chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, Blood gases, Brain natriuretic peptide increased, COVID-19, Cardiomegaly
Clinical narrative: Patient is a 75-year-old woman with history of COPD (on 3 L NC at home) and diastolic heart failure presented to the local ED with worsening shortness of breath.   Patient reports that she was in her usual state of health until around two days prior to admission.  She reports that she has chronic shortness of breath, but that this acutely worsened starting around 2 days prior to admission.  She reported feeling short of breath with any exertion.  She denied having any chest pain. She reports having a chronic cough.  She reported having some sinus congestion, which seems to be a chronic issue.  She reports that she has had some chills over the last 2 days, but denies any fevers.  Due to persistence of the symptoms patient presented to a local clinic where she was noted to be having an increased oxygen requirements up to 5 L.  She then tested positive for COVID-19.  She was then instructed to present to the local ED for further evaluation.    Upon arrival to the local ED, patient was noted to be hypoxic and was needing up to 10 L nasal cannula to maintain oxygen saturations.  She was borderline hypotensive at times, but blood pressures remained stable with SBP in the 100's.  Admission lab work was notable for creatinine elevated to 1.7.  BNP elevated to 2000.  ABG showed hypoxia on 5 L nasal cannula.  Rapid COVID test was positive.  CXR showed cardiomegaly with bilateral infiltrates (possibly chronic interstitial findings).  Patient was given IV Decadron in the ED.  Hospital was then contacted for admission.    Of note, patient was fully vaccinated against COVID-19.  She reports that she completed a 2 dose mRNA vaccine series in 2/2021.  She reports that she has been boosted, but was unable to remember the date when she was boosted.    PT REMAINS INPATIENT AT THIS TIME.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: Patient is a 75-year-old woman with history of COPD (on 3 L NC at home) and diastolic heart failure presented to the local ED with worsening shortness of breath.   Patient reports that she was in her usual state of health until around two days prior to admission.  She reports that she has chronic shortness of breath, but that this acutely worsened starting around 2 days prior to admission.  She reported feeling short of breath with any exertion.  She denied having any chest pain. She reports having a chronic cough.  She reported having some sinus congestion, which seems to be a chronic issue.  She reports that she has had some chills over the last 2 days, but denies any fevers.  Due to persistence of the symptoms patient presented to a local clinic where she was noted to be having an increased oxygen requirements up to 5 L.  She then tested positive for COVID-19.  She was then instructed to present to the local ED for further evaluation.    Upon arrival to the local ED, patient was noted to be hypoxic and was needing up to 10 L nasal cannula to maintain oxygen saturations.  She was borderline hypotensive at times, but blood pressures remained stable with SBP in the 100's.  Admission lab work was notable for creatinine elevated to 1.7.  BNP elevated to 2000.  ABG showed hypoxia on 5 L nasal cannula.  Rapid COVID test was positive.  CXR showed cardiomegaly with bilateral infiltrates (possibly chronic interstitial findings).  Patient was given IV Decadron in the ED.  Hospital was then contacted for admission.    Of note, patient was fully vaccinated against COVID-19.  She reports that she completed a 2 dose mRNA vaccine series in 2/2021.  She reports that she has been boosted, but was unable to remember the date when she was boosted.    PT REMAINS INPATIENT AT THIS TIME.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypertension, Hypoxia, Lung infiltration, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Patient is a 75-year-old woman with history of COPD (on 3 L NC at home) and diastolic heart failure presented to the local ED with worsening shortness of breath.   Patient reports that she was in her usual state of health until around two days prior to admission.  She reports that she has chronic shortness of breath, but that this acutely worsened starting around 2 days prior to admission.  She reported feeling short of breath with any exertion.  She denied having any chest pain. She reports having a chronic cough.  She reported having some sinus congestion, which seems to be a chronic issue.  She reports that she has had some chills over the last 2 days, but denies any fevers.  Due to persistence of the symptoms patient presented to a local clinic where she was noted to be having an increased oxygen requirements up to 5 L.  She then tested positive for COVID-19.  She was then instructed to present to the local ED for further evaluation.    Upon arrival to the local ED, patient was noted to be hypoxic and was needing up to 10 L nasal cannula to maintain oxygen saturations.  She was borderline hypotensive at times, but blood pressures remained stable with SBP in the 100's.  Admission lab work was notable for creatinine elevated to 1.7.  BNP elevated to 2000.  ABG showed hypoxia on 5 L nasal cannula.  Rapid COVID test was positive.  CXR showed cardiomegaly with bilateral infiltrates (possibly chronic interstitial findings).  Patient was given IV Decadron in the ED.  Hospital was then contacted for admission.    Of note, patient was fully vaccinated against COVID-19.  She reports that she completed a 2 dose mRNA vaccine series in 2/2021.  She reports that she has been boosted, but was unable to remember the date when she was boosted.    PT REMAINS INPATIENT AT THIS TIME.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This nurse removed opened vial of Moderna from storage, 2-8 C. Placed in cooler with ice packs along with two other unopened vials of Moderna. This nurse then transported and gave the three vials to the agency nurse. Agency nurse administered open vial of Moderna to persons who had signed up for the Booster vaccination of the Moderna Vaccination 0.25ml. Once completed updated Manager that the bottle given to her was open and was going to open another vial. This nurse confirmed with the manager that the bottle had been opened previously, 1/19/2022. This nurse had mis read the storage information regarding Moderna to be stored unopened and unused for 30 days. This nurse made telephone call to each person affected by this opened vial. Per Medical Director  offered everyone a dose of 0.25ml out of the new unopened vial.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash pruritic
