chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary function test, SARS-CoV-2 antibody test, Ultrasound scan
Clinical narrative: Immediately developed Pfizer myocarditi - Had numerous tests done, EKG, Echocardiograms, Nuclear Stress Tests - Several rounds of Prednisone, Furosemide, Codene cough medicine, put on Nebulizer treatment, etc. - After 4 months of these treatments, still no resolution, still have myocarditis showing in last echocardiogram - Also had extensive pulmonary assessment completed - no issues identified - Now referred to local Cardiology group for further assessment and resolution  - First appointment is on Friday, January 28, 2022 - Never had any heart related issues until this second Pfizer shot!
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Heart rate irregular, Malaise, Nausea
Clinical narrative: At 4:05pm vaccine was administered to patient. While we were waiting for the 15 minutes to elapse, patient looked visibly ill by 4:12pm. I asked him what was wrong and he replied that he felt sick and really tired. I told him to take a seat near me. When he sat next to me he said he was really tired and wanted to go to sleep and proceeded to close his eyes. I told him to stay awake. I then called one of the nurses and i helped them put patient in an observation room. They proceeded to take his vitals for the next 30 minutes. Patient was laying down feeling very fatigued with the feeling of nausea as well. During the course of 30 minutes, his heartbeat fluctuated between 70bpm and 100bpm. After 30 min, nurses recommended an ambulance be called since symptoms were not getting better. Once EMT?s arrived, they determined that patient was stable and that we (his parents) should take him to the ER for further observation. Upon checking in to the ER, he was given medication for nausea. His vital signs were stable and we stayed at the ER for approx 2 hours for observation. At Approx 8:15pm, symptoms improved and we checked out of the hospital. The following morning, patient stated he was feeling dizziness and nauseated when standing up. We decided it would be best for him to stay home from school & we were able to setup an appt with his PCM. His doctor was not sure why he had this reaction to the vaccine and was given nausea medication.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Keep having hives that come and go. Itchy and worse at night. Went to see two doctors. I was given antihistamines and steroids. Hives are odd shaped and look like scratches with bumps in it. PCP stated "I have never seen linear hives."
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, C-reactive protein increased, Chest pain, Electrocardiogram normal, Hypertension
Clinical narrative: Chest pain with elevated ESR/CRP. Elevated temperature and tachycardia with hypertension. Questionable pericarditis/myocarditis that lasted 48-72 hours. Subsequently developed type 3-4 delayed hypersensitivity rash on torso and buttocks.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Rash, Red blood cell sedimentation rate increased, Tachycardia, Troponin normal
Clinical narrative: Chest pain with elevated ESR/CRP. Elevated temperature and tachycardia with hypertension. Questionable pericarditis/myocarditis that lasted 48-72 hours. Subsequently developed type 3-4 delayed hypersensitivity rash on torso and buttocks.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Type IV hypersensitivity reaction, White blood cell count normal
Clinical narrative: Chest pain with elevated ESR/CRP. Elevated temperature and tachycardia with hypertension. Questionable pericarditis/myocarditis that lasted 48-72 hours. Subsequently developed type 3-4 delayed hypersensitivity rash on torso and buttocks.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray abnormal, Chest pain, Dizziness, Echocardiogram abnormal
Clinical narrative: Developed heart palpitations night of 12/7/21, self-monitored to see if they resolved. Then developed chest pain in addition to palpitations on 12/12/21 and went to Urgent Care for assessment and was advised to monitor symptoms. Returned for follow-up care at the Medical Center under advisement of my primary care physician for diagnostic testing for continued chest pain and palpitations on 12/13/21. Underwent blood testing and EKG and told to return if symptoms persisted. Returned to the Medical Urgent Care/PCP care on 12/15/21 and 12/17/21 for worsening chest pain and continued palpitations. Underwent repeat EKG and blood testing, chest x-ray. Prescribed Indomethacin and colchicine and referred to cardiology for diagnosis of pericarditis due to adverse vaccine reaction. Onset of severe dizziness and lightheadedness on 12/19/21 and had been told to seek urgent care for any new or worsening symptoms. Went to the Emergency Room and underwent EKG, bloodwork and echocardiogram. Had an appt. with a cardiologist on 12/21/21 and was diagnosed with acute pericarditis from adverse vaccine reaction. Heart palpitations continued for 3 weeks post-vaccine. Intermittent chest and thoracic pain continue.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Palpitations, Pericarditis, Vaccination complication
