chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Vasodilatation, Viral test negative, Vision blurred, Vomiting
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Additional Details: Fainted right after receiving vaccine, presentation that of a vasovagal reaction, pupils reactive. Gave water and snack after recovery, pt maintained strong pulse, and was monitored for 15 minutes after recovered from likely vasovagal episode. Vaccines administerred by RPh.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Oedema peripheral
Clinical narrative: Severe Pain and swelling in left armpit starting two days after injection.  3 weeks later still having shoulder and armpit pain
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood disorder, Chest discomfort, Chest pain, Chills, Fatigue
Clinical narrative: Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Severe, Additional Details: pt. diagnosed with bilateral large pulmonary embolism and large left pulmonart infarct. pt. is sitll in the hospital and is recovering
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Pain, Pulmonary embolism, Pulmonary infarction, Pyrexia
Clinical narrative: Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Severe, Additional Details: pt. diagnosed with bilateral large pulmonary embolism and large left pulmonart infarct. pt. is sitll in the hospital and is recovering
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Severe, Additional Details: pt. diagnosed with bilateral large pulmonary embolism and large left pulmonart infarct. pt. is sitll in the hospital and is recovering
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immunisation, Laboratory test, Pulmonary embolism, Pulmonary infarction
Clinical narrative: Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Severe, Additional Details: pt. diagnosed with bilateral large pulmonary embolism and large left pulmonart infarct. pt. is sitll in the hospital and is recovering
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Discomfort, Muscle spasms, Pain in extremity
Clinical narrative: Asthma has gotten increasing worse than it has been in years. Still using double daily dose of Arnuity 100mcg but now using rescue inhaler 2-3 times a day. My lower legs, below the knees have been experience pain in the area where I have had varicose vein procedures, phlebectomies and perforators. Cramping and pressure pains. Hard to sleep through the night.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Asthma has gotten increasing worse than it has been in years. Still using double daily dose of Arnuity 100mcg but now using rescue inhaler 2-3 times a day. My lower legs, below the knees have been experience pain in the area where I have had varicose vein procedures, phlebectomies and perforators. Cramping and pressure pains. Hard to sleep through the night.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Chills-Medium, Systemic: Fever-Medium, Systemic: Nausea-Mild, Additional Details: SHE CALLED ON 11/02/2021 TO REPORT THE ADVERSE EFFECTS THAT SHE IS HAVING, i ASKED WHETHER YOU CALLED DOCTOR, SHE SAID NO, SHE SAID HAS BURNING, SWELLING, GIANT RED, BLACK INSIDE, FEVER, CHILLS,NAUSEA,ARM AREA(OVAL SHAPED 5 INCH LONG & 4.5 INCH WIDE, TRIPLE INSIDE),
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Chills-Medium, Systemic: Fever-Medium, Systemic: Nausea-Mild, Additional Details: SHE CALLED ON 11/02/2021 TO REPORT THE ADVERSE EFFECTS THAT SHE IS HAVING, i ASKED WHETHER YOU CALLED DOCTOR, SHE SAID NO, SHE SAID HAS BURNING, SWELLING, GIANT RED, BLACK INSIDE, FEVER, CHILLS,NAUSEA,ARM AREA(OVAL SHAPED 5 INCH LONG & 4.5 INCH WIDE, TRIPLE INSIDE),
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Lethargy
Clinical narrative: Systemic: Dizziness/Lightheadness-Medium, Systemic: Exhaustion/Lethargy-Medium, Systemic: Weakness-Medium, Additional Details: Per dad he thinks it just nerves. Patient looks better and feels better.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Patient had injection sit ,bruising redness, the redness had extented all around the deltoid area.  she also had brusing over the arm in other areas that started on sunday.The bruised were around the elbow area, and around the topside of the arm.  (all not in areas of the injection.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Headache, fever, fatigue, body aches
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Mild, Systemic: Pt developed infection at injection site-Mild, Error: Infection / Cellulitis (diagnosed by MD)-
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Superficial vein thrombosis, Ultrasound scan abnormal
Clinical narrative: non-occlusive DVTs in the left distal femoral and posterior tibial veins, occlusive DVTs in the left popliteal and peroneal veins, and a superficial venous thrombosis in the L small saphenous vein. Patient had no risk factors or predisposing conditions aside from receiving his second Pfizer covid vaccine on 10/15.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Moderna Lot # 033C21A Expired 10/27/2021
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Dyspnoea exertional, Hypoxia, Peripheral swelling
