chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum culture, Sputum discoloured, Streptococcus test negative, Vomiting
Clinical narrative: 67 y.o. male with BOOP s/p BOLT 7/2/12 (CMV D-/R+, EBV D+/R+, toxo positive) who is here with worsening respiratory failure.    PMH: CLAD, OSA on CPAP, obesity    He was diagnosed with COVID on 11/13/21 and received monoclonal antibody on 11/17/21. Since then he continues to have worsening productive cough of green sputum. He could not lay flat or on his side due to cough. Denies sinus pain, rhinorrhea, sore throat. He feels that his cough seems to come from his throat. His breathing is also more labored. He could not keep food down due to N/V and abdominal discomfort. 11/24 he has watery diarrhea. He denies fever, chest pain, or swelling in his legs.    He had received COVID booster.    In ER, he was placed on 3 LPM O2. CXR with multifocal infiltrates. Elevated inflammatory marker.     # Pneumonia with acute hypoxic respiratory failure  - COVID-19 vs secondary bacterial infection: Overall getting better  - Ceftazidime 11/23 - 11/26 / doxy 11/23 --11/30 - Preliminary respiratory culture with OPF -- > can switch antibiotic to just doxycycline to complete a 7-day course through 11/30 - D/C vancomycin 11/24 - Negative urine streptococcal/ legionella antigen  - Discussed with ID, start remdesivir 11/24 -- > can discontinue today to go home  - Dexamethasone for 5 days  - O2 to keep SpO2 > 90% - Supportive treatment for cough: Bronchodilator, cough suppressant  - Pending BDG - Negative serum GG 11/23
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Menstrual changes/unpredictable periods  - periods began coming earlier each month with heavier cramping and bleeding, menstrual changes have not resolved  over the last 7 months since vaccination
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt was given pediatric dose of Pfizer. Pt had turned 12 the day before vaccine was given. Should have received a  Pfizer 12+ dose.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria cholinergic
Clinical narrative: My son, began to suffer from cholinergic urticaria with hives and rash 2 weeks after second dose.  It is likely he had covid in February 2020, but we were not able to have a test that early.  So this would likely have been his third experience with covid:  having the disease, then 2 doses of vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Dysgeusia, Headache, Immediate post-injection reaction
Clinical narrative: I immediately tasted metal in my mouth.  I felt sick like I had a cold with a headache  12 hours following the shot.  48 hours after the shot I got extreme abdominal cramps and had both vomiting and diarrhea for a couple of hours.  I stayed in bed for about 3 days resting. I had a terrible headache on day 5.  Today is day 6 and I am feeling better.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Nasopharyngitis, Vomiting
Clinical narrative: I immediately tasted metal in my mouth.  I felt sick like I had a cold with a headache  12 hours following the shot.  48 hours after the shot I got extreme abdominal cramps and had both vomiting and diarrhea for a couple of hours.  I stayed in bed for about 3 days resting. I had a terrible headache on day 5.  Today is day 6 and I am feeling better.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Cough, Decreased appetite, Fatigue
Clinical narrative: I became ill in the overnight hours on the day of vaccination, extreme fatigue, unable to get up and shower. Headache, extreme back and lower leg pain, I would describe as  worse than sciatic pain,  fever. Chills  Sore throat, runny nose, mild cough. Unable to resume normal function for two days. Loss of appetite, I slept the entire day following the injection. Second day, more fatigue, headache and body pain.  Profuse sweating .Symptoms seems to get worse with each injection. Tylenol had no effect, I had to take ibuprofen for relief which was short lived. Today is the third day and I am still fatigued, mild headache.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Hypersomnia, Illness, Loss of personal independence in daily activities
Clinical narrative: I became ill in the overnight hours on the day of vaccination, extreme fatigue, unable to get up and shower. Headache, extreme back and lower leg pain, I would describe as  worse than sciatic pain,  fever. Chills  Sore throat, runny nose, mild cough. Unable to resume normal function for two days. Loss of appetite, I slept the entire day following the injection. Second day, more fatigue, headache and body pain.  Profuse sweating .Symptoms seems to get worse with each injection. Tylenol had no effect, I had to take ibuprofen for relief which was short lived. Today is the third day and I am still fatigued, mild headache.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: I became ill in the overnight hours on the day of vaccination, extreme fatigue, unable to get up and shower. Headache, extreme back and lower leg pain, I would describe as  worse than sciatic pain,  fever. Chills  Sore throat, runny nose, mild cough. Unable to resume normal function for two days. Loss of appetite, I slept the entire day following the injection. Second day, more fatigue, headache and body pain.  Profuse sweating .Symptoms seems to get worse with each injection. Tylenol had no effect, I had to take ibuprofen for relief which was short lived. Today is the third day and I am still fatigued, mild headache.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: I became ill in the overnight hours on the day of vaccination, extreme fatigue, unable to get up and shower. Headache, extreme back and lower leg pain, I would describe as  worse than sciatic pain,  fever. Chills  Sore throat, runny nose, mild cough. Unable to resume normal function for two days. Loss of appetite, I slept the entire day following the injection. Second day, more fatigue, headache and body pain.  Profuse sweating .Symptoms seems to get worse with each injection. Tylenol had no effect, I had to take ibuprofen for relief which was short lived. Today is the third day and I am still fatigued, mild headache.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Blood homocysteine decreased, Dark circles under eyes, Diarrhoea, Endodontic procedure, Pain in extremity
Clinical narrative: 3 days post vaccine she had very dark puffy circles under her eyes.  Left arm pain for 36 hours. November 23rd needed dental work for tooth pain- pulpectomy  November 24th- diarrhea for 6 days(Rotavirus?)
