chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oral candidiasis, Pain in extremity, Paraesthesia, Postural orthostatic tachycardia syndrome, Rash
Clinical narrative: 3 days post 1st vaccine: stabbing pain in right foot - 12 hours 30 mins post  2nd vaccine: numbness, tingling of right arm, hand, fingers of right hand - 4 days 12  hours 2nd post vaccine: numbness, tingling of right side of face and forehead that lasted 4 days 5 days post 2nd vaccine: stabbing pain in right foot - 2 weeks 4 weeks post 2nd vaccine: nasal wing sores - peaked 6 months but continues 10 months post vaccine 6 weeks: internal and external vibrations, tremors and jerks - peaked 6 months but continues on a lesser level 10 months post vaccine insomnia from waking up jerking and with tremors and vibrations trouble swallowing - peaked 6 month but continues on a lesser level at 10 months 8 weeks: excessive hair loss weight loss POTS symptoms full body flat, non-itchy, non-oozy spotted rash - 2 weeks 12 weeks: shingles on right side of upper back, under arm and breast area 15 weeks oral thrush
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash macular, Sleep disorder, Thyroid function test abnormal, Tremor, Tri-iodothyronine increased
Clinical narrative: 3 days post 1st vaccine: stabbing pain in right foot - 12 hours 30 mins post  2nd vaccine: numbness, tingling of right arm, hand, fingers of right hand - 4 days 12  hours 2nd post vaccine: numbness, tingling of right side of face and forehead that lasted 4 days 5 days post 2nd vaccine: stabbing pain in right foot - 2 weeks 4 weeks post 2nd vaccine: nasal wing sores - peaked 6 months but continues 10 months post vaccine 6 weeks: internal and external vibrations, tremors and jerks - peaked 6 months but continues on a lesser level 10 months post vaccine insomnia from waking up jerking and with tremors and vibrations trouble swallowing - peaked 6 month but continues on a lesser level at 10 months 8 weeks: excessive hair loss weight loss POTS symptoms full body flat, non-itchy, non-oozy spotted rash - 2 weeks 12 weeks: shingles on right side of upper back, under arm and breast area 15 weeks oral thrush
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vibratory sense increased, Weight decreased
Clinical narrative: 3 days post 1st vaccine: stabbing pain in right foot - 12 hours 30 mins post  2nd vaccine: numbness, tingling of right arm, hand, fingers of right hand - 4 days 12  hours 2nd post vaccine: numbness, tingling of right side of face and forehead that lasted 4 days 5 days post 2nd vaccine: stabbing pain in right foot - 2 weeks 4 weeks post 2nd vaccine: nasal wing sores - peaked 6 months but continues 10 months post vaccine 6 weeks: internal and external vibrations, tremors and jerks - peaked 6 months but continues on a lesser level 10 months post vaccine insomnia from waking up jerking and with tremors and vibrations trouble swallowing - peaked 6 month but continues on a lesser level at 10 months 8 weeks: excessive hair loss weight loss POTS symptoms full body flat, non-itchy, non-oozy spotted rash - 2 weeks 12 weeks: shingles on right side of upper back, under arm and breast area 15 weeks oral thrush
Age: 52.0
Sex: M
Vaccine: FLUR4
Symptoms: Eye swelling, Urticaria
Clinical narrative: post 24 hrs after administration , severe urticaria in head, face and neck and eyes with mild swelling to bilat eyes. took benadryl x 2 tabs during day and Claritin 1 tab. symptoms resolved later that night. no SOB
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Immune thrombocytopenia, Platelet count decreased
Clinical narrative: Developed Immune thrombocytopenic purpura (ITP) - Blood Platelet count dropped to 5000
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood lactate dehydrogenase increased, Chest X-ray abnormal
Clinical narrative: This is a 89y.o. female with past medical history of CVA in 2018 (right-sided deficits), TAVR placement 2018, cardiac catheter in 2018, dual-lead defibrillator in place, type 2 diabetes, hypothyroidism. Presenting to the emergency department after a fall.   Upon speaking with son on the phone. Son states that for the past week his dad is in complaining that he felt off. He states that Wednesday when he talked to him on the phone his dad said he wasn't feeling that well. Thursday for Thanksgiving his mom and dad decided to stay home. Friday he took him over some food to his parents house, to see how they were feeling. Saturday he called his parents house phone in the morning and he did not answer. He.they might be out for breakfast, he states that his parents go out to breakfast 3 times a week. He said since they weren't answering towards the evening hours he decided to drive over their house, he lives almost an hour away. When he arrived he found both his mom and dad lying on the floor away from each other.    His dad states that he fell down after using the bathroom in the middle of the night, due to him tripping over his own legs. He denied any loss of consciousness. His mother who chronically uses a walker/wheelchair tried to assist his father off the ground. She then fell on the ground as well and was unable to get up. She was on the ground for approximately 13 hours.    Patient states that over the course of the week she has been feeling more fatigued. She states prior to this she has never had a fall. But this week that this week she fell 3 times, once Thursday, once Friday and one Saturday. She denies loss of consciousness with falls, she states that her right leg was feeling even weaker than normal. She only endorses right ankle pain. She ambulates the house with a walker or wheelchair. Patient denies shortness of breath, cough, chest discomfort. Patient was vaccinated 2x for COVID, awaiting getting booster. No flu shot this year   ED course:   Vitals: BP 152/86, heart rate 91, respiratory rate 18, temp 98.3F, SPO2 98% on room air   Labs: GFR 58, AST 66, prealbumin 10, CK 898, LDH 613, d-dimer 1900   Imaging/tests: Ankle x-ray showing soft tissue swelling without acute osseous abnormality, moderate degenerative changes, chest x-ray showing groundglass opacities in both lungs, right hip showing no acute fracture or dislocation with mild to moderate bilateral hip osteoarthritis, right knee showing soft tissue swelling and trace knee joint effusion without soft tissue gas, intact appearing total right knee arthroplasty, tibia and fibula x-ray showing soft tissue swelling without soft tissue gas or osseous abnormality with intact told her a knee arthroplasty