Clinical narrative: 10/30/21 presents to EC ED for shortness of breath, worsening dyspnea on exertion and leg swelling, hypoxic in mid 70s. PMH of T2DM.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 10/30/21 presents to EC ED for shortness of breath, worsening dyspnea on exertion and leg swelling, hypoxic in mid 70s. PMH of T2DM.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Chills
Clinical narrative: 10/29/21 presents to ED with flu like symptoms for 4 days, loss of taste and smell, nausea, vomiting, diarrhea, decreased appetite, cough, fever, chills and generalized weakness. PMH HTN, CAD S/P PCI with stent placement, hyperlipidemia, urothelial carcinoma S/P renal stents, obstructive sleep apnea and ESRD on PD.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Influenza like illness, Nausea
Clinical narrative: 10/29/21 presents to ED with flu like symptoms for 4 days, loss of taste and smell, nausea, vomiting, diarrhea, decreased appetite, cough, fever, chills and generalized weakness. PMH HTN, CAD S/P PCI with stent placement, hyperlipidemia, urothelial carcinoma S/P renal stents, obstructive sleep apnea and ESRD on PD.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 10/29/21 presents to ED with flu like symptoms for 4 days, loss of taste and smell, nausea, vomiting, diarrhea, decreased appetite, cough, fever, chills and generalized weakness. PMH HTN, CAD S/P PCI with stent placement, hyperlipidemia, urothelial carcinoma S/P renal stents, obstructive sleep apnea and ESRD on PD.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient admitted to hospital with positive breakthrough case. Complaining of SOB x 1 week. Diagnosed with COVID on 10/23/21. Resp rate 26 and pulse ox 87 on RA.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Feeling abnormal, Pyrexia
Clinical narrative: 10/30/21 reports feeling worse in the last few days with worsening cough, with associated fevers and decreased appetite. PMHx of PAD s/p R midfoot amputation with debridement initially presented to HCF on 10/18/21 due to persistent LLE ulcer on foot.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Skin ulcer
Clinical narrative: 10/30/21 reports feeling worse in the last few days with worsening cough, with associated fevers and decreased appetite. PMHx of PAD s/p R midfoot amputation with debridement initially presented to HCF on 10/18/21 due to persistent LLE ulcer on foot.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Neck pain, Pain
Clinical narrative: Right sided neck pain with rotation and radiating into the right upper thorax anterior and posteriorly also Affects her shoulder. In addition she relates pain with inhalation that increases the thoracic pain.  At the same time,she is complaining of left sided leg pain along the posterior thigh and lateral calf into her foot.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Painful respiration, Ultrasound scan
Clinical narrative: Right sided neck pain with rotation and radiating into the right upper thorax anterior and posteriorly also Affects her shoulder. In addition she relates pain with inhalation that increases the thoracic pain.  At the same time,she is complaining of left sided leg pain along the posterior thigh and lateral calf into her foot.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: 10/30/21 presents to ED with concerns for diarrhea, fatigue, chills and decreased appetite. PMH of ESRD s/p transplant 11 years ago, heart failure and HTN.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 10/30/21 presents to ED with concerns for diarrhea, fatigue, chills and decreased appetite. PMH of ESRD s/p transplant 11 years ago, heart failure and HTN.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Injected limb mobility decreased, Lymphadenopathy
Clinical narrative: Severed joints pain, lower back pain,  tiredness, swollen armpit lymph nodes, lacked of  right arm movement.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Dizziness, Dyspnoea
Clinical narrative: 10/31/21 presents to ED for COVID, fatigue and weakness, dyspnea, cough, fevers and dizziness. PMHx of T2DM, HTN, HLD, GERD, CVA w/residual left sided weakness.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 10/31/21 presents to ED for COVID, fatigue and weakness, dyspnea, cough, fevers and dizziness. PMHx of T2DM, HTN, HLD, GERD, CVA w/residual left sided weakness.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Induration, Inflammation, Rash, Rash erythematous
Clinical narrative: 04/06/2021 noticed 5 itchy red lesions on left lower leg; treated with OTC Hydrocortisone Cream 1% & ultraviolet light.  Continued to spread to right leg & back of both legs. 06/04/2021 lesion left forearm, raised, hard & painful. 06/23/2021 seen by CNP, diagnosed as psoriasis Rx Hydrocortisone 2.5% Cream 2x daily to all lesions. 07/23/2021 Psoriasis cont. to spread to arms & trunk. Dr. ordered Prednisone Dose Pack for 12 days with no relief. 08/18/2021 seen by Dr. since Psoriasis was inflammed & spreading more. Dr. ordered Cyclosporin 25 mg 2x day for one month. 09/09/2021 Rash & inflammation continued to spread to scalp. Referred to Dermatologist, MD.  09/10/21 - 09/24/21  (cont) Triderm 0.1% cream ordered for generalized psoriasis. It took away the inflammation, but continued to itch & flake.  09/28/2021 Fluocinonide 0.05% topical solution ordered to apply to scalp plaques.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic
Clinical narrative: 04/06/2021 noticed 5 itchy red lesions on left lower leg; treated with OTC Hydrocortisone Cream 1% & ultraviolet light.  Continued to spread to right leg & back of both legs. 06/04/2021 lesion left forearm, raised, hard & painful. 06/23/2021 seen by CNP, diagnosed as psoriasis Rx Hydrocortisone 2.5% Cream 2x daily to all lesions. 07/23/2021 Psoriasis cont. to spread to arms & trunk. Dr. ordered Prednisone Dose Pack for 12 days with no relief. 08/18/2021 seen by Dr. since Psoriasis was inflammed & spreading more. Dr. ordered Cyclosporin 25 mg 2x day for one month. 09/09/2021 Rash & inflammation continued to spread to scalp. Referred to Dermatologist, MD.  09/10/21 - 09/24/21  (cont) Triderm 0.1% cream ordered for generalized psoriasis. It took away the inflammation, but continued to itch & flake.  09/28/2021 Fluocinonide 0.05% topical solution ordered to apply to scalp plaques.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: 10/29/21 presents to ED after having URI symptoms for 3 to 4 days and testing positive for COVID. PMH of diabetes, CAD, HFoEF, A. fib on Eliquis, rectal carcinoma, hyperlipidemia.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Eyelid function disorder
Clinical narrative: Intermittent fluttering of my right eye lid
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstrual disorder
Clinical narrative: Breakthrough menstruation (which does not happen to me). Heavier periods
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient passed out 10 mins after receiving vaccine. Pharmacist stated that 911 was called, also said patient was sweating profusely.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Angiogram pulmonary abnormal, Aortic arteriosclerosis, Blood bicarbonate increased, Blood creatinine normal
Clinical narrative: ED to Hosp-Admission  Discharged  10/18/2021 - 10/22/2021 (4 days) Hospital MD  Last attending ? Treatment team Acute on chronic congestive heart failure, unspecified heart failure type  Hospital Problems  POA * (Principal) Acute on chronic congestive heart failure, unspecified heart failure type  Yes  Covid pneumonia, Paroxysmal A. Fib,  Morbid obesity, Nocturnal hypoxia Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Acute COVID-19 [U07.1]     Hospital Course   Symptoms started approximately October 15 or 14 with cough with white sputum and exertional shortness of breath as well as shortness of breath lying flat. BNP was a little higher than usual and he was started on IV diuretics but his Covid was also positive. His lungs sounded like Covid in the CT look like Covid. Therefore we diuresed him but on the second day in the hospital I did start him on remdesivir he had been started on steroids upon admission. He certainly improved on a daily basis. On the day of discharge he is feeling well really denying any shortness of breath his edema is better his lungs are clear he is back to his normal diuretic dose and he is not hypoxic with exertion. He got 4 days of remdesivir because he is doing so well we can discharge him before the fifth day but he will complete 10 days of Decadron. LFTs remain normal as always is got a little bit of a hypochloremia with 91 bicarb is mildly elevated at 35 but his BUN and creatinine are stable CBC unremarkable. Rest and exercise oximetry revealed no hypoxia   Operative Procedures Performed   Treatments: IV Decadron IV diuretics remdesivir Procedures: None Consults: PT OT Pertinent Test Results: CTA of chest consistent with Covid pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea normal, Bordetella test negative, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia
Clinical narrative: ED to Hosp-Admission  Discharged  10/18/2021 - 10/22/2021 (4 days) Hospital MD  Last attending ? Treatment team Acute on chronic congestive heart failure, unspecified heart failure type  Hospital Problems  POA * (Principal) Acute on chronic congestive heart failure, unspecified heart failure type  Yes  Covid pneumonia, Paroxysmal A. Fib,  Morbid obesity, Nocturnal hypoxia Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Acute COVID-19 [U07.1]     Hospital Course   Symptoms started approximately October 15 or 14 with cough with white sputum and exertional shortness of breath as well as shortness of breath lying flat. BNP was a little higher than usual and he was started on IV diuretics but his Covid was also positive. His lungs sounded like Covid in the CT look like Covid. Therefore we diuresed him but on the second day in the hospital I did start him on remdesivir he had been started on steroids upon admission. He certainly improved on a daily basis. On the day of discharge he is feeling well really denying any shortness of breath his edema is better his lungs are clear he is back to his normal diuretic dose and he is not hypoxic with exertion. He got 4 days of remdesivir because he is doing so well we can discharge him before the fifth day but he will complete 10 days of Decadron. LFTs remain normal as always is got a little bit of a hypochloremia with 91 bicarb is mildly elevated at 35 but his BUN and creatinine are stable CBC unremarkable. Rest and exercise oximetry revealed no hypoxia   Operative Procedures Performed   Treatments: IV Decadron IV diuretics remdesivir Procedures: None Consults: PT OT Pertinent Test Results: CTA of chest consistent with Covid pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Cardiomegaly, Chest X-ray abnormal, Chlamydia test negative, Computerised tomogram thorax abnormal
