chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypoxia, Inflammatory marker test, Influenza virus test negative, Insomnia
Clinical narrative: Patient vaccinated 7/12/2021,  admitted 7/31/2021 tested positive for COVID 7/31/2021 Discharged home 8/9/2021  Hospitalization Admit Date/Time: 7/31/2021  6:06 PM Discharge Date: 08/09/21  PCP name and Address:  No primary care provider on file. No primary physician on file. Referring provider name and address:  No referring provider defined for this encounter.   Chief Concern, Brief History of Present Illness, and Hospital Course organized by problem:  Patient is a 58 y/o male with a PMH of hyperlipidemia who presented to ED on 7/31 for dyspnea.  On arrival, the patient had O2 sats: 84% on room air.  The patient endorsed a dry cough and diarrhea for approximately 1 week. He also started having a fever 3-4 days prior to admission with a Tmax: 101F, decreased appetite, generalized weakness, and decreased sleep.  The patient went to an outpatient clinic and tested negative for COVID and flu at that time.  He reports receiving the Johnson and Johnson COVID vaccine 3 weeks ago.  The patient was tested for COVID-19 at Hospital and tested positive. It is important to note the patient was diagnosed with pneumonia around 1 month ago due to worsening cough; however, no chest x-ray was obtained at that time.    Acute hypoxic respiratory failure 2/2 COVID-19 pneumonia - Presented with one week of symptoms, tested positive in ED on 7/31 - Received Johnson and Johnson vaccine 7/12/2021 - He required HFNC for appropriate oxygenation and was originally admitted to hospital medicine, but on 8/2/21 had to be transferred to MICU due to increasing O2 requirement - He finished 5 day course of remdesivir on 8/4/21 - He received dose of tocilizumab 800mg on 8/2/21 due to worsening hypoxia - He finished 10 day course of dexamethasone on 8/9/21 - Inflammatory markers including ferritin, CRP, d-dimer appropriately decreased towards normal - Pt was weaned to nasal cannula and transferred out of the ICU on 8/4/21. He was further weaned to 2L via NC with goal to maintain SpO2 > 92%  - Walk test prior to discharged showed very minimal decrease in SpO2 with fast recovery when at rest - He will be discharged on home oxygen.    Mild Transaminitis  - Possibly related to COVID-19 infection, and possibly relation to tocilizumab and remdesivir - ALT now normalized and AST improved and close to normal   Hyperglycemia  - Steroid induced - HgbA1c 5.8% in June 2021  - Glucose appropriate prior to discharge
Sex: U
Vaccine: COVID19
Symptoms: Intensive care, Lung opacity, Oxygen saturation decreased, Pneumonia, Pyrexia
Clinical narrative: Patient vaccinated 7/12/2021,  admitted 7/31/2021 tested positive for COVID 7/31/2021 Discharged home 8/9/2021  Hospitalization Admit Date/Time: 7/31/2021  6:06 PM Discharge Date: 08/09/21  PCP name and Address:  No primary care provider on file. No primary physician on file. Referring provider name and address:  No referring provider defined for this encounter.   Chief Concern, Brief History of Present Illness, and Hospital Course organized by problem:  Patient is a 58 y/o male with a PMH of hyperlipidemia who presented to ED on 7/31 for dyspnea.  On arrival, the patient had O2 sats: 84% on room air.  The patient endorsed a dry cough and diarrhea for approximately 1 week. He also started having a fever 3-4 days prior to admission with a Tmax: 101F, decreased appetite, generalized weakness, and decreased sleep.  The patient went to an outpatient clinic and tested negative for COVID and flu at that time.  He reports receiving the Johnson and Johnson COVID vaccine 3 weeks ago.  The patient was tested for COVID-19 at Hospital and tested positive. It is important to note the patient was diagnosed with pneumonia around 1 month ago due to worsening cough; however, no chest x-ray was obtained at that time.    Acute hypoxic respiratory failure 2/2 COVID-19 pneumonia - Presented with one week of symptoms, tested positive in ED on 7/31 - Received Johnson and Johnson vaccine 7/12/2021 - He required HFNC for appropriate oxygenation and was originally admitted to hospital medicine, but on 8/2/21 had to be transferred to MICU due to increasing O2 requirement - He finished 5 day course of remdesivir on 8/4/21 - He received dose of tocilizumab 800mg on 8/2/21 due to worsening hypoxia - He finished 10 day course of dexamethasone on 8/9/21 - Inflammatory markers including ferritin, CRP, d-dimer appropriately decreased towards normal - Pt was weaned to nasal cannula and transferred out of the ICU on 8/4/21. He was further weaned to 2L via NC with goal to maintain SpO2 > 92%  - Walk test prior to discharged showed very minimal decrease in SpO2 with fast recovery when at rest - He will be discharged on home oxygen.    Mild Transaminitis  - Possibly related to COVID-19 infection, and possibly relation to tocilizumab and remdesivir - ALT now normalized and AST improved and close to normal   Hyperglycemia  - Steroid induced - HgbA1c 5.8% in June 2021  - Glucose appropriate prior to discharge
Sex: U
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Serum ferritin, Total lung capacity decreased, Transaminases increased, Walking distance test
Clinical narrative: Patient vaccinated 7/12/2021,  admitted 7/31/2021 tested positive for COVID 7/31/2021 Discharged home 8/9/2021  Hospitalization Admit Date/Time: 7/31/2021  6:06 PM Discharge Date: 08/09/21  PCP name and Address:  No primary care provider on file. No primary physician on file. Referring provider name and address:  No referring provider defined for this encounter.   Chief Concern, Brief History of Present Illness, and Hospital Course organized by problem:  Patient is a 58 y/o male with a PMH of hyperlipidemia who presented to ED on 7/31 for dyspnea.  On arrival, the patient had O2 sats: 84% on room air.  The patient endorsed a dry cough and diarrhea for approximately 1 week. He also started having a fever 3-4 days prior to admission with a Tmax: 101F, decreased appetite, generalized weakness, and decreased sleep.  The patient went to an outpatient clinic and tested negative for COVID and flu at that time.  He reports receiving the Johnson and Johnson COVID vaccine 3 weeks ago.  