chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Mental status changes, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 6/28/21 (lot NA) Pfizer Dose 2 7/19/21 (lot NA) COVID Positive 12/30/21  12/30/21: Patient is 44-year-old female with past medical history of bronchial asthma, hypertension, bipolar disorder and catatonia.  She is being transferred from facility for further management of COVID-19 infection.  Patient was admitted to hospital on 12/16/2021 and has been managed for bipolar disorder, catheter and altered mental status since. Earlier this morning, patient was noted to be having nausea, vomiting and load grade fever with T-max 100.2° F. she underwent multiple workups for fever including nasopharyngeal swab for COVID-19 which came back positive. Patient is being transferred to hospital for further management of COVID-19 infection.  Patient reported upper respiratory tract infection symptoms including sore throat and runny nose since yesterday.  She reported intermittent low-grade fever.  She reported dry cough.  No shortness of breath, chest pain or palpitations.  No nausea vomiting or abdominal pain.  Patient reported being fully vaccinated for COVID-19.  She denied use of tobacco products.  Per psych team, patient has been responding to treatment of her psych issues and was scheduled to be discharged home in the next 1-2 days.  Upon review of vital signs.  Patient is hemodynamically stable and maintaining saturation on room air.  She is tachycardic.  Lab work is unremarkable except positive nasopharyngeal swab for COVID-19 infection.  12/31/21: Patient is a 44-year-old female with past medical history of bronchial asthma, hypertension, bipolar disorder and catatonia.  She is being transferred from facility for further management of COVID-19 infection.  Patient was admitted to hospital on 12/16/2021 and has been managed for bipolar disorder, catheter and altered mental status since.  Patient started having nausea, vomiting and low-grade fever.  Patient is a positive COVID-19.  Chest x-ray is negative.  Patient has remained afebrile.  Patient is on room air.  Patient's time p.o. intake.  Can continue antiemetics.  Patient stable to be transferred back to facility.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory symptom, Rhinorrhoea, SARS-CoV-2 test positive, Tachycardia, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 6/28/21 (lot NA) Pfizer Dose 2 7/19/21 (lot NA) COVID Positive 12/30/21  12/30/21: Patient is 44-year-old female with past medical history of bronchial asthma, hypertension, bipolar disorder and catatonia.  She is being transferred from facility for further management of COVID-19 infection.  Patient was admitted to hospital on 12/16/2021 and has been managed for bipolar disorder, catheter and altered mental status since. Earlier this morning, patient was noted to be having nausea, vomiting and load grade fever with T-max 100.2° F. she underwent multiple workups for fever including nasopharyngeal swab for COVID-19 which came back positive. Patient is being transferred to hospital for further management of COVID-19 infection.  Patient reported upper respiratory tract infection symptoms including sore throat and runny nose since yesterday.  She reported intermittent low-grade fever.  She reported dry cough.  No shortness of breath, chest pain or palpitations.  No nausea vomiting or abdominal pain.  Patient reported being fully vaccinated for COVID-19.  She denied use of tobacco products.  Per psych team, patient has been responding to treatment of her psych issues and was scheduled to be discharged home in the next 1-2 days.  Upon review of vital signs.  Patient is hemodynamically stable and maintaining saturation on room air.  She is tachycardic.  Lab work is unremarkable except positive nasopharyngeal swab for COVID-19 infection.  12/31/21: Patient is a 44-year-old female with past medical history of bronchial asthma, hypertension, bipolar disorder and catatonia.  She is being transferred from facility for further management of COVID-19 infection.  Patient was admitted to hospital on 12/16/2021 and has been managed for bipolar disorder, catheter and altered mental status since.  Patient started having nausea, vomiting and low-grade fever.  Patient is a positive COVID-19.  Chest x-ray is negative.  Patient has remained afebrile.  Patient is on room air.  Patient's time p.o. intake.  Can continue antiemetics.  Patient stable to be transferred back to facility.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 6/28/21 (lot NA) Pfizer Dose 2 7/19/21 (lot NA) COVID Positive 12/30/21  12/30/21: Patient is 44-year-old female with past medical history of bronchial asthma, hypertension, bipolar disorder and catatonia.  She is being transferred from facility for further management of COVID-19 infection.  Patient was admitted to hospital on 12/16/2021 and has been managed for bipolar disorder, catheter and altered mental status since. Earlier this morning, patient was noted to be having nausea, vomiting and load grade fever with T-max 100.2° F. she underwent multiple workups for fever including nasopharyngeal swab for COVID-19 which came back positive. Patient is being transferred to hospital for further management of COVID-19 infection.  Patient reported upper respiratory tract infection symptoms including sore throat and runny nose since yesterday.  She reported intermittent low-grade fever.  She reported dry cough.  No shortness of breath, chest pain or palpitations.  No nausea vomiting or abdominal pain.  