chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Systemic: Pallor-Severe, Systemic: Nausea-Medium, Systemic: Weakness-Mild, Additional Details: moderately diaphoretic
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product administration error
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hypoaesthesia, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Vomiting-Medium
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Vomiting-Medium
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Warmth at injection site. Instructed patient to follow up with doctor if not resolved in another day
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Breast swelling, Oedema peripheral
Clinical narrative: Pain and swelling in left breast and underarm
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Bilateral palm and bilateral plantar itching. Antihistamine administered with relief of symptoms
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Additional Details: After administration of moderna booster shot patient said she felt light headed. Patient was advised to stay seated and put her head between her knees. After a few minutes patient was offered purified water from the pharmacy which she drank. She stated that she was startled by the shot and the 'pinch' was unexpected. After 2 minutes she said that she felt better but we still asked her to stay seated for monitoring. After approximately 30 minutes she stated she felt better stood slowly and left.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Error: Incorrect Reconstitution-
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives. I became itchy four hours or so after getting the shot. I had hives at 10:30 p.m. When I woke up the next morning they were gone though I had some lingering itchiness as of 7:43 a.m. Dec 3.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Rash
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: pt stated she was fine for her 1st and 2nd pfizer shots. after her booster, she had a rash that extended her arm and a raised area that was red and tender
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest pain, Echocardiogram, Ejection fraction decreased, Electrocardiogram
Clinical narrative: Is chest pain, exhaustion, fluttering in the heart, Passed out Admitted to the hospital for 7 days, they found low ejection fraction with myocarditis.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Loss of consciousness, Myocarditis
Clinical narrative: Is chest pain, exhaustion, fluttering in the heart, Passed out Admitted to the hospital for 7 days, they found low ejection fraction with myocarditis.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Hypotension, Lethargy
Clinical narrative: Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Mild, Systemic: Weakness-Mild
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Mild, Systemic: Weakness-Mild
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal erythema, Pharyngeal haemorrhage, Pharyngeal swelling, Swelling face, Swollen tongue
Clinical narrative: My face (cheeks and jaw area) swelled slightly and my tongue and back of my throat became red, swollen, and patchy for about 4 days after the shot. I also lightly bled on my tongue and in the back of my throat.  After my second Moderna vaccine on 5/11/2021, I also had some tongue and throat redness but not as badly as after this 3rd dose.  All of these reactions started the next morning after I woke up.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue erythema, Tongue haemorrhage
Clinical narrative: My face (cheeks and jaw area) swelled slightly and my tongue and back of my throat became red, swollen, and patchy for about 4 days after the shot. I also lightly bled on my tongue and in the back of my throat.  After my second Moderna vaccine on 5/11/2021, I also had some tongue and throat redness but not as badly as after this 3rd dose.  All of these reactions started the next morning after I woke up.
Sex: F
Vaccine: COVID19
Symptoms: Cognitive disorder, Dizziness, Fatigue, Hypersomnia, Indifference
Clinical narrative: Excessive dizziness vomiting sleeping in weeks months after receiving vaccine   Mental capability reduced to a child Rather distant and lost always exhausted  Always sleep
Sex: F
Vaccine: COVID19
Symptoms: Neurological decompensation, Vomiting
Clinical narrative: Excessive dizziness vomiting sleeping in weeks months after receiving vaccine   Mental capability reduced to a child Rather distant and lost always exhausted  Always sleep
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia, Tenderness
Clinical narrative: Headache, Myalgia, Fever, arm tenderness.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash macular, Urticaria
Clinical narrative: hives first two months over entire body then still experiencing red vascular blotchiness in arms and legs
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Pain
Clinical narrative: SOB, BODY ACHES, FEVER, COUGH, CONGESTION, CHEST PAINT WITH COUGH
