chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative, Thyroxine free decreased, Tic, Tremor
Clinical narrative: Covid Vax 1 received 6/7/21, Covid Vax 2 received 6/28/21. Night between 8/25 and 8/28 she had a shivering full body shake enough to wake the friend on the top bunk, as she was on the bottom bunk.  The friend does not remember which night it was.   She came home 8/29/21 from friends sleepover.   8/30/21 she woke to dizziness and it persisted for 1/2 the day.  8/31/21 she had her first "twitch" jerking movement of the head/neck.  9/2/21 she reported to me that she was having a jerking in her head/neck and asked if that was normal.  It was happening 1 to 3 x/day.   9/6/21 I (parent) noticed that the jerking was in sequence of 3-4 head jerking to the side (tilting of the head).  9/9/21 she had full blown tic and was seen in the MD office.   The head drops down to the right shoulder, then chin first to the mid chest line and then back up to normal position.  This happens 4-10 times in sequence when mild to moderate episodes, and constant movement for 30 to 90 minutes before starting to relax up a little.  This causes pain in the upper back and neck when moderate to severe movement.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Pulmonary embolism
Clinical narrative: Patient died on July 7, 2021 of a pulmonary  embolism.  The clots were in his lungs.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Glomerular filtration rate decreased, Renal impairment
Clinical narrative: Decline in kidney funtion.  Ultra sound to be complete on 10/7/2021
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling cold, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever of 101 degrees, Headaches and entire body aches for three days on both shots. Felt like the Flu.  The second shot 20 hours after I began convulsing  and shaking uncontrollably.  In addition I started to feel very cold at this time. Then Became nauseated.  Held off vomiting as long as possible.  When I went to walk it was almost impossible.  After vomiting about six times over a period of time I made way back to the couch where I laid until my convulsions began to subside along with nausea and the feeling freezing.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure, Tremor, Vomiting
Clinical narrative: Fever of 101 degrees, Headaches and entire body aches for three days on both shots. Felt like the Flu.  The second shot 20 hours after I began convulsing  and shaking uncontrollably.  In addition I started to feel very cold at this time. Then Became nauseated.  Held off vomiting as long as possible.  When I went to walk it was almost impossible.  After vomiting about six times over a period of time I made way back to the couch where I laid until my convulsions began to subside along with nausea and the feeling freezing.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Muscle spasms, Pain in extremity, Sitting disability, Vomiting
Clinical narrative: Pt said she had extreme lower back pain, cramps and leg pain. She was not able to sit, had to lie down on her stomach.  She also had a lot of vomitting
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site erythema, Injection site pain, Paraesthesia
Clinical narrative: Headache fever tingling in face around mouth and nose, tingling sensation in tongue.  Lightheaded. Injection site sore slightly red, breast tingling
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pyrexia
Clinical narrative: Headache fever tingling in face around mouth and nose, tingling sensation in tongue.  Lightheaded. Injection site sore slightly red, breast tingling
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Influenza like illness, Pain, Pyrexia, Sneezing
Clinical narrative: Flu-like symptoms lasting 7 weeks. (Cough, Sneezing, aches, intermittent fever,
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram normal, Fatigue, Headache, Pyrexia
Clinical narrative: High fever up to 103, severe headache, antibiotics iv, antibiotics for 7 days.  Tired for 5 additional days. After 48 hours fever had gone, headache was gone.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Urine analysis abnormal
Clinical narrative: High fever up to 103, severe headache, antibiotics iv, antibiotics for 7 days.  Tired for 5 additional days. After 48 hours fever had gone, headache was gone.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cyst, Breast mass, Breast pain, Breast swelling, Breast tenderness
