chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Respiratory tract congestion
Clinical narrative: Has congestion  Fatigue  Chills Headache
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive worker
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Dizziness, Dyspnoea exertional, Feeling abnormal, Headache
Clinical narrative: I have difficulty catching my breath from simple tasks such as vacuuming and cleaning. I first noticed it when I walked up my attic stairs to put something in storage and my heart felt like it was beating out of my chest.  My heart rate was over 150 bpm from walking up 5 stairs. My resting heart rate is around 60 and now when I stand it shoots to over 100 and my blood pressure drops.  My blood pressure is all over the place throughout the day. I am light headed when standing, dizzy, blurry vision, constant headaches, my arms get tingly feeling- especially when laying down and brain fog.  My period started 10 days early and only lasted for 1 day. I have been monitoring by side effects and keeping a journal so when I can speak to my primary we can review in detail.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Menstruation irregular, Palpitations, Paraesthesia, Vision blurred
Clinical narrative: I have difficulty catching my breath from simple tasks such as vacuuming and cleaning. I first noticed it when I walked up my attic stairs to put something in storage and my heart felt like it was beating out of my chest.  My heart rate was over 150 bpm from walking up 5 stairs. My resting heart rate is around 60 and now when I stand it shoots to over 100 and my blood pressure drops.  My blood pressure is all over the place throughout the day. I am light headed when standing, dizzy, blurry vision, constant headaches, my arms get tingly feeling- especially when laying down and brain fog.  My period started 10 days early and only lasted for 1 day. I have been monitoring by side effects and keeping a journal so when I can speak to my primary we can review in detail.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose 2 was given at day 14 ( 1st dose 08/28 2nd 09/11). Patient parent called on 09/14 to report the error and stated patient was hospitalized with concussion like symptoms. Unclear weather vaccine error resulted in symptoms or if patient had some other concurrent medical problem.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Breast pain, Fibrin D dimer normal, X-ray normal
Clinical narrative: Around August 13th I Started feeling sharp shooting pain on my right side of my breast it lasted a couple of days and it moved to the left breast it felt like a stabbing pain there was nothing I could do to make it happed it lasted and moved around from side to side. I went to an urgent care on Aug 23rd. because my family doctor had no appointment openings the Urgent care doctor took an X-ray and D-dimer was concern for blood clots but it came out ok. He said it could've been muscular or a virus there's was no definite answer. It has gotten better but it still feels tender.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Malaise, Mechanical ventilation, Respiratory failure
Clinical narrative: Patient was hospitalized with COVID-19 symptoms on 8/26/2021 with respiratory failure. Patient was subsequently intubated and mechanically ventilated for a total of 17 days before being make compassionate care by family on 9/14/2021.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: Muscle Sore at the injection site that had been lasting for almost 2 months.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Loss of personal independence in daily activities, Mobility decreased, Pain in extremity
Clinical narrative: Muscle Sore at the injection site that had been lasting for almost 2 months.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Headache, Hyperhidrosis, Myalgia, Renal pain
Clinical narrative: Severe all over muscle pain, concentrated mostly in the kidney area.   Shooting  electrical type pains in head.   Sweating.  Headache. Ongoing sluggishness.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Sluggishness
Clinical narrative: Severe all over muscle pain, concentrated mostly in the kidney area.   Shooting  electrical type pains in head.   Sweating.  Headache. Ongoing sluggishness.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Depression, Insomnia
Clinical narrative: Very severe insomnia, worsening depression and anxiety. Double the Cerequil. Prescribed a sleep aid. Won't take it because it can cause sleep driving.
Age: 72.0
Sex: M
Vaccine: UNK
Symptoms: Death
Clinical narrative: DEATH-UNKNOWN DATE AND LOCATION OF VACCINATION
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Immediate post-injection reaction, Malaise, Throat tightness
Clinical narrative: After 1st Dose: Immediately experienced tight feeling in throat, difficulty breathing, assumed an asthma attack was going to happen, difficulty breathing on first day. The second day, extreme difficulty breathing (assumed it was bad asthma again), extreme tightness in chest and trouble breathing. Took usual medications, then took albuterol inhaler, then nebulizer, neither of them made any difference.  Felt more and more sick throughout second day. Third day was having trouble breathing, bedridden the entire day. By Day 4 started to subside and recover. Within a week was totally normal. Now taking prednisone because of asthma, but was not at the time of the vaccine doses. Unsure if that had an effect on recovery, etc. After 2nd Dose: Had tight throat, and difficulty breathing, but was much less severe, occurred in episodes and then would go away. Felt fine by 3rd day.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated and then tested positive for COVID-19
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Cyanosis, Laboratory test, Loss of consciousness, Pallor
Clinical narrative: Within minutes of the first dose of the Covid Vaccine, my daughter, passed out!  Her head fell between her legs! The mother lifted her what seemed to be lifeless body off the ground!  As I lifted her I realized she was unconscious, her lips were blue, her skin was grey, she was cold and she was unresponsive, but breathing!  After that episode which lasted about 3-5 minutes she came too a little and started to violently throw up and she informed me that she could not see!!!  As this was going on no one from the pharmacy came to our aid even though I was screaming call 911!  I called 911!  When the paramedics came they took her to ER where they ran tests and was monitored!
