chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Hepatic cyst, Hepatic lesion, Hiatus hernia, Hypoxia
Clinical narrative: Patient is a 83 y.o. male who presents today with cough, fatigue and shortness of breath.  Patient was ill with upper respiratory infection type symptoms on March 11, 2022.  Patient tested positive for COVID-19.  Patient was being treated with vitamin-C, aspirin and doxycycline.  Patient states that he continues to worsen.  Patient presented to the emergency department tachypneic with room air saturation of 84%.  He appeared to be in acute, moderate respiratory distress on arrival.  No objective fever or chills.  No nausea, vomiting or diarrhea reported.  No abdominal pain, rash or lower extremity swelling.  No focal neuro deficit.  GCS 15.  Patient has frequent nonproductive cough.  Patient is vaccinated against COVID-19 and also had a booster.  It appears to be a breakthrough case.  Patient vital signs are otherwise stable.  No evidence of acute sepsis.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Increased bronchial secretion, Lung disorder, Lung infiltration, Lung opacity, Malaise
Clinical narrative: Patient is a 83 y.o. male who presents today with cough, fatigue and shortness of breath.  Patient was ill with upper respiratory infection type symptoms on March 11, 2022.  Patient tested positive for COVID-19.  Patient was being treated with vitamin-C, aspirin and doxycycline.  Patient states that he continues to worsen.  Patient presented to the emergency department tachypneic with room air saturation of 84%.  He appeared to be in acute, moderate respiratory distress on arrival.  No objective fever or chills.  No nausea, vomiting or diarrhea reported.  No abdominal pain, rash or lower extremity swelling.  No focal neuro deficit.  GCS 15.  Patient has frequent nonproductive cough.  Patient is vaccinated against COVID-19 and also had a booster.  It appears to be a breakthrough case.  Patient vital signs are otherwise stable.  No evidence of acute sepsis.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Myelopathy, Pleural effusion, Pulmonary mass, Renal cyst, Respiratory distress
Clinical narrative: Patient is a 83 y.o. male who presents today with cough, fatigue and shortness of breath.  Patient was ill with upper respiratory infection type symptoms on March 11, 2022.  Patient tested positive for COVID-19.  Patient was being treated with vitamin-C, aspirin and doxycycline.  Patient states that he continues to worsen.  Patient presented to the emergency department tachypneic with room air saturation of 84%.  He appeared to be in acute, moderate respiratory distress on arrival.  No objective fever or chills.  No nausea, vomiting or diarrhea reported.  No abdominal pain, rash or lower extremity swelling.  No focal neuro deficit.  GCS 15.  Patient has frequent nonproductive cough.  Patient is vaccinated against COVID-19 and also had a booster.  It appears to be a breakthrough case.  Patient vital signs are otherwise stable.  No evidence of acute sepsis.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, Respiratory symptom, Rib fracture, SARS-CoV-2 test positive, Scan with contrast abnormal
Clinical narrative: Patient is a 83 y.o. male who presents today with cough, fatigue and shortness of breath.  Patient was ill with upper respiratory infection type symptoms on March 11, 2022.  Patient tested positive for COVID-19.  Patient was being treated with vitamin-C, aspirin and doxycycline.  Patient states that he continues to worsen.  Patient presented to the emergency department tachypneic with room air saturation of 84%.  He appeared to be in acute, moderate respiratory distress on arrival.  No objective fever or chills.  No nausea, vomiting or diarrhea reported.  No abdominal pain, rash or lower extremity swelling.  No focal neuro deficit.  GCS 15.  Patient has frequent nonproductive cough.  Patient is vaccinated against COVID-19 and also had a booster.  It appears to be a breakthrough case.  Patient vital signs are otherwise stable.  No evidence of acute sepsis.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Spinal osteoarthritis, Tachypnoea, Total lung capacity decreased, Upper respiratory tract infection, Vaccine breakthrough infection
Clinical narrative: Patient is a 83 y.o. male who presents today with cough, fatigue and shortness of breath.  Patient was ill with upper respiratory infection type symptoms on March 11, 2022.  Patient tested positive for COVID-19.  Patient was being treated with vitamin-C, aspirin and doxycycline.  Patient states that he continues to worsen.  Patient presented to the emergency department tachypneic with room air saturation of 84%.  He appeared to be in acute, moderate respiratory distress on arrival.  No objective fever or chills.  No nausea, vomiting or diarrhea reported.  No abdominal pain, rash or lower extremity swelling.  No focal neuro deficit.  GCS 15.  Patient has frequent nonproductive cough.  Patient is vaccinated against COVID-19 and also had a booster.  It appears to be a breakthrough case.  Patient vital signs are otherwise stable.  No evidence of acute sepsis.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Vertebral osteophyte
Clinical narrative: Patient is a 83 y.o. male who presents today with cough, fatigue and shortness of breath.  Patient was ill with upper respiratory infection type symptoms on March 11, 2022.  Patient tested positive for COVID-19.  Patient was being treated with vitamin-C, aspirin and doxycycline.  Patient states that he continues to worsen.  Patient presented to the emergency department tachypneic with room air saturation of 84%.  He appeared to be in acute, moderate respiratory distress on arrival.  No objective fever or chills.  No nausea, vomiting or diarrhea reported.  No abdominal pain, rash or lower extremity swelling.  No focal neuro deficit.  GCS 15.  Patient has frequent nonproductive cough.  Patient is vaccinated against COVID-19 and also had a booster.  It appears to be a breakthrough case.  Patient vital signs are otherwise stable.  No evidence of acute sepsis.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine given
