chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19 pneumonia
Clinical narrative: 75 y.o. male who was admitted with covid pna. He was started on steroids supplemental oxygen as well as monoclonal antibodies. He was out of the window for remdesivir. He had a mild AKI which Improved. His oxygen slowly improved however he was much weaker overall and physical therapy recommended rehab at discharge. He was discharged to rehab in stable condition
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Dysstasia, Fall
Clinical narrative: 77 y.o. male who was admitted with weakness. He has had poor appetite and upper respiratory symptoms for several days prior to admission. He slid off the bed onto the floor at home and he was too weak to stand and his wife was unable to get him up and had to call EMS. Tested positive for COVID in the ER however was initially on room air. He did briefly have low oxygen, was started on remdesivir and dexamethasone and seen by infectious disease. He improved faster than expected though is still at high risk for progression given his renal transplant status. As he is currently on room air and remdesivir was stopped.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Oxygen saturation decreased, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: 77 y.o. male who was admitted with weakness. He has had poor appetite and upper respiratory symptoms for several days prior to admission. He slid off the bed onto the floor at home and he was too weak to stand and his wife was unable to get him up and had to call EMS. Tested positive for COVID in the ER however was initially on room air. He did briefly have low oxygen, was started on remdesivir and dexamethasone and seen by infectious disease. He improved faster than expected though is still at high risk for progression given his renal transplant status. As he is currently on room air and remdesivir was stopped.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Influenza virus test negative, Insomnia, Oropharyngeal pain
Clinical narrative: bad headache by 5:00 pm Could not sleep due to headache Coughing started in the middle of the night - very sore throat (strep like) Aching and still coughing next day - headache continued some relief with advil and tylenol coughing, aching, headache lasted from Monday night until late Thursday
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: bad headache by 5:00 pm Could not sleep due to headache Coughing started in the middle of the night - very sore throat (strep like) Aching and still coughing next day - headache continued some relief with advil and tylenol coughing, aching, headache lasted from Monday night until late Thursday
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Chest X-ray abnormal, Condition aggravated, Cough
Clinical narrative: 96 y.o. female with history of atrial fibrillation, CHF with preserved EF, type 2 diabetes mellitus, hypothyroidism, hypertension, hearing impairment, CKD stage IIIB who was brought to ER on 08/24/21 with c/o SOB, cough and congestion, low oxygen level after she tested positive for Covid 19 the same day. Chest x-ray showed findings consistent with pneumonia. Patient was also found to be in AFib with RVR which improved with Lopressor given in ER. Patient was admitted to hospitalist service and placed on IV antibiotics along with symptomatic treatment. Steroids were also added. Patient was seen by infectious disease consultant Dr. who started patient on REmdesivir due to hypoxemia.  Patient's respiratory status decline to a point where she needed BiPAP but she was not tolerating it. Patient's daughters requested the hospitalist to keep the patient comfortable and not place patient on BiPAP. Patient was then switched to high-flow nasal cannula. Family later decided to pursue hospice. Before they could meet with the case manager and hospice staff, patient passed away.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Device intolerance, Dyspnoea, Hypoxia, Interchange of vaccine products
Clinical narrative: 96 y.o. female with history of atrial fibrillation, CHF with preserved EF, type 2 diabetes mellitus, hypothyroidism, hypertension, hearing impairment, CKD stage IIIB who was brought to ER on 08/24/21 with c/o SOB, cough and congestion, low oxygen level after she tested positive for Covid 19 the same day. Chest x-ray showed findings consistent with pneumonia. Patient was also found to be in AFib with RVR which improved with Lopressor given in ER. Patient was admitted to hospitalist service and placed on IV antibiotics along with symptomatic treatment. Steroids were also added. Patient was seen by infectious disease consultant Dr. who started patient on REmdesivir due to hypoxemia.  Patient's respiratory status decline to a point where she needed BiPAP but she was not tolerating it. Patient's daughters requested the hospitalist to keep the patient comfortable and not place patient on BiPAP. Patient was then switched to high-flow nasal cannula. Family later decided to pursue hospice. Before they could meet with the case manager and hospice staff, patient passed away.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pneumonia, Positive airway pressure therapy, Respiratory disorder, Respiratory tract congestion
