chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Flow cytometry, Hyperkalaemia, Hypertension
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received the Moderna vaccine (2nd dose in series) on 07/10/21. Hospitalized from 08/01/21 - 08/12/21 (discharged and then admitted 2 hours later, result was death in ED). Below is copied from discharge summary:   Patient is a 50 y/o morbidly obese female admitted on 8/2/2021 due to acute respiratory failure due to COVID 19 pneumonia.    Severe Sepsis with acute organ dysfunction/ Acute respiratory failure with hypoxia 2/2 COVID 19: - Now on 4L , oxygen delivered at bedside - Chest Xray showed bilateral atypical findings - CRP 63, sed rate 22.  - DVT ppx given while inpatient - dexamethasone completed x10 days on 8/10/2021 - atorvastatin given during admission - Completed Remdesevir 8/5/2021 - Isolation   Chronic lymphocytic leukemia  - Leukocytosis due to CLL  Flow cytometry with CD+5 mature B cell lymphoma  CT abdomen showing lymphadenopathy Out patient hematology follow up, no need for acute intervention    AKI: resolved  -Cr back to baseline    Hyperkalemia: -Resolved    Arterial hypertension -Controlled - continue amlodipine + HCTz   Morbid Obesity, BMI of> 40s: -would benefit from lifestyles modifications regarding low fat diet, weight loss and daily excercise -F/U with PCP     Patient is discharged in stable condition with stable vital signs. All questions rearding hospital course and plan of care after discharge have been answered to satisfaction. Prescriptions for medications needed to be taken after discharge have been given to patient. Patient has been instructed to follow up with PCP  within the next 7 days after discharge. Patient verbalizes understanding all given instructions and has no further doubts regarding discharge.   ED admission 2 hours later:  50 y.o. female presents c/o SOB. Pt was discharged from hospital today and was known covid positive. She was discharged with home O2. At home, patient's mother noticed that she was having more difficulty breathing than usual, prompting her to call 911. Pt arrived via EMS, which states she became unresponsive on arrival with a faint pulse. She quickly lost her pulse after her arrival here. Hx limited by events/condition of patient.    The history is provided by the EMS personnel, a parent and medical records. The history is limited by the condition of the patient.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Leukocytosis, Lymphadenopathy, Nucleic acid test, Obesity, Organ failure
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received the Moderna vaccine (2nd dose in series) on 07/10/21. Hospitalized from 08/01/21 - 08/12/21 (discharged and then admitted 2 hours later, result was death in ED). Below is copied from discharge summary:   Patient is a 50 y/o morbidly obese female admitted on 8/2/2021 due to acute respiratory failure due to COVID 19 pneumonia.    Severe Sepsis with acute organ dysfunction/ Acute respiratory failure with hypoxia 2/2 COVID 19: - Now on 4L , oxygen delivered at bedside - Chest Xray showed bilateral atypical findings - CRP 63, sed rate 22.  - DVT ppx given while inpatient - dexamethasone completed x10 days on 8/10/2021 - atorvastatin given during admission - Completed Remdesevir 8/5/2021 - Isolation   Chronic lymphocytic leukemia  - Leukocytosis due to CLL  Flow cytometry with CD+5 mature B cell lymphoma  CT abdomen showing lymphadenopathy Out patient hematology follow up, no need for acute intervention    AKI: resolved  -Cr back to baseline    Hyperkalemia: -Resolved    Arterial hypertension -Controlled - continue amlodipine + HCTz   Morbid Obesity, BMI of> 40s: -would benefit from lifestyles modifications regarding low fat diet, weight loss and daily excercise -F/U with PCP     Patient is discharged in stable condition with stable vital signs. All questions rearding hospital course and plan of care after discharge have been answered to satisfaction. Prescriptions for medications needed to be taken after discharge have been given to patient. Patient has been instructed to follow up with PCP  within the next 7 days after discharge. Patient verbalizes understanding all given instructions and has no further doubts regarding discharge.   ED admission 2 hours later:  50 y.o. female presents c/o SOB. Pt was discharged from hospital today and was known covid positive. She was discharged with home O2. At home, patient's mother noticed that she was having more difficulty breathing than usual, prompting her to call 911. Pt arrived via EMS, which states she became unresponsive on arrival with a faint pulse. She quickly lost her pulse after her arrival here. Hx limited by events/condition of patient.    The history is provided by the EMS personnel, a parent and medical records. The history is limited by the condition of the patient.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Patient isolation, Pneumonia, Pulse abnormal, Red blood cell sedimentation rate increased, SARS-CoV-2 test positive
