chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Headache, Immediate post-injection reaction, Laboratory test, Malaise
Clinical narrative: Before vaccine, was regularly outside walking, exercising, climbing hills in the snow for sledding with kids, building snowmen.   Immediate head ache, pain in right arm, neck and back. became very tired and body extremely heavy.  Felt sick. Lasted almost a week. Some improvement, but never returned to pre-vaccine state. I have been extremely exhausted/fatigued, unlike anything I have ever experiences, tingling, achy muscles, hard to function and move.  sometimes can barely lift arm to turn on light switch or wash hair without body feeling pained and uncomfortable. Tried for two months to self care, rest, in case it was stress/work related. Tried increasing exercise-I felt worse. Would crash and have to sleep. back and neck and joint pains worse than before. Began improving diet, still no improvement.  Tried some supplements, some improvement. but only about 45%.  Then started having diarrhea in July. Stopped supplements- GI issues continued, but then exhaustion got worse again.  Stopped healthy diet that included raw veggies or cooked veggies. Still had GI issues, but not as bad.  Eating potatoes, applesauce, bananas. Still GI issues. Tried changing other foods in diet to rule out various problems. No success.  Losing a little weight, but should be gaining based on what I was eating and should have been constipated.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Neck pain, Pain, Pain in extremity
Clinical narrative: Before vaccine, was regularly outside walking, exercising, climbing hills in the snow for sledding with kids, building snowmen.   Immediate head ache, pain in right arm, neck and back. became very tired and body extremely heavy.  Felt sick. Lasted almost a week. Some improvement, but never returned to pre-vaccine state. I have been extremely exhausted/fatigued, unlike anything I have ever experiences, tingling, achy muscles, hard to function and move.  sometimes can barely lift arm to turn on light switch or wash hair without body feeling pained and uncomfortable. Tried for two months to self care, rest, in case it was stress/work related. Tried increasing exercise-I felt worse. Would crash and have to sleep. back and neck and joint pains worse than before. Began improving diet, still no improvement.  Tried some supplements, some improvement. but only about 45%.  Then started having diarrhea in July. Stopped supplements- GI issues continued, but then exhaustion got worse again.  Stopped healthy diet that included raw veggies or cooked veggies. Still had GI issues, but not as bad.  Eating potatoes, applesauce, bananas. Still GI issues. Tried changing other foods in diet to rule out various problems. No success.  Losing a little weight, but should be gaining based on what I was eating and should have been constipated.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Ultrasound scan
Clinical narrative: Before vaccine, was regularly outside walking, exercising, climbing hills in the snow for sledding with kids, building snowmen.   Immediate head ache, pain in right arm, neck and back. became very tired and body extremely heavy.  Felt sick. Lasted almost a week. Some improvement, but never returned to pre-vaccine state. I have been extremely exhausted/fatigued, unlike anything I have ever experiences, tingling, achy muscles, hard to function and move.  sometimes can barely lift arm to turn on light switch or wash hair without body feeling pained and uncomfortable. Tried for two months to self care, rest, in case it was stress/work related. Tried increasing exercise-I felt worse. Would crash and have to sleep. back and neck and joint pains worse than before. Began improving diet, still no improvement.  Tried some supplements, some improvement. but only about 45%.  Then started having diarrhea in July. Stopped supplements- GI issues continued, but then exhaustion got worse again.  Stopped healthy diet that included raw veggies or cooked veggies. Still had GI issues, but not as bad.  Eating potatoes, applesauce, bananas. Still GI issues. Tried changing other foods in diet to rule out various problems. No success.  Losing a little weight, but should be gaining based on what I was eating and should have been constipated.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody positive, Arthralgia, Blood test, Hypoaesthesia, Loss of personal independence in daily activities
Clinical narrative: pt states he started having numbness and tingling in both feet but worse in the left foot and ankle.  He had severe swelling in his feet and the Achilles tendon. (right one was really large) Pt went to a Physical Therapist for the pain where they did  test on his feet and treated with physical rehab.  About three weeks after the vaccine he noticed the pain in other joints like knees, elbows, wrist, and fingers.  Pt went to an Orthopedic clinic for his pain. They did blood work and urine test.  Numbers were high on his  rheumatoid factor at 81H and CCP was 150 A.  He was referred  to a rheumatoid specialist.  His lab numbers still getting higher.  He was treated with Naproxen and Volteran.  He is now on prednisone and Plaquenil.  He will see his RA doctor again next month.  His pain gets so bad that he has to have help getting to the restroom at times and would literally have to crawl to get around.  