chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lethargy, Spinal column injury, Syncope
Clinical narrative: I had no adverse effect from either of my first two Moderna vaccines.  This adverse event came after my Moderna booster.  I was walking early in the morning the day after my booster as I usually do.  I was on my way home and fainted.  I phoned for someone to come pick me up.  Once home I fainted 2 more times. I felt very tired and lethargic for two additional days.  Due to the fainting I have most likely broken my coccyx.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Lymph node pain, Lymphadenopathy
Clinical narrative: First vaccine Johnson & Johnson, March 2021 Booster Moderna Covid-19 vaccine Very swollen and painful lymph node in left armpit, same side as injection.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID-19 infection. Tested positive on 08/04/2021. Patient fully vaccinated on 03/18/2021. Received monoclonal antibody infusion on 08/05/2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Lymphadenopathy, Nausea, Pain in extremity
Clinical narrative: Numbness in left arm and tingling. Treated with ice packs. Dizziness started within 2 hours. Sore arm. Dizziness lasted x 24 hours. Nausea day after vaccine. Noticed facial swelling: non-erythmatous at buccal nodes bilat next day after vaccine at 24-hour mark.  Still with some swelling of lymph nodes facial/buccal nodes as of 11/17/2021.  No itching. No shortness of breath.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Swelling face
Clinical narrative: Numbness in left arm and tingling. Treated with ice packs. Dizziness started within 2 hours. Sore arm. Dizziness lasted x 24 hours. Nausea day after vaccine. Noticed facial swelling: non-erythmatous at buccal nodes bilat next day after vaccine at 24-hour mark.  Still with some swelling of lymph nodes facial/buccal nodes as of 11/17/2021.  No itching. No shortness of breath.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation
Clinical narrative: Left shoulder blade has a burning/sensitive sensation.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hypotension
Clinical narrative: Felt weak, hypotensive sent to Emergency Department
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administration error. Vaccine was given beyond the 30 day refrigeration guidelines.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented to the outreach booth at the downtown transfer center reporting a desire to be vaccinated for COVID. Reported he had not had COVID vaccine yet, answered no to the screening questions. Mobile harm reduction outreach event did not have a way to check records prior to vaccination. When his record was pulled up later at the office to document his vaccine, it showed a first dose of Pfizer given 30 days prior.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received their booster dose  3 months earlier than it is supposed to be given. their second dose date was in 8/23/21. Pt was supposed to get their 3rd dose or Booster dose on 2/23/22. However their received it today 11/17/2021
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: use beyond 12h - stored in fridge
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Injection site pain, Pain in extremity, Paraesthesia
Clinical narrative: With my second shot my arm got very red painful and swollen, That lasted about 10 days and since then I've had tingling in my left arm along with pain and some swelling. So much so that I mostly sleep on the couch due to being woken up from the pain and burning feeling in my upper arm around the injection site, All that has caused me to have numbness and tingling in several of my fingers as well as what feels like fluid rushing through that area as well. At first I thought maybe it was a pinched nerve but its been happening pretty much since my second shot so I'm leaning more towards a side effect from the vaccine. Before I go to the doctor to spend thousands of dollars on tests I may not need I was hoping there might be a cheaper way to go... Like maybe this is common and I just haven't heard about this side effect. But I also don't want to be having a reaction that cold impact my health or possibly kill me. I would love to know if this is something that will go away or if I need to fly to get treatment since our medical here is less than desirable. And if I do need to be seen... Who's paying for this?
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Sensory disturbance, Sleep disorder
Clinical narrative: With my second shot my arm got very red painful and swollen, That lasted about 10 days and since then I've had tingling in my left arm along with pain and some swelling. So much so that I mostly sleep on the couch due to being woken up from the pain and burning feeling in my upper arm around the injection site, All that has caused me to have numbness and tingling in several of my fingers as well as what feels like fluid rushing through that area as well. At first I thought maybe it was a pinched nerve but its been happening pretty much since my second shot so I'm leaning more towards a side effect from the vaccine. Before I go to the doctor to spend thousands of dollars on tests I may not need I was hoping there might be a cheaper way to go... Like maybe this is common and I just haven't heard about this side effect. But I also don't want to be having a reaction that cold impact my health or possibly kill me. I would love to know if this is something that will go away or if I need to fly to get treatment since our medical here is less than desirable. And if I do need to be seen... Who's paying for this?
