chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Lung infiltration, Metabolic function test, Pneumonia, Polymerase chain reaction
Clinical narrative: Patient currently inpatient admission at (1) day. COVID 19 bronchopneumonia; Generalized weakness/lethargy/fatigue. Patient vaccinated x2 with Pfizer; Patient does not qualify for Remdesivir/Decadron as not hypoxic and minimal CXR findings; Symptom onset 12/4/21. Continue severe respiratory precautions; Supportive care: CXR showing mild L bronchopneumonia. Received Azithromycine/Rocephin in ER. Will check procalcitonin and if elevated, will continue. Otherwise, in setting of no fever/elevation in WBC, suspect due to COVID infection. PT/OT; Acute on chronic hyponatremia; Patient has h/o hypervolemic hyponatremia; At this time, suspect hypovolemia due to dehydration/diarrhea. Daughter has been holding Torsemide for last 2 days given decreased PO intake. Continue to hold Torsemide and received 1L IVF in ER. Repeat CMP in AM. Diarrhea - likely due to COVID infection; No abdominal pain, leukocytosis; Continue supportive care. Received 1L IVF in ER. Mg level pending; Chronic diastolic CHF: Hold Torsemide and KCL for now. As patient is having diarrhea and decreased PO intake, no fluid restriction ordered at present but may need to add once PO intake increases. PAF: Continue Cardizem CD 180 and Eliquis. HTN; Continue Norvasc 5, Cardizem CD 180, and hydralazine 50 TID. Pituitary microadenoma; Continue Cortef. If patient has any signs of hypotension, will order stress dose. DVT PPX - on Eliquis. Code status - NO CPR, ok for intubation for respiratory failure. Patient is a 87 year old female with history of diastolic CHF, chronic hyponatremia, HTN, PAF, CAD, mitral stenosis, pituitary macroadenoma, carotid stenosis, OA who presented to the ER with increasing weakness, cough, and lethargy. Patient's daughter who lives with and cares for patient was diagnosed with COVID over 2 weeks ago and had mild symptoms (vaccinated). She reports patient on Saturday (12/4) developed cough, increasing fatigue, and diarrhea. She continued to have symptoms and today was falling asleep mid-sentence and lethargic so was brought to the ER. There she tested positive for COVID. Patient is vaccinated for COVID (Pfizer) and was due to for her booster. She admits to cough and mild SOB with exertion. No fevers/chills. + nonproductive cough. Continues to have some diarrhea, 2-3 BMs per day. Patient's daughter has held her Torsemide the last 2 days as she had decreased PO intake. In the ER, patient was not hypoxic. CXR showed mild bronchopneumonia, primarily involving the L lung. She was given 1L IVF and admitted under observation for continued monitoring.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, Respiratory syncytial virus test, SARS-CoV-2 test positive, Somnolence, White blood cell count increased
Clinical narrative: Patient currently inpatient admission at (1) day. COVID 19 bronchopneumonia; Generalized weakness/lethargy/fatigue. Patient vaccinated x2 with Pfizer; Patient does not qualify for Remdesivir/Decadron as not hypoxic and minimal CXR findings; Symptom onset 12/4/21. Continue severe respiratory precautions; Supportive care: CXR showing mild L bronchopneumonia. Received Azithromycine/Rocephin in ER. Will check procalcitonin and if elevated, will continue. Otherwise, in setting of no fever/elevation in WBC, suspect due to COVID infection. PT/OT; Acute on chronic hyponatremia; Patient has h/o hypervolemic hyponatremia; At this time, suspect hypovolemia due to dehydration/diarrhea. Daughter has been holding Torsemide for last 2 days given decreased PO intake. Continue to hold Torsemide and received 1L IVF in ER. Repeat CMP in AM. Diarrhea - likely due to COVID infection; No abdominal pain, leukocytosis; Continue supportive care. Received 1L IVF in ER. Mg level pending; Chronic diastolic CHF: Hold Torsemide and KCL for now. As patient is having diarrhea and decreased PO intake, no fluid restriction ordered at present but may need to add once PO intake increases. PAF: Continue Cardizem CD 180 and Eliquis. HTN; Continue Norvasc 5, Cardizem CD 180, and hydralazine 50 TID. Pituitary microadenoma; Continue Cortef. If patient has any signs of hypotension, will order stress dose. DVT PPX - on Eliquis. Code status - NO CPR, ok for intubation for respiratory failure. Patient is a 87 year old female with history of diastolic CHF, chronic hyponatremia, HTN, PAF, CAD, mitral stenosis, pituitary macroadenoma, carotid stenosis, OA who presented to the ER with increasing weakness, cough, and lethargy. Patient's daughter who lives with and cares for patient was diagnosed with COVID over 2 weeks ago and had mild symptoms (vaccinated). She reports patient on Saturday (12/4) developed cough, increasing fatigue, and diarrhea. She continued to have symptoms and today was falling asleep mid-sentence and lethargic so was brought to the ER. There she tested positive for COVID. Patient is vaccinated for COVID (Pfizer) and was due to for her booster. She admits to cough and mild SOB with exertion. No fevers/chills. + nonproductive cough. Continues to have some diarrhea, 2-3 BMs per day. Patient's daughter has held her Torsemide the last 2 days as she had decreased PO intake. In the ER, patient was not hypoxic. CXR showed mild bronchopneumonia, primarily involving the L lung. She was given 1L IVF and admitted under observation for continued monitoring.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Pain, Rash pruritic