Clinical narrative: Developed heart palpitations night of 12/7/21, self-monitored to see if they resolved. Then developed chest pain in addition to palpitations on 12/12/21 and went to Urgent Care for assessment and was advised to monitor symptoms. Returned for follow-up care at the Medical Center under advisement of my primary care physician for diagnostic testing for continued chest pain and palpitations on 12/13/21. Underwent blood testing and EKG and told to return if symptoms persisted. Returned to the Medical Urgent Care/PCP care on 12/15/21 and 12/17/21 for worsening chest pain and continued palpitations. Underwent repeat EKG and blood testing, chest x-ray. Prescribed Indomethacin and colchicine and referred to cardiology for diagnosis of pericarditis due to adverse vaccine reaction. Onset of severe dizziness and lightheadedness on 12/19/21 and had been told to seek urgent care for any new or worsening symptoms. Went to the Emergency Room and underwent EKG, bloodwork and echocardiogram. Had an appt. with a cardiologist on 12/21/21 and was diagnosed with acute pericarditis from adverse vaccine reaction. Heart palpitations continued for 3 weeks post-vaccine. Intermittent chest and thoracic pain continue.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue
Clinical narrative: Developed heart palpitations night of 12/7/21, self-monitored to see if they resolved. Then developed chest pain in addition to palpitations on 12/12/21 and went to Urgent Care for assessment and was advised to monitor symptoms. Returned for follow-up care at the Medical Center under advisement of my primary care physician for diagnostic testing for continued chest pain and palpitations on 12/13/21. Underwent blood testing and EKG and told to return if symptoms persisted. Returned to the Medical Urgent Care/PCP care on 12/15/21 and 12/17/21 for worsening chest pain and continued palpitations. Underwent repeat EKG and blood testing, chest x-ray. Prescribed Indomethacin and colchicine and referred to cardiology for diagnosis of pericarditis due to adverse vaccine reaction. Onset of severe dizziness and lightheadedness on 12/19/21 and had been told to seek urgent care for any new or worsening symptoms. Went to the Emergency Room and underwent EKG, bloodwork and echocardiogram. Had an appt. with a cardiologist on 12/21/21 and was diagnosed with acute pericarditis from adverse vaccine reaction. Heart palpitations continued for 3 weeks post-vaccine. Intermittent chest and thoracic pain continue.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pericarditis, Tachycardia
Clinical narrative: Developed heart palpitations night of 12/7/21, self-monitored to see if they resolved. Then developed chest pain in addition to palpitations on 12/12/21 and went to Urgent Care for assessment and was advised to monitor symptoms. Returned for follow-up care at the Medical Center under advisement of my primary care physician for diagnostic testing for continued chest pain and palpitations on 12/13/21. Underwent blood testing and EKG and told to return if symptoms persisted. Returned to the Medical Urgent Care/PCP care on 12/15/21 and 12/17/21 for worsening chest pain and continued palpitations. Underwent repeat EKG and blood testing, chest x-ray. Prescribed Indomethacin and colchicine and referred to cardiology for diagnosis of pericarditis due to adverse vaccine reaction. Onset of severe dizziness and lightheadedness on 12/19/21 and had been told to seek urgent care for any new or worsening symptoms. Went to the Emergency Room and underwent EKG, bloodwork and echocardiogram. Had an appt. with a cardiologist on 12/21/21 and was diagnosed with acute pericarditis from adverse vaccine reaction. Heart palpitations continued for 3 weeks post-vaccine. Intermittent chest and thoracic pain continue.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Patient received covid-19 booster (pfizer) and fainted upon leaving the pharmacy .  Patient was with her mother when she fell and hit her head outside of the store.  According to mom, patient was nervous about getting the shot.  Patient was awake, breathing and had no obvious bleeding.  Ambulance was called , patient was evaluated and discharged .
