chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Blood creatinine increased, Blood gases, Blood lactic acid increased, COVID-19
Clinical narrative: COVID+ 11/24/22.  Vaccination status - pfizer x4 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: MD Admission Date: 11/24/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Chronic bilateral pleural effusions 11/25/2022 Yes ? Open wound of dorsum of foot 11/25/2022 Unknown ? Counseling regarding advance care planning and goals of care 11/25/2022 Unknown ? Septic shock 11/24/2022 Yes ? COVID-19 virus infection 11/24/2022 Yes ? Anasarca 11/24/2022 Yes ? Open wound of left foot 11/24/2022 Yes ? Acute respiratory failure with hypoxia and hypercapnia 11/24/2022 Yes ? Medication induced coagulopathy 11/24/2022 Yes ? AKI (acute kidney injury)    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Septic shock    HOSPITAL COURSE: 78 y/o male with past medical history significant for HTN, Afib for which he is on Coumadin s/p pacemaker placement, PVD. He presented to ED 11/24 with one week history of weakness and recent falls. Family was unable to get him out of bed and called EMS. In the ED, patient denied any focal complaints but it was noted that 2 of his family members with whom he lives recently tested positive for COVID. Of note, patient has been recently treated with antibiotics for a foot infection.    Upon arrival to ED, patient was noted to be hypothermic/hypotensive/hypoxic. His oxygen requirements quickly escalated to requiring HFNC. Initial gas noted to be 7.27/66.5/145.2. Labs were notable for AKI with a Cr of 1.92 (baseline around 1-1.2), pro-bnp of 4663, initial troponin of 69, LA-2.7 which subsequently normalized to 1.9, normal PCT, and WBC-3.56. INR was elevated at >8 with stable Hg of 15 and no reported bleeding. COVID (+). UA unremarkable. EKG demonstrated ventricular paced rhythm with prolonged Qtc. CTH was negative for any acute abnormalities. CXR showed cardiomegaly with pulmonary vascular congestion as well as bilateral pleural effusions and patchy midlung opacities. Right basilar atelectasis or PNA was also reported. Patient was ultimately transitioned to Bipap with improvement in his respiratory status. Patient was given 250 ml of IVFs and then transitioned to NE gtt due to concerns of fluid overload. He additionally received Rocephin, Doxycycline, 10 mg of IV decadron, 40 mg IV lasix, and 2.5 mg PO of Vitamin K. He was then transferred to ICU for further care.   CT thorax 11/24 with bilateral pleural effusions, partially loculated. INR reversed and patient received left sided thoracentesis with right pleural drain. IR also performed diagnostic paracentesis for noted ascites on CT. Pleural fluid noted to be transudative, no signs of SBP in ascitic fluid. Renal function worsening with poor urine output. Following discussions with family patient transitioned to DNR/DNI. He was transitioned to comfort care 11/26 and pronounced deceased at 2110 11/26/23
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Coagulopathy, Computerised tomogram head normal, Computerised tomogram thorax abnormal
Clinical narrative: COVID+ 11/24/22.  Vaccination status - pfizer x4 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: MD Admission Date: 11/24/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Chronic bilateral pleural effusions 11/25/2022 Yes ? Open wound of dorsum of foot 11/25/2022 Unknown ? Counseling regarding advance care planning and goals of care 11/25/2022 Unknown ? Septic shock 11/24/2022 Yes ? COVID-19 virus infection 11/24/2022 Yes ? Anasarca 11/24/2022 Yes ? Open wound of left foot 11/24/2022 Yes ? Acute respiratory failure with hypoxia and hypercapnia 11/24/2022 Yes ? Medication induced coagulopathy 11/24/2022 Yes ? AKI (acute kidney injury)    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Septic shock    HOSPITAL COURSE: 78 y/o male with past medical history significant for HTN, Afib for which he is on Coumadin s/p pacemaker placement, PVD. He presented to ED 11/24 with one week history of weakness and recent falls. Family was unable to get him out of bed and called EMS. In the ED, patient denied any focal complaints but it was noted that 2 of his family members with whom he lives recently tested positive for COVID. Of note, patient has been recently treated with antibiotics for a foot infection.    Upon arrival to ED, patient was noted to be hypothermic/hypotensive/hypoxic. His oxygen requirements quickly escalated to requiring HFNC. Initial gas noted to be 7.27/66.5/145.2. Labs were notable for AKI with a Cr of 1.92 (baseline around 1-1.2), pro-bnp of 4663, initial troponin of 69, LA-2.7 which subsequently normalized to 1.9, normal PCT, and WBC-3.56. INR was elevated at >8 with stable Hg of 15 and no reported bleeding. COVID (+). UA unremarkable. EKG demonstrated ventricular paced rhythm with prolonged Qtc. CTH was negative for any acute abnormalities. CXR showed cardiomegaly with pulmonary vascular congestion as well as bilateral pleural effusions and patchy midlung opacities. Right basilar atelectasis or PNA was also reported. Patient was ultimately transitioned to Bipap with improvement in his respiratory status. Patient was given 250 ml of IVFs and then transitioned to NE gtt due to concerns of fluid overload. He additionally received Rocephin, Doxycycline, 10 mg of IV decadron, 40 mg IV lasix, and 2.5 mg PO of Vitamin K. He was then transferred to ICU for further care.   CT thorax 11/24 with bilateral pleural effusions, partially loculated. INR reversed and patient received left sided thoracentesis with right pleural drain. IR also performed diagnostic paracentesis for noted ascites on CT. Pleural fluid noted to be transudative, no signs of SBP in ascitic fluid. Renal function worsening with poor urine output. Following discussions with family patient transitioned to DNR/DNI. He was transitioned to comfort care 11/26 and pronounced deceased at 2110 11/26/23
