chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given on 01/31/22. Appointment made through agency who provided translation assistance at that vaccine clinic. Called agency on 04/29/2022 at 11:52a. Agency reports that he was a walk-in that day requesting J&J. Stated that they didn?t have a DOB on file for him. He is not a regular client of agency, and they were not familiar with this client. Stated that they would call the patient for translation assistance and to determine his age. Agency called and visited the residence on 4/29/22 and was told that he was not living at that address. On 4/30, Agency continued to try to call and text the client. On 5/01/2022, Agency was able to reach the patient by phone, who stated he did not know that he could not get J&J under 18 years old. He stated that he felt fine after the receiving the vaccine and that he has felt fine since then. Discussed with RN that provided the vaccine on 01/31/2022 and states that she cannot recall this incident or this patient.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Impaired work ability, Nausea, Visual impairment, Vomiting
Clinical narrative: Approximately 6-8 hours after vaccination, experienced severe nausea/vomiting/ dizziness, vision changes, had to leave work, lasted 3-4 days. Denies experiencing shortness of breath, changes in breathing, swelling of face, lips and eyes.
Age: 5.0
Sex: M
Vaccine: HEP
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient was given Recombivax instead of Quadracel.  He previously had completed Hep B series, so this was an extra dose.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and one booster.   COVID infection breakthrough
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pain in extremity
Clinical narrative: Right arm pain, radiating down arm
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough positive COVID-19 test. Was very ill, symptomatic. Called the doctor and was prescribed Paxlovid, twice a day for five days. Severe cough.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Approximately 1 week after my 2nd booster shot (Dose 4) I tested positive for COVID-19 and have the following symptoms: Just a little bit of sneezing (Asymptomatic). I took a home test to check if I have COVID-19 and I did. As of now I am isolating for 10 days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Sneezing
Clinical narrative: Sneezing, fatigue, headache, muscle and joint pain
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully Vaccinated with one booster.   COVID breakthrough infection
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia
Clinical narrative: Rheumatic and muscular pain in thorax, upper and lower extremities.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Muscle twitching, Myoclonus
Clinical narrative: Myoclonus in right arm  following Covid Booster.   I had a Tetanaua booster in my left arm earlier in. The week and made my vaccination site well aware of this.   Initially no problems but over a week later developed twitching in my arm inferior to Covid booster injection site.  ( My 1st 2 Covid vacs were Pfizer and were close to a year prior to this Booster).  I also had Covid in very late Dec/early Jan.    I still have myoclonus in my arm although it has gotten much better as of Mid April 2022.  I saw my pcp for this issue.  The twitching was intermittent and very localized. It could be seen and palpated by her and her trainee as well as my spouse. It moderately interfered with ADLs.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test positive, Autoimmune disorder, Blood test, Pruritus, Psoriasis
Clinical narrative: It started a week after having the 2nd vaccine. I started itching at the nape of my neck near my hairline. I gradually started going down, my back. It started around my knees and ankles. My pharmacist recommended that I have an allergy test done due to taking large amounts of hydroxyzine HCL. I went and had allergy test done and I was advised that I was allergic to wheat, soy, pecan, and peanuts. They completed a procedure called rush where they gave me 66 allergy shots within an 8 hour period. My body was able to manage all the allergens. I have to get allergist shots every 2 weeks for at least a year. I have an autoimmune disease psoriasis. I do not take oral medications, just creams and ointment. The doctor believes that the vaccine went in and messed around with autoimmune disease. I was diagnosed with psoriasis and multiple new allergies. My condition has not improved. I currently have to put aloe Vera on my body multiple times a day due to itching. Dr. (internist) took 6 vials of blood to make sure it is not my liver or pancreas.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on neck and face
Age: 72.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Blister, Oral mucosal blistering
Clinical narrative: Patient received 2nd COVID-19 Booster and 1st dose of Shingrix concurrently.  The following day the patient experienced a blister in his mouth, on his nose, and near his eye - all on the right side of his face.  Blisters/pain appear to be resolving and patient is monitoring.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, one booster.   COVID infection breakthrough
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Endotracheal intubation, General physical health deterioration
Clinical narrative: Patient was admitted with dyspnea and weakness, with recent diagnosis of Covid 19 infection.  She was started on steroid therapy, antibiotics and oxygen supplementation.  Patient continued to decline in clinical status despite medical therapy, requiring intubation and vasopressor support.  Family decided to withdraw care and proceed with comfort measures.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fever, chills, fatigue, severe shivering started about 8 hours after vaccine. Side effects continued for 2 days, without the severe shivering. I did still have the shivers, but had control of my body parts, which I did not day 1.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood culture, Chills, Computerised tomogram, Diarrhoea
