chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, International normalised ratio increased, Lung opacity, Positive airway pressure therapy, Procalcitonin
Clinical narrative: Presented to ED on 11/28 and was admitted.  chief complaint of shortness of breath.Patient states this evening when getting ready to go to sleep she felt very short of breath She states she has taken all of her medications as prescribed. She does admit to eating more salty foods with thanksgiving and not watching her fluid intake. She also isn't as active as usual after losing her husband. Of note, patient was recently admitted 11/21/2021 to 11/24/2021 for acute CHF exacerbation due to noncompliance with medication.  Apparently patient's husband died recently and since then she has not been taking her medication daily.  She did not require any oxygen at the time and was discharged on regular home dose of Lasix.  During her hospitalization it was recommended she go , but family wanted to bring her home. Patient lives with one of her daughters. Uses walker for assistance. Denies recent falls. Denies fever, chills, cough, chest pain, abd pain, n/v/d/c, dysuria, hematuria, pain in BLLE.   In the ED, patient hemodynamically stable and afebrile.  Vital signs 98.2 F, 89 beats per minute, respirations 20, BP 138/68, 97% 4 L nasal cannula.  Was put on BiPAP but could not tolerate.  COVID negative.  Procalcitonin 0.08.  BNP was 1540. Glucose 349, anion gap 9.9, BUN 22, creatinine 1.30, albumin 3.1, calcium 8.7, alk-phos 203, ALT 57, GFR 46. Troponin 0.015.  Magnesium 2.0.  PTT 31, PT 16.1, INR 1.3.  WBC 4.44, H&H 9.5 and 29.8.  Chest x-ray shows worsening bilateral opacities which can be in the setting of congestive failure.  Interventions ED include albuterol 6 puffs, doxycycline 100 mg p.o. 1 dose, and Lasix 80 mg IV 1 dose. Patient gradually improved addendum prior to discharge from the hospital to nursing home she was tested positive for COVID-19.  Patient was given dexamethasone, IV antibiotics (ceftriaxone, doxycycline) and remdesivir.  Patient responded well to the oxygen, patient has been clinically stable, patient had prolonged hospitalization , case management has been admitted for patient to go to nursing home.  Will discharge patient home with instructions to follow up with PMD. Discharged on 12/20/21
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Prothrombin time prolonged, SARS-CoV-2 test positive, Treatment noncompliance, Troponin normal, Walking aid user
Clinical narrative: Presented to ED on 11/28 and was admitted.  chief complaint of shortness of breath.Patient states this evening when getting ready to go to sleep she felt very short of breath She states she has taken all of her medications as prescribed. She does admit to eating more salty foods with thanksgiving and not watching her fluid intake. She also isn't as active as usual after losing her husband. Of note, patient was recently admitted 11/21/2021 to 11/24/2021 for acute CHF exacerbation due to noncompliance with medication.  Apparently patient's husband died recently and since then she has not been taking her medication daily.  She did not require any oxygen at the time and was discharged on regular home dose of Lasix.  During her hospitalization it was recommended she go , but family wanted to bring her home. Patient lives with one of her daughters. Uses walker for assistance. Denies recent falls. Denies fever, chills, cough, chest pain, abd pain, n/v/d/c, dysuria, hematuria, pain in BLLE.   In the ED, patient hemodynamically stable and afebrile.  Vital signs 98.2 F, 89 beats per minute, respirations 20, BP 138/68, 97% 4 L nasal cannula.  Was put on BiPAP but could not tolerate.  COVID negative.  Procalcitonin 0.08.  BNP was 1540. Glucose 349, anion gap 9.9, BUN 22, creatinine 1.30, albumin 3.1, calcium 8.7, alk-phos 203, ALT 57, GFR 46. Troponin 0.015.  Magnesium 2.0.  PTT 31, PT 16.1, INR 1.3.  WBC 4.44, H&H 9.5 and 29.8.  Chest x-ray shows worsening bilateral opacities which can be in the setting of congestive failure.  Interventions ED include albuterol 6 puffs, doxycycline 100 mg p.o. 1 dose, and Lasix 80 mg IV 1 dose. Patient gradually improved addendum prior to discharge from the hospital to nursing home she was tested positive for COVID-19.  Patient was given dexamethasone, IV antibiotics (ceftriaxone, doxycycline) and remdesivir.  Patient responded well to the oxygen, patient has been clinically stable, patient had prolonged hospitalization , case management has been admitted for patient to go to nursing home.  Will discharge patient home with instructions to follow up with PMD. Discharged on 12/20/21
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Presented to ED on 11/28 and was admitted.  chief complaint of shortness of breath.Patient states this evening when getting ready to go to sleep she felt very short of breath She states she has taken all of her medications as prescribed. She does admit to eating more salty foods with thanksgiving and not watching her fluid intake. She also isn't as active as usual after losing her husband. Of note, patient was recently admitted 11/21/2021 to 11/24/2021 for acute CHF exacerbation due to noncompliance with medication.  Apparently patient's husband died recently and since then she has not been taking her medication daily.  She did not require any oxygen at the time and was discharged on regular home dose of Lasix.  During her hospitalization it was recommended she go , but family wanted to bring her home. Patient lives with one of her daughters. Uses walker for assistance. Denies recent falls. Denies fever, chills, cough, chest pain, abd pain, n/v/d/c, dysuria, hematuria, pain in BLLE.   In the ED, patient hemodynamically stable and afebrile.  Vital signs 98.2 F, 89 beats per minute, respirations 20, BP 138/68, 97% 4 L nasal cannula.  