chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Pain in extremity, Peripheral swelling, Thrombosis, Ultrasound scan abnormal
Clinical narrative: In October of 2021 I was diagnosed by local Hospital - by Ultrasound - with DVT blood clots in my lower right leg.  I started with leg pain/cramps the first Monday of October.  I started using store-brand Tylenol and heating pad.  I noticed on Tuesday night that it appeared my lower right leg was swelling.  The generic Tylenol and heating pad did not relieve symptoms.  I then went into my Primary physician's office -  on Friday 10/8/2021.  I was seen by a general nurse practitioner.  She noticed my leg was swollen, and sent me for a stat ultrasound at the same Hospital that day.  The ultrasound found that I had 4 veins in my lower right leg with DVT clots.  local Hospital put me on 1 month of blood thinner Xarelto.  I am finishing this initial dose today - Friday 11/5/2021.  Dr. did see me for a follow up visit and has put me on another 3 months of Xarelto.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Blood gases, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiomyopathy, Chest X-ray abnormal, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Endotracheal intubation, Exposure to SARS-CoV-2, Extubation, Hypercapnia
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypokinesia, Lung disorder, Respiratory failure, Respiratory tract haemorrhage, Respiratory tract inflammation
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Blood cholesterol, Blood gases, Blood pressure measurement, Brain natriuretic peptide
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Cardiomyopathy, Chest X-ray
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Echocardiogram, Echocardiogram abnormal, Ejection fraction
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram, Electrocardiogram abnormal, Endotracheal intubation, Exposure to SARS-CoV-2
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extubation, Globulin, Hypercapnia, Hypokinesia, Lung disorder
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, Respiratory tract haemorrhage, Respiratory tract inflammation, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin, Troponin increased, Vaccination failure, Venous pressure jugular
Clinical narrative: Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Needle issue, Underdose
Clinical narrative: At approximately 0430, RN attempted to vaccinate client on the L deltoid with the Pfizer COVID Vaccine (Lot#FK5127). The client was crying and pulled his arm away abruptly as RN attempted to administer the vaccine. As a result, none of the vaccine dose was administered to the client but the needle broke the skin. The Pfizer COVID vaccine was wasted as the vanishing point needle could not be replaced with a new needle. The client's mother demonstrated an understanding of stabilizing the client's arm to safely vaccinate.  Lead RN vaccinated with a new dose of Pfizer COVID vaccine (lot# FK1527) on the R deltoid at approximately 0435.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Loss of consciousness, Malaise, Vomiting
Clinical narrative: Patient said he did not feel well, As we were attending to him he started to lose consciousness. We laid him down,  within  a minute he regained consciousness and after throwing up, over  the next hour pt gradually felt better, only complaint is that he felt tired. His parents came in  and took him home.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Moderna Booster (0.25ml) vaccine was drawn up after max 20 drawn doses allowed. Proper aseptic techniques were used during dose extraction and vaccine was inspected prior to administration. Patient was given correct dose (0.25ml) and was monitored for 15 minutes after vaccination. No adverse event/reaction occurred after administration.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Head discomfort, Headache
Clinical narrative: On approximately October 13 I started exhibiting Covid like symptoms, chills, low grade fever, achy and tired.  Those symptoms subsided but I continued with a sore throat, headache and nasal and head congestion and cough. These symptoms gradually got worse and I made a appointment for a Rapid Covid test at pharmacy on October 26.  The test results were negative.  The following day on October 27 I saw a Dr. for the symptoms.  I was told I had Sinusitis and was prescribed Augmentin, Benzonatate for the cough,  and Sudafed for congestion.  The Dr. told me she has been seeing a lot of Sinusitis and positive Covid cases lately.   The antibiotic is s 10 day prescription and I am feeling back to normal now with no symptoms.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, Sinusitis