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Unresponsive to stimuli, Vomiting
Clinical narrative: Within minutes of the first dose of the Covid Vaccine, my daughter, passed out!  Her head fell between her legs! The mother lifted her what seemed to be lifeless body off the ground!  As I lifted her I realized she was unconscious, her lips were blue, her skin was grey, she was cold and she was unresponsive, but breathing!  After that episode which lasted about 3-5 minutes she came too a little and started to violently throw up and she informed me that she could not see!!!  As this was going on no one from the pharmacy came to our aid even though I was screaming call 911!  I called 911!  When the paramedics came they took her to ER where they ran tests and was monitored!
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Muscular pain
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Dyspnoea, Palpitations, Pneumonia
Clinical narrative: sent in from urgent care for pneumonia and covid 19. Patient states had symptoms for the past few days very short of breath and heart racing; xray shows pneumonia
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dizziness, Headache, Neuralgia
Clinical narrative: Severe never pain on both arm, hands and fingers.  Feeling dizziness most part of the day. Headaches and stomach problem
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Pain in extremity
Clinical narrative: My legs , neck and head haven been hurting since May 2021.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Chest X-ray abnormal, Chills, Dyspnoea
Clinical narrative: Pt is 20 yo female s/p Pfizer vaccination: dose 1 on 5/26/2021 and dose 2 on 6/16/2021. She has a history of recurrent germ cell tumor currently cycle 1 weekly taxol. Chemotherapy at time of vaccination: Taxol desensitization, Ifosfamide, Mesna and Cisplatin. Admitted with fevers and COVID+ on 8/11. She presented with reports of fevers, chills, productive cough, and SOB at home. Also complaints of nausea/vomiting, with limited ability to take in PO. CXR with evidence of opacity at the left base concerning for pneumonia. COVID swab was positive on admission. She was started on broad spectrum antibiotics with cefepime and vancomycin. Her MRSA swab was positive. For her COVID, she was started on remdesivir and ID was consulted. She received three days of remdesivir with resolution of symptoms. She was discharged with 30 days of prophylactic eliquis. ID recommended discontinued cefepime and vancomycin as symptoms could be explained by COVID. Remained afebrile off antibiotics for 24 hrs prior to discharge. She had hypokalemia and hypomagnesemia during her hospital stay in the setting of poor PO intake. K and Mg were repleted and she was sent home with a seven day supply. She will have labs re-check on 8/17/21. She also had an AKI up to 1.35, she will have labs re-checked on 8/17. Discharged on 8/13.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypokalaemia, Hypomagnesaemia, Hypophagia, Laboratory test, Lung opacity
Clinical narrative: Pt is 20 yo female s/p Pfizer vaccination: dose 1 on 5/26/2021 and dose 2 on 6/16/2021. She has a history of recurrent germ cell tumor currently cycle 1 weekly taxol. Chemotherapy at time of vaccination: Taxol desensitization, Ifosfamide, Mesna and Cisplatin. Admitted with fevers and COVID+ on 8/11. She presented with reports of fevers, chills, productive cough, and SOB at home. Also complaints of nausea/vomiting, with limited ability to take in PO. CXR with evidence of opacity at the left base concerning for pneumonia. COVID swab was positive on admission. She was started on broad spectrum antibiotics with cefepime and vancomycin. Her MRSA swab was positive. For her COVID, she was started on remdesivir and ID was consulted. She received three days of remdesivir with resolution of symptoms. She was discharged with 30 days of prophylactic eliquis. ID recommended discontinued cefepime and vancomycin as symptoms could be explained by COVID. Remained afebrile off antibiotics for 24 hrs prior to discharge. She had hypokalemia and hypomagnesemia during her hospital stay in the setting of poor PO intake. K and Mg were repleted and she was sent home with a seven day supply. She will have labs re-check on 8/17/21. She also had an AKI up to 1.35, she will have labs re-checked on 8/17. Discharged on 8/13.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Productive cough, Pyrexia, SARS-CoV-2 test positive, Staphylococcus test positive
Clinical narrative: Pt is 20 yo female s/p Pfizer vaccination: dose 1 on 5/26/2021 and dose 2 on 6/16/2021. She has a history of recurrent germ cell tumor currently cycle 1 weekly taxol. Chemotherapy at time of vaccination: Taxol desensitization, Ifosfamide, Mesna and Cisplatin. Admitted with fevers and COVID+ on 8/11. She presented with reports of fevers, chills, productive cough, and SOB at home. Also complaints of nausea/vomiting, with limited ability to take in PO. CXR with evidence of opacity at the left base concerning for pneumonia. COVID swab was positive on admission. She was started on broad spectrum antibiotics with cefepime and vancomycin. Her MRSA swab was positive. For her COVID, she was started on remdesivir and ID was consulted. She received three days of remdesivir with resolution of symptoms. She was discharged with 30 days of prophylactic eliquis. ID recommended discontinued cefepime and vancomycin as symptoms could be explained by COVID. Remained afebrile off antibiotics for 24 hrs prior to discharge. She had hypokalemia and hypomagnesemia during her hospital stay in the setting of poor PO intake. K and Mg were repleted and she was sent home with a seven day supply. She will have labs re-check on 8/17/21. She also had an AKI up to 1.35, she will have labs re-checked on 8/17. Discharged on 8/13.