Patient reported being fully vaccinated for COVID-19.  She denied use of tobacco products.  Per psych team, patient has been responding to treatment of her psych issues and was scheduled to be discharged home in the next 1-2 days.  Upon review of vital signs.  Patient is hemodynamically stable and maintaining saturation on room air.  She is tachycardic.  Lab work is unremarkable except positive nasopharyngeal swab for COVID-19 infection.  12/31/21: Patient is a 44-year-old female with past medical history of bronchial asthma, hypertension, bipolar disorder and catatonia.  She is being transferred from facility for further management of COVID-19 infection.  Patient was admitted to hospital on 12/16/2021 and has been managed for bipolar disorder, catheter and altered mental status since.  Patient started having nausea, vomiting and low-grade fever.  Patient is a positive COVID-19.  Chest x-ray is negative.  Patient has remained afebrile.  Patient is on room air.  Patient's time p.o. intake.  Can continue antiemetics.  Patient stable to be transferred back to facility.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Palpitations, Ultrasound scan
Clinical narrative: I had Heart Palpitations.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 9/14/2021.  Admitted to hospital 9/13/2021, not for Covid-19 S/S
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases abnormal, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 4/13/21 (EW0153) Pfizer Dose 2 5/5/21 (ER8736) COVID Positive 1/3/22  1/3/22:  The patient presents with Patient has advanced COPD with chronic hypoxemic respiratory failure on home oxygen 24/7 at 2 liters/min. About 11 days ago she became ill with increasing SOB, cough productive of thick whitish sputum, malaise, fatigue, nausea, headache, and body aches. She was found to have Covid 19 pneumonia and is being admitted for IV remdesivir, steroids, fluids, nebs, and antibiotics PO2 on ABG in the ED was 60.  1/4/21: dmitted  01/03/2022, Discharged  01/04/2022, Patient was admitted yesterday due to COVID positive tests, hypoxia, shortness of breath and productive cough.  Patient states she has been sick about a week and has had 2 vaccines and came in yesterday because she felt that she could not breathe well.  Overnight the patient did well did not require any oxygen at all was able to eat and drink even go the bathroom and states she is feeling better. Patient received 1 dose of Levaquin room to severe and is medically stable.  Patient has home oxygen has chronic COPD and takes inhalers at home and sees a lung doctor.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Hypoxia, Malaise
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 4/13/21 (EW0153) Pfizer Dose 2 5/5/21 (ER8736) COVID Positive 1/3/22  1/3/22:  The patient presents with Patient has advanced COPD with chronic hypoxemic respiratory failure on home oxygen 24/7 at 2 liters/min. About 11 days ago she became ill with increasing SOB, cough productive of thick whitish sputum, malaise, fatigue, nausea, headache, and body aches. She was found to have Covid 19 pneumonia and is being admitted for IV remdesivir, steroids, fluids, nebs, and antibiotics PO2 on ABG in the ED was 60.  1/4/21: dmitted  01/03/2022, Discharged  01/04/2022, Patient was admitted yesterday due to COVID positive tests, hypoxia, shortness of breath and productive cough.  Patient states she has been sick about a week and has had 2 vaccines and came in yesterday because she felt that she could not breathe well.  Overnight the patient did well did not require any oxygen at all was able to eat and drink even go the bathroom and states she is feeling better. Patient received 1 dose of Levaquin room to severe and is medically stable.  Patient has home oxygen has chronic COPD and takes inhalers at home and sees a lung doctor.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, PO2 decreased, Pain, Productive cough, Respiratory failure
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 4/13/21 (EW0153) Pfizer Dose 2 5/5/21 (ER8736) COVID Positive 1/3/22  1/3/22:  The patient presents with Patient has advanced COPD with chronic hypoxemic respiratory failure on home oxygen 24/7 at 2 liters/min. About 11 days ago she became ill with increasing SOB, cough productive of thick whitish sputum, malaise, fatigue, nausea, headache, and body aches. She was found to have Covid 19 pneumonia and is being admitted for IV remdesivir, steroids, fluids, nebs, and antibiotics PO2 on ABG in the ED was 60.  1/4/21: dmitted  01/03/2022, Discharged  01/04/2022, Patient was admitted yesterday due to COVID positive tests, hypoxia, shortness of breath and productive cough.  Patient states she has been sick about a week and has had 2 vaccines and came in yesterday because she felt that she could not breathe well.  Overnight the patient did well did not require any oxygen at all was able to eat and drink even go the bathroom and states she is feeling better. Patient received 1 dose of Levaquin room to severe and is medically stable.  Patient has home oxygen has chronic COPD and takes inhalers at home and sees a lung doctor.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum abnormal, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 4/13/21 (EW0153) Pfizer Dose 2 5/5/21 (ER8736) COVID Positive 1/3/22  1/3/22:  The patient presents with Patient has advanced COPD with chronic hypoxemic respiratory failure on home oxygen 24/7 at 2 liters/min. About 11 days ago she became ill with increasing SOB, cough productive of thick whitish sputum, malaise, fatigue, nausea, headache, and body aches. She was found to have Covid 19 pneumonia and is being admitted for IV remdesivir, steroids, fluids, nebs, and antibiotics PO2 on ABG in the ED was 60.  