Clinical narrative: A couple of months after vaccination, I had chills, hot flashes, extreme fatigue, and body aches. It transformed into extreme body pains and diarrhea and vomiting. I took an at-home COVID-19 test that came back negative. So then I went to the doctor who conducted a CT scan and blood samples and tests to try to diagnose me. The doctor assumed I had a urinary tract infection. He prescribed me antibiotics and medicine for the abdominal pain (nitrofurantoin-mono NCR and hyoscyamine). As of now, I feel recovered and better.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hot flush, Pain, Urinary tract infection, Vomiting
Clinical narrative: A couple of months after vaccination, I had chills, hot flashes, extreme fatigue, and body aches. It transformed into extreme body pains and diarrhea and vomiting. I took an at-home COVID-19 test that came back negative. So then I went to the doctor who conducted a CT scan and blood samples and tests to try to diagnose me. The doctor assumed I had a urinary tract infection. He prescribed me antibiotics and medicine for the abdominal pain (nitrofurantoin-mono NCR and hyoscyamine). As of now, I feel recovered and better.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lumbar puncture, Meningitis viral, Neck pain
Clinical narrative: Viral meningitis, severe headaches, neck pain, fatigue.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Neisseria test positive
Clinical narrative: Viral meningitis, severe headaches, neck pain, fatigue.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Cardioversion, Death, Endotracheal intubation
Clinical narrative: pt brought to ED via EMS; was unresponsive with home O2 on pt; pulse weak; placed O2 NRB mask on pt; became pulseless; CPR performed; V Fib; defibrillated and intubated; pt presented with PEA; ACLS meds given; ROSC obtained; pt in multisystem organ failure with fluid overload; pt found to be positive for COVID; cardiac arrest and pt expired in the ED at a local Medical Center
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypervolaemia, Multiple organ dysfunction syndrome, Pulse abnormal, Pulse absent, Pulseless electrical activity
Clinical narrative: pt brought to ED via EMS; was unresponsive with home O2 on pt; pulse weak; placed O2 NRB mask on pt; became pulseless; CPR performed; V Fib; defibrillated and intubated; pt presented with PEA; ACLS meds given; ROSC obtained; pt in multisystem organ failure with fluid overload; pt found to be positive for COVID; cardiac arrest and pt expired in the ED at a local Medical Center
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Unresponsive to stimuli, Ventricular fibrillation
Clinical narrative: pt brought to ED via EMS; was unresponsive with home O2 on pt; pulse weak; placed O2 NRB mask on pt; became pulseless; CPR performed; V Fib; defibrillated and intubated; pt presented with PEA; ACLS meds given; ROSC obtained; pt in multisystem organ failure with fluid overload; pt found to be positive for COVID; cardiac arrest and pt expired in the ED at a local Medical Center
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Headache, Hypoaesthesia, Injection site pain
Clinical narrative: Day of vaccination around 6 , real bad headaches with shooting pains in my head. My throat got real sore. Then my neck started hurting on both side, mostly on left side where I got shot. Then I had headaches and pains all over. My chest also hurts. Then this morning, I woke up and my fingers are numb on the left hand side.  Slight coughing. Stayed in ER for 3 hours.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Oropharyngeal pain, Pain, SARS-CoV-2 test negative
Clinical narrative: Day of vaccination around 6 , real bad headaches with shooting pains in my head. My throat got real sore. Then my neck started hurting on both side, mostly on left side where I got shot. Then I had headaches and pains all over. My chest also hurts. Then this morning, I woke up and my fingers are numb on the left hand side.  Slight coughing. Stayed in ER for 3 hours.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Loss of consciousness
Clinical narrative: Patient lost consciousness 24 hours after his booster shot.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Computerised tomogram abdomen, Computerised tomogram thorax abnormal, Death
Clinical narrative: Admitted to hospital for fatigue and SOB for 2 weeks, and found to be very hypoxic.  Placed on BiPAP.  She was placed on remdesivir and Decadron, was not a candidate for baricitinib because of low absolute lymphocyte count.  She was transferred to hospital.  She was given IVIG d/t her immune suppressed status.  Patient made herself DNR on 02/08/2022 after discussion with pulmonary.  Patient finished dexamethasone and remdesivir course.  Patient continued to require high amounts of oxygen and was noted to be desaturating with minimal mobility and movement.   Patient was consulted by palliative care and moved to ICU for closer monitoring.  Patient expired on 02/17/2022.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Hypokinesia, Hypoxia, Immunoglobulin therapy