He is eating better and feeling some better at this point after taking the prednisone.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: pt states he started having numbness and tingling in both feet but worse in the left foot and ankle.  He had severe swelling in his feet and the Achilles tendon. (right one was really large) Pt went to a Physical Therapist for the pain where they did  test on his feet and treated with physical rehab.  About three weeks after the vaccine he noticed the pain in other joints like knees, elbows, wrist, and fingers.  Pt went to an Orthopedic clinic for his pain. They did blood work and urine test.  Numbers were high on his  rheumatoid factor at 81H and CCP was 150 A.  He was referred  to a rheumatoid specialist.  His lab numbers still getting higher.  He was treated with Naproxen and Volteran.  He is now on prednisone and Plaquenil.  He will see his RA doctor again next month.  His pain gets so bad that he has to have help getting to the restroom at times and would literally have to crawl to get around.  He is eating better and feeling some better at this point after taking the prednisone.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Rheumatoid factor increased, Tendonitis, Urine analysis
Clinical narrative: pt states he started having numbness and tingling in both feet but worse in the left foot and ankle.  He had severe swelling in his feet and the Achilles tendon. (right one was really large) Pt went to a Physical Therapist for the pain where they did  test on his feet and treated with physical rehab.  About three weeks after the vaccine he noticed the pain in other joints like knees, elbows, wrist, and fingers.  Pt went to an Orthopedic clinic for his pain. They did blood work and urine test.  Numbers were high on his  rheumatoid factor at 81H and CCP was 150 A.  He was referred  to a rheumatoid specialist.  His lab numbers still getting higher.  He was treated with Naproxen and Volteran.  He is now on prednisone and Plaquenil.  He will see his RA doctor again next month.  His pain gets so bad that he has to have help getting to the restroom at times and would literally have to crawl to get around.  He is eating better and feeling some better at this point after taking the prednisone.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rosacea
Clinical narrative: It was basically a Rosacea flare up. I have been getting them on and off. On June, I finally called the doctor, and in September I got referred to a Dermatologist, who diagnosed the Rosacea. He prescribed a cream, which is Azelaic Gel, and it seems to be helping. I just got prescribed that in September.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Borrelia test negative, Chest pain, Diarrhoea, Fatigue, Headache
Clinical narrative: Right after I had the first vaccine I started having mild chest pain. I shrugged it off and didn't say anything. Over the course of the next few months I experienced intermittent chest pain on and off followed by extreme bouts of fatigue.  I had overall body aches, and had days where I could barely get out of bed I was so tired.  For lack of a better term, I had an overall general feeling of unwell. Upon exercise it was worse. If I went for a hike the next day I could barely move. My whole body hurt and I would feel extremely tired. I work in healthcare and counseled a few providers who recommended I hold off on the second dose and waited two months vs one.  I don't have insurance and did not see a doctor at that time for a visit to have test run. I work in the medical field and know how expensive it is to "go digging." I thought with adequate rest, hydration, whole foods, and time my symptoms would improve.   I received my second vaccine on 8/13/21.  Immediately after I once again experienced mild chest pain.  The next day I had extreme nausea and diarrhea along with an agonizing headache. For around 4 weeks i suffered with bouts of on and off chest pain, and once again, extreme fatigue. I eventually did go in to be seen and had labs drawn.  Unfortunately the provider i saw wouldn't even speak with me about how my symptoms linked to the vaccine. Her thought was that i had lymes disease, a vitamin B12 deficiency, and/or acid reflux. I had lab work done and all of these tests came back negative and/or normal.  The provider i saw didn't even follow up with me. At that point i realized that seeking any medical advice would be met with a stale mate. No one wants to even talk about adverse side effects from the vaccine even if your  onset of symptoms correspond, and there is no other answer.    Since the beginning of the pandemic i haven't even had as much as a runny nose and have been perfectly healthy outside of the side effects experienced from the vaccine. I haven't (to my knowledge) contracted covid, and have had multiple tests performed, although have not been tested for antibodies.  Two months after my second dose I began to feel like myself again. My energy levels are back to normal, but every once and awhile I do experience mild chest pains.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Nausea, Vitamin B12 normal
