chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: arm was warm, kind like hot; got their arm swollen/gotten a bit  bigger down their arm/The arm i less swollen now; The arm i less swollen now but it was a little sore; got their arm  red/and red/blachy/maybe could be a blood clot; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (arm was warm, kind like hot), VACCINATION SITE SWELLING (got their arm swollen/gotten a bit  bigger down their arm/The arm i less swollen now), VACCINATION SITE PAIN (The arm i less swollen now but it was a little sore) and VACCINATION SITE ERYTHEMA (got their arm  red/and red/blachy/maybe could be a blood clot) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076c21a and 091d21a) for COVID-19 vaccination.     No medical history was provided by the reporter.  Concomitant products included MULTIVITAMIN [VITAMINS NOS] for an unknown indication.   On 09-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Oct-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 08-Oct-2021, the patient experienced VACCINATION SITE WARMTH (arm was warm, kind like hot), VACCINATION SITE SWELLING (got their arm swollen/gotten a bit  bigger down their arm/The arm i less swollen now), VACCINATION SITE PAIN (The arm i less swollen now but it was a little sore) and VACCINATION SITE ERYTHEMA (got their arm  red/and red/blachy/maybe could be a blood clot). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, VACCINATION SITE WARMTH (arm was warm, kind like hot), VACCINATION SITE PAIN (The arm i less swollen now but it was a little sore) and VACCINATION SITE ERYTHEMA (got their arm  red/and red/blachy/maybe could be a blood clot) outcome was unknown and VACCINATION SITE SWELLING (got their arm swollen/gotten a bit  bigger down their arm/The arm i less swollen now) was resolving.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Treatment information also included ice.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Skin discolouration, Vaccination site rash
Clinical narrative: A straight purplish line of about 8 inches that diminished to 4; Rash that looks like a dry spot or eczema at the site where the injections; Inappropriate schedule of vaccine administered; This spontaneous case was reported by a consumer and describes the occurrence of SKIN DISCOLOURATION (A straight purplish line of about 8 inches that  diminished to 4), RASH (Rash that looks like a dry spot or eczema at the site where the injections) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 009C21A and 0838A21A) for COVID-19 vaccination.     No Medical History information was reported.   On 12-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 29-Apr-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered). On 09-Oct-2021, the patient experienced SKIN DISCOLOURATION (A straight purplish line of about 8 inches that  diminished to 4) and RASH (Rash that looks like a dry spot or eczema at the site where the injections). The patient was treated with AVENA SATIVA (EUCERIN ECZEMA RELIEF) for Dry skin, at an unspecified dose and frequency. On 29-Apr-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered) had resolved. On 10-Oct-2021, SKIN DISCOLOURATION (A straight purplish line of about 8 inches that  diminished to 4) was resolving. At the time of the report, RASH (Rash that looks like a dry spot or eczema at the site where the injections) outcome was unknown.            no concomitant medications are provided. patient used facion body cream to try to alleviate the dryness of the spot. purplish line on the skin noticed a week after vaccination, nurse looked it up and only diagnosed it as strange.no medication taken by the patient when the first side effect appeared.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: Bood pressure raised; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (Bood pressure raised) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047A21A and 046B21A) for COVID-19 vaccination.     Concurrent medical conditions included Thalassemia minor. Concomitant products included LOSARTAN for Blood pressure high, ATENOLOL for Hypertension.   On 06-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced HYPERTENSION (Bood pressure raised). At the time of the report, HYPERTENSION (Bood pressure raised) outcome was unknown.        mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No treatment information was provided. Caller stated that  blood pressure raised, is an unusual thing to happen to the caller.   This case was linked to MOD-2021-347546 (Patient Link).
