chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis
Clinical narrative: Child began having a crooked smile and talking only out of the right side of his mouth the day after the vaccine. It is not evident all of the time but does happen frequently throughout the day. Occurs most often when child is talking rather than when smiling.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Vaccine positive rechallenge
Clinical narrative: red, itchy patch on back of neck. This also happened after my second vaccine + went away after 2-3 months
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Bed rest, Myalgia, Pyrexia
Clinical narrative: Felt muscle pain on left arm. Had a low grade-fever for two days.  Drank a lot of water and had bed rest for two days. Fever and muscle pain were gone on the third day.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Erythema, Mechanical urticaria, Oropharyngeal pain, Pruritus
Clinical narrative: 11 days after Moderna booster shot: Began experiencing spontaneous urticaria and dermatographia on neck, scalp, legs, arms, and hips/groin area. Itchy, red hives and ghost lines would appear suddenly for about 30 minutes before fading again. Elastic waistbands, tight clothing made reaction worse. Treated with Benadryl for 3 days before discontinuing and instead starting a daily 24hr allergy medication (fexofenadine 180mg). Urticaria/dermatographia reappear when medication wears off. Either this reaction or this new medication has been causing chest and throat pain, mainly a feeling of tightness in the throat. No shortness of breath. Added in cimetidine 200mg twice daily, beginning 9 days after reaction, for possible acid reflux. Reaction is currently manageable with 180mg daily fexofenadine and two daily 200mg cimetidine.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Throat tightness, Urticaria
Clinical narrative: 11 days after Moderna booster shot: Began experiencing spontaneous urticaria and dermatographia on neck, scalp, legs, arms, and hips/groin area. Itchy, red hives and ghost lines would appear suddenly for about 30 minutes before fading again. Elastic waistbands, tight clothing made reaction worse. Treated with Benadryl for 3 days before discontinuing and instead starting a daily 24hr allergy medication (fexofenadine 180mg). Urticaria/dermatographia reappear when medication wears off. Either this reaction or this new medication has been causing chest and throat pain, mainly a feeling of tightness in the throat. No shortness of breath. Added in cimetidine 200mg twice daily, beginning 9 days after reaction, for possible acid reflux. Reaction is currently manageable with 180mg daily fexofenadine and two daily 200mg cimetidine.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: Patient received Moderna COVID vaccine on 3/2/21 and 3/30/21. On 1/11/22, patient tested positive for COVID. On 1/16/22, patient admitted to our inpatient med/surg unit with AKI, COVID19 pneumonia, and acute on chronic respiratory failure with hypoxia / ILD.  As of today (1/18/22), patient is still admitted in our med/surg unit.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Interstitial lung disease, SARS-CoV-2 test positive
Clinical narrative: Patient received Moderna COVID vaccine on 3/2/21 and 3/30/21. On 1/11/22, patient tested positive for COVID. On 1/16/22, patient admitted to our inpatient med/surg unit with AKI, COVID19 pneumonia, and acute on chronic respiratory failure with hypoxia / ILD.  As of today (1/18/22), patient is still admitted in our med/surg unit.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus, Pyrexia
Clinical narrative: The day after my shot I felt ok- but right below where she gave me my injection (about 1/4 of an inch) my arm felt like someone put a golf ball in it - it swelled up and got hot started itching - it?s now Wednesday as I submit this- and the swelling has not reduced - its grown bigger - its huge, red, sore, itchy, and hot - it won?t go away - I am still getting nightly fevers and it?s day 4 since I?ve got the shot - I was told 48 hours would be the longest I would have symptoms - my symptoms  were worse than a normal flu - I had covid last year and I feel like I have covid again- every night like clock work these fevers won?t stop - I called my doctor she said to keep an eye on it and take Benadryl and Tylenol- I go for my second shot Feb 5th - I am hesitant as I didn?t think I would get this sick from it :( I already had covid once and it was bad - I feel this was almost as bad - I hope I feel better soon - someone should warn you before you get the shot - I got it because of my job - but I will get both shots as I do want to protect myself and my community and this is better than being in the hospital.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: The day after my shot I felt ok- but right below where she gave me my injection (about 1/4 of an inch) my arm felt like someone put a golf ball in it - it swelled up and got hot started itching - it?s now Wednesday as I submit this- and the swelling has not reduced - its grown bigger - its huge, red, sore, itchy, and hot - it won?t go away - I am still getting nightly fevers and it?s day 4 since I?ve got the shot - I was told 48 hours would be the longest I would have symptoms - my symptoms  were worse than a normal flu - I had covid last year and I feel like I have covid again- every night like clock work these fevers won?t stop - I called my doctor she said to keep an eye on it and take Benadryl and Tylenol- I go for my second shot Feb 5th - I am hesitant as I didn?t think I would get this sick from it :( I already had covid once and it was bad - I feel this was almost as bad - I hope I feel better soon - someone should warn you before you get the shot - I got it because of my job - but I will get both shots as I do want to protect myself and my community and this is better than being in the hospital.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong vaccine formulation (ex. different manufacturer initial and booster).
