chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, Chest X-ray abnormal, Computerised tomogram abdomen normal
Clinical narrative: Presented with worsening dyspnea in setting of Covid-19, found to have acute hypoxic respiratory failure and pneumonia. COVID symptom onset 12/18, tested positive for COVID 12/21, received mAb. Had some improvement, but then developed increasing dyspnea leading to admission 12/31 for hypoxia. He was admitted and treated with dexamethasone and baricitinib. CXR with left lower lobe infiltrate c/f lobar pneumonia. Received course of CTX/Azithro. RRT was called near midnight on 1/8/22 due to progressive hypoxia. He was transitioned to optiflow and transferred to the MICU for further care.  Early in the morning on 1/24/22, patient developed worsening shock with phenylephrine up to 200. An Scv02 was checked which was 38 raising concern for cardiogenic shock, and he was transitioned to levophed. Unfortunately, he had worsening afib with RVR and was cross titrated to phenylephrine and levophed. His Hgb was 6. 1 and he received 1 unit of pRBCs and 1 L of fluid for presumed hemorrhagic shock while awaiting blood. He underwent CT scan to evaluate for a source of bleeding in his abdomen which was negative for bleed. Antimicrobial coverage was broadened to vancomycin, meropenem and fluconazole. After returning from the CT scanner, he had worsening presser requirements up to 80 of levophed, 300 of phenylephrine, and vasopressin 0.04. He was also given calcium chloride and 1 amp of sodium bicarb. He was noted to go into VT for about 1 minute with lack of palpable pulses although pulse still visible on the arterial line. The team met with his wife and daughter at the bedside with his son on speaker phone. The decision was made to transition the goals of his care to comfort and to remove artificial support devices including the vasopressors and the bipap. He passed away peacefully with his family at his side at 1249. Due to COVID-19 infection, the medical examiner was notified and declined the case. The patient's family declined an autopsy.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Haemoglobin decreased, Intensive care, Lung infiltration
Clinical narrative: Presented with worsening dyspnea in setting of Covid-19, found to have acute hypoxic respiratory failure and pneumonia. COVID symptom onset 12/18, tested positive for COVID 12/21, received mAb. Had some improvement, but then developed increasing dyspnea leading to admission 12/31 for hypoxia. He was admitted and treated with dexamethasone and baricitinib. CXR with left lower lobe infiltrate c/f lobar pneumonia. Received course of CTX/Azithro. RRT was called near midnight on 1/8/22 due to progressive hypoxia. He was transitioned to optiflow and transferred to the MICU for further care.  Early in the morning on 1/24/22, patient developed worsening shock with phenylephrine up to 200. An Scv02 was checked which was 38 raising concern for cardiogenic shock, and he was transitioned to levophed. Unfortunately, he had worsening afib with RVR and was cross titrated to phenylephrine and levophed. His Hgb was 6. 1 and he received 1 unit of pRBCs and 1 L of fluid for presumed hemorrhagic shock while awaiting blood. He underwent CT scan to evaluate for a source of bleeding in his abdomen which was negative for bleed. Antimicrobial coverage was broadened to vancomycin, meropenem and fluconazole. After returning from the CT scanner, he had worsening presser requirements up to 80 of levophed, 300 of phenylephrine, and vasopressin 0.04. He was also given calcium chloride and 1 amp of sodium bicarb. He was noted to go into VT for about 1 minute with lack of palpable pulses although pulse still visible on the arterial line. The team met with his wife and daughter at the bedside with his son on speaker phone. The decision was made to transition the goals of his care to comfort and to remove artificial support devices including the vasopressors and the bipap. He passed away peacefully with his family at his side at 1249. Due to COVID-19 infection, the medical examiner was notified and declined the case. The patient's family declined an autopsy.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pneumonia, Positive airway pressure therapy, Pulse absent, Red blood cell transfusion
Clinical narrative: Presented with worsening dyspnea in setting of Covid-19, found to have acute hypoxic respiratory failure and pneumonia. COVID symptom onset 12/18, tested positive for COVID 12/21, received mAb. Had some improvement, but then developed increasing dyspnea leading to admission 12/31 for hypoxia. He was admitted and treated with dexamethasone and baricitinib. CXR with left lower lobe infiltrate c/f lobar pneumonia. Received course of CTX/Azithro. RRT was called near midnight on 1/8/22 due to progressive hypoxia. He was transitioned to optiflow and transferred to the MICU for further care.  Early in the morning on 1/24/22, patient developed worsening shock with phenylephrine up to 200. An Scv02 was checked which was 38 raising concern for cardiogenic shock, and he was transitioned to levophed. Unfortunately, he had worsening afib with RVR and was cross titrated to phenylephrine and levophed. His Hgb was 6. 1 and he received 1 unit of pRBCs and 1 L of fluid for presumed hemorrhagic shock while awaiting blood. He underwent CT scan to evaluate for a source of bleeding in his abdomen which was negative for bleed. Antimicrobial coverage was broadened to vancomycin, meropenem and fluconazole. After returning from the CT scanner, he had worsening presser requirements up to 80 of levophed, 300 of phenylephrine, and vasopressin 0.04. He was also given calcium chloride and 1 amp of sodium bicarb. He was noted to go into VT for about 1 minute with lack of palpable pulses although pulse still visible on the arterial line. The team met with his wife and daughter at the bedside with his son on speaker phone. The decision was made to transition the goals of his care to comfort and to remove artificial support devices including the vasopressors and the bipap. He passed away peacefully with his family at his side at 1249. Due to COVID-19 infection, the medical examiner was notified and declined the case. The patient's family declined an autopsy.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Shock, Shock haemorrhagic, Ventricular tachycardia
