chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Nasal congestion, Nasal pruritus, Skin fissures
Clinical narrative: A few days after I noticed my ears and nose were itching quite a bit. One day I noticed my left nostril was swollen. It felt really weird. Then the skin where my two nostrils and lip meet had split. So I started taking a antibiotic (Clarithromycin 500mg) I had at home and made an appointment with my Doctor. He told me to continue taking the antibiotic and prescribed me a cream (Mupirocin) for the split. The nose swelling has decreased but it is still a little swollen now. It doesn't hurt like it used to.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, SARS-CoV-2 test negative, Urticaria
Clinical narrative: On 1/3/22, 11 days after booster, I developed urticaria. I went to urgent care on 1/6/22 I went to urgent care and was prescribed a 5 day course of prednisone. This temporarily helped but then saw an allergist on 1/24/22 and am currently on medication twice daily to treat symptoms of rash and itchiness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Swelling face, Urticaria, Visual impairment
Clinical narrative: After the shot went home and went to sleep woke up the next morning with my whole face was swollen and hives and I could not see my because my face so swollen, it lasted 3 days went to the doc and they gave me a shot to take the swelling away.  most of the swelling has gone but my eyes are swollen 3 weeks later.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol test negative, Alcoholic seizure, Blood ethanol normal, Blood magnesium normal, Blood thyroid stimulating hormone normal
Clinical narrative: Patient presented to our facility for detox pertinently for alcohol use of 2 pints vodka daily. 5 days into admission patient received Pfizer booster to initial J&J vaccine at 1224. At 2048 patient walked out of his hospital room with vomit in his hair. He appeared confused and post-ictal which persisted for 15-20 minutes, raising concern for an unwitnessed seizure or syncopal episode. He appeared in his normal state of health within several hours. He was transferred out to an ED for medical evaluation and after labs and head imaging returned normal he returned to our facility without incident. An alcohol withdrawal seizure was considered the most likely cause of this episode, although there were atypical elements for this being an alcohol withdrawal seizure, including that he had no reported prior history of withdrawal seizures, had not complained of alcohol withdrawal symptoms for at least 2 days prior to this episode, and that he was 5 days out from his last drink at the time of this episode.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Computerised tomogram normal, Confusional state, Drug screen negative, Full blood count normal
Clinical narrative: Patient presented to our facility for detox pertinently for alcohol use of 2 pints vodka daily. 5 days into admission patient received Pfizer booster to initial J&J vaccine at 1224. At 2048 patient walked out of his hospital room with vomit in his hair. He appeared confused and post-ictal which persisted for 15-20 minutes, raising concern for an unwitnessed seizure or syncopal episode. He appeared in his normal state of health within several hours. He was transferred out to an ED for medical evaluation and after labs and head imaging returned normal he returned to our facility without incident. An alcohol withdrawal seizure was considered the most likely cause of this episode, although there were atypical elements for this being an alcohol withdrawal seizure, including that he had no reported prior history of withdrawal seizures, had not complained of alcohol withdrawal symptoms for at least 2 days prior to this episode, and that he was 5 days out from his last drink at the time of this episode.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Metabolic function test, Postictal state, Urine analysis normal, Vomiting
Clinical narrative: Patient presented to our facility for detox pertinently for alcohol use of 2 pints vodka daily. 5 days into admission patient received Pfizer booster to initial J&J vaccine at 1224. At 2048 patient walked out of his hospital room with vomit in his hair. He appeared confused and post-ictal which persisted for 15-20 minutes, raising concern for an unwitnessed seizure or syncopal episode. He appeared in his normal state of health within several hours. He was transferred out to an ED for medical evaluation and after labs and head imaging returned normal he returned to our facility without incident. An alcohol withdrawal seizure was considered the most likely cause of this episode, although there were atypical elements for this being an alcohol withdrawal seizure, including that he had no reported prior history of withdrawal seizures, had not complained of alcohol withdrawal symptoms for at least 2 days prior to this episode, and that he was 5 days out from his last drink at the time of this episode.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive through contact at nursing home.  Up to date on booster
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: no adverse effects reporting vaccine was administered past the beyond use date. beyond use date 1/3/22 administration date 1/19/22. Pfizer contacted had no recommendations and referred us back to provider and CDC.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: None stated.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: reported to the ER and later admitted with shortness of breath and cough X 1 week. decreased appetite, and diarrhea. fully vaccinated with booster. treated with supportive care, O2, steroids and remdesivir
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ascites, COVID-19, Hepatic cirrhosis, SARS-CoV-2 test positive
Clinical narrative: admitted to hospital on 1/24/22 for cirrhosis/ascites, found COVID+ on 1/25/22