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: There is no known adverse reactions at this time. Patient was given 0.2ml of diluted (1.3ml diluent) Pfizer RTU instead of the Pfizer pediatric 0.2ml.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ankylosing spondylitis, Arthralgia, Arthritis, Condition aggravated, Impaired work ability
Clinical narrative: I had a severe 2-3 month arthritis flare after my 2nd dose of the Moderna vaccine so I was waiting for a long time to get my booster. I got an IV infusion 1.5 days prior to my booster that included 1000ml saline, high dose vitamin C, high dose magnesium, B complex and taurine. I took vitamin A and D sublingual and BCQ for 4 days prior and continue to take them daily. Reduced my sugar intake and drink a lot of water a day hoping to not have a reaction to the booster. I didn't have any same day or that week response to the vaccine. Prior to the vaccine and booster, I consider my RA in remission. January 1-3, 2022, I began having a small amount of muscle tightness, joint pain and inflammation. On January 6, 2022, I started having a strong Ankylosing Spondylitis arthritis flare: much inflammation in my AS areas - inflammation on top of my sacrum, my sacroiliac joints, my lumbar spine and around both of my hip joints (my hip joints aren't generally part of my AS inflammation areas). I have nerve pain radiating from my spine around my torso and down to my legs, especially on my left side. My muscles will spasm in response to the inflammation. The inflammation, nerve pain causes so much pain that my pain levels will be 8/10 and I cannot work in this condition since my job is manual labor.  I take a prescribed anti-inflammatory as much as I can, but it hurts my stomach. I take muscle relaxants and pain medication for the pain. I ice the areas that are inflamed. I apply topical Traumeel to the areas. I go about every 6 days to get vitamin injections including Traumeel, 400mg magnesium, vitamin B complex, tuarine, L-carnitine for the pain and spasm muscles. 6 days later, my inflammation, pain, nerve pain, stiffness increases again. Then I get another round of vitamin injections.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Muscle spasms, Muscle tightness, Musculoskeletal stiffness, Neuralgia
Clinical narrative: I had a severe 2-3 month arthritis flare after my 2nd dose of the Moderna vaccine so I was waiting for a long time to get my booster. I got an IV infusion 1.5 days prior to my booster that included 1000ml saline, high dose vitamin C, high dose magnesium, B complex and taurine. I took vitamin A and D sublingual and BCQ for 4 days prior and continue to take them daily. Reduced my sugar intake and drink a lot of water a day hoping to not have a reaction to the booster. I didn't have any same day or that week response to the vaccine. Prior to the vaccine and booster, I consider my RA in remission. January 1-3, 2022, I began having a small amount of muscle tightness, joint pain and inflammation. On January 6, 2022, I started having a strong Ankylosing Spondylitis arthritis flare: much inflammation in my AS areas - inflammation on top of my sacrum, my sacroiliac joints, my lumbar spine and around both of my hip joints (my hip joints aren't generally part of my AS inflammation areas). I have nerve pain radiating from my spine around my torso and down to my legs, especially on my left side. My muscles will spasm in response to the inflammation. The inflammation, nerve pain causes so much pain that my pain levels will be 8/10 and I cannot work in this condition since my job is manual labor.  I take a prescribed anti-inflammatory as much as I can, but it hurts my stomach. I take muscle relaxants and pain medication for the pain. I ice the areas that are inflamed. I apply topical Traumeel to the areas. I go about every 6 days to get vitamin injections including Traumeel, 400mg magnesium, vitamin B complex, tuarine, L-carnitine for the pain and spasm muscles. 6 days later, my inflammation, pain, nerve pain, stiffness increases again. Then I get another round of vitamin injections.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Osteitis, Pain, Spinal pain
Clinical narrative: I had a severe 2-3 month arthritis flare after my 2nd dose of the Moderna vaccine so I was waiting for a long time to get my booster. I got an IV infusion 1.5 days prior to my booster that included 1000ml saline, high dose vitamin C, high dose magnesium, B complex and taurine. I took vitamin A and D sublingual and BCQ for 4 days prior and continue to take them daily. Reduced my sugar intake and drink a lot of water a day hoping to not have a reaction to the booster. I didn't have any same day or that week response to the vaccine. Prior to the vaccine and booster, I consider my RA in remission. January 1-3, 2022, I began having a small amount of muscle tightness, joint pain and inflammation. On January 6, 2022, I started having a strong Ankylosing Spondylitis arthritis flare: much inflammation in my AS areas - inflammation on top of my sacrum, my sacroiliac joints, my lumbar spine and around both of my hip joints (my hip joints aren't generally part of my AS inflammation areas). I have nerve pain radiating from my spine around my torso and down to my legs, especially on my left side. My muscles will spasm in response to the inflammation. The inflammation, nerve pain causes so much pain that my pain levels will be 8/10 and I cannot work in this condition since my job is manual labor.  I take a prescribed anti-inflammatory as much as I can, but it hurts my stomach. I take muscle relaxants and pain medication for the pain. I ice the areas that are inflamed. I apply topical Traumeel to the areas. I go about every 6 days to get vitamin injections including Traumeel, 400mg magnesium, vitamin B complex, tuarine, L-carnitine for the pain and spasm muscles. 6 days later, my inflammation, pain, nerve pain, stiffness increases again. Then I get another round of vitamin injections.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Pain