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received the Moderna vaccine (2nd dose in series) on 07/10/21. Hospitalized from 08/01/21 - 08/12/21 (discharged and then admitted 2 hours later, result was death in ED). Below is copied from discharge summary:   Patient is a 50 y/o morbidly obese female admitted on 8/2/2021 due to acute respiratory failure due to COVID 19 pneumonia.    Severe Sepsis with acute organ dysfunction/ Acute respiratory failure with hypoxia 2/2 COVID 19: - Now on 4L , oxygen delivered at bedside - Chest Xray showed bilateral atypical findings - CRP 63, sed rate 22.  - DVT ppx given while inpatient - dexamethasone completed x10 days on 8/10/2021 - atorvastatin given during admission - Completed Remdesevir 8/5/2021 - Isolation   Chronic lymphocytic leukemia  - Leukocytosis due to CLL  Flow cytometry with CD+5 mature B cell lymphoma  CT abdomen showing lymphadenopathy Out patient hematology follow up, no need for acute intervention    AKI: resolved  -Cr back to baseline    Hyperkalemia: -Resolved    Arterial hypertension -Controlled - continue amlodipine + HCTz   Morbid Obesity, BMI of> 40s: -would benefit from lifestyles modifications regarding low fat diet, weight loss and daily excercise -F/U with PCP     Patient is discharged in stable condition with stable vital signs. All questions rearding hospital course and plan of care after discharge have been answered to satisfaction. Prescriptions for medications needed to be taken after discharge have been given to patient. Patient has been instructed to follow up with PCP  within the next 7 days after discharge. Patient verbalizes understanding all given instructions and has no further doubts regarding discharge.   ED admission 2 hours later:  50 y.o. female presents c/o SOB. Pt was discharged from hospital today and was known covid positive. She was discharged with home O2. At home, patient's mother noticed that she was having more difficulty breathing than usual, prompting her to call 911. Pt arrived via EMS, which states she became unresponsive on arrival with a faint pulse. She quickly lost her pulse after her arrival here. Hx limited by events/condition of patient.    The history is provided by the EMS personnel, a parent and medical records. The history is limited by the condition of the patient.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Unresponsive to stimuli, Vaccine breakthrough infection
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received the Moderna vaccine (2nd dose in series) on 07/10/21. Hospitalized from 08/01/21 - 08/12/21 (discharged and then admitted 2 hours later, result was death in ED). Below is copied from discharge summary:   Patient is a 50 y/o morbidly obese female admitted on 8/2/2021 due to acute respiratory failure due to COVID 19 pneumonia.    Severe Sepsis with acute organ dysfunction/ Acute respiratory failure with hypoxia 2/2 COVID 19: - Now on 4L , oxygen delivered at bedside - Chest Xray showed bilateral atypical findings - CRP 63, sed rate 22.  - DVT ppx given while inpatient - dexamethasone completed x10 days on 8/10/2021 - atorvastatin given during admission - Completed Remdesevir 8/5/2021 - Isolation   Chronic lymphocytic leukemia  - Leukocytosis due to CLL  Flow cytometry with CD+5 mature B cell lymphoma  CT abdomen showing lymphadenopathy Out patient hematology follow up, no need for acute intervention    AKI: resolved  -Cr back to baseline    Hyperkalemia: -Resolved    Arterial hypertension -Controlled - continue amlodipine + HCTz   Morbid Obesity, BMI of> 40s: -would benefit from lifestyles modifications regarding low fat diet, weight loss and daily excercise -F/U with PCP     Patient is discharged in stable condition with stable vital signs. All questions rearding hospital course and plan of care after discharge have been answered to satisfaction. Prescriptions for medications needed to be taken after discharge have been given to patient. Patient has been instructed to follow up with PCP  within the next 7 days after discharge. Patient verbalizes understanding all given instructions and has no further doubts regarding discharge.   ED admission 2 hours later:  50 y.o. female presents c/o SOB. Pt was discharged from hospital today and was known covid positive. She was discharged with home O2. At home, patient's mother noticed that she was having more difficulty breathing than usual, prompting her to call 911. Pt arrived via EMS, which states she became unresponsive on arrival with a faint pulse. She quickly lost her pulse after her arrival here. Hx limited by events/condition of patient.    The history is provided by the EMS personnel, a parent and medical records. The history is limited by the condition of the patient.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Mom said he was in the restroom feeling lightheaded and that he might vomit. She went to check on him and after a few minutes she came back and reported that he had vomited. About ten minutes later he was doing better so they left the facility.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Lymph node pain, Pyrexia
Clinical narrative: Headache, fever, chills, started within 8 hours of injection and lasted for 48 hours  Headache continued for 3-4 days after that  In addition, for the next 30-60 days, I had periodic pain in my lymph nodes; it was unspecified, and unpredictable,  but it would occur randomly some time after the 2nd vaccine shot
