chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Hypoaesthesia, Infection, Injection site inflammation, Injection site pain
Clinical narrative: There was pain, swelling and inflammation at the injection site. Went to the Dr when the swelling was a little bigger than a plumb. They prescribed antibiotics and the infection seemed to clear up, but I was/am still experiencing inflammation and a burning nerve pain in the area of the injection, that radiates down my arm. If I push the use of that arm the pain becomes almost unbearable, and I experience numbness and muscle spasms all the way to my fingers. Upon further diagnosis (X-ray and MRI) I was diagnosed with Scoliosis, which wasn't a pre-existing condition as far as anyone was aware.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Magnetic resonance imaging abnormal, Muscle spasms, Neuralgia
Clinical narrative: There was pain, swelling and inflammation at the injection site. Went to the Dr when the swelling was a little bigger than a plumb. They prescribed antibiotics and the infection seemed to clear up, but I was/am still experiencing inflammation and a burning nerve pain in the area of the injection, that radiates down my arm. If I push the use of that arm the pain becomes almost unbearable, and I experience numbness and muscle spasms all the way to my fingers. Upon further diagnosis (X-ray and MRI) I was diagnosed with Scoliosis, which wasn't a pre-existing condition as far as anyone was aware.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Scoliosis, White blood cell count increased, X-ray abnormal
Clinical narrative: There was pain, swelling and inflammation at the injection site. Went to the Dr when the swelling was a little bigger than a plumb. They prescribed antibiotics and the infection seemed to clear up, but I was/am still experiencing inflammation and a burning nerve pain in the area of the injection, that radiates down my arm. If I push the use of that arm the pain becomes almost unbearable, and I experience numbness and muscle spasms all the way to my fingers. Upon further diagnosis (X-ray and MRI) I was diagnosed with Scoliosis, which wasn't a pre-existing condition as far as anyone was aware.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: 16:58, Pfizer vaccine booster administered. 17:03, client stood up and reported feeling lightheaded. NP instructed client to lay down on floor with feet on chair. Yoga mat placed under head. Pallor; diaphoretic appearance. Radial pulse regular 2+. A&Ox4. Not a true syncopal episode. 17:05, BP 106/76, A&Ox4. RR 18. Pupils 3 mm equal and reactive. Pulse 2+. 17:08, client reported no longer feeling lightheaded and said he "passed out after shots" when he was a child. Continued to rest in supine position. 17:11, client sat in chair drinking water; skin color returned to normal. RR 16. 17:14 BP 118/70. 17:24, client left site without incident.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient was mistakenly given a dose of 0.5 mL instead of the protocol dose of 0.25 mL for the Moderna booster. The patient's family has been informed. The Long-Term Care facility at which the patient is residing has been notified and is monitoring the patient for adverse reactions. We have contacted Moderna as well, who have instructed us that the only risk we should expect is a slight increased chance in the normally observed vaccine-related side-effects.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid on 11/4 while conducting testing  for all associates and residents
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: I have been having a headache everyday for 3 hours or more
Age: 69.0
Sex: M
Vaccine: UNK
Symptoms: Interchange of vaccine products, Product dose omission issue
Clinical narrative: Client had received 1 dose of Moderna and then on 10/28/2021 he received 1 dose of Janssen. No other adverse reaction, client had only received 1 Moderna and had not completed primary vaccination series.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Fever-Severe
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Tenderness
Clinical narrative: Arm red, swollen, and tender.  Treated with ice and heat for several days.
Age: 60.0
Sex: M
Vaccine: COVID19, FLU4, UNK
Symptoms: Arthralgia, Diarrhoea, Headache, Inappropriate schedule of product administration, Insomnia
Clinical narrative: Fever, cold, can not sleep, diarrhea, shaking trembling , light headache, body ache, sharp pain in left shoulder, blurry vision on 2nd day.  Take Tylenol, aspirin. Stop all other medicine. Blurry vision, on 2nd day.