Clinical narrative: Itchy rash all over body. Rash started clearing up after about 12 hours with Benadryl
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Laparoscopic surgery, Nephrectomy
Clinical narrative: Patient was admitted on 1/5/2022 for a left laparoscopic hand-assisted nephrectomy after receiving third dose of  Pfizer given 12/30/2021
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Myalgia, Pain in extremity, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt received moderna covid vaccines on 4/24/21, 5/21/21, and 9/8/21.  on 1/31/22 patient admitted to our hospital with fevers, myalgias, and leg pain.  of not patient had covid in early january. pt with fever of 102.7 on 2/1/22 @0950
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiac arrest, Cerebrovascular accident, Computerised tomogram head abnormal
Clinical narrative: pt brought to ED via EMS for increasing SOB, weakness after being diagnosed with COVID t days earlier; hypoxic respiratory failure; O2 sats in ED 50%; placed on NRB and O2 sats went up to 70%; placed on Vapotherm 35L; given dexamethasone, remdesivir, vitamins C & D, zinc; pt's condition worsened requiring intubation; off sedation but still unresponsive; head CT showed right CVA and developing left CVA; DNR; comfort measures; pt experienced asystole and never recovered
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, General physical health deterioration, Respiratory failure, Unresponsive to stimuli
Clinical narrative: pt brought to ED via EMS for increasing SOB, weakness after being diagnosed with COVID t days earlier; hypoxic respiratory failure; O2 sats in ED 50%; placed on NRB and O2 sats went up to 70%; placed on Vapotherm 35L; given dexamethasone, remdesivir, vitamins C & D, zinc; pt's condition worsened requiring intubation; off sedation but still unresponsive; head CT showed right CVA and developing left CVA; DNR; comfort measures; pt experienced asystole and never recovered
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: arm pain
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, C-reactive protein increased, Cardiac failure, Cardiac imaging procedure abnormal
Clinical narrative: Patient received 3 Moderna vaccines on 2/4/21, 3/4/21, and 8/3/21. Patient presented to ED on 11/5/21 with acute on chronic DOE and chest pain (history of DOE and chest pain for 2 years and new diagnosis of HFpEF). Troponin was elevated and ECG was consistent with pericarditis. CMR confirmed myopericarditis. Troponin 369 -> 559, CK 867, CK-MB 17.2, CRP 36 and ESR 42. Patient was appropriately treated with indomethacin and colchicine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea exertional, Ejection fraction, Ejection fraction normal, Electrocardiogram abnormal
Clinical narrative: Patient received 3 Moderna vaccines on 2/4/21, 3/4/21, and 8/3/21. Patient presented to ED on 11/5/21 with acute on chronic DOE and chest pain (history of DOE and chest pain for 2 years and new diagnosis of HFpEF). Troponin was elevated and ECG was consistent with pericarditis. CMR confirmed myopericarditis. Troponin 369 -> 559, CK 867, CK-MB 17.2, CRP 36 and ESR 42. Patient was appropriately treated with indomethacin and colchicine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular dilatation, Magnetic resonance imaging heart, Myocarditis, Oedema, Pericardial effusion
Clinical narrative: Patient received 3 Moderna vaccines on 2/4/21, 3/4/21, and 8/3/21. Patient presented to ED on 11/5/21 with acute on chronic DOE and chest pain (history of DOE and chest pain for 2 years and new diagnosis of HFpEF). Troponin was elevated and ECG was consistent with pericarditis. CMR confirmed myopericarditis. Troponin 369 -> 559, CK 867, CK-MB 17.2, CRP 36 and ESR 42. Patient was appropriately treated with indomethacin and colchicine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial fibrosis, Pericarditis, Pleural effusion, Red blood cell sedimentation rate increased, Right ventricular dysfunction
Clinical narrative: Patient received 3 Moderna vaccines on 2/4/21, 3/4/21, and 8/3/21. Patient presented to ED on 11/5/21 with acute on chronic DOE and chest pain (history of DOE and chest pain for 2 years and new diagnosis of HFpEF). Troponin was elevated and ECG was consistent with pericarditis. CMR confirmed myopericarditis. Troponin 369 -> 559, CK 867, CK-MB 17.2, CRP 36 and ESR 42. Patient was appropriately treated with indomethacin and colchicine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient received 3 Moderna vaccines on 2/4/21, 3/4/21, and 8/3/21. Patient presented to ED on 11/5/21 with acute on chronic DOE and chest pain (history of DOE and chest pain for 2 years and new diagnosis of HFpEF). Troponin was elevated and ECG was consistent with pericarditis. CMR confirmed myopericarditis. Troponin 369 -> 559, CK 867, CK-MB 17.2, CRP 36 and ESR 42. Patient was appropriately treated with indomethacin and colchicine.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: vaccinated 17 year old at facility based mass immunization clinics  in group 1A
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocarditis, Troponin increased
Clinical narrative: Severe chest pain starting 3 days after the vaccine. Elevated troponin requiring admission for post-vaccine myocarditis.
