chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron, Blood thyroid stimulating hormone, Full blood count, Headache, Loss of personal independence in daily activities
Clinical narrative: Persistent severe headache, daily. Unrelenting with migraine medication, preventative medication, treatment for allergies or sinus congestion. Minimally responsive to OTC pain relievers. Headache now lasting full 3 months. Has missed 2 months of school, only able to tolerate a couple hours per day
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Metabolic function test
Clinical narrative: Persistent severe headache, daily. Unrelenting with migraine medication, preventative medication, treatment for allergies or sinus congestion. Minimally responsive to OTC pain relievers. Headache now lasting full 3 months. Has missed 2 months of school, only able to tolerate a couple hours per day
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Cough, Facial pain, Illness
Clinical narrative: Immediately felt a pain above my eye and pain in arm - body aches , fever , chills, pain with breathing in . Chest pain . I was sick for about 3 -4 weeks . Cough
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Pain, Pain in extremity, Painful respiration, Pyrexia
Clinical narrative: Immediately felt a pain above my eye and pain in arm - body aches , fever , chills, pain with breathing in . Chest pain . I was sick for about 3 -4 weeks . Cough
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Bronchitis, COVID-19, Candida infection, Cough
Clinical narrative: Patient presents today with a several day history of increasing SOB and non productive cough. She reports recently taking doxycycline and prednisone for bronchitis and subsequently being treated for thrush yesterday. She has known COPD and monitors her 02 sats at home. Over the past couple of days her sats have been in the low 80's (83% on admission), usually in the low to mid 90's. No fever or chills. Her oral intake has been poor the last couple of days. No nausea, vomiting or other abdominal symptoms. In TEC her Ddimer was elevated at 2086, CTA negative for PE however chronic emphysematous changes and lower opacities consistent with COVID.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Emphysema, Fibrin D dimer increased, Hypophagia, Lung opacity
Clinical narrative: Patient presents today with a several day history of increasing SOB and non productive cough. She reports recently taking doxycycline and prednisone for bronchitis and subsequently being treated for thrush yesterday. She has known COPD and monitors her 02 sats at home. Over the past couple of days her sats have been in the low 80's (83% on admission), usually in the low to mid 90's. No fever or chills. Her oral intake has been poor the last couple of days. No nausea, vomiting or other abdominal symptoms. In TEC her Ddimer was elevated at 2086, CTA negative for PE however chronic emphysematous changes and lower opacities consistent with COVID.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal weight gain, Blood test, Fatigue, Immunisation reaction, Laboratory test
Clinical narrative: after my 2nd dose of the Moderna Vaccine on 5/24, about a week later, I began to have severe pain from my neck to my knees.  I began a regiment of ibuprofen and aleve every day for over a month.  I then made an appointment to see my Dr.   I was referred  immediately to an arthritis dr, who referred me to allergy and immunology, who referred me to infectious disease, who referred me to a neurogologist who gave me the diagnosis of an adverse reaction to the covid vaccine of polymyalgia rheumatica.  I was on prednisone for 3 months.  I had major side effects such as major weight gain, mood swings, fatigue, lack of sleep to name a few.  My primary decided not to put me back on prednisone and to have more blood work done.  I had a second opinion from 2nd MD who suggested I get tested again for Rheumatoid Arthritis, Vasculitis and polymyalgia.   I was referred back to the arthritis dr who did agree with the first tow and came to the conclusion of that I was suffering from polymyalgia.  I didn't want to go back on prednisone and due to the second opinion I suggested hydroxhloroquine to see if that would help.  The arthritis dr didn't think it would work but agreed to give it a try.  He said it could be a month before I see improvement if it works.  I am now into week 2, the pain is now in the ranges of 1-10, prior was definitely at a 10 and now down to an 8.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Mood swings, Pain, Polymyalgia rheumatica, Sleep deficit
Clinical narrative: after my 2nd dose of the Moderna Vaccine on 5/24, about a week later, I began to have severe pain from my neck to my knees.  I began a regiment of ibuprofen and aleve every day for over a month.  I then made an appointment to see my Dr.   I was referred  immediately to an arthritis dr, who referred me to allergy and immunology, who referred me to infectious disease, who referred me to a neurogologist who gave me the diagnosis of an adverse reaction to the covid vaccine of polymyalgia rheumatica.  I was on prednisone for 3 months.  I had major side effects such as major weight gain, mood swings, fatigue, lack of sleep to name a few.  My primary decided not to put me back on prednisone and to have more blood work done.  I had a second opinion from 2nd MD who suggested I get tested again for Rheumatoid Arthritis, Vasculitis and polymyalgia.   I was referred back to the arthritis dr who did agree with the first tow and came to the conclusion of that I was suffering from polymyalgia.  I didn't want to go back on prednisone and due to the second opinion I suggested hydroxhloroquine to see if that would help.  The arthritis dr didn't think it would work but agreed to give it a try.  He said it could be a month before I see improvement if it works.  I am now into week 2, the pain is now in the ranges of 1-10, prior was definitely at a 10 and now down to an 8.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeding disorder, Feeling abnormal, Hyponatraemia