Clinical narrative: 12 days after receiving my booster I developed a rash/dermatographia. The rash both itches and stings. I have tried antihistamines, oral and topical steroids, and cromolyn. So far nothing has aliviated it. It is VERY uncomfortable and concerning.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Administration error. 1st dose 11/24/21, 2nd dose inadvertently administered at 14 days on 12/8/21. No adverse reactions observed.  Per CDC guidelines rescheduled another dose 3 weeks from today on 12/29/21.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypertension, Pyrexia
Clinical narrative: pt went to the ER on the following day. His dr told him they are not sure if it is related to the vaccine or not. Pt had fever headache and HBP
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Computerised tomogram abnormal, Dysarthria, Magnetic resonance imaging normal, Memory impairment
Clinical narrative: I started having problems with my memory, I started noticing in may and progressively has gotten worse words slurring and not being able to put words together, tingling on my arms and legs. everything started going downhill after the vaccination. I had scans made in May and it came up I have MS . I am seen Neurology  and on  11/29/2021 I was told I have Lesion on my spinal from a CT scan. So since my last ST Scan in may I started taking Vitamin D. No one in my immediate family has MS.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Multiple sclerosis, Neurological examination abnormal, Paraesthesia, Vertebral lesion
Clinical narrative: I started having problems with my memory, I started noticing in may and progressively has gotten worse words slurring and not being able to put words together, tingling on my arms and legs. everything started going downhill after the vaccination. I had scans made in May and it came up I have MS . I am seen Neurology  and on  11/29/2021 I was told I have Lesion on my spinal from a CT scan. So since my last ST Scan in may I started taking Vitamin D. No one in my immediate family has MS.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Musculoskeletal pain
Clinical narrative: Back pain - lower back and between shoulder blades. Began the morning after vaccine and continued for the whole day.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Extra dose administered, Injection site erythema, Injection site pruritus, Pain in extremity
Clinical narrative: I received my booster vaccine,  and I went to sleep with a slightly sore arm. I figured if I would get it in the evening i would be able to sleep the soreness off and feel good the next day. The next morning, around the injection site it was red and itchy. Maybe 6 hours later the muscles in my left armpit was sore. This lasted up for about 3 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis reactive, Chest discomfort, Cough, Inflammation
Clinical narrative: Had severe hives, joint pain, and developed a cough and sore throat.  The joint pain has been diagnosed as reactive arthritis by my PCP seeing as it was in my wrists, hands, ankles and feet on both sides of the body.  The started on my scalp and base of my neck and then moved to all over my body - hands, arms, legs, torso, feet, palms, soles of feet, etc.  I am still having some hives on my face, hands and arms.  I still have a cough at night and tightness in my chest at night.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Oropharyngeal pain, Urticaria
Clinical narrative: Had severe hives, joint pain, and developed a cough and sore throat.  The joint pain has been diagnosed as reactive arthritis by my PCP seeing as it was in my wrists, hands, ankles and feet on both sides of the body.  The started on my scalp and base of my neck and then moved to all over my body - hands, arms, legs, torso, feet, palms, soles of feet, etc.  I am still having some hives on my face, hands and arms.  I still have a cough at night and tightness in my chest at night.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fall, Muscular weakness, Vomiting
Clinical narrative: Pt experienced chills the night of his vaccination. The next morning upon waking around 8 am, tried to stand and legs gave way (pt fell onto floor). Says he experienced weakness in the legs, no dizziness, headache, or nausea reported. Even up till today (12/8) pt reports weakness in legs when tries to stand, still experiencing chills. Pt also reports vomiting on 12/7 as well.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: patient tested positive for covid 3 days after vaccination. Had fever, fatigue, and body aches.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Flushing, Heart rate increased
Clinical narrative: Patient felt very flushed and felt that her heart was beating fast, so we took her blood pressure and it was very high. we called 911 and they took her to the hospital and kept her there for a few hours til her blood pressure went down.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Malaise, Nausea
Clinical narrative: 12/04/21@500am, feeling unwell, fatigued, sore arm, headache, nausea, severe diarrhea 10-12 times throughout the day, feeling similar to a Cdiff infection, treatment Xtra strength Tylenol 2 tabs q 6-8 hours, pedialite, bone broth. 12/05/22 Same as above 12/6/21 feeling unwell, upset stomach, mild diareah, fatigue Tylenol pedialite, arm no longer hurts 12/7/21 headache, little fatigue, 2 bouts of diarrhea  12/8/22 little fatigue, 2 bouts diareah
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 12/04/21@500am, feeling unwell, fatigued, sore arm, headache, nausea, severe diarrhea 10-12 times throughout the day, feeling similar to a Cdiff infection, treatment Xtra strength Tylenol 2 tabs q 6-8 hours, pedialite, bone broth. 12/05/22 Same as above 12/6/21 feeling unwell, upset stomach, mild diareah, fatigue Tylenol pedialite, arm no longer hurts 12/7/21 headache, little fatigue, 2 bouts of diarrhea  12/8/22 little fatigue, 2 bouts diareah
Age: 84.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, Product administration error
