chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Chills, Diarrhoea, Dyspnoea, Dyspnoea exertional
Clinical narrative: a 56 y.o. female with a history of nausea, vomiting, diarrhea. Started getting sick about 4 days ago, tested + for COVID then. Started getting short of breath a couple days ago related to above, worse with exertion, nothing makes it better. Fever and chills with this. To ED, has PE on CVA."   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Pulmonary embolism associated with COVID-19 o Pulmonary embolism associated with covid-19 virus. Continue to monitor on telemetry. Echocardiogram showed no right heart strain. Treated initially with IV heparin drip transitioned to PO Eliquis with continued improvement. Continue to monitor closely. Discharged home on oral anticoagulation to follow up outpatient with primary care provider. o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Continue Remdesivir D3/5. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Patient was Weaned off oxygen to RA. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Followed up daily lab. Home oxygen to use as needed. o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. Advance diet to a diabetic. A1c ordered. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Malaise, Nausea, Pulmonary embolism, Pyrexia
Clinical narrative: a 56 y.o. female with a history of nausea, vomiting, diarrhea. Started getting sick about 4 days ago, tested + for COVID then. Started getting short of breath a couple days ago related to above, worse with exertion, nothing makes it better. Fever and chills with this. To ED, has PE on CVA."   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Pulmonary embolism associated with COVID-19 o Pulmonary embolism associated with covid-19 virus. Continue to monitor on telemetry. Echocardiogram showed no right heart strain. Treated initially with IV heparin drip transitioned to PO Eliquis with continued improvement. Continue to monitor closely. Discharged home on oral anticoagulation to follow up outpatient with primary care provider. o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Continue Remdesivir D3/5. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Patient was Weaned off oxygen to RA. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Followed up daily lab. Home oxygen to use as needed. o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. Advance diet to a diabetic. A1c ordered. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: a 56 y.o. female with a history of nausea, vomiting, diarrhea. Started getting sick about 4 days ago, tested + for COVID then. Started getting short of breath a couple days ago related to above, worse with exertion, nothing makes it better. Fever and chills with this. To ED, has PE on CVA."   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Pulmonary embolism associated with COVID-19 o Pulmonary embolism associated with covid-19 virus. Continue to monitor on telemetry. Echocardiogram showed no right heart strain. Treated initially with IV heparin drip transitioned to PO Eliquis with continued improvement. Continue to monitor closely. Discharged home on oral anticoagulation to follow up outpatient with primary care provider. o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Continue Remdesivir D3/5. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Patient was Weaned off oxygen to RA. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Followed up daily lab. Home oxygen to use as needed. o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. Advance diet to a diabetic. A1c ordered. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Echocardiogram abnormal, Electrocardiogram abnormal, Palpitations, Supraventricular tachycardia
Clinical narrative: On last summer heart started racing to 177. I went to urgent care from there went to ER. I was admitted got  a shot to bring my heart rate down. I was discharged and referred to Cardiologist. The Cardiologist prescribed three medications for A fib. My doctor stated I don't have Afib took me off the medications that I got SVT. I'm scheduled for a ablation on next week. I do have cancer in my family no history of heart problems.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eye disorder, Uveitis
Clinical narrative: Uveitis, which had been dormant for 4 years returned. Permanent scarring to my eye has been done.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Inflammation, Injection site pain, Magnetic resonance imaging, Pain, Ultrasound scan abnormal
Clinical narrative: The patient had severe pain at the time of the injection. The pain persisted for a significant period of time. Slowly, the pain has improved but it has never gone away. The patient has had an ultrasound which showed some inflammation possibly around the bursa. An MRI was recommended if the pain persisted. MRI was performed yesterday but the results are pending.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.  COVID infection breakthrough
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Electrocardiogram ambulatory, Ventricular extrasystoles
Clinical narrative: Ongoing PVCs continuous ongoing all day every day 10 days after booster since 11/11/2021 .  Have been trying beta blockers which have helped cut down by half.  Very disturbing.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest X-ray abnormal, Compression fracture, Computerised tomogram, Fatigue
