chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: COVID19, FLU4, MNQ, TDAP
Symptoms: Product preparation error
Clinical narrative: Covid 19 Vaccine 0.2ml was administered without being diluted in error
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Hospitalization: 8/26/2022 ADMITTED 9/9/2022 DISCHARGED. Presentation to the ED: nausea, vomiting, shortness of breath.  COVID-19 + date: 8/26/22. Treatment: WAS NOT GIVEN REMDESIVIR D/T TESTING POSITIVE FOR MORE THAN 2 WEEKS. PATIENT WAS PREVIOUSLY POSITIVE FOR COVID ON 8/11/22 AND WAS ALSO ADMITTED TO THE HOSPITAL THEN. Discharge to: HOME.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rotator cuff syndrome, Ultrasound scan abnormal
Clinical narrative: I started having noticeable pain the day after I received my fourth dose. The pain got progressively worse. This continued for about three weeks. I went to the doctor. The finding was that I had a torn rotator cuff in my shoulder.
Age: 4.0
Sex: M
Vaccine: PNC20
Symptoms: Incorrect product formulation administered, Injection site mass, Pain in extremity
Clinical narrative: The immunization that was suppose to be given was a prevnar 13 but a prevnar 20 was given instead.  It was given in his arm which became sore and had a lump right away and it continued to have this symptoms for at least 10 days
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was vaccinated with first does of MODERNA on 7/13/2022. On 9/22/2022, patient was brought to vaccine clinic and received Pfizer dose instead of Moderna.  Patient did not have any adverse side effects as of tis writing and parent is aware he will need an additional dose of Pfizer in 2 months to complete his vaccination series.
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: Blood test, Chest X-ray, Cough, Dizziness, Injection site pain
Clinical narrative: Dizziness, deep cough, sore & swollen at injection site
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site swelling, SARS-CoV-2 test
Clinical narrative: Dizziness, deep cough, sore & swollen at injection site
Age: 17.0
Sex: M
Vaccine: HEPA
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Presyncope
Clinical narrative: Client developed a vasovagal response, felt weak, dizzy, diaphoretic.  Laid down for about 10 minutes.  Was given sips of water, and juice.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dementia Alzheimer's type, Feeding disorder, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 8/30/22 - 9/8/22. Presentation to the ED: Alzheimers dementia wife states has been not eating, drinking X 3 days. DEVELOPED PRODUCTIVE COUGH.   COVID-19 + date: 8/30/22. Treatment: vancomycin, DECADRON, REMDESIVIR.  Discharge to: HOME HEALTH CARE SERVICES.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: This is a 62-year-old female, with a significant PMH of uterine cancer s/p HSY, HTN, HLD, GERD, Former tobacco smoker, Rosacea (on topical Ivermectin/Brimonidine), H/O CTS, Arthritis (on chronic Mobic), s/p lumbar discectomy, Morbid Obesity, presented to hospital on 12/03 with headache/shortness of breath. Patient states that the day before Nov. holiday she was noted to have a headache. On Nov. holiday, patient had headache/chills and was noted to be positive for COVID-19. On 11/30 she went to the ED because her headache was stabbing/piercing but she was not short of breath at that time. Patient was given Toradol and discharged on Norco. Patient's SpO2 was running between 86-87%. Upon exertion, HR was as high as 120. Patient noted to have fever/nausea without vomiting. Patient had diarrhea which resolved. Patient was noted to have poor appetite. Patient still having headaches and now shortness of breath specially with exertion. CRP 14.6. CXR: Bilateral infiltrates. Patient was admitted with Acute hypoxemic respiratory failure secondary to COVID-19 pneumonia. Patient was given supplemental oxygen, Decadron, Remdesivir. She was discharged in stable conditions.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Dyspnoea, Dyspnoea exertional
Clinical narrative: This is a 62-year-old female, with a significant PMH of uterine cancer s/p HSY, HTN, HLD, GERD, Former tobacco smoker, Rosacea (on topical Ivermectin/Brimonidine), H/O CTS, Arthritis (on chronic Mobic), s/p lumbar discectomy, Morbid Obesity, presented to hospital on 12/03 with headache/shortness of breath. Patient states that the day before Nov. holiday she was noted to have a headache. On Nov. holiday, patient had headache/chills and was noted to be positive for COVID-19. On 11/30 she went to the ED because her headache was stabbing/piercing but she was not short of breath at that time. Patient was given Toradol and discharged on Norco. Patient's SpO2 was running between 86-87%. Upon exertion, HR was as high as 120. Patient noted to have fever/nausea without vomiting. Patient had diarrhea which resolved. Patient was noted to have poor appetite. Patient still having headaches and now shortness of breath specially with exertion. CRP 14.6. CXR: Bilateral infiltrates. Patient was admitted with Acute hypoxemic respiratory failure secondary to COVID-19 pneumonia. Patient was given supplemental oxygen, Decadron, Remdesivir. She was discharged in stable conditions.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Lung infiltration, Nausea, Pyrexia