Clinical narrative: Presented with worsening dyspnea in setting of Covid-19, found to have acute hypoxic respiratory failure and pneumonia. COVID symptom onset 12/18, tested positive for COVID 12/21, received mAb. Had some improvement, but then developed increasing dyspnea leading to admission 12/31 for hypoxia. He was admitted and treated with dexamethasone and baricitinib. CXR with left lower lobe infiltrate c/f lobar pneumonia. Received course of CTX/Azithro. RRT was called near midnight on 1/8/22 due to progressive hypoxia. He was transitioned to optiflow and transferred to the MICU for further care.  Early in the morning on 1/24/22, patient developed worsening shock with phenylephrine up to 200. An Scv02 was checked which was 38 raising concern for cardiogenic shock, and he was transitioned to levophed. Unfortunately, he had worsening afib with RVR and was cross titrated to phenylephrine and levophed. His Hgb was 6. 1 and he received 1 unit of pRBCs and 1 L of fluid for presumed hemorrhagic shock while awaiting blood. He underwent CT scan to evaluate for a source of bleeding in his abdomen which was negative for bleed. Antimicrobial coverage was broadened to vancomycin, meropenem and fluconazole. After returning from the CT scanner, he had worsening presser requirements up to 80 of levophed, 300 of phenylephrine, and vasopressin 0.04. He was also given calcium chloride and 1 amp of sodium bicarb. He was noted to go into VT for about 1 minute with lack of palpable pulses although pulse still visible on the arterial line. The team met with his wife and daughter at the bedside with his son on speaker phone. The decision was made to transition the goals of his care to comfort and to remove artificial support devices including the vasopressors and the bipap. He passed away peacefully with his family at his side at 1249. Due to COVID-19 infection, the medical examiner was notified and declined the case. The patient's family declined an autopsy.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test, Chest X-ray, Echocardiogram, Electrocardiogram
Clinical narrative: Patient has developed atrial fibrillation and is scheduled for a cardioversion.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test
Clinical narrative: Patient has developed atrial fibrillation and is scheduled for a cardioversion.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Hypertension, Pre-eclampsia, Premature delivery, Protein urine present
Clinical narrative: This is my fourth pregnancy never had any kind of preclampsia and protein n in my urine till I took this shot. My baby due date was March the 6 of 2022 but he was born early. I had to report to the labor and delivery several times during my doctor appointment due to my high blood pressure. The baby weighed 5 pounds and 7 ounces.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given the wrong dose patient was given 0.15 ml
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Thrombosis
Clinical narrative: brain bleed, right leg clot
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given her 2nd Pfizer vaccine 6 days before the recommended time between the 1st and 2nd dose.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given the wrong dose the patient was given 0.15 ml
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Dyspnoea, Electrocardiogram normal, Fatigue
Clinical narrative: Patient is fully vaccinated and boosted. Tested COVID positive on 3/12/2022. ED visit on 3/15.  she has had very mild symptoms including some fatigue and very mild congestion, shortness of breath for 1 day last week. Currently positive for chest tightness and shortness of breath. Vital signs within normal limits at this time.Imaging unremarkable at this time. EKG shows normal sinus rhythm, no concern for ACS at this time. Lab normal. No medications. Discharged home.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Imaging procedure, Laboratory test normal, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated and boosted. Tested COVID positive on 3/12/2022. ED visit on 3/15.  she has had very mild symptoms including some fatigue and very mild congestion, shortness of breath for 1 day last week. Currently positive for chest tightness and shortness of breath. Vital signs within normal limits at this time.Imaging unremarkable at this time. EKG shows normal sinus rhythm, no concern for ACS at this time. Lab normal. No medications. Discharged home.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for weakness within 6 weeks of receiving covid vaccination.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given a pediatric covid vaccine for children ages 5 to 11 years of age.  This type of vaccine was not approved for his age of 12 years.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Bronchial disorder, COVID-19, Chest discomfort