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Periorbital swelling, Toothache
Clinical narrative: 3 days post vaccine she had very dark puffy circles under her eyes.  Left arm pain for 36 hours. November 23rd needed dental work for tooth pain- pulpectomy  November 24th- diarrhea for 6 days(Rotavirus?)
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash pruritic
Clinical narrative: Generalized pruritic rash; started on 11/ 28/2021 and present at time of encounter. Started on TCA doxepin and prednisone taper.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Hypoaesthesia, Pain in extremity
Clinical narrative: After the vaccination I had pain in my entire hand it went numb and it stayed that way for a long time. I also had shingles after the vaccination.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Cough, Dyspnoea, Feeling of body temperature change
Clinical narrative: Right after felt sick to my stomach. The next two days after I had fever type symptoms. They went away but I had a raw/burning type feeling in my lungs when I would breathe deep. This lasted and worsened until November 27/28. That night I woke up with chills that made me violently shiver, accompanied by a dull headache. That lasted until I was able to take a really hot shower and then the chills turned to sweats. The headache lasted over a week. We brought our new born baby home that day as well so I had to quarantine for the next week. The symptoms remained similar, chills and sweats back and forth with periods of feeling fine. All the while having the chest sickness getting worse. It turned into the feeling of a chest cold with difficulty breathing deep. Every deep breathe causes a coughing fit. I took a covid test November 31 with negative results. I cannot get my new born daughter sick but I don't know what this is. Again last night, December 6/7, I awoke around 3am with the chills. I tried to warm up but couldn't without taking a hot shower. After that I was too hot and had the sweats. This continuing for a month has made me want to report it and see if this is a common occurance. I haven't went to a Dr. about it because it seems like it gets better and then another night of chills and sweats.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, Pyrexia, SARS-CoV-2 test
Clinical narrative: Right after felt sick to my stomach. The next two days after I had fever type symptoms. They went away but I had a raw/burning type feeling in my lungs when I would breathe deep. This lasted and worsened until November 27/28. That night I woke up with chills that made me violently shiver, accompanied by a dull headache. That lasted until I was able to take a really hot shower and then the chills turned to sweats. The headache lasted over a week. We brought our new born baby home that day as well so I had to quarantine for the next week. The symptoms remained similar, chills and sweats back and forth with periods of feeling fine. All the while having the chest sickness getting worse. It turned into the feeling of a chest cold with difficulty breathing deep. Every deep breathe causes a coughing fit. I took a covid test November 31 with negative results. I cannot get my new born daughter sick but I don't know what this is. Again last night, December 6/7, I awoke around 3am with the chills. I tried to warm up but couldn't without taking a hot shower. After that I was too hot and had the sweats. This continuing for a month has made me want to report it and see if this is a common occurance. I haven't went to a Dr. about it because it seems like it gets better and then another night of chills and sweats.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Axillary pain, Headache, Immediate post-injection reaction, Injection site pain
Clinical narrative: On 11/18/2021 Left arm, injection site was very sore immediately after shot.  11/19/2021 6:30am, I woke up with knot under left arm pit. As the day went on, the knot got bigger and was very tender. I had a fever, a headache and my whole body ached. The symptoms started fading that night after work, with fever reducing medication. 11/20/2021 under my left arm pit was a knot as big as a baseball, and my stomach on the right side around my belly button was sore like I had pulled a muscle. I continued to take fever/pain reducer. 11/21/2021 I woke up and the pain was gone from my stomach, but under my left arm the knot was still there but not bad. 12/7/2021 the knot is almost completely gone, with mild pain.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle strain, Nodule, Pain, Pyrexia, Tenderness
Clinical narrative: On 11/18/2021 Left arm, injection site was very sore immediately after shot.  11/19/2021 6:30am, I woke up with knot under left arm pit. As the day went on, the knot got bigger and was very tender. I had a fever, a headache and my whole body ached. The symptoms started fading that night after work, with fever reducing medication. 11/20/2021 under my left arm pit was a knot as big as a baseball, and my stomach on the right side around my belly button was sore like I had pulled a muscle. I continued to take fever/pain reducer. 11/21/2021 I woke up and the pain was gone from my stomach, but under my left arm the knot was still there but not bad. 12/7/2021 the knot is almost completely gone, with mild pain.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose given too soon.  1st dose given 11/22/2021, Second dose given 12/6/2021
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received dose that was past the 6 hour expiration after dilution. It is suspected that the vaccine was diluted for 48 hours when the vaccinators drew up a dose from vial (in fridge) on 12/3/21. Patient had no symptoms, reactions
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The pediatric dose of the vaccine was provided to a 12 year old.
