chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Fibrin D dimer, Full blood count, Headache
Clinical narrative: 12/20/21 got the first dose. 12/29/21 started having chest pain, shortness of breath, pain radiating between shoulder blades, heart rate was bouncing between low 40's and upper 180's, headaches, dizziness, and nausea. 12/31/21 contacted cardiologist due to persistent symptoms and was told to take a Covid test, negative. 1/3/22 contacted cardiologist again due to symptoms not resolving, was told to monitor at home. 1/7/22 cardiologist advised to call PCP to start a work up for a clot. PCP then advised I go to the ER. Went to the ER and was started on IV fluids, had blood work drawn, urine analysis, EKG and an X-Ray. They stated the blood work did not indicate a clot and I was discharged home. 1/10/22 I contacted PCP again for continued chest pain, shortness of breath, exhaustion, racing heart rate, high blood pressure, and pain between my shoulders. Was advised that this may be indicative of a vaccine reaction but he was unsure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate abnormal, Human chorionic gonadotropin, Hypertension, Influenza virus test, Metabolic function test
Clinical narrative: 12/20/21 got the first dose. 12/29/21 started having chest pain, shortness of breath, pain radiating between shoulder blades, heart rate was bouncing between low 40's and upper 180's, headaches, dizziness, and nausea. 12/31/21 contacted cardiologist due to persistent symptoms and was told to take a Covid test, negative. 1/3/22 contacted cardiologist again due to symptoms not resolving, was told to monitor at home. 1/7/22 cardiologist advised to call PCP to start a work up for a clot. PCP then advised I go to the ER. Went to the ER and was started on IV fluids, had blood work drawn, urine analysis, EKG and an X-Ray. They stated the blood work did not indicate a clot and I was discharged home. 1/10/22 I contacted PCP again for continued chest pain, shortness of breath, exhaustion, racing heart rate, high blood pressure, and pain between my shoulders. Was advised that this may be indicative of a vaccine reaction but he was unsure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Nausea, Pain, Palpitations, Respiratory syncytial virus test
Clinical narrative: 12/20/21 got the first dose. 12/29/21 started having chest pain, shortness of breath, pain radiating between shoulder blades, heart rate was bouncing between low 40's and upper 180's, headaches, dizziness, and nausea. 12/31/21 contacted cardiologist due to persistent symptoms and was told to take a Covid test, negative. 1/3/22 contacted cardiologist again due to symptoms not resolving, was told to monitor at home. 1/7/22 cardiologist advised to call PCP to start a work up for a clot. PCP then advised I go to the ER. Went to the ER and was started on IV fluids, had blood work drawn, urine analysis, EKG and an X-Ray. They stated the blood work did not indicate a clot and I was discharged home. 1/10/22 I contacted PCP again for continued chest pain, shortness of breath, exhaustion, racing heart rate, high blood pressure, and pain between my shoulders. Was advised that this may be indicative of a vaccine reaction but he was unsure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Troponin, Urine analysis, X-ray
Clinical narrative: 12/20/21 got the first dose. 12/29/21 started having chest pain, shortness of breath, pain radiating between shoulder blades, heart rate was bouncing between low 40's and upper 180's, headaches, dizziness, and nausea. 12/31/21 contacted cardiologist due to persistent symptoms and was told to take a Covid test, negative. 1/3/22 contacted cardiologist again due to symptoms not resolving, was told to monitor at home. 1/7/22 cardiologist advised to call PCP to start a work up for a clot. PCP then advised I go to the ER. Went to the ER and was started on IV fluids, had blood work drawn, urine analysis, EKG and an X-Ray. They stated the blood work did not indicate a clot and I was discharged home. 1/10/22 I contacted PCP again for continued chest pain, shortness of breath, exhaustion, racing heart rate, high blood pressure, and pain between my shoulders. Was advised that this may be indicative of a vaccine reaction but he was unsure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dyspnoea, Fatigue, Feeling abnormal, Migraine
Clinical narrative: Woke up with Migraine early in the morning and brain was very foggy.  Extreme fatigue and had trouble functioning and brain wasn't connecting thoughts.  This lasted the day following the jab and the day after that.  About a week later, started having difficulty breathing.  Had trouble catching my breath through -out the day and I wasn't doing anything at the time.  That lasted about 10 days.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Headaches, body aches, fever, tired.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphonia, Oropharyngeal pain, Pyrexia, Sinusitis
Clinical narrative: Hoarse throat, soar throat, sinusitis, fever, dry cough.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Viral test
Clinical narrative: Hoarse throat, soar throat, sinusitis, fever, dry cough.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Endodontic procedure, Pain in jaw, Photosensitivity reaction, Tooth abscess, Toothache
