chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Ear discomfort, Ear pain, Influenza like illness
Clinical narrative: Pt. states that after receiving the 1st dose of J&J 03/04/2021, started experiencing symptoms that night of joint pain, sharp pain throughout the body, flu-like symptoms, ear pains (nerve - Left), ears burning, and chest burning. Symptoms are still presenting on/off since initial injection. Primary visit (within a week's time) ear examination (Normal).
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Pt. states that after receiving the 1st dose of J&J 03/04/2021, started experiencing symptoms that night of joint pain, sharp pain throughout the body, flu-like symptoms, ear pains (nerve - Left), ears burning, and chest burning. Symptoms are still presenting on/off since initial injection. Primary visit (within a week's time) ear examination (Normal).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dysphagia, Pain in extremity, Pharyngeal swelling
Clinical narrative: I EXPERIENCED PAINFUL ARM, CHILLS, SHAKES, DIZZINESS BUT NO FEVER.  MY SINUSES GOT SO BAD AND MY THROAT SWELLED MAKING IT DIFFICULT TO SWALLOW, THERE WERE TIMES I FELT LIKE I COULD NOT AND HAD TO TAKE A SIP OF WATER TO MAKE MYSELF SWALLOW
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinus disorder, Tremor
Clinical narrative: I EXPERIENCED PAINFUL ARM, CHILLS, SHAKES, DIZZINESS BUT NO FEVER.  MY SINUSES GOT SO BAD AND MY THROAT SWELLED MAKING IT DIFFICULT TO SWALLOW, THERE WERE TIMES I FELT LIKE I COULD NOT AND HAD TO TAKE A SIP OF WATER TO MAKE MYSELF SWALLOW
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated as on 03/09/2021 with Pfizer and contracted COVID, tested positive on 9/03/2021
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia, Tremor
Clinical narrative: 101 TEMPERATURE. BODY ACHES FROM HEAD TO TOE.  SHAKING AND CHILLS.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Computerised tomogram head, Electrocardiogram, Full blood count, Mental status changes
Clinical narrative: General  weakness, altered mental status
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, SARS-CoV-2 test
Clinical narrative: General  weakness, altered mental status
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Urticaria
Clinical narrative: Hives and blisters from neck down. steroids were prescribed for a week
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Lethargy, Pain in extremity
Clinical narrative: Arm pain, lethargy, headache
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test negative, Therapy non-responder
Clinical narrative: I have had my antibodies tested 3 times since receiving the vaccine, at week 4, week 8 and 5 months and all have been negative showing NO antibodies to SARS Covid-19.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Pyrexia, Respiratory tract congestion
Clinical narrative: Patient contracted COVID after being fully vaccinated 9/6/2021 - Headache, Congestion, fever
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Cold sweat, Headache, Pain in extremity
Clinical narrative: Headache, upset stomach, cold sweats, arm pain.  Bed rest.  Relieved in 4 to 8 hours (except arm was 2 days).
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Oral mucosal blistering, Pyrexia
Clinical narrative: Employee received Janssen on 09/14/2021 @A 0800. Hcw stated that she started having reaction on 09/14/2021 @ 1600 which include fever for , chills , shivering, tiredness for 2 days . The blisters on her mouth started on 09/15/2021 around 0930am. Hcw treated the blistered on the mouth with deep cleaning
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Ovulation disorder, Pyrexia
Clinical narrative: High fever, chills, headache; heavy ovulation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Arm pain started directly after shot. Three months later it hurts worse than when I got it.  The pain is at the injection site, but it feels like it is in the muscle or bone.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest discomfort, Exercise electrocardiogram abnormal
Clinical narrative: When I would exercise, I would get a strong tightness in the center of my chest. After I warmed up a little, it would kind of subside. It was a symptom I have never had. It would occur at my regular exercise class. Probably a month after I noticed the symptoms, I saw a doctor. I kept thinking it was temporary from the vaccine and that it would go away. There was no change in the symptoms, so I went to see my doctor. I had an operation after testing to put in a stent. I will have a re-check in a year. It took care of my symptom of tightness with exercise.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood pressure increased, Chest pain, Feeling abnormal, Laboratory test normal
Clinical narrative: Chest pain, heart palpitations, elevated blood pressure, foggy head, neck and upper back pain Gradual reduction of chest pain, palpitations, and elevated BP. Neck and upper back pain, and brain fog persists currently.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Neurological examination normal, Palpitations