1/4/21: dmitted  01/03/2022, Discharged  01/04/2022, Patient was admitted yesterday due to COVID positive tests, hypoxia, shortness of breath and productive cough.  Patient states she has been sick about a week and has had 2 vaccines and came in yesterday because she felt that she could not breathe well.  Overnight the patient did well did not require any oxygen at all was able to eat and drink even go the bathroom and states she is feeling better. Patient received 1 dose of Levaquin room to severe and is medically stable.  Patient has home oxygen has chronic COPD and takes inhalers at home and sees a lung doctor.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Death, Decreased appetite
Clinical narrative: Began having symptoms of altered mental status, shortness of breath, decreased appetite, chills, unproductive cough.  Presented to the ER on 12/29/2021,  Tested positive for COVID 19 on 12/29/2021. Remained BiPap until 1/8/2022 and required intubation and mechanical ventilation.  He developed shock requiring vasopressors and despite maximum therapy he expired 1/9/2022.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Mechanical ventilation, Mental status changes, Positive airway pressure therapy
Clinical narrative: Began having symptoms of altered mental status, shortness of breath, decreased appetite, chills, unproductive cough.  Presented to the ER on 12/29/2021,  Tested positive for COVID 19 on 12/29/2021. Remained BiPap until 1/8/2022 and required intubation and mechanical ventilation.  He developed shock requiring vasopressors and despite maximum therapy he expired 1/9/2022.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Shock
Clinical narrative: Began having symptoms of altered mental status, shortness of breath, decreased appetite, chills, unproductive cough.  Presented to the ER on 12/29/2021,  Tested positive for COVID 19 on 12/29/2021. Remained BiPap until 1/8/2022 and required intubation and mechanical ventilation.  He developed shock requiring vasopressors and despite maximum therapy he expired 1/9/2022.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received covid vaccine in mass clinic, documentation shows they received Pfizer 12+ vaccine at age 11.  Unable to reach family to verify which vaccine they received from the documentation on the Covid vaccine card.  This could be an error of giving the wrong vaccine or an error of documentation.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Pyrexia, Vomiting
Clinical narrative: I took the vaccine early in morning, six hours later and I lost my sense of smell and taste. I began throwing up and had chills and fever. It lasted for 48 hours. It took four days for my taste to return.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The adverse event stems from mistakenly giving administering the Moderna vaccine to a patient who at the time was under the legal age limit to receive said vaccine. There were no other adverse effects, nor symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, COVID-19, Chest X-ray normal, Chills
Clinical narrative: J&J Dose 1 3/7/21 lot 1805018. Pfizer Dose 2 10/25/21 (lot not listed). COVID Positive 1/5/22. 1/5/22: The patient presents with Patient with a history of heart transplant 2008 on chronic immunosuppressants presents with an acute illness starting the morning of 01/05/2022 with body aches, malaise, cough, fever, chills, headache. Around 2 pm she became very nauseated and started vomiting. She is currently on Bactrim DS for apparent colitis, seen as colon wall thickening on a CT of the abdomen and pelvis from 12/28/2021. This was done for abdominal pain and diarrhea, which she has had from time to time in the past. She is scheduled for a colonoscopy on January 10th. In the ED she was noted to have periods of hypoxemia (down to 84% saturation on room air) and she was Covid positive. Chest x-ray appears generally unremarkable. 1/7/22: 62-year-old white female recently diagnosed with colitis by history, physical examination and radiographic analysis and was on antibiotics for the same. She continued to have nausea, vomiting, abdominal pain weakness. She was seen in the ER on 6 January and was diagnosed with COVID with transient hypoxia down to 84%. She was put on supplemental oxygen. She was given dexamethasone and remdesivir. She was on Levaquin. She is a at this time room air sat 91-94%. Her cough is dramatically improved. She has no nausea, vomiting at this time no abdominal pain at this time she is in no respiratory distress and she is requesting to go home. She lives with her husband, she feels strong enough to go home and her headache which should bother her when she 1st came in is also resolved. So she does have COVID but she is not hypoxic weakness stop the remdesivir continue the Decadron for now. She has improved colitis symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Colitis, Computerised tomogram abdomen abnormal, Cough, Diarrhoea, Gastrointestinal wall thickening
