chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urine antigen test
Clinical narrative: Patient is a 67 y.o. female patient of local CNP with history of asthma, DM-2, HTN, hypercholesterolemia, hyperthyroidism, multinodular goiter, papillary thyroid carcinoma, and paroxysmal atrial fibrillation who presented with shortness of breath and altered mentation and was found to have acute respiratory failure requiring intubation due to Covid/PNA. She failed extubation twice due to thyroid mass, so will be transferred to Hospital for ENT surgery   Acute respiratory failure  Intubated 11/7 due to covid/PNA with underlying asthma Pulm/CC consulted Extubated 11/8 and reintubated shortly after due to stridor IV lasix x1 on 11/9 Extubated 11/10 and reintubated 11/11 with vocal cord edema noted on reintubation  FiO2 (%): 40% S RR: 18br/min S VT: 320ml PEEP/CPAP (cm H2O): 5cmH2O MAP (mmHg):  [71-91] 73 Transfer to Hospital   Covid -19 infection Bacterial pneumonia Severe sepsis Sepsis present on admission CXR with b/l infiltrates Urinary antigens negative Vaccinated Covid positive 11/7 Started on rocephin/azithro, decadron and remdesivir Change decadron to solumedrol due to stridor Back on decadron 11/12 Azithro/remdesivir completed 11/11 Sputum culture MRSA 11/16 Vancomycin started 11/15  Acute metabolic encephalopathy - Resolved Likely due to hypoxia from above HeadCT negative 11/7 and 11/11 Follows commands, alert, oriented, and appropriate Has capacity and communicating by writing   DMT2 A1c 6.8 On lantus 55U and metformin at home Currently on lantus 50U qAM and lantus 30U at bedtime with SSI with ongoing hyperglycemia Change to insulin gtt 11/10 Transition to lantus/SSI on 11/12 On lantus 45U and SSI   Hyperthyroidism Papillary thyroid carcinoma S/p partial thyroidectomy TSH wnl Failed extubation x2 as above CT chest/neck on 11/11 with soft tissue mass from thyroid invading into airway ENT consulted 11/12; discussed patient has extensive involvement of tumor into thyroid cartilage, pharynx/trachea and likely involving the recurrent laryngeal nerve causing vocal cord paralysis. She is unsafe for a trach or extubation at this time and would need an extensive surgery at Hospital for stable airway and tumor resection   Hypernatremia - Resolved Na+ 153 on 11/12; add free water Na+ 148 on 11/13 Na+ 136 - 11/16 Stopped FWF   HTN Home lisinopril and hydrochlorothiazide held on admit Start lopressor and hydralazine prn 11/10   Obese BMI 38
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, General symptom, Hypoacusis
Clinical narrative: I received the vaccine on 11/20/22 around 4 p.m. and started feeling symptoms at 10 p.m. My left ear feels like it is full or needs to "pop". The feeling is likened to flying and your ear needing to pop; however, my ear has not "popped". All sound going into my left ear is muzzled and this has lasted for the past 2 wks and continues.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Constipation, Vertigo
Clinical narrative: Patient said he was constipated the day after. Vertigo Started on 12/3/2022 and patient has left quadrant abdominal pain since approximately 12/1/2022.  He has not gone to the doctor at this point.  His constipation has resolved, but still having abdominal pain.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Polyp
Clinical narrative: I was on Day 4 of my menstrual cycle when I was vaccinated. My cycle ended on 1/16 (Day 6). On 1/27/21, I started my menstrual cycle again and reported this to my Family Nurse Practitioner on 2/2/21 which was Day 7 of the irregular cycle. I now have polyps for which I need to have surgery to remove them in February 2023.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Angiogram, Cardiac monitoring, Electrocardiogram QT prolonged, Fall, Head injury
Clinical narrative: Pt had a syncopal event within 24 hours of vaccination with tetnus, HPV, and Mennigococal vaccines. Pt blacked out, fell backwards, hit the back of her head fracturing the right occiput. She has an open skull fracture, repaired with staples, pt also has a prolonged qt interval. Pt admitted to the intensive care unit for close cardiac monitoring with ECG and every hour neuro checks.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Intensive care, Loss of consciousness, Skull fractured base, Suture insertion, Syncope
Clinical narrative: Pt had a syncopal event within 24 hours of vaccination with tetnus, HPV, and Mennigococal vaccines. Pt blacked out, fell backwards, hit the back of her head fracturing the right occiput. She has an open skull fracture, repaired with staples, pt also has a prolonged qt interval. Pt admitted to the intensive care unit for close cardiac monitoring with ECG and every hour neuro checks.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Computerised tomogram thorax, Deep vein thrombosis, Limb discomfort, Peripheral swelling
Clinical narrative: Within 24 hours of the Omicron booster, I had signs of a mini-Covid infection that kept me in bed for 24 hours.  Prior to that I had never had Covid.  This was on 10/23/22.  Approx 3 weeks later, I started to see burst micro vessels in my R upper arm. Within 24 hours my R forearm was tight and my hand was slightly swollen.  Being a pharmacist I was suspecting a DVT at this time. I waited 24 hours and when the R forearm tightness and R hand swelling did not subside with icing, I presented to the Emergency Room.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Subclavian vein thrombosis, Ultrasound Doppler abnormal, Vascular rupture
Clinical narrative: Within 24 hours of the Omicron booster, I had signs of a mini-Covid infection that kept me in bed for 24 hours.  Prior to that I had never had Covid.  This was on 10/23/22.  Approx 3 weeks later, I started to see burst micro vessels in my R upper arm. Within 24 hours my R forearm was tight and my hand was slightly swollen.  Being a pharmacist I was suspecting a DVT at this time. I waited 24 hours and when the R forearm tightness and R hand swelling did not subside with icing, I presented to the Emergency Room.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bone pain, Chills, Electric shock sensation, Pyrexia
Clinical narrative: Chills all over body. slight fever 101.3, bone pain, electrical zaps
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Asthenia, Cardiac failure, Diuretic therapy
Clinical narrative: 11/25 Patient was admitted to the ER/hospital with SOB and weakness that occurred 3 days prior. Patient was hospitalized for NSTEMI (med managed because pt sustained GI bleed from heparin drip so unable to go to angiogram) and Heart failure (diuresed).