Clinical narrative: I got swelling in the glands around my neck and under my chin. It is so painful and i was not told about the adverse events at the time of vaccination.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Headache, Myocarditis, Pyrexia
Clinical narrative: Patient had Jenssen COVID19 vaccine 4/8/2021 Patient had Pfizer COVID19 vaccine 1/5/2022  Patient had subjective fever, chills, headache and chest pain starting 1/6/2022. Patient hospitalized for myopercarditis at Main Campus from 1/7/2022-1/10/2022.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Presyncope, Syncope
Clinical narrative: Pt received COVID vaccine booster 1/9/22@ 8AM. At 4AM on 01/10/22, pt had chills, quickly moved from bed to toilet & had syncopal event. Suspect Vasovagal Response.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Laboratory test, Magnetic resonance imaging
Clinical narrative: Double vision after receiving first dose Pfizer vaccine 02/26/2021. Double vision first appeared 03/05/2021. First two weeks could not move around without patching one eye. That stopped double vision. Could see fine out of each eye as long as one remained shut. Vision improved over period of 4 to 5 months. No double vision in a 3 to 4 foot field of vision. Beyond 4 feet have to wear partial tape patch over glasses in order not to have double vision with both eyes open. No real improvement since July 2021.  On 09/12/2021 first office visit to doctor, Neuro Opthamologist. Diagnosed as 6th Nerve Palsy in Left eye. Same day blood lab work normal, ruled out inflammatory or bacterial problems. On next office visit with doctor 06/04/2021 showed improvement.  Set up for MRI  high resolution orbits with and without contrast on 06/10/2021. Results were normal. Next office visit with doctor 11/08/2021 showed no marked improvement with double vision. Gave me prescription for prism glasses. Will contact me for next appointment office visit in 6 months (April 2022). Have not done prism prescription yet. PLEASE NOT CORRECT BIRTHDATE IS 06/28/1950 AND NOT 06/27/1950 AS LISTED ON FORM. FOR SOME REASON CANNOT CORRECT ON FORM.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient received 3rd dose of COVID vaccine Pfizer on 11/10/21.  Hospital received notification that Pt passed away at home on 12/9/21. There are no other details available surrounding the patient's death, but it is not documented to  be vaccine related. There were no reports of adverse effects after vaccination with any of the 3 doses. The primary series, dose 1 and 2 were also Pfizer and  were given in February 2021. There is no documentation of prior COVID infection.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  85yo male Pt found deceased in his home on 12/14/2021 by son. Pt had h/o CAD apparently CABG x3 ? almost 4 decades ago, heart failure ,Avascular necrosis of hip Essential hypertension Right carotid artery stenosis Cardiac arrhythmia OA - Osteoarthritis of knee Osteopenia Hypogonadism Lumbago Polycythemia IMPOTENCE, ORGANIC ORIGN Coronary heart disease HYPERLIPIDEMIA Hypothyroid Postsurgical aortocoronary bypass status Unilateral or unspecified inguinal hernia,  without mention of obstruction. Pt had received covid vaccines on 2/26/21 & 3/26/21. This death is likely not related to  the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, Bacteraemia, Cardiac failure acute, Cardiac pacemaker insertion
Clinical narrative: Narrative: 91yo male died on 11/12/2021 of unknown cause, unknown place, & unknown circumstances. Pt did have a previous hospitalization at a non-community hospital - Per MD note: "Date of Service" 10/24/2021 - 10/29/2021 Name of Facility: Inpatient Admitted for Chest pain and diagnosed with sepsis, acute respiratory failure with hypoxia, bilateral lower lobe pneumonia, bacteremia from Klebsiella pneumoniae, and acute on chronic systolic heart failure. This is the second episode of bacteremia in the past month. CT abdomen and RUQ U/S showed gallbladder wall thickening. ID consulted and recommended 2 weeks of IV antibiotics, last day 11/9/2021. They state if bacteremia occurs again, that gallbladder could be likely source and would need removal. Hypoxia improved after hypertonic saline treatment and IV diuresis." Problem list: PROBLEM LAST MOD PROVIDER Chronic combined systolic and diastolic heart 10/21/2021 failure Paroxysmal atrial fibrillation, 10/21/2021 Cardiac pacemaker in situ 07/20/2021 Dementia 07/20/2021 Heart failure 04/20/2020 Hearing loss 04/20/2020 Benign prostatic hyperplasia 04/20/2020 Callosity under metatarsal head 06/01/2018 Asthma 01/14/2016 Hyperlipidemia 01/14/2016 Diabetes mellitus type 2 without retinopathy 01/14/2016 Hypothyroidism 01/14/2016 Trigger finger 02/17/2010 Osteoarthrosis, unspecified whether generalized 12/01/2009 or localized, involving unspecif hypertension 01/14/2016 Coronary Artery Disease 01/14/2016 Pt had received covid vaccines from non-facility site on 01/27/21 & 2/17/21. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram abdomen abnormal, Condition aggravated, Death, Dementia