Clinical narrative: 96 y.o. female with history of atrial fibrillation, CHF with preserved EF, type 2 diabetes mellitus, hypothyroidism, hypertension, hearing impairment, CKD stage IIIB who was brought to ER on 08/24/21 with c/o SOB, cough and congestion, low oxygen level after she tested positive for Covid 19 the same day. Chest x-ray showed findings consistent with pneumonia. Patient was also found to be in AFib with RVR which improved with Lopressor given in ER. Patient was admitted to hospitalist service and placed on IV antibiotics along with symptomatic treatment. Steroids were also added. Patient was seen by infectious disease consultant Dr. who started patient on REmdesivir due to hypoxemia.  Patient's respiratory status decline to a point where she needed BiPAP but she was not tolerating it. Patient's daughters requested the hospitalist to keep the patient comfortable and not place patient on BiPAP. Patient was then switched to high-flow nasal cannula. Family later decided to pursue hospice. Before they could meet with the case manager and hospice staff, patient passed away.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 96 y.o. female with history of atrial fibrillation, CHF with preserved EF, type 2 diabetes mellitus, hypothyroidism, hypertension, hearing impairment, CKD stage IIIB who was brought to ER on 08/24/21 with c/o SOB, cough and congestion, low oxygen level after she tested positive for Covid 19 the same day. Chest x-ray showed findings consistent with pneumonia. Patient was also found to be in AFib with RVR which improved with Lopressor given in ER. Patient was admitted to hospitalist service and placed on IV antibiotics along with symptomatic treatment. Steroids were also added. Patient was seen by infectious disease consultant Dr. who started patient on REmdesivir due to hypoxemia.  Patient's respiratory status decline to a point where she needed BiPAP but she was not tolerating it. Patient's daughters requested the hospitalist to keep the patient comfortable and not place patient on BiPAP. Patient was then switched to high-flow nasal cannula. Family later decided to pursue hospice. Before they could meet with the case manager and hospice staff, patient passed away.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test negative, Anosmia, Cough, Nasal congestion, Rhinorrhoea
Clinical narrative: Within the month leading up to the shot, I had an upper respiratory issues.  After the first shot, about a 2 months later, I started have running nose, stuffiness and coughing and loss of smell. I have seen several doctors who have determined that I do not have allergies. I have been seeing an ENT for care and treatment.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: pt states she had a positive COVID test on 1/3/21; PCP (name unknown) gave her a shot of an antibiotic; pt has had increasing SOB with fever since then; sx started with sore throat and sinus drainage; O2 supplementation; positive for COVID; given dexamethasone, remdesivir, baricitinib; pneumonia due to COVID; ARF with hypoxia; metabolic encephalopathy; DNR; pt's condition critical; pt died in the hospital
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: pt states she had a positive COVID test on 1/3/21; PCP (name unknown) gave her a shot of an antibiotic; pt has had increasing SOB with fever since then; sx started with sore throat and sinus drainage; O2 supplementation; positive for COVID; given dexamethasone, remdesivir, baricitinib; pneumonia due to COVID; ARF with hypoxia; metabolic encephalopathy; DNR; pt's condition critical; pt died in the hospital
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: ACCORDING TO TRIAGE NOTE  Interpreter used. Mom states that pt received vaccines on 3/7. She states that injection site looks swollen and is red. Mom denies fever. Mom is giving Tylenol and ibuprofen for pain and swelling and states that is it helping some. Advised mom that for a local reaction at injection site, she can apply cold packs for 20 mins on and 20 mins off. Continue to dose with Tylenol and ibuprofen for pain. Also advised that patient use his arm like normal and drink lots of fluids. Advised mom to CB if this worsens or does not improve in 24-48hrs.  CALLED PT BACK AND PER PROVIDER INDICATION, ADVISED PT TO GO TO THE ER
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Hypoxia
Clinical narrative: COVID-19 pneumonia with hypoxia: improving, completed remdesivir. Doing well today on day of DC
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dyspnoea, Fatigue, Pain, Pyrexia
Clinical narrative: I started experiencing a fever and fatigue that evening. Shortness of breath. Upset stomach, severe pain. Following night completely fine. Felt as though I had a 24hr COVID virus.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID-19
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram, Electroencephalogram, Hyperhidrosis, Seizure
Clinical narrative: I had severe chills and sweats, and then I had a seizure late at night, Saturday, February 19th, 2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated, Influenza like illness
Clinical narrative: I had flu like symptoms and my arthritis flare up. I required Prednisone.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pain, Pain in extremity
Clinical narrative: It started the day I got my booster. The pain was a 8 and it felt like a charley horse and then I woke up to the pain and charley horse traveling to my left thigh. This pain lasted 20 min. It happened 2-3 time a day lasting 15-20min at a time. This would happen 2-3 time a day and lasted until February 28. Then the episode would happen once a day lasting 5-10. I had one on the 3/1/21, 3/05/21 and the 8th.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chronic kidney disease, Death, Dementia
