chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Auscultation, Blood test abnormal, Chest X-ray normal, Chest discomfort, Echocardiogram normal
Clinical narrative: Patient came in with 1 day of chest discomfort and tachycardiac 18 day post-COVID vaccine (Pfizer 1st dose). Patient tested COVID negative (via antigen) and also has household contact who where COVID positive. Blood work upon admission - high sensitivity troponin at 10,898 and pericardial rub on auscultation, abnormal EKG only for nonspecific T-wave abnormalities. No respiratory symptoms consistent with COVID-19 and a normal chest X-ray.  Enchocardiogram was carred out and pt has a ejection fraction of 71% with normal segmental wall motion and all other parameters appearing normal
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction normal, Electrocardiogram T wave abnormal, Exposure to SARS-CoV-2, Pericardial rub, SARS-CoV-2 test negative
Clinical narrative: Patient came in with 1 day of chest discomfort and tachycardiac 18 day post-COVID vaccine (Pfizer 1st dose). Patient tested COVID negative (via antigen) and also has household contact who where COVID positive. Blood work upon admission - high sensitivity troponin at 10,898 and pericardial rub on auscultation, abnormal EKG only for nonspecific T-wave abnormalities. No respiratory symptoms consistent with COVID-19 and a normal chest X-ray.  Enchocardiogram was carred out and pt has a ejection fraction of 71% with normal segmental wall motion and all other parameters appearing normal
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin increased
Clinical narrative: Patient came in with 1 day of chest discomfort and tachycardiac 18 day post-COVID vaccine (Pfizer 1st dose). Patient tested COVID negative (via antigen) and also has household contact who where COVID positive. Blood work upon admission - high sensitivity troponin at 10,898 and pericardial rub on auscultation, abnormal EKG only for nonspecific T-wave abnormalities. No respiratory symptoms consistent with COVID-19 and a normal chest X-ray.  Enchocardiogram was carred out and pt has a ejection fraction of 71% with normal segmental wall motion and all other parameters appearing normal
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received a booster dose 1 week after second dose. Patient did not have an adverse reaction nd will be followed.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Severe ringing in ears - tinnitus.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: COVID positive 1/14/22. Presented to ER on 1/14/22. Received dexamethasone, ceftriaxone and doxycycline. Small PE developed. Taper dexamethasone, Levaquin 500 mg for 5 days and eliquis for 6 months at least. Discharged on 1/17/22. Presented to ED again on 1/19/22. Last hospital course, he was confused upon admission.  This time he is awake, alert, and coherent.  He went home, was taking his medications including Eliquis as he was diagnosed with pulmonary emboli during his last hospital course.  He was on his 5 L, which he is usually on chronically, and he has  measuring his pulse ox, found to be low.  He came to the emergency room.  He  has now been placed on OptiFlow with 60% FiO2 on 40 L flow rate.  He is in no  obvious distress.  Chest x-ray does show worsening pneumonia, however, repeat  CT angio at this time.  Patient is agreeable to hospitalization at this time.   He is in no obvious distress. Admitted on 1/19/22. Received remdesivir. Discharged again on 1/28/22.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Oxygen saturation decreased, Pneumonia, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: COVID positive 1/14/22. Presented to ER on 1/14/22. Received dexamethasone, ceftriaxone and doxycycline. Small PE developed. Taper dexamethasone, Levaquin 500 mg for 5 days and eliquis for 6 months at least. Discharged on 1/17/22. Presented to ED again on 1/19/22. Last hospital course, he was confused upon admission.  This time he is awake, alert, and coherent.  He went home, was taking his medications including Eliquis as he was diagnosed with pulmonary emboli during his last hospital course.  He was on his 5 L, which he is usually on chronically, and he has  measuring his pulse ox, found to be low.  He came to the emergency room.  He  has now been placed on OptiFlow with 60% FiO2 on 40 L flow rate.  He is in no  obvious distress.  Chest x-ray does show worsening pneumonia, however, repeat  CT angio at this time.  Patient is agreeable to hospitalization at this time.   He is in no obvious distress. Admitted on 1/19/22. Received remdesivir. Discharged again on 1/28/22.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Interchange of vaccine products, Tinnitus
Clinical narrative: I started experiencing tinnitus after my 2nd Pfizer shot.  With time, it started to improve marginally.  I then got a Moderna booster and the tinnitus is back as bad as it was before.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Client reported two days after the vaccine he developed a fever. The client stated one week after the vaccine he developed a stiff neck and joint pain that lasted 3 days. The client stated he consulted with his friend who is a doctor who said the client, "almost had a stroke." The client was not formally diagnosed or prescribed any medications for his symptoms. The client denied any tingling, difficulty speaking, walking, or with facial movements. The client stated his friend who is a doctor recommended against receiving the 2nd COVID vaccine Pfizer. The client did not consult with his PCP.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blister, Electric shock sensation, Herpes zoster, Lip blister
