chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Renal function test normal, Respiratory syncytial virus test negative, Rotavirus test negative, SARS-CoV-2 test negative, Salmonella test negative
Clinical narrative: Patient had COVID-19 in November of 2020 and "never quite felt right" afterwards. But no real breathing issues that he noticed, though does not exercise. Most active thing he does is walk around and water plants at work. He developed heart failure symptoms starting 4 days after his 2nd Moderna shot in August of 2021.  He was treated for pneumonia at Urgent Treatment Center twice, in September and October, without relief of symptoms. His symptoms worsened until he presented to Hospital with overt orthopnea, PND and 20 lb weight gain  on November 16, 2021. He has not had fever or other infectious symptoms recently. No recent travel history, works growing marijuana but does not ingest it regularly, average etoh use (10 beers per week), no other illicits, no other concerning exposures, no other vitamins, no recent sick contacts.  Echo revealed severe LV systolic dysfunction, EF 20%.   Now undergoing treatment for acute HF and will follow-up with me as outpatient.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, Viral test negative, Weight increased, White blood cell count, White blood cell count increased
Clinical narrative: Patient had COVID-19 in November of 2020 and "never quite felt right" afterwards. But no real breathing issues that he noticed, though does not exercise. Most active thing he does is walk around and water plants at work. He developed heart failure symptoms starting 4 days after his 2nd Moderna shot in August of 2021.  He was treated for pneumonia at Urgent Treatment Center twice, in September and October, without relief of symptoms. His symptoms worsened until he presented to Hospital with overt orthopnea, PND and 20 lb weight gain  on November 16, 2021. He has not had fever or other infectious symptoms recently. No recent travel history, works growing marijuana but does not ingest it regularly, average etoh use (10 beers per week), no other illicits, no other concerning exposures, no other vitamins, no recent sick contacts.  Echo revealed severe LV systolic dysfunction, EF 20%.   Now undergoing treatment for acute HF and will follow-up with me as outpatient.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Yersinia test negative
Clinical narrative: Patient had COVID-19 in November of 2020 and "never quite felt right" afterwards. But no real breathing issues that he noticed, though does not exercise. Most active thing he does is walk around and water plants at work. He developed heart failure symptoms starting 4 days after his 2nd Moderna shot in August of 2021.  He was treated for pneumonia at Urgent Treatment Center twice, in September and October, without relief of symptoms. His symptoms worsened until he presented to Hospital with overt orthopnea, PND and 20 lb weight gain  on November 16, 2021. He has not had fever or other infectious symptoms recently. No recent travel history, works growing marijuana but does not ingest it regularly, average etoh use (10 beers per week), no other illicits, no other concerning exposures, no other vitamins, no recent sick contacts.  Echo revealed severe LV systolic dysfunction, EF 20%.   Now undergoing treatment for acute HF and will follow-up with me as outpatient.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized for Positive COVID test 11/10/2021
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cardiac arrest
Clinical narrative: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen (J&J) Vaccine on 3/6/2021. Presented to ED on 10/21/2021 with complaints of chest pain and shortness of breath for approximately 1 week. Per patient she tested positive with a COVID home test on the prior Thursday. Hospitalized for COVID pneumonia and acute respiratory failure.  Developed ARDS and required mechanical ventilation. Unable to wean off vent and received trach and PEG. Throughout hospitalization patient received: dexamethasone, baricitinib, broad spectrum antibiotics, paralytics, remdesivir, and pressors. Suffered cardiac arrest on 11/10/2021 with ROSC. Expired on 11/11/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Death, Dyspnoea, Gastrostomy
Clinical narrative: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen (J&J) Vaccine on 3/6/2021. Presented to ED on 10/21/2021 with complaints of chest pain and shortness of breath for approximately 1 week. Per patient she tested positive with a COVID home test on the prior Thursday. Hospitalized for COVID pneumonia and acute respiratory failure.  Developed ARDS and required mechanical ventilation. Unable to wean off vent and received trach and PEG. Throughout hospitalization patient received: dexamethasone, baricitinib, broad spectrum antibiotics, paralytics, remdesivir, and pressors. Suffered cardiac arrest on 11/10/2021 with ROSC. Expired on 11/11/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Interstitial lung disease, Lung opacity, Mechanical ventilation, SARS-CoV-2 test positive, Staphylococcal infection
Clinical narrative: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen (J&J) Vaccine on 3/6/2021. Presented to ED on 10/21/2021 with complaints of chest pain and shortness of breath for approximately 1 week. Per patient she tested positive with a COVID home test on the prior Thursday. Hospitalized for COVID pneumonia and acute respiratory failure.  Developed ARDS and required mechanical ventilation. Unable to wean off vent and received trach and PEG. Throughout hospitalization patient received: dexamethasone, baricitinib, broad spectrum antibiotics, paralytics, remdesivir, and pressors. Suffered cardiac arrest on 11/10/2021 with ROSC. Expired on 11/11/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tracheal aspirate culture, Tracheostomy
