chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Septic shock, Superinfection, Tachyarrhythmia
Clinical narrative: Hospital Course: 64 y old female patient, severely cachectic, deconditioned with nonischemic CM, LVEF 20-25%, chronic Afib, s/p BIV ICD, Prior DVT, PEs, severe MR/TR, moderate PH, Hypothyroidism, prior Stroke, CKD stage IV, high grade renal artery stenosis, chronic hypoxia, on supplemental O2, recently admitted with hemorrhagic shock, acute blood loss anemia, large right rectus sheath Hematoma, s/p coli embolization of inferior epigastric artery on 11/14 who presented on 11/29 with progressive dyspnea, multiple loose tool and acute confusion. CT chest and abdomen revealed stable size of rectus sheath hematoma, revealed right sided pleural effusion and bibasilar air space disease. SARS COV2 screen was positive. Patient was hypotensive. Improved with IV fluids and dobutamine. She was admitted with hypovolemia, severe sepsis, viral sepsis, SARS COV2 pneumonia. Initially to mod care. She was started on antimicrobial  coverage concerning super imposed bacterial pneumonia.  Patient was transferred to ICU on 12/03 after she became less responsive with progressive hypoxia, lactic acidosis.  Patient was intubated due to progressive hypoxia, worsening hemodynamic status, not tolerating BIPAP and increases in work of breathing. Intubated with RSI first attempt. Dobutamine is decreased to 2.5 mcg/kg/min. Continue Norepinephrine. Add Vasopressin given tachyarrhythmia.  Patient continues to progressively worsen hemodynamically with increase in pressor requirements, oliguria, worsening lactic acidosis. Received multiple boluses of IV fluids. Remained on broad spectrum Abx. Patient developed refractory shock with multiorgan failure ,Progressive metabolic acidosis, renal failure, known advance heart failure with severe systolic heart failure.  On maximal dose epinephrine, Norepinephrine, dobutamine and Vasopressin.   12/07: patient remained in very critical condition. On mechanical ventilation support. ABG showed PH 7.12, Pao2 of 282, Paco2 of 24. Extremely elevated D dimer of > 90 K. Patient is not on sedation. Unresponsive. Right pupil > left. Significant lactic acidosis, significant elevation in AST/ALT. Shock Liver status. INR 3.9. progressive renal failure. Oliguric. High vasoactive support demands with Norepinephrine, epinephrine, vasopressin and dobutamine. To initiate PIRRT.  Patient remained in refractory shock with multisystem failure. Did not tolerate PIRRT due to hypotension despite of maximal vasoactive support.  She expired despite numerous CPR rounds.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Toxic encephalopathy, Transaminases increased, Wheezing
Clinical narrative: Hospital Course: 64 y old female patient, severely cachectic, deconditioned with nonischemic CM, LVEF 20-25%, chronic Afib, s/p BIV ICD, Prior DVT, PEs, severe MR/TR, moderate PH, Hypothyroidism, prior Stroke, CKD stage IV, high grade renal artery stenosis, chronic hypoxia, on supplemental O2, recently admitted with hemorrhagic shock, acute blood loss anemia, large right rectus sheath Hematoma, s/p coli embolization of inferior epigastric artery on 11/14 who presented on 11/29 with progressive dyspnea, multiple loose tool and acute confusion. CT chest and abdomen revealed stable size of rectus sheath hematoma, revealed right sided pleural effusion and bibasilar air space disease. SARS COV2 screen was positive. Patient was hypotensive. Improved with IV fluids and dobutamine. She was admitted with hypovolemia, severe sepsis, viral sepsis, SARS COV2 pneumonia. Initially to mod care. She was started on antimicrobial  coverage concerning super imposed bacterial pneumonia.  Patient was transferred to ICU on 12/03 after she became less responsive with progressive hypoxia, lactic acidosis.  Patient was intubated due to progressive hypoxia, worsening hemodynamic status, not tolerating BIPAP and increases in work of breathing. Intubated with RSI first attempt. Dobutamine is decreased to 2.5 mcg/kg/min. Continue Norepinephrine. Add Vasopressin given tachyarrhythmia.  Patient continues to progressively worsen hemodynamically with increase in pressor requirements, oliguria, worsening lactic acidosis. Received multiple boluses of IV fluids. Remained on broad spectrum Abx. Patient developed refractory shock with multiorgan failure ,Progressive metabolic acidosis, renal failure, known advance heart failure with severe systolic heart failure.  On maximal dose epinephrine, Norepinephrine, dobutamine and Vasopressin.   12/07: patient remained in very critical condition. On mechanical ventilation support. ABG showed PH 7.12, Pao2 of 282, Paco2 of 24. Extremely elevated D dimer of > 90 K. Patient is not on sedation. Unresponsive. Right pupil > left. Significant lactic acidosis, significant elevation in AST/ALT. Shock Liver status. INR 3.9. progressive renal failure. Oliguric. High vasoactive support demands with Norepinephrine, epinephrine, vasopressin and dobutamine. To initiate PIRRT.  Patient remained in refractory shock with multisystem failure. Did not tolerate PIRRT due to hypotension despite of maximal vasoactive support.  She expired despite numerous CPR rounds.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: I, THE PHARMACIST, ACCIDENTALLY ADMINISTERED AN PEDIATRIC PFIZER BOOSTER DOSE TO THE ADULT PATIENT. PHARMACIST HAD INFORMED THE PATIENT REGARDS TO THE INCIDENT IMMEDIATELY AND ALSO INFORMED PATIENT THAT SHE NEEDS TO HAVE ANOTHER ADULT PFIZER BOOSTER DOSE ACCORDING TO THE CDC COVID-19 VACCINE ADMINSTRATION ERRORS REVACCINATION GUIDANCE. PATIENT AGREED AND WILL COME BACK FOR ANOTHER ADULT BOOSTER SHOT. THE PHARMACIST WILL ALSO INFORM PATIENT'S PCP FOR THIS INCIDENT.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test normal, Cardiac function test normal, Epistaxis, Injection site rash, Injection site swelling
