chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Diarrhoea, Fatigue
Clinical narrative: Presents for fatigue, weakness, myalgia, diarrhea, N/V, cough. Admit for COVID & hyponatremia (no indication for steroids or remdesivir at time of admit). O2 demand increased by day 2 & pt started on dexamethasone & O2 via simple mask (does not tolerate NC per nursing). DC to facility.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Hyponatraemia, Myalgia, Nausea, Vomiting
Clinical narrative: Presents for fatigue, weakness, myalgia, diarrhea, N/V, cough. Admit for COVID & hyponatremia (no indication for steroids or remdesivir at time of admit). O2 demand increased by day 2 & pt started on dexamethasone & O2 via simple mask (does not tolerate NC per nursing). DC to facility.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Peripheral swelling, Sleep disorder
Clinical narrative: Swollen, extremely painful lymph nodes in the armpit and inner arm beneath the injection site. Began almost exactly 24-hours after administration. Was painful to the point that it prevented me from sleeping or holding my arm to my side. The whole area swelled to the size of a grapefruit. Symptoms lasted about a week.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autopsy, Condition aggravated, Death, Dyspnoea, Intracardiac thrombus
Clinical narrative: Sore arm but in May started to feel vertigo like symptoms and was nauseous and couldn?t lay on one side of body. Day she died shortness of breath.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain in extremity, Pulmonary thrombosis, Vertigo
Clinical narrative: Sore arm but in May started to feel vertigo like symptoms and was nauseous and couldn?t lay on one side of body. Day she died shortness of breath.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Pharyngeal swelling, Rash, Urticaria
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 11/03/2021, started experiencing symptoms 11/13/2021 of Skin rash on the face and head, Emergency Room visit 11/13/2021, hives back of the head, swollen throat  Steroid shot given.11/15/2021 hives on the head and between the legs, swollen throat, Primary visit 11/16/2021 treated with steroid shot. Still experiencing symptoms.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin G normal, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: SOB, HA, myalgias, cough x2 days, positive home test. Fully vaccinated 3/2021 Admit for COVID pna. Steroids, rocephin, zithromax, O2, lovenox, singulair, vit-c, vit-d, zinc, lasix. Secondary bacterial pna. Incidentally, COVID IgG was negative. Third round of vaccine recommended 90 days from this diagnosis. Weaned to RA. Discharged home.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pneumonia bacterial, SARS-CoV-2 test positive
Clinical narrative: SOB, HA, myalgias, cough x2 days, positive home test. Fully vaccinated 3/2021 Admit for COVID pna. Steroids, rocephin, zithromax, O2, lovenox, singulair, vit-c, vit-d, zinc, lasix. Secondary bacterial pna. Incidentally, COVID IgG was negative. Third round of vaccine recommended 90 days from this diagnosis. Weaned to RA. Discharged home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling face
Clinical narrative: 3 hours after vaccine, patient developed facial swelling and erythema, localized to periorbital area and facial cheeks bilaterally. No airway compromise, trouble breathing, chest pain or shortness of breath. No headache, dizziness, lightheadedness.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Endotracheal intubation, Positive airway pressure therapy
Clinical narrative: Admit w/ SOB x2 weeks, dx with COVID pna. Fully vaccinated 4/2021. Steroids, bipap/O2, zinc, singulair, vit-c., tocilizumab, remdesivir. Intubated 8/11. Eventually improved, weaned to RA and discharged home.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Glycosylated haemoglobin increased
Clinical narrative: Admit for resp failure due to COVID-19. Fully vaccinated. Given plasma, steroids, singulair, zinc, doxy, O2. 72 year old male with HTN, HLD, COPD, OSA, DM type 2, Dementia, Hypothyroid, CAD, CABG, was admitted to the hospital secondary to cough, chills, fever, weakness. Pt was diagnosed with COVID. Pt was treated with doxycyline for pneumonia. Pt HGA1C of 9.3. Pt was also noted to have chronic abdominal wound, wound care continued. He will be dischargedto rehab.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Respiratory failure, Wound
Clinical narrative: Admit for resp failure due to COVID-19. Fully vaccinated. Given plasma, steroids, singulair, zinc, doxy, O2. 72 year old male with HTN, HLD, COPD, OSA, DM type 2, Dementia, Hypothyroid, CAD, CABG, was admitted to the hospital secondary to cough, chills, fever, weakness. Pt was diagnosed with COVID. Pt was treated with doxycyline for pneumonia. Pt HGA1C of 9.3. Pt was also noted to have chronic abdominal wound, wound care continued. He will be dischargedto rehab.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Extra dose administered, Fatigue, Headache
Clinical narrative: Headache, mild chills, moderate body aches and fatigue. Started at 11 hours post injection and persisted through at least 19 hours post injection. Forced to telework instead of reporting in person.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Headache, mild chills, moderate body aches and fatigue. Started at 11 hours post injection and persisted through at least 19 hours post injection. Forced to telework instead of reporting in person.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Respiratory disorder
Clinical narrative: Admitted with RUL cavitary lesion and found to also have COVID Pna. From group home where other residents were "sick". Completed vaccine 2/2021. Not hypoxic or requiring O2. Treated with cefepime, doxy, merrem, zinc. Patient is being discharged back to her group home she is doing well from the COVID-19 standpoint.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Hyperglycaemia