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Asthenia, Blood test, Chills
Clinical narrative: Starting a few hours after receiving the vaccine, I experienced a very upset stomach. Then, I got the chills and the next morning I felt very ill. I felt run down, no energy and felt like I had a bad flu. These symptoms lasted for over a week. Then, I developed the worst stomach pains I had ever had. I ended up going to the emergency room and, they did extensive testing, but couldn't pinpoint it on anything. I could feel my "intestines rolling" and they gave me a pill to calm my stomach down. Then, I was sent home and they advised me to see a GI doctor. I ended up finally finding one (just moved) and made an appointment. Before I made it to the appointment, I had another episode much worse than before. I called the GI doctor and they took me immediately. After seeing me, he scheduled me for an appointment for an upper and lower endoscopy 3 days later. After having the endoscopy, he could not pinpoint any issues and ruled out cancer. He gave me more of the same calming medicine I had from the ER for my stomach. Eventually it got better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Endoscopy normal, Fatigue, Gastrointestinal disorder, Influenza like illness
Clinical narrative: Starting a few hours after receiving the vaccine, I experienced a very upset stomach. Then, I got the chills and the next morning I felt very ill. I felt run down, no energy and felt like I had a bad flu. These symptoms lasted for over a week. Then, I developed the worst stomach pains I had ever had. I ended up going to the emergency room and, they did extensive testing, but couldn't pinpoint it on anything. I could feel my "intestines rolling" and they gave me a pill to calm my stomach down. Then, I was sent home and they advised me to see a GI doctor. I ended up finally finding one (just moved) and made an appointment. Before I made it to the appointment, I had another episode much worse than before. I called the GI doctor and they took me immediately. After seeing me, he scheduled me for an appointment for an upper and lower endoscopy 3 days later. After having the endoscopy, he could not pinpoint any issues and ruled out cancer. He gave me more of the same calming medicine I had from the ER for my stomach. Eventually it got better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Malaise
Clinical narrative: Starting a few hours after receiving the vaccine, I experienced a very upset stomach. Then, I got the chills and the next morning I felt very ill. I felt run down, no energy and felt like I had a bad flu. These symptoms lasted for over a week. Then, I developed the worst stomach pains I had ever had. I ended up going to the emergency room and, they did extensive testing, but couldn't pinpoint it on anything. I could feel my "intestines rolling" and they gave me a pill to calm my stomach down. Then, I was sent home and they advised me to see a GI doctor. I ended up finally finding one (just moved) and made an appointment. Before I made it to the appointment, I had another episode much worse than before. I called the GI doctor and they took me immediately. After seeing me, he scheduled me for an appointment for an upper and lower endoscopy 3 days later. After having the endoscopy, he could not pinpoint any issues and ruled out cancer. He gave me more of the same calming medicine I had from the ER for my stomach. Eventually it got better.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine given
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Product storage error
Clinical narrative: Event: Expired vaccine given 11 days past the beyond use date.  Outcome: None for the expired dose that was administered. Pt developed a rash after first dose was given. She was then evaluated by Allergy/Immunology prior to receiving the 2nd dose. No known symptoms after second dose was administered.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Arteriosclerosis, Arteriosclerosis coronary artery, Asthenia, Atelectasis
Clinical narrative: 87-year-old patient with history of congestive heart failure. atrial fibrillation. hypertension. adrenal insufficiency secondary to hypopituitarism, breast cancer, coronary artery disease who has been having progressive weakness and shortness of breath over the past week. She has also been confused. History is mainly obtained from patient's son who 1s a physician's assistant, patient is currently on Bi PAP and not able to provide much history She was seen by her cardiologist Dr. about a week ago and her diuretics were decreased. She continued getting Aldactone and potassium Apparently her potassium levels were low at that time He denies any history of fever chills nausea vomiting she has had some loose stools lately about 2-3 times a day. Patient was finally convinced to come to the ER today where she was noticed to be hypothermic and hypotensive, temperature was 95.4 with blood pressure in the 80s systolic. Her son tells me that her temperature normally runs low around 96. Also blood pressure runs on the low side. She received 500 cc of normal saline bolus with some improvement in her blood pressure. 02 sats on initial presentation were documented as 79% on room air however I am not sure if these were acute right Per ER physician her sats were around 90 on room air and she was placed on 4 L due to dyspnea sats came up to 97%. Chest x-ray showed moderate left and small right pleural effusion with left lung base atelectasis versus pneumonitis, lactic acid level was elevated at 3.9, WBC count was 1.29, sodium was 150 and potassium 7.9 her creat1nine is 1 35 with BUN of 65. troponin was mildly elevated at 0 156 and B peptide was 24, 700. Her COVID screen came back positive, UA did not show any evidence of infection In the ER she received a dose of Vanco and Zosyn, 6 mg of IV dexamethasone. She received insulin D50 Kayexalate sodium bicarb and calcium gluconate for her hyperkalemia. And was placed on BiPAP