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Prohormone brain natriuretic peptide increased, Troponin increased
Clinical narrative: 11/25 Patient was admitted to the ER/hospital with SOB and weakness that occurred 3 days prior. Patient was hospitalized for NSTEMI (med managed because pt sustained GI bleed from heparin drip so unable to go to angiogram) and Heart failure (diuresed).
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Taste disorder
Clinical narrative: WEIRD TASTE IN MOUTH AND SWOLLEN LYMPH NODE IN LEFT ARMPIT.
Age: 35.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Urticaria
Clinical narrative: Hives/Welts on bottom and upper back of thighs
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Pyrexia, Sleep disorder
Clinical narrative: Woke up at 2 AM with shivering, fever, massive headache and shoulder and knee joint pain.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Chest pain, Condition aggravated, Confusional state, Dizziness
Clinical narrative: About a week after receiving Moderna Bivalent booster I  have been consistently experiencing breathing difficulty, dizziness, confusion and light headiness, extreme exhaustion after mental or physical exertion, chest pain, ringing in the ears, weakness in legs and arms. Lower left leg and left foot circulation issues.  Sleep on side or on a few pillows because of breathing issues. Insomnia.  Completely debilitating that I cannot live a normal life. Will seek ER treatment if symptoms continue.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea, Fatigue, Insomnia, Muscular weakness, Poor peripheral circulation
Clinical narrative: About a week after receiving Moderna Bivalent booster I  have been consistently experiencing breathing difficulty, dizziness, confusion and light headiness, extreme exhaustion after mental or physical exertion, chest pain, ringing in the ears, weakness in legs and arms. Lower left leg and left foot circulation issues.  Sleep on side or on a few pillows because of breathing issues. Insomnia.  Completely debilitating that I cannot live a normal life. Will seek ER treatment if symptoms continue.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Quality of life decreased, Tinnitus
Clinical narrative: About a week after receiving Moderna Bivalent booster I  have been consistently experiencing breathing difficulty, dizziness, confusion and light headiness, extreme exhaustion after mental or physical exertion, chest pain, ringing in the ears, weakness in legs and arms. Lower left leg and left foot circulation issues.  Sleep on side or on a few pillows because of breathing issues. Insomnia.  Completely debilitating that I cannot live a normal life. Will seek ER treatment if symptoms continue.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Blood test normal, Disturbance in attention, Dysgraphia, Educational problem
Clinical narrative: In January of 2022, he started to experience a sudden and dramatic change in behavior, mood, emotional regulation, executive function, sleep, and attention with no prior history of any of these issues. These issues escalated and worsened between January and June. By the time school ended in June, his academic abilities had severely declined in math and reading, he was struggling with handwriting, and could barely function in the classroom. He was screened by his primary care doctor in February, a psychiatrist from March-June, received behavioral therapy through a psychotherapist from March-October, evaluated by a neurologist and sleep specialist in June, had tonsil and adenoid surgery performed by an ENT in July, and will have another sleep study performed in December. Many of his symptoms have dramatically improved since surgery but he still struggles with attention, focus, and impulsivity.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Emotional disorder, Hypoxia, Impulsive behaviour, Mood altered
Clinical narrative: In January of 2022, he started to experience a sudden and dramatic change in behavior, mood, emotional regulation, executive function, sleep, and attention with no prior history of any of these issues. These issues escalated and worsened between January and June. By the time school ended in June, his academic abilities had severely declined in math and reading, he was struggling with handwriting, and could barely function in the classroom. He was screened by his primary care doctor in February, a psychiatrist from March-June, received behavioral therapy through a psychotherapist from March-October, evaluated by a neurologist and sleep specialist in June, had tonsil and adenoid surgery performed by an ENT in July, and will have another sleep study performed in December. Many of his symptoms have dramatically improved since surgery but he still struggles with attention, focus, and impulsivity.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep apnoea syndrome, Sleep disorder, Sleep study abnormal
Clinical narrative: In January of 2022, he started to experience a sudden and dramatic change in behavior, mood, emotional regulation, executive function, sleep, and attention with no prior history of any of these issues. These issues escalated and worsened between January and June. By the time school ended in June, his academic abilities had severely declined in math and reading, he was struggling with handwriting, and could barely function in the classroom. He was screened by his primary care doctor in February, a psychiatrist from March-June, received behavioral therapy through a psychotherapist from March-October, evaluated by a neurologist and sleep specialist in June, had tonsil and adenoid surgery performed by an ENT in July, and will have another sleep study performed in December. Many of his symptoms have dramatically improved since surgery but he still struggles with attention, focus, and impulsivity.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus, still present 7 months later.  Appears to have worsened after recently receiving my 3rd booster in Nov 2022.    Note that I received both doses of the original vaccine in 2021 (all 3  Pfizer), but both the 2nd booster in May?22 and in Nov?22 were. Moderna.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy bone marrow abnormal, Full blood count abnormal, Pancytopenia