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Pt is 20 yo female s/p Pfizer vaccination: dose 1 on 5/26/2021 and dose 2 on 6/16/2021. She has a history of recurrent germ cell tumor currently cycle 1 weekly taxol. Chemotherapy at time of vaccination: Taxol desensitization, Ifosfamide, Mesna and Cisplatin. Admitted with fevers and COVID+ on 8/11. She presented with reports of fevers, chills, productive cough, and SOB at home. Also complaints of nausea/vomiting, with limited ability to take in PO. CXR with evidence of opacity at the left base concerning for pneumonia. COVID swab was positive on admission. She was started on broad spectrum antibiotics with cefepime and vancomycin. Her MRSA swab was positive. For her COVID, she was started on remdesivir and ID was consulted. She received three days of remdesivir with resolution of symptoms. She was discharged with 30 days of prophylactic eliquis. ID recommended discontinued cefepime and vancomycin as symptoms could be explained by COVID. Remained afebrile off antibiotics for 24 hrs prior to discharge. She had hypokalemia and hypomagnesemia during her hospital stay in the setting of poor PO intake. K and Mg were repleted and she was sent home with a seven day supply. She will have labs re-check on 8/17/21. She also had an AKI up to 1.35, she will have labs re-checked on 8/17. Discharged on 8/13.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Cough
Clinical narrative: cough, loss of taste and smell
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Pt is 68 yo female s/p Pfizer COVID vaccination: dose 1 on 2/19 and dose 2 on 3/12. Presented on 8/11 with myalgias, fevers and chills and found to be COVID positive. PMH of ADD, anemia, arthritis, chicken pox, depressive disorder. No immunosuppression. She reports recent symptoms of cough, fevers/chills (temps at home up to 102), headaches, and cough for past 6 days. Started on remdesivir, steroids with improvement in her symptoms. Needed oxygen requirement mostly at night. Discharged on room air on 8/16 but encouraged to follow-up with sleep medicine given concerns for undiagnosed OSA. Did not meet criteria for prophylactic anticoagulation.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt is 68 yo female s/p Pfizer COVID vaccination: dose 1 on 2/19 and dose 2 on 3/12. Presented on 8/11 with myalgias, fevers and chills and found to be COVID positive. PMH of ADD, anemia, arthritis, chicken pox, depressive disorder. No immunosuppression. She reports recent symptoms of cough, fevers/chills (temps at home up to 102), headaches, and cough for past 6 days. Started on remdesivir, steroids with improvement in her symptoms. Needed oxygen requirement mostly at night. Discharged on room air on 8/16 but encouraged to follow-up with sleep medicine given concerns for undiagnosed OSA. Did not meet criteria for prophylactic anticoagulation.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asymptomatic COVID-19, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: Pt is 66 yo male s/p Pfizer vaccination: dose 1 on 2/16/2021 and dose 2 on 3/9/2021. Pt has a history of metastatic prostate cancer to the bone, HCV, alcohol abuse, chronic abdominal pain and lower back pain. During time of vaccination, cancer managed with Eligard every 3 months. Last treatment before vaccination on 1/11. He presents to the hospital with worsening abdominal pain and admitted on 8/12 for pain management. Upon admission, patient tested positive for COVID-19 and was asymptomatic. No therapy for COVID management needed.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/22/2021: Fever >100.4, Cough (new onset or worsening of chronic cough), Shortness of breath or difficulty breathing, Fatigue or tiredness, Diarrhea (>/=3 loose/looser stools in 24 hr period), loss of appetite along . Hospitalized on 9/4/2021 and put on oxygen. Hospitalized for unknown duration.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/22/2021: Fever >100.4, Cough (new onset or worsening of chronic cough), Shortness of breath or difficulty breathing, Fatigue or tiredness, Diarrhea (>/=3 loose/looser stools in 24 hr period), loss of appetite along . Hospitalized on 9/4/2021 and put on oxygen. Hospitalized for unknown duration.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Cough, Decreased appetite, Dyspnoea
Clinical narrative: Patient is a 79 y.o. male who presents with  on 9/14 to an outlying facility with complaints of generalized body aches, nausea, loss of appetite, progressive dyspnea, cough dry nonproductive.  Symptom onset was 9/9/2021, date of positive test is 9/14/2021.  Fully vaccinated in March.  He was started on COVID supplement, IV Decadron, baricitinib and remdesivir with minimal improvement of respiratory status.  His oxygen requirement increased and he was placed on BiPAP.  He developed new onset A. fib with RVR, started on Cardizem drip.  He was transferred to a higher level of care on 9/19/2021.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient is a 79 y.o. male who presents with  on 9/14 to an outlying facility with complaints of generalized body aches, nausea, loss of appetite, progressive dyspnea, cough dry nonproductive.  Symptom onset was 9/9/2021, date of positive test is 9/14/2021.  Fully vaccinated in March.  He was started on COVID supplement, IV Decadron, baricitinib and remdesivir with minimal improvement of respiratory status.  His oxygen requirement increased and he was placed on BiPAP.  He developed new onset A. fib with RVR, started on Cardizem drip.  He was transferred to a higher level of care on 9/19/2021.