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood lactic acid increased, Blood potassium decreased, Blood potassium increased, Blood pressure abnormal
Clinical narrative: 87-year-old patient with history of congestive heart failure. atrial fibrillation. hypertension. adrenal insufficiency secondary to hypopituitarism, breast cancer, coronary artery disease who has been having progressive weakness and shortness of breath over the past week. She has also been confused. History is mainly obtained from patient's son who 1s a physician's assistant, patient is currently on Bi PAP and not able to provide much history She was seen by her cardiologist Dr. about a week ago and her diuretics were decreased. She continued getting Aldactone and potassium Apparently her potassium levels were low at that time He denies any history of fever chills nausea vomiting she has had some loose stools lately about 2-3 times a day. Patient was finally convinced to come to the ER today where she was noticed to be hypothermic and hypotensive, temperature was 95.4 with blood pressure in the 80s systolic. Her son tells me that her temperature normally runs low around 96. Also blood pressure runs on the low side. She received 500 cc of normal saline bolus with some improvement in her blood pressure. 02 sats on initial presentation were documented as 79% on room air however I am not sure if these were acute right Per ER physician her sats were around 90 on room air and she was placed on 4 L due to dyspnea sats came up to 97%. Chest x-ray showed moderate left and small right pleural effusion with left lung base atelectasis versus pneumonitis, lactic acid level was elevated at 3.9, WBC count was 1.29, sodium was 150 and potassium 7.9 her creat1nine is 1 35 with BUN of 65. troponin was mildly elevated at 0 156 and B peptide was 24, 700. Her COVID screen came back positive, UA did not show any evidence of infection In the ER she received a dose of Vanco and Zosyn, 6 mg of IV dexamethasone. She received insulin D50 Kayexalate sodium bicarb and calcium gluconate for her hyperkalemia. And was placed on BiPAP
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium increased, Blood urea increased, Body temperature decreased, Brain natriuretic peptide increased, Bronchial disorder
Clinical narrative: 87-year-old patient with history of congestive heart failure. atrial fibrillation. hypertension. adrenal insufficiency secondary to hypopituitarism, breast cancer, coronary artery disease who has been having progressive weakness and shortness of breath over the past week. She has also been confused. History is mainly obtained from patient's son who 1s a physician's assistant, patient is currently on Bi PAP and not able to provide much history She was seen by her cardiologist Dr. about a week ago and her diuretics were decreased. She continued getting Aldactone and potassium Apparently her potassium levels were low at that time He denies any history of fever chills nausea vomiting she has had some loose stools lately about 2-3 times a day. Patient was finally convinced to come to the ER today where she was noticed to be hypothermic and hypotensive, temperature was 95.4 with blood pressure in the 80s systolic. Her son tells me that her temperature normally runs low around 96. Also blood pressure runs on the low side. She received 500 cc of normal saline bolus with some improvement in her blood pressure. 02 sats on initial presentation were documented as 79% on room air however I am not sure if these were acute right Per ER physician her sats were around 90 on room air and she was placed on 4 L due to dyspnea sats came up to 97%. Chest x-ray showed moderate left and small right pleural effusion with left lung base atelectasis versus pneumonitis, lactic acid level was elevated at 3.9, WBC count was 1.29, sodium was 150 and potassium 7.9 her creat1nine is 1 35 with BUN of 65. troponin was mildly elevated at 0 156 and B peptide was 24, 700. Her COVID screen came back positive, UA did not show any evidence of infection In the ER she received a dose of Vanco and Zosyn, 6 mg of IV dexamethasone. She received insulin D50 Kayexalate sodium bicarb and calcium gluconate for her hyperkalemia. And was placed on BiPAP
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchiectasis, COVID-19, Cardiac assistance device user, Catheter placement, Chest X-ray abnormal
