chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, Computerised tomogram thorax abnormal, Condition aggravated, Cough
Clinical narrative: Patient is a 86 y.o. female patient of MD with history of CKD, COPD, lung cancer that presented to Hospital with shortness of breath. Pt found to have multifocal PNA from COVID. Pt gradually improved on decadron. Pt stable for discharge with meds and recommendations as noted below.      Covid-19 Virus Infection without sepsis Multifocal pneumonia Lactic acidemia POA, resolved CT angiogram was negative for pulmonary emboli.  Positive for multifocal pneumonia. Date of onset of symptoms: 1/13/2023 Symptoms present on admission: Shortness of breath and cough Date of covid positive test: 1/13/2023 Vaccination status: vaccinated Imaging: CT scan of the chest showed multifocal pneumonia.  Partial right pneumonectomy Oxygen requirements on admission: Room air Current oxygen requirements: Oxygen saturation 99% on 2 L nasal cannula Medical therapy: steroids Anticipated special isolation end date: 1/24/2023 Patient still complains of nonproductive cough Continue Decadron and Mucinex.   COPD, not in exacerbation Patient has a history of lung cancer and is status post partial right lung resection pneumonectomy Continue Symbicort  Chronic kidney disease stage III Hypokalemia Hypokalemia resolved  Hx of Orthostatic hypotension Blood pressures are elevated, discontinued the midodrine    Gastroesophageal reflux disease Continue PPI Hyperlipidemia Continue statin  Hypertension Continue losartan
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Lactic acidosis, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 86 y.o. female patient of MD with history of CKD, COPD, lung cancer that presented to Hospital with shortness of breath. Pt found to have multifocal PNA from COVID. Pt gradually improved on decadron. Pt stable for discharge with meds and recommendations as noted below.      Covid-19 Virus Infection without sepsis Multifocal pneumonia Lactic acidemia POA, resolved CT angiogram was negative for pulmonary emboli.  Positive for multifocal pneumonia. Date of onset of symptoms: 1/13/2023 Symptoms present on admission: Shortness of breath and cough Date of covid positive test: 1/13/2023 Vaccination status: vaccinated Imaging: CT scan of the chest showed multifocal pneumonia.  Partial right pneumonectomy Oxygen requirements on admission: Room air Current oxygen requirements: Oxygen saturation 99% on 2 L nasal cannula Medical therapy: steroids Anticipated special isolation end date: 1/24/2023 Patient still complains of nonproductive cough Continue Decadron and Mucinex.   COPD, not in exacerbation Patient has a history of lung cancer and is status post partial right lung resection pneumonectomy Continue Symbicort  Chronic kidney disease stage III Hypokalemia Hypokalemia resolved  Hx of Orthostatic hypotension Blood pressures are elevated, discontinued the midodrine    Gastroesophageal reflux disease Continue PPI Hyperlipidemia Continue statin  Hypertension Continue losartan
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines
Age: 72.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Electrocardiogram, Gait disturbance, Hemiparesis
Clinical narrative: Left side arm and leg weakness, difficulty walking. Patient reports symptoms started shortly after receiving vaccines. Went to the ER and was admitted, reports diagnosed with having had a stroke. Also reports having some cardiac testing while hospitalized, concerns of having a cardiac problem as well.
Age: 72.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Laboratory test, Magnetic resonance imaging head abnormal
Clinical narrative: Left side arm and leg weakness, difficulty walking. Patient reports symptoms started shortly after receiving vaccines. Went to the ER and was admitted, reports diagnosed with having had a stroke. Also reports having some cardiac testing while hospitalized, concerns of having a cardiac problem as well.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Confusional state, Death, Dysphagia
Clinical narrative: Patient is a 92 y.o. male who presented to the Hospital ED from home on 12/29/2022 after caretakers observed new confusion and fevers up to 102 °F.  In the ED he was found to be in new onset atrial fibrillation with RVR and positive for SARS-CoV-2. He was admitted with additional concern for aspiration pneumonitis related to a known Zenker's diverticulum. Clinical course complicated by encephalopathy, dysphagia, and ongoing hypoxia.   Pt and family opted for no NG/PEG tube placement and likely moving towards more comfort care.    Pt w/ clinically worsening despite aggressive interventions. Family met w/ Palliative care and comfortable w/ moving forward w/ comfort care and Hospice referral. Comfort meds in place.   Pt passed peacefully on 1/16 @0542
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalopathy, Hypoxia, Pharyngo-oesophageal diverticulum, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 92 y.o. male who presented to the Hospital ED from home on 12/29/2022 after caretakers observed new confusion and fevers up to 102 °F.  In the ED he was found to be in new onset atrial fibrillation with RVR and positive for SARS-CoV-2. He was admitted with additional concern for aspiration pneumonitis related to a known Zenker's diverticulum. Clinical course complicated by encephalopathy, dysphagia, and ongoing hypoxia.   Pt and family opted for no NG/PEG tube placement and likely moving towards more comfort care.    Pt w/ clinically worsening despite aggressive interventions. Family met w/ Palliative care and comfortable w/ moving forward w/ comfort care and Hospice referral. Comfort meds in place.   Pt passed peacefully on 1/16 @0542
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect product formulation administered, No adverse event
Clinical narrative: NO ADVERSE EVENTS or outcome.  Unable to select "none" or "did not occur" in the report.  This was a vaccination event our Health Department held at Facility, a state facility.  We requested and did not receive a roster of the patients to be vaccinated to permit prior research of vaccinations.  The patient, listed above, consented to COVID vaccination with the standard COVID-19 vaccination consent form.  Question #2 - Have you ever received a dose of COVID-19 vaccine? - ANSWER - NO.  Therefore, based on the patients information, she was administered her first COVID-19 vaccination based on our knowledge.  error reported to us based on a state vaccination database record that patient had received three prior Moderna vaccinations.  Two for initial monovalent vaccination,  One Moderna bivalent booster.  None of these were reported to us by the person receiving the vaccine who also completed the consent.  She had no observed or reported adverse issues following vaccination.