Age: 56.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Fatigue
Clinical narrative: Pt is 56 yo female s/p COVID Pfizer vaccination: dose 1 on 3/5/2021 and dose 2 on 3/26/2021. Patient with advanced stage follicular lymphoma s/p BR x6 followed by rituxan maintenance that was completed Oct 2020, COVID in 2020 treated with steroids, remdesivir, and convalescent plasma and COVID vaccine in March 2021. Admitted  on 8/13/21 with complaints of cough, shortness of breath, fatigue and fever for 3 days and  found to have COVID PNA. ID was consulted who recommended for patient to receive casirivimab-imdevimab, which she did this receive prior to being discharged home.  She saturated 93-94% on RA. Started on empiric ceftriaxone and azithromycin in the ED. Abx discontinued at discharge.
Age: 56.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt is 56 yo female s/p COVID Pfizer vaccination: dose 1 on 3/5/2021 and dose 2 on 3/26/2021. Patient with advanced stage follicular lymphoma s/p BR x6 followed by rituxan maintenance that was completed Oct 2020, COVID in 2020 treated with steroids, remdesivir, and convalescent plasma and COVID vaccine in March 2021. Admitted  on 8/13/21 with complaints of cough, shortness of breath, fatigue and fever for 3 days and  found to have COVID PNA. ID was consulted who recommended for patient to receive casirivimab-imdevimab, which she did this receive prior to being discharged home.  She saturated 93-94% on RA. Started on empiric ceftriaxone and azithromycin in the ED. Abx discontinued at discharge.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, Lip exfoliation, Oral mucosal exfoliation, Oral pain, Stomatitis
Clinical narrative: I received the 2nd Moderna Covid Vaccine on 9/14/21 and I had the normal symptoms of a low grade temperature starting approximately 24 hours later, then when i woke up Thursday morning (the 2nd day) i had raw open lesions inside my mouth, and the skin inside my mouth and on my lips are peeling off. One open lesion went away approximately 5 days (9/19/21) after receiving the vaccine but then i woke up this morning  (the 6th day-9/20/21) and there is another large open raw lesion inside my mouth. It feels like the inside of my mouth is on fire and eating away my skin. it is very painful.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: I have never had an irregular period in my entire life. It has always been 28 days. Maybe 27 days or 29 days. My first month after the vaccine, my period was one week late. Then several days late, then again several days late, then a week early and now I'm going on two weeks late. It's egregious women's menstruation wasn't studied during the initial trial.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Migraine, Nausea, SARS-CoV-2 test negative
Clinical narrative: When I woke up I had a migraine and I took some Tylenol and that did not cut it. I took some ibuprofen and that did not cut it. That stayed until 11 pm. I was getting nauseous. The next day I had a little bit of coughing so I went to get tested for Covid at the pharmacy. It came back negative. I did not know if that was related to the vaccine or just a bug I caught, Since then I have had a lingering cough but nothing too concerning.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt is 77 yo female s/p Pfizer COVID vaccination: dose 1 on 3/1/2021 and dose 2 on 3/22/2021. ESRD on HD, DM2, HTN, nonobstructive CAD, and hx R breast cancer 2017 s/p mastectomy and chemotherapy who was admitted on 8/19 for shortness of breath secondary to COVID-19 pneumonia. CTPE confirmed bilateral pneumonia without PE. Completed course Remdesivir. Started on 10 day course Decadron while inpatient of which she will finish at home. Patient meets criteria for extended DVT prophylaxis in COVID-19. She was discharged on Eliquis 2.5 mg BID for 30 days.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration
Clinical narrative: Pt is 68 yo male s/p Pfizer COVID vaccination: dose 1 on 4/9/2021 and dose 2 on 6/10/2021. Pt diagnosed with COVID shortly after his first dose and instructed to receive his second dose about 30-60 days after this diagnosis.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cough, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: admitted 9/15. pt ha had symptoms since 3 weeks prior to admit.Patient presented with symptom(s) noted the chief complaint Patient is being tested today due to having covid-19 symptoms - reports 12 days of feeling ill including symptoms of fatigue, weakness, diarrhea, dry cough and SOB"
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test
Clinical narrative: admitted 9/15. pt ha had symptoms since 3 weeks prior to admit.Patient presented with symptom(s) noted the chief complaint Patient is being tested today due to having covid-19 symptoms - reports 12 days of feeling ill including symptoms of fatigue, weakness, diarrhea, dry cough and SOB"
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Swelling and pain in the area. That evening had body chills fever, headache, fatigue , diarrhea and dizziness days following
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, SARS-CoV-2 test positive, Swelling
Clinical narrative: Swelling and pain in the area. That evening had body chills fever, headache, fatigue , diarrhea and dizziness days following
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Bradycardia, COVID-19, COVID-19 pneumonia
Clinical narrative: 61 yo female s/p Pfizer COVID vaccination: dose 1 on 3/27/2021 and dose 2 on 4/17/2021. PMH significant for T2DM, HTN, HLD, GERD, asthma, tobacco use, osteoporosis, obesity, depression. Presented to this institution on 8/20/2021 with COVID-19 pneumonia (symptoms of fatigue, myalgias, insomnia, nasal congestion, loss of taste/smell, loss of appetite, pounding headache, diarrhea. Increasing oxygen requirement during admission to 3L; CXR 8/25 demonstrates increasing bibasilar consolidative airspace opacities greater on L; MRSA/MSSA swab negative. She received 3 doses of remdesivir which was discontinued due to bradycardia. (cont.)