Age: 34.0
Sex: M
Vaccine: FLUA4
Symptoms: Incorrect dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient has special needs and was here with 65 year old caregiver to both receive flu vaccines. I went in room with vaccines separated per person since patient was getting afluria and caregiver was receiving fluad 65+. Caregiver stated he wanted to go first so I got the fluad 65+ in my hand then he said I need to give it to patient quickly while he was distracted and calm. I accidentally gave patient the fluad 65+ vaccine. I realized and grabbed another fluad 65+ for the caregiver and he was given the correct dose. I called the caregiver after the mistake and told him to monitor for side effects. Caregiver acknowledged and said there were no side effects right now and he would monitor.  Submitted to company QA.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest discomfort, Chest pain, Differential white blood cell count, Discomfort
Clinical narrative: Started in the morning with chest pain and tightness. Uncomfortable to sit up straight or stand or lay down. Went to the emergency room and they did ECG, Echocardiogram and blood work. Blood work revealed high troponin levels the highest reaching 2.9 ng/ml. Stayed overnight to monitor my condition. The hospital reached out to a cardiologist who diagnosed me with Pericarditis
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram, Full blood count, Lymphocyte count decreased, Neutrophil count increased
Clinical narrative: Started in the morning with chest pain and tightness. Uncomfortable to sit up straight or stand or lay down. Went to the emergency room and they did ECG, Echocardiogram and blood work. Blood work revealed high troponin levels the highest reaching 2.9 ng/ml. Stayed overnight to monitor my condition. The hospital reached out to a cardiologist who diagnosed me with Pericarditis
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Pulmonary hypertension, Troponin increased, White blood cell count increased
Clinical narrative: Started in the morning with chest pain and tightness. Uncomfortable to sit up straight or stand or lay down. Went to the emergency room and they did ECG, Echocardiogram and blood work. Blood work revealed high troponin levels the highest reaching 2.9 ng/ml. Stayed overnight to monitor my condition. The hospital reached out to a cardiologist who diagnosed me with Pericarditis
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injected limb mobility decreased, Nausea, Rash
Clinical narrative: Patient experienced nausea, and rash all over body. Couldn't lift arm for 2 days. Rash lasted for 2 days.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation, Nausea, Rash
Clinical narrative: Patient experienced nausea, and rash all over body. Couldn't lift arm for 2 days. Rash lasted for 2 days.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: NONE
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Head injury, Syncope, Tenderness
Clinical narrative: The night prior to syncopal event, was told by spouse that I was "burning up"  I did not feel warm.  The next day, prodromal lightheadedness while standing during singing resulted in a fall to floor.  In retrospect, I hit head as now experiencing point tenderness posteriorly.  After regaining awareness was able to resume usual activity.