Clinical narrative: I experienced issues with my blood pressure and blood sugars. At first I didn't check it, I noticed some time during the day I would get really tired and sometimes fall asleep. I was very active prior to the vaccination.  I was taking care of my husband at the time so I did not immediately see a doctor. I would lye down and rest and just take Tylenol. I also experienced right shoulder pain as well. The doctor ordered me Meloxicam on 11-24-2021. She did a chest x-ray and a CT Scan. The doctor thought that the arm pain was triggered from my back. The chest x-ray said I had compression fractures but the CT scan said I had no compressions. After taking the medication for a month, it did not do anything. This continued until I had my booster vaccine January 05 of 2022 (Pfizer Booster-fj1614). After receiving the booster dose, my symptoms became worse. That night after my booster, my left arm had sever pain and I was unable to use it. I had the pain for 2 days where I was unable to use my arm period. I had a arm brace that I wore which kinda helped and then after 2 days the pain went away. I was ashamed to tell the doctor because it did sound crazy. Within days, it started in my right upper arm but was not in the joint. I was in the area where you get a shot and ran down to my elbow. It would get a little bit better and then it moved to my hips in the groin area. Then it started in my left ankle. I thought that I would need to use a cane. I then got it in my left upper arm so I went to see an orthopedic doctor on 2-22-2022. They completed a chest x-ray.  The provider indicated that he did believe it was related to the booster. He indicated that he could give a cortisone shot or a steroid pack. He would not provide NSAIDS. I just started the steroid pack yesterday. I have 5 days of treatment remaining. I am returning to the provider in 4 weeks for follow up. Today seems to be pretty good, I am not having the pain like normal. I am experiencing pain in my right upper arm.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Groin pain, Mobility decreased, Pain, Pain in extremity, Somnolence
Clinical narrative: I experienced issues with my blood pressure and blood sugars. At first I didn't check it, I noticed some time during the day I would get really tired and sometimes fall asleep. I was very active prior to the vaccination.  I was taking care of my husband at the time so I did not immediately see a doctor. I would lye down and rest and just take Tylenol. I also experienced right shoulder pain as well. The doctor ordered me Meloxicam on 11-24-2021. She did a chest x-ray and a CT Scan. The doctor thought that the arm pain was triggered from my back. The chest x-ray said I had compression fractures but the CT scan said I had no compressions. After taking the medication for a month, it did not do anything. This continued until I had my booster vaccine January 05 of 2022 (Pfizer Booster-fj1614). After receiving the booster dose, my symptoms became worse. That night after my booster, my left arm had sever pain and I was unable to use it. I had the pain for 2 days where I was unable to use my arm period. I had a arm brace that I wore which kinda helped and then after 2 days the pain went away. I was ashamed to tell the doctor because it did sound crazy. Within days, it started in my right upper arm but was not in the joint. I was in the area where you get a shot and ran down to my elbow. It would get a little bit better and then it moved to my hips in the groin area. Then it started in my left ankle. I thought that I would need to use a cane. I then got it in my left upper arm so I went to see an orthopedic doctor on 2-22-2022. They completed a chest x-ray.  The provider indicated that he did believe it was related to the booster. He indicated that he could give a cortisone shot or a steroid pack. He would not provide NSAIDS. I just started the steroid pack yesterday. I have 5 days of treatment remaining. I am returning to the provider in 4 weeks for follow up. Today seems to be pretty good, I am not having the pain like normal. I am experiencing pain in my right upper arm.
Age: 70.0
Sex: M
Vaccine: TYP
Symptoms: Fatigue, Nausea, Pyrexia
Clinical narrative: Nausea, fever, and fatigue
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Day after vaccine - fever 100.9, chills, body aches, fatigue, headache.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Immunoglobulin therapy
Clinical narrative: Chest pain, worsening over 2 - 3 days after his booster dose. Presented to ED, found to have elevated troponins. Admitted to the cardiology service.  Troponin peaked on 2/21/22. IVIG given on 2/21/22, and troponins have fallen since. Chest pain resolving. Hemodynamically stable with normal cardiac function by echo and cardiac MRI throughout observation in hospital.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: Chest pain, worsening over 2 - 3 days after his booster dose. Presented to ED, found to have elevated troponins. Admitted to the cardiology service.  Troponin peaked on 2/21/22. IVIG given on 2/21/22, and troponins have fallen since. Chest pain resolving. Hemodynamically stable with normal cardiac function by echo and cardiac MRI throughout observation in hospital.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Gait disturbance, Gout, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: My foot started hurting and my toe became stiff. My foot started swelling days after receiving the vaccine. By the third or fourth day after vaccination, I couldn't walk. I called my daughter who came and took me to urgent care. They didn't run a blood test and referred me to my endocrinologist. My endocrinologist performed bloodwork and determined I developed a buildup of gout in my foot; the doctor prescribed me colchicine and allopurinol to help with the gout infection. I still have some random flare ups but not as often since then, but I still have my medicine for when the flare ups occur. I'm now on a customized diet to help prevent the flare ups.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: My foot started hurting and my toe became stiff. My foot started swelling days after receiving the vaccine. By the third or fourth day after vaccination, I couldn't walk. I called my daughter who came and took me to urgent care. They didn't run a blood test and referred me to my endocrinologist. My endocrinologist performed bloodwork and determined I developed a buildup of gout in my foot; the doctor prescribed me colchicine and allopurinol to help with the gout infection. I still have some random flare ups but not as often since then, but I still have my medicine for when the flare ups occur. I'm now on a customized diet to help prevent the flare ups.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Histamine intolerance, Nausea, Tinnitus