Clinical narrative: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen (J&J) Vaccine on 3/6/2021. Presented to ED on 10/21/2021 with complaints of chest pain and shortness of breath for approximately 1 week. Per patient she tested positive with a COVID home test on the prior Thursday. Hospitalized for COVID pneumonia and acute respiratory failure.  Developed ARDS and required mechanical ventilation. Unable to wean off vent and received trach and PEG. Throughout hospitalization patient received: dexamethasone, baricitinib, broad spectrum antibiotics, paralytics, remdesivir, and pressors. Suffered cardiac arrest on 11/10/2021 with ROSC. Expired on 11/11/2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Influenza vaccine was administered to 5 year old male in school vaccine clinic. Approximately 5 minutes later he apparently fainted as he walked back to class.  He recovered quickly and was escorted to school nurse's office, where he was monitored closely for about an hour.  His vital signs were normal (BP 82/54, T97.5. P65), with no breathing difficulty.  He was able to drink and eat, and parents took him home shortly thereafter.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had breakthrough infection and expired.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 07/20/2021-Encounter For Preprocedural Laboratory Examination (COVID-19)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac murmur, Heart rate irregular
Clinical narrative: Irregular heartbeats, gets worse and more noticeable every week. Heart murmur was heard by doctor, referred to Cardiologist.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Post-acute COVID-19 syndrome
Clinical narrative: Probable asymptomatic COVID-19 carriage following COVID-19 infection in late March early April, 2021 without evidence of pulmonary infiltrates or recent fevers.  does not require isolation for COVID-19, since the patient is likely chronically colonized and should not be contagious.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for covid and died during hospitalization.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Musculoskeletal chest pain
Clinical narrative: Chest wall pain
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dural tear, Foraminotomy, SARS-CoV-2 test positive, Spinal decompression
Clinical narrative: Fri Oct 01, 2021 2159 SARS CoV-2, PCR, Rapid, V(!): Detected 2202  Revision decompression L2-4.  4. Partial laminectomy L2, L4; laminectomy L3.  5. Bilateral foraminotomies L2, 3, 4.  6. Repair of incidental durotomy with 6-0 Gore-Tex muscle patch and DuraSeal.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Spinal laminectomy
Clinical narrative: Fri Oct 01, 2021 2159 SARS CoV-2, PCR, Rapid, V(!): Detected 2202  Revision decompression L2-4.  4. Partial laminectomy L2, L4; laminectomy L3.  5. Bilateral foraminotomies L2, 3, 4.  6. Repair of incidental durotomy with 6-0 Gore-Tex muscle patch and DuraSeal.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2
Clinical narrative: Had close contact with a person who has a laboratory confirmed case of COVID-19 in the past 14 days? Yes. Patient never had symptoms.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted 6 minutes after vaccine
Age: 14.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Administration error, Patient was supposed to receive pfizer covid vaccine but received fluarix. She had already received a flu vaccine for this season. Covid vaccine was administered in opposite arm.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Lip swelling, Pyrexia, Rash, Swelling face
Clinical narrative: Swelling on face and lips; rash  -- red dots -- all over face; dizziness; fever >103.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Dyspnoea, Hypertension, Nausea
Clinical narrative: she developed cough shortness of breath and tested positive for COVID19 approximately 1 week ago.  She was unable to give me to the exact day her symptoms started or she tested positive.  Since then she has had fevers, chills, nausea, and has now developed a cough productive of thick yellow sputum.  She is on 2 L nasal cannula baseline and today was noted to require up to 4 L nasal cannula for proper saturations prompting evaluation in the emergency department.  On arrival to the ED she is hypertensive into the 160s with a normal heart rate.  She was satting in the mid 90s on 4 L nasal cannula.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: she developed cough shortness of breath and tested positive for COVID19 approximately 1 week ago.  She was unable to give me to the exact day her symptoms started or she tested positive.  Since then she has had fevers, chills, nausea, and has now developed a cough productive of thick yellow sputum.  She is on 2 L nasal cannula baseline and today was noted to require up to 4 L nasal cannula for proper saturations prompting evaluation in the emergency department.  On arrival to the ED she is hypertensive into the 160s with a normal heart rate.  She was satting in the mid 90s on 4 L nasal cannula.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pediatric dose of pfizer was given instead of adult/12-18 year old dose.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Vaccine positive rechallenge
Clinical narrative: Menstrual period started day after the vaccine with both shot 1 and shot 2.  I haven't had a menstrual period in 3 years until I received shot 1 and then again with shot 2.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pyrexia
Clinical narrative: Patient developed low grade fever and cough during inpatient rehabilitation admission.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID test in ED 11/8/21
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Visual acuity reduced
Clinical narrative: decreased visual acuity starting the day after the vaccine and continuing through reporting day. Patient presented for her second dose and reported the symptoms at this visit.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Retching, Vertigo