Was put on BiPAP but could not tolerate.  COVID negative.  Procalcitonin 0.08.  BNP was 1540. Glucose 349, anion gap 9.9, BUN 22, creatinine 1.30, albumin 3.1, calcium 8.7, alk-phos 203, ALT 57, GFR 46. Troponin 0.015.  Magnesium 2.0.  PTT 31, PT 16.1, INR 1.3.  WBC 4.44, H&H 9.5 and 29.8.  Chest x-ray shows worsening bilateral opacities which can be in the setting of congestive failure.  Interventions ED include albuterol 6 puffs, doxycycline 100 mg p.o. 1 dose, and Lasix 80 mg IV 1 dose. Patient gradually improved addendum prior to discharge from the hospital to nursing home she was tested positive for COVID-19.  Patient was given dexamethasone, IV antibiotics (ceftriaxone, doxycycline) and remdesivir.  Patient responded well to the oxygen, patient has been clinically stable, patient had prolonged hospitalization , case management has been admitted for patient to go to nursing home.  Will discharge patient home with instructions to follow up with PMD. Discharged on 12/20/21
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash vesicular
Clinical narrative: Started with a blistery rash all over body. It lasted about a month. Was given a topical steroid cream.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: symptomatic, mild hypoxia, testrd positive for COVID on 12/31/2021
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine dose expired 10/13/2021, Vaccine was given to patient on 10/14/2021
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 12/28/2021 Covid symptoms started with cough, congestion, headache, chills, and achiness. I still have a cough, but the fever was gone after 2 days. I also have tiredness still. The other symptoms lasted 2 days. The achiness and chills lasted 2 days, and the cough and congestion is still lingering but it's mild. I tested positive for Covid on 12/29/21.
Age: 45.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Myalgia, Pyrexia
Clinical narrative: Muscle and joint pain with mild fever (99 to 100 degrees) lasting approximately 24 hours
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aspiration pleural cavity, Atelectasis, Blood lactic acid, Bradycardia
Clinical narrative: 98 year old female presented to ER on 12/6/21 with complaints of worsening cough and lower extremity edema, tested positive for COVID-19 requiring 4 L of nasal cannula, vital signs blood pressure 145/71 heart rate 73 saturating at 94% on 4 L nasal canula. Lactic acid, CMP, CBC unremarkable.  BMP 947, troponin negative, CXR- Worsening bibasilar opacification, right greater than left. Worsening bilateral pleural effusions, right greater than left. CT chest-  Moderate right pleural effusion.  There is a small to moderate left pleural effusion. Subtle patchy ground-glass opacities in the bilateral upper lobes.  These findings are nonspecific.  Primary differential consideration includes alveolar pulmonary edema or changes from a COVID infection given patient's recent diagnosis   patient is admitted for acute respiratory failure with hypoxia likely due to COVID-19 pneumonia and CHF exacerbation, Given Lasix in the emergency. started Decadron, rocephin and azithromycin and Remdesivir.  speech therapy evaluated patient. thoracocentesis was performed by IR and removed 1.2 L from Rt pleural space.   Patient heart rate was running around 140-160 even with Cardizem and metoprolol order, cardiology is consulted but HR become controlled after thoracocentesis.   Patient was doing okay on the morning of 12/9/21 except some cough. But afternoon around 2:00 p.m., rapid response was called because patient was lethargic,vital sign showed bradycardia, hypotension 82/40 along with hypoxia required Non- rebreather mask.  chest x-ray- Increased volume left greater than right pleural effusions. Increased opacification diffusely may represent layering effusions with worsening atelectatic change.  Superimposed pneumonia not excluded. Patient began more alert and discussed with her about future goal of care and she would like to get comfort care management instead of aggressive IV antibiotics and antiviral medications.  Talked to patient's POA and update about patient current condition  And they agree with the plan. Patient is discharged with comfort care measure.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Chest X-ray abnormal, Computerised tomogram thorax abnormal
Clinical narrative: 98 year old female presented to ER on 12/6/21 with complaints of worsening cough and lower extremity edema, tested positive for COVID-19 requiring 4 L of nasal cannula, vital signs blood pressure 145/71 heart rate 73 saturating at 94% on 4 L nasal canula. Lactic acid, CMP, CBC unremarkable.  BMP 947, troponin negative, CXR- Worsening bibasilar opacification, right greater than left. Worsening bilateral pleural effusions, right greater than left. CT chest-  Moderate right pleural effusion.  There is a small to moderate left pleural effusion. Subtle patchy ground-glass opacities in the bilateral upper lobes.  These findings are nonspecific.  Primary differential consideration includes alveolar pulmonary edema or changes from a COVID infection given patient's recent diagnosis   patient is admitted for acute respiratory failure with hypoxia likely due to COVID-19 pneumonia and CHF exacerbation, Given Lasix in the emergency. started Decadron, rocephin and azithromycin and Remdesivir.  speech therapy evaluated patient. thoracocentesis was performed by IR and removed 1.2 L from Rt pleural space.   Patient heart rate was running around 140-160 even with Cardizem and metoprolol order, cardiology is consulted but HR become controlled after thoracocentesis.   Patient was doing okay on the morning of 12/9/21 except some cough. But afternoon around 2:00 p.m., rapid response was called because patient was lethargic,vital sign showed bradycardia, hypotension 82/40 along with hypoxia required Non- rebreather mask.  chest x-ray- Increased volume left greater than right pleural effusions. Increased opacification diffusely may represent layering effusions with worsening atelectatic change.  Superimposed pneumonia not excluded. Patient began more alert and discussed with her about future goal of care and she would like to get comfort care management instead of aggressive IV antibiotics and antiviral medications.  Talked to patient's POA and update about patient current condition  And they agree with the plan. Patient is discharged with comfort care measure.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Full blood count normal, Heart rate increased, Hypotension