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Electrocardiogram QT prolonged, Exposure to SARS-CoV-2, Fall, Generalised oedema
Clinical narrative: COVID+ 11/24/22.  Vaccination status - pfizer x4 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: MD Admission Date: 11/24/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Chronic bilateral pleural effusions 11/25/2022 Yes ? Open wound of dorsum of foot 11/25/2022 Unknown ? Counseling regarding advance care planning and goals of care 11/25/2022 Unknown ? Septic shock 11/24/2022 Yes ? COVID-19 virus infection 11/24/2022 Yes ? Anasarca 11/24/2022 Yes ? Open wound of left foot 11/24/2022 Yes ? Acute respiratory failure with hypoxia and hypercapnia 11/24/2022 Yes ? Medication induced coagulopathy 11/24/2022 Yes ? AKI (acute kidney injury)    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Septic shock    HOSPITAL COURSE: 78 y/o male with past medical history significant for HTN, Afib for which he is on Coumadin s/p pacemaker placement, PVD. He presented to ED 11/24 with one week history of weakness and recent falls. Family was unable to get him out of bed and called EMS. In the ED, patient denied any focal complaints but it was noted that 2 of his family members with whom he lives recently tested positive for COVID. Of note, patient has been recently treated with antibiotics for a foot infection.    Upon arrival to ED, patient was noted to be hypothermic/hypotensive/hypoxic. His oxygen requirements quickly escalated to requiring HFNC. Initial gas noted to be 7.27/66.5/145.2. Labs were notable for AKI with a Cr of 1.92 (baseline around 1-1.2), pro-bnp of 4663, initial troponin of 69, LA-2.7 which subsequently normalized to 1.9, normal PCT, and WBC-3.56. INR was elevated at >8 with stable Hg of 15 and no reported bleeding. COVID (+). UA unremarkable. EKG demonstrated ventricular paced rhythm with prolonged Qtc. CTH was negative for any acute abnormalities. CXR showed cardiomegaly with pulmonary vascular congestion as well as bilateral pleural effusions and patchy midlung opacities. Right basilar atelectasis or PNA was also reported. Patient was ultimately transitioned to Bipap with improvement in his respiratory status. Patient was given 250 ml of IVFs and then transitioned to NE gtt due to concerns of fluid overload. He additionally received Rocephin, Doxycycline, 10 mg of IV decadron, 40 mg IV lasix, and 2.5 mg PO of Vitamin K. He was then transferred to ICU for further care.   CT thorax 11/24 with bilateral pleural effusions, partially loculated. INR reversed and patient received left sided thoracentesis with right pleural drain. IR also performed diagnostic paracentesis for noted ascites on CT. Pleural fluid noted to be transudative, no signs of SBP in ascitic fluid. Renal function worsening with poor urine output. Following discussions with family patient transitioned to DNR/DNI. He was transitioned to comfort care 11/26 and pronounced deceased at 2110 11/26/23
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin normal, Hypotension, Hypothermia, Intensive care, International normalised ratio increased
Clinical narrative: COVID+ 11/24/22.  Vaccination status - pfizer x4 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: MD Admission Date: 11/24/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Chronic bilateral pleural effusions 11/25/2022 Yes ? Open wound of dorsum of foot 11/25/2022 Unknown ? Counseling regarding advance care planning and goals of care 11/25/2022 Unknown ? Septic shock 11/24/2022 Yes ? COVID-19 virus infection 11/24/2022 Yes ? Anasarca 11/24/2022 Yes ? Open wound of left foot 11/24/2022 Yes ? Acute respiratory failure with hypoxia and hypercapnia 11/24/2022 Yes ? Medication induced coagulopathy 11/24/2022 Yes ? AKI (acute kidney injury)    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Septic shock    HOSPITAL COURSE: 78 y/o male with past medical history significant for HTN, Afib for which he is on Coumadin s/p pacemaker placement, PVD. He presented to ED 11/24 with one week history of weakness and recent falls. Family was unable to get him out of bed and called EMS. In the ED, patient denied any focal complaints but it was noted that 2 of his family members with whom he lives recently tested positive for COVID. Of note, patient has been recently treated with antibiotics for a foot infection.    Upon arrival to ED, patient was noted to be hypothermic/hypotensive/hypoxic. His oxygen requirements quickly escalated to requiring HFNC. Initial gas noted to be 7.27/66.5/145.2. Labs were notable for AKI with a Cr of 1.92 (baseline around 1-1.2), pro-bnp of 4663, initial troponin of 69, LA-2.7 which subsequently normalized to 1.9, normal PCT, and WBC-3.56. INR was elevated at >8 with stable Hg of 15 and no reported bleeding. COVID (+). UA unremarkable. EKG demonstrated ventricular paced rhythm with prolonged Qtc. CTH was negative for any acute abnormalities. CXR showed cardiomegaly with pulmonary vascular congestion as well as bilateral pleural effusions and patchy midlung opacities. Right basilar atelectasis or PNA was also reported. Patient was ultimately transitioned to Bipap with improvement in his respiratory status. Patient was given 250 ml of IVFs and then transitioned to NE gtt due to concerns of fluid overload. He additionally received Rocephin, Doxycycline, 10 mg of IV decadron, 40 mg IV lasix, and 2.5 mg PO of Vitamin K. He was then transferred to ICU for further care.   