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Migraine, Nausea, Psychogenic seizure
Clinical narrative: Woke up due to pseudo seizure, migraine like headache, unbearable lower back pain, fatigue, and nausea
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Hot flush, Muscle spasms, Vaginal haemorrhage
Clinical narrative: Patient is a CNA that received vaccine at her work site clinic on the afternoon of 2/15/21. Pt expressed that not that much later at around 5pm she started experiencing cramping. Symptoms continued to worsen with hot flashes and vaginal bleeding for 10 days. Pt visited her PCP on 4/26/21 after continued symptoms and was prescribed Provera 10mg daily for 10 days. Pt states this helped with her symptoms and pt states she was fully recovered by 5/09/21.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Anxiety, Condition aggravated, Panic attack
Clinical narrative: Panic attacks, anxiety, momentary severe heart pain.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Full blood count, International normalised ratio increased, Ultrasound Doppler abnormal
Clinical narrative: Approximately 10 to 12 days after my last vaccination I developed Deep Vein Thrombosis in my lower left leg. Utra sounc confirmed the presence of Thrombosis.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Death, Dyspnoea
Clinical narrative: NEXT DAY AFTER RECIEVING THE VACCINE, MY FATHER EXPERIENCED CHEST PAIN, SHORTNESS OF BREATH, AND WEAKNESS.  DUE TO MY FATHER BEING BLIND, HE WAS NOT PROPERLY INFORMED OF ALL THE POTENTIAL RISK, AND SIDE EFFECTS BY THE CLINIC. THE CLINIC GAVE HIM LITERATURE ON THIS, BUT HE COULDNT SEE TO READ ALL THE SIDE EFFECTS THAT MAY BE CAUSED BY TAKING THIS VACCINE,  NOT KNOWING HOW CRITICAL IT WAS TO BE SEEN BY A PHYSICIAN, HE STAYED HOME. CONTINUED TO HAVE SHORTNESS OF BREATH, AND WEAKNESS SYMPTOMS UNTIL HE PASSED. MY FATHER DIED ON 8/9/2021.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Within minutes of my first pfizer-biontech covid-19 vaccine eua, my arm began to swell and was very painful to touch and movement that lasted for two days. Within an hour I felt dizzy, with blurred vision. That only lasted for few hours. Two days after my Second pfizer-biontech covid-19 vaccine eua, I started to experience extreme fatigue around 1pm. The fatigue continued for a total of three days.  On the third day after my second pfizer-biontech covid-19 vaccine eua, I had severe headache across the front, sides and back of my head. As well as feeling Nauseated. The headache and Nausea lasted for 2 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Vision blurred
Clinical narrative: Within minutes of my first pfizer-biontech covid-19 vaccine eua, my arm began to swell and was very painful to touch and movement that lasted for two days. Within an hour I felt dizzy, with blurred vision. That only lasted for few hours. Two days after my Second pfizer-biontech covid-19 vaccine eua, I started to experience extreme fatigue around 1pm. The fatigue continued for a total of three days.  On the third day after my second pfizer-biontech covid-19 vaccine eua, I had severe headache across the front, sides and back of my head. As well as feeling Nauseated. The headache and Nausea lasted for 2 days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dysgeusia, Gastrooesophageal reflux disease
Clinical narrative: After the 2nd dose I have had a permanent metallic taste to refluxed gastric or esophageal contents if I cough or am full. I have had a hiatal hernia for years but have never had this metallic taste before.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle twitching, Paraesthesia
Clinical narrative: Numbness/tingling to left arm extending to fingers. Recurrent twitching to left arm and lateral portion of hand lasting from 3-5 mins.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Blood bicarbonate decreased, Blood chloride increased, Blood creatinine increased
Clinical narrative: Within 24 hours she noted headaches, lightheadedness, sinus congestion/drainage, sore throat, non-productive cough, nausea, fatigue, chills and myalgias.  By day 3 post vaccine, she noted worsening dyspnea and continued worsening fatigue as well as pain with coughing/deep breathing for which she presents to the Hospital ED 8/22/21.  She was admitted to Hospital 8/22/21 with pulmonary thrombus single right lower lobe vessel.  She is being treated with anticoagulation, vitals stable, and unknown outcomes at this time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood urea decreased, Chest X-ray normal, Chills, Cough
Clinical narrative: Within 24 hours she noted headaches, lightheadedness, sinus congestion/drainage, sore throat, non-productive cough, nausea, fatigue, chills and myalgias.  By day 3 post vaccine, she noted worsening dyspnea and continued worsening fatigue as well as pain with coughing/deep breathing for which she presents to the Hospital ED 8/22/21.  She was admitted to Hospital 8/22/21 with pulmonary thrombus single right lower lobe vessel.  She is being treated with anticoagulation, vitals stable, and unknown outcomes at this time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Full blood count normal, Headache