Clinical narrative: J&J Dose 1 3/7/21 lot 1805018. Pfizer Dose 2 10/25/21 (lot not listed). COVID Positive 1/5/22. 1/5/22: The patient presents with Patient with a history of heart transplant 2008 on chronic immunosuppressants presents with an acute illness starting the morning of 01/05/2022 with body aches, malaise, cough, fever, chills, headache. Around 2 pm she became very nauseated and started vomiting. She is currently on Bactrim DS for apparent colitis, seen as colon wall thickening on a CT of the abdomen and pelvis from 12/28/2021. This was done for abdominal pain and diarrhea, which she has had from time to time in the past. She is scheduled for a colonoscopy on January 10th. In the ED she was noted to have periods of hypoxemia (down to 84% saturation on room air) and she was Covid positive. Chest x-ray appears generally unremarkable. 1/7/22: 62-year-old white female recently diagnosed with colitis by history, physical examination and radiographic analysis and was on antibiotics for the same. She continued to have nausea, vomiting, abdominal pain weakness. She was seen in the ER on 6 January and was diagnosed with COVID with transient hypoxia down to 84%. She was put on supplemental oxygen. She was given dexamethasone and remdesivir. She was on Levaquin. She is a at this time room air sat 91-94%. Her cough is dramatically improved. She has no nausea, vomiting at this time no abdominal pain at this time she is in no respiratory distress and she is requesting to go home. She lives with her husband, she feels strong enough to go home and her headache which should bother her when she 1st came in is also resolved. So she does have COVID but she is not hypoxic weakness stop the remdesivir continue the Decadron for now. She has improved colitis symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoxia, Malaise, Nausea, Oxygen saturation decreased
Clinical narrative: J&J Dose 1 3/7/21 lot 1805018. Pfizer Dose 2 10/25/21 (lot not listed). COVID Positive 1/5/22. 1/5/22: The patient presents with Patient with a history of heart transplant 2008 on chronic immunosuppressants presents with an acute illness starting the morning of 01/05/2022 with body aches, malaise, cough, fever, chills, headache. Around 2 pm she became very nauseated and started vomiting. She is currently on Bactrim DS for apparent colitis, seen as colon wall thickening on a CT of the abdomen and pelvis from 12/28/2021. This was done for abdominal pain and diarrhea, which she has had from time to time in the past. She is scheduled for a colonoscopy on January 10th. In the ED she was noted to have periods of hypoxemia (down to 84% saturation on room air) and she was Covid positive. Chest x-ray appears generally unremarkable. 1/7/22: 62-year-old white female recently diagnosed with colitis by history, physical examination and radiographic analysis and was on antibiotics for the same. She continued to have nausea, vomiting, abdominal pain weakness. She was seen in the ER on 6 January and was diagnosed with COVID with transient hypoxia down to 84%. She was put on supplemental oxygen. She was given dexamethasone and remdesivir. She was on Levaquin. She is a at this time room air sat 91-94%. Her cough is dramatically improved. She has no nausea, vomiting at this time no abdominal pain at this time she is in no respiratory distress and she is requesting to go home. She lives with her husband, she feels strong enough to go home and her headache which should bother her when she 1st came in is also resolved. So she does have COVID but she is not hypoxic weakness stop the remdesivir continue the Decadron for now. She has improved colitis symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: J&J Dose 1 3/7/21 lot 1805018. Pfizer Dose 2 10/25/21 (lot not listed). COVID Positive 1/5/22. 1/5/22: The patient presents with Patient with a history of heart transplant 2008 on chronic immunosuppressants presents with an acute illness starting the morning of 01/05/2022 with body aches, malaise, cough, fever, chills, headache. Around 2 pm she became very nauseated and started vomiting. She is currently on Bactrim DS for apparent colitis, seen as colon wall thickening on a CT of the abdomen and pelvis from 12/28/2021. This was done for abdominal pain and diarrhea, which she has had from time to time in the past. She is scheduled for a colonoscopy on January 10th. In the ED she was noted to have periods of hypoxemia (down to 84% saturation on room air) and she was Covid positive. Chest x-ray appears generally unremarkable. 1/7/22: 62-year-old white female recently diagnosed with colitis by history, physical examination and radiographic analysis and was on antibiotics for the same. She continued to have nausea, vomiting, abdominal pain weakness. She was seen in the ER on 6 January and was diagnosed with COVID with transient hypoxia down to 84%. She was put on supplemental oxygen. She was given dexamethasone and remdesivir. She was on Levaquin. She is a at this time room air sat 91-94%. Her cough is dramatically improved. She has no nausea, vomiting at this time no abdominal pain at this time she is in no respiratory distress and she is requesting to go home. She lives with her husband, she feels strong enough to go home and her headache which should bother her when she 1st came in is also resolved. So she does have COVID but she is not hypoxic weakness stop the remdesivir continue the Decadron for now. She has improved colitis symptoms.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Blood gases, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: Date of Admission: 2/2/2022   Chief Complaint: SOB   Source of Information: Patient   History of Present Illness:  This is a 81y.o. female with hx of chronic back pain (s/p vertebroplasty for compression fractures of T12-L4), bipolar I disorder, COPD (not on O2 at home), GERD, urinary incontinence, recurrent UTIs and HLD who presents to hospital on 2/2/22 with a chief complaint of SOB. Brought in by EMS from facility , where patient was found laying on her back with SpO2 ~70s, struggling to breathe and altered. Per caregiver, patient has not been sick recently.   