Clinical narrative: Developed sun allergy for the first and so far only time in my life. Lasted about 3 weeks and would respond to sun exposure. Strongest reaction on arms and neck area, which had been repeatedly exposed to sun the weeks before without issues. Also developed extreme jaw/tooth pain, entire upper and lower jaw, which lasted a few days and could only be coped with a lot of ibuprofen. About 4 months later I developed an abscess and needed a root anal and the specialist estimated that the nerve had already died a few months before, which coincides with the extreme jaw pain phase that started within hours after the second vaccine dose.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect dose administered, Syringe issue
Clinical narrative: Administered pt's 2nd dose of shingrix and realized that entire dose ran down outside of pt's arm. Pt was OK with coming back so we can wait for proper procedure from our clinical specialist. Clinical specialist recommended that pt can come back the same day to get a full dose or 4 weeks after from today's date for a full dose. Pt will come back in 4 weeks to complete final series.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Periarthritis, Product administered at inappropriate site
Clinical narrative: patient had a locked shoulder..... shot was given too high, patient saw his family doctor for treatment.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Allergy, rashes
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Severe swelling and redness at injection site, injection site warm to touch, nausea/vomiting, fevers 101-103, severe headache, dizziness, weak
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea, Pyrexia, Vomiting
Clinical narrative: Severe swelling and redness at injection site, injection site warm to touch, nausea/vomiting, fevers 101-103, severe headache, dizziness, weak
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Interchange of vaccine products
Clinical narrative: patient received Moderna as a 2nd dose, 1st dose was Pfizer.  Patient has not had any symptom other than a sore arm at injection site
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysstasia, Loss of personal independence in daily activities, Pain
Clinical narrative: Pins and needles in hands and feet with shooting pain in digits, vertigo that prevents work and chores,etc, dizziness and weakness that prevents prolonged standing
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Vertigo
Clinical narrative: Pins and needles in hands and feet with shooting pain in digits, vertigo that prevents work and chores,etc, dizziness and weakness that prevents prolonged standing
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received a second dose 16 days after the 1st dose
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pfizer dose accidently given to patient instead of the flu vaccine.
Age: 16.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: NO
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a second dose 16 days after the 1st dose
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest pain, Full blood count normal, Immunoglobulin therapy, Metabolic function test normal
Clinical narrative: 17y female (almost 18y) with Hashimoto's Thyroiditis on levothyroxine and major depressive disorder on setraline who was at baseline who received 1st booster on 1/06/22 around 5pm without problems then around 1am midnite the following day (approx 8 -9 hours later) she woke up with chest pain lying in bed. It was not improved over the following 3 days. She noted chest pain with mostly lying down, alleviated by sitting/standing. With lack of improvement she sought further care to ER
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Troponin increased
Clinical narrative: 17y female (almost 18y) with Hashimoto's Thyroiditis on levothyroxine and major depressive disorder on setraline who was at baseline who received 1st booster on 1/06/22 around 5pm without problems then around 1am midnite the following day (approx 8 -9 hours later) she woke up with chest pain lying in bed. It was not improved over the following 3 days. She noted chest pain with mostly lying down, alleviated by sitting/standing. With lack of improvement she sought further care to ER
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Foetal heart rate abnormal, Injury, Maternal exposure before pregnancy, Pregnancy test positive
Clinical narrative: 10/29/2021: Positive pregnancy test. Ultrasound done 1/4/2022: Negative fetal heart tones, consistent with miscarriage. First trimester post vaccine miscarriage.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound antenatal screen abnormal
Clinical narrative: 10/29/2021: Positive pregnancy test. Ultrasound done 1/4/2022: Negative fetal heart tones, consistent with miscarriage. First trimester post vaccine miscarriage.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Cyanosis, Dizziness, Fatigue, Loss of consciousness
Clinical narrative: 01/11/2022 @ drive though site  On-site medic at the time in incident. Responded to 41 yr. old female w/ CC of "confusion. dizziness, and tired." Driver of the vehicle reports that the patient past out in the car w/ LOC before parking the car. Pt denies headache, dizziness, blurred vision, vomiting, difficulty breathing, recreational drugs, or recent illness. Pt is able communicate and responds appropriately to questions. A/O X 4.  V/S: RR-12, SAo2- 96, HR-54, BP-120/60, CTM- pale, cool. and dry. Cap refill- <2 seconds PMH: Epilepsy, Rx Meds- Trazadone, Allergies- NKDA, last oral intake was yesterday.  Physical Assessment- airway patent, breathing regular/slow/shallow/and without effort. Circulation- skin: cyanotic, warm, dry, pale. Pule- radial, slow, regular, weak  Ambulance arrived at 1304. Patient placed in trendelenburg in passenger seat. Vitals reassess and within normal limits. EMS conducted by Site Lead-to paramedic-  for follow on care to higher eschelon.