chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Palpitations
Clinical narrative: Pregnant-- 22 weeks 1 day EDD- 6/1/2022 Patient walked into Covid Observation Area after reporting heart palpitations and mild chest tightness 14 minutes after receiving Pfizer Booster. States she had Moderna for first 2 doses, developed fever of 103.4 after each dose, improved with Tylenol, lasted for a day and a half. States she wanted to try Pfizer today because of fever with Moderna. Patient states she also experienced more severe heart palpitations after first 2 doses of Moderna. Reports heart palpitations today not as prominent, and chest tightness lasted for a few seconds. Denies chest pain, has normal shortness of breath due to 22 weeks pregnancy. Patient states she ate breakfast this morning.    9:20 am- VS: BP 145/65, HR 82, RR 20, 02 SATs 99%RA   9:24 am-VS: BP 122/67, HR 86, RR 20, 02 SATs 99%RA   9:38 am- VS-BP 133/69 (lying), HR 88, RR 22, 02 SATs 99% RA- States chest tightness resolved, breathing in a little deeper and faster, palpitations lessening but still present.   9:49 am- Call placed to on call physician informed of patient symptoms above. No risk factors or cardiac conditions noted per MD chart review. States symptoms likely vagal response or stress response. Dr. offered to order EKG for patient to establish baseline as she has never had an EKG. Also stated if patient declines EKG and no other symptoms such as lightheadedness, ok for patient to be discharged home and follow up with her primary care provider for any concerning symptoms.   Patient declined EKG at this time, Dr. informed.   9:53 am- VS- BP 142/77 (sitting), HR 94, RR 20, 02 SATs 98%RA   9:54 am- VS- BP 127/74 (standing) HR 83, RR 20, 02 SATs 98%- Denies lightheadedness or dizziness with position changes. States she feels anxious because she wanted to wait until after she delivered baby to get the booster but had to get it sooner due to job requirements.    9:58 am- Patient discharged home in stable condition. Advised to follow up with primary care provider if symptoms persist. Also advised to seek emergent care for any worsening symptoms such as chest tightness, chest pain or shortness of breath. Patient verbalized understanding.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal, Feeling of body temperature change, Impaired work ability, Inflammation
Clinical narrative: I started feeling not well around the holiday. I had tested before traveling to (Privacy) and was negative for Covid. I could not get a test after coming home because the state of (Privacy) kept closing testing sites because of over demand. My wife and son did get tested, and they were negative. On 1/15/2022 I really started feeling poorly. The next week I was boiling hot and then frozen cold the next. I couldn't work. I took another Covid test and it was negative. I was still throwing up on 1/23/2022. On 1/25/2022 I stopped and started feeling better. My energy was up. Everybody that I'm around are all negative for Covid. My energy is still down and my hips are still inflamed.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test negative, Vomiting
Clinical narrative: I started feeling not well around the holiday. I had tested before traveling to (Privacy) and was negative for Covid. I could not get a test after coming home because the state of (Privacy) kept closing testing sites because of over demand. My wife and son did get tested, and they were negative. On 1/15/2022 I really started feeling poorly. The next week I was boiling hot and then frozen cold the next. I couldn't work. I took another Covid test and it was negative. I was still throwing up on 1/23/2022. On 1/25/2022 I stopped and started feeling better. My energy was up. Everybody that I'm around are all negative for Covid. My energy is still down and my hips are still inflamed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Dysmenorrhoea, Menstrual disorder, Oligomenorrhoea, Weight increased
Clinical narrative: My menstrual cycles started changing dramatically; for the first time in my 25 years of menstruating, I have painful cramps, sporadic menstruation, and my cycle has now completely stopped almost 11 months after receiving my first dose of Moderna. I am not menopausal. I am 38 years old. To be clear: my menstrual cycle has completely stopped, and I have gained weight since my vaccines, as well. These symptoms have never occurred before in my body.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pfizer booster vaccine was given 3 months early
Age: 79.0
Sex: U
Vaccine: COVID19
Symptoms: Incomplete course of vaccination
Clinical narrative: unknown
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: patient received both the flucelvax (flu) and moderna covid-19 booster shot (3rd dose) on 12/22/21. per patients husband, she developed bells palsy the following day on 12/23/21 Went to ER, stroke was ruled out and patient was diagnosed with bell's palsy. Patient is undergoing steroid treatment currently.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Magnetic resonance imaging abnormal, Movement disorder, Rotator cuff syndrome, Tendon disorder
Clinical narrative: Cannot move arm, hyper inflammation, can not move it at all since the day after the shot
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness unilateral, Tinnitus
Clinical narrative: Severe tinnitus and hearing loss in left ear.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient came by to request the third those of Pfizer, Pfizer was processed but a Moderna 0.25ml was administered.