Clinical narrative: Chest started hurting, like I had bronchitis on 9/17 (Friday), had my husband pound my back to try and break up the congestion. I lost my taste on Sunday. I tested positive on Tuesday. Called my Dr who told me to treat the symptoms so I took Mucinex. No other real symptom. No fever, no coughing or sneezing, just tightness in chest and loss of taste/smell. - Also changed Doctors since she would not teleconference or see me. Got information from her nurse.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Chest started hurting, like I had bronchitis on 9/17 (Friday), had my husband pound my back to try and break up the congestion. I lost my taste on Sunday. I tested positive on Tuesday. Called my Dr who told me to treat the symptoms so I took Mucinex. No other real symptom. No fever, no coughing or sneezing, just tightness in chest and loss of taste/smell. - Also changed Doctors since she would not teleconference or see me. Got information from her nurse.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given his 2nd Pfizer vaccine 7 days before the recommended time between the 1st and 2nd dose.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: I was in such pain my left arm started swelling & it was very painful. It lasted for about 5 days, Dr. told me if it gets worse to go to ER.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Cardioversion, Dizziness
Clinical narrative: Patient is fully vaccinated. COVID positive on 3/20/2022.  74y.o. female with history of sleep apnea, hypothyroidism, DM, HTN, depression and anxiety who presents with a complaint of A.fib with RVR.Denies any history of prior arrhythmias or MI. Notes intermittent episodes of SOB not relater exertion with associated lightheadedness/dizzyness over the last 1 month. Labs show hypokalemia and elevated troponin.  Treated with cardizem and heparin. Cardioversion.  Heparin changed to Eliquis. Discharged home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypokalaemia, Laboratory test abnormal, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient is fully vaccinated. COVID positive on 3/20/2022.  74y.o. female with history of sleep apnea, hypothyroidism, DM, HTN, depression and anxiety who presents with a complaint of A.fib with RVR.Denies any history of prior arrhythmias or MI. Notes intermittent episodes of SOB not relater exertion with associated lightheadedness/dizzyness over the last 1 month. Labs show hypokalemia and elevated troponin.  Treated with cardizem and heparin. Cardioversion.  Heparin changed to Eliquis. Discharged home.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Blood pressure increased, Condition aggravated, Dyspnoea, Dysstasia
Clinical narrative: It has accelerative of my body degenerative. It flare up my arthritis and my thumb had a grove in it now. It has caused me to get tendonitis all over my body. It caused me to go back into menopaused. It has caused my skin to thinning, wear it tears layers of skin just from a little pump. My skin looks like a 100 year old person now. It has really messed with my thermo-balance. It hurts to seat, stand, to walk and sleep. I have hot flashes so bad. I am always tired as well. I also have night sweats really bad. I been to several specialist. I had x-rays, MRI, and blood work. It shows that my vitamin D is gone completely. I been sent to physical therapy due to the tears in my muscle and bone just from the pump. It shows that my joint are degenerative at a rapid rate. My blood pressure has been evaluated as well. I have also had weight gain since the shot. I also keep getting SOB but they said that my heart is fine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Hot flush, Insomnia, Magnetic resonance imaging
Clinical narrative: It has accelerative of my body degenerative. It flare up my arthritis and my thumb had a grove in it now. It has caused me to get tendonitis all over my body. It caused me to go back into menopaused. It has caused my skin to thinning, wear it tears layers of skin just from a little pump. My skin looks like a 100 year old person now. It has really messed with my thermo-balance. It hurts to seat, stand, to walk and sleep. I have hot flashes so bad. I am always tired as well. I also have night sweats really bad. I been to several specialist. I had x-rays, MRI, and blood work. It shows that my vitamin D is gone completely. I been sent to physical therapy due to the tears in my muscle and bone just from the pump. It shows that my joint are degenerative at a rapid rate. My blood pressure has been evaluated as well. I have also had weight gain since the shot. I also keep getting SOB but they said that my heart is fine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Menopause, Muscle injury, Night sweats, Osteoarthritis, Sitting disability
Clinical narrative: It has accelerative of my body degenerative. It flare up my arthritis and my thumb had a grove in it now. It has caused me to get tendonitis all over my body. It caused me to go back into menopaused. It has caused my skin to thinning, wear it tears layers of skin just from a little pump. My skin looks like a 100 year old person now. It has really messed with my thermo-balance. It hurts to seat, stand, to walk and sleep. I have hot flashes so bad. I am always tired as well. I also have night sweats really bad. I been to several specialist. I had x-rays, MRI, and blood work. It shows that my vitamin D is gone completely. I been sent to physical therapy due to the tears in my muscle and bone just from the pump. It shows that my joint are degenerative at a rapid rate. My blood pressure has been evaluated as well. I have also had weight gain since the shot. I also keep getting SOB but they said that my heart is fine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Skeletal injury, Skin indentation, Skin laceration, Tendonitis, Vitamin D decreased