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Dizziness, Dyspnoea, Urine analysis normal
Clinical narrative: 1/9 Was walking thru a new house and started feeling weak and short of breath. And got quickly worse with shifting and later felt like I was on a boat(Vertigo) When I kept my head still it was fine but if I moved my head in the slightest it started again swaying. I asked to go to urgent care and I never ask to go see a doctor always saying it will pass. When I got there I got Xray, physical, blood and urine and when I was checked by moving my head I got REALLY DIZZY and the room itself seemed to be spinning fast. Was given meclizine for treatment and was advised ENT. I was taking the meclizine on  and off since but it seems to be tapering off. Went to see my PCP but he was out of office and was seen by the PA. Only had a physical and agreed that I needed to see an ENT. This will happen on 1/26, and still dealing with vertigo.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, X-ray normal
Clinical narrative: 1/9 Was walking thru a new house and started feeling weak and short of breath. And got quickly worse with shifting and later felt like I was on a boat(Vertigo) When I kept my head still it was fine but if I moved my head in the slightest it started again swaying. I asked to go to urgent care and I never ask to go see a doctor always saying it will pass. When I got there I got Xray, physical, blood and urine and when I was checked by moving my head I got REALLY DIZZY and the room itself seemed to be spinning fast. Was given meclizine for treatment and was advised ENT. I was taking the meclizine on  and off since but it seems to be tapering off. Went to see my PCP but he was out of office and was seen by the PA. Only had a physical and agreed that I needed to see an ENT. This will happen on 1/26, and still dealing with vertigo.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Biopsy colon normal, COVID-19, Colonoscopy normal, Computerised tomogram normal
Clinical narrative: Lower Intestinal pain.  10-12 bowel movement daily.   Bowel movement in shape of small strips.  Bleeding from anus that took me to the urgent care.   CT Scan -- inconclusive.   No diverticulitis.   Took 2 rounds of antibiotics and pain cleared.     Colonoscopy did not reveal anything -- may have cleared up from antibiotics.      Biopsy revealed no colitis.    Took booster on 1/9/22.   On/about 1/18/22, started having same symptoms.   Lower abdominal pain.    10-12 bowl movements daily.   Bowel movement in shape of jaggedy strips.   Seeing doctor again this week or next.     Booster received 1/9/22 Pfizer 33025BD.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Frequent bowel movements, Gastrointestinal pain, Rectal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: Lower Intestinal pain.  10-12 bowel movement daily.   Bowel movement in shape of small strips.  Bleeding from anus that took me to the urgent care.   CT Scan -- inconclusive.   No diverticulitis.   Took 2 rounds of antibiotics and pain cleared.     Colonoscopy did not reveal anything -- may have cleared up from antibiotics.      Biopsy revealed no colitis.    Took booster on 1/9/22.   On/about 1/18/22, started having same symptoms.   Lower abdominal pain.    10-12 bowl movements daily.   Bowel movement in shape of jaggedy strips.   Seeing doctor again this week or next.     Booster received 1/9/22 Pfizer 33025BD.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: acute STEMI
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Dyspnoea, Heart rate increased, Pain in extremity
Clinical narrative: Started at night as I went to bed about 11 p.m.  My arm became much sorer and swollen and also very itchy. My heart was beating rapidly and I couldn't slow it down with breathing.  Then It was hard to breathe,  I felt off balance/dizzy, and finally I could feel my throat closing up. I drank lots of water, did yoga,  diaphragmatic breathing walked around somewhat. I knew I should go to the hospital but I didn't have anyone to take me and I didn't want to call 911, so I tuffed it out for several hours.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Throat tightness
Clinical narrative: Started at night as I went to bed about 11 p.m.  My arm became much sorer and swollen and also very itchy. My heart was beating rapidly and I couldn't slow it down with breathing.  Then It was hard to breathe,  I felt off balance/dizzy, and finally I could feel my throat closing up. I drank lots of water, did yoga,  diaphragmatic breathing walked around somewhat. I knew I should go to the hospital but I didn't have anyone to take me and I didn't want to call 911, so I tuffed it out for several hours.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Discomfort