Clinical narrative: 98 year old female presented to ER on 12/6/21 with complaints of worsening cough and lower extremity edema, tested positive for COVID-19 requiring 4 L of nasal cannula, vital signs blood pressure 145/71 heart rate 73 saturating at 94% on 4 L nasal canula. Lactic acid, CMP, CBC unremarkable.  BMP 947, troponin negative, CXR- Worsening bibasilar opacification, right greater than left. Worsening bilateral pleural effusions, right greater than left. CT chest-  Moderate right pleural effusion.  There is a small to moderate left pleural effusion. Subtle patchy ground-glass opacities in the bilateral upper lobes.  These findings are nonspecific.  Primary differential consideration includes alveolar pulmonary edema or changes from a COVID infection given patient's recent diagnosis   patient is admitted for acute respiratory failure with hypoxia likely due to COVID-19 pneumonia and CHF exacerbation, Given Lasix in the emergency. started Decadron, rocephin and azithromycin and Remdesivir.  speech therapy evaluated patient. thoracocentesis was performed by IR and removed 1.2 L from Rt pleural space.   Patient heart rate was running around 140-160 even with Cardizem and metoprolol order, cardiology is consulted but HR become controlled after thoracocentesis.   Patient was doing okay on the morning of 12/9/21 except some cough. But afternoon around 2:00 p.m., rapid response was called because patient was lethargic,vital sign showed bradycardia, hypotension 82/40 along with hypoxia required Non- rebreather mask.  chest x-ray- Increased volume left greater than right pleural effusions. Increased opacification diffusely may represent layering effusions with worsening atelectatic change.  Superimposed pneumonia not excluded. Patient began more alert and discussed with her about future goal of care and she would like to get comfort care management instead of aggressive IV antibiotics and antiviral medications.  Talked to patient's POA and update about patient current condition  And they agree with the plan. Patient is discharged with comfort care measure.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Lung opacity, Metabolic function test, Oedema peripheral, Pleural effusion
Clinical narrative: 98 year old female presented to ER on 12/6/21 with complaints of worsening cough and lower extremity edema, tested positive for COVID-19 requiring 4 L of nasal cannula, vital signs blood pressure 145/71 heart rate 73 saturating at 94% on 4 L nasal canula. Lactic acid, CMP, CBC unremarkable.  BMP 947, troponin negative, CXR- Worsening bibasilar opacification, right greater than left. Worsening bilateral pleural effusions, right greater than left. CT chest-  Moderate right pleural effusion.  There is a small to moderate left pleural effusion. Subtle patchy ground-glass opacities in the bilateral upper lobes.  These findings are nonspecific.  Primary differential consideration includes alveolar pulmonary edema or changes from a COVID infection given patient's recent diagnosis   patient is admitted for acute respiratory failure with hypoxia likely due to COVID-19 pneumonia and CHF exacerbation, Given Lasix in the emergency. started Decadron, rocephin and azithromycin and Remdesivir.  speech therapy evaluated patient. thoracocentesis was performed by IR and removed 1.2 L from Rt pleural space.   Patient heart rate was running around 140-160 even with Cardizem and metoprolol order, cardiology is consulted but HR become controlled after thoracocentesis.   Patient was doing okay on the morning of 12/9/21 except some cough. But afternoon around 2:00 p.m., rapid response was called because patient was lethargic,vital sign showed bradycardia, hypotension 82/40 along with hypoxia required Non- rebreather mask.  chest x-ray- Increased volume left greater than right pleural effusions. Increased opacification diffusely may represent layering effusions with worsening atelectatic change.  Superimposed pneumonia not excluded. Patient began more alert and discussed with her about future goal of care and she would like to get comfort care management instead of aggressive IV antibiotics and antiviral medications.  Talked to patient's POA and update about patient current condition  And they agree with the plan. Patient is discharged with comfort care measure.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: 98 year old female presented to ER on 12/6/21 with complaints of worsening cough and lower extremity edema, tested positive for COVID-19 requiring 4 L of nasal cannula, vital signs blood pressure 145/71 heart rate 73 saturating at 94% on 4 L nasal canula. Lactic acid, CMP, CBC unremarkable.  BMP 947, troponin negative, CXR- Worsening bibasilar opacification, right greater than left. Worsening bilateral pleural effusions, right greater than left. CT chest-  Moderate right pleural effusion.  There is a small to moderate left pleural effusion. Subtle patchy ground-glass opacities in the bilateral upper lobes.  These findings are nonspecific.  