Clinical narrative: Right after I had the first vaccine I started having mild chest pain. I shrugged it off and didn't say anything. Over the course of the next few months I experienced intermittent chest pain on and off followed by extreme bouts of fatigue.  I had overall body aches, and had days where I could barely get out of bed I was so tired.  For lack of a better term, I had an overall general feeling of unwell. Upon exercise it was worse. If I went for a hike the next day I could barely move. My whole body hurt and I would feel extremely tired. I work in healthcare and counseled a few providers who recommended I hold off on the second dose and waited two months vs one.  I don't have insurance and did not see a doctor at that time for a visit to have test run. I work in the medical field and know how expensive it is to "go digging." I thought with adequate rest, hydration, whole foods, and time my symptoms would improve.   I received my second vaccine on 8/13/21.  Immediately after I once again experienced mild chest pain.  The next day I had extreme nausea and diarrhea along with an agonizing headache. For around 4 weeks i suffered with bouts of on and off chest pain, and once again, extreme fatigue. I eventually did go in to be seen and had labs drawn.  Unfortunately the provider i saw wouldn't even speak with me about how my symptoms linked to the vaccine. Her thought was that i had lymes disease, a vitamin B12 deficiency, and/or acid reflux. I had lab work done and all of these tests came back negative and/or normal.  The provider i saw didn't even follow up with me. At that point i realized that seeking any medical advice would be met with a stale mate. No one wants to even talk about adverse side effects from the vaccine even if your  onset of symptoms correspond, and there is no other answer.    Since the beginning of the pandemic i haven't even had as much as a runny nose and have been perfectly healthy outside of the side effects experienced from the vaccine. I haven't (to my knowledge) contracted covid, and have had multiple tests performed, although have not been tested for antibodies.  Two months after my second dose I began to feel like myself again. My energy levels are back to normal, but every once and awhile I do experience mild chest pains.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypersensitivity, Joint range of motion decreased, Myalgia, Pain in extremity, Periarthritis
Clinical narrative: Left arm soreness (lasted several months) Left arm hypersensitive   Over time, left arm had reduced range of motion.  Saw massage therapist at rehab/PT center few times in April 2021 for reduced ROM, to try to improve muscle soreness Noticed reduced ROM in left arm/shoulder through summer 2021. Continue to try various things (exercise, warm/cool therapy, swimming, be gay, nsaids) to improve issue.  Went to ortho clinic  in end of August 2021 reduced shoulder ROM, beginning frozen shoulder   Went to chiropractor in end of August 2021 Weekly chiropractor August -October 2021 Started weekly PT in September-November 2021 Improved ROM
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: Left arm soreness (lasted several months) Left arm hypersensitive   Over time, left arm had reduced range of motion.  Saw massage therapist at rehab/PT center few times in April 2021 for reduced ROM, to try to improve muscle soreness Noticed reduced ROM in left arm/shoulder through summer 2021. Continue to try various things (exercise, warm/cool therapy, swimming, be gay, nsaids) to improve issue.  Went to ortho clinic  in end of August 2021 reduced shoulder ROM, beginning frozen shoulder   Went to chiropractor in end of August 2021 Weekly chiropractor August -October 2021 Started weekly PT in September-November 2021 Improved ROM
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Fall
Clinical narrative: This case meets criteria for vaccine breakthrough review.SxS include weakness, fall.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, chills, myalgias, vertigo,  nausea, vomiting.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: Fever, chills, myalgias, vertigo,  nausea, vomiting.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Fatigue, Headache
Clinical narrative: 10/25/2021 I began to cough up phlegm, that lasted for that day. The next day on 10/26/2021, I experienced body aches, headache, sinus drainage, fatigue, fever, which lasted until 10/28/2021. On the 28th of October I had no taste or smell. I still do not have my sense of smell back, but I am just now getting my taste back as of 11/02/2021.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Productive cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 10/25/2021 I began to cough up phlegm, that lasted for that day. The next day on 10/26/2021, I experienced body aches, headache, sinus drainage, fatigue, fever, which lasted until 10/28/2021. On the 28th of October I had no taste or smell. I still do not have my sense of smell back, but I am just now getting my taste back as of 11/02/2021.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: 10/25/2021 I began to cough up phlegm, that lasted for that day. The next day on 10/26/2021, I experienced body aches, headache, sinus drainage, fatigue, fever, which lasted until 10/28/2021. On the 28th of October I had no taste or smell. I still do not have my sense of smell back, but I am just now getting my taste back as of 11/02/2021.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Hospitalized 10/24/2021; COVID-19 positive 10/21/2021; fully vaccinated Assessment/Plan  COVID-19 pneumonia Acute hypoxic respiratory failure - Admit to hospital as inpatient, anticipate >2 midnight hospital stay. - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Desat to 86% on baseline RA, now on 2L via NC. - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - Start remdesivir - plan for 5-day course. - Check CTA thorax. - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. HISTORY OF PRESENT ILLNESS: Patient is a 57 y.o. female with h/o HTN, HLD, GERD, anxiety/depression and obesity, who presented to the ER on 10/24 with 6-day h/o progressive dyspnea, chest tightness, fevers and loose stools.  