Clinical narrative: Admitted to hospital for fatigue and SOB for 2 weeks, and found to be very hypoxic.  Placed on BiPAP.  She was placed on remdesivir and Decadron, was not a candidate for baricitinib because of low absolute lymphocyte count.  She was transferred to hospital.  She was given IVIG d/t her immune suppressed status.  Patient made herself DNR on 02/08/2022 after discussion with pulmonary.  Patient finished dexamethasone and remdesivir course.  Patient continued to require high amounts of oxygen and was noted to be desaturating with minimal mobility and movement.   Patient was consulted by palliative care and moved to ICU for closer monitoring.  Patient expired on 02/17/2022.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Immunosuppression, Intensive care, Lung infiltration, Lymphocyte count decreased, Mobility decreased
Clinical narrative: Admitted to hospital for fatigue and SOB for 2 weeks, and found to be very hypoxic.  Placed on BiPAP.  She was placed on remdesivir and Decadron, was not a candidate for baricitinib because of low absolute lymphocyte count.  She was transferred to hospital.  She was given IVIG d/t her immune suppressed status.  Patient made herself DNR on 02/08/2022 after discussion with pulmonary.  Patient finished dexamethasone and remdesivir course.  Patient continued to require high amounts of oxygen and was noted to be desaturating with minimal mobility and movement.   Patient was consulted by palliative care and moved to ICU for closer monitoring.  Patient expired on 02/17/2022.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital for fatigue and SOB for 2 weeks, and found to be very hypoxic.  Placed on BiPAP.  She was placed on remdesivir and Decadron, was not a candidate for baricitinib because of low absolute lymphocyte count.  She was transferred to hospital.  She was given IVIG d/t her immune suppressed status.  Patient made herself DNR on 02/08/2022 after discussion with pulmonary.  Patient finished dexamethasone and remdesivir course.  Patient continued to require high amounts of oxygen and was noted to be desaturating with minimal mobility and movement.   Patient was consulted by palliative care and moved to ICU for closer monitoring.  Patient expired on 02/17/2022.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was given after being at room temperature for 6 hours and 25 minutes after dilution.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac ablation, Cardiac monitoring abnormal, Condition aggravated, Heart rate increased
Clinical narrative: 10/2021 Two months later after my 3rd vaccine, I went into A-fib and received an ablation for them to get my heart back into a sinus rhythm. I did have to go the ER in March or April due to my heart rate increasing so high. I don't know when my heart rate is elevating. December 27th, 2021, I started to wear a heart monitor due to increased issues. I increased my medication around January of 2022, and now I am getting this A-Fib and increased heart rate more frequently and for longer durations. April 26th 2022, 15%, 05/01/2022 heart rate elevation for 17% of the day. I went to a sleep clinic in August and received a C-Pap machine for sleep. Currently I am experiencing more increased heart rates, more frequently and for longer durations.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Sinus arrhythmia
Clinical narrative: 10/2021 Two months later after my 3rd vaccine, I went into A-fib and received an ablation for them to get my heart back into a sinus rhythm. I did have to go the ER in March or April due to my heart rate increasing so high. I don't know when my heart rate is elevating. December 27th, 2021, I started to wear a heart monitor due to increased issues. I increased my medication around January of 2022, and now I am getting this A-Fib and increased heart rate more frequently and for longer durations. April 26th 2022, 15%, 05/01/2022 heart rate elevation for 17% of the day. I went to a sleep clinic in August and received a C-Pap machine for sleep. Currently I am experiencing more increased heart rates, more frequently and for longer durations.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Atypical pneumonia, Autoimmune disorder, COVID-19, Corneal transplant
Clinical narrative: 4/12/21 HZV (herpes zoster virus) post herpetic trigeminal neuralgia, s/p cornea transplant due to ocular varicella zoster 4/2021 dx'd with Sjogren syndrome, rheumatoid arthritis 6/2021 atypical pneumonia, elevated d-dimer, abnormal echocardiogram, hyperthyroidism 8/2021 hypoxemia 2nd to acute covid 19 infection, elevated troponin, NSTEMI 11/2021 pneumonia, parainfluenza infection, sepsis, acute encephalopathy
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Encephalopathy, Fibrin D dimer increased, Herpes zoster, Hyperthyroidism
Clinical narrative: 4/12/21 HZV (herpes zoster virus) post herpetic trigeminal neuralgia, s/p cornea transplant due to ocular varicella zoster 4/2021 dx'd with Sjogren syndrome, rheumatoid arthritis 6/2021 atypical pneumonia, elevated d-dimer, abnormal echocardiogram, hyperthyroidism 8/2021 hypoxemia 2nd to acute covid 19 infection, elevated troponin, NSTEMI 11/2021 pneumonia, parainfluenza infection, sepsis, acute encephalopathy
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Laboratory test, Neuralgia, Ophthalmic herpes zoster, Parainfluenzae virus infection
Clinical narrative: 4/12/21 HZV (herpes zoster virus) post herpetic trigeminal neuralgia, s/p cornea transplant due to ocular varicella zoster 4/2021 dx'd with Sjogren syndrome, rheumatoid arthritis 6/2021 atypical pneumonia, elevated d-dimer, abnormal echocardiogram, hyperthyroidism 8/2021 hypoxemia 2nd to acute covid 19 infection, elevated troponin, NSTEMI 11/2021 pneumonia, parainfluenza infection, sepsis, acute encephalopathy
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Post herpetic neuralgia, Rheumatoid arthritis, Sepsis, Sjogren's syndrome
