chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dissociation, Dizziness, Heart rate increased, Nausea
Clinical narrative: The client complained of "Feeling detached from her surrounding, nausea, dizzy, fatique, feeling heart rate and breathing had increased. Client was oriented, skin color pink, Vital signs:  12:59- b/p 140/100, p 92,  regular rr 22, 1:00 pm b/p 140/95 p 80 rr 24. Client was moved to another room so she could put her head down. 1:15 b/p140/85 p 85 rr 22 . Client expressed she was feeling better. She expressed concerns about her daughter becoming sick once again with COVID and that she was going to be tested. She also expressed that she was going to a co-workers funeral the next day. Pt  refused further medical care however was encouraged to go home early. She agreed and was escorted to her Supervisor for discharge home.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Lymphadenopathy
Clinical narrative: Patient had Pfizer booster. 1st dose was Johnson & Johnson. Reaction occurred after dose of Pfizer: swollen lymph nodes in left axillar.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Developed huge monkey bubble, (size of golf ball under skin where shot was injected).  5 days of pain until the bubble started to go down.  Took Ibuprofen to help reduce the swelling.  Pain went away in about 5 days, bubble finally reduced after 2 weeks.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Gait disturbance, Hypoaesthesia oral
Clinical narrative: Dizzy for 3 days, Numb Tongue for 3 days, Sore Arm for 7 days, Trouble walking for 5 days, Nausea for 3 days, shortness of breath for 3 days, cramps for 2 days, and feeling very tired for 5 days.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Nausea, Pain in extremity
Clinical narrative: Dizzy for 3 days, Numb Tongue for 3 days, Sore Arm for 7 days, Trouble walking for 5 days, Nausea for 3 days, shortness of breath for 3 days, cramps for 2 days, and feeling very tired for 5 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Dose administered past refrigeration time
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Sore throat, runny nose, shortness of breath
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered past refrigeration time
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Arthropathy, Asthenia, Blood lactic acid increased, COVID-19
Clinical narrative: Hospitalized 10/17/2021; COVID-19 positive 10/17/2021; fully vaccinated  BRIEF OVERVIEW: Hematologist/Oncologist: No care team member to display Admission Date: 10/17/2021 Discharge Date: 10/21/21   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE: No notes on file   This is a 66 y.o. patient with a past medical history significant for HTN, CAD, Atrial Fibrillation, Depression, DM type II, neuropathy associated with MM, HLD and Multiple myeloma who presented with symptoms of weakness and near syncope at home per spouse at bedside 10/17/21. In the ED, patient was found to be hypoxic and nauseous, and improved with 2 L NC and Zofran. A CXR revealed patchy diffuse bilateral airspace opacities, compatible with COVID 19 pneumonia and his lactic acid ws slightly elevated, covid swab was positive. Patient was admitted for further tx. ID followed. Patient was placed on dexamethasone 6 mg daily, Remdesevir, and monoclonal antibodies given 10/18/21. Weaned off 2L to RA. MRI of lumbar/sacrum 10/18/21 no aggressive focal lesions, no fracture or mass. Mild progressive facet arthropathy L3-4. Multilevel lumbar spondylosis. PT/OT evaluated while inpatient. Patient also had coffee - ground emesis 10/18/21, GI followed. Protonix gtt started -- transitioned to PPI PO BID for 8 weeks, then will have EGD on outpatient basis when covid pna resolves. Eliquis initially held, then restarted as hgb stayed stable.  Also noted hyperbilirubinemia 10/17 of 1.9 and had RUQ US which showed hepatic steatosis and mild splenomegaly, no biliary tree dilation. While inpatient team followed and adjusted insulin tx.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Haematemesis, Haemoglobin normal, Hepatic steatosis
Clinical narrative: Hospitalized 10/17/2021; COVID-19 positive 10/17/2021; fully vaccinated  BRIEF OVERVIEW: Hematologist/Oncologist: No care team member to display Admission Date: 10/17/2021 Discharge Date: 10/21/21   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE: No notes on file   This is a 66 y.o. patient with a past medical history significant for HTN, CAD, Atrial Fibrillation, Depression, DM type II, neuropathy associated with MM, HLD and Multiple myeloma who presented with symptoms of weakness and near syncope at home per spouse at bedside 10/17/21. In the ED, patient was found to be hypoxic and nauseous, and improved with 2 L NC and Zofran. A CXR revealed patchy diffuse bilateral airspace opacities, compatible with COVID 19 pneumonia and his lactic acid ws slightly elevated, covid swab was positive. Patient was admitted for further tx. ID followed. Patient was placed on dexamethasone 6 mg daily, Remdesevir, and monoclonal antibodies given 10/18/21. Weaned off 2L to RA. MRI of lumbar/sacrum 10/18/21 no aggressive focal lesions, no fracture or mass. Mild progressive facet arthropathy L3-4. Multilevel lumbar spondylosis. PT/OT evaluated while inpatient. Patient also had coffee - ground emesis 10/18/21, GI followed. Protonix gtt started -- transitioned to PPI PO BID for 8 weeks, then will have EGD on outpatient basis when covid pna resolves. Eliquis initially held, then restarted as hgb stayed stable.  Also noted hyperbilirubinemia 10/17 of 1.9 and had RUQ US which showed hepatic steatosis and mild splenomegaly, no biliary tree dilation. While inpatient team followed and adjusted insulin tx.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperbilirubinaemia, Hypoxia, Lung opacity, Magnetic resonance imaging spinal abnormal, Nausea