Clinical narrative: It has accelerative of my body degenerative. It flare up my arthritis and my thumb had a grove in it now. It has caused me to get tendonitis all over my body. It caused me to go back into menopaused. It has caused my skin to thinning, wear it tears layers of skin just from a little pump. My skin looks like a 100 year old person now. It has really messed with my thermo-balance. It hurts to seat, stand, to walk and sleep. I have hot flashes so bad. I am always tired as well. I also have night sweats really bad. I been to several specialist. I had x-rays, MRI, and blood work. It shows that my vitamin D is gone completely. I been sent to physical therapy due to the tears in my muscle and bone just from the pump. It shows that my joint are degenerative at a rapid rate. My blood pressure has been evaluated as well. I have also had weight gain since the shot. I also keep getting SOB but they said that my heart is fine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Weight increased, X-ray
Clinical narrative: It has accelerative of my body degenerative. It flare up my arthritis and my thumb had a grove in it now. It has caused me to get tendonitis all over my body. It caused me to go back into menopaused. It has caused my skin to thinning, wear it tears layers of skin just from a little pump. My skin looks like a 100 year old person now. It has really messed with my thermo-balance. It hurts to seat, stand, to walk and sleep. I have hot flashes so bad. I am always tired as well. I also have night sweats really bad. I been to several specialist. I had x-rays, MRI, and blood work. It shows that my vitamin D is gone completely. I been sent to physical therapy due to the tears in my muscle and bone just from the pump. It shows that my joint are degenerative at a rapid rate. My blood pressure has been evaluated as well. I have also had weight gain since the shot. I also keep getting SOB but they said that my heart is fine.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: hospitalized with a stroke and related symptoms
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease
Clinical narrative: Patient presented to the ED for COPD with acute exacerbation within 6 weeks of receiving COVID vaccination.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Skin lesion
Clinical narrative: lesions on face
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Within an hour of the vaccine I had a headache but after 6 hours I noticed pulsatile tinnitus in my right ear only. It has been 7 months and it has not gone away at all.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Coronary arterial stent insertion, Dizziness, Dyspnoea
Clinical narrative: I felt a great deal of pressure on my chest and discomfort underneath both shoulders with slight shortness of breath. I was lightheaded and became nauseous. I went to the urgent care locally where I had an EKG performed and was transported by ambulance to a HCF. I experienced a heart attack where I had 2 stents placed in my heart. I was in recovery where I remained overnight and was released after 2 days. I am now on several medications to address the issues. I returned home and have a new cardiologist. After the initial visit and confirmation of the heart attack, I have to follow up with the provider in June. I did contract covid 1 week after my booster.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Laboratory test, Musculoskeletal discomfort, Myocardial infarction, Nausea
Clinical narrative: I felt a great deal of pressure on my chest and discomfort underneath both shoulders with slight shortness of breath. I was lightheaded and became nauseous. I went to the urgent care locally where I had an EKG performed and was transported by ambulance to a HCF. I experienced a heart attack where I had 2 stents placed in my heart. I was in recovery where I remained overnight and was released after 2 days. I am now on several medications to address the issues. I returned home and have a new cardiologist. After the initial visit and confirmation of the heart attack, I have to follow up with the provider in June. I did contract covid 1 week after my booster.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient came in for their COVID shot. When the vial was retrieved from the refrigerator someone had accidentally switched the locations of the pediatric and adult COVID vaccines. Unfortunately due to a series of events this was not discovered until after shot was given. Upon discovery I called patient, explained what had occurred and they were understanding, agreeing to return to the pharmacy for revaccination with the correct dose as per guidance from leadership. The patient returned and was revaccinated with the correct dose on 3/19/22.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Alopecia, Antinuclear antibody, Blood folate, Blood iron, Borrelia test
Clinical narrative: Since July patient has been exhibiting extreme fatigue, headaches, dizziness, tingling in arms, hair loss, and weight gain despite no appetite
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: C-reactive protein, Computerised tomogram, Decreased appetite, Dizziness, Fatigue
Clinical narrative: Since July patient has been exhibiting extreme fatigue, headaches, dizziness, tingling in arms, hair loss, and weight gain despite no appetite
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Glycosylated haemoglobin, Headache, Laboratory test, Paraesthesia, Red blood cell sedimentation rate
Clinical narrative: Since July patient has been exhibiting extreme fatigue, headaches, dizziness, tingling in arms, hair loss, and weight gain despite no appetite
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test, Serum ferritin, Vitamin D, Weight increased