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fatigue, Fibrin D dimer increased, Glomerular filtration rate decreased, Joint effusion
Clinical narrative: This is a 89y.o. female with past medical history of CVA in 2018 (right-sided deficits), TAVR placement 2018, cardiac catheter in 2018, dual-lead defibrillator in place, type 2 diabetes, hypothyroidism. Presenting to the emergency department after a fall.   Upon speaking with son on the phone. Son states that for the past week his dad is in complaining that he felt off. He states that Wednesday when he talked to him on the phone his dad said he wasn't feeling that well. Thursday for Thanksgiving his mom and dad decided to stay home. Friday he took him over some food to his parents house, to see how they were feeling. Saturday he called his parents house phone in the morning and he did not answer. He.they might be out for breakfast, he states that his parents go out to breakfast 3 times a week. He said since they weren't answering towards the evening hours he decided to drive over their house, he lives almost an hour away. When he arrived he found both his mom and dad lying on the floor away from each other.    His dad states that he fell down after using the bathroom in the middle of the night, due to him tripping over his own legs. He denied any loss of consciousness. His mother who chronically uses a walker/wheelchair tried to assist his father off the ground. She then fell on the ground as well and was unable to get up. She was on the ground for approximately 13 hours.    Patient states that over the course of the week she has been feeling more fatigued. She states prior to this she has never had a fall. But this week that this week she fell 3 times, once Thursday, once Friday and one Saturday. She denies loss of consciousness with falls, she states that her right leg was feeling even weaker than normal. She only endorses right ankle pain. She ambulates the house with a walker or wheelchair. Patient denies shortness of breath, cough, chest discomfort. Patient was vaccinated 2x for COVID, awaiting getting booster. No flu shot this year   ED course:   Vitals: BP 152/86, heart rate 91, respiratory rate 18, temp 98.3F, SPO2 98% on room air   Labs: GFR 58, AST 66, prealbumin 10, CK 898, LDH 613, d-dimer 1900   Imaging/tests: Ankle x-ray showing soft tissue swelling without acute osseous abnormality, moderate degenerative changes, chest x-ray showing groundglass opacities in both lungs, right hip showing no acute fracture or dislocation with mild to moderate bilateral hip osteoarthritis, right knee showing soft tissue swelling and trace knee joint effusion without soft tissue gas, intact appearing total right knee arthroplasty, tibia and fibula x-ray showing soft tissue swelling without soft tissue gas or osseous abnormality with intact told her a knee arthroplasty
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Muscular weakness, Osteoarthritis, Prealbumin decreased, Soft tissue swelling
Clinical narrative: This is a 89y.o. female with past medical history of CVA in 2018 (right-sided deficits), TAVR placement 2018, cardiac catheter in 2018, dual-lead defibrillator in place, type 2 diabetes, hypothyroidism. Presenting to the emergency department after a fall.   Upon speaking with son on the phone. Son states that for the past week his dad is in complaining that he felt off. He states that Wednesday when he talked to him on the phone his dad said he wasn't feeling that well. Thursday for Thanksgiving his mom and dad decided to stay home. Friday he took him over some food to his parents house, to see how they were feeling. Saturday he called his parents house phone in the morning and he did not answer. He.they might be out for breakfast, he states that his parents go out to breakfast 3 times a week. He said since they weren't answering towards the evening hours he decided to drive over their house, he lives almost an hour away. When he arrived he found both his mom and dad lying on the floor away from each other.    His dad states that he fell down after using the bathroom in the middle of the night, due to him tripping over his own legs. He denied any loss of consciousness. His mother who chronically uses a walker/wheelchair tried to assist his father off the ground. She then fell on the ground as well and was unable to get up. She was on the ground for approximately 13 hours.    Patient states that over the course of the week she has been feeling more fatigued. She states prior to this she has never had a fall. But this week that this week she fell 3 times, once Thursday, once Friday and one Saturday. She denies loss of consciousness with falls, she states that her right leg was feeling even weaker than normal. She only endorses right ankle pain. She ambulates the house with a walker or wheelchair. Patient denies shortness of breath, cough, chest discomfort. Patient was vaccinated 2x for COVID, awaiting getting booster. No flu shot this year   ED course:   Vitals: BP 152/86, heart rate 91, respiratory rate 18, temp 98.3F, SPO2 98% on room air   Labs: GFR 58, AST 66, prealbumin 10, CK 898, LDH 613, d-dimer 1900   Imaging/tests: Ankle x-ray showing soft tissue swelling without acute osseous abnormality, moderate degenerative changes, chest x-ray showing groundglass opacities in both lungs, right hip showing no acute fracture or dislocation with mild to moderate bilateral hip osteoarthritis, right knee showing soft tissue swelling and trace knee joint effusion without soft tissue gas, intact appearing total right knee arthroplasty, tibia and fibula x-ray showing soft tissue swelling without soft tissue gas or osseous abnormality with intact told her a knee arthroplasty