Age: 0.75
Sex: M
Vaccine: RV5
Symptoms: Aggression, Pyrexia
Clinical narrative: Vaccine was administered at 9 months of age. Baby fussy.  Fever after all vaccines that were due that day.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5ml instead of 0.25ml of vaccine and was called on phone and denies any problems since vaccination. Letter was also sent to patient informing of dosage given
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Flushing, Loss of consciousness
Clinical narrative: on that day 1+hour later had flushing and dizziness. had increased chest discomfort (has upcoming appointment in a few days 02/01/2022 with cardiologist for this) over sternum. had increased SOB.  felt flushes. so then "passed out." husband noted that she was pale. palpitations. had nausea but no vomiting - resolved. no current lightheadedness. had increased "esophagus spasms" (working with GI for this; s/p recent EGD) no tongue/lip swelling. no rash.  no fever/chills. no runny nose no hx of seizure and no seizure like activity. no loss of urine / stool continence.  took Aspirin 325 mg qday - with improvement
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Nausea, Pallor, Palpitations
Clinical narrative: on that day 1+hour later had flushing and dizziness. had increased chest discomfort (has upcoming appointment in a few days 02/01/2022 with cardiologist for this) over sternum. had increased SOB.  felt flushes. so then "passed out." husband noted that she was pale. palpitations. had nausea but no vomiting - resolved. no current lightheadedness. had increased "esophagus spasms" (working with GI for this; s/p recent EGD) no tongue/lip swelling. no rash.  no fever/chills. no runny nose no hx of seizure and no seizure like activity. no loss of urine / stool continence.  took Aspirin 325 mg qday - with improvement
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/16/22 documented to have positive covid. PT received Pfizer 1/15/21 Lot EL0140 for dose 1. Dose 2 was Pfizer given on 2/5/21 Lot EL3302. PT received Pfizer Booster on 11/04/21 Lot FH8027.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The patient received the vaccine that was later found to be involved in a temperature excursion. The manufacturer was contacted and gave additional  temp stability data but excursion fell outside of this. CDC was also contacted and advised to repeat dose since manufacturer unable to give recommendation. The excursion occurred in a refrigerator unit that went in and out of range for a total of 39 hours with max temp 8.54 Celsius. Patient will be contacted to reschedule the vaccine.
Age: 35.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Exposure during pregnancy, No adverse event, Vaccination error
Clinical narrative: This was a vaccination error, the Gardasil was given in error.  Patient was 27 weeks gestation at time Gardasil was given.  EDD  is 3/13/2022.  No adverse reaction has been reported.  Reporting due to patient pregnancy status, has not yet delivered.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Red blood cell count decreased, Stool analysis normal, Swelling
Clinical narrative: Small swelling around my neck area - I went to see my doctor and after a couple of tests, was diagnosed with Anemia.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain, Pyrexia
Clinical narrative: patient had fever on 1/14/22. Developed chest pain with every beat and change in position on 1/15/2022..
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Neuropathy peripheral, Paraesthesia, Tenderness
Clinical narrative: Neuropathy, needles and pain at touch: left side of face went numb for a few days after vaccine. Limbs would randomly go numb as well
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms 1/18/22
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Severe muscle pain radiating from injection site outward to all of upper left arm, headache at front of head, fatigue
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5ml of vaccine instead of 0.25ml, called patient and she denies any problems since vaccination. Letter also sent to patient notifying of dosage received.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Headache, Interchange of vaccine products, Paraesthesia
Clinical narrative: pt here for booster dose, chose Pfizer, previously had Moderna Previous vaccine was from (Privacy) pt previously felt similar sx with 2nd Moderna shot and was sent to urgent care, discharged after 1549: flushed sensation, tingling, 4/10 generalized HA     1550: HR 103, BP 168/114, 98%, 97.9 F, RR 22 1555: HR 85, BP 177/110, 100%, RR 20                                 1605:  HR 95, BP 167/107, 99%, RR 18 1620: HR 82, BP 166/100, 99%, 98.8 F, RR 22                      1637: HR 75, BP 164/91, 99% 1657:  BP 164/91, HR 75, 99% pt advised to go to the ER    1700:  Pt brought to ER by wheelchair, in no acute distress, still feels 3/10 HA, all over tingling and flushed sensation 1710: in line for ED check in
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Headache
Clinical narrative: PT REPORTED HEADACHE, LIGHT HEADEDNESS AND FLUSHED FEELING AFTER INJECTION.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Raised area to right arm, larger than a quarter. Arm is sore. Raised area did not occur with first dose.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted following the shot...roughly 5 minutes following
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Injection site reaction, Injection site swelling, Local reaction, Urticaria