Clinical narrative: ED to Hosp-Admission  Discharged  10/18/2021 - 10/22/2021 (4 days) Hospital MD  Last attending ? Treatment team Acute on chronic congestive heart failure, unspecified heart failure type  Hospital Problems  POA * (Principal) Acute on chronic congestive heart failure, unspecified heart failure type  Yes  Covid pneumonia, Paroxysmal A. Fib,  Morbid obesity, Nocturnal hypoxia Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Acute COVID-19 [U07.1]     Hospital Course   Symptoms started approximately October 15 or 14 with cough with white sputum and exertional shortness of breath as well as shortness of breath lying flat. BNP was a little higher than usual and he was started on IV diuretics but his Covid was also positive. His lungs sounded like Covid in the CT look like Covid. Therefore we diuresed him but on the second day in the hospital I did start him on remdesivir he had been started on steroids upon admission. He certainly improved on a daily basis. On the day of discharge he is feeling well really denying any shortness of breath his edema is better his lungs are clear he is back to his normal diuretic dose and he is not hypoxic with exertion. He got 4 days of remdesivir because he is doing so well we can discharge him before the fifth day but he will complete 10 days of Decadron. LFTs remain normal as always is got a little bit of a hypochloremia with 91 bicarb is mildly elevated at 35 but his BUN and creatinine are stable CBC unremarkable. Rest and exercise oximetry revealed no hypoxia   Operative Procedures Performed   Treatments: IV Decadron IV diuretics remdesivir Procedures: None Consults: PT OT Pertinent Test Results: CTA of chest consistent with Covid pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Coronavirus test negative, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: ED to Hosp-Admission  Discharged  10/18/2021 - 10/22/2021 (4 days) Hospital MD  Last attending ? Treatment team Acute on chronic congestive heart failure, unspecified heart failure type  Hospital Problems  POA * (Principal) Acute on chronic congestive heart failure, unspecified heart failure type  Yes  Covid pneumonia, Paroxysmal A. Fib,  Morbid obesity, Nocturnal hypoxia Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Acute COVID-19 [U07.1]     Hospital Course   Symptoms started approximately October 15 or 14 with cough with white sputum and exertional shortness of breath as well as shortness of breath lying flat. BNP was a little higher than usual and he was started on IV diuretics but his Covid was also positive. His lungs sounded like Covid in the CT look like Covid. Therefore we diuresed him but on the second day in the hospital I did start him on remdesivir he had been started on steroids upon admission. He certainly improved on a daily basis. On the day of discharge he is feeling well really denying any shortness of breath his edema is better his lungs are clear he is back to his normal diuretic dose and he is not hypoxic with exertion. He got 4 days of remdesivir because he is doing so well we can discharge him before the fifth day but he will complete 10 days of Decadron. LFTs remain normal as always is got a little bit of a hypochloremia with 91 bicarb is mildly elevated at 35 but his BUN and creatinine are stable CBC unremarkable. Rest and exercise oximetry revealed no hypoxia   Operative Procedures Performed   Treatments: IV Decadron IV diuretics remdesivir Procedures: None Consults: PT OT Pertinent Test Results: CTA of chest consistent with Covid pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Enterovirus test negative, Full blood count normal, Hepatic mass, Human metapneumovirus test, Human rhinovirus test
Clinical narrative: ED to Hosp-Admission  Discharged  10/18/2021 - 10/22/2021 (4 days) Hospital MD  Last attending ? Treatment team Acute on chronic congestive heart failure, unspecified heart failure type  Hospital Problems  POA * (Principal) Acute on chronic congestive heart failure, unspecified heart failure type  Yes  Covid pneumonia, Paroxysmal A. Fib,  Morbid obesity, Nocturnal hypoxia Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Acute COVID-19 [U07.1]     Hospital Course   Symptoms started approximately October 15 or 14 with cough with white sputum and exertional shortness of breath as well as shortness of breath lying flat. BNP was a little higher than usual and he was started on IV diuretics but his Covid was also positive. His lungs sounded like Covid in the CT look like Covid. Therefore we diuresed him but on the second day in the hospital I did start him on remdesivir he had been started on steroids upon admission. He certainly improved on a daily