Clinical narrative: Administration error - 1st flu shot dose received 10/8/2021. 2nd flu shot dose received 10/21/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema, Interchange of vaccine products, Rash, Rash pruritic
Clinical narrative: I am reporting the reaction I got from my Pfizer booster shot.  (I got the Moderna vaccine for shots #1 and #2, but decided to get Pfizer for the booster).  I got the Pfizer booster in my right arm at 2:30 pm on December 6.  On the morning of Dec 7 I thought my right bicep area looked slightly pink, as did my upper stomach, but was not sure.  Around 3:30 pm, I noticed that the areas were redder so I took an Allegra antihistamine (the 12 hour non-drowsy ones).  When I woke up on the morning of Dec  8 (today), the arm and stomach rash had evolved and were larger and redder.  The arm rash also itched a bit.  I took an Allegra tablet at 7:30am.  By this afternoon, the arm rash was had grown and was much redder, and the stomach rash was also ?filled in? more (less mottled).  By this evening,  I also had a rash area at top of right breast, towards collarbone. At 7:30 pm this evening, I took another Allegra tablet.  Just want to mention that when I took Moderna vaccine #1 shot (right arm), after 7 days I got an arm rash and dr advised to treat with Allegra, which I successfully did.  The rash cleared within a week.  When I took Moderna vaccine shot #2 (left arm), after only one or two days I got rash on both my left and right arms, and on stomach.  Treated with Allegra again.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Computerised tomogram, Dyspnoea, Feeling abnormal
Clinical narrative: Shortness of breath, weakness, brain fog, sleep disturbance, muscle spasms and aches, headaches, pins and needles sensation, chest pain
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Muscle spasms, Myalgia, Paraesthesia
Clinical narrative: Shortness of breath, weakness, brain fog, sleep disturbance, muscle spasms and aches, headaches, pins and needles sensation, chest pain
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, X-ray
Clinical narrative: Shortness of breath, weakness, brain fog, sleep disturbance, muscle spasms and aches, headaches, pins and needles sensation, chest pain
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Hallucination, auditory
Clinical narrative: During the summer of 2021, he started having issues with auditory hallucinations that are being evaluated.  It is unclear if the symptoms actually started before the vaccine was given.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Received 0.5 ml dose as booster dose instead of 0.25 ml dose of Moderna on Friday 11/19. Pt reports he is doing fine, denies symptoms at this time during 11/24 and 11/26 f/u calls.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism
Clinical narrative: Multiple pulmonary embolism without an appreciable thrombotic source or an inciting illness or injury.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN 7 DAYS AFTER BEYOND USE DATE
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Fatigue, Pain, Pain in extremity
Clinical narrative: LOST SMELL AND TASTE LOTS OF FATIGUE SORE ARM ACHY BODY SLEEPINESS
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: LOST SMELL AND TASTE LOTS OF FATIGUE SORE ARM ACHY BODY SLEEPINESS
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Nausea
Clinical narrative: Nauseated and dizzy
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: left arm pain with swelling, unable to flex arm backwards
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Continued fevers, body aches, and headache since the day of vaccine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Extreme itchy feeling and rash
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Dizzy and nauseous
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Bacteraemia, Blood culture negative, Breath sounds absent
Clinical narrative: Patient expired.  ? Severe sepsis (HCC) 12/03/2021 Unknown   Resolved Hospital Problems No resolved problems to display.   There are no active non-hospital problems to display for this patient.     Date of Death: 12/6/21 Time of Death: 12:55 AM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19  Discharge Disposition: Deceased   a 87 year old man who presented to the hospital with chills, fever, and cough. He was found to be covid positive and was hypoxic requiring oxygen. He had and AKI. He was found to be bacteremic and was on IV antibiotics. He was having difficulty keeping his oxygen saturations on HFNC. Ultimately he desired to be made comfortable on 12/5/21. His wishes were honored and he was given Morphine to help with dyspnea and work of breathing. Unnecessary medication, testing and monitoring were discontinued. He passed away comfortably at 12:55 am 12/6/21 surrounded by his family.    Resident team was called to bedside by nursing at 12:50 on 12/06/2021 to pronounce patient death. Patient was unresponsive to voice, sternal rub, or nailbed pressure. No pulses were palpable and no chest rise was observed. Heart and breath sounds were absent to auscultation. Pupils were fixed, dilated and nonreactive to light.  No corneal reflex was present. Time of  death was 12:55 on 12/6/21. Attending physician as notified by resident team. PCP office to be contacted by nursing. Discussed with family and no needs communicated by them at this time.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chills, Corneal reflex decreased, Cough
