chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Dizziness
Clinical narrative: Narrative: COVID POSITIVE AFTR COVID VACCINATION SERIES 02/10 COVID vaccine dose #1 03/03 COVID vaccine dose #2 04/28 symptoms started with sneezing and allergy symptoms, 1 day of dizziness (4/29) that resolved  same day 05/04 COVID screening positive due to report of myalgia, rhinorrhea, dizziness, sore throat and close exposure to known positive 05/05 c/o continued runny nose, myalgia, congestion 05/06 c/o ongoing myalgia, rhinorrhea (nearly resolved) 05/07 c/o chills, moderate/dry/scratchy throat, diarrhea x4, ongoing fatigue, nausea, rhinorrhea, dry heaves, no fever, O2 sat WNL; rx'd tessalon perles and robittussin DM 05/08 c/o continued cough and diarrhea, ongoing rib pain from coughin, dyspnea when coughing 05/09 c/o continued dry cough improved with robitussin, diarrhea, fatigue, myalgia (rib pain due to coughing); no dyspnea or vomiting 05/10 states dry cough is improving, quarantine ended
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dry throat, Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Musculoskeletal chest pain
Clinical narrative: Narrative: COVID POSITIVE AFTR COVID VACCINATION SERIES 02/10 COVID vaccine dose #1 03/03 COVID vaccine dose #2 04/28 symptoms started with sneezing and allergy symptoms, 1 day of dizziness (4/29) that resolved  same day 05/04 COVID screening positive due to report of myalgia, rhinorrhea, dizziness, sore throat and close exposure to known positive 05/05 c/o continued runny nose, myalgia, congestion 05/06 c/o ongoing myalgia, rhinorrhea (nearly resolved) 05/07 c/o chills, moderate/dry/scratchy throat, diarrhea x4, ongoing fatigue, nausea, rhinorrhea, dry heaves, no fever, O2 sat WNL; rx'd tessalon perles and robittussin DM 05/08 c/o continued cough and diarrhea, ongoing rib pain from coughin, dyspnea when coughing 05/09 c/o continued dry cough improved with robitussin, diarrhea, fatigue, myalgia (rib pain due to coughing); no dyspnea or vomiting 05/10 states dry cough is improving, quarantine ended
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Respiratory tract congestion, Retching
Clinical narrative: Narrative: COVID POSITIVE AFTR COVID VACCINATION SERIES 02/10 COVID vaccine dose #1 03/03 COVID vaccine dose #2 04/28 symptoms started with sneezing and allergy symptoms, 1 day of dizziness (4/29) that resolved  same day 05/04 COVID screening positive due to report of myalgia, rhinorrhea, dizziness, sore throat and close exposure to known positive 05/05 c/o continued runny nose, myalgia, congestion 05/06 c/o ongoing myalgia, rhinorrhea (nearly resolved) 05/07 c/o chills, moderate/dry/scratchy throat, diarrhea x4, ongoing fatigue, nausea, rhinorrhea, dry heaves, no fever, O2 sat WNL; rx'd tessalon perles and robittussin DM 05/08 c/o continued cough and diarrhea, ongoing rib pain from coughin, dyspnea when coughing 05/09 c/o continued dry cough improved with robitussin, diarrhea, fatigue, myalgia (rib pain due to coughing); no dyspnea or vomiting 05/10 states dry cough is improving, quarantine ended
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sneezing, Throat irritation
Clinical narrative: Narrative: COVID POSITIVE AFTR COVID VACCINATION SERIES 02/10 COVID vaccine dose #1 03/03 COVID vaccine dose #2 04/28 symptoms started with sneezing and allergy symptoms, 1 day of dizziness (4/29) that resolved  same day 05/04 COVID screening positive due to report of myalgia, rhinorrhea, dizziness, sore throat and close exposure to known positive 05/05 c/o continued runny nose, myalgia, congestion 05/06 c/o ongoing myalgia, rhinorrhea (nearly resolved) 05/07 c/o chills, moderate/dry/scratchy throat, diarrhea x4, ongoing fatigue, nausea, rhinorrhea, dry heaves, no fever, O2 sat WNL; rx'd tessalon perles and robittussin DM 05/08 c/o continued cough and diarrhea, ongoing rib pain from coughin, dyspnea when coughing 05/09 c/o continued dry cough improved with robitussin, diarrhea, fatigue, myalgia (rib pain due to coughing); no dyspnea or vomiting 05/10 states dry cough is improving, quarantine ended
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Mobility decreased, Speech disorder
Clinical narrative: Narrative:  04/17 Covid vaccine dose #1 04/18 @0230 pt. reports symptoms of chills, numbness on right facial area, right ear, right arm, rt side of body unable to move and talk, I reported it lasted about 5 mins acknowledges he didn't do anything after then; seen in non-VA ED and discharged on ASA, Possible TIA (no records in chart) 04/20@ 1420 pt. reports similar episode, same symptoms reported from before but milder, lasted only two mins and just resolved on each own, he didn't seek ER treatment and admits he just had his wife check his BP 143/67 and his resume normal activities. 04/20 Symptoms resolved; he is feeling fine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Pt was 54 years of age, with a PMH significant for t2dm, AF, CHf, gout, HTN, hyperlipidemia, ckd, and polyclonal hypergammaglobulinemia. Patient presented to outside facility on 4/20/21 with a chief complaint of cardiac arrest. No cause of death noted.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Adenovirus test positive, COVID-19, Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test positive