The patient was tested for COVID-19 at Hospital and tested positive. It is important to note the patient was diagnosed with pneumonia around 1 month ago due to worsening cough; however, no chest x-ray was obtained at that time.    Acute hypoxic respiratory failure 2/2 COVID-19 pneumonia - Presented with one week of symptoms, tested positive in ED on 7/31 - Received Johnson and Johnson vaccine 7/12/2021 - He required HFNC for appropriate oxygenation and was originally admitted to hospital medicine, but on 8/2/21 had to be transferred to MICU due to increasing O2 requirement - He finished 5 day course of remdesivir on 8/4/21 - He received dose of tocilizumab 800mg on 8/2/21 due to worsening hypoxia - He finished 10 day course of dexamethasone on 8/9/21 - Inflammatory markers including ferritin, CRP, d-dimer appropriately decreased towards normal - Pt was weaned to nasal cannula and transferred out of the ICU on 8/4/21. He was further weaned to 2L via NC with goal to maintain SpO2 > 92%  - Walk test prior to discharged showed very minimal decrease in SpO2 with fast recovery when at rest - He will be discharged on home oxygen.    Mild Transaminitis  - Possibly related to COVID-19 infection, and possibly relation to tocilizumab and remdesivir - ALT now normalized and AST improved and close to normal   Hyperglycemia  - Steroid induced - HgbA1c 5.8% in June 2021  - Glucose appropriate prior to discharge
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Tenderness
Clinical narrative: Approximately 2 to 3 weeks after the vaccination I started to experience a tingling/numbness in my ring and pinky fingers on my left hand, along with a tenderness and strange feeling in my "funny bone" area of my left elbow.  Pressure on this elbow area would resulting in an uncomfortable (not pain) feeling down through to my two effected fingers.  The tingling in the fingers is mostly in the end of the finger, the last bone sections.  I did not originally suspect that the vaccine could be  linked to the tingling feeling; however, after speaking to a friend 2 months after the vaccine, he informed me that he has very similar tingling in his fingers.  After hearing this, and still experiencing the tingling to this day, I thought it would be a good idea to report the situation.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: ON MAY 20, 2021 HE RECEIVED THE FIRST DOSE BY MODERNA LOT NUMBER 036C21A FROM A LOCAL DRUG STORE. ON 8/26/21 HE WAS AT A LOCAL NURSING HOME THAT WE WENT TO AND HE WAS GIVING PFIZER BRAND VACCINE.  THE NURSING SUPERVISOR IS AWARE OF THIS, AND UNDERSTANDS THAT THE SERIES IS COMPLETE.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Insomnia, Pyrexia
Clinical narrative: I had a low grade fever, tightness in my chest, very stuffy and clogged head, and very congested. I had a dry cough, the first few nights I had sleeplessness. I was told by nurse to use my nebulizer 2 times a day. At end of virus was when my asthma acted up.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I had a low grade fever, tightness in my chest, very stuffy and clogged head, and very congested. I had a dry cough, the first few nights I had sleeplessness. I was told by nurse to use my nebulizer 2 times a day. At end of virus was when my asthma acted up.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Pain in extremity, Sleep disorder, Swelling
Clinical narrative: I have a lot of pain in arm, at night I started with inflammation and woke up with swelling on left chest.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid Vaccine PFIZER given  3/25/21 AND  4/16/21 . Patient admitted to Floor bed Covid Positive 8/29/2021
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Electrocardiogram abnormal, Eye pruritus, Hypersensitivity
Clinical narrative: At 3pm on 08/09/2021 I started feeling very nauseous out of no where. I then started having severe allergic symptoms itchy eyes running nose severe sneezing , I thought I was having some type of odd allergic reaction, I then went home from work at apprx 6pm and took Benadryl. It started getting better at at apprx 9:30pm I started having severe heart palpitations. I did an EKG on my watch and was in AFIB, with a HR of 146. My son took me to the ER which confirmed this was AFIB RVR, I was admitted on the next morning.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Rhinorrhoea, Sneezing
Clinical narrative: At 3pm on 08/09/2021 I started feeling very nauseous out of no where. I then started having severe allergic symptoms itchy eyes running nose severe sneezing , I thought I was having some type of odd allergic reaction, I then went home from work at apprx 6pm and took Benadryl. It started getting better at at apprx 9:30pm I started having severe heart palpitations. I did an EKG on my watch and was in AFIB, with a HR of 146. My son took me to the ER which confirmed this was AFIB RVR, I was admitted on the next morning.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna on 2/12 and 3/12. Positive on 8/27 admitted 8/27 to current
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blister, Herpes zoster, Myalgia, Rash
Clinical narrative: Diagnosed with shingles. Muscle aches, skin sensitivity, aggravating back pain, itchy/painful rash with blisters on chest and back. Given an antiviral, pain medication, and steroid. Lasted 2 weeks.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Sensitive skin
Clinical narrative: Diagnosed with shingles. Muscle aches, skin sensitivity, aggravating back pain, itchy/painful rash with blisters on chest and back. Given an antiviral, pain medication, and steroid. Lasted 2 weeks.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen on 5/5. Positive on 8/26 ADMITTED 8/24 TO CURRENT
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Heart rate irregular
Clinical narrative: Shortness of Breath, irregular heart beat, chest pain and slowing of heart beat. it's been ongoing since the vaccine it is not as bad now with rest but I still get the the irregular heart beat
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer on 4/21 and 5/12. Positive on 8/27 admitted on 8/28 to current
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness bilateral, Ear congestion, Ear pain, Hypoacusis
Clinical narrative: I have greatly reduced hearing in both ears that has persisted for over 10 days. Feeling of fullness/pressure in the ears, throbbing pain in both ears at times, and generally muffled sounds. I can?t ?pop? my ears like I?ve been able to do my entire life.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna on 1/12 and 2/5. Positive on 8/24 admitted 8/28 to current