Clinical narrative: Patient expired.  ? Severe sepsis (HCC) 12/03/2021 Unknown   Resolved Hospital Problems No resolved problems to display.   There are no active non-hospital problems to display for this patient.     Date of Death: 12/6/21 Time of Death: 12:55 AM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19  Discharge Disposition: Deceased   a 87 year old man who presented to the hospital with chills, fever, and cough. He was found to be covid positive and was hypoxic requiring oxygen. He had and AKI. He was found to be bacteremic and was on IV antibiotics. He was having difficulty keeping his oxygen saturations on HFNC. Ultimately he desired to be made comfortable on 12/5/21. His wishes were honored and he was given Morphine to help with dyspnea and work of breathing. Unnecessary medication, testing and monitoring were discontinued. He passed away comfortably at 12:55 am 12/6/21 surrounded by his family.    Resident team was called to bedside by nursing at 12:50 on 12/06/2021 to pronounce patient death. Patient was unresponsive to voice, sternal rub, or nailbed pressure. No pulses were palpable and no chest rise was observed. Heart and breath sounds were absent to auscultation. Pupils were fixed, dilated and nonreactive to light.  No corneal reflex was present. Time of  death was 12:55 on 12/6/21. Attending physician as notified by resident team. PCP office to be contacted by nursing. Discussed with family and no needs communicated by them at this time.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Heart sounds abnormal, Legionella test, Lung opacity
Clinical narrative: Patient expired.  ? Severe sepsis (HCC) 12/03/2021 Unknown   Resolved Hospital Problems No resolved problems to display.   There are no active non-hospital problems to display for this patient.     Date of Death: 12/6/21 Time of Death: 12:55 AM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19  Discharge Disposition: Deceased   a 87 year old man who presented to the hospital with chills, fever, and cough. He was found to be covid positive and was hypoxic requiring oxygen. He had and AKI. He was found to be bacteremic and was on IV antibiotics. He was having difficulty keeping his oxygen saturations on HFNC. Ultimately he desired to be made comfortable on 12/5/21. His wishes were honored and he was given Morphine to help with dyspnea and work of breathing. Unnecessary medication, testing and monitoring were discontinued. He passed away comfortably at 12:55 am 12/6/21 surrounded by his family.    Resident team was called to bedside by nursing at 12:50 on 12/06/2021 to pronounce patient death. Patient was unresponsive to voice, sternal rub, or nailbed pressure. No pulses were palpable and no chest rise was observed. Heart and breath sounds were absent to auscultation. Pupils were fixed, dilated and nonreactive to light.  No corneal reflex was present. Time of  death was 12:55 on 12/6/21. Attending physician as notified by resident team. PCP office to be contacted by nursing. Discussed with family and no needs communicated by them at this time.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Mydriasis, Pneumonia, Pulse absent, Pupil fixed, Pupillary light reflex tests abnormal
Clinical narrative: Patient expired.  ? Severe sepsis (HCC) 12/03/2021 Unknown   Resolved Hospital Problems No resolved problems to display.   There are no active non-hospital problems to display for this patient.     Date of Death: 12/6/21 Time of Death: 12:55 AM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19  Discharge Disposition: Deceased   a 87 year old man who presented to the hospital with chills, fever, and cough. He was found to be covid positive and was hypoxic requiring oxygen. He had and AKI. He was found to be bacteremic and was on IV antibiotics. He was having difficulty keeping his oxygen saturations on HFNC. Ultimately he desired to be made comfortable on 12/5/21. His wishes were honored and he was given Morphine to help with dyspnea and work of breathing. Unnecessary medication, testing and monitoring were discontinued. He passed away comfortably at 12:55 am 12/6/21 surrounded by his family.    Resident team was called to bedside by nursing at 12:50 on 12/06/2021 to pronounce patient death. Patient was unresponsive to voice, sternal rub, or nailbed pressure. No pulses were palpable and no chest rise was observed. Heart and breath sounds were absent to auscultation. Pupils were fixed, dilated and nonreactive to light.  No corneal reflex was present. Time of  death was 12:55 on 12/6/21. Attending physician as notified by resident team. PCP office to be contacted by nursing. Discussed with family and no needs communicated by them at this time.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Streptococcus test negative, Ultrasound Doppler
Clinical narrative: Patient expired.  ? Severe sepsis (HCC) 12/03/2021 Unknown   Resolved Hospital Problems No resolved problems to display.   There are no active non-hospital problems to display for this patient.     Date of Death: 12/6/21 Time of Death: 12:55 AM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19  Discharge Disposition: Deceased   a 87 year old man who presented to the hospital with chills, fever, and cough. He was found to be covid positive and was hypoxic requiring oxygen. He had and AKI. He was found to be bacteremic and was on IV antibiotics. He was having difficulty keeping his oxygen saturations on HFNC. Ultimately he desired to be made comfortable on 12/5/21. His wishes were honored and he was given Morphine to help with dyspnea and work of breathing. Unnecessary medication, testing and monitoring were discontinued. He passed away comfortably at 12:55 am 12/6/21 surrounded by his family.    Resident team was called to bedside by nursing at 12:50 on 12/06/2021 to pronounce patient death. Patient was unresponsive to voice, sternal rub, or nailbed pressure. No pulses were palpable and no chest rise was observed. Heart and breath sounds were absent to auscultation. Pupils were fixed, dilated and nonreactive to light.  No corneal reflex was present. Time of  death was 12:55 on 12/6/21. Attending physician as notified by resident team. PCP office to be contacted by nursing. Discussed with family and no needs communicated by them at this time.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Urine analysis normal