CT thorax 11/24 with bilateral pleural effusions, partially loculated. INR reversed and patient received left sided thoracentesis with right pleural drain. IR also performed diagnostic paracentesis for noted ascites on CT. Pleural fluid noted to be transudative, no signs of SBP in ascitic fluid. Renal function worsening with poor urine output. Following discussions with family patient transitioned to DNR/DNI. He was transitioned to comfort care 11/26 and pronounced deceased at 2110 11/26/23
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Localised infection, Lung opacity, Paracentesis, Pleural effusion
Clinical narrative: COVID+ 11/24/22.  Vaccination status - pfizer x4 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: MD Admission Date: 11/24/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Chronic bilateral pleural effusions 11/25/2022 Yes ? Open wound of dorsum of foot 11/25/2022 Unknown ? Counseling regarding advance care planning and goals of care 11/25/2022 Unknown ? Septic shock 11/24/2022 Yes ? COVID-19 virus infection 11/24/2022 Yes ? Anasarca 11/24/2022 Yes ? Open wound of left foot 11/24/2022 Yes ? Acute respiratory failure with hypoxia and hypercapnia 11/24/2022 Yes ? Medication induced coagulopathy 11/24/2022 Yes ? AKI (acute kidney injury)    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Septic shock    HOSPITAL COURSE: 78 y/o male with past medical history significant for HTN, Afib for which he is on Coumadin s/p pacemaker placement, PVD. He presented to ED 11/24 with one week history of weakness and recent falls. Family was unable to get him out of bed and called EMS. In the ED, patient denied any focal complaints but it was noted that 2 of his family members with whom he lives recently tested positive for COVID. Of note, patient has been recently treated with antibiotics for a foot infection.    Upon arrival to ED, patient was noted to be hypothermic/hypotensive/hypoxic. His oxygen requirements quickly escalated to requiring HFNC. Initial gas noted to be 7.27/66.5/145.2. Labs were notable for AKI with a Cr of 1.92 (baseline around 1-1.2), pro-bnp of 4663, initial troponin of 69, LA-2.7 which subsequently normalized to 1.9, normal PCT, and WBC-3.56. INR was elevated at >8 with stable Hg of 15 and no reported bleeding. COVID (+). UA unremarkable. EKG demonstrated ventricular paced rhythm with prolonged Qtc. CTH was negative for any acute abnormalities. CXR showed cardiomegaly with pulmonary vascular congestion as well as bilateral pleural effusions and patchy midlung opacities. Right basilar atelectasis or PNA was also reported. Patient was ultimately transitioned to Bipap with improvement in his respiratory status. Patient was given 250 ml of IVFs and then transitioned to NE gtt due to concerns of fluid overload. He additionally received Rocephin, Doxycycline, 10 mg of IV decadron, 40 mg IV lasix, and 2.5 mg PO of Vitamin K. He was then transferred to ICU for further care.   CT thorax 11/24 with bilateral pleural effusions, partially loculated. INR reversed and patient received left sided thoracentesis with right pleural drain. IR also performed diagnostic paracentesis for noted ascites on CT. Pleural fluid noted to be transudative, no signs of SBP in ascitic fluid. Renal function worsening with poor urine output. Following discussions with family patient transitioned to DNR/DNI. He was transitioned to comfort care 11/26 and pronounced deceased at 2110 11/26/23
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, Procalcitonin normal, Prohormone brain natriuretic peptide increased, Pulmonary congestion
Clinical narrative: COVID+ 11/24/22.  Vaccination status - pfizer x4 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: MD Admission Date: 11/24/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Chronic bilateral pleural effusions 11/25/2022 Yes ? Open wound of dorsum of foot 11/25/2022 Unknown ? Counseling regarding advance care planning and goals of care 11/25/2022 Unknown ? Septic shock 11/24/2022 Yes ? COVID-19 virus infection 11/24/2022 Yes ? Anasarca 11/24/2022 Yes ? Open wound of left foot 11/24/2022 Yes ? Acute respiratory failure with hypoxia and hypercapnia 11/24/2022 Yes ? Medication induced coagulopathy 11/24/2022 Yes ? AKI (acute kidney injury)    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Septic shock    HOSPITAL COURSE: 78 y/o male with past medical history significant for HTN, Afib for which he is on Coumadin s/p pacemaker placement, PVD. He presented to ED 11/24 with one week history of weakness and recent falls. Family was unable to get him out of bed and called EMS. In the ED, patient denied any focal complaints but it was noted that 2 of his family members with whom he lives recently tested positive for COVID. Of note, patient has been recently treated with antibiotics for a foot infection.    