Primary differential consideration includes alveolar pulmonary edema or changes from a COVID infection given patient's recent diagnosis   patient is admitted for acute respiratory failure with hypoxia likely due to COVID-19 pneumonia and CHF exacerbation, Given Lasix in the emergency. started Decadron, rocephin and azithromycin and Remdesivir.  speech therapy evaluated patient. thoracocentesis was performed by IR and removed 1.2 L from Rt pleural space.   Patient heart rate was running around 140-160 even with Cardizem and metoprolol order, cardiology is consulted but HR become controlled after thoracocentesis.   Patient was doing okay on the morning of 12/9/21 except some cough. But afternoon around 2:00 p.m., rapid response was called because patient was lethargic,vital sign showed bradycardia, hypotension 82/40 along with hypoxia required Non- rebreather mask.  chest x-ray- Increased volume left greater than right pleural effusions. Increased opacification diffusely may represent layering effusions with worsening atelectatic change.  Superimposed pneumonia not excluded. Patient began more alert and discussed with her about future goal of care and she would like to get comfort care management instead of aggressive IV antibiotics and antiviral medications.  Talked to patient's POA and update about patient current condition  And they agree with the plan. Patient is discharged with comfort care measure.
Age: 16.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal discomfort, Blood test, Inflammation
Clinical narrative: The night of the second vaccine pt. began experiencing severe gastrointestinal distress that has continued to this day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Chest discomfort, Chills, Cold sweat
Clinical narrative: Severe vomiting, muscle pain, long bone pain, joint pain, GI pain, Headache, Fever 103, Chills, unable to walk or place heels on floor, cold/hot sweats, malaise, chest pressure, unable to drink or eat, lack of appetite, weight loss, double vision since 12.21.2021. Some improvement to date. Had severe effects of first 2 Moderna vaccines and this current booster. Under medical care for first 2 vaccines: Feb and March 2021.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diplopia, Dysstasia, Gastrointestinal pain, Headache
Clinical narrative: Severe vomiting, muscle pain, long bone pain, joint pain, GI pain, Headache, Fever 103, Chills, unable to walk or place heels on floor, cold/hot sweats, malaise, chest pressure, unable to drink or eat, lack of appetite, weight loss, double vision since 12.21.2021. Some improvement to date. Had severe effects of first 2 Moderna vaccines and this current booster. Under medical care for first 2 vaccines: Feb and March 2021.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Malaise, Myalgia, Pyrexia, Vomiting
Clinical narrative: Severe vomiting, muscle pain, long bone pain, joint pain, GI pain, Headache, Fever 103, Chills, unable to walk or place heels on floor, cold/hot sweats, malaise, chest pressure, unable to drink or eat, lack of appetite, weight loss, double vision since 12.21.2021. Some improvement to date. Had severe effects of first 2 Moderna vaccines and this current booster. Under medical care for first 2 vaccines: Feb and March 2021.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Severe vomiting, muscle pain, long bone pain, joint pain, GI pain, Headache, Fever 103, Chills, unable to walk or place heels on floor, cold/hot sweats, malaise, chest pressure, unable to drink or eat, lack of appetite, weight loss, double vision since 12.21.2021. Some improvement to date. Had severe effects of first 2 Moderna vaccines and this current booster. Under medical care for first 2 vaccines: Feb and March 2021.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash papular, Urticaria
Clinical narrative: Hives and a rash resulting in raised welts. All over body.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Nausea, Neck pain
Clinical narrative: She got her vaccine, had severe backaches, her legs were aching and there was not a part of her that did not hurt.  She felt nauseous, her neck hurt, her head hurt.  She had fever and chills.  They lasted for about 24 hours and they left.  She did not take anything for her symptoms.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: She got her vaccine, had severe backaches, her legs were aching and there was not a part of her that did not hurt.  She felt nauseous, her neck hurt, her head hurt.  She had fever and chills.  They lasted for about 24 hours and they left.  She did not take anything for her symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Fatigue, Headache, Myalgia, Symptom recurrence
Clinical narrative: Initially:  headache, fatigue, muscle aches, tinnitus.  Tinnitus continued for several months.  Headache, fatigue, muscle aches resolved after 24-48 hours.   Tinnitus continued for many months,  eventually improving then returning after 3rd booster vaccine on 12/07/2021.  Vertigo and diplopia developed approx 6  weeks post 04/01/2021 "second" vaccination.  Vertigo resolved after approx 2 weeks and returned after third Pfizer vaccination on 12/07/2021.  Diplopia has not resolved.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo
Clinical narrative: Initially:  headache, fatigue, muscle aches, tinnitus.  Tinnitus continued for several months.  Headache, fatigue, muscle aches resolved after 24-48 hours.   Tinnitus continued for many months,  eventually improving then returning after 3rd booster vaccine on 12/07/2021.  Vertigo and diplopia developed approx 6  weeks post 04/01/2021 "second" vaccination.  Vertigo resolved after approx 2 weeks and returned after third Pfizer vaccination on 12/07/2021.  Diplopia has not resolved.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after being fully vaccinated. I got the antibody infusion in April for the second COVID outbreak. Not for the third time.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Computerised tomogram, Magnetic resonance imaging abnormal, Myocarditis