Clinical narrative: Within seconds of administration, the patients arm developed a welt at the area of injection.  As I sat in our immunization booth, it grew in size.  She said in our pharmacy area to monitor her.  After 15-20 minutes, it had swelled even more.  I gave her 10ml of diphenhydramine syrup for the allergic reaction.  Other than the local reaction, pt was ok
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Headache, Magnetic resonance imaging
Clinical narrative: 30 day headache following receiving second covid vaccine, consulted neurology, cardiology
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Neuropathy peripheral
Clinical narrative: Serious neuropathy, leg weakness
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The patient requested the third dose of Pfizer. Pfizer was processed, but 0.25ml Moderna was administered.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood creatinine normal, Blood electrolytes normal, COVID-19, Fall
Clinical narrative: Patient has had upper respiratory symptoms for approximately 5 days.  Diagnosed with COVID-19 01/17/2022.  Is vaccinated fully.  Felt significantly weak today and had a fall without injury.  No loss of consciousness.  Found to be hypoxic on arrival of EMS.  Given supplemental oxygen and taken for further management.  Workup showed essentially normal LFTs, lytes, creatinine, hemogram.  Procalcitonin not elevated.  D-dimer normal at 469. Negative for flu and RSV.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fibrin D dimer normal, Full blood count, Hypoxia, Influenza virus test negative, Liver function test normal
Clinical narrative: Patient has had upper respiratory symptoms for approximately 5 days.  Diagnosed with COVID-19 01/17/2022.  Is vaccinated fully.  Felt significantly weak today and had a fall without injury.  No loss of consciousness.  Found to be hypoxic on arrival of EMS.  Given supplemental oxygen and taken for further management.  Workup showed essentially normal LFTs, lytes, creatinine, hemogram.  Procalcitonin not elevated.  D-dimer normal at 469. Negative for flu and RSV.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Procalcitonin normal, Respiratory symptom, Respiratory syncytial virus test negative
Clinical narrative: Patient has had upper respiratory symptoms for approximately 5 days.  Diagnosed with COVID-19 01/17/2022.  Is vaccinated fully.  Felt significantly weak today and had a fall without injury.  No loss of consciousness.  Found to be hypoxic on arrival of EMS.  Given supplemental oxygen and taken for further management.  Workup showed essentially normal LFTs, lytes, creatinine, hemogram.  Procalcitonin not elevated.  D-dimer normal at 469. Negative for flu and RSV.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: A 13 yo patient was brought in by his mom for his second dose of Pfizer vaccine.  It was correctly processed for adult vaccine but due to a miscommunication check in staff indicated on the paperwork that it was a pediatric vaccine to be given.  A pediatric dose had just been given to another patient and that vial was still out, pediatric was given.  We caught the error while reconciling vaccine inventory and called the patient's mother who was understanding and brought him back the next day (Tuesday) where we gave a second pediatric dose of 20 mcg to catch him up to 30 (was given 10 mcg on Monday)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The patient received the vaccine that was later found to be involved in a temperature excursion. The manufacturer was contacted and gave additional  temp stability data but excursion fell outside of this. CDC was also contacted and advised to repeat dose since manufacturer unable to give recommendation. The excursion occurred in a refrigerator unit that went in and out of range for a total of 39 hours with max temp 8.54 Celsius. Patient will be contacted to reschedule the vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Amylase normal, Blood potassium normal, Blood thyroid stimulating hormone normal, Confusional state
Clinical narrative: Initially palpitations/tachycardia noted shortly after vaccination, followed by nausea/vomiting and weight loss.  Now patient reports 3 weeks of neurologic symptoms of confusion/memory loss, disjointed thinking at times, intermittent blurry vision, muscle twitching, tingling in extremities and continued weight loss.  Patient recently "read online that CJD is commonly happening due to the vaccine" and fears that she has this herself.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Human chorionic gonadotropin negative, Liver function test normal, Metabolic function test normal, Muscle twitching
Clinical narrative: Initially palpitations/tachycardia noted shortly after vaccination, followed by nausea/vomiting and weight loss.  Now patient reports 3 weeks of neurologic symptoms of confusion/memory loss, disjointed thinking at times, intermittent blurry vision, muscle twitching, tingling in extremities and continued weight loss.  Patient recently "read online that CJD is commonly happening due to the vaccine" and fears that she has this herself.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neurological symptom, Palpitations, Paraesthesia, Pericarditis
Clinical narrative: Initially palpitations/tachycardia noted shortly after vaccination, followed by nausea/vomiting and weight loss.  Now patient reports 3 weeks of neurologic symptoms of confusion/memory loss, disjointed thinking at times, intermittent blurry vision, muscle twitching, tingling in extremities and continued weight loss.  Patient recently "read online that CJD is commonly happening due to the vaccine" and fears that she has this herself.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Thinking abnormal, Vision blurred, Vomiting, Weight decreased