Clinical narrative: Narrative: 91yo male died on 11/12/2021 of unknown cause, unknown place, & unknown circumstances. Pt did have a previous hospitalization at a non-community hospital - Per MD note: "Date of Service" 10/24/2021 - 10/29/2021 Name of Facility: Inpatient Admitted for Chest pain and diagnosed with sepsis, acute respiratory failure with hypoxia, bilateral lower lobe pneumonia, bacteremia from Klebsiella pneumoniae, and acute on chronic systolic heart failure. This is the second episode of bacteremia in the past month. CT abdomen and RUQ U/S showed gallbladder wall thickening. ID consulted and recommended 2 weeks of IV antibiotics, last day 11/9/2021. They state if bacteremia occurs again, that gallbladder could be likely source and would need removal. Hypoxia improved after hypertonic saline treatment and IV diuresis." Problem list: PROBLEM LAST MOD PROVIDER Chronic combined systolic and diastolic heart 10/21/2021 failure Paroxysmal atrial fibrillation, 10/21/2021 Cardiac pacemaker in situ 07/20/2021 Dementia 07/20/2021 Heart failure 04/20/2020 Hearing loss 04/20/2020 Benign prostatic hyperplasia 04/20/2020 Callosity under metatarsal head 06/01/2018 Asthma 01/14/2016 Hyperlipidemia 01/14/2016 Diabetes mellitus type 2 without retinopathy 01/14/2016 Hypothyroidism 01/14/2016 Trigger finger 02/17/2010 Osteoarthrosis, unspecified whether generalized 12/01/2009 or localized, involving unspecif hypertension 01/14/2016 Coronary Artery Disease 01/14/2016 Pt had received covid vaccines from non-facility site on 01/27/21 & 2/17/21. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Gallbladder enlargement, Hypoxia, Klebsiella bacteraemia, Klebsiella infection, Left ventricular failure
Clinical narrative: Narrative: 91yo male died on 11/12/2021 of unknown cause, unknown place, & unknown circumstances. Pt did have a previous hospitalization at a non-community hospital - Per MD note: "Date of Service" 10/24/2021 - 10/29/2021 Name of Facility: Inpatient Admitted for Chest pain and diagnosed with sepsis, acute respiratory failure with hypoxia, bilateral lower lobe pneumonia, bacteremia from Klebsiella pneumoniae, and acute on chronic systolic heart failure. This is the second episode of bacteremia in the past month. CT abdomen and RUQ U/S showed gallbladder wall thickening. ID consulted and recommended 2 weeks of IV antibiotics, last day 11/9/2021. They state if bacteremia occurs again, that gallbladder could be likely source and would need removal. Hypoxia improved after hypertonic saline treatment and IV diuresis." Problem list: PROBLEM LAST MOD PROVIDER Chronic combined systolic and diastolic heart 10/21/2021 failure Paroxysmal atrial fibrillation, 10/21/2021 Cardiac pacemaker in situ 07/20/2021 Dementia 07/20/2021 Heart failure 04/20/2020 Hearing loss 04/20/2020 Benign prostatic hyperplasia 04/20/2020 Callosity under metatarsal head 06/01/2018 Asthma 01/14/2016 Hyperlipidemia 01/14/2016 Diabetes mellitus type 2 without retinopathy 01/14/2016 Hypothyroidism 01/14/2016 Trigger finger 02/17/2010 Osteoarthrosis, unspecified whether generalized 12/01/2009 or localized, involving unspecif hypertension 01/14/2016 Coronary Artery Disease 01/14/2016 Pt had received covid vaccines from non-facility site on 01/27/21 & 2/17/21. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Sepsis, Ultrasound abdomen abnormal
Clinical narrative: Narrative: 91yo male died on 11/12/2021 of unknown cause, unknown place, & unknown circumstances. Pt did have a previous hospitalization at a non-community hospital - Per MD note: "Date of Service" 10/24/2021 - 10/29/2021 Name of Facility: Inpatient Admitted for Chest pain and diagnosed with sepsis, acute respiratory failure with hypoxia, bilateral lower lobe pneumonia, bacteremia from Klebsiella pneumoniae, and acute on chronic systolic heart failure. This is the second episode of bacteremia in the past month. CT abdomen and RUQ U/S showed gallbladder wall thickening. ID consulted and recommended 2 weeks of IV antibiotics, last day 11/9/2021. They state if bacteremia occurs again, that gallbladder could be likely source and would need removal. Hypoxia improved after hypertonic saline treatment and IV diuresis." Problem list: PROBLEM LAST MOD PROVIDER Chronic combined systolic and diastolic heart 10/21/2021 failure Paroxysmal atrial fibrillation, 10/21/2021 Cardiac pacemaker in situ 07/20/2021 Dementia 07/20/2021 Heart failure 04/20/2020 Hearing loss 04/20/2020 Benign prostatic hyperplasia 04/20/2020 Callosity under metatarsal head 06/01/2018 Asthma 01/14/2016 Hyperlipidemia 01/14/2016 Diabetes mellitus type 2 without retinopathy 01/14/2016 Hypothyroidism 01/14/2016 Trigger finger 02/17/2010 Osteoarthrosis, unspecified whether generalized 12/01/2009 or localized, involving unspecif hypertension 01/14/2016 Coronary Artery Disease 01/14/2016 Pt had received covid vaccines from non-facility site on 01/27/21 & 2/17/21. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Aortic arteriosclerosis, Atelectasis
