chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chills, Cough, Dyspnoea exertional, Exposure to SARS-CoV-2
Clinical narrative: With exposure to COVID? from grandson?3 days ago Started having symptoms over past 2 days Fever/chills/body aches/headache?present Congestion/runny nose?for past 2 days Cough?yellow mucousy/dyspnea on exertion past 24 hours, has some chest pressure with exertion, no associated symptoms of nausea/vomiting/lightheadedness/palpitations Hypoxia?oxygen sats drops down to 90% with exertion, at rest 93% GI symptoms?none
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Malaise, Mucosal discolouration, Pain, Pyrexia
Clinical narrative: With exposure to COVID? from grandson?3 days ago Started having symptoms over past 2 days Fever/chills/body aches/headache?present Congestion/runny nose?for past 2 days Cough?yellow mucousy/dyspnea on exertion past 24 hours, has some chest pressure with exertion, no associated symptoms of nausea/vomiting/lightheadedness/palpitations Hypoxia?oxygen sats drops down to 90% with exertion, at rest 93% GI symptoms?none
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: With exposure to COVID? from grandson?3 days ago Started having symptoms over past 2 days Fever/chills/body aches/headache?present Congestion/runny nose?for past 2 days Cough?yellow mucousy/dyspnea on exertion past 24 hours, has some chest pressure with exertion, no associated symptoms of nausea/vomiting/lightheadedness/palpitations Hypoxia?oxygen sats drops down to 90% with exertion, at rest 93% GI symptoms?none
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: sudden onset tinnitus
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 1/25/2022  None listed
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, SARS-CoV-2 test
Clinical narrative: shortness of breath and generalized weakness
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization with covid being fully vaccinated with a booster
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccination Administration error.  Team lean diluted gray top Pfizer with diluent and administer the diluted Pfizer vaccine to the Client.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Gave a Covid Moderna booster shot and patient is only 17 years old. Patient should have received Pfizer because she is not yet 18.  Patient has not had any reaction to the shot but this is not the shot she should have received.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive through household contact. Vaccine is up to date
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus, Sensation of foreign body
Clinical narrative: Subjective: 15:45 Patients's mother informed RN patient was having itching at the injection site Left Deltoid during observation period. No hives or rash noted. RN instructed mother to stay 15 minutes additional past previous time for further observation.   Objective: 15:55 Patient complained of itchiness at site. 16:00 Patient described lump in the throat.  No hives or rash noted. Redness from itching site. 16:00 Patient itching at bilateral legs, right forearm. Itching to neck.   VS:  BP 93/73, HR 76, RR: 18, Temp 99.1, Sp02: 99% Wt: 70lbs  Assessment/Diagnosis: Mother reports that patient gets anxious. Patient in no distress. 50mg PO benadryl given. Patient sent home with mother to follow up with observation. Advised to call 911 for signs and symptoms worsening. Patient reported feeling better.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, COVID-19, Chest X-ray normal, Chills, Cough
Clinical narrative: Patient is fully vaccinated. Presented to the ED and is COVID +. Patient is a 38-year-old female presenting with Covid symptoms. She's been having symptoms for 3 days. They include fevers, chills, cough, shortness of breath, body aches, fatigue, nausea, vomiting. Denies abdominal pain or chest pain. She was vaccinated and had the booster. She does work at the hospital so does have Covid exposures.Symptoms were worse today. BP 133/62  | Pulse (!) 123  | Temp (!) 103.1 °F (39.5 °C) (Oral)  | Resp 20  | Ht 172.7 cm (5' 8")  | Wt 97.5 kg (215 lb)  | LMP 12/13/2021  | SpO2 99%  | BMI 32.69 kg/m² Patient was given Tylenol, Zofran, IV fluids, Toradol. Magnesium 1.6, replacement given. Chest x-ray no acute process per radiology.  Stable and discharged.  Referral for monoclonal antibody infusion.  d dimer 943
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Fibrin D dimer increased, Malaise
Clinical narrative: Patient is fully vaccinated. Presented to the ED and is COVID +. Patient is a 38-year-old female presenting with Covid symptoms. She's been having symptoms for 3 days. They include fevers, chills, cough, shortness of breath, body aches, fatigue, nausea, vomiting. Denies abdominal pain or chest pain. She was vaccinated and had the booster. She does work at the hospital so does have Covid exposures.Symptoms were worse today. BP 133/62  | Pulse (!) 123  | Temp (!) 103.1 °F (39.5 °C) (Oral)  | Resp 20  | Ht 172.7 cm (5' 8")  | Wt 97.5 kg (215 lb)  | LMP 12/13/2021  | SpO2 99%  | BMI 32.69 kg/m² Patient was given Tylenol, Zofran, IV fluids, Toradol. Magnesium 1.6, replacement given. Chest x-ray no acute process per radiology.  Stable and discharged.  Referral for monoclonal antibody infusion.  d dimer 943