Age: 60.0
Sex: M
Vaccine: COVID19, FLU4, UNK
Symptoms: Nasopharyngitis, Pain, Pyrexia, Tremor, Vision blurred
Clinical narrative: Fever, cold, can not sleep, diarrhea, shaking trembling , light headache, body ache, sharp pain in left shoulder, blurry vision on 2nd day.  Take Tylenol, aspirin. Stop all other medicine. Blurry vision, on 2nd day.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injury, Joint injury, Paraesthesia, Product administration error
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient was given an adult dose of the vaccine instead of the pediatric dose.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Immunodeficiency, Myalgia, Pain in extremity
Clinical narrative: Fever in excess of 103F. Chills. Muscle aches. Headache. Sore arm.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever in excess of 103F. Chills. Muscle aches. Headache. Sore arm.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Gait disturbance, Laboratory test
Clinical narrative: unable to stand up or walk
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Fatigue, Gait disturbance, Herpes zoster
Clinical narrative: Became extremely weak muscles felt like jello, no strength, could not walk 25 feet without resting. lungs : got short of breath within walking 25 feet and unable to continue to maintain breath after 35 feet, had to stop and rest to get my breath back,  I have never gotten winded to the point of so short of breath I an huffing to breath. Exhausted : I was able to sleep 36 hours straight and get up be up for 6 hours and go back to bed sleep again.  Shingles : 3 cases since the vaccine the worst  I have ever had and extreme pain  I am slowly recovering am not normal yet. I was a healthy working nurse prior to this.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Muscular weakness, Pain
Clinical narrative: Became extremely weak muscles felt like jello, no strength, could not walk 25 feet without resting. lungs : got short of breath within walking 25 feet and unable to continue to maintain breath after 35 feet, had to stop and rest to get my breath back,  I have never gotten winded to the point of so short of breath I an huffing to breath. Exhausted : I was able to sleep 36 hours straight and get up be up for 6 hours and go back to bed sleep again.  Shingles : 3 cases since the vaccine the worst  I have ever had and extreme pain  I am slowly recovering am not normal yet. I was a healthy working nurse prior to this.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Rash, Rash pruritic, Skin warm
Clinical narrative: Patient  received the Pfizer booster vaccine on 11-4-21, patient called on 11-5-2021 at 1030  and reported she developed a rash 1700 on her body except her face, stated rash was itchy and felt warm, patient denied any respiratory distress. Patient states went to the Urgent Care, but was taking long to be seen, she went home and took a benadryl at 1830, patient states rash, itching and and warmth  was relieved with the benadryl, patient states the itchy and  warmth returned at 0830, took benadryl at 0930 and was relieved again.  At 1330 Called patient, patient states going to the Urgent Care now to be seen, patient states does not have the rash.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: The patient reported no current adverse event experienced or any effect requiring medical attention.  The patient was instructed to contact the pharmacy if any adverse events occur.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient was mistakenly given a dose of 0.5 mL instead of the protocol dose of 0.25 mL for the Moderna booster. The patient's family has been informed. The Long-Term Care facility at which the patient is residing has been notified and is monitoring the patient for adverse reactions. We have contacted Moderna as well, who have instructed us that the only risk we should expect is a slight increased chance in the normally observed vaccine-related side-effects.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine
Clinical narrative: I?ve had a migraine almost everyday since the 2nd dose.  Working with my doctor to find a medication to stop them from coming back
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received Pfizer booster within 6 months of second dose. No adverse reactions occurred
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Nasal congestion, Pain, Productive cough, Pyrexia
Clinical narrative: productive cough, fever 101 yesterday, chills, body aches, nasal congestion. starting 11/4/21
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Fatigue, Lymphadenopathy, Myalgia
Clinical narrative: Had swollen lymph nodes, mouth soars, hives, fever, fever blisters, muscle aches, fatigue, chills
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Pyrexia, Stomatitis, Urticaria
Clinical narrative: Had swollen lymph nodes, mouth soars, hives, fever, fever blisters, muscle aches, fatigue, chills
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Dizziness, Ear discomfort, Gastrointestinal disorder, Paraesthesia
Clinical narrative: Noted getting Moderna Covid vaccine - 1st one Jan 27, 2nd one was Feb 24th -- > fine for 2-3 days.  Noted extreme dizziness, tinnitus, audiology said hearing loss on left, tingling in face, GI issues for 7 months (x7 months), feet rashes. Notes persistent ear fullness, tinnitus.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Tinnitus
Clinical narrative: Noted getting Moderna Covid vaccine - 1st one Jan 27, 2nd one was Feb 24th -- > fine for 2-3 days.  Noted extreme dizziness, tinnitus, audiology said hearing loss on left, tingling in face, GI issues for 7 months (x7 months), feet rashes. Notes persistent ear fullness, tinnitus.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pain, Palpitations
Clinical narrative: Pounding heart Some pain Not able to breathe well
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Diarrhoea