Clinical narrative: Within 24 hours she noted headaches, lightheadedness, sinus congestion/drainage, sore throat, non-productive cough, nausea, fatigue, chills and myalgias.  By day 3 post vaccine, she noted worsening dyspnea and continued worsening fatigue as well as pain with coughing/deep breathing for which she presents to the Hospital ED 8/22/21.  She was admitted to Hospital 8/22/21 with pulmonary thrombus single right lower lobe vessel.  She is being treated with anticoagulation, vitals stable, and unknown outcomes at this time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Painful respiration, Pulmonary thrombosis
Clinical narrative: Within 24 hours she noted headaches, lightheadedness, sinus congestion/drainage, sore throat, non-productive cough, nausea, fatigue, chills and myalgias.  By day 3 post vaccine, she noted worsening dyspnea and continued worsening fatigue as well as pain with coughing/deep breathing for which she presents to the Hospital ED 8/22/21.  She was admitted to Hospital 8/22/21 with pulmonary thrombus single right lower lobe vessel.  She is being treated with anticoagulation, vitals stable, and unknown outcomes at this time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinus congestion, Sinus operation, Troponin normal
Clinical narrative: Within 24 hours she noted headaches, lightheadedness, sinus congestion/drainage, sore throat, non-productive cough, nausea, fatigue, chills and myalgias.  By day 3 post vaccine, she noted worsening dyspnea and continued worsening fatigue as well as pain with coughing/deep breathing for which she presents to the Hospital ED 8/22/21.  She was admitted to Hospital 8/22/21 with pulmonary thrombus single right lower lobe vessel.  She is being treated with anticoagulation, vitals stable, and unknown outcomes at this time.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Injection site swelling, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Extreme pain and very high fevers for 20 hours; it felt as if all of my bones were broken.  Eztraordonary thirst, inability to stay awake (all day 8/21).  On 8/22, I now have swollen lymph nodes, increased swelling at injection site, and extreme bloating of my abdomen
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Thirst
Clinical narrative: Extreme pain and very high fevers for 20 hours; it felt as if all of my bones were broken.  Eztraordonary thirst, inability to stay awake (all day 8/21).  On 8/22, I now have swollen lymph nodes, increased swelling at injection site, and extreme bloating of my abdomen
Age: 32.0
Sex: F
Vaccine: RAB
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node in left armpit
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Myalgia, Neuralgia
Clinical narrative: the 1st shot made the neck muscle bulge on the left side of my neck, that lasted for 4 months until I received the 2nd shot. After the 2nd shot, the muscle in my neck went away immediately, but then the muscle/nerves in the left shoulder started hurting within minutes of the shot. I still have that pain. I have had a massage, did not help. I went to the chiropractor, that did not help. I went for 2 accupressure treatments, which has helped some, but still not gone.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Dizziness, Dry mouth, Dyspnoea
Clinical narrative: Moderna Covid-19 Vaccine EUA  Chest pain, Racing heart, Shortness of breath, Ringing in ears, Dizziness, Dry Mouth, Stomach cramping
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tinnitus
Clinical narrative: Moderna Covid-19 Vaccine EUA  Chest pain, Racing heart, Shortness of breath, Ringing in ears, Dizziness, Dry Mouth, Stomach cramping
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Pruritus, Scratch
Clinical narrative: Blisters formed on skin on the right side trapezius area. Blisters were itchy and broke open when scratched to release clear fluid. Patch of blisters was about 4 inches wide/long and lasted about 5 days before drying/clearing up.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dyspnoea, Headache, Oxygen saturation, Oxygen saturation decreased
Clinical narrative: High fever, oxygen saturation levels dropped to low 90's, difficulty breathing, confusion, terrible headache, extreme body aches.  Lasted two days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: High fever, oxygen saturation levels dropped to low 90's, difficulty breathing, confusion, terrible headache, extreme body aches.  Lasted two days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Amniocentesis normal, Maternal exposure before pregnancy, Ultrasound antenatal screen abnormal
Clinical narrative: I conceived baby 1 month after receiving this vaccine and fetus was diagnosed with birth defect of severe hydrocephalus and stunted cerebellum at 18 week ultrasound.  Amniocentesis shows no genetic defect and no other explanation as to what caused this birth defect can be accounted for.  I suspect it may have had something to do with getting the vaccine so close to conception.