Age: 72.0
Sex: F
Vaccine: FLUC4
Symptoms: Hepatic enzyme increased, Laboratory test, Ultrasound abdomen
Clinical narrative: moderately elevated liver enzymes, took approx 1 month to return to normal
Age: 37.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Dizziness, Tremor
Clinical narrative: Shaking, Dizziness, and Weakness about 17 hours after the injection of Moderna Covid-19 Bivalent Booster
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Blood test, Injection site pruritus, Injection site rash, Rash pruritic
Clinical narrative: Cronic puratic rash  Initially at injection site, has spread to most of upper body.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Chest pain, Death, Dyspnoea
Clinical narrative: pt admitted to hospital with CP and SOB on 7/31/22; found to be positive for COVID; AKI; pt's demand for O2 increased and on 8/16/22 he was transferred to ICU; pt's condition continued to decline and the family transitioned him to comfort focused care; he passed away in the hospital
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Intensive care, SARS-CoV-2 test positive
Clinical narrative: pt admitted to hospital with CP and SOB on 7/31/22; found to be positive for COVID; AKI; pt's demand for O2 increased and on 8/16/22 he was transferred to ICU; pt's condition continued to decline and the family transitioned him to comfort focused care; he passed away in the hospital
Age: 1.0
Sex: F
Vaccine: HEPA
Symptoms: Malaise, Pyrexia, Vomiting projectile
Clinical narrative: Vomiting (excessive, projectile) x 3, fever to 101 approx 12 hours post-vaccination. malaise lasted approx 24 hours
Age: 27.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration, Vaccination error
Clinical narrative: Hep A dose #2/2 was given too early.  It was due March 1st, 2023 and given 2/15/2023.  Pt notified while in clinic of the error and understands he will need to repeat the dose 8/15/2023 or later to be a valid dose.  Pt verbalizes understanding.
Age: 34.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Abdominal pain upper, Back pain, Blood test normal, COVID-19, Dyspepsia
Clinical narrative: I been to the doctor for two different things. One required, on 11/30/2022 I had some indigestion and pain in my right and left upper abdomen and mid-back. I could not lay down it was uncomfortable for three or four days. On last 02/13/2023, I had symptoms of COVID-19 from our positive daughter. My symptoms were lethargic and tired. I did throw up on that first night, but afterwards I was spiking 103 fevers in the middle of the nights. I tested at home on Wednesday morning, and I had a positive test. I have just started PAXLOVID on 02/23/2023. My fevers are gone, and I managed fever with TYLENOL. I had some congestion, but that being going for weeks now.
Age: 34.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Exposure to SARS-CoV-2, Fatigue, Lethargy, Pyrexia, Respiratory tract congestion
Clinical narrative: I been to the doctor for two different things. One required, on 11/30/2022 I had some indigestion and pain in my right and left upper abdomen and mid-back. I could not lay down it was uncomfortable for three or four days. On last 02/13/2023, I had symptoms of COVID-19 from our positive daughter. My symptoms were lethargic and tired. I did throw up on that first night, but afterwards I was spiking 103 fevers in the middle of the nights. I tested at home on Wednesday morning, and I had a positive test. I have just started PAXLOVID on 02/23/2023. My fevers are gone, and I managed fever with TYLENOL. I had some congestion, but that being going for weeks now.
Age: 34.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: SARS-CoV-2 test positive, Ultrasound abdomen normal, Vomiting
Clinical narrative: I been to the doctor for two different things. One required, on 11/30/2022 I had some indigestion and pain in my right and left upper abdomen and mid-back. I could not lay down it was uncomfortable for three or four days. On last 02/13/2023, I had symptoms of COVID-19 from our positive daughter. My symptoms were lethargic and tired. I did throw up on that first night, but afterwards I was spiking 103 fevers in the middle of the nights. I tested at home on Wednesday morning, and I had a positive test. I have just started PAXLOVID on 02/23/2023. My fevers are gone, and I managed fever with TYLENOL. I had some congestion, but that being going for weeks now.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient did not have her vaccine card. When vaccine was verified on database confirmed she was eligible to receive bivalent.  Then realized that patient had previously received bivalent, and patient found her card after bivalent was administered.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Tonsillar hypertrophy
Clinical narrative: On 10/26/2022 I received my Covid-19 vaccine. On 02/06/2023 I had a severe sore throat with whit bumps on my right tonsil. Severe congestion and cough. After reaching out to my health care provider I was prescribed amoxicillin and an inhaler. Symptoms lasted about two and a half weeks.
