recommend follow up outpatient and continuing empiric treatment for PUD with PPI BID x 6 weeks. Pt discharged to home in stable condition.    Issues Requiring Follow Up:  PCP for transition of care  Cardiology to follow up on STEMI General Surgery to follow up on chronic cholecystitis/symptomatic cholelithiasis GI to follow up on chronic RUQ abd pain   "
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatobiliary scan abnormal, SARS-CoV-2 test positive, Troponin increased, Ultrasound abdomen abnormal
Clinical narrative: Patient admitted with incidental COVID detected PCR.  Provider d/c note:  "55 YO female who presented with primarily RUQ abd pain on 9/23. She was diagnosed with inferior STEMI by EKG and was taken for cardiac cath on 9/23. Proximal RCA 100% was reduced to 0% post DES. She was taken back to cath lab on 9/26 due to rising troponin and chest discomfort, which did not demonstrate in stent restenosis. Pt had HIDA scan and US RUQ done, which were negative for acute cholecystitis and showed cholelithiasis. General Surgery was consulted. They plan to follow up with her outpatient and does not plan to intervene surgically for 6 weeks due to recent STEMI. GI was consulted due to the abdominal pain and they recommend follow up outpatient and continuing empiric treatment for PUD with PPI BID x 6 weeks. Pt discharged to home in stable condition.    Issues Requiring Follow Up:  PCP for transition of care  Cardiology to follow up on STEMI General Surgery to follow up on chronic cholecystitis/symptomatic cholelithiasis GI to follow up on chronic RUQ abd pain   "
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Diabetes mellitus, Glycosylated haemoglobin, Type 2 diabetes mellitus
Clinical narrative: After my fourth dose of my Pfizer COVID-19 vaccine, I was diagnosed with diabetes. I did have prediabetes as of 12/2021 which was after my initial doses of my COVID-19 vaccines. However, the issue increased, and I was diagnosed with type 2 diabetes in July of 2022. I was also diagnosed with high blood pressure in March of 2022, which was before my fourth dose of Pfizer, but after my first 3 doses.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder transitional cell carcinoma, COVID-19, Computerised tomogram thorax abnormal, Cystoscopy abnormal, Death
Clinical narrative: + covid 8-7-22  Admitted with hematuria for weeks and had encephalopathy during hosp stat.  + for covid.   Had cysto which showed likely transitional cell cancer of bladder.  Treated for covid per protocol .  He improved but declined again and was felt not to have gotten over the covid.  he required levophed  and oxygen.  Ct showed  ifiltrates possible covid vs aspiration and placed on comfort measures and deceased on 9-7-22.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalopathy, General physical health deterioration, Haematuria, Lung infiltration, SARS-CoV-2 test positive
Clinical narrative: + covid 8-7-22  Admitted with hematuria for weeks and had encephalopathy during hosp stat.  + for covid.   Had cysto which showed likely transitional cell cancer of bladder.  Treated for covid per protocol .  He improved but declined again and was felt not to have gotten over the covid.  he required levophed  and oxygen.  Ct showed  ifiltrates possible covid vs aspiration and placed on comfort measures and deceased on 9-7-22.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, Bacteraemia, Blood culture positive, COVID-19
Clinical narrative: Patient with 2 COVID vaccines who admitted with COVID detected PCR.  Provider d/c note:  "Reason for Admission:  66-year-old male with a past medical history of CKD, OSA, GERD, DM2, hypertension, morbid obesity admitted with weakness, found to have bacteremia and COVID.   Brief Summary of Hospital Stay:  The patient was found to have MSSA bacteremia, source unclear.  Blood cultures did clear after 2 and half days.  The case was discussed with ID, who had some concern for prostatitis.  They recommended a TTE, followed by discharge with linezolid until October 8th.  The TTE was not concerning.  The hospital has agreed to pay for this medication for the patient.   The patient received supportive care for his COVID infection.  His weakness and symptoms have resolved.  He had an acute kidney injury which is now improving.  A1c was 8.7 indicating poor control.  Will defer this management to PCP."
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Glycosylated haemoglobin increased, SARS-CoV-2 test positive, Staphylococcal bacteraemia
Clinical narrative: Patient with 2 COVID vaccines who admitted with COVID detected PCR.  Provider d/c note:  "Reason for Admission:  66-year-old male with a past medical history of CKD, OSA, GERD, DM2, hypertension, morbid obesity admitted with weakness, found to have bacteremia and COVID.   Brief Summary of Hospital Stay:  The patient was found to have MSSA bacteremia, source unclear.  Blood cultures did clear after 2 and half days.  The case was discussed with ID, who had some concern for prostatitis.  They recommended a TTE, followed by discharge with linezolid until October 8th.  The TTE was not concerning.  The hospital has agreed to pay for this medication for the patient.   The patient received supportive care for his COVID infection.  His weakness and symptoms have resolved.  He had an acute kidney injury which is now improving.  A1c was 8.7 indicating poor control.  Will defer this management to PCP."