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: 01/11/2022 @ drive though site  On-site medic at the time in incident. Responded to 41 yr. old female w/ CC of "confusion. dizziness, and tired." Driver of the vehicle reports that the patient past out in the car w/ LOC before parking the car. Pt denies headache, dizziness, blurred vision, vomiting, difficulty breathing, recreational drugs, or recent illness. Pt is able communicate and responds appropriately to questions. A/O X 4.  V/S: RR-12, SAo2- 96, HR-54, BP-120/60, CTM- pale, cool. and dry. Cap refill- <2 seconds PMH: Epilepsy, Rx Meds- Trazadone, Allergies- NKDA, last oral intake was yesterday.  Physical Assessment- airway patent, breathing regular/slow/shallow/and without effort. Circulation- skin: cyanotic, warm, dry, pale. Pule- radial, slow, regular, weak  Ambulance arrived at 1304. Patient placed in trendelenburg in passenger seat. Vitals reassess and within normal limits. EMS conducted by Site Lead-to paramedic-  for follow on care to higher eschelon.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced syncope. Smelling salts utilized. Patient recovered and removed to lie on floor with feet elevated. He chatted calmly during a 30-minute recuperation before departing.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Inflammation, Injected limb mobility decreased, Pain, Pain in extremity
Clinical narrative: Patient reports having moderate erythema (14cm wide, 7 cm long, oval shaped) 1 day following PPSV23 vaccination. Inflammation made mobility of L arm difficult and patient reports that adverse event lasted for 5-6 days. Patient reported pain 3/10 when at rest, but higher when trying to move L extremity. Patient was seen by a provider on 12/16/19 after calling the Triage nurse on 12/13/2019 and being referred. Erythema was treated with a course of oral antibiotics and resolved in 5-6 days.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injury associated with device
Clinical narrative: The incident took place after a successful injection to the patient. The patient reported no health issues with the vaccine after receiving it. The incident involved a finger stick with a contaminated needle after the injection to place.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Blood lactic acid, C-reactive protein, Chest X-ray, Chest discomfort
Clinical narrative: 12 hours after receiving moderna booster, started to develop fevers, myalgias, nausea. On day 3 after vaccination (12/20/2021) at 11:00am, started noting shortness of breath and substernal chest pressure with radiation to L arm, constant. Then presented to Emergency Department for evaluation. Was admitted to ED for NSTEMI, seen by Cardiology, medication adjustment made, and follow-up with Cardiology established. Discharged on 12/21/2021. Symptoms resolved during ED admission.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Differential white blood cell count, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: 12 hours after receiving moderna booster, started to develop fevers, myalgias, nausea. On day 3 after vaccination (12/20/2021) at 11:00am, started noting shortness of breath and substernal chest pressure with radiation to L arm, constant. Then presented to Emergency Department for evaluation. Was admitted to ED for NSTEMI, seen by Cardiology, medication adjustment made, and follow-up with Cardiology established. Discharged on 12/21/2021. Symptoms resolved during ED admission.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Myalgia, Nausea, Prohormone brain natriuretic peptide
Clinical narrative: 12 hours after receiving moderna booster, started to develop fevers, myalgias, nausea. On day 3 after vaccination (12/20/2021) at 11:00am, started noting shortness of breath and substernal chest pressure with radiation to L arm, constant. Then presented to Emergency Department for evaluation. Was admitted to ED for NSTEMI, seen by Cardiology, medication adjustment made, and follow-up with Cardiology established. Discharged on 12/21/2021. Symptoms resolved during ED admission.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell sedimentation rate, SARS-CoV-2 test negative, Troponin I
Clinical narrative: 12 hours after receiving moderna booster, started to develop fevers, myalgias, nausea. On day 3 after vaccination (12/20/2021) at 11:00am, started noting shortness of breath and substernal chest pressure with radiation to L arm, constant. Then presented to Emergency Department for evaluation. Was admitted to ED for NSTEMI, seen by Cardiology, medication adjustment made, and follow-up with Cardiology established. Discharged on 12/21/2021. Symptoms resolved during ED admission.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Nausea, Somnolence
Clinical narrative: prior to vaccine, pt felt nauseous. they decided to get the vaccine even though we suggested to hold off. After administration, pt felt nauseous and fell asleep but was able to be wakened. we called 911. pt was evaluated by ems
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Headache, Myalgia
Clinical narrative: Severe headache, muscle pain, fever, chills, fatigue- on day 4 palms, soles of feet turn red
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe headache, muscle pain, fever, chills, fatigue- on day 4 palms, soles of feet turn red
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchospasm, Lymphadenopathy, Menstrual disorder, Pain
Clinical narrative: Missed menstrual cycle: one week as of reporting Swallon gland on left clavicle: causes serve pain and sensation of restricted breathing pathway
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: Ongoing hives spread out across the body, persisting for up to 2 hours.  Followed by persistent general itching.  Also mild swelling of hands and lips.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swelling of eyelid