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is mistakely given moderna rather than pfizer,patient is 15 years old.; This spontaneous case was reported by a nurse and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Patient is mistakely given moderna rather than pfizer,patient is 15 years old.) in a 15-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 008C21A) for COVID-19 vaccination.     No Medical History information was reported.    On 07-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Sep-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Patient is mistakely given moderna rather than pfizer,patient is 15 years old.). On 07-Sep-2021, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Patient is mistakely given moderna rather than pfizer,patient is 15 years old.) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication was not provided.  Treatment information was not provided.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Pain in extremity, Palpitations
Clinical narrative: Sore arm 2-3 days.  Day after 1st vaccine tight in middle and to left side of chest.  Brief racing heart feeling (maybe couple of times).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Haemoptysis, Headache, Influenza A virus test negative, Influenza virus test negative
Clinical narrative: Sore throat 10-8 to 10-14 Sneezing & running nose 10-8 to 10-14 Headache  10-9 to 10-14 Ear ache 10-8 to 10-14 COUGHING UP BLOOD 10-11 & 10-12 Excess mucus production 10-10 to ongoing
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory syncytial virus test negative, Rhinorrhoea, SARS-CoV-2 test negative, Secretion discharge
Clinical narrative: Sore throat 10-8 to 10-14 Sneezing & running nose 10-8 to 10-14 Headache  10-9 to 10-14 Ear ache 10-8 to 10-14 COUGHING UP BLOOD 10-11 & 10-12 Excess mucus production 10-10 to ongoing
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: Sore throat 10-8 to 10-14 Sneezing & running nose 10-8 to 10-14 Headache  10-9 to 10-14 Ear ache 10-8 to 10-14 COUGHING UP BLOOD 10-11 & 10-12 Excess mucus production 10-10 to ongoing
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Nausea, Neck pain
Clinical narrative: Headache nauseous ting arm lips scattered rash pm fatigue Vicious Headache sore neck arm sore palpatations fatigue Headache sore arm palpations fatigue  Flulike symptoms 1-6 days
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Paraesthesia, Paraesthesia oral, Rash
Clinical narrative: Headache nauseous ting arm lips scattered rash pm fatigue Vicious Headache sore neck arm sore palpatations fatigue Headache sore arm palpations fatigue  Flulike symptoms 1-6 days
Sex: U
Vaccine: MNQ
Symptoms: Expired product administered
Clinical narrative: received an expired dose; This case was reported by a other health professional via call center representative and described the occurrence of expired vaccine used in a patient who received Men ACWY-CRM NVS (Menveo) (batch number AMVA390A, expiry date 31st August 2021) for prophylaxis.   On 11th October 2021, the patient received the 2nd dose of Menveo. On 11th October 2021, unknown after receiving Menveo, the patient experienced expired vaccine used. On an unknown date, the outcome of the expired vaccine used was unknown.  Additional details were provided as follows: The age at vaccination was not reported. The medical assistant reported that the patient received an expired dose of Menveo, which was expired on 31st August 2021, which led to expired vaccine used. The reporter did not consent to follow up.
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: extra dose of Pediarix; was supposed to get a flu vaccine; This case was reported by a other health professional via call center representative and described the occurrence of extra dose administered in a 2-year-old male patient who received DTPa-HBV-IPV (Pediarix) (batch number J953N, expiry date 11th May 2023) for prophylaxis.   Co-suspect products included dtpa-hbv-ipv vaccine pre-filled syringe device (Pediarix Pre-Filled Syringe Device) injection syringe for prophylaxis.   On an unknown date, the patient received Pediarix and Pediarix Pre-Filled Syringe Device. On an unknown date, unknown after receiving Pediarix and Pediarix Pre-Filled Syringe Device, the patient experienced extra dose administered and wrong vaccine administered. On an unknown date, the outcome of the extra dose administered and wrong vaccine administered were unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional details were provided as follows: Medical assistant reported that she accidentally administered a 2 year old an extra dose of Pediarix which led to extra dose administered.  Patient was supposed to get a flu vaccine but got the Pediarix which led to wrong vaccine administered. Consent to follow up granted.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Incomplete course of vaccination