Clinical narrative: Discomfort (unspecified) on the day following the COVID 19 booster shot.  No treatment was done. Death happened on the 2nd day after booster shot. Official date of death was listed as 1/22/22, since that was the date when discovered.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: Note: my first 2 series in my COVID-19 vaccine was Pfizer.  I decided to cross boost. Approximately 36 hours after receiving a Moderna COVID-19 booster, along with the typical side effects (sore arm, swollen lymph nodes, chills) I had a burning pain that would come and go about every 10 minutes way down in my lower right pelvis region (felt like ovary/fallopian tube area). This pain and burning went on all day.  12 hours. The next day it was completely gone. I knew it was related to my booster. I never felt this burning pain before.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Registry reveals Patient received J&J  on 04/08/2021 for primary series, received Moderna Booster on 11/11/2021 and received Pfizer Booster today.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Not an adverse reaction but an administration error. A grey cap adult pfizer was prepared and administered as a pediatric pfizer. The patient received a 40% higher dose than the approved dose for children ages 5-11
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Joint stiffness, Pain, Pyrexia
Clinical narrative: Initial reaction was similar to reaction of second dose: low fever, body aches, headache and exhaustion. New reaction: joint stiffness and pain. This lasted from 28 hours post-injection to 72 hours post-injection, but the joint stiffness, some body aches and exhaustion remained. Over the next three weeks, joint stiffness has mostly resolved, but exhaustion and some body aches remain.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Initial reaction was similar to reaction of second dose: low fever, body aches, headache and exhaustion. New reaction: joint stiffness and pain. This lasted from 28 hours post-injection to 72 hours post-injection, but the joint stiffness, some body aches and exhaustion remained. Over the next three weeks, joint stiffness has mostly resolved, but exhaustion and some body aches remain.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Malaise, Pain
Clinical narrative: I am fully vaccinated against COVID-19. After each vaccine I had full body aches, fever and chills. I also had extreme fatigue that lasted for 3 months post my last vaccine. Lastly, I just tested positive for COVID-19 on 01/24/2022. I am extremely sick. I want my vaccine status and extreme COVID-19 sickness to be documented. I don't want to receive any future doses of the vaccine as it created issues for me that were long-lasting. I still ended up with a very difficult case of COVID-19.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I am fully vaccinated against COVID-19. After each vaccine I had full body aches, fever and chills. I also had extreme fatigue that lasted for 3 months post my last vaccine. Lastly, I just tested positive for COVID-19 on 01/24/2022. I am extremely sick. I want my vaccine status and extreme COVID-19 sickness to be documented. I don't want to receive any future doses of the vaccine as it created issues for me that were long-lasting. I still ended up with a very difficult case of COVID-19.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: No adverse reaction but an administration error. A grey cap adult pfizer vaccine was diluted and administered as a pediatric pfizer vaccine. patient received a 40% higher dose and what is approved for children 5-11
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was stored in fridge past the allowed 30 days, administered to pt, contacted pt and advised to repeat vaccination. pt repeated on 10/3/21
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ear infection, Influenza, Lymphadenopathy, Nasal congestion, Oropharyngeal pain
Clinical narrative: Flu  three times, swollen lymph nodes, nasal congestion, sore throat, ear infection, UTI, fever
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Urinary tract infection
Clinical narrative: Flu  three times, swollen lymph nodes, nasal congestion, sore throat, ear infection, UTI, fever
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Nerve injury
Clinical narrative: cellulitis and neuropraxy
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Listless