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Cough, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: 61 yo female s/p Pfizer COVID vaccination: dose 1 on 3/27/2021 and dose 2 on 4/17/2021. PMH significant for T2DM, HTN, HLD, GERD, asthma, tobacco use, osteoporosis, obesity, depression. Presented to this institution on 8/20/2021 with COVID-19 pneumonia (symptoms of fatigue, myalgias, insomnia, nasal congestion, loss of taste/smell, loss of appetite, pounding headache, diarrhea. Increasing oxygen requirement during admission to 3L; CXR 8/25 demonstrates increasing bibasilar consolidative airspace opacities greater on L; MRSA/MSSA swab negative. She received 3 doses of remdesivir which was discontinued due to bradycardia. (cont.)
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Insomnia, Lung opacity, Myalgia, Nasal congestion
Clinical narrative: 61 yo female s/p Pfizer COVID vaccination: dose 1 on 3/27/2021 and dose 2 on 4/17/2021. PMH significant for T2DM, HTN, HLD, GERD, asthma, tobacco use, osteoporosis, obesity, depression. Presented to this institution on 8/20/2021 with COVID-19 pneumonia (symptoms of fatigue, myalgias, insomnia, nasal congestion, loss of taste/smell, loss of appetite, pounding headache, diarrhea. Increasing oxygen requirement during admission to 3L; CXR 8/25 demonstrates increasing bibasilar consolidative airspace opacities greater on L; MRSA/MSSA swab negative. She received 3 doses of remdesivir which was discontinued due to bradycardia. (cont.)
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive, Staphylococcus test negative
Clinical narrative: 61 yo female s/p Pfizer COVID vaccination: dose 1 on 3/27/2021 and dose 2 on 4/17/2021. PMH significant for T2DM, HTN, HLD, GERD, asthma, tobacco use, osteoporosis, obesity, depression. Presented to this institution on 8/20/2021 with COVID-19 pneumonia (symptoms of fatigue, myalgias, insomnia, nasal congestion, loss of taste/smell, loss of appetite, pounding headache, diarrhea. Increasing oxygen requirement during admission to 3L; CXR 8/25 demonstrates increasing bibasilar consolidative airspace opacities greater on L; MRSA/MSSA swab negative. She received 3 doses of remdesivir which was discontinued due to bradycardia. (cont.)
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood creatine phosphokinase, Impaired work ability, Liver function test, Magnetic resonance imaging spinal
Clinical narrative: On July 11, jumped down out of a high chair and my legs cramped up and I felt like I broke my hips. My parents, ER HCPs, they said I was in Rhabdomyolysis. They didn't know the cause of it. I hadn't overexerted myself before that. They gave me IV fluids and making sure that my kidneys were functioning normally. No other treatment for it. I was in hospital two days. Legs swelled up when I was in bedrest and stayed swollen for thirty days. They continue to cramp up to this day. I use to waitress and I can't do that anymore and lift everything. Physical therapy two times a week, that isn't really helping; Rheumatologist, I am waiting to get into this doctor. I take a whole bunch of supplements, magnesium, iron (I'm anemic now); B12 and potassium and vit D.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Myoglobin blood, Peripheral swelling, Renal function test, Rhabdomyolysis
Clinical narrative: On July 11, jumped down out of a high chair and my legs cramped up and I felt like I broke my hips. My parents, ER HCPs, they said I was in Rhabdomyolysis. They didn't know the cause of it. I hadn't overexerted myself before that. They gave me IV fluids and making sure that my kidneys were functioning normally. No other treatment for it. I was in hospital two days. Legs swelled up when I was in bedrest and stayed swollen for thirty days. They continue to cramp up to this day. I use to waitress and I can't do that anymore and lift everything. Physical therapy two times a week, that isn't really helping; Rheumatologist, I am waiting to get into this doctor. I take a whole bunch of supplements, magnesium, iron (I'm anemic now); B12 and potassium and vit D.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray of pelvis and hip
Clinical narrative: On July 11, jumped down out of a high chair and my legs cramped up and I felt like I broke my hips. My parents, ER HCPs, they said I was in Rhabdomyolysis. They didn't know the cause of it. I hadn't overexerted myself before that. They gave me IV fluids and making sure that my kidneys were functioning normally. No other treatment for it. I was in hospital two days. Legs swelled up when I was in bedrest and stayed swollen for thirty days. They continue to cramp up to this day. I use to waitress and I can't do that anymore and lift everything. Physical therapy two times a week, that isn't really helping; Rheumatologist, I am waiting to get into this doctor. I take a whole bunch of supplements, magnesium, iron (I'm anemic now); B12 and potassium and vit D.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Atrial fibrillation, COVID-19, Computerised tomogram thorax abnormal, Cough