Clinical narrative: Chest pain, heart palpitations, elevated blood pressure, foggy head, neck and upper back pain Gradual reduction of chest pain, palpitations, and elevated BP. Neck and upper back pain, and brain fog persists currently.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID test
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose, Dysphonia, Feeling abnormal, Mobility decreased
Clinical narrative: Pt stated she didn't feel right.  She was able to move from chair to wheelchair with help. When taken back into exam room, patient was shaking and weak. When we asked her questions the patient could form words. She was struggling with getting any sound out. We called 911 and patient was sent to the ER.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Pt stated she didn't feel right.  She was able to move from chair to wheelchair with help. When taken back into exam room, patient was shaking and weak. When we asked her questions the patient could form words. She was struggling with getting any sound out. We called 911 and patient was sent to the ER.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: received 2nd dose too early 1st dose 8/13/2021
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Lymphadenopathy, Sensation of foreign body, Throat tightness
Clinical narrative: About a month or so later, I began feeling a lump in my throat. I have had swollen lymph nodes in my throat. I went to minute clinic, and they ran blood tests. I was sent to get CT scan at the ER. They were unable to find anything other than swollen lymph nodes. It feels like a hand is around my throat. I was told it will pass but I am still currently experiencing it.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness transient
Clinical narrative: Patient reported to me yesterday during a routine annual wellness visit that after the first shot, she had blindness that last for a few minutes, then resolved.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Paraesthesia, Vision blurred
Clinical narrative: CHEST TIGHTNESS, GAVE HISTORY OF ANXIETY ATTACKS. AFTER A FEW MINUTES COMPLAINED OF BLURRED VISIONAND GENERALIZE TINGLING. EMS CALLED AT HER REQUEST, EVALUATION WNL AND SHE WAS ALLOWED TO GO HOME ON HER OWN.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain in extremity, Peripheral swelling
Clinical narrative: Around my abdominal area felt swollen, and almost felt like a onset bladder infection; still ongoing. (Taking cranberry juice to see if it alleviates this symptom.) After taking the shot, I'd have periodic sudden chest pains. The main thing that presented itself, is the sudden formation of a lump (Where there never was one.) on my right leg. Between my leg, buttock, scrotum.  It formed two days after the shot and continues at the time of this reporting.  Feel swollen pain, and slightly smaller than a golf ball.  Not sure what it is, blood clot, swollen lymph node, cyst.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Starting from my cycle in May, my cycle length increased from 28 - 30 days to 40 - 70 days.  Between April - May: 41 Days.  May - July : 67 Days. July - Present: Still haven't started my cycle.    When I did get my period, my flow was heavier.  I do have an IUD, Paraguard, but have had the IUD in place since 2016, and have had fairly stable period cycle lengths leading up to May of 2021.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Rash pruritic, Vomiting
Clinical narrative: first night: vomiting chills diarrhea dizziness, rash developed with profound itchiness, steroid cream didnt work, similar to moderna arm
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERS EVENT:  Vaccine expired on 08/24/2021 was given on 08/27/2021
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Mood swings
Clinical narrative: Before the second vaccine, my birth control pill (Vinelle) prevented me from having a period. Since the vaccine, I have been getting my period for over two weeks every month. The cycle is very heavy with very bad cramps and mood swings-- I did not have these problems before. I have recently gone to my doctor to have my birth control changed.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Computerised tomogram head, Electrocardiogram, Full blood count, International normalised ratio
Clinical narrative: abnormal lab results, on anti coagulants for heart valve replacement and has thrombocytopenia
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test abnormal, Metabolic function test, Prothrombin time, Thrombocytopenia
Clinical narrative: abnormal lab results, on anti coagulants for heart valve replacement and has thrombocytopenia
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Dysmenorrhoea, Menstruation irregular, Oedema peripheral, Paraesthesia
Clinical narrative: adverse reactions occurred on the arm that received the shot  within 24 hrs I began feeling some intermittent "tingly" sensations, and most alarming was the immense underarm pain (pain to the touch -9/10 scale) that ensued. It felt like my underarm was swollen and highly sensitized.    I had a virtual call with my PCP and was advised to go in for a follow-up  evaluation  within a few days.  Swelling and pain subsided with 2 weeks of start  in addition, my first period following the shot was atypical- far more excruciatingly painful cramps than usual (I only noted because I was in the middle of  my workday and the cramps literally had me scrunched  down to the ground in seconds)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain, Vaccination site pain, X-ray limb
