chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ED  reports he has been coughing a lot. Had chest pain a few days prior but pain is gone by now. His daughter at bedside noted that his O2 waxes and wanes a lot and O2 dropped to 70s today. Pt lives with his wife but with her daughter, but she drove him to ED today.   Hospital Course   #Acute hypoxic respiratory failure #Severe Covid-19 infection # COVID-19 pneumonia -tested positive 1/18 at hospital -pt presented to ED 1/25 due to hypoxia -completed course of dexamethasone and remdesivir -Baricitinib added and continued until discharge. -He responded to treatment and was weaned off high-flow nasal cannula to RA at the time of discharge -patient was intermittently diuresed    Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Heart rate increased, Palpitations, Troponin
Clinical narrative: I woke up early in the morning to use the restroom and my heart rate was very high and I had heart palpitations- I could feel it in my chest, hear it in my ears and it remained high even after sitting down to try and get it be lower.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron decreased, Heavy menstrual bleeding
Clinical narrative: heavy menstrual flow lasting 18 days. Large clots and heavy flow not the typical course.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given 0.3 ml of vaccine, which is the dosage given to people ages 12 and up. Child has not had any adverse reaction as of the time of this report.  Patient's mother notified that child was given higher dosage. Although it is not expected, she plans to watch for any concerning signs or symptoms beyond normal immune reaction to the vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Disease risk factor, Exposure to SARS-CoV-2, Leukaemia
Clinical narrative: Case completed primary series of vaccination for Covid in April 2021, then contracted Covid in hospital in January 2022.  Hospitalized at: COVID-19 Assessment & Plan Hospitalized from 12/29/21 for treatment r/t Leukemia, where she was exposed to Covid positive caregiver.  Several negative tests, including on 1/13. Onset sore throat and dry cough 1/18. COVID-19 PCR positive. She was not hypoxemic, and is on room air with excellent O2 sats.   She is high risk for severe disease.   Treated with off-label remdesivir for 3 days.  Also treated with sotrovimab 500 mg x 1 dose IV,   Discharged home 1/21/22.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nosocomial infection, Oropharyngeal pain, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: Case completed primary series of vaccination for Covid in April 2021, then contracted Covid in hospital in January 2022.  Hospitalized at: COVID-19 Assessment & Plan Hospitalized from 12/29/21 for treatment r/t Leukemia, where she was exposed to Covid positive caregiver.  Several negative tests, including on 1/13. Onset sore throat and dry cough 1/18. COVID-19 PCR positive. She was not hypoxemic, and is on room air with excellent O2 sats.   She is high risk for severe disease.   Treated with off-label remdesivir for 3 days.  Also treated with sotrovimab 500 mg x 1 dose IV,   Discharged home 1/21/22.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Deafness, Tinnitus
Clinical narrative: Noticeable tinnitus within 2 to 3 days of booster shot (shot #3).
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Vaccination site erythema, Vaccination site pain, Vaccination site pruritus, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Employee C/O pain, redness, swelling, itching,  and heat to vaccination site. Employee applied ice to area, and store bought allergy medication for the itch.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: Patient received Moderna as first dose 01/13/2022 but on 03/24/2022 received Pfizer for 2nd dose in primary series, administered by her provider. As of today 03/28/2022 no report adverse reaction or outcome and no treatment required. She works at clinic.
Age: 53.0
Sex: F
Vaccine: MENB
Symptoms: Injection site urticaria
Clinical narrative: hives at injection site
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Bedridden, Blood lactic acid, Chest X-ray abnormal, Confusional state, Dyspnoea
Clinical narrative: 63-year-old male with sepsis. Patient resides in a nursing home. Staff at the nursing home noticed he was altered and somnolent. The nursing home staff started CPR for unresponsiveness though he never lost a pulse. He was transferred to the hospital where workup revealed sepsis, pneumonia, UTI and a lactic acid of 4.6. He was treated with supportive care but failed to improve. His intake was poor and he remained confused and bed bound. His family wanted comfort measures with hospice. He needs GIP level of care for management of his dyspnea.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Emphysema, Hypophagia, Lung infiltration, Mental status changes, Pneumonia
Clinical narrative: 63-year-old male with sepsis. Patient resides in a nursing home. Staff at the nursing home noticed he was altered and somnolent. The nursing home staff started CPR for unresponsiveness though he never lost a pulse. He was transferred to the hospital where workup revealed sepsis, pneumonia, UTI and a lactic acid of 4.6. He was treated with supportive care but failed to improve. His intake was poor and he remained confused and bed bound. His family wanted comfort measures with hospice. He needs GIP level of care for management of his dyspnea.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, Sepsis, Somnolence, Unresponsive to stimuli, Urinary tract infection
