chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: When I had COVID-19, it started with a sore throat. It was different from the sore throat that I normally get when I'm coming down with a cold; this sore throat had a stabbing pain. I had also had headache, dry cough, and extreme fatigue. I later had a low-grade fever of about 100. I didn't call the doctor, because I thought it would be useless, so I just stayed home and self-isolated. I treated my symptoms with OTC ibuprofen and Robitussin DM for day and night. The symptoms lasted maybe five to seven days. However, I continued to test positive between 12 days and two weeks after the symptom onset.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Patient isolation, SARS-CoV-2 test positive
Clinical narrative: When I had COVID-19, it started with a sore throat. It was different from the sore throat that I normally get when I'm coming down with a cold; this sore throat had a stabbing pain. I had also had headache, dry cough, and extreme fatigue. I later had a low-grade fever of about 100. I didn't call the doctor, because I thought it would be useless, so I just stayed home and self-isolated. I treated my symptoms with OTC ibuprofen and Robitussin DM for day and night. The symptoms lasted maybe five to seven days. However, I continued to test positive between 12 days and two weeks after the symptom onset.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Deafness unilateral, Tinnitus
Clinical narrative: Developed Tinnitus , 90% hearing loss in left ear and not meneries disease
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chest X-ray normal, Costochondritis, Cough, Fatigue
Clinical narrative: I had an itchy scratchy throat and unusual, severe pain around my ribs. I had a cough and stuffy nose. The symptoms lasted about 4 days. I called my doctor on December 1, 2022. I then had a chest X-Ray. The rib pain had not disappeared, and I visited my doctor again on December 15 and she told me I had costochondritis, inflammation of the rib cartilage. I still continue to be very fatigued.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Musculoskeletal chest pain, Nasal congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had an itchy scratchy throat and unusual, severe pain around my ribs. I had a cough and stuffy nose. The symptoms lasted about 4 days. I called my doctor on December 1, 2022. I then had a chest X-Ray. The rib pain had not disappeared, and I visited my doctor again on December 15 and she told me I had costochondritis, inflammation of the rib cartilage. I still continue to be very fatigued.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Symptom recurrence
Clinical narrative: NEUROPATHY 3/14/2022 --  RECURRENCE OF SAME SYMPTOMS
Age: 1.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient inadvertently given the wrong Moderna covid-19 presentation. Client is scheduled to come back in and be revaccinated with the correct presentation.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Pulmonary embolism
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE PULMONARY EMBOLISM HYPOXEMIA
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Moderna Bivalent came from our facility.  On paperwork, beyond use date was labeled 4/5/23, but on bag that vaccine came in, beyond use date was labeled 5/15/23. Patient received vaccine on 4/21/23.  Clinical pharmacist checked with manufacturer and determined the doses that were administered were valid.
Age: 13.0
Sex: M
Vaccine: HPV9, IPV, MNQ, UNK
Symptoms: Dizziness
Clinical narrative: patient got dizzy after vaccine administration vitals signs assessed BP=68/40  HR=87 T=97.7 Second set BP=97/65 HR=82 Ox=97% RR=16  patient were hydrated with a 240ml of water and after 15 min Resident verbalized feeling better and vitals' stable; patient walk out of the office accompanied by mother
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Blood test normal, COVID-19, Contrast echocardiogram
Clinical narrative: I woke up with a headache and a sore throat. That evening I got body aches. The next morning I has no taste or smell. I had an appointment with a doctor the next day, 10/15, and I reported that I had the symptoms. The doctor advised to go get tested. Was sent to the partner clinic for a PCR COVID-19 test. 10/16 the clinic called and notified me I was positive. Person from the clinic advised to treat symptomatically. 10 days later, I still had body aches, headaches, fatigue, and shortness of breath. I went in to see my Nurse Practitioner who asked for some blood work and sent me home. I received a call advising that the blood work was normal. I sought out my cariologies who had an Echocardiogram, an EKG, a bubble study, a trans thoracic ultrasound, and a nuclear stress test. All of these were normal and so the cardiologist advised this was likely Long COVID. Since then, some days are better than others, the fatigue comes and goes, as does the sense of taste.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Fatigue, Headache