Clinical narrative: Admitted for hyperglycemia and found to have covid infection; fully vaccinated. No specific treatment required, asymptomatic. Discharged home.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Death, Dyspnoea
Clinical narrative: Tested + PTA. Presented w/ high fever, worsening cough and SOB. Fully vaccinated 1/2021. Dx w/ COVID pna. Remdesivir, lovenox, steroids, O2 by HFNC.  In terms of her COVID infection, she had received 10 days of remdesivir, toci, high-dose steroids, Lovenox. The patient passed away on September 6, 2021, at 1603.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Tested + PTA. Presented w/ high fever, worsening cough and SOB. Fully vaccinated 1/2021. Dx w/ COVID pna. Remdesivir, lovenox, steroids, O2 by HFNC.  In terms of her COVID infection, she had received 10 days of remdesivir, toci, high-dose steroids, Lovenox. The patient passed away on September 6, 2021, at 1603.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chills, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: Pt w/ chills, fevver, SOB x1 week, tested + for COVID 1 day PTA. Missed dialysis x1 week, was hypotensive on arrival and with metabolic acidosis. CT c/w findings for COVID pna, non-hypoxic. Remained on RA. Discharged home.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Metabolic acidosis, Pyrexia, SARS-CoV-2 test positive, Therapy interrupted
Clinical narrative: Pt w/ chills, fevver, SOB x1 week, tested + for COVID 1 day PTA. Missed dialysis x1 week, was hypotensive on arrival and with metabolic acidosis. CT c/w findings for COVID pna, non-hypoxic. Remained on RA. Discharged home.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Body rash resembling Measles. Began on trunk and has spread to limbs and face. Treating with antihistamines.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test abnormal, Pleural effusion
Clinical narrative: Tested + 4 days PTA, arrived with increasing SOB. R pleural effusion. On 2-3 L supplemental O2 temporarily. Weaned to RA at time of review. Treated with Vit-C and zinc. Discharged home.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admit for COVID infection. Fully vaccinated. Vit-c, singulair, zinc, steroids. Did not require O2, no pna. Discharged home.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Rhabdomyolysis
Clinical narrative: Admitted with Rhabdo after being found down at home, dx with COVID pna shortly after admit. Fully vaccinated. O2, remdesivir, singulair, zinc, steroids. 8/25 Discharged to inpatient hospice. Comfort was maintained the several hours he was on hospice He died at 16:20
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Lymphadenopathy
Clinical narrative: Swollen Nodes
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, SARS-CoV-2 test positive, Transfusion
Clinical narrative: Arrived with weakness, tested + for COVID in ER. Completed vaccine 3/2021. Given 1 unit plasma, steroids, vit-c, vit-d, zinc and singulair, lovenox. No pna. Never requried O2. Discharged home.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Colitis ulcerative, Condition aggravated, Inappropriate schedule of product administration
Clinical narrative: I received the first vaccine on Jan19th 2021. About a week after I experienced a small flare of my ulcerative colitis that I was able to get back under control with diet and medication.  Received the second vaccine on 7/21/21. About a week after this vaccine, my Ulcerative Colitis flared even worse and is now worse than I have ever experienced it. No medications are helping at the current time.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Hypoxia, Nausea, Vomiting
Clinical narrative: Dx w/ COVID 5 days PTA. Was admitted for one night after initial dx, then sent home. RTER for N/V and hypoxia, dx w/ COVID pna. Fully vaccinated 3/2021. O2, azithro/rocephin, steroids. Did not require remdesivir or plasma. Weaned to RA. Discharged home.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, Blood sodium decreased, COVID-19, Diarrhoea
Clinical narrative: Hospitalized 11/6/2021; COVID-19 positive 11/6/2021; fully vaccinated  BRIEF OVERVIEW:   Admission Date: 11/6/2021 Discharge Date: 11/8/2021  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hyponatremia  Hyponatremia  Diarrhea, unspecified type  COVID-19   HOSPITAL COURSE: This is a 68-year-old gentleman who initially developed symptoms of COVID respiratory is symptoms about 10 days prior to admission.  These subsequently resolved, but then he developed severe watery diarrhea with abdominal cramping.  On the day of admission he felt dizzy and lightheaded and weak.  He was found to have hyponatremia with a sodium of 117. He did not have any hypoxemia or any ongoing respiratory symptoms related to COVID.  He was initially treated with normal saline but had a rapid increase in his sodium level up to 125 and 8 hours, which led to reversal treatment of hyponatremia with desmopressin and a D5 W fluid bolus.  Sodium then slowly dropped down to 119. He was restarted on saline and his sodium increased back to 125 by the evening prior to discharge and 02/01/2032 by the morning of discharge.  The patient reported he had had prior problems with mild hyponatremia down to 131 related to hydrochlorothiazide in his blood pressure pill  He will be discharged with discontinuation of hydrochlorothiazide, and replacement of his combination lisinopril hydrochlorothiazide pill with lisinopril 10 mg daily.  He is prone to lower extremity edema and was prescribed Lasix 20 mg daily p.r.n. edema replace the hydrochlorothiazide.