Clinical narrative: 63-year-old male with sepsis. Patient resides in a nursing home. Staff at the nursing home noticed he was altered and somnolent. The nursing home staff started CPR for unresponsiveness though he never lost a pulse. He was transferred to the hospital where workup revealed sepsis, pneumonia, UTI and a lactic acid of 4.6. He was treated with supportive care but failed to improve. His intake was poor and he remained confused and bed bound. His family wanted comfort measures with hospice. He needs GIP level of care for management of his dyspnea.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bradycardia, COVID-19, Cardiac arrest, Death, Dyspnoea
Clinical narrative: She presents to the ED today with CC of shortness of breath for several days. Initial evaluation in the ED was remarkable for hypoxia responsive to supplemental oxygen for which she was ultimately stabilized on HFNC (60%/50L). Covid testing resulted as positive and the MICU triage team was consulted to evaluate the patient in the setting of newly diagnosed covid positive status and high oxygenation requirement.   Shortly after admission, patient with sudden witnessed respiratory arrest and bradycardia prompting CPR. Patient received x1 round of CPR and intubated by ED providers, on pulse check noted to be in PEA and given x1 epi with ROSC. Patient continued to be hypotensive requiring management with multiple vasopressors, however, PEA arrested requiring additional two rounds of CPR with ROSC.   Family verbalized patient be DNR/DNI at that time with transition to comfort care measures only. Both patient's son and granddaughter verbalized agreement with decision regarding patient's care management in making patient comfortable and removing all other invasive or life-sustaining measures. Patient then went into asystole and passed away shortly thereafter, TOD at 1950 with granddaughter present at bedside.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Endotracheal intubation, Hypotension, Hypoxia, Oxygen therapy, Pulseless electrical activity
Clinical narrative: She presents to the ED today with CC of shortness of breath for several days. Initial evaluation in the ED was remarkable for hypoxia responsive to supplemental oxygen for which she was ultimately stabilized on HFNC (60%/50L). Covid testing resulted as positive and the MICU triage team was consulted to evaluate the patient in the setting of newly diagnosed covid positive status and high oxygenation requirement.   Shortly after admission, patient with sudden witnessed respiratory arrest and bradycardia prompting CPR. Patient received x1 round of CPR and intubated by ED providers, on pulse check noted to be in PEA and given x1 epi with ROSC. Patient continued to be hypotensive requiring management with multiple vasopressors, however, PEA arrested requiring additional two rounds of CPR with ROSC.   Family verbalized patient be DNR/DNI at that time with transition to comfort care measures only. Both patient's son and granddaughter verbalized agreement with decision regarding patient's care management in making patient comfortable and removing all other invasive or life-sustaining measures. Patient then went into asystole and passed away shortly thereafter, TOD at 1950 with granddaughter present at bedside.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory arrest, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: She presents to the ED today with CC of shortness of breath for several days. Initial evaluation in the ED was remarkable for hypoxia responsive to supplemental oxygen for which she was ultimately stabilized on HFNC (60%/50L). Covid testing resulted as positive and the MICU triage team was consulted to evaluate the patient in the setting of newly diagnosed covid positive status and high oxygenation requirement.   Shortly after admission, patient with sudden witnessed respiratory arrest and bradycardia prompting CPR. Patient received x1 round of CPR and intubated by ED providers, on pulse check noted to be in PEA and given x1 epi with ROSC. Patient continued to be hypotensive requiring management with multiple vasopressors, however, PEA arrested requiring additional two rounds of CPR with ROSC.   Family verbalized patient be DNR/DNI at that time with transition to comfort care measures only. Both patient's son and granddaughter verbalized agreement with decision regarding patient's care management in making patient comfortable and removing all other invasive or life-sustaining measures. Patient then went into asystole and passed away shortly thereafter, TOD at 1950 with granddaughter present at bedside.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Single photon emission computerised tomogram, Tremor
Clinical narrative: I initially developed seborrheic dermatitis several months ago. A few weeks after I developed a tremor in my left arm. I was seen by a neurologist because it was suspected diagnosis of Parkinson's in January 2022. SPECT scan confirmed possible Parkinson's disease. I was started on Sinemet 3 times a day and subsequently on the 28th of February I was switched to Carbidopa / Levodopa immediate release at first, but now on continuous release. which I'm taking now. I also noticed some initial balance issues at onset. Symptoms have improved, but not recovered.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Claustrophobia, Dyspnoea, Fatigue
Clinical narrative: In addition to the commonly reported milder temporary reactions I started having chest pains, shortness of breath (difficulty getting a full breath) and extreme fatigue the day following the vaccine.  Two weeks later still had the chest pains, fatigue, and difficulty getting a full breath.  Almost a year later I am STILL suffering from the chest pains which seem to be getting worse.  For a period they were intermittent and now the last two months it's all the time.  Still extremely fatigued and difficult to get a full breath to the point I am now becoming claustrophobic.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Swelling, soreness 16 hours later, low grade fever 24 hours later.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Gingival bleeding, Haematochezia, Myalgia, Pyrexia