Clinical narrative: Myocarditis and pericarditis. Felt mild chest pain that subsided after a couple hours. Kept in hospital for 3 nights to do testing and to make sure I was recovering. Troponin level was high (I think 17) at time of admittance and fell after.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Troponin increased
Clinical narrative: Myocarditis and pericarditis. Felt mild chest pain that subsided after a couple hours. Kept in hospital for 3 nights to do testing and to make sure I was recovering. Troponin level was high (I think 17) at time of admittance and fell after.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Decreased appetite, Fatigue, Renal impairment, Somnolence
Clinical narrative: I was extremely tired, I wasn't sick I was just exhausted and 36 hours later I woke up and I was groggy, it took about another day to feel. I back to normal. I wasn't hungry all I wanted to do was sleep. After that all of these kidney shut down after that, I spend 5 days in the hospital and then again it shut down again. I was on stage 5 on my kidney after the vaccination. Finally I came down to stage 3B. Local hospital. Right now my kidneys are no longer stage 5 so that is a good thing.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: fully vaccinated covid related death
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Axillary pain, Mobility decreased, Paralysis
Clinical narrative: I was in bed and I felt paralyzed for 3 days. I could not shower and I'm still sore but in my right armpit area and I got the shot in my left arm.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Nausea, Pyrexia
Clinical narrative: 12/05/21 presents to ED for "nausea/vomiting/diarrhea and shortness of breath with associated fevers and chills". PMHx of "hypertension, pre-diabetes, diverticulosis, OSA, HLD and depression"
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: 12/05/21 presents to ED for "nausea/vomiting/diarrhea and shortness of breath with associated fevers and chills". PMHx of "hypertension, pre-diabetes, diverticulosis, OSA, HLD and depression"
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dehydration, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 12/05/2021 presented to ED for vomiting, generalized fatigue, weakness and dehydration. PMHx of CKD stage 3, DM Type 2, HLD and HTN.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 12/05/2021 presented to ED for vomiting, generalized fatigue, weakness and dehydration. PMHx of CKD stage 3, DM Type 2, HLD and HTN.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Diarrhoea, Nausea, SARS-CoV-2 test positive
Clinical narrative: 12/05/2021 presented to ED for abdominal pain, nausea, vomiting and diarrhea. PMHx of DM.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 12/05/2021 presented to ED for abdominal pain, nausea, vomiting and diarrhea. PMHx of DM.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/06/2021 presented to ED for weakness about 4 days ago followed by progressively worsening SOB. PMHx of COPD on 2L NC, CAD s/p CABG 2003, CHF and DVT/PE.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Death
Clinical narrative: Presented to the ED on 12/7/21 via EMS after suffering 4 falls earlier today admitted for PT/OT and possibility of placement to a SNF. Found to be COVID positive on 12/7/21. She has been previously vaccinated with Moderna. Second dose was given in April 2021. Patient is overdue for her booster. Patient denies any loss of taste, smell, cough, shortness of breath or generalized fatigue.  Upon admission she tested post to COVID-19 and was noted to be hypoxic and was requiring 7 L of oxygen initially though initial chest x-ray was negative for pneumonia.  Subsequent chest imaging with CT angiogram done 12/15/21 did show extensive COVID-19 pneumonia without pulmonary emboli.  She received  appropriate treatments including Decadron, remdesivir and  antibiotics. She was followed by the  Pulmonary Service. Unfortunately, on 12/18/2021, her condition deteriorated while on BiPAP with FiO2 of 100%. She had a DNR status. Family decided to  transition to comfort care on 12/20/21 which was done and she sadly expired on 12/21/21 at 0505 AM.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, General physical health deterioration, Hypoxia, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Presented to the ED on 12/7/21 via EMS after suffering 4 falls earlier today admitted for PT/OT and possibility of placement to a SNF. Found to be COVID positive on 12/7/21. She has been previously vaccinated with Moderna. Second dose was given in April 2021. Patient is overdue for her booster. Patient denies any loss of taste, smell, cough, shortness of breath or generalized fatigue.  Upon admission she tested post to COVID-19 and was noted to be hypoxic and was requiring 7 L of oxygen initially though initial chest x-ray was negative for pneumonia.  Subsequent chest imaging with CT angiogram done 12/15/21 did show extensive COVID-19 pneumonia without pulmonary emboli.  She received  appropriate treatments including Decadron, remdesivir and  antibiotics. She was followed by the  Pulmonary Service. Unfortunately, on 12/18/2021, her condition deteriorated while on BiPAP with FiO2 of 100%. She had a DNR status. Family decided to  transition to comfort care on 12/20/21 which was done and she sadly expired on 12/21/21 at 0505 AM.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypoaesthesia, Muscular weakness, SARS-CoV-2 test positive
Clinical narrative: 12/06/21 presents to ED for "weakness and numbness in his right hand". PMHx of "paroxysmal A-fib s/p ablation" "hypertension".