Age: 38.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Bronchitis, Pharyngitis, SARS-CoV-2 test negative
Clinical narrative: "Reports going to Agency on Saturday, NEG for COVID-19, was told she had pharyngitis, and bronchitis. "
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Magnetic resonance imaging normal, Migraine, Muscle twitching, Paraesthesia
Clinical narrative: Migraines, tingling sensation in hands and feet, involuntary twitching in hands, diagnosed with visual snow syndrome.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Visual snow syndrome
Clinical narrative: Migraines, tingling sensation in hands and feet, involuntary twitching in hands, diagnosed with visual snow syndrome.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness
Clinical narrative: Very dizzy, extremely hot and cold chills.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Nasal congestion, Oropharyngeal pain, Pruritus
Clinical narrative: When I woke up the next morning I had a stuffy nose and sore throat. I also felt all over muscle soreness/fatigue. As the morning progressed I then noticed hives on my face that were itchy. symptoms lasted mostly thru friday, December 3rd.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: When I woke up the next morning I had a stuffy nose and sore throat. I also felt all over muscle soreness/fatigue. As the morning progressed I then noticed hives on my face that were itchy. symptoms lasted mostly thru friday, December 3rd.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Laboratory test, Menstrual disorder, Platelet count increased, Polymenorrhoea
Clinical narrative: Her menses were normal prior to vaccines regular not heavy 28 day cycles. After second covid vaccine her cycles shortened to 21 days they were also  abnormally extremely heavy with clots.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Tri-iodothyronine increased
Clinical narrative: Her menses were normal prior to vaccines regular not heavy 28 day cycles. After second covid vaccine her cycles shortened to 21 days they were also  abnormally extremely heavy with clots.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Myalgia
Clinical narrative: Difficulty breathing with extreme muscular pain.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: Chills - sporadic for 36 hours; spiking mild temperature sporadically for 36 hours (99.7); aches in muscles and joints for 60 hours; fatigue      for 60 hours; loss of appetite - still ongoing; headache - still ongoing; tenderness  and swelling of injection site still ongoing; soreness and tenderness of lymph nodes in left underarm developed approx. 48 hours after injection and is ongoing (36 hours)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lymph node pain, Myalgia
Clinical narrative: Chills - sporadic for 36 hours; spiking mild temperature sporadically for 36 hours (99.7); aches in muscles and joints for 60 hours; fatigue      for 60 hours; loss of appetite - still ongoing; headache - still ongoing; tenderness  and swelling of injection site still ongoing; soreness and tenderness of lymph nodes in left underarm developed approx. 48 hours after injection and is ongoing (36 hours)
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Lung infiltration
Clinical narrative: Tested positive 11/5, ED to hospital admission, 11/8 with CT showing findings most consistent with multifocal pneumonia, 11/11 dx updated to include Acute hypoxic respiratory failure, 11/12 CT Worsened patchy opacities throughout the lungs, most prominent in the right upper thorax. 11/13 The patient is currently maintained on remdesivir, Decadron 10 mg, Baricitinib. 11/16 CT confirms onset of COVID pneumonia, 11/17 The patient is currently maintained on Ceftin, baricitinib, Decadron with Decadron day #6 and baricitinib day #6 also. 11/21 The patient is currently maintained on baricitinib.  11/22 CT Persistent diffuse bilateral pulmonary infiltrates. 11/28 CT Aeration shows minimal improvement
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Pneumonia
Clinical narrative: Tested positive 11/5, ED to hospital admission, 11/8 with CT showing findings most consistent with multifocal pneumonia, 11/11 dx updated to include Acute hypoxic respiratory failure, 11/12 CT Worsened patchy opacities throughout the lungs, most prominent in the right upper thorax. 11/13 The patient is currently maintained on remdesivir, Decadron 10 mg, Baricitinib. 11/16 CT confirms onset of COVID pneumonia, 11/17 The patient is currently maintained on Ceftin, baricitinib, Decadron with Decadron day #6 and baricitinib day #6 also. 11/21 The patient is currently maintained on baricitinib.  11/22 CT Persistent diffuse bilateral pulmonary infiltrates. 11/28 CT Aeration shows minimal improvement
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Escherichia infection, Peptic ulcer, Urinary tract infection
Clinical narrative: 11/9 to 11/23 Hospital Admission: While he was in the hospital, he was evaluated and treated for his COVID-19 pneumonia, was treated with IV remdesivir, evaluated by Infectious Diseases and Pulmonology, and also was treated for his E coli UTI and evaluated by Gastroenterology secondary to his peptic ulcer disease.  Suggested medical management.  As his symptoms were resolving gradually, he was discharged to subacute rehab in a stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Acute kidney injury, COVID-19, Chest X-ray abnormal, Dyspnoea, Fatigue
Clinical narrative: The patient presented to the emergency room with generalized fatigue and shortness of breath.  The patient has history of chronic kidney disease.  He was diagnosed with COVID infection 1 week ago.  Denies any chest discomfort or dysuria or abdominal discomfort.  He did come in with complaints of shortness of breath.  He was evaluated in ER by ER physician  chest x-ray shows rather diffuse bilateral pulmonary infiltrates.  The patient also had renal insufficiency.  He is known to have chronic kidney disease.  He has acute on chronic renal failure.  His WBC count is elevated at 93,000.  The patient is known to have history of CLL
Age: 81.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Lung infiltration, White blood cell count increased
