chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Bradycardia, COVID-19, COVID-19 pneumonia, Cardiac pacemaker insertion
Clinical narrative: Pfizer BionCOVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BionNTech Vaccine on 03/05/2021 and 04/02/2021. Patient presented to ED on 8/4/21 for shortness of breath. Patient reported progressive worsening of shortness of breath which  started 3 days prior. EMS found pt to have O2 sats at 70% RA and temp of 104F. Patient tested positive for COVID-19 infection in the emergency room.  Patient had a chest x-ray done in the emergency room which revealed bilateral infiltrates consistent with COVID pneumonia versus pulmonary edema. Patient's requirement for oxygen started to increase.  He was on high-flow oxygen.  He also has thrombocytopenia. Required pressor support. Treated with Rocephin for UTI for Klebsiella. Pt also recieved decadron and remdesivir during stay. Patient had severe bradycardia and had a external pacemaker placed on 8/11/2021. Patient was then intubated for airway support.  He also developed some acute kidney injury with the history of CKD.   Patient condition slowly worsened requiring pressors.  His leukocytosis increased. Patient went on to need dialysis and additional measures and family opted for comfort care. Patient expired on 8/21/21
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Death, Dialysis, Dyspnoea, Endotracheal intubation
Clinical narrative: Pfizer BionCOVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BionNTech Vaccine on 03/05/2021 and 04/02/2021. Patient presented to ED on 8/4/21 for shortness of breath. Patient reported progressive worsening of shortness of breath which  started 3 days prior. EMS found pt to have O2 sats at 70% RA and temp of 104F. Patient tested positive for COVID-19 infection in the emergency room.  Patient had a chest x-ray done in the emergency room which revealed bilateral infiltrates consistent with COVID pneumonia versus pulmonary edema. Patient's requirement for oxygen started to increase.  He was on high-flow oxygen.  He also has thrombocytopenia. Required pressor support. Treated with Rocephin for UTI for Klebsiella. Pt also recieved decadron and remdesivir during stay. Patient had severe bradycardia and had a external pacemaker placed on 8/11/2021. Patient was then intubated for airway support.  He also developed some acute kidney injury with the history of CKD.   Patient condition slowly worsened requiring pressors.  His leukocytosis increased. Patient went on to need dialysis and additional measures and family opted for comfort care. Patient expired on 8/21/21
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Leukocytosis, Lung infiltration, Oxygen saturation decreased, Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: Pfizer BionCOVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BionNTech Vaccine on 03/05/2021 and 04/02/2021. Patient presented to ED on 8/4/21 for shortness of breath. Patient reported progressive worsening of shortness of breath which  started 3 days prior. EMS found pt to have O2 sats at 70% RA and temp of 104F. Patient tested positive for COVID-19 infection in the emergency room.  Patient had a chest x-ray done in the emergency room which revealed bilateral infiltrates consistent with COVID pneumonia versus pulmonary edema. Patient's requirement for oxygen started to increase.  He was on high-flow oxygen.  He also has thrombocytopenia. Required pressor support. Treated with Rocephin for UTI for Klebsiella. Pt also recieved decadron and remdesivir during stay. Patient had severe bradycardia and had a external pacemaker placed on 8/11/2021. Patient was then intubated for airway support.  He also developed some acute kidney injury with the history of CKD.   Patient condition slowly worsened requiring pressors.  His leukocytosis increased. Patient went on to need dialysis and additional measures and family opted for comfort care. Patient expired on 8/21/21
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thrombocytopenia, Urinary tract infection
Clinical narrative: Pfizer BionCOVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BionNTech Vaccine on 03/05/2021 and 04/02/2021. Patient presented to ED on 8/4/21 for shortness of breath. Patient reported progressive worsening of shortness of breath which  started 3 days prior. EMS found pt to have O2 sats at 70% RA and temp of 104F. Patient tested positive for COVID-19 infection in the emergency room.  Patient had a chest x-ray done in the emergency room which revealed bilateral infiltrates consistent with COVID pneumonia versus pulmonary edema. Patient's requirement for oxygen started to increase.  He was on high-flow oxygen.  He also has thrombocytopenia. Required pressor support. Treated with Rocephin for UTI for Klebsiella. Pt also recieved decadron and remdesivir during stay. Patient had severe bradycardia and had a external pacemaker placed on 8/11/2021. Patient was then intubated for airway support.  He also developed some acute kidney injury with the history of CKD.   Patient condition slowly worsened requiring pressors.  His leukocytosis increased. Patient went on to need dialysis and additional measures and family opted for comfort care. Patient expired on 8/21/21
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles Diagnosed 08/30/2021
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Vertigo