Clinical narrative: Hospitalized 10/17/2021; COVID-19 positive 10/17/2021; fully vaccinated  BRIEF OVERVIEW: Hematologist/Oncologist: No care team member to display Admission Date: 10/17/2021 Discharge Date: 10/21/21   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE: No notes on file   This is a 66 y.o. patient with a past medical history significant for HTN, CAD, Atrial Fibrillation, Depression, DM type II, neuropathy associated with MM, HLD and Multiple myeloma who presented with symptoms of weakness and near syncope at home per spouse at bedside 10/17/21. In the ED, patient was found to be hypoxic and nauseous, and improved with 2 L NC and Zofran. A CXR revealed patchy diffuse bilateral airspace opacities, compatible with COVID 19 pneumonia and his lactic acid ws slightly elevated, covid swab was positive. Patient was admitted for further tx. ID followed. Patient was placed on dexamethasone 6 mg daily, Remdesevir, and monoclonal antibodies given 10/18/21. Weaned off 2L to RA. MRI of lumbar/sacrum 10/18/21 no aggressive focal lesions, no fracture or mass. Mild progressive facet arthropathy L3-4. Multilevel lumbar spondylosis. PT/OT evaluated while inpatient. Patient also had coffee - ground emesis 10/18/21, GI followed. Protonix gtt started -- transitioned to PPI PO BID for 8 weeks, then will have EGD on outpatient basis when covid pna resolves. Eliquis initially held, then restarted as hgb stayed stable.  Also noted hyperbilirubinemia 10/17 of 1.9 and had RUQ US which showed hepatic steatosis and mild splenomegaly, no biliary tree dilation. While inpatient team followed and adjusted insulin tx.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Presyncope, SARS-CoV-2 test positive, Spinal osteoarthritis, Splenomegaly, Ultrasound abdomen abnormal
Clinical narrative: Hospitalized 10/17/2021; COVID-19 positive 10/17/2021; fully vaccinated  BRIEF OVERVIEW: Hematologist/Oncologist: No care team member to display Admission Date: 10/17/2021 Discharge Date: 10/21/21   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE: No notes on file   This is a 66 y.o. patient with a past medical history significant for HTN, CAD, Atrial Fibrillation, Depression, DM type II, neuropathy associated with MM, HLD and Multiple myeloma who presented with symptoms of weakness and near syncope at home per spouse at bedside 10/17/21. In the ED, patient was found to be hypoxic and nauseous, and improved with 2 L NC and Zofran. A CXR revealed patchy diffuse bilateral airspace opacities, compatible with COVID 19 pneumonia and his lactic acid ws slightly elevated, covid swab was positive. Patient was admitted for further tx. ID followed. Patient was placed on dexamethasone 6 mg daily, Remdesevir, and monoclonal antibodies given 10/18/21. Weaned off 2L to RA. MRI of lumbar/sacrum 10/18/21 no aggressive focal lesions, no fracture or mass. Mild progressive facet arthropathy L3-4. Multilevel lumbar spondylosis. PT/OT evaluated while inpatient. Patient also had coffee - ground emesis 10/18/21, GI followed. Protonix gtt started -- transitioned to PPI PO BID for 8 weeks, then will have EGD on outpatient basis when covid pna resolves. Eliquis initially held, then restarted as hgb stayed stable.  Also noted hyperbilirubinemia 10/17 of 1.9 and had RUQ US which showed hepatic steatosis and mild splenomegaly, no biliary tree dilation. While inpatient team followed and adjusted insulin tx.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered past refrigeration time
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Bladder disorder, COVID-19, Neuropathy peripheral, Vaccine breakthrough infection
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 02/18/2021, started experiencing symptoms 07/04/2021 (Breakthrough Case) Covid + 07/04/2021, bladder control issues, Neuropathy in both knees, and accelerated Arthritis throughout the limbs.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Blood glucose decreased, Dizziness, Hypotension, Loss of consciousness
Clinical narrative: DID NOT LOOK AN ADVERSE REACTION. IT WAS MORE THE PATIENT HAD NO BREAKFAST AND VERY NERVES. HIS SYMPTOMS WERE, LIGHT HEADED, UNCONSCIOUSFOR A FEW MINUTES. Emergency services WAS CALLED , BLOOD ORESSURE WAS LOW, BLOOD SUGAR WAS LOW , AND CARDIAC ARRYTHMIA SKIP OF BEATS. Emergency services CONCLUDED MOST LIKE A PANIC ATTACK , OR NERVOUNESS.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Immunodeficiency
Clinical narrative: Dose administered past refrigeration time