Age: 51.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Pruritus, Rash, Rash erythematous, Rash macular
Clinical narrative: red bumps on legs, itching, blisters on feet, red splotching
Age: 51.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Headache, Rash pruritic, Rash vesicular
Clinical narrative: red bumps on legs, itching, blisters on feet, red splotching
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Aspiration pleural cavity, Death, Encephalopathy, Endotracheal intubation
Clinical narrative: pt taken to ED; c/o coffee ground emesis; hypotensive; placed on Broad Spectrum and Protonix; transferred to hospital and placed in ICU; vasopressors; AKI; EGD was done and found to have esophagitis and portal hypertensive gastropathy; intubated with procedure; able to extubate the following day; pt's condition worsened requiring BiPAP; large left effusion; thoracentesis done with pleural fluid removed; able to wean off of O2; pt's condition worsened; no improvement in mental status; severe cirrhosis; renal syndrome; encephalopathy; family chose to withdraw care and pt passed away the following day
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Haematemesis, Hepatic cirrhosis, Hypotension, Intensive care
Clinical narrative: pt taken to ED; c/o coffee ground emesis; hypotensive; placed on Broad Spectrum and Protonix; transferred to hospital and placed in ICU; vasopressors; AKI; EGD was done and found to have esophagitis and portal hypertensive gastropathy; intubated with procedure; able to extubate the following day; pt's condition worsened requiring BiPAP; large left effusion; thoracentesis done with pleural fluid removed; able to wean off of O2; pt's condition worsened; no improvement in mental status; severe cirrhosis; renal syndrome; encephalopathy; family chose to withdraw care and pt passed away the following day
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Oesophagitis, Oesophagogastroduodenoscopy abnormal, Pleural effusion, Portal hypertensive gastropathy
Clinical narrative: pt taken to ED; c/o coffee ground emesis; hypotensive; placed on Broad Spectrum and Protonix; transferred to hospital and placed in ICU; vasopressors; AKI; EGD was done and found to have esophagitis and portal hypertensive gastropathy; intubated with procedure; able to extubate the following day; pt's condition worsened requiring BiPAP; large left effusion; thoracentesis done with pleural fluid removed; able to wean off of O2; pt's condition worsened; no improvement in mental status; severe cirrhosis; renal syndrome; encephalopathy; family chose to withdraw care and pt passed away the following day
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Renal disorder
Clinical narrative: pt taken to ED; c/o coffee ground emesis; hypotensive; placed on Broad Spectrum and Protonix; transferred to hospital and placed in ICU; vasopressors; AKI; EGD was done and found to have esophagitis and portal hypertensive gastropathy; intubated with procedure; able to extubate the following day; pt's condition worsened requiring BiPAP; large left effusion; thoracentesis done with pleural fluid removed; able to wean off of O2; pt's condition worsened; no improvement in mental status; severe cirrhosis; renal syndrome; encephalopathy; family chose to withdraw care and pt passed away the following day
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Palpitations
Clinical narrative: I had soreness in my arm after receiving the vaccine for about two days. I noticed symptoms of heart palpitations in early February. I was monitoring my blood pressure to see if we needed to lower or increase my medication and that was when we noticed the heart palpitations. I have been referred to a cardiologist.
Age: 42.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Influenza, Malaise, Pruritus, Urticaria
Clinical narrative: That day I got the flu vaccine along with dose 4 of COVID-19, that same day about 2 hours later I got sick with the flu again, for a week, the following week I started to get hives on my stomach, legs , buttocks, face, lips, head, it itches a lot. I wanted to make an appointment with the doctor, but there was no one, they told me that if it was very serious I would go to the emergency room, but I didn't go. I am taking allergy pills and that has helped me.
Age: 0.58
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Accidentally gave the Pfizer 6m-4yr bivalent instead of the Pfizer 6m-4yr primary series dose for the second dose. The vial was placed in the wrong location in the clinic and I didn't know it was the bivalent dose.  Child had no sx
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Skin reaction, Swelling
Clinical narrative: The day after the vaccine was given, the parent called and sent pictures, saying he's having a dermal reaction. He had redness and minor swelling. Next day it doubled in size. Mom said he gets a reaction after every vaccine which is why they only do one at time. I offered an office visit, but she declined and decided to do home care.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: Chest pain on 12/25/2022 early am - felt increasingly better as day went on and taking advil Chest pain on 1/5/2023 evening around 9:45pm.  Saw nurse practioner in my practice on 1/6 - prescribed naproxen for the pain. Shortness of breath and pain continuing by 1/9/2023 - saw primary care physician same day - ordered D-Dimer test and CT scan of chest for 1/10/2023
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Deafness, Parosmia, Tinnitus
Clinical narrative: In May 2021, became aware of persistent bilateral pulsatile tinnitus.  Concurrently I also had a persistent smell of cigarette smoke.   This resolved after 20 months.  When the tinniuts did not resolve spontaneously saw my medical provider in 9/21 who ordered a course of oral steroids and to see and ENT.  There was no improvement with the steroids.  The ENT requred an Audiology evalution which found high frequency hearing loss.  The ENT ordered an MRA without contrast with was unremarkable so he recommended considering hearing aides to help block the sound.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event, Vaccination error
Clinical narrative: No adverse reaction.  This was a vaccine error. The vaccine was administered 9.5 hours after the 12 hour expiration mark. Vial punctured on 2/13/23 at 2:15pm with a 12-hr expiration of 2:15 AM the next morning. It was administered at 11:48 AM on 2/14/23.
