chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Inadvertently gave a Moderna first dose to a 17-year-old. No immediate reactions were observed in the 15 minutes after the shot.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Incorrect dose administered, Malaise, Pain
Clinical narrative: Patient received a dose of vaccine that was not reconstituted prior to administration. Patient reported fatigue, chills, fever, body aches and not feeling well at all on day 1 following administration of vaccine but is recovered now and just has a sore arm.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product preparation issue, Pyrexia
Clinical narrative: Patient received a dose of vaccine that was not reconstituted prior to administration. Patient reported fatigue, chills, fever, body aches and not feeling well at all on day 1 following administration of vaccine but is recovered now and just has a sore arm.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Malaise
Clinical narrative: 12/15/2021: Symptoms of COVID started on 12/08. Pt began decadron 6mg x 10 days. Start albuterol inhaler and pulmicort  12/16-12/17: Hypoxic on 3L. Began on IV remdesivir. Continuing IV decadron 12/18/2021-: Pt doing better. Supplemental oxygen currently at 2L. continuing medications 12/20/2021: Finished course of remdesivir  12/22/2021: Pt discharged. Continue dexamethasone
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Cough, Diarrhoea, Nausea
Clinical narrative: 11/30/2021: Pt admitted due to generalized body aches, cough, n/v/d, loss of taste and smell, and fever since 11/21. continue o2, wean as tolerated. placed on decadron, will check procal if elev then begin abx.  12/01: weaned off of o2. o2 sats 92% on room air. continue current meds and treatment plan. pt discharged with decadron and albuterol
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: 11/30/2021: Pt admitted due to generalized body aches, cough, n/v/d, loss of taste and smell, and fever since 11/21. continue o2, wean as tolerated. placed on decadron, will check procal if elev then begin abx.  12/01: weaned off of o2. o2 sats 92% on room air. continue current meds and treatment plan. pt discharged with decadron and albuterol
Age: 50.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given booster vaccine of COVID-19 prior to 5 month window. Patient was contacted 48 hours after the event and reports no adverse reactions.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Bacteraemia, COVID-19, Death, Dialysis
Clinical narrative: 12/07/2021: admitted from nursing home with low oxygen saturation, altered mental status, positive for COVID x 6 days, health has been declining over the last 5 days. Pt received 2 doses of Pfizer COVID-19 vaccines (on 3/2/21 and 3/30/21) 12/08/2021: treated with vancomycin for bacteremia. Consulted with nephrologist for AKI  12/11/2021: Patient's HR and oxygen levels started dropping 10-15 minutes into dialysis. Not respond to code. Patient was put on comfort care and pronounced deceased at 1206
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Heart rate decreased, Mental status changes, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: 12/07/2021: admitted from nursing home with low oxygen saturation, altered mental status, positive for COVID x 6 days, health has been declining over the last 5 days. Pt received 2 doses of Pfizer COVID-19 vaccines (on 3/2/21 and 3/30/21) 12/08/2021: treated with vancomycin for bacteremia. Consulted with nephrologist for AKI  12/11/2021: Patient's HR and oxygen levels started dropping 10-15 minutes into dialysis. Not respond to code. Patient was put on comfort care and pronounced deceased at 1206
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Glomerular filtration rate decreased, SARS-CoV-2 test positive
Clinical narrative: 12/17/2021: Pt tested positive for COVID. Pt requiring supplemental O2 of 2L continue as tolerated. Will begin Decadron. Outside window for remdesivir. Complains of generalized weakness. 12/18/2021: Pt deferred for remdesivir given GFR at 30. will consider once GFR improves 12/19/2021: Pt increased to 3L of supplemental oxygen wean as tolerated. Continue Dexa 12/20-12/21: Continue Dexa. Remdesivir not indicated since pt is off of supplemental oxygen  12/22/2021: Pt discharged with dexamethasone 6mg tab - 1 tab PO daily for 5 days.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Dyspnoea
Clinical narrative: 12/23/21: Pt admitted to the hospital due to SOB from covid-19 pneumonia with acute respiratory failure. Pt was started on IV decadron, start pulmicort and combivent. Symptoms were >7 days therefore remdesivir was not started. Pt was given O2 by NC, titrating as needed.  12/24: Pt clinically improved. Discharged without O2. Pt was discharged with dexamethasone 6mg tab - 1 tablet once daily for 5 days and albuterol HFA prn.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Headache, Hypoxia, Liver function test normal