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error - Vaccine administered past its beyond use date. The vaccine stored in the freezer beyond the timeframe recommended by the manufacturer.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered past refrigeration time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received a Pfizer covid vaccine dose that is 18 hours after the vaccine is prepared. Called Pfizer and they said stability is still ok 24 hours after preparation if vaccine has been stored under refrigerated temperatures, which it is. No reactions reported by patient.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Retinal vein occlusion
Clinical narrative: Branch retinal vein occlusion within 2 weeks of vaccine- this was incidentally noted on routine eye exam
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administration error
Clinical narrative: NO ADVERSE EVENT OCCURRED. ADMINISTRATION ERROR.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated and tested positive for COVID-19
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered past refrigeration time
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Pain
Clinical narrative: Body Ache Headache  Mental Fog
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Disturbance in attention, Memory impairment, Vertigo positional
Clinical narrative: Bone pain, positional vertigo for a month and a half, now I notice memory forgetfulness, little concentration.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Head discomfort, Headache, Nausea
Clinical narrative: 13:37:  90BPM (140/100)One emesis, nausea, light-headedness, tired, fatigue; 14:41 70 BPM (114/80), headache pressure/tired
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 13:37:  90BPM (140/100)One emesis, nausea, light-headedness, tired, fatigue; 14:41 70 BPM (114/80), headache pressure/tired
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Approx 30 min after receipt of vaccine, pt reported throat itching. Denied SOB, swelling, or generalized pruritis. No WOB, no facial/lip/tongue swelling, no hives. Throat itching remained persistent x 1h during prolonged monitoring, no change, no new sx. No therapeutics administered. Pt then sent to urgent department for immediate f/u, counseled on s/sx anaphylaxis
Age: 43.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Injection site rash, Vaccine positive rechallenge
Clinical narrative: Large red rash around the site of the Moderna Booster injection on the right arm. The patient had a similar rash after the 2nd Moderna dose.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Injection site pain, Muscular weakness
Clinical narrative: Soreness at injection site Arm weakness Dizziness  Feeling of being violated Stress due to mandatory vaccine against my will
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered past refrigeration time.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine error - Vaccine administered past its beyond use date. The vaccine stored in the freezer beyond the timeframe recommended by the manufacturer.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dehydration, Dyspnoea, Fatigue, Myalgia
Clinical narrative: Complained of L arm pain and tingling about an hour after administration but stated this was a reaction he had in past to flu vaccine. Several hours later he complained of chest pain and feeling short of breath. Visibly shaking and tearful. Able to speak in full sentences. Emergency services was called. O2 sat was normal. No hives/rashes. He was sent to an urgent care via emergent transport (fire dept) where he was monitored for several hours. He was told he had a panic attack with dehydration and syncope. Today, 10/26 he is only complaining of usual symptoms of increased fatigue and muscle aches.  He is working today.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Panic attack, Paraesthesia, Syncope, Tearfulness
Clinical narrative: Complained of L arm pain and tingling about an hour after administration but stated this was a reaction he had in past to flu vaccine. Several hours later he complained of chest pain and feeling short of breath. Visibly shaking and tearful. Able to speak in full sentences. Emergency services was called. O2 sat was normal. No hives/rashes. He was sent to an urgent care via emergent transport (fire dept) where he was monitored for several hours. He was told he had a panic attack with dehydration and syncope. Today, 10/26 he is only complaining of usual symptoms of increased fatigue and muscle aches.  He is working today.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Complained of L arm pain and tingling about an hour after administration but stated this was a reaction he had in past to flu vaccine. Several hours later he complained of chest pain and feeling short of breath. Visibly shaking and tearful. Able to speak in full sentences. Emergency services was called. O2 sat was normal. No hives/rashes. He was sent to an urgent care via emergent transport (fire dept) where he was monitored for several hours. He was told he had a panic attack with dehydration and syncope. Today, 10/26 he is only complaining of usual symptoms of increased fatigue and muscle aches.  He is working today.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered past refrigeration time
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 19.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine expiration 09/2021; Patient received expired dose of Bexsero; No harmful reactions or symptoms reported from patient
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 73.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered past refrigeration time