Age: 1.17
Sex: F
Vaccine: PNC13
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT WAS GIVEN EXPIRED VACCINE, NO ADVERSE REACTION AT THE TIME OF INJECTION.  PARENT WAS NOTIFIED
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cardiac stress test, Echocardiogram, Electrocardiogram, Laboratory test
Clinical narrative: sudden weakness/ collapse no loss of consciousness  recurrent event approximately every six months.3/3/21, 10/1/21, 5/2022, 11/25/2022 Each event resulted in treatment and admission to hospital
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Magnetic resonance imaging head, Syncope
Clinical narrative: sudden weakness/ collapse no loss of consciousness  recurrent event approximately every six months.3/3/21, 10/1/21, 5/2022, 11/25/2022 Each event resulted in treatment and admission to hospital
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Malaise, Syncope
Clinical narrative: He got his vaccine, he didn't have any reactions on Wednesday or Thursday or for most of the day Friday.  Then around 6:30 he felt weakish, stood up in a restaurant, tried to get to his car and fainted and was caught by somebody.  He was set down in the chairs and waited about an hour and then drove home.  He did not contact his doctor.  He was out of state and so he did not go to an UR or seek medical attention.  He felt sick for about 6-8 days after that.  He did not take anything for his symptoms.  He was OK following that.    He did get two other Pfizer vaccines and did not have any reactions to those.
Age: 88.0
Sex: F
Vaccine: COVID19-2
Symptoms: Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Vaccination was reported by patient and verified in state database - data feed in our system does not state where the vaccine was given (maybe pharmacy) but patient may have that information
Age: 0.25
Sex: M
Vaccine: RV1
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: I was covering clinic on 2/21/23. I had a family of five children, three were getting vaccines that day. Patient was  getting his two month shots but he was behind. I didn't catch that he passed the maximum starting age for rotavirus vaccine (max- 15 wks; patient was 17 wks) and gave one dose. I reported this to the other nurse in clinic so that if she saw that patient at a later time, she would know what happened. The patient tolerated all vaccines given in clinic that day.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines  Moderna 2/26/21 Lot# 010A21A;  Moderna 3/26/21 Lot# 018B21A
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Breath holding, Crying, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Patient  had just received the DTAP (GSK 7H399).  Then, she received the Varicella.  She immediately began to hold her breath.for several seconds.  She lost consciousness lasting 2-3 seconds.  She aroused spontaneously and began to cry.  She was alert.  There was no noted swelling or redness at the site of injection or anywhere on the body.  Her breathing was normal with no audible congestion.  Her pulse ox on room air was 98%.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 4/15/21 Lot# 044B21A; Moderna 6/16/21 Lot# 033B21A;  Moderna 12/26/21 Lot# 041J21A
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Electrocardiogram
Clinical narrative: On the morning of 11/07/2022, my right arm started to feel sore. I thought it was due to me raking leaves. That evening, the front of my right shoulder would get a pain every time I took a deep breath. That continued until the next morning. I called the clinic help desk. I described my symptoms to the nurse who said she was going to send an ambulance. I was close enough and went to the ER myself. They examined me and found blood clots in my lungs. They then admitted me to the hospital on 11/08/2022. I was in the hospital for three days and was released on 11/10/2022. They prescribed blood thinners, which I am still on now.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Painful respiration, Pulmonary thrombosis
Clinical narrative: On the morning of 11/07/2022, my right arm started to feel sore. I thought it was due to me raking leaves. That evening, the front of my right shoulder would get a pain every time I took a deep breath. That continued until the next morning. I called the clinic help desk. I described my symptoms to the nurse who said she was going to send an ambulance. I was close enough and went to the ER myself. They examined me and found blood clots in my lungs. They then admitted me to the hospital on 11/08/2022. I was in the hospital for three days and was released on 11/10/2022. They prescribed blood thinners, which I am still on now.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines pfizer 3/4/21 Lot# EN6198;  Pfizer 3/25/21 Lot# En6208;  Pfizer 10/21/21 Lot# Ew0183
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Feeling hot, Headache, Hyperhidrosis, Pallor