Clinical narrative: Later that night I felt strange and the next day I woke up with dizziness.  It has gotten worse, feels like the room is spinning.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Nucleic acid test, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: Case completed 2 dose Covid vaccine series on 3/29/21, and ws subsequently hospitalized for Covid pneumonia on 8/26/21.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal X-ray, Arteriogram carotid, Barium swallow, Blood lactic acid, Chest X-ray abnormal
Clinical narrative: *** SEVERE NEUROLOGICAL IMPACT***       ***  MASSIVE BRAIN INFLAMMATION***       ***  DEATH ***  3/07/2021: Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.  3/10/2021:  Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.        ER visit Urgent Care          ER Treatment:  morphine IV         ER Tests: CT brain w/o IV contrast; CTA carotid; Basic Metabolic Panel; CBC w platelet count                       Diagnosis: Neck muscle spasm                       Rx: tramadol (not helpful after morphine wore off)  3/12/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues. Pain level 10.            ER visit Urgent Care:              ER Treatment:  morphine pills - twice; Tylenol; Colace; Lidocaine     ER Tests: XR 2 views; Basic Metabolic Panel; CBC w platelet count; Lactic acid, venous                          Diagnosis:  Left ear pain; pneumonia due to infectious organism, unspecified laterality,  unspecified part of lung                          Rx: amoxicillin-clavulanate; neomycin-polymyxin-hydrocortisone (did not                              fill these prescriptions)  3/14/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues.  Pain level 10.           ER visit Hospital:  admitted to hospital; treatment for 14 days;                          Discharge diagnosis:  ACUTE METABOLIC ENCEPHALOPATHY and HEPATITIS   3/28/2021: Transferred to Hospice.  3/31/2021: Transferred to Home Hospice.  4/10/2021: Death occurred         Death Certificate: PRESUMED MENINGITIS
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram head, Death, Ear pain, Echocardiogram
Clinical narrative: *** SEVERE NEUROLOGICAL IMPACT***       ***  MASSIVE BRAIN INFLAMMATION***       ***  DEATH ***  3/07/2021: Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.  3/10/2021:  Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.        ER visit Urgent Care          ER Treatment:  morphine IV         ER Tests: CT brain w/o IV contrast; CTA carotid; Basic Metabolic Panel; CBC w platelet count                       Diagnosis: Neck muscle spasm                       Rx: tramadol (not helpful after morphine wore off)  3/12/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues. Pain level 10.            ER visit Urgent Care:              ER Treatment:  morphine pills - twice; Tylenol; Colace; Lidocaine     ER Tests: XR 2 views; Basic Metabolic Panel; CBC w platelet count; Lactic acid, venous                          Diagnosis:  Left ear pain; pneumonia due to infectious organism, unspecified laterality,  unspecified part of lung                          Rx: amoxicillin-clavulanate; neomycin-polymyxin-hydrocortisone (did not                              fill these prescriptions)  3/14/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues.  Pain level 10.           ER visit Hospital:  admitted to hospital; treatment for 14 days;                          Discharge diagnosis:  ACUTE METABOLIC ENCEPHALOPATHY and HEPATITIS   3/28/2021: Transferred to Hospice.  3/31/2021: Transferred to Home Hospice.  4/10/2021: Death occurred         Death Certificate: PRESUMED MENINGITIS
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Full blood count, Headache, Hepatitis, Laboratory test
Clinical narrative: *** SEVERE NEUROLOGICAL IMPACT***       ***  MASSIVE BRAIN INFLAMMATION***       ***  DEATH ***  3/07/2021: Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.  3/10/2021:  Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.        ER visit Urgent Care          ER Treatment:  morphine IV         ER Tests: CT brain w/o IV contrast; CTA carotid; Basic Metabolic Panel; CBC w platelet count                       Diagnosis: Neck muscle spasm                       Rx: tramadol (not helpful after morphine wore off)  3/12/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues. Pain level 10.            ER visit Urgent Care:              ER Treatment:  morphine pills - twice; Tylenol; Colace; Lidocaine     ER Tests: XR 2 views; Basic Metabolic Panel; CBC w platelet count; Lactic acid, venous                          Diagnosis:  Left ear pain; pneumonia due to infectious organism, unspecified laterality,  unspecified part of lung                          Rx: amoxicillin-clavulanate; neomycin-polymyxin-hydrocortisone (did not                              fill these prescriptions)  3/14/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues.  Pain level 10.           ER visit Hospital:  admitted to hospital; treatment for 14 days;                          Discharge diagnosis:  ACUTE METABOLIC ENCEPHALOPATHY and HEPATITIS   3/28/2021: Transferred to Hospice.  3/31/2021: Transferred to Home Hospice.  4/10/2021: Death occurred         Death Certificate: PRESUMED MENINGITIS
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging head, Meningitis, Metabolic encephalopathy, Metabolic function test