Clinical narrative: dose 1 3/15/2018, did not receive dose 2; This case was reported by a pharmacist via call center representative and described the occurrence of incomplete course of vaccination in a 72-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix (1st dose received on 15th March 2018).   On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced incomplete course of vaccination. On an unknown date, the outcome of the incomplete course of vaccination was unknown.  Additional details were provided as follows: The age at vaccination was not applicable for this report. After receiving 1st dose of Shingrix, the patient had no reaction. Till the time of reporting, the patient did not receive the 2nd dose, which led to incomplete course of vaccination. The reporter plan on administering the 2nd dose per CDC (Centers for Disease Control and Prevention) recommendations but did not state the exact date The reporter consented to follow up via Email.; Sender's Comments:  US-GLAXOSMITHKLINE-US2019084035:same reporter
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: GUILLAIN BARRE; This spontaneous report received from a consumer (offspring of the patient) via a company representative concerned a 77 year old male. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry: UNKNWON) dose, start therapy date were not reported, 1 total administered for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported.  On an unspecified date, 2 weeks after vaccination, the patient was hospitalized for a week without a diagnosis. The patient was then transferred to another hospital in a plane ambulance, where the patient was diagnosed with Guillain Barre and was hospitalized (dates unspecified). It was reported that the patient made it even with critical breathing conditions, and that the patient did not have a lung collapse. The patient was hospitalized for 3 weeks and currently in rehabilitation since 4 weeks for therapies. It was reported that patient is expected to be get back home probably on the first week of November. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the Guillain Barre was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender's Comments: V0: 20211028698-covid-19 vaccine ad26.cov2.s- Guillain-Barre. This event(s) is labeled per regulatory authority and is therefore considered potentially related.
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Troponin
Clinical narrative: myocarditis; This literature-study case was reported in a literature article and describes the occurrence of MYOCARDITIS (myocarditis) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   LITERATURE REFERENCE:     No Medical History information was reported.   In 2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In 2021, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In 2021, the patient experienced MYOCARDITIS (myocarditis) (seriousness criterion medically significant). At the time of the report, MYOCARDITIS (myocarditis) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Troponin: elevated (High) Elevated.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered MYOCARDITIS (myocarditis) to be possibly related.    No concomitant medication was reported. Patient received supportive care. Reportedly patient visited hospital for chest pain.  Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded   This case was linked to MOD-2021-284001, MOD-2021-284002, MOD-2021-284003, MOD-2021-284004, MOD-2021-245527, MOD-2021-284006, MOD-2021-284007, MOD-2021-284008, MOD-2021-284009, MOD-2021-284010, MOD-2021-284011, MOD-2021-284012, MOD-2021-284013, MOD-2021-284014, MOD-2021-284015 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 02-Jul-2021: Upon internal review on 06-Sep-2021 E2B Company Number was updated from -MODERNATX, INC.-MOD-2021-245527 to -MODERNATX, INC.- MOD-2021-284005 On 05-Jul-2021: Follow up received by safety 07-Jul-2021included initial additional document with no new information was received. On 07-Jul-2021: Follow up received by safety 08-Jul-2021 included full text article added with no new information.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: it was his calves; he had hives pretty bad on both his arms; he gets painful and itchy hives; the hives appeared on his inner thighs; hurt a bit/he gets a painful; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (the hives appeared on his inner thighs), PAIN (hurt a bit/he gets a painful), URTICARIA (he had hives pretty bad on both his arms), URTICARIA (it was his calves) and PRURITUS (he gets painful and itchy hives) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 040C21A and 071E21A) for COVID-19 vaccination.     No Medical History information was reported.   On 18-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 19-Sep-2021, the patient experienced URTICARIA (the hives appeared on his inner thighs), PAIN (hurt a bit/he gets a painful) and PRURITUS (he gets painful and itchy hives). On 02-Oct-2021, the patient experienced URTICARIA (he had hives pretty bad on both his arms). On 09-Oct-2021, the patient experienced URTICARIA (it was his calves). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL ALLERGY [DIPHENHYDRAMINE HYDROCHLORIDE]) on 19-Sep-2021 for Hives, at an unspecified dose and frequency. On 19-Sep-2021, URTICARIA (the hives appeared on his inner thighs) had resolved. On 02-Oct-2021, URTICARIA (he had hives pretty bad on both his arms) had resolved. On 09-Oct-2021, PAIN (hurt a bit/he gets a painful), URTICARIA (it was his calves) and PRURITUS (he gets painful and itchy hives) had resolved.            The patient reported that the two latter times, he took a shower.It hurt a bit, but they went away over time. Concomitant medications were not reported. Action taken with mRNA-1273 in response to the events was not applicable.