Clinical narrative: Symptoms began 9/12/21 with a lump and swelling and tenderness / soreness about two inches above the nipple of my left breast (51 days after receiving Janssen / Johnson & Johnson vaccine). My menstrual cycle started on 9/10/21, two days before symptoms began. Menstrual cycle ended on 9/14/21. Four days later on 9/16/21, I visited the gynecologist. Left breast soreness had gone down slightly. Gynecologist examined both breasts and recommended a bilateral mammogram and ultrasound. The following day, 9/17/21 (exactly 8 weeks since receiving the Janssen vaccine), I had a 2-D and 3-D bilateral mammogram and targeted (limited) ultrasound. Radiologist found:   "IN THE AREA OF PATIENT CONCERN, THERE IS DENSE HETEROGENEOUS BREAST TISSUE BUT A DISCRETE MASS IS NOT IDENTIFIED. THERE IS ALSO A NODULE WITH A LUCENT CENTER IN THE AXILLARY REGION WHICH I SUSPECT IS LIKELY DUE TO A LYMPH NODE AS WELL AS AN ENLARGED LEFT AXILLARY LYMPH NODE. FURTHER EVALUATION FOR ALL THESE FINDINGS WAS PERFORMED AND ULTRASOUND EXAM. LEFT ULTRASOUND: REAL-TIME SONOGRAPHIC EVALUATION OF THE LEFT BREAST WAS PERFORMED IN THE AREA OF PATIENT'S PALPABLE LUMP AS WELL AS AXILLARY TAIL AND AXILLARY REGION FROM 12-2 O'CLOCK. AT THE 12-1 O'CLOCK LOCATION, THERE IS A DEEP COMPLEX CYST SEEN MEASURING 11 X 7 X 8 MM WITH ADDITIONAL SIMPLE CYSTS SEEN MEASURING 3 AND 4 MM EACH. A 1:00, THERE IS A 10 X 49 MM LYMPH NODE WHICH CORRESPONDS TO THE LESION SEEN MAMMOGRAPHICALLY. EVALUATION THE AXILLA DEMONSTRATES AN ENLARGED LYMPH NODE MEASURING 27 X 9 X 12 MM CORRESPOND TO THE MAMMOGRAPHIC FINDING AS WELL. CONCLUSIONS: LEFT BREAST PALPABLE LUMP CORRESPONDS TO A SIMPLE CYST AS WELL AS A MORE DEEPER COMPLEX CYST FOR WHICH A SIX MONTH FOLLOW-UP MAMMOGRAM AND ULTRASOUND IS RECOMMENDED. ENLARGED LEFT AXILLARY LYMPH NODE WHICH IS SUSPECT IS LIKELY DUE TO RECENT COVID VACCINATION AND THEREFORE A FOLLOW-UP LEFT AXILLARY ULTRASOUND IN 2 MONTHS IS RECOMMENDED FOR RESOLUTION AND/OR STABILITY."  As of today?s date, 9/23/21, lump and tenderness still remain, but not as sore as at onset on 9/12/21. Need to schedule: - FOLLOW-UP LEFT AXILLARY ULTRASOUND IN 2 MONTHS - FOLLOW-UP SIX MONTH FOLLOW-UP MAMMOGRAM AND ULTRASOUND IS RECOMMENDED.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram abnormal, Ultrasound scan abnormal
Clinical narrative: Symptoms began 9/12/21 with a lump and swelling and tenderness / soreness about two inches above the nipple of my left breast (51 days after receiving Janssen / Johnson & Johnson vaccine). My menstrual cycle started on 9/10/21, two days before symptoms began. Menstrual cycle ended on 9/14/21. Four days later on 9/16/21, I visited the gynecologist. Left breast soreness had gone down slightly. Gynecologist examined both breasts and recommended a bilateral mammogram and ultrasound. The following day, 9/17/21 (exactly 8 weeks since receiving the Janssen vaccine), I had a 2-D and 3-D bilateral mammogram and targeted (limited) ultrasound. Radiologist found:   "IN THE AREA OF PATIENT CONCERN, THERE IS DENSE HETEROGENEOUS BREAST TISSUE BUT A DISCRETE MASS IS NOT IDENTIFIED. THERE IS ALSO A NODULE WITH A LUCENT CENTER IN THE AXILLARY REGION WHICH I SUSPECT IS LIKELY DUE TO A LYMPH NODE AS WELL AS AN ENLARGED LEFT AXILLARY LYMPH NODE. FURTHER EVALUATION FOR ALL THESE FINDINGS WAS PERFORMED AND ULTRASOUND EXAM. LEFT ULTRASOUND: REAL-TIME SONOGRAPHIC EVALUATION OF THE LEFT BREAST WAS PERFORMED IN THE AREA OF PATIENT'S PALPABLE LUMP AS WELL AS AXILLARY TAIL AND AXILLARY REGION FROM 12-2 O'CLOCK. AT THE 12-1 O'CLOCK LOCATION, THERE IS A DEEP COMPLEX CYST SEEN MEASURING 11 X 7 X 8 MM WITH ADDITIONAL SIMPLE CYSTS SEEN MEASURING 3 AND 4 MM EACH. A 1:00, THERE IS A 10 X 49 MM LYMPH NODE WHICH CORRESPONDS TO THE LESION SEEN MAMMOGRAPHICALLY. EVALUATION THE AXILLA DEMONSTRATES AN ENLARGED LYMPH NODE MEASURING 27 X 9 X 12 MM CORRESPOND TO THE MAMMOGRAPHIC FINDING AS WELL. CONCLUSIONS: LEFT BREAST PALPABLE LUMP CORRESPONDS TO A SIMPLE CYST AS WELL AS A MORE DEEPER COMPLEX CYST FOR WHICH A SIX MONTH FOLLOW-UP MAMMOGRAM AND ULTRASOUND IS RECOMMENDED. ENLARGED LEFT AXILLARY LYMPH NODE WHICH IS SUSPECT IS LIKELY DUE TO RECENT COVID VACCINATION AND THEREFORE A FOLLOW-UP LEFT AXILLARY ULTRASOUND IN 2 MONTHS IS RECOMMENDED FOR RESOLUTION AND/OR STABILITY."  As of today?s date, 9/23/21, lump and tenderness still remain, but not as sore as at onset on 9/12/21. Need to schedule: - FOLLOW-UP LEFT AXILLARY ULTRASOUND IN 2 MONTHS - FOLLOW-UP SIX MONTH FOLLOW-UP MAMMOGRAM AND ULTRASOUND IS RECOMMENDED.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest discomfort, Dyspnoea exertional
Clinical narrative: Onset about day 5 post booster shot. Chest discomfort & occasional fluttering. Stinging sensation during the day. Lungs feel clear. Some mild SOB with mild exertion. Increased my anti-inflammatories but symptoms persist 2 weeks from presentation and 19 days post booster shot.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized due to COVID-19. Patient is fully vaccinated.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Hypoaesthesia, Muscle twitching, Pain, Paraesthesia
Clinical narrative: The very next morning had pain and heaviness, numbness, tingling and muscle twitches in both legs. It has been 5 weeks since the first does of Moderna  vaccine and both legs are still left with sporadic pain, muscles twitches, numbness and tingling.  I have reached out to my primary care doctor to evaluate my concerns and if I should proceed with next Moderna dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Paraesthesia oral, Pharyngeal paraesthesia, Pharyngeal swelling
Clinical narrative: I had a rash on my stomach after first shot. After receiving second shot of Moderna, the same night, my throat and tongue swelled up and felt itchy and tingly. I also had bad abdominal cramps on my left side that I went to urgent care of  a week after second shot.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swollen tongue, Throat irritation, Tongue pruritus, Urine analysis