Clinical narrative: 3 days after injection, started lymph node swelling and pain under both armpits. This lasted for three days total and the next morning started having severe nerve pain/zings in my right cheek/jawbone area, into my ear and down my chin.  Three days of nerve pain, woke up early in morning with blisters on my lip and forming in my mouth.  Within two days, full outbreak of blisters.  Wen to urgent care on Friday the 28th, received diagnosis of shingles.  As of today, 1/31, am still recovering. Am on antivirals and am supplementing with vitamin C, b complex and lysine complex.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Neuralgia, Oral mucosal blistering
Clinical narrative: 3 days after injection, started lymph node swelling and pain under both armpits. This lasted for three days total and the next morning started having severe nerve pain/zings in my right cheek/jawbone area, into my ear and down my chin.  Three days of nerve pain, woke up early in morning with blisters on my lip and forming in my mouth.  Within two days, full outbreak of blisters.  Wen to urgent care on Friday the 28th, received diagnosis of shingles.  As of today, 1/31, am still recovering. Am on antivirals and am supplementing with vitamin C, b complex and lysine complex.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Received Moderna vaccine on 3/11/21, 4/8/21, and 8/16/21. COVID positive on 1/21/22.transferred to us from outside facility for covid pneumonia, resp failure. He has been boarded in ER for the past 4 days, initially had AKI along with elevated O2 requirements. He could not be transferred until today. Today he was down to 1 liter of O2 and AKI had essentially resolved. He was also being treated for UTI, which grew e coli. He was on levaquin and zosyn. Also has a pressure ulcer over his sacral region which apparently patient is unaware of. He was transferred here for further care and management of his pressure ulcer. Patient states he has been weak and also dehydrated. He normally ambulates without any issues. Denies any trauma to his sacral region. Other lab work was unremarkable. Imaging of chest shows bilateral pneumonia. Kept on zosyn for UTI with history of resistant e. Coli, urine culture without growth and abx d/c'ed. Dexamethasone and remdesivir started 1/25 when O2 requirements increased to 3L NC. Discharged on 1/29/22.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Culture urine negative, Decubitus ulcer, Dehydration, Escherichia infection, Laboratory test normal
Clinical narrative: Received Moderna vaccine on 3/11/21, 4/8/21, and 8/16/21. COVID positive on 1/21/22.transferred to us from outside facility for covid pneumonia, resp failure. He has been boarded in ER for the past 4 days, initially had AKI along with elevated O2 requirements. He could not be transferred until today. Today he was down to 1 liter of O2 and AKI had essentially resolved. He was also being treated for UTI, which grew e coli. He was on levaquin and zosyn. Also has a pressure ulcer over his sacral region which apparently patient is unaware of. He was transferred here for further care and management of his pressure ulcer. Patient states he has been weak and also dehydrated. He normally ambulates without any issues. Denies any trauma to his sacral region. Other lab work was unremarkable. Imaging of chest shows bilateral pneumonia. Kept on zosyn for UTI with history of resistant e. Coli, urine culture without growth and abx d/c'ed. Dexamethasone and remdesivir started 1/25 when O2 requirements increased to 3L NC. Discharged on 1/29/22.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Respiratory failure, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Received Moderna vaccine on 3/11/21, 4/8/21, and 8/16/21. COVID positive on 1/21/22.transferred to us from outside facility for covid pneumonia, resp failure. He has been boarded in ER for the past 4 days, initially had AKI along with elevated O2 requirements. He could not be transferred until today. Today he was down to 1 liter of O2 and AKI had essentially resolved. He was also being treated for UTI, which grew e coli. He was on levaquin and zosyn. Also has a pressure ulcer over his sacral region which apparently patient is unaware of. He was transferred here for further care and management of his pressure ulcer. Patient states he has been weak and also dehydrated. He normally ambulates without any issues. Denies any trauma to his sacral region. Other lab work was unremarkable. Imaging of chest shows bilateral pneumonia. Kept on zosyn for UTI with history of resistant e. Coli, urine culture without growth and abx d/c'ed. Dexamethasone and remdesivir started 1/25 when O2 requirements increased to 3L NC. Discharged on 1/29/22.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injection site bruising
Clinical narrative: Headache, muscle aches,chills, nausea, bruising at injection site.  Also tenderness in armpit,shoulder blades, and pectorals.  Loss of appetite and exhaustion.  Symptoms lasted through 1/30/2022.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Tenderness
Clinical narrative: Headache, muscle aches,chills, nausea, bruising at injection site.  Also tenderness in armpit,shoulder blades, and pectorals.  Loss of appetite and exhaustion.  Symptoms lasted through 1/30/2022.