Clinical narrative: This is a 62-year-old female, with a significant PMH of uterine cancer s/p HSY, HTN, HLD, GERD, Former tobacco smoker, Rosacea (on topical Ivermectin/Brimonidine), H/O CTS, Arthritis (on chronic Mobic), s/p lumbar discectomy, Morbid Obesity, presented to hospital on 12/03 with headache/shortness of breath. Patient states that the day before Nov. holiday she was noted to have a headache. On Nov. holiday, patient had headache/chills and was noted to be positive for COVID-19. On 11/30 she went to the ED because her headache was stabbing/piercing but she was not short of breath at that time. Patient was given Toradol and discharged on Norco. Patient's SpO2 was running between 86-87%. Upon exertion, HR was as high as 120. Patient noted to have fever/nausea without vomiting. Patient had diarrhea which resolved. Patient was noted to have poor appetite. Patient still having headaches and now shortness of breath specially with exertion. CRP 14.6. CXR: Bilateral infiltrates. Patient was admitted with Acute hypoxemic respiratory failure secondary to COVID-19 pneumonia. Patient was given supplemental oxygen, Decadron, Remdesivir. She was discharged in stable conditions.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: This is a 62-year-old female, with a significant PMH of uterine cancer s/p HSY, HTN, HLD, GERD, Former tobacco smoker, Rosacea (on topical Ivermectin/Brimonidine), H/O CTS, Arthritis (on chronic Mobic), s/p lumbar discectomy, Morbid Obesity, presented to hospital on 12/03 with headache/shortness of breath. Patient states that the day before Nov. holiday she was noted to have a headache. On Nov. holiday, patient had headache/chills and was noted to be positive for COVID-19. On 11/30 she went to the ED because her headache was stabbing/piercing but she was not short of breath at that time. Patient was given Toradol and discharged on Norco. Patient's SpO2 was running between 86-87%. Upon exertion, HR was as high as 120. Patient noted to have fever/nausea without vomiting. Patient had diarrhea which resolved. Patient was noted to have poor appetite. Patient still having headaches and now shortness of breath specially with exertion. CRP 14.6. CXR: Bilateral infiltrates. Patient was admitted with Acute hypoxemic respiratory failure secondary to COVID-19 pneumonia. Patient was given supplemental oxygen, Decadron, Remdesivir. She was discharged in stable conditions.
Age: 14.0
Sex: F
Vaccine: MMRV
Symptoms: Expired product administered
Clinical narrative: MMRV inadvertently given to a patient >12 years of age
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: COVID-19
Clinical narrative: No adverse reaction known from patient.  Patient did end up getting COVID two days later.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Expired product administered, Product administration error
Clinical narrative: Administration Error- patient was administered a MMR vaccine that was expired. it was given on 7/18/2022  and expired 6/16/2022. I called Merck and was told the dose given was supported and revaccination is not required.
Age: 35.0
Sex: F
Vaccine: PNC20
Symptoms: Pharyngeal swelling
Clinical narrative: Patient complained of their throat feeling swollen roughly 30 minutes after administration of the vaccine. RN collected patient from the front of clinic and performed an examination, collected vital signs, and administered PO benadryl 25mg per protocol.  Patient able to swallow pill and water fine. Patient denied swelling of tongue or difficulty breathing. Patient then examined by provider who advised patient to monitor symptoms and if swelling does not go down or if they have difficulty catching their breath or sudden drooling to notify one of the staff immediately. Patient verbalized understanding and returned to work at front of clinic. RN checked on patient again after an hour from when benadryl was given and patient verbalized swelling had decreased and they were feeling fine.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient received 0.25ml instead of 0.5ml
Age: 55.0
Sex: M
Vaccine: UNK
Symptoms: Lymphadenopathy
Clinical narrative: Pt. suffered neck and axillary lymph node swelling. Painful for 1-2 weeks.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: On 02 September 2022, CDC recommendations for COVID-19 vaccine boosters were updated to recommend bivalent vaccine boosters for patients aged 12 and over.  Consequently, in data released on 06 September 2022, the Agency recommended that monovalent mRNA vaccines are no longer authorized as a booster dose.  Agency published a memorandum dated 18 September 2022 reiterating that monovalent mRNA vaccines are no longer authorized as a booster for people ages 12 years and older.  On 14 September 2022, a medical department representative submitted a request for vaccines through the Department to the Hospital Preventive Medicine Department.  This request included 315 doses of the ?COVID-19 mRNA Vaccine; 2-dose series.?  At the time, Hospital was not issuing the bivalent COVID-19 MRNA vaccine.  The request was filled with monovalent vaccine on 19 Sep 2022.  On 20 September 2022, medical department representatives inoculated a total of 49 personnel with the monovalent COVID-19 mRNA vaccine before this error was discovered.
