chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Cold sweat, Nausea, Pallor
Clinical narrative: During  preparation of employees second vaccine she informed this staff member that she had a reaction roughly 15 minutes after her first vaccination. The employee stated her symptoms at that time were "cold sweats", nausea and pallor. The employee stated her symptoms lasted 5-10 minutes. No treatment was provided due to the employee not informing staff until greater than one month after the reaction occurred.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: Sat down after booster, had tachycardia with heart rate increase, flushing and dizziness. Pharmacy tech gave me Gatorade and monitored for an additional 10 minutes until I felt safe to leave and heart rate had returned to normal. About 5 days later I started having shortness of breath and bouts of tachycardia. This has persisted to date.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Flushing, Heart rate increased, Laboratory test, Tachycardia
Clinical narrative: Sat down after booster, had tachycardia with heart rate increase, flushing and dizziness. Pharmacy tech gave me Gatorade and monitored for an additional 10 minutes until I felt safe to leave and heart rate had returned to normal. About 5 days later I started having shortness of breath and bouts of tachycardia. This has persisted to date.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Respiratory failure
Clinical narrative: Patient had 3 doses of Moderna COVID vaccine on 1/10/22, 5/12/21, and 4/14/21, and was hospitalized with COVID resp failure on 1/18/22
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Insomnia, Myalgia, Pain
Clinical narrative: Within ten hours of receiving the vaccine, I had a debilitating headache, sore arm/muscle, body aches, 101.5 fever, fatigue, sleeplessness. It's been about 24-hours and fever has subsided but headache and fatigue is worse, even with Ibuprofen in me. I feel like I have Covid again.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Within ten hours of receiving the vaccine, I had a debilitating headache, sore arm/muscle, body aches, 101.5 fever, fatigue, sleeplessness. It's been about 24-hours and fever has subsided but headache and fatigue is worse, even with Ibuprofen in me. I feel like I have Covid again.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort, Cough
Clinical narrative: Covid19 breakthrough.  1st vaccine on 01/26/2021.  75y/o PMH arthritis, HTN, HLD, CHF s/p CABG, Pacemaker, and smoker presents to ED via EMS for Covid PNA.  Pt c/o cough, SOB, chest pressure.  CXR-interstitial prominence, pt with inspiratory and exp wheezing, O2 on 2L NC 98%.  Pt received steroids and Remdesivir.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Interstitial lung disease, SARS-CoV-2 test positive, Vaccine breakthrough infection, Wheezing
Clinical narrative: Covid19 breakthrough.  1st vaccine on 01/26/2021.  75y/o PMH arthritis, HTN, HLD, CHF s/p CABG, Pacemaker, and smoker presents to ED via EMS for Covid PNA.  Pt c/o cough, SOB, chest pressure.  CXR-interstitial prominence, pt with inspiratory and exp wheezing, O2 on 2L NC 98%.  Pt received steroids and Remdesivir.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Inappropriate schedule of product administration
Clinical narrative: None Reported.  Patient passed away on 12/12/2021
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Polymerase chain reaction
Clinical narrative: Acute hypoxic respiratory failure from COVID-19 pneumonia requiring hospitalization
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Headache, Type 1 diabetes mellitus
Clinical narrative: 6 days after my booster shot, I had a severe headache, I had a high blood sugar of over 700 - I went to the Emergency Room and was diagnosed Type 1 Diabetes (DKA) and was prescribed with Insulin.  ( I have no history of diabetes, so this was a very unusual occurrence).