Clinical narrative: 10/20/21-This patient has tested Covid positive but has had illness w/in 90 days: Current positive Covid testing date:10/19/21 Previous positive Covid testing w/ illness date: 2 weeks ago at a fast track.  Testing today to "see if it had gone away".  COVID Follow-up 10/25/21- Started on 10/7/2021 Fever, sinus congestion, cough, loss of taste and smell, headache, body aches, diarrhea, fatigue  She is fully vaccinated She was seen on 10/9/2021 and was tested positive for COVID Patient received Regeneron infusion on 10/11/2021 She is feeling a little better Cough has improved Fever, headache, diarrhea have resolved  Still very fatigue, loss of taste and smell Joint pain, mostly isolated to her hips, knees, and low back History of bilateral hip replacement  Walking/movement/stagnent positions make it worse  She has tried Mobic, Tylenol, and warm showers for her pain without significant improvement Denies any chest pain, shortness of breath
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 10/20/21-This patient has tested Covid positive but has had illness w/in 90 days: Current positive Covid testing date:10/19/21 Previous positive Covid testing w/ illness date: 2 weeks ago at a fast track.  Testing today to "see if it had gone away".  COVID Follow-up 10/25/21- Started on 10/7/2021 Fever, sinus congestion, cough, loss of taste and smell, headache, body aches, diarrhea, fatigue  She is fully vaccinated She was seen on 10/9/2021 and was tested positive for COVID Patient received Regeneron infusion on 10/11/2021 She is feeling a little better Cough has improved Fever, headache, diarrhea have resolved  Still very fatigue, loss of taste and smell Joint pain, mostly isolated to her hips, knees, and low back History of bilateral hip replacement  Walking/movement/stagnent positions make it worse  She has tried Mobic, Tylenol, and warm showers for her pain without significant improvement Denies any chest pain, shortness of breath
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus congestion
Clinical narrative: 10/20/21-This patient has tested Covid positive but has had illness w/in 90 days: Current positive Covid testing date:10/19/21 Previous positive Covid testing w/ illness date: 2 weeks ago at a fast track.  Testing today to "see if it had gone away".  COVID Follow-up 10/25/21- Started on 10/7/2021 Fever, sinus congestion, cough, loss of taste and smell, headache, body aches, diarrhea, fatigue  She is fully vaccinated She was seen on 10/9/2021 and was tested positive for COVID Patient received Regeneron infusion on 10/11/2021 She is feeling a little better Cough has improved Fever, headache, diarrhea have resolved  Still very fatigue, loss of taste and smell Joint pain, mostly isolated to her hips, knees, and low back History of bilateral hip replacement  Walking/movement/stagnent positions make it worse  She has tried Mobic, Tylenol, and warm showers for her pain without significant improvement Denies any chest pain, shortness of breath
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder
Clinical narrative: I experienced heart trouble.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Cough, Diarrhoea, Dizziness
Clinical narrative: I had sore throat, congestive, cough, and running nose. I had a mild fever. I was fatigued, back pain, and body pain. I had dizziness, diarrhea, and nausea. I have burning eyes, memory issues, and insomnia. I have a headache that never goes away. I had slight difficulty breathing at night. My throat swelled up a little bit. I went to an urgent care. I got 2 prescriptions. They did a COVID-19 test, positive result. These symptoms have been since October 31.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Eye irritation, Fatigue, Headache, Insomnia
Clinical narrative: I had sore throat, congestive, cough, and running nose. I had a mild fever. I was fatigued, back pain, and body pain. I had dizziness, diarrhea, and nausea. I have burning eyes, memory issues, and insomnia. I have a headache that never goes away. I had slight difficulty breathing at night. My throat swelled up a little bit. I went to an urgent care. I got 2 prescriptions. They did a COVID-19 test, positive result. These symptoms have been since October 31.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Memory impairment, Nausea, Oropharyngeal pain, Pain, Pharyngeal swelling
Clinical narrative: I had sore throat, congestive, cough, and running nose. I had a mild fever. I was fatigued, back pain, and body pain. I had dizziness, diarrhea, and nausea. I have burning eyes, memory issues, and insomnia. I have a headache that never goes away. I had slight difficulty breathing at night. My throat swelled up a little bit. I went to an urgent care. I got 2 prescriptions. They did a COVID-19 test, positive result. These symptoms have been since October 31.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had sore throat, congestive, cough, and running nose. I had a mild fever. I was fatigued, back pain, and body pain. I had dizziness, diarrhea, and nausea. I have burning eyes, memory issues, and insomnia. I have a headache that never goes away. I had slight difficulty breathing at night. My throat swelled up a little bit. I went to an urgent care. I got 2 prescriptions. They did a COVID-19 test, positive result. These symptoms have been since October 31.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Received 100mcg dose as her 3rd dose booster rather than 50mcg.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Atrial fibrillation, Blood creatinine increased, Blood lactic acid increased