Clinical narrative: *** SEVERE NEUROLOGICAL IMPACT***       ***  MASSIVE BRAIN INFLAMMATION***       ***  DEATH ***  3/07/2021: Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.  3/10/2021:  Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.        ER visit Urgent Care          ER Treatment:  morphine IV         ER Tests: CT brain w/o IV contrast; CTA carotid; Basic Metabolic Panel; CBC w platelet count                       Diagnosis: Neck muscle spasm                       Rx: tramadol (not helpful after morphine wore off)  3/12/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues. Pain level 10.            ER visit Urgent Care:              ER Treatment:  morphine pills - twice; Tylenol; Colace; Lidocaine     ER Tests: XR 2 views; Basic Metabolic Panel; CBC w platelet count; Lactic acid, venous                          Diagnosis:  Left ear pain; pneumonia due to infectious organism, unspecified laterality,  unspecified part of lung                          Rx: amoxicillin-clavulanate; neomycin-polymyxin-hydrocortisone (did not                              fill these prescriptions)  3/14/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues.  Pain level 10.           ER visit Hospital:  admitted to hospital; treatment for 14 days;                          Discharge diagnosis:  ACUTE METABOLIC ENCEPHALOPATHY and HEPATITIS   3/28/2021: Transferred to Hospice.  3/31/2021: Transferred to Home Hospice.  4/10/2021: Death occurred         Death Certificate: PRESUMED MENINGITIS
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Noninfective encephalitis, Platelet count, Pneumonia, Ultrasound Doppler
Clinical narrative: *** SEVERE NEUROLOGICAL IMPACT***       ***  MASSIVE BRAIN INFLAMMATION***       ***  DEATH ***  3/07/2021: Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.  3/10/2021:  Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.        ER visit Urgent Care          ER Treatment:  morphine IV         ER Tests: CT brain w/o IV contrast; CTA carotid; Basic Metabolic Panel; CBC w platelet count                       Diagnosis: Neck muscle spasm                       Rx: tramadol (not helpful after morphine wore off)  3/12/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues. Pain level 10.            ER visit Urgent Care:              ER Treatment:  morphine pills - twice; Tylenol; Colace; Lidocaine     ER Tests: XR 2 views; Basic Metabolic Panel; CBC w platelet count; Lactic acid, venous                          Diagnosis:  Left ear pain; pneumonia due to infectious organism, unspecified laterality,  unspecified part of lung                          Rx: amoxicillin-clavulanate; neomycin-polymyxin-hydrocortisone (did not                              fill these prescriptions)  3/14/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues.  Pain level 10.           ER visit Hospital:  admitted to hospital; treatment for 14 days;                          Discharge diagnosis:  ACUTE METABOLIC ENCEPHALOPATHY and HEPATITIS   3/28/2021: Transferred to Hospice.  3/31/2021: Transferred to Home Hospice.  4/10/2021: Death occurred         Death Certificate: PRESUMED MENINGITIS
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: X-ray of pelvis and hip
Clinical narrative: *** SEVERE NEUROLOGICAL IMPACT***       ***  MASSIVE BRAIN INFLAMMATION***       ***  DEATH ***  3/07/2021: Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.  3/10/2021:  Intractable stabbing pain in head at ears every 3-4 seconds. Pain level 10.        ER visit Urgent Care          ER Treatment:  morphine IV         ER Tests: CT brain w/o IV contrast; CTA carotid; Basic Metabolic Panel; CBC w platelet count                       Diagnosis: Neck muscle spasm                       Rx: tramadol (not helpful after morphine wore off)  3/12/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues. Pain level 10.            ER visit Urgent Care:              ER Treatment:  morphine pills - twice; Tylenol; Colace; Lidocaine     ER Tests: XR 2 views; Basic Metabolic Panel; CBC w platelet count; Lactic acid, venous                          Diagnosis:  Left ear pain; pneumonia due to infectious organism, unspecified laterality,  unspecified part of lung                          Rx: amoxicillin-clavulanate; neomycin-polymyxin-hydrocortisone (did not                              fill these prescriptions)  3/14/2021:  Intractable stabbing pain in head at ears every 3-4 seconds continues.  Pain level 10.           ER visit Hospital:  admitted to hospital; treatment for 14 days;                          Discharge diagnosis:  ACUTE METABOLIC ENCEPHALOPATHY and HEPATITIS   3/28/2021: Transferred to Hospice.  3/31/2021: Transferred to Home Hospice.  4/10/2021: Death occurred         Death Certificate: PRESUMED MENINGITIS
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: patient  wanted to get second Shingrix but she got Moderna ( counseled and offered Moderna card too)
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion, Erythema, Injection site rash, Rash, Rash pruritic
Clinical narrative: Patient stated that she received bumps around the injection site. The second shot cause a red marks on legs and the booster gave her a red itich rash all over.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Cardiac flutter, Diarrhoea, Dizziness, Dysmenorrhoea