Clinical narrative: Right after I have a shooting pain right at the vaccination site. If I try to reach over my head or behind my back I get sharp pain. This has been going on for about 6 months. I will start physical therapy to get mobility back in my arm and ease the pain I get when I move my arm. I have discussed with my rheumatologist, hematologist, and made an appointment with my primary care doctor. I have not been prescribed any medications.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt experienced a syncopal episode during observation period after receiving Janssen vaccine. Pt did not sustain any falls while sitting in chair. Pt was given water, sugary snack, and had leg raised. Pt reported "feels fine" and was able to walk out of the vaccination site after approximately 20 minutes.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Heavy menstrual bleeding, Nausea
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 09/02/2021, started experiencing symptoms 09/15/2021 of headaches, weakness, fatigue, nausea, and heavy menstrual. Has used 2 boxes of pads to prevent leaking and clotting thick menstrual.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERS EVENT:  Vaccine expired on 08/24/2021 was given on 08/27/2021
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Influenza like illness, Pyrexia
Clinical narrative: pharmacist  says she cannot give the information to fill in lot information pt reports fever 10.8 and ill with "flu-like illness for approx. 24 hrs; unable to work 9/15/21
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Chest pain, Feeling hot, Gait inability
Clinical narrative: Flu like symptoms, weakness, unable to walk, chest pains, stomach pains and pains through out body, warm stabbing sensation
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Pain
Clinical narrative: Flu like symptoms, weakness, unable to walk, chest pains, stomach pains and pains through out body, warm stabbing sensation
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Oligomenorrhoea, Pregnancy test
Clinical narrative: Loss/missed period, resumed about 3 weeks later with very heavy red bleeding. I am very regular and was concerned I was pregnant and that this causes miscarriage. I tested negative (over the counter) a few days after missed period date.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Pharyngeal swelling
Clinical narrative: Patient reported following vaccination (after leaving pharmacy) developing swelling in throat and difficulty breathing.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Balance disorder, Muscle spasms, Speech disorder
Clinical narrative: He states that he has been experiencing speech changes, memory loss, a total loss of energy, leg cramping, and losing his balance since receiving his COVID vaccinations
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Feeling hot, Hyperhidrosis, Peripheral swelling, Rash
Clinical narrative: Patient received Janssen COVID-19 vaccination at 1013.  At 1035 patient reported difficulty swallowing and a mild red rash was noted to patient's neck.  Vital signs stable. Patient denied dyspnea, N/V, dizziness and itch.  MD notified.  BP 133/86, HR 75, RR 18, SpO2 97%.  ***     ***   At 1057 patient reported feeling hot, scant sweating noted to back, itch to throat continued, scant swelling noted to both hands and patient reported "shoes feeling tighter". Rash no longer noted to patient's neck.  Dyspnea denied.  ***     ***   At 1115 MD ordered 25mg IM diphenhydramine one time as needed for throat itch.  Administered to left deltoid.  MD ordered for patient to be observed for an additional 30 minutes.  ***     ***   At 1120 patient stated relief from throat itch and difficulty swallowing.  ***     ***   Patient left clinic in stable condition at 1148. BP 121/83, HR 75, RR 18, SpO2 98% RA.  Denied dyspnea, N/V, itch, rash, swelling, dizziness upon leaving.  ***
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Throat irritation
Clinical narrative: Patient received Janssen COVID-19 vaccination at 1013.  At 1035 patient reported difficulty swallowing and a mild red rash was noted to patient's neck.  Vital signs stable. Patient denied dyspnea, N/V, dizziness and itch.  MD notified.  BP 133/86, HR 75, RR 18, SpO2 97%.  ***     ***   At 1057 patient reported feeling hot, scant sweating noted to back, itch to throat continued, scant swelling noted to both hands and patient reported "shoes feeling tighter". Rash no longer noted to patient's neck.  Dyspnea denied.  ***     ***   At 1115 MD ordered 25mg IM diphenhydramine one time as needed for throat itch.  Administered to left deltoid.  MD ordered for patient to be observed for an additional 30 minutes.  ***     ***   At 1120 patient stated relief from throat itch and difficulty swallowing.  ***     ***   Patient left clinic in stable condition at 1148. BP 121/83, HR 75, RR 18, SpO2 98% RA.  Denied dyspnea, N/V, itch, rash, swelling, dizziness upon leaving.  ***