Age: 54.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Inappropriate schedule of product administration
Clinical narrative: SECOND DOSE OF JYNNESO WAS ADMINISTED ON DAY 18 INSTEAD OF DAY 28 (INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: 102 Fever 6 hours, 100 fever another 18 hours.  Muscle aches and fatigue.
Age: 1.42
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Expired product administered
Clinical narrative: Immunization was expired.  Notified mom and no adverse reactions reported.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site pain, Injection site reaction, Pain, Sensory disturbance
Clinical narrative: Case receive Moderna bivalent dose on 09-14-22 in his left deltoid muscle using a 1 inch needle. 5 days later, he states he started getting a burning sensation at site; a "deep cutting" sensation that comes and goes; and is worse with certain movements of his arm. He states his wife has looked at site and not observed any abnormality. He has had no fever. He also stated that when he touches site, he has sensation but that he does not feel much in the way of a deeper sensation. He states that 40 years ago he had a torn muscle in this arm but that he has not felt anything like this with a previous shot. He has also noticed this same deep cutting sensation in both wrist and ankle area. He has history of fibromyalgia and is due to have low back surgery in November.
Age: 22.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site bruising
Clinical narrative: Patient noticed bruising around vaccine injection site - states he is concerned about bruise. Denies any other symptoms other than bruise.
Age: 37.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Pyrexia, Wrong product administered
Clinical narrative: Client administered Fluarix in error. Client had registered for Tdap/Boostrix vaccine.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Fall, Hip fracture, Hypoxia
Clinical narrative: The patient is a 90 yo male who was admitted on 1/6/2022 for chief complaint of fall with left hip pain. Patient has past medical history of HTN, Marfan syndrome, and CAD. Patient was found to have a left hip fracture. He underwent cardiac clearance and was started on metoprolol by cardiology and subsequently underwent ORIF with orthopedic surgery. He had incidental finding of Covid-19 on screening prior to surgery. Patient is vaccinated and has received his booster dose as well. He initially did not have respiratory symptoms but did develop hypoxia and was placed on supplemental oxygen and treated with dexamethasone and remdesivir. He was evaluated for home O2 and did qualify. PT/OT recommended post acute but patient declined and will return home.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Open reduction of fracture, SARS-CoV-2 test positive
Clinical narrative: The patient is a 90 yo male who was admitted on 1/6/2022 for chief complaint of fall with left hip pain. Patient has past medical history of HTN, Marfan syndrome, and CAD. Patient was found to have a left hip fracture. He underwent cardiac clearance and was started on metoprolol by cardiology and subsequently underwent ORIF with orthopedic surgery. He had incidental finding of Covid-19 on screening prior to surgery. Patient is vaccinated and has received his booster dose as well. He initially did not have respiratory symptoms but did develop hypoxia and was placed on supplemental oxygen and treated with dexamethasone and remdesivir. He was evaluated for home O2 and did qualify. PT/OT recommended post acute but patient declined and will return home.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: 1/20/22 Pt positive for COVID; seen at ED and dc'd the same day; given Levsin and Promethazine; instructions to follow up with Dr. in 2-3 days; 1/28/22 back to ED with SOB, weakness, nausea and vomiting; IVFs given with antiemetic; dc'd to home; 2/2/22 pt DOA to hospital; COD per death certificate shows COVID pneumonia and Hypertensive Cardiac Disease
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertensive heart disease, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 1/20/22 Pt positive for COVID; seen at ED and dc'd the same day; given Levsin and Promethazine; instructions to follow up with Dr. in 2-3 days; 1/28/22 back to ED with SOB, weakness, nausea and vomiting; IVFs given with antiemetic; dc'd to home; 2/2/22 pt DOA to hospital; COD per death certificate shows COVID pneumonia and Hypertensive Cardiac Disease
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient received 0.25ml rather than 0.5ml
Age: 89.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient recieved 0.25ml rather than 0.5ml
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vaginal haemorrhage
Clinical narrative: Vaginal bleeding.
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Injection site pain, Product administered to patient of inappropriate age
Clinical narrative: PATIENT WAS UNDER AGE OF RECOMMENDED AGE OF 18. Mom said on 9-22-2022 no reaction occurred other than than the normal pain at injection sight, tiredness and headache
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Dizziness, Pain, Pyrexia
Clinical narrative: Fever, Body aches, Dizziness.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient received 0.25ml rather than 0.5ml
Age: 52.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Inappropriate schedule of product administration
Clinical narrative: SECOND DOSE OF JYNNEOS WAS ADMINISTERED ON DAY 18 ON DAY 28 (INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient received 0.25ml rather than 0.5ml
Age: 3.0
Sex: M
Vaccine: HIBV, TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: provider ordered Tdap vaccine instead of DTap per age, incorrect vaccine was given
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Rash, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Red bump appears the next day that was itchy. I figured it was a local reaction. The bump grew bigger each day and became painful, and warm to the touch. Went to urgent care 8/8/22. Diagnosed with cellulitis and given Keflex antibiotic.
