chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoxia, Impaired gastric emptying, Laboratory test normal, Nausea
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD  Admission Date: 8/14/2022 Discharge Date: 08/17/2022  PRESENTING PROBLEM: Hypoxia [R09.02] End stage renal disease on dialysis [N18.6, Z99.2] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 50 y.o. female with past medical history significant for pulmonary hypertension, asthma, chronic hypoxemic respiratory failure oxygen dependent, ESRD on HD, morbid obesity, chronic diastolic heart failure, OSA on CPAP, hypothyroidism, mood disorder, hx DVT on warfarin, and non-insulin dependent DMT2 who presented to the emergency department with shortness of breath, headache, chills, nausea, sore throat, fatigue and productive cough.  She took a COVID test at home that resulted positive.  She has been fully COVID vaccinated with 1 booster. At baseline patient is on 2-3 L nasal cannula at rest and 5 L with any activity or while lying flat.  Patient reported that her home oxygen concentrator broke after falling a few days ago. Pulmonary rehab worked with supplier to replace however there is a supply shortage and will provide oxygen tanks until concentrator available. Patient is on hemodialysis for end-stage renal disease, her last dialysis session was 08/17/2022. She has new isolation chair arranged and Dr phoned dialysis orders there.      While hospitalized she also complained of bilateral flank pain. She has had intermittent flank pain previously and this was recently evaluated at Hospital. She was evaluated with urinalysis which was abnormal and urine cultures are pending at discharge. She did receive one dose of ceftriaxone in patient. Ultimately a CTABP was obtained to evaluate for hydronephrosis, renal calculus, or signs of pyelonephritis. This returned without any acute pathology and was reassuring. She did note not having a BM for several days and I suspect this is underlying cause of discomfort. She does have known gastroparesis, passing gas and follows with clinic for pacemaker. May be exacerbated by narcotic use.   Patient was initially treated with oral dexamethasone.  Patient was continued on supplemental oxygen at baseline. Therapy was consulted, who recommended home with assist.   Pulmonary Rehab was consulted for home oxygen.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Productive cough, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD  Admission Date: 8/14/2022 Discharge Date: 08/17/2022  PRESENTING PROBLEM: Hypoxia [R09.02] End stage renal disease on dialysis [N18.6, Z99.2] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 50 y.o. female with past medical history significant for pulmonary hypertension, asthma, chronic hypoxemic respiratory failure oxygen dependent, ESRD on HD, morbid obesity, chronic diastolic heart failure, OSA on CPAP, hypothyroidism, mood disorder, hx DVT on warfarin, and non-insulin dependent DMT2 who presented to the emergency department with shortness of breath, headache, chills, nausea, sore throat, fatigue and productive cough.  She took a COVID test at home that resulted positive.  She has been fully COVID vaccinated with 1 booster. At baseline patient is on 2-3 L nasal cannula at rest and 5 L with any activity or while lying flat.  Patient reported that her home oxygen concentrator broke after falling a few days ago. Pulmonary rehab worked with supplier to replace however there is a supply shortage and will provide oxygen tanks until concentrator available. Patient is on hemodialysis for end-stage renal disease, her last dialysis session was 08/17/2022. She has new isolation chair arranged and Dr phoned dialysis orders there.      While hospitalized she also complained of bilateral flank pain. She has had intermittent flank pain previously and this was recently evaluated at Hospital. She was evaluated with urinalysis which was abnormal and urine cultures are pending at discharge. She did receive one dose of ceftriaxone in patient. Ultimately a CTABP was obtained to evaluate for hydronephrosis, renal calculus, or signs of pyelonephritis. This returned without any acute pathology and was reassuring. She did note not having a BM for several days and I suspect this is underlying cause of discomfort. She does have known gastroparesis, passing gas and follows with clinic for pacemaker. May be exacerbated by narcotic use.   Patient was initially treated with oral dexamethasone.  Patient was continued on supplemental oxygen at baseline. Therapy was consulted, who recommended home with assist.   Pulmonary Rehab was consulted for home oxygen.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Injection site pain, Rash
Clinical narrative: Moderate to severe chest pain for 3 days after injection. Chest rash for 3 days after injection. Injection site pain for 2 days after injection. Severe fatigue for 3 days after injection.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID 19 after completing vaccine series
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Cough, Influenza like illness, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: Cough, sore through, cold/flu-like symptoms.