Age: 22.0
Sex: M
Vaccine: HEPAB
Symptoms: Abdominal pain, Pain, Pyrexia
Clinical narrative: PT. displays a fever of 100.9, aches in legs and arms, and abdominal cramps. PT states having felt this way from his second dose of TwinRX dose in JUN 2021
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Cardiovascular examination, Fatigue, Malaise, Myocarditis
Clinical narrative: Patient developed acute malaise/fatigue and presented to ED with AKI and + troponins felt to represent acute myocarditis based on cardiology evaluation.  As a hospitalist I will not have ongoing contact with this patient so please contact his PCP,  if additional information is needed.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient developed acute malaise/fatigue and presented to ED with AKI and + troponins felt to represent acute myocarditis based on cardiology evaluation.  As a hospitalist I will not have ongoing contact with this patient so please contact his PCP,  if additional information is needed.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Extra dose administered, Fatigue, Injection site erythema, Injection site inflammation
Clinical narrative: Chills, low grade fever starting day after injection , pain at injection site and injection site hot to touch and swollen starting day of injection in evening, fatigue starting day after injection, As of today only symptoms are still swollen injection site, pain in arm and injection hot to touch and red and inflamed looking.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Chills, low grade fever starting day after injection , pain at injection site and injection site hot to touch and swollen starting day of injection in evening, fatigue starting day after injection, As of today only symptoms are still swollen injection site, pain in arm and injection hot to touch and red and inflamed looking.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood creatine phosphokinase MB, Blood fibrinogen, Blood test, Brain natriuretic peptide
Clinical narrative: chest pressure and difficulty breathing in chest, thought at first due to asthma progressed over 24 hours to stabbing constant chest pain below sternum, constant stabbing chest pain worse with walking or minimal exertion since 8-11-21, not relieved by asthma medications, ice, heat or various NSAID or tylenol, pain persist with no clear diagnosis
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Chest X-ray, Chest discomfort, Chest pain, Computerised tomogram thorax
Clinical narrative: chest pressure and difficulty breathing in chest, thought at first due to asthma progressed over 24 hours to stabbing constant chest pain below sternum, constant stabbing chest pain worse with walking or minimal exertion since 8-11-21, not relieved by asthma medications, ice, heat or various NSAID or tylenol, pain persist with no clear diagnosis
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Fibrin D dimer, Full blood count
Clinical narrative: chest pressure and difficulty breathing in chest, thought at first due to asthma progressed over 24 hours to stabbing constant chest pain below sternum, constant stabbing chest pain worse with walking or minimal exertion since 8-11-21, not relieved by asthma medications, ice, heat or various NSAID or tylenol, pain persist with no clear diagnosis
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lipase, Metabolic function test, Red blood cell sedimentation rate, Troponin
Clinical narrative: chest pressure and difficulty breathing in chest, thought at first due to asthma progressed over 24 hours to stabbing constant chest pain below sternum, constant stabbing chest pain worse with walking or minimal exertion since 8-11-21, not relieved by asthma medications, ice, heat or various NSAID or tylenol, pain persist with no clear diagnosis
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Immediate post-injection reaction, Injection site pain, Injection site pruritus
Clinical narrative: I received the shot on  a Thur afternoon, next morning-extreme fatigue; Friday Afternoon/4:00 onset of fever, which reached to 103.1; I started taking Aleve at 101 degrees, no change within an hour, so took a Tylenol Extra Strength; began using an ice pack behind my neck at 102 degrees; fever started to lower by 8:00 that evening; Saturday was a very fatigue filled day, no energy, sat or layer around all day; Sunday AM, woke up with a rash on my L Arm, site of injection, warm to touch, itchy; soreness increased?had it from just immediately after the injection
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site warmth, Pyrexia
Clinical narrative: I received the shot on  a Thur afternoon, next morning-extreme fatigue; Friday Afternoon/4:00 onset of fever, which reached to 103.1; I started taking Aleve at 101 degrees, no change within an hour, so took a Tylenol Extra Strength; began using an ice pack behind my neck at 102 degrees; fever started to lower by 8:00 that evening; Saturday was a very fatigue filled day, no energy, sat or layer around all day; Sunday AM, woke up with a rash on my L Arm, site of injection, warm to touch, itchy; soreness increased?had it from just immediately after the injection
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Pruritus, Swollen tongue, Throat tightness
