chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulse absent, Pupil fixed, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Deceased;  Hospitalized (10.15.21);  COVID-19 positive (10.15.21);  fully vaccinated  Discharge Provider: MD Primary Care Physician at Discharge:  DO  Admission Date: 10/15/2021 Date of Death: 10/19/21 Time of Death:  4:45 PM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19 (HCC) Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: The patient is an 81 year old female with HX of DM type 2, hypertension, diastolic heart failure, body dementia, and obesity who presented with complaint of worsening shortness of breath in the setting of known COVID.  The patient is vaccinated and symptoms started 10-9-21.  In the emergency department she was hypoxic and required oxygen via mask.  She was hypokalemic.  She was admitted to the hospitalist service and started on Decadron and remdesivir.  Her oxygen requirements worsened and she was placed on high-flow nasal cannula.  Steroids were transitioned to IV Solu-Medrol.   Overnight of 10/19 pt had worsening hypoxia w/ HFNC w/ 100% FiO2 and non-rebreather. Pt was evaluated by provider overnight, pt confirmed that she was DNR/DNI. After discussion with pt and daughter over the phone decision was made to transition to comfort care. Morning of 10/19, pt appeared comfortable noted interest in hospice and consult was placed. She was started on morphine and versed drip, she was terminally weaned from HFNC.  In the afternoon, was called to bedside by nursing staff. Patient resting supine in bed with eyes closed and is unresponsive to verbal and painful stimuli. No spontaneous respirations. No palpable pulses. Bilateral pupils fixed and dilated. No heart sounds auscultated over entire precordium. No breath sounds auscultated in either lung field. Patient pronounced dead at 16:45 on 10/19/2021. Next of kin, daughter, present at bedside, verbalize remaining family notified.  Family has not yet decided funeral arrangements, are pursuing cremaiton per pt wishes. Pt PCP Dr  notified via answering service. Dr  was also notified of pt passing.  TIME OF DEATH: 16:45  DATE OF DEATH:  10/19/2021
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Colitis ulcerative, Colonoscopy, Culture stool, Gastrointestinal disorder
Clinical narrative: Started to have gastrointestinal issues. Never had any of these issues before the vaccine. I was subsequently diagnosed with ulcerative colitis via colonoscopy.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Pain in extremity, Pruritus
Clinical narrative: Pt reports 20 days later renewed soreness in left arm that pt got shot in, as well as itching all over and upset stomach. These resolved within the day.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: Sever redness and swelling the next morning after vaccine was received. Injection site hot to the touch. Swelling continued to increase, covering the majority of my upper left arm. Center, injection site, bright red with swelling around the area. A knot formed at injection site. Area still hot to the touch for over a week after vaccine was received.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: PT WAS GIVEN PFIZER AT ONE SIRE CAME TO OUR SIRE TO GET THE 2ND COVID VACCINE. I WAS GIVING MODERNA ALL DAY AND THOUGHT THEY WERE HERE FOR THE MODERNA. I NEGLECTED TO ASK FOR THEIR CARD BEFORE GIVING THE INJECTION AND SAW AFTERWARD THAT THEY WERE PREVIOUSLY GIVEN PFIZER FOR 1ST DOSE. THEY SAT HERE IN CLINIC 30-40 MINUTES AFTER WITH NO REACTION. HAVE CHECKED ON THE PT MORE THAN ONCE AND IS DOING WELL AND NO REACTION TO DATE.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Catheterisation cardiac, Chest pain, Electrocardiogram, Laboratory test, Stress cardiomyopathy
Clinical narrative: Chest pain>ED visit>EMERGENCY  cardiac cath> dx tako tsubo>ICU admit.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: Chest pain>ED visit>EMERGENCY  cardiac cath> dx tako tsubo>ICU admit.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Laboratory test, SARS-CoV-2 antibody test, Stress cardiomyopathy
Clinical narrative: Chest pain>ED visit>EMERGENCY  cardiac cath> dx tako tsubo>ICU admit.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: Phantosmia.