Clinical narrative: The patient presented to the emergency room with generalized fatigue and shortness of breath.  The patient has history of chronic kidney disease.  He was diagnosed with COVID infection 1 week ago.  Denies any chest discomfort or dysuria or abdominal discomfort.  He did come in with complaints of shortness of breath.  He was evaluated in ER by ER physician  chest x-ray shows rather diffuse bilateral pulmonary infiltrates.  The patient also had renal insufficiency.  He is known to have chronic kidney disease.  He has acute on chronic renal failure.  His WBC count is elevated at 93,000.  The patient is known to have history of CLL
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Nausea, Syncope
Clinical narrative: Patient indicated to pharmacist, she has an episode of fainting when she get vaccination. she indicated it happened for both her 1st and second dose at Agency. She showed no symptoms of being sick before vaccination other than being nervous. About 2mins after shot, rph asked  lead tech to offer her some water. While the tech was out to offer her the water, she started to complain about being nauseous. Patient quickly deteriorated and fainted. she was placed on her side and ED was called. Patient had strong pulse  through out observation. Pharmacist waited with patient until paramedics arrived
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, Bradycardia, COVID-19, Chest tube insertion, Death
Clinical narrative: Presented to hospital on 11/7 following a fall. Noted to have large left pleural effusion, concerning for chylothorax. Had thoracentesis for fluid removal and thoracic duct embolization. Noted to have + COVID test on 11/9. Treated with Decadron and remdesivir.  ICU after episode of bradycardia and unresponsiveness during which he was intubated and chest tube was placed.  Improved and was extubated and returned to a regular hospital floor.  Unable to recover fully and on 12/4 had increased respiratory distress resulting in intubation.  Transferred to ICU and family requested comfort care. Extubated and passed.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Fall, Intensive care, Pleural effusion, Respiratory distress
Clinical narrative: Presented to hospital on 11/7 following a fall. Noted to have large left pleural effusion, concerning for chylothorax. Had thoracentesis for fluid removal and thoracic duct embolization. Noted to have + COVID test on 11/9. Treated with Decadron and remdesivir.  ICU after episode of bradycardia and unresponsiveness during which he was intubated and chest tube was placed.  Improved and was extubated and returned to a regular hospital floor.  Unable to recover fully and on 12/4 had increased respiratory distress resulting in intubation.  Transferred to ICU and family requested comfort care. Extubated and passed.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Therapeutic embolisation, Unresponsive to stimuli
Clinical narrative: Presented to hospital on 11/7 following a fall. Noted to have large left pleural effusion, concerning for chylothorax. Had thoracentesis for fluid removal and thoracic duct embolization. Noted to have + COVID test on 11/9. Treated with Decadron and remdesivir.  ICU after episode of bradycardia and unresponsiveness during which he was intubated and chest tube was placed.  Improved and was extubated and returned to a regular hospital floor.  Unable to recover fully and on 12/4 had increased respiratory distress resulting in intubation.  Transferred to ICU and family requested comfort care. Extubated and passed.
Age: 94.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Anticoagulant therapy, Asthenia, COVID-19 pneumonia, Cough, Electrolyte imbalance
Clinical narrative: To ED 11/11 states that she was feeling weak and fatigued since yesterday evening, which was worse this morning. Has had some nasal congestion and a mild cough. 11/12 COVID Pneumonia diagnosis. 11/14  O2 supplement to maintain SPO2 > 92%,  with weaning attempts as tolerated.Lovenox 40 twice a day, 11/17 electrolytes abnormalities, The patient finished treatment of remdesivir.  She is on Decadron.  She is doing well.  She is only 2 L oxygen.  11/18 Pt discharged to another facility.
Age: 94.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Fatigue, Nasal congestion
Clinical narrative: To ED 11/11 states that she was feeling weak and fatigued since yesterday evening, which was worse this morning. Has had some nasal congestion and a mild cough. 11/12 COVID Pneumonia diagnosis. 11/14  O2 supplement to maintain SPO2 > 92%,  with weaning attempts as tolerated.Lovenox 40 twice a day, 11/17 electrolytes abnormalities, The patient finished treatment of remdesivir.  She is on Decadron.  She is doing well.  She is only 2 L oxygen.  11/18 Pt discharged to another facility.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Resident was given COVID booster 2 weeks before it was due.  No reactions or symptoms were detected.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Sinus disorder
Clinical narrative: Wife reports about a week after the vaccine he passed out for about 15-30 seconds. She didn't think anything about it, maybe he had tripped. Then a few weeks later, end of Nov/beginning of Dec he has passed out several more times. Wife reports vitals are always perfect. Beginning of Dec he went to dr related to sinus issue. MD advised to report the reaction.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19 pneumonia, Hyperglycaemia, Hypokalaemia, Hyponatraemia
Clinical narrative: The patient is a 78-year-old female who was admitted with COVID-19 pneumonia and acute renal failure, hyponatremia, hypokalemia, and hyperglycemia with history of type 2 diabetes.  The patient did not qualify for remdesivir and was placed on Decadron.  The patient was on room air by day of discharge. The patient was seen in consultation with Nephrology and Pulmonary Medicine during the course of admission here along with Infectious Disease.  By day of discharge, she was cleared by both Pulmonary Medicine, Infectious Disease, and as such the patient is being discharged home with doxycycline for a week.  Clearance was also requested from Nephrology regarding the serum sodium, which was obtained.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was hospitalized 3 days after receiving COVID booster shot.