Clinical narrative: Given history of anaphylaxis with flu and shingles shot, premedicated w/10 mg Pred x 2 days, Benadryl 100 mg night before, 50 mg 1 hour before injection, Pepcid 40 mg night before, 40 mg 1 hour before injection as well as albuterol 2 puffs prior to walking into site. Received injection, within 2 minutes had moderate itching of right hand progressing to right arm.  That lasted most of the day. Also had some itching of trunk and left arm. Waited required 30 mins without breathing issues, only itching. Notified RN on way out that only had itching. Took more benadryl, Pepcid, and albuterol that evening as well as another 5 mg Pred. Next morning had some chest tightness and difficulty getting deep breath, took benadryl 50 mg, Pepcid 40 mg, Pred 5 mg and albuterol 2 puffs with relief in about 30 mins. Took remainder of usual medications as well.  Had to use albuterol q 4 hours remainder of day. Benadryl 50 mg and Pepcid 40 mg taken again at QHS. Awakened 8/21 again with some difficulty breathing deeply, repeated same regimen as day before. Pred again at 5 mg this day. Again relief within about 30 mins, took albuterol about q 4-6 hours.  Awakened this morning 8/22/21 with swollen tongue that had teeth indentations, tight throat, no difficulty breathing or swallowing.  Immediately took 50 mg benadryl, Pepcid 40 mg, albuterol 2 puffs with swelling starting to decrease within 15 mins, down to able to close teeth without biting tongue in 1.5 hours, and  completely back to normal within 2.5 hours. Vital signs remained stable, did not go to ER since symptoms decreased within 15 mins of taking Benadryl, Pepcid, Albuterol. Pred 5 mg taken in afternoon.  Continuing to take medications to prevent further issues.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling hot, Immediate post-injection reaction, Injection site swelling
Clinical narrative: PATIENT DEVELOPED A SMALL LOCALIZED REACTION IMMEDIATELY UPON RECEIVING THE VACCINE (SWELLING).  ADVISED HER TO WAIT FOR 15 MINUTES AND INFORM ME IF SHE FELT ANY ADDITIONAL SYMPTOMS.  WITHIN 2 MINUTES SHE STATED WHE WAS FEELING WARM AND LIGHTHEADED.  SHORTLY AFTERWARDS, THE PATIENT DID FAINT IN HER CHAIR AND REGAINED CONCIOUSNESS WITHIN 10-15 SECONDS.  SHE CONTINUED TO FEEL WARM AND CLAMMY.  WE PROVIDED THE PATIENT WITH DIPHENHYDRAMINE 50MG.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Local reaction, Loss of consciousness, Syncope
Clinical narrative: PATIENT DEVELOPED A SMALL LOCALIZED REACTION IMMEDIATELY UPON RECEIVING THE VACCINE (SWELLING).  ADVISED HER TO WAIT FOR 15 MINUTES AND INFORM ME IF SHE FELT ANY ADDITIONAL SYMPTOMS.  WITHIN 2 MINUTES SHE STATED WHE WAS FEELING WARM AND LIGHTHEADED.  SHORTLY AFTERWARDS, THE PATIENT DID FAINT IN HER CHAIR AND REGAINED CONCIOUSNESS WITHIN 10-15 SECONDS.  SHE CONTINUED TO FEEL WARM AND CLAMMY.  WE PROVIDED THE PATIENT WITH DIPHENHYDRAMINE 50MG.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash vesicular
Clinical narrative: Prickly bubbly red rash on right forearm and hand.  Left calf.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstruation irregular
Clinical narrative: Menstrual spotting when it's not time for my period
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac flutter, Heart rate irregular, Peripheral swelling
Clinical narrative: unusual heart fluttering,  unusual heavy heart beats, very swollen legs
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge, Vomiting
Clinical narrative: Atarted violently throwing up about 30 hours after vaccine on both 1st and 2nd dose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PATIENT RECEIVED COVID-19 PFIZER VACCINE Dose 1 date: 12/29/2020 AND  Dose 2 date: 1/19/2021. PT TESTED POSITIVE TO COVID ON 8/16/21
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus, Vertigo
Clinical narrative: Dizziness (vertigo) and tinnitus (ringing in ears) have been substantial and noticeable since about a week to 10 days after the vaccine
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Condition aggravated, Tachycardia
Clinical narrative: Triggered Tachycardia A Fib event
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Increased tinnitus
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received first dose of Pfizer from different facility and another facility gave 2nd and 3rd doses to patient. System was not checked between second and third dose.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Deafness, Tinnitus
Clinical narrative: Sudden hearing loss and tinnitus
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Sudden hearing loss and tinnitus
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Injected limb mobility decreased, Injection site pain
Clinical narrative: Extreme pain in right shoulder and injection site.  Limited mobility in shoulder.  No strength, cannot lift arm up.  This situation still exists 6 month later.  Saw family doctor in May of 2021 and again in August.  Referred to Orthopedic surgeon.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Fever up to 101.6, headache, chills, fatigue for about 36 hours.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Serious rash; began on inside LH arm, then progressed to RH Anterior and posterior leg, distal to knee. Progressed to Right leg, back, shoulders, and scalp.  Estimated surface area 30%
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate decreased, Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Additional Details: LOW BLOOD PRESSURE, RAPID DECREASE IN HEART RATE
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Flushing, Hyperhidrosis, Lethargy
Clinical narrative: Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Lethargy, Neck pain, Pain
Clinical narrative: First day was soreness. This is day 3 and still sore all down left arm into neck.  230am I had 103.2 fever aches and pains, lethargic and chills. Took ibuprofen 400 mg. Went back to sleep. Fever 100.7 at 615am so took 1000 mg Tylenol. Back to sleep until 11:15am and 99 fever with same symptoms. Now 106 pm and fever gone for moment but still have the other symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: First day was soreness. This is day 3 and still sore all down left arm into neck.  230am I had 103.2 fever aches and pains, lethargic and chills. Took ibuprofen 400 mg. Went back to sleep. Fever 100.7 at 615am so took 1000 mg Tylenol. Back to sleep until 11:15am and 99 fever with same symptoms. Now 106 pm and fever gone for moment but still have the other symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Injection site pruritus, Injection site rash, Myalgia
Clinical narrative: Itching on injection site and rash and itching on elbow.  Pain in site radiating to shoulder, elbow, and lower arm muscles.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pruritus