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna on 2/25 and 3/26. Positive on 8/22 admited 8/27 to current
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Decreased appetite
Clinical narrative: Fever, chills, cough, sore throat, no appetite, general feeling of "feeling unwell", watery diarrhea, weakness, fatigue, malaise
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Fatigue, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, chills, cough, sore throat, no appetite, general feeling of "feeling unwell", watery diarrhea, weakness, fatigue, malaise
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Fever, chills, cough, sore throat, no appetite, general feeling of "feeling unwell", watery diarrhea, weakness, fatigue, malaise
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen on 3/10. Positive on 8/21 admitted 8/28 to current
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Condition aggravated, Electrocardiogram normal, Heart rate increased, Palpitations
Clinical narrative: I did not have any adverse event after the 1st dose, only with the 2nd dose. It started 2 weeks after the 2nd dose. I started to wake up at 4am and with loud pounding heart beats and my heart beating fast and unable to fall back to sleep. I did make an appointment with my cardiologist and they did an EKG, which came back normal. I just continued taking my propranolol and was instructed to increase from once a day to twice a day if needed. The increase in the dosage of propranolol did help but it has not resolve my arrythmias. I recently had a dental appointment, which was stressful for me, I had another episode at the dental appointment. From that time on, my arrythmias have been constant and increasing. I have noticed that stressful events or if I am exerting myself can exacerbate an episode. I am having arrythmias that last several days several times a month. I have noticed the frequency is increasing at the moment.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: I did not have any adverse event after the 1st dose, only with the 2nd dose. It started 2 weeks after the 2nd dose. I started to wake up at 4am and with loud pounding heart beats and my heart beating fast and unable to fall back to sleep. I did make an appointment with my cardiologist and they did an EKG, which came back normal. I just continued taking my propranolol and was instructed to increase from once a day to twice a day if needed. The increase in the dosage of propranolol did help but it has not resolve my arrythmias. I recently had a dental appointment, which was stressful for me, I had another episode at the dental appointment. From that time on, my arrythmias have been constant and increasing. I have noticed that stressful events or if I am exerting myself can exacerbate an episode. I am having arrythmias that last several days several times a month. I have noticed the frequency is increasing at the moment.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen on 3/23. Positive on 8/28 admitted 8/29 to current
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac failure congestive, Cardioversion, Catheterisation cardiac abnormal, Condition aggravated
Clinical narrative: A few weeks after the vaccine I developed extreme SOB w/ exertion and a terrible cough causing more SOB. It got so bad that on 5/25 I went to ER (Hospital) where I was admitted for 4 days. A Cardiac Cath was done and daily injections of Lasix were given to get the fluid off. 7/9 a cardio version was scheduled and it worked, but during the night my SOB got worse and my O2 sat went down to 80 causing me to go back into A-Fib. And early in the morning on 7/11 I went back to the ER because the SOB got worse and the cough just wouldn't stop and Pulmonary Edema and CHF were diagnosed at that time. In July I had a consultation with a Pulmonologist who performed a Pulmonary function test. And visited with him last week and he thinks I have Pulmonary Fibrosis.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal, Fluid retention
Clinical narrative: A few weeks after the vaccine I developed extreme SOB w/ exertion and a terrible cough causing more SOB. It got so bad that on 5/25 I went to ER (Hospital) where I was admitted for 4 days. A Cardiac Cath was done and daily injections of Lasix were given to get the fluid off. 7/9 a cardio version was scheduled and it worked, but during the night my SOB got worse and my O2 sat went down to 80 causing me to go back into A-Fib. And early in the morning on 7/11 I went back to the ER because the SOB got worse and the cough just wouldn't stop and Pulmonary Edema and CHF were diagnosed at that time. In July I had a consultation with a Pulmonologist who performed a Pulmonary function test. And visited with him last week and he thinks I have Pulmonary Fibrosis.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary fibrosis, Pulmonary function test abnormal, Pulmonary oedema
Clinical narrative: A few weeks after the vaccine I developed extreme SOB w/ exertion and a terrible cough causing more SOB. It got so bad that on 5/25 I went to ER (Hospital) where I was admitted for 4 days. A Cardiac Cath was done and daily injections of Lasix were given to get the fluid off. 7/9 a cardio version was scheduled and it worked, but during the night my SOB got worse and my O2 sat went down to 80 causing me to go back into A-Fib. And early in the morning on 7/11 I went back to the ER because the SOB got worse and the cough just wouldn't stop and Pulmonary Edema and CHF were diagnosed at that time. In July I had a consultation with a Pulmonologist who performed a Pulmonary function test. And visited with him last week and he thinks I have Pulmonary Fibrosis.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna on 3/3 and 3/31. Positive on 8/21 admitted on 8/29 to current
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: Swelling under left arm pit. Presuming in the lymph nodes. I have had breast cancer on right side but they removed 4 lymph nodes on left side of breast
Age: 46.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperacusis, Tinnitus
Clinical narrative: Ringing in patient's ears and now hyperacusis is almost unbearable .