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac murmur, Illness, SARS-CoV-2 test
Clinical narrative: Weeks later he was going really sick; 3 and a half weeks after, he had heart murmurs; Four weeks after he got Covid.; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (Weeks later he was going really sick), CARDIAC MURMUR (3 and a half weeks after, he had heart murmurs) and COVID-19 (Four weeks after he got Covid.) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.   In September 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On an unknown date, the patient experienced ILLNESS (Weeks later he was going really sick), CARDIAC MURMUR (3 and a half weeks after, he had heart murmurs) and COVID-19 (Four weeks after he got Covid.). At the time of the report, ILLNESS (Weeks later he was going really sick), CARDIAC MURMUR (3 and a half weeks after, he had heart murmurs) and COVID-19 (Four weeks after he got Covid.) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: positive (Positive) Positive.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       No concomitant medication information was provided. No treatment medication were provided.   Most recent FOLLOW-UP information incorporated above includes: On 10-Oct-2021: Updated date of first dose.; Sender's Comments: This case concerns a male patient of unknown age with no relevant medical history, who experienced the unexpected non-serious AESI event COVID-19. The event occurred within unknown period after the first dose of Moderna COVID-19 Vaccine administration on unknown date. The rechallenge was unknown since information on the second dose and doses sequence order was not provided. The benefit-risk relationship is not affected by this report.
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Received expired second dose; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received expired second dose) in a 66-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 014F21A and 062e21a) for COVID-19 vaccination.     No Medical History information was reported.   On 30-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Oct-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Oct-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Received expired second dose). On 02-Oct-2021, EXPIRED PRODUCT ADMINISTERED (Received expired second dose) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication details was reported.  No treatment medication details was reported.   This case was linked to MOD-2021-347607, MOD-2021-347368 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 14-Oct-2021: Non-Significant follow up appended-Email ID updated
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hypoaesthesia oral, Paraesthesia oral, Pyrexia
Clinical narrative: starting to get a fever; very tired/couldn't even get up; Right above my top lip, it tingles; it's like numb; tenderness at the site/sore arm; chills; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA ORAL (Right above my top lip, it tingles), HYPOAESTHESIA ORAL (it's like numb), VACCINATION SITE PAIN (tenderness at the site/sore arm), CHILLS (chills) and PYREXIA (starting to get a fever) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 08-Oct-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Oct-2021, the patient experienced PYREXIA (starting to get a fever). 09-Oct-2021, the patient experienced FATIGUE (very tired/couldn't even get up). In October 2021, the patient experienced PARAESTHESIA ORAL (Right above my top lip, it tingles), HYPOAESTHESIA ORAL (it's like numb), VACCINATION SITE PAIN (tenderness at the site/sore arm) and CHILLS (chills). The patient was treated with NAPROXEN on 08-Oct-2021 for Adverse event, at an unspecified dose and frequency. At the time of the report, PARAESTHESIA ORAL (Right above my top lip, it tingles), HYPOAESTHESIA ORAL (it's like numb), VACCINATION SITE PAIN (tenderness at the site/sore arm), CHILLS (chills), PYREXIA (starting to get a fever) and FATIGUE (very tired/couldn't even get up) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   no