Clinical narrative: Patient experienced vertigo, dry heaves and back spasms 5 days after the shot, and felt like it was related to the vaccine.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2
Clinical narrative: 07/22/2021-Contact With And (Suspected) Exposure To COVID-19
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Pallor, Protrusion tongue, Tremor
Clinical narrative: Booster dose given.  Waited 15 minutes in lobby before leaving.  Family came back inside after getting her in the car to leave, for help. She was ash color with tongue protruding from mouth.  Opened her eyes upon shaking and breathing noted.  911 called and Oxygen applied via face mask.  Ambulance then arrived and transported to Hospital for medical treatment where she expired later the same afternoon.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Diaphragmalgia, Flank pain
Clinical narrative: Severe joint/muscle pain. Knees. Neck. Shoulders. Back. Along and down the sides of my torso and chest. Diaphragm area.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Neck pain
Clinical narrative: Severe joint/muscle pain. Knees. Neck. Shoulders. Back. Along and down the sides of my torso and chest. Diaphragm area.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis
Clinical narrative: 10mins post vaccination pt c/o flushing/sweating and dizziness. Vitals 16:25 103/52, 70, 20, SpO2 100% -- > 16:35 109/55, 63, 20, 100% -- > 16:43 113/69, 55, 20, 100% Pt stable and released from vaccination site at 16:43.  Pt refused wheelchair.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Orthostatic hypotension
Clinical narrative: Exaggerated the effects of ortho-static hypotension
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial flutter, Blood test, Body temperature increased, Chest pain, Chills
Clinical narrative: Head ache, Body ache, chills, Temp 100.9, sweats, chest pain, elevated heart rate. Hospitalization over night. Diagnosis; Pericarditis and Aortal Flutter.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Headache, Heart rate increased, Hyperhidrosis
Clinical narrative: Head ache, Body ache, chills, Temp 100.9, sweats, chest pain, elevated heart rate. Hospitalization over night. Diagnosis; Pericarditis and Aortal Flutter.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pericarditis, SARS-CoV-2 test
Clinical narrative: Head ache, Body ache, chills, Temp 100.9, sweats, chest pain, elevated heart rate. Hospitalization over night. Diagnosis; Pericarditis and Aortal Flutter.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Lethargy
Clinical narrative: Lethargy Headache elevated heart rate for long period after exercise
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Polymenorrhoea
Clinical narrative: Menstrual period has consistently come earlier each month and duration is longer than before vaccine (used to be 3-4 days and now is consistently 5-6 days).
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Delirium, Discomfort, Fatigue, Malaise, Pyrexia
Clinical narrative: Went grocery shopping after vaccine, then went home. Around 5 pm started feeling uncomfortable and tired. I went to bed around 7 pm thinking I was getting a fever. Fell asleep, woke up around 8:30. I had horrible fever, got cool wash cloth. Tried to ignore this and sleep. The fever was very high. I used to get 106 fever often when I was younger. I got cold water bottles and put them in my armpits as I dread taking a tepid bath. The water bottles did not hurt as much as tepid bath. I don't know how high my fever was, but I wasn't well. In the morning, my temperature reduced to 99.6. By the next night it was down to normal 97.5. Also found my underwear in the living room on a table. High fever can make me delirious.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No symptoms noted
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anal incontinence, Diarrhoea, Gastrointestinal pain, Rectal prolapse
Clinical narrative: Severe diarrhea and abdominal pain resulting in rectal prolapse.  Painful bowel movements. Prolapse recurred every time I used toilet x4 days. Had to wear incontinence underwear as there was anal and bladder leakage.  Finally able to have normal bowel movements and urinate normally today, 11-17.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: Severe diarrhea and abdominal pain resulting in rectal prolapse.  Painful bowel movements. Prolapse recurred every time I used toilet x4 days. Had to wear incontinence underwear as there was anal and bladder leakage.  Finally able to have normal bowel movements and urinate normally today, 11-17.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Back pain, Headache, Insomnia
Clinical narrative: presents to the ED complaining of feeling feverish (did not check) headache, loss of smell and taste (started yesterday) and lower back pain for the past 3 days. Pt states the back pain worsened tonight to the point he was unable to sit or sleep. He states he was vaccinated x2.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sitting disability
Clinical narrative: presents to the ED complaining of feeling feverish (did not check) headache, loss of smell and taste (started yesterday) and lower back pain for the past 3 days. Pt states the back pain worsened tonight to the point he was unable to sit or sleep. He states he was vaccinated x2.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anxiety, Back pain, Dyspnoea, Pain
Clinical narrative: Extreme body ache, particularly abdomen and back, to the extent I could not fully inhale without severe acute pain in lower back. Extreme restlessness and anxiety. Breathing difficulty.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Restlessness
Clinical narrative: Extreme body ache, particularly abdomen and back, to the extent I could not fully inhale without severe acute pain in lower back. Extreme restlessness and anxiety. Breathing difficulty.