Clinical narrative: Client presented to the clinic for his first dose of the Pfizer pediatric COVID-19 vaccine (Lot FK5618, received to the LD at 1621). Shortly after vaccination, the client c/o feeling dizzy. There was no diaphoresis, pallor, or LOC noted. No changes to breathing, SOB, or respiratory distress were noted. He remained sitting in his chair with appropriate balance and posture. The client was provided juice and drank it without difficulty. He chose a sticker and began to play with it, although his manner was listless and he responded to questions slowly and with a very quiet voice. At first, the client declined to lay down, but eventually he walked over to the cot without difficulty and needing no assistance. Once he laid down, he reported that he felt ?better?, but his demeanor continued to be listless. He denied changes in vision or hearing and reported no concerns with other body systems when prompted to assess and report. The client?s mother was in attendance. Education on vasovagal responses, what to watch for, and when to seek medical care was provided. The client?s mother verbalized understanding.  After a period of rest, the client sat up on the cot at 1634 and drank water. He reported that he felt ?good? but also a little dizzy. He did report that the sensation of dizziness had improved when compared to how he felt shortly after his vaccination. When offered a choice between laying back down or continuing to sit, the client chose to remain sitting. No pallor or diaphoresis was noted. Mood and mentation appeared WNL and consistent with his baseline (per his mother). The client began playing with his sticker, displaying more energy than he had previously. At 1639 the client stood up at the edge of the cot. He reported that he felt ?normal? and proceeded to walk without difficulty or requiring assistance. As he passed by the box containing prizes for children, he stopped to choose a toy. He began vigorously playing with his toy, sitting with his family in observation. No further s/s hypotension were visualized and he appeared to be to baseline. He remained under observation and continued playing actively until 1653, at which point the client exited with his family in a private vehicle.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient received an undiluted dose of pediatric Pfizer COVID-19 vaccine. No side effects reported at this time.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Fatigue, Muscle spasms, Myalgia
Clinical narrative: Severe body and muscle aches, severe stomach cramping, chills, fatigue, inability to sleep, vomiting. Began Wednesday late night, about 11:30 PM, and lasted for a little more than 36 hours. Muscle cramping in legs continues to date, which is January 25, 2022.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sleep disorder, Vomiting
Clinical narrative: Severe body and muscle aches, severe stomach cramping, chills, fatigue, inability to sleep, vomiting. Began Wednesday late night, about 11:30 PM, and lasted for a little more than 36 hours. Muscle cramping in legs continues to date, which is January 25, 2022.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: A 15-year-old was provided the 5 to 11-year-old Pfizer vaccination. Patient needed the 12 and up Pfizer vaccine based on age screening. Immunizations clinic had the vaccines separated and labeled properly. The failure occurred during screening when the age of the patient was not taken into account properly, and personnel did not double verify the vaccines prior to being administered.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient received  an undiluted dose of pediatric pfizer Covid vaccine. No side effects to report at this time.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: A 13-year-old was provided the 5 to 11-year-old Pfizer vaccination. Patient needed the 12 and up Pfizer vaccine based on age screening. Immunizations clinic had the vaccines separated and labeled properly. The failure occurred during screening when the age of the patient was not taken into account properly, and personnel did not double verify the vaccines prior to being administered.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen Red patch 2 inches below injection site.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Malaise, Neck pain
Clinical narrative: pt said he had chills, not feeling well at all as well as neck pain for 7 days.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Brain scan abnormal, Cerebrovascular accident
Clinical narrative: Massive Stroke - Went to hospital for a week.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID on 1/17/2022 asymptomatic entire time
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Dyspnoea, SARS-CoV-2 test negative
Clinical narrative: Shortness of breath and tightness in chest beginning 3 days after vaccine and persisting 3 weeks later. Inability to take a deep breath and feeling as though I?m not getting enough oxygen.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Inflammation, Product administered at inappropriate site