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hyponatraemia, Oedema peripheral, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 11/6/2021; COVID-19 positive 11/6/2021; fully vaccinated  BRIEF OVERVIEW:   Admission Date: 11/6/2021 Discharge Date: 11/8/2021  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hyponatremia  Hyponatremia  Diarrhea, unspecified type  COVID-19   HOSPITAL COURSE: This is a 68-year-old gentleman who initially developed symptoms of COVID respiratory is symptoms about 10 days prior to admission.  These subsequently resolved, but then he developed severe watery diarrhea with abdominal cramping.  On the day of admission he felt dizzy and lightheaded and weak.  He was found to have hyponatremia with a sodium of 117. He did not have any hypoxemia or any ongoing respiratory symptoms related to COVID.  He was initially treated with normal saline but had a rapid increase in his sodium level up to 125 and 8 hours, which led to reversal treatment of hyponatremia with desmopressin and a D5 W fluid bolus.  Sodium then slowly dropped down to 119. He was restarted on saline and his sodium increased back to 125 by the evening prior to discharge and 02/01/2032 by the morning of discharge.  The patient reported he had had prior problems with mild hyponatremia down to 131 related to hydrochlorothiazide in his blood pressure pill  He will be discharged with discontinuation of hydrochlorothiazide, and replacement of his combination lisinopril hydrochlorothiazide pill with lisinopril 10 mg daily.  He is prone to lower extremity edema and was prescribed Lasix 20 mg daily p.r.n. edema replace the hydrochlorothiazide.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19 pneumonia, Diuretic therapy, Glycosylated haemoglobin increased, Hyperglycaemia
Clinical narrative: Admit for COVID pna, severely hypoxic on arrival. Completed vaccine 4/2021. Treated with O2, remdesivir, steroids, zinc, vit-c, vit-d, lovenox, lasix. He also had some elevated troponins suspected likely from respiratory distress. He also has history of diastolic heart failure and also needed some diuresis with Lasix. Was noted to have hyperglycemia. Hemoglobin A1c was noted to be 6.4 he was covered with sliding scale insulin. This needs to be continue to be monitored. He was considered to be a candidate for LTAC. Cm was consulted currently has a bed available at hospital. Patient's other Medical issues remained stable during hospitalization and required minimal or no interventions
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Respiratory distress, Troponin increased
Clinical narrative: Admit for COVID pna, severely hypoxic on arrival. Completed vaccine 4/2021. Treated with O2, remdesivir, steroids, zinc, vit-c, vit-d, lovenox, lasix. He also had some elevated troponins suspected likely from respiratory distress. He also has history of diastolic heart failure and also needed some diuresis with Lasix. Was noted to have hyperglycemia. Hemoglobin A1c was noted to be 6.4 he was covered with sliding scale insulin. This needs to be continue to be monitored. He was considered to be a candidate for LTAC. Cm was consulted currently has a bed available at hospital. Patient's other Medical issues remained stable during hospitalization and required minimal or no interventions
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient got pfizer pediatric first dose . he was waiting in waiting area after vaccination and he fainted after 5 min. we called the emergency number before EMS come he was breathing fine and he was awake . EMS checked everything he was fine and patient able to walk on foot
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient developed very itchy hives from head to foot.  Denied any other symptoms.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Hypoxia
Clinical narrative: Patient came to ED with worsening SOB.  Patient was admitted for pneumonia due to COVID and hypoxia.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Extra dose administered, Fatigue, Influenza like illness
Clinical narrative: Sore arm at injection site day of vaccine.  Next day, flu like symptoms.  Fever, chills, achy joints, fatigure. This was a booster.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Sore arm at injection site day of vaccine.  Next day, flu like symptoms.  Fever, chills, achy joints, fatigure. This was a booster.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears, visit of Min
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID (+) after being fully vaccinated.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Polymenorrhoea
Clinical narrative: Unexpected early menstrual period (14 day cycle). Normal length and flow level and other associated symptoms like cramping, compared to typical. An additional unexpected early menstrual period started Nov. 16 (12 day cycle). My typical cycle length is 30-45 days, and previous shortest ever cycle was 25 days.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Computerised tomogram normal, Fall, Fibrin D dimer normal, Full blood count normal
Clinical narrative: Seizure activity starting after booster dose early the next morning- fell into the bathtub with full body convulsions witnessed by patient's wife followed by brief post-ictal period and 2 additional episodes of convulsions before EMS arrived. Patient was seen at emergency room, had lab work and CT head without acute findings. Normal neuro exam and no further episodes or symptoms other than soreness.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Neurological examination normal, Pain, Postictal state, Seizure
Clinical narrative: Seizure activity starting after booster dose early the next morning- fell into the bathtub with full body convulsions witnessed by patient's wife followed by brief post-ictal period and 2 additional episodes of convulsions before EMS arrived. Patient was seen at emergency room, had lab work and CT head without acute findings. Normal neuro exam and no further episodes or symptoms other than soreness.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure like phenomena