Clinical narrative: I had a rash on my stomach after first shot. After receiving second shot of Moderna, the same night, my throat and tongue swelled up and felt itchy and tingly. I also had bad abdominal cramps on my left side that I went to urgent care of  a week after second shot.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal operation, Abdominal pain, Ascites, Atelectasis, COVID-19
Clinical narrative: Patient was admitted to the hospital with abdominal pain,nausea, vomiting on 9/2/21. Diagnosed with COvid-19 and perforated gastric ulcer.  Had open abdominal surgery and admitted to ICU post-operatively on the ventilator.  She developed ventilator associated pneumonia and was not able to successfully wean from ventilator and POA moved to comfort measures only on 9/14/21.   Patient died on comfort measures.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cerebral atrophy, Cerebral small vessel ischaemic disease, Chest X-ray abnormal, Computerised tomogram abdomen abnormal
Clinical narrative: Patient was admitted to the hospital with abdominal pain,nausea, vomiting on 9/2/21. Diagnosed with COvid-19 and perforated gastric ulcer.  Had open abdominal surgery and admitted to ICU post-operatively on the ventilator.  She developed ventilator associated pneumonia and was not able to successfully wean from ventilator and POA moved to comfort measures only on 9/14/21.   Patient died on comfort measures.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Death, Gastric ulcer perforation, Intensive care, Lung consolidation
Clinical narrative: Patient was admitted to the hospital with abdominal pain,nausea, vomiting on 9/2/21. Diagnosed with COvid-19 and perforated gastric ulcer.  Had open abdominal surgery and admitted to ICU post-operatively on the ventilator.  She developed ventilator associated pneumonia and was not able to successfully wean from ventilator and POA moved to comfort measures only on 9/14/21.   Patient died on comfort measures.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pleural effusion, Pneumonia, Pseudomonas test positive, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to the hospital with abdominal pain,nausea, vomiting on 9/2/21. Diagnosed with COvid-19 and perforated gastric ulcer.  Had open abdominal surgery and admitted to ICU post-operatively on the ventilator.  She developed ventilator associated pneumonia and was not able to successfully wean from ventilator and POA moved to comfort measures only on 9/14/21.   Patient died on comfort measures.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Sputum culture positive, Vomiting, Weaning failure
Clinical narrative: Patient was admitted to the hospital with abdominal pain,nausea, vomiting on 9/2/21. Diagnosed with COvid-19 and perforated gastric ulcer.  Had open abdominal surgery and admitted to ICU post-operatively on the ventilator.  She developed ventilator associated pneumonia and was not able to successfully wean from ventilator and POA moved to comfort measures only on 9/14/21.   Patient died on comfort measures.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Pyrexia, Respiratory tract congestion
Clinical narrative: The day of the vaccine, I just felt "off" for the rest of the day.  The initial symptoms started the next day and  were slight fever, fatigue and headache.  These symptoms resolved after a day and 1/2.   Then on 8/30/2021, I started having runny nose and sneezing and a little congestion.  These symptoms lasted for 12 days.  I did get a Covid test which came back negative on 9/9/2021.    Then the symptoms went away for about 8 days.  Then around 9/19/2021 evening, the symptoms came back- runny nose and sneezing.  By 9/21/2021, I felt better and symptoms had resolved.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative, Sneezing
Clinical narrative: The day of the vaccine, I just felt "off" for the rest of the day.  The initial symptoms started the next day and  were slight fever, fatigue and headache.  These symptoms resolved after a day and 1/2.   Then on 8/30/2021, I started having runny nose and sneezing and a little congestion.  These symptoms lasted for 12 days.  I did get a Covid test which came back negative on 9/9/2021.    Then the symptoms went away for about 8 days.  Then around 9/19/2021 evening, the symptoms came back- runny nose and sneezing.  By 9/21/2021, I felt better and symptoms had resolved.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Anaphylactic reaction, Hypersensitivity, Pharyngeal swelling, Rash, Stomatitis
Clinical narrative: Patient states that approximately 6 hours post vaccination, she developed significant rash covering arms, legs, sores in mouth and throat swelling. She went to ER and was treated for anaphylaxis/severe allergy
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site rash, Rash erythematous
Clinical narrative: After vaccination, patient's arm had a small knot at injection site. The knot turned into a small, red rash. The red rash is now a pinkish color and is approximately the size of a softball (5.5 inches by 3 inches).