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/24/20 2nd dose01/14/21 Diagnosed covid positive:09/08/21 Symptom onset:09/08/21 Exposure:community Symptoms:fever, cough,fatigue,muscle aches,sore thraot,chills,runny nose,HA
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/24/20 2nd dose01/14/21 Diagnosed covid positive:09/08/21 Symptom onset:09/08/21 Exposure:community Symptoms:fever, cough,fatigue,muscle aches,sore thraot,chills,runny nose,HA
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/24/20 2nd dose01/14/21 Diagnosed covid positive:09/08/21 Symptom onset:09/08/21 Exposure:community Symptoms:fever, cough,fatigue,muscle aches,sore thraot,chills,runny nose,HA
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Fatigue
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/07/21 2nd dose01/28/21 Diagnosed covid positive:09/08/2021 Symptom onset:09/06/21 Exposure: Symptoms:cough, fatigue,muscle aches,sore throat,diarrhea,chills HA
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/07/21 2nd dose01/28/21 Diagnosed covid positive:09/08/2021 Symptom onset:09/06/21 Exposure: Symptoms:cough, fatigue,muscle aches,sore throat,diarrhea,chills HA
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/10/21 2nd dose02/07/21 Diagnosed covid positive:09/08/21 Symptom onset:09/07/21 Exposure:community Symptoms:fever, cough,fatigue,muscle aches,loss of smell/taste,sore throat,nausea,chills,runny nose HA.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/10/21 2nd dose02/07/21 Diagnosed covid positive:09/08/21 Symptom onset:09/07/21 Exposure:community Symptoms:fever, cough,fatigue,muscle aches,loss of smell/taste,sore throat,nausea,chills,runny nose HA.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/10/21 2nd dose02/07/21 Diagnosed covid positive:09/08/21 Symptom onset:09/07/21 Exposure:community Symptoms:fever, cough,fatigue,muscle aches,loss of smell/taste,sore throat,nausea,chills,runny nose HA.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Chest X-ray abnormal, Chills, Dyspnoea, Headache
Clinical narrative: Ongoing hospitalization.  Admitted with headache, vomiting, shortness of breath, chills, body aches. Treatment empirically for sepsis; ceftriaxone and IV fluids
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pleural effusion, Sepsis, Vomiting
Clinical narrative: Ongoing hospitalization.  Admitted with headache, vomiting, shortness of breath, chills, body aches. Treatment empirically for sepsis; ceftriaxone and IV fluids
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Itchy, red, warm, spreading rash on around injection site.  Started Sunday, 9/12.  Still spreading on Thursday, 9/16.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Nausea, Pain in extremity, Product preparation issue
Clinical narrative: Patient received a vaccine dose which was under-diluted, vial prepared with 0.8ml rather than 1.8ml diluent.   The patient was informed that she may experience a local or systemic adverse event.   And the team followed up with patient via a phone call on 9/16 and patient reported that she was doing good.   She stated that she has had a little arm soreness and was a little nauseous after the shot (she did not eat anything prior to receiving the shot).    She was given instructions to call if she experiences any abnormal reactions.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Dyspnoea, Exposure to SARS-CoV-2, Rhinorrhoea
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/14/21 2nd dose02/05/21 Diagnosed covid positive:09/08/21 Symptom onset:09/08/21 Exposure:community Symptoms:sob,loss of smell,runnynose
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/14/21 2nd dose02/05/21 Diagnosed covid positive:09/08/21 Symptom onset:09/08/21 Exposure:community Symptoms:sob,loss of smell,runnynose
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pain, Lethargy, Pain
Clinical narrative: Very sore entire shoulder where injection was administered. Large area 3inx4in of bright red skin surrounding injection site. Bad headache, lethargy, overall body aches. Fever of 99.0 to 99.8, and my temp is normally around 97.0-97.5. My wife and I have the same symptoms, with this, our second shot as we had with our first shot administered at same location on July 13, 2021. Symptoms lasted 3-4 days.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Very sore entire shoulder where injection was administered. Large area 3inx4in of bright red skin surrounding injection site. Bad headache, lethargy, overall body aches. Fever of 99.0 to 99.8, and my temp is normally around 97.0-97.5. My wife and I have the same symptoms, with this, our second shot as we had with our first shot administered at same location on July 13, 2021. Symptoms lasted 3-4 days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/09/21 2nd dose02/06/21 Diagnosed covid positive:09/08/21 Symptom onset:09/01/21 Exposure: Symptoms:cough, fatigue,loss of smell/taste,sore throat,runny nose,HA.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/09/21 2nd dose02/06/21 Diagnosed covid positive:09/08/21 Symptom onset:09/01/21 Exposure: Symptoms:cough, fatigue,loss of smell/taste,sore throat,runny nose,HA.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: This was vaccination #2 Redness, swelling, itching, heat to injection site beginning hours after injection. Site continues to be  hot to touch, swollen and itchy but redness is gone. Cool compress helps. Fever between 100.4 and 102.2 for aprox. 40 hours ( beginning 12 hours after injection) Pain meds taken for headache helped fever. Tachycardia and intermittent tingling feeling in chest on day after injection ( has resolved) Nausea, lightheaded for two days following injection, mostly resolved. Fatigue beginning day after injection, not resolved. Headache beginning day after injection, currently being managed with Exedrin migraine, will see if it persists today. Not the worst headache I have ever had, but definitely uncomfortable at times.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Paraesthesia, Pyrexia, Tachycardia