Clinical narrative: Itching on injection site and rash and itching on elbow.  Pain in site radiating to shoulder, elbow, and lower arm muscles.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Cardioversion, Death, Respiratory arrest, Resuscitation, Unresponsive to stimuli
Clinical narrative: The patient is not responsive on March 4, 2021 around 8:30 pm. He is not breathing, preformed CPR and call 911 right away. Then the police and ambulance came. The paramedics tried to save him by electrical cardioversion. However, he died. Later the coroner came and she made a call to funeral service. At the end, the funeral service people came and took his body away.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Bone disorder
Clinical narrative: Systemic: developed arthritis in arm that was injected-Medium, Systemic: Joint Pain-Medium, Additional Details: in addition to arthritis, an enlargement and protrusion of what seems to to be bone in elbow of injected arm has occurred
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: Debilitating dizziness, vertigo & nausea occurring since the shot.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Eye haemorrhage
Clinical narrative: Ruptured blood vessel in right eye
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular
Clinical narrative: 8/1/21 (day after administration) red, bumpy rash appeared. the following day (8/2/21) he went to md and received steroid shot. 8/10/21 he got steroid cream. still on his arm but does not itch.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Two Pfizer doses given at pharmacy 2142 on 5/12/21 and 6/3/21 after patient had already received J&J on 4/3/21. Database was not checked prior to administer Pfizer vaccination.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram, Death, Organ failure
Clinical narrative: Severe septic shock, followed by death. Stomach pain, followed by hospitalization, gradual organ failure, septic shock and death.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Septic shock
Clinical narrative: Severe septic shock, followed by death. Stomach pain, followed by hospitalization, gradual organ failure, septic shock and death.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Flushing, Hyperhidrosis, Tremor
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Additional Details: Sweating, dizziness, shaking, chills, lasted 10 minutes after receiving vaccine. Recovered fully after reclining supine for a few minutes.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling
Clinical narrative: Patient came in to the pharmacy on 08/22/2021 and wanted to let us know that since she received the vaccine on 08/08/201 she had a rash on left arm that got wider and spread to cover the top of her arm, she had been taking Benadryl and the swelling and rash had gone down and it was not hard to the touch or hot. She stated she will keep on taking Benadryl until rash is completely gone.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Confusional state, Dizziness, Hypotension, Nausea
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: patient almost fainted bp66/40-Medium, Systemic: Headache-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Medium
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Near death experience, Presyncope
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: patient almost fainted bp66/40-Medium, Systemic: Headache-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Medium
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: received 2nd dose on 4/14/2021. Became symptomatic with cough, shortness of breath, extreme fatigue on 8/15/2021. Tested (+) on 8/17/2021 and admitted to Hospital. Discharged 8/21/22021 to home
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received J&J at a different facility and then received 2 Pfizer doses from another on 6/29/21 and 7/21/21. System was not checked prior to Pfizer administration
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, nausea, headache
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: 10 minutes after patient received the vaccine he became diaphoretic and lightheaded. Blood pressure 90/60 HR 53 Oxygen Saturation 97%.  Patient was placed in the clinic chair with his legs elevated, patient was given water. EMS called to clinic, patient declined to go to the ER stated he was feeling better. Patient left the store  accompanied by his 14 year old son.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, C-reactive protein increased, Chest X-ray normal, Dizziness, Electrocardiogram abnormal
Clinical narrative: Palpitations, hypertension, lightheadedness, numbness/tingling from head to toe at 20-minute mark post-vaccination. Numbness/tingling resolved after 15 minutes, palpitations (HR 130-160) and feeling lightheaded persisted, went to ER for evaluation. Cardiac enzymes were normal. Inflammatory markers (WBC, etc.) elevated 6 hours post-vaccination. EKG showed sinus tachycardia. Received a 1L normal saline bolus, HR improved to 90's-110's, discharged home with a recommendation to follow up with a cardiologist for Holter monitor. An appointment made, has not occurred yet. Have continued to have issues with elevated HR post-vaccination, on day 4 post-vaccination, began to have burning sensations in my back intermittently, day 5 post-vaccination began to have generalized burning sensations, and numbness/tingling/burning in legs/feet. Went back to ER for evaluation. Strength remains equal and intact, the physician did not order imaging, sent home, and recommended follow up with neurologist if symptoms did not improve in 10 days. Still have paresthesias all over my body and tachycardia at rest.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil count decreased, Fibrin D dimer normal, Heart rate increased, Hypertension, Hypoaesthesia
