chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Blood urine absent, Capillary nail refill test, Carbon dioxide normal
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Chest X-ray normal, Chills, Chromaturia, Dyspnoea
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea at rest, Dyspnoea exertional, Eosinophil count normal, Eosinophil percentage, Erythema
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Flushing, Glomerular filtration rate normal, Glucose urine absent
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Imaging procedure, Influenza B virus test
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, International normalised ratio, Laboratory test, Lung disorder, Lymphocyte count decreased
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Monocyte count normal
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte percentage, Nitrite urine absent, Oedema, Oedema peripheral, Platelet count normal
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Protein urine absent, Prothrombin time, Pulmonary artery occlusion, Pulmonary embolism, Pyrexia
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width normal, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Specific gravity urine normal
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count normal
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: pH urine normal
Clinical narrative: Narrative: Per patient: Monday (4/12/2021) received vaccine at Pharmacy Tuesday experienced low grade fever, red flushed face, chills, and was tired Wednesday he stated these symptoms resolved Thursday morning 2am he experienced increased SOB both resting and on exertion Patient presented to ER at 13:10 on 4/15/2021 48 y/o MALE presents to the Emergency Department with complaint of Shortness of breath HPI: Arrives with acute/chronic shortness of breath and weakness worse last night and when he ambulated into building. Per patient he was dx with COVID-19 in 10/20202 and had shortness of breath which did not improve. Patient admits he had 1st vaccine for COVID Monday and last pm he had shortness of breath and fatigue. Patient states denies fever, denies chills, denies chest pain. see above work-up and labs Imaging results: Radiology Impression (2Days) Date Procedure CPT Status Case #04/15/2021 CTA CHEST W/CONT & IMAGE 71275 Verified POSTPROCESSING Massive right-sided pulmonary embolus, occluding the distal aspect of the right pulmonary artery and extending throughout majority of the lobar and segmental branches. There is some peripheral enhancement seen mainly in the upper lobe branches. Smaller embolus on the straddling the bifurcation of the left pulmonary artery. Findings concerning for right heart strain. Critical results discussed with NP Patient stabilized and transferred to local non-facility hospital for cardiac cath procedure and possible embolectomy
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Narrative:  Chest pain started last few days ago (around 4/10/21). She thinks she may be anxious from the news of the SE of the vaccine. Her BP is 130-70s. She has been working in the yard. She is not sure what actually is causing the pain. She is taking Vit C. One of MDs told her to take Vit C. Drinking a lot of water. Taking an ASA and it helps. Nurse talked with patient and she agrees to go to the ER for further assessment.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Parotid gland enlargement, Swelling face, Tenderness
Clinical narrative: Narrative:  pt received 2nd moderna covid vaccine at 9:30am. he went home after standard observation period. at approx 10:30am, he noticed rt-sided facial swelling, so returned to clinic for evaluation. he denies having any facial swelling prior to the vaccination. no recent uri or flu-like sx. he denies throat, tongue or lip swelling. no swelling on left side of face. no earache or hearing loss. no hives or itching. no swelling or pain at injection site, which is on his left arm. On exam: af, vss GEN: nad, converses easily HEENT: mild rt parotid swelling and tenderness, tender, sl enlarged rt upper cervical ln. no overling warmth or erythema. op is clear. no purulence from stenson's duct. no throat, tongue or lip swelling. no swelling or tenderness over left parotid gland. LUNGS: ctab, no r/r/w SKIN: no rashes. left deltoid injection site without erythema, edema or tenderness. Impression: # acute rt parotid swelling, tenderness starting one hour following 2nd moderna covid vaccination Plan: - pt monitored for one additional hour after he re-presented to clinic. his rt parotid pain and swelling reduced on its own. no additional sx developed while monitoring him. pt released to go home, advised that parotid gland swelling should resolve within a few days. if sx persist, pt to call telephone care line. if worsening swelling, swelling of throat, tongue, lips, hives, sob, light-headedness, pt instructed to go to local ed for further evaluation. was going to prescribe nsaids, but held off d/t ddi with travuda. advised otc apap prn for pain.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Death, Hypoxia, Myelodysplastic syndrome, Pneumonia