Clinical narrative: 12/22/21: Pt admitted to the ED with COVID home management. symptom onset 12/20 and positive test 12/21. Started to run a 105F fever and severe body aches. She took tylenol at 2AM. also states that she having HA, runny nose, cough, sore throat, and nausea. Denies CP or SOB. Received decadron due to hypoxia. Singulair at night. Combivent, pulmicort, and albuterol prn. Started Remdesivir (normal kidney and liver function, within 7 days onset). receiving O2 by NC 12/24-25: continue remdesivir and decadron. continue pulmicort and combivent. will see if we can wean oxygen as tolerated  12/26: general pain treated with tylenol#4 x2 and tordol x1, seemed to improve pain. O2 sats wnl on room air 12/27: Pt discharged. Completed remdesivir course. Was discharged home on pulmicort and decadron for 5 more days.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Nausea, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: 12/22/21: Pt admitted to the ED with COVID home management. symptom onset 12/20 and positive test 12/21. Started to run a 105F fever and severe body aches. She took tylenol at 2AM. also states that she having HA, runny nose, cough, sore throat, and nausea. Denies CP or SOB. Received decadron due to hypoxia. Singulair at night. Combivent, pulmicort, and albuterol prn. Started Remdesivir (normal kidney and liver function, within 7 days onset). receiving O2 by NC 12/24-25: continue remdesivir and decadron. continue pulmicort and combivent. will see if we can wean oxygen as tolerated  12/26: general pain treated with tylenol#4 x2 and tordol x1, seemed to improve pain. O2 sats wnl on room air 12/27: Pt discharged. Completed remdesivir course. Was discharged home on pulmicort and decadron for 5 more days.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Renal function test normal, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 12/22/21: Pt admitted to the ED with COVID home management. symptom onset 12/20 and positive test 12/21. Started to run a 105F fever and severe body aches. She took tylenol at 2AM. also states that she having HA, runny nose, cough, sore throat, and nausea. Denies CP or SOB. Received decadron due to hypoxia. Singulair at night. Combivent, pulmicort, and albuterol prn. Started Remdesivir (normal kidney and liver function, within 7 days onset). receiving O2 by NC 12/24-25: continue remdesivir and decadron. continue pulmicort and combivent. will see if we can wean oxygen as tolerated  12/26: general pain treated with tylenol#4 x2 and tordol x1, seemed to improve pain. O2 sats wnl on room air 12/27: Pt discharged. Completed remdesivir course. Was discharged home on pulmicort and decadron for 5 more days.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Confusional state, Diarrhoea
Clinical narrative: Per history and physical on 1/26/22: " Patient is a 83 y.o. female with PMH of hypothyroidism, HTN, HLD, dementia who tested positive for COVID-19 with an at home rapid test on 1/17/2022; her symptoms started earlier that day. She has had a productive cough and for the most part has had mild symptoms thus far per her son (who I spoke with over the telephone). Her PCP encouraged MVI, zinc, vitamin C/D. Over the past week the patient has been more confused, weak, falling and not eating or drinking well. Does not have a thermometer at home. Today had an episode of diarrhea. She had been vaccinated with the J&J single dose in September 2021. ER w/u w/ chest xray showing multifocal pneumonia"    I have no information on the receipt of the Janssen vaccine in September 2021.  Our records indicate patient received a series of mRNA Pfizer vaccines, the second dose being indicated above.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fluid intake reduced, Hypophagia, Interchange of vaccine products, Malaise
Clinical narrative: Per history and physical on 1/26/22: " Patient is a 83 y.o. female with PMH of hypothyroidism, HTN, HLD, dementia who tested positive for COVID-19 with an at home rapid test on 1/17/2022; her symptoms started earlier that day. She has had a productive cough and for the most part has had mild symptoms thus far per her son (who I spoke with over the telephone). Her PCP encouraged MVI, zinc, vitamin C/D. Over the past week the patient has been more confused, weak, falling and not eating or drinking well. Does not have a thermometer at home. Today had an episode of diarrhea. She had been vaccinated with the J&J single dose in September 2021. ER w/u w/ chest xray showing multifocal pneumonia"    I have no information on the receipt of the Janssen vaccine in September 2021.  Our records indicate patient received a series of mRNA Pfizer vaccines, the second dose being indicated above.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Per history and physical on 1/26/22: " Patient is a 83 y.o. female with PMH of hypothyroidism, HTN, HLD, dementia who tested positive for COVID-19 with an at home rapid test on 1/17/2022; her symptoms started earlier that day. She has had a productive cough and for the most part has had mild symptoms thus far per her son (who I spoke with over the telephone). Her PCP encouraged MVI, zinc, vitamin C/D. Over the past week the patient has been more confused, weak, falling and not eating or drinking well. Does not have a thermometer at home. Today had an episode of diarrhea. She had been vaccinated with the J&J single dose in September 2021. ER w/u w/ chest xray showing multifocal pneumonia"    I have no information on the receipt of the Janssen vaccine in September 2021.  