Age: 79.0
Sex: F
Vaccine: FLUA4
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Patient contacted pharmacy a short while ago to indicate she has been having shoulder pain ever since her flu vaccine.  She has not been able to lift her arm up like she used to.  Symptoms were reported to persist months after her vaccination in October.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was seen in office and received her Moderna 2nd dose 1 day too early.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling abnormal, Pruritus, Skin swelling, Urticaria
Clinical narrative: woke with 'itchiness' on legs and arms and body trunk then welts developed that were the size of her hands. The welts converged to be confluent. Red, raised welts. Was just miserable. Did not seek medical care, did not want to put clothes on. Took occasional ibuprofen, and bought some 'anti-itch cream' slathered on the worst places. Made a homemade paste of baking soda with some relief. Suffered with this without medical care for two months. It slowly went away. Had not changed any of her routine in days preceding outbreak. Same soap, same laundry detergent. Her routine was the same. No change in diet.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Consciousness fluctuating, Immediate post-injection reaction, Syncope
Clinical narrative: immediately after receiving the vaccine,  patient had an event which appeared to be a seizure. But was later ruled out as a syncope event. Patient was going in  and out of consciousness
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Rash, Skin warm, Swelling
Clinical narrative: SWOLLEN/HARD AREA, WARM TO TOUCH AND RASH
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Injection site reaction, Pain, Pruritus, Staphylococcal infection
Clinical narrative: severe itching, sight stinging and burning, staff infection at injection site
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Breast pain, Chills, Condition aggravated, Cough
Clinical narrative: On 01/22/2022 on the day of vaccination at 11:30 at night I started coughing and I had an asthma attack about midnight. January 23-24th I woke up cold/shivering but my bed was wet as if I was sweating. I also had swelling in my lymph node near armpit, breast, and collarbone and was hot. The lump was a size of lemon that was in between armpit and breast. It wasn't moveable but it was hot. Lymph node armpit swollen/under collar bone size of lemon and was hot. I took Tylenol. I was feverish and I could not sleep I was in so much pain; my upper breast/side of breast was hot and in pain. 2am on the 24th I called the Emergency line for after hours for managed care and I was told to take Aleve and apply heat. I have not been able to wear a bra. I was just told to take Motrin 800mg continue to stay hydrated and rest. My breathing has not been same since. I can't tolerate the mask. I have to take it off for fresh air after 30 minutes. Also, my boyfriend noticed that I am snoring more. Things that I hadn't experienced before. The lump is gone and I do want to have a mammogram. I do not wish to do a 4th booster.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hyperhidrosis, Insomnia, Lymphadenopathy, Mass
Clinical narrative: On 01/22/2022 on the day of vaccination at 11:30 at night I started coughing and I had an asthma attack about midnight. January 23-24th I woke up cold/shivering but my bed was wet as if I was sweating. I also had swelling in my lymph node near armpit, breast, and collarbone and was hot. The lump was a size of lemon that was in between armpit and breast. It wasn't moveable but it was hot. Lymph node armpit swollen/under collar bone size of lemon and was hot. I took Tylenol. I was feverish and I could not sleep I was in so much pain; my upper breast/side of breast was hot and in pain. 2am on the 24th I called the Emergency line for after hours for managed care and I was told to take Aleve and apply heat. I have not been able to wear a bra. I was just told to take Motrin 800mg continue to stay hydrated and rest. My breathing has not been same since. I can't tolerate the mask. I have to take it off for fresh air after 30 minutes. Also, my boyfriend noticed that I am snoring more. Things that I hadn't experienced before. The lump is gone and I do want to have a mammogram. I do not wish to do a 4th booster.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiration abnormal, Skin warm, Snoring
Clinical narrative: On 01/22/2022 on the day of vaccination at 11:30 at night I started coughing and I had an asthma attack about midnight. January 23-24th I woke up cold/shivering but my bed was wet as if I was sweating. I also had swelling in my lymph node near armpit, breast, and collarbone and was hot. The lump was a size of lemon that was in between armpit and breast. It wasn't moveable but it was hot. Lymph node armpit swollen/under collar bone size of lemon and was hot. I took Tylenol. I was feverish and I could not sleep I was in so much pain; my upper breast/side of breast was hot and in pain. 2am on the 24th I called the Emergency line for after hours for managed care and I was told to take Aleve and apply heat. I have not been able to wear a bra. I was just told to take Motrin 800mg continue to stay hydrated and rest. My breathing has not been same since. I can't tolerate the mask. I have to take it off for fresh air after 30 minutes. Also, my boyfriend noticed that I am snoring more. Things that I hadn't experienced before. The lump is gone and I do want to have a mammogram. I do not wish to do a 4th booster.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Insomnia, Tinnitus
Clinical narrative: I?ve always had tinnitus but after the third shot it is so high pitch and constant. I?m having trouble sleeping and concentrating.  My right ear.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Laboratory test, Tinnitus
Clinical narrative: Ringing in ears went to ent and various doctors. Ringing has gotten worse