Clinical narrative: Narrative: Pt received 1st Moderna vaccine on 2/13/21; received 2nd vaccine on 3/13/21. Wife was diagnosed with COVID around 3/1/21. Patient became symptomatic of covid on 3/14/21, presented to ED on 3/17/21, was admitted, and tested positive for both COVID-19 and adenovirus. Discharged on 3/19/21.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Narrative: Patient received 3 Covid-19 Vaccines Dose #1 (Moderna) received on 1/14/2021 by Covid Vaccine Clinic Dose #2 (Moderna) received on 2/17/2021 by Covid Vaccine Clinic Dose #2 (Moderna) received on 2/17/2021 by Covid Vaccine Dose #3 (Moderna) received in error on 3/9/2021 by Covid Vaccine Clinic. This immunization note has been added to document repeat Dose # 1 (Dose#3) was given in error. Veteran called telephone triage on 3/8/2021 to know if it was ok to continue with his second dose of covid vaccine since he missed his previously scheduled second dose appointment and was subsequently scheduled for 3rd dose. On 3/9/2021, Veteran expecting dose #2 received dose #3 and immunization note was documented as if it was dose #1. Patient came in for a podiatry follow up earlier that day. No ER visits or hospitalization documented after all doses. CPRS charting and vaccine schedule system involved.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Dialysis, SARS-CoV-2 test positive
Clinical narrative: Narrative: positive test for COVID after fully vaccinated when admitted for dialysis and placement ( Vets home pt). Asymptomatic , no covid sx
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Pt was 89 years of age with a PMH significant for CAD, T2DM, hyperlipidemia, HTN. No cause of death listed. Per note 4/25 PT was having difficulty breathing "last couple of weeks." No other recent illness noted.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Injected limb mobility decreased, Injection site pain, Muscle tightness, Neck pain
Clinical narrative: Narrative: She reports no issues with the first vaccination and alerted staff to c/o arm pain (same side as the injection) that began within 5 minutes after receiving the vaccination. Patient notes experiencing left-sided shooting electric-like pain radiating from the injection site over her left deltoid up her neck. She denies prior injury or other issue with the left side of her neck or left shoulder. The pain was initially described as a 10/10 and prevented her from being able to left her arm about her head. It began to spontaneously improved to 3/10 within a few minutes w/o intervention No decrease in strength was experienced. During the evaluation, her pain continued to improve w/o active intervention and function improved. She was provided with an ice pack, which further a/w discomfort. During the ~20 minutes of evaluation/observation after she alerted staff to the reaction- the pain had almost completed resolved. No other common adverse effects noted other than injection site tenderness. No s/sx concerning for immediate allergic reaction or angioedema. O: BP 132-93 HR 67 RR 12 SpO2 97% on RA Gen: anxious in appearance, not in distress, answering questions appropriately HEENT: atraumatic/normocephalic Ext: moves all 4 spontaneously, no edema. Full; passive ROM, slightly limited active ROM of left shoulder past 150 degrees overhead. No obvious deformities. Tenderness reproducible only over injection site (not over neck) MSK: tight b/l shoulder, trapezius, back muscles Skin: no obvious lesions or rashes, injection site over left deltoid in appropriate anatomical area (eg not concerning for cervical injection). Salon pass patch in place over low back Neuro: no focal deficits. B/l grip strength 5/5 Psych: initial pressured speech improved /resolved during evaluation A/P: 48 yo woman with adverse reaction s/p 2nd Moderna COVID-19 vaccination described as almost immediate neuropathic pain radiating from injection site to neck. Issues improved spontaneously, and almost to resolution, with minimal intervention of ice and time. *Reassurance given *Common adverse effects + concerning adverse effects and whn to seek care re-reviewed (previously reviewed with vaccinating RN).  *If still having pain when return home - advised icing, massage, and potential anti-inflammatory depending on her medical history *Provided with additional handout with shoulder range of motion exercises
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain
Clinical narrative: Narrative: She reports no issues with the first vaccination and alerted staff to c/o arm pain (same side as the injection) that began within 5 minutes after receiving the vaccination. Patient notes experiencing left-sided shooting electric-like pain radiating from the injection site over her left deltoid up her neck. She denies prior injury or other issue with the left side of her neck or left shoulder. The pain was initially described as a 10/10 and prevented her from being able to left her arm about her head. It began to spontaneously improved to 3/10 within a few minutes w/o intervention No decrease in strength was experienced. During the evaluation, her pain continued to improve w/o active intervention and function improved. She was provided with an ice pack, which further a/w discomfort. During the ~20 minutes of evaluation/observation after she alerted staff to the reaction- the pain had almost completed resolved. No other common adverse effects noted other