Clinical narrative: 4/12/21 HZV (herpes zoster virus) post herpetic trigeminal neuralgia, s/p cornea transplant due to ocular varicella zoster 4/2021 dx'd with Sjogren syndrome, rheumatoid arthritis 6/2021 atypical pneumonia, elevated d-dimer, abnormal echocardiogram, hyperthyroidism 8/2021 hypoxemia 2nd to acute covid 19 infection, elevated troponin, NSTEMI 11/2021 pneumonia, parainfluenza infection, sepsis, acute encephalopathy
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: 4/12/21 HZV (herpes zoster virus) post herpetic trigeminal neuralgia, s/p cornea transplant due to ocular varicella zoster 4/2021 dx'd with Sjogren syndrome, rheumatoid arthritis 6/2021 atypical pneumonia, elevated d-dimer, abnormal echocardiogram, hyperthyroidism 8/2021 hypoxemia 2nd to acute covid 19 infection, elevated troponin, NSTEMI 11/2021 pneumonia, parainfluenza infection, sepsis, acute encephalopathy
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: I and my wife were out of the country, and was diagnosed with COVID-19 about 3 days after returning home. Called doctor but did not go into office.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Prevnar 13 (PCV 13)was ordered, the patient was given Pneumovax (PPSV 23). The patient has had no adverse effects.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Essential tremor, Limb discomfort, Muscle twitching, Muscular weakness
Clinical narrative: In late January and beginning of February I started to feel a lot of neurological symptoms. I had strange sensations in my arms. I was having tiny muscle twitching in my body. I was having night sweats. I was also having hyper aware sensations in my nerves. I was also having trembling. I also was having muscle weakness. I have also had a tremor in my face that was got even worse over the last two years. That was diagnosed as a benign intentional tremor. My muscle ache and my joints hurt. I have an appointment with a rheumatologist.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nervous system disorder, Neurological symptom, Night sweats, Tremor
Clinical narrative: In late January and beginning of February I started to feel a lot of neurological symptoms. I had strange sensations in my arms. I was having tiny muscle twitching in my body. I was having night sweats. I was also having hyper aware sensations in my nerves. I was also having trembling. I also was having muscle weakness. I have also had a tremor in my face that was got even worse over the last two years. That was diagnosed as a benign intentional tremor. My muscle ache and my joints hurt. I have an appointment with a rheumatologist.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Dyspnoea, Fatigue
Clinical narrative: I started getting symptoms of headaches, cough, and chest congestion. I thought it was a cold or sinus infection. Then I got shortness of breath. The cough was getting worse and then I was fatigued. I went to the emergency room and got a COVID-19 test which was positive. I got a breathing treatment while at ER. These symptoms lasted for one week except the chest congestion and cough. I still have chest congestion and cough to this day. I was surprised I caught COVID-19 due to always wearing a mask.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of headaches, cough, and chest congestion. I thought it was a cold or sinus infection. Then I got shortness of breath. The cough was getting worse and then I was fatigued. I went to the emergency room and got a COVID-19 test which was positive. I got a breathing treatment while at ER. These symptoms lasted for one week except the chest congestion and cough. I still have chest congestion and cough to this day. I was surprised I caught COVID-19 due to always wearing a mask.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Cardiac arrest, Cardio-respiratory arrest, Catheterisation cardiac abnormal
Clinical narrative: 1/29/22 pt to ED with c/o Chest pain that started today; has had SOB, non-productive cough, intermittent fever and chills for up to 1 wk; found to be positive for COVID in ED; started on BiPAP due to acute respiratory failure; EKG showed changes, STEMI; TNK given, dexamethasone and remdesivir given; sent to cardiac catherization lab; stent placed; transferred to ICU; later pt had asystole; code blue and ACLS protocol followed with good results; pt expired in the hospital
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Coronary arterial stent insertion, Cough, Death
Clinical narrative: 1/29/22 pt to ED with c/o Chest pain that started today; has had SOB, non-productive cough, intermittent fever and chills for up to 1 wk; found to be positive for COVID in ED; started on BiPAP due to acute respiratory failure; EKG showed changes, STEMI; TNK given, dexamethasone and remdesivir given; sent to cardiac catherization lab; stent placed; transferred to ICU; later pt had asystole; code blue and ACLS protocol followed with good results; pt expired in the hospital
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Intensive care, Life support, Positive airway pressure therapy
Clinical narrative: 1/29/22 pt to ED with c/o Chest pain that started today; has had SOB, non-productive cough, intermittent fever and chills for up to 1 wk; found to be positive for COVID in ED; started on BiPAP due to acute respiratory failure; EKG showed changes, STEMI; TNK given, dexamethasone and remdesivir given; sent to cardiac catherization lab; stent placed; transferred to ICU; later pt had asystole; code blue and ACLS protocol followed with good results; pt expired in the hospital
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 1/29/22 pt to ED with c/o Chest pain that started today; has had SOB, non-productive cough, intermittent fever and chills for up to 1 wk; found to be positive for COVID in ED; started on BiPAP due to acute respiratory failure; EKG showed changes, STEMI; TNK given, dexamethasone and remdesivir given; sent to cardiac catherization lab; stent placed; transferred to ICU; later pt had asystole; code blue and ACLS protocol followed with good results; pt expired in the hospital