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Blood test normal, Dizziness, Electrocardiogram normal, Feeling abnormal
Clinical narrative: Within 10 minutes I felt lightheaded. Went back to the pharmacy and they had me sit down. My eyes were dilated and became pale.  Then within an hour I couldn?t speak or move. Signs much like a stroke. At the hospital I began to speak about 2hrs after entering hospital. Doctors ran all kinds of tests everything came out ok. But my speech and head still are not normal.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Mydriasis, Neurological symptom, Pallor, Scan normal
Clinical narrative: Within 10 minutes I felt lightheaded. Went back to the pharmacy and they had me sit down. My eyes were dilated and became pale.  Then within an hour I couldn?t speak or move. Signs much like a stroke. At the hospital I began to speak about 2hrs after entering hospital. Doctors ran all kinds of tests everything came out ok. But my speech and head still are not normal.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received their 2nd dose of Moderna 1 day too early.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angiogram, Blood test, Brain natriuretic peptide, Cardiac failure
Clinical narrative: Cardiomyopathy STEMI (ST elevation myocardial infraction )  Heart failure with reduced ejection fraction  Elevated Troponin (47.073) Elevated D-Dimer (560)
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomyopathy, Chest X-ray, Electrocardiogram, Fibrin D dimer increased, Full blood count
Clinical narrative: Cardiomyopathy STEMI (ST elevation myocardial infraction )  Heart failure with reduced ejection fraction  Elevated Troponin (47.073) Elevated D-Dimer (560)
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Cardiomyopathy STEMI (ST elevation myocardial infraction )  Heart failure with reduced ejection fraction  Elevated Troponin (47.073) Elevated D-Dimer (560)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Swelling, Urticaria
Clinical narrative: Developed severe hives all over body from scalp to feet that lasted 5 days and have now become constant dermatographia. Was treated with two rounds of prednisone for the hives and have been on antihistamines ever since 12/31/2021 to ease the swelling and itching.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Echocardiogram abnormal, Feeling hot
Clinical narrative: Received the shot at the medical center at 1030am. I am a (Privacy) there and scheduled to work at 11am. I received my second shot and drank a few bottles of water. I started to get a headache but took some Motrin and finished the bottled water. By 1110 I felt off. I knew something more then a headache was happening to me. I had to go in the back in the break room and felt hot, dizzy, nauseas, vomiting in the garbage can, my ears felt hot, I felt sweaty. I remember feeling like I was going to die. I wanted to lie down and sat and put my head between my legs. I felt out of touch with myself. Someone got my manager and she came to see me. I remember saying I felt spinning. I wanted to get on the floor and that I was just hot and dizzy. I distinctly remember her asking me if I wanted to lay in my car with the AC on to cool down and that I responded along the lines of ?im afraid to be alone I?ll die?  another Co worker helped me call my husband who came to pick me up and I was sent home from my shift by 2pm I believe. I got home and immediately was vomiting in the bathroom off my garage entrance. My mother is also a (Privacy) ( recently retired who  watches my kids. She was extremely concerned and wanted me to go to the ER. I kept feeling if I went to the hospital I would die. I just wanted to lay down. I was vomiting so bad I urinated on myself.  I finally layed down and a few hours later was able to drink Gatorade and crackers.. over the next 1/2 l days I would have body aches, joint pain, chills, headache, and did a tele health visit with my dr - and he stated he felt this was a reaction to the second Covid vaccine- as within 45 minutes of the shot i became violently Ill. By the third to the fourth day I  then  began experiencing intermittent  chest discomfort/pain/pressure that would feel better when laying forward and worse if laying flat. I called my cardiologist and made an appointment the following week when my cardiac discomfort did not subside . The pain was a twinge little fluttering feeling sometimes quickly sharp then subsided in my left shoulder, chest, and sometimes quickly down my arm.  My cardiologist saw me Monday October 11th.  By then the pain was less frequent and more manageable.  He scheduled me for a routine echo. My echocardiogram was on Tuesday Oct 26th.. Wed December 8th was my follow up visit and he confirmed I did infact still have pericarditis on my echo cardio gram.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Illness, Nausea, Pericarditis
Clinical narrative: Received the shot at the medical center at 1030am. I am a (Privacy) there and scheduled to work at 11am. I received my second shot and drank a few bottles of water. I started to get a headache but took some Motrin and finished the bottled water. By 1110 I felt off. I knew something more then a headache was happening to me. I had to go in the back in the break room and felt hot, dizzy, nauseas, vomiting in the garbage can, my ears felt hot, I felt sweaty. I remember feeling like I was going to die. I wanted to lie down and sat and put my head between my legs. I felt out of touch with myself. Someone got my manager and she came to see me. I remember saying I felt spinning. I wanted to get on the floor and that I was just hot and dizzy. I distinctly remember her asking me if I wanted to lay in my car with the AC on to cool down and that I responded along the lines of ?im afraid to be alone I?ll die?  another Co worker helped me call my husband who came to pick me up and I was sent home from my shift by 2pm I believe. I got home and immediately was vomiting in the bathroom off my garage entrance. My mother is also a (Privacy) ( recently retired who  watches my kids. She was extremely concerned and wanted me to go to the ER. I kept feeling if I went to the hospital I would die. I just wanted to lay down. I was vomiting so bad I urinated on myself.  