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Vaccine breakthrought.   Inpatient admit 8/25-8/29/21
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Abnormal faeces, Decreased appetite, Diarrhoea, Nausea
Clinical narrative: Bad, continuous stomach pains, fowl-smelling and loose stool, nausea, and loss of appetite
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Area of redness and swelling on left upper arm. Same arm and location of the COVID 19 vaccine administration. Noted area on Saturday 8/28/2021. Currently putting Cortisone 1% on area.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Feeling abnormal, Headache, Nausea
Clinical narrative: Headache, Fatigue, Nausea, intermittent tinnitus, feeling "off",  appetite off, taste off,  lasted several months, never worse than a 3 or 4 out of 10, typically mild, but lingering, even now seem more sensitive in the stomach.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder, Tinnitus
Clinical narrative: Headache, Fatigue, Nausea, intermittent tinnitus, feeling "off",  appetite off, taste off,  lasted several months, never worse than a 3 or 4 out of 10, typically mild, but lingering, even now seem more sensitive in the stomach.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain Barres Syndrome -3 weeks after number 2
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Dizziness, Peripheral swelling, Urticaria
Clinical narrative: Very sore arm with a large, hard raised welt, and a large visible bruise (the bruise and some hardness is still very visible today 8/30/21, 12 days after vaccine was received).  Starting the evening of 8/20/21, I have had severe dizziness that worsens with bending over, laying down, or looking to the right and especially laying on my right side.  Dizziness persists to this day.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Injection site pain, Oropharyngeal pain, Urticaria
Clinical narrative: Within an hour after taking vaccination, one side of patients throat was in pain. Difficulty swallowing, hives, dizziness, muscle pain in upper arm at injection site.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out for 5 seconds.. snapped right back out
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 65.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Intense headache, sweats, chills, join ache, nausea, exhaustion lasting about 2 1/2 days
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Loss of consciousness, Neck pain, Pain in extremity, Thrombosis
Clinical narrative: vaccine expired in fridge
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: vaccine expired in fridge
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Within a few minutes after vaccination pt passed out for about 2 minutes having seizure like symptoms.  Early morning around 4 am he passed out again and woke up with neck pains.   Begin experiencing leg pains in left leg which turned into redness in left legs.  Was diagnosed with 3 blot clots in left leg.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Loss of consciousness, Neck pain, Pain in extremity, Thrombosis
Clinical narrative: Within a few minutes after vaccination pt passed out for about 2 minutes having seizure like symptoms.  Early morning around 4 am he passed out again and woke up with neck pains.   Begin experiencing leg pains in left leg which turned into redness in left legs.  Was diagnosed with 3 blot clots in left leg.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Within a few minutes after vaccination pt passed out for about 2 minutes having seizure like symptoms.  Early morning around 4 am he passed out again and woke up with neck pains.   Begin experiencing leg pains in left leg which turned into redness in left legs.  Was diagnosed with 3 blot clots in left leg.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anembryonic gestation, Laboratory test, Menstrual disorder, Pregnancy
Clinical narrative: My cycle was accelerated by a week, 22 days. Usually 28/29 days.  For the cycle that began on 6/28/21 pregnancy resulted. Was suspected blighted ovum on 8/18/21, confirmed on 8/25/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Allodynia, Constipation, Differential white blood cell count, Dyspnoea
Clinical narrative: Day 1 (day after shot), sudden onset severe migraine, worsening widespread allodynia. Day 4 severe muscle spasm/cramping neck/upper back, Day 8 pain in teeth,, worsening muscle spasms, extreme/severe: fatigue, exercise & orthostatic intolerance, brain fog, Day 9 blurred vision, migraines, shortness of breath, restless legs, overheating, nausea, bloating, constipation. Between Day 1 and Day 7, symptoms were managed with Ibuprofen and overall function was essentially baseline. Medication as follows: MEDROL: 7/10-7/13 8mg, 7/14-7/20 16mg . PREDNISONE: 7/21-7/23 25mg, 7/24-7/28 30mg, 7/29-8/3 25mg, 8/4-8/6 20mg, 8/7-8/19 30mg, 8/20-8/25 20mg, 8/26-8/27 25mg, 8/28-8/29 30mg, 8/30 (today) 40mg. Decreasing prednisone below 30mg results in resurgence of symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fatigue, Feeling abnormal, Feeling hot, Full blood count