Clinical narrative: This was vaccination #2 Redness, swelling, itching, heat to injection site beginning hours after injection. Site continues to be  hot to touch, swollen and itchy but redness is gone. Cool compress helps. Fever between 100.4 and 102.2 for aprox. 40 hours ( beginning 12 hours after injection) Pain meds taken for headache helped fever. Tachycardia and intermittent tingling feeling in chest on day after injection ( has resolved) Nausea, lightheaded for two days following injection, mostly resolved. Fatigue beginning day after injection, not resolved. Headache beginning day after injection, currently being managed with Exedrin migraine, will see if it persists today. Not the worst headache I have ever had, but definitely uncomfortable at times.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose03/18/21 2nd dose Diagnosed covid positive:09/09/21 Symptom onset:09/0721 Exposure: Symptoms:fever, HA
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/05/21 2nd dose01/26/21 Diagnosed covid positive:09/09/21 Symptom onset:09/06/21 Exposure: Symptoms:SORETHROAT
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Arthralgia, Cardiac stress test abnormal, Condition aggravated, Electrocardiogram ST segment depression
Clinical narrative: - I did the first shot in left arm - no side effects from that shot - I did the 2nd shot in the right arm -  * I started having heart palpitations about 4-5 days after the second shot.  The palpitations were causing abnormal/atypical heart beats for about 15-20 atypical beats per minute.  The palpitations were confirmed at the Emergency Room in April.    * two nights later I awoke in the middle of the night will both arms mostly numb.  The numbness subsided the next day but both shoulders were hurting.  The arms got worse that day and the 3rd day.  I've played sports my entire life but never had shoulder problems this bad.  The left shoulder was so frozen that I couldn't move it backward or extend it behind my back because I had lost the flexibility, and it was very painful when I tried to stretch it.  I went to 15 physical therapy sessions that improved it, however, it is still damaged.  The right shoulder had problems too but not nearly as bad.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Extrasystoles, Heart rate irregular, Hypoaesthesia, Injected limb mobility decreased
Clinical narrative: - I did the first shot in left arm - no side effects from that shot - I did the 2nd shot in the right arm -  * I started having heart palpitations about 4-5 days after the second shot.  The palpitations were causing abnormal/atypical heart beats for about 15-20 atypical beats per minute.  The palpitations were confirmed at the Emergency Room in April.    * two nights later I awoke in the middle of the night will both arms mostly numb.  The numbness subsided the next day but both shoulders were hurting.  The arms got worse that day and the 3rd day.  I've played sports my entire life but never had shoulder problems this bad.  The left shoulder was so frozen that I couldn't move it backward or extend it behind my back because I had lost the flexibility, and it was very painful when I tried to stretch it.  I went to 15 physical therapy sessions that improved it, however, it is still damaged.  The right shoulder had problems too but not nearly as bad.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Limb injury, Pain, Palpitations, Periarthritis
Clinical narrative: - I did the first shot in left arm - no side effects from that shot - I did the 2nd shot in the right arm -  * I started having heart palpitations about 4-5 days after the second shot.  The palpitations were causing abnormal/atypical heart beats for about 15-20 atypical beats per minute.  The palpitations were confirmed at the Emergency Room in April.    * two nights later I awoke in the middle of the night will both arms mostly numb.  The numbness subsided the next day but both shoulders were hurting.  The arms got worse that day and the 3rd day.  I've played sports my entire life but never had shoulder problems this bad.  The left shoulder was so frozen that I couldn't move it backward or extend it behind my back because I had lost the flexibility, and it was very painful when I tried to stretch it.  I went to 15 physical therapy sessions that improved it, however, it is still damaged.  The right shoulder had problems too but not nearly as bad.