I finally layed down and a few hours later was able to drink Gatorade and crackers.. over the next 1/2 l days I would have body aches, joint pain, chills, headache, and did a tele health visit with my dr - and he stated he felt this was a reaction to the second Covid vaccine- as within 45 minutes of the shot i became violently Ill. By the third to the fourth day I  then  began experiencing intermittent  chest discomfort/pain/pressure that would feel better when laying forward and worse if laying flat. I called my cardiologist and made an appointment the following week when my cardiac discomfort did not subside . The pain was a twinge little fluttering feeling sometimes quickly sharp then subsided in my left shoulder, chest, and sometimes quickly down my arm.  My cardiologist saw me Monday October 11th.  By then the pain was less frequent and more manageable.  He scheduled me for a routine echo. My echocardiogram was on Tuesday Oct 26th.. Wed December 8th was my follow up visit and he confirmed I did infact still have pericarditis on my echo cardio gram.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence, Vertigo, Vomiting
Clinical narrative: Received the shot at the medical center at 1030am. I am a (Privacy) there and scheduled to work at 11am. I received my second shot and drank a few bottles of water. I started to get a headache but took some Motrin and finished the bottled water. By 1110 I felt off. I knew something more then a headache was happening to me. I had to go in the back in the break room and felt hot, dizzy, nauseas, vomiting in the garbage can, my ears felt hot, I felt sweaty. I remember feeling like I was going to die. I wanted to lie down and sat and put my head between my legs. I felt out of touch with myself. Someone got my manager and she came to see me. I remember saying I felt spinning. I wanted to get on the floor and that I was just hot and dizzy. I distinctly remember her asking me if I wanted to lay in my car with the AC on to cool down and that I responded along the lines of ?im afraid to be alone I?ll die?  another Co worker helped me call my husband who came to pick me up and I was sent home from my shift by 2pm I believe. I got home and immediately was vomiting in the bathroom off my garage entrance. My mother is also a (Privacy) ( recently retired who  watches my kids. She was extremely concerned and wanted me to go to the ER. I kept feeling if I went to the hospital I would die. I just wanted to lay down. I was vomiting so bad I urinated on myself.  I finally layed down and a few hours later was able to drink Gatorade and crackers.. over the next 1/2 l days I would have body aches, joint pain, chills, headache, and did a tele health visit with my dr - and he stated he felt this was a reaction to the second Covid vaccine- as within 45 minutes of the shot i became violently Ill. By the third to the fourth day I  then  began experiencing intermittent  chest discomfort/pain/pressure that would feel better when laying forward and worse if laying flat. I called my cardiologist and made an appointment the following week when my cardiac discomfort did not subside . The pain was a twinge little fluttering feeling sometimes quickly sharp then subsided in my left shoulder, chest, and sometimes quickly down my arm.  My cardiologist saw me Monday October 11th.  By then the pain was less frequent and more manageable.  He scheduled me for a routine echo. My echocardiogram was on Tuesday Oct 26th.. Wed December 8th was my follow up visit and he confirmed I did infact still have pericarditis on my echo cardio gram.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Patient received the 1st dose of Pfizer Pediatric vaccine (Lot FK5618 Expiration: 09/2021 at 11:55am. Client was accompanied by her mother.  At 11:57 EMT observed patient vomiting one time while sitting in chair. At 11:58am the client?s mom escorted the client to bathroom to clean up vomit from her shirt. Client was able to walk to bathroom unassisted by  her mom. When the client got up from chair to walk to bathroom she verbalized ? I feel better?. At 12:05pm the client came back from bathroom with her mother. Mom reported ? she always psyches herself out?. Client reported she felt dizzy before she started throwing up. Vitals at 12:06pm were as follows: HR: 100, BP: unable to obtain accurate reading of blood pressure, capillary refill was less than 3 seconds Spo2: 99%. Client was AOx4. Client reported she had cheerios for breakfast. The client was allergic to amoxicillin. The mother of the client denied any significant past medical history.  At 12:07pm the client was given water. Client was able to consume water without difficulty. Client denied nausea, chest pain, difficulty breathing, hives or pain. Vitals at 12:24pm were as follows: HR: 92, BP: unable to obtain accurate reading of blood pressure, capillary refill was less than 3 seconds.  At 12:32pm stood up and denied nausea, dizziness, shortness of breath or difficulty breathing. At 12:40pm client verbalized ?I feel good I am ready to go?. Client left vaccination site accompanied by her mother. Client left unassisted with a steady gait. Client and her mother were educated on ED precautions and when to seek care.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Patient received undiluted dose of pediatric vaccine. No symptoms had occurred at the time of notification to the parents.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient called to say her arm was red, hot, sore and swollen to the "size of a baseball"