Clinical narrative: 87-year-old patient with history of congestive heart failure. atrial fibrillation. hypertension. adrenal insufficiency secondary to hypopituitarism, breast cancer, coronary artery disease who has been having progressive weakness and shortness of breath over the past week. She has also been confused. History is mainly obtained from patient's son who 1s a physician's assistant, patient is currently on Bi PAP and not able to provide much history She was seen by her cardiologist Dr. about a week ago and her diuretics were decreased. She continued getting Aldactone and potassium Apparently her potassium levels were low at that time He denies any history of fever chills nausea vomiting she has had some loose stools lately about 2-3 times a day. Patient was finally convinced to come to the ER today where she was noticed to be hypothermic and hypotensive, temperature was 95.4 with blood pressure in the 80s systolic. Her son tells me that her temperature normally runs low around 96. Also blood pressure runs on the low side. She received 500 cc of normal saline bolus with some improvement in her blood pressure. 02 sats on initial presentation were documented as 79% on room air however I am not sure if these were acute right Per ER physician her sats were around 90 on room air and she was placed on 4 L due to dyspnea sats came up to 97%. Chest x-ray showed moderate left and small right pleural effusion with left lung base atelectasis versus pneumonitis, lactic acid level was elevated at 3.9, WBC count was 1.29, sodium was 150 and potassium 7.9 her creat1nine is 1 35 with BUN of 65. troponin was mildly elevated at 0 156 and B peptide was 24, 700. Her COVID screen came back positive, UA did not show any evidence of infection In the ER she received a dose of Vanco and Zosyn, 6 mg of IV dexamethasone. She received insulin D50 Kayexalate sodium bicarb and calcium gluconate for her hyperkalemia. And was placed on BiPAP
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Confusional state, Diarrhoea, Dyspnoea, Electrocardiogram
Clinical narrative: 87-year-old patient with history of congestive heart failure. atrial fibrillation. hypertension. adrenal insufficiency secondary to hypopituitarism, breast cancer, coronary artery disease who has been having progressive weakness and shortness of breath over the past week. She has also been confused. History is mainly obtained from patient's son who 1s a physician's assistant, patient is currently on Bi PAP and not able to provide much history She was seen by her cardiologist Dr. about a week ago and her diuretics were decreased. She continued getting Aldactone and potassium Apparently her potassium levels were low at that time He denies any history of fever chills nausea vomiting she has had some loose stools lately about 2-3 times a day. Patient was finally convinced to come to the ER today where she was noticed to be hypothermic and hypotensive, temperature was 95.4 with blood pressure in the 80s systolic. Her son tells me that her temperature normally runs low around 96. Also blood pressure runs on the low side. She received 500 cc of normal saline bolus with some improvement in her blood pressure. 02 sats on initial presentation were documented as 79% on room air however I am not sure if these were acute right Per ER physician her sats were around 90 on room air and she was placed on 4 L due to dyspnea sats came up to 97%. Chest x-ray showed moderate left and small right pleural effusion with left lung base atelectasis versus pneumonitis, lactic acid level was elevated at 3.9, WBC count was 1.29, sodium was 150 and potassium 7.9 her creat1nine is 1 35 with BUN of 65. troponin was mildly elevated at 0 156 and B peptide was 24, 700. Her COVID screen came back positive, UA did not show any evidence of infection In the ER she received a dose of Vanco and Zosyn, 6 mg of IV dexamethasone. She received insulin D50 Kayexalate sodium bicarb and calcium gluconate for her hyperkalemia. And was placed on BiPAP
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperkalaemia, Hypotension, Hypothermia, Left atrial dilatation, Lung consolidation
Clinical narrative: 87-year-old patient with history of congestive heart failure. atrial fibrillation. hypertension. adrenal insufficiency secondary to hypopituitarism, breast cancer, coronary artery disease who has been having progressive weakness and shortness of breath over the past week. She has also been confused. History is mainly obtained from patient's son who 1s a physician's assistant, patient is currently on Bi PAP and not able to provide much history She was seen by her cardiologist Dr. about a week ago and her diuretics were decreased. She continued getting Aldactone and potassium Apparently her potassium levels were low at that time He denies any history of fever chills nausea vomiting she has had some loose stools lately about 2-3 times a day. Patient was finally convinced to come to the ER today where she was noticed to be hypothermic and hypotensive, temperature was 95.4 with blood pressure in the 80s systolic. Her son tells me that her temperature normally runs low around 96. Also blood pressure runs on the low side. She received 500 cc of normal saline bolus with some improvement in her blood pressure. 02 sats on initial presentation were documented as 79% on room air however I am not sure if these were acute right Per ER physician her sats were around 90 on room air and she was placed on 4 L due to dyspnea sats came up to 97%. Chest x-ray showed moderate left and small right pleural effusion with left lung base atelectasis versus pneumonitis, lactic acid level was elevated at 3.9, WBC count was 1.29, sodium was 150 and potassium 7.9 her creat1nine is 1 35 with BUN of 65. troponin was mildly elevated at 0 156 and B peptide was 24, 700. Her COVID screen came back positive, UA did not show any evidence of infection In the ER she received a dose of Vanco and Zosyn, 6 mg of IV dexamethasone. She received insulin D50 Kayexalate sodium bicarb and calcium gluconate for her hyperkalemia. And was placed on BiPAP
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Oesophageal achalasia, Oesophageal dilatation, Pacemaker generated rhythm, Pleural effusion