Clinical narrative: The hours following my vaccination, I had random heart fluttering/palpitations which subsided after the first day. 72 hours after vaccination I had a sudden and rapid onset of chills, sweatiness, achey muscles, and extreme nausea. I proceeded to vomit and was ill/fatigued the entire day. The days following I had extreme fatigue and spells of dizziness. I have also had intermittent  diarrhea, bloating, nausea,  and another episode of vomiting. I had additional episodes of achey muscles, sweating  and feeling chills which disrupted my ability to sleep., menstrual cramps when I am not on my period, swollen lymph nodes in the neck, numbness in my arms and hands, brain fog. Symptoms seem to be persistent and becoming worse as time goes on.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Feeling cold, Hyperhidrosis, Hypoaesthesia
Clinical narrative: The hours following my vaccination, I had random heart fluttering/palpitations which subsided after the first day. 72 hours after vaccination I had a sudden and rapid onset of chills, sweatiness, achey muscles, and extreme nausea. I proceeded to vomit and was ill/fatigued the entire day. The days following I had extreme fatigue and spells of dizziness. I have also had intermittent  diarrhea, bloating, nausea,  and another episode of vomiting. I had additional episodes of achey muscles, sweating  and feeling chills which disrupted my ability to sleep., menstrual cramps when I am not on my period, swollen lymph nodes in the neck, numbness in my arms and hands, brain fog. Symptoms seem to be persistent and becoming worse as time goes on.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Myalgia, Nausea, Sleep disorder
Clinical narrative: The hours following my vaccination, I had random heart fluttering/palpitations which subsided after the first day. 72 hours after vaccination I had a sudden and rapid onset of chills, sweatiness, achey muscles, and extreme nausea. I proceeded to vomit and was ill/fatigued the entire day. The days following I had extreme fatigue and spells of dizziness. I have also had intermittent  diarrhea, bloating, nausea,  and another episode of vomiting. I had additional episodes of achey muscles, sweating  and feeling chills which disrupted my ability to sleep., menstrual cramps when I am not on my period, swollen lymph nodes in the neck, numbness in my arms and hands, brain fog. Symptoms seem to be persistent and becoming worse as time goes on.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: The hours following my vaccination, I had random heart fluttering/palpitations which subsided after the first day. 72 hours after vaccination I had a sudden and rapid onset of chills, sweatiness, achey muscles, and extreme nausea. I proceeded to vomit and was ill/fatigued the entire day. The days following I had extreme fatigue and spells of dizziness. I have also had intermittent  diarrhea, bloating, nausea,  and another episode of vomiting. I had additional episodes of achey muscles, sweating  and feeling chills which disrupted my ability to sleep., menstrual cramps when I am not on my period, swollen lymph nodes in the neck, numbness in my arms and hands, brain fog. Symptoms seem to be persistent and becoming worse as time goes on.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Computerised tomogram thorax abnormal, Death, General physical health deterioration
Clinical narrative: Janssen (J&J) COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 07/10/2021. Patient started having symptoms on 7/31/2021 and presented to ED on 8/2/2021. Patient received dexamethasone and enoxaparin at outside hospital. Patient rapidly declined eventually requiring mechanical ventilation and was then transfered to ED on 8/5/2021. Patient was diagnosed with bilateral pulmonary embolisms. Patient received dexamethasone, enoxaparin, remdesivir, & ceftriaxone. Hospital course progressed without meaningful recovery of lung function ad patient expired on 8/18/2021.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Mechanical ventilation, Pulmonary embolism, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Janssen (J&J) COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 07/10/2021. Patient started having symptoms on 7/31/2021 and presented to ED on 8/2/2021. Patient received dexamethasone and enoxaparin at outside hospital. Patient rapidly declined eventually requiring mechanical ventilation and was then transfered to ED on 8/5/2021. Patient was diagnosed with bilateral pulmonary embolisms. Patient received dexamethasone, enoxaparin, remdesivir, & ceftriaxone. Hospital course progressed without meaningful recovery of lung function ad patient expired on 8/18/2021.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event occurred. This is a report of a vaccine administration error as she received Moderna at age 17.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dysstasia, Headache, Nausea, Pain
Clinical narrative: 1.) Fever,  2.) Loss of Appetite / Nausea 3.) Headache 4.) Body Aches 5.) Unable to standup
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 1.) Fever,  2.) Loss of Appetite / Nausea 3.) Headache 4.) Body Aches 5.) Unable to standup
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Nausea, Vomiting
Clinical narrative: Patient arrived at observation area around 12:15 pm. Complained of nausea and vomited about 25 ml. Patient later complained of chest pain. Vital signs was initiated by RN in observation area. HR 130, R: 18, BP: 200/120, O2: 99%
Age: 42.0
Sex: M
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient scheduled early for his HPV 2nd dose. No adverse effects just administered early and will need to be repeated. I reviewed the next minimum date he can received the vaccine 9/27/2021 and gave him a print out of the forecast with minimum dates.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Agonal respiration, Angiogram normal, Asymptomatic COVID-19, COVID-19, Chest X-ray abnormal