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Patient is fully vaccinated. Presented to the ED and is COVID +. Patient is a 38-year-old female presenting with Covid symptoms. She's been having symptoms for 3 days. They include fevers, chills, cough, shortness of breath, body aches, fatigue, nausea, vomiting. Denies abdominal pain or chest pain. She was vaccinated and had the booster. She does work at the hospital so does have Covid exposures.Symptoms were worse today. BP 133/62  | Pulse (!) 123  | Temp (!) 103.1 °F (39.5 °C) (Oral)  | Resp 20  | Ht 172.7 cm (5' 8")  | Wt 97.5 kg (215 lb)  | LMP 12/13/2021  | SpO2 99%  | BMI 32.69 kg/m² Patient was given Tylenol, Zofran, IV fluids, Toradol. Magnesium 1.6, replacement given. Chest x-ray no acute process per radiology.  Stable and discharged.  Referral for monoclonal antibody infusion.  d dimer 943
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is under age. Patient's mother provided a false birthday on the consent form and in person to the Pharmacy. Called and confirmed with the mom that she knowingly provided false information to the Pharmacy.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: First dose Moderna given to person under 18. Patient is 17. Patient came in with three other family members who were of age to receive Monderna. Moderna was requested by patient. Patient and family members did not speak fluent English. Moderna given in error.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine after a 10 week expiry date.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Electrocardiogram abnormal
Clinical narrative: Developed upper resp symptoms ~14 days ago w/ worsening gradually, prompting utc visit 1/22/22, at which time covid 19 pcr was +. Was prescribed z-pak and prednisone and patient thinks she got one dose of each. Today saw pcp in telemed follow up and sats were mid 80's and patient directed to go to ED where room air sats as low as 84%. cxr w/ faint suggestion of bilateral patchy infiltrates. Normal wbc count. Slightly elevated procalcitonin. Elevated crp. ekg shows afib rate 90's. Normal troponin, mildly elevated probnp. Some yellow sputum. Denies chest pain or palpitations, no orthopnea or LE edema. CT angio chest ordered by ED and hospitalist service requested to admit. Currently on 2Lnc sats mid 80's.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Oxygen saturation decreased, Procalcitonin increased, Prohormone brain natriuretic peptide increased, Respiratory symptom
Clinical narrative: Developed upper resp symptoms ~14 days ago w/ worsening gradually, prompting utc visit 1/22/22, at which time covid 19 pcr was +. Was prescribed z-pak and prednisone and patient thinks she got one dose of each. Today saw pcp in telemed follow up and sats were mid 80's and patient directed to go to ED where room air sats as low as 84%. cxr w/ faint suggestion of bilateral patchy infiltrates. Normal wbc count. Slightly elevated procalcitonin. Elevated crp. ekg shows afib rate 90's. Normal troponin, mildly elevated probnp. Some yellow sputum. Denies chest pain or palpitations, no orthopnea or LE edema. CT angio chest ordered by ED and hospitalist service requested to admit. Currently on 2Lnc sats mid 80's.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sputum discoloured, Troponin normal, White blood cell count normal
Clinical narrative: Developed upper resp symptoms ~14 days ago w/ worsening gradually, prompting utc visit 1/22/22, at which time covid 19 pcr was +. Was prescribed z-pak and prednisone and patient thinks she got one dose of each. Today saw pcp in telemed follow up and sats were mid 80's and patient directed to go to ED where room air sats as low as 84%. cxr w/ faint suggestion of bilateral patchy infiltrates. Normal wbc count. Slightly elevated procalcitonin. Elevated crp. ekg shows afib rate 90's. Normal troponin, mildly elevated probnp. Some yellow sputum. Denies chest pain or palpitations, no orthopnea or LE edema. CT angio chest ordered by ED and hospitalist service requested to admit. Currently on 2Lnc sats mid 80's.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Confusional state, Culture positive
Clinical narrative: Patient received moderna vaccine on 2/5/21, 3/9/21 and 12/10/21. Presented to ER on 1/16/22 and found to have COVID. Was given sotrovimab and was going to be discharged. Concern is for being able to get her safely home and arrangements made for additional home care tonight as she is normally independent and required additional assistance today.  Because of her generalized weakness and increased confusion show the kept for observation tonight with possible case management involvement and arrangements with the son in the morning. She never became hypoxic. COVID-19 symptoms were minimal.  She was found to have urinary tract infection is started on ceftriaxone.  Cultures positive for contamination only.  On day 2 she had some wheezing and so was kept in the hospital and treated with bronchodilator therapy and dexamethasone.  Did not require remdesivir.  By 01/20/2022 was tolerating usual level of activity and respiratory status was continued stable.  She did not require supplemental oxygen throughout her entire hospital stay.  Arrangements were made for home health to see patient at home.  Discharged on 1/20/22