Clinical narrative: Eyelid swelling, Facial swelling
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Erythema, Lymphadenopathy, Oropharyngeal pain, Peripheral swelling
Clinical narrative: tested positive with covid.  first symptoms on 12/28/21 most likely effected date 12/23/21. tested on 1/06/22 results of positive received 1/07/22. symptoms lasted until 1/09/22. sore throat left side first couple days with fever starting next day. lasted a few days then fever went away and sore throat was almost gone for about 16 hours. lymph node on right side of throat swelled up and fever returned even worse. fever lasted few days. after lymph node swole. throat got sore on right side as well. once fever was gone for 2 days I got hives on legs on butt area some in other areas, both palms got very red swollen and itchy lasted about 16 hours. felt better for about 12 hours then left side lymph nodes in neck started swelling and hives returned very quickly. hives lasted about 12 hours then very quickly went away all at once. lymph node in neck right side no longer is swollen and slight swelling on left side as of 1/11/2022
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pruritus, Pyrexia, SARS-CoV-2 test positive, Urticaria
Clinical narrative: tested positive with covid.  first symptoms on 12/28/21 most likely effected date 12/23/21. tested on 1/06/22 results of positive received 1/07/22. symptoms lasted until 1/09/22. sore throat left side first couple days with fever starting next day. lasted a few days then fever went away and sore throat was almost gone for about 16 hours. lymph node on right side of throat swelled up and fever returned even worse. fever lasted few days. after lymph node swole. throat got sore on right side as well. once fever was gone for 2 days I got hives on legs on butt area some in other areas, both palms got very red swollen and itchy lasted about 16 hours. felt better for about 12 hours then left side lymph nodes in neck started swelling and hives returned very quickly. hives lasted about 12 hours then very quickly went away all at once. lymph node in neck right side no longer is swollen and slight swelling on left side as of 1/11/2022
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Erythema, Heart rate increased, Nodule
Clinical narrative: Local soreness, redness, knot, swelling  Body aches, chills, chest pain, elevated heart rate
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Swelling
Clinical narrative: Local soreness, redness, knot, swelling  Body aches, chills, chest pain, elevated heart rate
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: After 9 days after taking booster shot, I started getting hives all over my body. This is 4th day I have been on antihistamines. The hives and itching will not go away.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Atrial fibrillation, Blood bicarbonate decreased, Blood pH decreased
Clinical narrative: Patient is now deceased (1.4.22); Hospitalized (1.3.22);  COVID positive (11.21.21 AND 1.3.22); fully vaccinated (prior hospitalizations - see section one for recent history / illness) Admission Date: 1/3/2022 Deceased:  1/4/2022 Discharge Disposition: Deceased   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shock Septic shock    HOSPITAL COURSE: Patient s our 80 y.o. female who resides at assisted living facility with pmhx of insulin-dependent diabetes (presumed type 1), history of DKA, Parkinson's disease and dementia, CKD 3a, hx of DVT and PE on eliquis who presented to the ED via EMS after she was found to be confused this morning and hypotensive. She had mild AKI, leukocytosis, and bicarb of 6 with pH of 7.4.    Upon our evaluation, patient was requiring vasopressor support with norepinephrine. She was tachypneic into the 40s. HR continued to increase, patient in afib with RVR rates in the 200s. We attempted DCCV 1 time without success. She was given fentanyl of 50mcg and 2mg of versed for this. She did not tolerate this well. pH returned down to 7.16. Pressor requirements escalated and goals of care discussion had with DPOA (son) and daughter. Eventually it was decided for code status to change to comfort care. The patient had blood pressure MAPs in the 40s-50s overnight. Patient passed at 12:04 on 1/4/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Candida test positive, Cardioversion, Condition aggravated, Confusional state
Clinical narrative: Patient is now deceased (1.4.22); Hospitalized (1.3.22);  COVID positive (11.21.21 AND 1.3.22); fully vaccinated (prior hospitalizations - see section one for recent history / illness) Admission Date: 1/3/2022 Deceased:  1/4/2022 Discharge Disposition: Deceased   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shock Septic shock    HOSPITAL COURSE: Patient s our 80 y.o. female who resides at assisted living facility with pmhx of insulin-dependent diabetes (presumed type 1), history of DKA, Parkinson's disease and dementia, CKD 3a, hx of DVT and PE on eliquis who presented to the ED via EMS after she was found to be confused this morning and hypotensive. She had mild AKI, leukocytosis, and bicarb of 6 with pH of 7.4.    Upon our evaluation, patient was requiring vasopressor support with norepinephrine. She was tachypneic into the 40s. HR continued to increase, patient in afib with RVR rates in the 200s. We attempted DCCV 1 time without success. She was given fentanyl of 50mcg and 2mg of versed for this. She did not tolerate this well. pH returned down to 7.16. Pressor requirements escalated and goals of care discussion had with DPOA (son) and daughter. Eventually it was decided for code status to change to comfort care. The patient had blood pressure MAPs in the 40s-50s overnight. Patient passed at 12:04 on 1/4/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine positive, Death, Diabetic ketoacidosis, Encephalopathy, Fall