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Walking aid user, Wheelchair user, X-ray limb abnormal
Clinical narrative: This is a 89y.o. female with past medical history of CVA in 2018 (right-sided deficits), TAVR placement 2018, cardiac catheter in 2018, dual-lead defibrillator in place, type 2 diabetes, hypothyroidism. Presenting to the emergency department after a fall.   Upon speaking with son on the phone. Son states that for the past week his dad is in complaining that he felt off. He states that Wednesday when he talked to him on the phone his dad said he wasn't feeling that well. Thursday for Thanksgiving his mom and dad decided to stay home. Friday he took him over some food to his parents house, to see how they were feeling. Saturday he called his parents house phone in the morning and he did not answer. He.they might be out for breakfast, he states that his parents go out to breakfast 3 times a week. He said since they weren't answering towards the evening hours he decided to drive over their house, he lives almost an hour away. When he arrived he found both his mom and dad lying on the floor away from each other.    His dad states that he fell down after using the bathroom in the middle of the night, due to him tripping over his own legs. He denied any loss of consciousness. His mother who chronically uses a walker/wheelchair tried to assist his father off the ground. She then fell on the ground as well and was unable to get up. She was on the ground for approximately 13 hours.    Patient states that over the course of the week she has been feeling more fatigued. She states prior to this she has never had a fall. But this week that this week she fell 3 times, once Thursday, once Friday and one Saturday. She denies loss of consciousness with falls, she states that her right leg was feeling even weaker than normal. She only endorses right ankle pain. She ambulates the house with a walker or wheelchair. Patient denies shortness of breath, cough, chest discomfort. Patient was vaccinated 2x for COVID, awaiting getting booster. No flu shot this year   ED course:   Vitals: BP 152/86, heart rate 91, respiratory rate 18, temp 98.3F, SPO2 98% on room air   Labs: GFR 58, AST 66, prealbumin 10, CK 898, LDH 613, d-dimer 1900   Imaging/tests: Ankle x-ray showing soft tissue swelling without acute osseous abnormality, moderate degenerative changes, chest x-ray showing groundglass opacities in both lungs, right hip showing no acute fracture or dislocation with mild to moderate bilateral hip osteoarthritis, right knee showing soft tissue swelling and trace knee joint effusion without soft tissue gas, intact appearing total right knee arthroplasty, tibia and fibula x-ray showing soft tissue swelling without soft tissue gas or osseous abnormality with intact told her a knee arthroplasty
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S AGE WRITTEN AS 12 ON CONSENT SIGNED BY INDIVIDUAL IDENTIFYING AS MOTHER. CHILD IDENTIFIED IN MEDICAL RECORD. CHILD IS TOO YOUNG TO RECEIVE VACCINE ON 09/24/2021. SEE PREVIOUS REPORT FOR 1ST DOSE.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Influenza, Injection site swelling, Pain in extremity
Clinical narrative: Sore  arm and swollen at the side of injection  Chills and tiredness  General flu symptoms   Runny nose
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Sore  arm and swollen at the side of injection  Chills and tiredness  General flu symptoms   Runny nose
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Immunisation, Lymphadenopathy, Product storage error
Clinical narrative: Covid vaccine given sat at room temperature for 7 days. Called patient on 12/6/2021 to notify her to come back for a repeat dose. She came back in for a repeat dose on 12/6/2021 same lot number and same injection site. She did state her first vaccine (one that sat at room temperature for 7 days) caused soreness of arm and swelling under arm. I called patient today 12/13/2021 to ask how she was doing. She stated swelling under arm is gone. She had no issues with the 2nd shot given on 12/6/2021.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was hospitalized 33 days after receiving covid vaccine dose #2.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood thyroid stimulating hormone normal, Blood triglycerides increased, Lipids, Magnetic resonance imaging normal
Clinical narrative: I received a booster of the Pfizer Vaccine and now have Bells Palsy . My symptoms started 3 days after receiving the booster. Still have Bells Palsy.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal
Clinical narrative: I received a booster of the Pfizer Vaccine and now have Bells Palsy . My symptoms started 3 days after receiving the booster. Still have Bells Palsy.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: 2 small areas of alopecia at back of scalp
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Injection site erythema, Injection site induration, Lymph node pain
Clinical narrative: Patient reported site of injection became hard and red half dollar size approx. 12 hours after the injection. On 12/10/21 Left arm redness increased to surrounding area of the upper arm.  On 12/12/21 Patient reports her Lymph-nodes under her arm became swollen and tender and her upper left arm was red and hard.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Patient reported site of injection became hard and red half dollar size approx. 12 hours after the injection. On 12/10/21 Left arm redness increased to surrounding area of the upper arm.  On 12/12/21 Patient reports her Lymph-nodes under her arm became swollen and tender and her upper left arm was red and hard.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood glucose, Computerised tomogram, Electrocardiogram, Fatigue