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: SOB, BODY ACHES, FEVER, COUGH, CONGESTION, CHEST PAINT WITH COUGH
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: High fever, shakes, body aches - lasted nearly 24hours and was worse than expected
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chills, Headache, Heart rate increased, Pain
Clinical narrative: Fast heartbeat (95-108 bpm), normally 56 when resting. Fluttering/palpitations. Headache, body aches, chills, fever.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Fast heartbeat (95-108 bpm), normally 56 when resting. Fluttering/palpitations. Headache, body aches, chills, fever.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Feeling abnormal, Full blood count, Haemoglobin decreased
Clinical narrative: I ended up in the hospital for 3 days.  I got my blood tested and my hemoglobin levels were very low and they wanted to get an iron transfusion. I was feeling shaky and light headed at the time so they sent me to an ER. I got a blood transfusion and an iron transfusion. I was discharged last night and I'm still not feeling the best.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Mineral supplementation, Nervousness, Transfusion
Clinical narrative: I ended up in the hospital for 3 days.  I got my blood tested and my hemoglobin levels were very low and they wanted to get an iron transfusion. I was feeling shaky and light headed at the time so they sent me to an ER. I got a blood transfusion and an iron transfusion. I was discharged last night and I'm still not feeling the best.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: This patient was informed she was Covid positive on 10/26.  She endorsed a sore throat and nonproductive cough.  During my interview she was provided rationale and the fact sheet related to the emergency authorization use for monoclonal antibody.  She fully endorses administration however requested I communicate with her daughters.     This morning she remains asymptomatic other than the persistent cough.  She remains on room air.  There is no evidence of any other symptoms of Covid.   I discussed the situation with her daughter by telephone this morning.  She provided the history of identifying a cough about Thursday of last week.  Her family as well as her sisters family did visit her at the hospital throughout her acute admission as well as in rehabilitation.  All family members are vaccinated and compliant with masking during these visits.  She is scheduled for potential discharge to her daughters home later this week.  She expressed concerns which I did try to address to the best of my abilities.  The patient ordinarily lives alone and is independent.  They are hoping the situation is temporary and that she can return to her baseline.  The monoclonal antibody recommendation was addressed with family and endorses administration.   Symptom onset: Approximately Thursday 10/21 Test date: 10/26/2021
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: NOTHING OCCURED TO CHILD, CHILD WAS GIVEN 0.1ML OF PFIZER
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Skin warm, Swelling face
Clinical narrative: Left ear redness/hot to touch Slight face swelling area of injection sore Treatment - Benadryl
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN WAS EXPIRED
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: had 2nd dose of  Pfizer on 2/4/2021, at age 77 y.o. On 10/20/21, date of 3rd dose, patient developed fever and diarrhea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Excruciating headache for 36 hours
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest discomfort, Dyspnoea, Pain in extremity
Clinical narrative: Patient experienced after 3-4 hours of vaccination:  thigh pain in right hip, right back pain (pt states kidney pain), chest tightness and heavy breathing. Symptoms resolved
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Renal pain
Clinical narrative: Patient experienced after 3-4 hours of vaccination:  thigh pain in right hip, right back pain (pt states kidney pain), chest tightness and heavy breathing. Symptoms resolved
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Erythema, Fatigue, Inflammation
Clinical narrative: Chills, fatigue. Soreness, and redness in the shoulder. Inflamed armpit.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood glucose abnormal, Dyspnoea, Lethargy, Myalgia
Clinical narrative: Fever 100 degrees, aching joints, sore muscles, shortness of breath, lethargic, abnormal blood sugars
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 100 degrees, aching joints, sore muscles, shortness of breath, lethargic, abnormal blood sugars
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS GIVEN PAST EXPIRATION DATE
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Heart rate increased, Tremor
Clinical narrative: Light head spells , almost passiing out, increased heart rate st times, shaking,  headaches
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Hyperglycaemia, Intensive care, Muscular weakness