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 01/14/2021 and 02/09/2021. Pt presented to ED on 8/16/21 with c/o rectal bleeding, hematochezia, onset of the previous night. States she had 5-6 episodes last night of bright red rectal bleeding which has continued into today, including diarrhea. She had an episode of BRBPR in the ED. Patient was diagnosed with Covid on 8/13 but is largely asymptomatic. Patient was on 2L NC in the ED which is the same amount of O2 at home. Diagnostic colonoscopy was attempted twice, however, due to tortuous colon with acute angulations in the sigmoid, scope could not traverse area. IR was consulted, however cont., both CTA abdomen and angiogram were negative for any active bleeds. Surgery was consulted but determined that patient was too high risk for surgery. It was discussed with both IR and GI that if pt has significant bleed again, will consider potential repeat angiogram.  Patient's cough worsened throughout the course of hospitalization and CXR showed worsening opacities and dexamethasone and remdesivir were started. Patient also received vancomycin. Patient also began to display worsening mental status, became minimally responsive with agonal breathing, and difficulty swallowing. Pt status was changed to DNAR/COT and eventually patient's son decided to make patient comfort care. Patient expired on 8/24/21.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen normal, Cough, Death, Diarrhoea, Dysphagia
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 01/14/2021 and 02/09/2021. Pt presented to ED on 8/16/21 with c/o rectal bleeding, hematochezia, onset of the previous night. States she had 5-6 episodes last night of bright red rectal bleeding which has continued into today, including diarrhea. She had an episode of BRBPR in the ED. Patient was diagnosed with Covid on 8/13 but is largely asymptomatic. Patient was on 2L NC in the ED which is the same amount of O2 at home. Diagnostic colonoscopy was attempted twice, however, due to tortuous colon with acute angulations in the sigmoid, scope could not traverse area. IR was consulted, however cont., both CTA abdomen and angiogram were negative for any active bleeds. Surgery was consulted but determined that patient was too high risk for surgery. It was discussed with both IR and GI that if pt has significant bleed again, will consider potential repeat angiogram.  Patient's cough worsened throughout the course of hospitalization and CXR showed worsening opacities and dexamethasone and remdesivir were started. Patient also received vancomycin. Patient also began to display worsening mental status, became minimally responsive with agonal breathing, and difficulty swallowing. Pt status was changed to DNAR/COT and eventually patient's son decided to make patient comfort care. Patient expired on 8/24/21.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematochezia, Mental status changes, Rectal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 01/14/2021 and 02/09/2021. Pt presented to ED on 8/16/21 with c/o rectal bleeding, hematochezia, onset of the previous night. States she had 5-6 episodes last night of bright red rectal bleeding which has continued into today, including diarrhea. She had an episode of BRBPR in the ED. Patient was diagnosed with Covid on 8/13 but is largely asymptomatic. Patient was on 2L NC in the ED which is the same amount of O2 at home. Diagnostic colonoscopy was attempted twice, however, due to tortuous colon with acute angulations in the sigmoid, scope could not traverse area. IR was consulted, however cont., both CTA abdomen and angiogram were negative for any active bleeds. Surgery was consulted but determined that patient was too high risk for surgery. It was discussed with both IR and GI that if pt has significant bleed again, will consider potential repeat angiogram.  Patient's cough worsened throughout the course of hospitalization and CXR showed worsening opacities and dexamethasone and remdesivir were started. Patient also received vancomycin. Patient also began to display worsening mental status, became minimally responsive with agonal breathing, and difficulty swallowing. Pt status was changed to DNAR/COT and eventually patient's son decided to make patient comfort care. Patient expired on 8/24/21.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Arm pain,  increased seizure activity day after, tired, aches, wheezing, headache, feverish
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Arm pain,  increased seizure activity day after, tired, aches, wheezing, headache, feverish
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Cold sweat, Dizziness, Dyspnoea
Clinical narrative: 8:20  before pt had vaccine reported having a migraine earlier in the day, but not feeling sick 97.4 temp 8:22  received vaccine 8:32 reported pressure on chest, harder to breath, but able to walk and talk. Monitored condition of pt 8:40 reported feeling clammy temp 98.6 temp drank 1 ounce of water, seemed to help 8:50  signs of light red rash about size of 1.5 quarters on right side of neck, later a dime size patch on left side. Reported breathing still a little harder than normal, but not worsening. Temp in the 96s (forget decimal point, mid 96s I believe) 8:58 pt and her mother decided that they would drive to an ER and sit outside to make sure pt didn't escalate to anaphylaxis. Pt had crewable benadryl, but didn't want to take yet. 9:03 pt had only made it halfway through the store before feeling much worse. Dizzy, nauseous. 9:06 pt began throwing up.  Medics were called. Medics arrived shortly thereafter. Their thermometer recorded temp of 99, elevated BP Medics drove pt to hospital Called pt today to check condition and get more details, reached voicemail