Our records indicate patient received a series of mRNA Pfizer vaccines, the second dose being indicated above.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/02/2021: Pt admitted due to acute resp failure w hypoxia due to covid 19 pna. Pt placed on 2L, O2 improved to 96%, wean as tolerated. Begin decadron, combivent, pulmicort, vit d, vit c, and zinc. covid positive 11/27. with fever on 11/22 12/03: continue therapy and monitor  12/04: pt required increase o2 requirements.  12/05: using 5L of O2 via NC  12/07: 4L of O2. drops to 87% when ambulating  12/08: Pt discharged . Room air o2 sats 89% requiring 4L of O2. continue decadron for a total of 10 days.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Human rhinovirus test positive, Nasal congestion
Clinical narrative: 11/07/21: Pt admitted to the hospital for SOB. Onset was in the morning. reports she had an ongoing cough for a couple weeks, assoc nasal congestion. She states she had COVID a month ago, but also tested positive to this visit. Pt requiring 5L O2 for 98%, 69% on room air. Given 10mg IV decadron.  11/08: Pt down to 2L with O2 sats in mid 90's. continuing empiric abx - vancomycin.  11/09: Pt tested positive for rhinovirus, continue supportive care.  11/10-11: Continue supportive care  11/12: pt discharged. continue with steroids
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 11/07/21: Pt admitted to the hospital for SOB. Onset was in the morning. reports she had an ongoing cough for a couple weeks, assoc nasal congestion. She states she had COVID a month ago, but also tested positive to this visit. Pt requiring 5L O2 for 98%, 69% on room air. Given 10mg IV decadron.  11/08: Pt down to 2L with O2 sats in mid 90's. continuing empiric abx - vancomycin.  11/09: Pt tested positive for rhinovirus, continue supportive care.  11/10-11: Continue supportive care  11/12: pt discharged. continue with steroids
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 12 year old was given Moderna as first and second dose of COVID vaccine. Child had no symptoms after first vaccine. Child had no symptoms as of 4 hours after second vaccine was given.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea
Clinical narrative: 12/25/21: Pt admitted with increasing SOB. Progressive worsening non-productive cough. onset of symptoms was 12/24 and diagnosed with covid 12/25. Decadron 6mg IV daily. Pt required increase supplemental o2 from 2 to 3L at night. currently at 2L with o2 sats in upper 90's. given albuterol prn, pulmicort BID, combivent QID.  12/26-28: continue therapy and wean o2 to home o2 as tolerated.  12/29: Pt discharged. Pt only required NC assistance o2 at 1L and deemed stable. Discharged with dexamethasone 6mg tablets once daily (duration not written)
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood pressure abnormal, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Pfizer COVID-19 Vaccine: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/1/2021, 3/30/2021 and 8/24/2021. Presented to ED 1/14/2022 with complaints of shortness of breath, cough, and fever of 7 days duration. Admitted to MICU for acute hypoxemic respiratory failure due to Covid PNA. Started on remdesivir and decadron and given 1 dose Toci per ID recommendations. Intubated 1/19/21. Developed septic shock requiring levophed to maintain blood pressure. Increased to 3 pressors 1/22. Code status changed to DNR/COT 1/22/22. Required a 4th pressor 1/23/22.  Expired on 1/23/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, Intensive care, Pyrexia
Clinical narrative: Pfizer COVID-19 Vaccine: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/1/2021, 3/30/2021 and 8/24/2021. Presented to ED 1/14/2022 with complaints of shortness of breath, cough, and fever of 7 days duration. Admitted to MICU for acute hypoxemic respiratory failure due to Covid PNA. Started on remdesivir and decadron and given 1 dose Toci per ID recommendations. Intubated 1/19/21. Developed septic shock requiring levophed to maintain blood pressure. Increased to 3 pressors 1/22. Code status changed to DNR/COT 1/22/22. Required a 4th pressor 1/23/22.  Expired on 1/23/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock
Clinical narrative: Pfizer COVID-19 Vaccine: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/1/2021, 3/30/2021 and 8/24/2021. Presented to ED 1/14/2022 with complaints of shortness of breath, cough, and fever of 7 days duration. Admitted to MICU for acute hypoxemic respiratory failure due to Covid PNA. Started on remdesivir and decadron and given 1 dose Toci per ID recommendations. Intubated 1/19/21. Developed septic shock requiring levophed to maintain blood pressure. Increased to 3 pressors 1/22. Code status changed to DNR/COT 1/22/22. Required a 4th pressor 1/23/22.  Expired on 1/23/2022.