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID-19.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, COVID-19, Death, Lung opacity
Clinical narrative: 1/8/22 admit to hospital. acute resp failure due to COVID -19, NSTEMI. Linear left basilar opacities noted.  1/17/22 patient placed on BIPAP. family made him DNR 1/17/22 patient died
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 1/8/22 admit to hospital. acute resp failure due to COVID -19, NSTEMI. Linear left basilar opacities noted.  1/17/22 patient placed on BIPAP. family made him DNR 1/17/22 patient died
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received Moderna COVID vaccine #2 dose at 21 days, not at 28 days.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea
Clinical narrative: Patient came to ED with increasing shortness of breath and cough.  Patient was admitted to hospital for Covid.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 1/2/22 but still given
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Full blood count, Laboratory test, Metabolic function test, Paraesthesia
Clinical narrative: Arthritic pain of knees, ankles, 8/10 severity, lasted for approximately 4 weeks with decreasing severity from the vaccine. Did not seek treatment for adverse effects. Paresthesias and polyneuropathy exhibited by a numbness proximal to bilateral knee joints. Establishing care with primary care provider 01/19/2022 and evaluation is ongoing.  Blood work including CBC, CMP, A1c will be ordered and EMG will be pursued if no findings identified on routine blood work and symptoms do not improve.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Polyneuropathy
Clinical narrative: Arthritic pain of knees, ankles, 8/10 severity, lasted for approximately 4 weeks with decreasing severity from the vaccine. Did not seek treatment for adverse effects. Paresthesias and polyneuropathy exhibited by a numbness proximal to bilateral knee joints. Establishing care with primary care provider 01/19/2022 and evaluation is ongoing.  Blood work including CBC, CMP, A1c will be ordered and EMG will be pursued if no findings identified on routine blood work and symptoms do not improve.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Gene sequencing, Prenatal screening test
Clinical narrative: I found out I was pregnant the middle of October between my 1st and 2nd shot.  I was hesitant to get the 2nd shot being so very early in my pregnancy but got it any way.  I suffered a missed miscarriage that was found on December 9th at a little over 12 weeks, gestational age measured approximately 10 weeks 2 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Paranasal sinus discomfort
Clinical narrative: 12/23/2021 in the morning my Covid symptoms started with post nasal drip, sinus pressure, and scratchy throat. On the 26th I did a home test that was negative, but on the 28th I did another one that was positive. I had a low grade fever and headache and sinus pain and took over the counter medicine and ibuprofen. On the 28th I had a virtual Doctor's appointment and they prescribed me 4 days of steroids and 5 days of antibiotics. My symptoms lasted about 10 days-2 weeks. Symptoms improved after about a week but lingered for a while. I also had a cough and that lasted longer for about 2 1/2 weeks. I still had sinus pressure and congestion and I get winded more easily with exercise.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinus pain
Clinical narrative: 12/23/2021 in the morning my Covid symptoms started with post nasal drip, sinus pressure, and scratchy throat. On the 26th I did a home test that was negative, but on the 28th I did another one that was positive. I had a low grade fever and headache and sinus pain and took over the counter medicine and ibuprofen. On the 28th I had a virtual Doctor's appointment and they prescribed me 4 days of steroids and 5 days of antibiotics. My symptoms lasted about 10 days-2 weeks. Symptoms improved after about a week but lingered for a while. I also had a cough and that lasted longer for about 2 1/2 weeks. I still had sinus pressure and congestion and I get winded more easily with exercise.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Upper-airway cough syndrome
Clinical narrative: 12/23/2021 in the morning my Covid symptoms started with post nasal drip, sinus pressure, and scratchy throat. On the 26th I did a home test that was negative, but on the 28th I did another one that was positive. I had a low grade fever and headache and sinus pain and took over the counter medicine and ibuprofen. On the 28th I had a virtual Doctor's appointment and they prescribed me 4 days of steroids and 5 days of antibiotics. My symptoms lasted about 10 days-2 weeks. Symptoms improved after about a week but lingered for a while. I also had a cough and that lasted longer for about 2 1/2 weeks. I still had sinus pressure and congestion and I get winded more easily with exercise.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Cough, Dyspnoea, Headache