Clinical narrative: Pt is a 81 yo female with a history of CVA, DM2, HFpEF, HTN, GERD, HLD, Afib (on apixiban), COPD baseline 2L NC. She is also s/p Pfizer vaccination: dose 1 on 1/23/21 and dose 2 on 2/13/21. She presented to the ED on 9/13 with altered mental status, hypoxia and increased oxygen requirements. Patient was found to be COVID positive despite getting the Pfizer vaccine in January and February of this year. In the ED patient found to have AKI on ESRD, Potassium 6.0, Creatinine 6.09 and BUN 166. She was treated with insulin and dextrose, nephrology was consulted and placed orders for CRRT. Patient was found to have a lactic acidosis (lactate 6.3) and was intubated due to hypoxia and increased work of breathing (continued)  Levo also initiated in the ED after patient received 1L IVF. Started on dexamethasone and remdesivir on 9/13.  Patient went into Afib with RVR and was put on an amiodarone gtt in addition to heparin gtt. Lower respiratory cx grew Proteus and MSSA. Patient was also found to be COVID+. Shock continued to worsen between 9/14 to 9/16 and the patient required Phenylephrine, Giapreza, and Vasopressin in order to maintain her blood pressures with MAP > 60. She required CRRT for AKI with hypotension. Echo showed EF of 70% with elevated RVSP, but fluid could not be pulled consistently with CRRT given her blood pressures. After maximum rates of 3 vasopressors did not achieve normotension, she was transitioned to DNRCC. Time of Death was 2119 on 9/16.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood potassium increased, Blood urea increased, COVID-19, Condition aggravated, Culture positive
Clinical narrative: Pt is a 81 yo female with a history of CVA, DM2, HFpEF, HTN, GERD, HLD, Afib (on apixiban), COPD baseline 2L NC. She is also s/p Pfizer vaccination: dose 1 on 1/23/21 and dose 2 on 2/13/21. She presented to the ED on 9/13 with altered mental status, hypoxia and increased oxygen requirements. Patient was found to be COVID positive despite getting the Pfizer vaccine in January and February of this year. In the ED patient found to have AKI on ESRD, Potassium 6.0, Creatinine 6.09 and BUN 166. She was treated with insulin and dextrose, nephrology was consulted and placed orders for CRRT. Patient was found to have a lactic acidosis (lactate 6.3) and was intubated due to hypoxia and increased work of breathing (continued)  Levo also initiated in the ED after patient received 1L IVF. Started on dexamethasone and remdesivir on 9/13.  Patient went into Afib with RVR and was put on an amiodarone gtt in addition to heparin gtt. Lower respiratory cx grew Proteus and MSSA. Patient was also found to be COVID+. Shock continued to worsen between 9/14 to 9/16 and the patient required Phenylephrine, Giapreza, and Vasopressin in order to maintain her blood pressures with MAP > 60. She required CRRT for AKI with hypotension. Echo showed EF of 70% with elevated RVSP, but fluid could not be pulled consistently with CRRT given her blood pressures. After maximum rates of 3 vasopressors did not achieve normotension, she was transitioned to DNRCC. Time of Death was 2119 on 9/16.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Echocardiogram abnormal, Ejection fraction normal, End stage renal disease
Clinical narrative: Pt is a 81 yo female with a history of CVA, DM2, HFpEF, HTN, GERD, HLD, Afib (on apixiban), COPD baseline 2L NC. She is also s/p Pfizer vaccination: dose 1 on 1/23/21 and dose 2 on 2/13/21. She presented to the ED on 9/13 with altered mental status, hypoxia and increased oxygen requirements. Patient was found to be COVID positive despite getting the Pfizer vaccine in January and February of this year. In the ED patient found to have AKI on ESRD, Potassium 6.0, Creatinine 6.09 and BUN 166. She was treated with insulin and dextrose, nephrology was consulted and placed orders for CRRT. Patient was found to have a lactic acidosis (lactate 6.3) and was intubated due to hypoxia and increased work of breathing (continued)  Levo also initiated in the ED after patient received 1L IVF. Started on dexamethasone and remdesivir on 9/13.  Patient went into Afib with RVR and was put on an amiodarone gtt in addition to heparin gtt. Lower respiratory cx grew Proteus and MSSA. Patient was also found to be COVID+. Shock continued to worsen between 9/14 to 9/16 and the patient required Phenylephrine, Giapreza, and Vasopressin in order to maintain her blood pressures with MAP > 60. She required CRRT for AKI with hypotension. Echo showed EF of 70% with elevated RVSP, but fluid could not be pulled consistently with CRRT given her blood pressures. After maximum rates of 3 vasopressors did not achieve normotension, she was transitioned to DNRCC. Time of Death was 2119 on 9/16.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Hypotension, Hypoxia, Lactic acidosis, Mental status changes
Clinical narrative: Pt is a 81 yo female with a history of CVA, DM2, HFpEF, HTN, GERD, HLD, Afib (on apixiban), COPD baseline 2L NC. She is also s/p Pfizer vaccination: dose 1 on 1/23/21 and dose 2 on 2/13/21. She presented to the ED on 9/13 with altered mental status, hypoxia and increased oxygen requirements. Patient was found to be COVID positive despite getting the Pfizer vaccine in January and February of this year. In the ED patient found to have AKI on ESRD, Potassium 6.0, Creatinine 6.09 and BUN 166. She was treated with insulin and dextrose, nephrology was consulted and placed orders for CRRT. Patient was found to have a lactic acidosis (lactate 6.3) and was intubated due to hypoxia and increased work of breathing (continued)  Levo also initiated in the ED after patient received 1L IVF. Started on dexamethasone and remdesivir on 9/13.  Patient went into Afib with RVR and was put on an amiodarone gtt in addition to heparin gtt. Lower respiratory cx grew Proteus and MSSA. Patient was also found to be COVID+. Shock continued to worsen between 9/14 to 9/16 and the patient required Phenylephrine, Giapreza, and Vasopressin in order to maintain her blood pressures with MAP > 60. She required CRRT for AKI with hypotension. Echo showed EF of 70% with elevated RVSP, but fluid could not be pulled consistently with CRRT given her blood pressures. After maximum rates of 3 vasopressors did not achieve normotension, she was transitioned to DNRCC. Time of Death was 2119 on 9/16.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Right ventricular systolic pressure increased, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive, Shock