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring abnormal, Cold sweat, Computerised tomogram, Feeling cold, Fibrin D dimer
Clinical narrative: PT BECAME UNRESPONSIVE, CLAMMY, COOL  W/ UNSTABLE VS.   NONREBREATHER @15L, STERNAL RUB CONT TIL EMS ARRIVED.  PLACED ON MONITOR IRREGULAR JUCTIONAL RHYTHM NOTED, TRANSFERED TO NEIGHBORING HOSPITAL,  AWAITNIG TEST RESULTS.  PENDING ADMIT
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Nodal rhythm, Troponin, Ultrasound Doppler, Unresponsive to stimuli
Clinical narrative: PT BECAME UNRESPONSIVE, CLAMMY, COOL  W/ UNSTABLE VS.   NONREBREATHER @15L, STERNAL RUB CONT TIL EMS ARRIVED.  PLACED ON MONITOR IRREGULAR JUCTIONAL RHYTHM NOTED, TRANSFERED TO NEIGHBORING HOSPITAL,  AWAITNIG TEST RESULTS.  PENDING ADMIT
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Ventilation/perfusion scan, X-ray
Clinical narrative: PT BECAME UNRESPONSIVE, CLAMMY, COOL  W/ UNSTABLE VS.   NONREBREATHER @15L, STERNAL RUB CONT TIL EMS ARRIVED.  PLACED ON MONITOR IRREGULAR JUCTIONAL RHYTHM NOTED, TRANSFERED TO NEIGHBORING HOSPITAL,  AWAITNIG TEST RESULTS.  PENDING ADMIT
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Evans syndrome, Full blood count abnormal, Packed red blood cell transfusion, Shock haemorrhagic, Upper gastrointestinal haemorrhage
Clinical narrative: Patient was given Moderna shot on 09/27/21, and referred to a Hematologist / Oncologist on 09/30/21 for signs / symptoms of possible hemolytic anemia.  He was ultimately diagnosed with Evans Syndrome by Dr. at hospital.    He was then hospitalized at on 10/30/21 with a severe UGIB and hemorrhagic shock, requiring 55u of PRBC transfusions.  55 units.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 08/17/2021. PATIENT FULLY VACCINATED ON 06/12/2021.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd Pfizer COVID vaccine 3/20/21 Hospitalization 11/15/2021
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Biliary dilatation, Blood culture negative, Blood gases abnormal, Blood lactic acid
Clinical narrative: Patient presented to the ER on 11/5/21 via ambulance, his wife called b/c she thought he was acting confused and short of breath this morning.  On examination patient was A&O x4 but a poor historian about why he is in the hospital and the events leading up to today.  Patient does agree that he has been short of breath, denies any chest pain, palpitations, coughing, or nausea or vomiting. Pt was having dry cough during exam. In the ED patient was found to be COVID POSITIVE, SpO2 89%, requiring 2-3 L of oxygen via nasal cannula, afebrile, HR 74, RR 20, 114/59. ABG was wnl except pO2 58. WBC 16.59, CRP 207, procal 0.16, lactic acid negative, UA +3 esterase, BNP 78, CMP wnl. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage.    Admitted for acute hypoxic respiratory failure likely secondary to covid.  Patient given Rocephin 1 g IV, Decadron 6 mg IV.  Ordered albuterol q6hr p.r.n., doxy 100 mg b.i.d., Remdesivir 200 mg IV once and 4 days of Remdesivir 100 mg IV. asymptomatic E. Coli UTI treated w/ rocephin. BNP 78, CMP wnl. Blood cultures 1/2 negative x2 days; 2/2 likely contaminant. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage. CT of chest did not demonstrate covid pneumonia, but has several other findings that will require further workup outpatient (noted below). Patient remained afrebrile, and improved over course of admission; pt returned to baseline mentation. He received rocephin 1g IV q24hr x2, decadron 6mg IV qd x3, and Doxycycline 100mg bid x4 doses, Remdesivir 200mg IV once, and x2 days Remdesivir 100mg IV. Noted per pt's wife that pt had missed a couple of days of benzodiazepine; likely contributory to AMS. LFT's found to be elevated, w/ left hapatic lobe atrophy with intra hepatic biliary ductal dilatation - f/u LFTs and further workup outpatient. RT determined pt required room air at rest and during exertion. Pt to restart HHC, and d/c home w/ wife and sister in law; wife advised to ensure contact precautions with PPE use, and enabling patient to stay in isolation for an additional 7 days. Pt to f/u with PCP in 1 week; but will require telemedicine appointment due to COVID+ on 11/5/21.   Pt to continue following medications:   Decadron 6mg, daily x7 days; 10 days total (end 11/14/21).  doxycycline 100mg BID x3 days; 5 days total Abx (end 11/10/21) albuterol inhaler; 2 puffs q4hr prn.   Discharged on 11/7/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide normal, C-reactive protein increased, COVID-19, Cardiomegaly, Cerebral small vessel ischaemic disease