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized (10.18.21 - 10.23.21);  COVID-19 positive (10.16.21);  fully vaccinated plus booster Discharge Provider: DO  Primary Care Provider at Discharge: MD Admission Date: 10/18/2021 Discharge Date: 10/23/2021 Discharge disposition: Home Condition on discharge: Stable.  DETAILS OF HOSPITAL STAY:  Respiratory failure [J96.90] COVID-19 [U07.1] HOSPITAL COURSE: Acute hypoxic respiratory failure. Improving  COVID-19 pneumonia. Improving  - Weaned down to 1L by NC.  - Continue course of Decadron/Remdesivir.    D dimer now improving. CTA chest did not show PE  HISTORY OF PRESENT ILLNESS: 73 yo woman with a history of CAD s/p CABG, DM type II poorly controlled, presenting with a week of worsening respiratory symptoms, cough, and body aches. She was seen in the ED on 10/15 and diagnosed with COVID-19. She has had progressive shortness of breath with exertion and did a tele medicine conference with her PCP today. Given exertional hypoxia and worsening symptoms, she was directed to the ED. She also admits to poor oral intake over the time period and generalized weakness. Nothing is helping her symptoms. Any kind of activity makes them worse.  In the ED, labs mostly unremarkable, mild transaminitis, normal WBC count, CXR image personally reviewed with bilateral infiltrates. EKG image reviewed with some lateral T wave flattening, no significant ischemic changes
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chest discomfort, Chills, Condition aggravated, Cough
Clinical narrative: Hospitalized (10.18.21 - 10.23.21);  COVID-19 positive (10.16.21);  fully vaccinated plus booster Discharge Provider: DO  Primary Care Provider at Discharge: MD Admission Date: 10/18/2021 Discharge Date: 10/23/2021 Discharge disposition: Home Condition on discharge: Stable.  DETAILS OF HOSPITAL STAY:  Respiratory failure [J96.90] COVID-19 [U07.1] HOSPITAL COURSE: Acute hypoxic respiratory failure. Improving  COVID-19 pneumonia. Improving  - Weaned down to 1L by NC.  - Continue course of Decadron/Remdesivir.    D dimer now improving. CTA chest did not show PE  HISTORY OF PRESENT ILLNESS: 73 yo woman with a history of CAD s/p CABG, DM type II poorly controlled, presenting with a week of worsening respiratory symptoms, cough, and body aches. She was seen in the ED on 10/15 and diagnosed with COVID-19. She has had progressive shortness of breath with exertion and did a tele medicine conference with her PCP today. Given exertional hypoxia and worsening symptoms, she was directed to the ED. She also admits to poor oral intake over the time period and generalized weakness. Nothing is helping her symptoms. Any kind of activity makes them worse.  In the ED, labs mostly unremarkable, mild transaminitis, normal WBC count, CXR image personally reviewed with bilateral infiltrates. EKG image reviewed with some lateral T wave flattening, no significant ischemic changes
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram T wave abnormal, Fibrin D dimer increased, Hypophagia, Lung disorder
Clinical narrative: Hospitalized (10.18.21 - 10.23.21);  COVID-19 positive (10.16.21);  fully vaccinated plus booster Discharge Provider: DO  Primary Care Provider at Discharge: MD Admission Date: 10/18/2021 Discharge Date: 10/23/2021 Discharge disposition: Home Condition on discharge: Stable.  DETAILS OF HOSPITAL STAY:  Respiratory failure [J96.90] COVID-19 [U07.1] HOSPITAL COURSE: Acute hypoxic respiratory failure. Improving  COVID-19 pneumonia. Improving  - Weaned down to 1L by NC.  - Continue course of Decadron/Remdesivir.    D dimer now improving. CTA chest did not show PE  HISTORY OF PRESENT ILLNESS: 73 yo woman with a history of CAD s/p CABG, DM type II poorly controlled, presenting with a week of worsening respiratory symptoms, cough, and body aches. She was seen in the ED on 10/15 and diagnosed with COVID-19. She has had progressive shortness of breath with exertion and did a tele medicine conference with her PCP today. Given exertional hypoxia and worsening symptoms, she was directed to the ED. She also admits to poor oral intake over the time period and generalized weakness. Nothing is helping her symptoms. Any kind of activity makes them worse.  In the ED, labs mostly unremarkable, mild transaminitis, normal WBC count, CXR image personally reviewed with bilateral infiltrates. EKG image reviewed with some lateral T wave flattening, no significant ischemic changes
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung infiltration, Lung opacity, Lymphadenopathy mediastinal, Pain, Respiratory failure