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pfizer vaccine diluted incorrectly, patient reports no symptoms of adverse effect.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: This pediatric patient was immunized with 0.2ml of pediatric vaccine that was not reconstituted.  There were no immediate adverse effects, and the parents were contacted and informed about the event and instructed to look out for local or systemic signs or symptoms of adverse effects.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram, Tinnitus, Vertigo, Viral infection
Clinical narrative: A few months later I started getting vertigo and had to go see an ENT for sudden episode of vertigo that did not fade for several days. My PCP referred me to an ENT who performed and audiology test and determined that I had a viral inflammation. I was prescribed methylprednisolone which helped and symptoms faded. I was fine for a few weeks and my symptoms returned. My doctor referred me to a different ENT who gave me another dose pack of the medication. I was advised that the root cause was either allergy related or related to blood pressure which caused my symptoms to dissolve. I occasionally have ringing in my ears and would say I am 98% recovered.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid after being fully vaccinated with booster
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as observation on 1/17/22 due to acute respiratory failure with hypoxia. Patient was tested for COVID-19 and was positive on 1/15/22.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, COVID-19, Cardiomegaly, Chest X-ray abnormal, Fibula fracture
Clinical narrative: Suffered a right tib/fib fracture at home, came to ED and was found to have mild respiratory distress.  XR Chest 1V [Auth (Verified)] (01/10 1243): FINAL IMPRESSION: Cardiomegaly with mild interstitial opacities may represent pulmonary vascular congestion.  T: 100.5 °F  HR: 77  RR: 18  BP: 127/114  SpO2: 94%  WT: 86 kg  BMI: 33.59.  Patient was tested and results were positive for COVID-19 on 1/10/22.  Patient hospitalized for treatment of COVID and fracture.  Patient remains hospitalized however has recovered fully from COVID-19.  She had previously received Moderna on 5/4/21 & 5/22/21.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Lung opacity, Pulmonary congestion, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: Suffered a right tib/fib fracture at home, came to ED and was found to have mild respiratory distress.  XR Chest 1V [Auth (Verified)] (01/10 1243): FINAL IMPRESSION: Cardiomegaly with mild interstitial opacities may represent pulmonary vascular congestion.  T: 100.5 °F  HR: 77  RR: 18  BP: 127/114  SpO2: 94%  WT: 86 kg  BMI: 33.59.  Patient was tested and results were positive for COVID-19 on 1/10/22.  Patient hospitalized for treatment of COVID and fracture.  Patient remains hospitalized however has recovered fully from COVID-19.  She had previously received Moderna on 5/4/21 & 5/22/21.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tibia fracture
Clinical narrative: Suffered a right tib/fib fracture at home, came to ED and was found to have mild respiratory distress.  XR Chest 1V [Auth (Verified)] (01/10 1243): FINAL IMPRESSION: Cardiomegaly with mild interstitial opacities may represent pulmonary vascular congestion.  T: 100.5 °F  HR: 77  RR: 18  BP: 127/114  SpO2: 94%  WT: 86 kg  BMI: 33.59.  Patient was tested and results were positive for COVID-19 on 1/10/22.  Patient hospitalized for treatment of COVID and fracture.  Patient remains hospitalized however has recovered fully from COVID-19.  She had previously received Moderna on 5/4/21 & 5/22/21.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Hospitalization
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Persistent tinnitus in the right ear. Onset was sudden and would fade in and out for the first month before becoming a persistent tone in the right ear. The pitch and tone remains consistent 24/7 and has grown louder since acquiring the booster shot (3rd shot) on December 2nd, 2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection  *1st & 2nd dose administered at Pharmacy Store
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Left Bells Palsy
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: admitted to hospital with COVID on 1/17/2022
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Culture, Decubitus ulcer, Discomfort
Clinical narrative: The patient is a 64-year-old medically complex male with a history of renal and pancreas transplant, significant dementia, heart failure, coronary artery disease, peripheral artery disease.  He was found to be positive for COVID-19 yesterday.  Has been exhibiting symptoms concerning for urinary tract infection since Sunday, UA obtained yesterday at his residence is suspicious for infection, treatment is pending culture results.  He complained of a sore throat yesterday and a rapid test at the facility was positive for COVID.  He has fallen recently and has multiple areas of skin tears that are quite uncomfortable for him, this includes his posterior right and left hand as well as his left posterior wrist.  He also has a chronic wound on his right heel and a 2 cm pressure ulcer on his left BKA stump.  He does have a cough.  He was febrile at 102 at the residence.  He is hypoxic and requiring nasal cannula oxygen.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, Hypoxia, Infection, Oropharyngeal pain, Pyrexia
Clinical narrative: The patient is a 64-year-old medically complex male with a history of renal and pancreas transplant, significant dementia, heart failure, coronary artery disease, peripheral artery disease.  He was found to be positive for COVID-19 yesterday.  Has been exhibiting symptoms concerning for urinary tract infection since Sunday, UA obtained yesterday at his residence is suspicious for infection, treatment is pending culture results.  He complained of a sore throat yesterday and a rapid test at the facility was positive for COVID.  He has fallen recently and has multiple areas of skin tears that are quite uncomfortable for him, this includes his posterior right and left hand as well as his left posterior wrist.  He also has a chronic wound on his right heel and a 2 cm pressure ulcer on his left BKA stump.  He does have a cough.  He was febrile at 102 at the residence.  He is hypoxic and requiring nasal cannula oxygen.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Skin laceration, Urine analysis abnormal, Wound