Age: 13.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given a 2nd dose of Influenza vaccine on 1/25/22. Patient had already received this season's influenza vaccine on 9/17/21. No adverse symptoms reported at time of vaccination or to current date.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Remdesivir Discharged home
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Nausea, Rash
Clinical narrative: Onset of numbness 7 hrs post injection from site of injection from right deltoin to wrist. Non-itching rash also present both arms. Also c/o nausea  To ER given injections of benadryl and toradol injections.  Symptoms resolved by morning of 2/2/22.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Labour induction, Maternal exposure during pregnancy, Pregnancy with advanced maternal age
Clinical narrative: The patient is a 35-year-old, gravida 3, para 1, AB1, with a 40-week 0-day intrauterine pregnancy by last menstrual period consistent with an 11-week ultrasound with EDC of 02/01/2022. The patient presents today for scheduled induction. The patient diagnosed with COVID-19 8 days ago. She is feeling better now, is afebrile, just has mild cough and respiratory symptoms.  She has negative cell-free DNA. Pregnancy is complicated by advanced maternal age with normal level 2 ultrasound and negative cell-free DNA this pregnancy. She is GBS negative. She reports irregular contractions. No vaginal bleeding or leakage of fluid. PATIENT IS INPATIENT AT THIS TIME.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Prenatal screening test, Respiratory symptom, Ultrasound uterus normal, Uterine contractions abnormal
Clinical narrative: The patient is a 35-year-old, gravida 3, para 1, AB1, with a 40-week 0-day intrauterine pregnancy by last menstrual period consistent with an 11-week ultrasound with EDC of 02/01/2022. The patient presents today for scheduled induction. The patient diagnosed with COVID-19 8 days ago. She is feeling better now, is afebrile, just has mild cough and respiratory symptoms.  She has negative cell-free DNA. Pregnancy is complicated by advanced maternal age with normal level 2 ultrasound and negative cell-free DNA this pregnancy. She is GBS negative. She reports irregular contractions. No vaginal bleeding or leakage of fluid. PATIENT IS INPATIENT AT THIS TIME.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, COVID-19, Dehydration, Headache
Clinical narrative: Received 1st moderna shot in March 2021, second vaccine in April 2021, booster shot in November 2021. On 1/7/22 my 3 year old son started showing very mild symptoms, which i didnt think anything of because we had just traveled to a snow state, and coming from the warm weather i thought it was a change in temperature. he experienced appetite loss and mild fever, less than 101 for two nights straight. on sunday 1/9/22 i started feeling weak and experienced severe back pain, went to bed and in the morning had to go to the ER because i thought i was experiencing an UTI, which i am familiar with since I am a kidney transplant recepient. I also had nausea at the time. The er administered a covid test, along with other ones, i tested positive for covid 19, was discharged later that morning. I spent all day on January 10th throwing up and with chronich headache and back pain. Had to go to the ER again at night to hysdrate the kidney because i hadnt eaten at all or drank any fluids. They gave me something for nausea, and pain, got discharged around midnight. January 11th, woke up feeling better, still back pain, not as severe as the day before. No more vomiting or nausea. headache lingered for a day or two, but I was caring for my 3 year old, my 70+ year old grandmother, and my pregnant unvaccinated sister (32yo), so i didnt have a lot of time to focus on my symtoms.  The entire household tested positive within two days: 1 unvaccinated three year old, one boosted 75+ senior citizen, 1 immuno compromised boosted 31 yo (myself), a vaccinated 14 year old (No symptoms), a vaccinated 40 yo male (no symptoms), and a pregnant unvaccinated 32 yo female.  Evryone went back to normal within a week. we re tested a wekk after and were still positive, two weeks later we finally got a negative test.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Urinary tract discomfort
Clinical narrative: Received 1st moderna shot in March 2021, second vaccine in April 2021, booster shot in November 2021. On 1/7/22 my 3 year old son started showing very mild symptoms, which i didnt think anything of because we had just traveled to a snow state, and coming from the warm weather i thought it was a change in temperature. he experienced appetite loss and mild fever, less than 101 for two nights straight. on sunday 1/9/22 i started feeling weak and experienced severe back pain, went to bed and in the morning had to go to the ER because i thought i was experiencing an UTI, which i am familiar with since I am a kidney transplant recepient. I also had nausea at the time. The er administered a covid test, along with other ones, i tested positive for covid 19, was discharged later that morning. I spent all day on January 10th throwing up and with chronich headache and back pain. Had to go to the ER again at night to hysdrate the kidney because i hadnt eaten at all or drank any fluids. They gave me something for nausea, and pain, got discharged around midnight. January 11th, woke up feeling better, still back pain, not as severe as the day before. No more vomiting or nausea. headache lingered for a day or two, but I was caring for my 3 year old, my 70+ year old grandmother, and my pregnant unvaccinated sister (32yo), so i didnt have a lot of time to focus on my symtoms.  