Clinical narrative: Day 1: Tired Day 2: Vomiting Day 3 - 5 Tired Day 6: Low blood Pressure Atrial Fibrillation
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Ultrasound scan, Vomiting
Clinical narrative: Day 1: Tired Day 2: Vomiting Day 3 - 5 Tired Day 6: Low blood Pressure Atrial Fibrillation
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Culture negative, Lip blister, Night sweats, Oral mucosal blistering
Clinical narrative: Patient presented with night sweats for 4 days. Blisters in mouth, throat and lips and thrush x 1 week  Cough and vomiting
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal blistering, Streptococcus test negative, Vomiting
Clinical narrative: Patient presented with night sweats for 4 days. Blisters in mouth, throat and lips and thrush x 1 week  Cough and vomiting
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Covid vaccine vial good for only 6 hours after initial puncture/ vaccine given 14 hours after. Advised with supervisors and "covid nurse" . Pfizer dose 1 received 10/21/21.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Influenza A virus test negative, Influenza virus test negative, Oropharyngeal pain, Pain
Clinical narrative: Fevers, sore throat, headaches and body aches.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Fevers, sore throat, headaches and body aches.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient vaccinated against and then tested positive for COVID-19
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis
Clinical narrative: Patient's mom stated the patient developed cellulitis at the injection site.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bradycardia, Pyrexia
Clinical narrative: Seen ER Dr on 12/12/21, developed low grade fever, weak, couple epidoses of bradycardia with oximeter reading down to 37, came in and and monitored for 3 hours without reoccurance, unremarkable workup, push fluids, tylenol PRN, return if further episodes.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with COVID
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sleep disorder
Clinical narrative: Started as itchy palms and escalated to itchy hands.  Scratching woke me out of a dead sleep on Sunday morning.  After some research I started taking over the counter Benadryl as often as allowed.  The reaction started to fade within 3 days and was gone by the following Friday, November 5th.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Ear pain, Facial paralysis, Hemiplegia
Clinical narrative: Facial paralysis.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Cough
Clinical narrative: Son states patient has had a cough for 6 weeks. He was placed on antibiotics a z-pak the other week. It is described as diffuse patchy opacities concerning for covid.
Age: 36.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Erythema, Urticaria
Clinical narrative: apprx 2 days after receiving vaccinations pt developed moderate hives, erythema, to bilateral forearms, thighs, lower back, scalp, forehead
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram abnormal, Anticoagulant therapy, Brain neoplasm malignant, Breath sounds abnormal, COVID-19
Clinical narrative: Deceased 12/03/2021; Hospitalized 11/23/2021; COVID-19 positive 11/25/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: , MD Primary Care Physician at Discharge:, MD  Admission Date: 11/23/2021 HOSPITAL COURSE: Patient presented to local HCF ED with symptoms of SOB, orthopnea, and chest pressure that had been worsening over the last three days.  CT showed large pericardial effusion, bilateral small pleural effusions, and cecal diverticulitis.  He was transferred to another HCF and Cardiology was consulted, recommending stat ECHO, EKG.  ECHO showed large pericardial effusion with RV collapse, hemodynamically significant, early signs of tamponade.  He was started on colchicine and indocin  Pt was started on flagyl and levaquin for the cecal diverticulitis. Pericardiocentesis with drain placement was performed the following morning. ECHO post-procedure with trivial remaining effusion.   On 11/25, patient became hypoxic (had been using lasix PRN for fluid overload) and CTA was suggestive of bilateral PE's, heparin gtt was started after significant education provided to patient and wife regarding risk for brain bleed in the setting of untreated brain metastases.  Pulm was consulted and they felt that the amount of clot burden did not accurately explain his degree of hypoxia.  Pt was started on HFNC.  ECHO repeated and this was unremarkable.   COVID re-swab (negative at admission) was positive on 11/25.  Pt was started on remdesivir and dexamethasone.  Pericardial drain removed 11/26.   Stroke code called morning of 11/27 in the setting sudden slurred speech, left facial droop, and loss of motor/sensory function in LUE, LLE.  Neurology was consulted.  Stat HCT showed right MCA stroke 2/2 right ICA and MCA occlusion, not a candidate for MT due to lung cancer with brain mets.  Heparin gtt stopped.  Neurology recommending crani in the setting of worsening malignant edema, patient declined, hospice recommended.  Patient declined escalation of care, was made DNR on 11/27.  Hospice meeting on 11/28, originally planning for home with hospice, met criteria for GIP hospice on 11/29.   Patient was seen per nursing request this evening as patient had expired.   Upon evaluation, patient was unresponsive with wife at bedside.   Patient's pupils were fixed and nonreactive to light.  Patient was without heart or lung sounds upon ascultation.    Patient was without pulses x4 extremities.   Patient was pronounced as having expired today, 12/03/2021, at 11:36 PM.   Attending Dr. notified.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac tamponade, Carotid artery occlusion, Cerebral artery occlusion, Cerebrovascular accident, Chest discomfort