Age: 98.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Chest pain, Confusional state
Clinical narrative: Pt admitted on 12/21/21 with an epidemic concern. Complains of increased confusion that started that day. Symptom onset was 6 days ago, increased generalized weakness, denies SOB/vomiting/chest pain.  12/22: Pt presents with chest pain, increasing weakness, confusion (mod to severe). He was started on IV antibiotics - rocephin. Was suppose to get monoclonal antibodies on 12/21 but due to chest pain he was admitted to the hospital. He was later discharged after receiving a monoclonal antibody infusion which he tolerated well.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Fatigue, Hyperhidrosis, Malaise
Clinical narrative: 12/21/2021: Pt admitted post 7 days of COVID symptoms. Reports dry cough followed by fatigue, diaphoresis and chills, and fatigue. Was on 4-5L of supplemental O2 in ED, but responding to breathing treatments and improving slowly. Began Dex  12/22/2021: Pt discharged. Doing well and on room air. Discharged with symbicort and 4 more days of dexamethasone. Discussed self quarantine for 8 more days
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Blood calcium normal, Blood chloride increased, Blood creatinine normal, Blood glucose normal
Clinical narrative: Chest tightness, shortness of breath, nausea and vomiting 8:45pm increasingly worse until about 11:30pm with acetaminophen and Zofran.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, Brain natriuretic peptide normal
Clinical narrative: Chest tightness, shortness of breath, nausea and vomiting 8:45pm increasingly worse until about 11:30pm with acetaminophen and Zofran.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide decreased, Chest X-ray normal, Chest discomfort, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Chest tightness, shortness of breath, nausea and vomiting 8:45pm increasingly worse until about 11:30pm with acetaminophen and Zofran.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Haematocrit, Haemoglobin decreased, Ischaemia, Mean cell haemoglobin concentration normal
Clinical narrative: Chest tightness, shortness of breath, nausea and vomiting 8:45pm increasingly worse until about 11:30pm with acetaminophen and Zofran.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Metabolic function test, Nausea
Clinical narrative: Chest tightness, shortness of breath, nausea and vomiting 8:45pm increasingly worse until about 11:30pm with acetaminophen and Zofran.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Nucleated red cells, Platelet count normal, Red blood cell count decreased, Red cell distribution width normal, Right atrial enlargement
Clinical narrative: Chest tightness, shortness of breath, nausea and vomiting 8:45pm increasingly worse until about 11:30pm with acetaminophen and Zofran.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I normal, Vomiting, White blood cell count normal
Clinical narrative: Chest tightness, shortness of breath, nausea and vomiting 8:45pm increasingly worse until about 11:30pm with acetaminophen and Zofran.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cough, Dyspnoea, Intensive care, Positive airway pressure therapy
Clinical narrative: 12/24/2021: Pt was admitted into the hospital due to respiratory failure hypoxia and pneumonia due to COVID-19. Pt had a cough for 10 days, SOB starting 12/24. 57% on room air, arrives 84% on 10L, 87% on 15L He was placed on O2 and bipap prn and admitted to ICU. Given remdesivir. Given dexamethasone 6 mg x 10 doses.  12/25: continue O2 to keep above 88%.  continue therapies and monitoring 12/28: completed remdesivir.  12/29: Pt discharged to home health with prednisone 20 mg for 7 days. monitoring oxygen requirement.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure
Clinical narrative: 12/24/2021: Pt was admitted into the hospital due to respiratory failure hypoxia and pneumonia due to COVID-19. Pt had a cough for 10 days, SOB starting 12/24. 57% on room air, arrives 84% on 10L, 87% on 15L He was placed on O2 and bipap prn and admitted to ICU. Given remdesivir. Given dexamethasone 6 mg x 10 doses.  12/25: continue O2 to keep above 88%.  continue therapies and monitoring 12/28: completed remdesivir.  12/29: Pt discharged to home health with prednisone 20 mg for 7 days. monitoring oxygen requirement.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebrovascular accident, SARS-CoV-2 test positive
Clinical narrative: Patient had a stroke and was taken to hospital on 1/25/2022. tested positive there at hospital
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia
Clinical narrative: 12/15/2021: Admitted into hospital with some SOB and other complications 12/16/2021-12/19/2021: COVID 19 infection with hypoxia. Supplemental oxygen of 2L. Started Dexa and Remdesivir 12/20/2021: Pt discharged. Remdesivir completed today. Start taking Dexamethasone 6mg tablet (start: 12/21) 1 tab PO daily for 5 days. Wean O2 as tolerated.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Dyspnoea, Haemoptysis, Productive cough
Clinical narrative: 12/09/2021: admitted with complaints of SOB and difficulty breathing with a cough productive of bright red blood. Positive for COVID 10 days ago. Patient had a hx of PE in 2019.  12/09/2021 - 12/10/2021: treated with Decadron x 1, Vibramycin, Rocephin, supp oxygen, Xarelto holding  12/10/2021: stable without oxygen support, improved sx since admission. Hemoptysis resolved. Discharged
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 12/09/2021: admitted with complaints of SOB and difficulty breathing with a cough productive of bright red blood. Positive for COVID 10 days ago. Patient had a hx of PE in 2019.  12/09/2021 - 12/10/2021: treated with Decadron x 1, Vibramycin, Rocephin, supp oxygen, Xarelto holding  12/10/2021: stable without oxygen support, improved sx since admission. Hemoptysis resolved. Discharged