concomitant medications are provided,   This case was linked to MOD-2021-347091 (Patient Link).; Sender's Comments: This case concerns a 31-year-old female patient with no previous relevant medical history, who experienced the expected non serious events of Fatigue, Pyrexia, Chills, Vaccination site pain and the unexpected non serious events of Hypoasthesia oral and Paraesthesia oral after Spikevax (mRNA- 1273 vaccine / Moderna COVID-19 Vaccine). The events occurred approximately 1 day after the second dose of Spikevax. The patient characterize her symptoms as "fells like COVID", but as there is no evidence to suggest Suspected COVID at this moment it is not captured as an event.  The rechallenge is not applicable, since the schedule of vaccination has been completed and a further dose is not expected. The benefit-risk relationship of Spikevax vaccine is not affected by this report.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: starting to get a fever; very tired/couldn't even get up; Right above my top lip, it tingles; it's like numb; tenderness at the site/sore arm; chills; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA ORAL (Right above my top lip, it tingles), HYPOAESTHESIA ORAL (it's like numb), VACCINATION SITE PAIN (tenderness at the site/sore arm), CHILLS (chills) and PYREXIA (starting to get a fever) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 08-Oct-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Oct-2021, the patient experienced PYREXIA (starting to get a fever). 09-Oct-2021, the patient experienced FATIGUE (very tired/couldn't even get up). In October 2021, the patient experienced PARAESTHESIA ORAL (Right above my top lip, it tingles), HYPOAESTHESIA ORAL (it's like numb), VACCINATION SITE PAIN (tenderness at the site/sore arm) and CHILLS (chills). The patient was treated with NAPROXEN on 08-Oct-2021 for Adverse event, at an unspecified dose and frequency. At the time of the report, PARAESTHESIA ORAL (Right above my top lip, it tingles), HYPOAESTHESIA ORAL (it's like numb), VACCINATION SITE PAIN (tenderness at the site/sore arm), CHILLS (chills), PYREXIA (starting to get a fever) and FATIGUE (very tired/couldn't even get up) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   no concomitant medications are provided,   This case was linked to MOD-2021-347091 (Patient Link).; Sender's Comments: This case concerns a 31-year-old female patient with no previous relevant medical history, who experienced the expected non serious events of Fatigue, Pyrexia, Chills, Vaccination site pain and the unexpected non serious events of Hypoasthesia oral and Paraesthesia oral after Spikevax (mRNA- 1273 vaccine / Moderna COVID-19 Vaccine). The events occurred approximately 1 day after the second dose of Spikevax. The patient characterize her symptoms as "fells like COVID", but as there is no evidence to suggest Suspected COVID at this moment it is not captured as an event.  The rechallenge is not applicable, since the schedule of vaccination has been completed and a further dose is not expected. The benefit-risk relationship of Spikevax vaccine is not affected by this report.
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration past beyond use date; This spontaneous case was reported by a physician and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Administration past beyond use date) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043B21A) for COVID-19 vaccination.     No Medical History information was reported.    On 02-Jul-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Jul-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Administration past beyond use date). On 02-Jul-2021, EXPIRED PRODUCT ADMINISTERED (Administration past beyond use date) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant medications were not reported. Treatment details not provided. Action taken with mRNA-1273 in response to the events was not applicable.    This case was linked to MOD-2021-348416, MOD-2021-337336, MOD-2021-348447, MOD-2021-336767, MOD-2021-335024 (Patient Link).