Clinical narrative: Day 1 (Friday 1/14/22) after shot #1 of Moderna  she had 4 bloody noses throughout the day and a swollen lip.  Day 2 (Sat 1/15/22)   after shot #1 of Moderna she had swelling and rash at injection site, which cleared up after 2 doses of Benadryl after consulting with on call physician.    4 days  later (Wed 1/19/22) after shot #1 Moderna she passed out at a team softball practice and was seen in the Emergency Room.   She received her 2nd  COVID vaccine on 2/26/22 and was advised by staff to get the age appropriate PHIZER vaccine as Moderna is not recommended for under 18 yrs of age.   She has had no adverse side effects to the PHIZER vaccine at the time of this report.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lip swelling, Product administered to patient of inappropriate age, Syncope, Urine analysis normal
Clinical narrative: Day 1 (Friday 1/14/22) after shot #1 of Moderna  she had 4 bloody noses throughout the day and a swollen lip.  Day 2 (Sat 1/15/22)   after shot #1 of Moderna she had swelling and rash at injection site, which cleared up after 2 doses of Benadryl after consulting with on call physician.    4 days  later (Wed 1/19/22) after shot #1 Moderna she passed out at a team softball practice and was seen in the Emergency Room.   She received her 2nd  COVID vaccine on 2/26/22 and was advised by staff to get the age appropriate PHIZER vaccine as Moderna is not recommended for under 18 yrs of age.   She has had no adverse side effects to the PHIZER vaccine at the time of this report.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Day 1 (Friday 1/14/22) after shot #1 of Moderna  she had 4 bloody noses throughout the day and a swollen lip.  Day 2 (Sat 1/15/22)   after shot #1 of Moderna she had swelling and rash at injection site, which cleared up after 2 doses of Benadryl after consulting with on call physician.    4 days  later (Wed 1/19/22) after shot #1 Moderna she passed out at a team softball practice and was seen in the Emergency Room.   She received her 2nd  COVID vaccine on 2/26/22 and was advised by staff to get the age appropriate PHIZER vaccine as Moderna is not recommended for under 18 yrs of age.   She has had no adverse side effects to the PHIZER vaccine at the time of this report.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac function test normal, Chest X-ray normal, Dizziness, Electrocardiogram normal
Clinical narrative: Tachycardia (110-120bpm), sudden elevated blood pressure (140-150 systolic/ 96-100 diastolic), over a period of 90 minutes Dizziness, nausea, feeling faint, severe headache, muscle weakness and aches, and severe fatigue over a period of three hours. After symptoms were not improving, I was taken to the ER
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Muscular weakness, Myalgia, Nausea
Clinical narrative: Tachycardia (110-120bpm), sudden elevated blood pressure (140-150 systolic/ 96-100 diastolic), over a period of 90 minutes Dizziness, nausea, feeling faint, severe headache, muscle weakness and aches, and severe fatigue over a period of three hours. After symptoms were not improving, I was taken to the ER
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Tachycardia
Clinical narrative: Tachycardia (110-120bpm), sudden elevated blood pressure (140-150 systolic/ 96-100 diastolic), over a period of 90 minutes Dizziness, nausea, feeling faint, severe headache, muscle weakness and aches, and severe fatigue over a period of three hours. After symptoms were not improving, I was taken to the ER
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood cholesterol increased, Blood creatine abnormal, Blood glucose increased, Carditis
Clinical narrative: After receiving the COVID 19 Booster shot he experience tooth and shoulder pain. One month later he had a heart attack and died in the hospital on 12/11/2021. My son researched on and saw that the booster can cause a rise in blood sugar levels to go up, thus, causing his heart to be inflamed.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Myocardial infarction, Protein total abnormal, Toothache
Clinical narrative: After receiving the COVID 19 Booster shot he experience tooth and shoulder pain. One month later he had a heart attack and died in the hospital on 12/11/2021. My son researched on and saw that the booster can cause a rise in blood sugar levels to go up, thus, causing his heart to be inflamed.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Paraesthesia
Clinical narrative: About 10 minutes after receiving the vaccine the client reported he developed tingling on his face. Client stated the tingling resolved after 5 minutes. No medications were administered on site. The client's mother reported that the client developed headache and tiredness about 4 hours after receiving the Pfizer COVID vaccine. The client's mother administered Motrin for the client's headache. Client denied having felt any shortness of breath, dizziness, or other symptoms of anaphylaxis. The client didn't follow up with any healthcare provider. No chronic conditions, medications, or known allergies.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pain, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Feverish, body aches, and dizziness. Symptoms dissipated after 24 hours.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Fatigue, Lung infiltration, Mobility decreased
Clinical narrative: The patient is a 59 y male with past medical history of essential hypertension,diabetes mellitus, dyslipidemia diabetic neuropathy, morbid obesity, GERD, obstructive sleep apnea intolerant to CPAP who was admitted on 12/28/2021 because of complaints of vomiting and midepigastric abdominal pain.  Patient also reports fatigue and lying in the bed most of the time.  Also describes funny taste going on for past several days.  In the ED, he was noted to be COVID-19 positive. Assessment lung bases shows covid infiltrates.  No pleural fluid or pericardial effusion. Patient did not have any respiratory symptoms from covid 19 and was on room air throughout his stay. Diet was advanced as tolerated. Patient improved and was discharge. He was given covid 19 kit and will monitor his sats.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Taste disorder, Vomiting