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Malaise, SARS-CoV-2 test positive, Urinary tract infection, Wheezing
Clinical narrative: Patient received moderna vaccine on 2/5/21, 3/9/21 and 12/10/21. Presented to ER on 1/16/22 and found to have COVID. Was given sotrovimab and was going to be discharged. Concern is for being able to get her safely home and arrangements made for additional home care tonight as she is normally independent and required additional assistance today.  Because of her generalized weakness and increased confusion show the kept for observation tonight with possible case management involvement and arrangements with the son in the morning. She never became hypoxic. COVID-19 symptoms were minimal.  She was found to have urinary tract infection is started on ceftriaxone.  Cultures positive for contamination only.  On day 2 she had some wheezing and so was kept in the hospital and treated with bronchodilator therapy and dexamethasone.  Did not require remdesivir.  By 01/20/2022 was tolerating usual level of activity and respiratory status was continued stable.  She did not require supplemental oxygen throughout her entire hospital stay.  Arrangements were made for home health to see patient at home.  Discharged on 1/20/22
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown.  Not ready for the booster at this time
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: On Tuesday, 1/25/22, patient came to Covid-19 Vaccination Site for his Pfizer Covid-19 booster vaccine. During assessment questions, client stated after his first Pfizer Covid-19 dose, he experienced his "throat closing" two hours after vaccination that resolved two hours later. After his second dose, client experienced "dizziness" with no SOB an hour after vaccination that resolved after an hour. Client stated he has no pertinent medical history or allergies, on no medications. Lead RN was made aware and sent a medical consult to Vaccine Operations Lead via message. Per County MD Dr., client was approved to get a Pfizer Covid-19 booster with a 30 minute observation. Vaccinator vaccinated client in Observation Room in the anti-gravity chair at 11:08 AM with Pfizer Covid-19 booster dose (LOT #: FK9729) in his left deltoid. Client experienced no complications or allergic reactions while waiting in Observation Room. Client was educated by EMT on signs and symptoms of adverse reactions and when to go to the ED/call MD. Client was also encouraged to sign-up on v-safe. EMT helped client up from anti-gravity chair and walked him out to his car where client left vaccination site with a steady gait.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Clinic lead diluted gray top Pfizer with diluent.  Client received diluted vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pain
Clinical narrative: fever of greater than 103, chills, riggors, body aches, swollen lymph nodes, nausea, headache
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever of greater than 103, chills, riggors, body aches, swollen lymph nodes, nausea, headache
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, SARS-CoV-2 test
Clinical narrative: Chest Pain
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Auscultation, Burning sensation, COVID-19, Cachexia
Clinical narrative: Chest Pain
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Carotid bruit, Chest pain, Dyspnoea, Femoral bruit, Hyperhidrosis
Clinical narrative: Chest Pain
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Intermittent claudication, Nail growth abnormal, Onychalgia
Clinical narrative: Chest Pain
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Onychomycosis, Pain, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Chest Pain
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: PHARMACIST RECONSTITUTED GRAY CAP PFIZER VACCINE WITH 1.8 ML OF 0.9% NACL.  AND ADMINISTERED 0.3 ML IM TO PATIENT.  GIVING SUB A THERAPUETIC DOSE.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I took 1 home test that was negative. Then took 2 tests local Dr. (PCR) and that was negative. Then a test with Dr. Primary PCP) and it was negative. I woke up at 3am in the morning and my throat was hurting, I didn't feel well and couldn't sleep. I found out my throat was beat red, so when I got up in the morning I took a home Binax test and it was. I have a 104 fever, a lot of chills. The first day I felt real bad, everything was hurting, felt like I was going to throw up. Headache for at least 3 days. I asked for an inhaler because when I start coughing it's seems to be only thing that calms it down. I am taking tasklovid because I couldn't get the antibodies. My throat was hurting and then I felt it moving to my chest so I took the tasklovid because of my history of bronchitis and pneumonia. My symptoms are moderate, it's getting better. I'm not sure it's from Covid-19 but I also got pink eye. I had my grandson there and was changing his diaper and he hit my eye with his finger.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient arrived at the local HD for a booster dose of Pfizer COVID-19 vaccine. The patient received her primary series out of state.  RN verified that no doses were given in state database. Dates of original vaccine series was not written on patient's consent form. RN called patient after she left the HD to get primary series dose dates to enter them historically in database. Patient stated that the 2nd dose date was 09/02/2021. RN realized booster dose was inadvertently given 13 days before 5 month mark. Informed patient of inadvertent dose. Contacted CDC line for guidance.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chemotherapy, Computerised tomogram thorax abnormal, Electrocardiogram, Lung neoplasm malignant