Clinical narrative: Patient presented to the ER on 11/5/21 via ambulance, his wife called b/c she thought he was acting confused and short of breath this morning.  On examination patient was A&O x4 but a poor historian about why he is in the hospital and the events leading up to today.  Patient does agree that he has been short of breath, denies any chest pain, palpitations, coughing, or nausea or vomiting. Pt was having dry cough during exam. In the ED patient was found to be COVID POSITIVE, SpO2 89%, requiring 2-3 L of oxygen via nasal cannula, afebrile, HR 74, RR 20, 114/59. ABG was wnl except pO2 58. WBC 16.59, CRP 207, procal 0.16, lactic acid negative, UA +3 esterase, BNP 78, CMP wnl. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage.    Admitted for acute hypoxic respiratory failure likely secondary to covid.  Patient given Rocephin 1 g IV, Decadron 6 mg IV.  Ordered albuterol q6hr p.r.n., doxy 100 mg b.i.d., Remdesivir 200 mg IV once and 4 days of Remdesivir 100 mg IV. asymptomatic E. Coli UTI treated w/ rocephin. BNP 78, CMP wnl. Blood cultures 1/2 negative x2 days; 2/2 likely contaminant. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage. CT of chest did not demonstrate covid pneumonia, but has several other findings that will require further workup outpatient (noted below). Patient remained afrebrile, and improved over course of admission; pt returned to baseline mentation. He received rocephin 1g IV q24hr x2, decadron 6mg IV qd x3, and Doxycycline 100mg bid x4 doses, Remdesivir 200mg IV once, and x2 days Remdesivir 100mg IV. Noted per pt's wife that pt had missed a couple of days of benzodiazepine; likely contributory to AMS. LFT's found to be elevated, w/ left hapatic lobe atrophy with intra hepatic biliary ductal dilatation - f/u LFTs and further workup outpatient. RT determined pt required room air at rest and during exertion. Pt to restart HHC, and d/c home w/ wife and sister in law; wife advised to ensure contact precautions with PPE use, and enabling patient to stay in isolation for an additional 7 days. Pt to f/u with PCP in 1 week; but will require telemedicine appointment due to COVID+ on 11/5/21.   Pt to continue following medications:   Decadron 6mg, daily x7 days; 10 days total (end 11/14/21).  doxycycline 100mg BID x3 days; 5 days total Abx (end 11/10/21) albuterol inhaler; 2 puffs q4hr prn.   Discharged on 11/7/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chronic obstructive pulmonary disease, Computerised tomogram head normal, Computerised tomogram thorax abnormal, Confusional state
Clinical narrative: Patient presented to the ER on 11/5/21 via ambulance, his wife called b/c she thought he was acting confused and short of breath this morning.  On examination patient was A&O x4 but a poor historian about why he is in the hospital and the events leading up to today.  Patient does agree that he has been short of breath, denies any chest pain, palpitations, coughing, or nausea or vomiting. Pt was having dry cough during exam. In the ED patient was found to be COVID POSITIVE, SpO2 89%, requiring 2-3 L of oxygen via nasal cannula, afebrile, HR 74, RR 20, 114/59. ABG was wnl except pO2 58. WBC 16.59, CRP 207, procal 0.16, lactic acid negative, UA +3 esterase, BNP 78, CMP wnl. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage.    Admitted for acute hypoxic respiratory failure likely secondary to covid.  Patient given Rocephin 1 g IV, Decadron 6 mg IV.  Ordered albuterol q6hr p.r.n., doxy 100 mg b.i.d., Remdesivir 200 mg IV once and 4 days of Remdesivir 100 mg IV. asymptomatic E. Coli UTI treated w/ rocephin. BNP 78, CMP wnl. Blood cultures 1/2 negative x2 days; 2/2 likely contaminant. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage. CT of chest did not demonstrate covid pneumonia, but has several other findings that will require further workup outpatient (noted below). Patient remained afrebrile, and improved over course of admission; pt returned to baseline mentation. He received rocephin 1g IV q24hr x2, decadron 6mg IV qd x3, and Doxycycline 100mg bid x4 doses, Remdesivir 200mg IV once, and x2 days Remdesivir 100mg IV. Noted per pt's wife that pt had missed a couple of days of benzodiazepine; likely contributory to AMS. LFT's found to be elevated, w/ left hapatic lobe atrophy with intra hepatic biliary ductal dilatation - f/u LFTs and further workup outpatient. RT determined pt required room air at rest and during exertion. Pt to restart HHC, and d/c home w/ wife and sister in law; wife advised to ensure contact precautions with PPE use, and enabling patient to stay in isolation for an additional 7 days. Pt to f/u with PCP in 1 week; but will require telemedicine appointment due to COVID+ on 11/5/21.   Pt to continue following medications:   Decadron 6mg, daily x7 days; 10 days total (end 11/14/21).  doxycycline 100mg BID x3 days; 5 days total Abx (end 11/10/21) albuterol inhaler; 2 puffs q4hr prn.   Discharged on 11/7/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Escherichia test positive, Escherichia urinary tract infection, Hepatic atrophy