Clinical narrative: Patient developed some complications of inflammation in the shoulder/arm and patient thinks because the injection was given too close to the shoulder joint instead of deltoid muscle.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Large red itchy rash, slightly raised
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Dyspnoea, Fatigue, Wheezing
Clinical narrative: 2-3 minutes after getting vaccine, symptoms- Shortness of breath, Wheezing, Fatigue. Patient had asthma pump, Inhaled it, felt better after few minutes. called 911, they checked all vital, everything normal. no admission to ER or hospital.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: patient was at pharmacy for 2nd dose moderna but only got half dose thinking its booster
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness, Seizure, Unresponsive to stimuli
Clinical narrative: 1715 Patient brought to observation after a seizure post vaccination Pt placed in supine position and postictal and non responsive.  Mother reported daily history of seizures.  Pt vital signs as follows.  110/60-94-10 (left arm)  , 99% O2 saturation on RA.  Approximately 10 minutes later patient awoke.  Mother insisted on leaving to go home to get diazepam.  Mother was encouraged to stay but insisted and left.  Stated she is seen at dr. but unable to combine Care with chart.  Mother reported allergy to keppra and taking numerous medications but did not stated what they were.   Pt ambulated out of observation area with assistance. RN PHN  Event occurred at (privacy) Patient had an episode of seizure right after the first dose of pediatric Pfizer vaccine given. Patient lost her consciousness with her eyes opened, and did not respond to the verbal stimuli. Patient and parents were escorted to the observation room for further monitoring.  Patient left the facility at 5:37PM after regaining consciousness and stabled vital signs.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase, Ammonia, Amylase, Aspartate aminotransferase increased, Bacterial test
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Basophil percentage, Bilirubin conjugated, Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood cholesterol normal, Blood creatinine increased
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood lactate dehydrogenase, Blood magnesium normal, Blood phosphorus, Blood potassium normal
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood test, Blood triglycerides normal, Blood urea increased, Blood uric acid decreased
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine, C-reactive protein, COVID-19, Carbon dioxide decreased, Chest X-ray abnormal
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Eosinophil percentage decreased, Gamma-glutamyltransferase, Glomerular filtration rate decreased, Glucose urine absent
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, High density lipoprotein, Immature granulocyte count, Lipase
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Low density lipoprotein normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration increased, Mean cell haemoglobin increased, Mean cell volume increased
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume increased, Monocyte percentage, Multimorbidity, N-terminal prohormone brain natriuretic peptide increased, Neutrophil percentage increased
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Nitrite urine absent, Platelet count normal, Pneumonia, Prostatic specific antigen, Protein total normal
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Protein urine absent, Red blood cell count decreased, Red blood cells urine positive, Red cell distribution width increased, Respiratory failure
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Specific gravity urine normal, Troponin I increased, Urinary sediment present, Urinary tract infection, Urine ketone body absent
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase, Very low density lipoprotein, White blood cell count normal, White blood cells urine positive, Wound
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: pH urine
Clinical narrative: Patient died of COVID 8/29/2021. Had received 2 doses of Pfizer COVID19 vaccines. 1st dose was also Pfizer 12/29/20, 2nd dose on 1/19/2021. 83 yo F with sig comorbidities including chronic ischial wound, admitted for resistant PsA UTI and incidental covid. As such, the OSH didn't treat her for COVID 19, despite transfer document indicating the new, 1L o2 requirement at elevation. On DOA 4/5 she developed and O2 requirement, had b/l pna on CXR, and then over the course of 4 days progressive respiratory failure. Given RDV/Dex x 2 days and stopped as patient transitioned to hospice.  Pt died as mentioned.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac function test normal, Chest discomfort, Chest pain, Dyspnoea, Influenza