Clinical narrative: 12/17 Discovered during a routine CT scan and the doctor found lump on chest and diagnosed as cancer. After this the full force of the medical facility was put on this issue. All test were done. At the end of hospitalization I was given discharge with Metoprolol and every three weeks I get tests done and chemo treatment.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pulmonary mass, Urine analysis, X-ray
Clinical narrative: 12/17 Discovered during a routine CT scan and the doctor found lump on chest and diagnosed as cancer. After this the full force of the medical facility was put on this issue. All test were done. At the end of hospitalization I was given discharge with Metoprolol and every three weeks I get tests done and chemo treatment.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine after 10 week expiry date.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Medication error, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Medication ERROR:  PT is 16 YO male and was inadvertently given Janssen as a first dose instead of Pfizer.  No adverse event was reported. PT will follow up to receive second primary dose of Pfizer/BioNtech COVID-19 vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Dizziness
Clinical narrative: Shortly after the administration of both vaccines patient started to get lightheaded. She stated that she sometimes gets like this after vaccines. She laid down on the floor, drank some water and was able to eat some fruit snacks. Her symptoms resolved in 15 minutes.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient tested positive for COVID-19.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Interchange of vaccine products, Joint swelling, Malaise
Clinical narrative: First dose received Moderna vaccination; second dose received Pfizer. Joint swelling, joint pain, rash, fatigue, Covid symptoms, blood clot formed in leg.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test negative, Thrombosis
Clinical narrative: First dose received Moderna vaccination; second dose received Pfizer. Joint swelling, joint pain, rash, fatigue, Covid symptoms, blood clot formed in leg.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Asthenia, Back pain, COVID-19, Chest X-ray abnormal
Clinical narrative: Received pfizer vaccine on 7/23/21 and 8/13/21. Presented to ER on 1/17/22. and admitted due to sob and positive COVID-19 infection. He has been feeling sob for the last day or so. The beginning of his sx is not very clear. Pt is vaccinated with Pfizer twice 8/21. Pt is on 4 liters NC. He has CTA which showed RLL PNA with no PE. Pt denies fever or chills. No NVD. No dizziness. He feels weak all over. He has chronic back pain. Pt probably has bacterial PNA more than COVID-19 PNA. He was hypoxic and started on dexamethasone, ceftriaxone, and doxy. Discharged on 1/21/22 with Augmentin and doxycycline for 5 days dexa for 5 more days Ct with home meds Oxygen walk 1 liter with activity
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Lung consolidation, Pneumonia, Pneumonia bacterial
Clinical narrative: Received pfizer vaccine on 7/23/21 and 8/13/21. Presented to ER on 1/17/22. and admitted due to sob and positive COVID-19 infection. He has been feeling sob for the last day or so. The beginning of his sx is not very clear. Pt is vaccinated with Pfizer twice 8/21. Pt is on 4 liters NC. He has CTA which showed RLL PNA with no PE. Pt denies fever or chills. No NVD. No dizziness. He feels weak all over. He has chronic back pain. Pt probably has bacterial PNA more than COVID-19 PNA. He was hypoxic and started on dexamethasone, ceftriaxone, and doxy. Discharged on 1/21/22 with Augmentin and doxycycline for 5 days dexa for 5 more days Ct with home meds Oxygen walk 1 liter with activity
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Received pfizer vaccine on 7/23/21 and 8/13/21. Presented to ER on 1/17/22. and admitted due to sob and positive COVID-19 infection. He has been feeling sob for the last day or so. The beginning of his sx is not very clear. Pt is vaccinated with Pfizer twice 8/21. Pt is on 4 liters NC. He has CTA which showed RLL PNA with no PE. Pt denies fever or chills. No NVD. No dizziness. He feels weak all over. He has chronic back pain. Pt probably has bacterial PNA more than COVID-19 PNA. He was hypoxic and started on dexamethasone, ceftriaxone, and doxy. Discharged on 1/21/22 with Augmentin and doxycycline for 5 days dexa for 5 more days Ct with home meds Oxygen walk 1 liter with activity