Clinical narrative: On approximately October 13 I started exhibiting Covid like symptoms, chills, low grade fever, achy and tired.  Those symptoms subsided but I continued with a sore throat, headache and nasal and head congestion and cough. These symptoms gradually got worse and I made a appointment for a Rapid Covid test at pharmacy on October 26.  The test results were negative.  The following day on October 27 I saw a Dr. for the symptoms.  I was told I had Sinusitis and was prescribed Augmentin, Benzonatate for the cough,  and Sudafed for congestion.  The Dr. told me she has been seeing a lot of Sinusitis and positive Covid cases lately.   The antibiotic is s 10 day prescription and I am feeling back to normal now with no symptoms.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest pain, Hypertension, Mobility decreased, Myalgia
Clinical narrative: I began to feel symptoms roughly around October 25th, 2021, soreness, and tenderness, and muscle pain around chest. As the week progressed, I began to have more pain and soreness, becoming more and more intense. I could not lean back because it was extremely painful. Any type of arm movement; I would feel it. Tuesday Nov 2nd, 2021, blood pressure was extremely high 160/110; ER visit was prompted, and they recorded 168/123 for blood pressure. Continued to feel the pain; I was in a gurney in the hallway when the doctor came. I was describing the symptoms and said that it sounds like pericarditis. I am still taking 600 mg Ibuprofen and when I don't take it, I still get pain.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pericarditis
Clinical narrative: I began to feel symptoms roughly around October 25th, 2021, soreness, and tenderness, and muscle pain around chest. As the week progressed, I began to have more pain and soreness, becoming more and more intense. I could not lean back because it was extremely painful. Any type of arm movement; I would feel it. Tuesday Nov 2nd, 2021, blood pressure was extremely high 160/110; ER visit was prompted, and they recorded 168/123 for blood pressure. Continued to feel the pain; I was in a gurney in the hallway when the doctor came. I was describing the symptoms and said that it sounds like pericarditis. I am still taking 600 mg Ibuprofen and when I don't take it, I still get pain.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Fatigue, Headache, Nausea
Clinical narrative: Thursday- 11/4/21- Extremely  sore arm and underarm, body aches, low grade fever, chills, headache, fatigue, nausea.  Friday- 11/5/21 - Symptoms stayed the same, no improvement.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Thursday- 11/4/21- Extremely  sore arm and underarm, body aches, low grade fever, chills, headache, fatigue, nausea.  Friday- 11/5/21 - Symptoms stayed the same, no improvement.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Headache, Hyperhidrosis
Clinical narrative: Started with dizzyness around 11PM, went to bed. Woke up at 6:30AM with a very painful constant sharp headache, then had a sudden onset of nausea and went to bathroom and puked for around 10 minutes (emptied stomach and had dry heaves after). Checked my temperature and it was at 102F. The whole day it was around 100-102, it went lower after taking Tylenol and Advil. Had chills and sweats all day. As of 8PM its down to 100F and the headache isn't so bad but is still present.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Retching, Vomiting
Clinical narrative: Started with dizzyness around 11PM, went to bed. Woke up at 6:30AM with a very painful constant sharp headache, then had a sudden onset of nausea and went to bathroom and puked for around 10 minutes (emptied stomach and had dry heaves after). Checked my temperature and it was at 102F. The whole day it was around 100-102, it went lower after taking Tylenol and Advil. Had chills and sweats all day. As of 8PM its down to 100F and the headache isn't so bad but is still present.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Pain in extremity, Rash
Clinical narrative: I had a sore arm for a day right after the vaccine and that was it. Until a week or so. I started getting a rash under my eye, the eye that was worse was right eye. It was swollen and the rash was on the swollen part under my eye. I had it on the left eye too, but not as bad. They put me on steroid eyedrops. It kind of cleared up the left eye quickly, but the other eye didn't go away. Went to the doctor again. They put me on Neomycin and Polymycin B Dex - 5ml - eye drops. I have been on it for four days. It hasn't gone away yet. It's better. They said it could be a bacterial infection. I take these drops for another week to see if it clears up. Flu Shot was received on 9/15/2021