Clinical narrative: Fever to 102.5 despite tylenol myalgias spontaneous bleeding from gums and in stool easy bruising/spontaneous bruising red spots[2-4mm] rash on face/neck/torso/arms/legs
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash macular
Clinical narrative: Fever to 102.5 despite tylenol myalgias spontaneous bleeding from gums and in stool easy bruising/spontaneous bruising red spots[2-4mm] rash on face/neck/torso/arms/legs
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Nausea, SARS-CoV-2 antibody test positive
Clinical narrative: I had extreme nausea, vomiting and fatigue that lasted for about 3 weeks. I also have brain fog as well. I went to my gastro doctor on Feb 14th. He did a blood test and said that I recently had COVID-19. I am still having some nausea and fatigue.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I had extreme nausea, vomiting and fatigue that lasted for about 3 weeks. I also have brain fog as well. I went to my gastro doctor on Feb 14th. He did a blood test and said that I recently had COVID-19. I am still having some nausea and fatigue.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram abnormal
Clinical narrative: Atrial fibrillation- converted back to sinus rhythm with flecainide
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: FEVER, NAUSEA, SHIVERING, MAJOR HEADACHE, MUSCLE ACHES
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered was stored outside Pfizer storage guidelines.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Pneumonia in early December. Hospitalized for 3 days. I tested positive for COVID-19 on 02/11/2022. I had aches and pains all over. It started as a cold that I normally get. Eventually, it turned into COVID-19. It ended up in my foot. My foot swelled up really bad and hurt. I got some steroids to take and that seemed to work.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Pneumonia in early December. Hospitalized for 3 days. I tested positive for COVID-19 on 02/11/2022. I had aches and pains all over. It started as a cold that I normally get. Eventually, it turned into COVID-19. It ended up in my foot. My foot swelled up really bad and hurt. I got some steroids to take and that seemed to work.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, COVID-19, Chest X-ray normal, Chills
Clinical narrative: Patient presents to the ED for worsening abdominal pain, associated with diarrhea, nausea and vomitting.  Pt also complains of nausea and vomiting with decreased/poor PO intake. She is concerned she is becoming dehydrated. Pt also complains of fever with Tmax of 100F at home with associated myalgias. Pt also endorses headache with light sensitivity stating it hurts to lift her head up. She also endorses SOA with exertion and when the pain gets really bad. She states she has had a dry cough as well. Pt was tested for covid-19 outpatient yesterday which came back positive.  Pt was tachycardic, but otherwise hemodynamically stable at time of assessment. However, it was obvious that she was in pain.   Review of Systems  Constitutional: Positive for appetite change, chills, fatigue and fever (100F).  HENT: Negative.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for chest tightness and wheezing.   Cardiovascular: Negative.   Gastrointestinal: Positive for abdominal pain, blood in stool, diarrhea, nausea and vomiting. Negative for constipation.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Positive for myalgias. Negative for arthralgias, back pain and neck pain.  Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness and headaches. Negative for dizziness, syncope and light-headedness.   Hospital course with COVID:  # COVID-19 infection - positive PCR 1/29 - chest x-ray with no acute cardiopulmonary findings - has not required any treatment Plan - continue isolation precautions as per Health Department guidelines  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dehydration, Diarrhoea, Dyspnoea
Clinical narrative: Patient presents to the ED for worsening abdominal pain, associated with diarrhea, nausea and vomitting.  Pt also complains of nausea and vomiting with decreased/poor PO intake. She is concerned she is becoming dehydrated. Pt also complains of fever with Tmax of 100F at home with associated myalgias. Pt also endorses headache with light sensitivity stating it hurts to lift her head up. She also endorses SOA with exertion and when the pain gets really bad. She states she has had a dry cough as well. Pt was tested for covid-19 outpatient yesterday which came back positive.  Pt was tachycardic, but otherwise hemodynamically stable at time of assessment. However, it was obvious that she was in pain.   Review of Systems  Constitutional: Positive for appetite change, chills, fatigue and fever (100F).  HENT: Negative.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for chest tightness and wheezing.   Cardiovascular: Negative.   Gastrointestinal: Positive for abdominal pain, blood in stool, diarrhea, nausea and vomiting. Negative for constipation.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Positive for myalgias. Negative for arthralgias, back pain and neck pain.  Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness and headaches. Negative for dizziness, syncope and light-headedness.   Hospital course with COVID:  # COVID-19 infection - positive PCR 1/29 - chest x-ray with no acute cardiopulmonary findings - has not required any treatment Plan - continue isolation precautions as per Health Department guidelines  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fatigue, Haematochezia, Headache, Hypophagia