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Occupational exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through contact at work.  Fully vaccinated
Age: 11.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction but patient incorrectly received Flublok vaccine which is not indicated for under 18.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 1/20/22 Telephone call to patient.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: 3/24/2021 vaccination. I was not monitored by pharmacy. Drove home but hands started to swell and lips were tingling; decided to drive straight to urgent care. BP was 184/ . Monitored for 30 minutes after giving liquid Benadryl. Urgent Care.*3 weeks of hives in L arm. *saw allergist who stated I should have 2nd dose at hospital to be monitored, epi pen and to take Benadryl 50 mg prior to vaccination. Upon vaccination 2nd dose, started to experience the itching. Possible allergy to 'Polyethylene glycol' per allergist.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Myalgia, Rhinorrhoea
Clinical narrative: Extreme fatigue, muscle aches like with having a flu, runny nose, small cough.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Headache, Impaired work ability
Clinical narrative: After receiving the vaccine, I started with chills and uncontrollable shaking. It followed by a headache, body aches, and extreme fatigue. I slept for 2 days. Within those 2 days I started to have a ringing in my right ear. The ringing is faint during the day, but it never stops. I also got covid and missed one week of work. I had a cough, fever, chills, and the same symptoms that I got from receiving the vaccine. These symptoms lasted for 5 days.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Tinnitus, Tremor
Clinical narrative: After receiving the vaccine, I started with chills and uncontrollable shaking. It followed by a headache, body aches, and extreme fatigue. I slept for 2 days. Within those 2 days I started to have a ringing in my right ear. The ringing is faint during the day, but it never stops. I also got covid and missed one week of work. I had a cough, fever, chills, and the same symptoms that I got from receiving the vaccine. These symptoms lasted for 5 days.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Hypoxia, Nasal congestion
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/5/21 EN6199 Pfizer Dose 2 3/26/21 ER2613  CV+ 8/2/21  8/6/21 History is obtained from patient as well as a personal review of records.  Patient is 67-year-old gentleman with known history of hypertension, hyperlipidemia, nonobstructive coronary artery disease and other medical problems.  He had worsening subjective fever, nasal congestion, chills, fatigue for 10 days.  Was seen at doctor's office on 8/2/2021.  He had test done for  SARS-CoV-2 on that day. He tested positive.  He was prescribed doxycycline, benzonatate and prednisone.  He came to emergency department as his breathing became worse.  Was hypoxic. Felt better after started on BiPAP.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pyrexia, Respiration abnormal, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/5/21 EN6199 Pfizer Dose 2 3/26/21 ER2613  CV+ 8/2/21  8/6/21 History is obtained from patient as well as a personal review of records.  Patient is 67-year-old gentleman with known history of hypertension, hyperlipidemia, nonobstructive coronary artery disease and other medical problems.  He had worsening subjective fever, nasal congestion, chills, fatigue for 10 days.  Was seen at doctor's office on 8/2/2021.  He had test done for  SARS-CoV-2 on that day. He tested positive.  He was prescribed doxycycline, benzonatate and prednisone.  He came to emergency department as his breathing became worse.  Was hypoxic. Felt better after started on BiPAP.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Cough, Fatigue
Clinical narrative: My side effects after taking the 3rd dose included: fever, chills, body aches, and headache. These symptoms lasted for 24 hours. I am also a breakthrough case. I started to develop symptoms for Covid-19 on 01/02/2022. My symptoms included a sore throat, chest tightness, cough, fever, chills, sweats, body aches, fatigue, and headache. My main symptoms lasted for 3-4 days.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Malaise, Oropharyngeal pain, Pain
Clinical narrative: My side effects after taking the 3rd dose included: fever, chills, body aches, and headache. These symptoms lasted for 24 hours. I am also a breakthrough case. I started to develop symptoms for Covid-19 on 01/02/2022. My symptoms included a sore throat, chest tightness, cough, fever, chills, sweats, body aches, fatigue, and headache. My main symptoms lasted for 3-4 days.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: My side effects after taking the 3rd dose included: fever, chills, body aches, and headache. These symptoms lasted for 24 hours. I am also a breakthrough case. I started to develop symptoms for Covid-19 on 01/02/2022. My symptoms included a sore throat, chest tightness, cough, fever, chills, sweats, body aches, fatigue, and headache. My main symptoms lasted for 3-4 days.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated patient tested positive for COVID-19.
