chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Pain
Clinical narrative: I started to feel achy around 9pm that night and when i woke in the am, i ached all over, felt like i had been run over by a truck, took and aleve and went to work, just felt awful, but the Aleve did help. i have never felt this bad after a covid vaccination.
Age: 63.0
Sex: M
Vaccine: COVID19-2, COVID19, COVID19-2
Symptoms: Dizziness, Ear discomfort, Pain in extremity, Vertigo
Clinical narrative: It is now day six and I have dizziness and vertigo.   Today is day six and this morning my ears feel clogged as well. The symptoms are not getting better. I did have the flu shot at the same time in the same arm.   I had no symptoms with my first 4 shots accept slight arm pain for a day.
Age: 63.0
Sex: M
Vaccine: COVID19-2, COVID19, COVID19-2
Symptoms: Acoustic stimulation tests normal, Dizziness, Vertigo
Clinical narrative: It is now day six and I have dizziness and vertigo.   Today is day six and this morning my ears feel clogged as well. The symptoms are not getting better. I did have the flu shot at the same time in the same arm.   I had no symptoms with my first 4 shots accept slight arm pain for a day.
Age: 63.0
Sex: M
Vaccine: COVID19-2, COVID19, COVID19-2
Symptoms: Dizziness, Vertigo
Clinical narrative: It is now day six and I have dizziness and vertigo.   Today is day six and this morning my ears feel clogged as well. The symptoms are not getting better. I did have the flu shot at the same time in the same arm.   I had no symptoms with my first 4 shots accept slight arm pain for a day.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea
Clinical narrative: Narrative:  78yo male, patient died on 8/30/2022. Pt had received COVID VACCINE EUA (J&J) on 8/13/2021. Pt presented to Emergency room on 8/30/22. Information below: Emergency Notification Intake Date Presenting to the Facility: Aug 30,2022 Method of Contact: self presented Notified from worklist Notification ID: Referral #: Community Hospital Name: Hospital: Address: City: State: Zip Code: Phone: Community Facility Point of Contact: Name: Emergency room Phone: Chief complaint: Shortness of Breath Primary Diagnosis: - No other information available regarding pt's death at this facility.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Death, Feeding tube user, Infection
Clinical narrative: Narrative:  Patient died on Sep 8,2022@00:01 at Rehab, Patient is a 72 yo male with PAST MEDICAL HISTORY Sarcoma of soft tissue Benign essential hypertension Mild chronic obstructive pulmonary diseaPlantar fascial fibromatosis (ICD-9-CM 728.71) Calcaneal spur (ICD-9-CM 726.73) Thrombocytopenia (ICD-9-CM 287.5) Hyperlipidemia (ICD-9-CM 272.4) Benign hypertension (ICD-9-CM 401.9) Pt also hospitalized in Feb 2022 for acute renal failure, acute prostatitis and mental status changes. Pt also had covid infection two times, most recently prior to death in AUG 2022. Per medical chart pt's sister stated her brother was battling another round of COVID and has pneumonia and an infection currently. She indicated that he is receiving tube feeds, oxygen and has Stage IV ulcers on his hip and chest. Pt died 9/8/2022. Pt had received a COVID VACCINE (J&J) on 9/13/2021. Reporting ADE of vaccine failure leading to covid infection and ultimately patient's death on 9/8/2022.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Pneumonia, Prostatitis, Skin ulcer, Vaccination failure
Clinical narrative: Narrative:  Patient died on Sep 8,2022@00:01 at Rehab, Patient is a 72 yo male with PAST MEDICAL HISTORY Sarcoma of soft tissue Benign essential hypertension Mild chronic obstructive pulmonary diseaPlantar fascial fibromatosis (ICD-9-CM 728.71) Calcaneal spur (ICD-9-CM 726.73) Thrombocytopenia (ICD-9-CM 287.5) Hyperlipidemia (ICD-9-CM 272.4) Benign hypertension (ICD-9-CM 401.9) Pt also hospitalized in Feb 2022 for acute renal failure, acute prostatitis and mental status changes. Pt also had covid infection two times, most recently prior to death in AUG 2022. Per medical chart pt's sister stated her brother was battling another round of COVID and has pneumonia and an infection currently. She indicated that he is receiving tube feeds, oxygen and has Stage IV ulcers on his hip and chest. Pt died 9/8/2022. Pt had received a COVID VACCINE (J&J) on 9/13/2021. Reporting ADE of vaccine failure leading to covid infection and ultimately patient's death on 9/8/2022.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Asthenia