Clinical narrative: Patient expired.  ? Severe sepsis (HCC) 12/03/2021 Unknown   Resolved Hospital Problems No resolved problems to display.   There are no active non-hospital problems to display for this patient.     Date of Death: 12/6/21 Time of Death: 12:55 AM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19  Discharge Disposition: Deceased   a 87 year old man who presented to the hospital with chills, fever, and cough. He was found to be covid positive and was hypoxic requiring oxygen. He had and AKI. He was found to be bacteremic and was on IV antibiotics. He was having difficulty keeping his oxygen saturations on HFNC. Ultimately he desired to be made comfortable on 12/5/21. His wishes were honored and he was given Morphine to help with dyspnea and work of breathing. Unnecessary medication, testing and monitoring were discontinued. He passed away comfortably at 12:55 am 12/6/21 surrounded by his family.    Resident team was called to bedside by nursing at 12:50 on 12/06/2021 to pronounce patient death. Patient was unresponsive to voice, sternal rub, or nailbed pressure. No pulses were palpable and no chest rise was observed. Heart and breath sounds were absent to auscultation. Pupils were fixed, dilated and nonreactive to light.  No corneal reflex was present. Time of  death was 12:55 on 12/6/21. Attending physician as notified by resident team. PCP office to be contacted by nursing. Discussed with family and no needs communicated by them at this time.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVE 7 DAYS BEYOND USE DATE
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Echocardiogram, Electrocardiogram, Palpitations, Thyroid function test normal
Clinical narrative: Heart palpitations beginning 10/29 and still continuing.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: Heart palpitations beginning 10/29 and still continuing.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received 0.5 ml dose as booster dose instead of 0.25 ml dose of Moderna on Friday 11/19. Reports feeling well and denies all symptoms  at this time during f/u call on 11/24 and 11/26.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, fever, body ache, headache
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Herpes zoster, Neck pain, Paraesthesia
Clinical narrative: My initial symptoms were arthralgia of hip SI joints for 6-8 weeks with onset 2-3 weeks later after injection of low back pain, and then pain in neck C4, shoulders C5-8, and low back L3-5.  Arthralgia peaked about 6 weeks after injection and gradually improved and is mostly resolved except for tingling in shoulders and new onset of herpes zoster for the last 6 weeks that has not yet resolved and is mostly in C4 dermatome.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received 0.5 ml dose as booster dose instead of 0.25 ml dose of Moderna on Friday 11/19. Unable to reach pt to f/u after several attempts.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dehydration, Headache, Pyrexia, Tinnitus
Clinical narrative: Fever, chills, headache, dehydration, ringing in the ears.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Hyperhidrosis, Influenza virus test negative, Myalgia, Pain
Clinical narrative: Friday, December 3, I felt tingling in my right shoulder and then down into my forearm.  Drank 100oz of water.  Awakened Saturday morning and my body ached all over, it hurt to make a fist, it hurt everywhere, my skin felt like it had been rubbed with coarse sand paper all over.  I checked my temp and I had a 101 temp (normal is 97.8).  I took 500mg of Tylenol every 6 hours and that lowered my temp to 99.1.  I was still uncomfortable and no sweating occurred.  I woke on Sunday and the discomfort had intensified and my temp was reading 103.  I took 1000mg of Tylenol and 2 hours later I began to sweat and the temp was dropped to 101.  My skin, muscles and tendons hurt.  I took 500mg at 1pm and alternated to Motrin (200mg) at 4pm and lastly Tylenol (500mg at 9pm with a 101 temp remaining.  On Monday, I woke to a 101 temp and the only place where muscle pain existed was on the sides of my neck and right below my rib cage on my back.  Continued 500mg of Tylenol at 7am, 1pm,  Motrin (200mg) at 5pm and Tylenol (500mg)at 11pm.  Tuesday I woke to no pain and no need to take any pain meds.  Wednesday I woke to body skin aches and started the Tylenol again.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain of skin, Paraesthesia, SARS-CoV-2 test negative, Tendon pain
Clinical narrative: Friday, December 3, I felt tingling in my right shoulder and then down into my forearm.  Drank 100oz of water.  Awakened Saturday morning and my body ached all over, it hurt to make a fist, it hurt everywhere, my skin felt like it had been rubbed with coarse sand paper all over.  I checked my temp and I had a 101 temp (normal is 97.8).  I took 500mg of Tylenol every 6 hours and that lowered my temp to 99.1.  I was still uncomfortable and no sweating occurred.  I woke on Sunday and the discomfort had intensified and my temp was reading 103.  I took 1000mg of Tylenol and 2 hours later I began to sweat and the temp was dropped to 101.  My skin, muscles and tendons hurt.  I took 500mg at 1pm and alternated to Motrin (200mg) at 4pm and lastly Tylenol (500mg at 9pm with a 101 temp remaining.  On Monday, I woke to a 101 temp and the only place where muscle pain existed was on the sides of my neck and right below my rib cage on my back.  Continued 500mg of Tylenol at 7am, 1pm,  Motrin (200mg) at 5pm and Tylenol (500mg)at 11pm.  Tuesday I woke to no pain and no need to take any pain meds.  Wednesday I woke to body skin aches and started the Tylenol again.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Gait disturbance, Pain, Pyrexia