Age: 18.0
Sex: F
Vaccine: COVID19, HEPA
Symptoms: Immediate post-injection reaction, Incoherent, Muscle twitching, Pallor
Clinical narrative: Immediately upon 2nd injection patient became pale and incoherent also making seizure like twitches.  Code green was paged and Nurse practitioner arrived to assess patient.  911 was also notified and an ambulance was dispatched.  Upon assessment from the NP patient was becoming more coherent and vitals stabling with a BP pf 102/60.  Patient was provided crackers and water.  EMS arrived but patient refused transport.  Patient also requested HPV vaccine to be given after incident and was told by NP that was acceptable.  Patient was laid down on exam table and given HPV vaccine while EMS present.  Patient tolerated HPV vaccine without difficulty.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated 2 doses
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness and local injection site pain, no systemic symptoms.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19 after fully vaccinated with 3 doses of mRNA vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dry eye, Headache, Mobility decreased
Clinical narrative: The worst part is that I couldn't get out of bed for 3 days and was with a fever 102.7 being the highest.  The whole thing lasted for 6 days and I just tested negative today. I had a severe headache. Cough wasn't that bad. I was vomiting and couldn't hold down food. I had more head and stomach symptoms. Really dry eyes which is something I never had before.  Today I still have a little bit of a cough and dry eyes.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: The worst part is that I couldn't get out of bed for 3 days and was with a fever 102.7 being the highest.  The whole thing lasted for 6 days and I just tested negative today. I had a severe headache. Cough wasn't that bad. I was vomiting and couldn't hold down food. I had more head and stomach symptoms. Really dry eyes which is something I never had before.  Today I still have a little bit of a cough and dry eyes.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19 after fully vaccinated with 3 doses of mRNA vaccine.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Rash, Urticaria
Clinical narrative: 13+ rash/hives over several parts of body
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Dosing Error
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 07/29/2022
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19 after fully vaccinated with 3 doses of mRNA vaccine.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19 after fully vaccinated with 3 doses of mRNA vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 07/29/2022
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursions occurred and moderna determined the vial "maintained the activity necessarty to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Dosing error
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 07/27/22
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursions occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Bradycardia, COVID-19, Cough, Death
Clinical narrative: 6/11/22 pt to ED with malaise, fatigue, cough, fever, SOB for past 8 days; admitted; found to be positive for COVID; ABX, dexamethasone, Remdesivir; BiPAP/Vapotherm; DNR/DNI; AKI; hypotensive and bradycardic; pt passed away in the hospital
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Hypotension, Malaise, Positive airway pressure therapy
Clinical narrative: 6/11/22 pt to ED with malaise, fatigue, cough, fever, SOB for past 8 days; admitted; found to be positive for COVID; ABX, dexamethasone, Remdesivir; BiPAP/Vapotherm; DNR/DNI; AKI; hypotensive and bradycardic; pt passed away in the hospital
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 6/11/22 pt to ED with malaise, fatigue, cough, fever, SOB for past 8 days; admitted; found to be positive for COVID; ABX, dexamethasone, Remdesivir; BiPAP/Vapotherm; DNR/DNI; AKI; hypotensive and bradycardic; pt passed away in the hospital
Age: 31.0
Sex: F
Vaccine: HPV9, HPV9, HPV9
Symptoms: Wrong product administered
Clinical narrative: pt was given the incorrect vaccine, she was to receive the Tdap vaccine and not HPV.
Age: 31.0
Sex: F
Vaccine: HPV9, HPV9, HPV9
Symptoms: Exposure during pregnancy, No adverse event
Clinical narrative: pt was given the incorrect vaccine, she was to receive the Tdap vaccine and not HPV.
Age: 31.0
Sex: F
Vaccine: HPV9, HPV9, HPV9
Symptoms: Exposure during pregnancy, No adverse event, Wrong product administered
Clinical narrative: pt was given the incorrect vaccine, she was to receive the Tdap vaccine and not HPV.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursions occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Impaired work ability
Clinical narrative: Nausea, vomiting, severe dizziness, diarrhea. Arrived at work but had to leave. Contacted Family Care for medication. Prescribed Zofran. 2nd day slight headache, tiredness. Took Pepcid and Tylenol. 3rd day worse headache than 2nd day of side effects. Took Pepcid and Tylenol. Tylenol has not lessened headache in 2 hours.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea, vomiting, severe dizziness, diarrhea. Arrived at work but had to leave. Contacted Family Care for medication. Prescribed Zofran. 2nd day slight headache, tiredness. Took Pepcid and Tylenol. 3rd day worse headache than 2nd day of side effects. Took Pepcid and Tylenol. Tylenol has not lessened headache in 2 hours.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Crying, Flank pain
Clinical narrative: Patient reported that on the morning of 8/18/22 a pain that caused the patient to start crying. Pain developed on lower back with flank pain. Mother reported that patient took some acetaminophen but may have not started acting on the pain yet.