Clinical narrative: Since July patient has been exhibiting extreme fatigue, headaches, dizziness, tingling in arms, hair loss, and weight gain despite no appetite
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood sodium decreased, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Patient fully vaccinated and boosted. Tested COVID-19 positive on 3/20/2022. 96-year-old healthy otherwise, presented due to complaint of shortness of breath. She stated she has been having shortness of breath over the past 1 week; no productive cough. Na 130. CXR: Patchy airspace opacities at lung bases may reflect atelectasis. Developing consolidation not excluded. O2 sat 88%; cough + fatigue. Treatment: 3L on oxygen. Decadron, Lovenox and remdesivir. Discharged home.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated and boosted. Tested COVID-19 positive on 3/20/2022. 96-year-old healthy otherwise, presented due to complaint of shortness of breath. She stated she has been having shortness of breath over the past 1 week; no productive cough. Na 130. CXR: Patchy airspace opacities at lung bases may reflect atelectasis. Developing consolidation not excluded. O2 sat 88%; cough + fatigue. Treatment: 3L on oxygen. Decadron, Lovenox and remdesivir. Discharged home.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Chills, Dehydration, Dizziness
Clinical narrative: Extreme Fatigue - fighting to stay awake Chills Dizziness Rash on entire body except face ( this progressed a week later into skin peeling) NO itchyness Dehydration Weakness, difficulty walking Went to the ER the Tuesday, when I was not feeling any better, was fearful that I had covid on top of getting the booster Treatment : - diphenhydrAMINE (Benadryl) - sodium chloride 0.9% bolus
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fear, Gait disturbance, Malaise, Rash
Clinical narrative: Extreme Fatigue - fighting to stay awake Chills Dizziness Rash on entire body except face ( this progressed a week later into skin peeling) NO itchyness Dehydration Weakness, difficulty walking Went to the ER the Tuesday, when I was not feeling any better, was fearful that I had covid on top of getting the booster Treatment : - diphenhydrAMINE (Benadryl) - sodium chloride 0.9% bolus
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Skin exfoliation
Clinical narrative: Extreme Fatigue - fighting to stay awake Chills Dizziness Rash on entire body except face ( this progressed a week later into skin peeling) NO itchyness Dehydration Weakness, difficulty walking Went to the ER the Tuesday, when I was not feeling any better, was fearful that I had covid on top of getting the booster Treatment : - diphenhydrAMINE (Benadryl) - sodium chloride 0.9% bolus
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Hearing aid user, Tinnitus
Clinical narrative: Tinnitus with loud ringing in the head. Ongoing. I have tried to find a solution to this distressing situation but nothing works to date. Additionally, (following the tinnitus onset) I have been diagnosed with hearing loss and have been prescribed hearing aids, which I wear religiously. Unfortunately they do not address the tinnitus symptoms.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dizziness postural, General physical health deterioration, Magnetic resonance imaging head
Clinical narrative: I was dealing with positional dizziness when I would sit up and when I am standing it get worse and I am still dealing with it today.  It was much worse in the beginning and I cannot do all the physical things I used to.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Vision blurred, Vomiting
Clinical narrative: nausea/vomiting.. blurred vision.. Patient passed out.. ambulance called
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac discomfort, Dizziness, Dysphagia, Eating disorder, Feeling cold
Clinical narrative: I was feeling cold for about a week, although I was sweating the entire time. Sore throat, dizziness, and my heart felt like it wanted to explode from the inside out, extreme fast heartbeat. Hard to eat anything or swallow.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Oropharyngeal pain
Clinical narrative: I was feeling cold for about a week, although I was sweating the entire time. Sore throat, dizziness, and my heart felt like it wanted to explode from the inside out, extreme fast heartbeat. Hard to eat anything or swallow.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Urticaria
Clinical narrative: 3 days after the 1st Shingrix vaccination the patient develop a rash and hives on both arms and body as they described it. She has she has been treated with oral and topical steriods and oral hydroxazine. Condition is still going on  to the current date of this submission.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance, Tinnitus
Clinical narrative: When she had the vaccine she felt like serum going down her left hand. Also she has a ringing in her left ear. Went to ENT.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Headache, Illness, Lethargy
Clinical narrative: Body aches, headaches, fevers, chills,  lethargy and brain fog; Sick for a month, not just a day or a few days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Body aches, headaches, fevers, chills,  lethargy and brain fog; Sick for a month, not just a day or a few days.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received her second Pfizer dose 15 days from the first Pfizer dose, she was supposed to have 21 days in between.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Bradycardia, COVID-19, Dyspnoea, Dyspnoea exertional