Age: 34.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Asthenia, Chills, Condition aggravated, Diarrhoea, Headache
Clinical narrative: Experienced moderate headache, pain at injection site, chills (chattering teeth), numbness in hands from 6:00pm to 10:30pm day of vaccination. Experienced diarrhea, weakness, and nausea the following day.
Age: 34.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Hypoaesthesia, Injection site pain, Nausea
Clinical narrative: Experienced moderate headache, pain at injection site, chills (chattering teeth), numbness in hands from 6:00pm to 10:30pm day of vaccination. Experienced diarrhea, weakness, and nausea the following day.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fatigue, Headache, Malaise, Migraine
Clinical narrative: Felt unwell, tired, then headache which transitioned to a migraine with a total of 3 more days of symptoms including some mental confusion.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Fall, Loss of consciousness, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case. Patient tested positive while receiving treatment for multiple falls. Expired 04-14-2021, Traumatic subdural hemorrhage with loss of consciousness of unspecified duration.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Subdural haemorrhage, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Patient tested positive while receiving treatment for multiple falls. Expired 04-14-2021, Traumatic subdural hemorrhage with loss of consciousness of unspecified duration.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pain
Clinical narrative: Slight headache, dizziness and sharp to dull pains and left temporal area went on for four days!
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Vomited and felt light-headed 5 minutes after the vaccine. no fainting.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Inadvertently gave patient concentrated dose of Pfizer Covid 19 booster
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: Vaccine administered beyond the 'best used date' but before expiration date.
Age: 25.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Blood glucose, Dizziness, Electrocardiogram, Feeling hot, Loss of consciousness
Clinical narrative: Patient received their COVID-19 Pfizer booster at 12:50PM and reported feeling fine.  The Influenza (Fluarix) vaccine was administered at approxiametly 1:05 PM into the same arm. After 10-15 seconds, I noticed the patient's head had tilted to their left and they had slumped in their chair (leading me to believe they had syncope). After receiving no verbal response for 3 seconds, I made sure the patient was stable in their chair and rushed to advise the pharmacist on staff of the incident (I called 911 while Dr. checked on the patient). The patient had regained consciousness and reported feeling dizzy, faint, and hot when he awoke about 30 seconds after initially losing consciousness. Police and EMT's arrived within 4 minutes of the incident and confirmed vitals were stable before transporting the patient into their ambulance for transport to the ED.
Age: 25.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Somatic symptom disorder, Syncope
Clinical narrative: Patient received their COVID-19 Pfizer booster at 12:50PM and reported feeling fine.  The Influenza (Fluarix) vaccine was administered at approxiametly 1:05 PM into the same arm. After 10-15 seconds, I noticed the patient's head had tilted to their left and they had slumped in their chair (leading me to believe they had syncope). After receiving no verbal response for 3 seconds, I made sure the patient was stable in their chair and rushed to advise the pharmacist on staff of the incident (I called 911 while Dr. checked on the patient). The patient had regained consciousness and reported feeling dizzy, faint, and hot when he awoke about 30 seconds after initially losing consciousness. Police and EMT's arrived within 4 minutes of the incident and confirmed vitals were stable before transporting the patient into their ambulance for transport to the ED.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site irritation, Injection site scab, Injection site vesicles
Clinical narrative: Actually a booster dose rather than  full dose 3. About 1-1/2 day after vaccination site of injection became very red, sensitive, and blistered. Accompanied by a low grade fever. Followed up with reporter on day 6 and irritation at site of injection was slowly resolving and had scabbed over.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Actually a booster dose rather than  full dose 3. About 1-1/2 day after vaccination site of injection became very red, sensitive, and blistered. Accompanied by a low grade fever. Followed up with reporter on day 6 and irritation at site of injection was slowly resolving and had scabbed over.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram, Hypoaesthesia, Injection site pain, Laboratory test, Nerve conduction studies