Age: 75.0
Sex: F
Vaccine: FLUA4
Symptoms: Abdominal pain upper, Back pain, Neck pain, Palatal swelling, Swollen tongue
Clinical narrative: PAIN UP THROUGH NECK AND BACK, STOMACH PAIN, SWOLLEN TONGUE AND ROOF OF MOUTH
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: no adverse reaction, pt. was given Moderna Vaccine after been given pfizer as first does. no reaction after administration and pt waited about 45 minutes after with no reaction.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: After receiving the vaccine I have been having a pain/pressure and sensation that comes and goes in my chest that feels like it's in my heart.  I have been receiving these symptoms everyday since 09/05/2021 till today 10/21/2021.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Client received one dose Janssen COVID vaccine lot #: 1822809 exp. 3/7/22 at Health Center (SRPHC). At 1550 after client received the Janssen vaccine, client reported to RN that he felt ?dizzy? and diaphoretic. RN took client?s vitals at 1550: blood pressure (BP) 117/70, Pulse (P) 68, oxygen saturation (O2) 91%, alert and oriented x 4 with pale and moist skin. At 1553, Lead RN transferred client to anti-gravity chair in a high fowler position and client drank water provided. Client reported to Lead RN he has a history of dizziness with blood draws. At 1555 RN took his vitals: BP 124/77, P 74, O2 98% and client reported no current symptoms. At 1558, client walked to observation to continue observation at the EMT station sitting in an anti-gravity chair in a high fowler position which he said ?I feel like when I came in.? At 1605 RN took client?s vitals: BP 117/81, P 84, O2 97% and client stated he had no more symptoms.  At 1621 RN took client?s vitals: 120/77, P 88, O2 98% which client stated he had no more symptoms and he felt ?normal.? Lead RN educated client about the signs and symptoms of adverse reactions and the need to seek EMS as needed. Client verbalized he understands. At 1621 client stood up unassisted in a steady gait and accompanied by his girlfriend who will drive them both home from the health center.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: she was given fluzone HD even though she is not 65
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: I was falling asleep and my heart rate suddenly increased dramatically and I had what felt like random heart palpitations. It was at 110 BPM  consistently for 5 minutes. I sat up, drank some water, did some deep breathing including valsalva maneuver, and I was able to get it to come down to 90-100. I was able to fall asleep but it never went down further to my knowledge.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: patient initially asked for janssen then desided to get pfizer but he recieved janssen.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Heart rate increased, Pyrexia, Tremor
Clinical narrative: Extremely high fever 103. Body shakes so bad I couldn?t stand up. Accelerated heart rate on and off. Contemplated going to ER. Was worse than my Covid symptoms when I had it. Was like this for three days.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: patient asked for moderna received pfizer
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling in arm, more severe in hand and fingers.  These sensations are felt throughout the day, sometimes more sever at  night or when arm/hand has been in a still position for longer period of time.  This adverse was noticed on the same day of vaccination, and has not yet subsided.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal uterine bleeding, Blood iron, Blood loss anaemia, Blood thyroid stimulating hormone, Full blood count
Clinical narrative: Dysfunctional uterine bleeding, bleeding 38 out of 70 days to include a 25 day period, anemia secondary to acute blood loss, iron deficiency, ended up with an emergency D&C.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Iron deficiency, Metabolic function test, Ultrasound pelvis, Uterine dilation and curettage
Clinical narrative: Dysfunctional uterine bleeding, bleeding 38 out of 70 days to include a 25 day period, anemia secondary to acute blood loss, iron deficiency, ended up with an emergency D&C.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: She was given a Pfizer booster but she had the Moderna series (2 shots).
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling hot
Clinical narrative: Periodic feelings of fever (hot) in head, torso, arms but no high temperature detected with scan thermometer. The feeling lasts for about an hour or so. It happens at least once a week.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Abdominal pain, Abdominal tenderness, Appendicitis, Blood test abnormal
Clinical narrative: Developed acute appendicitis symptoms around 8:00am on 10/18/21. Taken into ER for testing by 12:30am on 10/19/21.  Bloating Cramps/tenderness in lower abdomen  Fever/chills Body aches Headache
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Computerised tomogram abdomen abnormal, Headache, Infection, Pain
Clinical narrative: Developed acute appendicitis symptoms around 8:00am on 10/18/21. Taken into ER for testing by 12:30am on 10/19/21.  Bloating Cramps/tenderness in lower abdomen  Fever/chills Body aches Headache
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Developed acute appendicitis symptoms around 8:00am on 10/18/21. Taken into ER for testing by 12:30am on 10/19/21.  Bloating Cramps/tenderness in lower abdomen  Fever/chills Body aches Headache
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Electrocardiogram, Full blood count, Hypoaesthesia