Clinical narrative: Starting with the night of the vaccination for a full 7 days I had a terrible roaring in my ear. the noise was coming outward from in my ears, I was very dizzy and needed help to go to the bathroom and outside. i was very nauseous and lost 5 lbs. this all lasted 5-7 days. day 8 the side effects subsided but the roaring in the ears comes back 1 every 10 days as opposed to 10 -12 times a day for 1/2 hour. I have a sensitive immune system in the past my entire life I've had allergies and needed steroid and epi pen. when I've had vaccine in the past or been sick sometimes it takes my immune system to calm down a little bit. and this happened a little bit after the 2nd dose. but after the 3rd dose I've had the hives and we haven't figured out what caused it. I'm unable to tolerate anything with histamine or I get red welts and hives, things like oranges.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Weight decreased
Clinical narrative: Starting with the night of the vaccination for a full 7 days I had a terrible roaring in my ear. the noise was coming outward from in my ears, I was very dizzy and needed help to go to the bathroom and outside. i was very nauseous and lost 5 lbs. this all lasted 5-7 days. day 8 the side effects subsided but the roaring in the ears comes back 1 every 10 days as opposed to 10 -12 times a day for 1/2 hour. I have a sensitive immune system in the past my entire life I've had allergies and needed steroid and epi pen. when I've had vaccine in the past or been sick sometimes it takes my immune system to calm down a little bit. and this happened a little bit after the 2nd dose. but after the 3rd dose I've had the hives and we haven't figured out what caused it. I'm unable to tolerate anything with histamine or I get red welts and hives, things like oranges.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Immune thrombocytopenia, Maternal exposure before pregnancy, Platelet count decreased
Clinical narrative: ITP (immune thrombocytopenia). Patient had normal plt 175 in March 2021 (while pregnant) She had doses #1 and #2 of Pfizer Covid vaccine administered after pregnancy  (July 3 and July 24, 2021). On routine labs in January plt was 58-70. She received her Covid booster and two days later it was 18.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Hypersensitivity, Pruritus, Urticaria
Clinical narrative: Starting 11/23/2021, I ended up getting an allergic reaction all over my body. I had hives and was extremely itchy from head to toe. I was away at the time. So, I saw my PCP a week after, and had bloodwork done and was prescribed Prednisone. My bloodwork came back with high levels of something, but unsure what it was. So, I was sent to see a rheumatologist on 12/23/2021, and he indicated I had no signs of an autoimmune disease. Then, referred me to a dermatologist, and when I saw him, they diagnosed me with hives and referred me to an allergist. I saw the allergist and he felt likely it was the booster vaccine, but not 100% sure. I am currently taking a high level of antihistamines, and am still having intermittent bouts of hives.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Inflammation, Influenza like illness
Clinical narrative: After second vaccine  El3246 developed flu like symptoms lasting up to 3 hrs this re occurred every 3 days  continuously for  9 months. Symptoms were headache, nausea, chills, joint pain . Stomach distress diagnosed with gastritis relieved by PPI . Booster vaccine iFH8030 11/20/21 3 hrs post injection severe left knee pain lasting 12 hrs. Followed by random joint pains in hands, back, neck. Flu like symptoms again tested  PCR negative  x 3 . I am a health care RN wearing a KN 95 12hrs.. a day. Basically I have not felt well since second vaccine . Currently experiencing daily chills, sometimes sneezing, lung pain and cough, no temperature  elevation ever.  I never know if I am experiencing  a new viral exposure daily-then symptoms dissipate after several hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oesophagogastroduodenoscopy, Pain in extremity, Pulmonary pain, SARS-CoV-2 test negative
Clinical narrative: After second vaccine  El3246 developed flu like symptoms lasting up to 3 hrs this re occurred every 3 days  continuously for  9 months. Symptoms were headache, nausea, chills, joint pain . Stomach distress diagnosed with gastritis relieved by PPI . Booster vaccine iFH8030 11/20/21 3 hrs post injection severe left knee pain lasting 12 hrs. Followed by random joint pains in hands, back, neck. Flu like symptoms again tested  PCR negative  x 3 . I am a health care RN wearing a KN 95 12hrs.. a day. Basically I have not felt well since second vaccine . Currently experiencing daily chills, sometimes sneezing, lung pain and cough, no temperature  elevation ever.  I never know if I am experiencing  a new viral exposure daily-then symptoms dissipate after several hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: After second vaccine  El3246 developed flu like symptoms lasting up to 3 hrs this re occurred every 3 days  continuously for  9 months. Symptoms were headache, nausea, chills, joint pain . Stomach distress diagnosed with gastritis relieved by PPI . Booster vaccine iFH8030 11/20/21 3 hrs post injection severe left knee pain lasting 12 hrs. Followed by random joint pains in hands, back, neck. Flu like symptoms again tested  PCR negative  x 3 . I am a health care RN wearing a KN 95 12hrs.. a day. Basically I have not felt well since second vaccine . Currently experiencing daily chills, sometimes sneezing, lung pain and cough, no temperature  elevation ever.  I never know if I am experiencing  a new viral exposure daily-then symptoms dissipate after several hours.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: was given an expired dose