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oedema peripheral, Pyrexia
Clinical narrative: 1 day after: fever and tiredness. 2nd day after: Swollen armpit on side of injection
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling hot, Flushing, Headache, Hyperhidrosis, Throat irritation
Clinical narrative: Patient received fluarix approximately 8am (reported no previous reaction to flu vaccine in the past), around 8:30am experienced flushing of face, neck, chest and became diaphoretic, symptoms lasted about 30 min then resolved, still felt hot but no longer flushed or sweating.  At 11am patient took a cetirizine tablet and ibuprofen.  Around 11:30am her symptoms returned with the addition of headache and developing of tightness of the throat.  At around 12:15pm patient was admitted to the ER she felt as though her throat was starting to close up and throat felt scratchy, she was examined and her airway was clear and she was able to swallow medications by mouth.  At 12:32pm prednisone 50mg and diphenhydramine 50mg were given.  Continued to feel like throat was closing, epipen 0.3mg administered about 2pm, ER continued to observe patient, around 2:20pm patient was feeling better, throat no longer swollen or scratchy, no longer felt flushed.  Patient is still being observed in the ER as I writing up this report at about 3:30 pm
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Throat tightness
Clinical narrative: Patient received fluarix approximately 8am (reported no previous reaction to flu vaccine in the past), around 8:30am experienced flushing of face, neck, chest and became diaphoretic, symptoms lasted about 30 min then resolved, still felt hot but no longer flushed or sweating.  At 11am patient took a cetirizine tablet and ibuprofen.  Around 11:30am her symptoms returned with the addition of headache and developing of tightness of the throat.  At around 12:15pm patient was admitted to the ER she felt as though her throat was starting to close up and throat felt scratchy, she was examined and her airway was clear and she was able to swallow medications by mouth.  At 12:32pm prednisone 50mg and diphenhydramine 50mg were given.  Continued to feel like throat was closing, epipen 0.3mg administered about 2pm, ER continued to observe patient, around 2:20pm patient was feeling better, throat no longer swollen or scratchy, no longer felt flushed.  Patient is still being observed in the ER as I writing up this report at about 3:30 pm
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Lethargy, Loss of personal independence in daily activities
Clinical narrative: Patient recieved first COVID vaccine dose 2/9 and second dose 3/9/2021.  COVID positive:  9/20/2021 HOSPITAL COURSE:  Patient admitted under observational status for generalized weakness, lethargy, increased confusion and inability to be cared for at home by his spouse.  Patient found to be COVID positive, which would explain his acute  generalized weakness, lethargy and altered mental status.  Patient was not hypoxic thus he was not started on COVID specific treatment.  He did receive monoclonal antibody infusion yesterday.  Patient continues to be weak and lethargic today - not safe to discharge home at this time.  Will be transitioning patient to swing bed here to continue therapy and maintain isolation status.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Patient recieved first COVID vaccine dose 2/9 and second dose 3/9/2021.  COVID positive:  9/20/2021 HOSPITAL COURSE:  Patient admitted under observational status for generalized weakness, lethargy, increased confusion and inability to be cared for at home by his spouse.  Patient found to be COVID positive, which would explain his acute  generalized weakness, lethargy and altered mental status.  Patient was not hypoxic thus he was not started on COVID specific treatment.  He did receive monoclonal antibody infusion yesterday.  Patient continues to be weak and lethargic today - not safe to discharge home at this time.  Will be transitioning patient to swing bed here to continue therapy and maintain isolation status.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Myocarditis
Clinical narrative: Pt was in the hospital when he called us.  He called to inform us he was just diagnosed with myocarditis.  End of conversation with patient.  Was not able to get any other information from patient.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Angina pectoris, Inflammation, Insomnia, Investigation, Movement disorder
Clinical narrative: Pt was in the hospital when he called us.  He called to inform us he was just diagnosed with myocarditis.  End of conversation with patient.  Was not able to get any other information from patient.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Musculoskeletal chest pain, Pneumonia bacterial, Pulmonary oedema, Pulmonary pain
Clinical narrative: Pt was in the hospital when he called us.  He called to inform us he was just diagnosed with myocarditis.  End of conversation with patient.  Was not able to get any other information from patient.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Angina pectoris, Aspiration pleural cavity, Blood pressure diastolic abnormal, Computerised tomogram, Inflammation