Clinical narrative: Severe shoulder, neck, back, and spinal pain. Day 13 pain in neck and shoulder continues, and swelling of upper arm with idd numbing sensation.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Peripheral swelling, Spinal pain, Troponin
Clinical narrative: Severe shoulder, neck, back, and spinal pain. Day 13 pain in neck and shoulder continues, and swelling of upper arm with idd numbing sensation.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Disorientation, Dizziness, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Pt received one Pfizer vaccination, and right afterwards got severe flu symptoms, chest pains, dizzy, nausea, sweating,  mentally very disoriented, and severe lethargy but difficult to sleep. He was unable to drive that night. These severe symptoms lasted for 7 days.  Pt continues to have episodic mental impairments and difficulty sleeping.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired driving ability, Influenza, Insomnia, Lethargy, Mental impairment
Clinical narrative: Pt received one Pfizer vaccination, and right afterwards got severe flu symptoms, chest pains, dizzy, nausea, sweating,  mentally very disoriented, and severe lethargy but difficult to sleep. He was unable to drive that night. These severe symptoms lasted for 7 days.  Pt continues to have episodic mental impairments and difficulty sleeping.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Pt received one Pfizer vaccination, and right afterwards got severe flu symptoms, chest pains, dizzy, nausea, sweating,  mentally very disoriented, and severe lethargy but difficult to sleep. He was unable to drive that night. These severe symptoms lasted for 7 days.  Pt continues to have episodic mental impairments and difficulty sleeping.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Tinnitus
Clinical narrative: 21 day migraine, severe fatigue for 30 days, severe tinnitus which is continuing constantly for over 2 months now.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Illness, Oral herpes, Rash, Sensitive skin
Clinical narrative: I got my shot at my work and both shots I felt ill but the second one was very bad, I was ill for about a week.  When I started getting better I began breaking out in a rash on my arms, legs, back and chest areas. My skin was hyper sensitive like I had a sever sun burn off and on for weeks. I had cold sores in my mouth almost continuously for weeks .  The chest cleared but the back, arms, and legs did not.  I did a small burst of prednisone 30, 20, 10 and it got better then came back.  My doctor had me do a logger one with 40 mg and then tapering down.  This larger dose was done in March and helped "reset" my immune system
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Arthralgia, Blood test, Disturbance in attention, Dizziness
Clinical narrative: Immediately following vaccine symptoms started with short breathing, ichy, warm body, headache, dizzy, feeling hives. Then every 24 hours since vaccine have been having hives, fatigue, memory loss, hard to concentrate, today has been painful joints and muscle
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Feeling hot, Headache, Immediate post-injection reaction
Clinical narrative: Immediately following vaccine symptoms started with short breathing, ichy, warm body, headache, dizzy, feeling hives. Then every 24 hours since vaccine have been having hives, fatigue, memory loss, hard to concentrate, today has been painful joints and muscle
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pruritus, Urticaria, X-ray
Clinical narrative: Immediately following vaccine symptoms started with short breathing, ichy, warm body, headache, dizzy, feeling hives. Then every 24 hours since vaccine have been having hives, fatigue, memory loss, hard to concentrate, today has been painful joints and muscle
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Gait inability, Mass, Mobility decreased
Clinical narrative: After second shot my wrist started hurting and later that day I developed a lump in my hand which spread to my finger, I was concerned it was a blood clot so went to urgent care they could not diagnose it  Since then I have constant pain in my fingers on my left hand unable to bend as well as lumps that come and go , a few weeks later my toes on my right foot now have constant pain unable to walk at times  3 drs have not been able to diagnose  Tonight another soft lump on my wrist  I have never had these issues until after the vaccine
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray
Clinical narrative: After second shot my wrist started hurting and later that day I developed a lump in my hand which spread to my finger, I was concerned it was a blood clot so went to urgent care they could not diagnose it  Since then I have constant pain in my fingers on my left hand unable to bend as well as lumps that come and go , a few weeks later my toes on my right foot now have constant pain unable to walk at times  3 drs have not been able to diagnose  Tonight another soft lump on my wrist  I have never had these issues until after the vaccine
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal lymphadenopathy, Biopsy lymph gland, C-reactive protein increased, Chest X-ray, Computerised tomogram
Clinical narrative: Erythema nodosum, assymetric joint swelling and shortness of breath noted. Medical care sought March 29th. CT and CXR demonstrated bilateral mediastinal lymphadenopathy. Abdominal lymphadenopathy also demonstrated on CT. Biopsy  demonstrated sarcoidosis (lymph node biopsy)  Responded well to 6 months of tapered prednisone  Felt to be a Lofgrens syndrome triggered by vaccination administration  (Would love guidance on how to proceed with vaccination moving forward)