Clinical narrative: 87-year-old patient with history of congestive heart failure. atrial fibrillation. hypertension. adrenal insufficiency secondary to hypopituitarism, breast cancer, coronary artery disease who has been having progressive weakness and shortness of breath over the past week. She has also been confused. History is mainly obtained from patient's son who 1s a physician's assistant, patient is currently on Bi PAP and not able to provide much history She was seen by her cardiologist Dr. about a week ago and her diuretics were decreased. She continued getting Aldactone and potassium Apparently her potassium levels were low at that time He denies any history of fever chills nausea vomiting she has had some loose stools lately about 2-3 times a day. Patient was finally convinced to come to the ER today where she was noticed to be hypothermic and hypotensive, temperature was 95.4 with blood pressure in the 80s systolic. Her son tells me that her temperature normally runs low around 96. Also blood pressure runs on the low side. She received 500 cc of normal saline bolus with some improvement in her blood pressure. 02 sats on initial presentation were documented as 79% on room air however I am not sure if these were acute right Per ER physician her sats were around 90 on room air and she was placed on 4 L due to dyspnea sats came up to 97%. Chest x-ray showed moderate left and small right pleural effusion with left lung base atelectasis versus pneumonitis, lactic acid level was elevated at 3.9, WBC count was 1.29, sodium was 150 and potassium 7.9 her creat1nine is 1 35 with BUN of 65. troponin was mildly elevated at 0 156 and B peptide was 24, 700. Her COVID screen came back positive, UA did not show any evidence of infection In the ER she received a dose of Vanco and Zosyn, 6 mg of IV dexamethasone. She received insulin D50 Kayexalate sodium bicarb and calcium gluconate for her hyperkalemia. And was placed on BiPAP
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonitis, Positive airway pressure therapy, SARS-CoV-2 test positive, Troponin increased, Ultrasound Doppler normal
Clinical narrative: 87-year-old patient with history of congestive heart failure. atrial fibrillation. hypertension. adrenal insufficiency secondary to hypopituitarism, breast cancer, coronary artery disease who has been having progressive weakness and shortness of breath over the past week. She has also been confused. History is mainly obtained from patient's son who 1s a physician's assistant, patient is currently on Bi PAP and not able to provide much history She was seen by her cardiologist Dr. about a week ago and her diuretics were decreased. She continued getting Aldactone and potassium Apparently her potassium levels were low at that time He denies any history of fever chills nausea vomiting she has had some loose stools lately about 2-3 times a day. Patient was finally convinced to come to the ER today where she was noticed to be hypothermic and hypotensive, temperature was 95.4 with blood pressure in the 80s systolic. Her son tells me that her temperature normally runs low around 96. Also blood pressure runs on the low side. She received 500 cc of normal saline bolus with some improvement in her blood pressure. 02 sats on initial presentation were documented as 79% on room air however I am not sure if these were acute right Per ER physician her sats were around 90 on room air and she was placed on 4 L due to dyspnea sats came up to 97%. Chest x-ray showed moderate left and small right pleural effusion with left lung base atelectasis versus pneumonitis, lactic acid level was elevated at 3.9, WBC count was 1.29, sodium was 150 and potassium 7.9 her creat1nine is 1 35 with BUN of 65. troponin was mildly elevated at 0 156 and B peptide was 24, 700. Her COVID screen came back positive, UA did not show any evidence of infection In the ER she received a dose of Vanco and Zosyn, 6 mg of IV dexamethasone. She received insulin D50 Kayexalate sodium bicarb and calcium gluconate for her hyperkalemia. And was placed on BiPAP
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal, White blood cell count decreased
Clinical narrative: 87-year-old patient with history of congestive heart failure. atrial fibrillation. hypertension. adrenal insufficiency secondary to hypopituitarism, breast cancer, coronary artery disease who has been having progressive weakness and shortness of breath over the past week. She has also been confused. History is mainly obtained from patient's son who 1s a physician's assistant, patient is currently on Bi PAP and not able to provide much history She was seen by her cardiologist Dr. about a week ago and her diuretics were decreased. She continued getting Aldactone and potassium Apparently her potassium levels were low at that time He denies any history of fever chills nausea vomiting she has had some loose stools lately about 2-3 times a day. Patient was finally convinced to come to the ER today where she was noticed to be hypothermic and hypotensive, temperature was 95.4 with blood pressure in the 80s systolic. Her son tells me that her temperature normally runs low around 96. Also blood pressure runs on the low side. She received 500 cc of normal saline bolus with some improvement in her blood pressure. 02 sats on initial presentation were documented as 79% on room air however I am not sure if these were acute right Per ER physician her sats were around 90 on room air and she was placed on 4 L due to dyspnea sats came up to 97%. Chest x-ray showed moderate left and small right pleural effusion with left lung base atelectasis versus pneumonitis, lactic acid level was elevated at 3.9, WBC count was 1.29, sodium was 150 and potassium 7.9 her creat1nine is 1 35 with BUN of 65. troponin was mildly elevated at 0 156 and B peptide was 24, 700. Her COVID screen came back positive, UA did not show any evidence of infection In the ER she received a dose of Vanco and Zosyn, 6 mg of IV dexamethasone. She received insulin D50 Kayexalate sodium bicarb and calcium gluconate for her hyperkalemia. And was placed on BiPAP