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 90 years old and in the facility receiving palliative care for high risk myelodysplastic syndrome and CKD. He was transferred from hospice to the ED for aspiration pneumonia on 1/24/21. By 2/2/21 he was unresponsive and died with respiratory failure and hypoxia from bilateral pneumonia on 2/3/21
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia aspiration, Respiratory failure, Unresponsive to stimuli
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 90 years old and in the facility receiving palliative care for high risk myelodysplastic syndrome and CKD. He was transferred from hospice to the ED for aspiration pneumonia on 1/24/21. By 2/2/21 he was unresponsive and died with respiratory failure and hypoxia from bilateral pneumonia on 2/3/21
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Dyspnoea, Dyspnoea exertional, Pain in extremity
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing and adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient had appointment for diabetes on 4/7/21 where he complained of leg pain and was told to go to the ER for a possible blood clot. Patient did not go to ER. On 4/15/21, patient was mowing lawn and became short of breath and unresponsive. EMS was called and resuscitation attempts were unsuccessful after patient experience cardiac arrest.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, Unresponsive to stimuli
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing and adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient had appointment for diabetes on 4/7/21 where he complained of leg pain and was told to go to the ER for a possible blood clot. Patient did not go to ER. On 4/15/21, patient was mowing lawn and became short of breath and unresponsive. EMS was called and resuscitation attempts were unsuccessful after patient experience cardiac arrest.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fluid intake reduced, Hypophagia, Terminal state
Clinical narrative: Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient had been living in the facility receiving palliative care for pancreatic cancer. Note on 2/1/21 report patient no longer eating and drinking with the patient actively dying. Only comfort measures were in effect.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Narrative:  Patient developed dizziness/lightheadedness shortly after receiving first moderna covid-19 vaccine. Patient needed no intervention and was able to leave on his own.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hyperhidrosis, Nervousness
Clinical narrative: Narrative:  Patient experienced sweating, headache, dizziness, and nervousness after receiving the second dose of the COVID-19 vaccine. Symptoms resolved in a matter of days and the patient did not report any additional ill effects.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Diarrhoea, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient tested Covid positive on 1/21/21 after receiving the first Moderna dose on 1/14/21. He did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient's wife tested positive for Covid on 1/14/2021 and he was later brought into the ER with diarrhea on 1/21/21 and a positive COVID-19 test. Patient had comorbidities of CAD, COPD, and CHF. He was transferred to another hospital where he likely died of complications related to COVID
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Narrative:  Patient reported should pain on same arm of injection following injection of moderna covid-19 vaccine.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Narrative:  Patient reported tinnitus following administration of 2nd dose of pfizer covid vaccine. No additional monitoring or treatment needed.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Narrative:  66 YO M with PMH GERD, gout, HTN, ASCVD reported fatigue, fever, and injection site pain for approximately 24 hours following first dose of COVID vaccine on 2/9/21, which resolved without intervention. Patient received second dose of COVID vaccine on 3/2/21, has not reported any adverse reaction.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Pharyngeal paraesthesia, Throat irritation