Clinical narrative: Patient presented to emergency department on 11/18/2021 with progressive weakness of lower extremities. He was found to be COVID-19 positive. He was admitted to intensive care unit due to need for insulin drip caused by hyperglycemia. He was treated with supplemental oxygen and dexamethasone for COVID-19 infection during admission. He was discharged home on 11/30/2021.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 11/18/2021 with progressive weakness of lower extremities. He was found to be COVID-19 positive. He was admitted to intensive care unit due to need for insulin drip caused by hyperglycemia. He was treated with supplemental oxygen and dexamethasone for COVID-19 infection during admission. He was discharged home on 11/30/2021.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site swelling, Lymph node pain
Clinical narrative: Pain and swelling at injection site (right deltoid), pain in anterior axillary lymph nodes, headache
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Dyskinesia, Influenza like illness, Lymphadenopathy
Clinical narrative: Flu-like symptoms, inability to utilize left arm (pain 6/10) muscle twitching/involuntary movement in neck and left arm and left side of face, left-sided chest pain (4/10), left axial pain (4/10), neck pain left side (5/10), upper back pain left side (5/10), enlarged lymph nodes on left side of neck and axilla, moderate pelvic cramps (4/10), bilateral leg pain (aching, 3/10)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle spasms, Muscle twitching, Neck pain, Pain
Clinical narrative: Flu-like symptoms, inability to utilize left arm (pain 6/10) muscle twitching/involuntary movement in neck and left arm and left side of face, left-sided chest pain (4/10), left axial pain (4/10), neck pain left side (5/10), upper back pain left side (5/10), enlarged lymph nodes on left side of neck and axilla, moderate pelvic cramps (4/10), bilateral leg pain (aching, 3/10)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Flu-like symptoms, inability to utilize left arm (pain 6/10) muscle twitching/involuntary movement in neck and left arm and left side of face, left-sided chest pain (4/10), left axial pain (4/10), neck pain left side (5/10), upper back pain left side (5/10), enlarged lymph nodes on left side of neck and axilla, moderate pelvic cramps (4/10), bilateral leg pain (aching, 3/10)
Age: 17.0
Sex: U
Vaccine: COVID19, UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Under recommended age for J&J vaccine.  has been requested to enter all COVID vaccines. The teams responsible for screening and administering vaccines to the refugees.  Is assisting with entering information IN VAERS.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pruritus, Rash, Skin warm
Clinical narrative: Day 1 fine. Day 2 Rash, red, hot to the touch,  lump, pain 2x1 inch diameter, Day 3 same but 3x2 inch diameter less pain but itching. Day 4  rash 4x5 inch diameter redness going away, warm to touch, itching
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Day 1 fine. Day 2 Rash, red, hot to the touch,  lump, pain 2x1 inch diameter, Day 3 same but 3x2 inch diameter less pain but itching. Day 4  rash 4x5 inch diameter redness going away, warm to touch, itching
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a shot that had expired two days prior. No symptoms, signs, etc. Pt will be informed of this and per manufacturer no harm was done to pt, they will however need a new shot.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ageusia, COVID-19, Cough, Diarrhoea, Dyspnoea
Clinical narrative: SOB, COUGH, LOST OF TASTE, DIARRHEA, GENERAL MALAISE
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: SOB, COUGH, LOST OF TASTE, DIARRHEA, GENERAL MALAISE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood glucose decreased, Chills, Listless, Myalgia
Clinical narrative: Fever 99 degrees, low blood sugars, aching muscles and joints, heart palpitations, listless, chills
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Fever 99 degrees, low blood sugars, aching muscles and joints, heart palpitations, listless, chills
Age: 17.0
Sex: U
Vaccine: COVID19, UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Under recommended age for J&J vaccine.  Has been requested to enter all COVID vaccines. The teams responsible for screening and administering vaccines to the refugees. Assisting with entering information into  and VAERS.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Syncope
Clinical narrative: Pt fainted immediately after moderna booster was given. No LOC. 2nd episode
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Had breakthrough infection and passed away
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia, Vomiting
Clinical narrative: Fever to 101, vomiting, generally feeling unwell
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: given 0.5ml dose as booster - received first 2 doses of 0.5ml appropriately - dose of 0.5ml given 6 months later  (0.25ml indicated) Pt is good. No complaints. Arm just slightly sore as was with first 2 doses.