Age: 66.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Inappropriate schedule of product administration
Clinical narrative: SECOND DOSE OF JYNNEOS WAS ADMINISTERED ON DAY 18 INSTEAD ON DAY 28 (INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Discomfort, Headache, SARS-CoV-2 test negative
Clinical narrative: After dinner the fourth  day after vaccination I had an uncomfortable feeling of fullness that would not go away with a headache and upset stomach  five days later I feel better without headache and upset stomach.
Age: 31.0
Sex: M
Vaccine: UNK
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Neck and axillary lymph node swelling. Painful for 1-2 weeks.
Age: 70.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal pain, Chills, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: sore arm began evening of vaccine 9/20, not out of the ordinary. Following morning 9/21 had myalgia, nausea and loose stool. on 9/22 had fever of 101°, rigors, myalgia severe diarrhea, abdominal cramping, fatigue, loss of appetite. Still with diarrhea and abdominal cramping today on 9/23, but energy starting to return, less GI cramping
Age: 70.0
Sex: M
Vaccine: FLU4
Symptoms: Myalgia, Nausea, Pain in extremity, Pyrexia
Clinical narrative: sore arm began evening of vaccine 9/20, not out of the ordinary. Following morning 9/21 had myalgia, nausea and loose stool. on 9/22 had fever of 101°, rigors, myalgia severe diarrhea, abdominal cramping, fatigue, loss of appetite. Still with diarrhea and abdominal cramping today on 9/23, but energy starting to return, less GI cramping
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Fall, Hypophagia, Lethargy
Clinical narrative: 8/16/22 pt admitted into a health and rehab center after a fall; 8/22/21 pt had a positive COVID test in the facility; as time went on he had an increase in lethargy and poor oral intake; given IVFs for hydration; no other records sent regarding treatment for COVID in the facility; pt passed away in facility
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 8/16/22 pt admitted into a health and rehab center after a fall; 8/22/21 pt had a positive COVID test in the facility; as time went on he had an increase in lethargy and poor oral intake; given IVFs for hydration; no other records sent regarding treatment for COVID in the facility; pt passed away in facility
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against, then tested positive for COVID19
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient received 0.25ml rather than 0.5ml
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Patient started to fell dizzy and nauseated.   Talked to her and gave her a trash can in case she got sick .  Then called the  hospital team stat.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: vertigo
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pyrexia
Clinical narrative: Fever, painful  for 5 days unable to get up.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for Covid the day after receiving vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Back pain, Chest discomfort, Chills, Immediate post-injection reaction, Injection site pain
Clinical narrative: I got my flue shot first in the left arm and then got the Covid shot in the Right arm.  As soon as the shot was administered I felt my right neck start to throb. I didn't say anything and proceeded to leave the store.  As I was walking to the parking lot the throbbing in my neck became more sever and started moving down  to my upper back.  By the time I reached the parking lot the throbbing had moved to my lower back and was quite sever.  As it move I had a little discomfort in my chest but that didn't last long.  I had trouble sitting because of the intense throbbing but in a few minutes the pain reduced.  Within approximately five minutes all symptoms were gone.  That evening I experienced chills and felt feverish but by the next day I felt fine except for a sore arm at the injection site.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Neck pain, Pain, Pyrexia, Sitting disability
Clinical narrative: I got my flue shot first in the left arm and then got the Covid shot in the Right arm.  As soon as the shot was administered I felt my right neck start to throb. I didn't say anything and proceeded to leave the store.  As I was walking to the parking lot the throbbing in my neck became more sever and started moving down  to my upper back.  By the time I reached the parking lot the throbbing had moved to my lower back and was quite sever.  As it move I had a little discomfort in my chest but that didn't last long.  I had trouble sitting because of the intense throbbing but in a few minutes the pain reduced.  Within approximately five minutes all symptoms were gone.  That evening I experienced chills and felt feverish but by the next day I felt fine except for a sore arm at the injection site.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Headache, SARS-CoV-2 test, Wheezing
Clinical narrative: I developed Covid with symptoms approximately 2 days after vaccination.  Symptoms were similar to a bad case of bronchitis, severe headaches, coughing, wheezing.  Never had a temperature.