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cardiac flutter, Fatigue, Feeling abnormal, Feeling jittery
Clinical narrative: Insomnia, jitteriness, heart flutters, fatigue, brain fog, body aches, pain at the injection site, headache, stomach pain, nausea
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Insomnia, Nausea, Pain
Clinical narrative: Insomnia, jitteriness, heart flutters, fatigue, brain fog, body aches, pain at the injection site, headache, stomach pain, nausea
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itchy all over different parts of my body. Not all body parts at once. For instance, under my feet then after that stops itching, it will be on my arm, or palm of my hands, etc. I have been taking Benadryl and anti-itch creams.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Blood test, Cardiac stress test, Dyspnoea, Electrocardiogram
Clinical narrative: Racing heartbeat, shortness of breath, ache near heart, fast pulse
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Racing heartbeat, shortness of breath, ache near heart, fast pulse
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Systemic: pre-menapausal menstruation-Mild
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash, Vomiting
Clinical narrative: Severe  vomiting for 4 days, headache continues 3 weeks later and rash on body
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Palpitations
Clinical narrative: Systemic: patient at first said a palpitation then he thought it may be a muscle spasm-Mild.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: Excruciating headache, nausea/vomiting, chills,fever, body aches, and dizziness
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Excruciating headache, nausea/vomiting, chills,fever, body aches, and dizziness
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Bartholin's cyst, Dehydration, Diplopia, Hyperacusis, Lethargy
Clinical narrative: High grade fever of 103.4 for 8 straight hours. Body aches, migraine, nausea, double vision, dehydration. Have developed an allergy to Sulfa, which I have never had an issue with in the past. Have skin discoloration on both arms and face now still to this day. Noticing significant hearing issues now. Always feel sick and lethargic since the vaccine. Bartholan gland cyst persistant for 6+ months requiring 2 trips to the ER and several doctors visits.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Migraine, Nausea, Pain, Pyrexia
Clinical narrative: High grade fever of 103.4 for 8 straight hours. Body aches, migraine, nausea, double vision, dehydration. Have developed an allergy to Sulfa, which I have never had an issue with in the past. Have skin discoloration on both arms and face now still to this day. Noticing significant hearing issues now. Always feel sick and lethargic since the vaccine. Bartholan gland cyst persistant for 6+ months requiring 2 trips to the ER and several doctors visits.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: High grade fever of 103.4 for 8 straight hours. Body aches, migraine, nausea, double vision, dehydration. Have developed an allergy to Sulfa, which I have never had an issue with in the past. Have skin discoloration on both arms and face now still to this day. Noticing significant hearing issues now. Always feel sick and lethargic since the vaccine. Bartholan gland cyst persistant for 6+ months requiring 2 trips to the ER and several doctors visits.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Severe.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site erythema, Injection site pain, Injection site pruritus, Pain
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Weakness-Mild
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Weakness-Mild
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Lethargy, Muscular weakness
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: LOWER EXTREMITY MUSCLE WEAKNESS/SORENESS-Medium.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: LOWER EXTREMITY MUSCLE WEAKNESS/SORENESS-Medium.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient was fully vaccinated with the Moderna on 3/2/21 and 4/1/21 but developed COVID 19. Patient presented with cough, shortness of breath, fatigue, generalized weakness.  Patient states he has had generalized weakness and fatigue and cough for 2 to 3 weeks which is worsened over the past few days with increased shortness of breath. He is currently admitted with COVID 19
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient was fully vaccinated with the Moderna on 3/2/21 and 4/1/21 but developed COVID 19. Patient presented with cough, shortness of breath, fatigue, generalized weakness.  Patient states he has had generalized weakness and fatigue and cough for 2 to 3 weeks which is worsened over the past few days with increased shortness of breath. He is currently admitted with COVID 19
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Pruritus, Urticaria
Clinical narrative: Urticarial rash, malaise, fatigue, pruritus.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Nausea, Oropharyngeal pain
Clinical narrative: Nausea/headache/fatigue, sore throat, itchy throat, cough.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Nausea/headache/fatigue, sore throat, itchy throat, cough.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus about 9-10 days after shot
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Malaise, Myalgia, Pyrexia
Clinical narrative: Severe Myalgia, Fever, and malaise. Shortness of breath
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Menstruation delayed, Menstruation irregular
Clinical narrative: I have only had one period since getting the vaccine 6 months ago. I am usually very regular every 30 days. This is extremely abnormal as I'm still in my 30s.
Age: 23.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Nausea
Clinical narrative: Pt received flu and covid vaccine together; approx 8 minutes later pt complained of lightheadedness and nausea. Provider was immediately notified; pt was lowered to the floor and legs were elevated and a ice pack was placed behind his neck. Pt v/s were within normal limits
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Wrong product administered
Clinical narrative: Patient was given a Moderna vaccine instead of the flu shot that he had come in for.  Patient had already received 2 doses of Pfizer with the last one being administed 9 weeks previous.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Chest pain, Computerised tomogram thorax, Dyspnoea, Pain
Clinical narrative: Sudden chest Pain and SOB, severe pain with any movement
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: Sudden chest Pain and SOB, severe pain with any movement
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Migraine, Swelling
Clinical narrative: Dizziness Migraines Swelling in back of head and Neck Severe Chest Pain Symptoms get very unbearable around 2pm, need to sleep to continue day.