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Rash, Rash erythematous, Vomiting
Clinical narrative: 8:20  before pt had vaccine reported having a migraine earlier in the day, but not feeling sick 97.4 temp 8:22  received vaccine 8:32 reported pressure on chest, harder to breath, but able to walk and talk. Monitored condition of pt 8:40 reported feeling clammy temp 98.6 temp drank 1 ounce of water, seemed to help 8:50  signs of light red rash about size of 1.5 quarters on right side of neck, later a dime size patch on left side. Reported breathing still a little harder than normal, but not worsening. Temp in the 96s (forget decimal point, mid 96s I believe) 8:58 pt and her mother decided that they would drive to an ER and sit outside to make sure pt didn't escalate to anaphylaxis. Pt had crewable benadryl, but didn't want to take yet. 9:03 pt had only made it halfway through the store before feeling much worse. Dizzy, nauseous. 9:06 pt began throwing up.  Medics were called. Medics arrived shortly thereafter. Their thermometer recorded temp of 99, elevated BP Medics drove pt to hospital Called pt today to check condition and get more details, reached voicemail
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Hypersensitivity
Clinical narrative: about an hour after the shot it swale up very bad, had a bad allergic reaction, had a red mark across  her neck
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Lymphadenopathy
Clinical narrative: soreness at site, chills, headache, tiredness, swollen node in armpit, swollen vein/node in left breast. swollen vein/node in breast active currently 8.30.21
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vein disorder
Clinical narrative: soreness at site, chills, headache, tiredness, swollen node in armpit, swollen vein/node in left breast. swollen vein/node in breast active currently 8.30.21
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Myalgia, Pyrexia, Rhinorrhoea
Clinical narrative: muscle aches, slight fever, scratchy throat, sniffles, cough on 08/10/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: muscle aches, slight fever, scratchy throat, sniffles, cough on 08/10/2021.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Pt developed a rash which lead to shingles  reaction from what the prescriber stated to the patient
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Herpes zoster, Hypertension, Rash
Clinical narrative: Pt developed a rash which lead to shingles  reaction from what the prescriber stated to the patient
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Positive COVID test on 08/29/2021
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope, Tremor, Vomiting
Clinical narrative: patient began sweating profusely, shaking, vomiting and eventually fainted. She was only out a few moments then recovered fully.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: Administration Error - Diluted Incorrectly Patient received Pfizer Vaccine on 8/25/2021 that was inadvertently, serially diluted. Per CDC's interim clinical considerations, advised to be revaccinated ASAP in opposite arm.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site warmth
Clinical narrative: She complained of red and warm arm from her left deltoid down to her elbow, more on the lateral side which lasted for days. She never had a reaction like this from the first two doses in the series. The pharmacist counseled her to take some oral ibuprofen and if it does not help to come to the pharmacy for an anti inflammatory gel. She continue to monitor and take ibuprofen as needed.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: Administration Error - Diluted Incorrectly Patient received Pfizer Vaccine on 8/25/2021 that was inadvertently, serially diluted. Per CDC's interim clinical considerations, advised to be revaccinated ASAP in opposite arm.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Fatigue, Feeling abnormal, Headache, Hyperacusis
Clinical narrative: Pt had vaccine, was monitored x30 minutes, about 1 hour after vaccine pt lost her ability to speak, brain became foggy and she developed a severe H/A. Pt could initially make sounds, then wasn't able to make any sounds. Could still move jaw, mouth, lips, and tongue. Speech returned after 2 hours, brain still somewhat foggy, had to initially concentrate to speak and say words. Can now speak spontaneously. Felt extremely tired and fatigued x2 days. H/A unrseloved by ibuprofen. Still has H/A 2 days later, sensitive to sound. Still feels a little foggy.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Language disorder
Clinical narrative: Pt had vaccine, was monitored x30 minutes, about 1 hour after vaccine pt lost her ability to speak, brain became foggy and she developed a severe H/A. Pt could initially make sounds, then wasn't able to make any sounds. Could still move jaw, mouth, lips, and tongue. Speech returned after 2 hours, brain still somewhat foggy, had to initially concentrate to speak and say words. Can now speak spontaneously. Felt extremely tired and fatigued x2 days. H/A unrseloved by ibuprofen. Still has H/A 2 days later, sensitive to sound. Still feels a little foggy.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Atypical pneumonia, Chest X-ray abnormal, Dyspnoea, Hypoxia, Pneumonia