Age: 1.08
Sex: M
Vaccine: HIBV
Symptoms: Extra dose administered
Clinical narrative: Extra Hib vaccine administered to the patient on 7/25/22. Patient already received the vaccine on 7/11/22
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Dosing error
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: chest pain, high fever, four days.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 3/13/21 Lot# 040a21a;  Moderna 4/10/21 Lot# 038B21A;  Moderna 10/29/21 Lot# 058F21A
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Cardiac arrest, Cardiac valve disease, Culture, Death
Clinical narrative: Acute bradycardia and subsequent cardiac arrest on 8/13 leading to ICU transfer on epinephrine, milrinone, amiodarone, and fentanyl drips. Patient ultimately passed away on 8/15 after another cardiac arrest.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Full blood count, Intensive care, Metabolic function test
Clinical narrative: Acute bradycardia and subsequent cardiac arrest on 8/13 leading to ICU transfer on epinephrine, milrinone, amiodarone, and fentanyl drips. Patient ultimately passed away on 8/15 after another cardiac arrest.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Right ventricular dysfunction
Clinical narrative: Acute bradycardia and subsequent cardiac arrest on 8/13 leading to ICU transfer on epinephrine, milrinone, amiodarone, and fentanyl drips. Patient ultimately passed away on 8/15 after another cardiac arrest.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Death, Hypotension, Intensive care, Pulse absent
Clinical narrative: Acute bradycardia and subsequent cardiac arrest on 8/13 leading to ICU transfer on epinephrine, milrinone, amiodarone, and fentanyl drips. Patient ultimately passed away on 8/15 after another cardiac arrest.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Resuscitation, Tachycardia
Clinical narrative: Acute bradycardia and subsequent cardiac arrest on 8/13 leading to ICU transfer on epinephrine, milrinone, amiodarone, and fentanyl drips. Patient ultimately passed away on 8/15 after another cardiac arrest.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Cardiac arrest, Cardiac valve disease, Culture, Death
Clinical narrative: Patient received COVID-19 vaccine on 8/12/22 at 1428. At approximately 0350 on 8/13, patient had a code white event that included hypotension, bradycardia, and subsequent pulselessness with wide complex rhythm. Patient was resuscitated and transferred to the PICU, but ultimately passed away on 8/15 after another code white event.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Full blood count, Intensive care, Metabolic function test
Clinical narrative: Patient received COVID-19 vaccine on 8/12/22 at 1428. At approximately 0350 on 8/13, patient had a code white event that included hypotension, bradycardia, and subsequent pulselessness with wide complex rhythm. Patient was resuscitated and transferred to the PICU, but ultimately passed away on 8/15 after another code white event.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Right ventricular dysfunction
Clinical narrative: Patient received COVID-19 vaccine on 8/12/22 at 1428. At approximately 0350 on 8/13, patient had a code white event that included hypotension, bradycardia, and subsequent pulselessness with wide complex rhythm. Patient was resuscitated and transferred to the PICU, but ultimately passed away on 8/15 after another code white event.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Death, Hypotension, Intensive care, Pulse absent
Clinical narrative: Patient received COVID-19 vaccine on 8/12/22 at 1428. At approximately 0350 on 8/13, patient had a code white event that included hypotension, bradycardia, and subsequent pulselessness with wide complex rhythm. Patient was resuscitated and transferred to the PICU, but ultimately passed away on 8/15 after another code white event.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Resuscitation, Tachycardia
Clinical narrative: Patient received COVID-19 vaccine on 8/12/22 at 1428. At approximately 0350 on 8/13, patient had a code white event that included hypotension, bradycardia, and subsequent pulselessness with wide complex rhythm. Patient was resuscitated and transferred to the PICU, but ultimately passed away on 8/15 after another code white event.