Clinical narrative: One day post vaccine, 10/10/2021- stabbing pain in the injection site. Numbness in my left-hand thumb, pointer, and middle finger. Like a tingling, like when your hand is asleep. I had a telehealth visit with my PA in my doctor's office. I told her I was scheduled to get my second shot. I told her the pharmacist did not like the reaction I had with the first vaccine, and he did not feel comfortable to give me the second shot until I discussed it with my PCP. My PCP ordered for me to have an EMG/NCV electromyography EMG and nerve conduction velocity on 11/22/2021. 11/17/2021- I still have the numbness tingling in my fingers in my left hand.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: One day post vaccine, 10/10/2021- stabbing pain in the injection site. Numbness in my left-hand thumb, pointer, and middle finger. Like a tingling, like when your hand is asleep. I had a telehealth visit with my PA in my doctor's office. I told her I was scheduled to get my second shot. I told her the pharmacist did not like the reaction I had with the first vaccine, and he did not feel comfortable to give me the second shot until I discussed it with my PCP. My PCP ordered for me to have an EMG/NCV electromyography EMG and nerve conduction velocity on 11/22/2021. 11/17/2021- I still have the numbness tingling in my fingers in my left hand.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pediatric dose given instead of 12-18 year old dose.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cough, Dyspnoea, Rhinorrhoea
Clinical narrative: Shortness of Breath, Runny nose and Cough, Received Monoclonal antibodies, COVID pneumonia with acute respiratory failure with hypoxia. Hospitalized and then discharged to inpatient rehab facility.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Pain, Unresponsive to stimuli, Vomiting
Clinical narrative: ON THE EVENING OF THE 5TH, PATIENT STATES HE HURT ALL OVER AND FELT SICK TO HIS STOMACH.  WHEN HE WENT TO VOMIT, HIS WIFE FOUND HIM SITTING ON THE LID OF THE TOILET WITH HIS MOUTH OPEN AND VOMIT DOWN THE FRONT OF HIM.  AFTER BEING CLEANED UP, HE REMAINED THERE IN CASE HE WAS SICK AGAIN.  THE NEXT TIME HIS WIFE CHECKED ON HIM, HE WAS LEANING ON THE COUNTER BESIDE THE TOILET UNRESPONSIVE BUT EYES WIDE OPEN.  AFTER HE CAME TO, HE VOMITED IN THE SAME FASHION AGAIN.  HE DOESN'T HAVE A RECOLLECTION OF ANY OF THESE EVENTS BUT WAS TOLD BY HIS WIFE THAT THIS IS WHAT HAPPENED.  THEY DID NOT SEEK MEDICAL ATTENTION THAT HE STATED.  HE IS WEAK BUT HIS APPETITE IS BACK AND IS FEELING BETTER 11-17/21 WHEN HE CAME TO REPORT SUCH TO ME TODAY.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection. Patient was fully vaccinated by 5/21/2021. Pt tested positive 7/28/2021
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none known
Age: 119.0
Sex: U
Vaccine: COVID19
Symptoms: Product container issue
Clinical narrative: *On 10/27/2021, 10/29/2021, 11/1/2021 and 11/03/2021 there was a combined total of 30 vials of lot 014F21A that were punctured more than 20 times. *There was a total of 145 additional doses drawn up from the vials above and beyond the recommended 20 doses per vial. *There was a total of 753 doses administered on those four dates. *There is no way possible for us to identify the 145 patients who received doses 21 or greater out of the 753 total doses administered on those dates. *We have received no reports of adverse events from patients related to these vaccine clinic dates.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain, Urticaria
Clinical narrative: My side hurt from the armpit down, and I also broke out into hives with sweat everywhere. It was very horrible.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster dose of Moderna given was 0.5ml and should have been 0.25ml
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation delayed, Motion sickness
Clinical narrative: Interruption of mensural cycle. Patient states she has very very regular periods.  Patient experienced a regular period April 17-23.  Patient received 1st vaccination on April 23rd.  Patient experienced severe motion sickness post vaccination.  On April 28th her period restarted and continued until May 9th.  Patient stated that she had never had a period last that long.    Patient received second vaccination on 5/14 Pfizer Lot#EP7533
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION. PT FULLY VACCINATED ON MARCH 11 2021. PT HAD POSITIVE COVID TEST AUG 31 2021
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Tightening of chest - happened only a few times so far and did not affect breathing
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Hot flush, Hyperhidrosis
Clinical narrative: POTS symptoms, dizziness, lightheadedness, tachycardia, chronic fatigue, heat intolerance, sweats, hot flashes, shortness of breath, difficulty breathing
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Postural orthostatic tachycardia syndrome, Tachycardia, Temperature intolerance, White blood cell count increased
Clinical narrative: POTS symptoms, dizziness, lightheadedness, tachycardia, chronic fatigue, heat intolerance, sweats, hot flashes, shortness of breath, difficulty breathing
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood pressure increased, Blood thyroid stimulating hormone, Brain natriuretic peptide, Chest X-ray
Clinical narrative: Received booster shot on Saturday November 13th. On Sunday, I had a sore arm from the injection site, muscle aches, fatigue, increased congestion, cough, and skin hurt to touch. On Monday, my skin didn't hurt anymore, fatigue was better, and muscle aches were better (not completely gone though.) I still had a sore injection site, with added pain in my left arm pit. Congestion and cough remained as well. I woke up to go to work. I felt more fatigued as the day went on. I developed severe shortness of breath by lunch time and noted that my heart rate was elevated. By 2:15pm in the afternoon, my heart rate was consistently 130's-150's at rest. I was extremely short of breath just with conversation. I had my blood pressure checked and that was also elevated. I called my OBGYN and I was told to be seen in the hospital. Of note, I'm 28 weeks pregnant, due Feb. 7th 2022. I ended up being seen at the hospital for observation, and during that time period my symptoms did not improve, so I was admitted.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Condition aggravated, Cough, Culture urine, Dyspnoea