Clinical narrative: pancytopenia developed after her Moderna vaccine  per her hematologist Dr. PRIVATE  Reference:  Manifestation of paroxysmal nocturnal hemoglobinuria after COVID-19 mRNA vaccination      COVID-19 vaccines induce severe hemolysis in paroxysmal nocturnal hemoglobinuria
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Injection site pain, Movement disorder
Clinical narrative: extreme bilateral upper back soreness  affects neck movement  same type of soreness felt on my left upper arm at injection site but on my entire upper back.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acupuncture, Antinuclear antibody positive, Antiphospholipid antibodies negative, Asthma, Blood test abnormal
Clinical narrative: In early October, noticed left ring finger became very swollen (approximately a size 10 ring size when normally a 6/7 ring size and painful to bend. By October 27, right hand?s middle finger was also swollen and painful to bend.  Returned to primary care physician 11/17 and same fingers were swollen and 4th toe on right foot. By 12/4, left ring finger, right pointer finger, right middle finger, right 4th toe and right knee are swollen and some pain in my left toes. Experienced asthma attack 11/15, first time in approximately 4 years since last attack.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Joint swelling, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: In early October, noticed left ring finger became very swollen (approximately a size 10 ring size when normally a 6/7 ring size and painful to bend. By October 27, right hand?s middle finger was also swollen and painful to bend.  Returned to primary care physician 11/17 and same fingers were swollen and 4th toe on right foot. By 12/4, left ring finger, right pointer finger, right middle finger, right 4th toe and right knee are swollen and some pain in my left toes. Experienced asthma attack 11/15, first time in approximately 4 years since last attack.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rheumatoid factor negative, X-ray abnormal
Clinical narrative: In early October, noticed left ring finger became very swollen (approximately a size 10 ring size when normally a 6/7 ring size and painful to bend. By October 27, right hand?s middle finger was also swollen and painful to bend.  Returned to primary care physician 11/17 and same fingers were swollen and 4th toe on right foot. By 12/4, left ring finger, right pointer finger, right middle finger, right 4th toe and right knee are swollen and some pain in my left toes. Experienced asthma attack 11/15, first time in approximately 4 years since last attack.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Symptoms of Tinnitus began within a few days after my 5th vaccine/booster. It is more prominent in the Right ear, and at night sleeping.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angina unstable, Catheterisation cardiac abnormal, Condition aggravated, Vascular graft occlusion
Clinical narrative: Pt developed unstable angina and cardiac cath done and found 4 of 5 of his previous bypass grafts to be occluded one year after surgery
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Headache, Sinus disorder, Vision blurred
Clinical narrative: Severe headpains, affecting my face & sinuses & causing blurred vision at times.  Private consultation with a neurologist who has prescribed a class C drug
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Asthma, Chills, Condition aggravated, Decreased appetite
Clinical narrative: Extreme fatigue; nausea; frequent (7+)per day loose stool; no appetite (could only tolerate broth);  chills;   all-over body ache; weakness; asthma flairup (need to use inhaler now 1-2x per day); weight loss  as of today (12/4/22) am down to 1 inhaler use per day and 2-3 loose stool;  nausea is still daily but infrequent;  appetite is back;  chills resolved  so getting better but slow
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Exposure to communicable disease, Fatigue, Frequent bowel movements, Nausea
Clinical narrative: Extreme fatigue; nausea; frequent (7+)per day loose stool; no appetite (could only tolerate broth);  chills;   all-over body ache; weakness; asthma flairup (need to use inhaler now 1-2x per day); weight loss  as of today (12/4/22) am down to 1 inhaler use per day and 2-3 loose stool;  nausea is still daily but infrequent;  appetite is back;  chills resolved  so getting better but slow
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Weight decreased
Clinical narrative: Extreme fatigue; nausea; frequent (7+)per day loose stool; no appetite (could only tolerate broth);  chills;   all-over body ache; weakness; asthma flairup (need to use inhaler now 1-2x per day); weight loss  as of today (12/4/22) am down to 1 inhaler use per day and 2-3 loose stool;  nausea is still daily but infrequent;  appetite is back;  chills resolved  so getting better but slow
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriovenous fistula, Atrial fibrillation, BK polyomavirus test positive, Blood creatine phosphokinase MB, Blood creatine phosphokinase normal