Clinical narrative: Patient presented to the ER on 11/5/21 via ambulance, his wife called b/c she thought he was acting confused and short of breath this morning.  On examination patient was A&O x4 but a poor historian about why he is in the hospital and the events leading up to today.  Patient does agree that he has been short of breath, denies any chest pain, palpitations, coughing, or nausea or vomiting. Pt was having dry cough during exam. In the ED patient was found to be COVID POSITIVE, SpO2 89%, requiring 2-3 L of oxygen via nasal cannula, afebrile, HR 74, RR 20, 114/59. ABG was wnl except pO2 58. WBC 16.59, CRP 207, procal 0.16, lactic acid negative, UA +3 esterase, BNP 78, CMP wnl. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage.    Admitted for acute hypoxic respiratory failure likely secondary to covid.  Patient given Rocephin 1 g IV, Decadron 6 mg IV.  Ordered albuterol q6hr p.r.n., doxy 100 mg b.i.d., Remdesivir 200 mg IV once and 4 days of Remdesivir 100 mg IV. asymptomatic E. Coli UTI treated w/ rocephin. BNP 78, CMP wnl. Blood cultures 1/2 negative x2 days; 2/2 likely contaminant. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage. CT of chest did not demonstrate covid pneumonia, but has several other findings that will require further workup outpatient (noted below). Patient remained afrebrile, and improved over course of admission; pt returned to baseline mentation. He received rocephin 1g IV q24hr x2, decadron 6mg IV qd x3, and Doxycycline 100mg bid x4 doses, Remdesivir 200mg IV once, and x2 days Remdesivir 100mg IV. Noted per pt's wife that pt had missed a couple of days of benzodiazepine; likely contributory to AMS. LFT's found to be elevated, w/ left hapatic lobe atrophy with intra hepatic biliary ductal dilatation - f/u LFTs and further workup outpatient. RT determined pt required room air at rest and during exertion. Pt to restart HHC, and d/c home w/ wife and sister in law; wife advised to ensure contact precautions with PPE use, and enabling patient to stay in isolation for an additional 7 days. Pt to f/u with PCP in 1 week; but will require telemedicine appointment due to COVID+ on 11/5/21.   Pt to continue following medications:   Decadron 6mg, daily x7 days; 10 days total (end 11/14/21).  doxycycline 100mg BID x3 days; 5 days total Abx (end 11/10/21) albuterol inhaler; 2 puffs q4hr prn.   Discharged on 11/7/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test increased, Lung consolidation, Lung hyperinflation, Mental status changes, Metabolic function test
Clinical narrative: Patient presented to the ER on 11/5/21 via ambulance, his wife called b/c she thought he was acting confused and short of breath this morning.  On examination patient was A&O x4 but a poor historian about why he is in the hospital and the events leading up to today.  Patient does agree that he has been short of breath, denies any chest pain, palpitations, coughing, or nausea or vomiting. Pt was having dry cough during exam. In the ED patient was found to be COVID POSITIVE, SpO2 89%, requiring 2-3 L of oxygen via nasal cannula, afebrile, HR 74, RR 20, 114/59. ABG was wnl except pO2 58. WBC 16.59, CRP 207, procal 0.16, lactic acid negative, UA +3 esterase, BNP 78, CMP wnl. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage.    Admitted for acute hypoxic respiratory failure likely secondary to covid.  Patient given Rocephin 1 g IV, Decadron 6 mg IV.  Ordered albuterol q6hr p.r.n., doxy 100 mg b.i.d., Remdesivir 200 mg IV once and 4 days of Remdesivir 100 mg IV. asymptomatic E. Coli UTI treated w/ rocephin. BNP 78, CMP wnl. Blood cultures 1/2 negative x2 days; 2/2 likely contaminant. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage. CT of chest did not demonstrate covid pneumonia, but has several other findings that will require further workup outpatient (noted below). Patient remained afrebrile, and improved over course of admission; pt returned to baseline mentation. He received rocephin 1g IV q24hr x2, decadron 6mg IV qd x3, and Doxycycline 100mg bid x4 doses, Remdesivir 200mg IV once, and x2 days Remdesivir 100mg IV. Noted per pt's wife that pt had missed a couple of days of benzodiazepine; likely contributory to AMS. LFT's found to be elevated, w/ left hapatic lobe atrophy with intra hepatic biliary ductal dilatation - f/u LFTs and further workup outpatient. RT determined pt required room air at rest and during exertion. Pt to restart HHC, and d/c home w/ wife and sister in law; wife advised to ensure contact precautions with PPE use, and enabling patient to stay in isolation for an additional 7 days. Pt to f/u with PCP in 1 week; but will require telemedicine appointment due to COVID+ on 11/5/21.   Pt to continue following medications:   Decadron 6mg, daily x7 days; 10 days total (end 11/14/21).  doxycycline 100mg BID x3 days; 5 days total Abx (end 11/10/21) albuterol inhaler; 2 puffs q4hr prn.   Discharged on 11/7/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oxygen saturation decreased, PO2 decreased, Palpitations, Procalcitonin
Clinical narrative: Patient presented to the ER on 11/5/21 via ambulance, his wife called b/c she thought he was acting confused and short of breath this morning.  On examination patient was A&O x4 but a poor historian about why he is in the hospital and the events leading up to today.  Patient does agree that he has been short of breath, denies any chest pain, palpitations, coughing, or nausea or vomiting. Pt was having dry cough during exam. In the ED patient was found to be COVID POSITIVE, SpO2 89%, requiring 2-3 L of oxygen via nasal cannula, afebrile, HR 74, RR 20, 114/59. ABG was wnl except pO2 58. WBC 16.59, CRP 207, procal 0.16, lactic acid negative, UA +3 esterase, BNP 78, CMP wnl. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage.    Admitted for acute hypoxic respiratory failure likely secondary to covid.  Patient given Rocephin 1 g IV, Decadron 6 mg IV.  Ordered albuterol q6hr p.r.n., doxy 100 mg b.i.d., Remdesivir 200 mg IV once and 4 days of Remdesivir 100 mg IV. asymptomatic E. Coli UTI treated w/ rocephin. BNP 78, CMP wnl. Blood cultures 1/2 negative x2 days; 2/2 likely contaminant. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage. CT of chest did not demonstrate covid pneumonia, but has several other findings that will require further workup outpatient (noted below). Patient remained afrebrile, and improved over course of admission; pt returned to baseline mentation. He received rocephin 1g IV q24hr x2, decadron 6mg IV qd x3, and Doxycycline 100mg bid x4 doses, Remdesivir 200mg IV once, and x2 days Remdesivir 100mg IV. Noted per pt's wife that pt had missed a couple of days of benzodiazepine; likely contributory to AMS. LFT's found to be elevated, w/ left hapatic lobe atrophy with intra hepatic biliary ductal dilatation - f/u LFTs and further workup outpatient. RT determined pt required room air at rest and during exertion. Pt to restart HHC, and d/c home w/ wife and sister in law; wife advised to ensure contact precautions with PPE use, and enabling patient to stay in isolation for an additional 7 days. Pt to f/u with PCP in 1 week; but will require telemedicine appointment due to COVID+ on 11/5/21.   Pt to continue following medications:   Decadron 6mg, daily x7 days; 10 days total (end 11/14/21).  doxycycline 100mg BID x3 days; 5 days total Abx (end 11/10/21) albuterol inhaler; 2 puffs q4hr prn.   Discharged on 11/7/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary mass, SARS-CoV-2 test positive, Urine analysis, Urine leukocyte esterase, Vomiting
Clinical narrative: Patient presented to the ER on 11/5/21 via ambulance, his wife called b/c she thought he was acting confused and short of breath this morning.  On examination patient was A&O x4 but a poor historian about why he is in the hospital and the events leading up to today.  Patient does agree that he has been short of breath, denies any chest pain, palpitations, coughing, or nausea or vomiting. Pt was having dry cough during exam. In the ED patient was found to be COVID POSITIVE, SpO2 89%, requiring 2-3 L of oxygen via nasal cannula, afebrile, HR 74, RR 20, 114/59. ABG was wnl except pO2 58. WBC 16.59, CRP 207, procal 0.16, lactic acid negative, UA +3 esterase, BNP 78, CMP wnl. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage.    Admitted for acute hypoxic respiratory failure likely secondary to covid.  Patient given Rocephin 1 g IV, Decadron 6 mg IV.  