Clinical narrative: Deceased 12/03/2021; Hospitalized 11/23/2021; COVID-19 positive 11/25/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: , MD Primary Care Physician at Discharge:, MD  Admission Date: 11/23/2021 HOSPITAL COURSE: Patient presented to local HCF ED with symptoms of SOB, orthopnea, and chest pressure that had been worsening over the last three days.  CT showed large pericardial effusion, bilateral small pleural effusions, and cecal diverticulitis.  He was transferred to another HCF and Cardiology was consulted, recommending stat ECHO, EKG.  ECHO showed large pericardial effusion with RV collapse, hemodynamically significant, early signs of tamponade.  He was started on colchicine and indocin  Pt was started on flagyl and levaquin for the cecal diverticulitis. Pericardiocentesis with drain placement was performed the following morning. ECHO post-procedure with trivial remaining effusion.   On 11/25, patient became hypoxic (had been using lasix PRN for fluid overload) and CTA was suggestive of bilateral PE's, heparin gtt was started after significant education provided to patient and wife regarding risk for brain bleed in the setting of untreated brain metastases.  Pulm was consulted and they felt that the amount of clot burden did not accurately explain his degree of hypoxia.  Pt was started on HFNC.  ECHO repeated and this was unremarkable.   COVID re-swab (negative at admission) was positive on 11/25.  Pt was started on remdesivir and dexamethasone.  Pericardial drain removed 11/26.   Stroke code called morning of 11/27 in the setting sudden slurred speech, left facial droop, and loss of motor/sensory function in LUE, LLE.  Neurology was consulted.  Stat HCT showed right MCA stroke 2/2 right ICA and MCA occlusion, not a candidate for MT due to lung cancer with brain mets.  Heparin gtt stopped.  Neurology recommending crani in the setting of worsening malignant edema, patient declined, hospice recommended.  Patient declined escalation of care, was made DNR on 11/27.  Hospice meeting on 11/28, originally planning for home with hospice, met criteria for GIP hospice on 11/29.   Patient was seen per nursing request this evening as patient had expired.   Upon evaluation, patient was unresponsive with wife at bedside.   Patient's pupils were fixed and nonreactive to light.  Patient was without heart or lung sounds upon ascultation.    Patient was without pulses x4 extremities.   Patient was pronounced as having expired today, 12/03/2021, at 11:36 PM.   Attending Dr. notified.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Death, Diverticulitis, Dysarthria
Clinical narrative: Deceased 12/03/2021; Hospitalized 11/23/2021; COVID-19 positive 11/25/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: , MD Primary Care Physician at Discharge:, MD  Admission Date: 11/23/2021 HOSPITAL COURSE: Patient presented to local HCF ED with symptoms of SOB, orthopnea, and chest pressure that had been worsening over the last three days.  CT showed large pericardial effusion, bilateral small pleural effusions, and cecal diverticulitis.  He was transferred to another HCF and Cardiology was consulted, recommending stat ECHO, EKG.  ECHO showed large pericardial effusion with RV collapse, hemodynamically significant, early signs of tamponade.  He was started on colchicine and indocin  Pt was started on flagyl and levaquin for the cecal diverticulitis. Pericardiocentesis with drain placement was performed the following morning. ECHO post-procedure with trivial remaining effusion.   On 11/25, patient became hypoxic (had been using lasix PRN for fluid overload) and CTA was suggestive of bilateral PE's, heparin gtt was started after significant education provided to patient and wife regarding risk for brain bleed in the setting of untreated brain metastases.  Pulm was consulted and they felt that the amount of clot burden did not accurately explain his degree of hypoxia.  Pt was started on HFNC.  ECHO repeated and this was unremarkable.   COVID re-swab (negative at admission) was positive on 11/25.  Pt was started on remdesivir and dexamethasone.  Pericardial drain removed 11/26.   Stroke code called morning of 11/27 in the setting sudden slurred speech, left facial droop, and loss of motor/sensory function in LUE, LLE.  Neurology was consulted.  Stat HCT showed right MCA stroke 2/2 right ICA and MCA occlusion, not a candidate for MT due to lung cancer with brain mets.  Heparin gtt stopped.  Neurology recommending crani in the setting of worsening malignant edema, patient declined, hospice recommended.  Patient declined escalation of care, was made DNR on 11/27.  Hospice meeting on 11/28, originally planning for home with hospice, met criteria for GIP hospice on 11/29.   Patient was seen per nursing request this evening as patient had expired.   Upon evaluation, patient was unresponsive with wife at bedside.   Patient's pupils were fixed and nonreactive to light.  Patient was without heart or lung sounds upon ascultation.    Patient was without pulses x4 extremities.   Patient was pronounced as having expired today, 12/03/2021, at 11:36 PM.   Attending Dr. notified.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Facial paralysis, Haematocrit abnormal, Heart sounds abnormal