She was diagnosed with COVID-19 on Thursday and has since been monitoring her SpO2 via home pulse oximeter.  She has been mostly saturating normally at rest, but with any exertion will drop into the 80's.   10/26/2021 note:    CHIEF COMPLAINT: Pneumonia due to COVID-19 virus ASSESSMENT / PLAN: Principal Problem: Pneumonia due to COVID-19 virus COVID-19 pneumonia Acute hypoxic respiratory failure - Vaccinated - 2nd dose pfizer 2/17/21. Hadn't qualified for booster yet unfortunately.  - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Increased oxygen requirements now up to 75% FiO2 HFNC  - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - continue remdesevir  - CTA negative for PE  - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. SUBJECTIVE: Patient overnight had increasing oxygen requirements. Initially required increased regular nasal cannula followed by NRB then was transitioned to HFNC which she is tolerating well. Feeling like air is being pushed in a bit more than usual with the HFNC but overall doing okay with it. She is very grateful for the care she is receiving here. She is proning as often as she can, using the acapella.  10/27/2021 note: CHIEF COMPLAINT: Pneumonia due to COVID-19 virus  Assessment/Plan  Pneumonia due to COVID-19 virus COVID-19 pneumonia Acute hypoxic respiratory failure - worsening.  - Vaccinated - 2nd dose pfizer 2/17/21. Hadn't gotten booster yet unfortunately.  - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Increased oxygen requirements now 100% HFNC with NRB  - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - continue remdesevir  - CTA negative for PE  - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. - will trial push of lasix 40 given coarse breath sounds - consult pulmonology given maxing out on HFNC with NRB overtop periodically ?higher steroids
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Diarrhoea, Dyspnoea, Dyspnoea exertional, Endotracheal intubation
Clinical narrative: Hospitalized 10/24/2021; COVID-19 positive 10/21/2021; fully vaccinated Assessment/Plan  COVID-19 pneumonia Acute hypoxic respiratory failure - Admit to hospital as inpatient, anticipate >2 midnight hospital stay. - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Desat to 86% on baseline RA, now on 2L via NC. - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - Start remdesivir - plan for 5-day course. - Check CTA thorax. - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. HISTORY OF PRESENT ILLNESS: Patient is a 57 y.o. female with h/o HTN, HLD, GERD, anxiety/depression and obesity, who presented to the ER on 10/24 with 6-day h/o progressive dyspnea, chest tightness, fevers and loose stools.  She was diagnosed with COVID-19 on Thursday and has since been monitoring her SpO2 via home pulse oximeter.  She has been mostly saturating normally at rest, but with any exertion will drop into the 80's.   10/26/2021 note:    CHIEF COMPLAINT: Pneumonia due to COVID-19 virus ASSESSMENT / PLAN: Principal Problem: Pneumonia due to COVID-19 virus COVID-19 pneumonia Acute hypoxic respiratory failure - Vaccinated - 2nd dose pfizer 2/17/21. Hadn't qualified for booster yet unfortunately.  - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Increased oxygen requirements now up to 75% FiO2 HFNC  - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - continue remdesevir  - CTA negative for PE  - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. SUBJECTIVE: Patient overnight had increasing oxygen requirements. Initially required increased regular nasal cannula followed by NRB then was transitioned to HFNC which she is tolerating well. Feeling like air is being pushed in a bit more than usual with the HFNC but overall doing okay with it. She is very grateful for the care she is receiving here. She is proning as often as she can, using the acapella.  10/27/2021 note: CHIEF COMPLAINT: Pneumonia due to COVID-19 virus  Assessment/Plan  Pneumonia due to COVID-19 virus COVID-19 pneumonia Acute hypoxic respiratory failure - worsening.  - Vaccinated - 2nd dose pfizer 2/17/21. Hadn't gotten booster yet unfortunately.  - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Increased oxygen requirements now 100% HFNC with NRB  - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - continue remdesevir  - CTA negative for PE  - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. - will trial push of lasix 40 given coarse breath sounds - consult pulmonology given maxing out on HFNC with NRB overtop periodically ?higher steroids
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fraction of inspired oxygen, Hypoxia, Intensive care, Lung disorder, Lung infiltration