Age: 13.0
Sex: U
Vaccine: COVID19, UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Under recommended age for J&J vaccine. The facility has been requested to enter all COVID vaccines. The teams responsible for screening and administering vaccines to the refugees. Assisting with entering information into and VAERS.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope
Clinical narrative: Pt  reported nausea and felt like fainting 23 mins after vaccination.  Pt stable and released from vaccination site.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN PAST EXPIRATION DATE
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Decreased appetite, Lethargy, Pyrexia, Swelling face
Clinical narrative: Reported face is puffy/swollen,  lethargy, anorexia and running a low grade fever of 99.2
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Diarrhoea, Fatigue, Lung infiltration
Clinical narrative: Presented to ED with sore throat, fevers, diarrhea, and fatigue. 1L IVF, Decadron, Albuterol, Rocephin, Remdesivir, Vapotherm, baricitinib, vitamins
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, White blood cell count increased
Clinical narrative: Presented to ED with sore throat, fevers, diarrhea, and fatigue. 1L IVF, Decadron, Albuterol, Rocephin, Remdesivir, Vapotherm, baricitinib, vitamins
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Cough, Dyspnoea
Clinical narrative: PHYSICAL      "my car got stolen and i havent had any of my medications in 4 days. everything s wrong wth me"      Patient is a 51y.o. male Who presents to the emergency department for evaluation of chest tightness. Patient reports that approximately 4 hours to arrival he was standing outside and he began feeling chest tightness and shortness. Denies any radiation of the chest discomfort. No diaphoresis. No nausea or vomiting. He has told one pack per day since he was a teenager. Denies any drug use. Denies alcohol use. He states he has been without transportation or a home for the past 2 days as his car got stolen 4 days ago. He is out of his blood pressure medications.   Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain. Negative for palpitations.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for arthralgias and myalgias.  Skin: Negative for rash.  Neurological: Negative for weakness and numbness.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Balance disorder, Dizziness, Facial pain, Headache
Clinical narrative: dizziness, vertigo, persistent headaches more prominent on left side, tingling pain in left side of face, down left side of neck and back, some shooting pains down left arm, nausea, feeling consistently off balance and slightly nauseous
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pain, Pain in extremity, Paraesthesia
Clinical narrative: dizziness, vertigo, persistent headaches more prominent on left side, tingling pain in left side of face, down left side of neck and back, some shooting pains down left arm, nausea, feeling consistently off balance and slightly nauseous
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Physical examination, Vertigo
Clinical narrative: dizziness, vertigo, persistent headaches more prominent on left side, tingling pain in left side of face, down left side of neck and back, some shooting pains down left arm, nausea, feeling consistently off balance and slightly nauseous
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Feeling abnormal, Injection site hypoaesthesia, Injection site paraesthesia, Pain in extremity
Clinical narrative: Experienced tingling at injection site that traveled down her arm, she felt that same sensation in her nose, left arm and stomach. Her nose began to run.  About 4 hours after the shit she vomited once. Has complained of moderate pain in arm, with some numbing sensation at injection site. Has experienced ongoing stomach pains and strange sensations through the following day.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rhinorrhoea, Vomiting
Clinical narrative: Experienced tingling at injection site that traveled down her arm, she felt that same sensation in her nose, left arm and stomach. Her nose began to run.  About 4 hours after the shit she vomited once. Has complained of moderate pain in arm, with some numbing sensation at injection site. Has experienced ongoing stomach pains and strange sensations through the following day.
Age: 67.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Contusion, Eye swelling, Skin discolouration, Swelling face
Clinical narrative: at 0200 on 12/1/21 (vaccination @ 1500 on 11/30/21) pt reported waking up to go to the bathroom and when she was washing her hands looked in the mirror and noticed a large swelling  on her forehead above her left eyebrow.  She woke her husband up and asked him to look at it and he saw it as well .  She reported discussing with her husband what could have caused it and was certain she had not had a fall and bumped her head there.  She stated that otherwise she felt of so she went back to sleep.  In the early morning upon waking to begin her day she noticed that her entire left eye was swollen shut and was black in color.  She then reported going to the ED (Attending Doctor signed her discharge papers at 0501 on 12/2/21).  She was discharged advising how to treat a contusion (apply cold and take tylenol).  She was given no steroids or antihistamines.  When this was reported to me upon arriving to work today (12/3/121) I called the pt (she came to the store 12/2/21 to show the pharmacist her eye and that pharmacist reported this  situation to me).  When I called the pt 12/3/21 she told me of the above reported events and when I further inquired she said that now her right eye was becoming involved.  I advised her to seek urgent medical attention  of which she is currently doing upon writing this information.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Balance disorder, Injected limb mobility decreased, Pain, Shoulder injury related to vaccine administration, Sleep disorder