Clinical narrative: Hospitalized (10.18.21 - 10.23.21);  COVID-19 positive (10.16.21);  fully vaccinated plus booster Discharge Provider: DO  Primary Care Provider at Discharge: MD Admission Date: 10/18/2021 Discharge Date: 10/23/2021 Discharge disposition: Home Condition on discharge: Stable.  DETAILS OF HOSPITAL STAY:  Respiratory failure [J96.90] COVID-19 [U07.1] HOSPITAL COURSE: Acute hypoxic respiratory failure. Improving  COVID-19 pneumonia. Improving  - Weaned down to 1L by NC.  - Continue course of Decadron/Remdesivir.    D dimer now improving. CTA chest did not show PE  HISTORY OF PRESENT ILLNESS: 73 yo woman with a history of CAD s/p CABG, DM type II poorly controlled, presenting with a week of worsening respiratory symptoms, cough, and body aches. She was seen in the ED on 10/15 and diagnosed with COVID-19. She has had progressive shortness of breath with exertion and did a tele medicine conference with her PCP today. Given exertional hypoxia and worsening symptoms, she was directed to the ED. She also admits to poor oral intake over the time period and generalized weakness. Nothing is helping her symptoms. Any kind of activity makes them worse.  In the ED, labs mostly unremarkable, mild transaminitis, normal WBC count, CXR image personally reviewed with bilateral infiltrates. EKG image reviewed with some lateral T wave flattening, no significant ischemic changes
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test positive, Scan with contrast abnormal, Transaminases increased
Clinical narrative: Hospitalized (10.18.21 - 10.23.21);  COVID-19 positive (10.16.21);  fully vaccinated plus booster Discharge Provider: DO  Primary Care Provider at Discharge: MD Admission Date: 10/18/2021 Discharge Date: 10/23/2021 Discharge disposition: Home Condition on discharge: Stable.  DETAILS OF HOSPITAL STAY:  Respiratory failure [J96.90] COVID-19 [U07.1] HOSPITAL COURSE: Acute hypoxic respiratory failure. Improving  COVID-19 pneumonia. Improving  - Weaned down to 1L by NC.  - Continue course of Decadron/Remdesivir.    D dimer now improving. CTA chest did not show PE  HISTORY OF PRESENT ILLNESS: 73 yo woman with a history of CAD s/p CABG, DM type II poorly controlled, presenting with a week of worsening respiratory symptoms, cough, and body aches. She was seen in the ED on 10/15 and diagnosed with COVID-19. She has had progressive shortness of breath with exertion and did a tele medicine conference with her PCP today. Given exertional hypoxia and worsening symptoms, she was directed to the ED. She also admits to poor oral intake over the time period and generalized weakness. Nothing is helping her symptoms. Any kind of activity makes them worse.  In the ED, labs mostly unremarkable, mild transaminitis, normal WBC count, CXR image personally reviewed with bilateral infiltrates. EKG image reviewed with some lateral T wave flattening, no significant ischemic changes
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ultrasound Doppler normal, White blood cell count normal
Clinical narrative: Hospitalized (10.18.21 - 10.23.21);  COVID-19 positive (10.16.21);  fully vaccinated plus booster Discharge Provider: DO  Primary Care Provider at Discharge: MD Admission Date: 10/18/2021 Discharge Date: 10/23/2021 Discharge disposition: Home Condition on discharge: Stable.  DETAILS OF HOSPITAL STAY:  Respiratory failure [J96.90] COVID-19 [U07.1] HOSPITAL COURSE: Acute hypoxic respiratory failure. Improving  COVID-19 pneumonia. Improving  - Weaned down to 1L by NC.  - Continue course of Decadron/Remdesivir.    D dimer now improving. CTA chest did not show PE  HISTORY OF PRESENT ILLNESS: 73 yo woman with a history of CAD s/p CABG, DM type II poorly controlled, presenting with a week of worsening respiratory symptoms, cough, and body aches. She was seen in the ED on 10/15 and diagnosed with COVID-19. She has had progressive shortness of breath with exertion and did a tele medicine conference with her PCP today. Given exertional hypoxia and worsening symptoms, she was directed to the ED. She also admits to poor oral intake over the time period and generalized weakness. Nothing is helping her symptoms. Any kind of activity makes them worse.  In the ED, labs mostly unremarkable, mild transaminitis, normal WBC count, CXR image personally reviewed with bilateral infiltrates. EKG image reviewed with some lateral T wave flattening, no significant ischemic changes
Age: 87.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered past refrigeration time
Age: 36.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient was unresponsive for about 30 seconds after administration of both flu vaccine. Patient also received Covid 19 Pfizer vaccine.  Questions were asked of patient and patient was unresponsive and could not answer at all. 911 was called for patient but patient refused transport. Patient was given water.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Pericarditis
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: Pericarditis
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea normal, Carbon dioxide normal, Chest X-ray
Clinical narrative: Pericarditis
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Eosinophil count normal, Fibrin D dimer increased, Glomerular filtration rate normal, Haematocrit decreased
Clinical narrative: Pericarditis
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Immature granulocyte count increased, Lymphocyte count normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Pericarditis
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Monocyte count increased, Neutrophil count increased, Pericarditis, Platelet count normal
Clinical narrative: Pericarditis
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Protein total normal, Red blood cell count decreased, Red blood cell sedimentation rate increased, Red cell distribution width normal, Troponin normal
Clinical narrative: Pericarditis
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Pericarditis