Patient received Moderna Vaccine 6/2021, not boosted. Upon examination, patient in HHF 60L FiO2 95% -- tolerating well, SpO2 94%. Patient aware of positive COVID results, states she has not felt ill within the last 3 days, does admit to some decreased PO intake. Not on home O2, states she is able to ambulate around with assistance of a walker. Admits to feeling cold. Denies any current CP, palpitations, pain, SOB, N/V/D   Upon arrival to the ED:  o Vitals: T 98.3°F, BP 11/66, HR 137, RR 25, SpO2 81% on HHF w/ NRB. o Lab work obtained and remarkable for:  ? COVID + ? Troponin negative x3 ? Procal 0.50; D-Dimer 851 ? ABG 7.48/44/50/32 o Imaging demonstrates: ? CXR: Trace left effusion with subsegmental atelectasis in the left mid to lower lung zone ? CT Stroke + Cervical Spine w/o acute process  o Patient given 250 mL NS Bolus; Empiric abx with Levaquin + IV Flagyl  o ID has been consulted
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram spine, Dyspnoea, Feeling cold, Fibrin D dimer, Hypophagia
Clinical narrative: Date of Admission: 2/2/2022   Chief Complaint: SOB   Source of Information: Patient   History of Present Illness:  This is a 81y.o. female with hx of chronic back pain (s/p vertebroplasty for compression fractures of T12-L4), bipolar I disorder, COPD (not on O2 at home), GERD, urinary incontinence, recurrent UTIs and HLD who presents to hospital on 2/2/22 with a chief complaint of SOB. Brought in by EMS from facility , where patient was found laying on her back with SpO2 ~70s, struggling to breathe and altered. Per caregiver, patient has not been sick recently.   Patient received Moderna Vaccine 6/2021, not boosted. Upon examination, patient in HHF 60L FiO2 95% -- tolerating well, SpO2 94%. Patient aware of positive COVID results, states she has not felt ill within the last 3 days, does admit to some decreased PO intake. Not on home O2, states she is able to ambulate around with assistance of a walker. Admits to feeling cold. Denies any current CP, palpitations, pain, SOB, N/V/D   Upon arrival to the ED:  o Vitals: T 98.3°F, BP 11/66, HR 137, RR 25, SpO2 81% on HHF w/ NRB. o Lab work obtained and remarkable for:  ? COVID + ? Troponin negative x3 ? Procal 0.50; D-Dimer 851 ? ABG 7.48/44/50/32 o Imaging demonstrates: ? CXR: Trace left effusion with subsegmental atelectasis in the left mid to lower lung zone ? CT Stroke + Cervical Spine w/o acute process  o Patient given 250 mL NS Bolus; Empiric abx with Levaquin + IV Flagyl  o ID has been consulted
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Mood altered, Pleural effusion
Clinical narrative: Date of Admission: 2/2/2022   Chief Complaint: SOB   Source of Information: Patient   History of Present Illness:  This is a 81y.o. female with hx of chronic back pain (s/p vertebroplasty for compression fractures of T12-L4), bipolar I disorder, COPD (not on O2 at home), GERD, urinary incontinence, recurrent UTIs and HLD who presents to hospital on 2/2/22 with a chief complaint of SOB. Brought in by EMS from facility , where patient was found laying on her back with SpO2 ~70s, struggling to breathe and altered. Per caregiver, patient has not been sick recently.   Patient received Moderna Vaccine 6/2021, not boosted. Upon examination, patient in HHF 60L FiO2 95% -- tolerating well, SpO2 94%. Patient aware of positive COVID results, states she has not felt ill within the last 3 days, does admit to some decreased PO intake. Not on home O2, states she is able to ambulate around with assistance of a walker. Admits to feeling cold. Denies any current CP, palpitations, pain, SOB, N/V/D   Upon arrival to the ED:  o Vitals: T 98.3°F, BP 11/66, HR 137, RR 25, SpO2 81% on HHF w/ NRB. o Lab work obtained and remarkable for:  ? COVID + ? Troponin negative x3 ? Procal 0.50; D-Dimer 851 ? ABG 7.48/44/50/32 o Imaging demonstrates: ? CXR: Trace left effusion with subsegmental atelectasis in the left mid to lower lung zone ? CT Stroke + Cervical Spine w/o acute process  o Patient given 250 mL NS Bolus; Empiric abx with Levaquin + IV Flagyl  o ID has been consulted
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, SARS-CoV-2 test positive, Troponin normal, Walking aid user
Clinical narrative: Date of Admission: 2/2/2022   Chief Complaint: SOB   Source of Information: Patient   History of Present Illness:  This is a 81y.o. female with hx of chronic back pain (s/p vertebroplasty for compression fractures of T12-L4), bipolar I disorder, COPD (not on O2 at home), GERD, urinary incontinence, recurrent UTIs and HLD who presents to hospital on 2/2/22 with a chief complaint of SOB. Brought in by EMS from facility , where patient was found laying on her back with SpO2 ~70s, struggling to breathe and altered. Per caregiver, patient has not been sick recently.   Patient received Moderna Vaccine 6/2021, not boosted. Upon examination, patient in HHF 60L FiO2 95% -- tolerating well, SpO2 94%. Patient aware of positive COVID results, states she has not felt ill within the last 3 days, does admit to some decreased PO intake. Not on home O2, states she is able to ambulate around with assistance of a walker. Admits to feeling cold. Denies any current CP, palpitations, pain, SOB, N/V/D   Upon arrival to the ED:  o Vitals: T 98.3°F, BP 11/66, HR 137, RR 25, SpO2 81% on HHF w/ NRB. o Lab work obtained and remarkable for:  ? COVID + ? Troponin negative x3 ? Procal 0.50; D-Dimer 851 ? ABG 7.48/44/50/32 o Imaging demonstrates: ? CXR: Trace left effusion with subsegmental atelectasis in the left mid to lower lung zone ? CT Stroke + Cervical Spine w/o acute process  o Patient given 250 mL NS Bolus; Empiric abx with Levaquin + IV Flagyl  o ID has been consulted