Clinical narrative: Patient was admitted on 2/6/2022 with chief complaint of chest pain. The patient had an ablation in late December 2021 and presented to the ED in early January for worsening palpitations. He was cardioverted in the ED and discharged home, but states that his symptoms have worsened again since being diagnosed with COVID-19 on 02/04/22. He reports respiratory symptoms and diarrhea with his COVID infection. Early in the morning 02/06/22 he states that he developed chest pain and diaphoresis while sitting in a chair, similar to his prior episodes of afib. Manual pulse check was 170. He took Tylenol and attempted breath holding, which did not improve his symptoms. He called EMS and was transported to the ED for further evaluation.  On arrival in the ED the patient was afebrile 97.8F, 115/73, respiratory rate 18 and saturating 100% on room air. He was found to be in afib with RVR. The ED physician discussed therapeutic options with the patient including electrical cardioversion vs medical management, and the patient elected to have electrical cardioversion. He was cardioverted with synchronization at 300J of biphasic energy, which converted the patient to a regular rate afib. During the procedure the patient was sedated and experienced mild respiratory depression requiring jaw thrust support. Repeat EKG demonstrated atrial fibrillation with a normal rate. On Labs patient had a mildly elevated 2.1 (baseline 1.9), troponin, CK, and CKMB were within normal limits. Magnesium 1.6, which was replaced. CBC was within normal limits, and INR was 2.5. Chest x ray showed mild interstitial vascular congestion with interstitial infiltrates that had developed since the prior exam.    Patient was admitted for AFib with RVR. Due to patient's recent positive BK virus PCR and elevated quantitative level of 154 on 1/17/22 a repeat quantitative level was ordered.  Ultimately patient's heart rate was able to be managed on 120 mg b.i.d. Of sotalol.  Patient did have elevated creatinine at the beginning of hospitalization.  This improved with fluids.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood magnesium normal, Breath holding, COVID-19, Cardiac ablation
Clinical narrative: Patient was admitted on 2/6/2022 with chief complaint of chest pain. The patient had an ablation in late December 2021 and presented to the ED in early January for worsening palpitations. He was cardioverted in the ED and discharged home, but states that his symptoms have worsened again since being diagnosed with COVID-19 on 02/04/22. He reports respiratory symptoms and diarrhea with his COVID infection. Early in the morning 02/06/22 he states that he developed chest pain and diaphoresis while sitting in a chair, similar to his prior episodes of afib. Manual pulse check was 170. He took Tylenol and attempted breath holding, which did not improve his symptoms. He called EMS and was transported to the ED for further evaluation.  On arrival in the ED the patient was afebrile 97.8F, 115/73, respiratory rate 18 and saturating 100% on room air. He was found to be in afib with RVR. The ED physician discussed therapeutic options with the patient including electrical cardioversion vs medical management, and the patient elected to have electrical cardioversion. He was cardioverted with synchronization at 300J of biphasic energy, which converted the patient to a regular rate afib. During the procedure the patient was sedated and experienced mild respiratory depression requiring jaw thrust support. Repeat EKG demonstrated atrial fibrillation with a normal rate. On Labs patient had a mildly elevated 2.1 (baseline 1.9), troponin, CK, and CKMB were within normal limits. Magnesium 1.6, which was replaced. CBC was within normal limits, and INR was 2.5. Chest x ray showed mild interstitial vascular congestion with interstitial infiltrates that had developed since the prior exam.    Patient was admitted for AFib with RVR. Due to patient's recent positive BK virus PCR and elevated quantitative level of 154 on 1/17/22 a repeat quantitative level was ordered.  Ultimately patient's heart rate was able to be managed on 120 mg b.i.d. Of sotalol.  Patient did have elevated creatinine at the beginning of hospitalization.  This improved with fluids.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cardioversion, Chest X-ray abnormal, Chest pain, Diarrhoea, Electrocardiogram abnormal
Clinical narrative: Patient was admitted on 2/6/2022 with chief complaint of chest pain. The patient had an ablation in late December 2021 and presented to the ED in early January for worsening palpitations. He was cardioverted in the ED and discharged home, but states that his symptoms have worsened again since being diagnosed with COVID-19 on 02/04/22. He reports respiratory symptoms and diarrhea with his COVID infection. Early in the morning 02/06/22 he states that he developed chest pain and diaphoresis while sitting in a chair, similar to his prior episodes of afib. Manual pulse check was 170. He took Tylenol and attempted breath holding, which did not improve his symptoms. He called EMS and was transported to the ED for further evaluation.  On arrival in the ED the patient was afebrile 97.8F, 115/73, respiratory rate 18 and saturating 100% on room air. He was found to be in afib with RVR. The ED physician discussed therapeutic options with the patient including electrical cardioversion vs medical management, and the patient elected to have electrical cardioversion. He was cardioverted with synchronization at 300J of biphasic energy, which converted the patient to a regular rate afib. During the procedure the patient was sedated and experienced mild respiratory depression requiring jaw thrust support. Repeat EKG demonstrated atrial fibrillation with a normal rate. On Labs patient had a mildly elevated 2.1 (baseline 1.9), troponin, CK, and CKMB were within normal limits. Magnesium 1.6, which was replaced. CBC was within normal limits, and INR was 2.5. Chest x ray showed mild interstitial vascular congestion with interstitial infiltrates that had developed since the prior exam.    Patient was admitted for AFib with RVR. Due to patient's recent positive BK virus PCR and elevated quantitative level of 154 on 1/17/22 a repeat quantitative level was ordered.  Ultimately patient's heart rate was able to be managed on 120 mg b.i.d. Of sotalol.  Patient did have elevated creatinine at the beginning of hospitalization.  This improved with fluids.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Hyperhidrosis, International normalised ratio increased, Interstitial lung disease, Laboratory test abnormal