Clinical narrative: Hospitalized 10/24/2021; COVID-19 positive 10/21/2021; fully vaccinated Assessment/Plan  COVID-19 pneumonia Acute hypoxic respiratory failure - Admit to hospital as inpatient, anticipate >2 midnight hospital stay. - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Desat to 86% on baseline RA, now on 2L via NC. - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - Start remdesivir - plan for 5-day course. - Check CTA thorax. - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. HISTORY OF PRESENT ILLNESS: Patient is a 57 y.o. female with h/o HTN, HLD, GERD, anxiety/depression and obesity, who presented to the ER on 10/24 with 6-day h/o progressive dyspnea, chest tightness, fevers and loose stools.  She was diagnosed with COVID-19 on Thursday and has since been monitoring her SpO2 via home pulse oximeter.  She has been mostly saturating normally at rest, but with any exertion will drop into the 80's.   10/26/2021 note:    CHIEF COMPLAINT: Pneumonia due to COVID-19 virus ASSESSMENT / PLAN: Principal Problem: Pneumonia due to COVID-19 virus COVID-19 pneumonia Acute hypoxic respiratory failure - Vaccinated - 2nd dose pfizer 2/17/21. Hadn't qualified for booster yet unfortunately.  - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Increased oxygen requirements now up to 75% FiO2 HFNC  - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - continue remdesevir  - CTA negative for PE  - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. SUBJECTIVE: Patient overnight had increasing oxygen requirements. Initially required increased regular nasal cannula followed by NRB then was transitioned to HFNC which she is tolerating well. Feeling like air is being pushed in a bit more than usual with the HFNC but overall doing okay with it. She is very grateful for the care she is receiving here. She is proning as often as she can, using the acapella.  10/27/2021 note: CHIEF COMPLAINT: Pneumonia due to COVID-19 virus  Assessment/Plan  Pneumonia due to COVID-19 virus COVID-19 pneumonia Acute hypoxic respiratory failure - worsening.  - Vaccinated - 2nd dose pfizer 2/17/21. Hadn't gotten booster yet unfortunately.  - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Increased oxygen requirements now 100% HFNC with NRB  - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - continue remdesevir  - CTA negative for PE  - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. - will trial push of lasix 40 given coarse breath sounds - consult pulmonology given maxing out on HFNC with NRB overtop periodically ?higher steroids
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mechanical ventilation, Oxygen saturation decreased, Prone position, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 10/24/2021; COVID-19 positive 10/21/2021; fully vaccinated Assessment/Plan  COVID-19 pneumonia Acute hypoxic respiratory failure - Admit to hospital as inpatient, anticipate >2 midnight hospital stay. - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Desat to 86% on baseline RA, now on 2L via NC. - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - Start remdesivir - plan for 5-day course. - Check CTA thorax. - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. HISTORY OF PRESENT ILLNESS: Patient is a 57 y.o. female with h/o HTN, HLD, GERD, anxiety/depression and obesity, who presented to the ER on 10/24 with 6-day h/o progressive dyspnea, chest tightness, fevers and loose stools.  She was diagnosed with COVID-19 on Thursday and has since been monitoring her SpO2 via home pulse oximeter.  She has been mostly saturating normally at rest, but with any exertion will drop into the 80's.   10/26/2021 note:    CHIEF COMPLAINT: Pneumonia due to COVID-19 virus ASSESSMENT / PLAN: Principal Problem: Pneumonia due to COVID-19 virus COVID-19 pneumonia Acute hypoxic respiratory failure - Vaccinated - 2nd dose pfizer 2/17/21. Hadn't qualified for booster yet unfortunately.  - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Increased oxygen requirements now up to 75% FiO2 HFNC  - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - continue remdesevir  - CTA negative for PE  - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. SUBJECTIVE: Patient overnight had increasing oxygen requirements. Initially required increased regular nasal cannula followed by NRB then was transitioned to HFNC which she is tolerating well. Feeling like air is being pushed in a bit more than usual with the HFNC but overall doing okay with it. She is very grateful for the care she is receiving here. She is proning as often as she can, using the acapella.  10/27/2021 note: CHIEF COMPLAINT: Pneumonia due to COVID-19 virus  Assessment/Plan  Pneumonia due to COVID-19 virus COVID-19 pneumonia Acute hypoxic respiratory failure - worsening.  - Vaccinated - 2nd dose pfizer 2/17/21. Hadn't gotten booster yet unfortunately.  - Symptom onset 10/18, PCR+ on 10/21 and again on 10/24. - Increased oxygen requirements now 100% HFNC with NRB  - CXR with extensive bilateral patchy airspace disease. - Continue Decadron started in ER - plan for 10-day course. - continue remdesevir  - CTA negative for PE  - Supportive care, symptom control, proning PRN, encourage IS. - CPO monitoring, wean supplemental oxygen as able. - will trial push of lasix 40 given coarse breath sounds - consult pulmonology given maxing out on HFNC with NRB overtop periodically ?higher steroids
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia
Clinical narrative: C/O LOW GRADE AND NOT FEELING WELL
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Incoherent, Loss of consciousness, Syncope