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Was to receive SARS-2-COVID booster dose of 0.25ml instead received 0.50ml dose.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood thyroid stimulating hormone normal, Burning sensation, C-reactive protein normal, Chest pain
Clinical narrative: Day 1: Intense arm pain at and around injection site (left arm);Day 1 - current: feeling of heart racing.Day 3 - 25: chest and upper back pain, radiates up to neck; Day 3- 9: feeling of walking on a marble under right foot. Left foot affected days 8-9 but w/ less intensity. Day 5: Right foot, inner side, felt wet and cold for a day.Day 3 current: increased tinnitus in both ears, continues on and off all day, 30-40 times/day. Day 10: Paresthesia/ pins and needles with sharp, painful zaps in both hands, feet and lower legs. More intense after exercise.Day 17: electric zaps now felt in face and head.Day 17 - current: strange sensation on front 1/3 of tongue that progressed to numbness. Day 21 - 25: Both arms and top of hands have a burning sensation.Day 10 current: Body vibrations in core when at rest, more intense at bedtime. Feet feel like they are vibrating.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Differential white blood cell count normal, Electric shock sensation, Full blood count normal, Glycosylated haemoglobin normal
Clinical narrative: Day 1: Intense arm pain at and around injection site (left arm);Day 1 - current: feeling of heart racing.Day 3 - 25: chest and upper back pain, radiates up to neck; Day 3- 9: feeling of walking on a marble under right foot. Left foot affected days 8-9 but w/ less intensity. Day 5: Right foot, inner side, felt wet and cold for a day.Day 3 current: increased tinnitus in both ears, continues on and off all day, 30-40 times/day. Day 10: Paresthesia/ pins and needles with sharp, painful zaps in both hands, feet and lower legs. More intense after exercise.Day 17: electric zaps now felt in face and head.Day 17 - current: strange sensation on front 1/3 of tongue that progressed to numbness. Day 21 - 25: Both arms and top of hands have a burning sensation.Day 10 current: Body vibrations in core when at rest, more intense at bedtime. Feet feel like they are vibrating.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Injection site pain, Limb discomfort, Metabolic function test normal, Neck pain
Clinical narrative: Day 1: Intense arm pain at and around injection site (left arm);Day 1 - current: feeling of heart racing.Day 3 - 25: chest and upper back pain, radiates up to neck; Day 3- 9: feeling of walking on a marble under right foot. Left foot affected days 8-9 but w/ less intensity. Day 5: Right foot, inner side, felt wet and cold for a day.Day 3 current: increased tinnitus in both ears, continues on and off all day, 30-40 times/day. Day 10: Paresthesia/ pins and needles with sharp, painful zaps in both hands, feet and lower legs. More intense after exercise.Day 17: electric zaps now felt in face and head.Day 17 - current: strange sensation on front 1/3 of tongue that progressed to numbness. Day 21 - 25: Both arms and top of hands have a burning sensation.Day 10 current: Body vibrations in core when at rest, more intense at bedtime. Feet feel like they are vibrating.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Paraesthesia, Paraesthesia oral, Red blood cell sedimentation rate normal
Clinical narrative: Day 1: Intense arm pain at and around injection site (left arm);Day 1 - current: feeling of heart racing.Day 3 - 25: chest and upper back pain, radiates up to neck; Day 3- 9: feeling of walking on a marble under right foot. Left foot affected days 8-9 but w/ less intensity. Day 5: Right foot, inner side, felt wet and cold for a day.Day 3 current: increased tinnitus in both ears, continues on and off all day, 30-40 times/day. Day 10: Paresthesia/ pins and needles with sharp, painful zaps in both hands, feet and lower legs. More intense after exercise.Day 17: electric zaps now felt in face and head.Day 17 - current: strange sensation on front 1/3 of tongue that progressed to numbness. Day 21 - 25: Both arms and top of hands have a burning sensation.Day 10 current: Body vibrations in core when at rest, more intense at bedtime. Feet feel like they are vibrating.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroxine free normal, Tinnitus, Tremor, Vitamin B12 normal, Vitamin D
Clinical narrative: Day 1: Intense arm pain at and around injection site (left arm);Day 1 - current: feeling of heart racing.Day 3 - 25: chest and upper back pain, radiates up to neck; Day 3- 9: feeling of walking on a marble under right foot. Left foot affected days 8-9 but w/ less intensity. Day 5: Right foot, inner side, felt wet and cold for a day.Day 3 current: increased tinnitus in both ears, continues on and off all day, 30-40 times/day. Day 10: Paresthesia/ pins and needles with sharp, painful zaps in both hands, feet and lower legs. More intense after exercise.Day 17: electric zaps now felt in face and head.Day 17 - current: strange sensation on front 1/3 of tongue that progressed to numbness. Day 21 - 25: Both arms and top of hands have a burning sensation.Day 10 current: Body vibrations in core when at rest, more intense at bedtime. Feet feel like they are vibrating.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Death, Endotracheal intubation, General physical health deterioration, Lung infiltration