Clinical narrative: The patient is a 59 y male with past medical history of essential hypertension,diabetes mellitus, dyslipidemia diabetic neuropathy, morbid obesity, GERD, obstructive sleep apnea intolerant to CPAP who was admitted on 12/28/2021 because of complaints of vomiting and midepigastric abdominal pain.  Patient also reports fatigue and lying in the bed most of the time.  Also describes funny taste going on for past several days.  In the ED, he was noted to be COVID-19 positive. Assessment lung bases shows covid infiltrates.  No pleural fluid or pericardial effusion. Patient did not have any respiratory symptoms from covid 19 and was on room air throughout his stay. Diet was advanced as tolerated. Patient improved and was discharge. He was given covid 19 kit and will monitor his sats.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cartilage injury, Electromyogram, Injected limb mobility decreased, Injection site pain
Clinical narrative: Nerve damage to left shoulder/arm, ultimately resulting in multiple torn/ruptured tendons, muscles, and labrum; loss of motor control, loss of strength, and severe persistent pain in left shoulder and arm. Symptoms began presentation on 24-Mar-2021. Attempted multiple therapeutic remedies, with no effect. Attempted pain management epidural on 23-Jul-2021, with no effect. Had surgical intervention on 15-Oct-2021 to repair damage, still undergoing (at the time of the submission) physical therapy for rehab, currently have 10% function of arm.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging joint, Magnetic resonance imaging spinal, Motor dysfunction, Muscle rupture, Nerve injury
Clinical narrative: Nerve damage to left shoulder/arm, ultimately resulting in multiple torn/ruptured tendons, muscles, and labrum; loss of motor control, loss of strength, and severe persistent pain in left shoulder and arm. Symptoms began presentation on 24-Mar-2021. Attempted multiple therapeutic remedies, with no effect. Attempted pain management epidural on 23-Jul-2021, with no effect. Had surgical intervention on 15-Oct-2021 to repair damage, still undergoing (at the time of the submission) physical therapy for rehab, currently have 10% function of arm.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Orthopaedic examination abnormal, Pain in extremity, Spinal X-ray, Surgery, Tendon rupture
Clinical narrative: Nerve damage to left shoulder/arm, ultimately resulting in multiple torn/ruptured tendons, muscles, and labrum; loss of motor control, loss of strength, and severe persistent pain in left shoulder and arm. Symptoms began presentation on 24-Mar-2021. Attempted multiple therapeutic remedies, with no effect. Attempted pain management epidural on 23-Jul-2021, with no effect. Had surgical intervention on 15-Oct-2021 to repair damage, still undergoing (at the time of the submission) physical therapy for rehab, currently have 10% function of arm.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EVENTS, PATIENT HAD 2 DOSES OF PFIZER, MD WANTED HER TO CHANGE TO MODERNA, THEN REALIZED AFTER THE FACT THAT PATIENT IS 15
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: 60 y/o female presented on 2/25/22 with pain, redness and mild swelling radiating form the injection site approximately 6 inches down left arm. Redness was warm and sensitive to the touch. Pt started benedryl and tylenol. Reported reduced pain on 2/26 with continued redness. Reported reduced pain and redness on 2/27.  Will continue to follow up with patient
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Oropharyngeal pain, Throat tightness
Clinical narrative: Just a couple minutes after administration patient said her throat was closing and she couldn't breathe. Brought her back into the consultation room from the waiting area and administered epinephrine. Someone in the pharmacy called the store director in charge, who in turn called 911 for the patient. Just a few minutes after administration of the epinephrine the patient was able to breathe better and her only complaint was her throat was sore. She talked to me while waiting for EMS and declined to go with them due to having children at home. She did tell them that she also had epinephrine at home due to a previous reaction to a flu vaccine and previous food allergies.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Decreased appetite, Dizziness, Fatigue
Clinical narrative: 43-year-old female patient with a past medical history of bronchial asthma presented for evaluation of COVID-19 infection.  Patient had a prior history of Roux-en-Y gastric bypass surgery, nutritional deficiency associated anemia.  Patient started to develop fever, chills, worsening fatigue baseline along with lightheadedness and decrease in appetite.  She was admitted  for further evaluation for her thrombocytopenia.  ITP likely due to COVID-19 infection.  Patient received 10 day course of dexamethasone.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Immune thrombocytopenia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 43-year-old female patient with a past medical history of bronchial asthma presented for evaluation of COVID-19 infection.  Patient had a prior history of Roux-en-Y gastric bypass surgery, nutritional deficiency associated anemia.  Patient started to develop fever, chills, worsening fatigue baseline along with lightheadedness and decrease in appetite.  She was admitted  for further evaluation for her thrombocytopenia.  ITP likely due to COVID-19 infection.  Patient received 10 day course of dexamethasone.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: 45 minutes after receiving injection, my face, from my nose, across my cheeks, and downward, went numb. This feeling lasted 24 hours. 72 hours later bottom lip still numb.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Hypersensitivity, Injection site mass, Injection site pain