Clinical narrative: Seizure activity starting after booster dose early the next morning- fell into the bathtub with full body convulsions witnessed by patient's wife followed by brief post-ictal period and 2 additional episodes of convulsions before EMS arrived. Patient was seen at emergency room, had lab work and CT head without acute findings. Normal neuro exam and no further episodes or symptoms other than soreness.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Immunisation, Pain in extremity, Underdose
Clinical narrative: Client came in for a Pfizer booster dose and received a pediatric Pfizer dose. Client then received a Pfizer booster dose.   The next day client reported a sore arm and a headache.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Sore arm at spot of injection
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION. PATIENT TESTED POSITIVE ON 11/08/2021. PATIENT FULLY VACCINATED ON 10/01/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine was administered.  Vaccine expired 11-7-21
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dehydration, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Admitted for weakness, dehydration. No hypoxia. Found to be COVID positive. Did not require specific treatment for COVID. Required PT/OT, IVF, and IV ceftriaxone for UTI. Admitted to hospital on 11/7/2021 and discharged on 11/11/2021.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION. PATIENT TESTED POSITIVE ON 10/21/2021. PATIENT FULLY VACCINATED ON 03/14/2021.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Ovarian cyst, Polymenorrhoea, Ultrasound ovary abnormal
Clinical narrative: I haven't had an actual period for over a year since I got my IUD. 1 week after the vaccine, I started getting a heavy painful period which lasted 2 weeks, stopped for two weeks, and then continued every two weeks for 3+ months.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound uterus
Clinical narrative: I haven't had an actual period for over a year since I got my IUD. 1 week after the vaccine, I started getting a heavy painful period which lasted 2 weeks, stopped for two weeks, and then continued every two weeks for 3+ months.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Gluten sensitivity
Clinical narrative: Developed a gluten allergy. Stomach pains when eating wheat. Had to go to primary and urgent care and eliminate and reintroduce foods to determine what the issue was.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Client and guardian came in to clinic requesting a flu shot. Front desk staff had client's guardian complete consent form for a flu vaccine and offered VIS form. Guardian declined. Nurse brought client back into room with guardian and confirmed name and DOB. Writer confirmed they were here for a flu shot, went over screening questions and administered vaccine. After vaccine administered, client and guardian inquired that they did receive the COVID Vaccine. RN informed them that they did not receive a COVID Vaccine, that they received a flu vaccine. Client states he already had a flu vaccine. RN went over error with client and guardian and did not administer COVID Vaccine due to facility not being ready. Did refer client and guardian to other area clinic for COVID vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Injection site mass, Musculoskeletal stiffness
Clinical narrative: Lump at injection site, itching in the evening of vaccine recieved.  This morning 11:30am. Left arm numbness, tightness lump at injection site still, no fever, headache, tired at 1:15pm
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Lump at injection site, itching in the evening of vaccine recieved.  This morning 11:30am. Left arm numbness, tightness lump at injection site still, no fever, headache, tired at 1:15pm
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Foaming at mouth, Gaze palsy, Generalised tonic-clonic seizure, Tremor, Vaccine positive rechallenge
Clinical narrative: He was sleeping, and on 11/16/21  around 6am all of sudden He started shaking, eyes rolled up and foam was coming out of mouth. I called 911 and they took him to hospital. They said he got grand mal seizure. He also got same reaction after 2nd dose of Moderna Covid Vaccine
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lymphadenopathy, Paraesthesia
Clinical narrative: First I  developed nodule under left arm pit then went to right arm pit a few weeks later then developed off and on numbness and tingling of finger tips was predominately on the left hand and   then a few weeks later moved to right hand and it continues
Age: 37.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Haemangioma of skin
Clinical narrative: Patient contacted pharmacy to report the apperance of "cherry angioma" or red moles on torso 7 days after vaccination. These were not previously present and no other adverse events occured. Patient was counselled to follow up with physician/dermatologist if these were troublesome and didn't resolve on there own.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Ringing in ear. Worse at night, sleeping, but constant. Also happened after first dose in March 2021
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Visual impairment
Clinical narrative: I have had 2 similar events to This vaccine.   1- A week or 10 days after 2nd dose (given at local Mass Vaccination drive through, Lot EP-7534 on 17Mar2021) 2- Day after 3rd dose (booster)  For 1 to 3 days or so... My vision is very much delayed, lagging and some blur. Cannot seem to focus without effort and images seem to drag along line of sight. This got better after a few days at 2nd dose, but not sure how long it will last with 3rd dose as I just got it yesterday.   The side effect did start much faster with 3rd dose, next day vs. 2nd dose took about 7-10 days post 2nd dose to start.