Ordered albuterol q6hr p.r.n., doxy 100 mg b.i.d., Remdesivir 200 mg IV once and 4 days of Remdesivir 100 mg IV. asymptomatic E. Coli UTI treated w/ rocephin. BNP 78, CMP wnl. Blood cultures 1/2 negative x2 days; 2/2 likely contaminant. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage. CT of chest did not demonstrate covid pneumonia, but has several other findings that will require further workup outpatient (noted below). Patient remained afrebrile, and improved over course of admission; pt returned to baseline mentation. He received rocephin 1g IV q24hr x2, decadron 6mg IV qd x3, and Doxycycline 100mg bid x4 doses, Remdesivir 200mg IV once, and x2 days Remdesivir 100mg IV. Noted per pt's wife that pt had missed a couple of days of benzodiazepine; likely contributory to AMS. LFT's found to be elevated, w/ left hapatic lobe atrophy with intra hepatic biliary ductal dilatation - f/u LFTs and further workup outpatient. RT determined pt required room air at rest and during exertion. Pt to restart HHC, and d/c home w/ wife and sister in law; wife advised to ensure contact precautions with PPE use, and enabling patient to stay in isolation for an additional 7 days. Pt to f/u with PCP in 1 week; but will require telemedicine appointment due to COVID+ on 11/5/21.   Pt to continue following medications:   Decadron 6mg, daily x7 days; 10 days total (end 11/14/21).  doxycycline 100mg BID x3 days; 5 days total Abx (end 11/10/21) albuterol inhaler; 2 puffs q4hr prn.   Discharged on 11/7/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient presented to the ER on 11/5/21 via ambulance, his wife called b/c she thought he was acting confused and short of breath this morning.  On examination patient was A&O x4 but a poor historian about why he is in the hospital and the events leading up to today.  Patient does agree that he has been short of breath, denies any chest pain, palpitations, coughing, or nausea or vomiting. Pt was having dry cough during exam. In the ED patient was found to be COVID POSITIVE, SpO2 89%, requiring 2-3 L of oxygen via nasal cannula, afebrile, HR 74, RR 20, 114/59. ABG was wnl except pO2 58. WBC 16.59, CRP 207, procal 0.16, lactic acid negative, UA +3 esterase, BNP 78, CMP wnl. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage.    Admitted for acute hypoxic respiratory failure likely secondary to covid.  Patient given Rocephin 1 g IV, Decadron 6 mg IV.  Ordered albuterol q6hr p.r.n., doxy 100 mg b.i.d., Remdesivir 200 mg IV once and 4 days of Remdesivir 100 mg IV. asymptomatic E. Coli UTI treated w/ rocephin. BNP 78, CMP wnl. Blood cultures 1/2 negative x2 days; 2/2 likely contaminant. CXR Mild cardiomegaly as well as hyperinflated lungs as seen with COPD similar to prior, CT head Small-vessel ischemic and lacunar change. no hemorrhage. CT of chest did not demonstrate covid pneumonia, but has several other findings that will require further workup outpatient (noted below). Patient remained afrebrile, and improved over course of admission; pt returned to baseline mentation. He received rocephin 1g IV q24hr x2, decadron 6mg IV qd x3, and Doxycycline 100mg bid x4 doses, Remdesivir 200mg IV once, and x2 days Remdesivir 100mg IV. Noted per pt's wife that pt had missed a couple of days of benzodiazepine; likely contributory to AMS. LFT's found to be elevated, w/ left hapatic lobe atrophy with intra hepatic biliary ductal dilatation - f/u LFTs and further workup outpatient. RT determined pt required room air at rest and during exertion. Pt to restart HHC, and d/c home w/ wife and sister in law; wife advised to ensure contact precautions with PPE use, and enabling patient to stay in isolation for an additional 7 days. Pt to f/u with PCP in 1 week; but will require telemedicine appointment due to COVID+ on 11/5/21.   Pt to continue following medications:   Decadron 6mg, daily x7 days; 10 days total (end 11/14/21).  doxycycline 100mg BID x3 days; 5 days total Abx (end 11/10/21) albuterol inhaler; 2 puffs q4hr prn.   Discharged on 11/7/21
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Electrocardiogram, Hypoaesthesia, Injection site pain
Clinical narrative: Numbness in left arm and left leg.  left side of body.  Severe pain in left arm, triceps area.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Differential white blood cell count abnormal, Electrocardiogram, Electrocardiogram ST segment abnormal