Clinical narrative: Patient received 2nd COVID vaccine on 2/19/22 at 1173. she stated that about 6 hours after receiving shot, a lump appeared at the site of injection on her left deltoid and reports it hurting even with the slightest touch, but not red; site is tender. She stated that when she woke up this morning, her left arm is very tender to the touch and her left breast is now swollen. Patient reported being involved in car accident on 2/11/22 and impact was on your left side. She also said that she did not have any reaction to the first Pfizer dose (was not trisucrose formulation like 2nd dose). I let patient know that her body can be having a hyper immune response due to the recent car crash and the Pfizer dose increased that response. I suggested patient goes to the emergency dept to make sure that this reaction does not develop into something worse.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: event occurred after 2nd vaccine; breakthrough case admission
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after Janssen vaccine; breakthrough case admission
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive
Clinical narrative: conjestive heart failure
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: event occurred after 2nd vaccine; breakthrough case admission
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after Janssen vaccine; breakthrough case admission
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 3rd vaccine; breakthrough case admission
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: event occurred after 2nd vaccine; breakthrough case admission
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: event occurred after 2nd vaccine; breakthrough case admission
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Inappropriate schedule of product administration, Insomnia, Pain, Pyrexia
Clinical narrative: Client presented to the vaccination site on 12/7/21. The client reported that he received a first dose of Moderna COVID vaccine on 2/12/21 and a second dose of Moderna COVID vaccine on 3/19/21. Client reported about 4-5 hours after the second dose lower back pain and fever. Client described back pain as throbbing and rated it a 9/10. The client did not take his temperature with a thermometer. Client?s fever resolved after 2 days. Client?s back pain resolved after 4 days. Client took Advil for the back pain. The client reported difficulty sleeping due to his back pain. Client followed up with his provider who recommended Pfizer COVID vaccine as client?s next dose. Client has a history of genetic autoimmune hepatitis. Client did not report taking any medications but follows up with his doctor every 6 months. Client reported a history of penicillin allergy but didn?t know his reaction (client?s mom denied any history of allergy to penicillin). RN submitted a med consult via text message to clinical project coordinators requesting to proceed with Pfizer COVID vaccine. Per CDC guidance, approval to proceed with Pfizer COVID vaccine was obtained from medical consult team via text message from  clinical project coordinator. Client received Pfizer COVID vaccine, LOT#: FF8841 on 12/7/21 by, vaccinating nurse. The client did not report any symptoms during the 30-minute observation period. RN educated on possible adverse reactions and when to seek medical care. The client left the vaccination site at 1659 unassisted with a steady gait.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: event occurred after 2nd vaccine; breakthrough case admission
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Fever, chills, headache, injection site pain, nausea, joint and muscle pain, fatigue, hot flashes, diarrhea   All symptoms still happening since I received the shot. Same symptoms when I received the j&j shot and I lost 15 lbs
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Injection site pain, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, chills, headache, injection site pain, nausea, joint and muscle pain, fatigue, hot flashes, diarrhea   All symptoms still happening since I received the shot. Same symptoms when I received the j&j shot and I lost 15 lbs
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge, Weight decreased
Clinical narrative: Fever, chills, headache, injection site pain, nausea, joint and muscle pain, fatigue, hot flashes, diarrhea   All symptoms still happening since I received the shot. Same symptoms when I received the j&j shot and I lost 15 lbs
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Carotid artery dissection
Clinical narrative: Left carotid artery dissection
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Dizziness, Dysgeusia, Electric shock sensation, Feeling drunk
Clinical narrative: None stated.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Movement disorder, Paraesthesia, Peripheral swelling, Swelling face
Clinical narrative: None stated.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: event occurred after 2nd vaccine; breakthrough case admisson
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Interchange of vaccine products, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives all over arms
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Fear, Syncope
Clinical narrative: customer fainted after vaccine, he says he is scare of blood. there is few  blood underneath the bandage. customer did not had breakfast before IMZ,  and customer  is fear of blood , confirmed with  his mother.