Clinical narrative: CHIEF COMPLAINT:   pt to ed for generalized body aches, headache, fever, abdominal pain and vomting starting about 2 days ago. last tylenol at 2100 last night, 4mg zofran and 1L IVF given en route   HISTORY OF PRESENT ILLNESS:     72 years old female with past medical history of asthma COPD, hypertension and obesity, nicotine dependence, patient presents to the ER complaining of 2 days of body aches, weakness, cough nonproductive, fever, headaches, she denies abdominal pain, no diarrhea, no nausea or vomiting.  Patient denies dysuria, no chest pain, she admits to shortness of breath.  Patient was found hypoxic in the ER 88s on room air.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Pain, Pyrexia, Vomiting
Clinical narrative: CHIEF COMPLAINT:   pt to ed for generalized body aches, headache, fever, abdominal pain and vomting starting about 2 days ago. last tylenol at 2100 last night, 4mg zofran and 1L IVF given en route   HISTORY OF PRESENT ILLNESS:     72 years old female with past medical history of asthma COPD, hypertension and obesity, nicotine dependence, patient presents to the ER complaining of 2 days of body aches, weakness, cough nonproductive, fever, headaches, she denies abdominal pain, no diarrhea, no nausea or vomiting.  Patient denies dysuria, no chest pain, she admits to shortness of breath.  Patient was found hypoxic in the ER 88s on room air.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Duodenal ulcer, Eye pruritus, Lymphadenopathy, Nasal congestion
Clinical narrative: nonproductive cough, nasal congestion, swollen glands, sneezing, itchy eyes. starting 1/16/2022
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oesophagogastroduodenoscopy normal, Sneezing, Upper gastrointestinal haemorrhage, Urosepsis
Clinical narrative: nonproductive cough, nasal congestion, swollen glands, sneezing, itchy eyes. starting 1/16/2022
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood immunoglobulin G, Blood immunoglobulin M, COVID-19, SARS-CoV-2 test negative
Clinical narrative: Progressive weakness, tested POS for COVID-19 on 1/9
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Progressive weakness, tested POS for COVID-19 on 1/9
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Hypothermia, Pain, Pain in extremity
Clinical narrative: I WOKE UP AT 9:30 PM WITH CHILLS, FOLLOWED BY SHIVERING, FOLLOWED WITHIN MINUTES OF EXTREME SHIVERING AS IF I HAD HYPOTHERMIA. I HAD TO CONCENTRATE ON KEEPING MY BREATHING SLOW TO TRY TO CALM MY BODY. I HAD ON FLANNEL PAJAMAS, A ROBE, SOCKS, A KNITTED SKI HAT, A POLYESTER BLANKET, A DOWN BLANKET AS I LAY IN BED TRYING TO STOP SHAKING AND SHIVERING. IT LASTED 3 HOURS. I CAN ONLY DESCRIBE IT AS IF MY BODY WAS GOING TROUGH HYPOTHERMIA. I HAVE NEVER EXPERIENCED THIS PRIOR IN MY LIFE. MY WHOLE BODY WAS FREEZING AND SHAKING.  IT TOOK PLACE 11 HOURS AFTER MY VACCINE. THE SORE ARM I HAD WAS THE SAME AS I HAD EXPERIENCED AFTER DOSE 1 AND DOSE 2.  I HAD BODY ACHES THE NEXT MORNING, HOWEVER, IT WAS MORE LIKELY DUE TO THE SHAKING AS MOST OF MY ACHE WAS IN MY BACK.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arrhythmia, Atrial fibrillation, Blood test, Dizziness, Dyspnoea
Clinical narrative: AGE 67 at time of adverse event:  After 2nd vaccination, nickel size lump in left armpit/lymph gland.  Sick for 2 days. Fatigue.  Experienced shortness of breath in May 2021, syncope while golfing, very short of breath, rapid heartbeat.  During summer of 2021, regularly experienced shortness of breath (altitude of 3600), dizziness and fatigue.  Limited activity.  Bought smart watch end of August, left to go back home  and could monitor my oxygen level and heart rate.  Noted low oxygen levels sometimes (85%-90%).  Heart rate elevated.  Golfed at home and again had severe shortness of breath, rapid heartbeat (169) and had to quit golf.  Didn't feel well rest of day.  Stayed home in bed and two days later found out I could get an ECG read on my smart watch.  I went to demonstrate the ECG for the first time to my husband and it showed I was in Atrial Fibrillation.   I called my Cardiologist (who I had not seen since last visit over 3 years ago  I have a history of mitral prolapse) and booked an appointment for Sept. 24th, 2021.  At that appointment, Dr ordered a halter monitor for 30 days, an echocardiogram and had an EKG   at office. EKG was normal.  During the 30 day monitoring, I noted rapid heartbeat and shortness of breath at times.  I also noted some low oxygen levels.  