Clinical narrative: On 02/16/2023, client presented to COVID-19 Vaccination to receive a Pfizer Bivalent Booster. Client was accompanied by fiancée and two children. At approximately 1604 client received Pfizer Bivalent Booster Lot#GL0447 on right arm by nurse. Approximately a few minutes after sitting down in the observation area client reported to nurse It's hot in here and reported a headache and dizziness. Nurse stated client got up and looked pale. Client was offered the anti-gravity chair and was able to sit down without assistance. Per nurse client felt diaphoretic. Client denied difficulty breathing, itchiness all over body and chest pain. Per nurse BP was within normal limits (120/70mmHg- 130/80mmHg) and no bradycardia or tachycardia noted nor pounding or thready pulse noted. Client stated headache and dizziness had subsided. Nurse offered a water bottle and client tolerated well. Client stated this has happened when he was younger and usually happens after vaccines. Client reported no adverse reactions to previous Pfizer COVID vaccines and no known allergies. Nurse educated to stay in the observation area for 30 minutes to monitor and make sure that client is okay, client declined. Client was educated on emergency precautions and to seek emergency care if symptoms reoccur. Client verbalized understanding. Client was able to stand up from anti-gravity chair without assistance. At approximately 1620 client left the building in a steady gait accompanied by family.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/22/21 Lot# Ew0172;  Pfizer 5/13/21 ER2613
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfixer 3/7/21 Lot# EL3248;  Pfizer 3/28/21 Lot# EN6200;  Pfizer 1/14/22 Lot# 330308D
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient requested vaccine and provided information of  four doses last one on 06/08/2022 at our Pharmacy and then after getting vaccinated looking for the card at her hadbag she handdle a new one to pharmacist with another vaccine administered on 11/03/2022 of Moderna Bivalent at other vaccination provider, so there was a duplicated moderna Bivalent vaccine administered to the patient. No adverse events were reported at time of adminitration and during waiting period after vaccination
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Abdominal pain, Constipation, Fall, Haematochezia, Haemorrhoids
Clinical narrative: Rash starting Friday and worsened, now on face and arms, is very itchy. apply aloe vera and helped. no new products. started Vyvanse. states fell and scratched left hand, washing well. prednisone 20 mg tablet (prednisone) 1 tablet by mouth twice a day, Decadron injection Dermatology Consult  urticaria, neoplasm of uncertain behavior Zyrtec 10mg tablet, Cimetadine 200mg Benadryl 25mg Continue oral steroid Failed multiple IM rounds of Celestone ER visit 2/18/23 Facial swelling throat tightness Rash Worsened Famotadine  IV Decadron IV Diphenhydramin IV Epinephrine HCI 0.3mg IM
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Neoplasm, Rash, Rash pruritic, Swelling face, Throat tightness
Clinical narrative: Rash starting Friday and worsened, now on face and arms, is very itchy. apply aloe vera and helped. no new products. started Vyvanse. states fell and scratched left hand, washing well. prednisone 20 mg tablet (prednisone) 1 tablet by mouth twice a day, Decadron injection Dermatology Consult  urticaria, neoplasm of uncertain behavior Zyrtec 10mg tablet, Cimetadine 200mg Benadryl 25mg Continue oral steroid Failed multiple IM rounds of Celestone ER visit 2/18/23 Facial swelling throat tightness Rash Worsened Famotadine  IV Decadron IV Diphenhydramin IV Epinephrine HCI 0.3mg IM
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Urticaria
Clinical narrative: Rash starting Friday and worsened, now on face and arms, is very itchy. apply aloe vera and helped. no new products. started Vyvanse. states fell and scratched left hand, washing well. prednisone 20 mg tablet (prednisone) 1 tablet by mouth twice a day, Decadron injection Dermatology Consult  urticaria, neoplasm of uncertain behavior Zyrtec 10mg tablet, Cimetadine 200mg Benadryl 25mg Continue oral steroid Failed multiple IM rounds of Celestone ER visit 2/18/23 Facial swelling throat tightness Rash Worsened Famotadine  IV Decadron IV Diphenhydramin IV Epinephrine HCI 0.3mg IM
Age: 4.0
Sex: M
Vaccine: COVID19, DTAPIPV, MMRV
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was starting COVID -19 vaccine series with Moderna. Should have recieved monovalent dose, but instead was given bivalent dose. No adverse outcome with patient. Patient should be re-vaccinated with primary dose series as soon as possible. Provider notified patient's parent.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 2/28/21 Lot# 025A21A;  Moderna 3/30/21 Lot# 028A21A;  Moderna 12/9/21 Lot# 013F21A;  Moderna 5/4/22 Lot# 056A22A
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 2/19/21 Lot# 023M20A;   Moderna 3/19/21 Lot# 007B21A
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Moderna 3/30/21 Lot# 046A21A;  Moderna 4/27/21 Lot# 043B21A;  Moderna 10/14/21 Lot# 017F21A
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Pfizer 3/31/21 Lot# Er8732;  Pfizer 5/4/21 Lot# EW0179;  Pfizer 11/18/21 Lot# FH8028
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 2/9/21 Lot# 007M20A;  Moderna 3/9/21t# 030A21A;  Moderna 10/9/21 Lot# 011f21A
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Rash
Clinical narrative: Patient developed a rash on the left shoulder that looked like shingles. it was painful and burned
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Asthenia, COVID-19, Cough, Fall, SARS-CoV-2 test positive