Upon arrival to ED, patient was noted to be hypothermic/hypotensive/hypoxic. His oxygen requirements quickly escalated to requiring HFNC. Initial gas noted to be 7.27/66.5/145.2. Labs were notable for AKI with a Cr of 1.92 (baseline around 1-1.2), pro-bnp of 4663, initial troponin of 69, LA-2.7 which subsequently normalized to 1.9, normal PCT, and WBC-3.56. INR was elevated at >8 with stable Hg of 15 and no reported bleeding. COVID (+). UA unremarkable. EKG demonstrated ventricular paced rhythm with prolonged Qtc. CTH was negative for any acute abnormalities. CXR showed cardiomegaly with pulmonary vascular congestion as well as bilateral pleural effusions and patchy midlung opacities. Right basilar atelectasis or PNA was also reported. Patient was ultimately transitioned to Bipap with improvement in his respiratory status. Patient was given 250 ml of IVFs and then transitioned to NE gtt due to concerns of fluid overload. He additionally received Rocephin, Doxycycline, 10 mg of IV decadron, 40 mg IV lasix, and 2.5 mg PO of Vitamin K. He was then transferred to ICU for further care.   CT thorax 11/24 with bilateral pleural effusions, partially loculated. INR reversed and patient received left sided thoracentesis with right pleural drain. IR also performed diagnostic paracentesis for noted ascites on CT. Pleural fluid noted to be transudative, no signs of SBP in ascitic fluid. Renal function worsening with poor urine output. Following discussions with family patient transitioned to DNR/DNI. He was transitioned to comfort care 11/26 and pronounced deceased at 2110 11/26/23
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment, Respiratory failure, SARS-CoV-2 test positive, Septic shock, Thoracic cavity drainage
Clinical narrative: COVID+ 11/24/22.  Vaccination status - pfizer x4 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: MD Admission Date: 11/24/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Chronic bilateral pleural effusions 11/25/2022 Yes ? Open wound of dorsum of foot 11/25/2022 Unknown ? Counseling regarding advance care planning and goals of care 11/25/2022 Unknown ? Septic shock 11/24/2022 Yes ? COVID-19 virus infection 11/24/2022 Yes ? Anasarca 11/24/2022 Yes ? Open wound of left foot 11/24/2022 Yes ? Acute respiratory failure with hypoxia and hypercapnia 11/24/2022 Yes ? Medication induced coagulopathy 11/24/2022 Yes ? AKI (acute kidney injury)    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Septic shock    HOSPITAL COURSE: 78 y/o male with past medical history significant for HTN, Afib for which he is on Coumadin s/p pacemaker placement, PVD. He presented to ED 11/24 with one week history of weakness and recent falls. Family was unable to get him out of bed and called EMS. In the ED, patient denied any focal complaints but it was noted that 2 of his family members with whom he lives recently tested positive for COVID. Of note, patient has been recently treated with antibiotics for a foot infection.    Upon arrival to ED, patient was noted to be hypothermic/hypotensive/hypoxic. His oxygen requirements quickly escalated to requiring HFNC. Initial gas noted to be 7.27/66.5/145.2. Labs were notable for AKI with a Cr of 1.92 (baseline around 1-1.2), pro-bnp of 4663, initial troponin of 69, LA-2.7 which subsequently normalized to 1.9, normal PCT, and WBC-3.56. INR was elevated at >8 with stable Hg of 15 and no reported bleeding. COVID (+). UA unremarkable. EKG demonstrated ventricular paced rhythm with prolonged Qtc. CTH was negative for any acute abnormalities. CXR showed cardiomegaly with pulmonary vascular congestion as well as bilateral pleural effusions and patchy midlung opacities. Right basilar atelectasis or PNA was also reported. Patient was ultimately transitioned to Bipap with improvement in his respiratory status. Patient was given 250 ml of IVFs and then transitioned to NE gtt due to concerns of fluid overload. He additionally received Rocephin, Doxycycline, 10 mg of IV decadron, 40 mg IV lasix, and 2.5 mg PO of Vitamin K. He was then transferred to ICU for further care.   CT thorax 11/24 with bilateral pleural effusions, partially loculated. INR reversed and patient received left sided thoracentesis with right pleural drain. IR also performed diagnostic paracentesis for noted ascites on CT. Pleural fluid noted to be transudative, no signs of SBP in ascitic fluid. Renal function worsening with poor urine output. Following discussions with family patient transitioned to DNR/DNI. He was transitioned to comfort care 11/26 and pronounced deceased at 2110 11/26/23
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin, Urine analysis normal, Urine output decreased, White blood cell count decreased, Wound