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: CMA neglected to use the diluent to mix COVID vaccine (5-11yrs) and administered the vaccine to the PT. When I was aware of the situation, informed Dr. (Privacy). She wanted me to contact Pfizer for risks and recommendation to the PT. Pfizer stated there is a greater chance of the PT having Local & Systemic reactions. Pfizer said the contact CDC for further recommendation. CDC agreed with Pfizer but wanted the Incident reported to VAERS. Dr (Privacy) spoke with the patient's father to inform him of the situation and see if the patient was experiencing any symptoms. Father stated child went to school and feeling fine. Dr (Privacy) explained signs & symptoms to watch out for.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patient called 02/24 reporting injection site is warm and red and swollen, she stated that is feverish.  I recommended that she reach out to her primary care doctor or go to the local urgent care as it could be an infection or immune reaction.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nasal congestion, Pain
Clinical narrative: Day after vaccine - fever 100.5 to 101.8, fatigue, stuffy nose, headache, chills, body aches
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Day after vaccine - fever 100.5 to 101.8, fatigue, stuffy nose, headache, chills, body aches
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Moderna x 3 doses. Tested positive for Covid 19 on 02/04/2022. Admitted to Medical Center on 02/08/0222. Expired on 02/23/2022 while still hospitalized.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia areata
Clinical narrative: Alopecia areata affected scalp and beard
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: CMA neglected to use the diluent to mix COVID vaccine (5-11yrs) and administered the vaccine to the PT. When I was aware of the situation, informed Dr. She wanted me to contact Pfizer for risks and recommendation to the PT. Pfizer stated there is a greater chance of the PT having Local & Systemic reactions. Pfizer said the contact CDC for further recommendation. CBC agreed with Pfizer but wanted the Incident reported to VAERS. Dr spoke with Patient's father to inform him of the situation and see if Patient was experiencing any symptoms. Father stated child went to school and feeling fine. Dr  explained signs & symptoms to watch out for.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Patient reported joint, knee and shoulder pain that is still ongoing as of 02/24/2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anaemia, Anticoagulant therapy, Atrial fibrillation, COVID-19
Clinical narrative: Principal Dx/ Final Dx: Acute hypoxemic respiratory failure due to COVID-19   Relevant Inpt Dx: Principal Problem:   Acute hypoxemic respiratory failure due to COVID-19 Active Problems:   HTN (hypertension)   Anemia   End stage renal disease on dialysis   PAF (paroxysmal atrial fibrillation)       HPI:   Hospital Course:   patient was admitted with anemia.  Was seen by GI.  She did not require endoscopy during this admission.     She has esrd and was seen by nephrology for dialysis   She also was seen by cardiology about anticoagulation and PAF.     She has chronic hypoxic respiratory failure and was on oxygen at home.    She had covid in January.  She had worsening of her oxygenation during this stay and was seen by pulmonary.  She progressed to bipap.  CT chest did not show PE.  She continued to struggle with her breathing.  She had decided on DNR status previously and she decided to pursue comfort care.  She expired at  1847
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Condition aggravated, Death, Dialysis, Dyspnoea
Clinical narrative: Principal Dx/ Final Dx: Acute hypoxemic respiratory failure due to COVID-19   Relevant Inpt Dx: Principal Problem:   Acute hypoxemic respiratory failure due to COVID-19 Active Problems:   HTN (hypertension)   Anemia   End stage renal disease on dialysis   PAF (paroxysmal atrial fibrillation)       HPI:   Hospital Course:   patient was admitted with anemia.  Was seen by GI.  She did not require endoscopy during this admission.     She has esrd and was seen by nephrology for dialysis   She also was seen by cardiology about anticoagulation and PAF.     She has chronic hypoxic respiratory failure and was on oxygen at home.    She had covid in January.  She had worsening of her oxygenation during this stay and was seen by pulmonary.  She progressed to bipap.  CT chest did not show PE.  She continued to struggle with her breathing.  She had decided on DNR status previously and she decided to pursue comfort care.  She expired at  1847
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: End stage renal disease, Hypertension, Oxygen saturation decreased, Positive airway pressure therapy, Respiratory failure
Clinical narrative: Principal Dx/ Final Dx: Acute hypoxemic respiratory failure due to COVID-19   Relevant Inpt Dx: Principal Problem:   Acute hypoxemic respiratory failure due to COVID-19 Active Problems:   HTN (hypertension)   Anemia   End stage renal disease on dialysis   PAF (paroxysmal atrial fibrillation)       HPI:   Hospital Course:   patient was admitted with anemia.  Was seen by GI.  She did not require endoscopy during this admission.     She has esrd and was seen by nephrology for dialysis   She also was seen by cardiology about anticoagulation and PAF.     She has chronic hypoxic respiratory failure and was on oxygen at home.    She had covid in January.  She had worsening of her oxygenation during this stay and was seen by pulmonary.  She progressed to bipap.  CT chest did not show PE.  She continued to struggle with her breathing.  She had decided on DNR status previously and she decided to pursue comfort care.  She expired at  1847
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: client was administered vaccine one day passed expiration date
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated patient admitted to hospital, tested positive for COVID-19.