Age: 25.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Pallor
Clinical narrative: The first attempt at administering an Intradermal dose did not yield a wheal. Shortly after the dose was administered the patient reported feeling lightheaded and dizzy. The patient also appeared pale. The duration of the symptoms lasted approximately 5 minutes. A second attempt of ID was successful and the patient reported that their symptoms resolved.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Dosing error.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abnormal, Dyspnoea, Fatigue, Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: On 8/13/22 - fatigue began.  On 8/15/22 - sob began.  Was diagnosed with pulmonary emboli on 8/17/22 at local Health Care.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Hypoxia, Pulmonary embolism
Clinical narrative: On 8/13/22 - fatigue began.  On 8/15/22 - sob began.  Was diagnosed with pulmonary emboli on 8/17/22 at local Health Care.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Death, Dyspnoea
Clinical narrative: 9/19/21 pt to ED with SOB, fevers, cough x 3-4 days; family member with COVID; pt tested positive for COVID; O2; dexamethasone, ABX; pt rapidly deteriorated; DNR; pt passed away due to COVID pneumonia
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, General physical health deterioration, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 9/19/21 pt to ED with SOB, fevers, cough x 3-4 days; family member with COVID; pt tested positive for COVID; O2; dexamethasone, ABX; pt rapidly deteriorated; DNR; pt passed away due to COVID pneumonia
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines 2/26/21 Pfizer Lot# EN6200;  3/19/21 Pfizer  Lot# ER8727;  12/21/21 Moderna Lot# 032H21A
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site muscle atrophy, Injection site nodule
Clinical narrative: INJECTION SITE HAS ATROPHIED MUSCLE, A DEPRESSION 1.5 INCHES WIDE AND 2 INCHES TALL HAS DEVELOPED.  DEPRESSION IS ABOUT 1/2 TO 3/4 INCHES DEEP.  ONE HALF INCH BELOW THE INJECTION SITE IS A KNOT.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Muscular weakness, SARS-CoV-2 test positive
Clinical narrative: Presented to ER with confusion, weakness of lower limbs on 8/17/22
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Patient reports swelling below the elbow.  The swelling occurred after the 3rd Moderna Covid vaccine.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines  Moderna 4/14/21 Lot# 031B21A;  Moderna 5/10/21 Lot# 043B21A;  Moderna 6/11/22 Lot# 058A22-A2
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Pyrexia, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: I received sore throat; fever; upper respiratory for about 4 days and I took Tylenol and I felt better.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines Pfizer 11/23/21 Lot# FH8030;  4/28/22 Pfizer Lot# FK9894
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Bed sharing, Cough, Extra dose administered, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case after 5th dose. Family came down with COVID-19. Started having a cough and fever. Took a home COVID-19 test and tested negative three days in a row. Then on the 4th day 08/02/2022, tested positive. Had a telehealth appointment and was prescribed Paxlovid and Teflon Pearls.  Feeling better but hasn't taken another COVID-19 to verify Negative result.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: 11/28/21 pt tested positive for COVID and was hospitalized, dc'd to home 12/1/21; pt had increasing SOB and was readmitted to hospital on 12/2/21; CTA of the chest showed evolved PNA due to COVID; transferred to ICU; dexamethasone, Vitamins C & D, zinc, ABX; BiPAP; pt's condition worsened requiring intubation; grim diagnosis; transitioned to comfort care and passed away in the hospital
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Intensive care, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 11/28/21 pt tested positive for COVID and was hospitalized, dc'd to home 12/1/21; pt had increasing SOB and was readmitted to hospital on 12/2/21; CTA of the chest showed evolved PNA due to COVID; transferred to ICU; dexamethasone, Vitamins C & D, zinc, ABX; BiPAP; pt's condition worsened requiring intubation; grim diagnosis; transitioned to comfort care and passed away in the hospital
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines  Moderna 4/13/21 Lot# 038B21A;  Moderna 5/11/21 Lot# 033C21A;  Moderan 11/12/21 Lot#058F21A
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nervous system disorder, Paraesthesia
Clinical narrative: Patient describes paresthesia to left arm and hand in the distribution of the ulna nerve. In addition patient's ulnar nerve is more sensitive to touch than in the contralateral arm.  This is in the same arm that she received the Covid vaccine and has worsened over the last 9 days.  Patient also complains of increased fatigue.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Dosing Error
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Migraine, Muscle spasms
Clinical narrative: Chills,  achy,  body cramps everywhere,  pain keeping me awake at night, migraine headaches, throbbing headaches.,  Nausea.  Severe fatigue. Side effects started 24 hours after the shingles vaccine.  Have continued off and on since Wednesday August 10, 2022
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Sleep disorder
Clinical narrative: Chills,  achy,  body cramps everywhere,  pain keeping me awake at night, migraine headaches, throbbing headaches.,  Nausea.  Severe fatigue. Side effects started 24 hours after the shingles vaccine.  Have continued off and on since Wednesday August 10, 2022
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: This vaccination was a third booster for this resident
Age: 13.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: Pt was given the DTap instead of the TDap. Pt tolerated well with no complaints or concerns.