Clinical narrative: Very bad flu symptoms two days and on third evening development of tachycardia and chest pain with tightness and deep shallow breathing causing shortness of breathe.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Very bad flu symptoms two days and on third evening development of tachycardia and chest pain with tightness and deep shallow breathing causing shortness of breathe.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Are is red and swollen and is still hurting. Ended up in ER yesterday for 6hrs. Tortadol was given in iv then sent home. I was given the Moderna shot at 330 pm on the 22nd of January.  Then redness is now bigger and is still hurting also had fever when I went to er yesterday
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Chest X-ray normal, Chronic obstructive pulmonary disease, Computerised tomogram thorax normal
Clinical narrative: Hospitalized (1.13.22 - 1.18.22);  COVID-19 positive (1.12.22);  fully vaccinated (plus booster - but not 2 weeks out) Admission Date: 1/13/2022 Discharge Date: 1/18/2022 COVID-19 Assessment & Plan Date of Symptom onset: 1/09/2022 Date of positive COVID-19 test: 1/13/2022 Repeat imaging of the chest again does not demonstrate infiltrate, suspect patient's COVID symptoms are primarily upper respiratory and patient's current shortness of breath is related to chronic obstructive pulmonary disease exacerbation Regardless, patient will remain on steroids for chronic obstructive pulmonary disease which provides additional treatment for COVID. DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COPD with acute exacerbation  Acute kidney injury  COVID-19  HOSPITAL COURSE: The patient is a 61-year-old female who presented with complaints of nausea, vomiting, and shortness of breath.  On presentation the patient was noted to test positive for COVID.  Despite being COVID positive the patient had negative imaging of a chest x-ray.  Patient was requiring 2 L of oxygen to maintain appropriate saturations which the patient states she has as needed at home related to her chronic obstructive pulmonary disease diagnosis.  The patient was started on IV Solu-Medrol as chronic obstructive pulmonary disease exacerbation was the suspected cause of patient's shortness of breath given lack of imaging.  Two days in the patient's hospitalization a repeat set of images were obtained with CT of chest which was negative for acute PE and again negative for acute infiltrate.  The patient was moved to oral prednisone and had remained stable on 2 L of continuous oxygen for 48 hours prior to discharge despite ongoing wheezing noted globally. The patient additionally had noted acute kidney injury on presentation likely related to hypovolemia.  With IV fluid administration the patient had normalization of her renal function.  IV fluids were discontinued in the patient's renal function remained stable throughout hospitalization.  On day of discharge, the patient was feeling significantly better.  She reports significant improvement of her diarrhea.  Questions have been answered to the patient's satisfaction and she is being discharged home in stable condition.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Diarrhoea, Dyspnoea, Hypovolaemia, Malaise
Clinical narrative: Hospitalized (1.13.22 - 1.18.22);  COVID-19 positive (1.12.22);  fully vaccinated (plus booster - but not 2 weeks out) Admission Date: 1/13/2022 Discharge Date: 1/18/2022 COVID-19 Assessment & Plan Date of Symptom onset: 1/09/2022 Date of positive COVID-19 test: 1/13/2022 Repeat imaging of the chest again does not demonstrate infiltrate, suspect patient's COVID symptoms are primarily upper respiratory and patient's current shortness of breath is related to chronic obstructive pulmonary disease exacerbation Regardless, patient will remain on steroids for chronic obstructive pulmonary disease which provides additional treatment for COVID. DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COPD with acute exacerbation  Acute kidney injury  COVID-19  HOSPITAL COURSE: The patient is a 61-year-old female who presented with complaints of nausea, vomiting, and shortness of breath.  On presentation the patient was noted to test positive for COVID.  Despite being COVID positive the patient had negative imaging of a chest x-ray.  Patient was requiring 2 L of oxygen to maintain appropriate saturations which the patient states she has as needed at home related to her chronic obstructive pulmonary disease diagnosis.  