chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Heart rate increased, Palpitations, Supraventricular tachycardia, Tachyarrhythmia
Clinical narrative: new onset tachyarrhythmia associated with SVT confirmed by Holter monitor associated with palpitations and elevated heart rate which was noticed at rest and with exercise.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus, Rash, Speech disorder, Tongue disorder
Clinical narrative: I started having a itchy and rash feelings on my wrist. On my left a little before it spread to my right arm. It spread up the dorsal aspects of my left arm. It spread to my chest and up neck to my face. The itching was so bad I wanted to scratch my face offs. I took Benadryl and it was not helpful. It made me foggy. I was not making sense to speak, and I noticed my tongue was so dry and thick. I was unable to speak, and my lips started to swell. I thought it was because of the medicine and was in need of Urgent care. I received a shot and prescription of steroids. I had to follow up with and allergist. Within 24hrs of the steroid shot I was back to normal.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue dry
Clinical narrative: I started having a itchy and rash feelings on my wrist. On my left a little before it spread to my right arm. It spread up the dorsal aspects of my left arm. It spread to my chest and up neck to my face. The itching was so bad I wanted to scratch my face offs. I took Benadryl and it was not helpful. It made me foggy. I was not making sense to speak, and I noticed my tongue was so dry and thick. I was unable to speak, and my lips started to swell. I thought it was because of the medicine and was in need of Urgent care. I received a shot and prescription of steroids. I had to follow up with and allergist. Within 24hrs of the steroid shot I was back to normal.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased, Pain in extremity, Ultrasound scan, X-ray
Clinical narrative: By the time I got to my car from injection, I had pain in the injection site. It began to go away and the pain moved down to my forearm about two days later. It lasted there for about a week and a half. I could barely pick up anything in my left hand. I went to urgent care on 22nd. Order ultrasound for 22nd to check for blood clot. I called pediatrician for my daughter because I was breastfeeding and the doctor's called in a medication. On the 1st of March, I was ordered an x-ray.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Illness, Swelling of eyelid
Clinical narrative: The same day I got the vaccine a hour later, I noticed swelling around my eyes that went on for two days. On the third day, I got sick and swelling was really bad and my eyes were almost shut. I went to urgent care four days after my vaccine and they prescribed me a epi pen that I didn't use so I went to my regular doctor the following day and she put me on a 5 day steroid and about two weeks later I was fully recovered.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Flushing, Pain in extremity
Clinical narrative: At the Time of the vaccination I felt OK no symptoms but now I feel flushed my arm sore and I have a weird pain on my left upper chest and chills
Age: 78.0
Sex: M
Vaccine: UNK
Symptoms: Amnesia, Arthritis, Blood cholesterol increased, Diabetes mellitus, Dyspnoea
Clinical narrative: WAS IN GREAT SHAPE RUNNIG 3 MI PER DAY , MUSSEL AECHE SHORTNESS BREATH, HEAD ACHES, NOW DIABETIC WITH HIGH COLLISTEROL , MEMORY LOSS . ARTHREITICE  SETTING IN.