basis. On the day of discharge he is feeling well really denying any shortness of breath his edema is better his lungs are clear he is back to his normal diuretic dose and he is not hypoxic with exertion. He got 4 days of remdesivir because he is doing so well we can discharge him before the fifth day but he will complete 10 days of Decadron. LFTs remain normal as always is got a little bit of a hypochloremia with 91 bicarb is mildly elevated at 35 but his BUN and creatinine are stable CBC unremarkable. Rest and exercise oximetry revealed no hypoxia   Operative Procedures Performed   Treatments: IV Decadron IV diuretics remdesivir Procedures: None Consults: PT OT Pertinent Test Results: CTA of chest consistent with Covid pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Hypochloraemia, Hypoxia, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative
Clinical narrative: ED to Hosp-Admission  Discharged  10/18/2021 - 10/22/2021 (4 days) Hospital MD  Last attending ? Treatment team Acute on chronic congestive heart failure, unspecified heart failure type  Hospital Problems  POA * (Principal) Acute on chronic congestive heart failure, unspecified heart failure type  Yes  Covid pneumonia, Paroxysmal A. Fib,  Morbid obesity, Nocturnal hypoxia Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Acute COVID-19 [U07.1]     Hospital Course   Symptoms started approximately October 15 or 14 with cough with white sputum and exertional shortness of breath as well as shortness of breath lying flat. BNP was a little higher than usual and he was started on IV diuretics but his Covid was also positive. His lungs sounded like Covid in the CT look like Covid. Therefore we diuresed him but on the second day in the hospital I did start him on remdesivir he had been started on steroids upon admission. He certainly improved on a daily basis. On the day of discharge he is feeling well really denying any shortness of breath his edema is better his lungs are clear he is back to his normal diuretic dose and he is not hypoxic with exertion. He got 4 days of remdesivir because he is doing so well we can discharge him before the fifth day but he will complete 10 days of Decadron. LFTs remain normal as always is got a little bit of a hypochloremia with 91 bicarb is mildly elevated at 35 but his BUN and creatinine are stable CBC unremarkable. Rest and exercise oximetry revealed no hypoxia   Operative Procedures Performed   Treatments: IV Decadron IV diuretics remdesivir Procedures: None Consults: PT OT Pertinent Test Results: CTA of chest consistent with Covid pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test normal, Lung consolidation, Lung opacity, Lymph node calcification, Mycoplasma test negative
Clinical narrative: ED to Hosp-Admission  Discharged  10/18/2021 - 10/22/2021 (4 days) Hospital MD  Last attending ? Treatment team Acute on chronic congestive heart failure, unspecified heart failure type  Hospital Problems  POA * (Principal) Acute on chronic congestive heart failure, unspecified heart failure type  Yes  Covid pneumonia, Paroxysmal A. Fib,  Morbid obesity, Nocturnal hypoxia Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Acute COVID-19 [U07.1]     Hospital Course   Symptoms started approximately October 15 or 14 with cough with white sputum and exertional shortness of breath as well as shortness of breath lying flat. BNP was a little higher than usual and he was started on IV diuretics but his Covid was also positive. His lungs sounded like Covid in the CT look like Covid. Therefore we diuresed him but on the second day in the hospital I did start him on remdesivir he had been started on steroids upon admission. He certainly improved on a daily basis. On the day of discharge he is feeling well really denying any shortness of breath his edema is better his lungs are clear he is back to his normal diuretic dose and he is not hypoxic with exertion. He got 4 days of remdesivir because he is doing so well we can discharge him before the fifth day but he will complete 10 days of Decadron. LFTs remain normal as always is got a little bit of a hypochloremia with 91 bicarb is mildly elevated at 35 but his BUN and creatinine are stable CBC unremarkable. Rest and exercise oximetry revealed no hypoxia   Operative Procedures Performed   Treatments: IV Decadron IV diuretics remdesivir Procedures: None Consults: PT OT Pertinent Test Results: CTA of chest consistent with Covid pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema, Pleural thickening, Polyuria, Productive cough, Pulmonary mass