Clinical narrative: Initially palpitations/tachycardia noted shortly after vaccination, followed by nausea/vomiting and weight loss.  Now patient reports 3 weeks of neurologic symptoms of confusion/memory loss, disjointed thinking at times, intermittent blurry vision, muscle twitching, tingling in extremities and continued weight loss.  Patient recently "read online that CJD is commonly happening due to the vaccine" and fears that she has this herself.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Patient was provided 3rd dose of Pfizer on 1/15/2021  lot number FJ6369 exp date 3/29/2022  writer was not present when symptoms started such as fever patient on was routine Tylenol staff at assisted living facility reported fever record daily stating on 1/16/21
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cold sweat, Constipation, Injection site pain, Insomnia
Clinical narrative: Patient was provided 3rd dose of Pfizer on 1/15/2021  lot number FJ6369 exp date 3/29/2022  writer was not present when symptoms started such as fever patient on was routine Tylenol staff at assisted living facility reported fever record daily stating on 1/16/21
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: No adverse events were witnessed yet. I forgot to dilute the Pfizer 5-11years old covid vaccine before administering the 0.2ml dose. I let the mom know and advised her to check with the pediatrician.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Full body hives
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: Menstrual. Large clots throughout entirety of period m, larger than ever before, about the size of my palm before was smaller than quarter on first two days never longer. Increased flow, increased  days between period and increased number of period days. Worse cramping and bloating. Overall periods much worse in all aspects.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: 84 y.o. female with history of follicular lymphoma (completed rituxan Dec 2021, currently in remission), HTN, HLD, and CKD 3 who presents with generalized weakness.  Patient started feeling generally unwell about 1 week ago.  COVID testing obtained at that visit would later returned positive.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Joint injury, Mobility decreased, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: pt was given booster dose 7 pm on 1-26-22 in left arm, called thursday morning the pharmacy complaining that she was in severe pain all night and is having trouble lifting her arm.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: pt was given booster dose 7 pm on 1-26-22 in left arm, called thursday morning the pharmacy complaining that she was in severe pain all night and is having trouble lifting her arm.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 infection resulting in hospitalization
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis bacterial, Aspiration joint abnormal, Atrial fibrillation, Blood culture positive
Clinical narrative: Patient initially called office with HA, myalgia and muscle pain. The patient presented to hospital on 1/17/2022 with a chief complaint of nausea, vomiting, fatigue, muscle aches, bilateral shoulder pain  Septic joint in bilateral shoulders.  Left shoulder had purulence on aspiration. Shoulders thought to be septic from seeding. Also new onset A. fib with RVR
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Culture urine positive, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Patient initially called office with HA, myalgia and muscle pain. The patient presented to hospital on 1/17/2022 with a chief complaint of nausea, vomiting, fatigue, muscle aches, bilateral shoulder pain  Septic joint in bilateral shoulders.  Left shoulder had purulence on aspiration. Shoulders thought to be septic from seeding. Also new onset A. fib with RVR
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Purulence, Staphylococcus test positive, Vomiting
Clinical narrative: Patient initially called office with HA, myalgia and muscle pain. The patient presented to hospital on 1/17/2022 with a chief complaint of nausea, vomiting, fatigue, muscle aches, bilateral shoulder pain  Septic joint in bilateral shoulders.  Left shoulder had purulence on aspiration. Shoulders thought to be septic from seeding. Also new onset A. fib with RVR
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity, Weight bearing difficulty
Clinical narrative: PAIN IN FEET COULD NOT BEAR WEIGHT ORTHOPEDIC SHOES RIGHT SIDE GOT BETTER LEFT SIDE PROCEEDED TO GET WORSE FREQUENT HEADACHE FATIGUE
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling cold, Hyperventilation, Stomatitis
Clinical narrative: 0953 - pt returned to room stating that she felt cold, dizzy, SOB (felt like she just exercised), weird feeling in mouth, light headed. VS 192/116, 97.5, 38, 98, 99% RA 0955 - called Rapid Response to come 0957 - VS 184/110, 83, 36 same symptoms, breathing feels like sh over-exerted exercising, feeling a little better, still has weird feeling in mouth 1000 - rapid response arrived. VS done BP still elevated, RN decided to take her to ER. Left @ 1003
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive through work contact.  Not due for booster
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Pruritus, Urticaria