The entire household tested positive within two days: 1 unvaccinated three year old, one boosted 75+ senior citizen, 1 immuno compromised boosted 31 yo (myself), a vaccinated 14 year old (No symptoms), a vaccinated 40 yo male (no symptoms), and a pregnant unvaccinated 32 yo female.  Evryone went back to normal within a week. we re tested a wekk after and were still positive, two weeks later we finally got a negative test.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Received 1st moderna shot in March 2021, second vaccine in April 2021, booster shot in November 2021. On 1/7/22 my 3 year old son started showing very mild symptoms, which i didnt think anything of because we had just traveled to a snow state, and coming from the warm weather i thought it was a change in temperature. he experienced appetite loss and mild fever, less than 101 for two nights straight. on sunday 1/9/22 i started feeling weak and experienced severe back pain, went to bed and in the morning had to go to the ER because i thought i was experiencing an UTI, which i am familiar with since I am a kidney transplant recepient. I also had nausea at the time. The er administered a covid test, along with other ones, i tested positive for covid 19, was discharged later that morning. I spent all day on January 10th throwing up and with chronich headache and back pain. Had to go to the ER again at night to hysdrate the kidney because i hadnt eaten at all or drank any fluids. They gave me something for nausea, and pain, got discharged around midnight. January 11th, woke up feeling better, still back pain, not as severe as the day before. No more vomiting or nausea. headache lingered for a day or two, but I was caring for my 3 year old, my 70+ year old grandmother, and my pregnant unvaccinated sister (32yo), so i didnt have a lot of time to focus on my symtoms.  The entire household tested positive within two days: 1 unvaccinated three year old, one boosted 75+ senior citizen, 1 immuno compromised boosted 31 yo (myself), a vaccinated 14 year old (No symptoms), a vaccinated 40 yo male (no symptoms), and a pregnant unvaccinated 32 yo female.  Evryone went back to normal within a week. we re tested a wekk after and were still positive, two weeks later we finally got a negative test.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough hospitalization due to COVID-19 in fully vaccinated patient
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Lymphadenopathy
Clinical narrative: Swollen Right Armpit Chest Pain
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Immediate post-injection reaction, Tinnitus
Clinical narrative: Worsening tinnitus noted immediately after booster dose of Moderna.  In retrospect, onset of tinnitus initial onset of tinnitus had been after primary series of Moderna vaccine 1/21, however the association was not apparent until the booster dose.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fall, Hypoxia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: PATIENT ADMITTED TO OUR HOSPITAL AFTER A FALL.  FOUND TO BE HYPOXIC IN OUR EMERGENCY ROOM.  COVID TESTING COMPLETED AND COVID PCR POSITIVE ON 2/1/22.  COVID BREAKTHROUGH CASE IN FULLY VACCINATED INDIVIDUAL
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal discomfort
Clinical narrative: Extreme joint pain 17 hours after the vaccine was administered. started feeling better in about 36 hours  Ongoing joint pain / discomfort  noticed about 2 weeks after the shot and has continued since, even light physical exertion results in joint pain, feels like I aged 20 years
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Cardiac monitoring, Chest pain, Computerised tomogram, Echocardiogram
Clinical narrative: Right sided neck pain 3 days after vaccine , Superventricular tachycardia 6 days after vaccine, right eye blurry vision 5 days after vaccine, ringing in right ear 5 days after vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram, Extrasystoles, Fibrin D dimer increased, Magnetic resonance imaging, Neck pain
Clinical narrative: Right sided neck pain 3 days after vaccine , Superventricular tachycardia 6 days after vaccine, right eye blurry vision 5 days after vaccine, ringing in right ear 5 days after vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Supraventricular tachycardia, Tinnitus, Vision blurred
Clinical narrative: Right sided neck pain 3 days after vaccine , Superventricular tachycardia 6 days after vaccine, right eye blurry vision 5 days after vaccine, ringing in right ear 5 days after vaccine.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Sore arm at first, then about 24 hours after the vaccine, chills, low grade fever (100 degrees), achey joints/muscles
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient received the Pfizer vaccination on 3/17/21 and 4/7/21. Patient presented to ED with CP related to increased SOA.  Patient stated that she had tested positive for Covid-19 on January 5, 2022 and subsequently admitted to Hospital for 3 days and discharged.  .