Sex: U
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash
Clinical narrative: Rash and pain to the administration site, pediatric benadryl was administered
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus-ringing in the ears. I have never had this in my life before now I do. Sometimes all day, sometimes only when laying down.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Albumin urine present, Albuminuria, Ascites, Blood albumin decreased
Clinical narrative: Patient developed nephrotic syndrome including hypertensive emergency, acute renal insufficiency, peripheral edema, acities, fatigue, marked albuminuria, hypoalbuminemia, marked elevation in cholesterol.  No cause has been found.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Blood creatinine increased, Fatigue, Hypertensive emergency, Hypoalbuminaemia
Clinical narrative: Patient developed nephrotic syndrome including hypertensive emergency, acute renal insufficiency, peripheral edema, acities, fatigue, marked albuminuria, hypoalbuminemia, marked elevation in cholesterol.  No cause has been found.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Nephrotic syndrome, Oedema peripheral
Clinical narrative: Patient developed nephrotic syndrome including hypertensive emergency, acute renal insufficiency, peripheral edema, acities, fatigue, marked albuminuria, hypoalbuminemia, marked elevation in cholesterol.  No cause has been found.
Age: 66.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Burning sensation, Erythema, Skin warm
Clinical narrative: pt states that her right arm felt like it was burning. She stated that her arm was red and hot to the touch and has been that way 'for a week' (reported reaction 5 days post injection)
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Blood cortisol, Blood magnesium, Cardiac monitoring, Chest X-ray
Clinical narrative: Hard to breathe with simple walking starting the morning after 2nd vaccine. 3/8 couldn?t work due to breathing issues, 3/9 couldn?t work and called pcp but told to wait it out. 3/16 in person with pcp and ran labs, 3/23 saw hematology to double check blood, symptoms worse advised to go to ER. Admitted on 3/23 with afib and discharged 3/28 with spontaneous conversion.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Drug screen, Dyspnoea, Dyspnoea exertional, Echocardiogram, Electrocardiogram
Clinical narrative: Hard to breathe with simple walking starting the morning after 2nd vaccine. 3/8 couldn?t work due to breathing issues, 3/9 couldn?t work and called pcp but told to wait it out. 3/16 in person with pcp and ran labs, 3/23 saw hematology to double check blood, symptoms worse advised to go to ER. Admitted on 3/23 with afib and discharged 3/28 with spontaneous conversion.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Impaired work ability, Lipids, Metabolic function test, Metabolic function test normal
Clinical narrative: Hard to breathe with simple walking starting the morning after 2nd vaccine. 3/8 couldn?t work due to breathing issues, 3/9 couldn?t work and called pcp but told to wait it out. 3/16 in person with pcp and ran labs, 3/23 saw hematology to double check blood, symptoms worse advised to go to ER. Admitted on 3/23 with afib and discharged 3/28 with spontaneous conversion.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count increased
Clinical narrative: Hard to breathe with simple walking starting the morning after 2nd vaccine. 3/8 couldn?t work due to breathing issues, 3/9 couldn?t work and called pcp but told to wait it out. 3/16 in person with pcp and ran labs, 3/23 saw hematology to double check blood, symptoms worse advised to go to ER. Admitted on 3/23 with afib and discharged 3/28 with spontaneous conversion.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Dizziness, Dyspnoea, Headache
Clinical narrative: Severe headache, dissyness, chest pain and difficulty breathing, joint pain
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: persistent nocturnal hives
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient booked an appointment and requested the booster shot of the Janssen vaccine.  However, the wrong vaccine was administered.  Patient was given the booster dose (0.25ml) of Moderna.   No adverse reaction was observed after the shot during the patient's stay in the pharmacy.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenopia, Blindness unilateral, Chills, Headache, Hypoaesthesia
Clinical narrative: My entire face went numb about 20 mins after the shot. Lasted about a 1/2 hour.  Had a headache and chills for 2 days.  Had eye strain for several days.   On Dec 1st I went to the eye dr. for loss of peripheral vision in my Right eye.  I was later diagnosed  with non-arteritic anterior ischemic optic neuropathy.  I have lost a good amount of vision in my Right eye.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Ophthalmological examination, Optic ischaemic neuropathy, Visual field defect
Clinical narrative: My entire face went numb about 20 mins after the shot. Lasted about a 1/2 hour.  Had a headache and chills for 2 days.  Had eye strain for several days.   On Dec 1st I went to the eye dr. for loss of peripheral vision in my Right eye.  I was later diagnosed  with non-arteritic anterior ischemic optic neuropathy.  I have lost a good amount of vision in my Right eye.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Influenza virus test negative, SARS-CoV-2 test negative