Clinical narrative: Day 1 (day after shot), sudden onset severe migraine, worsening widespread allodynia. Day 4 severe muscle spasm/cramping neck/upper back, Day 8 pain in teeth,, worsening muscle spasms, extreme/severe: fatigue, exercise & orthostatic intolerance, brain fog, Day 9 blurred vision, migraines, shortness of breath, restless legs, overheating, nausea, bloating, constipation. Between Day 1 and Day 7, symptoms were managed with Ibuprofen and overall function was essentially baseline. Medication as follows: MEDROL: 7/10-7/13 8mg, 7/14-7/20 16mg . PREDNISONE: 7/21-7/23 25mg, 7/24-7/28 30mg, 7/29-8/3 25mg, 8/4-8/6 20mg, 8/7-8/19 30mg, 8/20-8/25 20mg, 8/26-8/27 25mg, 8/28-8/29 30mg, 8/30 (today) 40mg. Decreasing prednisone below 30mg results in resurgence of symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell haemoglobin, Mean cell volume increased, Metabolic function test, Migraine, Muscle spasms
Clinical narrative: Day 1 (day after shot), sudden onset severe migraine, worsening widespread allodynia. Day 4 severe muscle spasm/cramping neck/upper back, Day 8 pain in teeth,, worsening muscle spasms, extreme/severe: fatigue, exercise & orthostatic intolerance, brain fog, Day 9 blurred vision, migraines, shortness of breath, restless legs, overheating, nausea, bloating, constipation. Between Day 1 and Day 7, symptoms were managed with Ibuprofen and overall function was essentially baseline. Medication as follows: MEDROL: 7/10-7/13 8mg, 7/14-7/20 16mg . PREDNISONE: 7/21-7/23 25mg, 7/24-7/28 30mg, 7/29-8/3 25mg, 8/4-8/6 20mg, 8/7-8/19 30mg, 8/20-8/25 20mg, 8/26-8/27 25mg, 8/28-8/29 30mg, 8/30 (today) 40mg. Decreasing prednisone below 30mg results in resurgence of symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count increased, Red cell distribution width increased, Restless legs syndrome, Toothache, Vision blurred
Clinical narrative: Day 1 (day after shot), sudden onset severe migraine, worsening widespread allodynia. Day 4 severe muscle spasm/cramping neck/upper back, Day 8 pain in teeth,, worsening muscle spasms, extreme/severe: fatigue, exercise & orthostatic intolerance, brain fog, Day 9 blurred vision, migraines, shortness of breath, restless legs, overheating, nausea, bloating, constipation. Between Day 1 and Day 7, symptoms were managed with Ibuprofen and overall function was essentially baseline. Medication as follows: MEDROL: 7/10-7/13 8mg, 7/14-7/20 16mg . PREDNISONE: 7/21-7/23 25mg, 7/24-7/28 30mg, 7/29-8/3 25mg, 8/4-8/6 20mg, 8/7-8/19 30mg, 8/20-8/25 20mg, 8/26-8/27 25mg, 8/28-8/29 30mg, 8/30 (today) 40mg. Decreasing prednisone below 30mg results in resurgence of symptoms.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood glucose increased, Blood lactate dehydrogenase increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient vaccinated 3/21/2021, patient admitted 8/4/2021, tested positive for covid 8/7/2021. discharged 8/12 to Group Home  Pt tested positive for COVID-19 at urgent care admitted for poor PO intake and lethargy for the past week with a diagnosis of Acute hypoxic respiratory failure from covid 19 pneumonitis. This is to report that pt got COVID-19 vaccine. started on Dexamethasone and Remdesivir ( treated 8/5-8/9)  Chief Concern, Brief History of Present Illness, and Hospital Course 59 years old male from group home with history of developmental delay with care giver and legal guardian admitted for covid pneumonia. He was given full course remedesivir and decadron (will complete the course on 8/13). Patient clinically improved. Patient has diabetes type 2 with severe hyperglycemia for which he got 40 units of lantus and 7 units of humalog in hospital but insulin injection can not be arranged in his group home. Alternatively we decided to start on oral metformin 500 mg x BID with prandin pre-meals (three times a day). We recommend monitoring LFTs and renal function very closely. Please follow up with your PCP within 1 week and case manager also set up an appointment with endocrinologist for diabetes control.  Past Medical History He has a past medical history of Hypercholesteremia, Hypertension, Insomnia, and Mental developmental delay.  Principal Problem:   COVID-19    Acute hypoxemic respiratory failure Secondary to COVID-19 PNA Requiring 2L NC to maintain saturation at 92% Continue incentive spirometry Attempt to wean off of oxygen   COVID - 19  Day 7 of symptoms Tested positive on 07/29. Contacted urgent care to fax test records as patient appears to be anxious with the idea of having to be swabbed again.   Inflammatory markers mildly elevated, LDH 307 D-dimer 0.8 Xray showing bilateral airspace opacities suggestive of atypical COVID-19 infection Given hypoxia, will initiate 10 day course of dexamethasone 6mg. Day 1/10 today. Will hold remdisavir given elevated liver enzymes, risks of worsening hepatotoxicity outweighs benefits   Elevated transaminases Unclear etiology at this time Suspect likely related to NASH / fatty liver, but COVID-19 infection could be contributing Check hepatitis panel, Hep C normal Consider  as outpatient   HTN Continue amlodipine 10mg qD   Diabetes vs prediabetes vs stress hyperglycemia BG 281 on admission. No HbA1c on file.  Unclear if patient has stress hyperglycemia or diabetic, but either way expect elevations in BG from dexamethasone use. Nightly Basaglar 10u, Lispro 2u TID WC + SSI. Hypoglycemia protocol   Developmental Delay  Patient independent of activities of daily living, requires assistance with minor activites such as washing himself after using bathroom Attends special needs training for work, has caregiver at home   Insomnia Resume trazodone 100mg at bedtime.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Diabetes mellitus, Fibrin D dimer increased, Glucose tolerance impaired, Hepatic enzyme increased