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Gynaecological examination, Heavy menstrual bleeding, Postmenopausal haemorrhage, Ultrasound scan vagina
Clinical narrative: 82 days after my vaccination - I experienced post menopausal bleeding - and it was profuse.  The bleeding lasted almost 4 days.  I consulted with my gynecologist.  He scheduled for for a transvaginal ultrasound and pelvic examination.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery occlusion, Myocardial infarction
Clinical narrative: Approximately 3-weeks after 2nd Pfizer covid shot I had a heart attack.  It was a 100% block of my LAD (widow maker).
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: UTI symptoms without having UTI.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Asymptomatic COVID-19, Atrial fibrillation, COVID-19, Cellulitis
Clinical narrative: Patient is an 83 yr old female with medical history significant for afib on eliquis (renally dosed), CAD, HTN, chronic hypoxemic respiratory failure on 2L NC at home, HLD, CKD3, Carotid artery dz, fibromyalgia, anxiety/depression, dementia, and frequent falls. She had recent L LE cellulitis and an ulcer in left lower extremity. She was also recently hospitalized here from 1/5/22- 1/12/22 for AFib with RVR and left intertrochanteric hip fracture, (the latter) which was treated with a left IT nail on January 6th by Dr. She had been ambulating well until about a week and half ago. She does not remember any specific fall but has been having difficulty with pain in the L leg and groin. X-rays in ED demonst demonstrate failure of IT nail. Also of note, during the most recent hospital stay her home Diltiazem dose was increased, and she was started on metoprolol as well. She was discharged for SNF. On 1/28/22 performed routine surveillance COVID testing on her (she was asymptomatic), and she was COVID positive. Since about 1/30/22 staff noted her to have decreased PO intake and increased confusion including hallucinations. They also started her on Dexamethasone. Patient denies chest pain, palpitations, shortness of breath, headache, chills, diarrhea, vomiting, and dysuria. Hospitalist is asked to admit the patient namely because of AKI (superimposed on CKD) and failure of IT nail. Dr. with orthopedic surgery was consulted by ED physician for the latter.  PT IS INPATIENT AT THIS TIME
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Confusional state, Groin pain, Hallucination, Hip fracture, Hypophagia
Clinical narrative: Patient is an 83 yr old female with medical history significant for afib on eliquis (renally dosed), CAD, HTN, chronic hypoxemic respiratory failure on 2L NC at home, HLD, CKD3, Carotid artery dz, fibromyalgia, anxiety/depression, dementia, and frequent falls. She had recent L LE cellulitis and an ulcer in left lower extremity. She was also recently hospitalized here from 1/5/22- 1/12/22 for AFib with RVR and left intertrochanteric hip fracture, (the latter) which was treated with a left IT nail on January 6th by Dr. She had been ambulating well until about a week and half ago. She does not remember any specific fall but has been having difficulty with pain in the L leg and groin. X-rays in ED demonst demonstrate failure of IT nail. Also of note, during the most recent hospital stay her home Diltiazem dose was increased, and she was started on metoprolol as well. She was discharged for SNF. On 1/28/22 performed routine surveillance COVID testing on her (she was asymptomatic), and she was COVID positive. Since about 1/30/22 staff noted her to have decreased PO intake and increased confusion including hallucinations. They also started her on Dexamethasone. Patient denies chest pain, palpitations, shortness of breath, headache, chills, diarrhea, vomiting, and dysuria. Hospitalist is asked to admit the patient namely because of AKI (superimposed on CKD) and failure of IT nail. Dr. with orthopedic surgery was consulted by ED physician for the latter.  PT IS INPATIENT AT THIS TIME
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Intramedullary rod insertion, Pain in extremity, SARS-CoV-2 test positive, Superinfection, X-ray of pelvis and hip abnormal
Clinical narrative: Patient is an 83 yr old female with medical history significant for afib on eliquis (renally dosed), CAD, HTN, chronic hypoxemic respiratory failure on 2L NC at home, HLD, CKD3, Carotid artery dz, fibromyalgia, anxiety/depression, dementia, and frequent falls. She had recent L LE cellulitis and an ulcer in left lower extremity. She was also recently hospitalized here from 1/5/22- 1/12/22 for AFib with RVR and left intertrochanteric hip fracture, (the latter) which was treated with a left IT nail on January 6th by Dr. She had been ambulating well until about a week and half ago. She does not remember any specific fall but has been having difficulty with pain in the L leg and groin. X-rays in ED demonst demonstrate failure of IT nail. Also of note, during the most recent hospital stay her home Diltiazem dose was increased, and she was started on metoprolol as well. She was discharged for SNF. On 1/28/22 performed routine surveillance COVID testing on her (she was asymptomatic), and she was COVID positive. Since about 1/30/22 staff noted her to have decreased PO intake and increased confusion including hallucinations. They also started her on Dexamethasone. Patient denies chest pain, palpitations, shortness of breath, headache, chills, diarrhea, vomiting, and dysuria. Hospitalist is asked to admit the patient namely because of AKI (superimposed on CKD) and failure of IT nail. Dr. with orthopedic surgery was consulted by ED physician for the latter.  PT IS INPATIENT AT THIS TIME
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Feeling abnormal, Headache, Injection site rash
Clinical narrative: After I received the vaccine, I didn't have a problem until about 12 hours later. The next morning, I didn't feel like myself; I felt achy, tired, nauseous, my arm was sore, had a headache, I just felt weak and sick and tired. I didn't have any symptoms from the previous 2 doses. I took two Tylenol extra strength to try to help fight off the symptoms. I developed a rash in the area of the injection site a couple of days after the vaccination. I went to the doctor last Friday, 01/28/2022. I got an IV in my arm and felt a bit better; the nausea and fatigue went away, but my headache didn't go away.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain, Pain in extremity
Clinical narrative: After I received the vaccine, I didn't have a problem until about 12 hours later. The next morning, I didn't feel like myself; I felt achy, tired, nauseous, my arm was sore, had a headache, I just felt weak and sick and tired. I didn't have any symptoms from the previous 2 doses. I took two Tylenol extra strength to try to help fight off the symptoms. I developed a rash in the area of the injection site a couple of days after the vaccination. I went to the doctor last Friday, 01/28/2022. I got an IV in my arm and felt a bit better; the nausea and fatigue went away, but my headache didn't go away.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthma exercise induced, Dyspnoea, Wheezing
Clinical narrative: exercise induced asthma during a night out; was wheezing the next day and had difficulty taking deep breaths; I emailed Dr. and she had me come in; discussed my hx with childhood asthma and she prescribed me Albuterol to keep on hand.