Clinical narrative: I woke up with a headache and a sore throat. That evening I got body aches. The next morning I has no taste or smell. I had an appointment with a doctor the next day, 10/15, and I reported that I had the symptoms. The doctor advised to go get tested. Was sent to the partner clinic for a PCR COVID-19 test. 10/16 the clinic called and notified me I was positive. Person from the clinic advised to treat symptomatically. 10 days later, I still had body aches, headaches, fatigue, and shortness of breath. I went in to see my Nurse Practitioner who asked for some blood work and sent me home. I received a call advising that the blood work was normal. I sought out my cariologies who had an Echocardiogram, an EKG, a bubble study, a trans thoracic ultrasound, and a nuclear stress test. All of these were normal and so the cardiologist advised this was likely Long COVID. Since then, some days are better than others, the fatigue comes and goes, as does the sense of taste.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pain, Post-acute COVID-19 syndrome, SARS-CoV-2 test positive
Clinical narrative: I woke up with a headache and a sore throat. That evening I got body aches. The next morning I has no taste or smell. I had an appointment with a doctor the next day, 10/15, and I reported that I had the symptoms. The doctor advised to go get tested. Was sent to the partner clinic for a PCR COVID-19 test. 10/16 the clinic called and notified me I was positive. Person from the clinic advised to treat symptomatically. 10 days later, I still had body aches, headaches, fatigue, and shortness of breath. I went in to see my Nurse Practitioner who asked for some blood work and sent me home. I received a call advising that the blood work was normal. I sought out my cariologies who had an Echocardiogram, an EKG, a bubble study, a trans thoracic ultrasound, and a nuclear stress test. All of these were normal and so the cardiologist advised this was likely Long COVID. Since then, some days are better than others, the fatigue comes and goes, as does the sense of taste.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Scan myocardial perfusion, Ultrasound scan
Clinical narrative: I woke up with a headache and a sore throat. That evening I got body aches. The next morning I has no taste or smell. I had an appointment with a doctor the next day, 10/15, and I reported that I had the symptoms. The doctor advised to go get tested. Was sent to the partner clinic for a PCR COVID-19 test. 10/16 the clinic called and notified me I was positive. Person from the clinic advised to treat symptomatically. 10 days later, I still had body aches, headaches, fatigue, and shortness of breath. I went in to see my Nurse Practitioner who asked for some blood work and sent me home. I received a call advising that the blood work was normal. I sought out my cariologies who had an Echocardiogram, an EKG, a bubble study, a trans thoracic ultrasound, and a nuclear stress test. All of these were normal and so the cardiologist advised this was likely Long COVID. Since then, some days are better than others, the fatigue comes and goes, as does the sense of taste.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ALLERGIC REACTION, INIT
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, No adverse event, Pain
Clinical narrative: I did not have an adverse reaction to the vaccine. In 02/2021, I had joint pain in my right shoulder that lasted for about six months. I wasn't able to lift my arm very high due to the pain. I also experienced the pain in other joints too. I used a topical medicated cream to help with the pain. I also did light exercises to help with mobility. As of today, I do not have the joint pain.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris
Clinical narrative: STABLE ANGINA ANGINA, UNSPECIFIED
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE OBSTRUCTIVE SLEEP APNEA
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Moderna Bivalent came from our central fill facility. On paperwork, beyond use date was labeled 4/5/23, but on bag that vaccine came in, beyond use date was labeled 5/15/23. Patient received vaccine on 4/21/23.  Clinical pharmacist checked with the manufacturer and determined the doses that were administered were valid.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Moderna Bivalent came from our central fill facility. On paperwork, beyond use date was labeled 4/5/23, but on bag that vaccine came in, beyond use date was labeled 5/15/23. Patient received vaccine on 4/21/23.  Clinical pharmacist checked with the manufacturer and determined the doses that were administered were valid.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hip arthroplasty, Laboratory test abnormal, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 03JAN2023 I went to an urgent care locally. It was confirmed I had Covid, I was prescribed PAXLOVID and took this for five days I tested negative 11JAN2023 I flew home and rebounded with COVID-19 on 16JAN2023 and did not test negative until 26JAN2023. As a note I did test positive pneumonia on 28JUL2022 and had a hip replacement 04AUG2022.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE ST ELEVATION MI, INFEROLATERAL WALL.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cystoscopy, Haematospermia, Urogram, Vaccine positive rechallenge
Clinical narrative: developed blood in ejaculate (hematospermia) about 2 months after 4th vaccine. Happened again a few months after Moderna Bivalent booster (A57146B lot number)
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Moderna Bivalent came from our central fill facility. On paperwork, beyond use date was labeled 4/5/23, but on bag that vaccine came in, beyond use date was labeled 5/15/23. Patient received vaccine on 4/21/23.  Clinical pharmacist checked with the manufacturer and determined the doses that were administered were valid.