Clinical narrative: Patient presents to the ED for worsening abdominal pain, associated with diarrhea, nausea and vomitting.  Pt also complains of nausea and vomiting with decreased/poor PO intake. She is concerned she is becoming dehydrated. Pt also complains of fever with Tmax of 100F at home with associated myalgias. Pt also endorses headache with light sensitivity stating it hurts to lift her head up. She also endorses SOA with exertion and when the pain gets really bad. She states she has had a dry cough as well. Pt was tested for covid-19 outpatient yesterday which came back positive.  Pt was tachycardic, but otherwise hemodynamically stable at time of assessment. However, it was obvious that she was in pain.   Review of Systems  Constitutional: Positive for appetite change, chills, fatigue and fever (100F).  HENT: Negative.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for chest tightness and wheezing.   Cardiovascular: Negative.   Gastrointestinal: Positive for abdominal pain, blood in stool, diarrhea, nausea and vomiting. Negative for constipation.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Positive for myalgias. Negative for arthralgias, back pain and neck pain.  Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness and headaches. Negative for dizziness, syncope and light-headedness.   Hospital course with COVID:  # COVID-19 infection - positive PCR 1/29 - chest x-ray with no acute cardiopulmonary findings - has not required any treatment Plan - continue isolation precautions as per Health Department guidelines  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Photophobia, Pyrexia
Clinical narrative: Patient presents to the ED for worsening abdominal pain, associated with diarrhea, nausea and vomitting.  Pt also complains of nausea and vomiting with decreased/poor PO intake. She is concerned she is becoming dehydrated. Pt also complains of fever with Tmax of 100F at home with associated myalgias. Pt also endorses headache with light sensitivity stating it hurts to lift her head up. She also endorses SOA with exertion and when the pain gets really bad. She states she has had a dry cough as well. Pt was tested for covid-19 outpatient yesterday which came back positive.  Pt was tachycardic, but otherwise hemodynamically stable at time of assessment. However, it was obvious that she was in pain.   Review of Systems  Constitutional: Positive for appetite change, chills, fatigue and fever (100F).  HENT: Negative.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for chest tightness and wheezing.   Cardiovascular: Negative.   Gastrointestinal: Positive for abdominal pain, blood in stool, diarrhea, nausea and vomiting. Negative for constipation.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Positive for myalgias. Negative for arthralgias, back pain and neck pain.  Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness and headaches. Negative for dizziness, syncope and light-headedness.   Hospital course with COVID:  # COVID-19 infection - positive PCR 1/29 - chest x-ray with no acute cardiopulmonary findings - has not required any treatment Plan - continue isolation precautions as per Health Department guidelines  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia, Vomiting
Clinical narrative: Patient presents to the ED for worsening abdominal pain, associated with diarrhea, nausea and vomitting.  Pt also complains of nausea and vomiting with decreased/poor PO intake. She is concerned she is becoming dehydrated. Pt also complains of fever with Tmax of 100F at home with associated myalgias. Pt also endorses headache with light sensitivity stating it hurts to lift her head up. She also endorses SOA with exertion and when the pain gets really bad. She states she has had a dry cough as well. Pt was tested for covid-19 outpatient yesterday which came back positive.  Pt was tachycardic, but otherwise hemodynamically stable at time of assessment. However, it was obvious that she was in pain.   Review of Systems  Constitutional: Positive for appetite change, chills, fatigue and fever (100F).  HENT: Negative.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for chest tightness and wheezing.   Cardiovascular: Negative.   Gastrointestinal: Positive for abdominal pain, blood in stool, diarrhea, nausea and vomiting. Negative for constipation.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Positive for myalgias. Negative for arthralgias, back pain and neck pain.  Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness and headaches. Negative for dizziness, syncope and light-headedness.   Hospital course with COVID:  # COVID-19 infection - positive PCR 1/29 - chest x-ray with no acute cardiopulmonary findings - has not required any treatment Plan - continue isolation precautions as per Health Department guidelines  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Blood test, Cardiac stress test, Laboratory test, Magnetic resonance imaging heart
Clinical narrative: -Heart attack -Myocarditis
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocardial infarction, Myocarditis
Clinical narrative: -Heart attack -Myocarditis
Age: 7.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Undiluted Pediatric vaccine 0.2ml, no reaction after 21/2 hurs per family.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death
Clinical narrative: pt had been seen in ED earlier in wk and diagnosed with COVID but she left hospital; back to hosp again with increasing SOB; admitted; COVID pneumonia; O2 supplementation; given remdesivir, Vitamin C, zinc, ABX; developed AHRF and ARDS; DNR/DNI; pt's condition deteriorated and she was transitioned to comfort measures; she passed away in the hospital
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, General physical health deterioration