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Gaze palsy, Pallor, Seizure like phenomena, Syncope, Tremor
Clinical narrative: MOM SAYS SEIZURE -LIKE EYE ROLLED BACK SHAKING,FAINTED,PALE PT WAS IN OBSERVATION AFTER PT WAS FASTING
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Stomatitis
Clinical narrative: LESIONS IN MOUTH AND SWELLING OF LIPS
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The patient was disclosed of an event related to receiving their Moderna COVID-19 vaccine 4 days beyond the recommended expiration date. Per Moderna, the vaccine will maintain the necessary effectiveness against COVID-19. There is no further follow up needed with the patient.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Atrial fibrillation, Atrial flutter, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient is fully vaccinated and boosted 12/30/2021.  COVID + 1/10/2022 at hospitalization. Acitve problem: Atrial fibrillation with RVR. 38-year-old gentleman with history of end-stage renal disease, on hemodialysis, presenting to emergency room having been sent from dialysis unit with the development of shortness of breath and severe palpitations.The patient was found to be in supraventricular tachycardia with rhythm fluctuating with atrial fibrillation and flutter and subsequently admitted for further management. chest x-ray showed diffuse pulmonary interstitial findings, possibly related to COVID-19 infection and pneumonia. Elevated troponin. Treatment: cardizem. IV dexamethasone. room air.  Discharged to home.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Interstitial lung disease, Palpitations, SARS-CoV-2 test positive, Supraventricular tachycardia
Clinical narrative: Patient is fully vaccinated and boosted 12/30/2021.  COVID + 1/10/2022 at hospitalization. Acitve problem: Atrial fibrillation with RVR. 38-year-old gentleman with history of end-stage renal disease, on hemodialysis, presenting to emergency room having been sent from dialysis unit with the development of shortness of breath and severe palpitations.The patient was found to be in supraventricular tachycardia with rhythm fluctuating with atrial fibrillation and flutter and subsequently admitted for further management. chest x-ray showed diffuse pulmonary interstitial findings, possibly related to COVID-19 infection and pneumonia. Elevated troponin. Treatment: cardizem. IV dexamethasone. room air.  Discharged to home.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient is fully vaccinated and boosted 12/30/2021.  COVID + 1/10/2022 at hospitalization. Acitve problem: Atrial fibrillation with RVR. 38-year-old gentleman with history of end-stage renal disease, on hemodialysis, presenting to emergency room having been sent from dialysis unit with the development of shortness of breath and severe palpitations.The patient was found to be in supraventricular tachycardia with rhythm fluctuating with atrial fibrillation and flutter and subsequently admitted for further management. chest x-ray showed diffuse pulmonary interstitial findings, possibly related to COVID-19 infection and pneumonia. Elevated troponin. Treatment: cardizem. IV dexamethasone. room air.  Discharged to home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Loss of consciousness, Magnetic resonance imaging
Clinical narrative: About 3 hours later, I passed out.  My husband picked me up and laid me on the bed.  I had seizers that lasted for about an hour.  I went to the ER the next morning.  They did CT scan, blood work, EKG, and MRI.  My blood pressure was also evaluated.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: About 3 hours later, I passed out.  My husband picked me up and laid me on the bed.  I had seizers that lasted for about an hour.  I went to the ER the next morning.  They did CT scan, blood work, EKG, and MRI.  My blood pressure was also evaluated.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Dizziness, Fatigue, Laboratory test, Mobility decreased
Clinical narrative: 39yo M with adverse reaction to Pfizer vaccine booster on 14 January causing nausea, extreme body aches, fatigue, dizziness to the point where the pt couldn't move on his own. Was transported via ambulance to ER. Per pt, CXR and labs were unremarkable. Symptoms have resolved except for a slight cough since
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: 39yo M with adverse reaction to Pfizer vaccine booster on 14 January causing nausea, extreme body aches, fatigue, dizziness to the point where the pt couldn't move on his own. Was transported via ambulance to ER. Per pt, CXR and labs were unremarkable. Symptoms have resolved except for a slight cough since
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Blue toe syndrome
Clinical narrative: Purple toes intermittently
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Dyspnoea, Laboratory test normal, SARS-CoV-2 test positive