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt received vaccine at age 11 instead of 12 the parent filled form for 11/202008 instead of 11/20/2009
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Rash
Clinical narrative: Facial numbness started at my left lip and going into my check and now forehead.  Less smile on left side lip. Bumpy rash on both cheeks
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Pain, Pruritus, Rash, Swelling face
Clinical narrative: Began with itching and patches of flat rash that appeared in different places around the body.  On 11/3/2021, patient noted lumpy spots on scalp that itched a lot. Around 1800, patient had a ?gushing? bloody nose that took around 30 mins to contain. Hives and welts began to nape, wrists, buttocks, torso around the same time, progressing to face by 0130 on 11/4/2021. By 0600 on 11/4/2021, patient?s right eye was swollen shut and upper face and head was visibly swollen. Patient seen by Dr at Clinic at 1300 on 11/4/2021. Patient received a Kenalog Injection (40 mg) in the clinic and prescribed Zyrtec 10mg once daily in pm, Allegra 60 mg once daily in am until hives and welts absent for 72 hours.  Patient woke on 11/5/2021 with increased swelling and hives, more generalized to entire face, forearms and legs, as well as spots of same across torso, groin and buttocks. Patient has complained of intense itching and pain since 0130 on 11/4/2021. Dr added an Allegra 60mg daily at midday, and oral prednisone 20mg once daily with food x5 days. Patient has follow up visit with Dr. on 11/8/2021 at 1100.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling of eyelid, Urticaria
Clinical narrative: Began with itching and patches of flat rash that appeared in different places around the body.  On 11/3/2021, patient noted lumpy spots on scalp that itched a lot. Around 1800, patient had a ?gushing? bloody nose that took around 30 mins to contain. Hives and welts began to nape, wrists, buttocks, torso around the same time, progressing to face by 0130 on 11/4/2021. By 0600 on 11/4/2021, patient?s right eye was swollen shut and upper face and head was visibly swollen. Patient seen by Dr at Clinic at 1300 on 11/4/2021. Patient received a Kenalog Injection (40 mg) in the clinic and prescribed Zyrtec 10mg once daily in pm, Allegra 60 mg once daily in am until hives and welts absent for 72 hours.  Patient woke on 11/5/2021 with increased swelling and hives, more generalized to entire face, forearms and legs, as well as spots of same across torso, groin and buttocks. Patient has complained of intense itching and pain since 0130 on 11/4/2021. Dr added an Allegra 60mg daily at midday, and oral prednisone 20mg once daily with food x5 days. Patient has follow up visit with Dr. on 11/8/2021 at 1100.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Cholelithiasis, Cholelithotomy, Computerised tomogram
Clinical narrative: It started with nausea, but later started with A fib worsening. Had my son take me to hospital and used Endoscopy and found all was fine at that time. Kept on having issues and returning to about 6 time during 6 weeks and found Gallstones. They were surgically removed. Later, was referred to a Gastroenterologist, who found I had Gastritis. Lymphoedema was discovered by PCP during a physical.  Compression wraps was issued for Lymphoedema. Protonix eventually discovered to help with Gastritis.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Electrocardiogram, Endoscopy normal, Gastritis, Lymphoedema
Clinical narrative: It started with nausea, but later started with A fib worsening. Had my son take me to hospital and used Endoscopy and found all was fine at that time. Kept on having issues and returning to about 6 time during 6 weeks and found Gallstones. They were surgically removed. Later, was referred to a Gastroenterologist, who found I had Gastritis. Lymphoedema was discovered by PCP during a physical.  Compression wraps was issued for Lymphoedema. Protonix eventually discovered to help with Gastritis.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Nausea