Clinical narrative: ED to Hosp-Admission  Discharged  10/18/2021 - 10/22/2021 (4 days) Hospital MD  Last attending ? Treatment team Acute on chronic congestive heart failure, unspecified heart failure type  Hospital Problems  POA * (Principal) Acute on chronic congestive heart failure, unspecified heart failure type  Yes  Covid pneumonia, Paroxysmal A. Fib,  Morbid obesity, Nocturnal hypoxia Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Acute COVID-19 [U07.1]     Hospital Course   Symptoms started approximately October 15 or 14 with cough with white sputum and exertional shortness of breath as well as shortness of breath lying flat. BNP was a little higher than usual and he was started on IV diuretics but his Covid was also positive. His lungs sounded like Covid in the CT look like Covid. Therefore we diuresed him but on the second day in the hospital I did start him on remdesivir he had been started on steroids upon admission. He certainly improved on a daily basis. On the day of discharge he is feeling well really denying any shortness of breath his edema is better his lungs are clear he is back to his normal diuretic dose and he is not hypoxic with exertion. He got 4 days of remdesivir because he is doing so well we can discharge him before the fifth day but he will complete 10 days of Decadron. LFTs remain normal as always is got a little bit of a hypochloremia with 91 bicarb is mildly elevated at 35 but his BUN and creatinine are stable CBC unremarkable. Rest and exercise oximetry revealed no hypoxia   Operative Procedures Performed   Treatments: IV Decadron IV diuretics remdesivir Procedures: None Consults: PT OT Pertinent Test Results: CTA of chest consistent with Covid pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive, Spinal osteoarthritis, Viral test negative
Clinical narrative: ED to Hosp-Admission  Discharged  10/18/2021 - 10/22/2021 (4 days) Hospital MD  Last attending ? Treatment team Acute on chronic congestive heart failure, unspecified heart failure type  Hospital Problems  POA * (Principal) Acute on chronic congestive heart failure, unspecified heart failure type  Yes  Covid pneumonia, Paroxysmal A. Fib,  Morbid obesity, Nocturnal hypoxia Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Acute COVID-19 [U07.1]     Hospital Course   Symptoms started approximately October 15 or 14 with cough with white sputum and exertional shortness of breath as well as shortness of breath lying flat. BNP was a little higher than usual and he was started on IV diuretics but his Covid was also positive. His lungs sounded like Covid in the CT look like Covid. Therefore we diuresed him but on the second day in the hospital I did start him on remdesivir he had been started on steroids upon admission. He certainly improved on a daily basis. On the day of discharge he is feeling well really denying any shortness of breath his edema is better his lungs are clear he is back to his normal diuretic dose and he is not hypoxic with exertion. He got 4 days of remdesivir because he is doing so well we can discharge him before the fifth day but he will complete 10 days of Decadron. LFTs remain normal as always is got a little bit of a hypochloremia with 91 bicarb is mildly elevated at 35 but his BUN and creatinine are stable CBC unremarkable. Rest and exercise oximetry revealed no hypoxia   Operative Procedures Performed   Treatments: IV Decadron IV diuretics remdesivir Procedures: None Consults: PT OT Pertinent Test Results: CTA of chest consistent with Covid pneumonia
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Injection site discomfort, Insomnia, Pain
Clinical narrative: I experienced severe headaches, body aches, didn't ease up until 11/2/2021. I also experienced temperature of 101 and discomfort at the injection sit, very uncomfortable to sleep. I contacted my doctor she told me to take Tylenol and make sure I was hydrated.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given to patient in error.   Patient notified to that she needs another Influenza Vaccine ASAP.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Bursitis, Immediate post-injection reaction, Magnetic resonance imaging joint
Clinical narrative: Shoulder injury related to vaccine administration; associated symptoms include stiffness, soreness, severe pain. Pain started immediately after injection in January. Treated with naproxen, and tramadol. Received X-rays and MRI and started Celebrex and Myoflex cream. MRI resulted in diagnosis of bursitis.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Shoulder injury related to vaccine administration, X-ray limb abnormal
Clinical narrative: Shoulder injury related to vaccine administration; associated symptoms include stiffness, soreness, severe pain. Pain started immediately after injection in January. Treated with naproxen, and tramadol. Received X-rays and MRI and started Celebrex and Myoflex cream. MRI resulted in diagnosis of bursitis.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Head discomfort, Headache
Clinical narrative: I felt a "pop" in my head and instant excruciating pain and was rushed to ER
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Dizziness, Eye pain, Fatigue
Clinical narrative: Chills, headache, eye ache, fever, body aches, fatigue, feeling like I'm going to pass out, soreness of arm where injection was given, upset stomach, heavy period after vaccine followed with cramps, having to wear a pad and tampon changing every 2 hours due to heavy blood flow and lots of clots
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heavy menstrual bleeding, Injection site pain, Muscle spasms, Pain
Clinical narrative: Chills, headache, eye ache, fever, body aches, fatigue, feeling like I'm going to pass out, soreness of arm where injection was given, upset stomach, heavy period after vaccine followed with cramps, having to wear a pad and tampon changing every 2 hours due to heavy blood flow and lots of clots