Clinical narrative: 11/26/21: Pt admitted to the hospital. Currently on 4L, wean as tolerated. Started on pulmicort, combivent, decadron, vit d, vit c, zinc. on arrival, his O2 sats were 73% on room air. On 4L of O2, it increased to 88%. begin remdesivir 11/27: chest xray shows worsening bilateral infiltrates. continue bronchodilators and current therapy. intensivist following given intubation/mech vent.  11/28-30: continue therapy and monitor patient. patient has gotten worse considering a concurrent pseudomonas infection before covid admission  12/01: patient deceased
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Pseudomonas infection
Clinical narrative: 11/26/21: Pt admitted to the hospital. Currently on 4L, wean as tolerated. Started on pulmicort, combivent, decadron, vit d, vit c, zinc. on arrival, his O2 sats were 73% on room air. On 4L of O2, it increased to 88%. begin remdesivir 11/27: chest xray shows worsening bilateral infiltrates. continue bronchodilators and current therapy. intensivist following given intubation/mech vent.  11/28-30: continue therapy and monitor patient. patient has gotten worse considering a concurrent pseudomonas infection before covid admission  12/01: patient deceased
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, COVID-19, Cardiac failure, Chest X-ray abnormal
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/28/2021 and 4/18/2021. Recent COVID infection (tested positive 12/30 per daughter) presenting with NSTEMI, new HFrEF, and acute hypoxic respiratory failure requiring AirVo in the setting of HTN urgency. Admitted for acute respiratory failure with hypoxia, pulmonary edema, and pulmonary infiltrates. Diuresed and developed worsening renal function with persistent hypoxia. Family decided to pursue comfort care and patient passed on 1/19/2022.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chronic respiratory disease, Death, Hypertensive urgency, Lung infiltration, Pneumonia
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/28/2021 and 4/18/2021. Recent COVID infection (tested positive 12/30 per daughter) presenting with NSTEMI, new HFrEF, and acute hypoxic respiratory failure requiring AirVo in the setting of HTN urgency. Admitted for acute respiratory failure with hypoxia, pulmonary edema, and pulmonary infiltrates. Diuresed and developed worsening renal function with persistent hypoxia. Family decided to pursue comfort care and patient passed on 1/19/2022.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Polyuria, Pulmonary oedema, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/28/2021 and 4/18/2021. Recent COVID infection (tested positive 12/30 per daughter) presenting with NSTEMI, new HFrEF, and acute hypoxic respiratory failure requiring AirVo in the setting of HTN urgency. Admitted for acute respiratory failure with hypoxia, pulmonary edema, and pulmonary infiltrates. Diuresed and developed worsening renal function with persistent hypoxia. Family decided to pursue comfort care and patient passed on 1/19/2022.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Culture urine positive, Death, Dyspnoea
Clinical narrative: 12/06/2021: admitted with cough, fever for 5 days with all over body aches and pain now SOB. Sx gradually worsening since that time. ER found to have COVID positive. Pt has been vaccinated with 2 doses of Pfizer (2/12/21 and 3/5/21). 12/07/2021-12/15/2021: treated with dexamethasone 6 mg x 10 doses (last dose 12/15), Remdesivir (last dose on 12/10), and supp oxygen. Patient is also on azithromycin and Rocephin for possible pneumonia. 12/15/2021: Patient's oxygen continued to drop to low 70s while on high flow with NRB. Start BIPAP. 12/18/2021: start cefepime, micafungin, and Zyvox for secondary infection. Pt has UTI and yeast in urine culture.  12/21/2021-12/23/21: Patient's RR was not sustainable and had to be intubated. Patient was sedated. Transition to comfort care.  12/23/2021: Patient was extubated and deceased.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Infection, Oxygen saturation decreased, Pain, Positive airway pressure therapy
Clinical narrative: 12/06/2021: admitted with cough, fever for 5 days with all over body aches and pain now SOB. Sx gradually worsening since that time. ER found to have COVID positive. Pt has been vaccinated with 2 doses of Pfizer (2/12/21 and 3/5/21). 12/07/2021-12/15/2021: treated with dexamethasone 6 mg x 10 doses (last dose 12/15), Remdesivir (last dose on 12/10), and supp oxygen. Patient is also on azithromycin and Rocephin for possible pneumonia. 12/15/2021: Patient's oxygen continued to drop to low 70s while on high flow with NRB. Start BIPAP. 12/18/2021: start cefepime, micafungin, and Zyvox for secondary infection. Pt has UTI and yeast in urine culture.  12/21/2021-12/23/21: Patient's RR was not sustainable and had to be intubated. Patient was sedated. Transition to comfort care.  12/23/2021: Patient was extubated and deceased.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Urinary tract infection, Urinary tract infection fungal
Clinical narrative: 12/06/2021: admitted with cough, fever for 5 days with all over body aches and pain now SOB. Sx gradually worsening since that time. ER found to have COVID positive. Pt has been vaccinated with 2 doses of Pfizer (2/12/21 and 3/5/21). 12/07/2021-12/15/2021: treated with dexamethasone 6 mg x 10 doses (last dose 12/15), Remdesivir (last dose on 12/10), and supp oxygen. Patient is also on azithromycin and Rocephin for possible pneumonia. 12/15/2021: Patient's oxygen continued to drop to low 70s while on high flow with NRB. Start BIPAP. 12/18/2021: start cefepime, micafungin, and Zyvox for secondary infection. Pt has UTI and yeast in urine culture.  12/21/2021-12/23/21: Patient's RR was not sustainable and had to be intubated. Patient was sedated. Transition to comfort care.  12/23/2021: Patient was extubated and deceased.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray abnormal, Cough, Hypophagia