Clinical narrative: The patient is a 52 yo female w/ history of moderately differentiated squamous cell carcinoma of the base of the left tongue, clinical stage III, status post tracheostomy emergent in November 2015 for a rapidly enlarging epiglottic mass . She was treated with combined modality cisplatin and radiation therapy from 12/30/15 ­ 2/23/16. One month later, she had noted increased left cervical pain and with a positive PET­CT affirmation in April 2016. She had disease recurrence with the tongue only. She then received Erbitux from May 19, 2016 until February 24, 2017. There was no lesion on a direct visualization with a laryngoscopy performed by ENT. She has been followed by observation since 2/2017.  She has moved to another hospital and was referred to me to establish care. Her tracheostomy was removed in July 2017, she has associated chronic pain of her left necko, for which she is being treated by the pain clinic. She has a chemical dependency history, now abstinent. She is status p st left nephrectomy in year 2000 and a self­reported history of melanoma with no clinical data available to confirm this.  She follows with doctor every 6 months and last saw him in October 2021 and was continued on observation.  She follows a different doctor and is on bupinorphine and gabapentin. Patient presented to the ER on 2/2 w/ complaints of SOB and strider.  She tested positive for COVID.  CXR looked ok.  Labs also unrevealing.  She was given a dose of IV decadron and admitted for further eval. PT IS INPATIENT AT THIS TIME.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Stridor
Clinical narrative: The patient is a 52 yo female w/ history of moderately differentiated squamous cell carcinoma of the base of the left tongue, clinical stage III, status post tracheostomy emergent in November 2015 for a rapidly enlarging epiglottic mass . She was treated with combined modality cisplatin and radiation therapy from 12/30/15 ­ 2/23/16. One month later, she had noted increased left cervical pain and with a positive PET­CT affirmation in April 2016. She had disease recurrence with the tongue only. She then received Erbitux from May 19, 2016 until February 24, 2017. There was no lesion on a direct visualization with a laryngoscopy performed by ENT. She has been followed by observation since 2/2017.  She has moved to another hospital and was referred to me to establish care. Her tracheostomy was removed in July 2017, she has associated chronic pain of her left necko, for which she is being treated by the pain clinic. She has a chemical dependency history, now abstinent. She is status p st left nephrectomy in year 2000 and a self­reported history of melanoma with no clinical data available to confirm this.  She follows with doctor every 6 months and last saw him in October 2021 and was continued on observation.  She follows a different doctor and is on bupinorphine and gabapentin. Patient presented to the ER on 2/2 w/ complaints of SOB and strider.  She tested positive for COVID.  CXR looked ok.  Labs also unrevealing.  She was given a dose of IV decadron and admitted for further eval. PT IS INPATIENT AT THIS TIME.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test negative, Urticaria
Clinical narrative: This has not been confirmed it is related to the vaccine. Vaccination was given 1/6. On 1/12, 6 days after receiving the first dose of the Pfizer (PEDS) dose, patient developed a rash/ hives on back. On 1/13, the rash/hives spread to stomach, and worsened on the back. They subsided with Zyrtec. On 1/14, the rash/hives spread all over the body-face, neck, arms, legs, trunk, etc. Patient went to the local medical Center and saw Dr. where she was examined and given a PCR test, which came back negative. Treatment is Zyrtec and Benadryl. Rash took about a week to clear, but has subsided.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Atelectasis, Chest X-ray abnormal, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient presents to the ED on 01/06/2022 with a Chief Complaint of Shortness of Breath after receiving third dose of covid vaccine on 12/29/2021. Per guidelines, all hospitalizations are reported.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Lung opacity, Pleural effusion, Pulmonary congestion
Clinical narrative: Patient presents to the ED on 01/06/2022 with a Chief Complaint of Shortness of Breath after receiving third dose of covid vaccine on 12/29/2021. Per guidelines, all hospitalizations are reported.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure acute, Cardiac failure congestive, Dyspnoea paroxysmal nocturnal, Peripheral swelling, Weight increased
Clinical narrative: Patient presents to the ED on 01/06/2022 with a Chief Complaint of Shortness of Breath after receiving third dose of covid vaccine on 12/29/2021. Per guidelines, all hospitalizations are reported.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac arrest, Death, Endotracheal intubation
Clinical narrative: Patient admitted to hospital, positive for COVID-19; developed COVID-19 pneumonia while in the hospital; placed on BiPAP but would not wear it consistently; patient experienced cardiac arrest and required intubation; transferred to ICU; family made patient a DNR; eventually requested to withdraw support; patient was extubated and died shortly afterwards
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Positive airway pressure therapy, SARS-CoV-2 test positive, Withdrawal of life support
Clinical narrative: Patient admitted to hospital, positive for COVID-19; developed COVID-19 pneumonia while in the hospital; placed on BiPAP but would not wear it consistently; patient experienced cardiac arrest and required intubation; transferred to ICU; family made patient a DNR; eventually requested to withdraw support; patient was extubated and died shortly afterwards