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein increased, COVID-19, Immunoglobulin therapy, Multisystem inflammatory syndrome in children
Clinical narrative: Patient received two Pfizer vaccines in 2021:  11/20/21 and 12/11/21. Patient contracted COVID-19 disease in January 2022. Patient was hospitalized in March 2022 with signs and symptoms consistent with MIS-C complications. Symptoms included fever, joint pain and rash over two weeks.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Red blood cell sedimentation rate increased
Clinical narrative: Patient received two Pfizer vaccines in 2021:  11/20/21 and 12/11/21. Patient contracted COVID-19 disease in January 2022. Patient was hospitalized in March 2022 with signs and symptoms consistent with MIS-C complications. Symptoms included fever, joint pain and rash over two weeks.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Goitre, Heart rate increased, Oropharyngeal pain, Weight decreased
Clinical narrative: I experienced sore throat, swollen thyroid, fast heart rate and weight loss.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Lymphadenopathy, Lymphoma
Clinical narrative: Unknown vaccination dates, manufacturer of vaccine, and actual adverse event dates. Patient reported that he had lymphoma that was in remission since 2010. Reported after his 2nd covid shot his "glands started swelling." Reported after his booster, "it was full-blown cancer again." Now undergoing treatment for lymphoma.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Eye pain, Lacrimation increased, Magnetic resonance imaging, Pain in jaw
Clinical narrative: I started out with pain in my left eye accompanied my tearing or watering in my left eye or orbital area this was followed by tinnitus and or ringing in my left ear and pain. I ales began to have pain in my jaw on my left side.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, X-ray
Clinical narrative: I started out with pain in my left eye accompanied my tearing or watering in my left eye or orbital area this was followed by tinnitus and or ringing in my left ear and pain. I ales began to have pain in my jaw on my left side.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Body temperature increased, C-reactive protein increased, COVID-19, COVID-19 pneumonia
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/9/21 (el3302) Pfizer Dose 2 3/3/21 (EN6199) COVID Positive 11/3/21 COVID Positive 11/8/21  11/8/21: She is a 91-year-old female with a history of CAD, COPD on 2 L of oxygen at home, HTN, PVD and bladder cancer status post TURBT.  Patient was found to be positive for COVID-19 infection on 11/03/2021 following complaint of worsening shortness of breath but oxygen requirement was at baseline requiring no hospital treatment.  However over the past few days she is more short of breath with mild hypoxia on her usual 2 L of oxygen.  This morning she called the paramedics and on arrival are O2 saturation was 86% on 2 L of oxygen and was placed on 6 L and subsequently brought to the emergency room for further management.  Of note is that patient is fully vaccinated against COVID 19. At the ER the vital signs was significant for a temperature of 103.2° F, HR 91, RR 27 and the SpO2 93% on 6 L.  She was subsequently placed on BiPAP with significant improvement in oxygenation.  A routine chest x-ray showed mild pulmonary edema and development of airspace disease in the right upper lobe and left lingula suggesting superimposed pneumonia.  11/14/21: Patient is admitted hospital for COVID-19 pneumonia with the worsening hypoxic respiratory failure. She is started on IV remdesivir and dexamethasone along with antibiotics.  Her D-dimer and CRP were elevated.  Due to increasing oxygen requirement, discuss with pulmonology and patient is given Actemra x1 dose.  Patient continued to improve with our treatment, oxygen was weaned off successfully and has been on 2 L oxygen by nasal cannula. She has been afebrile, hemodynamically stable. Inflammatory markers are trending down.  Due to elevated D-dimer she is started on anticoagulation with the Eliquis 2.5 mg p.o. BT. Patient was already on aspirin and Plavix at home.  As this increases the risk of bleeding in a nonagenarian, aspirin he is on hold at this time and she has continue Eliquis and Plavix.  Patient is discharged to home today in stable condition, given a prescription for Eliquis 2.5 mg p.o. b.i.d. for 6 weeks.  Patient will be off aspirin during this time, resume aspirin once Eliquis is completed. Physical therapy and occupation therapy evaluation is noted.  Patient is discharged with VNA, PT and OT services.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Fibrin D dimer increased, Hypoxia, Inappropriate schedule of product administration
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/9/21 (el3302) Pfizer Dose 2 3/3/21 (EN6199) COVID Positive 11/3/21 COVID Positive 11/8/21  11/8/21: She is a 91-year-old female with a history of CAD, COPD on 2 L of oxygen at home, HTN, PVD and bladder cancer status post TURBT.  Patient was found to be positive for COVID-19 infection on 11/03/2021 following complaint of worsening shortness of breath but oxygen requirement was at baseline requiring no hospital treatment.  However over the past few days she is more short of breath with mild hypoxia on her usual 2 L of oxygen.  This morning she called the paramedics and on arrival are O2 saturation was 86% on 2 L of oxygen and was placed on 6 L and subsequently brought to the emergency room for further management.  Of note is that patient is fully vaccinated against COVID 19. At the ER the vital signs was significant for a temperature of 103.2° F, HR 91, RR 27 and the SpO2 93% on 6 L.  