Clinical narrative: Narrative:  Admission Date: Jan 3,2022 Discharge Date: Jan 12,2022 Primary Diagnosis during Admission/Treatment: Acute hypoxic respiratory failure due to COVID-19 infection Secondary diagnosis: Atrial fibrillation with rapid ventricular rate Brief Summary of Hospital Course: 88 yo patient with a past medical history of CHF, HTN who presented to the Emergency Dept with a chief complaint of SOB and cough for a week. He reported his wife is sick at home with pneumonia (unknown COVID status) and that he was exposed to neighbors who were positive for COVID. He tested positive despite being vaccinated with Moderna COVID vaccine x 2 in Jan 2021 and Feb 2021. Exact dates are included elsewhere in this report. He was admitted with COVID pneumonia with hypoxia requiring 4 L nasal cannula. He underwent treatment of remdesivir and dexamethasone, antibiotics were not given due to normal procalcitonin. Patient was able to be weaned to room air at rest, however required 2 to 3 L nasal cannula with exertion. Patient was ultimately discharged home with home oxygen. Patient was noted to have new onset atrial fibrillation with RVR on admission thought to be secondary to his COVID-19 infection. He was started on metoprolol and ultimately uptitrated to 150 mg of metoprolol succinate. After discussion of the risks and benefits of anticoagulation, the patient was started on apixaban for planned lifelong anticoagulation. Echo was obtained, with preserved EF and mildly enlarged left atrium, otherwise unremarkable.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Bronchial wall thickening, Bronchitis, COVID-19, COVID-19 pneumonia
Clinical narrative: Narrative:  Admission Date: Jan 3,2022 Discharge Date: Jan 12,2022 Primary Diagnosis during Admission/Treatment: Acute hypoxic respiratory failure due to COVID-19 infection Secondary diagnosis: Atrial fibrillation with rapid ventricular rate Brief Summary of Hospital Course: 88 yo patient with a past medical history of CHF, HTN who presented to the Emergency Dept with a chief complaint of SOB and cough for a week. He reported his wife is sick at home with pneumonia (unknown COVID status) and that he was exposed to neighbors who were positive for COVID. He tested positive despite being vaccinated with Moderna COVID vaccine x 2 in Jan 2021 and Feb 2021. Exact dates are included elsewhere in this report. He was admitted with COVID pneumonia with hypoxia requiring 4 L nasal cannula. He underwent treatment of remdesivir and dexamethasone, antibiotics were not given due to normal procalcitonin. Patient was able to be weaned to room air at rest, however required 2 to 3 L nasal cannula with exertion. Patient was ultimately discharged home with home oxygen. Patient was noted to have new onset atrial fibrillation with RVR on admission thought to be secondary to his COVID-19 infection. He was started on metoprolol and ultimately uptitrated to 150 mg of metoprolol succinate. After discussion of the risks and benefits of anticoagulation, the patient was started on apixaban for planned lifelong anticoagulation. Echo was obtained, with preserved EF and mildly enlarged left atrium, otherwise unremarkable.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure, Cardiac failure congestive, Cardiomegaly, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Narrative:  Admission Date: Jan 3,2022 Discharge Date: Jan 12,2022 Primary Diagnosis during Admission/Treatment: Acute hypoxic respiratory failure due to COVID-19 infection Secondary diagnosis: Atrial fibrillation with rapid ventricular rate Brief Summary of Hospital Course: 88 yo patient with a past medical history of CHF, HTN who presented to the Emergency Dept with a chief complaint of SOB and cough for a week. He reported his wife is sick at home with pneumonia (unknown COVID status) and that he was exposed to neighbors who were positive for COVID. He tested positive despite being vaccinated with Moderna COVID vaccine x 2 in Jan 2021 and Feb 2021. Exact dates are included elsewhere in this report. He was admitted with COVID pneumonia with hypoxia requiring 4 L nasal cannula. He underwent treatment of remdesivir and dexamethasone, antibiotics were not given due to normal procalcitonin. Patient was able to be weaned to room air at rest, however required 2 to 3 L nasal cannula with exertion. Patient was ultimately discharged home with home oxygen. Patient was noted to have new onset atrial fibrillation with RVR on admission thought to be secondary to his COVID-19 infection. He was started on metoprolol and ultimately uptitrated to 150 mg of metoprolol succinate. After discussion of the risks and benefits of anticoagulation, the patient was started on apixaban for planned lifelong anticoagulation. Echo was obtained, with preserved EF and mildly enlarged left atrium, otherwise unremarkable.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Echocardiogram abnormal, Exposure to SARS-CoV-2, Hypoxia