Later Dr will note that he reviewed my phone and stated that on October 4th in the late morning hours, I was symptomatic with shortness of breath, dizziness and chest pain and there was evidence for an atrial arrhythmia. The tachycardia appears to have persisted for 40 minutes. Received Booster shot on Oct 6th and had a reaction of a quartersize swelling in left armpit/lymph gland (same arm as injection), fever, fatigue for 2 days.  On Nov. 9th, Dr discussed my results and put me on Cardizem to slow my heart rate down.  To this date, I am experiencing low oxygen and shortness of breath when walking up a hill or exerting myself.   My heartbeat only goes as high as 128 with shortness of breath and I then stop my activity.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea exertional, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Fatigue
Clinical narrative: AGE 67 at time of adverse event:  After 2nd vaccination, nickel size lump in left armpit/lymph gland.  Sick for 2 days. Fatigue.  Experienced shortness of breath in May 2021, syncope while golfing, very short of breath, rapid heartbeat.  During summer of 2021, regularly experienced shortness of breath (altitude of 3600), dizziness and fatigue.  Limited activity.  Bought smart watch end of August, left to go back home  and could monitor my oxygen level and heart rate.  Noted low oxygen levels sometimes (85%-90%).  Heart rate elevated.  Golfed at home and again had severe shortness of breath, rapid heartbeat (169) and had to quit golf.  Didn't feel well rest of day.  Stayed home in bed and two days later found out I could get an ECG read on my smart watch.  I went to demonstrate the ECG for the first time to my husband and it showed I was in Atrial Fibrillation.   I called my Cardiologist (who I had not seen since last visit over 3 years ago  I have a history of mitral prolapse) and booked an appointment for Sept. 24th, 2021.  At that appointment, Dr ordered a halter monitor for 30 days, an echocardiogram and had an EKG   at office. EKG was normal.  During the 30 day monitoring, I noted rapid heartbeat and shortness of breath at times.  I also noted some low oxygen levels.  Later Dr will note that he reviewed my phone and stated that on October 4th in the late morning hours, I was symptomatic with shortness of breath, dizziness and chest pain and there was evidence for an atrial arrhythmia. The tachycardia appears to have persisted for 40 minutes. Received Booster shot on Oct 6th and had a reaction of a quartersize swelling in left armpit/lymph gland (same arm as injection), fever, fatigue for 2 days.  On Nov. 9th, Dr discussed my results and put me on Cardizem to slow my heart rate down.  To this date, I am experiencing low oxygen and shortness of breath when walking up a hill or exerting myself.   My heartbeat only goes as high as 128 with shortness of breath and I then stop my activity.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Heart rate increased, Illness, Lymphadenopathy, Syncope, Tachycardia
Clinical narrative: AGE 67 at time of adverse event:  After 2nd vaccination, nickel size lump in left armpit/lymph gland.  Sick for 2 days. Fatigue.  Experienced shortness of breath in May 2021, syncope while golfing, very short of breath, rapid heartbeat.  During summer of 2021, regularly experienced shortness of breath (altitude of 3600), dizziness and fatigue.  Limited activity.  Bought smart watch end of August, left to go back home  and could monitor my oxygen level and heart rate.  Noted low oxygen levels sometimes (85%-90%).  Heart rate elevated.  Golfed at home and again had severe shortness of breath, rapid heartbeat (169) and had to quit golf.  Didn't feel well rest of day.  Stayed home in bed and two days later found out I could get an ECG read on my smart watch.  I went to demonstrate the ECG for the first time to my husband and it showed I was in Atrial Fibrillation.   I called my Cardiologist (who I had not seen since last visit over 3 years ago  I have a history of mitral prolapse) and booked an appointment for Sept. 24th, 2021.  At that appointment, Dr ordered a halter monitor for 30 days, an echocardiogram and had an EKG   at office. EKG was normal.  During the 30 day monitoring, I noted rapid heartbeat and shortness of breath at times.  I also noted some low oxygen levels.  Later Dr will note that he reviewed my phone and stated that on October 4th in the late morning hours, I was symptomatic with shortness of breath, dizziness and chest pain and there was evidence for an atrial arrhythmia. The tachycardia appears to have persisted for 40 minutes. Received Booster shot on Oct 6th and had a reaction of a quartersize swelling in left armpit/lymph gland (same arm as injection), fever, fatigue for 2 days.  On Nov. 9th, Dr discussed my results and put me on Cardizem to slow my heart rate down.  To this date, I am experiencing low oxygen and shortness of breath when walking up a hill or exerting myself.   My heartbeat only goes as high as 128 with shortness of breath and I then stop my activity.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 1/2/22 but still given