Age: 15.0
Sex: M
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: vaccine clinic was sent out to parents to register 5 to 11 year old children. all signs at facility said location for 5 to 11 year old covid vaccine clinic.--child ended up being 15 years old
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Postmenopausal haemorrhage, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding even though post menopausal for over 8 years.  Severe leg cramp.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Within 24hr after receiving the 2nd dose, I developed chest tightness and mild chest pain. I experienced shortness of breath. I was able to continue with normal daily activities but the symptoms were very noticeable and persistent. Rest did not make the symptoms go away.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Ageusia, Asthenia, COVID-19 pneumonia, Cough
Clinical narrative: Patient came  to ED with chest congestion, occasional cough, feeling weak in generalized body aches and loss of taste.  Patient admitted to hospital with pneumonia due to Covid, hypoxemia, and acute renal insufficiency.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Pain, Respiratory tract congestion
Clinical narrative: Patient came  to ED with chest congestion, occasional cough, feeling weak in generalized body aches and loss of taste.  Patient admitted to hospital with pneumonia due to Covid, hypoxemia, and acute renal insufficiency.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong Dose - Pediatric Dose Administered to 12 year old - No adverse reaction
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. PATIENT TESTED POSITIVE ON 08/13/2021. PATIENT FULLY VACCINATED ON 04/06/2021.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: pt reports having been positive for COVID x approx 2 weeks @ home; brought to ED with worsening SOB, weakness and cough; HX:  CADBG, prostate CA, thyroid disease; hernia repair; on HF NC with O2 sats 89-90%; started on dexamethasone; AHRF; DNI/DNR; condition worsened significantly; pt went into respiratory arrest and died in the hospital
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory arrest, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: pt reports having been positive for COVID x approx 2 weeks @ home; brought to ED with worsening SOB, weakness and cough; HX:  CADBG, prostate CA, thyroid disease; hernia repair; on HF NC with O2 sats 89-90%; started on dexamethasone; AHRF; DNI/DNR; condition worsened significantly; pt went into respiratory arrest and died in the hospital
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Bradykinesia, Dizziness, Dyspnoea, Eye movement disorder, Fall
Clinical narrative: APPROXIMATELY 5 MINUTES AFTER RECEIVING JANSSEN VACCINE, PATIENT REPORTED FEELING FAINT AND ASKED TO HAVE A SEAT IN THE OBERSERVATION AREA.  PATIENT WAS MOVED TO OBSERVATION AREA, WAS INITIALLY SEATED, THEN WAS LAID ON THE FLOOR WITH FEET ELEVATED.  PHARMACIST REMAINED TALKING TO PATIENT FOR APPROXIAMTELY 5 ADDITIONAL MINUTES. PATIENT DRANK A SPRITE WHILE TRYING TO RECOVER FROM FEELING FAINT. PATIENT THEN SAT UP TO TALK TO HIS WIFE AND FELL BACK LOSING CONSCIOUSNESS.  WITHIN SECONDS AFTER LOSING CONSCIOUSNESS, PATIENT BEGAN GROANING/MAKING GARGLING SOUNDS AND GASPING FOR AIR AND SLOWLY MOVING APPENDAGES. 911 WAS CALLED.  AFTER 5-10 SECONDS PATIENT WENT COMPLETELY LIMP AND UNRESPONSIVE. PATIENT LOST ALL COLOR AND EYES WERE OPEN BUT ROLLED BACK INTO THE HEAD.  PHARMACIST ADMINISTERED EPIPEN.  WITHIN 15 SECONDS OR SO, PATIENT REGAINED CONSCIOUSNESS AND TRIED TO SIT UP ASKING WHAT HAPPENED.  PATIENT REPORTED FEELING HOT AND LIGHT HEADED.  FIRE TRUCK ARRIVED LESS THAN FIVE MINUTES LATER.  PATIENT WAS MOVED TO A SITTING POSITION AND RECOVERED AFTER APPROXIMATELY 10 TO 15 MINUTES AND LEFT THE PHARMACY STATING HE FELT BETTER.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Hypotonia, Increased bronchial secretion, Loss of consciousness, Moaning
Clinical narrative: APPROXIMATELY 5 MINUTES AFTER RECEIVING JANSSEN VACCINE, PATIENT REPORTED FEELING FAINT AND ASKED TO HAVE A SEAT IN THE OBERSERVATION AREA.  PATIENT WAS MOVED TO OBSERVATION AREA, WAS INITIALLY SEATED, THEN WAS LAID ON THE FLOOR WITH FEET ELEVATED.  PHARMACIST REMAINED TALKING TO PATIENT FOR APPROXIAMTELY 5 ADDITIONAL MINUTES. PATIENT DRANK A SPRITE WHILE TRYING TO RECOVER FROM FEELING FAINT. PATIENT THEN SAT UP TO TALK TO HIS WIFE AND FELL BACK LOSING CONSCIOUSNESS.  WITHIN SECONDS AFTER LOSING CONSCIOUSNESS, PATIENT BEGAN GROANING/MAKING GARGLING SOUNDS AND GASPING FOR AIR AND SLOWLY MOVING APPENDAGES. 911 WAS CALLED.  AFTER 5-10 SECONDS PATIENT WENT COMPLETELY LIMP AND UNRESPONSIVE. PATIENT LOST ALL COLOR AND EYES WERE OPEN BUT ROLLED BACK INTO THE HEAD.  PHARMACIST ADMINISTERED EPIPEN.  WITHIN 15 SECONDS OR SO, PATIENT REGAINED CONSCIOUSNESS AND TRIED TO SIT UP ASKING WHAT HAPPENED.  PATIENT REPORTED FEELING HOT AND LIGHT HEADED.  FIRE TRUCK ARRIVED LESS THAN FIVE MINUTES LATER.  PATIENT WAS MOVED TO A SITTING POSITION AND RECOVERED AFTER APPROXIMATELY 10 TO 15 MINUTES AND LEFT THE PHARMACY STATING HE FELT BETTER.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Unresponsive to stimuli