Age: 35.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Dyspnoea, Wheezing
Clinical narrative: shortness of breath and wheezing starting 24 hours after her booster immunization of Pfizer covid vaccine, requiring ER visit, nebulized albuterol and prednisone, having a history of asthma but no recent flares until this immunization.  ER visit was on 1/19/2022, 2 days after her booster shot.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: ringing in right ear- tinnitus
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: symptom onset 8/4/21
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: Patient started feeling light headed and mom notified pharmacy staff while waiting in our waiting room around 3:32 pm. We got him a glass of water and fruit snacks and a cool towel. He looked pale when I arrived in the waiting room. We sat with him as he did not want to lay down, his color returned. He felt better and mom took him home at 3:42pm.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Blood pH normal, C-reactive protein normal, COVID-19, Computerised tomogram head normal
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 1/12/21 Lot:unknown Pfizer Dose 2 2/2/21 Lot:unknown  CV+ 9/11/21  9/11/21 96-year-old male patient with  history of complete heart block and sick sinus syndrome status post permanent pacemaker, coronary artery disease status post PCIs, hypertension, atrial fibrillation and DVT anticoagulated on warfarin and  past history of traumatic subdural hematoma brought in due to hypoxia and shortness of breath.  Patient is currently is sleepy and unable to provide history, history is obtained from chart review.  Patient  recently diagnosed with COVID-19 ,found to have worsening shortness of breath with hypoxia in the 70s to 80s, EMS placed him on nasal cannula oxygen with improvement of his oxygen saturation.  At the time of my evaluation patient was 97% on 5 L of oxygen a febrile with stable vital signs otherwise.  ProBNP was elevated at 2035, troponin 0.05 repeat was 0.02, pH 7.41 with hypoxemia of 82. D-dimer was elevated at 1.09 with a CRP 0.7.  Chest CT showed no pulmonary embolism noted scattered bilateral atelectasis.  Head CT unremarkable for acute abnormalities. Patient received IV Decadron, ceftriaxone azithromycin and DuoNeb in the emergency room.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer increased, Hypoxia, Prohormone brain natriuretic peptide increased
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 1/12/21 Lot:unknown Pfizer Dose 2 2/2/21 Lot:unknown  CV+ 9/11/21  9/11/21 96-year-old male patient with  history of complete heart block and sick sinus syndrome status post permanent pacemaker, coronary artery disease status post PCIs, hypertension, atrial fibrillation and DVT anticoagulated on warfarin and  past history of traumatic subdural hematoma brought in due to hypoxia and shortness of breath.  Patient is currently is sleepy and unable to provide history, history is obtained from chart review.  Patient  recently diagnosed with COVID-19 ,found to have worsening shortness of breath with hypoxia in the 70s to 80s, EMS placed him on nasal cannula oxygen with improvement of his oxygen saturation.  At the time of my evaluation patient was 97% on 5 L of oxygen a febrile with stable vital signs otherwise.  ProBNP was elevated at 2035, troponin 0.05 repeat was 0.02, pH 7.41 with hypoxemia of 82. D-dimer was elevated at 1.09 with a CRP 0.7.  Chest CT showed no pulmonary embolism noted scattered bilateral atelectasis.  Head CT unremarkable for acute abnormalities. Patient received IV Decadron, ceftriaxone azithromycin and DuoNeb in the emergency room.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence, Troponin, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 1/12/21 Lot:unknown Pfizer Dose 2 2/2/21 Lot:unknown  CV+ 9/11/21  9/11/21 96-year-old male patient with  history of complete heart block and sick sinus syndrome status post permanent pacemaker, coronary artery disease status post PCIs, hypertension, atrial fibrillation and DVT anticoagulated on warfarin and  past history of traumatic subdural hematoma brought in due to hypoxia and shortness of breath.  Patient is currently is sleepy and unable to provide history, history is obtained from chart review.  Patient  recently diagnosed with COVID-19 ,found to have worsening shortness of breath with hypoxia in the 70s to 80s, EMS placed him on nasal cannula oxygen with improvement of his oxygen saturation.  At the time of my evaluation patient was 97% on 5 L of oxygen a febrile with stable vital signs otherwise.  ProBNP was elevated at 2035, troponin 0.05 repeat was 0.02, pH 7.41 with hypoxemia of 82. D-dimer was elevated at 1.09 with a CRP 0.7.  Chest CT showed no pulmonary embolism noted scattered bilateral atelectasis.  Head CT unremarkable for acute abnormalities. Patient received IV Decadron, ceftriaxone azithromycin and DuoNeb in the emergency room.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, COVID-19, Chest pain, Deep vein thrombosis, Pulmonary embolism
Clinical narrative: Received pfizer on 7/7/21 and 7/28. Presented to ER on 1/18/22 and found to be COVID positive. She presented to the emergency department on the  date of admission secondary to chest pain, described in the associated H and  P.  She was found to have an elevated troponin consistent with  non-ST-elevation MI.  Cardiology was consulted.  Workup also was positive for  DVT and pulmonary embolism. She was positive for COVID-19-19, but  basically asymptomatic, was isolated and quarantined as per protocol. Discharged on 1/22/22