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema nodosum, Joint swelling, Lymphadenopathy mediastinal, Positron emission tomogram
Clinical narrative: Erythema nodosum, assymetric joint swelling and shortness of breath noted. Medical care sought March 29th. CT and CXR demonstrated bilateral mediastinal lymphadenopathy. Abdominal lymphadenopathy also demonstrated on CT. Biopsy  demonstrated sarcoidosis (lymph node biopsy)  Responded well to 6 months of tapered prednisone  Felt to be a Lofgrens syndrome triggered by vaccination administration  (Would love guidance on how to proceed with vaccination moving forward)
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Sarcoidosis
Clinical narrative: Erythema nodosum, assymetric joint swelling and shortness of breath noted. Medical care sought March 29th. CT and CXR demonstrated bilateral mediastinal lymphadenopathy. Abdominal lymphadenopathy also demonstrated on CT. Biopsy  demonstrated sarcoidosis (lymph node biopsy)  Responded well to 6 months of tapered prednisone  Felt to be a Lofgrens syndrome triggered by vaccination administration  (Would love guidance on how to proceed with vaccination moving forward)
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Chest discomfort, Culture throat negative, Dizziness postural, Electrocardiogram, Headache
Clinical narrative: 2 day headache when laying down, x 4 days Dizziness when standing x 4 days Nausea x 1 day Chest tightness
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Nausea, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: 2 day headache when laying down, x 4 days Dizziness when standing x 4 days Nausea x 1 day Chest tightness
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Delusion, Lymphoedema, Peripheral swelling, Sensory disturbance
Clinical narrative: Patient states her"Right & Left thigh are feeling like air is being pumped into them." States "yes" "to do you legs feel like they are getting more swollen?" VSS, Ptable to walk independently w steady gait 30feet. AOX3. States"demonic forces I am battling right now." States the above mentioned leg feelings & demonic forces are not different from in her past, Doctor called & spoke with patient. Pt bilat LE lymphedema.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fall, Feeling abnormal, Nausea
Clinical narrative: 6th day- got up nauseated, dizzy, feeling off. Went to lunch, by late afternoon was not better. At 830 pm had vomit and diahrea at same time. Continued til 1am- went to Bed. Back up showering at 2:30am. Fell in shower, got up, dizzy laid down till 11am. Didn't call ER til morning of day 18.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Scan brain, Vomiting
Clinical narrative: 6th day- got up nauseated, dizzy, feeling off. Went to lunch, by late afternoon was not better. At 830 pm had vomit and diahrea at same time. Continued til 1am- went to Bed. Back up showering at 2:30am. Fell in shower, got up, dizzy laid down till 11am. Didn't call ER til morning of day 18.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes ophthalmic
Clinical narrative: After being misdiagnosed at Urgent Care  with an eye infection my ophthalmologist discovered I have developed ocular herpes. I have been under treatment for 7 months and have now been referred to a corneal Specialist. Still under regular treatment.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Headache, Impaired work ability
Clinical narrative: Headaches/Frontal started 9/4/21 day after vaccine # 1, After vaccine #2 headaches now severe, Intolerable, had to call in sick for work today, 10-7-21. Had to take Florcet for pain-No prior migraines
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Balance disorder, Ear pain, Facial pain, Fall
Clinical narrative: After 2nd inj, extreme fatigue began that day & improved after one week. On 2nd day after injection, developed 1.) L neuropathic facial pain-severe 2.) L otalgia & parietal headaches. MRI noncontributory 3.) imbalance -falls to the L when walking now (referred to neurologist now for further eval
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Headache, Laboratory test, Magnetic resonance imaging head
Clinical narrative: After 2nd inj, extreme fatigue began that day & improved after one week. On 2nd day after injection, developed 1.) L neuropathic facial pain-severe 2.) L otalgia & parietal headaches. MRI noncontributory 3.) imbalance -falls to the L when walking now (referred to neurologist now for further eval
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia
Clinical narrative: After 2nd inj, extreme fatigue began that day & improved after one week. On 2nd day after injection, developed 1.) L neuropathic facial pain-severe 2.) L otalgia & parietal headaches. MRI noncontributory 3.) imbalance -falls to the L when walking now (referred to neurologist now for further eval
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Seizure, Syncope
Clinical narrative: About 5min after vacination, patient fell  alert and verbalized that she fainted. The pharmacist called 911. While waiting for emergency team, he had an episode of seizure for 3mins.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Extreme fatigue, headache, body aches, chills, headache.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Extreme fatigue, muscle and joint pain, nausea, fever, headache.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Extreme fatigue, muscle and joint pain, nausea, fever, headache.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Local reaction
Clinical narrative: Severe local reaction of left arm Severe headache HTN BP 180/102 and never had high BP
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Cough, Nasal congestion, Neck pain