Age: 30.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site reaction, Urticaria
Clinical narrative: The first attempt at Intradermal Vaccine administration did not yield a wheal. Another vaccinator reattempted the ID administration, and the attempt was successful.
Age: 51.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Aphasia, Chills, Impaired work ability, Influenza, Lymph node pain
Clinical narrative: On the evening of 07/14/2022 I felt like I was getting a bad cold or the flu, I was having body aches, chills and sore throat. All during that time I could barely speak to the point I had to take off work one day. The following day I had a COVID-19 test on 07/15/2022 and it was negative. I did try to isolate myself even though the test was negative because I thought maybe I had a false negative. I also did have some swollen lymph nodes under my left arm after I got the shot, it was swollen huge and painful and now is still there but smaller.
Age: 51.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Lymphadenopathy, Nasopharyngitis, Oropharyngeal pain, Pain, SARS-CoV-2 test negative
Clinical narrative: On the evening of 07/14/2022 I felt like I was getting a bad cold or the flu, I was having body aches, chills and sore throat. All during that time I could barely speak to the point I had to take off work one day. The following day I had a COVID-19 test on 07/15/2022 and it was negative. I did try to isolate myself even though the test was negative because I thought maybe I had a false negative. I also did have some swollen lymph nodes under my left arm after I got the shot, it was swollen huge and painful and now is still there but smaller.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Computerised tomogram head abnormal, Deafness bilateral, Ear infection, Ear pain
Clinical narrative: I have had headaches, what felt like toothaches, one sided facial pain, ear aches, jaw pain, a lot of fatigue, sinus problems and I have had sever pain on the left side of my face, ear and pain. I went to the dentist and he could not find anything wrong with me, he sent me to an Endodontist, and he took and x-ray and test and could not find anything with the x-ray or scan, he did a heat and cold test and he did a root canal on my tooth, but that did not solve the pain at all. I went to urgent care with sever pain on the left side of my face and the Dr. stated I had TMJ and an ear infection and she prescribed a muscle relaxer and an antibiotic. The antibiotic cleared the ear infection, the muscle relaxer did not help at all but the pain. I was till feeling a lot of pain so a couple of days later I went to my primary care and the NP that saw me was concerned and she ordered a CT scan, and she disagreed with the diagnosis of TMJ but said that I l had a lot of fluid behind my ear, and the CT Scan did state that I had TMJ Arthritis but no infection, they set up an appoint for me to see someone for arthritis. I have also been referred to an oral surgeon for neuralgia, I was also advised to see an ENT which I saw on yesterday and she said I had hearing loss in both ears but no infection, she recommended hearing aides, and she also recommended that I go to an oral surgeon to look at the TMJ closer and come back to see her after that.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Endodontic procedure, Facial pain, Fatigue, Headache, Laboratory test
Clinical narrative: I have had headaches, what felt like toothaches, one sided facial pain, ear aches, jaw pain, a lot of fatigue, sinus problems and I have had sever pain on the left side of my face, ear and pain. I went to the dentist and he could not find anything wrong with me, he sent me to an Endodontist, and he took and x-ray and test and could not find anything with the x-ray or scan, he did a heat and cold test and he did a root canal on my tooth, but that did not solve the pain at all. I went to urgent care with sever pain on the left side of my face and the Dr. stated I had TMJ and an ear infection and she prescribed a muscle relaxer and an antibiotic. The antibiotic cleared the ear infection, the muscle relaxer did not help at all but the pain. I was till feeling a lot of pain so a couple of days later I went to my primary care and the NP that saw me was concerned and she ordered a CT scan, and she disagreed with the diagnosis of TMJ but said that I l had a lot of fluid behind my ear, and the CT Scan did state that I had TMJ Arthritis but no infection, they set up an appoint for me to see someone for arthritis. I have also been referred to an oral surgeon for neuralgia, I was also advised to see an ENT which I saw on yesterday and she said I had hearing loss in both ears but no infection, she recommended hearing aides, and she also recommended that I go to an oral surgeon to look at the TMJ closer and come back to see her after that.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Middle ear effusion, Neuralgia, Pain in jaw, Sinus disorder, Temporomandibular joint syndrome