Age: 5.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Wrong product administered
Clinical narrative: Flu vaccine was given but not ordered by provider. Mom was aware at time of service and discussed error with provider.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Patient stated right lymph nodes were significantly swollen
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/2/22  - 9/19/22.  Presentation to the ED: dyspnea x 1 day.  COVID-19 + date: 9/2/22. Treatment: Continue with daily vitamin-C, nebulizer and inhaler treatment p.r.n. Remdesivir and dexamethasone.  Discharge to: SNF.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Malaise, Myalgia
Clinical narrative: muscle ache, malaise, acetamenophen 1000
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site vesicles, Rash
Clinical narrative: Patient develops, vesicle rash at injection site and right side of neck. Used Benadryl and hydrocortisone cream, resolved in 3 days.
Age: 37.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Vaccination error
Clinical narrative: Did not get a wheal the first time.  A second dose was administered
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Gave wrong flu vaccine. Gave formula for under 65 and patient is over 65.  No adverse events as of this time
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient given 0.25ml instead of 0.5ml
Age: 61.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Unevaluable event
Clinical narrative: No wheal the first time.  Administered a second dose
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise
Clinical narrative: Hospitalization for COVID-19 symptoms on dates 8/3/2022-8/6/2022 .  Treated with dexamethasone, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: fully vaccinated, covid positive pt, hospitalized
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea
Clinical narrative: Hospitalization for shortness of breath due to COVID-19 on dates 8/4/2022- 8/9/2022.  Treated with baricitinib, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Headache, Muscle spasms, Muscular weakness
Clinical narrative: Sore arm, fever, chills, muscle weakness, leg cramps, fatigue, headache, body aches.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, fever, chills, muscle weakness, leg cramps, fatigue, headache, body aches.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient given 0.25ml instead of 0.5ml.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Flushing, Pain
Clinical narrative: Chills, face is getting flushed, body aches and exhaustion
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea
Clinical narrative: Hospitalization for dyspnea due to COVID-19  on dates 8/5/2022- 8/14/2022.  Treated with no COVID medications.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Urticaria, Vitiligo
Clinical narrative: Hives on a daily basis, angioedema of lips and and face , vitiligo on hips hands, under arms
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Neurological symptom, SARS-CoV-2 test positive
Clinical narrative: Hospitalization for stroke symptoms and also tested positive for COVID-19 on dates 8/5/2022-8/8/2022. Treated with vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 59.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Fever, chills, fatigue, headache, ringing in ears, ache at injection site.
Age: 59.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Tinnitus
Clinical narrative: Fever, chills, fatigue, headache, ringing in ears, ache at injection site.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization for lower back pain, and later tested positive for COVID-19 on 8/10/2022.  Hospitalized on dates 7/23/2022- 8/12/2022.  Treated with  Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Admitted to hospital.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient given 0.25ml instead of 0.5ml.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Nausea, Palpitations, Sleep disorder
Clinical narrative: Severe pain and swelling at vaccine site x12 days. Pain was not relieved with Aleve. Pain keep me up at night. Severe headache that has not gone away since vaccine. Nausea and vomiting x seven days. Tightness in chest  Heart palpitations
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain, Vaccination site swelling, Vomiting
Clinical narrative: Severe pain and swelling at vaccine site x12 days. Pain was not relieved with Aleve. Pain keep me up at night. Severe headache that has not gone away since vaccine. Nausea and vomiting x seven days. Tightness in chest  Heart palpitations
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site mass, Lymph node pain, Lymphadenopathy, Pain, Peripheral swelling
Clinical narrative: Swollen arm, knot at site of injection, acheyness, swollen and sore lymph nodes in left underarm
Age: 73.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Burning sensation, Herpes zoster, Rash, Rash vesicular
Clinical narrative: Pt received 3rd COVID booster (new bivalent Pfizer) and flu vaccine (unknown manufacturer) on 9/7/22. On 9/14/22, pt developed rash on left forehead. He presented to urgent care 9/17/22 with worsening vesicular burning rash in left CN V-1 dermatomal distribution. He was diagnosed with shingles and treated with Valtrex Rx. He has no prior history of shingles, and reports he had had the shingles vaccine in the past.