Clinical narrative: APPROXIMATELY 5 MINUTES AFTER RECEIVING JANSSEN VACCINE, PATIENT REPORTED FEELING FAINT AND ASKED TO HAVE A SEAT IN THE OBERSERVATION AREA.  PATIENT WAS MOVED TO OBSERVATION AREA, WAS INITIALLY SEATED, THEN WAS LAID ON THE FLOOR WITH FEET ELEVATED.  PHARMACIST REMAINED TALKING TO PATIENT FOR APPROXIAMTELY 5 ADDITIONAL MINUTES. PATIENT DRANK A SPRITE WHILE TRYING TO RECOVER FROM FEELING FAINT. PATIENT THEN SAT UP TO TALK TO HIS WIFE AND FELL BACK LOSING CONSCIOUSNESS.  WITHIN SECONDS AFTER LOSING CONSCIOUSNESS, PATIENT BEGAN GROANING/MAKING GARGLING SOUNDS AND GASPING FOR AIR AND SLOWLY MOVING APPENDAGES. 911 WAS CALLED.  AFTER 5-10 SECONDS PATIENT WENT COMPLETELY LIMP AND UNRESPONSIVE. PATIENT LOST ALL COLOR AND EYES WERE OPEN BUT ROLLED BACK INTO THE HEAD.  PHARMACIST ADMINISTERED EPIPEN.  WITHIN 15 SECONDS OR SO, PATIENT REGAINED CONSCIOUSNESS AND TRIED TO SIT UP ASKING WHAT HAPPENED.  PATIENT REPORTED FEELING HOT AND LIGHT HEADED.  FIRE TRUCK ARRIVED LESS THAN FIVE MINUTES LATER.  PATIENT WAS MOVED TO A SITTING POSITION AND RECOVERED AFTER APPROXIMATELY 10 TO 15 MINUTES AND LEFT THE PHARMACY STATING HE FELT BETTER.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Caught Covid. Symptoms were mild and only noticed because I lost sense of taste and smell. This cured in last week of September 2021.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: patient was accidently given 0.2ml of the adult formulation of covid-19 vaccination. This amounts to 2 pediatric doses at one time. Parent was called and advised to look out for any headaches, joint pain and elevated heart rate and to f/u with her daughter's pediatrician if so.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin G increased, Ear discomfort, Lymphadenopathy, Nausea, Tinnitus
Clinical narrative: 10 days post 2nd shot (Sept 13), developed severe nausea, swollen lymph nodes in neck, tinnutus, and left ear pressure. Went to general practitioner 1 week after symptoms did not improve. Was prescribed Zofran and Phenergan with little effect. Next prescribed a steroid shot and antibiotics for possible ear infection. Next was referred to ENT Dr who prescribed steroid pack and another antibiotic. Symptoms persist at 9 weeks post-vaccination.
Age: 52.0
Sex: M
Vaccine: COVID19, FLUR4, UNK
Symptoms: Extra dose administered, No adverse event, Similar reaction on previous exposure to drug
Clinical narrative: Patient was given 2 doses of Pfizer and a Fluarix in error - should have only received Pfizer and Fluarix.    Patient stated no adverse effects when I called on 11/15/21.  He stated his reaction was similar to the reaction for first 2 doses of Pfizer.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Burning sensation, Chest discomfort, Dysgeusia
Clinical narrative: Minor sore arm day after vaccine. Sunday 10/24 Shortness breath was pretty bad. Chest was tight. Can breathe the whole way in, does not seem like anything was blocking, but the breathes did not feel like they were enough. Monday, it seemed like it subsided, every now and then it would come back for 2 weeks, I was concerned but it was not severe. Around the 5th, I had tightness of chest, and then that night I had a hard time falling asleep, then suddenly something strange happened in my sinus, and it felt weird then I got a severe migraine. The insomnia continued along with the headaches. The next day 8th I went to the Urgent Care, EKG-normal, x-ray-normal, Covid test- negative. I was frustrated because they couldn't tell me anything, and didn't really help, only that it could be anxiety. The next day I felt a little better then at night I had a headache again and couldn't slept. The following day I had a bad headache, so I went to another urgent care. At this UC they blood test-normal, tested thyroid- normal, they did notice my blood pressure was high 145/93 resting heart rate 88 BPM. They didn't give me any treatments, so looked it up myself and it said to keep sodium low and increase potassium so that's what I have been doing. I have just been monitoring it ad kept a journal of what was happening... This past weekend the symptoms came back and were pretty severe, Sunday, I started feeling week and nauseated. Monday had another headache and then began having a weird taste in my mouth, almost chemical like. Symptoms have continued. Difficulty breathing is the worse when I lay down. This weekend my hands would feel like their swollen and itchy. Burning sensation under my skin, noticed the most in my ears, arms and feet.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Headache, Hypertension, Insomnia
Clinical narrative: Minor sore arm day after vaccine. Sunday 10/24 Shortness breath was pretty bad. Chest was tight. Can breathe the whole way in, does not seem like anything was blocking, but the breathes did not feel like they were enough. Monday, it seemed like it subsided, every now and then it would come back for 2 weeks, I was concerned but it was not severe. Around the 5th, I had tightness of chest, and then that night I had a hard time falling asleep, then suddenly something strange happened in my sinus, and it felt weird then I got a severe migraine. The insomnia continued along with the headaches. The next day 8th I went to the Urgent Care, EKG-normal, x-ray-normal, Covid test- negative. I was frustrated because they couldn't tell me anything, and didn't really help, only that it could be anxiety. The next day I felt a little better then at night I had a headache again and couldn't slept. The following day I had a bad headache, so I went to another urgent care. At this UC they blood test-normal, tested thyroid- normal, they did notice my blood pressure was high 145/93 resting heart rate 88 BPM. They didn't give me any treatments, so looked it up myself and it said to keep sodium low and increase potassium so that's what I have been doing. I have just been monitoring it ad kept a journal of what was happening... This past weekend the symptoms came back and were pretty severe, Sunday, I started feeling week and nauseated. Monday had another headache and then began having a weird taste in my mouth, almost chemical like. Symptoms have continued. Difficulty breathing is the worse when I lay down. This weekend my hands would feel like their swollen and itchy. Burning sensation under my skin, noticed the most in my ears, arms and feet.