Clinical narrative: The patient is a 64-year-old medically complex male with a history of renal and pancreas transplant, significant dementia, heart failure, coronary artery disease, peripheral artery disease.  He was found to be positive for COVID-19 yesterday.  Has been exhibiting symptoms concerning for urinary tract infection since Sunday, UA obtained yesterday at his residence is suspicious for infection, treatment is pending culture results.  He complained of a sore throat yesterday and a rapid test at the facility was positive for COVID.  He has fallen recently and has multiple areas of skin tears that are quite uncomfortable for him, this includes his posterior right and left hand as well as his left posterior wrist.  He also has a chronic wound on his right heel and a 2 cm pressure ulcer on his left BKA stump.  He does have a cough.  He was febrile at 102 at the residence.  He is hypoxic and requiring nasal cannula oxygen.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Blood sodium decreased
Clinical narrative: 37 y/o man with obesity with BMI of 34, former smoker, chronic HBV,  s/p J&J covid vaccine in April, HTN, HLP, exposure to his son who was covid positive on 12/27, symptoms of chills, fever, body ache started on 12/28, then diarrhea on 12/29, tested positive on 12/30, who presented to ED on 1/4  with c/o shortness of breath and cough. Patient is found to be hypoxic due to COVID PNA.   Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 12/28 COVID positive on 12/30. Last fever on 12/28. Isolation until 1/17/2022. He had exertional hypoxemia on admission, therefore he was started on decadron and remdesivir ( RDV). He has completed 5 days of RDV on discharge. Exertional hypoxemia has resolved. No O2 requirements on discharge. Will prescribe decadron to complete a 10 day course. He had mild transaminitis most likely due to acute viral infection +/- remdesivir, please follow up as outpatient. Continue isolation at home per Regional/Local ID guidance. 20 days from start of symptoms which would be 1/17/22. Work activity status was provided. Please consider booster after you have completed isolation period.    HYPERTENSION: on PTA amlodipine 5 mg daily and lisinopril 10 mg daily.     Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia with acute hypoxemic respiratory failure
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills
Clinical narrative: 37 y/o man with obesity with BMI of 34, former smoker, chronic HBV,  s/p J&J covid vaccine in April, HTN, HLP, exposure to his son who was covid positive on 12/27, symptoms of chills, fever, body ache started on 12/28, then diarrhea on 12/29, tested positive on 12/30, who presented to ED on 1/4  with c/o shortness of breath and cough. Patient is found to be hypoxic due to COVID PNA.   Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 12/28 COVID positive on 12/30. Last fever on 12/28. Isolation until 1/17/2022. He had exertional hypoxemia on admission, therefore he was started on decadron and remdesivir ( RDV). He has completed 5 days of RDV on discharge. Exertional hypoxemia has resolved. No O2 requirements on discharge. Will prescribe decadron to complete a 10 day course. He had mild transaminitis most likely due to acute viral infection +/- remdesivir, please follow up as outpatient. Continue isolation at home per Regional/Local ID guidance. 20 days from start of symptoms which would be 1/17/22. Work activity status was provided. Please consider booster after you have completed isolation period.    HYPERTENSION: on PTA amlodipine 5 mg daily and lisinopril 10 mg daily.     Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia with acute hypoxemic respiratory failure
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2, Hyponatraemia
Clinical narrative: 37 y/o man with obesity with BMI of 34, former smoker, chronic HBV,  s/p J&J covid vaccine in April, HTN, HLP, exposure to his son who was covid positive on 12/27, symptoms of chills, fever, body ache started on 12/28, then diarrhea on 12/29, tested positive on 12/30, who presented to ED on 1/4  with c/o shortness of breath and cough. Patient is found to be hypoxic due to COVID PNA.   Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 12/28 COVID positive on 12/30. Last fever on 12/28. Isolation until 1/17/2022. He had exertional hypoxemia on admission, therefore he was started on decadron and remdesivir ( RDV). He has completed 5 days of RDV on discharge. Exertional hypoxemia has resolved. No O2 requirements on discharge. Will prescribe decadron to complete a 10 day course. He had mild transaminitis most likely due to acute viral infection +/- remdesivir, please follow up as outpatient. Continue isolation at home per Regional/Local ID guidance. 20 days from start of symptoms which would be 1/17/22. Work activity status was provided. Please consider booster after you have completed isolation period.    HYPERTENSION: on PTA amlodipine 5 mg daily and lisinopril 10 mg daily.     Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia with acute hypoxemic respiratory failure