Clinical narrative: Patient vaccinated 3/21/2021, patient admitted 8/4/2021, tested positive for covid 8/7/2021. discharged 8/12 to Group Home  Pt tested positive for COVID-19 at urgent care admitted for poor PO intake and lethargy for the past week with a diagnosis of Acute hypoxic respiratory failure from covid 19 pneumonitis. This is to report that pt got COVID-19 vaccine. started on Dexamethasone and Remdesivir ( treated 8/5-8/9)  Chief Concern, Brief History of Present Illness, and Hospital Course 59 years old male from group home with history of developmental delay with care giver and legal guardian admitted for covid pneumonia. He was given full course remedesivir and decadron (will complete the course on 8/13). Patient clinically improved. Patient has diabetes type 2 with severe hyperglycemia for which he got 40 units of lantus and 7 units of humalog in hospital but insulin injection can not be arranged in his group home. Alternatively we decided to start on oral metformin 500 mg x BID with prandin pre-meals (three times a day). We recommend monitoring LFTs and renal function very closely. Please follow up with your PCP within 1 week and case manager also set up an appointment with endocrinologist for diabetes control.  Past Medical History He has a past medical history of Hypercholesteremia, Hypertension, Insomnia, and Mental developmental delay.  Principal Problem:   COVID-19    Acute hypoxemic respiratory failure Secondary to COVID-19 PNA Requiring 2L NC to maintain saturation at 92% Continue incentive spirometry Attempt to wean off of oxygen   COVID - 19  Day 7 of symptoms Tested positive on 07/29. Contacted urgent care to fax test records as patient appears to be anxious with the idea of having to be swabbed again.   Inflammatory markers mildly elevated, LDH 307 D-dimer 0.8 Xray showing bilateral airspace opacities suggestive of atypical COVID-19 infection Given hypoxia, will initiate 10 day course of dexamethasone 6mg. Day 1/10 today. Will hold remdisavir given elevated liver enzymes, risks of worsening hepatotoxicity outweighs benefits   Elevated transaminases Unclear etiology at this time Suspect likely related to NASH / fatty liver, but COVID-19 infection could be contributing Check hepatitis panel, Hep C normal Consider  as outpatient   HTN Continue amlodipine 10mg qD   Diabetes vs prediabetes vs stress hyperglycemia BG 281 on admission. No HbA1c on file.  Unclear if patient has stress hyperglycemia or diabetic, but either way expect elevations in BG from dexamethasone use. Nightly Basaglar 10u, Lispro 2u TID WC + SSI. Hypoglycemia protocol   Developmental Delay  Patient independent of activities of daily living, requires assistance with minor activites such as washing himself after using bathroom Attends special needs training for work, has caregiver at home   Insomnia Resume trazodone 100mg at bedtime.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic steatosis, Hepatitis C test negative, Hepatitis viral test, Hyperglycaemia, Hypophagia
Clinical narrative: Patient vaccinated 3/21/2021, patient admitted 8/4/2021, tested positive for covid 8/7/2021. discharged 8/12 to Group Home  Pt tested positive for COVID-19 at urgent care admitted for poor PO intake and lethargy for the past week with a diagnosis of Acute hypoxic respiratory failure from covid 19 pneumonitis. This is to report that pt got COVID-19 vaccine. started on Dexamethasone and Remdesivir ( treated 8/5-8/9)  Chief Concern, Brief History of Present Illness, and Hospital Course 59 years old male from group home with history of developmental delay with care giver and legal guardian admitted for covid pneumonia. He was given full course remedesivir and decadron (will complete the course on 8/13). Patient clinically improved. Patient has diabetes type 2 with severe hyperglycemia for which he got 40 units of lantus and 7 units of humalog in hospital but insulin injection can not be arranged in his group home. Alternatively we decided to start on oral metformin 500 mg x BID with prandin pre-meals (three times a day). We recommend monitoring LFTs and renal function very closely. Please follow up with your PCP within 1 week and case manager also set up an appointment with endocrinologist for diabetes control.  Past Medical History He has a past medical history of Hypercholesteremia, Hypertension, Insomnia, and Mental developmental delay.  Principal Problem:   COVID-19    Acute hypoxemic respiratory failure Secondary to COVID-19 PNA Requiring 2L NC to maintain saturation at 92% Continue incentive spirometry Attempt to wean off of oxygen   COVID - 19  Day 7 of symptoms Tested positive on 07/29. Contacted urgent care to fax test records as patient appears to be anxious with the idea of having to be swabbed again.   