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Minor sore arm day after vaccine. Sunday 10/24 Shortness breath was pretty bad. Chest was tight. Can breathe the whole way in, does not seem like anything was blocking, but the breathes did not feel like they were enough. Monday, it seemed like it subsided, every now and then it would come back for 2 weeks, I was concerned but it was not severe. Around the 5th, I had tightness of chest, and then that night I had a hard time falling asleep, then suddenly something strange happened in my sinus, and it felt weird then I got a severe migraine. The insomnia continued along with the headaches. The next day 8th I went to the Urgent Care, EKG-normal, x-ray-normal, Covid test- negative. I was frustrated because they couldn't tell me anything, and didn't really help, only that it could be anxiety. The next day I felt a little better then at night I had a headache again and couldn't slept. The following day I had a bad headache, so I went to another urgent care. At this UC they blood test-normal, tested thyroid- normal, they did notice my blood pressure was high 145/93 resting heart rate 88 BPM. They didn't give me any treatments, so looked it up myself and it said to keep sodium low and increase potassium so that's what I have been doing. I have just been monitoring it ad kept a journal of what was happening... This past weekend the symptoms came back and were pretty severe, Sunday, I started feeling week and nauseated. Monday had another headache and then began having a weird taste in my mouth, almost chemical like. Symptoms have continued. Difficulty breathing is the worse when I lay down. This weekend my hands would feel like their swollen and itchy. Burning sensation under my skin, noticed the most in my ears, arms and feet.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Thyroid function test normal, X-ray normal
Clinical narrative: Minor sore arm day after vaccine. Sunday 10/24 Shortness breath was pretty bad. Chest was tight. Can breathe the whole way in, does not seem like anything was blocking, but the breathes did not feel like they were enough. Monday, it seemed like it subsided, every now and then it would come back for 2 weeks, I was concerned but it was not severe. Around the 5th, I had tightness of chest, and then that night I had a hard time falling asleep, then suddenly something strange happened in my sinus, and it felt weird then I got a severe migraine. The insomnia continued along with the headaches. The next day 8th I went to the Urgent Care, EKG-normal, x-ray-normal, Covid test- negative. I was frustrated because they couldn't tell me anything, and didn't really help, only that it could be anxiety. The next day I felt a little better then at night I had a headache again and couldn't slept. The following day I had a bad headache, so I went to another urgent care. At this UC they blood test-normal, tested thyroid- normal, they did notice my blood pressure was high 145/93 resting heart rate 88 BPM. They didn't give me any treatments, so looked it up myself and it said to keep sodium low and increase potassium so that's what I have been doing. I have just been monitoring it ad kept a journal of what was happening... This past weekend the symptoms came back and were pretty severe, Sunday, I started feeling week and nauseated. Monday had another headache and then began having a weird taste in my mouth, almost chemical like. Symptoms have continued. Difficulty breathing is the worse when I lay down. This weekend my hands would feel like their swollen and itchy. Burning sensation under my skin, noticed the most in my ears, arms and feet.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Tinnitus, Vertigo
Clinical narrative: Tinnitus, Vertigo, and rapid heart rate.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Depression, Injected limb mobility decreased, Injection site pain, Joint range of motion decreased, Mental impairment
Clinical narrative: Severe pain on top of left arm, from injection site near left shoulder,  to left fingertips.  Range of motion diminished by 2/3. Cannot lift left arm above chest. Reaching out also causes the worst pain ever experienced by patient....including Spinal Fusion Surgery. Pain is constant and has progressively gotten worse over the last four months. Quality of life is nonexistent.  Cannot find any method to make pain tolerable. My mental condition is deteriorating to the point of contemplating suicide.  I will not actually commit suicide,  but I think about it frequently.  Depression has made situation unbearable.  Please!! Please tell me you have a remedy for this excruciating condition.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Quality of life decreased, Suicidal ideation