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, CHA2DS2-VASc-score, Death, General physical health deterioration
Clinical narrative: Found to be in A fib with RVR. On dilt gtt, converted to NSR, then able to go back on metoprolol. Elevated chadsvasc score so started on eliquis. Finally decisions was made to switch to hospice on discharge. Although the patient did show general decline day-to-day consistent with end of life, the did take longer than expected.  Patient was made comfort measures on 12/8, but by 12/13, the patient had only recently become nonresponsive. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Found to be in A fib with RVR. On dilt gtt, converted to NSR, then able to go back on metoprolol. Elevated chadsvasc score so started on eliquis. Finally decisions was made to switch to hospice on discharge. Although the patient did show general decline day-to-day consistent with end of life, the did take longer than expected.  Patient was made comfort measures on 12/8, but by 12/13, the patient had only recently become nonresponsive. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Cough, Fatigue, Malaise, Oropharyngeal pain
Clinical narrative: I was very fatigued. Then, I had a sore throat, and bad cough. Then, I took a home COVID-19 test, negative result. The next day, I still was not feeling well. I still had the bad cough, sore throat, and fatigue. Then later that day, I lost my taste. After 4 days, my taste came back. I took a total of 4 COVID-19 tests, all negative.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: I was very fatigued. Then, I had a sore throat, and bad cough. Then, I took a home COVID-19 test, negative result. The next day, I still was not feeling well. I still had the bad cough, sore throat, and fatigue. Then later that day, I lost my taste. After 4 days, my taste came back. I took a total of 4 COVID-19 tests, all negative.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Mental status changes, Pyrexia, Stress cardiomyopathy
Clinical narrative: Takotsubo, acute HF, fever 103 F, altered mental status
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Pericarditis, Ultrasound scan
Clinical narrative: woke up with chest pains admitted to emergency room diagnosed with pericarditis chest pains continue to present time
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arterial puncture, Arterial repair, C-reactive protein increased, Catheterisation cardiac abnormal, Coronary ostial stenosis
Clinical narrative: PERICARDIAL EFFUSION. PERIMYOCARDITIS, ELEVATED TROPONIN
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Hypertension, Left ventricular end-diastolic pressure increased, Myopericarditis, Pericardial effusion
Clinical narrative: PERICARDIAL EFFUSION. PERIMYOCARDITIS, ELEVATED TROPONIN
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: PERICARDIAL EFFUSION. PERIMYOCARDITIS, ELEVATED TROPONIN
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Parosmia, Taste disorder
Clinical narrative: Lost normal function  of smell and taste 2 days after first dose of vaccine was given. I can not smell or taste a variety of things normally ever since I received first Pfizer dose. Everything smells of an off rubber/strong/ weird smell that is hard to describe. All food smells gross to me. It is the same type of smell that everything smells like as well, very hard to describe.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 on 9/4/2021.  Admitted for generalized weakness
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Erythema, Fatigue
Clinical narrative: It started with a fever of about 102 degrees all night. The next day and half I had a lesser fever and chills. The 3rd day on a Monday I was calling my boss and when I looked at my computer, I noticed my vision was impaired in my right eye. When it didn't improve that's when I went to the doctor. She referred me to a Specialist (Eye Associates) who said I had sudden onset of wet macular degeneration. I then had a phone consultation with my Internalist who said I should report it to the CDC that the high fever could have kicked off the inflammatory condition in my right eye. The doctor also said the same thing. I'm now getting injection in my eye every few weeks that doesn't make it any better just keeps it from getting worse. I had COVID on Dec. 7, 2021, which was after my 2nd dose. I had a pretty high fever 101 but not as high as when I got the vaccine. Coughing, chills, muscle aches, brain fog. Fatigue and brain fog when on for a long time. And wasn't better till the end of January. A month after I got well my toes developed red painful spots- I got them first on my left foot and subsided a week later. Then got them on my right foot and that's subsided.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Inflammation, Injection, Laboratory test, Myalgia