than injection site tenderness. No s/sx concerning for immediate allergic reaction or angioedema. O: BP 132-93 HR 67 RR 12 SpO2 97% on RA Gen: anxious in appearance, not in distress, answering questions appropriately HEENT: atraumatic/normocephalic Ext: moves all 4 spontaneously, no edema. Full; passive ROM, slightly limited active ROM of left shoulder past 150 degrees overhead. No obvious deformities. Tenderness reproducible only over injection site (not over neck) MSK: tight b/l shoulder, trapezius, back muscles Skin: no obvious lesions or rashes, injection site over left deltoid in appropriate anatomical area (eg not concerning for cervical injection). Salon pass patch in place over low back Neuro: no focal deficits. B/l grip strength 5/5 Psych: initial pressured speech improved /resolved during evaluation A/P: 48 yo woman with adverse reaction s/p 2nd Moderna COVID-19 vaccination described as almost immediate neuropathic pain radiating from injection site to neck. Issues improved spontaneously, and almost to resolution, with minimal intervention of ice and time. *Reassurance given *Common adverse effects + concerning adverse effects and whn to seek care re-reviewed (previously reviewed with vaccinating RN).  *If still having pain when return home - advised icing, massage, and potential anti-inflammatory depending on her medical history *Provided with additional handout with shoulder range of motion exercises
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any  predisposing factors(PMH, allergies, ect.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death.  PMh significant for multiple nodules of the lung, hypertension, abnormal liver functions tests. No notation regarding death, or recent hospitalizations.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Pt was 89 years of age with a PMH significant for hyperlipidemia, htn, neuropathy. No notation regarding death or recent illness. Lack of cause of death.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative: positive covid test after full vaccination, asymptomatic for 1 week after positive test
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, COVID-19, Dysstasia, Musculoskeletal disorder
Clinical narrative: Narrative: COVID infection after completion of COVID vaccine series 12/18/2020 COVID infection with hospitalization 03/25 COVID vaccine dose #1 03/26 pt reports feeling woozy after vaccine, having back weakness and not walking well, had one fall, reports getting rash to bilateral groin area (does wear depends) 04/15 COVID vaccine dose #2 04/16 wife reports pt very weak standing, trouble standing and breathing heavy due to weakness, laying in recliner 04/19 pt feeling better 05/09 wife reports pt w/ severe shoulder pain and legs starting giving out, urinary retention x 10 hrs, reported weakness x 1 week, covid positive, admitted to hospital 05/11 discharged from hospital
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Respiration abnormal, SARS-CoV-2 test positive, Urinary retention
Clinical narrative: Narrative: COVID infection after completion of COVID vaccine series 12/18/2020 COVID infection with hospitalization 03/25 COVID vaccine dose #1 03/26 pt reports feeling woozy after vaccine, having back weakness and not walking well, had one fall, reports getting rash to bilateral groin area (does wear depends) 04/15 COVID vaccine dose #2 04/16 wife reports pt very weak standing, trouble standing and breathing heavy due to weakness, laying in recliner 04/19 pt feeling better 05/09 wife reports pt w/ severe shoulder pain and legs starting giving out, urinary retention x 10 hrs, reported weakness x 1 week, covid positive, admitted to hospital 05/11 discharged from hospital
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Epistaxis
Clinical narrative: Narrative: Veteran is a 78 year old male who received his first dose of the Moderna COVID-19 vaccine on 2/9/2021 without repot of complications. He received his second dose of the Moderna COVID-19 vaccine on 3/6/2021. On 3/9/2021, the patient reported having a severe nose bleed the previous night from both nares. He reported that he packed his nose without much benefit and felt as  though the blood was "draining down the back of his throat." Bleeding has subsided by the morning and he was able to breath through both nares at the time of the call with RN. He denied a significant history of epistaxis, stating he has only had 4 events in his lifetime that he can remember. He utilizes Clopidogrel 75mg daily but no other medication with significant increase in bleeding risk.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Narrative: He reports developing diarrhea about 2-3 hours after the first  vaccination. Mr. took 1X OTC immodium and the diarrhea resolved  within 24 hours. It was not associated with nausea, vomiting, or abdominal cramping. He also denies developing other common adverse effects from the vaccination such as rash or fatigue. He was able to consume normal oral intake without any issues.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Pulse absent
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Pt has PMH significant for COPD. Patient was 92 YO and received dose 2 of moderna on 2/16/2021. Per note, patient arrived to ER (Outside entity) pulseless and pronounced dead.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Rash, Rash erythematous, Rash pruritic, Wheezing