Clinical narrative: 21 Years old  Female  presenting with chest pain for 3 days.  Since then and severe proximal an hour after receiving her first dose of vaccine, denies shortness of breath at this time.  Patient has no episodes of vomiting nor has had nauseating symptoms.Pain started gradually .It is described as dull and aching, radiating into nowhere. Pain is described as moderate upon onset and is currently moderate.  No history of the same. Pain is not worse with exercise. Patient has no decrease in exercise tolerance recently.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer increased, Full blood count abnormal, Haematocrit normal, Haemoglobin normal
Clinical narrative: 21 Years old  Female  presenting with chest pain for 3 days.  Since then and severe proximal an hour after receiving her first dose of vaccine, denies shortness of breath at this time.  Patient has no episodes of vomiting nor has had nauseating symptoms.Pain started gradually .It is described as dull and aching, radiating into nowhere. Pain is described as moderate upon onset and is currently moderate.  No history of the same. Pain is not worse with exercise. Patient has no decrease in exercise tolerance recently.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased, Pain
Clinical narrative: 21 Years old  Female  presenting with chest pain for 3 days.  Since then and severe proximal an hour after receiving her first dose of vaccine, denies shortness of breath at this time.  Patient has no episodes of vomiting nor has had nauseating symptoms.Pain started gradually .It is described as dull and aching, radiating into nowhere. Pain is described as moderate upon onset and is currently moderate.  No history of the same. Pain is not worse with exercise. Patient has no decrease in exercise tolerance recently.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, QRS axis abnormal, Red blood cell count normal, Red cell distribution width normal, White blood cell count increased
Clinical narrative: 21 Years old  Female  presenting with chest pain for 3 days.  Since then and severe proximal an hour after receiving her first dose of vaccine, denies shortness of breath at this time.  Patient has no episodes of vomiting nor has had nauseating symptoms.Pain started gradually .It is described as dull and aching, radiating into nowhere. Pain is described as moderate upon onset and is currently moderate.  No history of the same. Pain is not worse with exercise. Patient has no decrease in exercise tolerance recently.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Orthosis user, Product administered at inappropriate site, Shoulder injury related to vaccine administration, X-ray limb abnormal
Clinical narrative: Vaccine was injected too high causing shoulder injury (SIRVA).  Treating currently with prednisone, shoulder brace, sling, rest, ice, heat, and light duty in work place.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 10/01/2021. PATIENT FULLY VACCINATED ON 03/09/2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Electrocardiogram normal, Heart rate increased, Hypotension
Clinical narrative: Experienced low blood pressure 90/50 and elevated heart rate 138. Has happened randomly since first event. Usually in mornings. I have always had high blood pressure in the past. Cut enalapril and alfuzosin amount in half and symptoms still occur. Just started seeing a cardiologist on 11/12/2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Abscess drainage, Adenocarcinoma metastatic, Anticoagulant therapy
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Atrial natriuretic peptide normal, Bacterial infection, Biopsy liver abnormal, Biopsy lung abnormal
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium increased, Blood sodium decreased, Blood test abnormal, Bronchoscopy, Cardiac arrest
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Catheter placement, Chemotherapy, Chest X-ray abnormal, Chest tube insertion, Computerised tomogram thorax abnormal
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Device leakage, Diarrhoea, Drain placement, Dyspnoea
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Gastrointestinal tube insertion, Haemoglobin normal, Ileus
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Immunochemotherapy, Incomplete course of vaccination, Intensive care, Laboratory test, Lung adenocarcinoma stage IV
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Metastases to bone, Metastases to liver, Metastases to lymph nodes, Pericardial drainage
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial effusion, Platelet count decreased, Pleural effusion, Pneumonia, Positron emission tomogram
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary mass, Pulmonary oedema, Scan with contrast, Total lung capacity decreased, Ultrasound Doppler normal