Clinical narrative: I had a very bad couple of days following my Pneumococcal vaccine.  I was not able to lift my arm at all at first and then only with extreme pain.  I barely slept because I typically sleep on my left side and would wake up in pain if I rolled on to my left side.  I would do mild stretches in hopes of improving mobility.  I still cannot close my drivers side door using my left arm.  I went back to Dr. to have her evaluate the injury and she referred me to another Dr.  Prior to seeing Dr. I had an X-ray, which was one of the most painful experiences I can remember.  Dr. agreed that the injury was consistent with SIRVA and prescribed Physical Therapy.  I am still doing PT at home mostly now.  While I have improved, I am still waking up in pain if I rolling my left side and have limited range of motion.  It's impacting my balance and my ability to carry things. Even something as simple as making the bed can result in pain.  I have improved though which gives me hope that this could eventually resolve.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: X-ray abnormal
Clinical narrative: I had a very bad couple of days following my Pneumococcal vaccine.  I was not able to lift my arm at all at first and then only with extreme pain.  I barely slept because I typically sleep on my left side and would wake up in pain if I rolled on to my left side.  I would do mild stretches in hopes of improving mobility.  I still cannot close my drivers side door using my left arm.  I went back to Dr. to have her evaluate the injury and she referred me to another Dr.  Prior to seeing Dr. I had an X-ray, which was one of the most painful experiences I can remember.  Dr. agreed that the injury was consistent with SIRVA and prescribed Physical Therapy.  I am still doing PT at home mostly now.  While I have improved, I am still waking up in pain if I rolling my left side and have limited range of motion.  It's impacting my balance and my ability to carry things. Even something as simple as making the bed can result in pain.  I have improved though which gives me hope that this could eventually resolve.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Dizziness, Fall
Clinical narrative: patient received seasonal flu vaccine on 10/25/21, on 10/26/21 signs and symptoms  started, which included poor appetite, increase weakness, general fatigue, Dizzy and fall without injury. SpO2 decreased and patient came to the hospital
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: patient received seasonal flu vaccine on 10/25/21, on 10/26/21 signs and symptoms  started, which included poor appetite, increase weakness, general fatigue, Dizzy and fall without injury. SpO2 decreased and patient came to the hospital
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: I have been experiencing entire body hives, triggered by certain foods, lotions, detergents that have never caused an allergic reaction in the past. By avoiding those items I no longer have entire body hives but I continue to get hives upon any contact with clothing, pressure, scratching or any kind of trauma to the skin. I manage with anti-histamines daily.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: patient developed raised red, itchy rash on chest - same side where shot was administered; responded well to Benadryl
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: I woke up with sore throat felt like a bad sinus infection (no cough or congestion, or fever). My wife was diagnosed with COVID 19 5 days prior so I decided to get tested.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: No adverse reaction noted currently or at the time of vaccine given.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Dizziness
Clinical narrative: I woke up Wednesday morning very dizzy & with abdominal pain. I started vomiting later in the day, went to the hospital, and ended up having appendicitis. I got my appendix removed on Thursday. One doctor suggested that since people usually get appendicitis after being sick, they might be related.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I woke up Wednesday morning very dizzy & with abdominal pain. I started vomiting later in the day, went to the hospital, and ended up having appendicitis. I got my appendix removed on Thursday. One doctor suggested that since people usually get appendicitis after being sick, they might be related.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN PAST EXPIRATION DATE
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Computerised tomogram thorax, Cough, Hypoxia
Clinical narrative: Presented to ER on 11/17/21 with hypoxia noted at group home.  Caretaker at the bedside provides all the  history.  Patient was diagnosed with COVID symptoms that have been present for  approximately a week.  He has been coughing, chest x-ray does not show any  signs of infection.  He presented to another hospital, did not have much of a  workup.  Diagnosed with COVID on 11/17/21.  He drops down to below 90% on room  air. The patient was treated with dexamethasone for COVID treatment protocols ( was outside the window for remdesivir therapy); empiric antibiotic therapy with ceftriaxone and azithromycin was also added to preclude a bacterial component to his disease.    Patient improved over course of his hospital stay.   He was ultimately discharged back to his group home residence on 11/23/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Lung consolidation, Malaise, SARS-CoV-2 test positive