Clinical narrative: Patient is now deceased (1.4.22); Hospitalized (1.3.22);  COVID positive (11.21.21 AND 1.3.22); fully vaccinated (prior hospitalizations - see section one for recent history / illness) Admission Date: 1/3/2022 Deceased:  1/4/2022 Discharge Disposition: Deceased   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shock Septic shock    HOSPITAL COURSE: Patient s our 80 y.o. female who resides at assisted living facility with pmhx of insulin-dependent diabetes (presumed type 1), history of DKA, Parkinson's disease and dementia, CKD 3a, hx of DVT and PE on eliquis who presented to the ED via EMS after she was found to be confused this morning and hypotensive. She had mild AKI, leukocytosis, and bicarb of 6 with pH of 7.4.    Upon our evaluation, patient was requiring vasopressor support with norepinephrine. She was tachypneic into the 40s. HR continued to increase, patient in afib with RVR rates in the 200s. We attempted DCCV 1 time without success. She was given fentanyl of 50mcg and 2mg of versed for this. She did not tolerate this well. pH returned down to 7.16. Pressor requirements escalated and goals of care discussion had with DPOA (son) and daughter. Eventually it was decided for code status to change to comfort care. The patient had blood pressure MAPs in the 40s-50s overnight. Patient passed at 12:04 on 1/4/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma, Haematoma infection, Haemorrhage, Head injury, Heart rate increased
Clinical narrative: Patient is now deceased (1.4.22); Hospitalized (1.3.22);  COVID positive (11.21.21 AND 1.3.22); fully vaccinated (prior hospitalizations - see section one for recent history / illness) Admission Date: 1/3/2022 Deceased:  1/4/2022 Discharge Disposition: Deceased   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shock Septic shock    HOSPITAL COURSE: Patient s our 80 y.o. female who resides at assisted living facility with pmhx of insulin-dependent diabetes (presumed type 1), history of DKA, Parkinson's disease and dementia, CKD 3a, hx of DVT and PE on eliquis who presented to the ED via EMS after she was found to be confused this morning and hypotensive. She had mild AKI, leukocytosis, and bicarb of 6 with pH of 7.4.    Upon our evaluation, patient was requiring vasopressor support with norepinephrine. She was tachypneic into the 40s. HR continued to increase, patient in afib with RVR rates in the 200s. We attempted DCCV 1 time without success. She was given fentanyl of 50mcg and 2mg of versed for this. She did not tolerate this well. pH returned down to 7.16. Pressor requirements escalated and goals of care discussion had with DPOA (son) and daughter. Eventually it was decided for code status to change to comfort care. The patient had blood pressure MAPs in the 40s-50s overnight. Patient passed at 12:04 on 1/4/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Hip arthroplasty, Hypotension, Intensive care, Leukocytosis
Clinical narrative: Patient is now deceased (1.4.22); Hospitalized (1.3.22);  COVID positive (11.21.21 AND 1.3.22); fully vaccinated (prior hospitalizations - see section one for recent history / illness) Admission Date: 1/3/2022 Deceased:  1/4/2022 Discharge Disposition: Deceased   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shock Septic shock    HOSPITAL COURSE: Patient s our 80 y.o. female who resides at assisted living facility with pmhx of insulin-dependent diabetes (presumed type 1), history of DKA, Parkinson's disease and dementia, CKD 3a, hx of DVT and PE on eliquis who presented to the ED via EMS after she was found to be confused this morning and hypotensive. She had mild AKI, leukocytosis, and bicarb of 6 with pH of 7.4.    Upon our evaluation, patient was requiring vasopressor support with norepinephrine. She was tachypneic into the 40s. HR continued to increase, patient in afib with RVR rates in the 200s. We attempted DCCV 1 time without success. She was given fentanyl of 50mcg and 2mg of versed for this. She did not tolerate this well. pH returned down to 7.16. Pressor requirements escalated and goals of care discussion had with DPOA (son) and daughter. Eventually it was decided for code status to change to comfort care. The patient had blood pressure MAPs in the 40s-50s overnight. Patient passed at 12:04 on 1/4/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Postoperative wound infection, SARS-CoV-2 test positive, Sepsis, Septic shock
Clinical narrative: Patient is now deceased (1.4.22); Hospitalized (1.3.22);  COVID positive (11.21.21 AND 1.3.22); fully vaccinated (prior hospitalizations - see section one for recent history / illness) Admission Date: 1/3/2022 Deceased:  1/4/2022 Discharge Disposition: Deceased   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shock Septic shock    HOSPITAL COURSE: Patient s our 80 y.o. female who resides at assisted living facility with pmhx of insulin-dependent diabetes (presumed type 1), history of DKA, Parkinson's disease and dementia, CKD 3a, hx of DVT and PE on eliquis who presented to the ED via EMS after she was found to be confused this morning and hypotensive. She had mild AKI, leukocytosis, and bicarb of 6 with pH of 7.4.    Upon our evaluation, patient was requiring vasopressor support with norepinephrine. She was tachypneic into the 40s. HR continued to increase, patient in afib with RVR rates in the 200s. We attempted DCCV 1 time without success. She was given fentanyl of 50mcg and 2mg of versed for this. She did not tolerate this well. pH returned down to 7.16. Pressor requirements escalated and goals of care discussion had with DPOA (son) and daughter. Eventually it was decided for code status to change to comfort care. The patient had blood pressure MAPs in the 40s-50s overnight. Patient passed at 12:04 on 1/4/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Shock, Tachypnoea, Urinary tract infection