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tachycardia
Clinical narrative: Tachycardia at rest and on exertion. HR 15-20 faster than baseline
Age: 0.42
Sex: F
Vaccine: COVID19-2
Symptoms: Anaphylactic reaction, Arthropod sting, Condition aggravated, Dizziness, Dyspnoea
Clinical narrative: On 9/7/22, I had my bivalent booster shot voluntarily to better prevent myself from getting COVID-19. I got stung by a bee on 9/19/22 and had to be taken to ER  due to Anaphlaxis. I had never experienced all the severe allergic reactions previously. In 2013, I had hives and difficult in breathing by a bee sting. This time I experienced a fast speed in 1-30 mins of Anaphlaxis including fainting, low blood pressure 70/40, hives/rashes, dizziness, vomiting, nausea, difficult in controlling vowels, muscle weakness, headache,  Unable to stand up or walk, swollen head, hands, feet, arms, legs, face, eyelids, lips, and numbness and tingling fingers and toes.
Age: 0.42
Sex: F
Vaccine: COVID19-2
Symptoms: Dysstasia, Gait inability, Headache, Hypoaesthesia, Hypotension
Clinical narrative: On 9/7/22, I had my bivalent booster shot voluntarily to better prevent myself from getting COVID-19. I got stung by a bee on 9/19/22 and had to be taken to ER  due to Anaphlaxis. I had never experienced all the severe allergic reactions previously. In 2013, I had hives and difficult in breathing by a bee sting. This time I experienced a fast speed in 1-30 mins of Anaphlaxis including fainting, low blood pressure 70/40, hives/rashes, dizziness, vomiting, nausea, difficult in controlling vowels, muscle weakness, headache,  Unable to stand up or walk, swollen head, hands, feet, arms, legs, face, eyelids, lips, and numbness and tingling fingers and toes.
Age: 0.42
Sex: F
Vaccine: COVID19-2
Symptoms: Lip swelling, Muscular weakness, Nausea, Paraesthesia, Peripheral swelling
Clinical narrative: On 9/7/22, I had my bivalent booster shot voluntarily to better prevent myself from getting COVID-19. I got stung by a bee on 9/19/22 and had to be taken to ER  due to Anaphlaxis. I had never experienced all the severe allergic reactions previously. In 2013, I had hives and difficult in breathing by a bee sting. This time I experienced a fast speed in 1-30 mins of Anaphlaxis including fainting, low blood pressure 70/40, hives/rashes, dizziness, vomiting, nausea, difficult in controlling vowels, muscle weakness, headache,  Unable to stand up or walk, swollen head, hands, feet, arms, legs, face, eyelids, lips, and numbness and tingling fingers and toes.
Age: 0.42
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Swelling, Swelling face, Swelling of eyelid, Syncope
Clinical narrative: On 9/7/22, I had my bivalent booster shot voluntarily to better prevent myself from getting COVID-19. I got stung by a bee on 9/19/22 and had to be taken to ER  due to Anaphlaxis. I had never experienced all the severe allergic reactions previously. In 2013, I had hives and difficult in breathing by a bee sting. This time I experienced a fast speed in 1-30 mins of Anaphlaxis including fainting, low blood pressure 70/40, hives/rashes, dizziness, vomiting, nausea, difficult in controlling vowels, muscle weakness, headache,  Unable to stand up or walk, swollen head, hands, feet, arms, legs, face, eyelids, lips, and numbness and tingling fingers and toes.
Age: 0.42
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria, Vomiting
Clinical narrative: On 9/7/22, I had my bivalent booster shot voluntarily to better prevent myself from getting COVID-19. I got stung by a bee on 9/19/22 and had to be taken to ER  due to Anaphlaxis. I had never experienced all the severe allergic reactions previously. In 2013, I had hives and difficult in breathing by a bee sting. This time I experienced a fast speed in 1-30 mins of Anaphlaxis including fainting, low blood pressure 70/40, hives/rashes, dizziness, vomiting, nausea, difficult in controlling vowels, muscle weakness, headache,  Unable to stand up or walk, swollen head, hands, feet, arms, legs, face, eyelids, lips, and numbness and tingling fingers and toes.