She was subsequently placed on BiPAP with significant improvement in oxygenation.  A routine chest x-ray showed mild pulmonary edema and development of airspace disease in the right upper lobe and left lingula suggesting superimposed pneumonia.  11/14/21: Patient is admitted hospital for COVID-19 pneumonia with the worsening hypoxic respiratory failure. She is started on IV remdesivir and dexamethasone along with antibiotics.  Her D-dimer and CRP were elevated.  Due to increasing oxygen requirement, discuss with pulmonology and patient is given Actemra x1 dose.  Patient continued to improve with our treatment, oxygen was weaned off successfully and has been on 2 L oxygen by nasal cannula. She has been afebrile, hemodynamically stable. Inflammatory markers are trending down.  Due to elevated D-dimer she is started on anticoagulation with the Eliquis 2.5 mg p.o. BT. Patient was already on aspirin and Plavix at home.  As this increases the risk of bleeding in a nonagenarian, aspirin he is on hold at this time and she has continue Eliquis and Plavix.  Patient is discharged to home today in stable condition, given a prescription for Eliquis 2.5 mg p.o. b.i.d. for 6 weeks.  Patient will be off aspirin during this time, resume aspirin once Eliquis is completed. Physical therapy and occupation therapy evaluation is noted.  Patient is discharged with VNA, PT and OT services.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammatory marker test, Lung disorder, Pneumonia, Positive airway pressure therapy, Pulmonary oedema
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/9/21 (el3302) Pfizer Dose 2 3/3/21 (EN6199) COVID Positive 11/3/21 COVID Positive 11/8/21  11/8/21: She is a 91-year-old female with a history of CAD, COPD on 2 L of oxygen at home, HTN, PVD and bladder cancer status post TURBT.  Patient was found to be positive for COVID-19 infection on 11/03/2021 following complaint of worsening shortness of breath but oxygen requirement was at baseline requiring no hospital treatment.  However over the past few days she is more short of breath with mild hypoxia on her usual 2 L of oxygen.  This morning she called the paramedics and on arrival are O2 saturation was 86% on 2 L of oxygen and was placed on 6 L and subsequently brought to the emergency room for further management.  Of note is that patient is fully vaccinated against COVID 19. At the ER the vital signs was significant for a temperature of 103.2° F, HR 91, RR 27 and the SpO2 93% on 6 L.  She was subsequently placed on BiPAP with significant improvement in oxygenation.  A routine chest x-ray showed mild pulmonary edema and development of airspace disease in the right upper lobe and left lingula suggesting superimposed pneumonia.  11/14/21: Patient is admitted hospital for COVID-19 pneumonia with the worsening hypoxic respiratory failure. She is started on IV remdesivir and dexamethasone along with antibiotics.  Her D-dimer and CRP were elevated.  Due to increasing oxygen requirement, discuss with pulmonology and patient is given Actemra x1 dose.  Patient continued to improve with our treatment, oxygen was weaned off successfully and has been on 2 L oxygen by nasal cannula. She has been afebrile, hemodynamically stable. Inflammatory markers are trending down.  Due to elevated D-dimer she is started on anticoagulation with the Eliquis 2.5 mg p.o. BT. Patient was already on aspirin and Plavix at home.  As this increases the risk of bleeding in a nonagenarian, aspirin he is on hold at this time and she has continue Eliquis and Plavix.  Patient is discharged to home today in stable condition, given a prescription for Eliquis 2.5 mg p.o. b.i.d. for 6 weeks.  Patient will be off aspirin during this time, resume aspirin once Eliquis is completed. Physical therapy and occupation therapy evaluation is noted.  Patient is discharged with VNA, PT and OT services.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Superinfection, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/9/21 (el3302) Pfizer Dose 2 3/3/21 (EN6199) COVID Positive 11/3/21 COVID Positive 11/8/21  11/8/21: She is a 91-year-old female with a history of CAD, COPD on 2 L of oxygen at home, HTN, PVD and bladder cancer status post TURBT.  Patient was found to be positive for COVID-19 infection on 11/03/2021 following complaint of worsening shortness of breath but oxygen requirement was at baseline requiring no hospital treatment.  However over the past few days she is more short of breath with mild hypoxia on her usual 2 L of oxygen.  This morning she called the paramedics and on arrival are O2 saturation was 86% on 2 L of oxygen and was placed on 6 L and subsequently brought to the emergency room for further management.  Of note is that patient is fully vaccinated against COVID 19. At the ER the vital signs was significant for a temperature of 103.2° F, HR 91, RR 27 and the SpO2 93% on 6 L.  She was subsequently placed on BiPAP with significant improvement in oxygenation.  A routine chest x-ray showed mild pulmonary edema and development of airspace disease in the right upper lobe and left lingula suggesting superimposed pneumonia.  11/14/21: Patient is admitted hospital for COVID-19 pneumonia with the worsening hypoxic respiratory failure. She is started on IV remdesivir and dexamethasone along with antibiotics.  Her D-dimer and CRP were elevated.  Due to increasing oxygen requirement, discuss with pulmonology and patient is given Actemra x1 dose.  Patient continued to improve with our treatment, oxygen was weaned off successfully and has been on 2 L oxygen by nasal cannula. She has been afebrile, hemodynamically stable. Inflammatory markers are trending down.  Due to elevated D-dimer she is started on anticoagulation with the Eliquis 2.5 mg p.o. BT. Patient was already on aspirin and Plavix at home.  As this increases the risk of bleeding in a nonagenarian, aspirin he is on hold at this time and she has continue Eliquis and Plavix.  Patient is discharged to home today in stable condition, given a prescription for Eliquis 2.5 mg p.o. b.i.d. for 6 weeks.  Patient will be off aspirin during this time, resume aspirin once Eliquis is completed. Physical therapy and occupation therapy evaluation is noted.  Patient is discharged with VNA, PT and OT services.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Cerumen removal, Deafness bilateral, Middle ear effusion, Tinnitus, Tympanic membrane perforation