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Pyrexia, Tonsillar hypertrophy
Clinical narrative: fatigue, fever/chills, axillary and cervical lymphadenopathy, enlarged tonsils
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Administered 2nd dose of the Pfizer covid-19 vaccine to pt and during the 15 minute waiting period, pt passed out for a brief moment (about a few seconds), but came right back to consciousness. She was sitting down in a chair and alert. She stated she felt dizzy, so advised her to stay seated and to take some deep breaths. Told pt we would check on her again in 10 minutes. Pt stated that she expected she could have a reaction like this, so she brought her dad with her for this second dose. Offered to call 911, but pt declined. She had her own water that was drinking as well. She had a similar experience after the 1st dose, but she didn't lose consciousness.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Vaccinated: 11:54AM Reaction: 12:10PM Pt reported slight headache and dizziness 16 minutes after vaccination 12:30: patient complains of nausea, no vomiting; remains lying down; observation continues 12:45: BP 108/63, 74, 18, O2 100%; resting quietly 12:50: patient complains of headache, ice applied to forehead and no further complaint of nausea at this time 12:55: patient asleep, vital signs remain stable 13:05: to bathroom via wheelchair, voided, stable 13:10: returned to observation room, stated "I feel much better now, requested to sit at edge of bed" 13:24: patient stated "I'm feeling good now and can go home" 13:30: patient is stable, educated on s/sx of vaccine, encouraged to drink more water and if still not feeling good, should follow up with her MD Vitals: 122/178, 85, 19, O2 100% Pt states she did not eat or drink before the vaccine and was given orange juice and crackers; patient stable and released from vaccination site at 13:30
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Persistent Fatigue
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/06/21 presents to ED for "SOB x 3 weeks". PMHx of "asthma, HTN, dyslipidemia., DM, breast cancer"
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: 1st dose: 3/5/21 J&J COVID vaccine, lot # 1805020,  2nd dose: 11/19/21 J&J COVID vaccine lot # 213D21A  Patient developed COVID-19 breakthrough infection nine months after receiving COVID-19 immunization. Treated and released from ED with follow-up on 12/10/21.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 10/13/2021, vaccine given 10/14/2021.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, SARS-CoV-2 test positive
Clinical narrative: 12/06/21 presents to EC ED for "L sided sharp, intermittent abdominal pain". PMHx of "crohn's disease"
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Foetal hypokinesia, Pregnancy
Clinical narrative: 12/06/21 presents to FBC for "". PMHx of "Decrease fetal movement / Covid positive / non-productive cough/ weakness". "No pertinent past medical history"
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 12/06/21 presents to FBC for "". PMHx of "Decrease fetal movement / Covid positive / non-productive cough/ weakness". "No pertinent past medical history"
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, SARS-CoV-2 test positive
Clinical narrative: diffuse abdominal pain which has been occurring for the past 2 months. She states the pain has continued to worsen severity since that time. This prompted her to present to the hospital. She was seen approximately one week ago and was given a GI cocktail with symptomatically relief. At that time she was Covid negative. However on this admission she has tested positive for Covid.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Influenza A virus test, Influenza B virus test, Pain
Clinical narrative: body aches and fatigue for 2-3 days fever on admission 1/2. as of 1/3 has been discharged
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: body aches and fatigue for 2-3 days fever on admission 1/2. as of 1/3 has been discharged
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Muscular weakness, SARS-CoV-2 test positive
Clinical narrative: 12/06/21 presents to EC ED for "progressive lower limb weakness". PMHx of "Hypertension, and Primary chronic progressive multiple sclerosis (CMS/HCC)"
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure during pregnancy, SARS-CoV-2 test positive, Uterine contractions during pregnancy
Clinical narrative: 12/06/21 presents to Triage for "G5P2022 at 40w6d feeling contractions".  PMHX of " Gestational diabetes mellitus (GDM) in third trimester".