Clinical narrative: Pt is a 81 yo female with a history of CVA, DM2, HFpEF, HTN, GERD, HLD, Afib (on apixiban), COPD baseline 2L NC. She is also s/p Pfizer vaccination: dose 1 on 1/23/21 and dose 2 on 2/13/21. She presented to the ED on 9/13 with altered mental status, hypoxia and increased oxygen requirements. Patient was found to be COVID positive despite getting the Pfizer vaccine in January and February of this year. In the ED patient found to have AKI on ESRD, Potassium 6.0, Creatinine 6.09 and BUN 166. She was treated with insulin and dextrose, nephrology was consulted and placed orders for CRRT. Patient was found to have a lactic acidosis (lactate 6.3) and was intubated due to hypoxia and increased work of breathing (continued)  Levo also initiated in the ED after patient received 1L IVF. Started on dexamethasone and remdesivir on 9/13.  Patient went into Afib with RVR and was put on an amiodarone gtt in addition to heparin gtt. Lower respiratory cx grew Proteus and MSSA. Patient was also found to be COVID+. Shock continued to worsen between 9/14 to 9/16 and the patient required Phenylephrine, Giapreza, and Vasopressin in order to maintain her blood pressures with MAP > 60. She required CRRT for AKI with hypotension. Echo showed EF of 70% with elevated RVSP, but fluid could not be pulled consistently with CRRT given her blood pressures. After maximum rates of 3 vasopressors did not achieve normotension, she was transitioned to DNRCC. Time of Death was 2119 on 9/16.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient was mistakenly given a dose of 0.5 mL instead of the protocol dose of 0.25 mL for the Moderna booster. The patient's family has been informed. The Long-Term Care facility at which the patient is residing has been notified and is monitoring the patient for adverse reactions. We have contacted Moderna as well, who have instructed us that the only risk we should expect is a slight increased chance in the normally observed vaccine-related side-effects.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Antibody test negative, Arteriogram carotid normal, Borrelia test negative, C-reactive protein normal
Clinical narrative: Sudden onset idiopathic left 6th cranial nerve palsy with diplopia and strabismus on 8-2-2021 = 4+months after second dose COVID-19 vacc.  This delay may indicate no relationship, but was told to report it anyway.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Magnetic resonance imaging head normal, Platelet count normal, Red blood cell sedimentation rate normal, Sleep study normal
Clinical narrative: Sudden onset idiopathic left 6th cranial nerve palsy with diplopia and strabismus on 8-2-2021 = 4+months after second dose COVID-19 vacc.  This delay may indicate no relationship, but was told to report it anyway.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Strabismus, VIth nerve paralysis
Clinical narrative: Sudden onset idiopathic left 6th cranial nerve palsy with diplopia and strabismus on 8-2-2021 = 4+months after second dose COVID-19 vacc.  This delay may indicate no relationship, but was told to report it anyway.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Haemoglobin decreased, Laboratory test, Legionella test
Clinical narrative: Pt is a 37 y.o. female with HbSS sickle cell anemia who was admitted 9/14/2021 due to fevers, rhinorrhea, congestion and found to be COVID+. She is s/p COVID vaccination: dose 1 on 2/22/2021 and dose 2 on 3/15/2021. Went to an indoor concert 5 days prior to admission, developed URI symptoms 2 days later.  No dyspnea or chest pain, but went to urgent care when she developed fevers at home to 101. At urgent care patient desatted to 88-89% while walking, so was directly admitted for further management. Labs on admission demonstrated hgb 7.1 (baseline 7-7.5), platelets 484, WBC 11.4K. Strep/legionella negative. CXR without any focal opacities On exam she remained well-appearing, in no acute distress, not in any pain. Remained on room air and passed walk test upon admission here. Lungs remained CTAB, heart sounds normal, regular rate and rhythm, no murmurs. Patient received 1 dose of dexamethasone overnight, discontinued given stable respiratory status. We recommended 5d of remdesivir to prevent complications from COVID however patient stated she felt well and agreed to receive 3 doses.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Platelet count increased, Pyrexia, Respiratory symptom, Respiratory tract congestion
Clinical narrative: Pt is a 37 y.o. female with HbSS sickle cell anemia who was admitted 9/14/2021 due to fevers, rhinorrhea, congestion and found to be COVID+. She is s/p COVID vaccination: dose 1 on 2/22/2021 and dose 2 on 3/15/2021. Went to an indoor concert 5 days prior to admission, developed URI symptoms 2 days later.  No dyspnea or chest pain, but went to urgent care when she developed fevers at home to 101. At urgent care patient desatted to 88-89% while walking, so was directly admitted for further management. Labs on admission demonstrated hgb 7.1 (baseline 7-7.5), platelets 484, WBC 11.4K. Strep/legionella negative. CXR without any focal opacities On exam she remained well-appearing, in no acute distress, not in any pain. Remained on room air and passed walk test upon admission here. Lungs remained CTAB, heart sounds normal, regular rate and rhythm, no murmurs. Patient received 1 dose of dexamethasone overnight, discontinued given stable respiratory status. We recommended 5d of remdesivir to prevent complications from COVID however patient stated she felt well and agreed to receive 3 doses.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Streptococcus test negative, White blood cell count increased