Age: 78.0
Sex: M
Vaccine: UNK
Symptoms: Headache, Laboratory test, Magnetic resonance imaging, Myalgia, X-ray
Clinical narrative: WAS IN GREAT SHAPE RUNNIG 3 MI PER DAY , MUSSEL AECHE SHORTNESS BREATH, HEAD ACHES, NOW DIABETIC WITH HIGH COLLISTEROL , MEMORY LOSS . ARTHREITICE  SETTING IN.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Cardiac disorder, Cardiac electrophysiologic study, Cardioversion
Clinical narrative: 3 days after vaccine, I had a high fever and then went into Afib and was rushed to hospital. Hospitalized for 4 days. Then when released he started developing a lot of Ulcers in mouth and throat. It got so severe that he had a hard time eating. Went to PCP and was given an anti-inflammatory and Oxycodone and advised to use Miracle Mouth Wash. These treatments helped a little but was eventually admitted to the hospital again for 5 days and was given Dilaudid, Prednisone, and Oxycodone.  Doctors attributed that I am having these problems as it was an Autoimmune response. Referred to a Rheumatologist, Dermatologist and Gastroenterologist. Mouth ulcers eventually went away. Then 2 weeks later I started having heart problems again and an ambulance took me to the hospital for Afib. After being released, I got COVID, which made his ulcers come back. From there he was put on a heavy dose of Prednisone. After finishing his Prednisone, he developed heart problems again and was rushed to the hospital as he went back into Afib. I was in the ER for 4 hours then had Cardioversion performed. After being released, I saw my Cardiologist and had an Echo Stress test and an Electrophysiology test. After testing, I was rushed to the hospital again where he was Cardioverted and Defibrillated. Since then, I was prescribed Metoprolol, Flecainide 50mg and advised to take baby Aspirin 81mg. He's been on these meds since 3/3/2022. Currently waiting to see if I need Heart Surgery and Ablation Surgery.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Eating disorder, Hyperpyrexia, Mouth ulceration, Pharyngeal ulceration, Stress echocardiogram
Clinical narrative: 3 days after vaccine, I had a high fever and then went into Afib and was rushed to hospital. Hospitalized for 4 days. Then when released he started developing a lot of Ulcers in mouth and throat. It got so severe that he had a hard time eating. Went to PCP and was given an anti-inflammatory and Oxycodone and advised to use Miracle Mouth Wash. These treatments helped a little but was eventually admitted to the hospital again for 5 days and was given Dilaudid, Prednisone, and Oxycodone.  Doctors attributed that I am having these problems as it was an Autoimmune response. Referred to a Rheumatologist, Dermatologist and Gastroenterologist. Mouth ulcers eventually went away. Then 2 weeks later I started having heart problems again and an ambulance took me to the hospital for Afib. After being released, I got COVID, which made his ulcers come back. From there he was put on a heavy dose of Prednisone. After finishing his Prednisone, he developed heart problems again and was rushed to the hospital as he went back into Afib. I was in the ER for 4 hours then had Cardioversion performed. After being released, I saw my Cardiologist and had an Echo Stress test and an Electrophysiology test. After testing, I was rushed to the hospital again where he was Cardioverted and Defibrillated. Since then, I was prescribed Metoprolol, Flecainide 50mg and advised to take baby Aspirin 81mg. He's been on these meds since 3/3/2022. Currently waiting to see if I need Heart Surgery and Ablation Surgery.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Oxygen saturation decreased, Pain
Clinical narrative: I had a terrible cough and terrible headache. I also had running nose and my O2 stats dropped to 83. I was feeling very fatigue that I kept falling asleep. I took vitamins, Tylenol, and Ibuprofen for the pain and symptoms. The medication did not help for my headache at all. My symptoms lasted for about two months or so and I still have the cough today. My O2 stats still remain high (88).
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Somnolence
Clinical narrative: I had a terrible cough and terrible headache. I also had running nose and my O2 stats dropped to 83. I was feeling very fatigue that I kept falling asleep. I took vitamins, Tylenol, and Ibuprofen for the pain and symptoms. The medication did not help for my headache at all. My symptoms lasted for about two months or so and I still have the cough today. My O2 stats still remain high (88).