Clinical narrative: pt had been seen in ED earlier in wk and diagnosed with COVID but she left hospital; back to hosp again with increasing SOB; admitted; COVID pneumonia; O2 supplementation; given remdesivir, Vitamin C, zinc, ABX; developed AHRF and ARDS; DNR/DNI; pt's condition deteriorated and she was transitioned to comfort measures; she passed away in the hospital
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Biopsy, Blood test, Burning sensation, Chest X-ray normal, Chest discomfort
Clinical narrative: Symptoms: Heartburn ; Chest Pain/ Tightness ; Shortness of Breathe; Nausea ; Burning/Tingling Sensation in hands and feet ; Tingling/Numbness in face; Body Ache and Fatigue ; Costochondritis;  Vision ? Had blurred vision, pain in the eyes, and some headache- resolved after 3-5 months; Have to limit physical movement, talking/laughing, diet.   Treatments: Pantoprazole SOD -40mg ? Once a day, before bed (did this for 2 months, no improvement);Famotidine 40mg ? Once a day, before dinner; Baclofen 10 mg- Once a day, before bed ; Amitryptiline 10 mg- Once a day, 6 pm (Briefly switched to zoloft for a month but wasexperiencing extreme nausea, diarrhea, etc so switched back to Amitriptylline); Sucralfate 1GM ? Twice a day ? Morning and evening (stopped after 6 months);  Mylanta and TUMS as needed; Spiriva Inhaler ? maintenance, once a day 2 puffs ;  Levalbuterol rescue Inhaler /Nebulizer? as needed  but often once a day; Xyzal; Montelukast; Nasonex; VOltaren Gel (as needed); Tylenol (as needed)
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Chest pain, Costochondritis, Dyspepsia, Dyspnoea, Echocardiogram normal
Clinical narrative: Symptoms: Heartburn ; Chest Pain/ Tightness ; Shortness of Breathe; Nausea ; Burning/Tingling Sensation in hands and feet ; Tingling/Numbness in face; Body Ache and Fatigue ; Costochondritis;  Vision ? Had blurred vision, pain in the eyes, and some headache- resolved after 3-5 months; Have to limit physical movement, talking/laughing, diet.   Treatments: Pantoprazole SOD -40mg ? Once a day, before bed (did this for 2 months, no improvement);Famotidine 40mg ? Once a day, before dinner; Baclofen 10 mg- Once a day, before bed ; Amitryptiline 10 mg- Once a day, 6 pm (Briefly switched to zoloft for a month but wasexperiencing extreme nausea, diarrhea, etc so switched back to Amitriptylline); Sucralfate 1GM ? Twice a day ? Morning and evening (stopped after 6 months);  Mylanta and TUMS as needed; Spiriva Inhaler ? maintenance, once a day 2 puffs ;  Levalbuterol rescue Inhaler /Nebulizer? as needed  but often once a day; Xyzal; Montelukast; Nasonex; VOltaren Gel (as needed); Tylenol (as needed)
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Endoscopy gastrointestinal normal, Eye pain, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Symptoms: Heartburn ; Chest Pain/ Tightness ; Shortness of Breathe; Nausea ; Burning/Tingling Sensation in hands and feet ; Tingling/Numbness in face; Body Ache and Fatigue ; Costochondritis;  Vision ? Had blurred vision, pain in the eyes, and some headache- resolved after 3-5 months; Have to limit physical movement, talking/laughing, diet.   Treatments: Pantoprazole SOD -40mg ? Once a day, before bed (did this for 2 months, no improvement);Famotidine 40mg ? Once a day, before dinner; Baclofen 10 mg- Once a day, before bed ; Amitryptiline 10 mg- Once a day, 6 pm (Briefly switched to zoloft for a month but wasexperiencing extreme nausea, diarrhea, etc so switched back to Amitriptylline); Sucralfate 1GM ? Twice a day ? Morning and evening (stopped after 6 months);  Mylanta and TUMS as needed; Spiriva Inhaler ? maintenance, once a day 2 puffs ;  Levalbuterol rescue Inhaler /Nebulizer? as needed  but often once a day; Xyzal; Montelukast; Nasonex; VOltaren Gel (as needed); Tylenol (as needed)
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Inflammatory marker test, Loss of personal independence in daily activities, Mobility decreased, Nausea, Pain
Clinical narrative: Symptoms: Heartburn ; Chest Pain/ Tightness ; Shortness of Breathe; Nausea ; Burning/Tingling Sensation in hands and feet ; Tingling/Numbness in face; Body Ache and Fatigue ; Costochondritis;  Vision ? Had blurred vision, pain in the eyes, and some headache- resolved after 3-5 months; Have to limit physical movement, talking/laughing, diet.   Treatments: Pantoprazole SOD -40mg ? Once a day, before bed (did this for 2 months, no improvement);Famotidine 40mg ? Once a day, before dinner; Baclofen 10 mg- Once a day, before bed ; Amitryptiline 10 mg- Once a day, 6 pm (Briefly switched to zoloft for a month but wasexperiencing extreme nausea, diarrhea, etc so switched back to Amitriptylline); Sucralfate 1GM ? Twice a day ? Morning and evening (stopped after 6 months);  Mylanta and TUMS as needed; Spiriva Inhaler ? maintenance, once a day 2 puffs ;  Levalbuterol rescue Inhaler /Nebulizer? as needed  but often once a day; Xyzal; Montelukast; Nasonex; VOltaren Gel (as needed); Tylenol (as needed)
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Paraesthesia, SARS-CoV-2 antibody test, SARS-CoV-2 antibody test positive, Thyroid function test normal, Vision blurred
Clinical narrative: Symptoms: Heartburn ; Chest Pain/ Tightness ; Shortness of Breathe; Nausea ; Burning/Tingling Sensation in hands and feet ; Tingling/Numbness in face; Body Ache and Fatigue ; Costochondritis;  Vision ? Had blurred vision, pain in the eyes, and some headache- resolved after 3-5 months; Have to limit physical movement, talking/laughing, diet.   Treatments: Pantoprazole SOD -40mg ? Once a day, before bed (did this for 2 months, no improvement);Famotidine 40mg ? Once a day, before dinner; Baclofen 10 mg- Once a day, before bed ; Amitryptiline 10 mg- Once a day, 6 pm (Briefly switched to zoloft for a month but wasexperiencing extreme nausea, diarrhea, etc so switched back to Amitriptylline); Sucralfate 1GM ? Twice a day ? Morning and evening (stopped after 6 months);  Mylanta and TUMS as needed; Spiriva Inhaler ? maintenance, once a day 2 puffs ;  Levalbuterol rescue Inhaler /Nebulizer? as needed  but often once a day; Xyzal; Montelukast; Nasonex; VOltaren Gel (as needed); Tylenol (as needed)