Age: 7.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Headache, Vomiting
Clinical narrative: Major headache, joint aches, puking
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Caesarean section, Exposure during pregnancy
Clinical narrative: Fully vaccinated and boosted. Asymptomatic COVID infection prior to admit for planned csection of full term baby. Baby girl,   Born (Privacy) at 39 w gestation   8#11 oz. Babys MD (Privacy), MD   Moms MD (Privacy), MD
Age: 63.0
Sex: U
Vaccine: COVID19
Symptoms: Discomfort, Hormone level abnormal, Impaired work ability, Lymphadenopathy, Pain
Clinical narrative: The day after the vaccine, I experienced a swollen lymph node. It was very painful and I had to take off work for 2 weeks. I went to the doctor and he stated it was a swollen lymph node which states it was from the vaccine. The doctor stated to delay getting the booster.  I was very scared and it was very uncomfortable. To this day, I still have symptoms. I still encounter some swelling and pain that comes and goes. I have to message that area to help relieve some pain. I am transgender and now my hormone levels are abnormal.
Age: 63.0
Sex: U
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: The day after the vaccine, I experienced a swollen lymph node. It was very painful and I had to take off work for 2 weeks. I went to the doctor and he stated it was a swollen lymph node which states it was from the vaccine. The doctor stated to delay getting the booster.  I was very scared and it was very uncomfortable. To this day, I still have symptoms. I still encounter some swelling and pain that comes and goes. I have to message that area to help relieve some pain. I am transgender and now my hormone levels are abnormal.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Discomfort, Dyspnoea exertional, Headache, Nocturnal dyspnoea
Clinical narrative: Follow Up of Chest pain (chief complaint). Description: The patient presents with a complaint of Follow Up of Chest pain. The symptoms began 2 weeks ago. The problem occurs intermittently. It generally lasts a variable amount of time. The symptoms have improved. The pain is in the substernal area. The patient describes the pain as pressure, stinging, jolting. It radiates to the left arm. Relevant history for this patient excludes tobacco use. Interventions the patient has tried have not provided any relief. The Follow Up of Chest pain is associated with dyspnea on exertion, headache, nocturnal dyspnea and tachycardia. The patient denies any dependent edema, dysphagia, generalized weakness or nocturia. Additional information: Of note chest pain started after first Covid vaccine 1/21 and got second 2/11 and worsened. States is slightly improved since start but is still present. Has been anxious throughout college but has never felt this before.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Tachycardia
Clinical narrative: Follow Up of Chest pain (chief complaint). Description: The patient presents with a complaint of Follow Up of Chest pain. The symptoms began 2 weeks ago. The problem occurs intermittently. It generally lasts a variable amount of time. The symptoms have improved. The pain is in the substernal area. The patient describes the pain as pressure, stinging, jolting. It radiates to the left arm. Relevant history for this patient excludes tobacco use. Interventions the patient has tried have not provided any relief. The Follow Up of Chest pain is associated with dyspnea on exertion, headache, nocturnal dyspnea and tachycardia. The patient denies any dependent edema, dysphagia, generalized weakness or nocturia. Additional information: Of note chest pain started after first Covid vaccine 1/21 and got second 2/11 and worsened. States is slightly improved since start but is still present. Has been anxious throughout college but has never felt this before.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Angiogram normal, Cerebral haemorrhage, Computerised tomogram head abnormal, Electrocardiogram
Clinical narrative: Sudden onset of numbness to left face, left upper extremity, left lower extremity, with weakness in the left upper and left lower extremity. He presented to the emergency department and a code Nuro was initiated. I received a phone call from the radiologist stating that he has a significant 3.2 x 2.1 x 1.6cm brain hemorrhage on his non-contrast CT brain. A CT angiogram of his head and neck showed no evidence of aneurysm or other vascular lesion to account for the hemorrhage. It was a right thalamic hemorrhage.  He was admitted to the hospital for further neurologic monitoring for expanding hemorrhage and to get follow up MRI exam. He will also likly need physical therapy/occupational therapy.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Muscular weakness, Thalamus haemorrhage