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 37 y/o man with obesity with BMI of 34, former smoker, chronic HBV,  s/p J&J covid vaccine in April, HTN, HLP, exposure to his son who was covid positive on 12/27, symptoms of chills, fever, body ache started on 12/28, then diarrhea on 12/29, tested positive on 12/30, who presented to ED on 1/4  with c/o shortness of breath and cough. Patient is found to be hypoxic due to COVID PNA.   Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 12/28 COVID positive on 12/30. Last fever on 12/28. Isolation until 1/17/2022. He had exertional hypoxemia on admission, therefore he was started on decadron and remdesivir ( RDV). He has completed 5 days of RDV on discharge. Exertional hypoxemia has resolved. No O2 requirements on discharge. Will prescribe decadron to complete a 10 day course. He had mild transaminitis most likely due to acute viral infection +/- remdesivir, please follow up as outpatient. Continue isolation at home per Regional/Local ID guidance. 20 days from start of symptoms which would be 1/17/22. Work activity status was provided. Please consider booster after you have completed isolation period.    HYPERTENSION: on PTA amlodipine 5 mg daily and lisinopril 10 mg daily.     Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia with acute hypoxemic respiratory failure
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Transaminases increased, Viral infection
Clinical narrative: 37 y/o man with obesity with BMI of 34, former smoker, chronic HBV,  s/p J&J covid vaccine in April, HTN, HLP, exposure to his son who was covid positive on 12/27, symptoms of chills, fever, body ache started on 12/28, then diarrhea on 12/29, tested positive on 12/30, who presented to ED on 1/4  with c/o shortness of breath and cough. Patient is found to be hypoxic due to COVID PNA.   Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 12/28 COVID positive on 12/30. Last fever on 12/28. Isolation until 1/17/2022. He had exertional hypoxemia on admission, therefore he was started on decadron and remdesivir ( RDV). He has completed 5 days of RDV on discharge. Exertional hypoxemia has resolved. No O2 requirements on discharge. Will prescribe decadron to complete a 10 day course. He had mild transaminitis most likely due to acute viral infection +/- remdesivir, please follow up as outpatient. Continue isolation at home per Regional/Local ID guidance. 20 days from start of symptoms which would be 1/17/22. Work activity status was provided. Please consider booster after you have completed isolation period.    HYPERTENSION: on PTA amlodipine 5 mg daily and lisinopril 10 mg daily.     Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia with acute hypoxemic respiratory failure
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: The patient was administered an undiluted dose of the Pfizer pediatric vaccine in the left deltoid at 11:24 AM. The patient was then monitored for 15 minutes after administration of the vaccine. During the 15 minutes, the patient showed no signs of distress and continued to do so upon leaving.  At departure, the patient showed no signs of distress and was alert and oriented x 4.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Electric shock sensation
Clinical narrative: I feel a annoying "electrical shock" when I move or position my left shoulder. And the shooting sensation tends to go halfway down my left arm and sometimes up as far as my neck. After a physical and I mentioned this, my doctor simply let me know that it shouldn't be an issue and if it gets worse come back and see me. And that visit was on Oct. 20 and I had my booster and flu shot. It seems it is persistent but has not gotten worse and is only situational if and when it "triggers" this sensation. I have not yet recovered from this issue.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5ml of vaccine instead of 0.25ml. Patient called and denies any problems since being vaccination, letter sent also of dosage given
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Drooling, Facial paralysis, Muscular weakness
Clinical narrative: Uncontrollable episode of drooling. one side of muscles in mouth area became weak (drooping)
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event or symptoms
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Hot flush, Laboratory test, Night sweats
Clinical narrative: Dry mouth, night sweats, some heat flashes,
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Hypotonia, Muscular weakness, SARS-CoV-2 test positive
Clinical narrative: Pt presented to the ED for right leg weakness, recent CVA with residual weakness, leg went completely flaccid but now back to baseline.  Tested in the ED and found to be COVID + but asymptomatic.  Pt admitted for TIA workup and remained asymptomatic for COVID. Discharged 1/27/22. Previously vaccinated and boosted with Moderna 1/28/21, 3/1/21, 12/31/21.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: admitted to hospital with covid on 1/19/22, COVID+ test on 1/13/22
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Jaw disorder, Paraesthesia oral, Pharyngeal swelling, Swollen tongue
Clinical narrative: Tingling then swelling of the tongue, swelling of the throat, jaw clenching, difficulty breathing.   Took 75mg Benadryl, and 40 mg of famotidine   As of today, my tongue still feels swollen and my throat feels tight
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Developed red red-shaped rashes under both arms. Itchyiness.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus starting ~ 2 hours after the vaccination was giving. I've had this non-stop since the onset. I have an appointment with an ENT in the next week
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Pain/swelling/fever @ injection sight 4pm 1/26/2022 to current 3:00pm 1/27/2022 Headache 1/27/2022 6am Gland in neck left side swollen 10:00pm 1/26/2022 to current 3:00pm 1/27/2022 Chills during sleep 1/27/2022
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pain/swelling/fever @ injection sight 4pm 1/26/2022 to current 3:00pm 1/27/2022 Headache 1/27/2022 6am Gland in neck left side swollen 10:00pm 1/26/2022 to current 3:00pm 1/27/2022 Chills during sleep 1/27/2022
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Presyncope
Clinical narrative: Hospitalized less than 6 weeks after given last COVID booster.  She is admitted as inpatient on 1/12/21 for "vasovagal syncope vs. Cardiac arrest."