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Computerised tomogram, Electrocardiogram, Tachycardia
Clinical narrative: Temp 102, uncontrollable chills, tachycardia one day after injection lasted all day and night into hospital stay
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Headache, Nausea
Clinical narrative: I LEFT THE VACCINE FACILITY AND I ONLY GOT ABOUT A MILE AWAY & I STARTED FEELING THIS BURNING & TIGHTNESS IN MY CHEST WHEN I WOULD BREATHE SO I FOUND A PLACE TO SIT DOWN AND I HAD SHORTNESS OF BREATH SO I CONTINUED WALKING THEN WHEN I GOT HOME I WOKE UP IN THE MIDDLE OF THE NIGHT & BOTH OF MY LEGS FELT LIKE THEY WERE FREEZING COLD SO I TURNED ON MY ELECTRIC BLANKET & IT TOOK ABOUT 2 HRS BEFORE THEY FELT WARM I WAS LAID UP IN BED FOR THE NEXT 36 HRS & I JUST RESTED & SLEPT I HAD A HEADACHE FOR MOST OF THE TIME & WAS VERY NAUSEOUS.I CALLED MY DR THE NEXT DAY & WAS TOLD TO MAKE APPT & HE REFERRED ME TO AN ALLERGIST.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral coldness
Clinical narrative: I LEFT THE VACCINE FACILITY AND I ONLY GOT ABOUT A MILE AWAY & I STARTED FEELING THIS BURNING & TIGHTNESS IN MY CHEST WHEN I WOULD BREATHE SO I FOUND A PLACE TO SIT DOWN AND I HAD SHORTNESS OF BREATH SO I CONTINUED WALKING THEN WHEN I GOT HOME I WOKE UP IN THE MIDDLE OF THE NIGHT & BOTH OF MY LEGS FELT LIKE THEY WERE FREEZING COLD SO I TURNED ON MY ELECTRIC BLANKET & IT TOOK ABOUT 2 HRS BEFORE THEY FELT WARM I WAS LAID UP IN BED FOR THE NEXT 36 HRS & I JUST RESTED & SLEPT I HAD A HEADACHE FOR MOST OF THE TIME & WAS VERY NAUSEOUS.I CALLED MY DR THE NEXT DAY & WAS TOLD TO MAKE APPT & HE REFERRED ME TO AN ALLERGIST.
Age: 17.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: Eye swelling, Headache, Ocular hyperaemia
Clinical narrative: Spoke with mom on 01/19/2022 Per mom about 1 hour after leaving the clinic she notice her daughter had redness and swelling around both eyes. Then about 8:00 PM her daughter complained of a headache. Per mom she gave her some Benadryl and that it helped a little bit. On 01/19/2022 per mom has a little redness and swelling around both eyes and continues to have a headache and will give Benadryl and Ibuprofen today.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: Elevated blood pressure for approximately 6 weeks, monitored at home. Went to emergency room as recommended by phone nurse service because BP was over 160. No treatment. Saw family physician shortly after, prescribed 10mg of lisinopril daily.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Migraine, Neuropathy peripheral, Paraesthesia, Skin burning sensation
Clinical narrative: Severe Migraine. May June, June and July- Migraine will come and got but would last 3days each time. I had surgery in August and the migraines came back. Burning of my skin (sheen, skin, scalp) and neuropathy. Tingling and numbness on my face, feet and back -I am still experiencing the tingling and numbness on my face everyday since the vaccination.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Surgery
Clinical narrative: Severe Migraine. May June, June and July- Migraine will come and got but would last 3days each time. I had surgery in August and the migraines came back. Burning of my skin (sheen, skin, scalp) and neuropathy. Tingling and numbness on my face, feet and back -I am still experiencing the tingling and numbness on my face everyday since the vaccination.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccine expired on 1/2/22 but still given
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came in for a scheduled appointment for her COVID-19 booster on 01/17/2022.  Pt was checked-in at register for her appointment. Patient stated she left her CDC card at home and technician notified pharmacist that she had her previous 2 doses at our location. Patient was given the COVID-19 Pfizer vaccine as booster. After administration of the vaccine, patient stated she want a new CDC card. Upon looking up patient's past history of vaccination dates and LOT numbers, I noticed patient's last dose was on 09/18/2021. Patient's booster vaccine was administered one month and a day earlier than the recommended 5 month interval from her second dose. Confirmed with patient that she has no known health condition(s). Notified patient that she received her COVID-19 booster vaccine earlier than the recommended interval. Asked patient for her primary care physician's contact information and whether she would like the pharmacy to contact her physician but patient denied. Told patient to notify her primary care physician also but patient did not seem to want to contact her physician.  Patient left the pharmacy feeling fine.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Angiogram pulmonary normal, Aspartate aminotransferase increased, Asthenia, Atrial fibrillation