Clinical narrative: Narrative:  Pt reported a new tickle in the back of his throat 15 minutes after his covid vaccine dose #2. He also stated he felt "different".Nurse manager escorted pt to the ER for further evaluation. Pt was seen in the ER. Per note from ER MD: "43-year-old male presents emergency room complaining of tingling in the back of his throat. Started after getting his second Covid vaccine around 09:30 AM this morning here. Patient states the tingling has since resolved. Has no complaints. He never had shortness of breath. Never had any trouble swallowing. Never had any nausea vomiting or diarrhea. Never had any rashes. Patient states he feels fine now." Pt was then discharged home from the ER. No treatment was needed. Pt's chart was flagged with ADR to covid vaccine.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Joint stiffness, Pyrexia, Rash, Rash erythematous
Clinical narrative: Narrative:  Patient here for shingles vaccine. He reports back in November, a few days after his first shingrix vaccine was received, he started with a slight fever, joint pain/aches and stiffness. He started with a blistery rash on bilateral feet that has slowly worked its way up his legs. He reports it is very itchy. It has now progressed to his abdomen and he has an "active area" on his left upper thigh that is especially itchy. Rash is red, raised, not blistery at visit today. He showed his left leg with has sporadic spots up and down the entire leg but he reports the right leg looks the same. He has tried triamcinolone cream on it without relief.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash papular, Rash pruritic, Rash vesicular
Clinical narrative: Narrative:  Patient here for shingles vaccine. He reports back in November, a few days after his first shingrix vaccine was received, he started with a slight fever, joint pain/aches and stiffness. He started with a blistery rash on bilateral feet that has slowly worked its way up his legs. He reports it is very itchy. It has now progressed to his abdomen and he has an "active area" on his left upper thigh that is especially itchy. Rash is red, raised, not blistery at visit today. He showed his left leg with has sporadic spots up and down the entire leg but he reports the right leg looks the same. He has tried triamcinolone cream on it without relief.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Narrative:  Patient reported a fever up to 101 degrees Fahrenheit, body aches, diaphoresis 3 days after the first dose of the COVID-19 vaccine was administered
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Narrative:  Patient reported lightheadedness following vaccine administration. Patient required no intervention and was able to depart on own.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Joint stiffness
Clinical narrative: Narrative:  Patient reported dizziness, and joint stiffness following administration of second dose of Pfizer covid vaccine. Patient required no intervention and was able to depart on their own.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Blood lactic acid, Blood urine present, Cardiac arrest, Cardio-respiratory arrest
Clinical narrative: Narrative: Patient is 66 year old male with past medical medical history of COPD, Hyperlipidemia, Hypertension, GERD, NAFLD, prostate cancer (s/p radiation and androgen deprivation therapy in remission), chronic back pain on opiods, hypogonadism on testosterone (started day prior to hospitalization). Patient received first dose of Moderna COVID vaccination on 2/10/21. Additionally, he started taking tropism on 2/10 following urology recs for bladder spasms, and he received his first testosterone shot for hypogonadism on 2/11. Patient presented to ED on evening of 2/13 with chief complain of right sided abdominal pain, constipation, bright red blood in urine earlier that day. Patient was admitted (primary working diagnosis at the time was acute colitis, with CT imaging confirming inflammatory process in the colon akin to mild colitis) and started on antibiotics, fluids and had stood study conducted. On 2/14, patients lactate increased from 3.6 to 6.7, which prompted consult to general surgery. Patient transferred to medical stepdown. Surgery consult results "likely colitis with possible pseudo-obstruction. No surgical indication currently seen on CT scan. Will treat with bowel rest, IV antibiotics, IV fluids, avoid dehydration and optimize fluid status." "Recommended GI consult to consider colonic decompression" GI consult placed on 2/14 also - recommendation that endoscopic decompression was not needed at the time of consult as the colon was fluid filled rather than full of gas. continue IV fluids, antibiotics, monitoring on stepdown. Patient appeared to be improving (lactic acid down to 5.5) At 16:33 on 2/14/21, patient found down on the floor next to his bed with brown vomit around him. Code blue called and CPR was initiated immediately. After ~ 15 minutes ROSC was achieved, patient had been intubated and patient was transferred to MICU. Patient coded again (~2300). After family meeting, family opted for DNR status. Patient went into cardiac arrest again 0259 on 02/15/2021, and passed away. PEA/Asystole Arrest believed to be secondary to profound hypoxia in the setting of a massive aspiration event (autopsy not performed).