Clinical narrative: Deceased 12/03/2021; Hospitalized 11/23/2021; COVID-19 positive 11/25/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: , MD Primary Care Physician at Discharge:, MD  Admission Date: 11/23/2021 HOSPITAL COURSE: Patient presented to local HCF ED with symptoms of SOB, orthopnea, and chest pressure that had been worsening over the last three days.  CT showed large pericardial effusion, bilateral small pleural effusions, and cecal diverticulitis.  He was transferred to another HCF and Cardiology was consulted, recommending stat ECHO, EKG.  ECHO showed large pericardial effusion with RV collapse, hemodynamically significant, early signs of tamponade.  He was started on colchicine and indocin  Pt was started on flagyl and levaquin for the cecal diverticulitis. Pericardiocentesis with drain placement was performed the following morning. ECHO post-procedure with trivial remaining effusion.   On 11/25, patient became hypoxic (had been using lasix PRN for fluid overload) and CTA was suggestive of bilateral PE's, heparin gtt was started after significant education provided to patient and wife regarding risk for brain bleed in the setting of untreated brain metastases.  Pulm was consulted and they felt that the amount of clot burden did not accurately explain his degree of hypoxia.  Pt was started on HFNC.  ECHO repeated and this was unremarkable.   COVID re-swab (negative at admission) was positive on 11/25.  Pt was started on remdesivir and dexamethasone.  Pericardial drain removed 11/26.   Stroke code called morning of 11/27 in the setting sudden slurred speech, left facial droop, and loss of motor/sensory function in LUE, LLE.  Neurology was consulted.  Stat HCT showed right MCA stroke 2/2 right ICA and MCA occlusion, not a candidate for MT due to lung cancer with brain mets.  Heparin gtt stopped.  Neurology recommending crani in the setting of worsening malignant edema, patient declined, hospice recommended.  Patient declined escalation of care, was made DNR on 11/27.  Hospice meeting on 11/28, originally planning for home with hospice, met criteria for GIP hospice on 11/29.   Patient was seen per nursing request this evening as patient had expired.   Upon evaluation, patient was unresponsive with wife at bedside.   Patient's pupils were fixed and nonreactive to light.  Patient was without heart or lung sounds upon ascultation.    Patient was without pulses x4 extremities.   Patient was pronounced as having expired today, 12/03/2021, at 11:36 PM.   Attending Dr. notified.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypervolaemia, Hypoxia, Lung neoplasm malignant, Metastases to central nervous system, Motor dysfunction
Clinical narrative: Deceased 12/03/2021; Hospitalized 11/23/2021; COVID-19 positive 11/25/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: , MD Primary Care Physician at Discharge:, MD  Admission Date: 11/23/2021 HOSPITAL COURSE: Patient presented to local HCF ED with symptoms of SOB, orthopnea, and chest pressure that had been worsening over the last three days.  CT showed large pericardial effusion, bilateral small pleural effusions, and cecal diverticulitis.  He was transferred to another HCF and Cardiology was consulted, recommending stat ECHO, EKG.  ECHO showed large pericardial effusion with RV collapse, hemodynamically significant, early signs of tamponade.  He was started on colchicine and indocin  Pt was started on flagyl and levaquin for the cecal diverticulitis. Pericardiocentesis with drain placement was performed the following morning. ECHO post-procedure with trivial remaining effusion.   On 11/25, patient became hypoxic (had been using lasix PRN for fluid overload) and CTA was suggestive of bilateral PE's, heparin gtt was started after significant education provided to patient and wife regarding risk for brain bleed in the setting of untreated brain metastases.  Pulm was consulted and they felt that the amount of clot burden did not accurately explain his degree of hypoxia.  Pt was started on HFNC.  ECHO repeated and this was unremarkable.   COVID re-swab (negative at admission) was positive on 11/25.  Pt was started on remdesivir and dexamethasone.  Pericardial drain removed 11/26.   Stroke code called morning of 11/27 in the setting sudden slurred speech, left facial droop, and loss of motor/sensory function in LUE, LLE.  Neurology was consulted.  Stat HCT showed right MCA stroke 2/2 right ICA and MCA occlusion, not a candidate for MT due to lung cancer with brain mets.  Heparin gtt stopped.  Neurology recommending crani in the setting of worsening malignant edema, patient declined, hospice recommended.  Patient declined escalation of care, was made DNR on 11/27.  Hospice meeting on 11/28, originally planning for home with hospice, met criteria for GIP hospice on 11/29.   Patient was seen per nursing request this evening as patient had expired.   Upon evaluation, patient was unresponsive with wife at bedside.   Patient's pupils were fixed and nonreactive to light.  Patient was without heart or lung sounds upon ascultation.    Patient was without pulses x4 extremities.   Patient was pronounced as having expired today, 12/03/2021, at 11:36 PM.   Attending Dr. notified.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oedema, Orthopnoea, Pericardial drainage, Pericardial effusion, Pleural effusion
Clinical narrative: Deceased 12/03/2021; Hospitalized 11/23/2021; COVID-19 positive 11/25/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: , MD Primary Care Physician at Discharge:, MD  Admission Date: 11/23/2021 HOSPITAL COURSE: Patient presented to local HCF ED with symptoms of SOB, orthopnea, and chest pressure that had been worsening over the last three days.  CT showed large pericardial effusion, bilateral small pleural effusions, and cecal diverticulitis.  He was transferred to another HCF and Cardiology was consulted, recommending stat ECHO, EKG.  ECHO showed large pericardial effusion with RV collapse, hemodynamically significant, early signs of tamponade.  He was started on colchicine and indocin  Pt was started on flagyl and levaquin for the cecal diverticulitis. Pericardiocentesis with drain placement was performed the following morning. ECHO post-procedure with trivial remaining effusion.   On 11/25, patient became hypoxic (had been using lasix PRN for fluid overload) and CTA was suggestive of bilateral PE's, heparin gtt was started after significant education provided to patient and wife regarding risk for brain bleed in the setting of untreated brain metastases.  Pulm was consulted and they felt that the amount of clot burden did not accurately explain his degree of hypoxia.  Pt was started on HFNC.  