Clinical narrative: Patient is fully vaccinated. COVID positive on admission on 3/21/2022. 64-year-old male with history of atrial fibrillation anticoagulated on Xarelto presents with shortness of breath and hypoxia.  Patient states that he has been experiencing intermittent shortness of breath that is worse on exertion over the course of the past year, but that his symptoms have been significantly worsening over the course of the past month. O2 sat in the 70s. Positive fatigue and leg swelling. Positive for tachypnea and bradycardia. Troponin normal. Chest: cardiogenic pulmonary edema. Treatment:  Lasix. Lovenox.  Decadron and antibiotic. Remdesivir. Remains hospitalized at data input.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypoxia, Peripheral swelling, Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. COVID positive on admission on 3/21/2022. 64-year-old male with history of atrial fibrillation anticoagulated on Xarelto presents with shortness of breath and hypoxia.  Patient states that he has been experiencing intermittent shortness of breath that is worse on exertion over the course of the past year, but that his symptoms have been significantly worsening over the course of the past month. O2 sat in the 70s. Positive fatigue and leg swelling. Positive for tachypnea and bradycardia. Troponin normal. Chest: cardiogenic pulmonary edema. Treatment:  Lasix. Lovenox.  Decadron and antibiotic. Remdesivir. Remains hospitalized at data input.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea, Troponin normal
Clinical narrative: Patient is fully vaccinated. COVID positive on admission on 3/21/2022. 64-year-old male with history of atrial fibrillation anticoagulated on Xarelto presents with shortness of breath and hypoxia.  Patient states that he has been experiencing intermittent shortness of breath that is worse on exertion over the course of the past year, but that his symptoms have been significantly worsening over the course of the past month. O2 sat in the 70s. Positive fatigue and leg swelling. Positive for tachypnea and bradycardia. Troponin normal. Chest: cardiogenic pulmonary edema. Treatment:  Lasix. Lovenox.  Decadron and antibiotic. Remdesivir. Remains hospitalized at data input.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Eye pain, Headache, Laboratory test, Peripheral swelling
Clinical narrative: Headache. Nausea, Blood pressure went up and arm swelled up. And my eyes was hurting really bad
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomyopathy, Chest pain, Ejection fraction, Electrocardiogram T wave abnormal, Electrocardiogram abnormal
Clinical narrative: Patient presented to the ED with sharp, non-radiating chest pain & 1 episode of NBNB vomiting. EKG showed nonspecific T wave changes without ST elevations. Initial troponins negative, however repeat elevated at 0.31. Patient was taken to the cath lab. Findings revealed a left ventricle that was globally dilated and severely hypokinetic with an EF of 10-15%..Diagnosis: nonischemic cardiomyopathy. Patient will be referred to another facility where he will likely need myocardial biopsy.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hypokinesia, Left atrial enlargement, Left ventricular dilatation, Sinus tachycardia, Troponin increased
Clinical narrative: Patient presented to the ED with sharp, non-radiating chest pain & 1 episode of NBNB vomiting. EKG showed nonspecific T wave changes without ST elevations. Initial troponins negative, however repeat elevated at 0.31. Patient was taken to the cath lab. Findings revealed a left ventricle that was globally dilated and severely hypokinetic with an EF of 10-15%..Diagnosis: nonischemic cardiomyopathy. Patient will be referred to another facility where he will likely need myocardial biopsy.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient presented to the ED with sharp, non-radiating chest pain & 1 episode of NBNB vomiting. EKG showed nonspecific T wave changes without ST elevations. Initial troponins negative, however repeat elevated at 0.31. Patient was taken to the cath lab. Findings revealed a left ventricle that was globally dilated and severely hypokinetic with an EF of 10-15%..Diagnosis: nonischemic cardiomyopathy. Patient will be referred to another facility where he will likely need myocardial biopsy.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest, Cough, Death
Clinical narrative: pt with hx of obesity, DMT2, OSA with CPAP; 12/4/21 presents to ED with cough, increasing SOB, dyspnea; reports having a positive home COVID test 11/29/21; admitted to hosp; COVID pneumonia; O2 supplementation; placed on BiPAP; O2 needs increased requiring intubation with mechanical ventilation; suffered cardiopulmonary arrest several times; pt passed away in the hospital.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Mechanical ventilation, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: pt with hx of obesity, DMT2, OSA with CPAP; 12/4/21 presents to ED with cough, increasing SOB, dyspnea; reports having a positive home COVID test 11/29/21; admitted to hosp; COVID pneumonia; O2 supplementation; placed on BiPAP; O2 needs increased requiring intubation with mechanical ventilation; suffered cardiopulmonary arrest several times; pt passed away in the hospital.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Asthenia, Audiogram abnormal, Auditory nerve disorder, Balance disorder
Clinical narrative: In the weeks before September 26, 2021 I experienced extreme fatigue and extreme light headedness when I changed positions from laying, sitting, and standing up. On September 26, in my left ear, I suddenly experienced a long, very loud and unusually dramatic spell of tinnatus. It was above and beyond the usual, fairly constant, high pitched tinnatus that I had had for years in both ears. I  also suddenly became very weak and had to lay down. After 10 minutes I was able to stand up but I was wobbly and nauseous. After 1hr or so I became very nauseous and threw up. I fell asleep. When I woke up I realized I was completely deaf in my left ear. I was also very wobbly.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral atrophy, Cerebral infarction, Condition aggravated, Deafness unilateral, Demyelination