Clinical narrative: Pt was in the hospital when he called us.  He called to inform us he was just diagnosed with myocarditis.  End of conversation with patient.  Was not able to get any other information from patient.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Laboratory test abnormal, Loss of employment, Musculoskeletal chest pain, Myocarditis, Pneumonia bacterial
Clinical narrative: Pt was in the hospital when he called us.  He called to inform us he was just diagnosed with myocarditis.  End of conversation with patient.  Was not able to get any other information from patient.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Pneumonitis, Pulmonary pain, Suspected COVID-19, X-ray
Clinical narrative: Pt was in the hospital when he called us.  He called to inform us he was just diagnosed with myocarditis.  End of conversation with patient.  Was not able to get any other information from patient.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Face oedema, Nausea, Rash, Syncope
Clinical narrative: Temp 102.6, head to toe body rash, syncope episode, facial edema, nausea, vomiting
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Temp 102.6, head to toe body rash, syncope episode, facial edema, nausea, vomiting
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Ear swelling, Lip swelling, Pruritus, Rash
Clinical narrative: Temp 102.6, head to toe body rash, syncope episode, facial edema, nausea, vomiting
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Urticaria
Clinical narrative: Temp 102.6, head to toe body rash, syncope episode, facial edema, nausea, vomiting
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Exfoliative rash, Injection site rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: 9 days after shot developed a red, extremely itchy, scaly, raised rash at injection site. Warm to touch.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: 9 days after shot developed a red, extremely itchy, scaly, raised rash at injection site. Warm to touch.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose increased, Blood test, Blood triglycerides increased, Glycosylated haemoglobin, High density lipoprotein increased
Clinical narrative: No symptoms except 10 lb. weight loss. Higher HDL cholesterol, lower LDL
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Low density lipoprotein decreased, Weight decreased
Clinical narrative: No symptoms except 10 lb. weight loss. Higher HDL cholesterol, lower LDL
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal dreams, Dizziness, Feeling abnormal, Hallucination, Headache
Clinical narrative: 2am - 3am:  Uncontrollable shaking, muscle spasms.  Legs and arms involuntarily convulsing. 3am - 5am: Lucid dreams/ hallucinations.  Difficulty determining sleep/awake state.  Was convinced he had been ambushed/shot with an AR15 rifle. Muscle spasms continue. Restless. 5am - 7am: Dizzy, foggy head,headache, muscle soreness in arm, lower back, and both legs 7am - 10pm: Dizzy, bodyaches especially in legs, radiating pain through arm and neck.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia, Neck pain, Pain, Pain in extremity
Clinical narrative: 2am - 3am:  Uncontrollable shaking, muscle spasms.  Legs and arms involuntarily convulsing. 3am - 5am: Lucid dreams/ hallucinations.  Difficulty determining sleep/awake state.  Was convinced he had been ambushed/shot with an AR15 rifle. Muscle spasms continue. Restless. 5am - 7am: Dizzy, foggy head,headache, muscle soreness in arm, lower back, and both legs 7am - 10pm: Dizzy, bodyaches especially in legs, radiating pain through arm and neck.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Restlessness, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Tremor
Clinical narrative: 2am - 3am:  Uncontrollable shaking, muscle spasms.  Legs and arms involuntarily convulsing. 3am - 5am: Lucid dreams/ hallucinations.  Difficulty determining sleep/awake state.  Was convinced he had been ambushed/shot with an AR15 rifle. Muscle spasms continue. Restless. 5am - 7am: Dizzy, foggy head,headache, muscle soreness in arm, lower back, and both legs 7am - 10pm: Dizzy, bodyaches especially in legs, radiating pain through arm and neck.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicitis, Asthma, Bronchitis, Chills, Cough
Clinical narrative: I started having difficulty breathing in mid April. In May I started getting more sick. I could not breath and I had SOB. Coughing on and off. Headaches. There were times where I could not even get up and I was coughing so much. I could not be at work. That went on and off. It went away for 2-3 weeks. On 06/30/2021 I went down hill. I started getting sick again. It felt like a normal cold. That cold turned into bronchitis. The cough lasted for about 3 weeks. I kept getting tested for Covid and it was always negative. I went to urgent care and they said I had bronchitis. They have me inhalers because it was so hard for me to breath and not cough. I had asthmatic like symptoms. I started getting better after using inhalers. I still use them till this day. I went into surgery because my appendix was about to erupt. I had surgery in the begging of August and they released me after surgery. I was still coughing. The pain was worse because of the cough. Now I am on and off coughing till this day. I started having headaches, fever, chills, kept coughing. I thought I had Covid again. I went and got tested and it came back negative, I still have that cough and SOB.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Illness, Impaired work ability, Nasopharyngitis