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine given
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Night sweats, Rash, Rash erythematous
Clinical narrative: Patient reported development of rash on right arm 1 day after vaccine. Described as raised, erythematous, pruritic. Rash then spread to left arm and left leg and neck. Rash is still present.  Also endorsed 3 weeks of night sweats following vaccination. Also endorsed 1 day of chest discomfort, globus sensation, and difficulty breathing- resolved with albuterol inhaler.   Had telephone visit with PCP office- on 3/25/22 for her symptoms.  Treatment: 7-10 day course of hydroxyzine 25 mg for rash.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, Sensation of foreign body
Clinical narrative: Patient reported development of rash on right arm 1 day after vaccine. Described as raised, erythematous, pruritic. Rash then spread to left arm and left leg and neck. Rash is still present.  Also endorsed 3 weeks of night sweats following vaccination. Also endorsed 1 day of chest discomfort, globus sensation, and difficulty breathing- resolved with albuterol inhaler.   Had telephone visit with PCP office- on 3/25/22 for her symptoms.  Treatment: 7-10 day course of hydroxyzine 25 mg for rash.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Cardio-respiratory arrest, Cardiopulmonary failure, Death
Clinical narrative: Patient received vaccine on 3/10/22. Patient presented to ER via EMS in full cardio-pulmonary failure with ACLS/CPR initiated at home (3/13/22) Pt expired 3/14/22. Unclear if they were related, advised by Health System's Infection prevention to submit VAERS, so marked "unknown" for item #21
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthritis, Gait disturbance, Guillain-Barre syndrome, Illness, Walking aid user
Clinical narrative: The patient received his 1st dose of the Pfeizer COVID shot in February or March. He then received the 2nd dose about 3 weeks later. The patient received his booster vaccine 11/4/2021. During the later part of December the patient became ill. It was thought he might have COVID, but he had not gone anywhere and did not have symptoms of COVID. It was thought the patient had an upper respiratory infection. The patient did recover after about 6 weeks. He then felt ill again and was having a hard time walking. He went to the hospital and was discharged after 4 days. The hospital advised the patient he had arthritis. The patient did not believe it was arthritis due to the fact that his symptoms appeared suddenly. The patient then went back to the hospital a couple of days later on 2/26/22. He then saw a neurologist. The neurologist diagnosed the patient with Guillain-Barré syndrome. The patient was just released from the hospital yesterday, 3/24/22, to a rehab center. The patient is now walking with a cane and walker.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was to receive Moderna Booster 0.25ml but was given Moderna 0.5ml. Patient notified and no adverse reaction noted
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine administered.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine given
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in both ears. Started with mild ringing which I noticed and commented to friends/coworker asking if other had same issue. The ringing seems to have gotten louder and more noticeably one year later.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chest X-ray, Conjunctivitis, Influenza virus test negative, Oropharyngeal pain, Pain
Clinical narrative: Noticed pink eye in the morning. Around 1 or 2, I noticed the body aches, sore throat, sneezing, and runny nose. On 03/11/2022, I started running a fever. Lasted about a week.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing
Clinical narrative: Noticed pink eye in the morning. Around 1 or 2, I noticed the body aches, sore throat, sneezing, and runny nose. On 03/11/2022, I started running a fever. Lasted about a week.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 23.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Received Gardisil vaccine on 3/16/2022 and had arm pain that subsided after three days.  Returned to clinic on 3/23/2022 with complaint of pain at injection site.  Had full range of motion and no redness or swelling.  instructed to take ibuprofen OTC..   Called on 3/25/2022 and reported still having pain at injection site to left deltoid.  Reports full range of motion; denies redness, swelling, difficulty breathing, chest pain, or hives.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine given
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was to receive Moderna Booster 0.25ml but actually received Moderna 0.5ml. Patient notified and no adverse reaction noted
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine that was administered was stored outside Pfizer storage guidelines.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine administered.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Heart rate increased
Clinical narrative: Had a rapid heartbeat and his resting rate was high. It did subside about 2 days later.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine given
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Autonomic nervous system imbalance, Blood smear test, Blood test, Differential white blood cell count, Dizziness