Clinical narrative: Tinnitus developed in right ear. Hearing loss developed in both ears. Went to Dr.'s office. Left ear was cleared of was and hearing improved. Right ear was cleared of puss like fluid and Dr advised I had a perforated ear drum with over 1/2 of the ear drum missing. As of May 2022 hearing in right ear is nearly 100% gone. Expect follow up with specialist in May 2022 with the potential requirement of tympanoplasty required to repair as it does not appear the ear drum is growing shut on it's own. Tinnitus continues 24 / 7.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Discomfort, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Immediately upon injection entire left arm ached severely; day later, upper left arm was swollen and red from injection site to elbow. Pain and discomfort has continued with some improvement. But still have limited mobility of shoulder.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Pain, Pain in extremity
Clinical narrative: Immediately upon injection entire left arm ached severely; day later, upper left arm was swollen and red from injection site to elbow. Pain and discomfort has continued with some improvement. But still have limited mobility of shoulder.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Magnetic resonance imaging, Migraine
Clinical narrative: Chronic Migraines. So far every month since December, lasting for about 12 days.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Lymphadenitis, Lymphadenopathy, Oedema peripheral
Clinical narrative: 70kg 51 yo F was given Shingrex vaccine in her left deltoid on 4/22/22 at 1519 (Lot #7BC47).   On 4/25/22, patient called to c/o swelling the size of a large peach and tenderness to L axillary since 4/24/22 and redness 0.5 x 1.5 in at L deltoid injection site since 4/23/22.  Pt had tried light massage without relief.  On physical assessment, MD found lymph nodes over left neck and left axilla areas.  Patient reports appearance of lymphadenopathies over the left side of her neck. Some rash at the injection site.  Diagnosed with acute lymphadenitis and prescribed ibuprofen 400mg po daily for 7 days. Treat with warm compresses.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: 70kg 51 yo F was given Shingrex vaccine in her left deltoid on 4/22/22 at 1519 (Lot #7BC47).   On 4/25/22, patient called to c/o swelling the size of a large peach and tenderness to L axillary since 4/24/22 and redness 0.5 x 1.5 in at L deltoid injection site since 4/23/22.  Pt had tried light massage without relief.  On physical assessment, MD found lymph nodes over left neck and left axilla areas.  Patient reports appearance of lymphadenopathies over the left side of her neck. Some rash at the injection site.  Diagnosed with acute lymphadenitis and prescribed ibuprofen 400mg po daily for 7 days. Treat with warm compresses.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of product administration, Wrong product administered
Clinical narrative: Received Meningitis vaccine instead of TDap. First meningitis vaccine received 03/2022.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Bone pain, Lymph node pain, Lymphadenopathy, Mobility decreased
Clinical narrative: 05/04/2021 I started having pain on my collar bone lost mobility in my shoulder for a day. I had an injection and they hit the bursa instead of the correct point. I had swollen lymph notes the size of a marble. It developed in over a week and lasted for 3 weeks. They were very painful. It has fully recovered.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: 05/04/2021 I started having pain on my collar bone lost mobility in my shoulder for a day. I had an injection and they hit the bursa instead of the correct point. I had swollen lymph notes the size of a marble. It developed in over a week and lasted for 3 weeks. They were very painful. It has fully recovered.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Alcohol poisoning, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood creatine phosphokinase increased
Clinical narrative: COVID Vaccine Breakout Case  Pfizer Dose 1 3/2/21 (EN6203) Pfizer Dose 2 3/23/21 (EN6207) COVID Positive 11/20/21  11/20/21: Patient is a 69 year old male who presented to ED via EMS with complaints of shortness of breath.  Per chart review EMS was called while the patient was drinking at a bar when he became acutely hypoxic.  The patient had 1 episode of emesis and was noted to be hypoxic on room air at 80%.  EMS placed the patient on BiPAP and he improved his oxygen saturations to 92%.  He has a past medical history significant for atrial fibrillation anticoagulated on Eliquis, CHF, OSA, morbid obesity and hypertension. Patient is intoxicated and a poor historian at this time. He is unaware of all his medications. He does take Eliquis and a water pill but is unsure of dosing. He does not recall the events leading up to EMS being called. He denies daily ETOH use but admits he has been drinking daily for the past several days, a few beers per day. He has been Covid vaccinated. He denies tobacco use and does not report a history of COPD. He denies any recent fevers or body aches. He does endorse shortness of breath at this time. Denies chest pain.  