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: - I did the first shot in left arm - no side effects from that shot - I did the 2nd shot in the right arm -  * I started having heart palpitations about 4-5 days after the second shot.  The palpitations were causing abnormal/atypical heart beats for about 15-20 atypical beats per minute.  The palpitations were confirmed at the Emergency Room in April.    * two nights later I awoke in the middle of the night will both arms mostly numb.  The numbness subsided the next day but both shoulders were hurting.  The arms got worse that day and the 3rd day.  I've played sports my entire life but never had shoulder problems this bad.  The left shoulder was so frozen that I couldn't move it backward or extend it behind my back because I had lost the flexibility, and it was very painful when I tried to stretch it.  I went to 15 physical therapy sessions that improved it, however, it is still damaged.  The right shoulder had problems too but not nearly as bad.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/10/21 2nd dose02/07/21 Diagnosed covid positive:09/10/2021 Symptom onset:09/10/21 Exposure:Home Symptoms:Asymptomatic
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/09/21 2nd dose02/06/21 Diagnosed covid positive:09/10/21 Symptom onset:09/08/21 Exposure:community Symptoms:cough, fatigue,sore throat,runny nose.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/09/21 2nd dose02/06/21 Diagnosed covid positive:09/10/21 Symptom onset:09/08/21 Exposure:community Symptoms:cough, fatigue,sore throat,runny nose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Myalgia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/06/21 2nd dose01/27/21 Diagnosed covid positive:09/10/21 Symptom onset:09/06/21 Exposure:Home Symptoms:cough, muscle aches,runny nose
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Headache, Myalgia
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/02/21 2nd dose01/23/21 Diagnosed covid positive:09/10/21 Symptom onset:09/08/21 Exposure:travel Symptoms:cough, muscle aches,sore throat,runny nose,HA
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/02/21 2nd dose01/23/21 Diagnosed covid positive:09/10/21 Symptom onset:09/08/21 Exposure:travel Symptoms:cough, muscle aches,sore throat,runny nose,HA
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose03/18/21 2nd dose Diagnosed covid positive:09/11/21 Symptom onset:09/08/21 Exposure: Symptoms:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Skin discolouration, Ultrasound scan normal
Clinical narrative: I noticed the bottoms of my feet were turning purple, there was no pain involved. I thought it was odd and maybe a circulatory issue. I had ultrasounds done, went to the dermatologist. It doesn't last long, but doesn't go away. Usually first thing in the morning the bottoms of my feet are purple. My dermatologist wasn't able to determine what is was. To this day I still have purple feet every day.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/19/20 2nd dose 01/06/21 Diagnosed covid positive:09/12/21 Symptom onset:09/11/21 Exposure: Symptoms:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Cough, Electrocardiogram, Full blood count
Clinical narrative: cough, fever, positive COVID swab
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: cough, fever, positive COVID swab
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: Facial shingles
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Burning sensation, Dizziness, Headache, Inflammation, SARS-CoV-2 antibody test
Clinical narrative: Facial shingles
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Herpes zoster, Immunisation, Off label use, Swelling face
Clinical narrative: Facial shingles
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Skin reaction
Clinical narrative: Local skin reaction. She received Dose #1 of Moderna on 8/29, then on 9/8/21 she noticed itching, redness, tenderness, warmth left upper arm below the site of the vaccine. No severe pain. No cellulitis. She was seen in our clinic on 9/14/21 with persistent redness and tenderness left arm. Supportive care with oral antihistamine and topical steroid cream recommended. Also recommended she receive Dose #2 once local skin reaction resolved.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache
Clinical narrative: Light headache since Monday (09/13/2021) and it does not go away. I been taking Tylenol and is not helping at all. And also I started to have hip pain on the right side. I never experienced this pain before.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine had expired on 08/24/2021
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: PAIN, SWELLING, WARMTH, REDNESS AT INJECTION SIDE THAT STARTED 9/15/21
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Urticaria
Clinical narrative: Second Moderna shot, lot 024M20A given on 2/10/021. Chronic Hives appeared after 2nd Covid vaccine shot given. Doctor has prescribed antihistimines, no improvement. Hives appeared 1 month after 2nd vaccine shot. Doctor does not think it is related to  vaccine. Still experiencing hives as of this date. The vaccine is the only thing that was different in my daily routine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine had expired on 08/24/2021