Clinical narrative: Sudden onset of numbness to left face, left upper extremity, left lower extremity, with weakness in the left upper and left lower extremity. He presented to the emergency department and a code Nuro was initiated. I received a phone call from the radiologist stating that he has a significant 3.2 x 2.1 x 1.6cm brain hemorrhage on his non-contrast CT brain. A CT angiogram of his head and neck showed no evidence of aneurysm or other vascular lesion to account for the hemorrhage. It was a right thalamic hemorrhage.  He was admitted to the hospital for further neurologic monitoring for expanding hemorrhage and to get follow up MRI exam. He will also likly need physical therapy/occupational therapy.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal stiffness
Clinical narrative: I had pain and stiffness in my right elbow. These symptoms is still ongoing as of today. I got a doctor appointment to see what is going on with my elbow.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Headache, Pyrexia, SARS-CoV-2 test
Clinical narrative: I came into contact with someone who was Covid-19 positive on 11/17/2021. Two- Three days later I had a headache, fever, teeth pain, and fatigue. I took my temperature and it was 100.5. I took Tylenol to bring my fever down. I received the Monoclonal antibody infusion. My symptoms lasted about a week.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: I came into contact with someone who was Covid-19 positive on 11/17/2021. Two- Three days later I had a headache, fever, teeth pain, and fatigue. I took my temperature and it was 100.5. I took Tylenol to bring my fever down. I received the Monoclonal antibody infusion. My symptoms lasted about a week.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient facility and tested positive for covid
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: MenA lyophilized conjugate vaccines component(vial 2) mixed with sterile diluent and given to patient.    Men CYW-135 liquid conjugate vaccine component(vial 1) not given.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: MD Called 1/25/22, medication error Adult Pfizer Dose given to patient Inform guardian/father of medication error Patient is doing well, NAD Patient monitored for at least 30 minutes Called, spoke to (privacy), refer to CDC   Appt scheduled the next day to follow up with Pediatrician.  Precaution Advised
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough of COVID after all 3 doses of the vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin reaction, Skin warm, Swelling
Clinical narrative: red,  swollen , itchy, hot to the touch I was treated with prednisone  symptoms subsided by the forth day of treatment
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Impaired work ability, Myalgia, Pain
Clinical narrative: 14 hours after started having bodie aches,headache sore mucles  had to leave work slept 4 hours after waking up got extreme cold chills and then fever set in. Spiking at 102.4. went to bed at830pm got up at 400am,still sore bodie aches Could not go to work today.By 1100am feeling better.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 14 hours after started having bodie aches,headache sore mucles  had to leave work slept 4 hours after waking up got extreme cold chills and then fever set in. Spiking at 102.4. went to bed at830pm got up at 400am,still sore bodie aches Could not go to work today.By 1100am feeling better.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Condition aggravated, Electroencephalogram, Seizure
Clinical narrative: Patient with known seizure disorder but has been seizure free for almost 18 months, had seizure on 2/22/21, 12 days after immunizations.  Parent now realized that he also had seizures following other vaccinations.  Had seizure within 2 weeks of varivax #1 in Feb 2019 and Pentacel #4 was given 4/5/19 and had seizure on 4/24/19.  Mom did not correlate seizures at the time in 2019 so was not mentioned then.   No seizures until 9/11/2018 and first 3 Pentacel vaccines were given 3/5/18, 5/8/18 and 8/6/18. Seizure on 2/22/21 was typical for him, needed diastat to stop seizure at 4.5 minutes.  No other intervention needed and patient has been back to his baseline since.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was given 1 day passed expiration
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Dry skin, Gait disturbance, Hypersomnia
Clinical narrative: STARTED WITH LOW GRADE FEVER, CHILLS SORE ARM, PROGRESSED TO ACHINESS IN ALL JOINTS AND STIFF NECK, PAINFUL TO WALK.  APPLIED HEAT TO NECK  AND TOOK BOTH EXTRA STRENGTH TYLENOL AND MELOXICAM.  SLEPT ALL DAY , FELT BETTER IN THE EVENING ARM STILL VERY SORE AND TENDER AND STILL ACHY, FEVER GONE.  EARLY  WED AM STARTED ITCHING ON LEFT ARM AND BUTTOCKS, AT FIRST THOUGHT IT WAS JUST DRY SKIN.  BY LATE AFTERNOON/EVENING HAD HIVES OVER TRUNK OF BODY STARTING ON BACKSIDE OF BOTH ARMS, TO SIDES AND BACK OF TRUNK AND THEN LEGS, IN MY NOSE, EARS, SCALP  AND INTENSLY ON UPPER THIGH AND LOWER LEGS .  I TOOK BENADRYL 2X 25MG, FAMOTIDINE 40MG,  CETERIZINE 10MG.  IAM A PHARMACIST AND ALSO THE PATIENT.  I  SELF MEDICATED OVERNIGHT SO I COULD COME TO WORK TODAY.  I AM LEAVING  WORK EARLY  TO GO TO  URGENT CARE FOR A STEROID BECAUSE AS THE BENADRYL  DISSIPATES, THE HIVES COME BACK INTENSELY