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil count decreased, Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatine phosphokinase decreased, Blood creatinine increased, Blood glucose normal
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood potassium decreased, Blood sodium normal, Blood urea increased, COVID-19
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest pain, Dehydration, Dyspnoea, Eosinophil count decreased
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Eosinophil percentage decreased, Glomerular filtration rate normal, Granulocyte count, Granulocyte percentage, Haematocrit normal
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin normal, Headache, Hypokalaemia, Hypomagnesaemia, International normalised ratio increased
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume decreased, Monocyte count, Monocyte percentage, Platelet count decreased, Protein total normal
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Prothrombin time prolonged, Red blood cell count decreased, Red cell distribution width normal, SARS-CoV-2 test positive, Thyroid mass
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I normal, Vomiting, White blood cell count normal
Clinical narrative: Narrative: 9/6/2022 - Pt presented at ED via ambulance. Pt c/o chest pain, weakness, and SOB. HPI: Patient presents to the emergency department stating that he has had approximately 10 days with chest pain that he states is in the center of his chest and that is difficult to describe. He feels like at times it is like someone punching outward from the inside of his chest. He cannot describe it any differently. When asked about associated symptoms he states that this morning he started vomiting and has vomited several times. He states that there is nothing that makes his pain better or worse. When asked if it is like his heart attack he states that he thinks it is. He does also endorse shortness of breath. Patient is somewhat of a vague and difficult historian as he states that his head hurts and is hurt this way for the last 20 to 30 years after a traumatic brain injury. Patient denied diaphoresis, fever and chills, cough, peripheral edema. Cardiology Assessment: 1. Coronary disease. His last cardiac catheterization in 2018 showed some small vessel disease in the septal perforator, but no other significant disease. He has a nondominant right coronary artery. 2. Ongoing chest pain. I do not believe that this pain is cardiac in origin, but the patient is convinced that something is wrong with this heart 3. Possible hypokalemia Would recommend admitting the patient to complete the rule out protocol and to obtain a cardiac catheterization when safe to do so. *Pt will be admitted to Medicine with Primary Diagnosis: Chest pain, hypokalemia, COVID-19 from 9/6 to 9/9/2022. PRINICIPAL DIAGNOSIS (Reason for admission after study): 1. Acute Chest pain, Reccurrent 2. COVID Viral syndrome ADDITIONAL DIAGNOSES: 3. Dehydration 4. Hypomagnesemia 5. Incidental Finding of Right Thyroid Lobe nodule No meds given for COVID treatment.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Rheumatoid arthritis
Clinical narrative: Narrative:  Patient reported at his primary care appointment on 6/28/22 that he developed RA after administration of the COVID vaccine the previous year, could not find anything in his chart to confirm a diagnosis of RA.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Body temperature increased, Chest pain, Hyperhidrosis
Clinical narrative: Narrative:  Patient got shingrix 6-8-22, within 24-48 hours, patient reports stomach cramps, sweating, temp of 106, chest pain had to call the ambulance was taken to ER. He was told he possibly had an allergic reaction to the Shingrex vaccine. Reports he is doing okay today but he is still sweating.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, C-reactive protein normal, Headache, Myalgia, Pain
Clinical narrative: Narrative:  Per note on 9/22/21, patient cancelled second dose after experiencing significant side effects with the first dose that included "headache, fevers, and soreness" and the myalgias had persisted since then. The symptoms were not well controlled on celecoxib and methocarbamol. Patient was diagnosed with RA sometime in early 2022. Of note, patient had sedimentation rate of 44, CRP of 2.885, and a positive ANA in October of 2021. Per note on 6/15/22, the COVID vaccine "triggered RA per rheumatology".