Clinical narrative: 59 Y/O female, BMI 34.75, with PMHx of Asthma, CAD, GERD, HTN, inflammatory arthritis, tendonitis, admitted with increasing SOB on 8/5/21 and hypoxic at 86% room air. Pt received Regeneron earlier in the day. Pt was started on IV Decadron, inhaled budesonide, remdesivir, and Olumiant, while continuing home medication of Brilinta and ASA. Chest x-ray shows bilateral atypical pneumonia. Pt was discharged home with oxygen on 8/10/21. Pt was then seen in ER several times before transitioning to hospice within 3 days of discharge.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: Administration Error NOT Diluted Patient received Pfizer Vaccine on 8/23/2021 that was not diluted prior to administration. Patient did not experience any untoward effects.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Diarrhoea, Foreign travel, Pyrexia
Clinical narrative: 51 y/o male, BMI 37.7, PMHx of HTN and hypolipidemia, admitted for diarrhea, fever, and generalized weakness on 7/19/21. Pt just returned from 4 weeks stay from traveling and symptoms began the day after he got back. Pt presented with AKI. Pt treated with IV antibiotics and IV fluids. Pt was discharged to home on 7/21/21.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Blood creatine increased, Body temperature increased, Fibrin D dimer increased, Loss of consciousness
Clinical narrative: Pt was out running at clinic this AM when he had a syncopal episode, EMS reported pt had a 104.1; tympanic temp on scene, RLE sharp pain and noted LOC for 30 seconds.  Team members were able to facilitate pt to the ground w/o any other injuries.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Troponin increased
Clinical narrative: Pt was out running at clinic this AM when he had a syncopal episode, EMS reported pt had a 104.1; tympanic temp on scene, RLE sharp pain and noted LOC for 30 seconds.  Team members were able to facilitate pt to the ground w/o any other injuries.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Diarrhoea
Clinical narrative: 93 y/o female, PMHx of HTN, hypothyroidism, and hyperlipidemia is admitted for hypoxia, weakness, diarrhea, and cough due to Covid-19 pneumonia on 7/16/21. Pt was started on Decadron and prophylactic Lovenox. Chest x-ray demonstrates multifocal interstitial and minimal groundglass opacity throughout both lungs. Pt discharged to home on 7/19/21.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Interstitial lung disease, Lung opacity
Clinical narrative: 93 y/o female, PMHx of HTN, hypothyroidism, and hyperlipidemia is admitted for hypoxia, weakness, diarrhea, and cough due to Covid-19 pneumonia on 7/16/21. Pt was started on Decadron and prophylactic Lovenox. Chest x-ray demonstrates multifocal interstitial and minimal groundglass opacity throughout both lungs. Pt discharged to home on 7/19/21.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Balance disorder, Blood test, Dizziness, Iron deficiency
Clinical narrative: Dizziness, Imbalance, slight nausea, Much hair loss
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Headache
Clinical narrative: 66 y/o male with PMHx of DM, gout, Hyperlipidemia, HTN, and kidney stone admitted for SOB due to Covid-19 on 8/7/21 Symptoms also include nonproductive cough, HA, and myalgias. Chest x-ray demonstrates multifocal patchy ground glass and airspace nodular opacities. Treated with supportive care. Pt discharged home on 8/9/21.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Myalgia, Pulmonary mass
Clinical narrative: 66 y/o male with PMHx of DM, gout, Hyperlipidemia, HTN, and kidney stone admitted for SOB due to Covid-19 on 8/7/21 Symptoms also include nonproductive cough, HA, and myalgias. Chest x-ray demonstrates multifocal patchy ground glass and airspace nodular opacities. Treated with supportive care. Pt discharged home on 8/9/21.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Fatigue, Feeling abnormal
Clinical narrative: Within 24 hrs of his first Moderna injection, Andersen developed severe nausea/vomiting with diarrhea which lasted about 6 hrs, fever (almost 102 F), chills, headache, and fatigue.  The vomiting and diarrhea subsided by the next day, but the other symptoms lasted 1 and 1/2 weeks. He said he didn't feel "normal" for about 2 weeks. His arm was sore for a few days.  He had little appetite.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Within 24 hrs of his first Moderna injection, Andersen developed severe nausea/vomiting with diarrhea which lasted about 6 hrs, fever (almost 102 F), chills, headache, and fatigue.  The vomiting and diarrhea subsided by the next day, but the other symptoms lasted 1 and 1/2 weeks. He said he didn't feel "normal" for about 2 weeks. His arm was sore for a few days.  He had little appetite.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Endotracheal intubation, Myocardial infarction, Pneumonia, Stent placement
Clinical narrative: Patient was taken to the Hospital via ambulance on April 6, 2021.  He was too weak to let to go by and requested an ambulance.  Later that night they took him to facility where there is a Cardio Lab.  While there he had a myocardial infarction and was intubated for  a week.  He was also diagnosed with pneumonia.  They inserted stents within the week while  intubated.  After he came to,   they  had him sent back to Hospital..