Clinical narrative: Presented to ER on 11/17/21 with hypoxia noted at group home.  Caretaker at the bedside provides all the  history.  Patient was diagnosed with COVID symptoms that have been present for  approximately a week.  He has been coughing, chest x-ray does not show any  signs of infection.  He presented to another hospital, did not have much of a  workup.  Diagnosed with COVID on 11/17/21.  He drops down to below 90% on room  air. The patient was treated with dexamethasone for COVID treatment protocols ( was outside the window for remdesivir therapy); empiric antibiotic therapy with ceftriaxone and azithromycin was also added to preclude a bacterial component to his disease.    Patient improved over course of his hospital stay.   He was ultimately discharged back to his group home residence on 11/23/2021.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac dysfunction, Cardiac monitoring, Chest X-ray normal, Chest pain, Echocardiogram abnormal
Clinical narrative: Developed left-sided chest pain around 8pm on 11/19, pain worsened when laying down. Presented to emergency department on 11/20 after 16 hours of intermittent chest pain that did not resolve after taking ibuprofen. Diagnosed with myopericarditis and pericardial effusion. Was able to be discharged after 3 nights in hospital. Prescribed medications for treatment and lifestyle modifications for 3-6 months. Follow up appointments and tests with cardiologists to monitor heart function over time.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Myocarditis, Pain, Pericardial effusion, Troponin increased
Clinical narrative: Developed left-sided chest pain around 8pm on 11/19, pain worsened when laying down. Presented to emergency department on 11/20 after 16 hours of intermittent chest pain that did not resolve after taking ibuprofen. Diagnosed with myopericarditis and pericardial effusion. Was able to be discharged after 3 nights in hospital. Prescribed medications for treatment and lifestyle modifications for 3-6 months. Follow up appointments and tests with cardiologists to monitor heart function over time.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Fatigue, Fibrin D dimer, Full blood count
Clinical narrative: after 2nd vax, severe fatigue 2 days, then  on fourth evening developed sudden tachycardia over 200bpm, chest pain, hypertension breaking through meds, malaise. Went outside to cold weather to the face/ice, bpm decreased slightly to 150s by arrival atER. EKG:sinus tachycarfia. Given labetol, amiodorone. Heart monitor after HR decreased showed some episodes of NSVT. Held overnight for observation
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Malaise, Metabolic function test, Sinus tachycardia, Tachycardia
Clinical narrative: after 2nd vax, severe fatigue 2 days, then  on fourth evening developed sudden tachycardia over 200bpm, chest pain, hypertension breaking through meds, malaise. Went outside to cold weather to the face/ice, bpm decreased slightly to 150s by arrival atER. EKG:sinus tachycarfia. Given labetol, amiodorone. Heart monitor after HR decreased showed some episodes of NSVT. Held overnight for observation
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin, Ventricular tachycardia
Clinical narrative: after 2nd vax, severe fatigue 2 days, then  on fourth evening developed sudden tachycardia over 200bpm, chest pain, hypertension breaking through meds, malaise. Went outside to cold weather to the face/ice, bpm decreased slightly to 150s by arrival atER. EKG:sinus tachycarfia. Given labetol, amiodorone. Heart monitor after HR decreased showed some episodes of NSVT. Held overnight for observation
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: FEVER, COUGH, SOB, VOMITING, LOSS OF TASTE AND SMELL
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: FEVER, COUGH, SOB, VOMITING, LOSS OF TASTE AND SMELL
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: Patient presented to emergency department on 11/23/2021 for generalized fatigue, shortness of breath, loss of appetite, fever, chills, and nausea. She tested positive for COVID-19 infection at a previous emergency room visit on 11/19/2021 and was given ivermectin. She was given monoclonal antibodies on 11/23/2021. She later became hypoxic and was started on supplemental oxygen. She was admitted for further management and was treated is dexamethasone and remdesivir. Her symptoms improved and was weaned off oxygen. She was discharged home on 11/26/2021.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 11/23/2021 for generalized fatigue, shortness of breath, loss of appetite, fever, chills, and nausea. She tested positive for COVID-19 infection at a previous emergency room visit on 11/19/2021 and was given ivermectin. She was given monoclonal antibodies on 11/23/2021. She later became hypoxic and was started on supplemental oxygen. She was admitted for further management and was treated is dexamethasone and remdesivir. Her symptoms improved and was weaned off oxygen. She was discharged home on 11/26/2021.
Age: 44.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Bacterial test negative, Bacterial vaginosis, Chlamydia test, Fungal infection, Neisseria test
Clinical narrative: Fever, vertigo x 1 week, bacterial vaginosis that took 3 weeks to get rid of and turned into a yeast infection because as soon as I got it to start to go away it came back when I got the second dose. I had to see my doctor to get rid of it all completely.  I had to be on antibiotics for  7 days, 3 times per day that you typically take twice daily then I had to take another one for the yeast infection the antibiotics gave me due to that. It was the worst pain ever for almost a month.  I believe the infection is gone but it is still really raw down there. I got my second dose on 11/19/2021 Pfizer as well LOT 330308D at the same location in the RT are subcutaneous and I had another outbreak on top of what I was hoping was finally going away with fever and vertigo and I went to the doctor that Monday on 11/22/2021.