Clinical narrative: Narrative: He reports having sx of right inguinal rash, abdomianl cramping, and wheezing about 3 days after the initial vaccination. Despite multiple attempts at further history gathering, Patient was only able to give the following details: *Right inguinal rash: itch and red, has had previously and put some sort of topical cream on it. He did not apply or try and therapies and did not contact his heath care team. *Wheezing and abomdinal pain: has had in the past. Unable to describe severity, associated sx, trippers, alleviating/exacerbating factors, timing, etc. States he has inhalers at home, but non are on med list. He notes taking his normal medications and the issues resolving within a day and not impacting his ADLs/IADLs.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  pt died within 42 days after rec vaccine - unknown cause
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Nausea
Clinical narrative: Narrative: He reports having developed nausea, diarrhea, and abdominal cramping after the first vaccination. Issues started the day after vaccination and lasted for about 1-2 days. He did not try or apply therapies and was able to tolerate oral intake. No other common adverse effects were  experienced.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  admitted to hosptal for COVID pneumonia, after being fully vaccinated
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMH significant for AF, HF, t2dm, sleep apnea, obesity, htn, hospitalized 3/2/2021 for chf, worsening kidney function and end stage liver disease. discharged to hospice care. Deceased 4/14/2021
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative: Timing ERROR only, 2nd dose given too  soon (16 days) after 1st dose
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chills, Dyspnoea, Tremor
Clinical narrative: Narrative: He reports on the 3rd or 4th day after Moderna vaccine he developed shaking chills without documented fever, rash or joint swelling. The chills last 3-4 hours and was followed by generalized asthenia, chest discomfort and sensation of insufficient air with inhalation. There was no pleuritic pain and no prior hix of similar chest discomfort. The chest complaints resolved over several hours but asthenia lasted for 2 days.He is now at baseline.No phx of sensitivity to medications or vaccines and no hx of reactions to injections of steroids that might ocntain PEG.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Sensory disturbance
Clinical narrative: Narrative: Patient reported a feeling of "something flowing" across his upper back immediately after receiving the vaccine. The feeling only lasted one minute. Nurse observed patient, who drank 16oz of water but received no other treatment Vital signs were normal and patient reported feeling fine.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Pt has PMH significant for CAD, t2dm, CKD, hyperlipidemia, HTN, Carcinoma of Bladder, Anemia. Patient deceased on 4/12/2021 of unknown cause, no note listed.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  pt had a covid vaccine within 42 days of death. unknown cause of death.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: unknown cause of death- pt rec covid vaccine with in 42 days of death
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Death
Clinical narrative: Narrative:  COPD exacerbation - antibiotic, guaifenesin and/or prednisone, DuoNeb - died hospice
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nausea, Oral disorder
Clinical narrative: Narrative: POSITIVE COVID TEST AFTER COMPLETION OF COVID VACCINE SERIES 01/20 COVID vaccine dose #1 02/09 COVID vaccine dose #2 04/28 pt reports cough and fatigue, requesting covid test 04/30 pt reports 1 week of bad cough and fatigue, had one episode of vertigo, but chronic issue for him; COVID test positive 05/01 reports cough, fatigue, mild nausea, reports 3  weeks of painful oral lesions, treated with viscous lidocaine
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Vertigo
Clinical narrative: Narrative: POSITIVE COVID TEST AFTER COMPLETION OF COVID VACCINE SERIES 01/20 COVID vaccine dose #1 02/09 COVID vaccine dose #2 04/28 pt reports cough and fatigue, requesting covid test 04/30 pt reports 1 week of bad cough and fatigue, had one episode of vertigo, but chronic issue for him; COVID test positive 05/01 reports cough, fatigue, mild nausea, reports 3  weeks of painful oral lesions, treated with viscous lidocaine
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  pt died within 42 days of rec vaccine - unknown med administer , pt at an outside hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative: unlikely vaccine is causative in our  judgement
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Dysarthria, Gait disturbance, Hemiparesis
Clinical narrative: Narrative:  Per observer: Pt experienced left sided weakness, difficulty with gait, slurred speech, difficulty with word finding one day after second vaccine. Pt was hospitalized to rule out CVA.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Lymphadenopathy, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia, LEFT AXILLARY LYMPHADENOPATHY  Narrative: EMPLOYEE HEALTH PROVIDER SPOKE WITH EMPLOYEE CONCERNING SYMPTOMS WITHOUT OFFICIAL OFFICE/CLINIC VISIT.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Headache, Pain in extremity, Pyrexia