Clinical narrative: Patient was admitted on 2/6/2022 with chief complaint of chest pain. The patient had an ablation in late December 2021 and presented to the ED in early January for worsening palpitations. He was cardioverted in the ED and discharged home, but states that his symptoms have worsened again since being diagnosed with COVID-19 on 02/04/22. He reports respiratory symptoms and diarrhea with his COVID infection. Early in the morning 02/06/22 he states that he developed chest pain and diaphoresis while sitting in a chair, similar to his prior episodes of afib. Manual pulse check was 170. He took Tylenol and attempted breath holding, which did not improve his symptoms. He called EMS and was transported to the ED for further evaluation.  On arrival in the ED the patient was afebrile 97.8F, 115/73, respiratory rate 18 and saturating 100% on room air. He was found to be in afib with RVR. The ED physician discussed therapeutic options with the patient including electrical cardioversion vs medical management, and the patient elected to have electrical cardioversion. He was cardioverted with synchronization at 300J of biphasic energy, which converted the patient to a regular rate afib. During the procedure the patient was sedated and experienced mild respiratory depression requiring jaw thrust support. Repeat EKG demonstrated atrial fibrillation with a normal rate. On Labs patient had a mildly elevated 2.1 (baseline 1.9), troponin, CK, and CKMB were within normal limits. Magnesium 1.6, which was replaced. CBC was within normal limits, and INR was 2.5. Chest x ray showed mild interstitial vascular congestion with interstitial infiltrates that had developed since the prior exam.    Patient was admitted for AFib with RVR. Due to patient's recent positive BK virus PCR and elevated quantitative level of 154 on 1/17/22 a repeat quantitative level was ordered.  Ultimately patient's heart rate was able to be managed on 120 mg b.i.d. Of sotalol.  Patient did have elevated creatinine at the beginning of hospitalization.  This improved with fluids.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Palpitations, Pulmonary congestion, Respiratory depression, Respiratory symptom
Clinical narrative: Patient was admitted on 2/6/2022 with chief complaint of chest pain. The patient had an ablation in late December 2021 and presented to the ED in early January for worsening palpitations. He was cardioverted in the ED and discharged home, but states that his symptoms have worsened again since being diagnosed with COVID-19 on 02/04/22. He reports respiratory symptoms and diarrhea with his COVID infection. Early in the morning 02/06/22 he states that he developed chest pain and diaphoresis while sitting in a chair, similar to his prior episodes of afib. Manual pulse check was 170. He took Tylenol and attempted breath holding, which did not improve his symptoms. He called EMS and was transported to the ED for further evaluation.  On arrival in the ED the patient was afebrile 97.8F, 115/73, respiratory rate 18 and saturating 100% on room air. He was found to be in afib with RVR. The ED physician discussed therapeutic options with the patient including electrical cardioversion vs medical management, and the patient elected to have electrical cardioversion. He was cardioverted with synchronization at 300J of biphasic energy, which converted the patient to a regular rate afib. During the procedure the patient was sedated and experienced mild respiratory depression requiring jaw thrust support. Repeat EKG demonstrated atrial fibrillation with a normal rate. On Labs patient had a mildly elevated 2.1 (baseline 1.9), troponin, CK, and CKMB were within normal limits. Magnesium 1.6, which was replaced. CBC was within normal limits, and INR was 2.5. Chest x ray showed mild interstitial vascular congestion with interstitial infiltrates that had developed since the prior exam.    Patient was admitted for AFib with RVR. Due to patient's recent positive BK virus PCR and elevated quantitative level of 154 on 1/17/22 a repeat quantitative level was ordered.  Ultimately patient's heart rate was able to be managed on 120 mg b.i.d. Of sotalol.  Patient did have elevated creatinine at the beginning of hospitalization.  This improved with fluids.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin normal
Clinical narrative: Patient was admitted on 2/6/2022 with chief complaint of chest pain. The patient had an ablation in late December 2021 and presented to the ED in early January for worsening palpitations. He was cardioverted in the ED and discharged home, but states that his symptoms have worsened again since being diagnosed with COVID-19 on 02/04/22. He reports respiratory symptoms and diarrhea with his COVID infection. Early in the morning 02/06/22 he states that he developed chest pain and diaphoresis while sitting in a chair, similar to his prior episodes of afib. Manual pulse check was 170. He took Tylenol and attempted breath holding, which did not improve his symptoms. He called EMS and was transported to the ED for further evaluation.  