Age: 0.25
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given was not licensed for this age group
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: English: ADMINISTRATION ERROR  A 12-year-old female patient receives the Pfizer booster dose (0.3mL) without complying with the established guidelines, since she was supposed to receive said dose on February 9, 2022.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Tinnitus
Clinical narrative: Developed high blood pressure, started on Losartan twice a day plus diuretic. Now on Losartan 50 once a day. Developed tinnitus, went to ENT, gave me ears drops but still persist.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Swelling of eyelid, Urticaria
Clinical narrative: Welts and rashes from head, eyes, torso, groin area, back, legs, hands wrists, arms - ongoing now for 4 days.  Prescribed Prednisone 10mg tablets on a 12 day regiment.  Symptoms are better but still not good. Background: after first vaccination, My eye swelled shut and it took prednisone to clear that up.  The second vaccination I had welts on legs and groin area for a couple of weeks.  It seems I may be allergic to the vaccine at some level and now believe I should not take another for fear of really bad adverse events that are not curable.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: This was my booster vaccine. I originally received the J&J covid vaccine. My symptoms were, extreme dizziness and weakness, chills, sweating, fatigue, nausea and mild headache.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea
Clinical narrative: This was my booster vaccine. I originally received the J&J covid vaccine. My symptoms were, extreme dizziness and weakness, chills, sweating, fatigue, nausea and mild headache.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Dizziness, Hypoaesthesia, Muscle spasms, Paraesthesia
Clinical narrative: Patient was administered Moderna Booster. Approximately 5 minutes after receiving the vaccine, she c/o tingling in the left fingers which progressed up to elbow, followed by left sided facial numbness and tingling around her mouth, dizziness, and then c/o muscle cramping in left leg. Patient began visibly trembling.  She remained alert & oriented and denied N, V, CP, or respiratory distress. Epi Pen 0.3 mg was administered in left leg and EMS called. Patient was transported to Hospital for further evaluation. Her BP immediately after vax admin. was 120/70 and increased to 130's/80-90's (x2), Pulse ox 99-100% on room air. She did become slightly tachycardic following administration of epinephrine.  PMH: Patient reported that following 2nd dose of Moderna she experienced left hand numbness for one hour which resolved spontaneously.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Tremor
Clinical narrative: Patient was administered Moderna Booster. Approximately 5 minutes after receiving the vaccine, she c/o tingling in the left fingers which progressed up to elbow, followed by left sided facial numbness and tingling around her mouth, dizziness, and then c/o muscle cramping in left leg. Patient began visibly trembling.  She remained alert & oriented and denied N, V, CP, or respiratory distress. Epi Pen 0.3 mg was administered in left leg and EMS called. Patient was transported to Hospital for further evaluation. Her BP immediately after vax admin. was 120/70 and increased to 130's/80-90's (x2), Pulse ox 99-100% on room air. She did become slightly tachycardic following administration of epinephrine.  PMH: Patient reported that following 2nd dose of Moderna she experienced left hand numbness for one hour which resolved spontaneously.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypoaesthesia, Nodule, Paraesthesia, Pyrexia
Clinical narrative: Patient was administered Moderna Booster. Approximately 5 minutes after receiving the vaccine, she c/o tingling in the left fingers which progressed up to elbow, followed by left sided facial numbness and tingling around her mouth, dizziness, and then c/o muscle cramping in left leg. Patient began visibly trembling.  She remained alert & oriented and denied N, V, CP, or respiratory distress. Epi Pen 0.3 mg was administered in left leg and EMS called. Patient was transported to Hospital for further evaluation. Her BP immediately after vax admin. was 120/70 and increased to 130's/80-90's (x2), Pulse ox 99-100% on room air. She did become slightly tachycardic following administration of epinephrine.  PMH: Patient reported that following 2nd dose of Moderna she experienced left hand numbness for one hour which resolved spontaneously.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Rash, Vomiting
Clinical narrative: Pt. states that after receiving the 3rd dose of Pfizer 01/26/2022, started experiencing symptoms that evening of vomiting (2hrs), rash developing throughout the body, and "bitter" taste. Transported to Emergency department for treatment, treated with 2 Epi-Pens (symptoms subsided). Discharged with Zofran and 1 Epi-Pen for self-treatment. No noted Primary visit/communications.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Haematoma, Head injury, Headache, Migraine
Clinical narrative: Had severe  migraine after second shot which had resolved. Recalled new onset nausea and pain.  Went to bathroom but did not throw up. Awoke on floor and hematoma on forehead as a result.  Nausea and pain resolved but now head ache (distinct from migraine)  from hematoma. No previous h/o syncope and none since.  Syncopal event was brief. Applied ice intermittently for 48 hours. Swelling relieved within several days, but bruising remained for approximately a week.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Swelling, Syncope