Clinical narrative: 45 yo female s/p Pfizer COVID vaccination: dose 1 on 3/5 and dose 2 on 3/26.  Past medical history significant for  anemia of chronic disease, anxiety, ESRD on PD, depression, T1DM, HTN, GERD, gastroparesis, s/p kidney + pancreas transplant. Presented at the time of admission on 8/22 with shortness of breath and cough.   Hospital course described: Septic shock 2/2 MRSA bacteremia: In setting of immunosuppression (cyclosporine). Growth of staph aureus on 8/22 and 8/23 cultures. MecA positive. Treated with vancomycin, meropenem, caspofungin, tobramycin. Clindamycin added 8/24. Respiratory failure thought secondary to COVID ARDS with potential bacterial pneumonia superimposed. Initially satting to 96% on RA, with quick increase in oxygen requirement overnight 8/22-8/23. Intubated and transferred to the MICU. CT PE without PE, but with bilateral pneumonia and findings concerning for necrosis in LLL and some cavitation medially in the right lung, possibly abscess formation. Concerning for development of an aspiration PNE. Treated with Remdesivir and Dexamethasone. CRRT for volume removal.    Severe metabolic and respiratory acidosis: Gap (lactate) and non-gap (renal dysfunction) contributions. Thought secondary to septic shock and renal failure in setting of missed dialysis and acute infection. Required concentrated bicarb drip. She was also hypoglycemic as low as 37 treated with Dextrose infusion.    She developed atrial fibrillation with rapid ventricular response evening of 8/24 with HR increased to 180s. This was treated with amiodarone bolus + drip as well as fluid resuscitation. HR responded to interventions however she remained hypotensive requiring addition of phenylephrine to her pressors. She required phenylephrine, levophed, and vasopressin for much of the evening as well as albumin, LR, bicarb pushes, and increasing rates of dextrose infusion.   Transitioned patient to comfort care evening of 8/24. Palliative extubation performed that evening and all life sustaining medications were withdrawn. Patient was pronounced dead 8/24 at 2339.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Culture, Death, Dyspnoea, Endotracheal intubation, Heart rate increased
Clinical narrative: 45 yo female s/p Pfizer COVID vaccination: dose 1 on 3/5 and dose 2 on 3/26.  Past medical history significant for  anemia of chronic disease, anxiety, ESRD on PD, depression, T1DM, HTN, GERD, gastroparesis, s/p kidney + pancreas transplant. Presented at the time of admission on 8/22 with shortness of breath and cough.   Hospital course described: Septic shock 2/2 MRSA bacteremia: In setting of immunosuppression (cyclosporine). Growth of staph aureus on 8/22 and 8/23 cultures. MecA positive. Treated with vancomycin, meropenem, caspofungin, tobramycin. Clindamycin added 8/24. Respiratory failure thought secondary to COVID ARDS with potential bacterial pneumonia superimposed. Initially satting to 96% on RA, with quick increase in oxygen requirement overnight 8/22-8/23. Intubated and transferred to the MICU. CT PE without PE, but with bilateral pneumonia and findings concerning for necrosis in LLL and some cavitation medially in the right lung, possibly abscess formation. Concerning for development of an aspiration PNE. Treated with Remdesivir and Dexamethasone. CRRT for volume removal.    Severe metabolic and respiratory acidosis: Gap (lactate) and non-gap (renal dysfunction) contributions. Thought secondary to septic shock and renal failure in setting of missed dialysis and acute infection. Required concentrated bicarb drip. She was also hypoglycemic as low as 37 treated with Dextrose infusion.    She developed atrial fibrillation with rapid ventricular response evening of 8/24 with HR increased to 180s. This was treated with amiodarone bolus + drip as well as fluid resuscitation. HR responded to interventions however she remained hypotensive requiring addition of phenylephrine to her pressors. She required phenylephrine, levophed, and vasopressin for much of the evening as well as albumin, LR, bicarb pushes, and increasing rates of dextrose infusion.   Transitioned patient to comfort care evening of 8/24. Palliative extubation performed that evening and all life sustaining medications were withdrawn. Patient was pronounced dead 8/24 at 2339.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoglycaemia, Hypotension, Intensive care, Metabolic acidosis, Pneumonia
Clinical narrative: 45 yo female s/p Pfizer COVID vaccination: dose 1 on 3/5 and dose 2 on 3/26.  Past medical history significant for  anemia of chronic disease, anxiety, ESRD on PD, depression, T1DM, HTN, GERD, gastroparesis, s/p kidney + pancreas transplant. Presented at the time of admission on 8/22 with shortness of breath and cough.   Hospital course described: Septic shock 2/2 MRSA bacteremia: In setting of immunosuppression (cyclosporine). Growth of staph aureus on 8/22 and 8/23 cultures. MecA positive. Treated with vancomycin, meropenem, caspofungin, tobramycin. Clindamycin added 8/24. Respiratory failure thought secondary to COVID ARDS with potential bacterial pneumonia superimposed. Initially satting to 96% on RA, with quick increase in oxygen requirement overnight 8/22-8/23. Intubated and transferred to the MICU. CT PE without PE, but with bilateral pneumonia and findings concerning for necrosis in LLL and some cavitation medially in the right lung, possibly abscess formation. Concerning for development of an aspiration PNE. Treated with Remdesivir and Dexamethasone. CRRT for volume removal.    Severe metabolic and respiratory acidosis: Gap (lactate) and non-gap (renal dysfunction) contributions. Thought secondary to septic shock and renal failure in setting of missed dialysis and acute infection. Required concentrated bicarb drip. She was also hypoglycemic as low as 37 treated with Dextrose infusion.    She developed atrial fibrillation with rapid ventricular response evening of 8/24 with HR increased to 180s. This was treated with amiodarone bolus + drip as well as fluid resuscitation. HR responded to interventions however she remained hypotensive requiring addition of phenylephrine to her pressors. She required phenylephrine, levophed, and vasopressin for much of the evening as well as albumin, LR, bicarb pushes, and increasing rates of dextrose infusion.   Transitioned patient to comfort care evening of 8/24. Palliative extubation performed that evening and all life sustaining medications were withdrawn. Patient was pronounced dead 8/24 at 2339.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary cavitation, Renal failure, Renal impairment, Respiratory acidosis, Respiratory failure