Clinical narrative: COVID+ 11/24/22.  Vaccination status - pfizer x4 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: MD Admission Date: 11/24/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Chronic bilateral pleural effusions 11/25/2022 Yes ? Open wound of dorsum of foot 11/25/2022 Unknown ? Counseling regarding advance care planning and goals of care 11/25/2022 Unknown ? Septic shock 11/24/2022 Yes ? COVID-19 virus infection 11/24/2022 Yes ? Anasarca 11/24/2022 Yes ? Open wound of left foot 11/24/2022 Yes ? Acute respiratory failure with hypoxia and hypercapnia 11/24/2022 Yes ? Medication induced coagulopathy 11/24/2022 Yes ? AKI (acute kidney injury)    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Septic shock    HOSPITAL COURSE: 78 y/o male with past medical history significant for HTN, Afib for which he is on Coumadin s/p pacemaker placement, PVD. He presented to ED 11/24 with one week history of weakness and recent falls. Family was unable to get him out of bed and called EMS. In the ED, patient denied any focal complaints but it was noted that 2 of his family members with whom he lives recently tested positive for COVID. Of note, patient has been recently treated with antibiotics for a foot infection.    Upon arrival to ED, patient was noted to be hypothermic/hypotensive/hypoxic. His oxygen requirements quickly escalated to requiring HFNC. Initial gas noted to be 7.27/66.5/145.2. Labs were notable for AKI with a Cr of 1.92 (baseline around 1-1.2), pro-bnp of 4663, initial troponin of 69, LA-2.7 which subsequently normalized to 1.9, normal PCT, and WBC-3.56. INR was elevated at >8 with stable Hg of 15 and no reported bleeding. COVID (+). UA unremarkable. EKG demonstrated ventricular paced rhythm with prolonged Qtc. CTH was negative for any acute abnormalities. CXR showed cardiomegaly with pulmonary vascular congestion as well as bilateral pleural effusions and patchy midlung opacities. Right basilar atelectasis or PNA was also reported. Patient was ultimately transitioned to Bipap with improvement in his respiratory status. Patient was given 250 ml of IVFs and then transitioned to NE gtt due to concerns of fluid overload. He additionally received Rocephin, Doxycycline, 10 mg of IV decadron, 40 mg IV lasix, and 2.5 mg PO of Vitamin K. He was then transferred to ICU for further care.   CT thorax 11/24 with bilateral pleural effusions, partially loculated. INR reversed and patient received left sided thoracentesis with right pleural drain. IR also performed diagnostic paracentesis for noted ascites on CT. Pleural fluid noted to be transudative, no signs of SBP in ascitic fluid. Renal function worsening with poor urine output. Following discussions with family patient transitioned to DNR/DNI. He was transitioned to comfort care 11/26 and pronounced deceased at 2110 11/26/23
Age: 67.0
Sex: M
Vaccine: COVID19-2, UNK
Symptoms: Cough, Headache, Lethargy, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: Headache , Sinus infection , cough , lethargy , sore throat
Age: 67.0
Sex: M
Vaccine: COVID19-2, UNK
Symptoms: Sinusitis
Clinical narrative: Headache , Sinus infection , cough , lethargy , sore throat
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Body temperature increased, COVID-19, Fatigue, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: About three weeks after receiving the Pfizer Bivalent vaccine, I started having symptoms of a very sore throat, low-grade temperature, runny nose, exhaustion and sinus headache. I called my doctor after testing positive for Covid-19, and I was prescribed Paxlovid. I started taking Paxlovid the day after testing positive and after the third day, my symptoms started to go away. The last symptom to go away was the sore throat and that went away around day five. Nine days after completing Paxlovid, I started to experience a low-grade temperature, headache, runny nose, exhaustion and sinus issues. I tested positive for Covid-19 again. I called my doctor and told him that I tested positive again, but he did not prescribe any medication this time. Around three days after the second positive test, the symptoms started to resolve. The alone symptom that hung around for a while was fatigue.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinus headache
Clinical narrative: About three weeks after receiving the Pfizer Bivalent vaccine, I started having symptoms of a very sore throat, low-grade temperature, runny nose, exhaustion and sinus headache. I called my doctor after testing positive for Covid-19, and I was prescribed Paxlovid. I started taking Paxlovid the day after testing positive and after the third day, my symptoms started to go away. The last symptom to go away was the sore throat and that went away around day five. Nine days after completing Paxlovid, I started to experience a low-grade temperature, headache, runny nose, exhaustion and sinus issues. I tested positive for Covid-19 again. I called my doctor and told him that I tested positive again, but he did not prescribe any medication this time. Around three days after the second positive test, the symptoms started to resolve. The alone symptom that hung around for a while was fatigue.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Bed sharing, Cough, Headache, Laryngitis, Malaise
Clinical narrative: I contracted COVID-19 on 10/20/22 with symptoms of headache, sore throat, laryngitis, fever, cough, and congestion. I was prescribed PAXLOVID on 10/22/22. I was ill for 5 days before my symptoms began to abate. I am still experiencing a lingering cough and sore throat.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 10/20/22 with symptoms of headache, sore throat, laryngitis, fever, cough, and congestion. I was prescribed PAXLOVID on 10/22/22. I was ill for 5 days before my symptoms began to abate. I am still experiencing a lingering cough and sore throat.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash
Clinical narrative: A day after flu vaccine pt noticed a rash at injection site.  She is doing ok and I instructed her to call md if symptoms gets any worse today or tomorrow.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Monovalent instead of Bivalent.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Monovalent instead of bivalent