Clinical narrative: Began having symptoms of disautonomia 5 days post vaccine. Symptoms included: dizziness, vertigo, SOB, heart palpitations, tachycardia, tachycardia upon standing, panic episodes, feeling faint, slow visual processing, visual "floaters", fatigue, brain fog. Has gotten progressively worse since then, and was recently diagnosed with postural orthostatic tachycardia syndrome and was advised to report to CDC by primary care doctor.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Feeling abnormal
Clinical narrative: Began having symptoms of disautonomia 5 days post vaccine. Symptoms included: dizziness, vertigo, SOB, heart palpitations, tachycardia, tachycardia upon standing, panic episodes, feeling faint, slow visual processing, visual "floaters", fatigue, brain fog. Has gotten progressively worse since then, and was recently diagnosed with postural orthostatic tachycardia syndrome and was advised to report to CDC by primary care doctor.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Palpitations, Panic disorder, Postural orthostatic tachycardia syndrome
Clinical narrative: Began having symptoms of disautonomia 5 days post vaccine. Symptoms included: dizziness, vertigo, SOB, heart palpitations, tachycardia, tachycardia upon standing, panic episodes, feeling faint, slow visual processing, visual "floaters", fatigue, brain fog. Has gotten progressively worse since then, and was recently diagnosed with postural orthostatic tachycardia syndrome and was advised to report to CDC by primary care doctor.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Vertigo, Visual impairment, Vitreous floaters
Clinical narrative: Began having symptoms of disautonomia 5 days post vaccine. Symptoms included: dizziness, vertigo, SOB, heart palpitations, tachycardia, tachycardia upon standing, panic episodes, feeling faint, slow visual processing, visual "floaters", fatigue, brain fog. Has gotten progressively worse since then, and was recently diagnosed with postural orthostatic tachycardia syndrome and was advised to report to CDC by primary care doctor.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Periprosthetic fracture
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for Periprosthetic fracture around internal prosthetic left hip joint within 6 weeks of receiving COVID vaccination.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: There was not an actual adverse event. Patient received Pfiezer vaccine instead of receiving Moderna vaccine. No adverse reactions took place.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine given
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine administered.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Aspartate aminotransferase increased, Biopsy skin abnormal, Blood chloride decreased, Blood test abnormal
Clinical narrative: On May 3rd, severe joint pain started to my fingers and feet, the pain was getting worse and extended to my knees and shoulders. Then I started not to be able to walk longer because of shortness of breath. My SPO2 dropped to 70 if I climb stairs. I got many blood tests, CT scans, X rays at hospital but they could not explain my condition. Finally I reached out at the hospital in December, 2021, and finally, on February 4th, 2022, they diagnosed me for intravascular lymphoma (stage 4). My doctors think my illness is connected to the vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Dyspnoea exertional, Gait inability, Lung disorder, Lung opacity
Clinical narrative: On May 3rd, severe joint pain started to my fingers and feet, the pain was getting worse and extended to my knees and shoulders. Then I started not to be able to walk longer because of shortness of breath. My SPO2 dropped to 70 if I climb stairs. I got many blood tests, CT scans, X rays at hospital but they could not explain my condition. Finally I reached out at the hospital in December, 2021, and finally, on February 4th, 2022, they diagnosed me for intravascular lymphoma (stage 4). My doctors think my illness is connected to the vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphoma, Oxygen saturation decreased, Positron emission tomogram abnormal, X-ray normal
Clinical narrative: On May 3rd, severe joint pain started to my fingers and feet, the pain was getting worse and extended to my knees and shoulders. Then I started not to be able to walk longer because of shortness of breath. My SPO2 dropped to 70 if I climb stairs. I got many blood tests, CT scans, X rays at hospital but they could not explain my condition. Finally I reached out at the hospital in December, 2021, and finally, on February 4th, 2022, they diagnosed me for intravascular lymphoma (stage 4). My doctors think my illness is connected to the vaccine.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Confusional state, SARS-CoV-2 test positive
Clinical narrative: SICK ON 2-6-22 WITH WEAKNESS AND CONFUSION. TESTED POSITIVE FOR COVID-19 IN THE ER BY PRC ON 2-7-22. ADMITTED TO FACILITY ON 2-7-22 DISCHARGED 2-12-22
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Immune system disorder, Inflammatory marker increased, Serology positive
Clinical narrative: Hyperimmune syndrome
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Magnetic resonance imaging, Pain
Clinical narrative: Patient reported it to the pharmacy on 3/24/22 . States that after getting the vaccine on 11/8/21 it started to hurt.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was to receive Moderna Booster 0.25ml but actually received Moderna 0.5ml, Patient notified, no adverse effects noted
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac flutter, Heart rate increased, Hypertension, Myalgia