Clinical narrative: I started having difficulty breathing in mid April. In May I started getting more sick. I could not breath and I had SOB. Coughing on and off. Headaches. There were times where I could not even get up and I was coughing so much. I could not be at work. That went on and off. It went away for 2-3 weeks. On 06/30/2021 I went down hill. I started getting sick again. It felt like a normal cold. That cold turned into bronchitis. The cough lasted for about 3 weeks. I kept getting tested for Covid and it was always negative. I went to urgent care and they said I had bronchitis. They have me inhalers because it was so hard for me to breath and not cough. I had asthmatic like symptoms. I started getting better after using inhalers. I still use them till this day. I went into surgery because my appendix was about to erupt. I had surgery in the begging of August and they released me after surgery. I was still coughing. The pain was worse because of the cough. Now I am on and off coughing till this day. I started having headaches, fever, chills, kept coughing. I thought I had Covid again. I went and got tested and it came back negative, I still have that cough and SOB.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Surgery
Clinical narrative: I started having difficulty breathing in mid April. In May I started getting more sick. I could not breath and I had SOB. Coughing on and off. Headaches. There were times where I could not even get up and I was coughing so much. I could not be at work. That went on and off. It went away for 2-3 weeks. On 06/30/2021 I went down hill. I started getting sick again. It felt like a normal cold. That cold turned into bronchitis. The cough lasted for about 3 weeks. I kept getting tested for Covid and it was always negative. I went to urgent care and they said I had bronchitis. They have me inhalers because it was so hard for me to breath and not cough. I had asthmatic like symptoms. I started getting better after using inhalers. I still use them till this day. I went into surgery because my appendix was about to erupt. I had surgery in the begging of August and they released me after surgery. I was still coughing. The pain was worse because of the cough. Now I am on and off coughing till this day. I started having headaches, fever, chills, kept coughing. I thought I had Covid again. I went and got tested and it came back negative, I still have that cough and SOB.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Asthenia, Decreased appetite, Diarrhoea
Clinical narrative: Migraine headaches, body aches, fatigue, weakness, diarrhea, stomach pain, minimal appetite, digestive issues, no stamina, difficulty breathing after any exertion
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Exercise tolerance decreased, Fatigue, Migraine, Pain
Clinical narrative: Migraine headaches, body aches, fatigue, weakness, diarrhea, stomach pain, minimal appetite, digestive issues, no stamina, difficulty breathing after any exertion
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Delusion, Gait disturbance, Loss of personal independence in daily activities, Muscular weakness
Clinical narrative: Around 1.30 pm the same day as injection I started with low grade temperature, by 4 pm fever was 102 and my muscles weakened. I had to be helped to bathroom.  By that night my husband said I had a 103.5 and I didn't know where I was and why I was shaking.  He said I would be lucid for awhile then my fever would go back up and again was delusional.  This went on for 3 days, then down to 3 more days with just a temp of 100 and then slowly I was able to walk again by myself and it took me about 2 weeks to feel better.  I never went to see a doctor, just had Advil and water and juice.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Around 1.30 pm the same day as injection I started with low grade temperature, by 4 pm fever was 102 and my muscles weakened. I had to be helped to bathroom.  By that night my husband said I had a 103.5 and I didn't know where I was and why I was shaking.  He said I would be lucid for awhile then my fever would go back up and again was delusional.  This went on for 3 days, then down to 3 more days with just a temp of 100 and then slowly I was able to walk again by myself and it took me about 2 weeks to feel better.  I never went to see a doctor, just had Advil and water and juice.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient was given expired vaccine
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Dizziness
Clinical narrative: A FEW MINUTES AFTER THE SHOT WAS GIVEN, THE PATIENT COMPLAINED OF DIZZINESS AND FEELING LIKE HER "BODY IS ON FIRE, AND TIGHT IN THE CHEST." PATIEN WAS GIVEN 50 MG OF LIQUID DIPHENHYDRAMINE AND A BOTTLE OF WATER. AFTER ABOUT 15 MINUTES, SHE FELT FINE AND LEFT THE AREA, SAYING THAT HER ROOMATE IS HERE TO PICK HER UP.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: severe joint pain which has still not diminished as of today
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Electrocardiogram normal, Fibrin D dimer normal, Haemoptysis
Clinical narrative: Coughing blood for 5 minutes.  I could feel blood coming from my lungs.  I immediately went to the emergency room.  The hospital conducted an EKG, 2 blood analysis, DDimer and lung ex ray.  All had negative results.