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Colitis, Computerised tomogram abdomen abnormal, Constipation, Death, Discoloured vomit
Clinical narrative: Narrative: Patient is 66 year old male with past medical medical history of COPD, Hyperlipidemia, Hypertension, GERD, NAFLD, prostate cancer (s/p radiation and androgen deprivation therapy in remission), chronic back pain on opiods, hypogonadism on testosterone (started day prior to hospitalization). Patient received first dose of Moderna COVID vaccination on 2/10/21. Additionally, he started taking tropism on 2/10 following urology recs for bladder spasms, and he received his first testosterone shot for hypogonadism on 2/11. Patient presented to ED on evening of 2/13 with chief complain of right sided abdominal pain, constipation, bright red blood in urine earlier that day. Patient was admitted (primary working diagnosis at the time was acute colitis, with CT imaging confirming inflammatory process in the colon akin to mild colitis) and started on antibiotics, fluids and had stood study conducted. On 2/14, patients lactate increased from 3.6 to 6.7, which prompted consult to general surgery. Patient transferred to medical stepdown. Surgery consult results "likely colitis with possible pseudo-obstruction. No surgical indication currently seen on CT scan. Will treat with bowel rest, IV antibiotics, IV fluids, avoid dehydration and optimize fluid status." "Recommended GI consult to consider colonic decompression" GI consult placed on 2/14 also - recommendation that endoscopic decompression was not needed at the time of consult as the colon was fluid filled rather than full of gas. continue IV fluids, antibiotics, monitoring on stepdown. Patient appeared to be improving (lactic acid down to 5.5) At 16:33 on 2/14/21, patient found down on the floor next to his bed with brown vomit around him. Code blue called and CPR was initiated immediately. After ~ 15 minutes ROSC was achieved, patient had been intubated and patient was transferred to MICU. Patient coded again (~2300). After family meeting, family opted for DNR status. Patient went into cardiac arrest again 0259 on 02/15/2021, and passed away. PEA/Asystole Arrest believed to be secondary to profound hypoxia in the setting of a massive aspiration event (autopsy not performed).
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Hypoxia, Intensive care, Pulseless electrical activity, Resuscitation
Clinical narrative: Narrative: Patient is 66 year old male with past medical medical history of COPD, Hyperlipidemia, Hypertension, GERD, NAFLD, prostate cancer (s/p radiation and androgen deprivation therapy in remission), chronic back pain on opiods, hypogonadism on testosterone (started day prior to hospitalization). Patient received first dose of Moderna COVID vaccination on 2/10/21. Additionally, he started taking tropism on 2/10 following urology recs for bladder spasms, and he received his first testosterone shot for hypogonadism on 2/11. Patient presented to ED on evening of 2/13 with chief complain of right sided abdominal pain, constipation, bright red blood in urine earlier that day. Patient was admitted (primary working diagnosis at the time was acute colitis, with CT imaging confirming inflammatory process in the colon akin to mild colitis) and started on antibiotics, fluids and had stood study conducted. On 2/14, patients lactate increased from 3.6 to 6.7, which prompted consult to general surgery. Patient transferred to medical stepdown. Surgery consult results "likely colitis with possible pseudo-obstruction. No surgical indication currently seen on CT scan. Will treat with bowel rest, IV antibiotics, IV fluids, avoid dehydration and optimize fluid status." "Recommended GI consult to consider colonic decompression" GI consult placed on 2/14 also - recommendation that endoscopic decompression was not needed at the time of consult as the colon was fluid filled rather than full of gas. continue IV fluids, antibiotics, monitoring on stepdown. Patient appeared to be improving (lactic acid down to 5.5) At 16:33 on 2/14/21, patient found down on the floor next to his bed with brown vomit around him. Code blue called and CPR was initiated immediately. After ~ 15 minutes ROSC was achieved, patient had been intubated and patient was transferred to MICU. Patient coded again (~2300). After family meeting, family opted for DNR status. Patient went into cardiac arrest again 0259 on 02/15/2021, and passed away. PEA/Asystole Arrest believed to be secondary to profound hypoxia in the setting of a massive aspiration event (autopsy not performed).
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Stool analysis
Clinical narrative: Narrative: Patient is 66 year old male with past medical medical history of COPD, Hyperlipidemia, Hypertension, GERD, NAFLD, prostate cancer (s/p radiation and androgen deprivation therapy in remission), chronic back pain on opiods, hypogonadism on testosterone (started day prior to hospitalization). Patient received first dose of Moderna COVID vaccination on 2/10/21. Additionally, he started taking tropism on 2/10 following urology recs for bladder spasms, and he received his first testosterone shot for hypogonadism on 2/11. Patient presented to ED on evening of 2/13 with chief complain of right sided abdominal pain, constipation, bright red blood in urine earlier that day. Patient was admitted (primary working diagnosis at the time was acute colitis, with CT imaging confirming inflammatory process in the colon akin to mild colitis) and started on antibiotics, fluids and had stood study conducted. On 2/14, patients lactate increased from 3.6 to 6.7, which prompted consult to general surgery. Patient transferred to medical stepdown. Surgery consult results "likely colitis with possible pseudo-obstruction. No surgical indication currently seen on CT scan. Will treat with bowel rest, IV antibiotics, IV fluids, avoid dehydration and optimize fluid status." "Recommended GI consult to consider colonic decompression" GI consult placed on 2/14 also - recommendation that endoscopic decompression was not needed at the time of consult as the colon was fluid filled rather than full of gas. continue IV fluids, antibiotics, monitoring on stepdown. Patient appeared to be improving (lactic acid down to 5.5) At 16:33 on 2/14/21, patient found down on the floor next to his bed with brown vomit around him. Code blue called and CPR was initiated immediately. After ~ 15 minutes ROSC was achieved, patient had been intubated and patient was transferred to MICU. Patient coded again (~2300). After family meeting, family opted for DNR status. Patient went into cardiac arrest again 0259 on 02/15/2021, and passed away. PEA/Asystole Arrest believed to be secondary to profound hypoxia in the setting of a massive aspiration event (autopsy not performed).