Clinical narrative: I have had headaches, what felt like toothaches, one sided facial pain, ear aches, jaw pain, a lot of fatigue, sinus problems and I have had sever pain on the left side of my face, ear and pain. I went to the dentist and he could not find anything wrong with me, he sent me to an Endodontist, and he took and x-ray and test and could not find anything with the x-ray or scan, he did a heat and cold test and he did a root canal on my tooth, but that did not solve the pain at all. I went to urgent care with sever pain on the left side of my face and the Dr. stated I had TMJ and an ear infection and she prescribed a muscle relaxer and an antibiotic. The antibiotic cleared the ear infection, the muscle relaxer did not help at all but the pain. I was till feeling a lot of pain so a couple of days later I went to my primary care and the NP that saw me was concerned and she ordered a CT scan, and she disagreed with the diagnosis of TMJ but said that I l had a lot of fluid behind my ear, and the CT Scan did state that I had TMJ Arthritis but no infection, they set up an appoint for me to see someone for arthritis. I have also been referred to an oral surgeon for neuralgia, I was also advised to see an ENT which I saw on yesterday and she said I had hearing loss in both ears but no infection, she recommended hearing aides, and she also recommended that I go to an oral surgeon to look at the TMJ closer and come back to see her after that.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache, X-ray normal
Clinical narrative: I have had headaches, what felt like toothaches, one sided facial pain, ear aches, jaw pain, a lot of fatigue, sinus problems and I have had sever pain on the left side of my face, ear and pain. I went to the dentist and he could not find anything wrong with me, he sent me to an Endodontist, and he took and x-ray and test and could not find anything with the x-ray or scan, he did a heat and cold test and he did a root canal on my tooth, but that did not solve the pain at all. I went to urgent care with sever pain on the left side of my face and the Dr. stated I had TMJ and an ear infection and she prescribed a muscle relaxer and an antibiotic. The antibiotic cleared the ear infection, the muscle relaxer did not help at all but the pain. I was till feeling a lot of pain so a couple of days later I went to my primary care and the NP that saw me was concerned and she ordered a CT scan, and she disagreed with the diagnosis of TMJ but said that I l had a lot of fluid behind my ear, and the CT Scan did state that I had TMJ Arthritis but no infection, they set up an appoint for me to see someone for arthritis. I have also been referred to an oral surgeon for neuralgia, I was also advised to see an ENT which I saw on yesterday and she said I had hearing loss in both ears but no infection, she recommended hearing aides, and she also recommended that I go to an oral surgeon to look at the TMJ closer and come back to see her after that.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: This was the third booster for this resident
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, COVID-19, Cough, Diarrhoea, Exposure to communicable disease
Clinical narrative: Patient presents to the emergency department on 8/10/22 for evaluation of diarrhea that has been going on for over 1 to 2 months.  She states that it happens several times throughout the day and she is unable to control it.  She lives in a center where everybody has been sick and coughing and she states she has been coughing so hard that she will have stool incontinence. She tested positive for COVID on 8/10/22.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presents to the emergency department on 8/10/22 for evaluation of diarrhea that has been going on for over 1 to 2 months.  She states that it happens several times throughout the day and she is unable to control it.  She lives in a center where everybody has been sick and coughing and she states she has been coughing so hard that she will have stool incontinence. She tested positive for COVID on 8/10/22.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Dosing error.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Third booster for this patient.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Third booster for this patient.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Hypersensitivity, Hypertension, Injection site erythema
Clinical narrative: I noticed right after receiving the vaccine that it stung at the injection site. I took it easy the rest of the day. The next day I went to the grocery store with my niece, and I remember feeling lightheaded. I noticed a red spot the size of a quarter around the injection site. It was also hot and sore. The heat, soreness, size, and color continued to increase. The size got up to softball size. I also had a low-grade fever. Yesterday I felt feverish and had extreme brain fog. I contacted my niece, who took me to the emergency room. My arm is still swollen and red and I now have lymph node involvement. When I got to the emergency room, my blood pressure was high. It came down before I left. At the emergency room, they assessed me and said that I was having a sensitive immune response and prescribed me 800mg ADVIL and told me to take BENADRYL as well. They sent me home and advised that if it got worse, to return. I am still experiencing pain and sensitivity in my arm, and I have at least one lymph node that is inflamed and others that are feeling a little sore as well.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site warmth, Lymph node pain, Lymphadenitis, Lymphadenopathy