Clinical narrative: It started with a fever of about 102 degrees all night. The next day and half I had a lesser fever and chills. The 3rd day on a Monday I was calling my boss and when I looked at my computer, I noticed my vision was impaired in my right eye. When it didn't improve that's when I went to the doctor. She referred me to a Specialist (Eye Associates) who said I had sudden onset of wet macular degeneration. I then had a phone consultation with my Internalist who said I should report it to the CDC that the high fever could have kicked off the inflammatory condition in my right eye. The doctor also said the same thing. I'm now getting injection in my eye every few weeks that doesn't make it any better just keeps it from getting worse. I had COVID on Dec. 7, 2021, which was after my 2nd dose. I had a pretty high fever 101 but not as high as when I got the vaccine. Coughing, chills, muscle aches, brain fog. Fatigue and brain fog when on for a long time. And wasn't better till the end of January. A month after I got well my toes developed red painful spots- I got them first on my left foot and subsided a week later. Then got them on my right foot and that's subsided.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Neovascular age-related macular degeneration, Pain in extremity, Pyrexia, Visual impairment
Clinical narrative: It started with a fever of about 102 degrees all night. The next day and half I had a lesser fever and chills. The 3rd day on a Monday I was calling my boss and when I looked at my computer, I noticed my vision was impaired in my right eye. When it didn't improve that's when I went to the doctor. She referred me to a Specialist (Eye Associates) who said I had sudden onset of wet macular degeneration. I then had a phone consultation with my Internalist who said I should report it to the CDC that the high fever could have kicked off the inflammatory condition in my right eye. The doctor also said the same thing. I'm now getting injection in my eye every few weeks that doesn't make it any better just keeps it from getting worse. I had COVID on Dec. 7, 2021, which was after my 2nd dose. I had a pretty high fever 101 but not as high as when I got the vaccine. Coughing, chills, muscle aches, brain fog. Fatigue and brain fog when on for a long time. And wasn't better till the end of January. A month after I got well my toes developed red painful spots- I got them first on my left foot and subsided a week later. Then got them on my right foot and that's subsided.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 77.0
Sex: U
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Inappropriate schedule of product administration
Clinical narrative: Presented to the ER with increasing SOB and nonproductive cough.  Improved and was able to discharge home with portable O2 on  1/4/2022.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Electrocardiogram normal, Liver function test normal, Pruritus
Clinical narrative: Breathing attack, gasping for air and convulsions at midnight. Duration about two minutes. Severe hives beginning January 14 and persisting until February 25. Hives have decreased but itch remains. Hives resulted in a visit to the urgent care, dermatologist, allergist, and two ER visits. One ER visit was the result of restricted breathing in the airway. None of the visits resulted in a diagnosis. Cause of the hives remains uncertain. Medications taken: Dexamethazone, Benadryl, Methylprednisone, Hdrooxyzine, Allegra, Zertec, Claritan, Triamcinolone Cream. All medications had minimal affect.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Renal function test normal, Seizure, Urticaria, White blood cell count increased
Clinical narrative: Breathing attack, gasping for air and convulsions at midnight. Duration about two minutes. Severe hives beginning January 14 and persisting until February 25. Hives have decreased but itch remains. Hives resulted in a visit to the urgent care, dermatologist, allergist, and two ER visits. One ER visit was the result of restricted breathing in the airway. None of the visits resulted in a diagnosis. Cause of the hives remains uncertain. Medications taken: Dexamethazone, Benadryl, Methylprednisone, Hdrooxyzine, Allegra, Zertec, Claritan, Triamcinolone Cream. All medications had minimal affect.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 0.5
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Varicella vaccine during 6 month well child visit. No adverse events occurred at that time. Physician researched possible adverse events in order to give parents information on what to look for in case of adverse event.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 7/26/2021, not admitted to hospital for Covid-19 S/S
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dysstasia
Clinical narrative: 100mg Docusate Sodium 100mg once daily; 09/10/2021 Mild headache and congestion cough and sore thought. 09/12/2021 Diagnosed with COVID 09/12/2021 infusion therapy 09/15/2021 mild case of COVID one bad day, headache and extreme fatigue and animals help her get out of bed and she had coffee. After the 10 days no issue but had slight fatigue and never ran a fever, never taste or smell during experience headache went away. Not prone to headaches and that one of factors that took see primary, headache had lasted 3 prior to Dr. visit and headache continued after the visit for a week.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 100mg Docusate Sodium 100mg once daily; 09/10/2021 Mild headache and congestion cough and sore thought. 09/12/2021 Diagnosed with COVID 09/12/2021 infusion therapy 09/15/2021 mild case of COVID one bad day, headache and extreme fatigue and animals help her get out of bed and she had coffee. After the 10 days no issue but had slight fatigue and never ran a fever, never taste or smell during experience headache went away. Not prone to headaches and that one of factors that took see primary, headache had lasted 3 prior to Dr. visit and headache continued after the visit for a week.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: hospitalization for stroke