Clinical narrative: Had severe  migraine after second shot which had resolved. Recalled new onset nausea and pain.  Went to bathroom but did not throw up. Awoke on floor and hematoma on forehead as a result.  Nausea and pain resolved but now head ache (distinct from migraine)  from hematoma. No previous h/o syncope and none since.  Syncopal event was brief. Applied ice intermittently for 48 hours. Swelling relieved within several days, but bruising remained for approximately a week.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: This patient received a dose of Janssen on 04/02/2021, then received a booster Pfizer dose on 06/29/21 from a pharmacy facility. Pharmacy then provided a second Pfizer dose on 07/20/21. Then on 12/07/21, CDC administered a Janssen dose. The patient has been contacted and has been advised to not receive any more COVID-19 doses at this time.
Age: 0.25
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine was not licensed for this age group
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Vaccination site pain, Vaccination site reaction
Clinical narrative: 4x6cm reaction around vaccine site. Painful to touch.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Nerve compression, Paraesthesia
Clinical narrative: Pinched nerve in left arm resulting in numbness and tingling with no resolution
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Breast mass, Mammogram, Mammogram abnormal, Ultrasound scan
Clinical narrative: Abnormal mammogram detected. Follow up imaging reveals a solid mass that will require a biopsy.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: This pediatric patient was immunized with 0.2ml of pediatric vaccine that was not reconstituted.  There were no immediate adverse effects, and the parents were contacted and informed about the event, and instructed to look out for local or systemic signs or symptoms of adverse effects.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Chest X-ray normal, Dizziness, Fall, Urine analysis normal
Clinical narrative: 61-year-old male with a history of chronic intermittent dizziness/weakness/falls with related hospitalizations and clinic visits, severe episodes of recurrent MDD, chronic myofascial pain on narcotic pain agreement, type 2 diabetes, uncontrolled, with neuropathy, nephropathy and chronic left hallux amputation site ulceration, hypertension, HLD, PAD, CKD 3, IDA, presented to the ER with worsening dizziness/weakness and several falls over the last 24 hours. Felt this episode is the same as priors, except he experienced vomiting with this one. Completed stroke w/u negative for acute neurologic event. CXR and u/a negative for infection.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: 61-year-old male with a history of chronic intermittent dizziness/weakness/falls with related hospitalizations and clinic visits, severe episodes of recurrent MDD, chronic myofascial pain on narcotic pain agreement, type 2 diabetes, uncontrolled, with neuropathy, nephropathy and chronic left hallux amputation site ulceration, hypertension, HLD, PAD, CKD 3, IDA, presented to the ER with worsening dizziness/weakness and several falls over the last 24 hours. Felt this episode is the same as priors, except he experienced vomiting with this one. Completed stroke w/u negative for acute neurologic event. CXR and u/a negative for infection.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Chills, Dysmenorrhoea, Fatigue, Intermenstrual bleeding
Clinical narrative: Caller took the vaccine on January the 13th and 12:30 pm and within an hour she started to have symptoms. Symptoms: Spotting, chills, fever of 101, extreme fatigue, stayed in bed for 3 days, has not felt right since that day and has blood in her urine and is having period pains.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Caller took the vaccine on January the 13th and 12:30 pm and within an hour she started to have symptoms. Symptoms: Spotting, chills, fever of 101, extreme fatigue, stayed in bed for 3 days, has not felt right since that day and has blood in her urine and is having period pains.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received (PEDS) children's dose of Pfizer COVID vaccine instead of adult dose.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: This pediatric patient was immunized with 0.2ml of pediatric vaccine that was not reconstituted.  There were no immediate adverse effects, and the parents were contacted and informed about the event, and instructed to look out for local or systemic signs or symptoms of adverse effects.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia oral, Nausea, Paraesthesia oral
Clinical narrative: 07/02/2021 vaccination at 11:00AM ET. About 15 minutes later, I started to experience mild HA with mild nausea. About 2.5 hours after vaccination, my tongue and lips started to tingle and get numb on the right side I think. That lasted for about 15-20 minutes. Figured just a side affect and will not get that bad so I didn't call a provider.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Gynaecological examination
Clinical narrative: Dysmenorrhea - Lasted for 16 hours of contractions to pass large clotts. Went to ER as pain was getting worse
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive,