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Rheumatoid arthritis
Clinical narrative: Narrative:  Per note on 9/22/21, patient cancelled second dose after experiencing significant side effects with the first dose that included "headache, fevers, and soreness" and the myalgias had persisted since then. The symptoms were not well controlled on celecoxib and methocarbamol. Patient was diagnosed with RA sometime in early 2022. Of note, patient had sedimentation rate of 44, CRP of 2.885, and a positive ANA in October of 2021. Per note on 6/15/22, the COVID vaccine "triggered RA per rheumatology".
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Red, raised indurated area developed around 2 injection sites on the left thigh. Pt. was prescribed Bactrim & Keflex in urgent care; symptoms started 9 days after injections. Redness, warmth, swelling decr. after 2 days abx.
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Arthralgia, Body temperature increased, Fatigue, Headache, Hyperhidrosis
Clinical narrative: High core body temperatures (extreme sweating) while at the same time having very cold feet, very sharp pain in the palms of both hands, sharp pains in wrists and right arm also inside left knee, hand soreness, and head ache in the am after waking. fatique.
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Pain in extremity, Peripheral coldness
Clinical narrative: High core body temperatures (extreme sweating) while at the same time having very cold feet, very sharp pain in the palms of both hands, sharp pains in wrists and right arm also inside left knee, hand soreness, and head ache in the am after waking. fatique.
Age: 17.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2 doses of the pfizer bivalent vaccine during the same visit. Patient did not present with any signs or symptoms during the next 30 minutes after administration
Age: 40.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Loss of personal independence in daily activities, Memory impairment, Vision blurred
Clinical narrative: 1) Persistent headache in left temple area.  4-5 on pain scale, only stopping for 1-3 minutes at a time. Does not significantly interfere with sleep, but does interfere with daily activities. - Eases with Tylenol 1000mg.  - No change 2) Infrequent blurred vision - No treatment - No change 3) Difficulty recalling/remembering information, including simple sentence structures. - No treatment - No change, words can be recalled given 30-60s  Have spoken with healthcare provider. Will attempt to get an appointment.
Age: 37.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Fatigue, Lymphangitis
Clinical narrative: Lymphangitis spreading proximally up arm. No fevers. Only systemic symptom is fatigue. Lymphangitis has continued to spread since initial onset day after injection.
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthma, Condition aggravated, SARS-CoV-2 test negative, Streptococcus test negative, Throat tightness
Clinical narrative: Asthma attack, tightness in throat, asthma exacerbation
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose normal, Chest pain, Dyspnoea, Dyspnoea exertional
Clinical narrative: On April 06, 2021 10:01:20 EDT Patient scheduled for appt on 4/7/21 at 9:45am. Patient states he gets SOB with walking, and any exertion. Patient states his BP and other vitals are WNL.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: On April 06, 2021 10:01:20 EDT Patient scheduled for appt on 4/7/21 at 9:45am. Patient states he gets SOB with walking, and any exertion. Patient states his BP and other vitals are WNL.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Brain natriuretic peptide increased, COVID-19, Computerised tomogram abdomen abnormal
Clinical narrative: Presented to ED with dyspnea and bilateral extremity edema. BNP elevated. Cardiology consulted. Placed on scheduled diuresis. Echocardiogram with LVEF pf 23%. CT showed hemiparesis with bilateral circulation embolic strokes. Neurology consulted with anticoagulation recommended after waiting a few days then Started on eliquis. Pallative and ethics consulted for help with medical decision-making. Preparing for rehab facility when Covid test +. Pt. c/o abdominal pain, CT chest, abd, pelvis done. Found pancreatic mass with possible invade into duodenum. Evidence of metastatic disease in liver and lymph nodes. Comfort care initiated.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram, Ejection fraction