Clinical narrative: COVID Vaccine Breakthrough Case: Moderna Dose 1 2/12/21 (031M20A). Moderna Dose 2 3/12/21 (036A21A). Moderna Dose 3 11/17/21 (939909). COVID Positive 1/13/22. 1/13/22: The patient presents with patient has not been feeling well since 1/2/22. Tired, fatigue. Struggled along for a bit but this Monday was bad, severe nausea, could not eat but no vomiting, no fevers. Covid and flu negative then, but edema in legs. Worse over last few days, back to PMD today and still not eating, no vomiting but severe nausea. edema in legs remains, no wheezing or SOB or cough. No HX of CHF at all but has HTN and is very high. COVID POSITIVE today in office. No loss of taste or smell, but severe fatigue, no cough or SOB. No chest pains at all this entire time. She was on hormone therapy all of 2021 for breast cancer and was told to stop it for a month while all this was going on. 1/17/22: Patient was admitted for severe hyperosmolar hyponatremia with Covid-19. Patient was treated with remdesivir, azithromycin,  dexamethasone, and hydroxychloroquine. Patient improved steadily and feels wells to go home today. She will receive her last doses of medication prior to discharge.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Malaise, Nausea, Oedema peripheral, SARS-CoV-2 test positive
Clinical narrative: COVID Vaccine Breakthrough Case: Moderna Dose 1 2/12/21 (031M20A). Moderna Dose 2 3/12/21 (036A21A). Moderna Dose 3 11/17/21 (939909). COVID Positive 1/13/22. 1/13/22: The patient presents with patient has not been feeling well since 1/2/22. Tired, fatigue. Struggled along for a bit but this Monday was bad, severe nausea, could not eat but no vomiting, no fevers. Covid and flu negative then, but edema in legs. Worse over last few days, back to PMD today and still not eating, no vomiting but severe nausea. edema in legs remains, no wheezing or SOB or cough. No HX of CHF at all but has HTN and is very high. COVID POSITIVE today in office. No loss of taste or smell, but severe fatigue, no cough or SOB. No chest pains at all this entire time. She was on hormone therapy all of 2021 for breast cancer and was told to stop it for a month while all this was going on. 1/17/22: Patient was admitted for severe hyperosmolar hyponatremia with Covid-19. Patient was treated with remdesivir, azithromycin,  dexamethasone, and hydroxychloroquine. Patient improved steadily and feels wells to go home today. She will receive her last doses of medication prior to discharge.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case: Moderna Dose 1 2/12/21 (031M20A). Moderna Dose 2 3/12/21 (036A21A). Moderna Dose 3 11/17/21 (939909). COVID Positive 1/13/22. 1/13/22: The patient presents with patient has not been feeling well since 1/2/22. Tired, fatigue. Struggled along for a bit but this Monday was bad, severe nausea, could not eat but no vomiting, no fevers. Covid and flu negative then, but edema in legs. Worse over last few days, back to PMD today and still not eating, no vomiting but severe nausea. edema in legs remains, no wheezing or SOB or cough. No HX of CHF at all but has HTN and is very high. COVID POSITIVE today in office. No loss of taste or smell, but severe fatigue, no cough or SOB. No chest pains at all this entire time. She was on hormone therapy all of 2021 for breast cancer and was told to stop it for a month while all this was going on. 1/17/22: Patient was admitted for severe hyperosmolar hyponatremia with Covid-19. Patient was treated with remdesivir, azithromycin,  dexamethasone, and hydroxychloroquine. Patient improved steadily and feels wells to go home today. She will receive her last doses of medication prior to discharge.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test abnormal, Chest discomfort, Chest pain, Computerised tomogram thorax abnormal
Clinical narrative: On Saturday night I was sitting and had chest pain felt like an elephant was sitting on my chest, I could hardly breathe. My husband took to me to hospital. They ran test. I had to wait in emergency room until Monday waiting for a bed to be admitted. On Monday I was admitted to a room. The hematologist saw me. I was immediately put on Lovenox. I'm in progress of recovering. They also found a UTI while I was in the hospital with the clot in my lungs. I have an appointment with my hematologist coming up.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Pulmonary thrombosis, Urinary tract infection, X-ray normal
Clinical narrative: On Saturday night I was sitting and had chest pain felt like an elephant was sitting on my chest, I could hardly breathe. My husband took to me to hospital. They ran test. I had to wait in emergency room until Monday waiting for a bed to be admitted. On Monday I was admitted to a room. The hematologist saw me. I was immediately put on Lovenox. I'm in progress of recovering. They also found a UTI while I was in the hospital with the clot in my lungs. I have an appointment with my hematologist coming up.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test negative, Asthma, Blood glucose normal, Blood test normal, Food allergy
Clinical narrative: Adverse immune response, chronic inflammation, uveitis for 45 days, gluten caused allergic reaction and is now off of my diet, severe asthma and rhinitis for 45 days, now managed with daily preventative medication/inhalers. Insomnia for 20 days after 2nd vaccine. Severe neuropathy in hands/feet for 30 days, less severe as time has passed.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Insomnia, Neuropathy peripheral, Protein urine present, Rhinitis
Clinical narrative: Adverse immune response, chronic inflammation, uveitis for 45 days, gluten caused allergic reaction and is now off of my diet, severe asthma and rhinitis for 45 days, now managed with daily preventative medication/inhalers. Insomnia for 20 days after 2nd vaccine. Severe neuropathy in hands/feet for 30 days, less severe as time has passed.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis abnormal, Uveitis
Clinical narrative: Adverse immune response, chronic inflammation, uveitis for 45 days, gluten caused allergic reaction and is now off of my diet, severe asthma and rhinitis for 45 days, now managed with daily preventative medication/inhalers. Insomnia for 20 days after 2nd vaccine. Severe neuropathy in hands/feet for 30 days, less severe as time has passed.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood test, Hepatic function abnormal, Laboratory test
Clinical narrative: I go for blood workup every six months for over 8 years ref my testoserone shots weekly. RX by my Drs and monitored closely ref looking for elevated PSA. Never ever have I had an issue.. and after 3 Pfizer Covid Shots my AST ALT Liver function numbers are off the charts!  AST 84 ALT 74  I am NOT a drinker, healthy and have a personnel trainer and eat a clean diet!