Clinical narrative: Severe pain on top of left arm, from injection site near left shoulder,  to left fingertips.  Range of motion diminished by 2/3. Cannot lift left arm above chest. Reaching out also causes the worst pain ever experienced by patient....including Spinal Fusion Surgery. Pain is constant and has progressively gotten worse over the last four months. Quality of life is nonexistent.  Cannot find any method to make pain tolerable. My mental condition is deteriorating to the point of contemplating suicide.  I will not actually commit suicide,  but I think about it frequently.  Depression has made situation unbearable.  Please!! Please tell me you have a remedy for this excruciating condition.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Mental status changes, Pyrexia
Clinical narrative: Admitted to Hosptial on 11/9/2021 for fever, weakness, and altered mental status. Put on 2L O2 and IV dexamethasone while in hospital. Discharged on 11/10/2021. Presented for readmission on 11/13/2021 due to continued weakness and unable to be cared for in her home.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Autoimmune disorder, Burning sensation, Constipation, Diabetes mellitus, Gait disturbance
Clinical narrative: Constipation, muscle cramps, tingling in legs, numbness in legs and feet. Burning in my feet, paralyzed, can hardly walk. Autoimmune system crashed. With this I all of sudden have diabetes! No one in my family has diabetes! I am a healthy person.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Muscle spasms, Paraesthesia, Paralysis
Clinical narrative: Constipation, muscle cramps, tingling in legs, numbness in legs and feet. Burning in my feet, paralyzed, can hardly walk. Autoimmune system crashed. With this I all of sudden have diabetes! No one in my family has diabetes! I am a healthy person.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Stress
Clinical narrative: Constipation, muscle cramps, tingling in legs, numbness in legs and feet. Burning in my feet, paralyzed, can hardly walk. Autoimmune system crashed. With this I all of sudden have diabetes! No one in my family has diabetes! I am a healthy person.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: PAINFUL SWOLLEN LYMP NODE- FOR THREE TO FOUR DAYS POST VACCINATION. CONTACTED CDC TO BETTER INFORM PATIENT ADVISED TO TAKE ANTI INFLAMATORY NSAID AND USE COOL CLEAN CLOTH TO THE SWOLLEN LYMP NODE UNDER THE ARM
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Unknown adverse reaction. Pfizer vaccine mixed using the wrong diluent. Bacteriostatic 0.9% Sodium Chloride for Injection was used rather than NON-bacteriostatic as recommended per manufacturer.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Computerised tomogram thorax abnormal, Pulmonary thrombosis
Clinical narrative: Acute respiratory failure with hypoxia.  Patient admitted to hospital 7/21/21, CT suspicious for chronic or subacute segmental thrombus within the right upper lobe. She was discharged 7/24 but went to the ED the same day, was readmitted and then discharged again 7/27/2021.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Laboratory test, Tachycardia
Clinical narrative: Tachycardia with heart rates 100-160 for periods of 10-20 minutes intermittently for 2 months post vaccination.  Primary MD made aware.  EKG obtained.  MD reported he would suggest followup with specialist if symptoms persisted.  Tachycardia stopped after 2 months.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alcohol withdrawal syndrome, Diarrhoea, Nausea, Vaccine breakthrough infection, Vomiting
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include n/v/d, ETOH withdrawal
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site bruising, Injection site rash, Injection site swelling, Pain in extremity
Clinical narrative: Patient developed a swollen rash at injection site with bruising. Within a couple of days the patients arm became very sore and has been sore for the last month with times she is unable to raise it without assistance. She has been taking Aleve and using Biofreeze on injection site.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. PATIENT TESTED POSITIVE ON 03/22/2021. PATIENT FULLY VACCINATED ON 02/17/2021.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: Hospitalized 11/6/2021; COVID-19 positive 11/6/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: Primary Care Physician at Discharge: Admission Date: 11/6/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Respiratory failure, acute-on-chronic [J96.20] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 87 y.o. female with PMH significant for COPD, HLD, HTN, hypothyroidism, history of ischemic CVA, compression fracture, GERD, depression, and sick sinus syndrome status post pacemaker who presented to the ED on 11/6/21 after exposure to COVID with four day h/o of lightheadedness, cough and weakness. In the ED, she was hypoxic requiring 4L O2 rather than her baseline of 3L. She was started on Remdesivir and Decadron and admitted for hypoxia 2/2 COVID.   Patient had progressive hypoxia requiring high flow nasal cannula. She was transitioned to IV salumedrol 40mg q6 hours due to wheezing concerning for COPD exacerbation. She was also given albuterol q4 hours scheduled. O2 requirements continued to increase to % FIO2 on HFNC. Long discussion with patient and family regarding GOC. Ultimately elected to pursue comfort measures. Hospice was consulted an patient made GIP Hospice. Started on Morphine and Versed Gtt. Passed away at 2206 on 11/14/21.