Clinical narrative: pt had recent hospitalization (11/1 - 11/4/21_ for HTN, stage IIIB kidney disease, dementia, pt was a DNR; dc'd home; presents to ED after a fall; hypoxic; no evidence of fx and trauma scan negative; found to be positive for COVID; COVID pneumonia; started on remdesivir, decadron, ABX, O2 supplementation; hypoxia continued to worsen; pt's condition deteriorated; pt made comfort care by wife and he passed away in the hospital
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, General physical health deterioration, Hypertension, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: pt had recent hospitalization (11/1 - 11/4/21_ for HTN, stage IIIB kidney disease, dementia, pt was a DNR; dc'd home; presents to ED after a fall; hypoxic; no evidence of fx and trauma scan negative; found to be positive for COVID; COVID pneumonia; started on remdesivir, decadron, ABX, O2 supplementation; hypoxia continued to worsen; pt's condition deteriorated; pt made comfort care by wife and he passed away in the hospital
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Scan normal
Clinical narrative: pt had recent hospitalization (11/1 - 11/4/21_ for HTN, stage IIIB kidney disease, dementia, pt was a DNR; dc'd home; presents to ED after a fall; hypoxic; no evidence of fx and trauma scan negative; found to be positive for COVID; COVID pneumonia; started on remdesivir, decadron, ABX, O2 supplementation; hypoxia continued to worsen; pt's condition deteriorated; pt made comfort care by wife and he passed away in the hospital
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest pain, Dyspnoea
Clinical narrative: Chest pain, shortness of breath, fluttering heart
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient reported Nausea after booster vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Death, Malaise
Clinical narrative: Few days after the vaccine, the decedent complained of chest heaviness and not feeling well.  Found dead 10 days after the vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Electroencephalogram normal, Magnetic resonance imaging normal, Seizure
Clinical narrative: About a month after the vaccine, I had a seizure and then I had another one 6 months later. I went to my doctor about this. They did EEG, MRI, and brain CT scan. It did not show anything abnormal. I will be having another EEG scheduled for next week.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic shock, Heart rate increased, Throat tightness
Clinical narrative: Received vaccination and within minutes I went into anaphylactic shock, my throat started to close. The nurse took me over to the ER immediately. I was released about 01:00am. About 2 weeks after the vaccination I experienced fast heart rate that continues today. Unable to take medication for rapid heart rate due to low blood pressure.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Medication error, No adverse event
Clinical narrative: There was no adverse event. This report is to report a medication error. This RN inadvertently administered an adult dose to a eleven year old child.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Nausea, fever, diarrhea, chills, vomiting, body aches, head aches that lasted for a week.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea, fever, diarrhea, chills, vomiting, body aches, head aches that lasted for a week.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye irritation, Feeling abnormal, Gait disturbance, Impaired driving ability
Clinical narrative: Initially, you sit there for 15 minutes after you get the injection. At that time, my eyes felt grainy/sandy. My arm hurt a bit but I didn't think anything of it. About 36 hrs. I got hit with severe nausea and I think I was vomiting for 3 days straight. I could hardly walk for a week, stumbling everywhere. I felt like a drunken sailor. I was incapacitated for the first week, and the dizziness I had was intense, and blurry vision for the 3 or 4 days. The dizziness lasted for a month to two. It took a good month before I could function back to my normal capacity. Walking and driving almost 2 months.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Pain in extremity, Vision blurred, Vomiting
Clinical narrative: Initially, you sit there for 15 minutes after you get the injection. At that time, my eyes felt grainy/sandy. My arm hurt a bit but I didn't think anything of it. About 36 hrs. I got hit with severe nausea and I think I was vomiting for 3 days straight. I could hardly walk for a week, stumbling everywhere. I felt like a drunken sailor. I was incapacitated for the first week, and the dizziness I had was intense, and blurry vision for the 3 or 4 days. The dizziness lasted for a month to two. It took a good month before I could function back to my normal capacity. Walking and driving almost 2 months.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Recurrent headaches (every 5-7 days) since first shot. Increase in constipation issues since 1st shot. Headaches remained the same after 2nd shot and have not dissipated since 1st shot. Rash on entire right arm after first dose. No reaction in arm after 2nd shot.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Back pain, Herpes zoster