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Prostatic specific antigen increased
Clinical narrative: I go for blood workup every six months for over 8 years ref my testoserone shots weekly. RX by my Drs and monitored closely ref looking for elevated PSA. Never ever have I had an issue.. and after 3 Pfizer Covid Shots my AST ALT Liver function numbers are off the charts!  AST 84 ALT 74  I am NOT a drinker, healthy and have a personnel trainer and eat a clean diet!
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, COVID-19, Chronic kidney disease, Confusional state, Fungal infection
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 2/17/21 (031L20A) Moderna Dose 2 3/17/21 (031A21A) Pfizer Dose 3 11/10/21 (FF2589) COVID Positive 1/18/22  1/18/22: Patient is in poor health and resides in a nursing home for the past year due to declining health and according to the daughter-in-law the patient was running out of her house and up and down the street to neighbors had bring her back home and the patient was a danger to self.  Patient has been tested positive for COVID at the nursing home and today the pain as an it band heart block along with the UTI hyperkalemia chronic renal failure. Patient's eye post states that she does not want anything other than comfort cares and being fitted for a pacemaker seeing a cardia stir not in her wishes.  He is soft tissue also SIRS a lot of skin breakdown with severe fungal infection underneath the left breast and shoulder on the bottom .  1/21/22: Patient is a 84-year-old female who was admitted to the hospital on January 18th with UTI and confusion.  She was treated with Rocephin.  She gradually improved but she is still confused.  After discussion with family a decision for hospice was made.  She was discharged to assisted living with hospice services.  I prescribed Keflex upon discharge.  She was in a stable condition when she left the facility.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperkalaemia, Pain, SARS-CoV-2 test positive, Skin disorder, Systemic inflammatory response syndrome
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 2/17/21 (031L20A) Moderna Dose 2 3/17/21 (031A21A) Pfizer Dose 3 11/10/21 (FF2589) COVID Positive 1/18/22  1/18/22: Patient is in poor health and resides in a nursing home for the past year due to declining health and according to the daughter-in-law the patient was running out of her house and up and down the street to neighbors had bring her back home and the patient was a danger to self.  Patient has been tested positive for COVID at the nursing home and today the pain as an it band heart block along with the UTI hyperkalemia chronic renal failure. Patient's eye post states that she does not want anything other than comfort cares and being fitted for a pacemaker seeing a cardia stir not in her wishes.  He is soft tissue also SIRS a lot of skin breakdown with severe fungal infection underneath the left breast and shoulder on the bottom .  1/21/22: Patient is a 84-year-old female who was admitted to the hospital on January 18th with UTI and confusion.  She was treated with Rocephin.  She gradually improved but she is still confused.  After discussion with family a decision for hospice was made.  She was discharged to assisted living with hospice services.  I prescribed Keflex upon discharge.  She was in a stable condition when she left the facility.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 2/17/21 (031L20A) Moderna Dose 2 3/17/21 (031A21A) Pfizer Dose 3 11/10/21 (FF2589) COVID Positive 1/18/22  1/18/22: Patient is in poor health and resides in a nursing home for the past year due to declining health and according to the daughter-in-law the patient was running out of her house and up and down the street to neighbors had bring her back home and the patient was a danger to self.  Patient has been tested positive for COVID at the nursing home and today the pain as an it band heart block along with the UTI hyperkalemia chronic renal failure. Patient's eye post states that she does not want anything other than comfort cares and being fitted for a pacemaker seeing a cardia stir not in her wishes.  He is soft tissue also SIRS a lot of skin breakdown with severe fungal infection underneath the left breast and shoulder on the bottom .  1/21/22: Patient is a 84-year-old female who was admitted to the hospital on January 18th with UTI and confusion.  She was treated with Rocephin.  She gradually improved but she is still confused.  After discussion with family a decision for hospice was made.  She was discharged to assisted living with hospice services.  I prescribed Keflex upon discharge.  She was in a stable condition when she left the facility.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Child had previously received flu vaccine on 10/05/2021 and today received another dose of flu vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest X-ray abnormal, Chest pain, Computerised tomogram thorax normal, Dyspnoea