Clinical narrative: Pt is a 37 y.o. female with HbSS sickle cell anemia who was admitted 9/14/2021 due to fevers, rhinorrhea, congestion and found to be COVID+. She is s/p COVID vaccination: dose 1 on 2/22/2021 and dose 2 on 3/15/2021. Went to an indoor concert 5 days prior to admission, developed URI symptoms 2 days later.  No dyspnea or chest pain, but went to urgent care when she developed fevers at home to 101. At urgent care patient desatted to 88-89% while walking, so was directly admitted for further management. Labs on admission demonstrated hgb 7.1 (baseline 7-7.5), platelets 484, WBC 11.4K. Strep/legionella negative. CXR without any focal opacities On exam she remained well-appearing, in no acute distress, not in any pain. Remained on room air and passed walk test upon admission here. Lungs remained CTAB, heart sounds normal, regular rate and rhythm, no murmurs. Patient received 1 dose of dexamethasone overnight, discontinued given stable respiratory status. We recommended 5d of remdesivir to prevent complications from COVID however patient stated she felt well and agreed to receive 3 doses.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Extra dose administered, Fall
Clinical narrative: The patient became dizzy and fell. She stated she had never had a reaction like this before. We called the ambulance and after checking her vitals she declined to go to the hospital. We contacted her husband and she came to pick her up from our store.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Headache, Pain
Clinical narrative: headache, chills, aches.  Lasted 24 hours.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Condition aggravated, Dementia, Encephalopathy
Clinical narrative: Patient is an 88-year-old female with past medical history significant for arrhythmia, CVA with resultant left hemiparesis, HFpEF, dyskinesia, HTN, atrial fibrillation s/p ICD/pacemaker on warfarin anticoagulation, and hypothyroidism who presented for altered mental status, lethargy, and fever. Hypoxic respiratory insufficiency secondary to COVID-19 viral infection: symptoms began approximately on 9/13/2021, tested positive on 9/15/2021. COVID-19 vaccination status: vaccinated against COVID-19 with the Janssen vaccine on 7/2/2021. Previously on 2L oxygen, weaned to RA evening of 9/18/2021. CXR appeared to have only low lung volumes on 9/15/2021. Remdesivir for 5 days (end date of 9/20/2021) as patient missed her evening dose on 9/18/2021 due to IV access issues Dexamethasone 6mg daily while hospitalized. Did not require at discharge as discharged off of oxygen. Experienced acute encephalopathy in setting of mild dementia: baseline is difficulty recalling answers to complicated historical questions & home meds, but typically oriented per son. This improved similar to baseline at discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Inspiratory capacity decreased, Lethargy, Mental status changes, Pyrexia, Respiratory failure
Clinical narrative: Patient is an 88-year-old female with past medical history significant for arrhythmia, CVA with resultant left hemiparesis, HFpEF, dyskinesia, HTN, atrial fibrillation s/p ICD/pacemaker on warfarin anticoagulation, and hypothyroidism who presented for altered mental status, lethargy, and fever. Hypoxic respiratory insufficiency secondary to COVID-19 viral infection: symptoms began approximately on 9/13/2021, tested positive on 9/15/2021. COVID-19 vaccination status: vaccinated against COVID-19 with the Janssen vaccine on 7/2/2021. Previously on 2L oxygen, weaned to RA evening of 9/18/2021. CXR appeared to have only low lung volumes on 9/15/2021. Remdesivir for 5 days (end date of 9/20/2021) as patient missed her evening dose on 9/18/2021 due to IV access issues Dexamethasone 6mg daily while hospitalized. Did not require at discharge as discharged off of oxygen. Experienced acute encephalopathy in setting of mild dementia: baseline is difficulty recalling answers to complicated historical questions & home meds, but typically oriented per son. This improved similar to baseline at discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is an 88-year-old female with past medical history significant for arrhythmia, CVA with resultant left hemiparesis, HFpEF, dyskinesia, HTN, atrial fibrillation s/p ICD/pacemaker on warfarin anticoagulation, and hypothyroidism who presented for altered mental status, lethargy, and fever. Hypoxic respiratory insufficiency secondary to COVID-19 viral infection: symptoms began approximately on 9/13/2021, tested positive on 9/15/2021. COVID-19 vaccination status: vaccinated against COVID-19 with the Janssen vaccine on 7/2/2021. Previously on 2L oxygen, weaned to RA evening of 9/18/2021. CXR appeared to have only low lung volumes on 9/15/2021. Remdesivir for 5 days (end date of 9/20/2021) as patient missed her evening dose on 9/18/2021 due to IV access issues Dexamethasone 6mg daily while hospitalized. Did not require at discharge as discharged off of oxygen. Experienced acute encephalopathy in setting of mild dementia: baseline is difficulty recalling answers to complicated historical questions & home meds, but typically oriented per son. This improved similar to baseline at discharge.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: A couple hours after vaccine, redness occurred under band-aid. Hours later, injection site became raised and hot to the touch, itchy, red, and swollen.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Inflammation