Clinical narrative: Patient received her second dose of Pfizer vaccine on 1/26/21 @ 1233. One hour after injection she noticed itching and hive like reaction on her abdominal region. Three hours after the injection she noticed welt-like reaction and swelling her ankles; these did not itch. Those welts were bilateral and moved up to her calves. Patient took a Benadryl ~2345 which helped reduced the itching and reaction in her abdominal region. On 1/27/2021 @ 1100, her ankle welt reaction was still present. Patient is G9P3-0-5-3 at 31w4d.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Balance disorder, Bradykinesia, Gait disturbance, Grip strength decreased, Mobility decreased
Clinical narrative: It began with a problem gripping and twisting with my right hand about 2 weeks to 1 month after the vaccine I had in June.  As it progressed I developed a balance and gait issue and movement started to slow and gradually became full of tremors when attempting to move (especially my right arm).  By January I was fully diagnosed as Parkinsonian.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Parkinson's disease, Single photon emission computerised tomogram abnormal, Tremor
Clinical narrative: It began with a problem gripping and twisting with my right hand about 2 weeks to 1 month after the vaccine I had in June.  As it progressed I developed a balance and gait issue and movement started to slow and gradually became full of tremors when attempting to move (especially my right arm).  By January I was fully diagnosed as Parkinsonian.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 infection resulting in hospitalization
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse effects. Reporting vaccine was administered past the beyond use date. Beyond use date 1/3/22, administration date 1/19/22. Pfizer contacted had no recommendations and referred us back to provider and CDC.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient with history of right adenocarcinoma lung, systolic CHF, cardiomyopathy, defibrillator, atrial fibrillation,  HTN, admitted to hospital with generalized weakness on 1/17/2022, found COVID+ on 1/20/22
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Pt states felt headache. Also had associate die the same day and started period the day before. Pt w/ normal HR,BP. Observed x15 mins more. Given Advil 100mg 4 tablets. In good condition at d/c. Had similar reaction to the flu shot 1 month prior (12/22/2021)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Two weeks after the vaccination 01/18/2022 began to feel unwell in the late evening. Message left that condition was urgent and the doctor office called back to have her in the next. Had her continue with over the counter medication and it did not work Sought secondary opinion, then allowed the condition to work it out. Video visit.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was 17 at age of 1st and 2nd dose of Moderna.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown.  Up to date on Booster
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest X-ray abnormal, Chest tube insertion, Death, General physical health deterioration
Clinical narrative: severe back pain on following day.   Went to emergency room and was admitted to Hospital with fluid on right lung after Xray. Chest tube inserted and fluid was drained.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pulmonary oedema
Clinical narrative: severe back pain on following day.   Went to emergency room and was admitted to Hospital with fluid on right lung after Xray. Chest tube inserted and fluid was drained.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Computerised tomogram normal, Electrocardiogram normal, Magnetic resonance imaging normal, Speech disorder
Clinical narrative: A week post vaccine, 12/20/2021, I got TIA. I lost memory and the ability to speak for 45 minutes. I did not have any weakness, I did not hit my head. I did not know my name, my husband's name or my kids' names. I went to the local ER, I had an MRI CT Scan, and an EKG and they did not show anything.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: A week post vaccine, 12/20/2021, I got TIA. I lost memory and the ability to speak for 45 minutes. I did not have any weakness, I did not hit my head. I did not know my name, my husband's name or my kids' names. I went to the local ER, I had an MRI CT Scan, and an EKG and they did not show anything.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, COVID-19, Delirium, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient tested positive on 1/17/22 while admitted.  Admit date was 12/26/2021.  The primary encounter diagnosis was Delirium, . Diagnoses of Urinary tract infection without hematuria, site unspecified and Anemia
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid positive through nursing home. Up to date on booster
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital with COVID-19 positive test on 1/27/2022.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: I have a constant feel of vibration throughout my body.  I am not physically shaking, but everything inside me feels like it is.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: no adverse effects reporting vaccine was administered past the beyond use date. beyond use date 1/3/22 administration date 1/19/22. Pfizer contacted had no recommendations and referred us back to provider and CDC.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Mental status changes, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital altered mental status and weakness diagnosed with COVID 19. Right lung pneumonia