Age: 46.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Discomfort, Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient received Influenza and Pneumococcal 23 on 9/20/22, both to left deltoid. On 9/21/22 patient noticed arm to be red, warm, swollen. Patient came into clinic today on 9/23/22 with continued redness and warmth to left arm, below the deltoid and above the elbow, measuring 5 in width and 4 in height. No swelling noted. No fevers. Patient does admit to some improvement today since 9/21/22. Provider evaluated reaction and determined its a localized reaction to both vaccines given in the same deltoid. Patient was given ice pack and advised to apply ice to localized area, advised to take OTC pain relivers for discomfort. Advised to call or return to clinic if no improvement.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Unresponsive to stimuli
Clinical narrative: Hospitalization for unresponsiveness related to COVID-19 on dates 8/10/2022-8/13/2022. Treated with vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, and zinc 50 mg PO daily.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 6.0
Sex: M
Vaccine: TDAP
Symptoms: No adverse event, Vaccination error, Wrong product administered
Clinical narrative: There was not an adverse event for this patient.  It was a vaccine error for administration.  The patient was to receive a Kinrix but received in error a Boostrix.  Patient as the same time received a Fluarix  and a IPV at the same time.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea
Clinical narrative: Hospitalization for shortness of breath related to COVID-19 on dates 8/15/2022-8/28/2022.  Treated with dexamethasone, baricitinib,  zinc 50 mg PO daily.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Extra dose administered, Injection site reaction, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Rash on neck, under arms, upper chest, and navel every time. The most recent vaccination I also now have an itchy red rash at injection site. All symptoms begin on 2nd day after vaccines. I also developed this type of rash after my 2nd Shingrix vaccine on 9/27/19.
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Hyperhidrosis, Hypotension, Vision blurred
Clinical narrative: ***Initial c/o " The client informed he experienced blurry vision, sweating, and low blood pressure after receiving his MPX1 vaccine and was evaluated, cleared and released from the clinic by the Post Vaccination Clinician"   --- Vaccination MPX1 on 8/18/2022. 9/9/2022 - Call made to patient by RN. Feeling well now. Asks, "what should I do about my MPX2 vaccination since I had a problem after receiving MPX1?  No community medical provider to see for evaluation and direction. Instruction: in the interim,  Seek Urgent/EMS for recurrent, related complaints.  For next dose/MPX2, Return for MPX2 as scheduled - asure speaking with clinician to report symptoms within 15 min past MPX1 vaccination. On return - would remain at least 30 min past MPX2 and seek Urgent/EMS care for any related concerns after MPX2 vaccination.
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 7 pediatric pts were given Covid 12+ monovalent as a booster dose after 8/31/22
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives developed same evening of receiving vaccines. Affected areas included chest, neck and face. Patient took antihistamines (Benadryl) and other antihistamines the day after. It has not worsened by the time the patient reported it to the pharmacy on 9/23/22 at 9:30 am but it remains itchy. Recommended for patient to continue antihistamines, continue with fluids, add an acid reducer like Zantac or Pepcid.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Erythema, Feeling abnormal, Headache, Nausea
Clinical narrative: Pt complained of 8/10 headache 15-20 minutes after receiving the vaccine. He stated, feeling lightheaded, nauseated, and felt like he was  "floating". RN also noticed pt's face turning red. Vital signs obtained are as follows: BP 132/81; HR 85; SPO2 95%. Pt was seen by provider and given Tylenol 325 mg for his HA. Pt was also advised to lay down and was monitored for 30 minutes. Public Health provider recommended pt to be seen by patient's HCP.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Computerised tomogram, Laboratory test, Magnetic resonance imaging
Clinical narrative: chest pain, tightness, heart acute periicartitas
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: chest pain, tightness, heart acute periicartitas
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient received Moderna as her first primary COVID vaccine on 3/14/2021 at pharmacy (Lot #001B21A per COVID card). Patient then received a primary Pfizer vaccine on 8/12/22 from a different pharmacy (Lot #FC3181 per COIVD card). Patient received Bivalent Moderna booster today. Unable to reach patient after visit to discuss.
Age: 1.33
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was brought in for her 3rd Covid shot. After vaccine was administered, it was discovered she was 2 weeks too early to receive her vaccine.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: Patient was  given an expired dose of the vaccine.  The vaccine expired on 9/13/22 and was given on 9/23/22 Patient  condition was the same after the injection as it was before injection Physician was notified and she did not want vaccine repeated
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Body temperature increased, Chills, Injection site erythema, Injection site swelling
Clinical narrative: Sore left arm upon injection, but felt fine throughout the day. Once I got into bed around 10:00pm I developed severe chills and recorded a temperature of 101degrees one hour after taking two extra strength Tylenol in the middle of the night. Did not sleep due to severity of symptoms. The next day when I felt strong enough to shower, I discovered a red rash on my chest primarily between my breasts. The following day, Wednesday 9/21, I noticed my injection site was red, raised and very hot. The spot resembled the size of an apple.  Yesterday, 9/22, I still felt weak but the other symptoms improved or went away. However, since yesterday I?m itchy everywhere on my body. Today, 9/23, I have energy to bike and be active, injection site is almost better but I?m still itching.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Insomnia, Pain in extremity, Pruritus, Rash erythematous