Clinical narrative: 02/11/23 presents to ED for "cough, fall, generalized weakness". PMHx of "seizure disorder on AED, OSA (noncompliant with CPAP), CKD stage 3, PVD, known cervical spinal stenosis"
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Pfizer 1/27/21 Lot# El9264;  Pfizer 2/17/21 Lot#6200;  Pfizer 8/27/21 Lot# FA8448;
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/18/21 Lot# Er2613;  Pfizer 4/8/21 Lot# EW0158;  Pfizer 12/4/21 Lot# FD0809
Age: 17.0
Sex: F
Vaccine: HEPA, HPV9, IPV, TDAP
Symptoms: Hyperhidrosis, Loss of consciousness, Supine position, Syncope, Tremor
Clinical narrative: Patient is a 17 yr old F with h/o underimmunizaition presented  for well visit. Revaccination plan continued as previously recommended. Patient did have vasovagal syncopal episode after HPV administration; LOC for <15s with generalized shaking associated with mild diaphoresis ;no foaming or incontinence to suggest seizure. Patient layed supine for rest, Water and food given subsequently given; She tolerated PO without difficulty. Pre and post BP stable. Parent reassured
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Arthralgia, Balance disorder, Dizziness, Erythema
Clinical narrative: I got it in my arm I started getting dizzy I have history of vertigo, so I thought that's what was going on. I sat down and the back of my neck started to feel tight, I had turned beat red and the staff asked if I wanted an ambulance and I felt weird not like myself at all. Then my husband made me walk to the car and took me home and my husband helped put ice all over my body (head, neck, and arms) then I started having a migraine and my joints hurt. I asked some of my nursing friends about TYLENOLs and was told not to and after some time I took some anyways. I also used BIOFREEZE and the pain went away after a few days. I also noticed some swelling in my legs that I still currently have. They got the size of grapefruit, and no doctor has been able to pinpoint why I lost my balance. I was given anti-vertigo and anti-nausea medication that I didn't take. I just elevated which did help some.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Migraine, Muscle tightness, Peripheral swelling
Clinical narrative: I got it in my arm I started getting dizzy I have history of vertigo, so I thought that's what was going on. I sat down and the back of my neck started to feel tight, I had turned beat red and the staff asked if I wanted an ambulance and I felt weird not like myself at all. Then my husband made me walk to the car and took me home and my husband helped put ice all over my body (head, neck, and arms) then I started having a migraine and my joints hurt. I asked some of my nursing friends about TYLENOLs and was told not to and after some time I took some anyways. I also used BIOFREEZE and the pain went away after a few days. I also noticed some swelling in my legs that I still currently have. They got the size of grapefruit, and no doctor has been able to pinpoint why I lost my balance. I was given anti-vertigo and anti-nausea medication that I didn't take. I just elevated which did help some.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atypical pneumonia, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia
Clinical narrative: 80 y.o. female patient of local MD with history of chronic diastolic heart failure, COPD, diabetes mellitus, hypothyroidism, hyperlipidemia, hypertension, atrial fibrillation with pacemaker presented to Hospital with shortness of breath and cough.   Discharge Diagnoses:   Acute hypoxic respiratory failure Likely due to COVID viral pneumonia, COPD exacerbation Seen by pulmonology Currently on 2L O2 Home O2 arranged on discharge   Covid-19 Virus Infection Date of onset of symptoms: 1/14 Symptoms present on admission: Cough, hypoxemia, shortness of breath Date of covid positive test:1/17 Vaccination status: vaccinated in 2020, no boosters Imaging: Chest x-ray shows bilateral patchy interstitial infiltrates suggestive of atypical pneumonia and/or congestive heart failure Oxygen requirements on admission: 7 L Current oxygen requirement: 2 L Medical therapy: steroids (to complete 10-day course as outpatient, remdesivir (last dose 1/21/23) Consultants following: pulmonary Anticipated special isolation end date: 1/27   Acute exacerbation of COPD Not on Home O2 at baseline, no smoking history To complete steroids course as outpatient Discontinued azithromycin on 1/23 Bronchodilators provided Pulmonary consulted   Acute on chronic diastolic heart failure Most recent cardiac echo was in 2021 with left ventricular ejection fraction 54% with mild decrease in diastolic function Chest x-ray showed cardiomegaly BNP is markedly elevated Diuresed with Lasix   HTN Managed with beta-blocker and Lasix   Chronic Atrial fibrillation with pacemaker Continued home meds including Xarelto, currently with paced rhythm   Diabetes mellitus type 2 Type 2 held home meds Managed with correctional sliding scale insulin while hospitalized History of meningiomas No history of seizures, but is maintained on antiepileptic drugs   Obesity BMI 35.43 Weight loss advised