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 infection resulting in hospitalization
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pyrexia, Urticaria
Clinical narrative: dizzy, sweating, 101 fever, hives
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Ammonia normal, Anion gap, Aspartate aminotransferase increased, Asthenia
Clinical narrative: Presented to the ED on 1/21/22 for weakness, wife tested positive 5 days prior.  Denies pain, chest pain, SOB, nausea, v/d.  In the emergency room his WBCs were 15.3, hemoglobin 8.8, hematocrit 29, platelets 289, sodium 132, potassium 4, chloride 92, bicarb 30, anion gap 10, blood sugar 165, BUN 48 and creatinine 2.04.  His troponin is 59, AST 55 an ALT is 55, and ammonia level is 11.  His TSH is 5.43, Tylenol and salicylate levels are negative.  His urinalysis shows 30 WBCs and he is COVID positive.  Lactic acid is 1.1.  In the emergency room he was given a L of IV fluids and started on Rocephin.  He is not hypoxic.  Pt D/C to home 1/24/22.  Had received Moderna 7/27/21 & 8/23/21
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood bicarbonate increased, Blood chloride decreased, Blood creatinine increased, Blood glucose normal, Blood lactic acid
Clinical narrative: Presented to the ED on 1/21/22 for weakness, wife tested positive 5 days prior.  Denies pain, chest pain, SOB, nausea, v/d.  In the emergency room his WBCs were 15.3, hemoglobin 8.8, hematocrit 29, platelets 289, sodium 132, potassium 4, chloride 92, bicarb 30, anion gap 10, blood sugar 165, BUN 48 and creatinine 2.04.  His troponin is 59, AST 55 an ALT is 55, and ammonia level is 11.  His TSH is 5.43, Tylenol and salicylate levels are negative.  His urinalysis shows 30 WBCs and he is COVID positive.  Lactic acid is 1.1.  In the emergency room he was given a L of IV fluids and started on Rocephin.  He is not hypoxic.  Pt D/C to home 1/24/22.  Had received Moderna 7/27/21 & 8/23/21
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood thyroid stimulating hormone normal, Blood urea increased, COVID-19
Clinical narrative: Presented to the ED on 1/21/22 for weakness, wife tested positive 5 days prior.  Denies pain, chest pain, SOB, nausea, v/d.  In the emergency room his WBCs were 15.3, hemoglobin 8.8, hematocrit 29, platelets 289, sodium 132, potassium 4, chloride 92, bicarb 30, anion gap 10, blood sugar 165, BUN 48 and creatinine 2.04.  His troponin is 59, AST 55 an ALT is 55, and ammonia level is 11.  His TSH is 5.43, Tylenol and salicylate levels are negative.  His urinalysis shows 30 WBCs and he is COVID positive.  Lactic acid is 1.1.  In the emergency room he was given a L of IV fluids and started on Rocephin.  He is not hypoxic.  Pt D/C to home 1/24/22.  Had received Moderna 7/27/21 & 8/23/21
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Drug level, Haematocrit decreased, Haemoglobin decreased, Platelet count normal, SARS-CoV-2 test positive
Clinical narrative: Presented to the ED on 1/21/22 for weakness, wife tested positive 5 days prior.  Denies pain, chest pain, SOB, nausea, v/d.  In the emergency room his WBCs were 15.3, hemoglobin 8.8, hematocrit 29, platelets 289, sodium 132, potassium 4, chloride 92, bicarb 30, anion gap 10, blood sugar 165, BUN 48 and creatinine 2.04.  His troponin is 59, AST 55 an ALT is 55, and ammonia level is 11.  His TSH is 5.43, Tylenol and salicylate levels are negative.  His urinalysis shows 30 WBCs and he is COVID positive.  Lactic acid is 1.1.  In the emergency room he was given a L of IV fluids and started on Rocephin.  He is not hypoxic.  Pt D/C to home 1/24/22.  Had received Moderna 7/27/21 & 8/23/21
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, White blood cell count increased, White blood cells urine positive
Clinical narrative: Presented to the ED on 1/21/22 for weakness, wife tested positive 5 days prior.  Denies pain, chest pain, SOB, nausea, v/d.  In the emergency room his WBCs were 15.3, hemoglobin 8.8, hematocrit 29, platelets 289, sodium 132, potassium 4, chloride 92, bicarb 30, anion gap 10, blood sugar 165, BUN 48 and creatinine 2.04.  His troponin is 59, AST 55 an ALT is 55, and ammonia level is 11.  His TSH is 5.43, Tylenol and salicylate levels are negative.  His urinalysis shows 30 WBCs and he is COVID positive.  Lactic acid is 1.1.  In the emergency room he was given a L of IV fluids and started on Rocephin.  He is not hypoxic.  Pt D/C to home 1/24/22.  Had received Moderna 7/27/21 & 8/23/21
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive through contact at nursing home. Up to date on booster
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site reaction, Injection site swelling, Injection site vesicles
Clinical narrative: I experienced a raw, oozing, very painful blister about the size of a pinto bean located approximately 1 inch from the outside radius of my injection site. Regarding the injection site itself, it was about the size of a plum and became raised/bumpy with what appeared to be extremely tiny papules.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin weeping
Clinical narrative: I experienced a raw, oozing, very painful blister about the size of a pinto bean located approximately 1 inch from the outside radius of my injection site. Regarding the injection site itself, it was about the size of a plum and became raised/bumpy with what appeared to be extremely tiny papules.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Admitted to hospital with COVID on 1/24/22