ECHO repeated and this was unremarkable.   COVID re-swab (negative at admission) was positive on 11/25.  Pt was started on remdesivir and dexamethasone.  Pericardial drain removed 11/26.   Stroke code called morning of 11/27 in the setting sudden slurred speech, left facial droop, and loss of motor/sensory function in LUE, LLE.  Neurology was consulted.  Stat HCT showed right MCA stroke 2/2 right ICA and MCA occlusion, not a candidate for MT due to lung cancer with brain mets.  Heparin gtt stopped.  Neurology recommending crani in the setting of worsening malignant edema, patient declined, hospice recommended.  Patient declined escalation of care, was made DNR on 11/27.  Hospice meeting on 11/28, originally planning for home with hospice, met criteria for GIP hospice on 11/29.   Patient was seen per nursing request this evening as patient had expired.   Upon evaluation, patient was unresponsive with wife at bedside.   Patient's pupils were fixed and nonreactive to light.  Patient was without heart or lung sounds upon ascultation.    Patient was without pulses x4 extremities.   Patient was pronounced as having expired today, 12/03/2021, at 11:36 PM.   Attending Dr. notified.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulse absent, Pupil fixed, Pupillary light reflex tests abnormal, Right ventricular diastolic collapse, SARS-CoV-2 test positive
Clinical narrative: Deceased 12/03/2021; Hospitalized 11/23/2021; COVID-19 positive 11/25/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: , MD Primary Care Physician at Discharge:, MD  Admission Date: 11/23/2021 HOSPITAL COURSE: Patient presented to local HCF ED with symptoms of SOB, orthopnea, and chest pressure that had been worsening over the last three days.  CT showed large pericardial effusion, bilateral small pleural effusions, and cecal diverticulitis.  He was transferred to another HCF and Cardiology was consulted, recommending stat ECHO, EKG.  ECHO showed large pericardial effusion with RV collapse, hemodynamically significant, early signs of tamponade.  He was started on colchicine and indocin  Pt was started on flagyl and levaquin for the cecal diverticulitis. Pericardiocentesis with drain placement was performed the following morning. ECHO post-procedure with trivial remaining effusion.   On 11/25, patient became hypoxic (had been using lasix PRN for fluid overload) and CTA was suggestive of bilateral PE's, heparin gtt was started after significant education provided to patient and wife regarding risk for brain bleed in the setting of untreated brain metastases.  Pulm was consulted and they felt that the amount of clot burden did not accurately explain his degree of hypoxia.  Pt was started on HFNC.  ECHO repeated and this was unremarkable.   COVID re-swab (negative at admission) was positive on 11/25.  Pt was started on remdesivir and dexamethasone.  Pericardial drain removed 11/26.   Stroke code called morning of 11/27 in the setting sudden slurred speech, left facial droop, and loss of motor/sensory function in LUE, LLE.  Neurology was consulted.  Stat HCT showed right MCA stroke 2/2 right ICA and MCA occlusion, not a candidate for MT due to lung cancer with brain mets.  Heparin gtt stopped.  Neurology recommending crani in the setting of worsening malignant edema, patient declined, hospice recommended.  Patient declined escalation of care, was made DNR on 11/27.  Hospice meeting on 11/28, originally planning for home with hospice, met criteria for GIP hospice on 11/29.   Patient was seen per nursing request this evening as patient had expired.   Upon evaluation, patient was unresponsive with wife at bedside.   Patient's pupils were fixed and nonreactive to light.  Patient was without heart or lung sounds upon ascultation.    Patient was without pulses x4 extremities.   Patient was pronounced as having expired today, 12/03/2021, at 11:36 PM.   Attending Dr. notified.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sensory loss, Unresponsive to stimuli, Ventricular drainage
Clinical narrative: Deceased 12/03/2021; Hospitalized 11/23/2021; COVID-19 positive 11/25/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: , MD Primary Care Physician at Discharge:, MD  Admission Date: 11/23/2021 HOSPITAL COURSE: Patient presented to local HCF ED with symptoms of SOB, orthopnea, and chest pressure that had been worsening over the last three days.  CT showed large pericardial effusion, bilateral small pleural effusions, and cecal diverticulitis.  He was transferred to another HCF and Cardiology was consulted, recommending stat ECHO, EKG.  ECHO showed large pericardial effusion with RV collapse, hemodynamically significant, early signs of tamponade.  He was started on colchicine and indocin  Pt was started on flagyl and levaquin for the cecal diverticulitis. Pericardiocentesis with drain placement was performed the following morning. ECHO post-procedure with trivial remaining effusion.   On 11/25, patient became hypoxic (had been using lasix PRN for fluid overload) and CTA was suggestive of bilateral PE's, heparin gtt was started after significant education provided to patient and wife regarding risk for brain bleed in the setting of untreated brain metastases.  Pulm was consulted and they felt that the amount of clot burden did not accurately explain his degree of hypoxia.  Pt was started on HFNC.  ECHO repeated and this was unremarkable.   COVID re-swab (negative at admission) was positive on 11/25.  Pt was started on remdesivir and dexamethasone.  Pericardial drain removed 11/26.   Stroke code called morning of 11/27 in the setting sudden slurred speech, left facial droop, and loss of motor/sensory function in LUE, LLE.  Neurology was consulted.  Stat HCT showed right MCA stroke 2/2 right ICA and MCA occlusion, not a candidate for MT due to lung cancer with brain mets.  Heparin gtt stopped.  Neurology recommending crani in the setting of worsening malignant edema, patient declined, hospice recommended.  