Clinical narrative: Headache, Fever, sore arm, backache Narrative:
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chronic obstructive pulmonary disease, Condition aggravated, Heart rate irregular, Migraine
Clinical narrative: Narrative: MODERNA COVID-19 VACCINE EUA Limited information  provided in chart. Per 5/14/21 nurse addendums: "Received letter stating that he had an reaction to the Mederna COVID vaccine he received 1st on 2/4/21 and 2nd on 3/5/21. He had a sl reaction after the 1st one and worse reaction after the 2nd  one 1) caused a exacerbation of his COPD 2) O2 sat's dropped to 84% and he is  now on 24/7 oxygen 3) Elevated blood pressue 4) elevated temperture(99.9) 4)  Heart rate irregular 5) Fluid around his heart an lungs. Patient also stated it  caused a migraine headache" Per 3/5/21 COVID vaccine administration note, "The  patient denied any prior severe reaction to this vaccine or its components or a  severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy." No documentation of any reaction to initial COVID vaccine found in chart prior to the above documentation. Unknown date/time ADR onset. No  documentation to suggest patient was admitted to outside hospital.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pericardial effusion, Pleural effusion
Clinical narrative: Narrative: MODERNA COVID-19 VACCINE EUA Limited information  provided in chart. Per 5/14/21 nurse addendums: "Received letter stating that he had an reaction to the Mederna COVID vaccine he received 1st on 2/4/21 and 2nd on 3/5/21. He had a sl reaction after the 1st one and worse reaction after the 2nd  one 1) caused a exacerbation of his COPD 2) O2 sat's dropped to 84% and he is  now on 24/7 oxygen 3) Elevated blood pressue 4) elevated temperture(99.9) 4)  Heart rate irregular 5) Fluid around his heart an lungs. Patient also stated it  caused a migraine headache" Per 3/5/21 COVID vaccine administration note, "The  patient denied any prior severe reaction to this vaccine or its components or a  severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy." No documentation of any reaction to initial COVID vaccine found in chart prior to the above documentation. Unknown date/time ADR onset. No  documentation to suggest patient was admitted to outside hospital.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Muscle spasms, Pain in extremity, Sleep disorder
Clinical narrative: Narrative: 03/12 COVID vaccine dose #1 04/09 COVID vaccine dose #2 05/06 Pt seen by PCP, c/o Rt upper arm pain for 2wks, states pain located right upper arm where he had the covid shot. no radiation pain. c/o feeling weakness. Pain started the day after 2nd shot, went away in 2days but came back on 4/19. denies any prob after 1st shot. states pain keeps hi, up at night; has tried to treat with diclofenac 75mg bid, ibuprofen pm at bedtime, 2 different menthol creams, biofreeze, OTC foam for muscle cramps (all ineffective); prescribed naproxen, topical lidocaine/capsaicin
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Injection site pain, Pyrexia
Clinical narrative: Fever, fatigue, chills, backache, arm site pain Narrative:
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient discharged to home after hospitalization x 13 days. Discharged with oxygen.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, weakness, tender at injection site Narrative:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Nausea, Vomiting
Clinical narrative: Headache, NauseaVomiting, chills, backache Narrative:
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pyrexia, Tachycardia
Clinical narrative: Headache, Arthralgia, Fever & Tachycardia Narrative: EMPLOYEE REPORTED SYMPTOMS TO EMPLOYEE HEALTH CLINIC WITHOUT EING SEEN.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Vomiting
Clinical narrative: Headache, NauseaVomiting, fatigue Narrative:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Aphonia, COVID-19, Chest discomfort, Cough, Dysphonia
Clinical narrative: Narrative:  COVID POSITIVE after COVID vaccine series completion on 03/04 COVID vaccine dose #1 03/25 COVID vaccine dose #2 04/02 Seen in ED due to "losing his voice x 2 days," dx: laryngitis, rx medrol taper 04/08 Walked in to primary care due to persistent laryngitis, non-productive cough, slight discomfort in chest w/ cough 04/16 Seen by PCP, 2 weeks of hoarseness 04/20 Seen by speech path, reports 3 weeks of raspy voice, increased coughing 04/22 Speech path conducted stroboscopic voice evaluation-found erythematous left vocal cord, right/irregular appearance of right vocal cord 04/30 Seen by ENT, found bilateral vocal cord lesions, COVID tested for pre-cop, COVID positive, reports sore throat (due to raspiness) 05/02 Pt reports continued sore throat, doesn't believe he has covid, as was out mowing grass and was fine
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Laryngitis, Oropharyngeal pain, SARS-CoV-2 test positive, Vocal cord disorder, Vocal cord erythema