Clinical narrative: Severe pain throughout entire body. Head to toe. Unable to be still. Tylenol did not help. Chills, fever. Difficulty walking due to pain.  Symptoms began to subside Saturday morning, and I was back to normal by Sunday morning.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Swelling
Clinical narrative: Extreme Swelling and bright red. Over several days it moved down my arm. Gone after 7 days
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Anal sphincter atony, CSF glucose decreased, CSF glucose increased, CSF white blood cell count increased, Computerised tomogram spine
Clinical narrative: Patient presented to emergency department on 9/22/2021  for sudden onset bilateral lower extremity weakness and paralysis. Patient reports she received her first dose of the Covid vaccination about 2 weeks prior to admission.  After that, she started to note bilateral lower extremity cramping which she thought was due to low potassium and did not have any pain.  She states it was not particularly bothersome otherwise.  The morning of admission, 9/22/21 she woke up feeling her usual self and was able to go around and through her normal routine, but after she sat down later in the morning on a chair, she felt like her legs became completely flaccid and she could not move them.    An initial MRI of the lumbar and thoracic spine showed multiple areas of stenosis but no acute findings.  On evaluation by neurosurgical specialists, patient had flaccid paralysis in both lower extremities at about the T12 level with decreased rectal tone. Patient was soon after evaluated by neurology specialists where Guillain-Barre syndrome was felt to be likely diagnosis and patient was started on IVIG.  A spinal tap was also performed which was potentially suggestive of bacterial meningitis despite patient showing no systemic symptoms suggestive of meningitis. Patient was started on empiric antibiotics, however further testing was negative and antibiotics were discontinued at the guidance of Infectious Disease specialists.  A repeat MRI on 9/26/21 of TSpine showed Transverse Myelitis of T10-L1.  Neurology consultation again weighed in and recommended high dose steroids and continuing IVIG. Patient ultimately completed course of both of these, will minimal improvement in symptoms. Patient was discharged to inpatient rehabilitation facility on 10/4/2021, and at the time of discharge remained without all sensation from bilateral knees down,  decreased sensation from hips down to knees and no mobility in bilateral lower extremities.  Patient improved in their functional status throughout rehabilitation stay however remained with lower extremity paralysis.  Patient continued to improve and was deemed stable to discharge to skilled nursing facility on 10/27/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Hypotonia, Immunoglobulin therapy, Lumbar puncture abnormal, Lumbar spinal stenosis
Clinical narrative: Patient presented to emergency department on 9/22/2021  for sudden onset bilateral lower extremity weakness and paralysis. Patient reports she received her first dose of the Covid vaccination about 2 weeks prior to admission.  After that, she started to note bilateral lower extremity cramping which she thought was due to low potassium and did not have any pain.  She states it was not particularly bothersome otherwise.  The morning of admission, 9/22/21 she woke up feeling her usual self and was able to go around and through her normal routine, but after she sat down later in the morning on a chair, she felt like her legs became completely flaccid and she could not move them.    An initial MRI of the lumbar and thoracic spine showed multiple areas of stenosis but no acute findings.  On evaluation by neurosurgical specialists, patient had flaccid paralysis in both lower extremities at about the T12 level with decreased rectal tone. Patient was soon after evaluated by neurology specialists where Guillain-Barre syndrome was felt to be likely diagnosis and patient was started on IVIG.  A spinal tap was also performed which was potentially suggestive of bacterial meningitis despite patient showing no systemic symptoms suggestive of meningitis. Patient was started on empiric antibiotics, however further testing was negative and antibiotics were discontinued at the guidance of Infectious Disease specialists.  A repeat MRI on 9/26/21 of TSpine showed Transverse Myelitis of T10-L1.  Neurology consultation again weighed in and recommended high dose steroids and continuing IVIG. Patient ultimately completed course of both of these, will minimal improvement in symptoms. Patient was discharged to inpatient rehabilitation facility on 10/4/2021, and at the time of discharge remained without all sensation from bilateral knees down,  decreased sensation from hips down to knees and no mobility in bilateral lower extremities.  Patient improved in their functional status throughout rehabilitation stay however remained with lower extremity paralysis.  Patient continued to improve and was deemed stable to discharge to skilled nursing facility on 10/27/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Monoplegia, Movement disorder, Muscle spasms