Clinical narrative: Patient reported dizziness and became faint.  Patient lost consciousness for approximately 30 seconds, and was woozy and not fully coherent upon awakening.  EMS was notified and arrived within five minutes.  Upon their arrival the patient was conscious and oriented,x3, but not confident in her ability to drive home or remain alert.  Patient chose to go to hospital with EMS.  She was discharged from the emergency room later that day; no additional ill effects were reported to the pharmacy.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Aphonia, Blood test, Computerised tomogram abnormal, Fatigue, Lymph node pain
Clinical narrative: Starting on 10/16/2021 I had swollen lymph nodes on the right side on my jaw and back of the scalp. CT scan showed huge inflamed lymph nodes. They were very tender and sore to the touch. It lasted for a week. I lost 10 pounds. Lost voice and easily fatigued. Also had terrible night sweats.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenitis, Lymphadenopathy, Night sweats, Weight decreased
Clinical narrative: Starting on 10/16/2021 I had swollen lymph nodes on the right side on my jaw and back of the scalp. CT scan showed huge inflamed lymph nodes. They were very tender and sore to the touch. It lasted for a week. I lost 10 pounds. Lost voice and easily fatigued. Also had terrible night sweats.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Not immune compromised and I accidently gave her the 0.5 ml booster dose of Moderna
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Received a full Moderna dose which is intended for immunocompromised patients. Should have been given a half dose for the booster.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain
Clinical narrative: Chills, body aches, head ache pain.  pt went to md office and got a steroid shot
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain in extremity, Periarthritis, X-ray
Clinical narrative: shortly after first shot my right arm started to hurt , after the second shot seemed to get worse.  Thought is was just sore and months could no longer raise it up dr said frozen shoulder
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: on 10/27/2021 after getting home from work patient noticed around 9pm her right arm at the flu injection site was swollen, had a hard knot about the size of a quarter, reddened, warm to touch and sore.  She took 2 tylenol and had no relief. On the AM of 10/28/2021 she went to the Occupational Health Clinic and saw Dr. because her arm remained the same as the previous evening. She had no rash, no shortness of breath or throat closing.  The local reaction lasted about 48 hours.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth
Clinical narrative: on 10/27/2021 after getting home from work patient noticed around 9pm her right arm at the flu injection site was swollen, had a hard knot about the size of a quarter, reddened, warm to touch and sore.  She took 2 tylenol and had no relief. On the AM of 10/28/2021 she went to the Occupational Health Clinic and saw Dr. because her arm remained the same as the previous evening. She had no rash, no shortness of breath or throat closing.  The local reaction lasted about 48 hours.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient administered a regular dose flu instead of a High dose due to age.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Concussion, Disturbance in attention, Fall, Feeling abnormal, Head injury
Clinical narrative: Received vaccine on 10/27. The following morning she reported to work (in a lab). was standing when she felt vision go grey and had syncopal event (unwitnessed) striking head on floor. subsequent days reported mild "brain fog", difficulty concentrating when she reported to my office on 10/2 for evaluation. I felt she had a syncopal episode and a mild concussion from the floor strike (she doesn't recall if she ate that morning, just that she felt "unwell" the morning after the vaccine.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Syncope, Visual impairment
Clinical narrative: Received vaccine on 10/27. The following morning she reported to work (in a lab). was standing when she felt vision go grey and had syncopal event (unwitnessed) striking head on floor. subsequent days reported mild "brain fog", difficulty concentrating when she reported to my office on 10/2 for evaluation. I felt she had a syncopal episode and a mild concussion from the floor strike (she doesn't recall if she ate that morning, just that she felt "unwell" the morning after the vaccine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Anaemia, COVID-19, Cholecystitis
Clinical narrative: 10/22/21 PATIENT PRESENTED TO ER WITH SOB,  NAUSEA, VOMITING, DIZZY, LIGHTHEADED. HAD BEEN RECENTLY HOSPITALIZED FOR TOTAL SHOULDER REPLACEMENT ON 10/18/21.SHE NOTED TO BE HYPOTENSIVE. LAB WORK INDICATES ACUTE RENAL FAILURE, ISHCEMIC HEPATITIS, ELVATED TROPONIN AND proBNP, ULTRASOUND INDICATED LIKELY EARLY CHOLESYTITIS. SHE WAS ADMITTED TOHOSPITAL.  FOR SHOCK, SUSUPECT SEPTIC SHOCK.POSSIBLE NSTEMI. ON 11/1/2021 PATIENT DISCHARGED TO REHAB FACILITY BEFORE RETURNING HOME. DISCHARGE DX: BILATERAL PULMONARY EMPBOLISM, ANEMIA, SOB, NSTEMI, ACUTE RENAL FAILURE, SEVERE SEPSIS AND SEPTIC SHOCK, ENLARGED RV. COVID +
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hypotension, Ischaemic hepatitis, Laboratory test abnormal
Clinical narrative: 10/22/21 PATIENT PRESENTED TO ER WITH SOB,  NAUSEA, VOMITING, DIZZY, LIGHTHEADED. HAD BEEN RECENTLY HOSPITALIZED FOR TOTAL SHOULDER REPLACEMENT ON 10/18/21.SHE NOTED TO BE HYPOTENSIVE. LAB WORK INDICATES ACUTE RENAL FAILURE, ISHCEMIC HEPATITIS, ELVATED TROPONIN AND proBNP, ULTRASOUND INDICATED LIKELY EARLY CHOLESYTITIS. SHE WAS ADMITTED TOHOSPITAL.  FOR SHOCK, SUSUPECT SEPTIC SHOCK.POSSIBLE NSTEMI. ON 11/1/2021 PATIENT DISCHARGED TO REHAB FACILITY BEFORE RETURNING HOME. DISCHARGE DX: BILATERAL PULMONARY EMPBOLISM, ANEMIA, SOB, NSTEMI, ACUTE RENAL FAILURE, SEVERE SEPSIS AND SEPTIC SHOCK, ENLARGED RV. COVID +