Clinical narrative: Patient is now deceased (1.4.22); Hospitalized (1.3.22);  COVID positive (11.21.21 AND 1.3.22); fully vaccinated (prior hospitalizations - see section one for recent history / illness) Admission Date: 1/3/2022 Deceased:  1/4/2022 Discharge Disposition: Deceased   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shock Septic shock    HOSPITAL COURSE: Patient s our 80 y.o. female who resides at assisted living facility with pmhx of insulin-dependent diabetes (presumed type 1), history of DKA, Parkinson's disease and dementia, CKD 3a, hx of DVT and PE on eliquis who presented to the ED via EMS after she was found to be confused this morning and hypotensive. She had mild AKI, leukocytosis, and bicarb of 6 with pH of 7.4.    Upon our evaluation, patient was requiring vasopressor support with norepinephrine. She was tachypneic into the 40s. HR continued to increase, patient in afib with RVR rates in the 200s. We attempted DCCV 1 time without success. She was given fentanyl of 50mcg and 2mg of versed for this. She did not tolerate this well. pH returned down to 7.16. Pressor requirements escalated and goals of care discussion had with DPOA (son) and daughter. Eventually it was decided for code status to change to comfort care. The patient had blood pressure MAPs in the 40s-50s overnight. Patient passed at 12:04 on 1/4/2022.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer dose given came from a bottle that expired 11/17/2021. No immediate adverse reactions are observed after approximately 30 minutes.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Gastrooesophageal reflux disease, Urticaria
Clinical narrative: Broke out in hives on crotch area, arm pits, stomach, feet, palms of my hand, legs, head. I took benedryl for 2 days, bathed with oatmeal soap, cortisol cream, put on coconut oil. The doctor then prescribed steroids (presidone) - a 5 day, 2x a day treatment with Allegra. So I was taking Benadryl 2-3 times a day, Allegra once a day, with the Presidone and cortisone cream. When the benedryl wore off, the hives would flare up. I'm trying to follow a low histamine diet and just take Allegra. I might switch to Zyrtec. I developed acid reflux/heart burn sensation on on 1/10 and have had it for 24 hours with no real relief. I took Pepcid this morning which made it worse, and tried Prilosec this evening (1/11).
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Headache, Hypoaesthesia, Musculoskeletal stiffness
Clinical narrative: The next day after the second dose, I experienced the usual mild fever, slight headache and some serious chills that caused shaking and teeth chatter, just as occurred with the first dose a month earlier. What was unusual this time was the numbness in my hands.  My left and right hands became completely numb. I was still able to move my fingers, however. The numbness and other symptoms went away soon after taking one Tylenol and one Advil. However my hands became somewhat stiff, having difficulty clenching my fingers, especially in my right hand. The middle finger is the stiffest and I can feel resistance to the movement of the tendon. The stiffness in my hands persists to this day and has not diminished.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tremor, Vaccine positive rechallenge
Clinical narrative: The next day after the second dose, I experienced the usual mild fever, slight headache and some serious chills that caused shaking and teeth chatter, just as occurred with the first dose a month earlier. What was unusual this time was the numbness in my hands.  My left and right hands became completely numb. I was still able to move my fingers, however. The numbness and other symptoms went away soon after taking one Tylenol and one Advil. However my hands became somewhat stiff, having difficulty clenching my fingers, especially in my right hand. The middle finger is the stiffest and I can feel resistance to the movement of the tendon. The stiffness in my hands persists to this day and has not diminished.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Experiencing dermatographia. Symptoms began approximately 8 days after receiving the booster vaccine, and symptoms are only alleviated by taking Zyrtec. As soon as dose of Zyrtec reaches 24 hours, symptoms reappear. Intense itching with raised hives several inches in length.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Severe hives all over my body