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On 08/29/2021, I started having congestion and a little bit of cough. On Wed. 09/01/2021, I had my medicine check and that's when I knew I had COVID-19. I was given a COVID-19 --Positive. On 09/03/2021, I had a IV-Synthetic antibodies.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Chills, Dizziness, Dyspnoea, Throat tightness
Clinical narrative: 10 mins after the shot pt felt dizzy,  chilly and starting to have a hard time to breath stated feeling throat closing  gave hydroxyzine 30mg liquid, after a few minutes patient state he lost his complete vision,   but breathing was better,  after a couple of minutes was only to see outlines not detailed nor color  black and white then after 5 mins the complete vision patient came back to full and felt better.  In the mean time the parents contacted the pediatrician.   lost vision  for 5 mins.  Pediatrician will call them back later nurse took information while this was occurring.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: History of present illness: Patient presents to urgent care center because of cough mild shortness of breath  Was diagnosed with COVID-19 and referred to ER and subsequently admitted.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I developed Shingles about a week after receiving my first dose. Extremely strange because I'm otherwise in great health.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Client received .5 ml of adult dose of HEP A vaccine  No adverse reactions noted  Attempted to notify parents of med error - unable to contact
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: Patient came to pharmacy indicating after the first dose of MODERNA COVID vaccine was administered Friday 10/09/2021 the next day she started to feel bad with fatigue, chills, nausea, chest pain and needed air. She went to the hospital for care and was given oral pump.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient came to pharmacy indicating after the first dose of MODERNA COVID vaccine was administered Friday 10/09/2021 the next day she started to feel bad with fatigue, chills, nausea, chest pain and needed air. She went to the hospital for care and was given oral pump.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Decreased appetite, Dyspnoea
Clinical narrative: Day 3 of hospitalization.  FIrst dose given 3/22/2021.   89 y/o F  presents from her pulmonologist's office for evaluation of cough and shortness of breath. Patient reports her symptoms began about 3 weeks ago with a dry nagging cough and have gradually worsened since that time. She endorses loss of appetite, generalized aches, malaise, SOB and cough that has become productive and "rattling" although she is having trouble expectorating. She uses 3L of oxygen by nasal cannula at baseline due to her history of COPD. She had been using nebulizer treatments at home without much relief of symptoms.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Productive cough, SARS-CoV-2 test positive, Sputum retention
Clinical narrative: Day 3 of hospitalization.  FIrst dose given 3/22/2021.   89 y/o F  presents from her pulmonologist's office for evaluation of cough and shortness of breath. Patient reports her symptoms began about 3 weeks ago with a dry nagging cough and have gradually worsened since that time. She endorses loss of appetite, generalized aches, malaise, SOB and cough that has become productive and "rattling" although she is having trouble expectorating. She uses 3L of oxygen by nasal cannula at baseline due to her history of COPD. She had been using nebulizer treatments at home without much relief of symptoms.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine had expired on 08/24/2021
Age: 38.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Condition aggravated, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Fatigue
Clinical narrative: At the time of the shot I had immediate effects. Tingling, exhasution for 5 days and headaches. Two weeks later I got vertigo. It was severe and required multiple trips to Urgent Care, PT, and my neurologist. In addition, my migraines came back. I had been practically migraine free for years and now they are back and much worse than before. It is impacting my ability to live my life to the level I was prior to the vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Headache, Immediate post-injection reaction, Loss of personal independence in daily activities, Magnetic resonance imaging head, Migraine
Clinical narrative: At the time of the shot I had immediate effects. Tingling, exhasution for 5 days and headaches. Two weeks later I got vertigo. It was severe and required multiple trips to Urgent Care, PT, and my neurologist. In addition, my migraines came back. I had been practically migraine free for years and now they are back and much worse than before. It is impacting my ability to live my life to the level I was prior to the vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Neurological examination, Paraesthesia, Vertigo