Clinical narrative: I noticed right after receiving the vaccine that it stung at the injection site. I took it easy the rest of the day. The next day I went to the grocery store with my niece, and I remember feeling lightheaded. I noticed a red spot the size of a quarter around the injection site. It was also hot and sore. The heat, soreness, size, and color continued to increase. The size got up to softball size. I also had a low-grade fever. Yesterday I felt feverish and had extreme brain fog. I contacted my niece, who took me to the emergency room. My arm is still swollen and red and I now have lymph node involvement. When I got to the emergency room, my blood pressure was high. It came down before I left. At the emergency room, they assessed me and said that I was having a sensitive immune response and prescribed me 800mg ADVIL and told me to take BENADRYL as well. They sent me home and advised that if it got worse, to return. I am still experiencing pain and sensitivity in my arm, and I have at least one lymph node that is inflamed and others that are feeling a little sore as well.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: I noticed right after receiving the vaccine that it stung at the injection site. I took it easy the rest of the day. The next day I went to the grocery store with my niece, and I remember feeling lightheaded. I noticed a red spot the size of a quarter around the injection site. It was also hot and sore. The heat, soreness, size, and color continued to increase. The size got up to softball size. I also had a low-grade fever. Yesterday I felt feverish and had extreme brain fog. I contacted my niece, who took me to the emergency room. My arm is still swollen and red and I now have lymph node involvement. When I got to the emergency room, my blood pressure was high. It came down before I left. At the emergency room, they assessed me and said that I was having a sensitive immune response and prescribed me 800mg ADVIL and told me to take BENADRYL as well. They sent me home and advised that if it got worse, to return. I am still experiencing pain and sensitivity in my arm, and I have at least one lymph node that is inflamed and others that are feeling a little sore as well.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Third booster for this patient.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Dosing error.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Endotracheal intubation, Gastrostomy
Clinical narrative: 2/1/22 pt tested positive for COVID and was hospitalized; prolonged mechanical ventilation; tracheostomy; PEG tube; dc'd to LTCF; 5/17/22 back to hospital Rehabilitation Unit; past 2 days with increasing SOB; admitted to hospital 6/5/22; BiPAP; ICU; Pulmonary Edema and possible pneumonia; Bumex started; required intubation; condition worsened; failed ventilation weaning; finally passed weaning and extubated; plans to place tracheostomy; pt labored on BiPAP; family transitioned pt to comfort care/hospice and she died in the hospital
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Intensive care, Mechanical ventilation, Positive airway pressure therapy, Pulmonary oedema
Clinical narrative: 2/1/22 pt tested positive for COVID and was hospitalized; prolonged mechanical ventilation; tracheostomy; PEG tube; dc'd to LTCF; 5/17/22 back to hospital Rehabilitation Unit; past 2 days with increasing SOB; admitted to hospital 6/5/22; BiPAP; ICU; Pulmonary Edema and possible pneumonia; Bumex started; required intubation; condition worsened; failed ventilation weaning; finally passed weaning and extubated; plans to place tracheostomy; pt labored on BiPAP; family transitioned pt to comfort care/hospice and she died in the hospital
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tracheostomy
Clinical narrative: 2/1/22 pt tested positive for COVID and was hospitalized; prolonged mechanical ventilation; tracheostomy; PEG tube; dc'd to LTCF; 5/17/22 back to hospital Rehabilitation Unit; past 2 days with increasing SOB; admitted to hospital 6/5/22; BiPAP; ICU; Pulmonary Edema and possible pneumonia; Bumex started; required intubation; condition worsened; failed ventilation weaning; finally passed weaning and extubated; plans to place tracheostomy; pt labored on BiPAP; family transitioned pt to comfort care/hospice and she died in the hospital
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Third booster for this patient.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Chest pain, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 77-year-old female to the emergency department on 8/9/22 for evaluation of right-sided chest pain, shortness of breath, upper abdominal pain.  States this has been worsening over the course of the day.  Has a history of COPD and metastasized lung cancer.  Does not use oxygen at home but was found to be saturating in the low 90s and was started on 4 L by EMS. Tested positive for COVID on 8/12/22
Age: 51.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Blister, Rash, Vaccination site pain, Vaccination site swelling
Clinical narrative: Patient had first JYNNEOS vaccination administered in clinic 8/9/2022, no immediate adverse reaction. Patient called clinic 8/12/2022 stating his left arm around vaccination site was extremely swollen "tennis ball sized" and painful- patient had appointment scheduled with PCP at local clinic that day and was evaluated- at first believed to have abscess at site but with further evaluation (including pictures from day before) patient was told the swelling had reduced and to take OTC NSAIDs and swelling should continue to decrease. Patient called clinic again 8/16/2022 stating "blisters" had appeared on his left forearm and right calf "not touching but clustered" Described the rash as both appearing "syphilis like" and "ringworm".  The rash started 8/15/2022 but the swelling in arm had decreased at this time. Patient instructed to follow-up with urgent care for further evaluation. Called patient 8/18/2022- swelling and rash have decreased, patient did not follow-up with urgent care but again instructed to follow-up.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a Novavax dose despite having previously had a Moderna dose. No effects reported.