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Cardiomegaly, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: 80 y.o. female patient of local MD with history of chronic diastolic heart failure, COPD, diabetes mellitus, hypothyroidism, hyperlipidemia, hypertension, atrial fibrillation with pacemaker presented to Hospital with shortness of breath and cough.   Discharge Diagnoses:   Acute hypoxic respiratory failure Likely due to COVID viral pneumonia, COPD exacerbation Seen by pulmonology Currently on 2L O2 Home O2 arranged on discharge   Covid-19 Virus Infection Date of onset of symptoms: 1/14 Symptoms present on admission: Cough, hypoxemia, shortness of breath Date of covid positive test:1/17 Vaccination status: vaccinated in 2020, no boosters Imaging: Chest x-ray shows bilateral patchy interstitial infiltrates suggestive of atypical pneumonia and/or congestive heart failure Oxygen requirements on admission: 7 L Current oxygen requirement: 2 L Medical therapy: steroids (to complete 10-day course as outpatient, remdesivir (last dose 1/21/23) Consultants following: pulmonary Anticipated special isolation end date: 1/27   Acute exacerbation of COPD Not on Home O2 at baseline, no smoking history To complete steroids course as outpatient Discontinued azithromycin on 1/23 Bronchodilators provided Pulmonary consulted   Acute on chronic diastolic heart failure Most recent cardiac echo was in 2021 with left ventricular ejection fraction 54% with mild decrease in diastolic function Chest x-ray showed cardiomegaly BNP is markedly elevated Diuresed with Lasix   HTN Managed with beta-blocker and Lasix   Chronic Atrial fibrillation with pacemaker Continued home meds including Xarelto, currently with paced rhythm   Diabetes mellitus type 2 Type 2 held home meds Managed with correctional sliding scale insulin while hospitalized History of meningiomas No history of seizures, but is maintained on antiepileptic drugs   Obesity BMI 35.43 Weight loss advised
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Hypoxia, Lung infiltration, SARS-CoV-2 test positive
Clinical narrative: 80 y.o. female patient of local MD with history of chronic diastolic heart failure, COPD, diabetes mellitus, hypothyroidism, hyperlipidemia, hypertension, atrial fibrillation with pacemaker presented to Hospital with shortness of breath and cough.   Discharge Diagnoses:   Acute hypoxic respiratory failure Likely due to COVID viral pneumonia, COPD exacerbation Seen by pulmonology Currently on 2L O2 Home O2 arranged on discharge   Covid-19 Virus Infection Date of onset of symptoms: 1/14 Symptoms present on admission: Cough, hypoxemia, shortness of breath Date of covid positive test:1/17 Vaccination status: vaccinated in 2020, no boosters Imaging: Chest x-ray shows bilateral patchy interstitial infiltrates suggestive of atypical pneumonia and/or congestive heart failure Oxygen requirements on admission: 7 L Current oxygen requirement: 2 L Medical therapy: steroids (to complete 10-day course as outpatient, remdesivir (last dose 1/21/23) Consultants following: pulmonary Anticipated special isolation end date: 1/27   Acute exacerbation of COPD Not on Home O2 at baseline, no smoking history To complete steroids course as outpatient Discontinued azithromycin on 1/23 Bronchodilators provided Pulmonary consulted   Acute on chronic diastolic heart failure Most recent cardiac echo was in 2021 with left ventricular ejection fraction 54% with mild decrease in diastolic function Chest x-ray showed cardiomegaly BNP is markedly elevated Diuresed with Lasix   HTN Managed with beta-blocker and Lasix   Chronic Atrial fibrillation with pacemaker Continued home meds including Xarelto, currently with paced rhythm   Diabetes mellitus type 2 Type 2 held home meds Managed with correctional sliding scale insulin while hospitalized History of meningiomas No history of seizures, but is maintained on antiepileptic drugs   Obesity BMI 35.43 Weight loss advised
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 12/29/20 Lot# 025J20A;  Moderna 1/26/21 Lot# 004M20A;  Pfizer 10/6/22 Lot# GJ2524
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 4/1/21 Lot# Ew0153;  Pfizer 5/21/21 Lot# Ew0183;  Pfizer 1/7/22 Lot# FL3209
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anticoagulant therapy, Atrial fibrillation, Atrial flutter
Clinical narrative: Patient is a 82 y.o. male with history of DM2, HTN, HLD, COPD, prior DVT, prior lower GI bleed presented to the Medical Center as a transfer from another facility with COVID 19 infection and atrial fib/flutter with RVR.   Acute respiratory failure with hypoxia COVID-19 Severe Sepsis (POA) Date of onset of symptoms: 1/6/23 (+) test on 1/9/23  Special isolation end date: 1/16/23 Met SIRS on admission; presumed viral Vaccinated, boosted (last booster >1yr ago) O2 needs; RA on admit, has needed HFNC since -- did briefly tolerate oxymizer on 1/21 Medical therapy: decadron (last dose 1/19) IV lasix changed to oral Pulm started another course of steroids on 1/22, currently on a wean and plan to taper down over next 5 days on discharge.  Home O2 eval- qualified and staff assisting in arranging home O2.    A flutter RVR History of PAF s/p watchman Tachycardia, 140s  EKG with A flutter RVR  H/O ablation 2014 for PAF Echo repeated; moderate LVH, normal EF,mild pHTN  Weaned off cardizem gtt  On metoprolol and amiodarone Continue eliquis   HTN BP stable Continue increased dose of metoprolol Hold home valsartan/hydrochlorothiazide 2/2 AKI, resume outpatient after PCP follow up if needed Diuresis as above   NIDDM2 Hold home glyburide  Cover with SSI, lantus Lantus decreased further due to low glucose   AKI on CKD Baseline Cr around 1.3 Cr 1.8 on 1/13 Improved, Cr 1.2 on 1/28