Clinical narrative: It started with nausea, but later started with A fib worsening. Had my son take me to hospital and used Endoscopy and found all was fine at that time. Kept on having issues and returning to about 6 time during 6 weeks and found Gallstones. They were surgically removed. Later, was referred to a Gastroenterologist, who found I had Gastritis. Lymphoedema was discovered by PCP during a physical.  Compression wraps was issued for Lymphoedema. Protonix eventually discovered to help with Gastritis.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was receiving first Moderna dose, however he was only given 0.25mg (booster dose).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Joint swelling, Paraesthesia, Ultrasound Doppler
Clinical narrative: Very  swallwn kneees and tngling sensation in toes, joint pain and tiredness
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: Very  swallwn kneees and tngling sensation in toes, joint pain and tiredness
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Pyrexia, Tinnitus
Clinical narrative: Moderna severely worsened my tinnitus after all 3 shots, and every joint in my body hurt, I had 103 fever for 3 days after 2nd shot, and 99 fever for 3 days after booster.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Lethargy, Pyrexia
Clinical narrative: chills, fever,,lethargic
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Skin laceration, Syncope
Clinical narrative: The patient fainted approximately 1-2 mins after administration of the vaccine, fell out of the chair he was sitting in and hit his head on the floor causing a laceration that needed medical attention.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was in for her Moderna Dose 1, however was give only 0.25mg booster dose.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Impaired work ability
Clinical narrative: Pain in arm at injection site along with burning, itching, stinging, swelling, redness and my arm feels like there's a hard ball inside of it.  The day I received the injection I had extreme fatigue after about 2 hours. That night I had a fever of 100.1 with chills. I had muscle weakness and pain. The next morning I woke up with the same symptoms but I now had a headache. I took Tylenol which helped with the fever, headache and muscle aches but all of it came right back after the Tylenol wore off. I went to the doctor on Nov. 4, 2021 because I was out of work beginning Nov. 1, 2021 due to these symptoms and most of them were not subsiding. On Nov. 4, 2021 when I woke up the fever was gone. I still felt cold, had
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pain in arm at injection site along with burning, itching, stinging, swelling, redness and my arm feels like there's a hard ball inside of it.  The day I received the injection I had extreme fatigue after about 2 hours. That night I had a fever of 100.1 with chills. I had muscle weakness and pain. The next morning I woke up with the same symptoms but I now had a headache. I took Tylenol which helped with the fever, headache and muscle aches but all of it came right back after the Tylenol wore off. I went to the doctor on Nov. 4, 2021 because I was out of work beginning Nov. 1, 2021 due to these symptoms and most of them were not subsiding. On Nov. 4, 2021 when I woke up the fever was gone. I still felt cold, had
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Pain, Pyrexia
Clinical narrative: Pain in arm at injection site along with burning, itching, stinging, swelling, redness and my arm feels like there's a hard ball inside of it.  The day I received the injection I had extreme fatigue after about 2 hours. That night I had a fever of 100.1 with chills. I had muscle weakness and pain. The next morning I woke up with the same symptoms but I now had a headache. I took Tylenol which helped with the fever, headache and muscle aches but all of it came right back after the Tylenol wore off. I went to the doctor on Nov. 4, 2021 because I was out of work beginning Nov. 1, 2021 due to these symptoms and most of them were not subsiding. On Nov. 4, 2021 when I woke up the fever was gone. I still felt cold, had
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood pressure increased, Blood test, Blood thyroid stimulating hormone, Dizziness
Clinical narrative: March 2021: Arm pit rash, stoped sweating, extreme fatigue, back pain June 2021 heat intolerance, decreased thyroid level (0.02), heart palpitations, still not sweating, extreme fatigue October 2021: uncontrolled blood pressure, dizziness, extreme fatigue, weight gain, weird headache, tachycardia, SOB, inability to exert self for exercise, brain fog
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram ambulatory, Fatigue, Feeling abnormal