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Monovalent instead of bivalent
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blister, Fatigue, Lichen planus, Pyrexia
Clinical narrative: I had a slight fever for about three hours after the vaccine with pain and swelling under arm and fatigue. On 12/01/2021, started having water blisters all over my body. I went to my primary care doctor, and I tried several different topical creams to help with my symptoms. I was referred to a dermatologist and was recently diagnosed with Lichen planus. I will be starting an oral steroid and ultraviolet therapy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: I had a slight fever for about three hours after the vaccine with pain and swelling under arm and fatigue. On 12/01/2021, started having water blisters all over my body. I went to my primary care doctor, and I tried several different topical creams to help with my symptoms. I was referred to a dermatologist and was recently diagnosed with Lichen planus. I will be starting an oral steroid and ultraviolet therapy.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of Bivalent
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead bivalent
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead bivalent
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 4.0
Sex: M
Vaccine: COVID19, DTAPIPV, FLU4, MMRV
Symptoms: Ear swelling, Erythema, Eye swelling, Lip swelling, Oropharyngeal pain
Clinical narrative: 5 mins after receiving vaccines patient reported his throat was "hurting" his neck at skin was red and itchy. He was obsereved in the office for 20 mins and symptoms resolved. Within an hour of recieving the vaccines, when family was back at home, his eyes/ears/lips were swollen, he had widespread hives from head to toe and his body was bright red per mother. Mom took patient to the ED where they administered Benadryl and observed patient for 3 hours. Patient is doing well today.
Age: 4.0
Sex: M
Vaccine: COVID19, DTAPIPV, FLU4, MMRV
Symptoms: Pruritus, Urticaria
Clinical narrative: 5 mins after receiving vaccines patient reported his throat was "hurting" his neck at skin was red and itchy. He was obsereved in the office for 20 mins and symptoms resolved. Within an hour of recieving the vaccines, when family was back at home, his eyes/ears/lips were swollen, he had widespread hives from head to toe and his body was bright red per mother. Mom took patient to the ED where they administered Benadryl and observed patient for 3 hours. Patient is doing well today.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Cough, Exercise tolerance decreased, Headache
Clinical narrative: I started with a slight sore throat and then I also had a headache. It was a bad headache. I started getting congestion as time progressed with my sinuses. My wife said to test and I was positive. We were driving to see family but halfway through we stopped and went back home. It moved a bit into my chest and I had some general weakness. It was mainly those symptoms that day. I went to the urgent care on the way home and was prescribed PAXLOVID. They also gave me benzonatate for a cough. I used throat lozenges as well and I contacted my daughter who is a physician and she told me to take MUCINEX as well. It took the pressure off my sinuses. We continued two more days traveling home and the headaches continued and the sore throat. Four days into the infection, I used chloraseptic throat spray. I only took two of the pills for coughing because I didn't cough too much. I had a lot of congestion. I took ROBITUSSIN DM each night. Each day got progressively less as far as the headache. I do still have a lot of build up in my sinuses. As soon as I wake up in the morning, my sinuses are typically full. I no longer have a headache or sore throat. I do experience some weakness resulting from any exercise. We can't figure out where or how I ended up with COVID-19. I would say I'm 95% recovered, but still dealing with the sinus issues. I still do not feel 100%.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Paranasal sinus discomfort, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I started with a slight sore throat and then I also had a headache. It was a bad headache. I started getting congestion as time progressed with my sinuses. My wife said to test and I was positive. We were driving to see family but halfway through we stopped and went back home. It moved a bit into my chest and I had some general weakness. It was mainly those symptoms that day. I went to the urgent care on the way home and was prescribed PAXLOVID. They also gave me benzonatate for a cough. I used throat lozenges as well and I contacted my daughter who is a physician and she told me to take MUCINEX as well. It took the pressure off my sinuses. We continued two more days traveling home and the headaches continued and the sore throat. Four days into the infection, I used chloraseptic throat spray. I only took two of the pills for coughing because I didn't cough too much. I had a lot of congestion. I took ROBITUSSIN DM each night. Each day got progressively less as far as the headache. I do still have a lot of build up in my sinuses. As soon as I wake up in the morning, my sinuses are typically full. I no longer have a headache or sore throat. I do experience some weakness resulting from any exercise. We can't figure out where or how I ended up with COVID-19. I would say I'm 95% recovered, but still dealing with the sinus issues. I still do not feel 100%.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Muscular weakness