Clinical narrative: 45 yo female s/p Pfizer COVID vaccination: dose 1 on 3/5 and dose 2 on 3/26.  Past medical history significant for  anemia of chronic disease, anxiety, ESRD on PD, depression, T1DM, HTN, GERD, gastroparesis, s/p kidney + pancreas transplant. Presented at the time of admission on 8/22 with shortness of breath and cough.   Hospital course described: Septic shock 2/2 MRSA bacteremia: In setting of immunosuppression (cyclosporine). Growth of staph aureus on 8/22 and 8/23 cultures. MecA positive. Treated with vancomycin, meropenem, caspofungin, tobramycin. Clindamycin added 8/24. Respiratory failure thought secondary to COVID ARDS with potential bacterial pneumonia superimposed. Initially satting to 96% on RA, with quick increase in oxygen requirement overnight 8/22-8/23. Intubated and transferred to the MICU. CT PE without PE, but with bilateral pneumonia and findings concerning for necrosis in LLL and some cavitation medially in the right lung, possibly abscess formation. Concerning for development of an aspiration PNE. Treated with Remdesivir and Dexamethasone. CRRT for volume removal.    Severe metabolic and respiratory acidosis: Gap (lactate) and non-gap (renal dysfunction) contributions. Thought secondary to septic shock and renal failure in setting of missed dialysis and acute infection. Required concentrated bicarb drip. She was also hypoglycemic as low as 37 treated with Dextrose infusion.    She developed atrial fibrillation with rapid ventricular response evening of 8/24 with HR increased to 180s. This was treated with amiodarone bolus + drip as well as fluid resuscitation. HR responded to interventions however she remained hypotensive requiring addition of phenylephrine to her pressors. She required phenylephrine, levophed, and vasopressin for much of the evening as well as albumin, LR, bicarb pushes, and increasing rates of dextrose infusion.   Transitioned patient to comfort care evening of 8/24. Palliative extubation performed that evening and all life sustaining medications were withdrawn. Patient was pronounced dead 8/24 at 2339.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock, Staphylococcal bacteraemia, Staphylococcus test positive
Clinical narrative: 45 yo female s/p Pfizer COVID vaccination: dose 1 on 3/5 and dose 2 on 3/26.  Past medical history significant for  anemia of chronic disease, anxiety, ESRD on PD, depression, T1DM, HTN, GERD, gastroparesis, s/p kidney + pancreas transplant. Presented at the time of admission on 8/22 with shortness of breath and cough.   Hospital course described: Septic shock 2/2 MRSA bacteremia: In setting of immunosuppression (cyclosporine). Growth of staph aureus on 8/22 and 8/23 cultures. MecA positive. Treated with vancomycin, meropenem, caspofungin, tobramycin. Clindamycin added 8/24. Respiratory failure thought secondary to COVID ARDS with potential bacterial pneumonia superimposed. Initially satting to 96% on RA, with quick increase in oxygen requirement overnight 8/22-8/23. Intubated and transferred to the MICU. CT PE without PE, but with bilateral pneumonia and findings concerning for necrosis in LLL and some cavitation medially in the right lung, possibly abscess formation. Concerning for development of an aspiration PNE. Treated with Remdesivir and Dexamethasone. CRRT for volume removal.    Severe metabolic and respiratory acidosis: Gap (lactate) and non-gap (renal dysfunction) contributions. Thought secondary to septic shock and renal failure in setting of missed dialysis and acute infection. Required concentrated bicarb drip. She was also hypoglycemic as low as 37 treated with Dextrose infusion.    She developed atrial fibrillation with rapid ventricular response evening of 8/24 with HR increased to 180s. This was treated with amiodarone bolus + drip as well as fluid resuscitation. HR responded to interventions however she remained hypotensive requiring addition of phenylephrine to her pressors. She required phenylephrine, levophed, and vasopressin for much of the evening as well as albumin, LR, bicarb pushes, and increasing rates of dextrose infusion.   Transitioned patient to comfort care evening of 8/24. Palliative extubation performed that evening and all life sustaining medications were withdrawn. Patient was pronounced dead 8/24 at 2339.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Pyrexia
Clinical narrative: 77-year-old male presents to the emergency department with shortness of breath and fever.  He denies any chest pain or palpitations.  He denies any syncopal episodes.  He states his wife was diagnosed with COVID-19 infection after having similar symptoms a few days ago.  He does state that he and his wife both received the Johnson & Johnson vaccination
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injected limb mobility decreased, Injection site erythema, Injection site inflammation, Injection site mass