Clinical narrative: Patient was anxious before coming in for vaccine. After vaccine, patient started to feel a tight chest and her lip started to become inflamed. After this was noticed, I gave the patient Benadryl 25mg to take and then had the EpiPen on hand just in case. After a few minutes, she said that she was starting to feel better. After 30 the patient felt more comfortable and her lip swelling had gone down. I informed the patient that she needed to go to urgent care or the ER if she was having any trouble breathing and that her next vaccination of the series (if she chose to get it) would need to be at a clinic.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Bartholin's abscess, Escherichia test positive
Clinical narrative: 6 cm Bartholin's abscess developed approximately 4 weeks after second dose, abscess lanced, drained and a word catheter placed.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mobility decreased, Nasal disorder, Upper respiratory tract infection, Weight decreased
Clinical narrative: Two months later I experienced fatigue. They gave me Amoxicillin and I broke out with hives. They had diagnosed as an Upper Respiratory Infection. I was unable to move. I could only eat watermelon and I lost 16 pounds. This month in Nov, I have experienced nasal issues, and I've never been sick in my life.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Muscular weakness, Neck pain
Clinical narrative: Patient received 2nd vaccine COVID vaccine made by Moderna. A few weeks after her last dose she experienced symptoms of: leg weakness, arm weakness, neck pain and also inability to walk.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Headache, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Patient received first dose of Pfizer vaccine in right deltoid muscle while seated in the front passenger side of the vehicle. Patient immediately had a suspected vagal response, fell back and passed out. Patient was unconscious for approximately 10 seconds. Patient was pale and clammy.  911 was activated by clinic staff. Patient was immediately reclined and put in the supine supine position. Ice packs were applied to post occipital/neck region, as well as left and right axilla. Patient regained consciousness after ice packs and complained of nausea/headache. Non productive emesis. Initial vitals: P47, R10, Unable to get BP, SPo2-94%. Patient was placed in semi fowlers position for emesis as EMS arrived on scene. Patient was answering questions and AAOx3 on EMS arrival. EMS vitals: BP-110/60, P-55, RR-12 SPO2-96, blood sugar 102. After EMS assessment, Patient was able to ambulate under own power around the vehicle. Patient refused further  treatment by EMS. Patient stayed for 30 minute observation without further incident.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Presyncope
Clinical narrative: Patient received first dose of Pfizer vaccine in right deltoid muscle while seated in the front passenger side of the vehicle. Patient immediately had a suspected vagal response, fell back and passed out. Patient was unconscious for approximately 10 seconds. Patient was pale and clammy.  911 was activated by clinic staff. Patient was immediately reclined and put in the supine supine position. Ice packs were applied to post occipital/neck region, as well as left and right axilla. Patient regained consciousness after ice packs and complained of nausea/headache. Non productive emesis. Initial vitals: P47, R10, Unable to get BP, SPo2-94%. Patient was placed in semi fowlers position for emesis as EMS arrived on scene. Patient was answering questions and AAOx3 on EMS arrival. EMS vitals: BP-110/60, P-55, RR-12 SPO2-96, blood sugar 102. After EMS assessment, Patient was able to ambulate under own power around the vehicle. Patient refused further  treatment by EMS. Patient stayed for 30 minute observation without further incident.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Hot flush, Nausea, Parosmia
Clinical narrative: Diarrhea, Hot flashes, Nausea, Foul smell. I at first thought the diarrhea alone smelled foul but later realized I was smelling the same smell in many situations like from cooking certain foods and in the  sewer smell along the hiking trail by my house. This is a different smell from what the sewer usually smells like. I also smell it slightly when wearing a mask. It is now November 5th and I am still having these same symptoms. I have never had nausea before in my life except when I had COVID disease   I was diagnosed with Covid August 9th this year and experienced some nausea and diarrhea and also lost my sense of smell and taste. I had recovered fully from this but am now having the above symptoms daily. I know this is considered late onset after the shot, but I can think of no other cause that would last this long. I am usually very healthy and get over small viruses quickly.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Chills, Cough, Fatigue
Clinical narrative: 10/28/21-48-year-old male with a history of diabetes, hypertension and is fully vaccinated completed in April presents wanting a repeat rapid antigen because when he had his test done earlier at PRP he said that he received a call that he was negative but 20 minutes later his wife received a call to see that he was positive.  Patient states he had been feeling bad for 2 days.  He has had a cough but no shortness of breath and he has had a headache that is mild.  He states that he is seems his chest hurts with a cough. He has had chills but no fever. .
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Headache, Myalgia, SARS-CoV-2 test positive
Clinical narrative: 10/28/21-48-year-old male with a history of diabetes, hypertension and is fully vaccinated completed in April presents wanting a repeat rapid antigen because when he had his test done earlier at PRP he said that he received a call that he was negative but 20 minutes later his wife received a call to see that he was positive.  Patient states he had been feeling bad for 2 days.  He has had a cough but no shortness of breath and he has had a headache that is mild.  He states that he is seems his chest hurts with a cough. He has had chills but no fever. .