Clinical narrative: In the weeks before September 26, 2021 I experienced extreme fatigue and extreme light headedness when I changed positions from laying, sitting, and standing up. On September 26, in my left ear, I suddenly experienced a long, very loud and unusually dramatic spell of tinnatus. It was above and beyond the usual, fairly constant, high pitched tinnatus that I had had for years in both ears. I  also suddenly became very weak and had to lay down. After 10 minutes I was able to stand up but I was wobbly and nauseous. After 1hr or so I became very nauseous and threw up. I fell asleep. When I woke up I realized I was completely deaf in my left ear. I was also very wobbly.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dizziness postural, Fatigue, Magnetic resonance imaging head abnormal, Musculoskeletal stiffness
Clinical narrative: In the weeks before September 26, 2021 I experienced extreme fatigue and extreme light headedness when I changed positions from laying, sitting, and standing up. On September 26, in my left ear, I suddenly experienced a long, very loud and unusually dramatic spell of tinnatus. It was above and beyond the usual, fairly constant, high pitched tinnatus that I had had for years in both ears. I  also suddenly became very weak and had to lay down. After 10 minutes I was able to stand up but I was wobbly and nauseous. After 1hr or so I became very nauseous and threw up. I fell asleep. When I woke up I realized I was completely deaf in my left ear. I was also very wobbly.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paranasal cyst, Reflex test, Retention cyst, Scan with contrast abnormal
Clinical narrative: In the weeks before September 26, 2021 I experienced extreme fatigue and extreme light headedness when I changed positions from laying, sitting, and standing up. On September 26, in my left ear, I suddenly experienced a long, very loud and unusually dramatic spell of tinnatus. It was above and beyond the usual, fairly constant, high pitched tinnatus that I had had for years in both ears. I  also suddenly became very weak and had to lay down. After 10 minutes I was able to stand up but I was wobbly and nauseous. After 1hr or so I became very nauseous and threw up. I fell asleep. When I woke up I realized I was completely deaf in my left ear. I was also very wobbly.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sudden hearing loss, Tinnitus, Tympanometry, Vertigo, Vomiting
Clinical narrative: In the weeks before September 26, 2021 I experienced extreme fatigue and extreme light headedness when I changed positions from laying, sitting, and standing up. On September 26, in my left ear, I suddenly experienced a long, very loud and unusually dramatic spell of tinnatus. It was above and beyond the usual, fairly constant, high pitched tinnatus that I had had for years in both ears. I  also suddenly became very weak and had to lay down. After 10 minutes I was able to stand up but I was wobbly and nauseous. After 1hr or so I became very nauseous and threw up. I fell asleep. When I woke up I realized I was completely deaf in my left ear. I was also very wobbly.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody increased, Antinuclear antibody, Blood immunoglobulin G normal, Blood thyroid stimulating hormone decreased, Immunoglobulins normal
Clinical narrative: I developed a rash that will not go away. I was ordered labs, and was started on Fexofenadine 180mg, TID to QID.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I developed a rash that will not go away. I was ordered labs, and was started on Fexofenadine 180mg, TID to QID.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Diarrhoea haemorrhagic, Fatigue, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: Patient had sore arm fatigue that was rather severe then developed  diarrhea continued to have diarrhea including bloody diarrhea for approximately 2 months
Age: 12.0
Sex: F
Vaccine: COVID19, HPV9
Symptoms: Underdose
Clinical narrative: administerd 5-11 year old dose instead of 12 + Pfizer.  No change in treatment or outcome.  Repeating booster dose not recommended at this time by the CDC.  Nurse assisting inadvertently grabbed 5-11 y/o Pfizer dose instead 12 + dose; she did not follow proper procedure of scanning vaccine before administering so realized her mistake afterwards when trying to document.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Covid 19 age 5-11 year old was given instead of 12 year old and up
Age: 64.0
Sex: M
Vaccine: FLUR4
Symptoms: Erythema, Feeling hot, Peripheral swelling
Clinical narrative: Patient called stating he started having shoulder swelling, going all the way down near elbow, and back to lower part of the tricep. He can tell a difference in between the lower part of his arm and the upper, significantly. He also states it is warm to the touch, and redness all the way to the lower tricep as well. He has taken aleve but not used ice.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Chest X-ray, Diarrhoea, Echocardiogram