Clinical narrative: Palpitations, hypertension, lightheadedness, numbness/tingling from head to toe at 20-minute mark post-vaccination. Numbness/tingling resolved after 15 minutes, palpitations (HR 130-160) and feeling lightheaded persisted, went to ER for evaluation. Cardiac enzymes were normal. Inflammatory markers (WBC, etc.) elevated 6 hours post-vaccination. EKG showed sinus tachycardia. Received a 1L normal saline bolus, HR improved to 90's-110's, discharged home with a recommendation to follow up with a cardiologist for Holter monitor. An appointment made, has not occurred yet. Have continued to have issues with elevated HR post-vaccination, on day 4 post-vaccination, began to have burning sensations in my back intermittently, day 5 post-vaccination began to have generalized burning sensations, and numbness/tingling/burning in legs/feet. Went back to ER for evaluation. Strength remains equal and intact, the physician did not order imaging, sent home, and recommended follow up with neurologist if symptoms did not improve in 10 days. Still have paresthesias all over my body and tachycardia at rest.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammatory marker increased, Myocardial necrosis marker normal, Neutrophil count increased, Palpitations, Paraesthesia
Clinical narrative: Palpitations, hypertension, lightheadedness, numbness/tingling from head to toe at 20-minute mark post-vaccination. Numbness/tingling resolved after 15 minutes, palpitations (HR 130-160) and feeling lightheaded persisted, went to ER for evaluation. Cardiac enzymes were normal. Inflammatory markers (WBC, etc.) elevated 6 hours post-vaccination. EKG showed sinus tachycardia. Received a 1L normal saline bolus, HR improved to 90's-110's, discharged home with a recommendation to follow up with a cardiologist for Holter monitor. An appointment made, has not occurred yet. Have continued to have issues with elevated HR post-vaccination, on day 4 post-vaccination, began to have burning sensations in my back intermittently, day 5 post-vaccination began to have generalized burning sensations, and numbness/tingling/burning in legs/feet. Went back to ER for evaluation. Strength remains equal and intact, the physician did not order imaging, sent home, and recommended follow up with neurologist if symptoms did not improve in 10 days. Still have paresthesias all over my body and tachycardia at rest.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Troponin, Urine analysis normal, White blood cell count increased
Clinical narrative: Palpitations, hypertension, lightheadedness, numbness/tingling from head to toe at 20-minute mark post-vaccination. Numbness/tingling resolved after 15 minutes, palpitations (HR 130-160) and feeling lightheaded persisted, went to ER for evaluation. Cardiac enzymes were normal. Inflammatory markers (WBC, etc.) elevated 6 hours post-vaccination. EKG showed sinus tachycardia. Received a 1L normal saline bolus, HR improved to 90's-110's, discharged home with a recommendation to follow up with a cardiologist for Holter monitor. An appointment made, has not occurred yet. Have continued to have issues with elevated HR post-vaccination, on day 4 post-vaccination, began to have burning sensations in my back intermittently, day 5 post-vaccination began to have generalized burning sensations, and numbness/tingling/burning in legs/feet. Went back to ER for evaluation. Strength remains equal and intact, the physician did not order imaging, sent home, and recommended follow up with neurologist if symptoms did not improve in 10 days. Still have paresthesias all over my body and tachycardia at rest.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Eye disorder, Laser therapy
Clinical narrative: Eye issues, which resulted in tear in the eye
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal cobble stone mucosa, Oropharyngeal pain, Pharyngeal erythema
Clinical narrative: Throat: sore, red, and swollen; looks like cobblestone throat Nose: running and sneezing Headache Congestion Fatigue
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing
Clinical narrative: Throat: sore, red, and swollen; looks like cobblestone throat Nose: running and sneezing Headache Congestion Fatigue
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative
Clinical narrative: Throat: sore, red, and swollen; looks like cobblestone throat Nose: running and sneezing Headache Congestion Fatigue
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Neurological examination, Paraesthesia, Sensory loss
Clinical narrative: Left facial and neck tingling and decreased sensation in face. Went to emergency department for ct scan and blood work and had an evaluation by a neurologist
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: The vaccine has made me have vaginal bleeding even though my period stopped about two weeks ago.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Condition aggravated, Muscle twitching
Clinical narrative: Face twitching like recovering from Bell?s Palsy every day since shot
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching
Clinical narrative: Face twitching like recovering from Bell?s Palsy every day since shot
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, Haemoptysis
Clinical narrative: Coughing blood led to severe  bronchitis
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received J&J vaccine on 3/5/21 and then received two Pfizer doses on 6/4/21 and 6/28/21 from 2142.  MIIC was not checked prior to Pfizer doses.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Influenza like illness, Interchange of vaccine products
Clinical narrative: Pt received Pfizer Covid vaccine 8-1-21 at another facility. We did not know this at the time we administered the Moderna on 8-15-21 and the patient informed staff that he had never received a Covid vaccine before. This was brought to my attention by an RPh as she checked the database when pt presented to her location on 8-22-21 to receive his second dose of Pfizer vaccine. This thus constitutes the second dose in the series being administered too soon as well as being administered with the wrong brand. (We would not have done this if we had known about the first dose being administered elsewhere). I spoke with the patient 8-22-21 and he stated he had not had any adverse effects other than mild flu-like symptoms. I advised him the series is considered complete now.