Clinical narrative: Patient presented to emergency department on 9/22/2021  for sudden onset bilateral lower extremity weakness and paralysis. Patient reports she received her first dose of the Covid vaccination about 2 weeks prior to admission.  After that, she started to note bilateral lower extremity cramping which she thought was due to low potassium and did not have any pain.  She states it was not particularly bothersome otherwise.  The morning of admission, 9/22/21 she woke up feeling her usual self and was able to go around and through her normal routine, but after she sat down later in the morning on a chair, she felt like her legs became completely flaccid and she could not move them.    An initial MRI of the lumbar and thoracic spine showed multiple areas of stenosis but no acute findings.  On evaluation by neurosurgical specialists, patient had flaccid paralysis in both lower extremities at about the T12 level with decreased rectal tone. Patient was soon after evaluated by neurology specialists where Guillain-Barre syndrome was felt to be likely diagnosis and patient was started on IVIG.  A spinal tap was also performed which was potentially suggestive of bacterial meningitis despite patient showing no systemic symptoms suggestive of meningitis. Patient was started on empiric antibiotics, however further testing was negative and antibiotics were discontinued at the guidance of Infectious Disease specialists.  A repeat MRI on 9/26/21 of TSpine showed Transverse Myelitis of T10-L1.  Neurology consultation again weighed in and recommended high dose steroids and continuing IVIG. Patient ultimately completed course of both of these, will minimal improvement in symptoms. Patient was discharged to inpatient rehabilitation facility on 10/4/2021, and at the time of discharge remained without all sensation from bilateral knees down,  decreased sensation from hips down to knees and no mobility in bilateral lower extremities.  Patient improved in their functional status throughout rehabilitation stay however remained with lower extremity paralysis.  Patient continued to improve and was deemed stable to discharge to skilled nursing facility on 10/27/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myelitis transverse, Paralysis, Scoliosis, Sensory loss
Clinical narrative: Patient presented to emergency department on 9/22/2021  for sudden onset bilateral lower extremity weakness and paralysis. Patient reports she received her first dose of the Covid vaccination about 2 weeks prior to admission.  After that, she started to note bilateral lower extremity cramping which she thought was due to low potassium and did not have any pain.  She states it was not particularly bothersome otherwise.  The morning of admission, 9/22/21 she woke up feeling her usual self and was able to go around and through her normal routine, but after she sat down later in the morning on a chair, she felt like her legs became completely flaccid and she could not move them.    An initial MRI of the lumbar and thoracic spine showed multiple areas of stenosis but no acute findings.  On evaluation by neurosurgical specialists, patient had flaccid paralysis in both lower extremities at about the T12 level with decreased rectal tone. Patient was soon after evaluated by neurology specialists where Guillain-Barre syndrome was felt to be likely diagnosis and patient was started on IVIG.  A spinal tap was also performed which was potentially suggestive of bacterial meningitis despite patient showing no systemic symptoms suggestive of meningitis. Patient was started on empiric antibiotics, however further testing was negative and antibiotics were discontinued at the guidance of Infectious Disease specialists.  A repeat MRI on 9/26/21 of TSpine showed Transverse Myelitis of T10-L1.  Neurology consultation again weighed in and recommended high dose steroids and continuing IVIG. Patient ultimately completed course of both of these, will minimal improvement in symptoms. Patient was discharged to inpatient rehabilitation facility on 10/4/2021, and at the time of discharge remained without all sensation from bilateral knees down,  decreased sensation from hips down to knees and no mobility in bilateral lower extremities.  Patient improved in their functional status throughout rehabilitation stay however remained with lower extremity paralysis.  Patient continued to improve and was deemed stable to discharge to skilled nursing facility on 10/27/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal osteoarthritis, Spinal stenosis, Vertebral foraminal stenosis
Clinical narrative: Patient presented to emergency department on 9/22/2021  for sudden onset bilateral lower extremity weakness and paralysis. Patient reports she received her first dose of the Covid vaccination about 2 weeks prior to admission.  After that, she started to note bilateral lower extremity cramping which she thought was due to low potassium and did not have any pain.  She states it was not particularly bothersome otherwise.  The morning of admission, 9/22/21 she woke up feeling her usual self and was able to go around and through her normal routine, but after she sat down later in the morning on a chair, she felt like her legs became completely flaccid and she could not move them.    An initial MRI of the lumbar and thoracic spine showed multiple areas of stenosis but no acute findings.  On evaluation by neurosurgical specialists, patient had flaccid paralysis in both lower extremities at about the T12 level with decreased rectal tone. Patient was soon after evaluated by neurology specialists where Guillain-Barre syndrome was felt to be likely diagnosis and patient was started on IVIG.  A spinal tap was also performed which was potentially suggestive of bacterial meningitis despite patient showing no systemic symptoms suggestive of meningitis. Patient was started on empiric antibiotics, however further testing was negative and antibiotics were discontinued at the guidance of Infectious Disease specialists.  A repeat MRI on 9/26/21 of TSpine showed Transverse Myelitis of T10-L1.  Neurology consultation again weighed in and recommended high dose steroids and continuing IVIG. Patient ultimately completed course of both of these, will minimal improvement in symptoms. Patient was discharged to inpatient rehabilitation facility on 10/4/2021, and at the time of discharge remained without all sensation from bilateral knees down,  decreased sensation from hips down to knees and no mobility in bilateral lower extremities.  Patient improved in their functional status throughout rehabilitation stay however remained with lower extremity paralysis.  Patient continued to improve and was deemed stable to discharge to skilled nursing facility on 10/27/21.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Pre-eclampsia, Premature labour