Age: 66.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Cellulitis, Erythema, Peripheral swelling, Skin warm
Clinical narrative: Very red and swollen arm warm to the touch with redness extending down to elbow.  Cellulitis diagnosed in Emergency Room.  Keflex 500 mg given 4 x day.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pathology test, Rash
Clinical narrative: Patient received Pfizer dose #1 Sept 1st and dose #2 Sept 20th. He reported noticing a rash on his skin around 9/9 but did not pay much attention to it. Patient is fairly confident he noticed rash in between 1st and 2nd dose. Admitted to local Hospital 9/21 with rash, prelim pathology results concerning for pemphigus vulgaris.  No clear triggers.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Nerve stimulation test
Clinical narrative: Paramedics/ nursing staff performed assessment. Medical staff ran vitals and motor function tests. Staff provide orange juice and water to patient post assessment.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Vomiting
Clinical narrative: I felt dizzy and I vomiting. My blood pressure went down very low. I was given IV fluids.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Dizziness
Clinical narrative: A 72-year-old male patient, after receiving his first dose of PFIZER, found himself in the observation area waiting for his 15 minutes and reports feeling dizzy. Patient is transferred to the incident observation area to have his vitals taken by EMT. The vital signs were: P-67, Sat- 99%, B / P-120/70 and Dxt- 387. At 11:42 am, Doctor is called to consult the case, which indicates that they transfer it to hospital.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Gait disturbance, Head discomfort, Headache
Clinical narrative: Dizziness starting  3 days after vaccination, progressively got worse. During first 2 months, feeling unsteady, like he may fall when getting up from bed or chair, learned to raise body very slowly while bracing, walk with legs wide apart and holding to walls, lightheaded, nauseous, head pressure, headaches, swollen sinuses. PCP had recently left at that time so was unable to be evaluated. Symptoms have gradually improved since, now 6 months later still has intermittent mild dizziness. Had history of intermittent dizziness but last incident prior to vaccine was in 2018.  High blood pressure (up to 140/90) for 6 weeks after vaccine. Relatively elevated for him.  Diffuse erythematous rash that lasted for 2 weeks after vaccine, has since resolved.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Nasal congestion, Nausea, Rash erythematous
Clinical narrative: Dizziness starting  3 days after vaccination, progressively got worse. During first 2 months, feeling unsteady, like he may fall when getting up from bed or chair, learned to raise body very slowly while bracing, walk with legs wide apart and holding to walls, lightheaded, nauseous, head pressure, headaches, swollen sinuses. PCP had recently left at that time so was unable to be evaluated. Symptoms have gradually improved since, now 6 months later still has intermittent mild dizziness. Had history of intermittent dizziness but last incident prior to vaccine was in 2018.  High blood pressure (up to 140/90) for 6 weeks after vaccine. Relatively elevated for him.  Diffuse erythematous rash that lasted for 2 weeks after vaccine, has since resolved.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling in left arm and left leg. Expressed numbness in left arm and leg. EMS called, and patient taken to ER.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Cardiac monitoring abnormal, Chest pain, Dyspnoea, Extrasystoles
Clinical narrative: Significant chest pain and shortness of breath that started 4 days after the vaccine. Additionally, sensation of heart skipping beats and then beating "hard." Pain was better with sitting forward. Determination of acute pericarditis was made by an infectious disease consultant in the hospital. Pain marginally improved with NSAIDs but is still persisting.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Palpitations, Pericarditis, Red blood cell sedimentation rate increased
Clinical narrative: Significant chest pain and shortness of breath that started 4 days after the vaccine. Additionally, sensation of heart skipping beats and then beating "hard." Pain was better with sitting forward. Determination of acute pericarditis was made by an infectious disease consultant in the hospital. Pain marginally improved with NSAIDs but is still persisting.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Vertigo
Clinical narrative: Chronic vertigo and headaches since one month following vaccine administration
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: none/COVID
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Tiny red spots under the skin beyond the injection site, all over body.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Tinnitus
Clinical narrative: Tinnitus if significant magnitude began soon after 2nd dose (April 2021 to present), audiologist tested hearing on 6/21/2021- general hearing found to be normal and found approximate frequency of tinnitus (ringing),  but no medical treatments exist
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient given expired vaccine
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Fatigue, Pyrexia, Rash, Ultrasound scan
Clinical narrative: Miscarriage, rash covering neck and chest, fever, tiredness
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA Pfizer and Moderna,
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary normal, Anxiety, COVID-19, Chest X-ray normal, Chest discomfort