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Narrative:  Patient stating that he has been experiencing side effects from COVID vaccine. Fever, headache, body aches, and fatigue. Patient wanted to report it.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Narrative:  Patient experienced fever, muscle pain, headache, and chills. A message was sent to the patient's PCP for follow-up regarding his symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Food refusal, General physical health deterioration, Refusal of treatment by patient
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was previously discharged on 1/11/21 on home hospice after two recent hospitalizations. Day leading up to death on 2/6/2021 included decline in status with refusing food and medications
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Narrative:  Error only, no ADR, 2nd dose by different manufacturer
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  71 year old patient with history of metastatic esophageal cancer complicated by liver mets, associated ascites, and malignant pain who had been admitted to facility for hospice/end of life care. Received second dose of vaccine over a month before passing. No indication that event was due to vaccine.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Diplopia, Magnetic resonance imaging head
Clinical narrative: Narrative: Report of diplopia related to this event may be disabling to some degree- possible that is resolves over time as well which would indicate less severe event. This report done based on incomplete medical record and results at this time.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Narrative:  no adverse event occured.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Narrative:  No ADR noted, dose given too early.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Death, Dementia
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing and adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 87 with declining dementia and receiving hospice care at the time of his death and prior to receiving vaccine.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fall
Clinical narrative: Narrative: Patient received the vaccine on 4/6/21 and subsequently had a fall on 4/9/21 that required 911 to be called and taken to ER where they administered a tetanus shot and sent him home. On 4/10/21 the patient passed. The patient had several comorbid conditions which included to but not limited to diabetes, carcinoma of the bladder, Stage 4 chronic kidney disease, pacemaker, atrial fibrillation, COPD, hypertension, and amputation above the knee of one leg.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia, Muscular weakness
Clinical narrative: Narrative:  Patient had J&J Covid vaccine on 3/31/21. She contacted the agency on 4/12/21 to report lower back pain (more right sided) for a week, pain level 8/10. "I have been using heat/ice, no OTC meds. No numbness/tingling, pain or weakness in my legs. My legs have felt like they were going to give out but haven't." She also reported numbness in her RIGHT thumb on the same day. She went to an outside facility, Hospital on 4/12 for urgent care visit. We do not have access to any records from this visit but the patient was told her symptoms were not related to vaccination. There is no mention an alternate cause for her symptoms. If any tests or labs were run during urgent care visit, those results are not available to us. The patient has never tested positive for COVID. The patient is followed regularly by neurology for migraines, no prior history of back pain.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative:  Timing ERROR only, 2nd dose given 64 days after 1st
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative:  Timing ERROR only, 2nd dose given 47 days after 1st
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fall, Myocardial infarction, Prostate cancer
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 95 and hospitalized on 2/5/21 after a fall and heart attack and admitted to hospice on 2/09/21. He also had prostate cancer and was living in an rehab facility on 1/2021
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative:  Timing ERROR only, 2nd dose given 66 days after 1st.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative:  Timing ERROR only, 2nd dose given 75 days after 1st
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative:  Timing ERROR only, 2nd dose given 46 days after 1st
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient not regularly receiving care in the system to make a determination for cause of death. Comorbidities include advanced age, hypothyroidism, asthma, HLD, HTN, and GERD.