Clinical narrative: I got the shot on February 7, 2022 at around 6 PM. On February 15, 2022 around 12 AM I woke up with awful chest pains, I tried multiple things to try and ease it off. I drank hot tea, soda to see if it was maybe a gas pain, took some tums, and when I got to clinical I talked to my instructor. She gave me a gas x and took me to get my Vital Signs. My blood pressure was 150/95 and my blood pressure is never that high, i'm a really healthy individual my blood pressure stays around 118/74. Later that night i started to have heart palpitations where it felt like my heart was beating out of my chest, excruciating chest pains, and shortness of breath. I went to the ER the next day and they were giving me medication to help with chest pain. They did an EKG, chest X-ray, and CT scan of my chest. I started to see a cardiologist about my chest pain and he has been running test and prescribed me medication. I told him i started to experience chest pains, heart palpitations, and shortness of breathe after the 1st dose of covid vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fibrin D dimer increased, Inflammation, Palpitations
Clinical narrative: I got the shot on February 7, 2022 at around 6 PM. On February 15, 2022 around 12 AM I woke up with awful chest pains, I tried multiple things to try and ease it off. I drank hot tea, soda to see if it was maybe a gas pain, took some tums, and when I got to clinical I talked to my instructor. She gave me a gas x and took me to get my Vital Signs. My blood pressure was 150/95 and my blood pressure is never that high, i'm a really healthy individual my blood pressure stays around 118/74. Later that night i started to have heart palpitations where it felt like my heart was beating out of my chest, excruciating chest pains, and shortness of breath. I went to the ER the next day and they were giving me medication to help with chest pain. They did an EKG, chest X-ray, and CT scan of my chest. I started to see a cardiologist about my chest pain and he has been running test and prescribed me medication. I told him i started to experience chest pains, heart palpitations, and shortness of breathe after the 1st dose of covid vaccine.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for Covid on 2/2/2022.  Was given Paxlovid for treatment but did not take.   Was taken to ED via Emergency transport due to fall. left knee pain, and fall.  Unrelated to COVID positive.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: After administering the vaccination, the vaccine provider discovered that the vaccine had expired 2 days prior.  The vaccine had been granted an expiration extension, but the vial was labeled with the incorrect expiration - using the 30 day refrigerated BUD rather than the expiration, which was less than the BUD at the time the vaccine was removed from ultracold storage. The clinic notified a hospital pharmacist, who contacted Pfizer for direction regarding additional stability data.  Pfizer did not have data to disclose and referred to the CDC guideline which states that the vaccination should be repeated.  The patient has agreed to return for another dose on 3/16.  The patient has not reported any symptoms.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chemotherapy, Cough, Death, Dyspnoea
Clinical narrative: pt presents to ED with c/o increasing SOB, congestion, non-productive cough x 1 day; states had a positive COVID test on 9/30/21; has resumed chemotherapy; admitted to hospital;  bacterial pneumonia; started on ABX, steroids, O2 supplementation; respiratory status continued to worsen; pt transitioned to comfort care measures only and he passed away in the hospital
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia bacterial, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: pt presents to ED with c/o increasing SOB, congestion, non-productive cough x 1 day; states had a positive COVID test on 9/30/21; has resumed chemotherapy; admitted to hospital;  bacterial pneumonia; started on ABX, steroids, O2 supplementation; respiratory status continued to worsen; pt transitioned to comfort care measures only and he passed away in the hospital
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, COVID-19, Fatigue, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Really tired. I could not open eyes at all and was throwing up.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Pruritus, Skin bacterial infection, Skin lesion, Skin mass
Clinical narrative: On 4 or 5 occasions between Summer 21 and March 22 I experienced a large itchy lump under the skin which becomes a weeping lesion. They occur in various spots, L thigh, L wrist, back. They go away by themselves, takes about 3-4 days. Doctor believes it is bacteria around a hair follicle. I am to shower once a week with Hibiclens but lumps returned.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Skin weeping
Clinical narrative: On 4 or 5 occasions between Summer 21 and March 22 I experienced a large itchy lump under the skin which becomes a weeping lesion. They occur in various spots, L thigh, L wrist, back. They go away by themselves, takes about 3-4 days. Doctor believes it is bacteria around a hair follicle. I am to shower once a week with Hibiclens but lumps returned.