Clinical narrative: Narrative:  Admission Date: Jan 3,2022 Discharge Date: Jan 12,2022 Primary Diagnosis during Admission/Treatment: Acute hypoxic respiratory failure due to COVID-19 infection Secondary diagnosis: Atrial fibrillation with rapid ventricular rate Brief Summary of Hospital Course: 88 yo patient with a past medical history of CHF, HTN who presented to the Emergency Dept with a chief complaint of SOB and cough for a week. He reported his wife is sick at home with pneumonia (unknown COVID status) and that he was exposed to neighbors who were positive for COVID. He tested positive despite being vaccinated with Moderna COVID vaccine x 2 in Jan 2021 and Feb 2021. Exact dates are included elsewhere in this report. He was admitted with COVID pneumonia with hypoxia requiring 4 L nasal cannula. He underwent treatment of remdesivir and dexamethasone, antibiotics were not given due to normal procalcitonin. Patient was able to be weaned to room air at rest, however required 2 to 3 L nasal cannula with exertion. Patient was ultimately discharged home with home oxygen. Patient was noted to have new onset atrial fibrillation with RVR on admission thought to be secondary to his COVID-19 infection. He was started on metoprolol and ultimately uptitrated to 150 mg of metoprolol succinate. After discussion of the risks and benefits of anticoagulation, the patient was started on apixaban for planned lifelong anticoagulation. Echo was obtained, with preserved EF and mildly enlarged left atrium, otherwise unremarkable.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Imaging procedure artifact, Left atrial enlargement, Lung consolidation, Lung opacity, Pneumonitis
Clinical narrative: Narrative:  Admission Date: Jan 3,2022 Discharge Date: Jan 12,2022 Primary Diagnosis during Admission/Treatment: Acute hypoxic respiratory failure due to COVID-19 infection Secondary diagnosis: Atrial fibrillation with rapid ventricular rate Brief Summary of Hospital Course: 88 yo patient with a past medical history of CHF, HTN who presented to the Emergency Dept with a chief complaint of SOB and cough for a week. He reported his wife is sick at home with pneumonia (unknown COVID status) and that he was exposed to neighbors who were positive for COVID. He tested positive despite being vaccinated with Moderna COVID vaccine x 2 in Jan 2021 and Feb 2021. Exact dates are included elsewhere in this report. He was admitted with COVID pneumonia with hypoxia requiring 4 L nasal cannula. He underwent treatment of remdesivir and dexamethasone, antibiotics were not given due to normal procalcitonin. Patient was able to be weaned to room air at rest, however required 2 to 3 L nasal cannula with exertion. Patient was ultimately discharged home with home oxygen. Patient was noted to have new onset atrial fibrillation with RVR on admission thought to be secondary to his COVID-19 infection. He was started on metoprolol and ultimately uptitrated to 150 mg of metoprolol succinate. After discussion of the risks and benefits of anticoagulation, the patient was started on apixaban for planned lifelong anticoagulation. Echo was obtained, with preserved EF and mildly enlarged left atrium, otherwise unremarkable.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin normal, Pulmonary fibrosis, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Admission Date: Jan 3,2022 Discharge Date: Jan 12,2022 Primary Diagnosis during Admission/Treatment: Acute hypoxic respiratory failure due to COVID-19 infection Secondary diagnosis: Atrial fibrillation with rapid ventricular rate Brief Summary of Hospital Course: 88 yo patient with a past medical history of CHF, HTN who presented to the Emergency Dept with a chief complaint of SOB and cough for a week. He reported his wife is sick at home with pneumonia (unknown COVID status) and that he was exposed to neighbors who were positive for COVID. He tested positive despite being vaccinated with Moderna COVID vaccine x 2 in Jan 2021 and Feb 2021. Exact dates are included elsewhere in this report. He was admitted with COVID pneumonia with hypoxia requiring 4 L nasal cannula. He underwent treatment of remdesivir and dexamethasone, antibiotics were not given due to normal procalcitonin. Patient was able to be weaned to room air at rest, however required 2 to 3 L nasal cannula with exertion. Patient was ultimately discharged home with home oxygen. Patient was noted to have new onset atrial fibrillation with RVR on admission thought to be secondary to his COVID-19 infection. He was started on metoprolol and ultimately uptitrated to 150 mg of metoprolol succinate. After discussion of the risks and benefits of anticoagulation, the patient was started on apixaban for planned lifelong anticoagulation. Echo was obtained, with preserved EF and mildly enlarged left atrium, otherwise unremarkable.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, Chronic obstructive pulmonary disease, Condition aggravated, Cor pulmonale
Clinical narrative: Narrative:  73yo male Pt with a h/o T2DM, COPD on 2-3L NC at home,  CKD stage 3, NPH s/p VP shunt, OSA on CPAP, PTSD/Anxiety, who presented to  VA ER on 12/23/2021 for shortness of breath x 3 days. Pt was admitted with Acute on Chronic Hypoxic Respiratory Failure 2/2 COPD Exacerbation vs Cor Pulmonale in the setting of Pulmonary Hypertension, poa diagnosis. Pt given antibiotics, treated in the ICU as pt deteriorating. Pt then died on 1/10/2022.  Death was caused by: Severe ARDS secondary to Enterococcus faecium and  Enterococcus faecalis. Pt had received covid vaccines on 1/25/21, 2/22/21, & 11/9/21 from other facility site. This death was not related to covid vaccines.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Enterococcal infection, General physical health deterioration, Intensive care