Clinical narrative: I was in my first trimester of pregnancy when I received my first dose. My due date was date. I ended up having a pre-term baby at 36 weeks, 5 days on earlier date and my baby was small for gestational age, weighing only 4 lbs, 8 ounces at birth. I also was diagnosed with pre-eclampsia in my last month of pregnancy. I did not have an adverse reaction immediately following my vaccine, but wanted to note my pregnancy complications in case they were related.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received incorrect vaccine. Intended was janssen booster 0.5 ml, patient received pfizer 5-11 yo 0.2 ml dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Chest pain, Condition aggravated, Contusion
Clinical narrative: Migraine severe onset few hours post vaccinations, lasted 3 full days and nights, onset of chest pain burning with numbness in left art started on 12/5/2021, continious, fatigue, no relieve from medications, pressure in the chest visited Doctor, test are pending, pain in the chest irradiating into jaw. No relieve by aspirin, bruise on the chin, no trauma unexplained
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Hypoaesthesia, Migraine, Pain
Clinical narrative: Migraine severe onset few hours post vaccinations, lasted 3 full days and nights, onset of chest pain burning with numbness in left art started on 12/5/2021, continious, fatigue, no relieve from medications, pressure in the chest visited Doctor, test are pending, pain in the chest irradiating into jaw. No relieve by aspirin, bruise on the chin, no trauma unexplained
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw
Clinical narrative: Migraine severe onset few hours post vaccinations, lasted 3 full days and nights, onset of chest pain burning with numbness in left art started on 12/5/2021, continious, fatigue, no relieve from medications, pressure in the chest visited Doctor, test are pending, pain in the chest irradiating into jaw. No relieve by aspirin, bruise on the chin, no trauma unexplained
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Nasopharyngitis, Temperature intolerance
Clinical narrative: After second dose of vaccine, my head and face started to have severe burning feeling and body started to shiver because of cold. At the same time I having two different extreme temperatures in my body. It?s been 8 months I took vaccine, till date I having head burning sensation. I can?t go out in warm temperature, can?t go in sunlight, can?t cook in gas stove top, can?t take shower in warm or hot water etc. can you please help me to find the solution for this issue
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Mobility decreased
Clinical narrative: Swollen painful Glands in underarm of right arm, can barely stand to move arm, or raise it up.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE GIVE 2 DAYS AFTER BEYOND USE DATE
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Myocardial infarction
Clinical narrative: Cardiac arrest due to suspected myocardial infarction <36 hours after receiving Covid-19 booster shot.  Had previously recieved second dose of Moderna Covid vaccine on 2/24/21 without complication.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium decreased, Brain natriuretic peptide, Chest X-ray, Differential white blood cell count, Electrocardiogram abnormal
Clinical narrative: Three days after receiving the Moderna booster I experienced an elevated heart rate. I went to my primary care physician, who administered an EKG test, and my heart rate was between 145 and 150. My PCP sent me to the ER for further tests. I went to the  emergency department in state. There I received multiple labs and tests. I received a low-dose beta blocker, low-dose anti-anxiety medication, and some magnesium (since my lab results concluded I was low in magnesium). I now I?m wearing a Zio patch for two weeks, and I will see a cardiologist on December 22.  I have a family history of afib. However, I have not previously experienced symptoms myself. I am taking a low-dose beta blocker and low-dose aspirin now.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Fibrin D dimer, Full blood count, Heart rate increased, Human chorionic gonadotropin
Clinical narrative: Three days after receiving the Moderna booster I experienced an elevated heart rate. I went to my primary care physician, who administered an EKG test, and my heart rate was between 145 and 150. My PCP sent me to the ER for further tests. I went to the  emergency department in state. There I received multiple labs and tests. I received a low-dose beta blocker, low-dose anti-anxiety medication, and some magnesium (since my lab results concluded I was low in magnesium). I now I?m wearing a Zio patch for two weeks, and I will see a cardiologist on December 22.  I have a family history of afib. However, I have not previously experienced symptoms myself. I am taking a low-dose beta blocker and low-dose aspirin now.