Clinical narrative: At the time of the shot I had immediate effects. Tingling, exhasution for 5 days and headaches. Two weeks later I got vertigo. It was severe and required multiple trips to Urgent Care, PT, and my neurologist. In addition, my migraines came back. I had been practically migraine free for years and now they are back and much worse than before. It is impacting my ability to live my life to the level I was prior to the vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received  Moderna vaccine, 1st dose, on 9/16/21 after expiration time of 1:00 am on 9/14/21.  Moderna has been contacted.  Awaiting to hear further guidance.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: 10-11 weeks AOG by early UTZ EDD March 30, 2022
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Erythema, Pruritus, Rash, Ulcer
Clinical narrative: red spot, itching, sores and rash on upper torso
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Joint swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Arm swollen, red and painful.  Swelling from shoulder to elbow.  Pain in arm and shoulder and elbow.  Treated with Benadryl, ice pack and time.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Gait disturbance, Insomnia, Joint swelling
Clinical narrative: After I got my second shot I had been diagnosed with prostate cancer. They told me I might experience some swelling in my lymph nodes that should go away after a few days. I experienced the swelling in my lymph nodes, but it took some time to go away. I noticed some swelling in my feet, ankles, calves, and in one of my knees that I had surgery on. It was unusual for me to get swelling like that. I experienced swelling in my calves sometimes but never to that degree. I occasionally experienced breathing that felt like fluid in my lungs at night when I try to lay down and sleep. I couldn't get a good sleep because of the feeling of fluid build up in my lungs. It would also be difficult to walk and I would get winded quickly. My doctor gave me a mild diuretic that helped some, but then when I ran out of that the symptoms came back. Sometimes I feel a sensation or something in my right lung.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Peripheral swelling
Clinical narrative: After I got my second shot I had been diagnosed with prostate cancer. They told me I might experience some swelling in my lymph nodes that should go away after a few days. I experienced the swelling in my lymph nodes, but it took some time to go away. I noticed some swelling in my feet, ankles, calves, and in one of my knees that I had surgery on. It was unusual for me to get swelling like that. I experienced swelling in my calves sometimes but never to that degree. I occasionally experienced breathing that felt like fluid in my lungs at night when I try to lay down and sleep. I couldn't get a good sleep because of the feeling of fluid build up in my lungs. It would also be difficult to walk and I would get winded quickly. My doctor gave me a mild diuretic that helped some, but then when I ran out of that the symptoms came back. Sometimes I feel a sensation or something in my right lung.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest pain.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood lactic acid, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal
Clinical narrative: The patient states for the 2 weeks prior to ER visit he has had progressive weakness, cough and diarrhea.  He was seen in the emergency department and found to be positive for COVID-19.  He is vaccinated.  Patient reports he was extremely ill approximately 2 months ago was hospitalized.  Patient was acutely ill upon arrival to the ED workup initiated.  He was hypotensive and sepsis workup was initiated.  He was hypotensive which responded initially to IV fluid bolus, lactic 3.3 which has improved. cbc shows neutropenia of 1.7. bnp 355. cxr worsening pneumonia.  The patient received Zosyn and ceftriaxone. Patient reports subjective fever and chills, he does have a cough which is nonproductive.  He denies any abdominal pain, chest pain but does have some mild shortness of breath.  Severe sepsis with septic shock-possibly due to COVID-19- Treated wth Zosyn, vanc, then cefepime patient recovered and DC home with home care. 12 day hospital stay
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cholelithiasis, Colitis, Computerised tomogram thorax, Computerised tomogram thorax abnormal
Clinical narrative: The patient states for the 2 weeks prior to ER visit he has had progressive weakness, cough and diarrhea.  He was seen in the emergency department and found to be positive for COVID-19.  He is vaccinated.  Patient reports he was extremely ill approximately 2 months ago was hospitalized.  Patient was acutely ill upon arrival to the ED workup initiated.  He was hypotensive and sepsis workup was initiated.  He was hypotensive which responded initially to IV fluid bolus, lactic 3.3 which has improved. cbc shows neutropenia of 1.7. bnp 355. cxr worsening pneumonia.  The patient received Zosyn and ceftriaxone. Patient reports subjective fever and chills, he does have a cough which is nonproductive.  He denies any abdominal pain, chest pain but does have some mild shortness of breath.  Severe sepsis with septic shock-possibly due to COVID-19- Treated wth Zosyn, vanc, then cefepime patient recovered and DC home with home care. 12 day hospital stay