Clinical narrative: March 2021: Arm pit rash, stoped sweating, extreme fatigue, back pain June 2021 heat intolerance, decreased thyroid level (0.02), heart palpitations, still not sweating, extreme fatigue October 2021: uncontrolled blood pressure, dizziness, extreme fatigue, weight gain, weird headache, tachycardia, SOB, inability to exert self for exercise, brain fog
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperhidrosis, Palpitations, Rash, Tachycardia
Clinical narrative: March 2021: Arm pit rash, stoped sweating, extreme fatigue, back pain June 2021 heat intolerance, decreased thyroid level (0.02), heart palpitations, still not sweating, extreme fatigue October 2021: uncontrolled blood pressure, dizziness, extreme fatigue, weight gain, weird headache, tachycardia, SOB, inability to exert self for exercise, brain fog
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Temperature intolerance, Weight increased
Clinical narrative: March 2021: Arm pit rash, stoped sweating, extreme fatigue, back pain June 2021 heat intolerance, decreased thyroid level (0.02), heart palpitations, still not sweating, extreme fatigue October 2021: uncontrolled blood pressure, dizziness, extreme fatigue, weight gain, weird headache, tachycardia, SOB, inability to exert self for exercise, brain fog
Age: 39.0
Sex: M
Vaccine: COVID19, FLUN4
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Patient developed rash and small hives on chest 10 minutes after receiving  Flumist and Moderna Covid Booster Shot.  He had no shortness of breath or swelling.  I gave him 25mg diphenhydramine and observed for 30 minutes.  By this time, itching had resolved and he had no other symptoms.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Fatigue, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: I received my first dose of Pfizer on 9/5/2021. Within about 10 minutes, my left hand became tingly and had a pins-and-needles feeling that rapidly traveled throughout the left side of my body, including my face, neck, arm, shoulder, torso, hip, leg, and foot. The left side of my body quickly became numb and within 45 minutes. There was zero sensation on the left side of my body. I then went home afterwards. I don't remember much about that night, as I fell asleep shortly after getting home, which is highly unusual for me. The next day, I felt okay, though I still had pins and needles on the left side of my face and above my lip. I then had fatigue, body aches, and low-grade fever on 9/7/2021 and 9/8/2021. I have continued to have tingling on the left side of my face, from my cheekbone to my upper lip. It waxes and wanes. Also, my menstrual cycle ended on 9/3/2021, which was 2 days before the injection. However, on 9/6/2021, I experienced what felt like severe menstrual cramps and a pinkish vaginal discharge, which lasted two days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pyrexia, Vaginal discharge
Clinical narrative: I received my first dose of Pfizer on 9/5/2021. Within about 10 minutes, my left hand became tingly and had a pins-and-needles feeling that rapidly traveled throughout the left side of my body, including my face, neck, arm, shoulder, torso, hip, leg, and foot. The left side of my body quickly became numb and within 45 minutes. There was zero sensation on the left side of my body. I then went home afterwards. I don't remember much about that night, as I fell asleep shortly after getting home, which is highly unusual for me. The next day, I felt okay, though I still had pins and needles on the left side of my face and above my lip. I then had fatigue, body aches, and low-grade fever on 9/7/2021 and 9/8/2021. I have continued to have tingling on the left side of my face, from my cheekbone to my upper lip. It waxes and wanes. Also, my menstrual cycle ended on 9/3/2021, which was 2 days before the injection. However, on 9/6/2021, I experienced what felt like severe menstrual cramps and a pinkish vaginal discharge, which lasted two days.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna Booster (0.25ml) vaccine was drawn up after max 20 drawn doses allowed. Proper aseptic techniques were used during dose extraction and vaccine was inspected prior to administration. Patient was given correct dose (0.25ml) and was monitored for 15 minutes after vaccination. No adverse event occurred after administration.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Pharyngeal swelling
Clinical narrative: Anaphylaxis with throat swelling treated with Epinephrine at 10:20am and diphenhydramine at 10:23am.  Transported to ER