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given the Covid booster 1 month early. No adverse reactions occured.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is now deceased (12.30.21);  Hospitalized (12.24.21);  COVID-19 positive (12.23.21); Fully vaccinated Admission Date: 12/24/2021 Date of Death: 12/30/21 Time of Death:  4:30 PM Preliminary Cause of Death: COVID-19 virus infection DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 83 y.o. male with past medical history significant for B-cell lymphoma recently on chemotherapy (opted to forego the last treatment due to side effects), previous pleural effusions attributed to B-cell lymphoma which required drainage, chronic diastolic heart failure, coronary artery disease, persistent atrial fibrillation, recurrent DVTs, hypothyroidism, pulmonary fibrosis, BPH who presented for this hospitalization with worsening cough and shortness of breath for the past several days, most likely symptom onset sometime between 12/15-12/20 and has been diagnosed with COVID-19 pneumonia. In the ED, chest x-ray showed interval decrease in lung aeration with worsening bilateral airspace disease consistent with COVID-19 pneumonia.  Patient was requiring 5 L oxygen via nasal cannula on admission. Oxygen requirements worsened, and patient was broadened on steroids to 40mg IV solu-medrol bid.  D-dimer increased to 13,000 and then 23,000. CTA negative for PE but positive for consolidating airspace disease. Bilateral dopplers negative for DVTs. Continued on Xarelto, started on HAP treatment on 12/27 with Vancomycin and Cefepime, planned for 7 day course. Also started additional diuresis with 40mg IV lasix bid (up from home regimen of 40mg PO bid). Pulmonology was consulted early in hospital course had multiple goals discussions with patient.  Patient worsened and family was adamant that he could not be intubated. He was changed to Comfort measures and passed on 12/30/2021 at 1630
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Cough, Death, Dyspnoea, Fibrin D dimer increased
Clinical narrative: Patient is now deceased (12.30.21);  Hospitalized (12.24.21);  COVID-19 positive (12.23.21); Fully vaccinated Admission Date: 12/24/2021 Date of Death: 12/30/21 Time of Death:  4:30 PM Preliminary Cause of Death: COVID-19 virus infection DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 83 y.o. male with past medical history significant for B-cell lymphoma recently on chemotherapy (opted to forego the last treatment due to side effects), previous pleural effusions attributed to B-cell lymphoma which required drainage, chronic diastolic heart failure, coronary artery disease, persistent atrial fibrillation, recurrent DVTs, hypothyroidism, pulmonary fibrosis, BPH who presented for this hospitalization with worsening cough and shortness of breath for the past several days, most likely symptom onset sometime between 12/15-12/20 and has been diagnosed with COVID-19 pneumonia. In the ED, chest x-ray showed interval decrease in lung aeration with worsening bilateral airspace disease consistent with COVID-19 pneumonia.  Patient was requiring 5 L oxygen via nasal cannula on admission. Oxygen requirements worsened, and patient was broadened on steroids to 40mg IV solu-medrol bid.  D-dimer increased to 13,000 and then 23,000. CTA negative for PE but positive for consolidating airspace disease. Bilateral dopplers negative for DVTs. Continued on Xarelto, started on HAP treatment on 12/27 with Vancomycin and Cefepime, planned for 7 day course. Also started additional diuresis with 40mg IV lasix bid (up from home regimen of 40mg PO bid). Pulmonology was consulted early in hospital course had multiple goals discussions with patient.  Patient worsened and family was adamant that he could not be intubated. He was changed to Comfort measures and passed on 12/30/2021 at 1630
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Lung consolidation, Lung disorder, Polyuria, SARS-CoV-2 test positive
Clinical narrative: Patient is now deceased (12.30.21);  Hospitalized (12.24.21);  COVID-19 positive (12.23.21); Fully vaccinated Admission Date: 12/24/2021 Date of Death: 12/30/21 Time of Death:  4:30 PM Preliminary Cause of Death: COVID-19 virus infection DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 83 y.o. male with past medical history significant for B-cell lymphoma recently on chemotherapy (opted to forego the last treatment due to side effects), previous pleural effusions attributed to B-cell lymphoma which required drainage, chronic diastolic heart failure, coronary artery disease, persistent atrial fibrillation, recurrent DVTs, hypothyroidism, pulmonary fibrosis, BPH who presented for this hospitalization with worsening cough and shortness of breath for the past several days, most likely symptom onset sometime between 12/15-12/20 and has been diagnosed with COVID-19 pneumonia. In the ED, chest x-ray showed interval decrease in lung aeration with worsening bilateral airspace disease consistent with COVID-19 pneumonia.  Patient was requiring 5 L oxygen via nasal cannula on admission. Oxygen requirements worsened, and patient was broadened on steroids to 40mg IV solu-medrol bid.  D-dimer increased to 13,000 and then 23,000. CTA negative for PE but positive for consolidating airspace disease. Bilateral dopplers negative for DVTs. Continued on Xarelto, started on HAP treatment on 12/27 with Vancomycin and Cefepime, planned for 7 day course. Also started additional diuresis with 40mg IV lasix bid (up from home regimen of 40mg PO bid). Pulmonology was consulted early in hospital course had multiple goals discussions with patient.  Patient worsened and family was adamant that he could not be intubated. He was changed to Comfort measures and passed on 12/30/2021 at 1630
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler normal