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: rash, hives. popping up every day since 2 days after shot. Its been 8 days and i'm still getting these hives popping up and itching each day.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Hypoaesthesia, Neuralgia, Spinal X-ray
Clinical narrative: The evening of the first shot- mild to moderate lower back and sciatic nerve pain. The evening of the second shot- severe lower back and sciatic pain with numbness wrapping around left leg.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Laboratory test abnormal, Nephrolithiasis, Pain, Renal impairment
Clinical narrative: Multiple large bilateral kidney stones requiring surgical removal; pain began on date reported (on 2nd day after 2nd vaccine)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Renal stone removal
Clinical narrative: Multiple large bilateral kidney stones requiring surgical removal; pain began on date reported (on 2nd day after 2nd vaccine)
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: PATIENT CAME IN TO RECEIVE HER 2ND DOSE OF COVID 19 VACCINE PFIZER. SHE HAD RECEIVED HER FIRST PFIZER DOSE AT THIS LOCATION ON 8/7/2021. UPON PROCESSING THE VAR FORM WE DISCOVERED THAT THE PATIENT ALREADY RECEIVED THE COVID 19 VACCINE JANSSEN  ON 4/12/2021. WE INFORMED THE PATIENT THAT WE WOULD NOT BE ABLE TO PROVIDE HER A 2ND DOSE OF PFIZER AT THIS TIME BECAUSE SHE HAD COMPLETED THE JANSSEN SERIES AND RECEIVED 1 DOSE OF THE PFIZER VACCINE ALREADY. NO ADVERSE EVENT REPORTED
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal X-ray, Blood test, Confusional state, Coordination abnormal, Dysarthria
Clinical narrative: Patient describes experiencing intense hallucinations and confusion to the severity that he was hospitalized.  Incoherent speech, and repetitious speech. Muscle coordination difficulty (could not button a shirt or tie shoe laces). Got lost while tring to get home at night. Patient states he felt that he was temporally insane.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Fine motor skill dysfunction, Hallucination, Laboratory test, Lumbar puncture, Memory impairment
Clinical narrative: Patient describes experiencing intense hallucinations and confusion to the severity that he was hospitalized.  Incoherent speech, and repetitious speech. Muscle coordination difficulty (could not button a shirt or tie shoe laces). Got lost while tring to get home at night. Patient states he felt that he was temporally insane.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Repetitive speech
Clinical narrative: Patient describes experiencing intense hallucinations and confusion to the severity that he was hospitalized.  Incoherent speech, and repetitious speech. Muscle coordination difficulty (could not button a shirt or tie shoe laces). Got lost while tring to get home at night. Patient states he felt that he was temporally insane.
Age: 63.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Large raised, red area at site of injection.  Area had fever and was very sore
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia oral, Symptom recurrence, Vaccination complication
Clinical narrative: Experience numbness in left lower lip 2 hours after shot received.  Numbness was transient and lasted about 2 minutes.  Event recurred 4 times on 8/6/21 and increased episodes to total of 12 times per day.  AS of 08/09/21 left thumb and fingers also going numb as well as lips, still transient.  After 14 days events ceased for 4 days then numbness in mouth area and left hand recurred, is still transient and occurrences have not ceased since.  Occurrences number 6 to 8 times per day, sometimes accompanied by slight dizziness.  Primary Physician saw and tested in office for neurological problems, found none and agreed that events were probably vaccine related.  I have not taken 2nd shoot and probably will not do so at this time.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood glucose increased, Blood thyroid stimulating hormone increased, Haemorrhagic ovarian cyst, Hyperhidrosis
Clinical narrative: Unbearable stomach pain Uncontrollable sweating Throwing up  Went to ER two days in a row, continued to get worse, was admitted for a week.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Unbearable stomach pain Uncontrollable sweating Throwing up  Went to ER two days in a row, continued to get worse, was admitted for a week.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: Site of shot was red raised and itchy right after shot then for 3 days. That part went away then came back yesterday. Along with fever, chills, nausea, diarrhea, headache, neck pain, dizziness, and fatigue.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Nausea, Neck pain, Pyrexia
Clinical narrative: Site of shot was red raised and itchy right after shot then for 3 days. That part went away then came back yesterday. Along with fever, chills, nausea, diarrhea, headache, neck pain, dizziness, and fatigue.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: The next day I came down with a fever. I had aches and chills, I had a headache as well
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: None stated.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Blood test normal, Cerebral venous sinus thrombosis, Computerised tomogram normal
Clinical narrative: Started to feel not like myself in May around the 10th, very tired and weak. Around June 15th I started having bad pressure in my head and ears,  a June 26th I woke up with neck/shoulder pain that went down my right arm.. I was checked out at a urgent care June 28th around 11am. I was given muscle relaxers and a steroid for the neck/shoulder pain. The head pressure and ?swishing? noise that went with my heart beat in my ears, got very intense and I had horrible painful headaches. July 3rd I was seeing double vision, I went to a Mac center that night and was checked out there. They said all my testing came back normal and sent me home, and told me to follow up with my primary if my vision didn?t get better. July 5th I went to my primary since my vision wasn?t normal. I was ordered to get an MRI and see an ophthalmologist. I saw an ophthalmologist a few days later who told me my optic nerves were very swollen and that meant I had inner cranial pressure.. I got in with a neurologist July 8th who wanted more tests done before he diagnosed me?. Later on July 8th my symptoms got worse, I Brain. I am diagnosed with CVST