The patient was started on IV Solu-Medrol as chronic obstructive pulmonary disease exacerbation was the suspected cause of patient's shortness of breath given lack of imaging.  Two days in the patient's hospitalization a repeat set of images were obtained with CT of chest which was negative for acute PE and again negative for acute infiltrate.  The patient was moved to oral prednisone and had remained stable on 2 L of continuous oxygen for 48 hours prior to discharge despite ongoing wheezing noted globally. The patient additionally had noted acute kidney injury on presentation likely related to hypovolemia.  With IV fluid administration the patient had normalization of her renal function.  IV fluids were discontinued in the patient's renal function remained stable throughout hospitalization.  On day of discharge, the patient was feeling significantly better.  She reports significant improvement of her diarrhea.  Questions have been answered to the patient's satisfaction and she is being discharged home in stable condition.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Respiratory symptom, SARS-CoV-2 test positive, Vomiting, Wheezing
Clinical narrative: Hospitalized (1.13.22 - 1.18.22);  COVID-19 positive (1.12.22);  fully vaccinated (plus booster - but not 2 weeks out) Admission Date: 1/13/2022 Discharge Date: 1/18/2022 COVID-19 Assessment & Plan Date of Symptom onset: 1/09/2022 Date of positive COVID-19 test: 1/13/2022 Repeat imaging of the chest again does not demonstrate infiltrate, suspect patient's COVID symptoms are primarily upper respiratory and patient's current shortness of breath is related to chronic obstructive pulmonary disease exacerbation Regardless, patient will remain on steroids for chronic obstructive pulmonary disease which provides additional treatment for COVID. DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COPD with acute exacerbation  Acute kidney injury  COVID-19  HOSPITAL COURSE: The patient is a 61-year-old female who presented with complaints of nausea, vomiting, and shortness of breath.  On presentation the patient was noted to test positive for COVID.  Despite being COVID positive the patient had negative imaging of a chest x-ray.  Patient was requiring 2 L of oxygen to maintain appropriate saturations which the patient states she has as needed at home related to her chronic obstructive pulmonary disease diagnosis.  The patient was started on IV Solu-Medrol as chronic obstructive pulmonary disease exacerbation was the suspected cause of patient's shortness of breath given lack of imaging.  Two days in the patient's hospitalization a repeat set of images were obtained with CT of chest which was negative for acute PE and again negative for acute infiltrate.  The patient was moved to oral prednisone and had remained stable on 2 L of continuous oxygen for 48 hours prior to discharge despite ongoing wheezing noted globally. The patient additionally had noted acute kidney injury on presentation likely related to hypovolemia.  With IV fluid administration the patient had normalization of her renal function.  IV fluids were discontinued in the patient's renal function remained stable throughout hospitalization.  On day of discharge, the patient was feeling significantly better.  She reports significant improvement of her diarrhea.  Questions have been answered to the patient's satisfaction and she is being discharged home in stable condition.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chapped lips, Constipation, Crying, Decreased appetite
Clinical narrative: Very suddenly, patient started producing large amounts of saliva, which he refuses to swallow, and at the same time, he began behaving as though he had a severe phobia of what he thinks are toxins, germs, and other "poisonous" or "dirty" (though invisible) substances. This was a severe and sudden onset, and the symptoms have not resolved at all. He's eating less and taking fewer fluids because he's afraid the food or beverage or the dish it touched, or even his own hands, are contaminated. Before his school closed again, he was unable to complete a whole day in kindergarten without significant anxiety, crying, trips to the school nurse (he used to love school, now he's afraid to go). It's affecting his ability to conduct a normal life. I am very concerned about his health. He's so afraid of food and drink that he's showing signs of dehydration such as constipation, chapped lips, and very dry skin. He's anxious all the time, and he has lost a lot of sleep. Often, these "OCD-like" symptoms are worst in the middle of the night. He wakes up and has hypersensitivity to tactile  sensations like he believes there's pee on his leg or  crumbs  p in his sheets. He gets very upset and about his hair touching him, it takes a long time to get back to sleep