Clinical narrative: 11/22/2021: Pt was admitted to the hospital due to acute respiratory failure with hypoxia due to covid. Pt has had a cough since last week and getting worse. Self reported a fever of 101F over the weekend. PO intake has decreased. Chest x-ray shows multifocal pneumonia. Wean off of O2 as tolerated. Decadron 6 mg for 10 days. Start zinc, vitamin D, and melatonin. Start albuterol, pulmicort, and incentive spirometer. Started on rocephin  11/23: Procalcitonin was negative, discontinue rocephin.  11/24-25: continue therapy. 11/26: Pt was discharged. continue steroid for a total of 10 days and symptomatic treatments
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incentive spirometry, Pneumonia, Procalcitonin normal, Pyrexia
Clinical narrative: 11/22/2021: Pt was admitted to the hospital due to acute respiratory failure with hypoxia due to covid. Pt has had a cough since last week and getting worse. Self reported a fever of 101F over the weekend. PO intake has decreased. Chest x-ray shows multifocal pneumonia. Wean off of O2 as tolerated. Decadron 6 mg for 10 days. Start zinc, vitamin D, and melatonin. Start albuterol, pulmicort, and incentive spirometer. Started on rocephin  11/23: Procalcitonin was negative, discontinue rocephin.  11/24-25: continue therapy. 11/26: Pt was discharged. continue steroid for a total of 10 days and symptomatic treatments
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Injection site swelling, Pain
Clinical narrative: Fever, aches, chills, headache followed by pain and swelling at injection site. Phantosmia has not gone away. Smelling phantom cigarette smoke.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Pyrexia
Clinical narrative: Fever, aches, chills, headache followed by pain and swelling at injection site. Phantosmia has not gone away. Smelling phantom cigarette smoke.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Fatigue, Feeling cold, Headache
Clinical narrative: Started having a cold sensation headache 12/17/21 that has not resolved, then on 12/28/21, I was then diagnosed with iritis. As of today 1/28/22, I still am being treated for iritis. Over the last several weeks I have developed muscle aches, weakness and fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Iritis, Magnetic resonance imaging normal, Myalgia, Ophthalmological examination normal
Clinical narrative: Started having a cold sensation headache 12/17/21 that has not resolved, then on 12/28/21, I was then diagnosed with iritis. As of today 1/28/22, I still am being treated for iritis. Over the last several weeks I have developed muscle aches, weakness and fatigue.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid after being fully vaccinated with a booster
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Mild throat closing/restriction, shortness of breath. Took a Benadryl and sometimes went away.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Covid rash
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Depression, Stress, Tinnitus
Clinical narrative: About 19 hours after my first dose of Pfizer I woke up with a rapid drumming/thumping sound in my right ear.  The speed of the beats was fairly consistent, but the volume changed throughout the first day. The volume changes seemed to be very much correlated to my stress levels which were fairly high for obvious reasons. With every 'beat of the drum' I could feel a little twitch deep within my ear.  After reading a description of Pulsatile Tinnitus, I feel this diagnosis might be a good fit.  I have never had any ear or hearing problems in the past. So far it has continued in to the second morning after vaccination. If I am able to update this report I will update it as time goes on.  I am very anxious/depressed about the whole situation. I have very rarely felt anxiety or depression in the past. I've certainly never felt that I might have a medical issue regarding anxiety/depression. I feel this might be another side affect of the vaccine as well.
Age: 57.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Bronchospasm, Cough, Pruritus
Clinical narrative: Shortly after vaccine administered patient begin to itch and cough, patient reported to be having bronchospasms but denied the ability to not be able to breath or swallow. Patient was given oral Benadryl 25mg X 2 without relief, epi pen was then used, no relief, albuterol inhaler administered, without relief, and then an updraft was administered at which time patient began to show improvement.  Patient was transferred to ER via ambulance to continue monitoring due to s/sx.  Time of course was roughly a total of 45mins while at our facility, unaware if s/sx continued while at ER.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Breast cancer female, Inflammation, Lymphadenopathy, Mammogram
Clinical narrative: My side effects were pain under my left arm where I had gotten inflammation. The pain comes and goes. I had a mammogram on 10/26/2021, and then the doctor called me and told me that one of lymph nodes was swollen. Then I had a biopsy on December 9, 2021. I was diagnosed with breast cancer. I still have pain in my arm, but it doesn't last all day.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Ultrasound scan
Clinical narrative: My side effects were pain under my left arm where I had gotten inflammation. The pain comes and goes. I had a mammogram on 10/26/2021, and then the doctor called me and told me that one of lymph nodes was swollen. Then I had a biopsy on December 9, 2021. I was diagnosed with breast cancer. I still have pain in my arm, but it doesn't last all day.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Limb injury, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.).