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Blood creatinine increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Received moderna vaccine on 3/16/21, 4/13/21, and 11/16/21. COVID positive on 1/10/22. Presented to ER on 1/22/22. This 84 year male with multiple medical problems including coronary disease, peripheral vascular disease, or in a nursing home recently due to significant necrotic skin associated infection right lower extremity, came to ER due to shortness of breath and was found to have COVID-19 infection despite vaccination.  He is at a high risk of multiple other more book problem. Patient initially was placed on BiPAP as he due to worsening.  When I spoke with patient during that time, he did not wanted any ventilatory support and no CPR. That night his breathing got worse and he agreed for a ventilator due to distress. He was intubated.  His condition continued to deteriorate, he has a previous lung cancer, lung resection, COPD and poor lung capacity to begin with.  He also started having acute kidney kidney injury.  He also had a problem with blood in NG tube with the hemoglobin dropped.  He was on heparin due to concern about circulatory insufficiency. Patient condition progressively worsened. As discussed with patient at time of admission, and discussed with power of attorney, patient wishes would be basically conservative comfort measures with poor prognosis long-term and short-term.   Today's oxygen need even got worse and a chest x-rays worse.  Creatinine is slowly increasing. See daily notes for all the detail As discussed with power of attorney, patient was made comfort measure, extubated, post extubation heart personally seen the patient was not in a distress and very comfortable with the use of morphine and Precedex. He expired today as expected. Patient was very comfortable at time of end of life. Deceased on 1/28/22
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Debridement, Dyspnoea, Endotracheal intubation, Enteral nutrition
Clinical narrative: Received moderna vaccine on 3/16/21, 4/13/21, and 11/16/21. COVID positive on 1/10/22. Presented to ER on 1/22/22. This 84 year male with multiple medical problems including coronary disease, peripheral vascular disease, or in a nursing home recently due to significant necrotic skin associated infection right lower extremity, came to ER due to shortness of breath and was found to have COVID-19 infection despite vaccination.  He is at a high risk of multiple other more book problem. Patient initially was placed on BiPAP as he due to worsening.  When I spoke with patient during that time, he did not wanted any ventilatory support and no CPR. That night his breathing got worse and he agreed for a ventilator due to distress. He was intubated.  His condition continued to deteriorate, he has a previous lung cancer, lung resection, COPD and poor lung capacity to begin with.  He also started having acute kidney kidney injury.  He also had a problem with blood in NG tube with the hemoglobin dropped.  He was on heparin due to concern about circulatory insufficiency. Patient condition progressively worsened. As discussed with patient at time of admission, and discussed with power of attorney, patient wishes would be basically conservative comfort measures with poor prognosis long-term and short-term.   Today's oxygen need even got worse and a chest x-rays worse.  Creatinine is slowly increasing. See daily notes for all the detail As discussed with power of attorney, patient was made comfort measure, extubated, post extubation heart personally seen the patient was not in a distress and very comfortable with the use of morphine and Precedex. He expired today as expected. Patient was very comfortable at time of end of life. Deceased on 1/28/22
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Haemorrhage, Limb injury, Lung disorder, Mechanical ventilation
Clinical narrative: Received moderna vaccine on 3/16/21, 4/13/21, and 11/16/21. COVID positive on 1/10/22. Presented to ER on 1/22/22. This 84 year male with multiple medical problems including coronary disease, peripheral vascular disease, or in a nursing home recently due to significant necrotic skin associated infection right lower extremity, came to ER due to shortness of breath and was found to have COVID-19 infection despite vaccination.  He is at a high risk of multiple other more book problem. Patient initially was placed on BiPAP as he due to worsening.  When I spoke with patient during that time, he did not wanted any ventilatory support and no CPR. That night his breathing got worse and he agreed for a ventilator due to distress. He was intubated.  His condition continued to deteriorate, he has a previous lung cancer, lung resection, COPD and poor lung capacity to begin with.  He also started having acute kidney kidney injury.  He also had a problem with blood in NG tube with the hemoglobin dropped.  He was on heparin due to concern about circulatory insufficiency. Patient condition progressively worsened. As discussed with patient at time of admission, and discussed with power of attorney, patient wishes would be basically conservative comfort measures with poor prognosis long-term and short-term.   Today's oxygen need even got worse and a chest x-rays worse.  Creatinine is slowly increasing. See daily notes for all the detail As discussed with power of attorney, patient was made comfort measure, extubated, post extubation heart personally seen the patient was not in a distress and very comfortable with the use of morphine and Precedex. He expired today as expected. Patient was very comfortable at time of end of life. Deceased on 1/28/22
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, Respiratory distress, SARS-CoV-2 test positive, Skin infection