Age: 44.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Pain, Parasitic test, Pyrexia, Vertigo
Clinical narrative: Fever, vertigo x 1 week, bacterial vaginosis that took 3 weeks to get rid of and turned into a yeast infection because as soon as I got it to start to go away it came back when I got the second dose. I had to see my doctor to get rid of it all completely.  I had to be on antibiotics for  7 days, 3 times per day that you typically take twice daily then I had to take another one for the yeast infection the antibiotics gave me due to that. It was the worst pain ever for almost a month.  I believe the infection is gone but it is still really raw down there. I got my second dose on 11/19/2021 Pfizer as well LOT 330308D at the same location in the RT are subcutaneous and I had another outbreak on top of what I was hoping was finally going away with fever and vertigo and I went to the doctor that Monday on 11/22/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Contracted COVID
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort
Clinical narrative: Pressure in the heart, myocarditis type effects; untreated; current issues
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Goitre
Clinical narrative: Mild swelling of thyroid.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Palpitations, Wheezing
Clinical narrative: Patient was given Pfizer vaccine and she started wheezing and shortness of breath about 10 minutes after she received the vaccine. She used inhaler, but still reported SOB, and palpitation. Immediately she was transferred to the ED accompanied with RN.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Patient presented with hives immediately after receipt of the vaccine. We gave her 50mg Benadryl by mouth. She was not in anaphylaxis so we sent her directly to follow up with her MD.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN PAST EXPIRATION DATE
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Chills, Condition aggravated
Clinical narrative: This is a 95y.o. male with significant past medical history of HTN, Afib, CHF, CAD, and colon cancer that presented to the hospital with chief complaint of cough. Patient reported received his flu vaccine on 10/27/21. He states today upon walking he had a fever, chills, and felt shaky and fatigued. The patient's daughter performed a home COVID test which resulted as positive; subsequently he was brought to the ED for evaluation. He denies any headache, lightheadedness, dizziness, chest pain, palpitations, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary symptoms.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. COVID swab positive. Troponin 0.10. CXR with mild CHF changes. Patient has been admitted for further evaluation and management with cardiology consultation.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Nervousness, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: This is a 95y.o. male with significant past medical history of HTN, Afib, CHF, CAD, and colon cancer that presented to the hospital with chief complaint of cough. Patient reported received his flu vaccine on 10/27/21. He states today upon walking he had a fever, chills, and felt shaky and fatigued. The patient's daughter performed a home COVID test which resulted as positive; subsequently he was brought to the ED for evaluation. He denies any headache, lightheadedness, dizziness, chest pain, palpitations, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary symptoms.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. COVID swab positive. Troponin 0.10. CXR with mild CHF changes. Patient has been admitted for further evaluation and management with cardiology consultation.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: This is a 95y.o. male with significant past medical history of HTN, Afib, CHF, CAD, and colon cancer that presented to the hospital with chief complaint of cough. Patient reported received his flu vaccine on 10/27/21. He states today upon walking he had a fever, chills, and felt shaky and fatigued. The patient's daughter performed a home COVID test which resulted as positive; subsequently he was brought to the ED for evaluation. He denies any headache, lightheadedness, dizziness, chest pain, palpitations, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary symptoms.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. COVID swab positive. Troponin 0.10. CXR with mild CHF changes. Patient has been admitted for further evaluation and management with cardiology consultation.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein increased, COVID-19, Cough, Dyspnoea, Fibrin D dimer
Clinical narrative: cough, fever, short of breath started on 11/27. Admitted to the hospital 12/3
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Procalcitonin, Pyrexia, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: cough, fever, short of breath started on 11/27. Admitted to the hospital 12/3
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Blood test, Deafness, Dizziness, Ear discomfort