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal stiffness, Pain, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: STARTED WITH LOW GRADE FEVER, CHILLS SORE ARM, PROGRESSED TO ACHINESS IN ALL JOINTS AND STIFF NECK, PAINFUL TO WALK.  APPLIED HEAT TO NECK  AND TOOK BOTH EXTRA STRENGTH TYLENOL AND MELOXICAM.  SLEPT ALL DAY , FELT BETTER IN THE EVENING ARM STILL VERY SORE AND TENDER AND STILL ACHY, FEVER GONE.  EARLY  WED AM STARTED ITCHING ON LEFT ARM AND BUTTOCKS, AT FIRST THOUGHT IT WAS JUST DRY SKIN.  BY LATE AFTERNOON/EVENING HAD HIVES OVER TRUNK OF BODY STARTING ON BACKSIDE OF BOTH ARMS, TO SIDES AND BACK OF TRUNK AND THEN LEGS, IN MY NOSE, EARS, SCALP  AND INTENSLY ON UPPER THIGH AND LOWER LEGS .  I TOOK BENADRYL 2X 25MG, FAMOTIDINE 40MG,  CETERIZINE 10MG.  IAM A PHARMACIST AND ALSO THE PATIENT.  I  SELF MEDICATED OVERNIGHT SO I COULD COME TO WORK TODAY.  I AM LEAVING  WORK EARLY  TO GO TO  URGENT CARE FOR A STEROID BECAUSE AS THE BENADRYL  DISSIPATES, THE HIVES COME BACK INTENSELY
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness, Urticaria
Clinical narrative: STARTED WITH LOW GRADE FEVER, CHILLS SORE ARM, PROGRESSED TO ACHINESS IN ALL JOINTS AND STIFF NECK, PAINFUL TO WALK.  APPLIED HEAT TO NECK  AND TOOK BOTH EXTRA STRENGTH TYLENOL AND MELOXICAM.  SLEPT ALL DAY , FELT BETTER IN THE EVENING ARM STILL VERY SORE AND TENDER AND STILL ACHY, FEVER GONE.  EARLY  WED AM STARTED ITCHING ON LEFT ARM AND BUTTOCKS, AT FIRST THOUGHT IT WAS JUST DRY SKIN.  BY LATE AFTERNOON/EVENING HAD HIVES OVER TRUNK OF BODY STARTING ON BACKSIDE OF BOTH ARMS, TO SIDES AND BACK OF TRUNK AND THEN LEGS, IN MY NOSE, EARS, SCALP  AND INTENSLY ON UPPER THIGH AND LOWER LEGS .  I TOOK BENADRYL 2X 25MG, FAMOTIDINE 40MG,  CETERIZINE 10MG.  IAM A PHARMACIST AND ALSO THE PATIENT.  I  SELF MEDICATED OVERNIGHT SO I COULD COME TO WORK TODAY.  I AM LEAVING  WORK EARLY  TO GO TO  URGENT CARE FOR A STEROID BECAUSE AS THE BENADRYL  DISSIPATES, THE HIVES COME BACK INTENSELY
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine administered to a client aged 16.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given one day past expiration date.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 18.0
Sex: F
Vaccine: HPV9
Symptoms: Pruritus, Skin warm
Clinical narrative: Left deltoid hot to touch and itching 6 hours after shot given
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Pyrexia, Rash
Clinical narrative: rash, itching, redness on neck and chest.  Had a fever for a while.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Dyspnoea, Fatigue, Fibrin D dimer normal
Clinical narrative: Starting 02/15/2022, I came home and all of a sudden I got a headache, nasal congestion and felt extremely fatigued. I had no fever but it progressed more as time went on. I started developing pressure on my upper chest (making it hard to breath). I went to bed like normal but couldn't sleep. So, I took an OTC COVID test and that was normal. The next day, I was feeling the same, I took another COVID test (which was negative) and I canceled my rheumatologist f/u until I felt better. I called my PCP and they had me come in that day. My BP was elevated and my HR was higher than normal. Any exercise I did, getting on the table, would cause my HR to spike. I looked at my fitbit and my HR was moderately elevated. He thought that that was what was causing the pressure. So, he took a D-dimer test (for clots) and a PCR COVID test. Over time, it progressively improved and by 02/23/2022 I felt mostly normal.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Influenza virus test negative, Insomnia, Nasal congestion
Clinical narrative: Starting 02/15/2022, I came home and all of a sudden I got a headache, nasal congestion and felt extremely fatigued. I had no fever but it progressed more as time went on. I started developing pressure on my upper chest (making it hard to breath). I went to bed like normal but couldn't sleep. So, I took an OTC COVID test and that was normal. The next day, I was feeling the same, I took another COVID test (which was negative) and I canceled my rheumatologist f/u until I felt better. I called my PCP and they had me come in that day. My BP was elevated and my HR was higher than normal. Any exercise I did, getting on the table, would cause my HR to spike. I looked at my fitbit and my HR was moderately elevated. He thought that that was what was causing the pressure. So, he took a D-dimer test (for clots) and a PCR COVID test. Over time, it progressively improved and by 02/23/2022 I felt mostly normal.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: Starting 02/15/2022, I came home and all of a sudden I got a headache, nasal congestion and felt extremely fatigued. I had no fever but it progressed more as time went on. I started developing pressure on my upper chest (making it hard to breath). I went to bed like normal but couldn't sleep. So, I took an OTC COVID test and that was normal. The next day, I was feeling the same, I took another COVID test (which was negative) and I canceled my rheumatologist f/u until I felt better. I called my PCP and they had me come in that day. My BP was elevated and my HR was higher than normal. Any exercise I did, getting on the table, would cause my HR to spike. I looked at my fitbit and my HR was moderately elevated. He thought that that was what was causing the pressure. So, he took a D-dimer test (for clots) and a PCR COVID test. Over time, it progressively improved and by 02/23/2022 I felt mostly normal.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: client was given vaccine one day passed expiration date