Clinical narrative: Presented to ED with dyspnea and bilateral extremity edema. BNP elevated. Cardiology consulted. Placed on scheduled diuresis. Echocardiogram with LVEF pf 23%. CT showed hemiparesis with bilateral circulation embolic strokes. Neurology consulted with anticoagulation recommended after waiting a few days then Started on eliquis. Pallative and ethics consulted for help with medical decision-making. Preparing for rehab facility when Covid test +. Pt. c/o abdominal pain, CT chest, abd, pelvis done. Found pancreatic mass with possible invade into duodenum. Evidence of metastatic disease in liver and lymph nodes. Comfort care initiated.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Embolic stroke, Hemiparesis, Metastases to liver, Metastases to lymph nodes, Oedema peripheral
Clinical narrative: Presented to ED with dyspnea and bilateral extremity edema. BNP elevated. Cardiology consulted. Placed on scheduled diuresis. Echocardiogram with LVEF pf 23%. CT showed hemiparesis with bilateral circulation embolic strokes. Neurology consulted with anticoagulation recommended after waiting a few days then Started on eliquis. Pallative and ethics consulted for help with medical decision-making. Preparing for rehab facility when Covid test +. Pt. c/o abdominal pain, CT chest, abd, pelvis done. Found pancreatic mass with possible invade into duodenum. Evidence of metastatic disease in liver and lymph nodes. Comfort care initiated.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pancreatic mass, Polyuria, SARS-CoV-2 test positive
Clinical narrative: Presented to ED with dyspnea and bilateral extremity edema. BNP elevated. Cardiology consulted. Placed on scheduled diuresis. Echocardiogram with LVEF pf 23%. CT showed hemiparesis with bilateral circulation embolic strokes. Neurology consulted with anticoagulation recommended after waiting a few days then Started on eliquis. Pallative and ethics consulted for help with medical decision-making. Preparing for rehab facility when Covid test +. Pt. c/o abdominal pain, CT chest, abd, pelvis done. Found pancreatic mass with possible invade into duodenum. Evidence of metastatic disease in liver and lymph nodes. Comfort care initiated.
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 2 clients were given Moderna Monovalent Booster Dose before information was received to discontinue monovalent doses as booster doses.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Loss of personal independence in daily activities, Pain, X-ray limb normal
Clinical narrative: The month after receiving my booster shot in left arm, I started having pain and limited range of motion.  It has affected my daily life as I live alone and do all housework and yardwork myself.  It is painful trying to put on a bra everyday and painful to close the car door and put on my seatbelt.  I tried Advil and Tylenol to ease the pain but it didn't help at all.  My NP prescribed  Diclofenac Sodium 1% gel and it didn't either.  To-date nothing has helped.  I am now seeing  Dr. who is a shoulder specialist.  MRI is scheduled in the near future and then he will plan a course of treatment.  I never had any problems with my shoulder before getting this shot.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: I received what I was told was the Pfizer Bivalent booster on 9-13-22, only to receive a call the next day telling me that they had mistakenly given me the original Pfizer vaccination.  They told me they were very sorry, but now I would have to wait an additional two months to receive the booster that would protect me from the omicron variant.  I have avoided getting COVID-19 for all this time being very careful to get vaccinated and boostered, wearing masks, staying six feet away from people inside, etc.  This is really devastating because now I have to fear getting the omicron variant.  I would really like to know if there is any way I can wait for less than two months to receive the booster that I thought that I was receiving on 9-13-22
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 59.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: Gave vaccine intramuscular in left deltoid. Patient tolerated vaccine well no signs of symptoms at time of vaccine.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diarrhoea, Nausea, Pain, Pain in extremity
Clinical narrative: Violent diarrhea, nausea, and severe body aches lasted 8 hours. Nausea and body aches lasted almost 2 days. Severe arm pain still after 2 days
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Abdominal pain upper, Heart rate increased, Pain, Tachycardia
Clinical narrative: Pt experiencing rapid heart rate at times of rest 120+ one week after injection.  Abdominal pain under ribs bilaterally.  Pain and tachycardia come and go and continue to come and go 4 weeks later.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Fatigue, Nausea, Pain in extremity