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Child was given dose intended for ages 12 and over.  No adverse effects were reported.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 11 YEAR OLD CHILD RECEIVED ADULT LOT# AND DOSE
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection and hospitalization in patient completing primary series and received booster.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anion gap abnormal, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pt seen in ED on 1/19/22 for generalized weakness and tested positive for COVID-19, was discharged.  Came back to the ED for increasing SOB on 1/23/22 and was admitted for COVID pneumonia.87yo female with PMH of HTN now with COVID PNA, diagnosed on 1/19, vaccinated. Pt is currently on Bipap 12/6 100% FiO2 with O2 sat 100% and very comfortable. Since pt will be made DNR, there is no current need to bring her to the ICU for respiratory management. As for open anion gap with lactic acidosis, it is likely due to a starvation ketosis as pt has had poor PO intake over the past few days. Additionally she is hypovolemic with concentrated urine spec grav and hyponatremic/hypochloremic. Would resuscita  given CXR appearance and start SSI and initiate meds per COVID protocol.  XR Chest 1V [Auth (Verified)] (01/23 1252): FINAL IMPRESSION: Diffuse bilateral mixed infiltrates. Findings could be on the basis of infectious or edema. Patient was discharged to Hospice on 1/26/2022.  Patient previously vaccinated with Pfizer 8/5/21 & 8/26/21.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypochloraemia, Hyponatraemia, Hypophagia, Hypovolaemia
Clinical narrative: Pt seen in ED on 1/19/22 for generalized weakness and tested positive for COVID-19, was discharged.  Came back to the ED for increasing SOB on 1/23/22 and was admitted for COVID pneumonia.87yo female with PMH of HTN now with COVID PNA, diagnosed on 1/19, vaccinated. Pt is currently on Bipap 12/6 100% FiO2 with O2 sat 100% and very comfortable. Since pt will be made DNR, there is no current need to bring her to the ICU for respiratory management. As for open anion gap with lactic acidosis, it is likely due to a starvation ketosis as pt has had poor PO intake over the past few days. Additionally she is hypovolemic with concentrated urine spec grav and hyponatremic/hypochloremic. Would resuscita  given CXR appearance and start SSI and initiate meds per COVID protocol.  XR Chest 1V [Auth (Verified)] (01/23 1252): FINAL IMPRESSION: Diffuse bilateral mixed infiltrates. Findings could be on the basis of infectious or edema. Patient was discharged to Hospice on 1/26/2022.  Patient previously vaccinated with Pfizer 8/5/21 & 8/26/21.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ketosis, Lactic acidosis, Lung infiltration, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Pt seen in ED on 1/19/22 for generalized weakness and tested positive for COVID-19, was discharged.  Came back to the ED for increasing SOB on 1/23/22 and was admitted for COVID pneumonia.87yo female with PMH of HTN now with COVID PNA, diagnosed on 1/19, vaccinated. Pt is currently on Bipap 12/6 100% FiO2 with O2 sat 100% and very comfortable. Since pt will be made DNR, there is no current need to bring her to the ICU for respiratory management. As for open anion gap with lactic acidosis, it is likely due to a starvation ketosis as pt has had poor PO intake over the past few days. Additionally she is hypovolemic with concentrated urine spec grav and hyponatremic/hypochloremic. Would resuscita  given CXR appearance and start SSI and initiate meds per COVID protocol.  XR Chest 1V [Auth (Verified)] (01/23 1252): FINAL IMPRESSION: Diffuse bilateral mixed infiltrates. Findings could be on the basis of infectious or edema. Patient was discharged to Hospice on 1/26/2022.  Patient previously vaccinated with Pfizer 8/5/21 & 8/26/21.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Specific gravity urine abnormal, Starvation
Clinical narrative: Pt seen in ED on 1/19/22 for generalized weakness and tested positive for COVID-19, was discharged.  Came back to the ED for increasing SOB on 1/23/22 and was admitted for COVID pneumonia.87yo female with PMH of HTN now with COVID PNA, diagnosed on 1/19, vaccinated. Pt is currently on Bipap 12/6 100% FiO2 with O2 sat 100% and very comfortable. Since pt will be made DNR, there is no current need to bring her to the ICU for respiratory management. As for open anion gap with lactic acidosis, it is likely due to a starvation ketosis as pt has had poor PO intake over the past few days. Additionally she is hypovolemic with concentrated urine spec grav and hyponatremic/hypochloremic. Would resuscita  given CXR appearance and start SSI and initiate meds per COVID protocol.  XR Chest 1V [Auth (Verified)] (01/23 1252): FINAL IMPRESSION: Diffuse bilateral mixed infiltrates. Findings could be on the basis of infectious or edema. Patient was discharged to Hospice on 1/26/2022.  Patient previously vaccinated with Pfizer 8/5/21 & 8/26/21.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID-19 infection
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Headache, Hyperhidrosis, Injection site pain, Pyrexia
Clinical narrative: Sweat, low grade fever (99.2), headache, dehydrated, achiness at injection site, symptoms lasted for 2 days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: pt presented to hospital with weakness and falls. positive for COVID 19 virus. treated with O2 PRN and dexamethasone
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital for unrelated COVID-19 issue on 1/22/2022, yet tested COVID-19 positive on 1/25/2022 (asymptomatic).