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Received pfizer on 7/7/21 and 7/28. Presented to ER on 1/18/22 and found to be COVID positive. She presented to the emergency department on the  date of admission secondary to chest pain, described in the associated H and  P.  She was found to have an elevated troponin consistent with  non-ST-elevation MI.  Cardiology was consulted.  Workup also was positive for  DVT and pulmonary embolism. She was positive for COVID-19-19, but  basically asymptomatic, was isolated and quarantined as per protocol. Discharged on 1/22/22
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Gastrointestinal pain, Myalgia
Clinical narrative: Intense abdominal pain, intestinal and muscular, that lasted for 3 days.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: routine testing patient revealed covid positive on 1/24/22,  pt is asymptomatic
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through work contact. Not due for booster at this time
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, COVID-19, Complication of device insertion, Dyspnoea, Endotracheal intubation
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/19/21 ER8730 Pfizer Dose 2 4/9/21 EW0153  CV+ 9/14/21  9/14/21 60-year-old male with type 2 diabetes mellitus, hypertension, hyperlipidemia, obstructive sleep apnea presented with shortness of breath.  Patient is currently intubated and unable to provide history,his story is obtained from chart review and phone interview with patient's wife.  Wife reports patient was having sinus infection and  took 1st dose of his antibiotics Augmentin and Tussionex.  He came to her saying he is having shortness of breath, his neck and face was red and itching. She drove him to the emergency room, on arrival to the ED patient was tachypneic, diaphoretic with erythema involving his face and abdomen and swollen tongue.  He was given multiple rounds of epinephrine with some improvement in his breathing , also received IV Benadryl, Solu-Medrol and ketamine.  Intubation was attempted but unsuccessful, patient was being bagged in the meantime. Cricothyroidotomy was not successful.  Patient was hypoxic with oxygen saturation in to low 30s.  Surgeon placed ET tube through the incision already made of increasing size tubes and subsequently tracheostomy was completed and secured prior to transfer.  Oxygenation improved, on transfer patient has elevated blood pressure with normal heart rate and was on mechanical ventilator at the time of my evaluation. Patient was following commands and moving his upper extremities and grimaces with and NG-tube placement. Patient does not have any known allergy for penicillins, pain medications, is currently on enalapril for hypertension.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Gastrointestinal tube insertion, Hyperhidrosis, Hypoxia, Mechanical ventilation
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/19/21 ER8730 Pfizer Dose 2 4/9/21 EW0153  CV+ 9/14/21  9/14/21 60-year-old male with type 2 diabetes mellitus, hypertension, hyperlipidemia, obstructive sleep apnea presented with shortness of breath.  Patient is currently intubated and unable to provide history,his story is obtained from chart review and phone interview with patient's wife.  Wife reports patient was having sinus infection and  took 1st dose of his antibiotics Augmentin and Tussionex.  He came to her saying he is having shortness of breath, his neck and face was red and itching. She drove him to the emergency room, on arrival to the ED patient was tachypneic, diaphoretic with erythema involving his face and abdomen and swollen tongue.  He was given multiple rounds of epinephrine with some improvement in his breathing , also received IV Benadryl, Solu-Medrol and ketamine.  Intubation was attempted but unsuccessful, patient was being bagged in the meantime. Cricothyroidotomy was not successful.  Patient was hypoxic with oxygen saturation in to low 30s.  Surgeon placed ET tube through the incision already made of increasing size tubes and subsequently tracheostomy was completed and secured prior to transfer.  Oxygenation improved, on transfer patient has elevated blood pressure with normal heart rate and was on mechanical ventilator at the time of my evaluation. Patient was following commands and moving his upper extremities and grimaces with and NG-tube placement. Patient does not have any known allergy for penicillins, pain medications, is currently on enalapril for hypertension.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pruritus, SARS-CoV-2 test positive, Sinusitis, Swollen tongue
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/19/21 ER8730 Pfizer Dose 2 4/9/21 EW0153  CV+ 9/14/21  9/14/21 60-year-old male with type 2 diabetes mellitus, hypertension, hyperlipidemia, obstructive sleep apnea presented with shortness of breath.  Patient is currently intubated and unable to provide history,his story is obtained from chart review and phone interview with patient's wife.  Wife reports patient was having sinus infection and  took 1st dose of his antibiotics Augmentin and Tussionex.  He came to her saying he is having shortness of breath, his neck and face was red and itching. She drove him to the emergency room, on arrival to the ED patient was tachypneic, diaphoretic with erythema involving his face and abdomen and swollen tongue.  He was given multiple rounds of epinephrine with some improvement in his breathing , also received IV Benadryl, Solu-Medrol and ketamine.  Intubation was attempted but unsuccessful, patient was being bagged in the meantime. Cricothyroidotomy was not successful.  Patient was hypoxic with oxygen saturation in to low 30s.  Surgeon placed ET tube through the incision already made of increasing size tubes and subsequently tracheostomy was completed and secured prior to transfer.  