Clinical narrative: Violent diarrhea lasted almost 8 hours. Extreme nausea and fatigue lasted almost 2 days. Severe arm pain after 2 days
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Joint range of motion decreased, Pain in extremity
Clinical narrative: Excruciating pain in arm; unable to lift arm up, no strength in arm. Icing ineffective
Age: 66.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature Excursion.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive pt, fully vaccinated, admitted to hospital
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Feeling hot, Headache, Pain, Peripheral swelling
Clinical narrative: Severe headache beginning after several hours, lasting about 24 hours; swelling of upper arm with redness and heat lasting six days, soreness, especially to touch,  lasting 5-6 days
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tenderness
Clinical narrative: Severe headache beginning after several hours, lasting about 24 hours; swelling of upper arm with redness and heat lasting six days, soreness, especially to touch,  lasting 5-6 days
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Chest X-ray, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Acute chest pain, onset 30 minutes prior to ED arrival and after exercise. Associated symptoms include shortness of breath, dizziness and sweating.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Hyperhidrosis, Laboratory test
Clinical narrative: Acute chest pain, onset 30 minutes prior to ED arrival and after exercise. Associated symptoms include shortness of breath, dizziness and sweating.
Age: 47.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature Excursion.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Thrombosis, Ultrasound scan abnormal
Clinical narrative: Unexplained blood clot. It has been a year since my vaccine but thought it might be relevant for long term effects data.
Age: 45.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature Excursion.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond use date
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against, then tested positive for COVID-19.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 4 years old at the time of administration. Patient was given Pfizer Covid vaccine for ages 5-11. Parents were notified. No side effects anticipated.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond use date
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling, Pruritus, Swelling
Clinical narrative: patient called 9/15/22 reported of arm swelling, redness, itching and generally swollen. patietn was advised to monitor and take a benadyrl as well as ice and use pain control otc if needed. Possible result due to difficult to get to the shoulder, pt was unable to get shirt up enough to expose the shoulder, in order to get the shot it was required to pull the sleeve up and created a pressure on the arm which may have lead to the event
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond use date
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was given undiluted Pediatric Pfizer 0.2ml IM right deltoid. Nurse was unaware of event until after patient left Clinic. Patient was observed for 15 minutes with no reaction. Nurse reported event to Nurse Supervisor @ 2:53pm. Nurse Supervisor reported to Clinical Director @ 2:56 pm, then State Nursing Director @ 3:00pm. Pfizer was called @ 3:05pm and guidance received for patient treatment @ 3:50pm. MD was called  and given/ faxed report from Pfizer. Nurse Supervisor then called patient's father using Services. Parent informed of event and possible complications, patient doing well as stated by father. Father verbalized understanding.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond use date
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was given undiluted Pediatric Pfizer 0.2ml IM right deltoid. Nurse was unaware of event until after patient left Clinic. Patient was observed for 15 minutes with no reaction. Nurse reported event to Nurse Supervisor @ 2:53pm. Nurse Supervisor reported to Clinical Director @ 2:56 pm, then State Nursing Director @ 3:00pm. Pfizer was called @ 3:05pm and guidance received for patient treatment @ 3:50pm. MD was called  and given/ faxed report from Pfizer. Nurse Supervisor then called patient's father using Language Services. Parent informed of event and possible complications, patient doing well as stated by father. Father verbalized understanding.