Clinical narrative: Chest tightness, cough, nasal congestion, neck pain & chest pain that continues today yet & Tachycardia
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Chest tightness, cough, nasal congestion, neck pain & chest pain that continues today yet & Tachycardia
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Neck pain
Clinical narrative: chest tightness, neck pain headache. lasting over 1 week
Age: 105.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mental status changes
Clinical narrative: *Extreme Fatigue  3 alert and oriented when was ambulating  on her own.  *Mental Status Changes
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Laboratory test, Pneumonia, Respiratory distress
Clinical narrative: Pneumonia Chest Cong. Cough, SOB Resp. Distress.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, X-ray
Clinical narrative: Pneumonia Chest Cong. Cough, SOB Resp. Distress.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dyspnoea, Oxygen saturation decreased, Pneumonia viral
Clinical narrative: Chest congestion, cough, O2 Sat desaturation, weakness, SOB. Hospice doctor felt it was viral pneumonia COVID-19 booster.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Chest congestion, cough, O2 Sat desaturation, weakness, SOB. Hospice doctor felt it was viral pneumonia COVID-19 booster.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Pulse absent, Resuscitation, Syncope
Clinical narrative: Approx 1300 pt was SOB then collapsed at golf club facility. No pulse, Bystander started CPR, EMS arrived 2 rounds of epinephrine and intubated. Arrived at ER @ 1334 Tachycardia rhythm, pulses lost, CPR restarted. Pt given Epinephrine, Sodium bicarbonate and calcium gluconate. Return of spontaneous circulation. @ 1336 1mg Epinephrine IV Push @ 1336 50 mEq Sodium Bicarbonate 8.4% IV push @ 1344 1g Calcium gluconate IV push @ 1347 1 liter over 1 hr 0.9% Sodium Chloride @ 1446 8mg/500ml levophed in 05w started at mcg/min @ 1503 1mg Epinephrine IV push, @ 1504 50 mEq Sodium Bicarbonate 8.4% @ 1506 1mg Ephinephrine IV push @ 1509 50 mEq Sodium Bicarbonate 8.4% @ 1512 1mg Epinephrine IV push @ 1517 1mg Ephinephrine/250 ml 0.9% Sodium Chloride via gravity feed 200cc total given until end of code @ 1523 compressions @ 1524 1mg Epinephrine IV push @1527 no pulse @1528 1mg Epinephrine IV push @1529 no pulse @1531 no pulse @1532 1mg Epinephrine IV push @1533 no
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Approx 1300 pt was SOB then collapsed at golf club facility. No pulse, Bystander started CPR, EMS arrived 2 rounds of epinephrine and intubated. Arrived at ER @ 1334 Tachycardia rhythm, pulses lost, CPR restarted. Pt given Epinephrine, Sodium bicarbonate and calcium gluconate. Return of spontaneous circulation. @ 1336 1mg Epinephrine IV Push @ 1336 50 mEq Sodium Bicarbonate 8.4% IV push @ 1344 1g Calcium gluconate IV push @ 1347 1 liter over 1 hr 0.9% Sodium Chloride @ 1446 8mg/500ml levophed in 05w started at mcg/min @ 1503 1mg Epinephrine IV push, @ 1504 50 mEq Sodium Bicarbonate 8.4% @ 1506 1mg Ephinephrine IV push @ 1509 50 mEq Sodium Bicarbonate 8.4% @ 1512 1mg Epinephrine IV push @ 1517 1mg Ephinephrine/250 ml 0.9% Sodium Chloride via gravity feed 200cc total given until end of code @ 1523 compressions @ 1524 1mg Epinephrine IV push @1527 no pulse @1528 1mg Epinephrine IV push @1529 no pulse @1531 no pulse @1532 1mg Epinephrine IV push @1533 no
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Lymphadenopathy
Clinical narrative: 10/18/21 pt seen at Pharmacy received 2nd COVID W/I 1 hour c/o back pain & developed fist size node under L axilla. 10/20/21 pt contacted our office lymph node decrese in size, back pain improved remains afebrile I
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Dose administered after 12 hours of vial puncture.; Dose administered after being more than 24 hours at room temperature; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after 12 hours of vial puncture.) and PRODUCT STORAGE ERROR (Dose administered after being more than 24 hours at room temperature) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 058E21A) for COVID-19 vaccination.     No Medical History information was reported.    On 08-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after 12 hours of vial puncture.) and PRODUCT STORAGE ERROR (Dose administered after being more than 24 hours at room temperature). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after 12 hours of vial puncture.) and PRODUCT STORAGE ERROR (Dose administered after being more than 24 hours at room temperature) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No treatment medications reported. No concomitant medications reported.
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Lung opacity, Organising pneumonia
Clinical narrative: [Pfizer vaccine] use for COVID-19 under Emergency Use Authorization (EUA):Pfizer vaccine #2 on 4/2/21 - unsure if FDA approved at that time or not. Around 4/23 patient developed signs and symptoms of organizing pneumonia.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pulmonary embolism
Clinical narrative: J & J COVID-19 Vaccine: patient received J & J COVID-19 vaccine 09/27/21 and presented to ED (10/18/21) with SOB and Cough. Patient admitted to the hospital for treatment of pulmonary embolism
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Tinnitus
Clinical narrative: From the very day after after receiving my JNJ/Janssen Covid-19 vaccine I have had persistent and worsening tinnitus, primarily in my left ear. It is present 24/7 and has been constant since vaccination. Saw an Otolaryngologist and mechanical brain/inner ear issues were ruled out via use of MRI.