Oxygenation improved, on transfer patient has elevated blood pressure with normal heart rate and was on mechanical ventilator at the time of my evaluation. Patient was following commands and moving his upper extremities and grimaces with and NG-tube placement. Patient does not have any known allergy for penicillins, pain medications, is currently on enalapril for hypertension.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea, Tracheostomy, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/19/21 ER8730 Pfizer Dose 2 4/9/21 EW0153  CV+ 9/14/21  9/14/21 60-year-old male with type 2 diabetes mellitus, hypertension, hyperlipidemia, obstructive sleep apnea presented with shortness of breath.  Patient is currently intubated and unable to provide history,his story is obtained from chart review and phone interview with patient's wife.  Wife reports patient was having sinus infection and  took 1st dose of his antibiotics Augmentin and Tussionex.  He came to her saying he is having shortness of breath, his neck and face was red and itching. She drove him to the emergency room, on arrival to the ED patient was tachypneic, diaphoretic with erythema involving his face and abdomen and swollen tongue.  He was given multiple rounds of epinephrine with some improvement in his breathing , also received IV Benadryl, Solu-Medrol and ketamine.  Intubation was attempted but unsuccessful, patient was being bagged in the meantime. Cricothyroidotomy was not successful.  Patient was hypoxic with oxygen saturation in to low 30s.  Surgeon placed ET tube through the incision already made of increasing size tubes and subsequently tracheostomy was completed and secured prior to transfer.  Oxygenation improved, on transfer patient has elevated blood pressure with normal heart rate and was on mechanical ventilator at the time of my evaluation. Patient was following commands and moving his upper extremities and grimaces with and NG-tube placement. Patient does not have any known allergy for penicillins, pain medications, is currently on enalapril for hypertension.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given moderna when he should have received pfizer. Doctor called and spoke with patients parents and advised them of symptoms to watch for. Patient has tolerated the vaccine to this point.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: symptom onset 8/4/21
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: PT RECIEIVED VACCINE NO ISSUES AFTER EXAM COMPLETED BY NP, LAB WENT TO STICK PT AND COULD NOT ABTAIN BLOOD DRAW. PT GOT UP TO LEAVE WALKED FROM EXAM ROOM TO LOBBY AND FAINTED.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt is 16 year old female who presented to the clinic 1/18/2022 to receive a booster vaccine. She was previously vaccinated with Pfizer vaccine. Pt was under approved age but the vaccine was administrated. Pt had no c/o at the time of the inoculation and left the clinic independently. Pt was accompanied by grandmother and grandfather.  This clinic has not been notified of any adverse reactions suffered by the pt.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram normal, Atrioventricular block first degree, Blood test abnormal, Chest pain, Dyspnoea
Clinical narrative: Over the 2 months after the vaccine, I got chest pain that got worst to the point I could not stand, I could not take a deep breath, I went to the ER, and they admitted me to the hospital and diagnosed with Pericarditis. I am in medication for the next three months and if not, successful I will need steroids.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysstasia, Electrocardiogram abnormal, Inflammation, Pericarditis
Clinical narrative: Over the 2 months after the vaccine, I got chest pain that got worst to the point I could not stand, I could not take a deep breath, I went to the ER, and they admitted me to the hospital and diagnosed with Pericarditis. I am in medication for the next three months and if not, successful I will need steroids.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Pericarditis
Clinical narrative: Over the 2 months after the vaccine, I got chest pain that got worst to the point I could not stand, I could not take a deep breath, I went to the ER, and they admitted me to the hospital and diagnosed with Pericarditis. I am in medication for the next three months and if not, successful I will need steroids.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dehydration, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Patient stated on 1/3/2022 in the evening, she got a bad headache. She had some relief with ibuprofen, but she was dehydrated, had chills, tired, vomiting and sore throat. Symptoms mostly resolved by 1/4/2022 at 5:10 pm. She reported she was able to drink fluids and keep them down.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient stated on 1/3/2022 in the evening, she got a bad headache. She had some relief with ibuprofen, but she was dehydrated, had chills, tired, vomiting and sore throat. Symptoms mostly resolved by 1/4/2022 at 5:10 pm. She reported she was able to drink fluids and keep them down.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Dyspnoea exertional, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/10/21 EN6208 Pfizer Dose 2 3/31/21 EP7533  CV+ 9/7/21  9/18/21 The patient presents with difficulty breathing and Pt is a 64 y/o female who presents to the ED with a history of asthma, pneumonia, COPD emphysema, bronchitis, obstructive sleep apnea, morbid obesity, and DM type 2. Pt has had trouble breathing since yesterday afternoon after the pt was discharged. She states that she's always on oxygen and is currently on 2 L of oxygen at home. She does not have a fever..  The onset was 1  days ago.  The course/duration of symptoms is worsening.  The Exacerbating factors is exertion.  Risk factors consist of diabetes mellitus, chronic obstructive pulmonary disease, pneumonia and asthma.  Prior episodes: multiple ED visits. Associated symptoms: denies fever.