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, headache, eye ache, fever, body aches, fatigue, feeling like I'm going to pass out, soreness of arm where injection was given, upset stomach, heavy period after vaccine followed with cramps, having to wear a pad and tampon changing every 2 hours due to heavy blood flow and lots of clots
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen and hot to touch area on left deltoid, spreading down arm
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Headache
Clinical narrative: Fever or Chills  Cough  Shortness of Breath  Headache  Congestion or running nose  Nausea or vomiting
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Fever or Chills  Cough  Shortness of Breath  Headache  Congestion or running nose  Nausea or vomiting
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Mobility decreased, Muscular weakness, Pain
Clinical narrative: 24 hours after receiving the vaccine I developed severe weakness in bilateral upper extremities with difficulty raising them which lasted approximately 36 hours. 48 hours after given the vaccine I developed severe vertigo with vomiting and while ambulating I was going to the left and could not walk in a straight line. The severe vertigo with vomiting lasted 48 hours and since that time I continue to have vertigo on a daily basis. Within the 48 hour time period I also was experiencing twinges of intermittent shooting pain from my left temple to the top of my head and now have a daily headache. I do not have any health insurance so did not seek medical evaluation and am very concerned about the lasting effects I am experiencing. I did not have any health issues prior to being given the vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: 24 hours after receiving the vaccine I developed severe weakness in bilateral upper extremities with difficulty raising them which lasted approximately 36 hours. 48 hours after given the vaccine I developed severe vertigo with vomiting and while ambulating I was going to the left and could not walk in a straight line. The severe vertigo with vomiting lasted 48 hours and since that time I continue to have vertigo on a daily basis. Within the 48 hour time period I also was experiencing twinges of intermittent shooting pain from my left temple to the top of my head and now have a daily headache. I do not have any health insurance so did not seek medical evaluation and am very concerned about the lasting effects I am experiencing. I did not have any health issues prior to being given the vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage subcutaneous, Hypoaesthesia, Skin discolouration
Clinical narrative: Blood vessels in left hand breaking and index finger going numb and turning white
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Pruritus, Rash
Clinical narrative: The day after receiving my third dose, I felt extremely fatigued. The following day I felt itching and burning on the right side of my face and neck. Later that evening, I saw breaking out on my arms and upper torso. From then on, it filled in very quickly with a heavy rash down my legs and badly on my back. Monday, I went to my Primary Care Physician, and was diagnosed that the rash was drug related. The only different thing I had done, was receive my vaccine. I received a prescription for prednisone and was told to continue taking Benadryl. As of today, the rash is still moderate on my back, legs, and arms. It has disappeared from my face and neck though.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine with aura
Clinical narrative: After having migraines controlled to 4-6 a year for approximately 20 years and having no migraines since 2017 I had a migraine with aura the day after first vaccine shot and again after the second shot and have continued to have migraine with aura occurrences more frequently than in approximately 20 years, averaging 5-6 per month since the vaccines.  Scheduled to see a migraine specialist on 11/12/2021.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Seizure
Clinical narrative: Had a seizure, then passed out about 20 minutes after having the shot with no prior history of seizures
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Pallor, Palpitations
Clinical narrative: Had a seizure, then passed out about 20 minutes after having the shot with no prior history of seizures
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Seizure
Clinical narrative: 10 minutes after receiving the shot, my heart started racing and I lost consciousness. Once the paramedic saw me wake up, my heart was still racing. I was pale, and the fast heart beating continued. My heart still feels a slight pressure the day after.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Pallor, Palpitations
Clinical narrative: 10 minutes after receiving the shot, my heart started racing and I lost consciousness. Once the paramedic saw me wake up, my heart was still racing. I was pale, and the fast heart beating continued. My heart still feels a slight pressure the day after.