Age: 1.25
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and warmth at injection site, lump formed under the skin.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral coldness
Clinical narrative: 23 days after vaccinated right thigh muscle went numb, tingly and cold and still happens if lay on back
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Severe Tinnitus. Normally tinnitus in mild to moderate.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Death, General physical health deterioration, Hypophagia
Clinical narrative: pt presented to hospital with "cold sx" and poor oral intake; positive test for COVID: hypoxic, metabolic encephalopathy; given O2 supplementation; dexamethasone, remdesivir, ABX; despite treatments, pt continued to deteriorate with worsening leukocytosis and severe anemia; DNI/DNR; comfort care measures only in the end and pt died in the hosptial
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Leukocytosis, Metabolic encephalopathy, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: pt presented to hospital with "cold sx" and poor oral intake; positive test for COVID: hypoxic, metabolic encephalopathy; given O2 supplementation; dexamethasone, remdesivir, ABX; despite treatments, pt continued to deteriorate with worsening leukocytosis and severe anemia; DNI/DNR; comfort care measures only in the end and pt died in the hosptial
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, COVID-19, Erythema, Feeling hot, Incorrect dose administered
Clinical narrative: About two days after the 3rd dose Swelling, redness, heat, itching and pain up and down my whole arm but I am not sure which arm. I do not recall also which arm I was given the dose I think it was my left arm, but I cannot guarantee. I think I did contact my PCP but I took Benadryl and put ice packs on it off and on. I also took ibuprofen. I did not need medical care. I did call the pharmacy to let them know. This lasted 4-5 days. I am assuming based of what news reported and the date of my third dose that I had a full dose of Moderna and not the half dose that was later recommended. I also had a breakthrough case of COVID on February 02,2022. I had to call my Oncologist because of the CLL and the Covid Diagnosis and he prescribed Paxlovid. I had headache, aches, congestion, flu like symptoms. Paxlovid worked very well for me, but my Blood Pressure did go up. I contacted my cardiologist office and they suggested I double up on my BP medication and I did and that help. I was able to discontinue the double dose two days after that.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, SARS-CoV-2 test positive, Therapy change
Clinical narrative: About two days after the 3rd dose Swelling, redness, heat, itching and pain up and down my whole arm but I am not sure which arm. I do not recall also which arm I was given the dose I think it was my left arm, but I cannot guarantee. I think I did contact my PCP but I took Benadryl and put ice packs on it off and on. I also took ibuprofen. I did not need medical care. I did call the pharmacy to let them know. This lasted 4-5 days. I am assuming based of what news reported and the date of my third dose that I had a full dose of Moderna and not the half dose that was later recommended. I also had a breakthrough case of COVID on February 02,2022. I had to call my Oncologist because of the CLL and the Covid Diagnosis and he prescribed Paxlovid. I had headache, aches, congestion, flu like symptoms. Paxlovid worked very well for me, but my Blood Pressure did go up. I contacted my cardiologist office and they suggested I double up on my BP medication and I did and that help. I was able to discontinue the double dose two days after that.
Age: 30.0
Sex: M
Vaccine: UNK
Symptoms: Dry skin, Feeling cold, Headache, Pityriasis rosea, Pruritus
Clinical narrative: Nov23-boosted * fever & chills & headache * headaches lasted a few days afterwards  Nov30-noticed patch on back, dry feeling, about 1-2 inches in diameter * a little itchy  Dec13-Diagnosed with herald patch at Dermatologist * Could also be ringworm -- so watch out he said.  Dec14-Starting to use triamcinolone acetonide 0.1 % topical cream  Dec 16-back patch seems to be less scaly, starting to see small dot on stomach, and a couple more on belly button area. Maybe also a couple on back.  Dec 20 - Spread all over torso, and on legs  Jan 10 - Mostly gone, resolved itself  Jan 12 - Fully gone
Age: 30.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia, Rash
Clinical narrative: Nov23-boosted * fever & chills & headache * headaches lasted a few days afterwards  Nov30-noticed patch on back, dry feeling, about 1-2 inches in diameter * a little itchy  Dec13-Diagnosed with herald patch at Dermatologist * Could also be ringworm -- so watch out he said.  Dec14-Starting to use triamcinolone acetonide 0.1 % topical cream  Dec 16-back patch seems to be less scaly, starting to see small dot on stomach, and a couple more on belly button area. Maybe also a couple on back.  Dec 20 - Spread all over torso, and on legs  Jan 10 - Mostly gone, resolved itself  Jan 12 - Fully gone
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dyspnoea, Fatigue, Pain, Pyrexia
Clinical narrative: Started a fever and fatigue that evening. Shortness of breathe and upset stomach; severe pain. Following night completely fine. Felt as though I had a 24hr COVID 19 virus.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Asthenia, Bell's palsy, Eyelid function disorder
Clinical narrative: Bell's palsy on the right side of face. Right eye cannot close, lips have no strength, loss of taste 3 days after vaccine
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Influenza like illness, Oropharyngeal pain, Pain in extremity