Clinical narrative: Received booster shot on Saturday November 13th. On Sunday, I had a sore arm from the injection site, muscle aches, fatigue, increased congestion, cough, and skin hurt to touch. On Monday, my skin didn't hurt anymore, fatigue was better, and muscle aches were better (not completely gone though.) I still had a sore injection site, with added pain in my left arm pit. Congestion and cough remained as well. I woke up to go to work. I felt more fatigued as the day went on. I developed severe shortness of breath by lunch time and noted that my heart rate was elevated. By 2:15pm in the afternoon, my heart rate was consistently 130's-150's at rest. I was extremely short of breath just with conversation. I had my blood pressure checked and that was also elevated. I called my OBGYN and I was told to be seen in the hospital. Of note, I'm 28 weeks pregnant, due Feb. 7th 2022. I ended up being seen at the hospital for observation, and during that time period my symptoms did not improve, so I was admitted.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Exposure during pregnancy, Fatigue, Full blood count, Heart rate increased
Clinical narrative: Received booster shot on Saturday November 13th. On Sunday, I had a sore arm from the injection site, muscle aches, fatigue, increased congestion, cough, and skin hurt to touch. On Monday, my skin didn't hurt anymore, fatigue was better, and muscle aches were better (not completely gone though.) I still had a sore injection site, with added pain in my left arm pit. Congestion and cough remained as well. I woke up to go to work. I felt more fatigued as the day went on. I developed severe shortness of breath by lunch time and noted that my heart rate was elevated. By 2:15pm in the afternoon, my heart rate was consistently 130's-150's at rest. I was extremely short of breath just with conversation. I had my blood pressure checked and that was also elevated. I called my OBGYN and I was told to be seen in the hospital. Of note, I'm 28 weeks pregnant, due Feb. 7th 2022. I ended up being seen at the hospital for observation, and during that time period my symptoms did not improve, so I was admitted.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Metabolic function test, Myalgia, Pain of skin, Respiratory tract congestion
Clinical narrative: Received booster shot on Saturday November 13th. On Sunday, I had a sore arm from the injection site, muscle aches, fatigue, increased congestion, cough, and skin hurt to touch. On Monday, my skin didn't hurt anymore, fatigue was better, and muscle aches were better (not completely gone though.) I still had a sore injection site, with added pain in my left arm pit. Congestion and cough remained as well. I woke up to go to work. I felt more fatigued as the day went on. I developed severe shortness of breath by lunch time and noted that my heart rate was elevated. By 2:15pm in the afternoon, my heart rate was consistently 130's-150's at rest. I was extremely short of breath just with conversation. I had my blood pressure checked and that was also elevated. I called my OBGYN and I was told to be seen in the hospital. Of note, I'm 28 weeks pregnant, due Feb. 7th 2022. I ended up being seen at the hospital for observation, and during that time period my symptoms did not improve, so I was admitted.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Troponin, Urine analysis
Clinical narrative: Received booster shot on Saturday November 13th. On Sunday, I had a sore arm from the injection site, muscle aches, fatigue, increased congestion, cough, and skin hurt to touch. On Monday, my skin didn't hurt anymore, fatigue was better, and muscle aches were better (not completely gone though.) I still had a sore injection site, with added pain in my left arm pit. Congestion and cough remained as well. I woke up to go to work. I felt more fatigued as the day went on. I developed severe shortness of breath by lunch time and noted that my heart rate was elevated. By 2:15pm in the afternoon, my heart rate was consistently 130's-150's at rest. I was extremely short of breath just with conversation. I had my blood pressure checked and that was also elevated. I called my OBGYN and I was told to be seen in the hospital. Of note, I'm 28 weeks pregnant, due Feb. 7th 2022. I ended up being seen at the hospital for observation, and during that time period my symptoms did not improve, so I was admitted.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Nausea, Vomiting
Clinical narrative: Anxiety, nausea and vomiting
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Anxiety, Brain oedema, Cognitive disorder, Electroencephalogram abnormal
Clinical narrative: Nausea and anxiety immediately post #1 slowly getting slightly worse, strange behavior noted after 2nd - getting worse by the day and mid June admitted hospital for convulsive seizures/encephalitis