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Received 100mcg Moderna COVID-19 3rd dose rather than approved 50mcg dose.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Fatigue, Heart rate abnormal
Clinical narrative: Fever, fatigue, nausea, chills, tiredness, joint pain, body aches, numbness distal to injection site, rapid heart rate, difficulty breathing, abnormal heart rate, pain in injection site, soreness at injection sight.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: Fever, fatigue, nausea, chills, tiredness, joint pain, body aches, numbness distal to injection site, rapid heart rate, difficulty breathing, abnormal heart rate, pain in injection site, soreness at injection sight.
Age: 36.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer dose 1 12/23/20 dose 2 1/12/21  EE tested positive 10/22/21
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Electric shock sensation, Rheumatoid arthritis
Clinical narrative: Severe Rheumatoid Arthritis Flare with only 1st dose.  Reaction on day 3.  joint pain and electricity type shocks felt at joints. (this has never been felt before even before RA was treated.)
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient was mistakenly given a dose of 0.5 mL instead of the protocol dose of 0.25 mL for the Moderna booster. The patient's family has been informed. The Long-Term Care facility at which the patient is residing has been notified and is monitoring the patient for adverse reactions. We have contacted Moderna as well, who have instructed us that the only risk we should expect is a slight increased chance in the normally observed vaccine-related side-effects.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Erythema, Full blood count normal, Haemoglobin normal, Pain in extremity
Clinical narrative: 16 days post vaccination,  PT awoke with left calf pain, swelling, warmth, and redness. She was evaluated at the Emergency Department. She was diagnosed with : Thrombophlebitis of superficial veins of left lower extremity  I80.02. She was instructed to
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Platelet count normal, Red blood cell count normal, Skin warm, Sleep disorder
Clinical narrative: 16 days post vaccination,  PT awoke with left calf pain, swelling, warmth, and redness. She was evaluated at the Emergency Department. She was diagnosed with : Thrombophlebitis of superficial veins of left lower extremity  I80.02. She was instructed to
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Superficial vein thrombosis, Ultrasound Doppler, White blood cell count normal
Clinical narrative: 16 days post vaccination,  PT awoke with left calf pain, swelling, warmth, and redness. She was evaluated at the Emergency Department. She was diagnosed with : Thrombophlebitis of superficial veins of left lower extremity  I80.02. She was instructed to
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: pt was accompanied by her grandmother. Pt felt a little dizzy after the vaccine, but she said she always feels a little dizzy like this after any vaccine she has gotten in the past.  We provided bottled water.  Pt said she didn't need ice pack. Pt sat in place for about 5 minutes, accompanied by her grandmother, and closely observed by me. Pt said she felt much better and felt normal.  I asked the pt and grandmother to stay for extra 30 minutes just in case, even though pt was feeling normal now.  Pt felt normal after 3 minutes, and had no other adverse effects at all after that.  Pt and grandmother left after 30 minutes without incidence.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dyskinesia, Fatigue, Feeling abnormal, Indifference, Pallor
Clinical narrative: Patient received his first dose of the Pfizer vaccine, roughly 3 seconds following administration, this patient's upper body fell to the back of the chair he was sitting in, he then preceded to mildly shake, along with jerking movements in the upper limbs. He also appeared very pale in color. His father had supported him until the event was over. This event lasted roughly 5 seconds. Immediately following the event, the patient reported feeling "blurry", but within roughly 2 minutes following the event, the patient was asked his age and name, which he answered correctly -- he was alert by this point, but appeared tired and off-standish. We then offered him a ginger-ale which he accepted and drank. The patient along with his father and younger sister agreed to stay for 15-20 minutes following the event. The patient was not very talkative, but did not experience any other events during this time besides experiencing "goosebumps". After the 20 minutes passed, the patient and his family had left.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Piloerection, Tremor
Clinical narrative: Patient received his first dose of the Pfizer vaccine, roughly 3 seconds following administration, this patient's upper body fell to the back of the chair he was sitting in, he then preceded to mildly shake, along with jerking movements in the upper limbs. He also appeared very pale in color. His father had supported him until the event was over. This event lasted roughly 5 seconds. Immediately following the event, the patient reported feeling "blurry", but within roughly 2 minutes following the event, the patient was asked his age and name, which he answered correctly -- he was alert by this point, but appeared tired and off-standish. We then offered him a ginger-ale which he accepted and drank. The patient along with his father and younger sister agreed to stay for 15-20 minutes following the event. The patient was not very talkative, but did not experience any other events during this time besides experiencing "goosebumps". After the 20 minutes passed, the patient and his family had left.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram normal, Inflammation
Clinical narrative: Inflammation of the left upper side of my chest and still having consistent pressure 2 months out
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Mass, Pruritus, Skin warm
Clinical narrative: Patient describes as black & blue, red, swollen, warm, itchy and a lump. Began improving 11-4.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Patient describes as black & blue, red, swollen, warm, itchy and a lump. Began improving 11-4.