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Prohormone brain natriuretic peptide increased, Pulmonary embolism, Right ventricular enlargement, SARS-CoV-2 test positive
Clinical narrative: 10/22/21 PATIENT PRESENTED TO ER WITH SOB,  NAUSEA, VOMITING, DIZZY, LIGHTHEADED. HAD BEEN RECENTLY HOSPITALIZED FOR TOTAL SHOULDER REPLACEMENT ON 10/18/21.SHE NOTED TO BE HYPOTENSIVE. LAB WORK INDICATES ACUTE RENAL FAILURE, ISHCEMIC HEPATITIS, ELVATED TROPONIN AND proBNP, ULTRASOUND INDICATED LIKELY EARLY CHOLESYTITIS. SHE WAS ADMITTED TOHOSPITAL.  FOR SHOCK, SUSUPECT SEPTIC SHOCK.POSSIBLE NSTEMI. ON 11/1/2021 PATIENT DISCHARGED TO REHAB FACILITY BEFORE RETURNING HOME. DISCHARGE DX: BILATERAL PULMONARY EMPBOLISM, ANEMIA, SOB, NSTEMI, ACUTE RENAL FAILURE, SEVERE SEPSIS AND SEPTIC SHOCK, ENLARGED RV. COVID +
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Septic shock, Shock, Shoulder arthroplasty, Troponin increased
Clinical narrative: 10/22/21 PATIENT PRESENTED TO ER WITH SOB,  NAUSEA, VOMITING, DIZZY, LIGHTHEADED. HAD BEEN RECENTLY HOSPITALIZED FOR TOTAL SHOULDER REPLACEMENT ON 10/18/21.SHE NOTED TO BE HYPOTENSIVE. LAB WORK INDICATES ACUTE RENAL FAILURE, ISHCEMIC HEPATITIS, ELVATED TROPONIN AND proBNP, ULTRASOUND INDICATED LIKELY EARLY CHOLESYTITIS. SHE WAS ADMITTED TOHOSPITAL.  FOR SHOCK, SUSUPECT SEPTIC SHOCK.POSSIBLE NSTEMI. ON 11/1/2021 PATIENT DISCHARGED TO REHAB FACILITY BEFORE RETURNING HOME. DISCHARGE DX: BILATERAL PULMONARY EMPBOLISM, ANEMIA, SOB, NSTEMI, ACUTE RENAL FAILURE, SEVERE SEPSIS AND SEPTIC SHOCK, ENLARGED RV. COVID +
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal, Vomiting
Clinical narrative: 10/22/21 PATIENT PRESENTED TO ER WITH SOB,  NAUSEA, VOMITING, DIZZY, LIGHTHEADED. HAD BEEN RECENTLY HOSPITALIZED FOR TOTAL SHOULDER REPLACEMENT ON 10/18/21.SHE NOTED TO BE HYPOTENSIVE. LAB WORK INDICATES ACUTE RENAL FAILURE, ISHCEMIC HEPATITIS, ELVATED TROPONIN AND proBNP, ULTRASOUND INDICATED LIKELY EARLY CHOLESYTITIS. SHE WAS ADMITTED TOHOSPITAL.  FOR SHOCK, SUSUPECT SEPTIC SHOCK.POSSIBLE NSTEMI. ON 11/1/2021 PATIENT DISCHARGED TO REHAB FACILITY BEFORE RETURNING HOME. DISCHARGE DX: BILATERAL PULMONARY EMPBOLISM, ANEMIA, SOB, NSTEMI, ACUTE RENAL FAILURE, SEVERE SEPSIS AND SEPTIC SHOCK, ENLARGED RV. COVID +
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Sialoadenitis, Sinus congestion, Swelling face, Ultrasound scan abnormal
Clinical narrative: I had congestion in my sinuses.  My face swelled up.  I had trouble swallowing.  These lasted about from July to October.  I went to the doctor about this.  They did an ultrasound of the soft tissue.  They diagnosed me with Salivary Gland Infection.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Myalgia, Pyrexia, Respiratory symptom, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include ~2 weeks PTA of low grade fever, chills, myalgia, upper respiratory symptoms.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Chills, Dyspnoea, Hyperacusis, Rash
Clinical narrative: Angioedema/rash on neck, face, and abdomen, chills, fever, SOB, hyperacusis, tinnitus
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Angioedema/rash on neck, face, and abdomen, chills, fever, SOB, hyperacusis, tinnitus
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal dreams, Amnesia, Angioedema, Chills, Fatigue
Clinical narrative: Angioedema/rash on neck, face, and abdomen, chills, fever, SOB, hyperacusis, tinnitus
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperacusis, Lethargy, Malaise, Muscle spasms, Muscular weakness
Clinical narrative: Angioedema/rash on neck, face, and abdomen, chills, fever, SOB, hyperacusis, tinnitus
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nervous system disorder, Pyrexia, Rash, SARS-CoV-2 test
Clinical narrative: Angioedema/rash on neck, face, and abdomen, chills, fever, SOB, hyperacusis, tinnitus
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Nausea
Clinical narrative: I woke up about 4:00 am feeling dizzy and nauseous. I made my way to another BR, lay down for 20 minutes, took Tylenol (500 mg) and went back to sleep. Woke about 8:00 am, feeling ?unsteady?, took another Tylenol and went about my day. Next morning (10/31) I felt fine
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, COVID-19, COVID-19 pneumonia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: hospitalized with pneumonia acute hypoxic respiratory failure seven months after vaccination. Received steroids, oxygen, and anticoagulation for elevated d-dimer. Discharged medically stable. Improving on outpatient follow-up.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Fibrin D dimer increased, Lung opacity, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: hospitalized with pneumonia acute hypoxic respiratory failure seven months after vaccination. Received steroids, oxygen, and anticoagulation for elevated d-dimer. Discharged medically stable. Improving on outpatient follow-up.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt developed symptoms on 10/24 and was tested 10/26 with results (+) at location other than local Hospital.   He presented to local ED  on 10/29 and received Regen-COV 600-600mg IV .