Inflammatory markers mildly elevated, LDH 307 D-dimer 0.8 Xray showing bilateral airspace opacities suggestive of atypical COVID-19 infection Given hypoxia, will initiate 10 day course of dexamethasone 6mg. Day 1/10 today. Will hold remdisavir given elevated liver enzymes, risks of worsening hepatotoxicity outweighs benefits   Elevated transaminases Unclear etiology at this time Suspect likely related to NASH / fatty liver, but COVID-19 infection could be contributing Check hepatitis panel, Hep C normal Consider  as outpatient   HTN Continue amlodipine 10mg qD   Diabetes vs prediabetes vs stress hyperglycemia BG 281 on admission. No HbA1c on file.  Unclear if patient has stress hyperglycemia or diabetic, but either way expect elevations in BG from dexamethasone use. Nightly Basaglar 10u, Lispro 2u TID WC + SSI. Hypoglycemia protocol   Developmental Delay  Patient independent of activities of daily living, requires assistance with minor activites such as washing himself after using bathroom Attends special needs training for work, has caregiver at home   Insomnia Resume trazodone 100mg at bedtime.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Incentive spirometry, Inflammatory marker increased, Lethargy, Liver function test
Clinical narrative: Patient vaccinated 3/21/2021, patient admitted 8/4/2021, tested positive for covid 8/7/2021. discharged 8/12 to Group Home  Pt tested positive for COVID-19 at urgent care admitted for poor PO intake and lethargy for the past week with a diagnosis of Acute hypoxic respiratory failure from covid 19 pneumonitis. This is to report that pt got COVID-19 vaccine. started on Dexamethasone and Remdesivir ( treated 8/5-8/9)  Chief Concern, Brief History of Present Illness, and Hospital Course 59 years old male from group home with history of developmental delay with care giver and legal guardian admitted for covid pneumonia. He was given full course remedesivir and decadron (will complete the course on 8/13). Patient clinically improved. Patient has diabetes type 2 with severe hyperglycemia for which he got 40 units of lantus and 7 units of humalog in hospital but insulin injection can not be arranged in his group home. Alternatively we decided to start on oral metformin 500 mg x BID with prandin pre-meals (three times a day). We recommend monitoring LFTs and renal function very closely. Please follow up with your PCP within 1 week and case manager also set up an appointment with endocrinologist for diabetes control.  Past Medical History He has a past medical history of Hypercholesteremia, Hypertension, Insomnia, and Mental developmental delay.  Principal Problem:   COVID-19    Acute hypoxemic respiratory failure Secondary to COVID-19 PNA Requiring 2L NC to maintain saturation at 92% Continue incentive spirometry Attempt to wean off of oxygen   COVID - 19  Day 7 of symptoms Tested positive on 07/29. Contacted urgent care to fax test records as patient appears to be anxious with the idea of having to be swabbed again.   Inflammatory markers mildly elevated, LDH 307 D-dimer 0.8 Xray showing bilateral airspace opacities suggestive of atypical COVID-19 infection Given hypoxia, will initiate 10 day course of dexamethasone 6mg. Day 1/10 today. Will hold remdisavir given elevated liver enzymes, risks of worsening hepatotoxicity outweighs benefits   Elevated transaminases Unclear etiology at this time Suspect likely related to NASH / fatty liver, but COVID-19 infection could be contributing Check hepatitis panel, Hep C normal Consider  as outpatient   HTN Continue amlodipine 10mg qD   Diabetes vs prediabetes vs stress hyperglycemia BG 281 on admission. No HbA1c on file.  Unclear if patient has stress hyperglycemia or diabetic, but either way expect elevations in BG from dexamethasone use. Nightly Basaglar 10u, Lispro 2u TID WC + SSI. Hypoglycemia protocol   Developmental Delay  Patient independent of activities of daily living, requires assistance with minor activites such as washing himself after using bathroom Attends special needs training for work, has caregiver at home   Insomnia Resume trazodone 100mg at bedtime.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Non-alcoholic steatohepatitis, Renal function test, SARS-CoV-2 test positive, Transaminases increased
Clinical narrative: Patient vaccinated 3/21/2021, patient admitted 8/4/2021, tested positive for covid 8/7/2021. discharged 8/12 to Group Home  Pt tested positive for COVID-19 at urgent care admitted for poor PO intake and lethargy for the past week with a diagnosis of Acute hypoxic respiratory failure from covid 19 pneumonitis. This is to report that pt got COVID-19 vaccine. started on Dexamethasone and Remdesivir ( treated 8/5-8/9)  Chief Concern, Brief History of Present Illness, and Hospital Course 59 years old male from group home with history of developmental delay with care giver and legal guardian admitted for covid pneumonia. He was given full course remedesivir and decadron (will complete the course on 8/13). Patient clinically improved. Patient has diabetes type 2 with severe hyperglycemia for which he got 40 units of lantus and 7 units of humalog in hospital but insulin injection can not be arranged in his group home. Alternatively we decided to start on oral metformin 500 mg x BID with prandin pre-meals (three times a day). We recommend monitoring LFTs and renal function very closely. Please follow up with your PCP within 1 week and case manager also set up an appointment with endocrinologist for diabetes control.  