Clinical narrative: I went to the Clinic to get my 2nd shot of COVID. I waited 15 to go home left with no problem. That evening and the next day I had a sore arm but it went away. A year later I tested positive with COVID. I have Flu like symptoms, sore throat that persists and I feel weak, The sore throat is still my issue.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I went to the Clinic to get my 2nd shot of COVID. I waited 15 to go home left with no problem. That evening and the next day I had a sore arm but it went away. A year later I tested positive with COVID. I have Flu like symptoms, sore throat that persists and I feel weak, The sore throat is still my issue.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm lasted for three days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Hypoxia
Clinical narrative: Presented with SOB, cough  x 10 days, + Covid 8/24; hypoxia: admit with Covid PNA; tx with rocephin, steroids, remdesivir, zinc, Vit C, zithromax, singulair, supplemental O2
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, cough  x 10 days, + Covid 8/24; hypoxia: admit with Covid PNA; tx with rocephin, steroids, remdesivir, zinc, Vit C, zithromax, singulair, supplemental O2
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Hypoxia
Clinical narrative: Presented with SOB, coughx 3 days, hypoxia; + Covid ED; Admitted with sepsis, Covid PNA, ; tx with Vit C, Vit D3, Vit B12, Zinc, Maxipime, steroids, zithromax, rocephin, baricitinib; Required High Flow O2 initially. She will be discharged home with home health follow up. She will follow up with her PCP with telemedicine visit in 1-2 weeks. Patient is at high risk of readmission if her respiratory status worsens
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: Presented with SOB, coughx 3 days, hypoxia; + Covid ED; Admitted with sepsis, Covid PNA, ; tx with Vit C, Vit D3, Vit B12, Zinc, Maxipime, steroids, zithromax, rocephin, baricitinib; Required High Flow O2 initially. She will be discharged home with home health follow up. She will follow up with her PCP with telemedicine visit in 1-2 weeks. Patient is at high risk of readmission if her respiratory status worsens
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: Presented with SOB and covid sympoms x 10 days; + test PTA 8/22; dx & admit with Covid PNA; tx with Vit C, baricitnib, Vit D, steroids, maxipime, doxycycline, rocephin, zinc; intially required high flow O2; currently remains on continuous Bipap; desats quickly when removed; on 100% FiO2 He also became hyperkalemic due to AKI. I discussed his prognosis with his wife and children and they requested comfort care and withdrawal of artificial support. This was done and he died at 10:17am on 9/21/2021
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperkalaemia, Malaise, Oxygen saturation decreased, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB and covid sympoms x 10 days; + test PTA 8/22; dx & admit with Covid PNA; tx with Vit C, baricitnib, Vit D, steroids, maxipime, doxycycline, rocephin, zinc; intially required high flow O2; currently remains on continuous Bipap; desats quickly when removed; on 100% FiO2 He also became hyperkalemic due to AKI. I discussed his prognosis with his wife and children and they requested comfort care and withdrawal of artificial support. This was done and he died at 10:17am on 9/21/2021
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Withdrawal of life support
Clinical narrative: Presented with SOB and covid sympoms x 10 days; + test PTA 8/22; dx & admit with Covid PNA; tx with Vit C, baricitnib, Vit D, steroids, maxipime, doxycycline, rocephin, zinc; intially required high flow O2; currently remains on continuous Bipap; desats quickly when removed; on 100% FiO2 He also became hyperkalemic due to AKI. I discussed his prognosis with his wife and children and they requested comfort care and withdrawal of artificial support. This was done and he died at 10:17am on 9/21/2021
Age: 1.25
Sex: F
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: PATIENT WAS GIVEN KINRIX LOT NO YZ97N ON 02/08/2022 IN ERROR, PATIENT SHOULD HAVE RECEIVED INFANRIX LOT NO 49TM3
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Angiogram pulmonary abnormal, Anosmia, Anticoagulant therapy, COVID-19
Clinical narrative: Tested positive for COVID-19 on 08/24.  Was having fever with chills with a T-max of 102.9;Lost his sense of smell and taste today he was diagnosed with COVID-19 other associated symptoms include nausea without vomiting;was treated with empiric antibiotics and was given a dose of regeneron  With plans for him to discharge home.  However a CT angiogram of the chest revealed concerns for possible pulmonary embolism given this he was admitted for monitoring.He will be now discharged on Omnicef and azithromycin as well as Eliquis for full treatment x3 months of possible PE
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19 on 08/24.  Was having fever with chills with a T-max of 102.9;Lost his sense of smell and taste today he was diagnosed with COVID-19 other associated symptoms include nausea without vomiting;was treated with empiric antibiotics and was given a dose of regeneron  With plans for him to discharge home.  However a CT angiogram of the chest revealed concerns for possible pulmonary embolism given this he was admitted for monitoring.He will be now discharged on Omnicef and azithromycin as well as Eliquis for full treatment x3 months of possible PE
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Condition aggravated, Diastolic dysfunction, Dyspnoea