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Pain, Pain in extremity, Pyrexia
Clinical narrative: I had arm pain and strong fever and medium body pain, bronchitis.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Administered wrong COVID19 booster to pt. Provider ordered Pfizer booster and pt was given moderna booster instead. Writer did not verify the order prior to administration because the pharmacist was in the pt chart at the same time. When documenting the administration, writer realized the error and reported to RN and Dr. Dr. instructed RN to notify patient who was still in the room. Patient had no other concerns.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Alanine aminotransferase normal, Albumin globulin ratio, Anion gap
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage decreased, Blood albumin decreased, Blood alkaline phosphatase increased
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood bilirubin increased, Blood calcium decreased, Blood chloride increased, Blood creatinine increased, Blood glucose normal
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea increased, Blood urea nitrogen/creatinine ratio, Brain natriuretic peptide increased
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Carbon dioxide decreased, Chest pain, Chronic kidney disease
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Confusional state, Death, Differential white blood cell count, Dyspnoea
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Emphysema, Eosinophil count normal, Eosinophil percentage, Full blood count, Globulins increased
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Glomerular filtration rate decreased, Granulocyte percentage, Granulomatous liver disease, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hepatic calcification, Immature granulocyte count, Infection, International normalised ratio increased, Lung opacity
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lymph node calcification, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mean cell volume increased, Mean platelet volume normal, Metabolic function test, Monocyte count, Monocyte percentage
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Oxygen saturation decreased, Platelet count decreased, Protein total normal
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Prothrombin time prolonged, Pulmonary calcification, Red blood cell count decreased, Red blood cell nucleated morphology, Red cell distribution width increased
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test positive, Sepsis, Splenic calcification, Splenic granuloma
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Troponin, White blood cell count increased
Clinical narrative: 1/24/22 Chief Complaint Patient presents with o HOT o Respiratory Distress     Per EMS called resp distress, low-mid 80s on10L pt diagnosed with covid on 1/11. Pt increased WOB. hx of colon ca. 75 yr/o male who presents with abdominal and chest pain.  He was recently diagnosed with Covid.  His wife says that he has been confused since Thursday of last week.  His O2 sats have been low at home.  He was complaining of abdominal and chest pain and EMS was called to transport the patient to our facility.  He was vaccinated against Covid, including a booster. Admission Diagnoses: Acute respiratory failure due to COVID-19    Hospital Problems:  Principal Problem:   Acute respiratory failure due to COVID-19  Active Problems:   S/P thoracic aortic aneurysm repair (4/19/2012)     Chronic anticoagulation (3/12/2015)     CKD (chronic kidney disease) (5/20/2018)     Malignant neoplasm of urinary bladder    Discharge Diagnoses: Acute hypoxic respiratory failure secondary to COVID-19 PNA                                         Sepsis, POA                                         Acute on CKD III                                         Hx of bladder cancer    Hospital Course: 75 y/o male with hx of bladder cancer, who was vaccinated against COVID-19, was admitted to the hospital for acute hypoxic respiratory failure secondary to COVID-19 PNA.  He was placed on high flow oxygen and started on IV Abx and IV steroids.  On the evening of 1/25, he kept pulling off his oxygen and made it clear to me that he didn't want to fight anymore.  I talked to him and called his wife.  We discussed options of continuing aggressive medical care with DNR order vs transitioning to comfort care.  Patient said he just wanted comfort care.  He was started on prn IV dilaudid and versed.  His family arrived, he was kept comfortable, and passed away at 14:45 on 1/26/2022.  Cause of death is acute hypoxic respiratory failure secondary to COVID-19 PNA.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood pressure increased, Chest discomfort, Chest pain, Dizziness
Clinical narrative: Chest pain, tightness in chest, shortness of breath, lightheaded, dizziness, exercise intolerance. Blood pressure spikes. Brain fog, fatigue, neck pain that radiates into the back of my head, pain behind the knee that never went away.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Exercise tolerance decreased, Fatigue, Feeling abnormal, Headache