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Cough, Dizziness, Dyspnoea
Clinical narrative: Chief Complaint  COVID pos friday. Increasing SOA, cough, dizziness since. Hx HHT- feels like this when she needs transfusion. Last transfusion 1 month ago  History of Present Illness  44-year-old female with an interesting history of Osler-Rendu-Weber syndrome who presents with increasing shortness of breath and some dizziness.  She apparently has these exact symptoms sporadically when she becomes symptomatically anemic.  Her last transfusion was 1 month ago.  She follows closely in the hematology clinic with Dr.  Also incidentally, she was tested positive for Covid this past Friday, October 22.  She received a Johnson & Johnson vaccine in May of this year.  She has not had to her knowledge in the  associated symptoms and feels that the shortness of breath and dizziness is probably due to her anemia.    Indeed in the ER this evening, she was found to be anemic with a hemoglobin of 4.8 g/dL.  Her baseline is around 7.2-7.3 g/dL.  3 units of blood have been ordered by the ER physician.  She now arrives to the third medical floor in stable condition.   Patient will now be admitted to the hospitalist service for continued evaluation and management of presenting conditions.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint  COVID pos friday. Increasing SOA, cough, dizziness since. Hx HHT- feels like this when she needs transfusion. Last transfusion 1 month ago  History of Present Illness  44-year-old female with an interesting history of Osler-Rendu-Weber syndrome who presents with increasing shortness of breath and some dizziness.  She apparently has these exact symptoms sporadically when she becomes symptomatically anemic.  Her last transfusion was 1 month ago.  She follows closely in the hematology clinic with Dr.  Also incidentally, she was tested positive for Covid this past Friday, October 22.  She received a Johnson & Johnson vaccine in May of this year.  She has not had to her knowledge in the  associated symptoms and feels that the shortness of breath and dizziness is probably due to her anemia.    Indeed in the ER this evening, she was found to be anemic with a hemoglobin of 4.8 g/dL.  Her baseline is around 7.2-7.3 g/dL.  3 units of blood have been ordered by the ER physician.  She now arrives to the third medical floor in stable condition.   Patient will now be admitted to the hospitalist service for continued evaluation and management of presenting conditions.
Age: 67.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, Immunodeficiency
Clinical narrative: Dose administered past refrigeration time.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Chief Complaint  Hx COPD. Increased weakness over the last 2-3 days. Coughing more than normal. Increased mucous production. Febrile in triage.  History of Present Illness  87-year-old male who is now being admitted for COPD exacerbation due to COVID illness.  He completed his Moderna Covid vaccination series x2 in April.  To my knowledge he has not received a booster as the Moderna vaccine was just approved for booster consideration.  He has felt ill for the last 3 days, primarily manifested by weakness, decreased appetite, some diarrhea and some mild worsening of his chronic shortness of breath.  He has oxygen and prednisone dependent COPD.  He normally wears 3 L of oxygen during the day and wears 4 L of oxygen with his CPAP at night.  He follows in the clinic with Dr. at the pulmonology specialty clinic.    He presents to the ER with the aforementioned symptoms this evening.  His chest x-ray shows a left pleural effusion at the costophrenic angle.  He is not hypoxic worse than his usual 3 L of oxygen however at this time.  Nonetheless, due to his age and comorbid factors, I agree with the ER physician that admission to the hospital and aggressive treatment for Covid is warranted due to the high risk for further decompensation.  He has been given dexamethasone already in the ER.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Dyspnoea, Malaise
Clinical narrative: Chief Complaint  Hx COPD. Increased weakness over the last 2-3 days. Coughing more than normal. Increased mucous production. Febrile in triage.  History of Present Illness  87-year-old male who is now being admitted for COPD exacerbation due to COVID illness.  He completed his Moderna Covid vaccination series x2 in April.  To my knowledge he has not received a booster as the Moderna vaccine was just approved for booster consideration.  He has felt ill for the last 3 days, primarily manifested by weakness, decreased appetite, some diarrhea and some mild worsening of his chronic shortness of breath.  He has oxygen and prednisone dependent COPD.  He normally wears 3 L of oxygen during the day and wears 4 L of oxygen with his CPAP at night.  He follows in the clinic with Dr. at the pulmonology specialty clinic.    He presents to the ER with the aforementioned symptoms this evening.  His chest x-ray shows a left pleural effusion at the costophrenic angle.  He is not hypoxic worse than his usual 3 L of oxygen however at this time.  Nonetheless, due to his age and comorbid factors, I agree with the ER physician that admission to the hospital and aggressive treatment for Covid is warranted due to the high risk for further decompensation.  He has been given dexamethasone already in the ER.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, Pyrexia, Secretion discharge