Clinical narrative: Narrative:  73yo male Pt with a h/o T2DM, COPD on 2-3L NC at home,  CKD stage 3, NPH s/p VP shunt, OSA on CPAP, PTSD/Anxiety, who presented to  VA ER on 12/23/2021 for shortness of breath x 3 days. Pt was admitted with Acute on Chronic Hypoxic Respiratory Failure 2/2 COPD Exacerbation vs Cor Pulmonale in the setting of Pulmonary Hypertension, poa diagnosis. Pt given antibiotics, treated in the ICU as pt deteriorating. Pt then died on 1/10/2022.  Death was caused by: Severe ARDS secondary to Enterococcus faecium and  Enterococcus faecalis. Pt had received covid vaccines on 1/25/21, 2/22/21, & 11/9/21 from other facility site. This death was not related to covid vaccines.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary hypertension
Clinical narrative: Narrative:  73yo male Pt with a h/o T2DM, COPD on 2-3L NC at home,  CKD stage 3, NPH s/p VP shunt, OSA on CPAP, PTSD/Anxiety, who presented to  VA ER on 12/23/2021 for shortness of breath x 3 days. Pt was admitted with Acute on Chronic Hypoxic Respiratory Failure 2/2 COPD Exacerbation vs Cor Pulmonale in the setting of Pulmonary Hypertension, poa diagnosis. Pt given antibiotics, treated in the ICU as pt deteriorating. Pt then died on 1/10/2022.  Death was caused by: Severe ARDS secondary to Enterococcus faecium and  Enterococcus faecalis. Pt had received covid vaccines on 1/25/21, 2/22/21, & 11/9/21 from other facility site. This death was not related to covid vaccines.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccination failure
Clinical narrative: Narrative: 90yo male Pt under the care of hospice with a h/o Parkinsons disease, HTN, dysphagia, CHF, COPD, mild cognitive impairment who presented to the ED from his medical foster home for treatment with IV fluids and treatment after testing positive for COVID. Pt admitted to inpt hospice. Did not qualify for monoclonal antibodies (EUA) since a hospice patient. Pt died during inpt hospice on 1/9/2022. Death was caused by: Complications from COVID-19 infection, patient was comfort care in hospice care. Pt had received covid vaccines on 1/7/21 & 2/4/21. Covid vaccine failure after only two doses 10 months prior.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, B-cell lymphoma, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Narrative:  75yo male  Pt died on 1/6/2021 inpatient on ICU unit. Death was caused by:Acute hypoxic respiratory failure secondary Covid pneumonia, complicated by immunosuppresion in the setting of Small B cell lymphoma, H/o hairy cell leukemia s/p splenectomy due to agent orange exposure. Pt had received 3 covid full doses due to immunocomprised on 1/8/21, 2/5/21, and on 9/14/2021. Pt's covid positive test 12/25/2021. Per admitting MD H&P note 12/25/2021:" CC: Pt is a pleasant 75 yo male, who comes to ED after being discharged on 12/19- Covid PNA. He was not sent home on supplemental o2 . Today he returns with progressively increasing shortness of air, and dry cough for the last couple of days. He also presented fevers, up to 102F. Denies headaches, dizziness, chest pains, hemoptysis, abdominal tenderness, hematuria, or hematochezia. In ED patient O2 saturation was around 70s on non-rebreather mask. Evaluated and updated to Bipap 100%, 16/10, and saturation around low 90s Medical Hx: Hairy cell leukemia in 09 s/p splenectomy on allopurinol,  acyclovir, and Bactrim, Small B cell lymphoma on Ibrutinib and vit b12, allopurinol , Essential HTN on amlodipine and carvedilol, Hyperlipidemia on atorvastatin, T2DM on metformin, Obesity, Glaucoma R eye, and bilat knee and Covid PNA 12/19 OA" Appears to be a covid vaccine failure leading to pt's  death. Pt was immune compromised from cancer treatment but had received all 3 full doses of covid vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Intensive care, Positive airway pressure therapy, Pyrexia
Clinical narrative: Narrative:  75yo male  Pt died on 1/6/2021 inpatient on ICU unit. Death was caused by:Acute hypoxic respiratory failure secondary Covid pneumonia, complicated by immunosuppresion in the setting of Small B cell lymphoma, H/o hairy cell leukemia s/p splenectomy due to agent orange exposure. Pt had received 3 covid full doses due to immunocomprised on 1/8/21, 2/5/21, and on 9/14/2021. Pt's covid positive test 12/25/2021. Per admitting MD H&P note 12/25/2021:" CC: Pt is a pleasant 75 yo male, who comes to ED after being discharged on 12/19- Covid PNA. He was not sent home on supplemental o2 . Today he returns with progressively increasing shortness of air, and dry cough for the last couple of days. He also presented fevers, up to 102F. Denies headaches, dizziness, chest pains, hemoptysis, abdominal tenderness, hematuria, or hematochezia. In ED patient O2 saturation was around 70s on non-rebreather mask. Evaluated and updated to Bipap 100%, 16/10, and saturation around low 90s Medical Hx: Hairy cell leukemia in 09 s/p splenectomy on allopurinol,  acyclovir, and Bactrim, Small B cell lymphoma on Ibrutinib and vit b12, allopurinol , Essential HTN on amlodipine and carvedilol, Hyperlipidemia on atorvastatin, T2DM on metformin, Obesity, Glaucoma R eye, and bilat knee and Covid PNA 12/19 OA" Appears to be a covid vaccine failure leading to pt's  death. Pt was immune compromised from cancer treatment but had received all 3 full doses of covid vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccination failure