Clinical narrative: This is a 82 year old male with a PMH/PSH as noted below. The patient states he was Covid+ about 2 weeks ago and had been at home. He had been weak, tired with cough. Denied SOB. Had poor appetite and intake at home. Stated he had a fever at home. Today he was feeling weaker and tired prompting him to come to the ED for further work up.  In the ED, patient was found to have bilateral infiltrates confirmed by CT scan of chest. Labs noted elevated AST/ALT, WBC was 1.9 with platelet 74, DD 451 with negative CTA for PE, LA 2.23. HR was 109 afib BP stable and saturation 96% on 3l/m. Patient was vaccinated.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, COVID-19, Computerised tomogram thorax abnormal, Condition aggravated, Cough
Clinical narrative: This is a 82 year old male with a PMH/PSH as noted below. The patient states he was Covid+ about 2 weeks ago and had been at home. He had been weak, tired with cough. Denied SOB. Had poor appetite and intake at home. Stated he had a fever at home. Today he was feeling weaker and tired prompting him to come to the ED for further work up.  In the ED, patient was found to have bilateral infiltrates confirmed by CT scan of chest. Labs noted elevated AST/ALT, WBC was 1.9 with platelet 74, DD 451 with negative CTA for PE, LA 2.23. HR was 109 afib BP stable and saturation 96% on 3l/m. Patient was vaccinated.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Fibrin D dimer increased, Hypophagia, Lung infiltration
Clinical narrative: This is a 82 year old male with a PMH/PSH as noted below. The patient states he was Covid+ about 2 weeks ago and had been at home. He had been weak, tired with cough. Denied SOB. Had poor appetite and intake at home. Stated he had a fever at home. Today he was feeling weaker and tired prompting him to come to the ED for further work up.  In the ED, patient was found to have bilateral infiltrates confirmed by CT scan of chest. Labs noted elevated AST/ALT, WBC was 1.9 with platelet 74, DD 451 with negative CTA for PE, LA 2.23. HR was 109 afib BP stable and saturation 96% on 3l/m. Patient was vaccinated.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Pyrexia, SARS-CoV-2 antibody test, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: This is a 82 year old male with a PMH/PSH as noted below. The patient states he was Covid+ about 2 weeks ago and had been at home. He had been weak, tired with cough. Denied SOB. Had poor appetite and intake at home. Stated he had a fever at home. Today he was feeling weaker and tired prompting him to come to the ED for further work up.  In the ED, patient was found to have bilateral infiltrates confirmed by CT scan of chest. Labs noted elevated AST/ALT, WBC was 1.9 with platelet 74, DD 451 with negative CTA for PE, LA 2.23. HR was 109 afib BP stable and saturation 96% on 3l/m. Patient was vaccinated.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: This is a 82 year old male with a PMH/PSH as noted below. The patient states he was Covid+ about 2 weeks ago and had been at home. He had been weak, tired with cough. Denied SOB. Had poor appetite and intake at home. Stated he had a fever at home. Today he was feeling weaker and tired prompting him to come to the ED for further work up.  In the ED, patient was found to have bilateral infiltrates confirmed by CT scan of chest. Labs noted elevated AST/ALT, WBC was 1.9 with platelet 74, DD 451 with negative CTA for PE, LA 2.23. HR was 109 afib BP stable and saturation 96% on 3l/m. Patient was vaccinated.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: patient hospitalized
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial test negative, Blood test, Cardiac imaging procedure abnormal, Chest discomfort, Diarrhoea
Clinical narrative: in description mentioned earlier
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Myocarditis, Nausea, Troponin increased, Viral test negative
Clinical narrative: in description mentioned earlier
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: in description mentioned earlier
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Polymerase chain reaction
Clinical narrative: Acute hypoxic respiratory failure 2/2 COVID-19 pneumonia requiring hospitalization
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Red rash at site of injection, patient monitoring (no pain, itching, etc.)
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: Hives, swelling
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Nausea
Clinical narrative: Dizziness, Nausea.  hypotension.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID-19.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Acute pulmonary oedema, COVID-19, Feeling abnormal, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Felt poorly and admitted for flash pulmonary edema.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diabetic ketoacidosis, Dyspnoea, Intensive care, Laboratory test abnormal
Clinical narrative: Patient is a 44-year-old female with PMHx significant for DM and HTN who presented to the ED due to worsening dyspnea over the past 3 days that acutely worsened last night. Of note, pt tested positive for COVID-19 8 days ago and is s/p vaccination x 2 without a booster. Upon arrival to the ED, the patient was noted to have an SpO2 of 100% on RA, normotensive, and afebrile. Routine labs revealed DKA and she was started on an insulin gtt. She arrives to the ICU in no acute distress breathing comfortably on room air.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is a 44-year-old female with PMHx significant for DM and HTN who presented to the ED due to worsening dyspnea over the past 3 days that acutely worsened last night. Of note, pt tested positive for COVID-19 8 days ago and is s/p vaccination x 2 without a booster. Upon arrival to the ED, the patient was noted to have an SpO2 of 100% on RA, normotensive, and afebrile. Routine labs revealed DKA and she was started on an insulin gtt. She arrives to the ICU in no acute distress breathing comfortably on room air.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Severe sepsis without septic shock. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pruritus, Pruritus, Rash, Tongue pruritus
Clinical narrative: Pruritus with in 15 minutes of injection starting on lips/tongue. progressed to chest, neck and  to peri-orbital. Rash to chest/neck. Treated with Benadryl 50 mg. symptoms resolved in 72 hours.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Condition aggravated, Metamorphopsia, Visual field defect, Vitreous disorder
Clinical narrative: distorted vision in left eye, loss of vision, floaters,  peripheral vision loss and its continued to get worse,  went to eye specialist at Clinic he could not see anything wrong. Doctor who is an ophthalmologist only thing he said was the vitreous had loosened some due to age.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: distorted vision in left eye, loss of vision, floaters,  peripheral vision loss and its continued to get worse,  went to eye specialist at Clinic he could not see anything wrong. Doctor who is an ophthalmologist only thing he said was the vitreous had loosened some due to age.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Chest discomfort, Chest pain, Costochondritis
Clinical narrative: Left Chest pain (Front & Back), Neck Pain to shoulder and chest (Left side), Chest tightness (Difficulty Breathing). I spoke to Doctor and she recommended me to go to the ED. X-ray, Blood work, (Chest) Ultrasound was performed and after that I was diagnosed with Costochondritis and was given lidocaine patches to suppress the pain. Up to this day (01/19/2022) I still experience the same symptoms. No improvement at all.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Ultrasound chest, X-ray
Clinical narrative: Left Chest pain (Front & Back), Neck Pain to shoulder and chest (Left side), Chest tightness (Difficulty Breathing). I spoke to Doctor and she recommended me to go to the ED. X-ray, Blood work, (Chest) Ultrasound was performed and after that I was diagnosed with Costochondritis and was given lidocaine patches to suppress the pain. Up to this day (01/19/2022) I still experience the same symptoms. No improvement at all.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Increased heartrate.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Dizziness a week after the shot, vertigo
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 11.0
Sex: M
Vaccine: COVID19, MNQ, TDAP
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: 12 yr dose of Pfizer given to 11 yr 3 mo old patient. Mistake realized after clinic hours. Discussed with dad about 18 hours after injection. Patient had sore arm, no other symptoms at this time. Educated ad that symptoms may be more severe per CDC. Encouraged him to call with concerns. He verbalized understanding with no further questions or concerns.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 02/13/2021.  75 y/o PMH CAD, DM, Non-Hodgkins lymphoma on Rituxin, Rheumatoid arthritis.  Pt tested positive for Covid 1 week ago and was having high fevers at home.  Pt presented to the ED with c/o worsening SOB, Cough and diarrhea.  Room air sats 88%, placed on O2 at 4L NC, CXR suggests PNA.  Pt started on steroids and Baricitinib and already on hydroxychloroquine.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 02/13/2021.  75 y/o PMH CAD, DM, Non-Hodgkins lymphoma on Rituxin, Rheumatoid arthritis.  Pt tested positive for Covid 1 week ago and was having high fevers at home.  Pt presented to the ED with c/o worsening SOB, Cough and diarrhea.  Room air sats 88%, placed on O2 at 4L NC, CXR suggests PNA.  Pt started on steroids and Baricitinib and already on hydroxychloroquine.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Induration, Laboratory test, Lyme disease, Lymphadenopathy