On arrival to ED the patient was hypertensive 148/105. Laboratory findings were significant for hyponatremia 128. Transaminitis ALT 222, AST 211 and ALP 124. Lactic acidosis 2.5.  ProBNP 1400. CK 292. Hypoxemic/hypercapnic respiratory distress pCO2 62 and PO2 136. ALC 187. C-reactive 2.50. Rapid Covid positive. Patient was started on azithromycin and ceftriaxone in ED.  Solu-Medrol 125 mg and DuoNeb treatment given in ED.  Lasix 20 mg IV given in ED  11/23/21: Patient is a 69-year-old male with history of diastolic heart failure, atrial fibrillation on Eliquis, OSA, COPD, CPAP use,  alcohol abuse, presented to the emergency department from bar after emesis and hypoxia. Diagnosed with COVID-19 pneumonia and possible bacterial pneumonia, treated for alcohol intoxication.  Also had diastolic heart failure exacerbation for which he was on Lasix.  He became euvolemic.    Successfully weaned off oxygen.  Had transient hyperglycemia most likely related to steroids use.  Otherwise was back to baseline and was stable for discharge.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Condition aggravated, Dyspnoea
Clinical narrative: COVID Vaccine Breakout Case  Pfizer Dose 1 3/2/21 (EN6203) Pfizer Dose 2 3/23/21 (EN6207) COVID Positive 11/20/21  11/20/21: Patient is a 69 year old male who presented to ED via EMS with complaints of shortness of breath.  Per chart review EMS was called while the patient was drinking at a bar when he became acutely hypoxic.  The patient had 1 episode of emesis and was noted to be hypoxic on room air at 80%.  EMS placed the patient on BiPAP and he improved his oxygen saturations to 92%.  He has a past medical history significant for atrial fibrillation anticoagulated on Eliquis, CHF, OSA, morbid obesity and hypertension. Patient is intoxicated and a poor historian at this time. He is unaware of all his medications. He does take Eliquis and a water pill but is unsure of dosing. He does not recall the events leading up to EMS being called. He denies daily ETOH use but admits he has been drinking daily for the past several days, a few beers per day. He has been Covid vaccinated. He denies tobacco use and does not report a history of COPD. He denies any recent fevers or body aches. He does endorse shortness of breath at this time. Denies chest pain.  On arrival to ED the patient was hypertensive 148/105. Laboratory findings were significant for hyponatremia 128. Transaminitis ALT 222, AST 211 and ALP 124. Lactic acidosis 2.5.  ProBNP 1400. CK 292. Hypoxemic/hypercapnic respiratory distress pCO2 62 and PO2 136. ALC 187. C-reactive 2.50. Rapid Covid positive. Patient was started on azithromycin and ceftriaxone in ED.  Solu-Medrol 125 mg and DuoNeb treatment given in ED.  Lasix 20 mg IV given in ED  11/23/21: Patient is a 69-year-old male with history of diastolic heart failure, atrial fibrillation on Eliquis, OSA, COPD, CPAP use,  alcohol abuse, presented to the emergency department from bar after emesis and hypoxia. Diagnosed with COVID-19 pneumonia and possible bacterial pneumonia, treated for alcohol intoxication.  Also had diastolic heart failure exacerbation for which he was on Lasix.  He became euvolemic.    Successfully weaned off oxygen.  Had transient hyperglycemia most likely related to steroids use.  Otherwise was back to baseline and was stable for discharge.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypercapnia, Hyperglycaemia, Hypertension, Hypertransaminasaemia, Hyponatraemia
Clinical narrative: COVID Vaccine Breakout Case  Pfizer Dose 1 3/2/21 (EN6203) Pfizer Dose 2 3/23/21 (EN6207) COVID Positive 11/20/21  11/20/21: Patient is a 69 year old male who presented to ED via EMS with complaints of shortness of breath.  Per chart review EMS was called while the patient was drinking at a bar when he became acutely hypoxic.  The patient had 1 episode of emesis and was noted to be hypoxic on room air at 80%.  EMS placed the patient on BiPAP and he improved his oxygen saturations to 92%.  He has a past medical history significant for atrial fibrillation anticoagulated on Eliquis, CHF, OSA, morbid obesity and hypertension. Patient is intoxicated and a poor historian at this time. He is unaware of all his medications. He does take Eliquis and a water pill but is unsure of dosing. He does not recall the events leading up to EMS being called. He denies daily ETOH use but admits he has been drinking daily for the past several days, a few beers per day. He has been Covid vaccinated. He denies tobacco use and does not report a history of COPD. He denies any recent fevers or body aches. He does endorse shortness of breath at this time. Denies chest pain.  On arrival to ED the patient was hypertensive 148/105. Laboratory findings were significant for hyponatremia 128. Transaminitis ALT 222, AST 211 and ALP 124. Lactic acidosis 2.5.  ProBNP 1400. CK 292. Hypoxemic/hypercapnic respiratory distress pCO2 62 and PO2 136. ALC 187. C-reactive 2.50. Rapid Covid positive. Patient was started on azithromycin and ceftriaxone in ED.  Solu-Medrol 125 mg and DuoNeb treatment given in ED.  Lasix 20 mg IV given in ED  11/23/21: Patient is a 69-year-old male with history of diastolic heart failure, atrial fibrillation on Eliquis, OSA, COPD, CPAP use,  alcohol abuse, presented to the emergency department from bar after emesis and hypoxia. Diagnosed with COVID-19 pneumonia and possible bacterial pneumonia, treated for alcohol intoxication.  Also had diastolic heart failure exacerbation for which he was on Lasix.  He became euvolemic.    Successfully weaned off oxygen.  Had transient hyperglycemia most likely related to steroids use.  Otherwise was back to baseline and was stable for discharge.