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injected limb mobility decreased, Injection site erythema
Clinical narrative: I received the second Moderna Vaccine 10/17/2021. Around 12:00am experienced severe chills/uncontrollable shaking/severe headache/body aches. This lasted till late in the day 10/19/2021. Now there is a significant red lump that covers the majority of my left upper arm that is hard and feels feverish the injection site. Arm is severely sore and unable to lift over my head. Cannot life items that normally could as like a can of vegatables or my drinking glass. Typing at work today produced significant pain in my left arm in which the vaccine was given. Am experiencing joint pain in my wrist/and finger joints that has not been there prior to this vaccine
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass, Injection site warmth, Pain, Pain in extremity
Clinical narrative: I received the second Moderna Vaccine 10/17/2021. Around 12:00am experienced severe chills/uncontrollable shaking/severe headache/body aches. This lasted till late in the day 10/19/2021. Now there is a significant red lump that covers the majority of my left upper arm that is hard and feels feverish the injection site. Arm is severely sore and unable to lift over my head. Cannot life items that normally could as like a can of vegatables or my drinking glass. Typing at work today produced significant pain in my left arm in which the vaccine was given. Am experiencing joint pain in my wrist/and finger joints that has not been there prior to this vaccine
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: I received the second Moderna Vaccine 10/17/2021. Around 12:00am experienced severe chills/uncontrollable shaking/severe headache/body aches. This lasted till late in the day 10/19/2021. Now there is a significant red lump that covers the majority of my left upper arm that is hard and feels feverish the injection site. Arm is severely sore and unable to lift over my head. Cannot life items that normally could as like a can of vegatables or my drinking glass. Typing at work today produced significant pain in my left arm in which the vaccine was given. Am experiencing joint pain in my wrist/and finger joints that has not been there prior to this vaccine
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Flushing, Headache, Myalgia, Paraesthesia
Clinical narrative: Initially was flushed with tingling down my right side, then light headed and dizzy. Symptoms did not subside after the 15 minute waiting period so I was taken to the ED department. After a couple hours and fluids, symptoms subsided sufficiently that I was released. Since that time I have developed constant inflammation/tendonitis in both my hands, concentrated in my thumbs and first two fingers, constantly preventing me from closing my hands or performing routine tasks without sudden pain. The right hand middle finger joint locks as well.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: Initially was flushed with tingling down my right side, then light headed and dizzy. Symptoms did not subside after the 15 minute waiting period so I was taken to the ED department. After a couple hours and fluids, symptoms subsided sufficiently that I was released. Since that time I have developed constant inflammation/tendonitis in both my hands, concentrated in my thumbs and first two fingers, constantly preventing me from closing my hands or performing routine tasks without sudden pain. The right hand middle finger joint locks as well.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Flushing, Inflammation, Joint lock, Loss of personal independence in daily activities
Clinical narrative: Initially was flushed with tingling down my right side, then light headed and dizzy. Symptoms did not subside after the 15 minute waiting period so I was taken to the ED department. After a couple hours and fluids, symptoms subsided sufficiently that I was released. Since that time I have developed constant inflammation/tendonitis in both my hands, concentrated in my thumbs and first two fingers, constantly preventing me from closing my hands or performing routine tasks without sudden pain. The right hand middle finger joint locks as well.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Pain in extremity, Paraesthesia, Tendonitis
Clinical narrative: Initially was flushed with tingling down my right side, then light headed and dizzy. Symptoms did not subside after the 15 minute waiting period so I was taken to the ED department. After a couple hours and fluids, symptoms subsided sufficiently that I was released. Since that time I have developed constant inflammation/tendonitis in both my hands, concentrated in my thumbs and first two fingers, constantly preventing me from closing my hands or performing routine tasks without sudden pain. The right hand middle finger joint locks as well.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: This is a spontaneous report from a contactable consumer based on the information received by Pfizer from agency (LRN4437960N). A 60-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiration date were not reported), via an unspecified route of administration on 14Apr2021 at dose 2, single and via an unspecified route of administration on 23Mar2021 (at the age of 60-years-old) at dose 1, single for covid-19 immunization. The patient medical history was not reported. Concomitant medications included ocrelizumab (OCREVUS). The patient felt feverish, flu-like symptoms, mobility issues kicked in, Covid and negative antibody test after the second dose. The outcome of the reported events was not Recovered/Resolved. Information on the lot/batch number has been requested.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Drug ineffective, Influenza like illness, Mobility decreased, Pyrexia, SARS-CoV-2 antibody test