Clinical narrative: Received moderna vaccine on 3/16/21, 4/13/21, and 11/16/21. COVID positive on 1/10/22. Presented to ER on 1/22/22. This 84 year male with multiple medical problems including coronary disease, peripheral vascular disease, or in a nursing home recently due to significant necrotic skin associated infection right lower extremity, came to ER due to shortness of breath and was found to have COVID-19 infection despite vaccination.  He is at a high risk of multiple other more book problem. Patient initially was placed on BiPAP as he due to worsening.  When I spoke with patient during that time, he did not wanted any ventilatory support and no CPR. That night his breathing got worse and he agreed for a ventilator due to distress. He was intubated.  His condition continued to deteriorate, he has a previous lung cancer, lung resection, COPD and poor lung capacity to begin with.  He also started having acute kidney kidney injury.  He also had a problem with blood in NG tube with the hemoglobin dropped.  He was on heparin due to concern about circulatory insufficiency. Patient condition progressively worsened. As discussed with patient at time of admission, and discussed with power of attorney, patient wishes would be basically conservative comfort measures with poor prognosis long-term and short-term.   Today's oxygen need even got worse and a chest x-rays worse.  Creatinine is slowly increasing. See daily notes for all the detail As discussed with power of attorney, patient was made comfort measure, extubated, post extubation heart personally seen the patient was not in a distress and very comfortable with the use of morphine and Precedex. He expired today as expected. Patient was very comfortable at time of end of life. Deceased on 1/28/22
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Skin necrosis
Clinical narrative: Received moderna vaccine on 3/16/21, 4/13/21, and 11/16/21. COVID positive on 1/10/22. Presented to ER on 1/22/22. This 84 year male with multiple medical problems including coronary disease, peripheral vascular disease, or in a nursing home recently due to significant necrotic skin associated infection right lower extremity, came to ER due to shortness of breath and was found to have COVID-19 infection despite vaccination.  He is at a high risk of multiple other more book problem. Patient initially was placed on BiPAP as he due to worsening.  When I spoke with patient during that time, he did not wanted any ventilatory support and no CPR. That night his breathing got worse and he agreed for a ventilator due to distress. He was intubated.  His condition continued to deteriorate, he has a previous lung cancer, lung resection, COPD and poor lung capacity to begin with.  He also started having acute kidney kidney injury.  He also had a problem with blood in NG tube with the hemoglobin dropped.  He was on heparin due to concern about circulatory insufficiency. Patient condition progressively worsened. As discussed with patient at time of admission, and discussed with power of attorney, patient wishes would be basically conservative comfort measures with poor prognosis long-term and short-term.   Today's oxygen need even got worse and a chest x-rays worse.  Creatinine is slowly increasing. See daily notes for all the detail As discussed with power of attorney, patient was made comfort measure, extubated, post extubation heart personally seen the patient was not in a distress and very comfortable with the use of morphine and Precedex. He expired today as expected. Patient was very comfortable at time of end of life. Deceased on 1/28/22
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Disturbance in attention, Euphoric mood, Feeling abnormal
Clinical narrative: Severe brain fog. Persisting all day. Akin to an extreme marijuana high. Unable to focus. Brings severe anxiety, propranolol seems to have little impact.  Feeling of swollen or inflamed brain. 400mg of ibuprofen seems to mitigate feeling temporarily.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient received undiluted dose of pediatric vaccine. No symptoms had occurred at the time of notification to the parents.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Mobility decreased, Pain in extremity, Shoulder injury related to vaccine administration
Clinical narrative: Patient reported shoulder injury from vaccine. Stated the arm hurt since the vaccine and has not gone away. Describes loss in range of motion and loss of strength.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site urticaria
Clinical narrative: Localized hive/itching around injection site. No warmth to skin. No respiratory reaction. No other reactions. Diphenhydramine 50mg oral tablets given. Medication helpful with hive/itching.  Patient stated no issues breathing or any other symptoms.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient received undiluted dose of pediatric vaccine. No symptoms had occurred at the time of notification to the parents.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Chest X-ray abnormal, Gastrointestinal haemorrhage, Haemoglobin decreased
Clinical narrative: Patient received moderna vaccine on 2/23/21, 3/24/21, and 12/13/21. Presented to ER on 1/23/22. presented with hemoglobin of 5.21 hypotension.  Patient was also COVID test positive on 01/23.  He was recently hospitalized for GI bleed and had extensive workup done at that time.  Patient admitted due to GI bleed. No COVID19 treatments. Discharged on 1/30/22
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, SARS-CoV-2 test positive, Staphylococcus test positive
Clinical narrative: Patient received moderna vaccine on 2/23/21, 3/24/21, and 12/13/21. Presented to ER on 1/23/22. presented with hemoglobin of 5.21 hypotension.  Patient was also COVID test positive on 01/23.  He was recently hospitalized for GI bleed and had extensive workup done at that time.  Patient admitted due to GI bleed. No COVID19 treatments. Discharged on 1/30/22
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Patient received undiluted dose of pediatric vaccine. No symptoms had occurred at the time of notification to the parents.