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Pain, Pyrexia, Vomiting
Clinical narrative: My son is currently experiencing fever, chills, aches and vomiting.  My wife is experiencing the same effects and I will be entering another report for her  We believe the doesages were left out or that the individual at the pharmacy specifically choose to give us a batch that was outdated
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Migraine, Pain, Pyrexia
Clinical narrative: fever chills body aches and migraine
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Per patient: a lump developed at the injection site after the injection and was sore. Administration site per patient was at the lower end of the left arm deltoid muscle and was painful. The following days swelling occurred  down the arm to the elbow. The swelling subsided of several days, but left a visible palpable lump about 3cm X 2cm just above the elbow on the posterior side of the elbow under the dermal layers. I recommended to the patient to have a doctor look at it to determine the nature of the lump. (ie. subcutaneous thrombus from bleeding after the vaccination, lipoma or sarcoma), Patient will make appointment and report findings back to me.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Fatigue, Myalgia, Pain
Clinical narrative: Approximately 2 weeks after the second dose, I have been extremely tired with no energy, muscle aches, sore, etc.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Chills, Headache, Pyrexia, Urticaria
Clinical narrative: Fever, chills, stomach aches, hives, headache,   I have entered a similar report for our son
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Volunteer, RN, administered J&J vaccine to 14 yr old in error.  J&J not approved for anyone under 18 yr old.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: Complete loss of taste and smell
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product preparation error
Clinical narrative: Patient was given Pfizer booster shot with sterile water instead of saline solution.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Nausea, Vomiting
Clinical narrative: Nausea and sour mouth for at least a week since the vaccine. Throwing up
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Fibrin D dimer, Laboratory test abnormal, Myalgia, Pain in extremity
Clinical narrative: Bilateral posterior lower leg pain since after performing numerous sprinting/lower leg exercises on 14 October 2021.  Moderate tenderness over gastrocnemius muscles bilaterally, no significant swelling noted.  DP/PT pulses 2+ bilaterally, cap refill less than 2 seconds, SILT distally.  No evidence of compartment syndrome.  Received second coronavirus vaccination on 13 October 2021 concerned is causing current symptoms.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Bilateral posterior lower leg pain since after performing numerous sprinting/lower leg exercises on 14 October 2021.  Moderate tenderness over gastrocnemius muscles bilaterally, no significant swelling noted.  DP/PT pulses 2+ bilaterally, cap refill less than 2 seconds, SILT distally.  No evidence of compartment syndrome.  Received second coronavirus vaccination on 13 October 2021 concerned is causing current symptoms.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Headache, Injection site pain
Clinical narrative: Aside from common headache, pain at injection site and fatigue. Woke up from sleep unable to breath. I had a large amount of mucus blocking my throat and nose. Coughed up the mucus and was able to breath relatively normal but lungs still felt heavy and breathing was labored. Symptoms have mostly subsided for now.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Rhinorrhoea
Clinical narrative: Aside from common headache, pain at injection site and fatigue. Woke up from sleep unable to breath. I had a large amount of mucus blocking my throat and nose. Coughed up the mucus and was able to breath relatively normal but lungs still felt heavy and breathing was labored. Symptoms have mostly subsided for now.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypersomnia, Pyrexia, Tremor
Clinical narrative: severe shakes, fever more than 2 degrees, excessive sleeping 16 hours, unable to stay awake
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicectomy, Pain
Clinical narrative: Patient 14 yo, male, in excellent health.  PFizer EWO178 vaccine dates (pharmacy near  grandma's house ) were 6/4/21 & 6/25/21.  He was hurting all week and on 7/7/21, he had an emergency appendectomy at hospital
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Immunodeficiency, Ingrown hair, Paronychia