Clinical narrative: Narrative:  75yo male  Pt died on 1/6/2021 inpatient on ICU unit. Death was caused by:Acute hypoxic respiratory failure secondary Covid pneumonia, complicated by immunosuppresion in the setting of Small B cell lymphoma, H/o hairy cell leukemia s/p splenectomy due to agent orange exposure. Pt had received 3 covid full doses due to immunocomprised on 1/8/21, 2/5/21, and on 9/14/2021. Pt's covid positive test 12/25/2021. Per admitting MD H&P note 12/25/2021:" CC: Pt is a pleasant 75 yo male, who comes to ED after being discharged on 12/19- Covid PNA. He was not sent home on supplemental o2 . Today he returns with progressively increasing shortness of air, and dry cough for the last couple of days. He also presented fevers, up to 102F. Denies headaches, dizziness, chest pains, hemoptysis, abdominal tenderness, hematuria, or hematochezia. In ED patient O2 saturation was around 70s on non-rebreather mask. Evaluated and updated to Bipap 100%, 16/10, and saturation around low 90s Medical Hx: Hairy cell leukemia in 09 s/p splenectomy on allopurinol,  acyclovir, and Bactrim, Small B cell lymphoma on Ibrutinib and vit b12, allopurinol , Essential HTN on amlodipine and carvedilol, Hyperlipidemia on atorvastatin, T2DM on metformin, Obesity, Glaucoma R eye, and bilat knee and Covid PNA 12/19 OA" Appears to be a covid vaccine failure leading to pt's  death. Pt was immune compromised from cancer treatment but had received all 3 full doses of covid vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: 75yo male Pt w/ hx of afib, CAD, DM, HTN, depression. Pt had received covid vaccines on 3/19/21 & 4/16/21. Pt died on 12/23/21 of unknown causes, unknown place, & unknown circumstances. Not able to assess if covid vaccines were related to this death given lack of information in hospital chart  notes
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Death, Inappropriate schedule of product administration
Clinical narrative: Narrative:  75yo male Pt with hx of ----PMH: Code Description F17.210 Moderate cigarette smoker (10-19 cigs/day) (SCT 160604004) M54.5 Low Back Pain (SCT 279039007) Z72.0 Tobacco User (SCT 110483000) I71.4 AAA- Abdominal aortic aneurysm (SCT 233985008) E11.9 Diabetes Mellitus Type 2 (SCT 68496003) I10. HTN - Hypertension (SCT 38341003) F31.32 Bipolar affective disorder, currently depressed, moderate (SCT 191630001) F63.0 Compulsive gambling (SCT 18085000) 564.0 Fissure in Ano (ICD-9-CM 565.0) F10.11 Nondependent alcohol abuse in remission (SCT 191884001) 601.9 Prostatitis (ICD-9-CM 601.9) 110.9 Tinea (ICD-9-CM 110.9) 477.9 Allergic rhinitis (ICD-9-CM 477.9) 427.89 Bradycardia (ICD-9-CM 427.89) 577.0 Pancreatitis (ICD-9-CM 577.0) Pt self-presented to community emergency facility Emergency Notification Intake Date Presenting to the Facility: 1/4/2022 Hospital Name: Address: Phone: Chief complaint: Chest Pain Primary Diagnosis: Patient Admitted? Yes Route of Admission:ER Date/Time of Admission: 1/4/2022 Admitting Diagnosis: Chest Pain Care Provider: Confirm Level of Care: Acute Inpatient Care Pt died at this facility on 1/5/21. Pt had received  covid vaccines on 1/22/21, 2/22/21, & 12/15/22. Not able to assess if this death is related to covid vaccines or not given death occured at outside hospital.  No information in hospital chart notes.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Death, Dizziness, Endoscopic retrograde cholangiopancreatography
Clinical narrative: Narrative: 66yo male patient in hospice care at home died at home on 1/9/2022. Pt w/ hx of pancreatic CA s/p palliative rad and getting chemo - recent ERCP w/ stent replacement, COPD, CAD, DVT's and PE's, EtOH and PSA. Pt had received covid vaccines on 2/14/21 & 3/13/21. Pt was found to be covid positive on 12/13/2021 (day of ERCP) Pt seen in ER on 12/20/21 for lightheadedness post ERCP procedure. Pt decided to transfer to hospice after discharged from Er on 12/20/21. Since pt decided to go to hospice, he did not get monoclonal immunotherapy for covid + infection in the ER. Not clear if pt died of untreated covid infection or from cancer (or both). Pt had 2 doses of covid vaccine early in 2021 revealing failure to provide immunity from infection, as expected by now. Problem list: Seen by palliative care medicine service Primary malignant neoplasm of head of pancreas (SCT 372119009) Chronic obstructive lung disease (SCT 13Long-term current use of insulin (SCT 710815001) Chronic neck pain (SCT1121000119107) Coronary atherosclerosis (SCT 443502000) Neoplasm of uncertain behavior of left uChronic pain syndrome (SCT 373621006) History of bilateral total knee replacemDeep venous thrombosis (SCT 12805330) Anticoagulant effect (SCT 10191004) Benign prostatic hyperplasia (SCT 266569009) Contusion of hip (SCT 44801007) Restless legs syndrome (SCT 32914008) Pancreatitis (ICD-9-CM 577.0) Impotence, Organic Origin (ICD-9-CM 607.84) Osteoarthritis (SCT 396275006) L/T (CURRENT) USE0ANTICOAG (IICD-9-CM V58.61) Tobacco use (SCT 110483000) Depression (SCT 35489007) Caffeine-Induced Anxiety Disorder (ICD-9Alcohol Abuse (ICD-9-CM 305.00) Cannabis abuse, episodic use (ICD-9-CM 3Generalized anxiety disorder (SCT 21897009) Adj Reac W/Mixed Emotion (ICD-9-CM 309.2Cocaine Depend, Episodic (ICD-9-CM 304.22) Degeneration of lumbar intervertebral diOsteroarthrosis involving the knee (ICD-9-CM 715.98) Varicose Veins (ICD-9-CM 454.90 Hip Pain (ICD-9-CM 719.45) Benign essential hypertension (SCT 1010Diabetes mellitus SCT 73211009) Hyperlipidemia (SCT 55822004) Personal History of Venous Thrombosis and Embolism (ICD-9-CM V12.51) Other Pulmonary Embolism and Infarction Gastroesophageal reflux disease (SCT 235595009) Chronic Low Back Pain (ICD-9-CM 724.2) Osteoarthritis of knee (SCT 239873007) Colon Polyp (ICD-9-CM 211.3) Mood Disorder (ICD-9-CM 296.90)