Clinical narrative: I got my first Shingles vaccine on 02-11-22.  Then on 02-21-22, I started having back and stomach pain. On 02-26-22, I broke out in shingles rash on the right side of my torso, front and back. This diagnosis was confirmed at Urgent Care and again by my doctor on 03-08-22.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Angiogram abnormal, Aortic arteriosclerosis, Arteriosclerosis, Arteriosclerosis coronary artery
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchial secretion retention, Bronchial wall thickening, Bronchiolitis, Bronchitis chronic, COVID-19
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiac valve disease, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Directional Doppler flow tests abnormal, Dyspnoea, Dyspnoea exertional, Echocardiogram, Echocardiogram abnormal
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction, Emphysema, General physical condition abnormal, Hypoxia, Illness
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Inferior vena cava dilatation, Influenza A virus test negative, Influenza B virus test, Intervertebral disc degeneration, Kyphosis
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Lung hyperinflation, Lung infiltration, Lymph node calcification, Mitral valve incompetence, Oedema
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pelvic fluid collection, Pericardial effusion, Pulmonary calcification, Pulmonary granuloma
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary hypertension, Pulmonary mass, Respiratory syncytial virus test negative, Right ventricular dilatation, Right ventricular dysfunction
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Right ventricular failure, Right ventricular systolic pressure, SARS-CoV-2 test positive, Scan with contrast abnormal, Skin oedema
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Tricuspid valve incompetence, Ultrasound Doppler normal, Ventricular septal defect
Clinical narrative: The patient is a 68-year-old woman with a past medical history significant for severe chronic obstructive pulmonary disease, ongoing tobacco abuse, hypertension, type 2 diabetes, hyperlipidemia, and protein calorie malnutrition presenting due to shortness of breath and hypoxia.  Patient was unaware of how ill she looked, and when her children came to see her they made her seek care at the emergency department.  There she was found to have an oxygen saturation of 79%.  Also found to be positive for COVID-19.  She was admitted to the internal medicine service for further evaluation and management.  Given concern of pulmonary hypertension, pulmonology was consulted for assistance with management.  They agreed with continuing 6 mg of Decadron daily to complete a 10 day course.  They will follow up with her in their clinic as an outpatient both to continue monitoring the pulmonary hypertension and to obtain follow-up imaging regarding COVID and the incidental 6 mm nodule seen in the right lower lobe on CT.  Her oxygen needs have now stabilized and she requires 4 L of oxygen at rest and with exertion.  Suspect she is needed oxygen even prior to being sick given the severity of her chronic obstructive pulmonary disease.  At this time she is stable, improved, and ready for discharge home.  Of note she was vaccinated and boosted against COVID- booster received in October 2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had low-grade fever for over a week.  I had serve cough that I could not get rid of.  On Aug 31st, I tested positive for COVID-19.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: pt became diaphoretic after receiving (covid) vaccine. Pt moved to stretcher to medical tent for evaluation. vitals as noted. with bottle of water. pt denies any medical hx. pt is alert to people. place and time. Moderna COVID-19 Vaccine Vaccine Lot Number: 040B21A 09:24 97/44 p57 r14 09:33 102/53 p58 r14 09:41 103/65 p80 r 14
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Allergy test, Blood test, Rash, Vaccine positive rechallenge
Clinical narrative: 1st Dose 4/15/21  - Given post Covid -  Rash on Forehead 2nd Dose 5/13/21 - Rash on Forehead worsened  3rd Dose 1/21/22 - (Booster) Rash covered entire face.  Prednisone prescribed multiple times.  Still getting rash as of 3/9/22
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest Pain >4 hrs later continues 03/09/22
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Presented with 4 days of fatigue, nausea, HA, cough, SOB, and low grade temp; Covid +; admit with Covid PNA; TX with doxycycline, remdesivir, Symbicort, Maxipime, steroid, zinc, and supplemental O2.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, SARS-CoV-2 test positive
Clinical narrative: Presented with 4 days of fatigue, nausea, HA, cough, SOB, and low grade temp; Covid +; admit with Covid PNA; TX with doxycycline, remdesivir, Symbicort, Maxipime, steroid, zinc, and supplemental O2.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID-19
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Menstruation irregular, Migraine, Pain, Pyrexia
Clinical narrative: Fever for 3 days, achy/weak for 3 days, severe migraines for 7 days (worst migraines patient has ever experienced), then patient was 3 weeks late on her cycle (should have started June 6 based on her normal 28 day cycle, but started June 27).