Age: 1.25
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Skin mass
Clinical narrative: Sub-q nodule
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Metastatic renal cell carcinoma, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test 6/16/2022 at an assisted care center; was moved to a hospice with metastatic renal cell carcinoma where he passed away
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Expired product administered
Clinical narrative: Pt given vaccine. It had expired 2/28/23.
Age: 11.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Administered non diluted dose
Age: 11.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Administered non diluted dose
Age: 11.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Administered undiluted vaccine, no symptoms during observation reported.
Age: 11.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Administered undiluted vaccine, no symptoms during observation reported.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Blood test normal, Computerised tomogram abdomen normal, Diarrhoea, Food poisoning
Clinical narrative: I had diarrhea, stomach pain. This lasted for about 9 days. I had to go to the ER, and they gave me morphine for pain and sent me home with TYLENOL 3. The next day my primary doctor and they thought I had food poisoning and they treated me with hyoscyamine. I had a follow up appointment with an ER physician, and they treated me with pantoprazole, but nothing helped. They did a CT scan, but it didn't show anything. I also have a Colonoscopy scheduled soon.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac flutter, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Patient states felt good that morning at work, obtained the Moderna 2nd vaccine of the series at 12:00 noon on 1/27/2021 in the Wellness clinic area as were many other employees and patients. Patient went back to work and finished shift as usual. Ate normal supper at home with husband. Very shortly after going to bed, symptoms began suddenly of significant chest pain like sharp shooting pain with shortness of breath and pressure to the front left chest which began at 10:00 pm. These symptoms continued with then nausea, vomiting and weakness. EMS was called and upon arrival at patient's home evaluation and EKG performed, O2 Saturation at 96%. It was decided for patient to treat symptoms at home to decrease risk of Covid 19 exposure in the already overtaxed Emergency Department. EMS stayed with the patient for 1 hour.  Note: Patient does have a significant family history of cardiac disease. Patient has had interittent and infrqquent episodes of chest Heart rate pauses and/or flutter, racing noted especially after form of caffeine ie) coffee
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate abnormal, Nausea, Pain, Palpitations, Vomiting
Clinical narrative: Patient states felt good that morning at work, obtained the Moderna 2nd vaccine of the series at 12:00 noon on 1/27/2021 in the Wellness clinic area as were many other employees and patients. Patient went back to work and finished shift as usual. Ate normal supper at home with husband. Very shortly after going to bed, symptoms began suddenly of significant chest pain like sharp shooting pain with shortness of breath and pressure to the front left chest which began at 10:00 pm. These symptoms continued with then nausea, vomiting and weakness. EMS was called and upon arrival at patient's home evaluation and EKG performed, O2 Saturation at 96%. It was decided for patient to treat symptoms at home to decrease risk of Covid 19 exposure in the already overtaxed Emergency Department. EMS stayed with the patient for 1 hour.  Note: Patient does have a significant family history of cardiac disease. Patient has had interittent and infrqquent episodes of chest Heart rate pauses and/or flutter, racing noted especially after form of caffeine ie) coffee
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Back pain, Fatigue, Feeling of body temperature change, Headache