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred. The individual was vaccinated with the Pfizer product on 01/08/2021 and 01/29/2021. This was a re-infection, the individual having also tested positive for COVID-19 back on 10/24/2021 (which was also a breakthrough infection). The individual was hospitalized 12/19/2021-12/30/2021 for seemingly something other than COVID-19 and were discharged to hospice care at a rehabilitation center, where they tested positive upon intake (on 12/30/2021). The individual died on 01/04/2022.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypercalcaemia, Intraductal proliferative breast lesion
Clinical narrative: Patient presented to the ED on 1/6 for dizziness, hypercalcemia, DCIS and was subsequently hospitalized 1/7 within 6 weeks of receiving COVID vaccination.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: Started experiencing chest pain/tightening a few days after first dose. I have off and on chest pain that comes and goes.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Body broke out into hives from head to toe
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Dysgeusia, Headache, Hypoaesthesia
Clinical narrative: received COVID booster vac on Friday 3/4, states has n/v/diarrhea, HA. rash on back, fever, joint pains, leg numbness, and metal taste in mouth. She states she did a VARES report after 2nd dose.  She is stating that after she received the booster that she is experiencing today a low grade fever of 99.6Overall, her sxs are "getting better". No numbess in the legs, but tingling is present. diarrhea is going, now mild "queeziness". +HA, +low grade fever, +Metal taste in mouth, +rash
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Pyrexia, Rash, Vomiting
Clinical narrative: received COVID booster vac on Friday 3/4, states has n/v/diarrhea, HA. rash on back, fever, joint pains, leg numbness, and metal taste in mouth. She states she did a VARES report after 2nd dose.  She is stating that after she received the booster that she is experiencing today a low grade fever of 99.6Overall, her sxs are "getting better". No numbess in the legs, but tingling is present. diarrhea is going, now mild "queeziness". +HA, +low grade fever, +Metal taste in mouth, +rash
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Patient received her 2nd dose of the Moderna primary series on March 25, 2022 at approximately 1:30pm. On March 26, the patient noted feeling "ill" and with a severe constant headache with fevers. She then noted a raised, red area surrounding the injection site.  She reports the redness and swelling as progressively gotten worse in terms of area increasing as well as firmness of the area and in swelling and redness. Itching and "the sensation of blisters after a burn" were also described by the patient referring to the injection site location. The patient reports taking mild analgesics and Benadryl with no relief. The patient reported her reaction to local health department staff at approximately 10:30 on March 28, after 48 hours of no relief or improvements.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site vesicles, Malaise, Pyrexia
Clinical narrative: Patient received her 2nd dose of the Moderna primary series on March 25, 2022 at approximately 1:30pm. On March 26, the patient noted feeling "ill" and with a severe constant headache with fevers. She then noted a raised, red area surrounding the injection site.  She reports the redness and swelling as progressively gotten worse in terms of area increasing as well as firmness of the area and in swelling and redness. Itching and "the sensation of blisters after a burn" were also described by the patient referring to the injection site location. The patient reports taking mild analgesics and Benadryl with no relief. The patient reported her reaction to local health department staff at approximately 10:30 on March 28, after 48 hours of no relief or improvements.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Ear pain, Ear, nose and throat examination, Echocardiogram
Clinical narrative: Shortly after getting my second dose of the vaccine, I began to have symptoms that were later diagnosed as part of vestibular migraine: dizziness, tinnitus, ear pain, facial pressure, eye discomfort, increased heart rate while exercising and headache. I made appointments with my regular doctor, neurologist, cardiologist, ENT, as well as, an out-of-network headache specialist.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Exercise tolerance decreased, Headache, Heart rate increased, Magnetic resonance imaging
Clinical narrative: Shortly after getting my second dose of the vaccine, I began to have symptoms that were later diagnosed as part of vestibular migraine: dizziness, tinnitus, ear pain, facial pressure, eye discomfort, increased heart rate while exercising and headache. I made appointments with my regular doctor, neurologist, cardiologist, ENT, as well as, an out-of-network headache specialist.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological examination, Ocular discomfort, Tinnitus, Vestibular migraine