Age: 66.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: 67y.o. female who came in for evaluation of dyspnea at the urging of her family. Multiple positive sick contacts. She tested positive for covid and is in isolation. Oxygen saturation as low as 50% on RA. Continuous Infusions:clinimix tpn builder. COVID pneumonitis
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood test normal, COVID-19, Chest X-ray abnormal
Clinical narrative: History of presenting illness: PMH significant for hypertension, hyperlipidemia, hypothyroidism, anxiety, depression, COPD, obstructive sleep apnea, and morbid obesity with BMI greater than 40, presents from home with worsening respiratory symptoms. The patient was found to be COVID 19 positive. Family nurse to test positive as well. The patient was fully vaccinated in September. She currently denies any fever, chills, nausea, or vomiting. She does admit to diffuse generalized weakness. She states she is not due really much of anything. She does wear CPAP at home at night, but no oxygen during the day. She is currently requiring some oxygen. ID consultation requested. Patient will be started Remdesivir, steroids,  Anticoagulation medications. She is encouraged to ambulate, and continue to prone when able.her most recent vitals show temperature 99.4 degrees, heart rate 77/m, respirations 18/m, and a blood pressure 112 or 57. SPO2 saturations 94% on nasal cannula. BMI is 46.  Her blood work is within normal limits. Her hepatic function panel is stable. No leukocytosis or anemia. Chest x-ray does show bilateral infiltrates, suggestive of pneumonia. Continue current treatment plan. Seen by infectious disease, started on COVID 19 protocol. She did slowly improve, and was on 4 L nasal cannula. She did have a home O2 evaluation prior to discharge. She will continue her steroids, and supplements for allotted time.  She is encouraged to follow-up with her primary care physician within one week..  All questions and concerns were answered and addressed prior to discharge with patient/family.  Prescriptions were provided.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Liver function test, Loss of personal independence in daily activities, Lung infiltration, Respiratory symptom
Clinical narrative: History of presenting illness: PMH significant for hypertension, hyperlipidemia, hypothyroidism, anxiety, depression, COPD, obstructive sleep apnea, and morbid obesity with BMI greater than 40, presents from home with worsening respiratory symptoms. The patient was found to be COVID 19 positive. Family nurse to test positive as well. The patient was fully vaccinated in September. She currently denies any fever, chills, nausea, or vomiting. She does admit to diffuse generalized weakness. She states she is not due really much of anything. She does wear CPAP at home at night, but no oxygen during the day. She is currently requiring some oxygen. ID consultation requested. Patient will be started Remdesivir, steroids,  Anticoagulation medications. She is encouraged to ambulate, and continue to prone when able.her most recent vitals show temperature 99.4 degrees, heart rate 77/m, respirations 18/m, and a blood pressure 112 or 57. SPO2 saturations 94% on nasal cannula. BMI is 46.  Her blood work is within normal limits. Her hepatic function panel is stable. No leukocytosis or anemia. Chest x-ray does show bilateral infiltrates, suggestive of pneumonia. Continue current treatment plan. Seen by infectious disease, started on COVID 19 protocol. She did slowly improve, and was on 4 L nasal cannula. She did have a home O2 evaluation prior to discharge. She will continue her steroids, and supplements for allotted time.  She is encouraged to follow-up with her primary care physician within one week..  All questions and concerns were answered and addressed prior to discharge with patient/family.  Prescriptions were provided.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: History of presenting illness: PMH significant for hypertension, hyperlipidemia, hypothyroidism, anxiety, depression, COPD, obstructive sleep apnea, and morbid obesity with BMI greater than 40, presents from home with worsening respiratory symptoms. The patient was found to be COVID 19 positive. Family nurse to test positive as well. The patient was fully vaccinated in September. She currently denies any fever, chills, nausea, or vomiting. She does admit to diffuse generalized weakness. She states she is not due really much of anything. She does wear CPAP at home at night, but no oxygen during the day. She is currently requiring some oxygen. ID consultation requested. Patient will be started Remdesivir, steroids,  Anticoagulation medications. She is encouraged to ambulate, and continue to prone when able.her most recent vitals show temperature 99.4 degrees, heart rate 77/m, respirations 18/m, and a blood pressure 112 or 57. SPO2 saturations 94% on nasal cannula. BMI is 46.  Her blood work is within normal limits. Her hepatic function panel is stable. No leukocytosis or anemia. Chest x-ray does show bilateral infiltrates, suggestive of pneumonia. Continue current treatment plan. Seen by infectious disease, started on COVID 19 protocol. She did slowly improve, and was on 4 L nasal cannula. She did have a home O2 evaluation prior to discharge. She will continue her steroids, and supplements for allotted time.  She is encouraged to follow-up with her primary care physician within one week..  All questions and concerns were answered and addressed prior to discharge with patient/family.  Prescriptions were provided.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Headache, Hypoaesthesia, Injection site pain