Clinical narrative: 01/15/2022 I had occasional Tachycardia, shortness of breath, and fatigue was the issue at the time I went to Urgent care. Based on the symptoms and the COVID test was negative I was advised to get more test done at the ER. While at the ER I had chest X Ray, blood test, ultrasound directed at heart, and EKG. Based on EKG and the history of Tachycardia, I was referred to a Cardiologist. 02/2022 Visited the Cardiologist and had another Ultrasound, Blood test, and an EKG. After deliberation, through the ultrasound, was diagnosed with Dystonic Dysfunction vis a vie Tachycardia and was given Atenolol for it. Advised to increase Activity to help with the low push of my diastolic pressure.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram abnormal, Fatigue, Heart rate increased, SARS-CoV-2 test negative
Clinical narrative: 01/15/2022 I had occasional Tachycardia, shortness of breath, and fatigue was the issue at the time I went to Urgent care. Based on the symptoms and the COVID test was negative I was advised to get more test done at the ER. While at the ER I had chest X Ray, blood test, ultrasound directed at heart, and EKG. Based on EKG and the history of Tachycardia, I was referred to a Cardiologist. 02/2022 Visited the Cardiologist and had another Ultrasound, Blood test, and an EKG. After deliberation, through the ultrasound, was diagnosed with Dystonic Dysfunction vis a vie Tachycardia and was given Atenolol for it. Advised to increase Activity to help with the low push of my diastolic pressure.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: 01/15/2022 I had occasional Tachycardia, shortness of breath, and fatigue was the issue at the time I went to Urgent care. Based on the symptoms and the COVID test was negative I was advised to get more test done at the ER. While at the ER I had chest X Ray, blood test, ultrasound directed at heart, and EKG. Based on EKG and the history of Tachycardia, I was referred to a Cardiologist. 02/2022 Visited the Cardiologist and had another Ultrasound, Blood test, and an EKG. After deliberation, through the ultrasound, was diagnosed with Dystonic Dysfunction vis a vie Tachycardia and was given Atenolol for it. Advised to increase Activity to help with the low push of my diastolic pressure.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, Cough, Decreased appetite, Dyspnoea exertional
Clinical narrative: Presented to ED on 8/27/21 with fever, body aches, cough, exertional shortness of breath and loss of appetite. On arrival to ED, her oxygen saturation was reported to be 93% on room air and she was placed on oxygen. She had temperature 100.4 in ED. Had normal WBC count and renal function on labs. Tested positive for covid 19. CTA chest showed stable 5 mm right apical pulmonary nodule and was negative for pulmonary embolus or aortic dissection. Patient was admitted on Decadron in droplet plus isolation. Patient was weaned off oxygen on arrival to the floor. Patient is stable on room air over the past 48 hours with oxygen saturations 96-98%. She is afebrile. Complains of nausea but no vomiting. Tolerating oral diet.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pulmonary mass, Pyrexia, Renal function test normal
Clinical narrative: Presented to ED on 8/27/21 with fever, body aches, cough, exertional shortness of breath and loss of appetite. On arrival to ED, her oxygen saturation was reported to be 93% on room air and she was placed on oxygen. She had temperature 100.4 in ED. Had normal WBC count and renal function on labs. Tested positive for covid 19. CTA chest showed stable 5 mm right apical pulmonary nodule and was negative for pulmonary embolus or aortic dissection. Patient was admitted on Decadron in droplet plus isolation. Patient was weaned off oxygen on arrival to the floor. Patient is stable on room air over the past 48 hours with oxygen saturations 96-98%. She is afebrile. Complains of nausea but no vomiting. Tolerating oral diet.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count normal
Clinical narrative: Presented to ED on 8/27/21 with fever, body aches, cough, exertional shortness of breath and loss of appetite. On arrival to ED, her oxygen saturation was reported to be 93% on room air and she was placed on oxygen. She had temperature 100.4 in ED. Had normal WBC count and renal function on labs. Tested positive for covid 19. CTA chest showed stable 5 mm right apical pulmonary nodule and was negative for pulmonary embolus or aortic dissection. Patient was admitted on Decadron in droplet plus isolation. Patient was weaned off oxygen on arrival to the floor. Patient is stable on room air over the past 48 hours with oxygen saturations 96-98%. She is afebrile. Complains of nausea but no vomiting. Tolerating oral diet.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19 pneumonia, Procalcitonin increased
Clinical narrative: Acute hypoxemic respiratory failure due to COVID-19 pneumonia. Patient was empirically started on antibiotics due to elevated procalcitonin he received IV Decadron, IV Lasix, Lovenox, vitamin-C, zinc.  He completed remdesivir.  He he made good progress and was down to 1 L to room air on day of discharge. Vitals on day of discharge he had a temp of 98.1, heart rate 66, blood pressure 124/82, respiratory rate of 17, O2 saturations of 92% on room air
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Endotracheal intubation, Mechanical ventilation
Clinical narrative: Initially patient has been admitted because of COVID-19 infection with multifocal pneumonia leading to acute respiratory failure with hypoxia. Patient was started on broad-spectrum intravenous antibiotics and intravenous Decadron. Patient required supplemental oxygen initially and eventually patient's respiratory status got worse and so patient was intubated and patient required mechanical ventilator support. Life support has been withdrawn on 19th September 2021 and subsequently patient expired at 10:45 a.m..