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Unknown
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: 12/06/21 presents to ED for "arm pain". PMHx of "ESRD on hemodialysis (MWF), asthma, BPH, CAD, CVA, diabetes mellitus type 2, hyperlipidemia, hypertension, hypothyroidism, morbid obesity, pulmonary hypertension, DVT"
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Erythema, Retching
Clinical narrative: Felt very dizzy, tingly, diarrhea, face and ears were bright red like a strawberry, dry heaves. Took Benadryl and called 911. Dispatcher stayed on the phone till I felt a little better. Did not send an ambulance. I went to bed and shivered with 6 blankets on me. Felt better the next morning when I woke.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Asthenia, Asymptomatic COVID-19, Blood culture positive, Chest X-ray abnormal
Clinical narrative: Presented to ER on 11/25/21. This 81-year-old female patient who recently started seeing Dr.  , called the paramedics to come in since she has been very weak, unable  to take care of herself at home, and wants to go to a nursing home for  convalescence.  Unfortunately, patient has been having trouble eating for last  3 weeks.  Every time she eats, she feels like she os going to upchuck, and  then it goes down, but she gags, and she does not want to throw up, so has not  been eating much.  Yesterday, she ate pudding and coffee, and that is about  it.Was started on ceftriaxone.  Blood cultures were done and were positive for MSSA.  She was continued on ceftriaxone to completion.  Was started with physical therapy and occupational therapy.  Remained quite weak and appeared would require nursing home placement she was amenable to that.  She was to be discharged to senior housing facility.  Was found to have pressure ulcers on her buttocks and coccyx and local care initiated.  Had had difficulties as well with fecal incontinence.  Was started on daily fiber and there was significant improvement.  Fall precautions were maintained throughout patient's hospital stay.  Unfortunately as part of routine testing for admission to the nursing home she was found to be COVID-19 positive.  She required isolation for 10 days.  She was monitored in regards to O2 saturation.  She remained asymptomatic throughout her whole hospital stay.  She did not require any medical therapies for the COVID-19.  Continued with physical therapy as well as wound care to the buttocks and coccygeal area.  On 12/13/2021 she had completed her quarantine.  Was discharged in stable condition to Nursing Home as originally planned.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Decubitus ulcer, Impaired self-care, Pulmonary mass, Retching
Clinical narrative: Presented to ER on 11/25/21. This 81-year-old female patient who recently started seeing Dr.  , called the paramedics to come in since she has been very weak, unable  to take care of herself at home, and wants to go to a nursing home for  convalescence.  Unfortunately, patient has been having trouble eating for last  3 weeks.  Every time she eats, she feels like she os going to upchuck, and  then it goes down, but she gags, and she does not want to throw up, so has not  been eating much.  Yesterday, she ate pudding and coffee, and that is about  it.Was started on ceftriaxone.  Blood cultures were done and were positive for MSSA.  She was continued on ceftriaxone to completion.  Was started with physical therapy and occupational therapy.  Remained quite weak and appeared would require nursing home placement she was amenable to that.  She was to be discharged to senior housing facility.  Was found to have pressure ulcers on her buttocks and coccyx and local care initiated.  Had had difficulties as well with fecal incontinence.  Was started on daily fiber and there was significant improvement.  Fall precautions were maintained throughout patient's hospital stay.  Unfortunately as part of routine testing for admission to the nursing home she was found to be COVID-19 positive.  She required isolation for 10 days.  She was monitored in regards to O2 saturation.  She remained asymptomatic throughout her whole hospital stay.  She did not require any medical therapies for the COVID-19.  Continued with physical therapy as well as wound care to the buttocks and coccygeal area.  On 12/13/2021 she had completed her quarantine.  Was discharged in stable condition to Nursing Home as originally planned.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Wound treatment
Clinical narrative: Presented to ER on 11/25/21. This 81-year-old female patient who recently started seeing Dr.  , called the paramedics to come in since she has been very weak, unable  to take care of herself at home, and wants to go to a nursing home for  convalescence.  Unfortunately, patient has been having trouble eating for last  3 weeks.  Every time she eats, she feels like she os going to upchuck, and  then it goes down, but she gags, and she does not want to throw up, so has not  been eating much.  Yesterday, she ate pudding and coffee, and that is about  it.Was started on ceftriaxone.  Blood cultures were done and were positive for MSSA.  She was continued on ceftriaxone to completion.  Was started with physical therapy and occupational therapy.  Remained quite weak and appeared would require nursing home placement she was amenable to that.  She was to be discharged to senior housing facility.  Was found to have pressure ulcers on her buttocks and coccyx and local care initiated.  Had had difficulties as well with fecal incontinence.  Was started on daily fiber and there was significant improvement.  Fall precautions were maintained throughout patient's hospital stay.  Unfortunately as part of routine testing for admission to the nursing home she was found to be COVID-19 positive.  She required isolation for 10 days.  She was monitored in regards to O2 saturation.  She remained asymptomatic throughout her whole hospital stay.  She did not require any medical therapies for the COVID-19.  Continued with physical therapy as well as wound care to the buttocks and coccygeal area.  On 12/13/2021 she had completed her quarantine.  Was discharged in stable condition to Nursing Home as originally planned.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Dyspnoea exertional, SARS-CoV-2 test positive, Wheezing