Clinical narrative: Hospitalized (9.13.21);  COVID-19 positive (9.13.21);  Deceased (9.22.21);  Fully Vaccinated  Admission Date: 9/13/2021 Discharge Date: 09/22/2021   Discharge Diagnoses: Severe COPD COVID-19 positive GAD  CKD3 DISCHARGE INSTRUCTIONS Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY Hospital Course: Patient is a 81 y.o. male with PMH of O2 dependent COPD, GAD, CKD3 who presented 9/13 with chest pain/pressure and SOB. He was discharged 8/23 after hospitalization for COPD exacerbation and had loose stools, SOB, and cough. He tested positive for COVID-19 and was on baseline O2. He was having trouble sleeping due to anxiety and SOB.    He was treated with Decadron for COVID-19 which was transitioned to methylprednisolone when COPD seemed to be more of his underlying problem. Initial chest x-rays and CTA were unremarkable for underlying pneumonia or blood clot.    Patient's symptoms were difficult to assess as underlying anxiety, respiratory status, or both. Patient remained on home O2. He was treated with frequent nebulizer treatments, and PRN Ativan and hydroxyzine added for underlying anxiety. He was started on antibiotics for possible underlying bacterial pneumonia on 9/17 although clinical suspicion was low. The patient did not improve symptomatically and discussed goals of care with Dr. At that point, he transitioned to comfort care on 9/19. Comfort measures were initiated and patient passed overnight 9/21-9/22.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Chronic obstructive pulmonary disease, Chronic respiratory failure, Condition aggravated, Cough
Clinical narrative: Hospitalized (9.13.21);  COVID-19 positive (9.13.21);  Deceased (9.22.21);  Fully Vaccinated  Admission Date: 9/13/2021 Discharge Date: 09/22/2021   Discharge Diagnoses: Severe COPD COVID-19 positive GAD  CKD3 DISCHARGE INSTRUCTIONS Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY Hospital Course: Patient is a 81 y.o. male with PMH of O2 dependent COPD, GAD, CKD3 who presented 9/13 with chest pain/pressure and SOB. He was discharged 8/23 after hospitalization for COPD exacerbation and had loose stools, SOB, and cough. He tested positive for COVID-19 and was on baseline O2. He was having trouble sleeping due to anxiety and SOB.    He was treated with Decadron for COVID-19 which was transitioned to methylprednisolone when COPD seemed to be more of his underlying problem. Initial chest x-rays and CTA were unremarkable for underlying pneumonia or blood clot.    Patient's symptoms were difficult to assess as underlying anxiety, respiratory status, or both. Patient remained on home O2. He was treated with frequent nebulizer treatments, and PRN Ativan and hydroxyzine added for underlying anxiety. He was started on antibiotics for possible underlying bacterial pneumonia on 9/17 although clinical suspicion was low. The patient did not improve symptomatically and discussed goals of care with Dr. At that point, he transitioned to comfort care on 9/19. Comfort measures were initiated and patient passed overnight 9/21-9/22.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Diarrhoea, Dyspnoea, Hypercapnia, Hypoxia
Clinical narrative: Hospitalized (9.13.21);  COVID-19 positive (9.13.21);  Deceased (9.22.21);  Fully Vaccinated  Admission Date: 9/13/2021 Discharge Date: 09/22/2021   Discharge Diagnoses: Severe COPD COVID-19 positive GAD  CKD3 DISCHARGE INSTRUCTIONS Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY Hospital Course: Patient is a 81 y.o. male with PMH of O2 dependent COPD, GAD, CKD3 who presented 9/13 with chest pain/pressure and SOB. He was discharged 8/23 after hospitalization for COPD exacerbation and had loose stools, SOB, and cough. He tested positive for COVID-19 and was on baseline O2. He was having trouble sleeping due to anxiety and SOB.    He was treated with Decadron for COVID-19 which was transitioned to methylprednisolone when COPD seemed to be more of his underlying problem. Initial chest x-rays and CTA were unremarkable for underlying pneumonia or blood clot.    Patient's symptoms were difficult to assess as underlying anxiety, respiratory status, or both. Patient remained on home O2. He was treated with frequent nebulizer treatments, and PRN Ativan and hydroxyzine added for underlying anxiety. He was started on antibiotics for possible underlying bacterial pneumonia on 9/17 although clinical suspicion was low. The patient did not improve symptomatically and discussed goals of care with Dr. At that point, he transitioned to comfort care on 9/19. Comfort measures were initiated and patient passed overnight 9/21-9/22.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: Hospitalized (9.13.21);  COVID-19 positive (9.13.21);  Deceased (9.22.21);  Fully Vaccinated  Admission Date: 9/13/2021 Discharge Date: 09/22/2021   Discharge Diagnoses: Severe COPD COVID-19 positive GAD  CKD3 DISCHARGE INSTRUCTIONS Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY Hospital Course: Patient is a 81 y.o. male with PMH of O2 dependent COPD, GAD, CKD3 who presented 9/13 with chest pain/pressure and SOB. He was discharged 8/23 after hospitalization for COPD exacerbation and had loose stools, SOB, and cough. He tested positive for COVID-19 and was on baseline O2. He was having trouble sleeping due to anxiety and SOB.    He was treated with Decadron for COVID-19 which was transitioned to methylprednisolone when COPD seemed to be more of his underlying problem. Initial chest x-rays and CTA were unremarkable for underlying pneumonia or blood clot.    Patient's symptoms were difficult to assess as underlying anxiety, respiratory status, or both. Patient remained on home O2. He was treated with frequent nebulizer treatments, and PRN Ativan and hydroxyzine added for underlying anxiety. He was started on antibiotics for possible underlying bacterial pneumonia on 9/17 although clinical suspicion was low. The patient did not improve symptomatically and discussed goals of care with Dr. At that point, he transitioned to comfort care on 9/19. Comfort measures were initiated and patient passed overnight 9/21-9/22.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized and diagnosed with COVID
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature fluctuation, Motor dysfunction, Seizure
Clinical narrative: Rapid temperature fluctuation starting day of dose 2, severe convulsions starting 2 weeks later, sporadic loss of motor control
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: I took Tylenol and feeling better.
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea
Clinical narrative: Patient was nauseous and sweating a couple minutes after his covid vaccine.  Patient was examined by Dr. Patient laid flat for approx. 20 minutes.   Gave patient a cool compress. Patient was feeling better once he left about 25-30 minutes later.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 32.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect dose administered
Clinical narrative: Client received AstraZeneca COVID vaccine, no reaction. AstraZeneca vaccine unavailable in the  Janssen given as an alternative on 09/15/21.