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Respiratory disorder, Withdrawal of life support
Clinical narrative: Initially patient has been admitted because of COVID-19 infection with multifocal pneumonia leading to acute respiratory failure with hypoxia. Patient was started on broad-spectrum intravenous antibiotics and intravenous Decadron. Patient required supplemental oxygen initially and eventually patient's respiratory status got worse and so patient was intubated and patient required mechanical ventilator support. Life support has been withdrawn on 19th September 2021 and subsequently patient expired at 10:45 a.m..
Age: 0.33
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: One of our medical assistants gave Dtap/IPV (Kinrix) to a 4 month old. The patient was due for Dtap/IPV/Hib (Pentacel), which should have been given during this visit
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, Hypoxia
Clinical narrative: COVID-19 pneumonia. Tested positive 8/18. Acute hypoxic respiratory failure. Worsening respiratory failure. Steroids, Baricitinib. vitamin-C zinc.  ID and Pulmonary on the case.  Not a candidate for remdesivir with symptoms started more than 10 days ago. Received BiPAP/ high flow oxygen with persisting hypoxia.Poor prognosis was explained to the family. Patient was made DNR and continued comfort measures.Patient expired on 9/2/2021
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: COVID-19 pneumonia. Tested positive 8/18. Acute hypoxic respiratory failure. Worsening respiratory failure. Steroids, Baricitinib. vitamin-C zinc.  ID and Pulmonary on the case.  Not a candidate for remdesivir with symptoms started more than 10 days ago. Received BiPAP/ high flow oxygen with persisting hypoxia.Poor prognosis was explained to the family. Patient was made DNR and continued comfort measures.Patient expired on 9/2/2021
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bladder cancer, Body temperature increased, COVID-19, COVID-19 pneumonia
Clinical narrative: "Acute hypoxemic respiratory failure due to COVID-19 ; Pneumonia due to COVID-19 virus. 87 year old male with complex medical problems, including bladder cancer, on chemotherapy, failed immunotherapy, history of coronary artery disease, hypertension, lives at home with wife, received his chemotherapy on Tuesday, and home test for COVID-19 was negative on that day. Patient also fully vaccinated against COVID-19, patient started having cough and fatigue since yesterday. T-max of 102 F., which was relieved by antipyretics but this morning patient woke of fatigued and tired, and came to the ED for evaluation. Patient was found to have pneumonia, later on COVID-19 was positive also. Patient is being admitted for further management of Covid pneumonia. Patient was admitted and was undergoing treatment for Covid pneumonia and respiratory failure as described above with high fio2,Iv anti biotics , remdesivir and steroids. His condition deteriorated significantly and BiPap started. Evaluated by palliative care and family and patient decided on no aggressive care and decided on comfort care. He was placed on comfort measures  And expired at 12.00 pm today.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Chemotherapy, Cough, Death, Fatigue, General physical health deterioration
Clinical narrative: "Acute hypoxemic respiratory failure due to COVID-19 ; Pneumonia due to COVID-19 virus. 87 year old male with complex medical problems, including bladder cancer, on chemotherapy, failed immunotherapy, history of coronary artery disease, hypertension, lives at home with wife, received his chemotherapy on Tuesday, and home test for COVID-19 was negative on that day. Patient also fully vaccinated against COVID-19, patient started having cough and fatigue since yesterday. T-max of 102 F., which was relieved by antipyretics but this morning patient woke of fatigued and tired, and came to the ED for evaluation. Patient was found to have pneumonia, later on COVID-19 was positive also. Patient is being admitted for further management of Covid pneumonia. Patient was admitted and was undergoing treatment for Covid pneumonia and respiratory failure as described above with high fio2,Iv anti biotics , remdesivir and steroids. His condition deteriorated significantly and BiPap started. Evaluated by palliative care and family and patient decided on no aggressive care and decided on comfort care. He was placed on comfort measures  And expired at 12.00 pm today.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, SARS-CoV-2 test positive, Treatment failure
Clinical narrative: "Acute hypoxemic respiratory failure due to COVID-19 ; Pneumonia due to COVID-19 virus. 87 year old male with complex medical problems, including bladder cancer, on chemotherapy, failed immunotherapy, history of coronary artery disease, hypertension, lives at home with wife, received his chemotherapy on Tuesday, and home test for COVID-19 was negative on that day. Patient also fully vaccinated against COVID-19, patient started having cough and fatigue since yesterday. T-max of 102 F., which was relieved by antipyretics but this morning patient woke of fatigued and tired, and came to the ED for evaluation. Patient was found to have pneumonia, later on COVID-19 was positive also. Patient is being admitted for further management of Covid pneumonia. Patient was admitted and was undergoing treatment for Covid pneumonia and respiratory failure as described above with high fio2,Iv anti biotics , remdesivir and steroids. His condition deteriorated significantly and BiPap started. Evaluated by palliative care and family and patient decided on no aggressive care and decided on comfort care. He was placed on comfort measures  And expired at 12.00 pm today.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Delivery, Exposure during pregnancy
Clinical narrative: 34 yo mother, delivered infant in February 2022 at 36wk, 5days gestation. BW 3570gm. Infant with CARDIOMYOPATHY