Clinical narrative: 5/10/2023: Said employee contacted Employee Health late morning reporting onset of the following symptoms occurring on 5/9/2023: Nausea followed by two episodes of vomiting at 2030 & 2330. Approximately at midnight, a sensation of freezing  followed by feeling hot with reported low-grade temperature of 99.   On the mornng of the phone call (5/10/2023) stated, other symptoms included; "headache, stomach hurting  and lower back, fatifue". Denies diarrhea.   She reporte starting to drink eater and eating some bread. Dened fever at time of phone call, and, denied respiratory symptoms that may be associated with COVID-19 illness.  Advised to drink clear fluids and foods such as toast, crackers, jello. Acknowledged understanding.  5/10/2023: 1728: Update. Employoee called reporting a fever of 101 at noon, having taken Tylenol. Stated she is "feeling better". Reviewed CDC, VIS givento employee prior to administration of Tdap, correllating the potential for vaccine reaction.  Plan: Follow up with phone call on 5/11/2023.  5/11/2023: Emplyee Health, reporter of the adverse reaction contacted VAERS to review employee symptoms. It was disclosed that medical advice could not be given, but, encouraged to complete adverse reaction report.  0945: Employee Health consulted with PA regarding events. It is undetermined if this is a vaccine reaction or other illness.  1430: Consulted with Pharmacy Staff regarding event. It was discussed that in the future, when the said employee needs to be boosted that she could recieve a Td booster.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pyrexia
Clinical narrative: 5/10/2023: Said employee contacted Employee Health late morning reporting onset of the following symptoms occurring on 5/9/2023: Nausea followed by two episodes of vomiting at 2030 & 2330. Approximately at midnight, a sensation of freezing  followed by feeling hot with reported low-grade temperature of 99.   On the mornng of the phone call (5/10/2023) stated, other symptoms included; "headache, stomach hurting  and lower back, fatifue". Denies diarrhea.   She reporte starting to drink eater and eating some bread. Dened fever at time of phone call, and, denied respiratory symptoms that may be associated with COVID-19 illness.  Advised to drink clear fluids and foods such as toast, crackers, jello. Acknowledged understanding.  5/10/2023: 1728: Update. Employoee called reporting a fever of 101 at noon, having taken Tylenol. Stated she is "feeling better". Reviewed CDC, VIS givento employee prior to administration of Tdap, correllating the potential for vaccine reaction.  Plan: Follow up with phone call on 5/11/2023.  5/11/2023: Emplyee Health, reporter of the adverse reaction contacted VAERS to review employee symptoms. It was disclosed that medical advice could not be given, but, encouraged to complete adverse reaction report.  0945: Employee Health consulted with PA regarding events. It is undetermined if this is a vaccine reaction or other illness.  1430: Consulted with Pharmacy Staff regarding event. It was discussed that in the future, when the said employee needs to be boosted that she could recieve a Td booster.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Adenocarcinoma metastatic, Arteriosclerosis, Hypoxia, Metastases to pleura
Clinical narrative: HYPOXIA 4/10/2021 ARTERIOSCLEROTIC CARDIOVASCULAR DISEASE WO ANGINA HYPOXIA 4/10/2021 ADENOCARCINOMA METASTATIC TO PLEURA
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Myalgia, Pain
Clinical narrative: Patient said that one week after he received first shingrix he started having muscle pains but he still received 2 nd shot thinking that they are going to get better but he is still having pains all throughout the body even after 6 months and not getting better and the patient is thinking it is from the shingrix shots. He is going to discuss about his with the doctor at the end of the month at his regular visit.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Accidental exposure to product, Injection site haemorrhage, Syringe issue, Underdose
Clinical narrative: Shot blocker was applied to child's leg, and vaccine was administered using standard procedure with a VanishPoint retractable needle. During the retraction process, the needle made a slightly different sound than is usual, and when the shot blocker and needle were withdrawn from the child's leg, a drop of clear liquid - presumed to be vaccine - was seen on the child's leg. A needle puncture mark with a small amount of blood was also observed. This RN, together with the child's father, examined the site and determined that the amount of vaccine observed to be lost was likely much less than the 0.2 mL that was intended to be delivered. Father expressed that he would not like the vaccination to be re-administered at this time.   Nurse contacted nurse manager, and manager consulted supervising physician and received recommendation to revaccinate the patient, considering a half dose. Nurse manager informed this RN of the updated/confirmed recommendation this morning.     Father was informed, and he stated he will consult with the patient's mother, and they will schedule online for an upcoming clinic if they decide to proceed with revaccination. Father was informed that last clinic will be 6/17/23.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Pulmonary embolism, Stomatitis