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Hypersensitivity, Injection site pruritus, Pruritus, Throat irritation, Tongue pruritus
Clinical narrative: allergy, itching at the site, throat/tongue neck itching.  set in approx 15-30 minute after injection
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Blood glucose, Blood lactic acid, C-reactive protein increased, Differential white blood cell count, Full blood count
Clinical narrative: Woke up 10/26/21 -- fussy, lethargic, not eating well, and blood in stool. Seen in ER and diagnosed with intussusception. KUB c/f pneumotosis. US w/ intuss. IR attempted x 2- partially reduced. received NS bolus x 2, and then mivf as well as 1 dose of zosyn at 1200. Intussusception resolved and monitored x 5 hrs.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Hypophagia, Intussusception, Irritability, Lethargy, Metabolic function test
Clinical narrative: Woke up 10/26/21 -- fussy, lethargic, not eating well, and blood in stool. Seen in ER and diagnosed with intussusception. KUB c/f pneumotosis. US w/ intuss. IR attempted x 2- partially reduced. received NS bolus x 2, and then mivf as well as 1 dose of zosyn at 1200. Intussusception resolved and monitored x 5 hrs.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Platelet count, Respiratory viral panel, SARS-CoV-2 test, Ultrasound abdomen abnormal, Urinary system X-ray
Clinical narrative: Woke up 10/26/21 -- fussy, lethargic, not eating well, and blood in stool. Seen in ER and diagnosed with intussusception. KUB c/f pneumotosis. US w/ intuss. IR attempted x 2- partially reduced. received NS bolus x 2, and then mivf as well as 1 dose of zosyn at 1200. Intussusception resolved and monitored x 5 hrs.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Computerised tomogram, Echocardiogram, Electroencephalogram, Laboratory test
Clinical narrative: Starting at 1pm, I could not speak, what did come out of my mouth was gibberish.  I could move my arms, legs, and had a good hand grasps. Walked to the kitchen and sat in a chair.  My husband drove me to the ER (about 30 min away).  CAT scan of head was normal.  EKG was normal. Speech was starting to come back by 2pm. I could answer questions in 1 or 2 words. I had a virtual consult with a stroke dr, he did not think it was a stroke. By 3pm my symptoms were resolved. Was in the hospital overnight.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Speech disorder
Clinical narrative: Starting at 1pm, I could not speak, what did come out of my mouth was gibberish.  I could move my arms, legs, and had a good hand grasps. Walked to the kitchen and sat in a chair.  My husband drove me to the ER (about 30 min away).  CAT scan of head was normal.  EKG was normal. Speech was starting to come back by 2pm. I could answer questions in 1 or 2 words. I had a virtual consult with a stroke dr, he did not think it was a stroke. By 3pm my symptoms were resolved. Was in the hospital overnight.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Feeling abnormal, Impaired work ability, Insomnia
Clinical narrative: It started where I felt tired and a little under the weather. I was really foggy headed. The symptoms started on Saturday but didn't get really bad until Tuesday. I couldn't work Wednesday through Friday because of it. I had Laryngitis, my throat was really swollen. I was so achy that I couldn't lie still, so it was really hard to sleep. I didn't have much of a temperature if I had one at all. Worse symptoms: No ability to speak and severe achiness- it was worse in my back, but it was everywhere. Treatment: recommended Children's Tylenol so I could drink it, and then I took Advil. I didn't go to any parties and started feeling better around July 6th. I think I started working on the 6th.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Laryngitis, Malaise, Pain, Pharyngeal swelling, Restlessness
Clinical narrative: It started where I felt tired and a little under the weather. I was really foggy headed. The symptoms started on Saturday but didn't get really bad until Tuesday. I couldn't work Wednesday through Friday because of it. I had Laryngitis, my throat was really swollen. I was so achy that I couldn't lie still, so it was really hard to sleep. I didn't have much of a temperature if I had one at all. Worse symptoms: No ability to speak and severe achiness- it was worse in my back, but it was everywhere. Treatment: recommended Children's Tylenol so I could drink it, and then I took Advil. I didn't go to any parties and started feeling better around July 6th. I think I started working on the 6th.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder, Streptococcus test negative
Clinical narrative: It started where I felt tired and a little under the weather. I was really foggy headed. The symptoms started on Saturday but didn't get really bad until Tuesday. I couldn't work Wednesday through Friday because of it. I had Laryngitis, my throat was really swollen. I was so achy that I couldn't lie still, so it was really hard to sleep. I didn't have much of a temperature if I had one at all. Worse symptoms: No ability to speak and severe achiness- it was worse in my back, but it was everywhere. Treatment: recommended Children's Tylenol so I could drink it, and then I took Advil. I didn't go to any parties and started feeling better around July 6th. I think I started working on the 6th.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Gait disturbance, Pain, Pain in extremity
Clinical narrative: Severly cold for two days.  Body pains.  Pain in my upper inner thigh making it difficult to walk.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest pain, Chills, Cough, Dyspnoea
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include weakness, intermittent fevers, decreased PO intake, myalgias, chest pain, chills, cough, N/V, SOB.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Myalgia, Nausea, Pyrexia, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include weakness, intermittent fevers, decreased PO intake, myalgias, chest pain, chills, cough, N/V, SOB.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include weakness, intermittent fevers, decreased PO intake, myalgias, chest pain, chills, cough, N/V, SOB.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: none reported- had first dose Moderna on 1-21-2021
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID 19
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Headache, Pain
Clinical narrative: On 10/03/2021, I started off with a fever, low grade fever, body aches, and headache. By the 4th day, fever was 100, by the 5th day fever of 102, body aches, chills, headache and runny nose. Called my physician for guidance for over-the-counter medication. The fever lasted 7 days. 11/02/2021- The only symptom lingering is the fatigue. I ended up with a sinus infection at the end of everything.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: On 10/03/2021, I started off with a fever, low grade fever, body aches, and headache. By the 4th day, fever was 100, by the 5th day fever of 102, body aches, chills, headache and runny nose. Called my physician for guidance for over-the-counter medication. The fever lasted 7 days. 11/02/2021- The only symptom lingering is the fatigue. I ended up with a sinus infection at the end of everything.