Clinical narrative: 104.4 temp 24 hours later. Tylenol not bringing it down immediately. Still at 101 hours later
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Mobility decreased, Nausea, Pain, Pain in extremity
Clinical narrative: Nausea two hours after injection. Four hours after injection in the upper left arm, the left shoulder join became inflamed. There was throbbing, and pain intensified with any attempt to lift the arm higher than thirty degrees from the neutral hanging position. Pain was sufficiently intense as to require a heating pad in order to sleep. Pain diminished slightly and mobility improved slightly the next day. By that day's afternoon the arm could be raised almost horizontal. By the end of the third day, the second day after the injection, most mobility had been restored. The shoulder was back to normal in just less than a week.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: Hives and persisting dermatographia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Joint range of motion decreased, Laboratory test, Pain in extremity, Physical examination
Clinical narrative: Severe pain both arms. Limited range of motion. Went to Rheumatologist. It was determined to be chronic inflammation.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blepharospasm, Blood test, Hypoaesthesia, Muscle twitching, Paraesthesia
Clinical narrative: With Pfizer, same day numbness in skin (hypoaesthesia). Right side arm at first. Numbness would come and go in arms and legs and face. This went on until November of 2021. Went away fully. After 2nd dose, had tingling in legs for about a week.  After taking Moderna at advice of PCP due to previous symptoms, 5 days after that booster dose, started getting twitching in nose anout 2 weeks, then it migrated to left eye. I have had 1 round of Prednisone and it improved but never fully went away.  2 days after that final dose, it started back but not as severe. Now left eye  feels like it wants to drop.  Recently started hormone replacement therapy last summer- 2 doses of pellet therapy- last dose was November 3rd. This month started Estradiol patch and started Progesterone when started therapy last year. Started and stopped D3 and B12 this past year.  All other meds listed prior are the same.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vitamin B12 increased
Clinical narrative: With Pfizer, same day numbness in skin (hypoaesthesia). Right side arm at first. Numbness would come and go in arms and legs and face. This went on until November of 2021. Went away fully. After 2nd dose, had tingling in legs for about a week.  After taking Moderna at advice of PCP due to previous symptoms, 5 days after that booster dose, started getting twitching in nose anout 2 weeks, then it migrated to left eye. I have had 1 round of Prednisone and it improved but never fully went away.  2 days after that final dose, it started back but not as severe. Now left eye  feels like it wants to drop.  Recently started hormone replacement therapy last summer- 2 doses of pellet therapy- last dose was November 3rd. This month started Estradiol patch and started Progesterone when started therapy last year. Started and stopped D3 and B12 this past year.  All other meds listed prior are the same.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Dysuria, Gait disturbance, Loss of personal independence in daily activities, Pain
Clinical narrative: Diagnosed with "vulvar aphthous ulcer." It started on Thursday 1/20/22 and within 24 hours became extremely painful and swollen. Child could barely walk or pee. Doctor prescribed clobetasol cream and advised 600mg of ibprofen every 6 hours. Said it takes 3-4 weeks to heal. Child missed 2 weeks of school due to not being able to walk or sit for long periods of time.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Diagnosed with "vulvar aphthous ulcer." It started on Thursday 1/20/22 and within 24 hours became extremely painful and swollen. Child could barely walk or pee. Doctor prescribed clobetasol cream and advised 600mg of ibprofen every 6 hours. Said it takes 3-4 weeks to heal. Child missed 2 weeks of school due to not being able to walk or sit for long periods of time.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Antinuclear antibody, C-reactive protein decreased, Lymphocytosis, Mechanical urticaria
Clinical narrative: chronic urticaria daily hives pruritic /dermatographia  ,neuropathic burning pain hives /frequent angioedema throat
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Neuralgia, Pain, Pruritus, Red blood cell sedimentation rate increased, Urticaria chronic
Clinical narrative: chronic urticaria daily hives pruritic /dermatographia  ,neuropathic burning pain hives /frequent angioedema throat
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives, zyrtec and benadryl
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Chest pain, Dermatitis contact, Dyspepsia