Clinical narrative: Chief Complaint  Hx COPD. Increased weakness over the last 2-3 days. Coughing more than normal. Increased mucous production. Febrile in triage.  History of Present Illness  87-year-old male who is now being admitted for COPD exacerbation due to COVID illness.  He completed his Moderna Covid vaccination series x2 in April.  To my knowledge he has not received a booster as the Moderna vaccine was just approved for booster consideration.  He has felt ill for the last 3 days, primarily manifested by weakness, decreased appetite, some diarrhea and some mild worsening of his chronic shortness of breath.  He has oxygen and prednisone dependent COPD.  He normally wears 3 L of oxygen during the day and wears 4 L of oxygen with his CPAP at night.  He follows in the clinic with Dr. at the pulmonology specialty clinic.    He presents to the ER with the aforementioned symptoms this evening.  His chest x-ray shows a left pleural effusion at the costophrenic angle.  He is not hypoxic worse than his usual 3 L of oxygen however at this time.  Nonetheless, due to his age and comorbid factors, I agree with the ER physician that admission to the hospital and aggressive treatment for Covid is warranted due to the high risk for further decompensation.  He has been given dexamethasone already in the ER.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Immediate post-injection reaction, Migraine, Pain, Pain in extremity
Clinical narrative: Pain and tingling right after injection. Tingling from DVT could have been linked. Body aches, migraine, SOB starting at 3 am 3.26.2021, took advil at that time. 9am legs in excruciating pain sharp stabbing pains 9/10. 11 am 101.6 degrees 1:00 pm 102 fever.   2:00 feverish, pain 8/10. Biggest complaint now is fever, lower extremities, migraine.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Pain and tingling right after injection. Tingling from DVT could have been linked. Body aches, migraine, SOB starting at 3 am 3.26.2021, took advil at that time. 9am legs in excruciating pain sharp stabbing pains 9/10. 11 am 101.6 degrees 1:00 pm 102 fever.   2:00 feverish, pain 8/10. Biggest complaint now is fever, lower extremities, migraine.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered past refrigeration time
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Immunodeficiency
Clinical narrative: Dose administered past refrigeration time.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling at injection site
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered past refrigeration time
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Extrasystoles, Full blood count, Immunodeficiency, Metabolic function test
Clinical narrative: Heart palpitations / Skipped beats
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Troponin
Clinical narrative: Heart palpitations / Skipped beats
Age: 11.0
Sex: F
Vaccine: HPV9, MENB, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given Meningococcal B vaccine verses the ordered MCV4. Patient informed of administration and notes no adverse effects. Patient notes understanding and will observe for any symptoms if they should arise. Patient instructed to call clinic or EMS if any adverse effects occur.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Fever of 102-103, malaise, body aches, runny nose, tiredness for 4 days
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pain, Pyrexia
Clinical narrative: Severe muscle spasms and all over body pain. Fever 103 for over 24hrs.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Decreased appetite
Clinical narrative: Hospitalized (10.16.21 - current, still admitted);  COVID-19 positive (10.16.21);  fully vaccinated  CHIEF COMPLAINT: Hypoxia;  HPI:  HISTORY OF PRESENT ILLNESS:  Patient is a 82 y.o. male who presents today with worsening shortness of breath since couple of day. He uses 2 liters of oxygen at baseline. For last couple of days his oxygen saturation is staying in 70's. He denies chest pain. He feels much better after oxygen. His appetite has been poor as well. No abdominal pain. No leg swelling. No dizziness or shortness of breath. He denies dizziness.  ASSESSMENT / PLAN: Acute on chronic hypoxic respiratory failure: Covid 19 pneumonia:      - Fully vaccinated      - decadron      - CT angio ordered      - remdesevir ordered      - not a candidate for MAB due to hypoxia      - does not appear fluid overloaded on exam Progress Note - Assessment and Plan from 10.26.21:  Acute on chronic (2L baseline) hypoxemic respiratory failure, secondary to  COVID-19 PNA - Fully vaccinated Moderna Feb and March 2021 - s/p Remdesivir 10/16-10/21 - Decadron (6 mg daily PO x 10 days, 10/17-10/26) - Pulmonary toiletting - Wean O2 as able, goal >92 - Off of HFNC today, on 6L - Consider pulm consult if unable to further wean.  - CXR 10/25 improved bilateral heterogenous pulm opacities, no acute cardiopulm abnormality - Lasix decreased to 20mg IV daily; will hold further diuresis now.