On arrival in the ED the patient was afebrile 97.8F, 115/73, respiratory rate 18 and saturating 100% on room air. He was found to be in afib with RVR. The ED physician discussed therapeutic options with the patient including electrical cardioversion vs medical management, and the patient elected to have electrical cardioversion. He was cardioverted with synchronization at 300J of biphasic energy, which converted the patient to a regular rate afib. During the procedure the patient was sedated and experienced mild respiratory depression requiring jaw thrust support. Repeat EKG demonstrated atrial fibrillation with a normal rate. On Labs patient had a mildly elevated 2.1 (baseline 1.9), troponin, CK, and CKMB were within normal limits. Magnesium 1.6, which was replaced. CBC was within normal limits, and INR was 2.5. Chest x ray showed mild interstitial vascular congestion with interstitial infiltrates that had developed since the prior exam.    Patient was admitted for AFib with RVR. Due to patient's recent positive BK virus PCR and elevated quantitative level of 154 on 1/17/22 a repeat quantitative level was ordered.  Ultimately patient's heart rate was able to be managed on 120 mg b.i.d. Of sotalol.  Patient did have elevated creatinine at the beginning of hospitalization.  This improved with fluids.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 25.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Severe
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Hypoaesthesia, Lethargy, Pain, Paraesthesia
Clinical narrative: Systemic: Body Aches Generalized-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Tinnitus
Clinical narrative: Systemic: Body Aches Generalized-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injury associated with device
Clinical narrative: Error: Patient Accidentally Stuck by Needle-
Age: 81.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Trismus
Clinical narrative: Systemic: Fever-Severe, Systemic: LOCK JAW-Severe, Additional Details: PATIENT REPORTED HIGH GRADE FEVER FOR SEVERAL DAYS (NON SPEECIFIC) STARTED A DAY OR SO AFTER VACCINE. REPORTED HAVING LOCK JAW THAT CONTINUES TO IMPROVE. PT ALSO STATED SE DID VISIT HER DR IN THIS TIME FRAME BUT LITTLE WAS DONE.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Injection site haemorrhage, Injection site swelling
Clinical narrative: Site: Swelling at Injection Site-Medium, Additional Details: Arm swelled immediately upon recieving covid 19 booster bleed a little and then swelled to the size of a golfball instanlty.   ice was applied in the first 2 minutes and  one 25mg benydryl was given in 5 minutes. paitent waited and swelling decreased by time 25 min elapsed sent pt home with ice and instructed to call if any other symtoms.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Dyspnoea
Clinical narrative: Patient was admitted from adult foster care for shortness of breath.  Patient states at baseline, he's had shortness of breath due to his COPD. He was found COVID positive, Xray showed hyperinflation lungs with emphysematous changes in the bilateral upper lungs.  Bibasilar medial lung base atelectasis and parenchymal scarring along with minimal pleural effusion and/or pleural thickening bilaterally.  He was placed on Decadron and on Remdesivir.  Completed course  of steroids and remdesivir.  And was discharged in stable condition at baseline he uses 4 L of oxygen.  He has no complains.  Recommend repeat chest x-ray in 1 month.  Outpatient follow-up with family physician and pulmonology
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Emphysema, Lung hyperinflation, Pleural effusion, Pleural thickening, Pulmonary fibrosis
Clinical narrative: Patient was admitted from adult foster care for shortness of breath.  Patient states at baseline, he's had shortness of breath due to his COPD. He was found COVID positive, Xray showed hyperinflation lungs with emphysematous changes in the bilateral upper lungs.  Bibasilar medial lung base atelectasis and parenchymal scarring along with minimal pleural effusion and/or pleural thickening bilaterally.  He was placed on Decadron and on Remdesivir.  Completed course  of steroids and remdesivir.  And was discharged in stable condition at baseline he uses 4 L of oxygen.  He has no complains.  Recommend repeat chest x-ray in 1 month.  Outpatient follow-up with family physician and pulmonology
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient was admitted from adult foster care for shortness of breath.  Patient states at baseline, he's had shortness of breath due to his COPD. He was found COVID positive, Xray showed hyperinflation lungs with emphysematous changes in the bilateral upper lungs.  Bibasilar medial lung base atelectasis and parenchymal scarring along with minimal pleural effusion and/or pleural thickening bilaterally.  He was placed on Decadron and on Remdesivir.  Completed course  of steroids and remdesivir.  And was discharged in stable condition at baseline he uses 4 L of oxygen.  He has no complains.  Recommend repeat chest x-ray in 1 month.  Outpatient follow-up with family physician and pulmonology
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Acute kidney injury, Anal incontinence, Asymptomatic COVID-19, Back pain
Clinical narrative: Patient present with chief complaint of acute on chronic back pain. She does report bowel and bladder incontinence at times.  She recently developed chills, general malaise and cough.  She tested positive for COVID-19 on 02/06/2022.  According to the patient's husband she has had child-like behaviors over the last few days.     In the ED pt was hypotensive in 87/57 and very lethargic however arousable to deep stimulus.  She was maintaining her own airway.  She has had episodes of hypoxia which was treated with supplemental oxygen.  While patient is awake her oxygen saturation is within normal limits.  Patient's CBC is within normal limits, Creatinine of 2.1.  Patient's CRP is 4.73.  Chest x-ray was unremarkable.  MRI lumbar spine unchanged. Pt was hypotensive which improved the next day. She remained asymptomatic from COVID 19 and on room air. Pt was treated with Bactrim for UTI and had an allergic reaction with itching. Pt was started on ciprofloxacin and discharged home on it for UTI. She was asked to follow up with PCP in 1-2 weeks of discharge. Her AKI improved and was hypertensive before discharge which improved after receiving her home meds.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, C-reactive protein increased, Chest X-ray normal, Chills, Condition aggravated