Clinical narrative: Narrative:  COVID POSITIVE after COVID vaccine series completion on 03/04 COVID vaccine dose #1 03/25 COVID vaccine dose #2 04/02 Seen in ED due to "losing his voice x 2 days," dx: laryngitis, rx medrol taper 04/08 Walked in to primary care due to persistent laryngitis, non-productive cough, slight discomfort in chest w/ cough 04/16 Seen by PCP, 2 weeks of hoarseness 04/20 Seen by speech path, reports 3 weeks of raspy voice, increased coughing 04/22 Speech path conducted stroboscopic voice evaluation-found erythematous left vocal cord, right/irregular appearance of right vocal cord 04/30 Seen by ENT, found bilateral vocal cord lesions, COVID tested for pre-cop, COVID positive, reports sore throat (due to raspiness) 05/02 Pt reports continued sore throat, doesn't believe he has covid, as was out mowing grass and was fine
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Aspiration, Asthenia, Bladder catheterisation, Blood lactic acid normal
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMh significant for tobacco use, hollenhorst plaque, vitamin d deficiency, glaucoma, CAD, malignant tumor or lung. parkinsonism, pneumonuia. per note on 4/16 "The patient is an 84-year-old with a past medical history significant for Parkinson's disease, lung cancer, peripheral vascular disease, orthostatic hypotension, chronic bronchitis, CAD status post pacer placement who presented to the emergency room with his wife secondary to generalized weakness. The patient reportedly fell 3 times on April 4 one fall resulted in his head striking a wall another fall resulted in a injured right hand/wrist. Since that time the wife is noted increasing weakness, inability to stand on his own and a loss of ambulatory capabilities. His wife also reports that the patient's been experiencing a cough with a green-colored sputum for approximately 4 weeks now. She also notes nonbloody diarrhea ?2 this morning and blood in his Foley bag. He's had no fevers chills nausea or vomiting. The patient also reports no headaches dyspnea or chest pain no abdominal pain or nausea or vomiting. Workup in the emergency room revealed an elevated white count and anemia lactic acid was normal as was his CMP. Chest x-ray revealed subtle opacities at the base left greater than right that may be related to pneumonia though much less suspicious that we'll was on previous study. There was also some irregular subcentimeter densities visualized in the lungs most suspicious in the upper right lung zone that may be the result of scarring although small pulmonary nodules could not be excluded. A CT of his head showed no acute abnormalities of the cervical spine with similar multilevel degenerative disc disease and facet arthritis throughout the cervical spine noted. His UA showed leukocyte esterase of 500 urine RBCs greater than 180. The patient was admitted. with a diagnosis of recurring pneumonia felt to be secondary to aspiration and a UTI. I been asked to see the patient to introduce his wife to hospice and palliative medicine and to evaluate for appropriateness for admission to facility. Initially the patient is wife stated that she was not interested in hospice. She reported no interest in both home hospice nor inpatient hospice. She reports that she had a home health nursing agency that she was pleased with and wanted to continue using this resource to help her care for her husband." Patient deceased 5/6
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Chest X-ray abnormal, Computerised tomogram head normal, Computerised tomogram spine, Death
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMh significant for tobacco use, hollenhorst plaque, vitamin d deficiency, glaucoma, CAD, malignant tumor or lung. parkinsonism, pneumonuia. per note on 4/16 "The patient is an 84-year-old with a past medical history significant for Parkinson's disease, lung cancer, peripheral vascular disease, orthostatic hypotension, chronic bronchitis, CAD status post pacer placement who presented to the emergency room with his wife secondary to generalized weakness. The patient reportedly fell 3 times on April 4 one fall resulted in his head striking a wall another fall resulted in a injured right hand/wrist. Since that time the wife is noted increasing weakness, inability to stand on his own and a loss of ambulatory capabilities. His wife also reports that the patient's been experiencing a cough with a green-colored sputum for approximately 4 weeks now. She also notes nonbloody diarrhea ?2 this morning and blood in his Foley bag. He's had no fevers chills nausea or vomiting. The patient also reports no headaches dyspnea or chest pain no abdominal pain or nausea or vomiting. Workup in the emergency room revealed an elevated white count and anemia lactic acid was normal as was his CMP. Chest x-ray revealed subtle opacities at the base left greater than right that may be related to pneumonia though much less suspicious that we'll was on previous study. There was also some irregular subcentimeter densities visualized in the lungs most suspicious in the upper right lung zone that may be the result of scarring although small pulmonary nodules could not be excluded. A CT of his head showed no acute abnormalities of the cervical spine with similar multilevel degenerative disc disease and facet arthritis throughout the cervical spine noted. His UA showed leukocyte esterase of 500 urine RBCs greater than 180. The patient was admitted. with a diagnosis of recurring pneumonia felt to be secondary to aspiration and a UTI. I been asked to see the patient to introduce his wife to hospice and palliative medicine and to evaluate for appropriateness for admission to facility. Initially the patient is wife stated that she was not interested in hospice. She reported no interest in both home hospice nor inpatient hospice. She reports that she had a home health nursing agency that she was pleased with and wanted to continue using this resource to help her care for her husband." Patient deceased 5/6