Clinical narrative: I had super high heart rates and high blood pressure after getting the vaccine and still do, my heart rate now sits around 130 BPM and when I went to the ER it was because I check my BP at home and it was 170/116 and I had no problems with blood pressure before the vaccine, I?m only 19 years old. now I can feel my heart flutter and times and I get really bad muscle pains like I have the flu at random times and I?m scared to get the 2nd dosage
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: I had super high heart rates and high blood pressure after getting the vaccine and still do, my heart rate now sits around 130 BPM and when I went to the ER it was because I check my BP at home and it was 170/116 and I had no problems with blood pressure before the vaccine, I?m only 19 years old. now I can feel my heart flutter and times and I get really bad muscle pains like I have the flu at random times and I?m scared to get the 2nd dosage
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Flushing, Lip swelling, Pruritus, Pyrexia
Clinical narrative: 0855 Dtap-IPV and MMR administered 0900 Mom reports child is itching the neck. Child taken to pediatric clinic accompanied by the nurse to  Doctor 0902 Examined by Doctor. Benadryl 25mg given orally Was sent home around 0930 Per mother on the way home child developed facial flushing, and lip swelling and feeling of fever and taken to Hospital Discharged home on 03/24/2022 on oral prednisone for 4 days
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine given
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Diarrhoea, Gastrointestinal disorder, Illness, Pyrexia, Vomiting
Clinical narrative: mom called in am on 3/25 stating child developed fever, vomiting  (x 1), and diarrhea in the am.  no previous reaction to vaccine.  widespread community GI illness based on recent medical visits and parent calls.  patient is not in childcare.   home treatment for symptoms given with advice to call for appt if worsening symptoms.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None stated.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: expired vaccine given
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED OUT OF TEMPERATURE RANGE.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Mobility decreased, Muscle swelling
Clinical narrative: Patient complains of reduced range of motion in arm and lump or swelling in muscle. Raises arm like a person playing piano and states that's as high as it will go.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine that was administered was stored outside Pfizer storage guidelines.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED OUT OF TEMPERATURE RANGE.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram abnormal, Cough, Dyspnoea, Fatigue
Clinical narrative: Mild to moderate SOB with dry cough and headache beginning 10-28-21. PCR Covid nasal test taken 11-3-21 with Positive results on 11-4-21. Ordered Steroids and Inhalation treatments per PCP. Received Monoclonal Antibody treatment 11-5-21 with some improvement of shortness of breath and cough. Continued with mild to moderate SOB and cough with headache and fatigue for 2 months. Symptoms worsened January 2, 2022 and was seen in Urgent Care and then Emergency Rm. Antibiotics initiated. PCP ordered CT scan. Started on Decadron and different Antibiotics. Currently still having mild SOB with cough and headache.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Infection, Laboratory test abnormal, Post-acute COVID-19 syndrome, SARS-CoV-2 test positive
Clinical narrative: Mild to moderate SOB with dry cough and headache beginning 10-28-21. PCR Covid nasal test taken 11-3-21 with Positive results on 11-4-21. Ordered Steroids and Inhalation treatments per PCP. Received Monoclonal Antibody treatment 11-5-21 with some improvement of shortness of breath and cough. Continued with mild to moderate SOB and cough with headache and fatigue for 2 months. Symptoms worsened January 2, 2022 and was seen in Urgent Care and then Emergency Rm. Antibiotics initiated. PCP ordered CT scan. Started on Decadron and different Antibiotics. Currently still having mild SOB with cough and headache.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Severe urticaria covering most of the body beginning in December 2021 and continuing to present.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: FEVER, HEADACHE, CONGESTION, BODY ACHES, CHILLS
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: MOTHER PRESENTS WITH CHILD TO OBTAIN HIS BOOSTER. MOTHER CLAIMS CHILD HAS RECEIVED PRIMARY SERIES AND IS DUE FOR BOOSTER AT THIS TIME. SHE DID NOT HAVE VACCINE CARD WITH HER FOR VERIFICATION. CHILD COVID VACCINES NOT ENTERED IN DATA BASE. ADMINISTERED BOOSTER AS REQUESTED. WHILE CHILD AND MOTHER IN OBSERVATION AREA, MOTHER DISCOVERS VACCINE CARD IN HER PURSE AND GIVES TO NURSE TO RECORD BOOSTER DOSE. NURSE NOTES THAT SECOND DOSE WAS ADMINISTERED 12/21/2021 AND THAT IT WAS TOO EARLY FOR BOOSTER. CHILD IS NOT IMMUNOCOMPROMISED.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Fatigue, Oedema peripheral, Pain
Clinical narrative: FEVER, BODY ACHES, CHILLS , FATIGUE, LEFT UNDERARM IS SWOLLEN, PAINFUL AND TENDER
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tenderness
Clinical narrative: FEVER, BODY ACHES, CHILLS , FATIGUE, LEFT UNDERARM IS SWOLLEN, PAINFUL AND TENDER
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Malaise, Pain, Pyrexia
Clinical narrative: FEVER, HEADACHE, BODY ACHES, FEELS WEAK, FEELS ILL
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Wrong dose was given patient was 0.15ml
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED OUT OF TEMPERATURE RANGE.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Wrong dose given patient was given 0.15ml
Age: 0.5
Sex: F
Vaccine: FLU4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: given too early. first dose received 3/3/2022.