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Received full dose of Moderna booster I/O half dose, no adv rx
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Chest pain, Confusional state, Cough
Clinical narrative: Patient admitted for confusion, dizziness, fatigue, substernal chest pain, cough, SOB, generalized abdominal pain with worsening symptoms.  Treatment includes: Lovenox, Dexamethasone, Albuterol, and Remdesivir.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue
Clinical narrative: Patient admitted for confusion, dizziness, fatigue, substernal chest pain, cough, SOB, generalized abdominal pain with worsening symptoms.  Treatment includes: Lovenox, Dexamethasone, Albuterol, and Remdesivir.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Confusional state, Local reaction
Clinical narrative: Had 1st COVID-19 vaccine at a pharmacy on 1/24/22. Mom reports child was confused that night and into the next morning and had no memory of what happened after the shot. She only remembers getting the shot and waiting 15 mins but does not remember the family going to the store after. Woke up the next morning and was confused on why she was awake for school, etc. No other symptoms except mild local reaction which resolved by 1/26.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Vomiting
Clinical narrative: DIZZINESS, NAUSEA WITH VOMITING, HEADACHE, CHILLS
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine received was stored in a freezer longer than recommended by the manufacturer. Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver. After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: Numbness and tingling in right hand and arm of injection site. Numbness and tingling of mouth, throat, and tongue. Lightheadedness/Dizziness.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia, Pharyngeal paraesthesia
Clinical narrative: Numbness and tingling in right hand and arm of injection site. Numbness and tingling of mouth, throat, and tongue. Lightheadedness/Dizziness.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Was to receive SARS-2-COVID booster dose of 0.25ml instead received 0.50ml dose. Denies any symptoms
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadedness-Severe, Systemic: Fever-Severe, Systemic: Lymph Node Swelling-Severe.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Central venous catheterisation, Computerised tomogram thorax abnormal
Clinical narrative: Per history and physical on 1/27/2022: "Patient presents to the ED with complaints of AMS, generalized weakness, fatigue, and anorexia.  Patient's grandchildren tested positive recently for COVID-19.  Over the last several days patient has developed flulike symptoms, and complaints of anorexia, weakness, fatigue, malaise, low-grade fever, shortness of air, dysuria, headaches, dizziness, confusion, and a productive cough.  Patient has been vaccinated for COVID-19 with Moderna x2 but has not gotten her booster yet.  Patient reports that she has been having difficulty raising her right arm.  Her picc line was removed on Monday by home health.  No chest pain, nausea, vomiting, diarrhea, abdominal pain, or any other complaints at this time.  COVID PCR is positive.  CT chest shows patchy bilateral peripheral groundglass airspace disease suspicious for Covid 19 pneumonia.  Patient was given 1 liter of saline and started on Rocephin for a UTI in the ED.  Patient is being admitted to the Hospitalist for further evaluation and management."  I have no information on lot number and vaccine route for the vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Decreased appetite, Dizziness, Dyspnoea, Dysuria
Clinical narrative: Per history and physical on 1/27/2022: "Patient presents to the ED with complaints of AMS, generalized weakness, fatigue, and anorexia.  Patient's grandchildren tested positive recently for COVID-19.  Over the last several days patient has developed flulike symptoms, and complaints of anorexia, weakness, fatigue, malaise, low-grade fever, shortness of air, dysuria, headaches, dizziness, confusion, and a productive cough.  Patient has been vaccinated for COVID-19 with Moderna x2 but has not gotten her booster yet.  Patient reports that she has been having difficulty raising her right arm.  Her picc line was removed on Monday by home health.  No chest pain, nausea, vomiting, diarrhea, abdominal pain, or any other complaints at this time.  COVID PCR is positive.  CT chest shows patchy bilateral peripheral groundglass airspace disease suspicious for Covid 19 pneumonia.  Patient was given 1 liter of saline and started on Rocephin for a UTI in the ED.  Patient is being admitted to the Hospitalist for further evaluation and management."  I have no information on lot number and vaccine route for the vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Headache, Influenza like illness, Joint range of motion decreased
Clinical narrative: Per history and physical on 1/27/2022: "Patient presents to the ED with complaints of AMS, generalized weakness, fatigue, and anorexia.  Patient's grandchildren tested positive recently for COVID-19.  Over the last several days patient has developed flulike symptoms, and complaints of anorexia, weakness, fatigue, malaise, low-grade fever, shortness of air, dysuria, headaches, dizziness, confusion, and a productive cough.  Patient has been vaccinated for COVID-19 with Moderna x2 but has not gotten her booster yet.  Patient reports that she has been having difficulty raising her right arm.  Her picc line was removed on Monday by home health.  No chest pain, nausea, vomiting, diarrhea, abdominal pain, or any other complaints at this time.  COVID PCR is positive.  CT chest shows patchy bilateral peripheral groundglass airspace disease suspicious for Covid 19 pneumonia.  Patient was given 1 liter of saline and started on Rocephin for a UTI in the ED.  Patient is being admitted to the Hospitalist for further evaluation and management."  I have no information on lot number and vaccine route for the vaccine.