Clinical narrative: 12/07/21 presents to ED for "DOE" "labored breathing w/ wheezing". PMHx of "non-ischemic cardiomyopathy, CAD s/p CABG, asthma, TIA (2014)"
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Palpitations, SARS-CoV-2 test positive
Clinical narrative: 12/07/21 presents to EC ED for "palpitations". PMHx of "atrial fibrillation and supraventricular tachycardia with episodes of tachycardia and palpitations"
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Developed systemic hives/urticaria starting 9 days after Moderna booster and still continues. Taking one Zyrtec a day which helps alleviate the itching but does not stop hives from forming.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder
Clinical narrative: I've been getting my period every 50+ days since being administered the vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: PATIENT FAINTED AND FELL DOWN AFTER SHOT.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Exposure via skin contact, Syringe issue, Underdose
Clinical narrative: I (the pharmacist) was giving the vaccine and noticed that the syringe was leaking where the needle screws into the syringe.  I was confident that the amount was significant (drops were even on the patient's arm); so, I was confident that the patient did not receive enough vaccine.  I got a new vial, prepared it and re-administered the vaccine without any more issues.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dizziness, SARS-CoV-2 test positive
Clinical narrative: 12/07/21 presents to ED for "Dizziness, cough, diarrhea". PMHx of "lung cancer and TCC"
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 10/13/2021, vaccine given 10/14/2021.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/07/21 presents to ED for "fatigue, cough and fever". "PMH of obesity"
Age: 29.0
Sex: U
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Myocarditis
Clinical narrative: Rapid heart beating, irregular and lasted 3 weeks. Myocarditis continuing still on occasion. Never had these problems before
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Lymphadenopathy
Clinical narrative: Swollen Lymph Node in left armpit(golf ball size) Swollen lymph node in neck on left side (pea size). Pain and itchiness at injection site
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Fall, SARS-CoV-2 test positive
Clinical narrative: 12/07/21 presents to ED for "Chest pain" "multiple falls". PMHX of "liver cirrhosis, CAD, CKD III, HTN, DM, and portal HTN".
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal
Clinical narrative: Chest pain, patient was assessed immediately. VS BP 95/69, HR 78, temp 36.6, SPO2 100% on room air.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 12/07/21 presents to ED for "fatigue and shortness of breath x9 days. She was diagnosed w/ Covid 1 week ago". PMHX of "hypertension, hyperlipidemia, hypothyroidism, asthma, and obesity".
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted while walking down the aisle shortly after receiving vaccine. ambulance was called and patient was feeling better before ambulance arrived. emergency personnel allowed patient to leave with parents.  called patient 1/3/22 and she was feeling normal with no other adverse reactions since leaving the store.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/07/21 presents to ED for "SOB". PMHx of "HTN, DM, chronic hypoxic respiratory failure on 2L NC due to COPD, OSA, CKD stage III, HLD, CAD, and obesity"
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/07/21 presents to EC ED for "Fatigue and Fever". PMHx of "recent CVA, DVT on eliquis, CAD, HTN, DM, NASH s/p liver transplant"
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive, Spinal cord injury cervical
Clinical narrative: 12/08/21 presents to ED as transfer from alternate hospital for "sustaining a fall and subsequent cervical spinal injury". PMHX of "pontine cavernous malformation".
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Lethargy, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: 12/08/21 presents to ED for "tachycardia" " lethargic with generalized weakness". PMHx of "CAD s/p CABG, HFpEF (EF 55% 10/9/21), AFib, HTN, HLD, OSA on CPAP"
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Lethargy, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: 12/08/21 presents to ED for "tachycardia" " lethargic with generalized weakness". PMHx of "CAD s/p CABG, HFpEF (EF 55% 10/9/21), AFib, HTN, HLD, OSA on CPAP"
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bedridden, COVID-19, Cough, Dementia, Pyrexia
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 08/03/2021.  Pt presents with dementia, bedridden, fever and cough x4-5 days.  Received IV abx/Steroids and Remdesivir.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 08/03/2021.  Pt presents with dementia, bedridden, fever and cough x4-5 days.  Received IV abx/Steroids and Remdesivir.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma
Clinical narrative: I have exercise induced asthma but rarely have asthma attacks.  I started getting frequent asthma attacks about 3 weeks after my second Moderna vaccine.  They did not respond to my albuterol inhaler and started becoming more frequent.  I had to start on steroids in order to get the attacks under control.  I also had asthma attacks following my moderna booster in December.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/08/21 presents to ED for "Cough, dyspnea, fever". PMHx of "MVP, asthma, IBS, htn"
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: 12/08/21 presents to ED for "hypoxia and SOB". PMHx of "hypothyroidism, influenza ARDS, obesity"
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Headache- within 24 hours lasted for 3 days body ache- within 18 hours lasted for 3 days chills- within 18 hours, off and on for 3 days Fatigue- within 18 hours, lasted for 3 days
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 10/13/2021, vaccine given 10/14/2021.