Clinical narrative: I26.99 ACUTE PULMONARY EMBOLISM 12/26/2021 ACUTE PULMONARY EMBOLISM R09.02 HYPOXIA 10/27/2021 ACUTE PULMONARY EMBOLISM I26.99 ACUTE PULMONARY EMBOLISM 12/26/2021 ORAL MUCOSITIS R09.02 HYPOXIA 10/27/2021 ORAL MUCOSITIS
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Abdominal distension, Computerised tomogram abdomen, Discomfort, Emotional disorder
Clinical narrative: I had no symptoms until 4 months after my most recent vaccine dose. I had sudden onset of pelvic pain shooting up the center then out to both sides but mostly on the left. It turned into a dull discomfort quickly, but then came back slowly over the course of 3 days and settled into my right side. I also felt increased urge to urinate, bloating and abdominal discomfort, fatigue, and increased emotionality. On the third day I felt increased pain and discomfort in a particular spot in my right mid-lower abdomen. Then a sudden onset of sweating and heart racing. I was concerned it may be appendicitis so I went to urgent care. They said appendicitis was unlikely but they couldn?t immediately detect another problem so they sent me to the emergency room just in case it was my appendix. The initial CAT scan with contrast was inconclusive, but it was clearly not appendicitis, so they did both trans abdominal and trans vaginal ultrasounds, and determined there were two ovarian cysts, one that had been leaking, and the other that was hemorrhagic. They prescribed a painkiller which I did not end up needing to take, and I recovered at home with a few more days of mild to moderate pelvic pain on that right side. I followed up with my gynecologist 6 weeks later, and her pelvic exam seemed normal. I am still trying to schedule a follow-up ultrasound to ensure the cysts have cleared on their own. I have felt some more mild pain in the same spots on both the left and right side in the last few weeks, but not severe enough to cause concern.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Haemorrhagic ovarian cyst, Micturition urgency, Ovarian cyst, Pain
Clinical narrative: I had no symptoms until 4 months after my most recent vaccine dose. I had sudden onset of pelvic pain shooting up the center then out to both sides but mostly on the left. It turned into a dull discomfort quickly, but then came back slowly over the course of 3 days and settled into my right side. I also felt increased urge to urinate, bloating and abdominal discomfort, fatigue, and increased emotionality. On the third day I felt increased pain and discomfort in a particular spot in my right mid-lower abdomen. Then a sudden onset of sweating and heart racing. I was concerned it may be appendicitis so I went to urgent care. They said appendicitis was unlikely but they couldn?t immediately detect another problem so they sent me to the emergency room just in case it was my appendix. The initial CAT scan with contrast was inconclusive, but it was clearly not appendicitis, so they did both trans abdominal and trans vaginal ultrasounds, and determined there were two ovarian cysts, one that had been leaking, and the other that was hemorrhagic. They prescribed a painkiller which I did not end up needing to take, and I recovered at home with a few more days of mild to moderate pelvic pain on that right side. I followed up with my gynecologist 6 weeks later, and her pelvic exam seemed normal. I am still trying to schedule a follow-up ultrasound to ensure the cysts have cleared on their own. I have felt some more mild pain in the same spots on both the left and right side in the last few weeks, but not severe enough to cause concern.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Palpitations, Pelvic pain, Ultrasound scan vagina abnormal