Clinical narrative: Developed severe neck pain and headache, severe pain in R axilla with swollen lymph nodes that continues on a daily basis, numbness, paresthesia and pain in R arm hand radiating down from shoulder/upper arm area of injection, myalgias, joint pain in shoulder, elbow, wrist, fingers. Was given 10 day course of Prednisone which was effective during the time I was taking the medications but returned approximately 4-5ays after the medication was completed
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myalgia, Neck pain, Pain in extremity, Paraesthesia
Clinical narrative: Developed severe neck pain and headache, severe pain in R axilla with swollen lymph nodes that continues on a daily basis, numbness, paresthesia and pain in R arm hand radiating down from shoulder/upper arm area of injection, myalgias, joint pain in shoulder, elbow, wrist, fingers. Was given 10 day course of Prednisone which was effective during the time I was taking the medications but returned approximately 4-5ays after the medication was completed
Age: 90.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: COVID-19 pneumonia, Dyspnoea, Hypoxia, Oxygen saturation decreased, Rales
Clinical narrative: 11/18 Pt to ED from a HCF with c/o of low sat and COVID concerns. Per staff, pt sat at 89 on RA and was started on 3 L NC. HCF ED doctor wanted pt evaluated once she was started on O2. 11/19 The patient was started on remdesivir for COVID pneumonitis. 11/20 Have scattered rales and rhonchi. Pt short of breath. 11/27 Mild Hypoxia, currently saturating 98% on 3 L. On decadron remdisivir . 11/29 No acute issues overnight.
Age: 90.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Rhonchi
Clinical narrative: 11/18 Pt to ED from a HCF with c/o of low sat and COVID concerns. Per staff, pt sat at 89 on RA and was started on 3 L NC. HCF ED doctor wanted pt evaluated once she was started on O2. 11/19 The patient was started on remdesivir for COVID pneumonitis. 11/20 Have scattered rales and rhonchi. Pt short of breath. 11/27 Mild Hypoxia, currently saturating 98% on 3 L. On decadron remdisivir . 11/29 No acute issues overnight.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Road traffic accident, SARS-CoV-2 test positive
Clinical narrative: 11/21 Admitted due to car crash, lab test positive for detection of COVID-19 virus. Asymptomatic.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PATIENT RECEIVED VACCINATION SERIES ON 5/21/21 AND 6/11/21. BOOSTER DOSE WAS GIVEN IN ERROR 1 WEEK EARLY ON 12/4/21.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was hospitalized 3 days after receiving COVID dose #2.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neurological examination normal
Clinical narrative: Headache starting within 24 hours of vaccine, daily headaches since then, does improve with Ibuprofen but relief is temporary. No prior history of headache disorder
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Malaise, Pyrexia
Clinical narrative: Spiking fevers for 3 days (highest >103 F),  general weakness, malaise
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Resident received COVID booster 2 weeks before it was due.  Resident did not have any symptoms or interaction to vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Panic attack, Tremor
Clinical narrative: She gets really shaky, shaky parts happen often. She gets dizzy, she has panic attacks now. seems to be low sugar or BP thing we are not sure.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Arrhythmia, Blood test normal, Cardiac telemetry normal, Electrocardiogram normal, Laboratory test
Clinical narrative: Have been taking flu shots for at least 31 years. This time I developed heart arrythmia, PVCs, pounding in my chest and carotids. had an urgent visit to the PCP with vitals, lab work and heart tracing/telemetry reported as normal. Now 2 months later, I am beginning to feel well. I believe the flu shot caused all this. I will either not take the shot in the future or will request the low dose vaccine if I can talk myself into it.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Palpitations, Ventricular extrasystoles
Clinical narrative: Have been taking flu shots for at least 31 years. This time I developed heart arrythmia, PVCs, pounding in my chest and carotids. had an urgent visit to the PCP with vitals, lab work and heart tracing/telemetry reported as normal. Now 2 months later, I am beginning to feel well. I believe the flu shot caused all this. I will either not take the shot in the future or will request the low dose vaccine if I can talk myself into it.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient visited ED 17 days after receiving COVID vaccine dose 2. Patient was admitted to hospital 31 days after receiving COVID dose #2.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Hyperhidrosis, Oropharyngeal pain, Pain
Clinical narrative: severe sinus congestion, headache, body pain, sore throat, sweats. hives and breathing issues
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Sinus congestion, Urticaria
Clinical narrative: severe sinus congestion, headache, body pain, sore throat, sweats. hives and breathing issues
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the Agency, due to lack of stability data, it was advised to revaccinate the patient.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Pinguecula