Clinical narrative: Chest pain, tightness in chest, shortness of breath, lightheaded, dizziness, exercise intolerance. Blood pressure spikes. Brain fog, fatigue, neck pain that radiates into the back of my head, pain behind the knee that never went away.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain
Clinical narrative: Chest pain, tightness in chest, shortness of breath, lightheaded, dizziness, exercise intolerance. Blood pressure spikes. Brain fog, fatigue, neck pain that radiates into the back of my head, pain behind the knee that never went away.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Biopsy, Blood urine present, Fatigue, Headache
Clinical narrative: In June or July while I was at the doctors for other reasons, I mentioned how poorly my legs are doing and it seems to be muscular but I get a sharp pain in my right hip but recently has migrated to the left side. With that, I got blood test done and had a slightly low platelet count. Was given an antibiotic at that time and it was 10 day course. Currently seeing an urologist because had bloody urine and had a biopsy sometime in Oct-Nov. It was just inflamed and was benign, so it was normal. I had breakthrough COVID in November right around the 25th. I was given Ivermectin for it with oversight by my physician, I recovered around mid Dec.  However I am still dealing with fatigue and pain in legs and headaches.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Muscular weakness, Pain in extremity, Platelet count, Platelet count decreased
Clinical narrative: In June or July while I was at the doctors for other reasons, I mentioned how poorly my legs are doing and it seems to be muscular but I get a sharp pain in my right hip but recently has migrated to the left side. With that, I got blood test done and had a slightly low platelet count. Was given an antibiotic at that time and it was 10 day course. Currently seeing an urologist because had bloody urine and had a biopsy sometime in Oct-Nov. It was just inflamed and was benign, so it was normal. I had breakthrough COVID in November right around the 25th. I was given Ivermectin for it with oversight by my physician, I recovered around mid Dec.  However I am still dealing with fatigue and pain in legs and headaches.
Age: 74.0
Sex: M
Vaccine: PNC20
Symptoms: Epistaxis, Haemoptysis, Headache, Productive cough, Secretion discharge
Clinical narrative: Pt coughed up blood about 24 hours after getting vaccine.  Blood from nose blowing as well as in mucous/phlegm . Also report of headache afterwards
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Botulinum toxin injection, Computerised tomogram, Condition aggravated, Headache
Clinical narrative: First vaccine: 24 hours after, violent vomiting, fever, aches, chills for 10 hours.  Sick in bed  for 12 more and then fine.  Second vaccine: no immediate reaction. Headache 7 days later that has been present for 1 year.  Always there, some days puts me in the bed about 2:30-3pm for hours.  I?ve now had MRIs, MRA, PET scan, ultrasounds, occipital block, tried multiple medications, and most recently had Botox migraine treatment with zero relief.   Absolutely no diagnosis or obvious reason for headache.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Magnetic resonance imaging, Mobility decreased, Nerve block, Positron emission tomogram
Clinical narrative: First vaccine: 24 hours after, violent vomiting, fever, aches, chills for 10 hours.  Sick in bed  for 12 more and then fine.  Second vaccine: no immediate reaction. Headache 7 days later that has been present for 1 year.  Always there, some days puts me in the bed about 2:30-3pm for hours.  I?ve now had MRIs, MRA, PET scan, ultrasounds, occipital block, tried multiple medications, and most recently had Botox migraine treatment with zero relief.   Absolutely no diagnosis or obvious reason for headache.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: First vaccine: 24 hours after, violent vomiting, fever, aches, chills for 10 hours.  Sick in bed  for 12 more and then fine.  Second vaccine: no immediate reaction. Headache 7 days later that has been present for 1 year.  Always there, some days puts me in the bed about 2:30-3pm for hours.  I?ve now had MRIs, MRA, PET scan, ultrasounds, occipital block, tried multiple medications, and most recently had Botox migraine treatment with zero relief.   Absolutely no diagnosis or obvious reason for headache.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Nausea
Clinical narrative: Nausea, Dizziness, Faint feeling, Diarrhea
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: After receiving  the vaccine, the patient began to stand up to leave and fainted. She was caught be the individuals who came in with her and returned to the chair in the immunization site. The patient sat there for about 30 minutes and was attended to and felt good after 30 minutes so she left. The pharmacist followed up with the patient later that evening and she was doing fine.