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan, Vaccine associated enhanced disease, White blood cell count decreased
Clinical narrative: We were completely unaware of an underlying severe health condition: Inoperable, Stage 4 Adenocarcinoma that had metastasized to his liver, lymph nodes, bones, blood.  The Moderna Shot triggered the cancer to become aggressive resulting in rapid atrial fibrillation and subsequent pleural effusion progressively getting worse until on August 14, 2021 patient was admitted to Hospital. A drain port was installed and a right lung catheter and later after his first round of chemo a left lung catheter was installed.  After two rounds of chemotherapy (the second round included immunotherapy) and a mismanagement of meds, patient died of cardiac arrest during a routine NG tube insertion procedure one Saturday, October 16, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose was given 7/29/21. Booster was given 11/17/2021 by RN.  This is less than 4 months. Has not met 6 month requirement for booster.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No symptoms.  Vaccine Administration Error.  Vaccine was administered from an adult vial.  0.2 ml was given to this patient for approx 20 mcg of Pfizer vaccine.  This is calculated to be double the supposed dose.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received the pediatric dose of the vaccine at a pediatric 5-11 clinic but patient is 12 years old
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pain, Soft tissue swelling, Swelling
Clinical narrative: The day after shot my new replacement prosthetic knee (surgery August 30, 2021) began to swell a lot, have heat and pain. A week later it was the same way. I saw the doctor yesterday and they doubled celecoxib for swelling and said it was soft tissue swelling. I was doing great in physical therapy and had no swelling the morning before the vaccination.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Somnolence
Clinical narrative: Pt received vaccine around 1400.  At 1415, pts mother returned to clinic with pt in her arms.  Pt had reported dizziness so his mother picked him up and brought him to RN.  RN noted pt had sleepy appearance but was awake and responsive.  Pt stated he had no difficulty breathing.  Pt placed in supine position with feet elevated.  VS at 1416 BP 88/57, HR 67, O2 97%.  Pt continued to report improvement in symptoms and gradually moved to seated position in chair.  VSS.  Final VS at 1438 BP 92/68, HR 76, O2 99%.  Pt awake, alert, sipping water, and chatting.  Pt left with mother at 1440.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd Pfizer COVID vaccine 6/25/21 Hospitalized 11/8/21
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for C19. Patient has been admitted to hospital.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Carotid artery occlusion, Computerised tomogram head, Ischaemic stroke, Vascular occlusion
Clinical narrative: Acute ischemic stroke, LVO occlusion L ICA terminus on 11/16
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Lingering soreness at injection site, left deltoid
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 08/20/2021. PATIENT FULLY VACCINATED ON 07/30/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 11/15/21 after being fully vaccinated.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Retching
Clinical narrative: Nausea and intense retching. Headache. Dizziness. Fatigue.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Nausea and intense retching. Headache. Dizziness. Fatigue.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Condition aggravated, Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: Severe Vertigo with n/v
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Troponin, Vertigo, Vomiting
Clinical narrative: Severe Vertigo with n/v
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Burning sensation, Disturbance in attention, Electrocardiogram normal, Impaired work ability
Clinical narrative: For 3 days under my armpit/lymph nodes like oval. 7 November Sunday night Feet started burning, and on Monday am my feet felt like it's on fire, legs were tingly and itchy, and Wednesday burning on the skin of tummy. Couldn't focus and migraines. I couldn't even work from home. Telehealth on Monday. I thought it was antibiotic and drink lots of water and Benadryl. 10 went to ER. Had the second, I had the same reaction for 2nd dose, and it was worst this time. EKG, Bloodwork, urine test, Pain and uninflammatory Sunday evening.