Age: 35.0
Sex: F
Vaccine: HEPA
Symptoms: Underdose
Clinical narrative: Patient was given a pediatric dose when should have been given an adult dose
Age: 68.0
Sex: M
Vaccine: FLUA4
Symptoms: Discomfort, Peripheral swelling, Skin discolouration
Clinical narrative: Arm swollen and discolored (bruise coloration) from below shoulder to elbow. Mild discomfort
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, SARS-CoV-2 RNA, Suspected COVID-19
Clinical narrative: Suspected COVID-19 virus infection  Contact with and (suspected) exposure to covid-19
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Headache, Interchange of vaccine products, Nausea, Pain
Clinical narrative: ADMINISTRATION ERROR: 10/02/21 - received PFIZER vaccination; on 11/01 received MODERNA vaccination. Body aches, nausea, vomiting, severe headache, cold sweats.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Vomiting
Clinical narrative: ADMINISTRATION ERROR: 10/02/21 - received PFIZER vaccination; on 11/01 received MODERNA vaccination. Body aches, nausea, vomiting, severe headache, cold sweats.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Injection site pain, Mobility decreased, Pruritus
Clinical narrative: Diarrhea for 4-5 hours starting about 6p until 10-11p. Horrendous am pain at the injection site, I couldn't even lift my arm above my shoulder. Also, the palms of my hands were incredibly itchy
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Head injury, Syncope
Clinical narrative: approximately 20 minutes after vaccination in the clinic (which is inside store), the patient fainted and hit her head in the store at 320pm.  I was summoned by store personnel to assist. BP 90/60, HR 95, patient was awake and alert when I saw her.  Patient was assisted back to clinic after a few minutes to wait on EMS eval. Mom declined emergency transport.  Patient remained alert and oriented.  EMS assisted patient to private vehicle and out of clinic at 335pm.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node swelling under left arm where vaccine given. Swelling noted morning after injection and continued for x 7 days.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, vaccine breakthrough with inpatient hospital stay, medical unit
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose, Wrong product administered
Clinical narrative: 10/29/2021 Patient was given Moderna booster dose of 0.25ml instead of Janssen 0.5ml primary dose.  Patient requested Janssen vaccine only. IMM66 reviewed by volunteer nurse. Janssen vaccine removed from cooler by IPC Nurse. J&J vaccine verified by volunteer nurse and patient. Volunteer nurse administered a pre-drawn dose of Moderna 0.25ml booster vaccine instead of first dose of J&J. Error noticed when Janssen vaccine was given to IPC nurse to place back in cooler; vaccine had not been opened. Volunteer nurse and clinic charge nurse notified of error 10/29/2021.  Reported to IPC Nurse / Supervisor on 11/01/2021
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Asthenia, Condition aggravated, Depression
Clinical narrative: PTSD response with severe anxiety, depression, and hyperarousal. Pain at injection site, joint pain systemic, weakness, exhaustion.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hyperarousal, Injection site pain, Post-traumatic stress disorder
Clinical narrative: PTSD response with severe anxiety, depression, and hyperarousal. Pain at injection site, joint pain systemic, weakness, exhaustion.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Myalgia
Clinical narrative: cough, Chest congestion, Fatigue, Muscle or body aches, and Headaches  Clinical Support  10/25/2021    COVID-19  Dx Medication Infusion   Reason for Visit   Progress Notes  Patient is here for MAB Infusion O2 sats > or = 90%   Signs of potential reaction reviewed with patient.   Tolerated IV start and MAB infusion without complication.   Pt has access to pulse oximeter and thermometer for home monitoring   Discharge instructions reviewed. Patient denies any questions
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: cough, Chest congestion, Fatigue, Muscle or body aches, and Headaches  Clinical Support  10/25/2021    COVID-19  Dx Medication Infusion   Reason for Visit   Progress Notes  Patient is here for MAB Infusion O2 sats > or = 90%   Signs of potential reaction reviewed with patient.   Tolerated IV start and MAB infusion without complication.   Pt has access to pulse oximeter and thermometer for home monitoring   Discharge instructions reviewed. Patient denies any questions
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case