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Encephalitis, Immediate post-injection reaction, Impaired quality of life, Nausea, Positron emission tomogram abnormal
Clinical narrative: Nausea and anxiety immediately post #1 slowly getting slightly worse, strange behavior noted after 2nd - getting worse by the day and mid June admitted hospital for convulsive seizures/encephalitis
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: Nausea and anxiety immediately post #1 slowly getting slightly worse, strange behavior noted after 2nd - getting worse by the day and mid June admitted hospital for convulsive seizures/encephalitis
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure decreased, Cardiac function test, Change in sustained attention, Chest pain
Clinical narrative: Had a drop in BP , felt faint and had to come home . Felt unwell for several days and was off work.  After 2nd shot , started having weakness, lethargy, difficulty in focussing, aches and pains in different parts of the body, shortness of breath with wheezing, ( no h/o these problems in the past, not even headaches). Had Chest pain four times, had to call for help, 911 as recommended by my doctor?s office.  Subsequently have had to be off work. My sick leave and annual leave has all gone into the leave required to recuperate.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Impaired work ability, Lethargy, Malaise
Clinical narrative: Had a drop in BP , felt faint and had to come home . Felt unwell for several days and was off work.  After 2nd shot , started having weakness, lethargy, difficulty in focussing, aches and pains in different parts of the body, shortness of breath with wheezing, ( no h/o these problems in the past, not even headaches). Had Chest pain four times, had to call for help, 911 as recommended by my doctor?s office.  Subsequently have had to be off work. My sick leave and annual leave has all gone into the leave required to recuperate.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pulmonary congestion, Pulmonary function test, Specialist consultation, Wheezing
Clinical narrative: Had a drop in BP , felt faint and had to come home . Felt unwell for several days and was off work.  After 2nd shot , started having weakness, lethargy, difficulty in focussing, aches and pains in different parts of the body, shortness of breath with wheezing, ( no h/o these problems in the past, not even headaches). Had Chest pain four times, had to call for help, 911 as recommended by my doctor?s office.  Subsequently have had to be off work. My sick leave and annual leave has all gone into the leave required to recuperate.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Sore arm for 3 days, joint pain in hands for 3 weeks
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION - PT TESTED POSITIVE ON AUG 25 2021, PT FULLY VACCINATED APRIL 11 2021.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, COVID-19, Chest X-ray normal, Chest pain, Cough
Clinical narrative: 11/11/21: screening COVID-19 PCR negative 11/14/21: Pfizer COVID-19 vaccine administered.  That evening felt tired 11/15/21: Awoke with chest pain.  Evaluated at Urgent Care, EKG, CXR normal 11/16/21: Worsening chest pain, SOB, cough.  Afebrile. COVID-19 PCR+  That evening presented to ED at a local health care facility. Hypoxic, tachycardic.  Troponin-I  0.89.  EKG normal.  Echo normal.  ESR, CRP normal.  Admitted to ICU. Received Redemsivir.  Recieved ibuprofen.  Cardiology consulted.  Serial EKGs normal.  Serial troponins decreased to 0.47, 0.2.  Weaned off O2, discharged to home on ibuprofen. Length of hospitalization: <24 hours.   11/17/21: well appearing, no chest pain, no tachycardia, no hypoxia, no SOB.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Fatigue, Hypoxia
Clinical narrative: 11/11/21: screening COVID-19 PCR negative 11/14/21: Pfizer COVID-19 vaccine administered.  That evening felt tired 11/15/21: Awoke with chest pain.  Evaluated at Urgent Care, EKG, CXR normal 11/16/21: Worsening chest pain, SOB, cough.  Afebrile. COVID-19 PCR+  That evening presented to ED at a local health care facility. Hypoxic, tachycardic.  Troponin-I  0.89.  EKG normal.  Echo normal.  ESR, CRP normal.  Admitted to ICU. Received Redemsivir.  Recieved ibuprofen.  Cardiology consulted.  Serial EKGs normal.  Serial troponins decreased to 0.47, 0.2.  Weaned off O2, discharged to home on ibuprofen. Length of hospitalization: <24 hours.   11/17/21: well appearing, no chest pain, no tachycardia, no hypoxia, no SOB.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Red blood cell sedimentation rate normal, SARS-CoV-2 test positive, Tachycardia, Troponin I increased
Clinical narrative: 11/11/21: screening COVID-19 PCR negative 11/14/21: Pfizer COVID-19 vaccine administered.  That evening felt tired 11/15/21: Awoke with chest pain.  Evaluated at Urgent Care, EKG, CXR normal 11/16/21: Worsening chest pain, SOB, cough.  Afebrile. COVID-19 PCR+  That evening presented to ED at a local health care facility. Hypoxic, tachycardic.  Troponin-I  0.89.  EKG normal.  Echo normal.  ESR, CRP normal.  Admitted to ICU. Received Redemsivir.  Recieved ibuprofen.  Cardiology consulted.  Serial EKGs normal.  Serial troponins decreased to 0.47, 0.2.  Weaned off O2, discharged to home on ibuprofen. Length of hospitalization: <24 hours.   11/17/21: well appearing, no chest pain, no tachycardia, no hypoxia, no SOB.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Shortly after receiving the shot, patient feel dizzy, pale and sweating; her bp decrease to 85/62; I has her took off her mask; by talking to her and comforting her, after 30 min she felt better; her bp went up to 125/85;