Clinical narrative: The night of vaccination began headache, red left arm, heavy sweating. In the days following soreness in hands, paresthesia, heart palpations and adrenaline surges. About a week out tinnitus and ear pressure began in both ears, developed cold sore and sorenss under left chin, head pressure, lightheadedness, dizziness/nausea. PCP recommended to see ENT. 1st ENT checked hearing had high end hearing loss in left ear no treament. PCP prescribed round of low dose steroid. 2nd ENT prescribed another steroid round. Neurology and Immunology apts TBD. To this day I have non-stop tinnitus and lightheadedness, faintness/fainting, dizziness/nausea, head pressure, heart palpatiations, paresthesia all severely impacting my life.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Facial pain, Head discomfort, Headache, Hyperhidrosis
Clinical narrative: The night of vaccination began headache, red left arm, heavy sweating. In the days following soreness in hands, paresthesia, heart palpations and adrenaline surges. About a week out tinnitus and ear pressure began in both ears, developed cold sore and sorenss under left chin, head pressure, lightheadedness, dizziness/nausea. PCP recommended to see ENT. 1st ENT checked hearing had high end hearing loss in left ear no treament. PCP prescribed round of low dose steroid. 2nd ENT prescribed another steroid round. Neurology and Immunology apts TBD. To this day I have non-stop tinnitus and lightheadedness, faintness/fainting, dizziness/nausea, head pressure, heart palpatiations, paresthesia all severely impacting my life.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nausea, Oral herpes, Pain in extremity, Palpitations
Clinical narrative: The night of vaccination began headache, red left arm, heavy sweating. In the days following soreness in hands, paresthesia, heart palpations and adrenaline surges. About a week out tinnitus and ear pressure began in both ears, developed cold sore and sorenss under left chin, head pressure, lightheadedness, dizziness/nausea. PCP recommended to see ENT. 1st ENT checked hearing had high end hearing loss in left ear no treament. PCP prescribed round of low dose steroid. 2nd ENT prescribed another steroid round. Neurology and Immunology apts TBD. To this day I have non-stop tinnitus and lightheadedness, faintness/fainting, dizziness/nausea, head pressure, heart palpatiations, paresthesia all severely impacting my life.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Syncope, Tinnitus, Vitamin B12 decreased
Clinical narrative: The night of vaccination began headache, red left arm, heavy sweating. In the days following soreness in hands, paresthesia, heart palpations and adrenaline surges. About a week out tinnitus and ear pressure began in both ears, developed cold sore and sorenss under left chin, head pressure, lightheadedness, dizziness/nausea. PCP recommended to see ENT. 1st ENT checked hearing had high end hearing loss in left ear no treament. PCP prescribed round of low dose steroid. 2nd ENT prescribed another steroid round. Neurology and Immunology apts TBD. To this day I have non-stop tinnitus and lightheadedness, faintness/fainting, dizziness/nausea, head pressure, heart palpatiations, paresthesia all severely impacting my life.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: My staff missed seeing that this individual was not old enough for the Moderna vaccine. Her mom works at the same facility and has been notified.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid normal, COVID-19, Chest X-ray abnormal, Chills, Cough
Clinical narrative: 87-year-old female with hx diverticulitis (2020), functional quadriplegia, hypertension, rheumatoid arthritis, hypothyroidism.  She presented to the ED with c/o nausea and hypoxia 89% at home following diagnosis of COVID-19 approximately 1 week ago and confirmed on ED visit on 10/17/2021.  Endorses shortness of breath, nonproductive cough, fever, chills, myalgias.  Denies chest pain, palpitations, lightheaded/dizzy, headaches.  ED work up significant for tachypnea 31, hypoxia 90% on RA, elevated trop 26 (was 22 on 10/17/2021).  Normal lactic acid 1.6.  CXR reveals bilateral opacities concerning for early infiltrates, however, final radiology read is pending at the time of admission.       Tested positive on 10/15/2021
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypoxia, Lung opacity, Myalgia, Nausea
Clinical narrative: 87-year-old female with hx diverticulitis (2020), functional quadriplegia, hypertension, rheumatoid arthritis, hypothyroidism.  She presented to the ED with c/o nausea and hypoxia 89% at home following diagnosis of COVID-19 approximately 1 week ago and confirmed on ED visit on 10/17/2021.  Endorses shortness of breath, nonproductive cough, fever, chills, myalgias.  Denies chest pain, palpitations, lightheaded/dizzy, headaches.  ED work up significant for tachypnea 31, hypoxia 90% on RA, elevated trop 26 (was 22 on 10/17/2021).  Normal lactic acid 1.6.  CXR reveals bilateral opacities concerning for early infiltrates, however, final radiology read is pending at the time of admission.       Tested positive on 10/15/2021