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dysstasia, Facet joint syndrome, Fall, Gait inability
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMh significant for tobacco use, hollenhorst plaque, vitamin d deficiency, glaucoma, CAD, malignant tumor or lung. parkinsonism, pneumonuia. per note on 4/16 "The patient is an 84-year-old with a past medical history significant for Parkinson's disease, lung cancer, peripheral vascular disease, orthostatic hypotension, chronic bronchitis, CAD status post pacer placement who presented to the emergency room with his wife secondary to generalized weakness. The patient reportedly fell 3 times on April 4 one fall resulted in his head striking a wall another fall resulted in a injured right hand/wrist. Since that time the wife is noted increasing weakness, inability to stand on his own and a loss of ambulatory capabilities. His wife also reports that the patient's been experiencing a cough with a green-colored sputum for approximately 4 weeks now. She also notes nonbloody diarrhea ?2 this morning and blood in his Foley bag. He's had no fevers chills nausea or vomiting. The patient also reports no headaches dyspnea or chest pain no abdominal pain or nausea or vomiting. Workup in the emergency room revealed an elevated white count and anemia lactic acid was normal as was his CMP. Chest x-ray revealed subtle opacities at the base left greater than right that may be related to pneumonia though much less suspicious that we'll was on previous study. There was also some irregular subcentimeter densities visualized in the lungs most suspicious in the upper right lung zone that may be the result of scarring although small pulmonary nodules could not be excluded. A CT of his head showed no acute abnormalities of the cervical spine with similar multilevel degenerative disc disease and facet arthritis throughout the cervical spine noted. His UA showed leukocyte esterase of 500 urine RBCs greater than 180. The patient was admitted. with a diagnosis of recurring pneumonia felt to be secondary to aspiration and a UTI. I been asked to see the patient to introduce his wife to hospice and palliative medicine and to evaluate for appropriateness for admission to facility. Initially the patient is wife stated that she was not interested in hospice. She reported no interest in both home hospice nor inpatient hospice. She reports that she had a home health nursing agency that she was pleased with and wanted to continue using this resource to help her care for her husband." Patient deceased 5/6
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Intervertebral disc degeneration, Joint injury, Limb injury, Lung opacity
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMh significant for tobacco use, hollenhorst plaque, vitamin d deficiency, glaucoma, CAD, malignant tumor or lung. parkinsonism, pneumonuia. per note on 4/16 "The patient is an 84-year-old with a past medical history significant for Parkinson's disease, lung cancer, peripheral vascular disease, orthostatic hypotension, chronic bronchitis, CAD status post pacer placement who presented to the emergency room with his wife secondary to generalized weakness. The patient reportedly fell 3 times on April 4 one fall resulted in his head striking a wall another fall resulted in a injured right hand/wrist. Since that time the wife is noted increasing weakness, inability to stand on his own and a loss of ambulatory capabilities. His wife also reports that the patient's been experiencing a cough with a green-colored sputum for approximately 4 weeks now. She also notes nonbloody diarrhea ?2 this morning and blood in his Foley bag. He's had no fevers chills nausea or vomiting. The patient also reports no headaches dyspnea or chest pain no abdominal pain or nausea or vomiting. Workup in the emergency room revealed an elevated white count and anemia lactic acid was normal as was his CMP. Chest x-ray revealed subtle opacities at the base left greater than right that may be related to pneumonia though much less suspicious that we'll was on previous study. There was also some irregular subcentimeter densities visualized in the lungs most suspicious in the upper right lung zone that may be the result of scarring although small pulmonary nodules could not be excluded. A CT of his head showed no acute abnormalities of the cervical spine with similar multilevel degenerative disc disease and facet arthritis throughout the cervical spine noted. His UA showed leukocyte esterase of 500 urine RBCs greater than 180. The patient was admitted. with a diagnosis of recurring pneumonia felt to be secondary to aspiration and a UTI. I been asked to see the patient to introduce his wife to hospice and palliative medicine and to evaluate for appropriateness for admission to facility. Initially the patient is wife stated that she was not interested in hospice. She reported no interest in both home hospice nor inpatient hospice. She reports that she had a home health nursing agency that she was pleased with and wanted to continue using this resource to help her care for her husband." Patient deceased 5/6