Clinical narrative: Hospitalization for primarily bilateral lower extremity weakness and also COVID-19 symptoms on dates 11/11/22- 11/16/22. Treated with dexamethasone, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Pain to the large muscles (legs, back, neck) and joints about 16 hours after injection. Overall fatigue and headache about 18 hours after. I took two 325mg aspirin for the headache, which only slightly helped.  About 24 hours after the injection, the symptoms continued and now included chills.  36 hours after the injection, the symptoms continued and I took Oscillococcinum, which slightly helped.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Guillain-Barre syndrome
Clinical narrative: guillain barre syndrome
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Anxiety, Cognitive disorder, Feeling abnormal, Memory impairment
Clinical narrative: I felt extremely agitated and unsettled for several days after this shot. Increased anxiety and agitation. Not normal! Eventually that subsided but I have had cognitive lapses/forgetfulness and brainfog to a greater extent since my vaccination. I also contracted Omicron  January 2 of 2022.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Feeling abnormal, Insomnia, Pain, Pyrexia
Clinical narrative: I had a fever for a couple of days with achiness. I could not sleep, with an associated cough. I also experienced brain fog for a while.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: I had a fever for a couple of days with achiness. I could not sleep, with an associated cough. I also experienced brain fog for a while.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 55.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Pt reports redness and swelling of entire right arm on 10/15. Pt went to local ED for evaluation and treatment. Pt reports redness "followed the lymph nodes of the right arm up to shoulder and neck area". Pt treated with IV abx and was prescribed oral abx upon discharge of visit.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received extra primary dose of Pediatric Pfizer Lot#: FT1551 instead of Pfizer Bivalent as booster. No adverse reactions. Parents notified and informed pt. qualifies for bivalent dose if desired in 2-3 months from today. All questions and concerns addressed.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea
Clinical narrative: Hospitalization for shortness of breath due to COVID-19 on dates 11/15/22- 11/24/22. Treated with dexamethasone, vitamin D 25 mcg PO daily
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Haemorrhage intracranial, SARS-CoV-2 test positive, Spinal compression fracture
Clinical narrative: Pt was a transfer from Hospital with an intracranial bleed as well as compression fracture of T10 and L4-L5. Pt was found to be COVID positive with no symptoms present.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Expired product administered
Clinical narrative: The patient was brought in for routine vaccinations on 11/29/2022. Pt was due for a Pediarix vaccine, it was administered on 11/29/2022 at 4:00 pm on the pts right thigh. The expiration date of the vaccines was on 11/28/2022.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fibrin D dimer, Gait disturbance, Mobility decreased, Pain in extremity
Clinical narrative: I woke up at 5AM with pain in my outer left thigh and swelling. The pain would subside when walking or moving around and increase when sitting down. By 6PM I was limping and swollen from my toes to my belly button, I went to the ER which could not admit me due to the beds being full with COVID-19 patients, a blood profile was done which was inconclusive so I was told to follow up with my doctor as soon as possible. I woke up that night at 2:30AM with my left side so swollen I could not get out of bed and when I did or was able to get out of bed I was unable to use my left leg. I went to a Vascular specialist who performed an Ultrasound where a blood clot was discovered.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Sleep disorder, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: I woke up at 5AM with pain in my outer left thigh and swelling. The pain would subside when walking or moving around and increase when sitting down. By 6PM I was limping and swollen from my toes to my belly button, I went to the ER which could not admit me due to the beds being full with COVID-19 patients, a blood profile was done which was inconclusive so I was told to follow up with my doctor as soon as possible. I woke up that night at 2:30AM with my left side so swollen I could not get out of bed and when I did or was able to get out of bed I was unable to use my left leg. I went to a Vascular specialist who performed an Ultrasound where a blood clot was discovered.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 15.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Abdominal pain upper, Chest pain, Fatigue, Headache, Nausea
Clinical narrative: Symptoms started morning of 11/29/22 and most are still  happening. Vaccine was taken 11/27/22. She is experiencing a very bad headache that won't go away unless sleeping, body aches & pain, sore throat, tiredness,  nausea, stomach pain, random stabbing pains in her chest.