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood glucose decreased, COVID-19, Echocardiogram abnormal, Ejection fraction normal
Clinical narrative: Patient is a 82 y.o. male with history of DM2, HTN, HLD, COPD, prior DVT, prior lower GI bleed presented to the Medical Center as a transfer from another facility with COVID 19 infection and atrial fib/flutter with RVR.   Acute respiratory failure with hypoxia COVID-19 Severe Sepsis (POA) Date of onset of symptoms: 1/6/23 (+) test on 1/9/23  Special isolation end date: 1/16/23 Met SIRS on admission; presumed viral Vaccinated, boosted (last booster >1yr ago) O2 needs; RA on admit, has needed HFNC since -- did briefly tolerate oxymizer on 1/21 Medical therapy: decadron (last dose 1/19) IV lasix changed to oral Pulm started another course of steroids on 1/22, currently on a wean and plan to taper down over next 5 days on discharge.  Home O2 eval- qualified and staff assisting in arranging home O2.    A flutter RVR History of PAF s/p watchman Tachycardia, 140s  EKG with A flutter RVR  H/O ablation 2014 for PAF Echo repeated; moderate LVH, normal EF,mild pHTN  Weaned off cardizem gtt  On metoprolol and amiodarone Continue eliquis   HTN BP stable Continue increased dose of metoprolol Hold home valsartan/hydrochlorothiazide 2/2 AKI, resume outpatient after PCP follow up if needed Diuresis as above   NIDDM2 Hold home glyburide  Cover with SSI, lantus Lantus decreased further due to low glucose   AKI on CKD Baseline Cr around 1.3 Cr 1.8 on 1/13 Improved, Cr 1.2 on 1/28
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Left ventricular hypertrophy, Malaise, Pulmonary hypertension, SARS-CoV-2 test positive
Clinical narrative: Patient is a 82 y.o. male with history of DM2, HTN, HLD, COPD, prior DVT, prior lower GI bleed presented to the Medical Center as a transfer from another facility with COVID 19 infection and atrial fib/flutter with RVR.   Acute respiratory failure with hypoxia COVID-19 Severe Sepsis (POA) Date of onset of symptoms: 1/6/23 (+) test on 1/9/23  Special isolation end date: 1/16/23 Met SIRS on admission; presumed viral Vaccinated, boosted (last booster >1yr ago) O2 needs; RA on admit, has needed HFNC since -- did briefly tolerate oxymizer on 1/21 Medical therapy: decadron (last dose 1/19) IV lasix changed to oral Pulm started another course of steroids on 1/22, currently on a wean and plan to taper down over next 5 days on discharge.  Home O2 eval- qualified and staff assisting in arranging home O2.    A flutter RVR History of PAF s/p watchman Tachycardia, 140s  EKG with A flutter RVR  H/O ablation 2014 for PAF Echo repeated; moderate LVH, normal EF,mild pHTN  Weaned off cardizem gtt  On metoprolol and amiodarone Continue eliquis   HTN BP stable Continue increased dose of metoprolol Hold home valsartan/hydrochlorothiazide 2/2 AKI, resume outpatient after PCP follow up if needed Diuresis as above   NIDDM2 Hold home glyburide  Cover with SSI, lantus Lantus decreased further due to low glucose   AKI on CKD Baseline Cr around 1.3 Cr 1.8 on 1/13 Improved, Cr 1.2 on 1/28
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Systemic inflammatory response syndrome
Clinical narrative: Patient is a 82 y.o. male with history of DM2, HTN, HLD, COPD, prior DVT, prior lower GI bleed presented to the Medical Center as a transfer from another facility with COVID 19 infection and atrial fib/flutter with RVR.   Acute respiratory failure with hypoxia COVID-19 Severe Sepsis (POA) Date of onset of symptoms: 1/6/23 (+) test on 1/9/23  Special isolation end date: 1/16/23 Met SIRS on admission; presumed viral Vaccinated, boosted (last booster >1yr ago) O2 needs; RA on admit, has needed HFNC since -- did briefly tolerate oxymizer on 1/21 Medical therapy: decadron (last dose 1/19) IV lasix changed to oral Pulm started another course of steroids on 1/22, currently on a wean and plan to taper down over next 5 days on discharge.  Home O2 eval- qualified and staff assisting in arranging home O2.    A flutter RVR History of PAF s/p watchman Tachycardia, 140s  EKG with A flutter RVR  H/O ablation 2014 for PAF Echo repeated; moderate LVH, normal EF,mild pHTN  Weaned off cardizem gtt  On metoprolol and amiodarone Continue eliquis   HTN BP stable Continue increased dose of metoprolol Hold home valsartan/hydrochlorothiazide 2/2 AKI, resume outpatient after PCP follow up if needed Diuresis as above   NIDDM2 Hold home glyburide  Cover with SSI, lantus Lantus decreased further due to low glucose   AKI on CKD Baseline Cr around 1.3 Cr 1.8 on 1/13 Improved, Cr 1.2 on 1/28
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Moderna 2/17/21 Lot# 038K20A;  Moderna 3/17/21 Lot# 030A21A;  Moderna 8/16/21 Lot# 088D;  Moderna 4/12/22 Lot# 005M21A;  Moderna 9/23/22 Lot# AS7148B
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 5/20/21 Lot# 005C21A;  Moderna 6/17/21 Lot# 006C21A;  Moderna 1/7/22 Lot# 033F21A;  Pfizer 9/9/22 Lot# GJ2524