Past Medical History He has a past medical history of Hypercholesteremia, Hypertension, Insomnia, and Mental developmental delay.  Principal Problem:   COVID-19    Acute hypoxemic respiratory failure Secondary to COVID-19 PNA Requiring 2L NC to maintain saturation at 92% Continue incentive spirometry Attempt to wean off of oxygen   COVID - 19  Day 7 of symptoms Tested positive on 07/29. Contacted urgent care to fax test records as patient appears to be anxious with the idea of having to be swabbed again.   Inflammatory markers mildly elevated, LDH 307 D-dimer 0.8 Xray showing bilateral airspace opacities suggestive of atypical COVID-19 infection Given hypoxia, will initiate 10 day course of dexamethasone 6mg. Day 1/10 today. Will hold remdisavir given elevated liver enzymes, risks of worsening hepatotoxicity outweighs benefits   Elevated transaminases Unclear etiology at this time Suspect likely related to NASH / fatty liver, but COVID-19 infection could be contributing Check hepatitis panel, Hep C normal Consider  as outpatient   HTN Continue amlodipine 10mg qD   Diabetes vs prediabetes vs stress hyperglycemia BG 281 on admission. No HbA1c on file.  Unclear if patient has stress hyperglycemia or diabetic, but either way expect elevations in BG from dexamethasone use. Nightly Basaglar 10u, Lispro 2u TID WC + SSI. Hypoglycemia protocol   Developmental Delay  Patient independent of activities of daily living, requires assistance with minor activites such as washing himself after using bathroom Attends special needs training for work, has caregiver at home   Insomnia Resume trazodone 100mg at bedtime.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, White blood cell count normal
Clinical narrative: Patient vaccinated 3/21/2021, patient admitted 8/4/2021, tested positive for covid 8/7/2021. discharged 8/12 to Group Home  Pt tested positive for COVID-19 at urgent care admitted for poor PO intake and lethargy for the past week with a diagnosis of Acute hypoxic respiratory failure from covid 19 pneumonitis. This is to report that pt got COVID-19 vaccine. started on Dexamethasone and Remdesivir ( treated 8/5-8/9)  Chief Concern, Brief History of Present Illness, and Hospital Course 59 years old male from group home with history of developmental delay with care giver and legal guardian admitted for covid pneumonia. He was given full course remedesivir and decadron (will complete the course on 8/13). Patient clinically improved. Patient has diabetes type 2 with severe hyperglycemia for which he got 40 units of lantus and 7 units of humalog in hospital but insulin injection can not be arranged in his group home. Alternatively we decided to start on oral metformin 500 mg x BID with prandin pre-meals (three times a day). We recommend monitoring LFTs and renal function very closely. Please follow up with your PCP within 1 week and case manager also set up an appointment with endocrinologist for diabetes control.  Past Medical History He has a past medical history of Hypercholesteremia, Hypertension, Insomnia, and Mental developmental delay.  Principal Problem:   COVID-19    Acute hypoxemic respiratory failure Secondary to COVID-19 PNA Requiring 2L NC to maintain saturation at 92% Continue incentive spirometry Attempt to wean off of oxygen   COVID - 19  Day 7 of symptoms Tested positive on 07/29. Contacted urgent care to fax test records as patient appears to be anxious with the idea of having to be swabbed again.   Inflammatory markers mildly elevated, LDH 307 D-dimer 0.8 Xray showing bilateral airspace opacities suggestive of atypical COVID-19 infection Given hypoxia, will initiate 10 day course of dexamethasone 6mg. Day 1/10 today. Will hold remdisavir given elevated liver enzymes, risks of worsening hepatotoxicity outweighs benefits   Elevated transaminases Unclear etiology at this time Suspect likely related to NASH / fatty liver, but COVID-19 infection could be contributing Check hepatitis panel, Hep C normal Consider  as outpatient   HTN Continue amlodipine 10mg qD   Diabetes vs prediabetes vs stress hyperglycemia BG 281 on admission. No HbA1c on file.  Unclear if patient has stress hyperglycemia or diabetic, but either way expect elevations in BG from dexamethasone use. Nightly Basaglar 10u, Lispro 2u TID WC + SSI. Hypoglycemia protocol   Developmental Delay  Patient independent of activities of daily living, requires assistance with minor activites such as washing himself after using bathroom Attends special needs training for work, has caregiver at home   Insomnia Resume trazodone 100mg at bedtime.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna Covid Vaccine administered 04/06/2021 AND 05/04/2021 patient admitted to floor bed covid positive 8/29/2021
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge