chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Septic shock, Skin warm, Somnolence, Tachycardia, Total lung capacity decreased
Clinical narrative: Patient is 6 y.o. female with developmental delay, epilepsy (on ketogenic diet and multiple AEDs), neurogenic bladder with suprapubic catheter in place who is admitted to the PICU due to presumed septic shock and altered mental status.    Patient developed URI symptoms on day prior to presentation with subsequent development of fever and emesis today. Mother was concerned for subclinical seizures given that patient was not as active as she normally is, so administered rescue dose of ativan. Due to persistent fever and lethargy, was brought to ED for evaluation.    In the ED she was febrile and tachycardic. Labs obtained and significant for film array positive for human metapneumovirus. Procal elevated to 0.54 and UA with large LE and 46 WBCs, although this is baseline compared to previous urinalyses. Blood pressure trended down over the course of the ED stay, requiring 3 NS boluses without significant improvement. Admitted to the PICU for further monitoring.    Evaluated upon arrival to PICU. Responds appropriately to stimuli, then falls back asleep. Pupils reactive. Extremities warm and well perfused, cap refill 2-3 seconds. Abdomen soft; suprapubic catheter in place; Contractures of extremities present.     Requires admission to the PICU due to hemodynamic instability from presumed shock and possible subclinical seizure activity.    Plan as follows:    Neuro:   - NCC consulted  - Will place EEG  - Ativan bridge while NPO     CV:  - MAP goal > 55   RS: - 2L NC     FEN/GI:  - ketogenic diet  - NS IVFs  - NPO  - monitor glucoses    ID:  - blood and urine cultures pending  - Ceftazidime  Patient is a 6 y.o. 4 m.o. female with complex PMHx including of recurrent epileptic spasms and perinatal interventricular hemorrhage (requring ketogenic diet and multiple antiepileptic medications), intrauterine drug exposure, global developmental delay, G-tube dependence, and suprapubic catheter with recurrent urinary tract infection who presents today with increased lethargy, fever, vomiting x1 day. Per mother, pt was irritable at school, not tolerating feeds, felt warm. Tmax PTA 101, given tylenol/motrin and rescue ativan with single episode emesis shortly thereafter. Pt has been tired and lethargic all day, normally interactive at baseline. Recent increase in Banzel a few weeks ago. Mother denies diarrhea, rash, sick contacts. Pt had covid 5-6 weeks prior, no monoclonal antibody therapy.   In the ED, pt's blood pressure remained low with systolic pressures in the 70s despite 40cc/kg bolus. Film array positive for metaneumovirus; CBC, CXR unremarkable. Procalcitonin 0.54. Neurology consulted, recommending continuous EEG. Admitted to PICU for further management given continued soft blood pressures.   Admitted from: ED   History was provided by the parent and mother.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound bladder abnormal, Ultrasound kidney abnormal, Upper respiratory tract infection, Urine analysis abnormal, Urine leukocyte esterase positive
Clinical narrative: Patient is 6 y.o. female with developmental delay, epilepsy (on ketogenic diet and multiple AEDs), neurogenic bladder with suprapubic catheter in place who is admitted to the PICU due to presumed septic shock and altered mental status.    Patient developed URI symptoms on day prior to presentation with subsequent development of fever and emesis today. Mother was concerned for subclinical seizures given that patient was not as active as she normally is, so administered rescue dose of ativan. Due to persistent fever and lethargy, was brought to ED for evaluation.    In the ED she was febrile and tachycardic. Labs obtained and significant for film array positive for human metapneumovirus. Procal elevated to 0.54 and UA with large LE and 46 WBCs, although this is baseline compared to previous urinalyses. Blood pressure trended down over the course of the ED stay, requiring 3 NS boluses without significant improvement. Admitted to the PICU for further monitoring.    Evaluated upon arrival to PICU. Responds appropriately to stimuli, then falls back asleep. Pupils reactive. Extremities warm and well perfused, cap refill 2-3 seconds. Abdomen soft; suprapubic catheter in place; Contractures of extremities present.     Requires admission to the PICU due to hemodynamic instability from presumed shock and possible subclinical seizure activity.    Plan as follows:    Neuro:   - NCC consulted  - Will place EEG  - Ativan bridge while NPO     CV:  - MAP goal > 55   RS: - 2L NC     FEN/GI:  - ketogenic diet  - NS IVFs  - NPO  - monitor glucoses    ID:  - blood and urine cultures pending  - Ceftazidime  Patient is a 6 y.o. 4 m.o. female with complex PMHx including of recurrent epileptic spasms and perinatal interventricular hemorrhage (requring ketogenic diet and multiple antiepileptic medications), intrauterine drug exposure, global developmental delay, G-tube dependence, and suprapubic catheter with recurrent urinary tract infection who presents today with increased lethargy, fever, vomiting x1 day. Per mother, pt was irritable at school, not tolerating feeds, felt warm. Tmax PTA 101, given tylenol/motrin and rescue ativan with single episode emesis shortly thereafter. Pt has been tired and lethargic all day, normally interactive at baseline. Recent increase in Banzel a few weeks ago. Mother denies diarrhea, rash, sick contacts. Pt had covid 5-6 weeks prior, no monoclonal antibody therapy.   In the ED, pt's blood pressure remained low with systolic pressures in the 70s despite 40cc/kg bolus. Film array positive for metaneumovirus; CBC, CXR unremarkable. Procalcitonin 0.54. Neurology consulted, recommending continuous EEG. Admitted to PICU for further management given continued soft blood pressures.   Admitted from: ED   History was provided by the parent and mother.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cells urine positive
Clinical narrative: Patient is 6 y.o. female with developmental delay, epilepsy (on ketogenic diet and multiple AEDs), neurogenic bladder with suprapubic catheter in place who is admitted to the PICU due to presumed septic shock and altered mental status.    Patient developed URI symptoms on day prior to presentation with subsequent development of fever and emesis today. Mother was concerned for subclinical seizures given that patient was not as active as she normally is, so administered rescue dose of ativan. Due to persistent fever and lethargy, was brought to ED for evaluation.    In the ED she was febrile and tachycardic. Labs obtained and significant for film array positive for human metapneumovirus. Procal elevated to 0.54 and UA with large LE and 46 WBCs, although this is baseline compared to previous urinalyses. Blood pressure trended down over the course of the ED stay, requiring 3 NS boluses without significant improvement. Admitted to the PICU for further monitoring.    Evaluated upon arrival to PICU. Responds appropriately to stimuli, then falls back asleep. Pupils reactive. Extremities warm and well perfused, cap refill 2-3 seconds. Abdomen soft; suprapubic catheter in place; Contractures of extremities present.     Requires admission to the PICU due to hemodynamic instability from presumed shock and possible subclinical seizure activity.    Plan as follows:    Neuro:   - NCC consulted  - Will place EEG  - Ativan bridge while NPO     CV:  - MAP goal > 55   RS: - 2L NC     FEN/GI:  - ketogenic diet  - NS IVFs  - NPO  - monitor glucoses    ID:  - blood and urine cultures pending  - Ceftazidime  Patient is a 6 y.o. 4 m.o. female with complex PMHx including of recurrent epileptic spasms and perinatal interventricular hemorrhage (requring ketogenic diet and multiple antiepileptic medications), intrauterine drug exposure, global developmental delay, G-tube dependence, and suprapubic catheter with recurrent urinary tract infection who presents today with increased lethargy, fever, vomiting x1 day. Per mother, pt was irritable at school, not tolerating feeds, felt warm. Tmax PTA 101, given tylenol/motrin and rescue ativan with single episode emesis shortly thereafter. Pt has been tired and lethargic all day, normally interactive at baseline. Recent increase in Banzel a few weeks ago. Mother denies diarrhea, rash, sick contacts. Pt had covid 5-6 weeks prior, no monoclonal antibody therapy.   In the ED, pt's blood pressure remained low with systolic pressures in the 70s despite 40cc/kg bolus. Film array positive for metaneumovirus; CBC, CXR unremarkable. Procalcitonin 0.54. Neurology consulted, recommending continuous EEG. Admitted to PICU for further management given continued soft blood pressures.   Admitted from: ED   History was provided by the parent and mother.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Gait disturbance, Gastric disorder
Clinical narrative: Tremors, allergies, headaches, rashes and diagnosed with mast cell activation syndrome.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypersensitivity, Mast cell activation syndrome, Myalgia, Rash
Clinical narrative: Tremors, allergies, headaches, rashes and diagnosed with mast cell activation syndrome.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Urticaria
Clinical narrative: Tremors, allergies, headaches, rashes and diagnosed with mast cell activation syndrome.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Fatigue, Headache, Impaired work ability, Investigation
Clinical narrative: About 12 hours after the booster I started with a fever and that lasted 18 hours. I I had a lot of fatigue, slight headache much better than the 2nd dose. Fever resolved in a day and then the fatigue and general feeling unwell lasted for weeks. I thought it was a flare of my chronic stuff so I waited a while. I had a lot of memory issues, at work I could not remember faces, details that come pretty naturally to me. I couldn't pull anything from my memory at all, if I didn't write it down I did not remember it at all. I was easily overstimulated. I took a couple of days off work when symptoms were really intense. Feb 2nd I went to see the doctor. I was actively exposed to COVID when I received the booster shot - family members during the holiday, all unmasked. Exposure was about 3 times, unmasked for longer duration than 15 minutes. I didn't know I was exposed until after. I never tested positive for COVID with home tests I did a couple of times. I had no symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Memory impairment, Pyrexia, SARS-CoV-2 test negative, Sensory disturbance
Clinical narrative: About 12 hours after the booster I started with a fever and that lasted 18 hours. I I had a lot of fatigue, slight headache much better than the 2nd dose. Fever resolved in a day and then the fatigue and general feeling unwell lasted for weeks. I thought it was a flare of my chronic stuff so I waited a while. I had a lot of memory issues, at work I could not remember faces, details that come pretty naturally to me. I couldn't pull anything from my memory at all, if I didn't write it down I did not remember it at all. I was easily overstimulated. I took a couple of days off work when symptoms were really intense. Feb 2nd I went to see the doctor. I was actively exposed to COVID when I received the booster shot - family members during the holiday, all unmasked. Exposure was about 3 times, unmasked for longer duration than 15 minutes. I didn't know I was exposed until after. I never tested positive for COVID with home tests I did a couple of times. I had no symptoms.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Rhinorrhoea
Clinical narrative: Hospital admission with covid 19 nasal drainage only, for daily observation due to need for daily observations, caregiver also with COVID 19
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pt received x3 doses of covid vaccine and was admitted to the hospital o 3/24/22 with covid and died on 3/25.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: My arm has hurt at the injection site since I got the shot. A sharp pain run down my arm almost to my elbow.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Arthralgia, Lymphadenopathy, Peripheral swelling
Clinical narrative: Swollen arm and lymph  node. Shoulder tenderness
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Extra dose administered, Hypoxia
Clinical narrative: KNOWN HOME EXPOSURE TO COVID, PRESENTED WITH HYPOXIA
Age: 17.0
Sex: M
Vaccine: HPV9
Symptoms: Arthralgia, Swelling, Tenderness
Clinical narrative: Tender, swelling area, shoulder pain.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Psoriasis
Clinical narrative: Psoriasis.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Admitted to hospital with breakthrough COVID-19 infection.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: fever, body aches, bad cough that lasted for weeks myself ( wife ) still has a lingering cough, not a dry cough as initially experienced
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Urticaria
Clinical narrative: Severe hives covering entire body from head to toe.   Received shot on Wednesday around 1:00 . Woke up on Thursday with usual side effects ( body pain , fatigue )   Woke up on Friday with severe hives
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital for positive COVID result 3/24/22 despite being fully vaccinated including booster.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Death, Dyspepsia, Metastases to liver, Small cell carcinoma
Clinical narrative: see previous field. SMALL CELL CARCINOMA - METESTIZED TO LIVER
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Muscle twitching
Clinical narrative: I experienced weakness, dizziness, muscle quivering, headache, vertigo, fatigue, nausea and exhaustion.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: I experienced weakness, dizziness, muscle quivering, headache, vertigo, fatigue, nausea and exhaustion.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Decreased appetite, Ear infection
Clinical narrative: Starting 01/29/2022, I had scratchy throat, stuffy nose, some coughing, headache, muscle aches, low grade fever and fatigue. I did not lose my sense of taste or smell but food did not interest me for bout 5 days. It just felt like a bad cold. I saw my doctor and followed up at an urgent care was diagnosed with flue and COVID at the same time. I was prescribed Tamiflu. After the 5 days I was feeling better. About a week after my COVID test I got an ear infection as well. But, I have had ear infections my whole life.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza, Influenza virus test positive, Myalgia
Clinical narrative: Starting 01/29/2022, I had scratchy throat, stuffy nose, some coughing, headache, muscle aches, low grade fever and fatigue. I did not lose my sense of taste or smell but food did not interest me for bout 5 days. It just felt like a bad cold. I saw my doctor and followed up at an urgent care was diagnosed with flue and COVID at the same time. I was prescribed Tamiflu. After the 5 days I was feeling better. About a week after my COVID test I got an ear infection as well. But, I have had ear infections my whole life.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Starting 01/29/2022, I had scratchy throat, stuffy nose, some coughing, headache, muscle aches, low grade fever and fatigue. I did not lose my sense of taste or smell but food did not interest me for bout 5 days. It just felt like a bad cold. I saw my doctor and followed up at an urgent care was diagnosed with flue and COVID at the same time. I was prescribed Tamiflu. After the 5 days I was feeling better. About a week after my COVID test I got an ear infection as well. But, I have had ear infections my whole life.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose, Chills, Decreased appetite, Feeling abnormal, Glycosylated haemoglobin increased
Clinical narrative: He got his vaccine, he got it, came home and had chills on Saturday the whole night and day. No appetite, fever. On Monday he started feeling better and back to normal. He went for his routine blood work and that showed his kidney function was dropping protein, and his A1C was higher than it had been. Then he received his 2nd vaccine on 4/7/21 and his A1C was continuing to be high. He had routine blood work and his A1C continued to be high, and other blood work showed that he was still dropping protein.  He was not given any recommendations and told him that he had to go on a strict diet which he had already been doing, and was eating and drinking the same way. He asked the doctor why was it happening, and he mentioned that he got the vaccine, and the doctor informed him that maybe it could be related to the vaccine. His A1C was 8.7 on 2/10/22. Subsequent vaccines: Moderna, 4/7/21 left arm, Lot#040B21A, and 12/8/21, right arm A19E1A.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Laboratory test, Pyrexia
Clinical narrative: He got his vaccine, he got it, came home and had chills on Saturday the whole night and day. No appetite, fever. On Monday he started feeling better and back to normal. He went for his routine blood work and that showed his kidney function was dropping protein, and his A1C was higher than it had been. Then he received his 2nd vaccine on 4/7/21 and his A1C was continuing to be high. He had routine blood work and his A1C continued to be high, and other blood work showed that he was still dropping protein.  He was not given any recommendations and told him that he had to go on a strict diet which he had already been doing, and was eating and drinking the same way. He asked the doctor why was it happening, and he mentioned that he got the vaccine, and the doctor informed him that maybe it could be related to the vaccine. His A1C was 8.7 on 2/10/22. Subsequent vaccines: Moderna, 4/7/21 left arm, Lot#040B21A, and 12/8/21, right arm A19E1A.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: no symptoms for me, just my wie
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Retinal artery occlusion
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for acute visual loss/retinal artery occlusion within 6 weeks of receiving covid vaccination.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Nasal congestion
Clinical narrative: Fever, chills, shortness of breath, cough, nasal congestion, body aches and chills, fatigue.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, chills, shortness of breath, cough, nasal congestion, body aches and chills, fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dehydration, Fatigue
Clinical narrative: Hospitalized due to weakness, fatigue, dehydration, myalgia, sore throat and cough in the setting of positive COVID-19 (diagnosed 3/21). Uses wheelchair and walker for mobility at home. Due to weakness unable to care for self. Mild COVID-19 (no treatment prescribed). Received monoclonal antibodies 3/23/2022.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired self-care, Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Hospitalized due to weakness, fatigue, dehydration, myalgia, sore throat and cough in the setting of positive COVID-19 (diagnosed 3/21). Uses wheelchair and walker for mobility at home. Due to weakness unable to care for self. Mild COVID-19 (no treatment prescribed). Received monoclonal antibodies 3/23/2022.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization within 6 weeks of COVID vaccination.
Age: 12.0
Sex: F
Vaccine: DTAP, FLU4, HPV9, MNQ
Symptoms: Incorrect dose administered
Clinical narrative: wrong  DTAP/DT given for 12 yr age group. pt received DTAP (Infanrax), was advised to be given tdap (boostrix).
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Erythema, Nail discolouration, Nail hypertrophy, Peripheral swelling
Clinical narrative: My toes swelled, turned red, red spots and sores emerged on the bottom of all of my toes.  Lunula, moon shape on toenail, discolored turning bright red and continues to grow out red, and the rest of the toenail blanched white with red streaks.  It began mid January 2022 about three weeks after the third dose of vaccine, booster.  I consulted my primary care physician who didn't know what it was, but said I had sausage toes.  I went my dermatologist who didn't know what it was, and gave my antifungus cream because my nails were slightly thickened.  Both well regarded doctors.  I finally went to a podiatrist in another area who Dx chilblains and prescribed Betamethasone.  After three weeks of treatment the symptoms have diminished by 50%.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Skin wound
Clinical narrative: My toes swelled, turned red, red spots and sores emerged on the bottom of all of my toes.  Lunula, moon shape on toenail, discolored turning bright red and continues to grow out red, and the rest of the toenail blanched white with red streaks.  It began mid January 2022 about three weeks after the third dose of vaccine, booster.  I consulted my primary care physician who didn't know what it was, but said I had sausage toes.  I went my dermatologist who didn't know what it was, and gave my antifungus cream because my nails were slightly thickened.  Both well regarded doctors.  I finally went to a podiatrist in another area who Dx chilblains and prescribed Betamethasone.  After three weeks of treatment the symptoms have diminished by 50%.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral thrombosis, Cerebrovascular accident, Death, Paralysis
Clinical narrative: Blood clot to the brain resulting in massive stroke at home.   Suffered immediate paralysis from the neck down.  Bounced from hospital to nursing home to hospital over the next 3 months.  Never recovered from the paralysis or returned home.   Passed away from stroke complications on July 29, 2021.     Our mom, (VAERS ID# 1114718, ereport # 366759) also passed away approximately 30 days after her Janssen covid vaccination on 3/17/21.  She suffered a blood clot to the heart and died at home from a massive heart attack.   My mom and brother were vaccinated in March 2021 and both suffered catastrophic health events one month later in April 2021.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Death, Dyspnoea, Intensive care
Clinical narrative: pt presents to hosp with worsening SOB; had a positive COVID test 3 days before hosp admission; treated with dexamethasone, remdesivir, heparin drip; O2 supplementation (BiPAP); transferred to ICU; DNR/DNI; respiratory status worsened and pt passed away in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: pt presents to hosp with worsening SOB; had a positive COVID test 3 days before hosp admission; treated with dexamethasone, remdesivir, heparin drip; O2 supplementation (BiPAP); transferred to ICU; DNR/DNI; respiratory status worsened and pt passed away in the hospital
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmic herpes zoster
Clinical narrative: Shingles in eye
Age: 21.0
Sex: F
Vaccine: TD
Symptoms: Lip swelling, Pharyngeal swelling, Urticaria
Clinical narrative: Severe urticaria covering legs and trunk, swelling of the lips and throat
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Hypersensitivity, Pyrexia
Clinical narrative: 1/12/2022 Severe allergy symptoms, scratchy throat , sneezing, cough. Also had a headache off and on. A fever that lasted 2 weeks. Had to work from home because of fever, not allowed to go into office. Tested positive for COVID.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing, Throat irritation
Clinical narrative: 1/12/2022 Severe allergy symptoms, scratchy throat , sneezing, cough. Also had a headache off and on. A fever that lasted 2 weeks. Had to work from home because of fever, not allowed to go into office. Tested positive for COVID.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fall, Inappropriate schedule of product administration, Positive airway pressure therapy
Clinical narrative: Hospitalized with falls, cough x 5 days, O2 sats 90% new requirement of O2,  Remdesivir and dexamethasone, CPAP with 2 L O2, look for SNF placement
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Head discomfort, Headache, Pain, Pyrexia
Clinical narrative: 3/25/2022 at 0911 Employee called the Nurse Vaccine Support line to report symptoms post COVID-19 booster vaccine. Vaccine Name - Pfizer Vaccine Date - 3/23/2022 Booster Dose - Yes Location - Left Deltoid Date of Symptom Onset - 3/24/2022 Symptoms - Chills, Headache (Head feels heavy), Body aches, Fever (TMax 103.1F today at 0600) Last Day of Work and Shift - 3/23/2022  Home Remedies - Motrin 600 mg alternating with Tylenol 1000 mg (Last dose today 0600) Any Improvement - No (Body aches and Fever continue)
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal cavity drainage, Abdominal distension, Acute kidney injury, Anticoagulant therapy, Ascites
Clinical narrative: Presented to ER with coughing and dyspnea, Abdominal swelling d/t ascites with chronic leg edema.  Initially admitted for COVID-19 PNA and AKI on CKD.  Started therapeutic dose Lovenox, and IV fluids.  Telemetry reported 3rd degree heart clock with a HR in 40's, repeat EKG showed Mobitz, type 1.  VQ scan inconclusive for PE, Echo showed preserved EF and no structural abnormalities.  Patient also found to have a UTI, started on meropenem.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block complete, Atrioventricular block second degree, Blood creatinine increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Presented to ER with coughing and dyspnea, Abdominal swelling d/t ascites with chronic leg edema.  Initially admitted for COVID-19 PNA and AKI on CKD.  Started therapeutic dose Lovenox, and IV fluids.  Telemetry reported 3rd degree heart clock with a HR in 40's, repeat EKG showed Mobitz, type 1.  VQ scan inconclusive for PE, Echo showed preserved EF and no structural abnormalities.  Patient also found to have a UTI, started on meropenem.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac telemetry abnormal, Chest X-ray abnormal, Chronic kidney disease, Cough, Dyspnoea
Clinical narrative: Presented to ER with coughing and dyspnea, Abdominal swelling d/t ascites with chronic leg edema.  Initially admitted for COVID-19 PNA and AKI on CKD.  Started therapeutic dose Lovenox, and IV fluids.  Telemetry reported 3rd degree heart clock with a HR in 40's, repeat EKG showed Mobitz, type 1.  VQ scan inconclusive for PE, Echo showed preserved EF and no structural abnormalities.  Patient also found to have a UTI, started on meropenem.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction, Electrocardiogram ST-T change, Electrocardiogram abnormal, Fibrin D dimer
Clinical narrative: Presented to ER with coughing and dyspnea, Abdominal swelling d/t ascites with chronic leg edema.  Initially admitted for COVID-19 PNA and AKI on CKD.  Started therapeutic dose Lovenox, and IV fluids.  Telemetry reported 3rd degree heart clock with a HR in 40's, repeat EKG showed Mobitz, type 1.  VQ scan inconclusive for PE, Echo showed preserved EF and no structural abnormalities.  Patient also found to have a UTI, started on meropenem.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Mitral valve calcification, Mitral valve incompetence, Oedema peripheral, Platelet count decreased, Poor peripheral circulation
Clinical narrative: Presented to ER with coughing and dyspnea, Abdominal swelling d/t ascites with chronic leg edema.  Initially admitted for COVID-19 PNA and AKI on CKD.  Started therapeutic dose Lovenox, and IV fluids.  Telemetry reported 3rd degree heart clock with a HR in 40's, repeat EKG showed Mobitz, type 1.  VQ scan inconclusive for PE, Echo showed preserved EF and no structural abnormalities.  Patient also found to have a UTI, started on meropenem.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Prohormone brain natriuretic peptide increased, SARS-CoV-2 test positive, Sinus bradycardia, Troponin increased, Urinary tract infection
Clinical narrative: Presented to ER with coughing and dyspnea, Abdominal swelling d/t ascites with chronic leg edema.  Initially admitted for COVID-19 PNA and AKI on CKD.  Started therapeutic dose Lovenox, and IV fluids.  Telemetry reported 3rd degree heart clock with a HR in 40's, repeat EKG showed Mobitz, type 1.  VQ scan inconclusive for PE, Echo showed preserved EF and no structural abnormalities.  Patient also found to have a UTI, started on meropenem.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Ventilation/perfusion scan abnormal, White blood cell count decreased
Clinical narrative: Presented to ER with coughing and dyspnea, Abdominal swelling d/t ascites with chronic leg edema.  Initially admitted for COVID-19 PNA and AKI on CKD.  Started therapeutic dose Lovenox, and IV fluids.  Telemetry reported 3rd degree heart clock with a HR in 40's, repeat EKG showed Mobitz, type 1.  VQ scan inconclusive for PE, Echo showed preserved EF and no structural abnormalities.  Patient also found to have a UTI, started on meropenem.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Electrocardiogram, Interchange of vaccine products, Nausea
Clinical narrative: Here at  booster clinic, first vaccine was J&J over 8 months ago. Today requested Pfizer for his booster. Within 10 minutes of the vaccination he developed nausea, lightheadedness, and chest tightness. Wheeled down to the ED from the vaccination clinic that was running.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: pt lives in nursing home with hospice; actively dying when she had a positive test for COVID; pt passed away the day after the test being positive
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Blood creatinine abnormal, Blood lactic acid, Confusional state, Positive airway pressure therapy
Clinical narrative: Sudden onset of confusion.  Treated for urosepsis.  WBC went from 19.1 down to 12.0.  Creatinine normalized.  Lactate normalized. 3/23 pt. became acutely agitated, requiring sedation, developed respiratory acidosis.  No improvement with Bipap, responded to Lasix. No improvement and transitioned to comfort care
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory acidosis, Urosepsis, White blood cell count increased
Clinical narrative: Sudden onset of confusion.  Treated for urosepsis.  WBC went from 19.1 down to 12.0.  Creatinine normalized.  Lactate normalized. 3/23 pt. became acutely agitated, requiring sedation, developed respiratory acidosis.  No improvement with Bipap, responded to Lasix. No improvement and transitioned to comfort care
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Exposure to SARS-CoV-2, Feeling abnormal
Clinical narrative: 12/20/21 I had pneumonia and was being treated for that at home had not left the house. I was starting to feel better but still with a cough, I was exposed through my family members on Jan 3rd. Jan 7th I wasn't feeling well and took a Covid home test and it was positive. I got a pcr test done at pharmacy and notified Jan 10th that it was positive. Jan 17th I got the antibody treatment. I was told to wait 4 months before getting the booster with covid I started having different breathing problems from when I had pneumonia, which was shortness of breath and had to nebulizer.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pneumonia, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: 12/20/21 I had pneumonia and was being treated for that at home had not left the house. I was starting to feel better but still with a cough, I was exposed through my family members on Jan 3rd. Jan 7th I wasn't feeling well and took a Covid home test and it was positive. I got a pcr test done at pharmacy and notified Jan 10th that it was positive. Jan 17th I got the antibody treatment. I was told to wait 4 months before getting the booster with covid I started having different breathing problems from when I had pneumonia, which was shortness of breath and had to nebulizer.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Endotracheal intubation, General physical health deterioration, Haemofiltration, Hypervolaemia, Infection
Clinical narrative: Initially developed  lesions presumed to be warts primarily on L knee but also on other areas of his body (R wrist, torso) 3-4 weeks after vaccination which tested positive for vaccine-strain varicella by PCR with concern for superimposed bacterial infection. ~6 weeks after vaccination, presented to ED for worsening of the lesions, and began treatment for varicella. Developed respiratory failure requiring intubation and renal failure requiring CRRT, both of which he remains on today. Unclear whether his clinical deterioration was more related to infection vs nephrotoxic therapy leading to fluid overload in a patient with underlying DKC.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Renal failure, Respiratory failure, Skin lesion, Skin papilloma, Varicella
Clinical narrative: Initially developed  lesions presumed to be warts primarily on L knee but also on other areas of his body (R wrist, torso) 3-4 weeks after vaccination which tested positive for vaccine-strain varicella by PCR with concern for superimposed bacterial infection. ~6 weeks after vaccination, presented to ED for worsening of the lesions, and began treatment for varicella. Developed respiratory failure requiring intubation and renal failure requiring CRRT, both of which he remains on today. Unclear whether his clinical deterioration was more related to infection vs nephrotoxic therapy leading to fluid overload in a patient with underlying DKC.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella virus test positive, Viral test
Clinical narrative: Initially developed  lesions presumed to be warts primarily on L knee but also on other areas of his body (R wrist, torso) 3-4 weeks after vaccination which tested positive for vaccine-strain varicella by PCR with concern for superimposed bacterial infection. ~6 weeks after vaccination, presented to ED for worsening of the lesions, and began treatment for varicella. Developed respiratory failure requiring intubation and renal failure requiring CRRT, both of which he remains on today. Unclear whether his clinical deterioration was more related to infection vs nephrotoxic therapy leading to fluid overload in a patient with underlying DKC.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Foetal death, Foetal hypokinesia, Infection, Laboratory test abnormal
Clinical narrative: My son was due February 4th, 2022. I received my second dose of the vaccine September 23rd. My pregnancy had no complications up until that point. A couple weeks after the vaccine, I began to notice slowed movement of the baby. This was checked several times by a health care provided, and when they heard a heartbeat, they sent me on my way.   The morning of October 17th, I woke up and my body was severely swollen, from hands to feet, and over the course of that weekend, I had gained at least 5 pounds. When I discussed this later with my doctor, they said people experienced swelling during pregnancy, but to me, this seemed (and now I know my maternal instinct was right) to be too drastic for normal pregnancy swelling.    By the last weekend in October, there was no movement, and when I followed up with my doctor on Monday, November 1st, the child was dead. No one has been able to give a firm answer as to the cause of the death.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling, Weight increased
Clinical narrative: My son was due February 4th, 2022. I received my second dose of the vaccine September 23rd. My pregnancy had no complications up until that point. A couple weeks after the vaccine, I began to notice slowed movement of the baby. This was checked several times by a health care provided, and when they heard a heartbeat, they sent me on my way.   The morning of October 17th, I woke up and my body was severely swollen, from hands to feet, and over the course of that weekend, I had gained at least 5 pounds. When I discussed this later with my doctor, they said people experienced swelling during pregnancy, but to me, this seemed (and now I know my maternal instinct was right) to be too drastic for normal pregnancy swelling.    By the last weekend in October, there was no movement, and when I followed up with my doctor on Monday, November 1st, the child was dead. No one has been able to give a firm answer as to the cause of the death.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Oxygen therapy, Pyrexia
Clinical narrative: Fever 101.5 controlled with regimen of tylenol and ibuprofen.    Oxygen saturation lowered to 85 upon waking up at 430 am, was able to control with oxygen here at home and able to maintain at 97 throughout the day with continuous use of oxygen concentrator setting at 5 liters. I am currently on oxygen from previous  bilateral COVID-19 pneumonia infection from January 2022. Lungs have not completely restored to pre-covid. Before vaccine only needed oxygen after physical exertion and o2 was at 98 while resting without the oxygen.
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Chest pain
Clinical narrative: At 3:00 am I woke up with chest pain that would not resolve despite repositioning or taking NSAIDS. I felt like every time my heart would squeeze, I would feel a burning and sharp pain in my chest. After 1 week it subsided and got better.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Respiratory distress
Clinical narrative: Hx of Covid-19, was hospitalized on 12/23/2021 with Respiratory distress, had been at LTC d/t recent stroke.  Put under Hospice Care.
Age: 62.0
Sex: F
Vaccine: FLUC4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received flu vaccine 10/21/21 in fast track clinic. Patient then received this vaccine 1/27/2022. Did not need another vaccine until next flu season
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Death, Diarrhoea
Clinical narrative: pt presents to ED with c/o fever and diarrhea; COVID test positive in ED; ABX given; inhalers; admitted; COVID PNA; hypoxic respiratory failure; transferred to ICU; O2 supplementation; encephalopathy; vasopressors for shock; acute renal failure - hemodialysis; pt's condition continued to worsened; transitioned to comfort care and pt passed away in the hospital
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Encephalopathy, General physical health deterioration, Haemodialysis, Intensive care, Pyrexia
Clinical narrative: pt presents to ED with c/o fever and diarrhea; COVID test positive in ED; ABX given; inhalers; admitted; COVID PNA; hypoxic respiratory failure; transferred to ICU; O2 supplementation; encephalopathy; vasopressors for shock; acute renal failure - hemodialysis; pt's condition continued to worsened; transitioned to comfort care and pt passed away in the hospital
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Shock
Clinical narrative: pt presents to ED with c/o fever and diarrhea; COVID test positive in ED; ABX given; inhalers; admitted; COVID PNA; hypoxic respiratory failure; transferred to ICU; O2 supplementation; encephalopathy; vasopressors for shock; acute renal failure - hemodialysis; pt's condition continued to worsened; transitioned to comfort care and pt passed away in the hospital
Age: 8.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED OUT OF TEMPERATURE RANGE.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Femur fracture
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for left femur fracture within 6 weeks of receiving covid vaccination.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administration error
Clinical narrative: Patient was here for her Moderna booster 0.25ml IM but received Moderna 0.5ml IM. Patient was notified and did not have an adverse event related to the error
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Pruritus, Rash, Urticaria
Clinical narrative: Severe Rash, Welts, Itching, Blisters
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on back of legs to begin. Subsequent spots were arms and legs. Rash got considerably worse after boost in November.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED OUT OF TEMPERATURE RANGE.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Eructation, Fatigue, Injection site pain, Pain
Clinical narrative: 3/25/2022 at 1015 Employee called the Nurse Vaccine Support line to report symptoms post COVID-19 booster vaccine. Vaccine Name - Pfizer Vaccine Date - 3/24/2022 Booster Dose - Yes Location - Left Deltoid Date of Symptom Onset - 3/25/2022 (~0200) Symptoms - Feeling Tired, Body aches, Belching continuously, Injection Site Pain Last Day of Work and Shift - 3/24/2022 (7a - 3p) Home Remedies - Ibuprofen 600 mg x2 today (0200 & 1000), Cold Compress to Injection Site Any Improvement - Yes (Body aches/Pain). Tiredness continues.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was to get Moderna booster 0.25ml and received Moderna 0.5ml. Patient notified. Has no adverse effects
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Cardio-respiratory arrest, Chest pain, Cough
Clinical narrative: SICK ON 1-31-22 WITH SORE THROAT, SOB, CHEST PAIN, COUGH, NASEL CONGESTION, PNEUMONIA. TESTED POSITIVE FOR COVID-19 IN THE ER BY PCR ON 2-4-22. ADMITTED TO HOSPITAL 2-4-22. DIED 2-20-22 AT 0150 HOURS.  C.O.D.  CARDIOPULMONARY ARREST, SEVER ADULY RESPIRATORY SYNDROME, COVID-19 INFECTION
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Enteral nutrition, Illness, Intensive care
Clinical narrative: SICK ON 1-31-22 WITH SORE THROAT, SOB, CHEST PAIN, COUGH, NASEL CONGESTION, PNEUMONIA. TESTED POSITIVE FOR COVID-19 IN THE ER BY PCR ON 2-4-22. ADMITTED TO HOSPITAL 2-4-22. DIED 2-20-22 AT 0150 HOURS.  C.O.D.  CARDIOPULMONARY ARREST, SEVER ADULY RESPIRATORY SYNDROME, COVID-19 INFECTION
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Mechanical ventilation, Nasal congestion, Oropharyngeal pain, Pneumonia
Clinical narrative: SICK ON 1-31-22 WITH SORE THROAT, SOB, CHEST PAIN, COUGH, NASEL CONGESTION, PNEUMONIA. TESTED POSITIVE FOR COVID-19 IN THE ER BY PCR ON 2-4-22. ADMITTED TO HOSPITAL 2-4-22. DIED 2-20-22 AT 0150 HOURS.  C.O.D.  CARDIOPULMONARY ARREST, SEVER ADULY RESPIRATORY SYNDROME, COVID-19 INFECTION
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: SICK ON 1-31-22 WITH SORE THROAT, SOB, CHEST PAIN, COUGH, NASEL CONGESTION, PNEUMONIA. TESTED POSITIVE FOR COVID-19 IN THE ER BY PCR ON 2-4-22. ADMITTED TO HOSPITAL 2-4-22. DIED 2-20-22 AT 0150 HOURS.  C.O.D.  CARDIOPULMONARY ARREST, SEVER ADULY RESPIRATORY SYNDROME, COVID-19 INFECTION
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for covid 19 within 6 weeks of receiving covid vaccination.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Loss of consciousness
Clinical narrative: After patient's wait time post vaccine, he passed out in the parking lot.  Ambulance was called and taken to hospital where he came to.  Stated that his blood sugar was extremely low, in the 20s.  Was in the hospital for 4-5 days because they could not get his sugar under control.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Rash, Urticaria
Clinical narrative: Rash to face, arms, trunk, urticaria
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: expired vaccine given
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired Vaccine Given
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Arteriosclerosis, Arthropathy, Asthenia, Bronchial secretion retention
Clinical narrative: Patient is a 83 y.o. male who presents today with cough, fatigue and shortness of breath.  Patient was ill with upper respiratory infection type symptoms on March 11, 2022.  Patient tested positive for COVID-19.  Patient was being treated with vitamin-C, aspirin and doxycycline.  Patient states that he continues to worsen.  Patient presented to the emergency department tachypneic with room air saturation of 84%.  He appeared to be in acute, moderate respiratory distress on arrival.  No objective fever or chills.  No nausea, vomiting or diarrhea reported.  No abdominal pain, rash or lower extremity swelling.  No focal neuro deficit.  GCS 15.  Patient has frequent nonproductive cough.  Patient is vaccinated against COVID-19 and also had a booster.  It appears to be a breakthrough case.  Patient vital signs are otherwise stable.  No evidence of acute sepsis.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchial wall thickening, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cholelithiasis
Clinical narrative: Patient is a 83 y.o. male who presents today with cough, fatigue and shortness of breath.  Patient was ill with upper respiratory infection type symptoms on March 11, 2022.  Patient tested positive for COVID-19.  Patient was being treated with vitamin-C, aspirin and doxycycline.  Patient states that he continues to worsen.  Patient presented to the emergency department tachypneic with room air saturation of 84%.  He appeared to be in acute, moderate respiratory distress on arrival.  No objective fever or chills.  No nausea, vomiting or diarrhea reported.  No abdominal pain, rash or lower extremity swelling.  No focal neuro deficit.  GCS 15.  Patient has frequent nonproductive cough.  Patient is vaccinated against COVID-19 and also had a booster.  It appears to be a breakthrough case.  Patient vital signs are otherwise stable.  No evidence of acute sepsis.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Coma scale, Cough, Diffuse idiopathic skeletal hyperostosis, Dyspnoea, Fatigue
Clinical narrative: Patient is a 83 y.o. male who presents today with cough, fatigue and shortness of breath.  Patient was ill with upper respiratory infection type symptoms on March 11, 2022.  Patient tested positive for COVID-19.  Patient was being treated with vitamin-C, aspirin and doxycycline.  Patient states that he continues to worsen.  Patient presented to the emergency department tachypneic with room air saturation of 84%.  He appeared to be in acute, moderate respiratory distress on arrival.  No objective fever or chills.  No nausea, vomiting or diarrhea reported.  No abdominal pain, rash or lower extremity swelling.  No focal neuro deficit.  GCS 15.  Patient has frequent nonproductive cough.  Patient is vaccinated against COVID-19 and also had a booster.  It appears to be a breakthrough case.  Patient vital signs are otherwise stable.  No evidence of acute sepsis.