Clinical narrative: Shortly after getting my second dose of the vaccine, I began to have symptoms that were later diagnosed as part of vestibular migraine: dizziness, tinnitus, ear pain, facial pressure, eye discomfort, increased heart rate while exercising and headache. I made appointments with my regular doctor, neurologist, cardiologist, ENT, as well as, an out-of-network headache specialist.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: per death certificate pt died in the nursing home with the cause of death being COVID
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Death, General physical health deterioration, Mechanical ventilation
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Pfizer product on 07/30/2021 and 08/20/2021. The individual presented to emergency department on 01/15/2022 with primary complaints of severe abdominal pain. They were admitted to hospital same day and tested positive for COVID-19  on 01/16/2022. Due to the complexity of the situation (the individual had several underlying medical conditions), they were transferred to a different hospital on 01/16/2022. Their health continued to deteriorate and required ventilation. They died on 01/20/2022. The cause of the abdominal pain was not determined.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Pfizer product on 07/30/2021 and 08/20/2021. The individual presented to emergency department on 01/15/2022 with primary complaints of severe abdominal pain. They were admitted to hospital same day and tested positive for COVID-19  on 01/16/2022. Due to the complexity of the situation (the individual had several underlying medical conditions), they were transferred to a different hospital on 01/16/2022. Their health continued to deteriorate and required ventilation. They died on 01/20/2022. The cause of the abdominal pain was not determined.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Burning sensation, Cardiac discomfort, Carpal tunnel syndrome, Grip strength decreased
Clinical narrative: Towards the end of February 2021, I received my first vaccination and a few hours later, my arm was numb, swelling began in my armpit and shoulder, my hand had swollen up and the pain continued without letting up. I was given prednisone, and then when I received my second shot, I felt like I was burning up inside and my heart was racing to the point of almost going into cardiac arrest, and my blood pressure was extremely high. I then went to work the day after and I had to go home multiple times. X-rays showed internal swelling pushing on my spine and the doctors gave me gabapentin for the swelling. I was then given an MRI by my primary care. I had to stop taking the prednisone because I had gained too much weight. My feet are swollen and I am going to physical therapy. My shoulders and hips are now having issues as well. My symptoms have continued to get worse and I have gone to a nerve conduction study, my hands have swollen up so bad that I cannot even hold objects or steering wheel. Moderate to severe carpal tunnel in both hands. Newest update has been a higher gabapentin prescription and an additional MRI for swelling issues. The pain is coming from my neck and is leading down to my arms, hands, feet and middle of my spine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Impaired work ability, Neck pain, Nerve conduction studies abnormal, Pain in extremity
Clinical narrative: Towards the end of February 2021, I received my first vaccination and a few hours later, my arm was numb, swelling began in my armpit and shoulder, my hand had swollen up and the pain continued without letting up. I was given prednisone, and then when I received my second shot, I felt like I was burning up inside and my heart was racing to the point of almost going into cardiac arrest, and my blood pressure was extremely high. I then went to work the day after and I had to go home multiple times. X-rays showed internal swelling pushing on my spine and the doctors gave me gabapentin for the swelling. I was then given an MRI by my primary care. I had to stop taking the prednisone because I had gained too much weight. My feet are swollen and I am going to physical therapy. My shoulders and hips are now having issues as well. My symptoms have continued to get worse and I have gone to a nerve conduction study, my hands have swollen up so bad that I cannot even hold objects or steering wheel. Moderate to severe carpal tunnel in both hands. Newest update has been a higher gabapentin prescription and an additional MRI for swelling issues. The pain is coming from my neck and is leading down to my arms, hands, feet and middle of my spine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Peripheral swelling, Spinal pain, Swelling, X-ray abnormal
Clinical narrative: Towards the end of February 2021, I received my first vaccination and a few hours later, my arm was numb, swelling began in my armpit and shoulder, my hand had swollen up and the pain continued without letting up. I was given prednisone, and then when I received my second shot, I felt like I was burning up inside and my heart was racing to the point of almost going into cardiac arrest, and my blood pressure was extremely high. I then went to work the day after and I had to go home multiple times. X-rays showed internal swelling pushing on my spine and the doctors gave me gabapentin for the swelling. I was then given an MRI by my primary care. I had to stop taking the prednisone because I had gained too much weight. My feet are swollen and I am going to physical therapy. My shoulders and hips are now having issues as well. My symptoms have continued to get worse and I have gone to a nerve conduction study, my hands have swollen up so bad that I cannot even hold objects or steering wheel. Moderate to severe carpal tunnel in both hands. Newest update has been a higher gabapentin prescription and an additional MRI for swelling issues. The pain is coming from my neck and is leading down to my arms, hands, feet and middle of my spine.