Age: 38.0
Sex: M
Vaccine: COVID19-2
Symptoms: Laboratory test normal, Pollakiuria, Sleep disorder
Clinical narrative: I received a booster on 1/10/2022 and a day or so after I had urination frequency and would wake up throughout the night. Went to an urologist and they did all sort of tests which came back negative.  I received another booster yesterday, 9/14/2022 and these same symptoms came back, yet milder. I was waking up to urinate, which does not usually happen to me. May it be related to a side effect?
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond use date
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond use date
Age: 1.33
Sex: F
Vaccine: COVID19
Symptoms: Cough, Hypersomnia, Injection site erythema, Rash
Clinical narrative: Patient came in to office for her 2nd covid dose, successful vaccination given in left thigh, pt observed after injection for 15min, Pt injection site was checked before being discharged from office and nurse and mom notice redness at diaper line that was not present prior to injection. Dr. came in to observe injection site, benadryl 7ml was order and pt was observed in office for additional 25-30min. During observation Rash did become a littler more prounced and spreading to arms but after calmed down and could see improvement occuring with redness. Also while observing patient she started to cough which was not present per mom prior to visit. Dr. ordered steroid dexamethasone 0.9 ml inj to be given ot pt observed for additional 20-30 min, outcome was good pt looked great, pt discharged with mom and dad home. Pt contacted today RE: follow up call, mom states pt did well after visit, slept alot, mom didn't have to take her to take her to ER/urgent care.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Patient brought into the ED on 9/9 by EMS for weakness and fatigue. A week prior to this, she began to have a cough and tested positive for COVID on 9/8. When EMS arrived to the scene, the patient was hypoxic in the 70's and febrile, so was placed on oxygen.  She was admitted 9/9-9/11. Discharge diagnoses include severe COVID-19, COVID pneumonia, bilateral lung bacterial pneumonia with sepsis, and acute hypoxemic respiratory failure. During admission, patient was able to be weaned off supplemental oxygen. Patient has received COVID vaccine and one booster. This meets criteria for vaccine breakthrough case review.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Hypoxia, Pneumonia, Pneumonia bacterial, Pyrexia
Clinical narrative: Patient brought into the ED on 9/9 by EMS for weakness and fatigue. A week prior to this, she began to have a cough and tested positive for COVID on 9/8. When EMS arrived to the scene, the patient was hypoxic in the 70's and febrile, so was placed on oxygen.  She was admitted 9/9-9/11. Discharge diagnoses include severe COVID-19, COVID pneumonia, bilateral lung bacterial pneumonia with sepsis, and acute hypoxemic respiratory failure. During admission, patient was able to be weaned off supplemental oxygen. Patient has received COVID vaccine and one booster. This meets criteria for vaccine breakthrough case review.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient brought into the ED on 9/9 by EMS for weakness and fatigue. A week prior to this, she began to have a cough and tested positive for COVID on 9/8. When EMS arrived to the scene, the patient was hypoxic in the 70's and febrile, so was placed on oxygen.  She was admitted 9/9-9/11. Discharge diagnoses include severe COVID-19, COVID pneumonia, bilateral lung bacterial pneumonia with sepsis, and acute hypoxemic respiratory failure. During admission, patient was able to be weaned off supplemental oxygen. Patient has received COVID vaccine and one booster. This meets criteria for vaccine breakthrough case review.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: na
Age: 38.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature Excursion.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Hypoaesthesia, Neck pain, Oedema peripheral, Pain in extremity
Clinical narrative: left arm pain and numbness radiating towards left hand, notable swelling and tenderness in left armpit, left shoulder and neck pain. Day two, left armpit swelling and tenderness not improved, neck and shoulder pain improved.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tenderness
Clinical narrative: left arm pain and numbness radiating towards left hand, notable swelling and tenderness in left armpit, left shoulder and neck pain. Day two, left armpit swelling and tenderness not improved, neck and shoulder pain improved.