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Ever since getting my second dose of the Pfizer vaccine, I have been nearly blacking out on a regular basis.  This happens when I stand up or move my head side-to-side.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Pain in extremity, Peripheral swelling, Swelling
Clinical narrative: Approximately a couple of weeks after my 2nd dose vaccination I experienced the following symptoms: Swollen neck - after a couple of weeks it moved down to my lymph nodes and they began to hurt. I tried to do cold compress but did not work at all and when I tried the hot compress and it did help to subside the swollen part of my neck but did not work at all with my (right) leg and up to this day (03/09/2022) I still feel the pain. I went to a holistic doctor and gave me some information regarding herbal medication for treatment but II have not tried anything yet.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Limb mass, Pyrexia, Vomiting
Clinical narrative: lump under left arm size of orange, fever, chill, headache, vomituing
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Axillary mass, Axillary pain, Body temperature, Chills
Clinical narrative: lump under left arm size of orange, fever, chill, headache, vomituing
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysstasia, Feeling abnormal, Gait disturbance, Illness, Pyrexia
Clinical narrative: lump under left arm size of orange, fever, chill, headache, vomituing
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination site pain, Vomiting
Clinical narrative: lump under left arm size of orange, fever, chill, headache, vomituing
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Hypoaesthesia, Paraesthesia, Radiculopathy
Clinical narrative: Felt like a current  of electricity from Left elbow down to Left wrist  and numbness in same location plus also  from Left knee down to Left foot; went to ER per advise of health center; diagnosed with radiculopathy affecting upper extremity and paresthesia of Left upper and lower extremity; has been taking ibuprofen and acetaminophen - symptoms lasted 48 hours then resolved.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Epstein-Barr virus infection
Clinical narrative: I experienced Epstein-barr virus for 6 weeks, then it cleared up for two weeks and came back. It has become a major problem ever since I got the vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Pyrexia
Clinical narrative: I HAD A BAD COUGH & FEVER WITH CHILLS I FELT WEAK SO I WENT TO PHARMACY & GOT COVID TEST & IT CAME BACK POSITIVE
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I HAD A BAD COUGH & FEVER WITH CHILLS I FELT WEAK SO I WENT TO PHARMACY & GOT COVID TEST & IT CAME BACK POSITIVE
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Joint swelling, Muscle tightness, Myalgia
Clinical narrative: I had numbness in left inner elbow and base of left middle fingers; later major swelling and extreme pain in left wrist, hand, and fingers, followed by tightness and pain in neck muscles with minor swelling. I saw my chiropractor/nutritionist and started taking Inflamma Control (IFC).
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Swelling
Clinical narrative: I had numbness in left inner elbow and base of left middle fingers; later major swelling and extreme pain in left wrist, hand, and fingers, followed by tightness and pain in neck muscles with minor swelling. I saw my chiropractor/nutritionist and started taking Inflamma Control (IFC).
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Blood test, Gait disturbance, Injection
Clinical narrative: I developed a trigger thumb in my left hand, and I had surgery for it. In late December 2021 I had muscle tightness in both upper leg muscles which is my inner thigh muscles. I started having severe muscle tightness in my legs and severe hip pain. The doctor is telling me that it's severe arthritis. It progressed super fast. I used to walk 2 to 4 miles a day 5 days a week and now I can barely walk without pain. I did have an injection of Prolia on 12/23/2021 for my osteoporosis. I'm still in severe pain and barely able to walk.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Limb operation, Muscle tightness, Pain, Trigger finger, X-ray abnormal
Clinical narrative: I developed a trigger thumb in my left hand, and I had surgery for it. In late December 2021 I had muscle tightness in both upper leg muscles which is my inner thigh muscles. I started having severe muscle tightness in my legs and severe hip pain. The doctor is telling me that it's severe arthritis. It progressed super fast. I used to walk 2 to 4 miles a day 5 days a week and now I can barely walk without pain. I did have an injection of Prolia on 12/23/2021 for my osteoporosis. I'm still in severe pain and barely able to walk.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is under 18 years of age and was given the 1st dose Moderna Vaccine.   Patient has no AE at this time.