Clinical narrative: This is a spontaneous report from a contactable consumer based on the information received by Pfizer from agency (LRN4437960N). A 60-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiration date were not reported), via an unspecified route of administration on 14Apr2021 at dose 2, single and via an unspecified route of administration on 23Mar2021 (at the age of 60-years-old) at dose 1, single for covid-19 immunization. The patient medical history was not reported. Concomitant medications included ocrelizumab (OCREVUS). The patient felt feverish, flu-like symptoms, mobility issues kicked in, Covid and negative antibody test after the second dose. The outcome of the reported events was not Recovered/Resolved. Information on the lot/batch number has been requested.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Suspected COVID-19
Clinical narrative: This is a spontaneous report from a contactable consumer based on the information received by Pfizer from agency (LRN4437960N). A 60-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiration date were not reported), via an unspecified route of administration on 14Apr2021 at dose 2, single and via an unspecified route of administration on 23Mar2021 (at the age of 60-years-old) at dose 1, single for covid-19 immunization. The patient medical history was not reported. Concomitant medications included ocrelizumab (OCREVUS). The patient felt feverish, flu-like symptoms, mobility issues kicked in, Covid and negative antibody test after the second dose. The outcome of the reported events was not Recovered/Resolved. Information on the lot/batch number has been requested.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Anaphylactic reaction, Chest discomfort, Dyspnoea, Hypotension
Clinical narrative: In May 2019 at 10 AM, the patient received her first dose of the Pfizer SARS-CoV-2 vaccine.  She had no immediate symptoms and felt well for the remainder of the day until approximately 6 PM when she started to feel sick.  Prior to feeling sick she had eaten fries and barbecue that were prepared at a friend's house (she has had these foods before and subsequent to this reaction without any symptoms.   Her initial symptoms were abdominal pain and nausea.  She proceeded to vomit and then felt short of breath and was taken to emergency department.  At emergency department she was treated for an asthma exacerbation initially with a DuoNeb and felt better, but 10 to 15 minutes later developed urticaria.  She was treated with Decadron, Benadryl, and IV fluids.  Her blood pressure later dropped to the 70s systolic and she became altered.  She was treated with epinephrine 0.3 mg without improvement and was given a second dose.  Her blood pressure improved however she developed shortness of breath again and was started on a epinephrine drip, was given Zofran and was transferred to primary emergency department.   These treatments were continued in the emergency department and she was also given famotidine and repeat Zofran dose.  She was admitted to the ICU.  In the ICU she had runs of V. tach on telemetry.  Epinephrine drip was stopped due to worsening ectopy.  Her magnesium was repleted.  Her echocardiogram and EKGs were normal.  She saturated on room air in the ICU.  She was started on cetirizine 40 mg daily.  She was transferred to the floor and was discharged from the hospital on June 1.  She was discharged home with EpiPen.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Urticaria, Vomiting
Clinical narrative: In May 2019 at 10 AM, the patient received her first dose of the Pfizer SARS-CoV-2 vaccine.  She had no immediate symptoms and felt well for the remainder of the day until approximately 6 PM when she started to feel sick.  Prior to feeling sick she had eaten fries and barbecue that were prepared at a friend's house (she has had these foods before and subsequent to this reaction without any symptoms.   Her initial symptoms were abdominal pain and nausea.  She proceeded to vomit and then felt short of breath and was taken to emergency department.  At emergency department she was treated for an asthma exacerbation initially with a DuoNeb and felt better, but 10 to 15 minutes later developed urticaria.  She was treated with Decadron, Benadryl, and IV fluids.  Her blood pressure later dropped to the 70s systolic and she became altered.  She was treated with epinephrine 0.3 mg without improvement and was given a second dose.  Her blood pressure improved however she developed shortness of breath again and was started on a epinephrine drip, was given Zofran and was transferred to primary emergency department.   These treatments were continued in the emergency department and she was also given famotidine and repeat Zofran dose.  She was admitted to the ICU.  In the ICU she had runs of V. tach on telemetry.  Epinephrine drip was stopped due to worsening ectopy.  Her magnesium was repleted.  Her echocardiogram and EKGs were normal.  She saturated on room air in the ICU.  She was started on cetirizine 40 mg daily.  She was transferred to the floor and was discharged from the hospital on June 1.  She was discharged home with EpiPen.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asthma, Blood magnesium decreased, Blood pressure decreased, Dyspnoea