Age: 15.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: Symptoms started morning of 11/29/22 and most are still  happening. Vaccine was taken 11/27/22. She is experiencing a very bad headache that won't go away unless sleeping, body aches & pain, sore throat, tiredness,  nausea, stomach pain, random stabbing pains in her chest.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dyspepsia, Ultrasound abdomen
Clinical narrative: On 11/18/2022 begin with abdominal pain; heartburn; abdominal pain lasted through the 11/20/2022; heart burn continued until doctors office visit on 11/22/2022; prescribed PRILOSEC, symptoms subsided shortly after.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pfizer Bivalent was given as dose 1 primary vaccine.  No s/sx occured.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac disorder, Fatigue, Heart rate irregular
Clinical narrative: I experienced heart problems they are having problems getting my heart on regular beat and tiredness.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 5.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Covid Bilvalent 5-11 vaccine was given as first dose of COVID vaccine. Monovalent version should have been given. No adverse reactions in office. Pt was monitored for 15 minutes.
Age: 1.08
Sex: M
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Injection site pruritus, Papule, Pyrexia, Tremor
Clinical narrative: fevers with shaking (unlikely seizures based on description) followed by itching at site of injection and diffusely scattered papules
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Fibrin D dimer increased, Inflammation, Red blood cell sedimentation rate, Troponin increased
Clinical narrative: Inflammation, high troponin, high d dimer, CRP and Sed rate
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac arrest, Cardioversion, Catheterisation cardiac, Computerised tomogram, Implantable defibrillator insertion
Clinical narrative: After vaccination on  Oct.  14,   without any warning signs,  On Oct. 18  at 8 am   I suffered cardiac arrest  while still in bed.  My husband called 911 and performed CPR.  Paramedics shocked me 3 times, transported me to the hospital where I was again unresponsive and revived.    I spent 9 days in the hospital.  I was released  Oct.  26  to go home.  I have
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Magnetic resonance imaging, Resuscitation, Unresponsive to stimuli
Clinical narrative: After vaccination on  Oct.  14,   without any warning signs,  On Oct. 18  at 8 am   I suffered cardiac arrest  while still in bed.  My husband called 911 and performed CPR.  Paramedics shocked me 3 times, transported me to the hospital where I was again unresponsive and revived.    I spent 9 days in the hospital.  I was released  Oct.  26  to go home.  I have
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Fatigue, Headache, Rhinorrhoea
Clinical narrative: 11/22 mid day I began having cough, runny nose, headache fatigue. 11/23 symptoms stayed consistent but tested that evening to see if it was COVID-19 and I was positive. 11/26 I was able to reach the on call physician and was prescribed PAXLOVID and began taking it that evening. Symptoms didn't seem to begin improving until today 11/30 and I am beginning to feel better.
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 11/22 mid day I began having cough, runny nose, headache fatigue. 11/23 symptoms stayed consistent but tested that evening to see if it was COVID-19 and I was positive. 11/26 I was able to reach the on call physician and was prescribed PAXLOVID and began taking it that evening. Symptoms didn't seem to begin improving until today 11/30 and I am beginning to feel better.
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 3/4/21 Lot# 030A21A; Moderna 4/1/21 Lot# 025B21A;  Moderna 12/1/21 Lot# 013F21A;  Moderna 10/27/22 Lot# 14H22A
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of bivalent
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered a Pfizer Bivalent booster instead of the monovalent primary dose for his second dose.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Unknown type 3/19/21 Lot# 046A21A;  Moderna 4/16/21 Lot# 043B21A;  Moderna 2/8/22 LOt# 016J21-2A
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT REPORTED, PATIENT WAS ADMINISTERED THE VACCINE WHICH HAD EXPIRED BY 2 DAYS
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 1 Janssen vaccine
Age: 6.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Underdose
Clinical narrative: Patient 6 y/o received wrong dose Pfizer vaccine; patient received six months to four years old Pfizer vaccine.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given a Moderna bivalent booster instead of a Moderna monovalent primary dose for the first dose.
Age: 64.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Oropharyngeal pain
Clinical narrative: I tested positive for COVID-19 on 11/23/22. I had a sore throat, congestion, difficulty breathing, a terrible headache, and a terrible cough. I was prescribed Prednisone and Paxlovid. I am feeling much better, but I am still dealing with most of the symptoms.
Age: 64.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 11/23/22. I had a sore throat, congestion, difficulty breathing, a terrible headache, and a terrible cough. I was prescribed Prednisone and Paxlovid. I am feeling much better, but I am still dealing with most of the symptoms.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong product administered
Clinical narrative: I went in and had a confirmed appointment for a COVID -19 Updated Booster Pfizer, and instead was accidentally given Boostrix. This booster was for work, and my deadline was 1st of December. Now that I have been given the wrong vaccination, I am not sure if I can mix it with the covid booster. This pharmacy seemed to be understaffed.