Clinical narrative: A couple days after the vaccine I was working and developed a fever and chills which lasted about 2 days and went away on its own. During that time I had real bad fatigued just wanting to sleep. Since the vaccine my body has had trouble fighting off infections and now when I shave my legs I get bumps that turns into ingrown hairs and get really infected and turns into staph infections. I have been on antibiotics 3 different times now for the same issue. I have had 2 sinus infections since the vaccine that clears up with antibiotics but comes right back after the antibiotics are done. 2 toe nails have randomly developed ingrown nails and now the nail on my left big toe has an infection from the ingrown nail that has to be surgically removed.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, SARS-CoV-2 test negative, Sinusitis, Somnolence
Clinical narrative: A couple days after the vaccine I was working and developed a fever and chills which lasted about 2 days and went away on its own. During that time I had real bad fatigued just wanting to sleep. Since the vaccine my body has had trouble fighting off infections and now when I shave my legs I get bumps that turns into ingrown hairs and get really infected and turns into staph infections. I have been on antibiotics 3 different times now for the same issue. I have had 2 sinus infections since the vaccine that clears up with antibiotics but comes right back after the antibiotics are done. 2 toe nails have randomly developed ingrown nails and now the nail on my left big toe has an infection from the ingrown nail that has to be surgically removed.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Staphylococcal skin infection
Clinical narrative: A couple days after the vaccine I was working and developed a fever and chills which lasted about 2 days and went away on its own. During that time I had real bad fatigued just wanting to sleep. Since the vaccine my body has had trouble fighting off infections and now when I shave my legs I get bumps that turns into ingrown hairs and get really infected and turns into staph infections. I have been on antibiotics 3 different times now for the same issue. I have had 2 sinus infections since the vaccine that clears up with antibiotics but comes right back after the antibiotics are done. 2 toe nails have randomly developed ingrown nails and now the nail on my left big toe has an infection from the ingrown nail that has to be surgically removed.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, COVID-19, Cough, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient became fully vaccinated with Pfizer on 2/16/21 and 3/9/21. Patient tested positive 10/8/21. Since then he states that he has not been feeling too well. He has had elevated temperatures with T-max of around 102 °F. Dry cough has been persistent. Patient has been admitted since 10/14/21
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: SEVERE HEADACHE DURATION APPROX 24 HOURS FROM ONSET LATE PM 10/15 LOW GRADE FEVER DURATION APPROX 12 HOURS ONSET LATE PM 10/15 SLIGHT NAUSEA, NO VOMITING, INTERMITTENT  MINOR FATIGUE DURATION APPROX 24 HOURS FROM ONSET LATE PM 10/15
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Chest pain, Computerised tomogram normal, Echocardiogram normal
Clinical narrative: - Restless legs, Feeling like an electrical current was moving through my body , Heart pounding, Heart aching, Heart beating very very fast, Muscle spasm all over my body, Burning sensation in lower legs, and sometime all over my body, pain in ankle area,.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Electric shock sensation, Electromyogram, Heart rate increased, Muscle spasms, Palpitations
Clinical narrative: - Restless legs, Feeling like an electrical current was moving through my body , Heart pounding, Heart aching, Heart beating very very fast, Muscle spasm all over my body, Burning sensation in lower legs, and sometime all over my body, pain in ankle area,.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Restless legs syndrome
Clinical narrative: - Restless legs, Feeling like an electrical current was moving through my body , Heart pounding, Heart aching, Heart beating very very fast, Muscle spasm all over my body, Burning sensation in lower legs, and sometime all over my body, pain in ankle area,.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Vaccine breakthrough. COVID + 10/15/21
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Patient was fully vaccinated with Moderna 1/21/21 and 2/23/21.  Patient complaining of about a 3-day history of progressively worsening fatigue, generalized weakness, decreased energy, mild nonbloody diarrhea, decreased appetite and oral intake, as well as shortness of breath and dyspnea on exertion. He is still admitted since 10/16/21 with COVID19