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypoxia, Lung opacity, Polyuria, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (10.16.21 - current, still admitted);  COVID-19 positive (10.16.21);  fully vaccinated  CHIEF COMPLAINT: Hypoxia;  HPI:  HISTORY OF PRESENT ILLNESS:  Patient is a 82 y.o. male who presents today with worsening shortness of breath since couple of day. He uses 2 liters of oxygen at baseline. For last couple of days his oxygen saturation is staying in 70's. He denies chest pain. He feels much better after oxygen. His appetite has been poor as well. No abdominal pain. No leg swelling. No dizziness or shortness of breath. He denies dizziness.  ASSESSMENT / PLAN: Acute on chronic hypoxic respiratory failure: Covid 19 pneumonia:      - Fully vaccinated      - decadron      - CT angio ordered      - remdesevir ordered      - not a candidate for MAB due to hypoxia      - does not appear fluid overloaded on exam Progress Note - Assessment and Plan from 10.26.21:  Acute on chronic (2L baseline) hypoxemic respiratory failure, secondary to  COVID-19 PNA - Fully vaccinated Moderna Feb and March 2021 - s/p Remdesivir 10/16-10/21 - Decadron (6 mg daily PO x 10 days, 10/17-10/26) - Pulmonary toiletting - Wean O2 as able, goal >92 - Off of HFNC today, on 6L - Consider pulm consult if unable to further wean.  - CXR 10/25 improved bilateral heterogenous pulm opacities, no acute cardiopulm abnormality - Lasix decreased to 20mg IV daily; will hold further diuresis now.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Chest pain, Headache, Pain
Clinical narrative: heart palpitations, stomach cramps, chest pains, severe headache, abdominal pains, pain when taking deep breath.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: heart palpitations, stomach cramps, chest pains, severe headache, abdominal pains, pain when taking deep breath.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Depressed level of consciousness, Facial paralysis, SARS-CoV-2 test positive
Clinical narrative: BROUGHT TO HOSPITAL FOR FACIAL DROOP AND DECREASED ALERTNESS
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna COVID-19 booster dose (0.25mL) administered on Oct 26, 2021 before checking expiration date of Oct 11, 2021.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall
Clinical narrative: Was given the vaccine around 9:40 am on 10/12/2021 and around 2 pm on the same date patient started to have dizziness and ended up falling. This episode lasted ~10 min and then patient felt normal again. No other issues were reported
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Laboratory test, Myalgia, Neutrophil count decreased
Clinical narrative: Onset of muscle and joint aches that have persisted still now at 6 months post injection. MD appt in May with Dr to evaluate fatigue and joint aches- lab results with low neutrophils  (WBC'S)- Hematology f/u with Dr and she told me the neutropenia was due to the COVID 19 vaccine- labs returned to normal in August. Muscle aches and joint aches persisted worsening .  Appointments with several physicians. Apparently this vaccine has affected my immune system creating an auto-immune response. Hand pain severe. Hand surgeon states arthritis is her diagnosis after suggesting it is not carpal tunnel. Hand pain is hard to manage. Rheumatology appointment with Dr states diagnosis Rheumatoid Arthritis Sero Neg- I never had this before- only mild ostearthritis.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Onset of muscle and joint aches that have persisted still now at 6 months post injection. MD appt in May with Dr to evaluate fatigue and joint aches- lab results with low neutrophils  (WBC'S)- Hematology f/u with Dr and she told me the neutropenia was due to the COVID 19 vaccine- labs returned to normal in August. Muscle aches and joint aches persisted worsening .  Appointments with several physicians. Apparently this vaccine has affected my immune system creating an auto-immune response. Hand pain severe. Hand surgeon states arthritis is her diagnosis after suggesting it is not carpal tunnel. Hand pain is hard to manage. Rheumatology appointment with Dr states diagnosis Rheumatoid Arthritis Sero Neg- I never had this before- only mild ostearthritis.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Exercise tolerance decreased, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Had COVID 17 Dec 2020    Recovered Had vaccination shot 6 Oct 2021 By 1am on the 7 Oct had severe symptoms - chills, muscle aches, headache, sweats, fatigue, tiredness and inability to sleep.   Way more severe than when I had COVID  Started taking Advil by end of day on the 8th. Most severe symptoms subsided by the end of day on the 11th. Sweats and chills continued until the 16th.   Persistent headache, fatigue and tiredness since the shot. Headache pronounced from early morning until waking up from afternoon nap. Fatigue and tiredness very severe to the point that I can't work or function after 3-4pm every day.   Since the  18th I have been a zombie on the couch from 3 to 4or5 pm  for several days trying to fight to stay awake. By the 10th finally giving up and taking a nap from 4 to 6or7pm every day. Tired to the point that I can't even leave the house and would not think of driving in the late afternoon.  Fatigue since the shot has left me unable to exercise more than a hour of a walk or mild housework.  Had none of this headache, tiredness, fatigue in the aftermath of COVID.  I feel debilitated in a way I have never experienced.