Clinical narrative: On 11/15/2021- left eye mild pain, every day it got progressively worse. On Friday,  night the pain was so bad, so I called the eye doctor and asked if they could get me in because my eye was in a lot of pain. On 11/20/2021 -The doctor does not know what caused the pain, she saw these yellow bumps and said that is what caused me the pain in my left eye and she prescribed me eye medication for 10 days, 1 drop in my left eye, 4 times a day for 10 days- prednisolone ophthalmic suspension 1 % . I asked he doctor if she thinks something got in my eye that caused the yellow bumps. I don't suffer from allergies. So I don't  know what caused it and the doctor could not tell me what caused it. I have recovered from the pain in my left eye and I have not had any recurrence of eye pain.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient had ED visit 30 days after receiving COVID dose #3.  Patient was admitted to hospital 31 days after receiving COVID dose #3.  Patient passed away 56 days after receiving COVID dose #3.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PATIENT WAS GIVEN 0.2ML OF THE 30MCG FORMULA INSTEAD OF 0.2ML OF THE 10MCG FORUMLA
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Insomnia, Pain, Pain in extremity, Spinal pain
Clinical narrative: Severe arm pain that traveled down to my fingers and up to my spine. Causing numbness, and pain that had me thrashing day and nigh. No amount of Motrin or changing my position offered relief. This morning, day five is the first feeling of relief after the worst night of pain. All five nights, extreme sleeplessness. I still have pain, but it has abated some.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Headache, Injection site pain
Clinical narrative: Chills, headache, dizziness, short of breath, muscle ache, injection site pain
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Chills, headache, dizziness, short of breath, muscle ache, injection site pain
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: The participant experienced pain in her chest, hard time taking deep breaths and sharp pains in her chest.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Product administration error
Clinical narrative: A 16 year old patient who received initial vaccination series on 03/30/21 and 04/20/21 received a booster dose on 12/4/21 in error. Attempted to contact patient about error.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Goitre, Headache, Hot flush, Injection site swelling
Clinical narrative: Injection site of arm swelled to 2xs its size, intense hot flashes at least 3 times an hour for 24 hours,  headache for 24 hours, sore throat for 5 days,  extreme tiredness (ongoing),  and thyroid swelled up for 4 days.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Injection site of arm swelled to 2xs its size, intense hot flashes at least 3 times an hour for 24 hours,  headache for 24 hours, sore throat for 5 days,  extreme tiredness (ongoing),  and thyroid swelled up for 4 days.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Tinnitus
Clinical narrative: Tinnitus - non stop buzzing /high pitched frequency in ears that has not gone away after 8 days. Headache/ neck pain that does not respond to Tylenol or Aleve.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: On audit it was found that client had gotten the pediatric, 10 mcg dose, for her 2nd dose, instead of the adult 30 mcg dose.  Per the vaccinator, the client was so small, it didn't click that she was 12 years old, and qualified for the adult dose.  The upstate Medical Director, was contacted, and advised that a 12 y/o who received the second dose of vaccine as a 10 microgram pediatric dose is not required to have the dose repeated per the CDC guidance. It is not known if the child will be as protected with the slightly lower dose since that was not studied, but I don?t think giving another dose at this time would be recommended unless there were special circumstances.  If the child is immunosuppressed in the moderate to severe category, his or her guardian can talk to their doctor about it. The clients father was made aware of all of the included information.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine lower formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, Chills, Condition aggravated, Cough
Clinical narrative: 69y.o. year old male who presented to ER at request of his PCP Dr. due to diagnosis of Covid. He was tested because a number of his work contacts tested positive.  He is very anxious and is sorry he came to hospital because he wants to go home. He suffers from anxiety. This is a 69y.o. male Admitted by my associate his PCP from the emergency room the recurrence of some concerns regarding Covid-like symptoms with having a cough rhinorrhea sore throat muscle aches and loose stools and shortness of breath initially was Covid negative as test elsewhere was Covid positive and he was sent to the emergency room he is having a hard time catching his breath and having shortness of breath no chest pain or pressure no nausea vomiting he states he had fevers and chills when I saw him this morning he was feeling slightly better he is Covid vaccinated with Pfizer.  He is currently on oxyg
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2, Myalgia, Oropharyngeal pain
Clinical narrative: 69y.o. year old male who presented to ER at request of his PCP Dr. due to diagnosis of Covid. He was tested because a number of his work contacts tested positive.  He is very anxious and is sorry he came to hospital because he wants to go home. He suffers from anxiety. This is a 69y.o. male Admitted by my associate his PCP from the emergency room the recurrence of some concerns regarding Covid-like symptoms with having a cough rhinorrhea sore throat muscle aches and loose stools and shortness of breath initially was Covid negative as test elsewhere was Covid positive and he was sent to the emergency room he is having a hard time catching his breath and having shortness of breath no chest pain or pressure no nausea vomiting he states he had fevers and chills when I saw him this morning he was feeling slightly better he is Covid vaccinated with Pfizer.  He is currently on oxyg