Patient declined escalation of care, was made DNR on 11/27.  Hospice meeting on 11/28, originally planning for home with hospice, met criteria for GIP hospice on 11/29.   Patient was seen per nursing request this evening as patient had expired.   Upon evaluation, patient was unresponsive with wife at bedside.   Patient's pupils were fixed and nonreactive to light.  Patient was without heart or lung sounds upon ascultation.    Patient was without pulses x4 extremities.   Patient was pronounced as having expired today, 12/03/2021, at 11:36 PM.   Attending Dr. notified.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WRITTEN AND AGE WRITTEN AS 12 ON CONSENT SIGNED BY INDIVIDUAL IDENTIFYING AS MOTHER. CHILD IDENTIFIED IN SYSTEM (#151644920) WITH DIFFERENT DATE OF BIRTH. CHILD TOO YOUNG TO RECEIVE VACCINE IN AUGUST 2021.  SEE VAERS #685192 FOR FIRST DOSE RECEIVED ON 8/05/2021.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Dyspnoea, Dyspnoea exertional, Exercise tolerance decreased
Clinical narrative: Left deltoid aching next day. Aching progressed to entire arm.  Had nasal dryness with postnasal drip and subsequent stomach ache; these symptoms resolved within the first week.  Sustained baseline change as of 12/13/2021 includes trouble with onset, duration, quality of sleep as well as reduced exertional tolerance.  New onset of increased labored breathing.  Intermittent transient episodes of dyspnea and chest pain post-exercise.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Initial insomnia, Nasal dryness, Pain in extremity, Poor quality sleep, Upper-airway cough syndrome
Clinical narrative: Left deltoid aching next day. Aching progressed to entire arm.  Had nasal dryness with postnasal drip and subsequent stomach ache; these symptoms resolved within the first week.  Sustained baseline change as of 12/13/2021 includes trouble with onset, duration, quality of sleep as well as reduced exertional tolerance.  New onset of increased labored breathing.  Intermittent transient episodes of dyspnea and chest pain post-exercise.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Administration Error / Patient was Underage No Adverse event after notifying Patient
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Disturbance in attention, Dizziness, Electric shock sensation
Clinical narrative: Feeling of waves going down nerves in legs and causing tingling and fuzzy feeling 5 - 10 minutes after receiving injection.  Had brain fog for remainder of day, just so tired and head feeling fuzzy and unfocused, and very lightheaded.  Could not get warm, legs were freezing, had chills, but not fever all day, although temperature slightly elevated...98 .7 - 99,  as opposed to usual 96.7.  Legs and feet were tingly and felt numb all day and night.  Slept horribly, bobody felt electrified all day.  Chills gone on the 24th but had same nervous feelings and heart rate elevated.  Pulse normally in 74- 84 range was 98 - 100, and would go up to 115 if moved across room to sit.  Felt odd and heart felt like it was racing.  Felt shaky and cold/hot all day.  On the 25th went to MD, reported symptoms which started to subside as day went on.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Feeling cold, Feeling hot, Heart rate increased
Clinical narrative: Feeling of waves going down nerves in legs and causing tingling and fuzzy feeling 5 - 10 minutes after receiving injection.  Had brain fog for remainder of day, just so tired and head feeling fuzzy and unfocused, and very lightheaded.  Could not get warm, legs were freezing, had chills, but not fever all day, although temperature slightly elevated...98 .7 - 99,  as opposed to usual 96.7.  Legs and feet were tingly and felt numb all day and night.  Slept horribly, bobody felt electrified all day.  Chills gone on the 24th but had same nervous feelings and heart rate elevated.  Pulse normally in 74- 84 range was 98 - 100, and would go up to 115 if moved across room to sit.  Felt odd and heart felt like it was racing.  Felt shaky and cold/hot all day.  On the 25th went to MD, reported symptoms which started to subside as day went on.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Nervousness, Palpitations, Paraesthesia, Sleep disorder
Clinical narrative: Feeling of waves going down nerves in legs and causing tingling and fuzzy feeling 5 - 10 minutes after receiving injection.  Had brain fog for remainder of day, just so tired and head feeling fuzzy and unfocused, and very lightheaded.  Could not get warm, legs were freezing, had chills, but not fever all day, although temperature slightly elevated...98 .7 - 99,  as opposed to usual 96.7.  Legs and feet were tingly and felt numb all day and night.  Slept horribly, bobody felt electrified all day.  Chills gone on the 24th but had same nervous feelings and heart rate elevated.  Pulse normally in 74- 84 range was 98 - 100, and would go up to 115 if moved across room to sit.  Felt odd and heart felt like it was racing.  Felt shaky and cold/hot all day.  On the 25th went to MD, reported symptoms which started to subside as day went on.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Feeling of waves going down nerves in legs and causing tingling and fuzzy feeling 5 - 10 minutes after receiving injection.  Had brain fog for remainder of day, just so tired and head feeling fuzzy and unfocused, and very lightheaded.  Could not get warm, legs were freezing, had chills, but not fever all day, although temperature slightly elevated...98 .7 - 99,  as opposed to usual 96.7.  Legs and feet were tingly and felt numb all day and night.  Slept horribly, bobody felt electrified all day.  Chills gone on the 24th but had same nervous feelings and heart rate elevated.  Pulse normally in 74- 84 range was 98 - 100, and would go up to 115 if moved across room to sit.  Felt odd and heart felt like it was racing.  Felt shaky and cold/hot all day.  On the 25th went to MD, reported symptoms which started to subside as day went on.