Clinical narrative: In May 2019 at 10 AM, the patient received her first dose of the Pfizer SARS-CoV-2 vaccine.  She had no immediate symptoms and felt well for the remainder of the day until approximately 6 PM when she started to feel sick.  Prior to feeling sick she had eaten fries and barbecue that were prepared at a friend's house (she has had these foods before and subsequent to this reaction without any symptoms.   Her initial symptoms were abdominal pain and nausea.  She proceeded to vomit and then felt short of breath and was taken to emergency department.  At emergency department she was treated for an asthma exacerbation initially with a DuoNeb and felt better, but 10 to 15 minutes later developed urticaria.  She was treated with Decadron, Benadryl, and IV fluids.  Her blood pressure later dropped to the 70s systolic and she became altered.  She was treated with epinephrine 0.3 mg without improvement and was given a second dose.  Her blood pressure improved however she developed shortness of breath again and was started on a epinephrine drip, was given Zofran and was transferred to primary emergency department.   These treatments were continued in the emergency department and she was also given famotidine and repeat Zofran dose.  She was admitted to the ICU.  In the ICU she had runs of V. tach on telemetry.  Epinephrine drip was stopped due to worsening ectopy.  Her magnesium was repleted.  Her echocardiogram and EKGs were normal.  She saturated on room air in the ICU.  She was started on cetirizine 40 mg daily.  She was transferred to the floor and was discharged from the hospital on June 1.  She was discharged home with EpiPen.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Electrocardiogram normal, Extrasystoles, Intensive care, Malaise
Clinical narrative: In May 2019 at 10 AM, the patient received her first dose of the Pfizer SARS-CoV-2 vaccine.  She had no immediate symptoms and felt well for the remainder of the day until approximately 6 PM when she started to feel sick.  Prior to feeling sick she had eaten fries and barbecue that were prepared at a friend's house (she has had these foods before and subsequent to this reaction without any symptoms.   Her initial symptoms were abdominal pain and nausea.  She proceeded to vomit and then felt short of breath and was taken to emergency department.  At emergency department she was treated for an asthma exacerbation initially with a DuoNeb and felt better, but 10 to 15 minutes later developed urticaria.  She was treated with Decadron, Benadryl, and IV fluids.  Her blood pressure later dropped to the 70s systolic and she became altered.  She was treated with epinephrine 0.3 mg without improvement and was given a second dose.  Her blood pressure improved however she developed shortness of breath again and was started on a epinephrine drip, was given Zofran and was transferred to primary emergency department.   These treatments were continued in the emergency department and she was also given famotidine and repeat Zofran dose.  She was admitted to the ICU.  In the ICU she had runs of V. tach on telemetry.  Epinephrine drip was stopped due to worsening ectopy.  Her magnesium was repleted.  Her echocardiogram and EKGs were normal.  She saturated on room air in the ICU.  She was started on cetirizine 40 mg daily.  She was transferred to the floor and was discharged from the hospital on June 1.  She was discharged home with EpiPen.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Urticaria, Ventricular tachycardia, Vomiting
Clinical narrative: In May 2019 at 10 AM, the patient received her first dose of the Pfizer SARS-CoV-2 vaccine.  She had no immediate symptoms and felt well for the remainder of the day until approximately 6 PM when she started to feel sick.  Prior to feeling sick she had eaten fries and barbecue that were prepared at a friend's house (she has had these foods before and subsequent to this reaction without any symptoms.   Her initial symptoms were abdominal pain and nausea.  She proceeded to vomit and then felt short of breath and was taken to emergency department.  At emergency department she was treated for an asthma exacerbation initially with a DuoNeb and felt better, but 10 to 15 minutes later developed urticaria.  She was treated with Decadron, Benadryl, and IV fluids.  Her blood pressure later dropped to the 70s systolic and she became altered.  She was treated with epinephrine 0.3 mg without improvement and was given a second dose.  Her blood pressure improved however she developed shortness of breath again and was started on a epinephrine drip, was given Zofran and was transferred to primary emergency department.   These treatments were continued in the emergency department and she was also given famotidine and repeat Zofran dose.  She was admitted to the ICU.  In the ICU she had runs of V. tach on telemetry.  Epinephrine drip was stopped due to worsening ectopy.  Her magnesium was repleted.  Her echocardiogram and EKGs were normal.  She saturated on room air in the ICU.  She was started on cetirizine 40 mg daily.  She was transferred to the floor and was discharged from the hospital on June 1.  She was discharged home with EpiPen.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling abnormal, Hyperhidrosis, Syncope
Clinical narrative: 21year old male patient vaccinated with first dose PFIZER at 1:33pm. Staff helps patient by taking him to the area and at 1:36pm patient starts to feeling cold, sweaty an dizzy. Paramedic proceeds to take vitals BP 110/70, Sat 95, dex113. patient is stabilized at 1:45pm but he reports feeling bad, vitals are taken again BP 110/70, P95, Sat 98. Paramedic proceeds to call the ambulance (unit 1901) they arrived at 1:49pm with Paramedics. Patient was taken to the emergency room.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Dizziness, Feeling abnormal, Feeling cold, Hyperhidrosis
Clinical narrative: 21year old male patient vaccinated with first dose PFIZER at 1:33pm. Staff helps patient by taking him to the area and at 1:36pm patient starts to feeling cold, sweaty an dizzy. Paramedic proceeds to take vitals BP 110/70, Sat 95, dex113. patient is stabilized at 1:45pm but he reports feeling bad, vitals are taken again BP 110/70, P95, Sat 98. Paramedic proceeds to call the ambulance (unit 1901) they arrived at 1:49pm with Paramedics. Patient was taken to the emergency room.