Clinical narrative: Just over one week after the booster, my neck and scalp broke out in hives. They quickly spread to my shoulders, sides, waist, groin, face, arms and stomach. It was excruciating. My chest hurt and it was hard to swallow. Not like I couldn?t swallow, it was just painful. I vomited. Fever like chills but no fever. Prednisone 80 mg pack did not touch the hives. It was completely debilitating.  After receiving a 600 mg prednisone pack and taking antihistamines around the clock, they subsided. It has been 7 weeks and I?m still experiencing / struggling  daily with dermagraphia, heartburn, and sporadic hives. I feel like I?m still swollen and my mind is not clear.  Have never had covid. My brother also had the exact side effects 2 weeks after his booster. We all thought he was environmental until i received my booster 2 months later and experienced the same symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Mechanical urticaria, Odynophagia, Pyrexia, Swelling
Clinical narrative: Just over one week after the booster, my neck and scalp broke out in hives. They quickly spread to my shoulders, sides, waist, groin, face, arms and stomach. It was excruciating. My chest hurt and it was hard to swallow. Not like I couldn?t swallow, it was just painful. I vomited. Fever like chills but no fever. Prednisone 80 mg pack did not touch the hives. It was completely debilitating.  After receiving a 600 mg prednisone pack and taking antihistamines around the clock, they subsided. It has been 7 weeks and I?m still experiencing / struggling  daily with dermagraphia, heartburn, and sporadic hives. I feel like I?m still swollen and my mind is not clear.  Have never had covid. My brother also had the exact side effects 2 weeks after his booster. We all thought he was environmental until i received my booster 2 months later and experienced the same symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vomiting
Clinical narrative: Just over one week after the booster, my neck and scalp broke out in hives. They quickly spread to my shoulders, sides, waist, groin, face, arms and stomach. It was excruciating. My chest hurt and it was hard to swallow. Not like I couldn?t swallow, it was just painful. I vomited. Fever like chills but no fever. Prednisone 80 mg pack did not touch the hives. It was completely debilitating.  After receiving a 600 mg prednisone pack and taking antihistamines around the clock, they subsided. It has been 7 weeks and I?m still experiencing / struggling  daily with dermagraphia, heartburn, and sporadic hives. I feel like I?m still swollen and my mind is not clear.  Have never had covid. My brother also had the exact side effects 2 weeks after his booster. We all thought he was environmental until i received my booster 2 months later and experienced the same symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Pruritus, Urticaria
Clinical narrative: Horrible itching and hives
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Electrocardiogram normal, Eye movement disorder, Fall, Full blood count
Clinical narrative: 2 minutes after receiving her COVID vaccine, per Dad, patient screamed, said her arm really hurt, fell back onto the exam table where she had been sitting with eyes rolled upwards and peed herself. MA and I were in the room within 30 seconds. Patient was unresponsive and staring straight up at the ceiling. SpO2 99%, HR 110s. After 10 seconds of tactile stimulation and talking to her, patient became responsive. Was very slow to respond but said her name. Was unable to state her age, where she was, or who her Dad was. BP 90s/60s. POC glucose 80. After 5 minutes, was able to respond more with the names of her siblings and who she lived with at home but still not back to baseline.   Sent to ED, labs done and pediatric neurology consulted. Thought to be most likely vasovagal syncope. Was back to baseline.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pain in extremity, Screaming, Syncope, Unresponsive to stimuli
Clinical narrative: 2 minutes after receiving her COVID vaccine, per Dad, patient screamed, said her arm really hurt, fell back onto the exam table where she had been sitting with eyes rolled upwards and peed herself. MA and I were in the room within 30 seconds. Patient was unresponsive and staring straight up at the ceiling. SpO2 99%, HR 110s. After 10 seconds of tactile stimulation and talking to her, patient became responsive. Was very slow to respond but said her name. Was unable to state her age, where she was, or who her Dad was. BP 90s/60s. POC glucose 80. After 5 minutes, was able to respond more with the names of her siblings and who she lived with at home but still not back to baseline.   Sent to ED, labs done and pediatric neurology consulted. Thought to be most likely vasovagal syncope. Was back to baseline.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: 2 minutes after receiving her COVID vaccine, per Dad, patient screamed, said her arm really hurt, fell back onto the exam table where she had been sitting with eyes rolled upwards and peed herself. MA and I were in the room within 30 seconds. Patient was unresponsive and staring straight up at the ceiling. SpO2 99%, HR 110s. After 10 seconds of tactile stimulation and talking to her, patient became responsive. Was very slow to respond but said her name. Was unable to state her age, where she was, or who her Dad was. BP 90s/60s. POC glucose 80. After 5 minutes, was able to respond more with the names of her siblings and who she lived with at home but still not back to baseline.   Sent to ED, labs done and pediatric neurology consulted. Thought to be most likely vasovagal syncope. Was back to baseline.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19, DTAPIPV, FLU4, HEPA, MMRV
Symptoms: Product preparation issue
Clinical narrative: Inappropriate smaller amount of diluent was added leading to more concentrated dose of vaccine