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough of COVID virus after all three doses.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: Documentation error patient was given Pfizer 5-11
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase normal, Blood glucose normal, Dizziness, Dyskinesia, Electrocardiogram abnormal
Clinical narrative: Immunization clinic - Health Care Center 02/19/2022 at 10:17 AM. Fifteen minutes after Pfizer dose #2 vaccination (10:17 AM) the mother reported that the child was not feeling well. Child stated she felt very tired and dizzy. Vitals checked BP115/72 Pulse 82 O2 sats 100% on RA. Orange juice was offered which she drank and tolerated well but stated she was still very tired and did not feel like herself and was taken by wheelchair from Immunization clinic to ED. On route to ED, the transporting nurse noted that the child had some jerky movements of her legs and body.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Full blood count, Malaise, Metabolic function test normal
Clinical narrative: Immunization clinic - Health Care Center 02/19/2022 at 10:17 AM. Fifteen minutes after Pfizer dose #2 vaccination (10:17 AM) the mother reported that the child was not feeling well. Child stated she felt very tired and dizzy. Vitals checked BP115/72 Pulse 82 O2 sats 100% on RA. Orange juice was offered which she drank and tolerated well but stated she was still very tired and did not feel like herself and was taken by wheelchair from Immunization clinic to ED. On route to ED, the transporting nurse noted that the child had some jerky movements of her legs and body.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative, Ventricular extrasystoles
Clinical narrative: Immunization clinic - Health Care Center 02/19/2022 at 10:17 AM. Fifteen minutes after Pfizer dose #2 vaccination (10:17 AM) the mother reported that the child was not feeling well. Child stated she felt very tired and dizzy. Vitals checked BP115/72 Pulse 82 O2 sats 100% on RA. Orange juice was offered which she drank and tolerated well but stated she was still very tired and did not feel like herself and was taken by wheelchair from Immunization clinic to ED. On route to ED, the transporting nurse noted that the child had some jerky movements of her legs and body.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Incorrect dose administered, Medication error
Clinical narrative: MD Called 1/25/22, medication error Adult Pfizer Dose given to patient Inform parents of error  Pediatrician also Called - Dr. (Privacy)  Patient c/o headache and fatigue VS Stable BP 104/80 P80 Oxygen Saturation 97%   Patient received Tylenol X 1 dose Patient monitored for at least 30 minutes Patient felt better and back to baseline after eating and discharge Pediatrician followed up that evening, marked improvement noted Patient seen in clinic the next day w/ Pediatrician Called (Privacy), spoke to (Privacy) , refer to CDC Appendix A, Medication Error  Patient to obtain Dose #2 as scheduled   Precaution Advised
Age: 1.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Extra dose administered, Product administered to patient of inappropriate age, Product administration error, Wrong product administered
Clinical narrative: Patient seen in office for routine 1 year check up. During immunizations a combination MMR/Varicella vaccine given instead of single MMR. Patient was also given single Varicella in separate extremity. Error identified upon entry into administration record. Provider notified who will reach out to the family to discuss.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt has a past medical history of nonischemic cardiomyopathy and DM type II, along with being status post renal transplant in 2012.  He comes to the hospital with worsening shortness of breath and was found to be COVID positive.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine that expired on 2/12/22 was administered to the patient on 2/17/22.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine that expired on 2/12/22 was administered to the patient on 2/17/22.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Road traffic accident, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted for MVA with covid infection
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema, Joint swelling, Psoriatic arthropathy
Clinical narrative: Starting 1 week after the vaccine (04/24/2021), I developed a flare-up of my Psoriatic Arthritis. My joints were swollen and red. It never really calmed down due to receiving my second dose shortly after.