Clinical narrative: Sore left arm upon injection, but felt fine throughout the day. Once I got into bed around 10:00pm I developed severe chills and recorded a temperature of 101degrees one hour after taking two extra strength Tylenol in the middle of the night. Did not sleep due to severity of symptoms. The next day when I felt strong enough to shower, I discovered a red rash on my chest primarily between my breasts. The following day, Wednesday 9/21, I noticed my injection site was red, raised and very hot. The spot resembled the size of an apple.  Yesterday, 9/22, I still felt weak but the other symptoms improved or went away. However, since yesterday I?m itchy everywhere on my body. Today, 9/23, I have energy to bike and be active, injection site is almost better but I?m still itching.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Anaphylactic reaction, Blood test, Dysphonia, Fatigue, Headache
Clinical narrative: She got her vaccine, sat for the 15 minutes, and while leaving she was not feeling well, felt tired and wanted to just sit down.  She got home was having pains in her legs and arm and having a rapid heart beat.  She took a nap, grandmother woke her up and she face was swollen, glasses stuck to her arm, arm was swollen, her head was hurting, nauseated and her voice sounded different, rough, raspy dry voice.  Grandmother read the paperwork and saw all the side effects listed that she had.  She was then taken to the ER at Hospital.  She tried to contact her PCP but they have not returned her calls.  She was diagnosed with anaphylactic reaction and given Epinephrine, Sodium chloride, Diphenhydramine, Famotidine, Ondansetron Albuterol and the mask gave her a rash around her mouth.  She is still having pains in her arms and legs and grandmother is going to take her back to the ER.   She was not able to go to school as she was tired and in pain.      She went yesterday and got her allergy shots and has been sneezing and she let them know she had gotten the vaccine.    She feels that the nurse should have alerted her about the AE that she may get.  Grandmother said she would have refused it if she had known that.  Grandmother is concerned that this may affect her Factor VII factor.  She does have a hematologist .
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Heart rate increased, Hypersensitivity, Loss of personal independence in daily activities, Malaise, Nausea
Clinical narrative: She got her vaccine, sat for the 15 minutes, and while leaving she was not feeling well, felt tired and wanted to just sit down.  She got home was having pains in her legs and arm and having a rapid heart beat.  She took a nap, grandmother woke her up and she face was swollen, glasses stuck to her arm, arm was swollen, her head was hurting, nauseated and her voice sounded different, rough, raspy dry voice.  Grandmother read the paperwork and saw all the side effects listed that she had.  She was then taken to the ER at Hospital.  She tried to contact her PCP but they have not returned her calls.  She was diagnosed with anaphylactic reaction and given Epinephrine, Sodium chloride, Diphenhydramine, Famotidine, Ondansetron Albuterol and the mask gave her a rash around her mouth.  She is still having pains in her arms and legs and grandmother is going to take her back to the ER.   She was not able to go to school as she was tired and in pain.      She went yesterday and got her allergy shots and has been sneezing and she let them know she had gotten the vaccine.    She feels that the nurse should have alerted her about the AE that she may get.  Grandmother said she would have refused it if she had known that.  Grandmother is concerned that this may affect her Factor VII factor.  She does have a hematologist .
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Pain, Pain in extremity, Peripheral swelling, Rash, Sneezing
Clinical narrative: She got her vaccine, sat for the 15 minutes, and while leaving she was not feeling well, felt tired and wanted to just sit down.  She got home was having pains in her legs and arm and having a rapid heart beat.  She took a nap, grandmother woke her up and she face was swollen, glasses stuck to her arm, arm was swollen, her head was hurting, nauseated and her voice sounded different, rough, raspy dry voice.  Grandmother read the paperwork and saw all the side effects listed that she had.  She was then taken to the ER at Hospital.  She tried to contact her PCP but they have not returned her calls.  She was diagnosed with anaphylactic reaction and given Epinephrine, Sodium chloride, Diphenhydramine, Famotidine, Ondansetron Albuterol and the mask gave her a rash around her mouth.  She is still having pains in her arms and legs and grandmother is going to take her back to the ER.   She was not able to go to school as she was tired and in pain.      She went yesterday and got her allergy shots and has been sneezing and she let them know she had gotten the vaccine.    She feels that the nurse should have alerted her about the AE that she may get.  Grandmother said she would have refused it if she had known that.  Grandmother is concerned that this may affect her Factor VII factor.  She does have a hematologist .
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Swelling face
Clinical narrative: She got her vaccine, sat for the 15 minutes, and while leaving she was not feeling well, felt tired and wanted to just sit down.  She got home was having pains in her legs and arm and having a rapid heart beat.  She took a nap, grandmother woke her up and she face was swollen, glasses stuck to her arm, arm was swollen, her head was hurting, nauseated and her voice sounded different, rough, raspy dry voice.  Grandmother read the paperwork and saw all the side effects listed that she had.  She was then taken to the ER at Hospital.  She tried to contact her PCP but they have not returned her calls.  She was diagnosed with anaphylactic reaction and given Epinephrine, Sodium chloride, Diphenhydramine, Famotidine, Ondansetron Albuterol and the mask gave her a rash around her mouth.  She is still having pains in her arms and legs and grandmother is going to take her back to the ER.   She was not able to go to school as she was tired and in pain.      She went yesterday and got her allergy shots and has been sneezing and she let them know she had gotten the vaccine.    She feels that the nurse should have alerted her about the AE that she may get.  Grandmother said she would have refused it if she had known that.  Grandmother is concerned that this may affect her Factor VII factor.  She does have a hematologist .