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: After the booster shot, I did not feel any issue for a day or two.  However, from 2nd or 3rd day onwards I started having rashes on my body and it is continuing till date (however the frequency and the amount of rashes reduced compared to the beginning).  I am taking Zyrtec and that is helping with rashes.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Bilirubin conjugated increased, Blood albumin decreased, Blood bilirubin increased, Blood chloride increased
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood fibrinogen increased, Blood gases abnormal, Blood lactate dehydrogenase increased, Blood potassium decreased
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, COVID-19, Chest X-ray abnormal, Electroencephalogram abnormal, Fibrin D dimer increased
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration decreased, Platelet count decreased, Red blood cell count decreased, Serum ferritin increased, Troponin increased
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis abnormal, White blood cell count decreased
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Paraesthesia oral
Clinical narrative: Patient complained of tingling in and around the mouth ten minutes after receiving her Pfizer Covid 19 Vaccine booster dose. Patient has experienced reactions to previous first and second doses of Pfizer Covid 19 Vaccine, but was told after being seen  by medical staff that she did not experience an anaphylactic reaction. Her physician advised her to continue on with the series and to bring her prescribed Allegra 180mg to take. Patient refused any other pharmaceutical intervention. Patient vitals collected, water and ice pack provided, staff closely observed patient for 30 minutes before patient voluntarily left stating her symptoms had improved.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Dizziness, Pain, Vascular catheterisation, Vertigo
Clinical narrative: Dizziness, body aches, Vertigo
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: hospitalization for COVID PNA
Age: 0.25
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given incorrect vaccine for age, no adverse reactions noted.  Patient was closely followed by PCP.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Discomfort, Inflammation, Lymph node pain, Lymphadenopathy
Clinical narrative: The axillary lymph nodes on my left side became very swollen, and sore. There is a large noticeable lump indicating the inflammation. It is uncomfortable to the point it is difficult to lift my left arm.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: The axillary lymph nodes on my left side became very swollen, and sore. There is a large noticeable lump indicating the inflammation. It is uncomfortable to the point it is difficult to lift my left arm.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Nephrolithiasis, Pyelonephritis, SARS-CoV-2 test positive
Clinical narrative: Was in the hospital 3/8/21 for pyelonephritis with obstructive stone.  Tested COVID + on 3/8/2021.  Remained asympotmatic and was discharged from the hospital on  3/12/2021
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis, Blood test, Computerised tomogram abnormal, Diarrhoea, Feeding disorder
Clinical narrative: On Feb 7, 2022 in the morning I had a lot of pain, GI issues that seemed like food poisoning- vomiting, diarrhea. I waited it out. Then called the doctor and they couldn't see me so I went to Urgent Care. They gave me anti-nausea but I couldn't eat and was in a lot of pain. So later that night I went to the ER they did testing. They determining I had appendicitis and then performed the surgery and gave me antibiotics because there was fluid in my abdomen.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Intra-abdominal fluid collection, Pain, Surgery, Vomiting
Clinical narrative: On Feb 7, 2022 in the morning I had a lot of pain, GI issues that seemed like food poisoning- vomiting, diarrhea. I waited it out. Then called the doctor and they couldn't see me so I went to Urgent Care. They gave me anti-nausea but I couldn't eat and was in a lot of pain. So later that night I went to the ER they did testing. They determining I had appendicitis and then performed the surgery and gave me antibiotics because there was fluid in my abdomen.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Symptoms of SOB , difficulty breathing, cough, and weakness started 8/12/2021, admitted 8/23/2021 with  acute hypoxemic respiratory failure secondary to Covid-19 PNA.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Product administered to patient of inappropriate age
Clinical narrative: The adverse event was mistakenly administering the Moderna vaccine to a patient below the legal required age limit to receive said vaccine. No other adverse events have taken place.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Cardiac imaging procedure abnormal, Chest pain, Ejection fraction, Ejection fraction normal
Clinical narrative: Chest pain - limited detail.  Evaluated as an outpatient.  Known rheumatology patient with chest pain.