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Productive cough, Pulmonary fibrosis, Red blood cells urine positive, Sputum discoloured
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMh significant for tobacco use, hollenhorst plaque, vitamin d deficiency, glaucoma, CAD, malignant tumor or lung. parkinsonism, pneumonuia. per note on 4/16 "The patient is an 84-year-old with a past medical history significant for Parkinson's disease, lung cancer, peripheral vascular disease, orthostatic hypotension, chronic bronchitis, CAD status post pacer placement who presented to the emergency room with his wife secondary to generalized weakness. The patient reportedly fell 3 times on April 4 one fall resulted in his head striking a wall another fall resulted in a injured right hand/wrist. Since that time the wife is noted increasing weakness, inability to stand on his own and a loss of ambulatory capabilities. His wife also reports that the patient's been experiencing a cough with a green-colored sputum for approximately 4 weeks now. She also notes nonbloody diarrhea ?2 this morning and blood in his Foley bag. He's had no fevers chills nausea or vomiting. The patient also reports no headaches dyspnea or chest pain no abdominal pain or nausea or vomiting. Workup in the emergency room revealed an elevated white count and anemia lactic acid was normal as was his CMP. Chest x-ray revealed subtle opacities at the base left greater than right that may be related to pneumonia though much less suspicious that we'll was on previous study. There was also some irregular subcentimeter densities visualized in the lungs most suspicious in the upper right lung zone that may be the result of scarring although small pulmonary nodules could not be excluded. A CT of his head showed no acute abnormalities of the cervical spine with similar multilevel degenerative disc disease and facet arthritis throughout the cervical spine noted. His UA showed leukocyte esterase of 500 urine RBCs greater than 180. The patient was admitted. with a diagnosis of recurring pneumonia felt to be secondary to aspiration and a UTI. I been asked to see the patient to introduce his wife to hospice and palliative medicine and to evaluate for appropriateness for admission to facility. Initially the patient is wife stated that she was not interested in hospice. She reported no interest in both home hospice nor inpatient hospice. She reports that she had a home health nursing agency that she was pleased with and wanted to continue using this resource to help her care for her husband." Patient deceased 5/6
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis abnormal, Urine leukocyte esterase positive, White blood cell count increased
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMh significant for tobacco use, hollenhorst plaque, vitamin d deficiency, glaucoma, CAD, malignant tumor or lung. parkinsonism, pneumonuia. per note on 4/16 "The patient is an 84-year-old with a past medical history significant for Parkinson's disease, lung cancer, peripheral vascular disease, orthostatic hypotension, chronic bronchitis, CAD status post pacer placement who presented to the emergency room with his wife secondary to generalized weakness. The patient reportedly fell 3 times on April 4 one fall resulted in his head striking a wall another fall resulted in a injured right hand/wrist. Since that time the wife is noted increasing weakness, inability to stand on his own and a loss of ambulatory capabilities. His wife also reports that the patient's been experiencing a cough with a green-colored sputum for approximately 4 weeks now. She also notes nonbloody diarrhea ?2 this morning and blood in his Foley bag. He's had no fevers chills nausea or vomiting. The patient also reports no headaches dyspnea or chest pain no abdominal pain or nausea or vomiting. Workup in the emergency room revealed an elevated white count and anemia lactic acid was normal as was his CMP. Chest x-ray revealed subtle opacities at the base left greater than right that may be related to pneumonia though much less suspicious that we'll was on previous study. There was also some irregular subcentimeter densities visualized in the lungs most suspicious in the upper right lung zone that may be the result of scarring although small pulmonary nodules could not be excluded. A CT of his head showed no acute abnormalities of the cervical spine with similar multilevel degenerative disc disease and facet arthritis throughout the cervical spine noted. His UA showed leukocyte esterase of 500 urine RBCs greater than 180. The patient was admitted. with a diagnosis of recurring pneumonia felt to be secondary to aspiration and a UTI. I been asked to see the patient to introduce his wife to hospice and palliative medicine and to evaluate for appropriateness for admission to facility. Initially the patient is wife stated that she was not interested in hospice. She reported no interest in both home hospice nor inpatient hospice. She reports that she had a home health nursing agency that she was pleased with and wanted to continue using this resource to help her care for her husband." Patient deceased 5/6