Age: 51.0
Sex: F
Vaccine: FLUR4
Symptoms: Urticaria
Clinical narrative: "I wanted to let you know that this years flu vaccine injection was one of the worse one?s I reacted to in years, I had hives within ½ hour (staff here at the clinic saw them as well) including my manager.  That evening I had to use both my inhalers and 2 nebulizer treatments, mind you I haven?t had to use my nebulizer in almost 2 years, and hadn?t used my rescue inhaler in over a month, there are times I don?t even need to use my daily inhaler. I came pretty close to going to the ER,  is there anything I can do to be exempt from going through this every year?  Please help me, thanks.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: COVID-19, Hypertransaminasaemia
Clinical narrative: COVID: Good O2 saturation, no hypoxemia, received 3 days of remdesivir early in hospital course, discontinued due to Transaminitis. 10-day isolation since no hypoxemia. Symptoms started 8/26, so I calculate 10-day isolation through 9/4/2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Checkpoint kinase 2 gene mutation, Chemotherapy, Colitis, Endometrial cancer stage III
Clinical narrative: I had left lower quadrant discomfort with post menopausal bleeding and then I had a total hysterectomy in December of 2021.  The doctor did genetic testing in August 2022 and found I had a chek 2 variant which is a MRNA thing which is above my paygrade to understand genetics.  I have received chemotherapy and radiation since the hysterectomy.  I was diagnosed with Endometrial Cancer in January 2022.  I am still recovering and have Neuropathy and Colitis due to the treatment that I received.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Gene mutation identification test positive, Hysterectomy, Neuropathy peripheral, Pathology test, Postmenopausal haemorrhage
Clinical narrative: I had left lower quadrant discomfort with post menopausal bleeding and then I had a total hysterectomy in December of 2021.  The doctor did genetic testing in August 2022 and found I had a chek 2 variant which is a MRNA thing which is above my paygrade to understand genetics.  I have received chemotherapy and radiation since the hysterectomy.  I was diagnosed with Endometrial Cancer in January 2022.  I am still recovering and have Neuropathy and Colitis due to the treatment that I received.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Radiotherapy
Clinical narrative: I had left lower quadrant discomfort with post menopausal bleeding and then I had a total hysterectomy in December of 2021.  The doctor did genetic testing in August 2022 and found I had a chek 2 variant which is a MRNA thing which is above my paygrade to understand genetics.  I have received chemotherapy and radiation since the hysterectomy.  I was diagnosed with Endometrial Cancer in January 2022.  I am still recovering and have Neuropathy and Colitis due to the treatment that I received.
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site nodule, Injection site reaction
Clinical narrative: Client complains that the injection site has left a mark and knot on his arm.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent pfizer 59267102501 instead of bivalent pfizer
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test, Skin discolouration
Clinical narrative: Purple spots on left arm and spreading to right arm and legs
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient received monovalent pfizer as a booster shot instead of the bivalent vaccine
Age: 68.0
Sex: F
Vaccine: FLU4, MMR
Symptoms: Wrong product administered
Clinical narrative: administration error; gave regular quadrivalent flu vaccine;  age 68 - should have given high dose quadrivalent vaccine
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Aortic arteriosclerosis, Arteriosclerosis coronary artery, Asymptomatic COVID-19, Coronary artery disease
Clinical narrative: CCL 9/6/2022VAL nstemi/asymptomatic +COVID status severe calcific MVCAD and CA+ ascending aorta and aortic arch. REC: consult with a CT surgeon with regard to the patient's surgical candidacy, with the patient and with an interventional cardiologist and decide if coronary artery bypass, PCI or medical therapy is the best course. Percutaneous coronary intervention would be complex and high risk and should be undertaken at a hub site and perhaps via the transfemoral arterial approach (although with a Destination sheath a transradial approach is feasible). COVID-19 DISEASE.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: CCL 9/6/2022VAL nstemi/asymptomatic +COVID status severe calcific MVCAD and CA+ ascending aorta and aortic arch. REC: consult with a CT surgeon with regard to the patient's surgical candidacy, with the patient and with an interventional cardiologist and decide if coronary artery bypass, PCI or medical therapy is the best course. Percutaneous coronary intervention would be complex and high risk and should be undertaken at a hub site and perhaps via the transfemoral arterial approach (although with a Destination sheath a transradial approach is feasible). COVID-19 DISEASE.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer as a booster instead of bivalent.