Age: 44.0
Sex: M
Vaccine: HEPAB
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Twinrix #3 given too soon. #3 dose given 6 months after #1 but only 3 months after #2.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Femur fracture, Osteoporosis, Pathological fracture, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as inpatient on 3/21/22 due to closed displaced subtrochanteric fracutre of left femur pathologic secondary to osteoporosis. Patient was tested for COVID-19 and was positive on admission,3/21/22.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Blood iron decreased, Blood test abnormal, Erythema, Haemoglobin decreased
Clinical narrative: 24 hours after this vaccine Pt developed a red arm. It was puffy and hot to the touch. It went from his neck to his wrist, the entire arm that received the vaccine was red. After 3 days it went away and we thought it was going to be ok because he had never had a reaction before. Approximately 45 days later Pt began feeling unwell. He went to his nephrologist who ran routine blood tests and was shocked to see that Pt was now extremely anemic. His hemoglobin was 8.8. Pt had routine blood work done in December 2021 and his hemoglobin was 12.5. From December 2021 to March 2022 Pt became severely anemic, and this required hospitalization to try and correct the low iron. Nothing has changed from December when Pt was normal except that he got the COVID shot. The vaccine made him anemic and he now requires IV infusions of iron.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Peripheral swelling, Skin warm
Clinical narrative: 24 hours after this vaccine Pt developed a red arm. It was puffy and hot to the touch. It went from his neck to his wrist, the entire arm that received the vaccine was red. After 3 days it went away and we thought it was going to be ok because he had never had a reaction before. Approximately 45 days later Pt began feeling unwell. He went to his nephrologist who ran routine blood tests and was shocked to see that Pt was now extremely anemic. His hemoglobin was 8.8. Pt had routine blood work done in December 2021 and his hemoglobin was 12.5. From December 2021 to March 2022 Pt became severely anemic, and this required hospitalization to try and correct the low iron. Nothing has changed from December when Pt was normal except that he got the COVID shot. The vaccine made him anemic and he now requires IV infusions of iron.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired Pfizer. Bottle transferred from Ultra Frozen/freezer to medical grade fridge on 2/10/2022. Expired 03/13/2022. Vaccine given on day 32 after transferred to medical grade Fridge. Per call with Pfizer, dose does not need to be repeated as vial is considered stabile x 45 days after transfer.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Disease complication
Clinical narrative: Hospitalization for management of Covid 19 infection and complications
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired Pfizer. Bottle transferred from freezer to fridge on 2/10/2022. Expired 03/13/2022. Vaccine given on day 34 after transferred to Fridge. Per call with Pfizer, dose does not need to be repeated as vial is considered stabile x 45 days after transfer.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Musculoskeletal stiffness, Ocular discomfort, Paranasal sinus discomfort, Stomatitis
Clinical narrative: complaint 2 weeks after vaccine that she had 1 month of pressure on top of the head, on the back of the head, sinus cavity, pallet of her mouth, behind eyes, and forehead, stiff neck and shoulder
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Death, Renal failure, Retroperitoneal haemorrhage
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred. The individual was vaccinated with the Moderna product on 02/15/2021 and 03/13/2021. They tested positive for COVID-19 on 01/27/2022. At the time of the positive test, they had been hospitalized for approx 2 months for renal failure (not related to COVID-19).  Upon testing positive for COVID-19, they were transferred to a different hospital. The individual experienced complications of worsening renal failure and bleeding into the retroperitoneum. They were transitioned to comfort care only and died on 02/05/2022.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred. The individual was vaccinated with the Moderna product on 02/15/2021 and 03/13/2021. They tested positive for COVID-19 on 01/27/2022. At the time of the positive test, they had been hospitalized for approx 2 months for renal failure (not related to COVID-19).  Upon testing positive for COVID-19, they were transferred to a different hospital. The individual experienced complications of worsening renal failure and bleeding into the retroperitoneum. They were transitioned to comfort care only and died on 02/05/2022.