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Cough, Nasal congestion, Nasopharyngitis, Respiratory tract congestion
Clinical narrative: reported to ER and latered hospitalized with chest congestion, head cold X 2 weeks after booster dose. She reported nasal congestion, cought and confusion.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid-19 positive through nursing home contact. Up to date on booster.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood creatinine normal, Blood lactic acid decreased, Blood sodium decreased, C-reactive protein increased
Clinical narrative: 67 y.o. male with history of CLL (in remission, on observation), Type 2 DM, HLD, and OSA who presents with generalized weakness in setting of known COVID pneumonia.  Patient became symptomatic around the holiday time with mild upper respiratory symptoms and fatigue.  His symptoms were generally progressive, and when a family member tested positive for COVID, he decided to get tested as well.  This was positive on 1/4/22.  Received 5 day course of molnupiravir as outpatient shortly thereafter.  He subsequently went on to develop cough, fevers, chills, mild nausea without vomiting, nonbloody diarrhea.  Symptoms have generally waxed and waned, but weakness, fatigue, and low appetite have all significantly  worsened.  He has been seen in the ED multiple times.  Has never required oxygen or had any serious complications requiring hospitalization.  More recently, has seemed more short of breath with activity.  Today, he was barely able to move without assistance, and was therefore brought to the ED for evaluation.  There, he was mildly hypoxic requiring 1 liter/minute of O2 by nasal cannula, but vitals were otherwise stable.  Labs were significant for Na 131, creatinine 0.8, CRP 10.9, negative procalcitonin and D-dimer, lactate 1.2, WBC 1.3.  Chest x-ray revealed worsening bilateral opacities.  He received dexamethasone and has been admitted to the medicine team for further care.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills, Cough
Clinical narrative: 67 y.o. male with history of CLL (in remission, on observation), Type 2 DM, HLD, and OSA who presents with generalized weakness in setting of known COVID pneumonia.  Patient became symptomatic around the holiday time with mild upper respiratory symptoms and fatigue.  His symptoms were generally progressive, and when a family member tested positive for COVID, he decided to get tested as well.  This was positive on 1/4/22.  Received 5 day course of molnupiravir as outpatient shortly thereafter.  He subsequently went on to develop cough, fevers, chills, mild nausea without vomiting, nonbloody diarrhea.  Symptoms have generally waxed and waned, but weakness, fatigue, and low appetite have all significantly  worsened.  He has been seen in the ED multiple times.  Has never required oxygen or had any serious complications requiring hospitalization.  More recently, has seemed more short of breath with activity.  Today, he was barely able to move without assistance, and was therefore brought to the ED for evaluation.  There, he was mildly hypoxic requiring 1 liter/minute of O2 by nasal cannula, but vitals were otherwise stable.  Labs were significant for Na 131, creatinine 0.8, CRP 10.9, negative procalcitonin and D-dimer, lactate 1.2, WBC 1.3.  Chest x-ray revealed worsening bilateral opacities.  He received dexamethasone and has been admitted to the medicine team for further care.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Decreased appetite, Diarrhoea, Dyspnoea exertional, Fatigue, Fibrin D dimer normal
Clinical narrative: 67 y.o. male with history of CLL (in remission, on observation), Type 2 DM, HLD, and OSA who presents with generalized weakness in setting of known COVID pneumonia.  Patient became symptomatic around the holiday time with mild upper respiratory symptoms and fatigue.  His symptoms were generally progressive, and when a family member tested positive for COVID, he decided to get tested as well.  This was positive on 1/4/22.  Received 5 day course of molnupiravir as outpatient shortly thereafter.  He subsequently went on to develop cough, fevers, chills, mild nausea without vomiting, nonbloody diarrhea.  Symptoms have generally waxed and waned, but weakness, fatigue, and low appetite have all significantly  worsened.  He has been seen in the ED multiple times.  Has never required oxygen or had any serious complications requiring hospitalization.  More recently, has seemed more short of breath with activity.  Today, he was barely able to move without assistance, and was therefore brought to the ED for evaluation.  There, he was mildly hypoxic requiring 1 liter/minute of O2 by nasal cannula, but vitals were otherwise stable.  Labs were significant for Na 131, creatinine 0.8, CRP 10.9, negative procalcitonin and D-dimer, lactate 1.2, WBC 1.3.  Chest x-ray revealed worsening bilateral opacities.  He received dexamethasone and has been admitted to the medicine team for further care.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Lung opacity, Mobility decreased, Nausea, Procalcitonin normal