Clinical narrative: Upper left arm at injection site because red, inflamed, hot to the tough. arm swollen and large hard bump in center. Could not lift arm above head. Cellulitis infection that spread over several days encompassing most of upper arm.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Peripheral swelling
Clinical narrative: Upper left arm at injection site because red, inflamed, hot to the tough. arm swollen and large hard bump in center. Could not lift arm above head. Cellulitis infection that spread over several days encompassing most of upper arm.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Chills, Dyspnoea, Orthopnoea
Clinical narrative: 60 yo female pt s/p J&J COVID vaccination on 5/3. PMH significant for COPD, Bipolar, Hepatitis C, HTN, hx osteomyelitis s/p 2nd toe amputation, and polysubstance use disorder coming in with shortness of breath, fever, chills and found to have COVID 19. No evidence of PNA on imaging or exam. However, did have orthopnea and elevated BNP so concern there may have been component of CHF exacerbation on admit. Pt was started on remdesivir given comorbid risk factors. At discharge patient was hemodynamically stable and on room air.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 60 yo female pt s/p J&J COVID vaccination on 5/3. PMH significant for COPD, Bipolar, Hepatitis C, HTN, hx osteomyelitis s/p 2nd toe amputation, and polysubstance use disorder coming in with shortness of breath, fever, chills and found to have COVID 19. No evidence of PNA on imaging or exam. However, did have orthopnea and elevated BNP so concern there may have been component of CHF exacerbation on admit. Pt was started on remdesivir given comorbid risk factors. At discharge patient was hemodynamically stable and on room air.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: On 9/20/2021 I drew up a dose of Janssen Covid-19 vaccination. This was the first dose drawn from the vial. I did not check the expiration date of the vial. I gave the syringe to my coworker, RN,  who administered the vaccine to the staff member. Later that morning another coworker came in and told us that the vaccine had expired on 9/19/2021. I then called Janssen for further guidance. I was told to alert VAERS and follow local jurisdiction guidelines.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling
Clinical narrative: Pt c/o mild raised rash to neck chest and upper back and bilateral mild swelling . took one dose of benedryl and tried hydrocortisone cream without relief presented to office today with continuing symptoms given 40 mg kenalog im  and 20 mg prednisone bid for 5 days
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: 77 yo male pt s/p Pfizer COVID vaccination: dose 1 on 2/18 and dose 2 on 3/11. Past medical history of CLL on acalabrutinib, atrial fibrillation, type 2 diabetes, and hypothyroidism who presented to the ED on 8/26. His presenting symptoms were cough, weakness, rhinorrhea, clear sputum, and diarrhea. While in the ED he was found to be positive for COVID-19 with fevers of 101.1 He was started on Remdesivir on the evening of 8/26. Sputum cultures were collected and Initial chest X ray was negative for any acute processes. He had new hypoxia on 8/28 requiring supplemental oxygen. Given his new hypoxia and positive COVID test, he was started on a 10 day course of dexamethasone. Repeat Chest Xray on 8/28 showed multifocal hazy airspace opacities consistent with covid pneumonia. He was empirically started on ceftriaxone 8/28. On 8/29 his sputum cultures were positive for Klebsiella Pneumonia that was susceptible to ceftriaxone. His supplemental oxygen was titrated to a maximum of 6L on 9/2 and eventually weaned off until he was back to his baseline of room air on 9/8. Patient completed a total of two courses of Remdesivir on 8/26-8/31 and 9/2-9/5. His Ceftriaxone was completed on 9/4 for a total duration of 8 days. At his time of discharge, patient was maintaining his saturations on room air. Additionally he was started on 2.5mg Eliquis BID for 30 days given his increased risk of hypercoagulability post-covid infection.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Hypoxia, Lung opacity, Pneumonia klebsiella
Clinical narrative: 77 yo male pt s/p Pfizer COVID vaccination: dose 1 on 2/18 and dose 2 on 3/11. Past medical history of CLL on acalabrutinib, atrial fibrillation, type 2 diabetes, and hypothyroidism who presented to the ED on 8/26. His presenting symptoms were cough, weakness, rhinorrhea, clear sputum, and diarrhea. While in the ED he was found to be positive for COVID-19 with fevers of 101.1 He was started on Remdesivir on the evening of 8/26. Sputum cultures were collected and Initial chest X ray was negative for any acute processes. He had new hypoxia on 8/28 requiring supplemental oxygen. Given his new hypoxia and positive COVID test, he was started on a 10 day course of dexamethasone. Repeat Chest Xray on 8/28 showed multifocal hazy airspace opacities consistent with covid pneumonia. He was empirically started on ceftriaxone 8/28. On 8/29 his sputum cultures were positive for Klebsiella Pneumonia that was susceptible to ceftriaxone. His supplemental oxygen was titrated to a maximum of 6L on 9/2 and eventually weaned off until he was back to his baseline of room air on 9/8. Patient completed a total of two courses of Remdesivir on 8/26-8/31 and 9/2-9/5. His Ceftriaxone was completed on 9/4 for a total duration of 8 days. At his time of discharge, patient was maintaining his saturations on room air. Additionally he was started on 2.5mg Eliquis BID for 30 days given his increased risk of hypercoagulability post-covid infection.