Clinical narrative: Patient present with chief complaint of acute on chronic back pain. She does report bowel and bladder incontinence at times.  She recently developed chills, general malaise and cough.  She tested positive for COVID-19 on 02/06/2022.  According to the patient's husband she has had child-like behaviors over the last few days.     In the ED pt was hypotensive in 87/57 and very lethargic however arousable to deep stimulus.  She was maintaining her own airway.  She has had episodes of hypoxia which was treated with supplemental oxygen.  While patient is awake her oxygen saturation is within normal limits.  Patient's CBC is within normal limits, Creatinine of 2.1.  Patient's CRP is 4.73.  Chest x-ray was unremarkable.  MRI lumbar spine unchanged. Pt was hypotensive which improved the next day. She remained asymptomatic from COVID 19 and on room air. Pt was treated with Bactrim for UTI and had an allergic reaction with itching. Pt was started on ciprofloxacin and discharged home on it for UTI. She was asked to follow up with PCP in 1-2 weeks of discharge. Her AKI improved and was hypertensive before discharge which improved after receiving her home meds.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Drug hypersensitivity, Full blood count normal, Hypertension, Hypotension
Clinical narrative: Patient present with chief complaint of acute on chronic back pain. She does report bowel and bladder incontinence at times.  She recently developed chills, general malaise and cough.  She tested positive for COVID-19 on 02/06/2022.  According to the patient's husband she has had child-like behaviors over the last few days.     In the ED pt was hypotensive in 87/57 and very lethargic however arousable to deep stimulus.  She was maintaining her own airway.  She has had episodes of hypoxia which was treated with supplemental oxygen.  While patient is awake her oxygen saturation is within normal limits.  Patient's CBC is within normal limits, Creatinine of 2.1.  Patient's CRP is 4.73.  Chest x-ray was unremarkable.  MRI lumbar spine unchanged. Pt was hypotensive which improved the next day. She remained asymptomatic from COVID 19 and on room air. Pt was treated with Bactrim for UTI and had an allergic reaction with itching. Pt was started on ciprofloxacin and discharged home on it for UTI. She was asked to follow up with PCP in 1-2 weeks of discharge. Her AKI improved and was hypertensive before discharge which improved after receiving her home meds.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lethargy, Magnetic resonance imaging spinal, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient present with chief complaint of acute on chronic back pain. She does report bowel and bladder incontinence at times.  She recently developed chills, general malaise and cough.  She tested positive for COVID-19 on 02/06/2022.  According to the patient's husband she has had child-like behaviors over the last few days.     In the ED pt was hypotensive in 87/57 and very lethargic however arousable to deep stimulus.  She was maintaining her own airway.  She has had episodes of hypoxia which was treated with supplemental oxygen.  While patient is awake her oxygen saturation is within normal limits.  Patient's CBC is within normal limits, Creatinine of 2.1.  Patient's CRP is 4.73.  Chest x-ray was unremarkable.  MRI lumbar spine unchanged. Pt was hypotensive which improved the next day. She remained asymptomatic from COVID 19 and on room air. Pt was treated with Bactrim for UTI and had an allergic reaction with itching. Pt was started on ciprofloxacin and discharged home on it for UTI. She was asked to follow up with PCP in 1-2 weeks of discharge. Her AKI improved and was hypertensive before discharge which improved after receiving her home meds.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence, Urinary tract infection
Clinical narrative: Patient present with chief complaint of acute on chronic back pain. She does report bowel and bladder incontinence at times.  She recently developed chills, general malaise and cough.  She tested positive for COVID-19 on 02/06/2022.  According to the patient's husband she has had child-like behaviors over the last few days.     In the ED pt was hypotensive in 87/57 and very lethargic however arousable to deep stimulus.  She was maintaining her own airway.  She has had episodes of hypoxia which was treated with supplemental oxygen.  While patient is awake her oxygen saturation is within normal limits.  Patient's CBC is within normal limits, Creatinine of 2.1.  Patient's CRP is 4.73.  Chest x-ray was unremarkable.  MRI lumbar spine unchanged. Pt was hypotensive which improved the next day. She remained asymptomatic from COVID 19 and on room air. Pt was treated with Bactrim for UTI and had an allergic reaction with itching. Pt was started on ciprofloxacin and discharged home on it for UTI. She was asked to follow up with PCP in 1-2 weeks of discharge. Her AKI improved and was hypertensive before discharge which improved after receiving her home meds.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Feeling hot, Musculoskeletal discomfort, Pruritus, Tension
Clinical narrative: A 64-year-old female patient receiving her bivalent booster from Pfizer refers to feeling "warmth" throughout her body, additional minutes are observed and vitals are taken, which show no change, minutes later she begins to cough and, according to what she refers to, feeling tension in the neck. 2:03pm- BENADRYL P.O. x 1 tab 25mg and is observed for 30, cough improves but itching begins in the arms.