Age: 30.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Head injury, Syncope
Clinical narrative: Patient passed out and hit head on ground about 5 minutes after recieving vaccine. EMS was called. Patient refused transport to ER.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Dyspepsia, Electrocardiogram normal, Laboratory test normal
Clinical narrative: Severe chest pain and heartburn two days after injection. Fever which had been normal the first two shots. It's been a month with chest pain and I'm now on 40MG of omeprazole despite never having any stomach or heartburn issues my whole life. This has been on constant pain since day two of my injection. Last doctor appointment showed blood pressure around 120 and new reading after visiting the doctor is 140-160. This is despite me loosing close to 15lbs as of last year.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe chest pain and heartburn two days after injection. Fever which had been normal the first two shots. It's been a month with chest pain and I'm now on 40MG of omeprazole despite never having any stomach or heartburn issues my whole life. This has been on constant pain since day two of my injection. Last doctor appointment showed blood pressure around 120 and new reading after visiting the doctor is 140-160. This is despite me loosing close to 15lbs as of last year.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received moderna vaccine on 3/18/21 and 4/15/21. Presented to ER on 1/24/22 and found to be COVID19 positive.In the ED, patient hemodynamically stable and afebrile.  Patient tested positive for COVID-19.  He is asymptomatic.  He is vaccinated he has not received a booster shot. Admitted for another reason other than COVID19. Discharged on 1/28/22
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Agitation, COVID-19, Computerised tomogram thorax abnormal, Confusional state
Clinical narrative: Presented to ER on 1/21/22 and found to be COVID19 positive. brought by EMS from unknown place with chief complaint of unresponsiveness,  And patient had PEA in ED and resuscitated and patient received 4 mg of epinephrine, 2 mg of Narcan, 1 amp of. bicarb and 1 g of calcium gluconate 2 times,  Patient regain pulse and intubated,  And then hospital team is called for admission, patient is already intubated, sedated and on ventilator at the time encounter. Patient also had developed acute kidney injury with metabolic acidosis. He self extubated himself on the night of 01/27/2022.  Since then has been agitated and confused. On 01/30/2022 he did have worsening respiratory failure with increased work of breathing and tachypnea on OptiFlow. Eventually family decided to proceed with comfort care. Deceased on 1/31/22.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, Lung opacity, Mechanical ventilation
Clinical narrative: Presented to ER on 1/21/22 and found to be COVID19 positive. brought by EMS from unknown place with chief complaint of unresponsiveness,  And patient had PEA in ED and resuscitated and patient received 4 mg of epinephrine, 2 mg of Narcan, 1 amp of. bicarb and 1 g of calcium gluconate 2 times,  Patient regain pulse and intubated,  And then hospital team is called for admission, patient is already intubated, sedated and on ventilator at the time encounter. Patient also had developed acute kidney injury with metabolic acidosis. He self extubated himself on the night of 01/27/2022.  Since then has been agitated and confused. On 01/30/2022 he did have worsening respiratory failure with increased work of breathing and tachypnea on OptiFlow. Eventually family decided to proceed with comfort care. Deceased on 1/31/22.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic acidosis, Pneumonia, Pulmonary oedema, Pulseless electrical activity, Respiratory failure
Clinical narrative: Presented to ER on 1/21/22 and found to be COVID19 positive. brought by EMS from unknown place with chief complaint of unresponsiveness,  And patient had PEA in ED and resuscitated and patient received 4 mg of epinephrine, 2 mg of Narcan, 1 amp of. bicarb and 1 g of calcium gluconate 2 times,  Patient regain pulse and intubated,  And then hospital team is called for admission, patient is already intubated, sedated and on ventilator at the time encounter. Patient also had developed acute kidney injury with metabolic acidosis. He self extubated himself on the night of 01/27/2022.  Since then has been agitated and confused. On 01/30/2022 he did have worsening respiratory failure with increased work of breathing and tachypnea on OptiFlow. Eventually family decided to proceed with comfort care. Deceased on 1/31/22.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Tachypnoea, Unresponsive to stimuli
Clinical narrative: Presented to ER on 1/21/22 and found to be COVID19 positive. brought by EMS from unknown place with chief complaint of unresponsiveness,  And patient had PEA in ED and resuscitated and patient received 4 mg of epinephrine, 2 mg of Narcan, 1 amp of. bicarb and 1 g of calcium gluconate 2 times,  Patient regain pulse and intubated,  And then hospital team is called for admission, patient is already intubated, sedated and on ventilator at the time encounter. Patient also had developed acute kidney injury with metabolic acidosis. He self extubated himself on the night of 01/27/2022.  Since then has been agitated and confused. On 01/30/2022 he did have worsening respiratory failure with increased work of breathing and tachypnea on OptiFlow. Eventually family decided to proceed with comfort care. Deceased on 1/31/22.