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19, DTAPIPV, FLU4, HEPA, MMRV
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Inappropriate smaller amount of diluent was added leading to more concentrated dose of vaccine
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy, Dermatitis, Laboratory test, Lichen planus, Pruritus
Clinical narrative: Liquen plano-  a chronic inflammatory skin ,form lacy white patches that later turn into purplish in feet, legs, back, stomach, arms, wrist, vagina, buttocks, scalp in the hair. Cause significant itching, swelling and irritation
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Skin discolouration, Skin irritation, Swelling
Clinical narrative: Liquen plano-  a chronic inflammatory skin ,form lacy white patches that later turn into purplish in feet, legs, back, stomach, arms, wrist, vagina, buttocks, scalp in the hair. Cause significant itching, swelling and irritation
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Dyspnoea, Erythema, Fall, Hyperhidrosis
Clinical narrative: AFTER 10 MINUTES OF GETTING SHOT, PATIENT FELL ON THE FLOOR.  WAS SHAKIN FROM THE FALL. ALL RED (BODY & FACE), SWEATING WITH MOUTH OPEN HAVING TROUBLE BREATHING. GAVE EPIPEN 0.15 mg. WATCHED FOR PULSE & SLURING WITH WORDS
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: AFTER 10 MINUTES OF GETTING SHOT, PATIENT FELL ON THE FLOOR.  WAS SHAKIN FROM THE FALL. ALL RED (BODY & FACE), SWEATING WITH MOUTH OPEN HAVING TROUBLE BREATHING. GAVE EPIPEN 0.15 mg. WATCHED FOR PULSE & SLURING WITH WORDS
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Asthenia, Blood creatine phosphokinase normal, Blood creatinine increased, Blood urea increased
Clinical narrative: Patient presented to ED with suspected COVID-19 virus infection, presented with Hypoxia, generalized weakness Dehydration and fever. Patient has medical history of Chronic anemia, Stage 3b chronic kidney disease.   He was found to have a pulse ox between 88 and 89% on room air. He was placed on nasal cannula oxygen Pulse increased to 94%. He was given 500 mL of 0.9 normal saline as well as a gram of Tylenol for his temperature of 100.4 degrees. He also had several labs including a CBC, CMP, total CK and troponin which all came back normal except for a white count of 3.6, hemoglobin of 9.5, hematocrit of 28.8, BUN of 28 and a creatinine of 1.54. Hospital records were reviewed, these values were similar to previous labs in the past. His chest x-ray negative for PE, was limited secondary to poor inspiration, suspected Covid pneumonia causing his hypoxia, he was given 10 mg of Decadron IV. Oxygen saturation rates have been maintained greater than 90% on 1-2 L nasal cannula.  Elevated d dimer 2.71. Patient had recent hospitalization 12/11-12/15/2021 for hematuria and did a rehab stay through 12/24/2021.  He was seen 3 times in ER since home for generalized weakness.  COVID-19 PCR 1/3/2021 positive. Patient had 1 dose of Pfizer COVID-19 vaccine 2/1/2021 but had an "allergic reaction.? Reported feeling weak and had near syncopal episode 2 days later, so he did not complete the series. Patient admitted to Hospital for further work up and treatment. Pt continued to have worsening Resp status on BiPAP. Not tolerating BiPAP well. He expressed his wish to initiating comfort measures stating he does not want to keep ongoing like this. comfort measures ordered. Patient was taken off BiPAP and start on High flow O2 via NC on 1/22/2022 ---- Patient expired on 1/22/22 @1923.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray normal, Death, Dehydration, Electrocardiogram
Clinical narrative: Patient presented to ED with suspected COVID-19 virus infection, presented with Hypoxia, generalized weakness Dehydration and fever. Patient has medical history of Chronic anemia, Stage 3b chronic kidney disease.   He was found to have a pulse ox between 88 and 89% on room air. He was placed on nasal cannula oxygen Pulse increased to 94%. He was given 500 mL of 0.9 normal saline as well as a gram of Tylenol for his temperature of 100.4 degrees. He also had several labs including a CBC, CMP, total CK and troponin which all came back normal except for a white count of 3.6, hemoglobin of 9.5, hematocrit of 28.8, BUN of 28 and a creatinine of 1.54. Hospital records were reviewed, these values were similar to previous labs in the past. His chest x-ray negative for PE, was limited secondary to poor inspiration, suspected Covid pneumonia causing his hypoxia, he was given 10 mg of Decadron IV. Oxygen saturation rates have been maintained greater than 90% on 1-2 L nasal cannula.  Elevated d dimer 2.71. Patient had recent hospitalization 12/11-12/15/2021 for hematuria and did a rehab stay through 12/24/2021.  He was seen 3 times in ER since home for generalized weakness.  COVID-19 PCR 1/3/2021 positive. Patient had 1 dose of Pfizer COVID-19 vaccine 2/1/2021 but had an "allergic reaction.? Reported feeling weak and had near syncopal episode 2 days later, so he did not complete the series. Patient admitted to Hospital for further work up and treatment. Pt continued to have worsening Resp status on BiPAP. Not tolerating BiPAP well. He expressed his wish to initiating comfort measures stating he does not want to keep ongoing like this. comfort measures ordered. Patient was taken off BiPAP and start on High flow O2 via NC on 1/22/2022 ---- Patient expired on 1/22/22 @1923.