Age: 17.0
Sex: M
Vaccine: HPV9
Symptoms: Extra dose administered
Clinical narrative: Medical assistant accidentally gave a extra dose of HPV
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Body aches, headache - onset around 2 AM treatment- tylenol
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Angiogram, Anosmia, Blood bicarbonate normal, Blood glucose increased
Clinical narrative: Summary web report received by the Health Department. Patient presented to ER 9/3/201 with complaints of increasing shortness of breath. Symptoms started approximately 13 days ago: Shortness of breath, non-productive cough, nausea, diarrhea and stated he had a fever, but did not take temperature at home. He was not vaccinated prior to symptom onset. Received 1st Pfizer on 8/31/2021. Patient's pulse ox was 70% on room air and attained 94% on 10 L. heart rate of 117 and a temp of 100.1 degrees. Respiratory exam was significant for decreased breath sounds bi laterally without retractions. EKG was done on patient's arrival in the ER and showed sinus tachycardia with a heart rate of 112 and no significant ST segment abnormalities, no evidence of an ST segment elevation MI, and a normal QT interval. Cardiac monitor revealed no arrhythmias. Chest x-ray did show diffuse bilateral ground glass opacities suggesting pneumonia. CBC was unremarkable. CMP was significant for mildly elevated glucose of 290 with a normal bicarb. Cardiac enzymes were negative.   D-dimer done for a pulmonary embolus and was significantly elevated at 2090. CT of the chest showed no evidence of a pulmonary embolus. Revealed extensive bilateral ground glass opacities. Chest x-ray did show extensive infiltrates bilaterally. Patient was given Decadron for presumed COVID-19 pneumonia with no significant change in symptoms. The patient was given Tessalon for cough. The patient was given Rocephin and doxycycline for treatment of pneumonia pending COVID-19 test. The patient was placed on the RT protocol and was given a DuoNeb treatment without significant change in his symptoms. Symptoms of 10 day history of cough, transient loss of taste and smell were deemed highly suspect of COVID-19 pneumonia. Patient was admitted to the Hospital on Covid-19 protocols. Patient was given albuterol nebulizer treatment, Tessalon Perle, and dose of p.o. doxycycline and ceftriaxone. 9/4/2021 Patient shortness of breath increased and patient oxygenation's saturation getting worse, frequent desaturation, was on BiPAP. Patient was transferred to ICU. Health department does not have any further information. Please contact Hospital.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Breath sounds abnormal, COVID-19 pneumonia, Cardiac monitoring normal, Chest X-ray abnormal, Computerised tomogram thorax normal
Clinical narrative: Summary web report received by the Health Department. Patient presented to ER 9/3/201 with complaints of increasing shortness of breath. Symptoms started approximately 13 days ago: Shortness of breath, non-productive cough, nausea, diarrhea and stated he had a fever, but did not take temperature at home. He was not vaccinated prior to symptom onset. Received 1st Pfizer on 8/31/2021. Patient's pulse ox was 70% on room air and attained 94% on 10 L. heart rate of 117 and a temp of 100.1 degrees. Respiratory exam was significant for decreased breath sounds bi laterally without retractions. EKG was done on patient's arrival in the ER and showed sinus tachycardia with a heart rate of 112 and no significant ST segment abnormalities, no evidence of an ST segment elevation MI, and a normal QT interval. Cardiac monitor revealed no arrhythmias. Chest x-ray did show diffuse bilateral ground glass opacities suggesting pneumonia. CBC was unremarkable. CMP was significant for mildly elevated glucose of 290 with a normal bicarb. Cardiac enzymes were negative.   D-dimer done for a pulmonary embolus and was significantly elevated at 2090. CT of the chest showed no evidence of a pulmonary embolus. Revealed extensive bilateral ground glass opacities. Chest x-ray did show extensive infiltrates bilaterally. Patient was given Decadron for presumed COVID-19 pneumonia with no significant change in symptoms. The patient was given Tessalon for cough. The patient was given Rocephin and doxycycline for treatment of pneumonia pending COVID-19 test. The patient was placed on the RT protocol and was given a DuoNeb treatment without significant change in his symptoms. Symptoms of 10 day history of cough, transient loss of taste and smell were deemed highly suspect of COVID-19 pneumonia. Patient was admitted to the Hospital on Covid-19 protocols. Patient was given albuterol nebulizer treatment, Tessalon Perle, and dose of p.o. doxycycline and ceftriaxone. 9/4/2021 Patient shortness of breath increased and patient oxygenation's saturation getting worse, frequent desaturation, was on BiPAP. Patient was transferred to ICU. Health department does not have any further information. Please contact Hospital.