Clinical narrative: possible reaction to mederna covid booster, started with enlarged lumph glands in left inguinal area. continued to right side, axilary, and chest glands effected, glands are hard and continue to spread, neg for lyme, biopsy was neg for lymphoma, auto immune test neg, all test neg at this point,
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: My daughter had a headache, fever, vomiting, soreness in arm, loss of appetite. Gave her children's Tylenol & Pedialyte.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal lymphadenopathy, Blood immunoglobulin G decreased, Blood immunoglobulin M decreased, Blood potassium increased, COVID-19
Clinical narrative: 91 yr old female from a health care facility , who reports she was walking up her steps today and fell face forward hitting her forehead. However her daughter reports there are no steps in her room she was informed the patient fell in her room. The pt denies any syncopal event it is of note, the pt is forgetful and confused at times. She has a hx of early Dementia,   The pt was transported to the ER, during evaluation she had SB 44 no ST changes. Additionally the pt has hyperkalemia 5.4. A cxr revealed concern for LLL infiltrate therefore a ct of chest was performed. The CT head had no acute ICH. However The ct of chest revealed abnormal with Extensive cervical, axillary, mediastinal, and upper abdominal lymphadenopathy, with soft tissue fullness
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Computerised tomogram thorax abnormal, Confusional state, Electrocardiogram ST segment
Clinical narrative: 91 yr old female from a health care facility , who reports she was walking up her steps today and fell face forward hitting her forehead. However her daughter reports there are no steps in her room she was informed the patient fell in her room. The pt denies any syncopal event it is of note, the pt is forgetful and confused at times. She has a hx of early Dementia,   The pt was transported to the ER, during evaluation she had SB 44 no ST changes. Additionally the pt has hyperkalemia 5.4. A cxr revealed concern for LLL infiltrate therefore a ct of chest was performed. The CT head had no acute ICH. However The ct of chest revealed abnormal with Extensive cervical, axillary, mediastinal, and upper abdominal lymphadenopathy, with soft tissue fullness
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Hyperkalaemia, Lymphadenopathy, Lymphadenopathy mediastinal
Clinical narrative: 91 yr old female from a health care facility , who reports she was walking up her steps today and fell face forward hitting her forehead. However her daughter reports there are no steps in her room she was informed the patient fell in her room. The pt denies any syncopal event it is of note, the pt is forgetful and confused at times. She has a hx of early Dementia,   The pt was transported to the ER, during evaluation she had SB 44 no ST changes. Additionally the pt has hyperkalemia 5.4. A cxr revealed concern for LLL infiltrate therefore a ct of chest was performed. The CT head had no acute ICH. However The ct of chest revealed abnormal with Extensive cervical, axillary, mediastinal, and upper abdominal lymphadenopathy, with soft tissue fullness
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, SARS-CoV-2 test positive, Soft tissue disorder
Clinical narrative: 91 yr old female from a health care facility , who reports she was walking up her steps today and fell face forward hitting her forehead. However her daughter reports there are no steps in her room she was informed the patient fell in her room. The pt denies any syncopal event it is of note, the pt is forgetful and confused at times. She has a hx of early Dementia,   The pt was transported to the ER, during evaluation she had SB 44 no ST changes. Additionally the pt has hyperkalemia 5.4. A cxr revealed concern for LLL infiltrate therefore a ct of chest was performed. The CT head had no acute ICH. However The ct of chest revealed abnormal with Extensive cervical, axillary, mediastinal, and upper abdominal lymphadenopathy, with soft tissue fullness
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Alanine aminotransferase normal, Aspartate aminotransferase increased, Blood alkaline phosphatase normal
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood chloride normal, Blood cholesterol normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood lactic acid increased, Blood potassium normal, Blood sodium decreased, Blood triglycerides normal
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.