Clinical narrative: Patient developed fever, abdominal pain, and fatigue about 4 hours after dose administered.  Fever and abdominal pain continued and diarrhea started 2 days later.  Patient then presented to ED on day 3 post vaccine dose. Full lab workup and testing showed this patient met the criteria for MIS-C and was reported as such to physician. Physician has instructed us to report this case as possible vaccine related event. This patient was diagnosed with COVID-19 about 1 month prior to onset of MIS-C illness.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Laboratory test, Multisystem inflammatory syndrome in children, Pyrexia
Clinical narrative: Patient developed fever, abdominal pain, and fatigue about 4 hours after dose administered.  Fever and abdominal pain continued and diarrhea started 2 days later.  Patient then presented to ED on day 3 post vaccine dose. Full lab workup and testing showed this patient met the criteria for MIS-C and was reported as such to physician. Physician has instructed us to report this case as possible vaccine related event. This patient was diagnosed with COVID-19 about 1 month prior to onset of MIS-C illness.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen
Clinical narrative: Patient developed fever, abdominal pain, and fatigue about 4 hours after dose administered.  Fever and abdominal pain continued and diarrhea started 2 days later.  Patient then presented to ED on day 3 post vaccine dose. Full lab workup and testing showed this patient met the criteria for MIS-C and was reported as such to physician. Physician has instructed us to report this case as possible vaccine related event. This patient was diagnosed with COVID-19 about 1 month prior to onset of MIS-C illness.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema, Pruritus, Skin warm
Clinical narrative: 10 days after the vaccine I got COVID arm from my shoulder to elbow. My arm itched, ached, hot to touch, and appeared to be a fluid under the skin. I took Tylenol which didn't really help. That lasted about two weeks. It was gradual as it decreased. I did have a doctor appointment for something else, but I did tell her about it and she took a picture. She she was on a COVID panel and she was taking the picture for the research panel. She did acknowledge it was COVID arm.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine administered.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Chest pain, Chills, Dyspnoea, Fatigue
Clinical narrative: Pain in upper chest especially near front clavicle and shoulder, and in neck when inhaling. Worse on left side, and worst when lying down on that side. Spread to right side. Gradually decreased over several days. Accompanied by difficulty breathing, plus general malaise, weakness, fatigue, runny nose, muscle aches, chills, and feverish (but no increase in temperature)
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Malaise, Myalgia, Neck pain, Painful respiration, Pyrexia
Clinical narrative: Pain in upper chest especially near front clavicle and shoulder, and in neck when inhaling. Worse on left side, and worst when lying down on that side. Spread to right side. Gradually decreased over several days. Accompanied by difficulty breathing, plus general malaise, weakness, fatigue, runny nose, muscle aches, chills, and feverish (but no increase in temperature)
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Pain in upper chest especially near front clavicle and shoulder, and in neck when inhaling. Worse on left side, and worst when lying down on that side. Spread to right side. Gradually decreased over several days. Accompanied by difficulty breathing, plus general malaise, weakness, fatigue, runny nose, muscle aches, chills, and feverish (but no increase in temperature)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient came to the ED with symptoms of shortness of breath, generalized weakness, fatigue, and a dry cough.  Patient was admitted to the hosptial with Covid pneumonia.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, Hypoxia
Clinical narrative: Case completed primary Covid vaccine series in APril 2021, then case was hospitalized for Covid in January 2022. Hospitalized at:  local Hospital.  * COVID-19 Assessment & Plan Presents after a week with hypoxia, cough, fatigue, anorexia. Positive for Covid. Has had 2 doses of mRNA vaccine but no booster. Lives in multi-generational household. - O2 as needed: currently not requiring it. Will do home O2 test in AM of 1/21 - Dexamethasone (no indication for other treatments at this time as she is over a week in, needs supplemental O2, and is not sick enough for tocilizumab) - Supportive/symptomatic treatments including mucolytics, cough suppressants, throat drops are available
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test, Influenza B virus test, SARS-CoV-2 RNA, SARS-CoV-2 test positive, Viral test positive
Clinical narrative: Case completed primary Covid vaccine series in APril 2021, then case was hospitalized for Covid in January 2022. Hospitalized at:  local Hospital.  * COVID-19 Assessment & Plan Presents after a week with hypoxia, cough, fatigue, anorexia. Positive for Covid. Has had 2 doses of mRNA vaccine but no booster. Lives in multi-generational household. - O2 as needed: currently not requiring it. Will do home O2 test in AM of 1/21 - Dexamethasone (no indication for other treatments at this time as she is over a week in, needs supplemental O2, and is not sick enough for tocilizumab) - Supportive/symptomatic treatments including mucolytics, cough suppressants, throat drops are available
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Death, Dementia, Hypertension
Clinical narrative: pt in hospice in nursing home; DNR/DNI; worsening dementia and HTN; positive for COVID and passed away in hospice
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt in hospice in nursing home; DNR/DNI; worsening dementia and HTN; positive for COVID and passed away in hospice