Age: 57.0
Sex: M
Vaccine: HEPAB
Symptoms: Expired product administered
Clinical narrative: Vaccine administered was expired.  Nurse noted after administration.  Patient made aware and will readminister when new vaccine arrives to clinic.  No adverse reaction noted or reported post vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Moderna 3/4/21 Lot# 029A21A;  Moderna 4/1/21 Lot# 028A21A;  Pfizer 12/15/21 Lot# FE3594
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Gastric disorder, Migraine, Pyrexia
Clinical narrative: Migraines, stomach issues and fever.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Started having a cold and felt really fatigued. Went and got tested for with a PCH COVID-19 test at urgent care and it was positive. Was prescribed meclizine for 7 days. Started feeling better. Had another COVID-19 PCH  test - negative.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Arrived to ED on 8/17/22 with 3-4 days of SOB, cough, and wheezing. Tested positive for COVID on 8/17/22.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Arrived to ED on 8/17/22 with 3-4 days of SOB, cough, and wheezing. Tested positive for COVID on 8/17/22.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Came down with COVID-19 on 8/12/2022.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Oropharyngeal pain, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: I had a sore arm after receiving the vaccine and lasted about two days. I tested positive for COVID-19 on 8/16/2022 with a home test. I had a sore throat on 08/15/2022. I had a headache and sore throat but that was it. I contacted my doctor and was prescribed PAXLOVID.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines  Moderna 2/28/21 Lot# 025A21A;  Moderna 3/27/21 Lot# 016B21A;  Moderna 10/2/21 Lot# 039D21A;  Moderna 4/26/22 Lot # 056A22A
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Feeling hot, Oedema, Pruritus
Clinical narrative: Erythema, edema, warmth, itching
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines  Pfizer 2/5/21 Lot# EL 9261;  Pfizer 2/26/21 Lot# EM9810;  Pfizer 12/15/21 Lot# 330268D;  Pfizer 7/2/22 Lot# FM0173
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cardiac failure, Condition aggravated
Clinical narrative: Patient tested positive for COVID-19 on 7/15. She was seen in the ED on 7/20 for worsening shortness of breath, cough, and sore throat. While in the ED, she was placed on 1L O2. Patient was admitted from 7/20 - 7/23 for acute hypoxic respiratory failure due to COVID-19 pneumonia and acute exacerbation of HFpEF, newly diagnosed. Patient has been vaccinated and boosted against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Oropharyngeal pain, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient tested positive for COVID-19 on 7/15. She was seen in the ED on 7/20 for worsening shortness of breath, cough, and sore throat. While in the ED, she was placed on 1L O2. Patient was admitted from 7/20 - 7/23 for acute hypoxic respiratory failure due to COVID-19 pneumonia and acute exacerbation of HFpEF, newly diagnosed. Patient has been vaccinated and boosted against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Gave patient adult dose of Pfizer. Management and patient's mother contacted.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 3/22/21 Lot# ER8727;  Pfizer 4/12/21 Lot# EW0150;  Pfizer 12/23/21 Lot# FE3594;  Pfizer 7/27/22 Lot# FP7150