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Dose administered after discard time No adverse effect
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received children's dose of Pfizer COVID vaccine, should have received adult dosage
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient waited 30 minutes in clinic after injection without any reaction or symptoms.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Axillary pain, Burning sensation, Chest pain, Echocardiogram
Clinical narrative: Syncope (12/14/2021 11pm passed out) Racing heart (12/15/2021 morning - still unresolved as of 1/27/2022) Chest pain (12/15/2021 morning - still unresolved as of 1/27/2022) Stabbing chest pain at left side (12/15/2021 morning - still unresolved as of 1/27/2022) Burning in chest (12/15/2021 morning - still unresolved as of 1/27/2022) Fatigue (12/15/2021 morning - still unresolved as of 1/27/2022) Armpit discomfort on injection side (12/15/2021 - still unresolved as of 1/27/2022) Rash on torso/arms/legs (12/16/2021 - 12/18/2021) Swollen lymph nodes and glands in and around neck/head (12/31/2021 - still unresolved as of 1/27/2022)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Lymphadenopathy, Palpitations, Rash
Clinical narrative: Syncope (12/14/2021 11pm passed out) Racing heart (12/15/2021 morning - still unresolved as of 1/27/2022) Chest pain (12/15/2021 morning - still unresolved as of 1/27/2022) Stabbing chest pain at left side (12/15/2021 morning - still unresolved as of 1/27/2022) Burning in chest (12/15/2021 morning - still unresolved as of 1/27/2022) Fatigue (12/15/2021 morning - still unresolved as of 1/27/2022) Armpit discomfort on injection side (12/15/2021 - still unresolved as of 1/27/2022) Rash on torso/arms/legs (12/16/2021 - 12/18/2021) Swollen lymph nodes and glands in and around neck/head (12/31/2021 - still unresolved as of 1/27/2022)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope (12/14/2021 11pm passed out) Racing heart (12/15/2021 morning - still unresolved as of 1/27/2022) Chest pain (12/15/2021 morning - still unresolved as of 1/27/2022) Stabbing chest pain at left side (12/15/2021 morning - still unresolved as of 1/27/2022) Burning in chest (12/15/2021 morning - still unresolved as of 1/27/2022) Fatigue (12/15/2021 morning - still unresolved as of 1/27/2022) Armpit discomfort on injection side (12/15/2021 - still unresolved as of 1/27/2022) Rash on torso/arms/legs (12/16/2021 - 12/18/2021) Swollen lymph nodes and glands in and around neck/head (12/31/2021 - still unresolved as of 1/27/2022)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Received Moderna booster (1/18/22) and next day (1/19/22) rash noticed on left upper arm. In a.m. 1/20/22, patient came to Health office. Solid redness with slightly darker pin point dots covered left upper arm; area measured 7 inches X 8 Inches, warm to touch and slightly swollen, itchy. Patient took 25 mg tab Benadryl evening of 1/19/22 with no improvement. No other symptoms reported.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure during pregnancy, Labour induction, Platelet count decreased, SARS-CoV-2 test positive
Clinical narrative: Patient is a 31 y.o. G3P1011 female with Estimated Date of Delivery: unknown, currently at 40w3d gestation.  Patient presents to L&D for induction of labor for postdates, history of mild gestational thrombocytopenia with platelets mildly decreasing this on yesterday lab this pregnancy (desiring epidural) and history of delayed postpartum hemorrhage last delivery 2019, wishing controlled setting.  COVID + upon admission