Age: 29.0
Sex: M
Vaccine: TD
Symptoms: Burning sensation, Chills, Erythema, Injection site pain, Injection site pruritus
Clinical narrative: Pt had red raised bump on L forearm, Pt complained of pain/burning day of vaccination. 2 days post vaccinations pt c/o of itching/burning at injection site that lasted 1 week.  Pt also reported red streak at site that spread to armpit. Pt also c/o of body aches and chills 1 week post vaccination.
Age: 29.0
Sex: M
Vaccine: TD
Symptoms: Pain, Peripheral swelling
Clinical narrative: Pt had red raised bump on L forearm, Pt complained of pain/burning day of vaccination. 2 days post vaccinations pt c/o of itching/burning at injection site that lasted 1 week.  Pt also reported red streak at site that spread to armpit. Pt also c/o of body aches and chills 1 week post vaccination.
Age: 70.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Feeling hot
Clinical narrative: 70 year old PT comes to observation presenting a persistent cough when sitting down, refers to feeling a sensation of heat on the neck, face and ears. Taking his vitals presents  P. 79, T. 36.7c, BP. 180/70, RESP. 20, Right. 379mg/dl.
Age: 1.08
Sex: M
Vaccine: COVID19, FLUA4, HEPA, MMRV, VARCEL
Symptoms: Endotracheal intubation, Fatigue, Generalised tonic-clonic seizure, Pyrexia, Respiratory failure
Clinical narrative: Patient received vaccinations as above (unsure about specific manufactures, would need access to clinic records). Patient seemed more tired, went to bed. Mom awoke on 12/3 to patient having a generalized tonic clonic seizure. He was taken to an outside hospital where he was febrile to 103, received ativan, tylenol, versed, keppra, fosphenytoin and phenobarbital then required intubation for respiratory failure.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Dizziness, Feeling hot, Lethargy, Loss of consciousness
Clinical narrative: Chills led to nausea and the need to eliminate bowels. Lightheadedness, tunnel vision and rapid overheating occurred during the bowel movement (without straining) and resulted in fainting and loss of consciousness. Spouse was able to pick up and reawaken shortly thereafter, probably within 20 seconds, but unknown exactly how long. Water and acetaminophen were administered, and wet towels were applied to help cool body temperature which was hot to the touch. No fever to report when temperature was taken 5 minutes after the episode. Dizziness and lethargy have been present since the episode, going on 3 hours.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Syncope, Tunnel vision
Clinical narrative: Chills led to nausea and the need to eliminate bowels. Lightheadedness, tunnel vision and rapid overheating occurred during the bowel movement (without straining) and resulted in fainting and loss of consciousness. Spouse was able to pick up and reawaken shortly thereafter, probably within 20 seconds, but unknown exactly how long. Water and acetaminophen were administered, and wet towels were applied to help cool body temperature which was hot to the touch. No fever to report when temperature was taken 5 minutes after the episode. Dizziness and lethargy have been present since the episode, going on 3 hours.
Age: 26.0
Sex: F
Vaccine: FLUR4
Symptoms: Blister, Erythema, Oedema peripheral, Pruritus
Clinical narrative: A 26 year old female patient approximately 2 hours after receiving her dose of Influenza referred to edema and itching in both hands. The day following the vaccination, she referred to blisters appearing on the fingers of hands. At the time of making this report (11/28/2022, 6:30pm) both extremities show evidence of edema and redness.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pulmonary pain
Clinical narrative: Pain in left lung when lying on left side.  Pain is in upper left lung near collarbone,  and lower left lung near bottom of ribcage.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Facial pain, Fatigue, Pain in extremity
Clinical narrative: I had both the Covid shot and a flu shot a little bit later. I?ve had some soreness in my chest feels like bruised ribs but over my center of my chest. This morning I woke up on the right side of my face which is the same side that the rib/chest soreness is on is tender and sore to the touch on my right side underneath my eye. This is a long with fatigue and arm soreness
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Heart rate increased, Inflammation, Mitral valve prolapse, Myocarditis
Clinical narrative: my child developed myocarditis. we are STILL fighting a battle of heart inflammation with a string of side effects?elevated heart rate, chest pains, and now mitral valve prolapse. this has been a nightmare. we?re waiting for her next round of MRIs to see if the inflammation has gone down so she can resume a normal life again.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Chills, Fatigue
Clinical narrative: Fatigue, chills, gastrointestinal discomfort
Age: 30.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Pain, Pain in extremity
Clinical narrative: Pain at injection site progressing to pain radiating down entire arm. Arm remained sore and red rash developed around injection site and extending to upper arm.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Eye inflammation, Headache, Influenza like illness, Noninfective gingivitis
Clinical narrative: Headache, sore arm, eye inflammation, gum inflammation
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: Headache, sore arm, eye inflammation, gum inflammation