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Medication administration error of 1.8 cc given. And no adverse events at this time.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dyspnoea, Electrocardiogram, Heart rate increased
Clinical narrative: First day typical symptoms, second day rapid heart beating, felt weak and nauseous.  The next day body pains that have not stopped since. Especially in the right upper side by my rib. The pain leads into chest pains and feels almost hard to breathe.  I even got a hida scan to test my gall bladder and it is normal. But the pain hasn?t stopped since I got my vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatobiliary scan normal, Musculoskeletal chest pain, Nausea, Pain
Clinical narrative: First day typical symptoms, second day rapid heart beating, felt weak and nauseous.  The next day body pains that have not stopped since. Especially in the right upper side by my rib. The pain leads into chest pains and feels almost hard to breathe.  I even got a hida scan to test my gall bladder and it is normal. But the pain hasn?t stopped since I got my vaccine.
Age: 52.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Breast tenderness, Computerised tomogram, Fatigue, Lymph node pain
Clinical narrative: I had the usual fatigue and muscle pain the evening of the 1st dose and lasted three days. By the fourth day I was feeling okay but was feeling vertigo. On the fourth day the tinnitus kicked in. I also had tenderness under right armpit and breast. The tinnitus and vertigo have persisted.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Tinnitus, Vertigo
Clinical narrative: I had the usual fatigue and muscle pain the evening of the 1st dose and lasted three days. By the fourth day I was feeling okay but was feeling vertigo. On the fourth day the tinnitus kicked in. I also had tenderness under right armpit and breast. The tinnitus and vertigo have persisted.
Age: 76.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received two flu shots within the same season. First flu shot on 10/4/21 and second flu shot 10/27/21. Patient states no symptoms or adverse events due to duplicate vaccination.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Syncope
Clinical narrative: night after getting covid pfizer vaccine booster from pharmacy 11/15/2021, patient got up to use restroom, had syncopal episode when walking to bed
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Discomfort, Inflammation, Scab, Skin discolouration
Clinical narrative: 10/22 I went on a flight, and I had hives that appeared by Monday morning they got so bad I had to go to a doctor. I went to an urgent care, and they gave me Percocet 10mgs to take daily and anti-inflammatory, it was the same as Pepcid. They also prescribed Allegra for 5 days. It took about 3 days to lower the inflammation and it took about a week for the scaling to go away. You can still see the scabs as of now. I'm still dealing with the discoloration of the skin, but the discomfort is gone.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Skin exfoliation, Urticaria
Clinical narrative: 10/22 I went on a flight, and I had hives that appeared by Monday morning they got so bad I had to go to a doctor. I went to an urgent care, and they gave me Percocet 10mgs to take daily and anti-inflammatory, it was the same as Pepcid. They also prescribed Allegra for 5 days. It took about 3 days to lower the inflammation and it took about a week for the scaling to go away. You can still see the scabs as of now. I'm still dealing with the discoloration of the skin, but the discomfort is gone.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient stated she was immunocompromised and checked that on her consent form.  The Moderna dose for that scenario would be 0.5 ml but the pharmacist seeing the dose #3 was checked changed it to 0.25 ml and gave the 0.25 ml dose without noticing patient had checked she yes on weakened immune system question.  Patient has been called several times but there has no been a return phone call to discuss with the patient.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chemotherapy, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: 10/31/2021 ED visit: past medical history significant for Parkinson's disease followed by Dr. and on pramipexole, recent diagnosis of highly advanced hepatocellular carcinoma not amenable to either chemotherapy or XRT followed by oncology here, who presents to the emergency department with acutely altered mental status this evening.  She is afebrile and is essentially hemodynamically normal although her blood pressures are little soft.  CT scan of the head does not show any acute process.  X-ray of the chest revealed lung markings consistent with COVID-19 pneumonia.  CT scan of the chest redemonstrates this finding.  Abbott rapid coronavirus test is negative and the patient is afebrile and fully vaccinated.  I am somewhat skeptical of this finding although I have sent confirmatory Cephied PCR coronavirus test.  Although patient's Abbott rapid coronavirus test was negative, her Cephied coronavirus test which I sent is positive.  Admitted due to altered mental status likely related to her neoplastic disease.