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Headache, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Around Christmas time I began to have a runny nose, dry cough, a massive headache, and severe joint pain. This lasted for around 3 weeks. I went to get a Covid PCR test, and the test came back negative. The symptoms were similar to the ones I experienced immediately after receiving my booster shot.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Cholecystectomy, Cholecystitis acute
Clinical narrative: Acute Cholecystitis leading to Cholecystectomy on 11/9/21
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: Dermatographic urticaria. Was taking OTC zyrtec without relief. Is now being treated with 20mg zyrtec BID.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Tylenol Discharged Home
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria, Erythema, Pruritus, Skin warm, Urticaria
Clinical narrative: I am experiencing   Chronic Spontaneous Urticaria after COVID-19 Vaccine booster. I have broken out in itchy hives all over my body, from my scalp all the way to my calves. They are persistent and will disappear and reappear throughout the day. It started as itchy palms then transferred to hives in my scalp and in my back. Areas of my body will become red hot to the touch and incredibly itchy throughout the day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received full dose of Moderna booster I/O half dose
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was disclosed of an event related to receiving their Moderna COVID-19 vaccine 4 days beyond the recommended expiration date. Per Moderna, the vaccine will maintain the necessary effectiveness against COVID-19. There is no further follow up needed with the patient.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood test, Computerised tomogram, Ultrasound scan, Weight decreased
Clinical narrative: From the time of my 2nd dose vaccination I was gradually losing weight (estimated 1 pound/month) and my blood sugar was extremely high. I was taking Metformin 1000 mg 2x/day before then when my blood sugar spiked my doctor increased it to 2000 mg 2x/day. Up to this day 02/02/2022 I am still experiencing the same symptoms.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dyspnoea, Exercise tolerance decreased, Myocarditis
Clinical narrative: Myocarditis, two weeks.  I had extreme chess pain that spans mostly the right side of my chest. I had breathing problems or feeling of not catching my breath.  Weakness and lack of energy.  I usually run but due to condition I was not able to do any physical activity. I also had fever.   It has been a year and I still have trouble performing physical activity but am about 90% of previous performance.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Myocarditis, two weeks.  I had extreme chess pain that spans mostly the right side of my chest. I had breathing problems or feeling of not catching my breath.  Weakness and lack of energy.  I usually run but due to condition I was not able to do any physical activity. I also had fever.   It has been a year and I still have trouble performing physical activity but am about 90% of previous performance.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Pain, Pain in extremity
Clinical narrative: Patient states that the pharmacist that gave him his booster, gave the shot too high on his arm.  He states it was right near his shoulder bone.  As a result he has had pain that has gotten progressively worse and the pain is radiating down his entire arm now.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Alanine aminotransferase normal, Albumin globulin ratio, Angiopathy
Clinical narrative: 82 Y male with h/o prior covid infection (Dec 2020, no hospitalization) in setting of full vaccination, emphysema, CKD (baseline Cr 1.1), hx tobacco use (quit 1999), preDM (last A1C 5.9% 9/19), HTN, was admitted to the ICU from the ED for COVID PNA. Symptom onset sometime 1/2-1/6, presented to ED w/ progressive dyspnea, dehydration, weakness. Found to have new Afib w/ RVR. Developed AKI on admission in setting of severe sepsis, improved over admission. Admitted to ICU 1/12, initially required Bipap but now intubated. PNA suspected during admission given resp culture with chryseobacterium gleum. Continued to have intubation requirement without ability to be weaned off. Discussed GOC and prognosis with the family, who opted for compassionate extubation on 1/25.      Complications:  Delirium Acute respiratory failure AFib
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Asthenia, Atrial fibrillation, Bacillus test positive, Blood alkaline phosphatase normal
Clinical narrative: 82 Y male with h/o prior covid infection (Dec 2020, no hospitalization) in setting of full vaccination, emphysema, CKD (baseline Cr 1.1), hx tobacco use (quit 1999), preDM (last A1C 5.9% 9/19), HTN, was admitted to the ICU from the ED for COVID PNA. Symptom onset sometime 1/2-1/6, presented to ED w/ progressive dyspnea, dehydration, weakness. Found to have new Afib w/ RVR. Developed AKI on admission in setting of severe sepsis, improved over admission. Admitted to ICU 1/12, initially required Bipap but now intubated. PNA suspected during admission given resp culture with chryseobacterium gleum. Continued to have intubation requirement without ability to be weaned off. Discussed GOC and prognosis with the family, who opted for compassionate extubation on 1/25.      Complications:  Delirium Acute respiratory failure AFib