Clinical narrative: 67 y.o. male with history of CLL (in remission, on observation), Type 2 DM, HLD, and OSA who presents with generalized weakness in setting of known COVID pneumonia.  Patient became symptomatic around the holiday time with mild upper respiratory symptoms and fatigue.  His symptoms were generally progressive, and when a family member tested positive for COVID, he decided to get tested as well.  This was positive on 1/4/22.  Received 5 day course of molnupiravir as outpatient shortly thereafter.  He subsequently went on to develop cough, fevers, chills, mild nausea without vomiting, nonbloody diarrhea.  Symptoms have generally waxed and waned, but weakness, fatigue, and low appetite have all significantly  worsened.  He has been seen in the ED multiple times.  Has never required oxygen or had any serious complications requiring hospitalization.  More recently, has seemed more short of breath with activity.  Today, he was barely able to move without assistance, and was therefore brought to the ED for evaluation.  There, he was mildly hypoxic requiring 1 liter/minute of O2 by nasal cannula, but vitals were otherwise stable.  Labs were significant for Na 131, creatinine 0.8, CRP 10.9, negative procalcitonin and D-dimer, lactate 1.2, WBC 1.3.  Chest x-ray revealed worsening bilateral opacities.  He received dexamethasone and has been admitted to the medicine team for further care.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Respiratory symptom, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: 67 y.o. male with history of CLL (in remission, on observation), Type 2 DM, HLD, and OSA who presents with generalized weakness in setting of known COVID pneumonia.  Patient became symptomatic around the holiday time with mild upper respiratory symptoms and fatigue.  His symptoms were generally progressive, and when a family member tested positive for COVID, he decided to get tested as well.  This was positive on 1/4/22.  Received 5 day course of molnupiravir as outpatient shortly thereafter.  He subsequently went on to develop cough, fevers, chills, mild nausea without vomiting, nonbloody diarrhea.  Symptoms have generally waxed and waned, but weakness, fatigue, and low appetite have all significantly  worsened.  He has been seen in the ED multiple times.  Has never required oxygen or had any serious complications requiring hospitalization.  More recently, has seemed more short of breath with activity.  Today, he was barely able to move without assistance, and was therefore brought to the ED for evaluation.  There, he was mildly hypoxic requiring 1 liter/minute of O2 by nasal cannula, but vitals were otherwise stable.  Labs were significant for Na 131, creatinine 0.8, CRP 10.9, negative procalcitonin and D-dimer, lactate 1.2, WBC 1.3.  Chest x-ray revealed worsening bilateral opacities.  He received dexamethasone and has been admitted to the medicine team for further care.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoxia, Syncope
Clinical narrative: Very fast heartbeat, lack of oxygen, fainting
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admitted to hospital on 1/23/22 for COVID
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Rash pruritic, SARS-CoV-2 test
Clinical narrative: Main Complaint: New pruritic migratory rash; Chronology: Today's date is: 01/26. I noticed since on about  01/20, a new rash. An index lesion appears shortly after the beginning of intense pruritus, becomes dark pink, geographic, sometimes with the contour darker, about 5-25mm, very rarely with a papular feature. The pruritus disappears after 15 min and the lesion itself after max. 30 min. Most affected are the hands, then forearms and axillae, abdomen and pubic area. I do not have any pruritus over night and in the first 30 min after waking up. Areas under mild pressure (palm, under watch band, under belt) more easily triggered to get the rash. 01/13 visit local park. 01/07 visit distant park. 12/15 ~ visit local park. No visit followed by known insect bites. No change in toiletries, detergents used, clothes used, any known contact related objects. No fever, fatigue, neurological symptoms or other systemic symptoms. No other sick member of the household. No upper respiratory or digestive symptoms. No musculoskeletal / articular symptoms. Medication: as before except between 01/20-23 500mg/day Fe citrate, stopped when rash noted. Loratadine 20 mg/day since 20/23 was without effect. Solumedrol pack started on 1/27/2022. Rash largely but incompletely resolved after first 16 of treatment as specified by the manufacturer and continuing to improve. CBC of ~01/15 attached. COVID 19 antigen test (BINAX now): negative on 01/25. No COVID infection detected previously either by sequential PCR tests or suspected by symptoms. TREATMENT. The rash did not respond to Loratadine 20 mg/day since 20/23 was without effect. Solumedrol pack started on 1/27/2022. Rash largely but incompletely resolved after first 16 of treatment as specified by the manufacturer and continuing to improve.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Costochondritis, Electrocardiogram ambulatory, Sleep disorder
Clinical narrative: 45 min long chest pain between 2-3am, awoken from sleep. Tachycardia on and off along with costrocondritis for one month duration
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin
Clinical narrative: 45 min long chest pain between 2-3am, awoken from sleep. Tachycardia on and off along with costrocondritis for one month duration
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Headache, Pain
Clinical narrative: Coughing, headache, diarrhea, vomiting,  congestion, fever,  body aches. All came on within two hours of each other.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Coughing, headache, diarrhea, vomiting,  congestion, fever,  body aches. All came on within two hours of each other.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Possible breakthrough infection