Clinical narrative: Patient is now deceased (12.30.21);  Hospitalized (12.24.21);  COVID-19 positive (12.23.21); Fully vaccinated Admission Date: 12/24/2021 Date of Death: 12/30/21 Time of Death:  4:30 PM Preliminary Cause of Death: COVID-19 virus infection DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 83 y.o. male with past medical history significant for B-cell lymphoma recently on chemotherapy (opted to forego the last treatment due to side effects), previous pleural effusions attributed to B-cell lymphoma which required drainage, chronic diastolic heart failure, coronary artery disease, persistent atrial fibrillation, recurrent DVTs, hypothyroidism, pulmonary fibrosis, BPH who presented for this hospitalization with worsening cough and shortness of breath for the past several days, most likely symptom onset sometime between 12/15-12/20 and has been diagnosed with COVID-19 pneumonia. In the ED, chest x-ray showed interval decrease in lung aeration with worsening bilateral airspace disease consistent with COVID-19 pneumonia.  Patient was requiring 5 L oxygen via nasal cannula on admission. Oxygen requirements worsened, and patient was broadened on steroids to 40mg IV solu-medrol bid.  D-dimer increased to 13,000 and then 23,000. CTA negative for PE but positive for consolidating airspace disease. Bilateral dopplers negative for DVTs. Continued on Xarelto, started on HAP treatment on 12/27 with Vancomycin and Cefepime, planned for 7 day course. Also started additional diuresis with 40mg IV lasix bid (up from home regimen of 40mg PO bid). Pulmonology was consulted early in hospital course had multiple goals discussions with patient.  Patient worsened and family was adamant that he could not be intubated. He was changed to Comfort measures and passed on 12/30/2021 at 1630
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Amnesia, Feeling abnormal, Menstruation irregular
Clinical narrative: Secondary amenorrhea followed by irregular menses; short term memory loss ?brain fog?
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Computerised tomogram abnormal, Dyspnoea, Malaise
Clinical narrative: I received the Moderna vaccine on Thursday, September 16 and on Sunday, September 19 in the morning, I sat down to feed my dog and I felt extreme pain in my back on the right hand side. I went to the bedroom to lie down because I wasn't feeling well. The pain got significantly worse and I started screaming because of the pain. My boyfriend called 911 because I was pale and I couldn't breathe and couldn't move. He took me to the bed to lie down and the paramedics came. The paramedics ran all of the tests and said they didn't see anything wrong but I was still feeling pain and screaming in pain in between conversations. The paramedics said I could have something in my kidney because that is where I was pointing to (back right side). I told them I had just gotten the Moderna vaccine. They advised against me going to the hospital because at the time it was full of COVID patients so they told me to take Tylenol for the pain and go to a doctor. I made my appointment at the family clinic and went on September 20, 2021 and I didn't correlate the vaccine with the doctor. I was given Cyclobenzaprine and the stronger equivalent of Tylenol to soothe the pain while I waited for a sonogram. The doctor ordered a sonogram and I had the sonogram done September 27, 2021 and I had blood work done September 28, 2021. When the APRN saw me for my sonogram results, I asked if this was a side effect of the vaccine. I was told it was absolutely not a side effect and I should not worry. I was recommended a CT scan with contrast and without contrast and was only able to get an appointment on October 18, 2021. The CT scan came back saying that I had fibroids. I have never had this issue before the vaccine. The pain was bad for about a week following my first dose of Moderna. It subsided but it was still there. I didn't want to take the cyclobenzaprine because it made me too woozy. I didn't have as severe pain following my second vaccine taken October 13, 2021 but there is still pain at random moments.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pallor, Scan with contrast abnormal, Screaming
Clinical narrative: I received the Moderna vaccine on Thursday, September 16 and on Sunday, September 19 in the morning, I sat down to feed my dog and I felt extreme pain in my back on the right hand side. I went to the bedroom to lie down because I wasn't feeling well. The pain got significantly worse and I started screaming because of the pain. My boyfriend called 911 because I was pale and I couldn't breathe and couldn't move. He took me to the bed to lie down and the paramedics came. The paramedics ran all of the tests and said they didn't see anything wrong but I was still feeling pain and screaming in pain in between conversations. The paramedics said I could have something in my kidney because that is where I was pointing to (back right side). I told them I had just gotten the Moderna vaccine. They advised against me going to the hospital because at the time it was full of COVID patients so they told me to take Tylenol for the pain and go to a doctor. I made my appointment at the family clinic and went on September 20, 2021 and I didn't correlate the vaccine with the doctor. I was given Cyclobenzaprine and the stronger equivalent of Tylenol to soothe the pain while I waited for a sonogram. The doctor ordered a sonogram and I had the sonogram done September 27, 2021 and I had blood work done September 28, 2021. When the APRN saw me for my sonogram results, I asked if this was a side effect of the vaccine. I was told it was absolutely not a side effect and I should not worry. I was recommended a CT scan with contrast and without contrast and was only able to get an appointment on October 18, 2021. The CT scan came back saying that I had fibroids. I have never had this issue before the vaccine. The pain was bad for about a week following my first dose of Moderna. It subsided but it was still there. I didn't want to take the cyclobenzaprine because it made me too woozy. I didn't have as severe pain following my second vaccine taken October 13, 2021 but there is still pain at random moments.