Clinical narrative: I had no symptoms until 4 months after my most recent vaccine dose. I had sudden onset of pelvic pain shooting up the center then out to both sides but mostly on the left. It turned into a dull discomfort quickly, but then came back slowly over the course of 3 days and settled into my right side. I also felt increased urge to urinate, bloating and abdominal discomfort, fatigue, and increased emotionality. On the third day I felt increased pain and discomfort in a particular spot in my right mid-lower abdomen. Then a sudden onset of sweating and heart racing. I was concerned it may be appendicitis so I went to urgent care. They said appendicitis was unlikely but they couldn?t immediately detect another problem so they sent me to the emergency room just in case it was my appendix. The initial CAT scan with contrast was inconclusive, but it was clearly not appendicitis, so they did both trans abdominal and trans vaginal ultrasounds, and determined there were two ovarian cysts, one that had been leaking, and the other that was hemorrhagic. They prescribed a painkiller which I did not end up needing to take, and I recovered at home with a few more days of mild to moderate pelvic pain on that right side. I followed up with my gynecologist 6 weeks later, and her pelvic exam seemed normal. I am still trying to schedule a follow-up ultrasound to ensure the cysts have cleared on their own. I have felt some more mild pain in the same spots on both the left and right side in the last few weeks, but not severe enough to cause concern.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pulmonary embolism
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN ACUTE PULMONARY EMBOLISM
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE 7/30/2021 ACUTE ON CHRONIC RESPIRATORY FAILURE  ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/12/2021 ACUTE ON CHRONIC RESPIRATORY FAILURE  CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/24/2021 ACUTE ON CHRONIC RESPIRATORY FAILURE ACUTE ON CHRONIC RESPIRATORY FAILURE 7/19/2021 ACUTE ON CHRONIC RESPIRATORY FAILURE  HYPOXIA 5/5/2021 ACUTE ON CHRONIC RESPIRATORY FAILURE
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Neck pain
Clinical narrative: Patient called to report significant swelling to the injection site, noticeable to another healthcare provider seen on day of report. Also reporting pain extending from the injection site up the side of the neck. Patient has used ibuprofen during the course of symptoms without noticeable effect on the pain or swelling. Recommended to also ice the area tonight and report to primary care if there is no resolution by tomorrow morning or if the symptoms worsen. Denies any other symptoms at this time. Symptom onset started the day after receiving the immunization in the afternoon.
Age: 0.5
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient presented for first dose of infant bivalent moderna. The pink cap vial was used instead of the blue cap vial. The patient received a lower dose of vaccine than what is recommended. Patient received 10 mcg of bivalent moderna instead of the recommended 25 mcg dose. Patient did not have any adverse symptoms.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Bronchitis, COVID-19, Fatigue, Oropharyngeal pain, Productive cough
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 in 10/2022. I had a sore throat, I was fatigued, a mild fever and a productive cough. I only took over-the-counter medications for my symptoms. In 03/2023, I had bronchitis, and I went to an urgent care center and got a prescription for an antibiotic. I had a cough for a very long time after having bronchitis.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 in 10/2022. I had a sore throat, I was fatigued, a mild fever and a productive cough. I only took over-the-counter medications for my symptoms. In 03/2023, I had bronchitis, and I went to an urgent care center and got a prescription for an antibiotic. I had a cough for a very long time after having bronchitis.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE OBSTRUCTIVE SLEEP APNEA
Age: 1.08
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was vaccinated with Moderna Bivalent 6mo-5yo at a dosage of 0.25 ml after a verbal order from Dr. due to the interim time of the new FDA guidelines and no standing orders.  It was later realized that the new guidelines changed the recommendations from the Moderna Bivalent 6mo-5yo formulation to the Moderna Bivalent 6 years and older formulation  for the  age group of 6mo-5yo with the dosage of 0.25 ml.  After speaking with Dr, who consulted with another, it was decided that the patient could be offered the remaining 0.12 ml in order for the patient to receive the full antigen amount.  The patients were contacted and offered the remaining amount and stated they would discuss it and call back to schedule if they decided to proceed.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Oropharyngeal pain, Pain in jaw
Clinical narrative: Patient reported that shortly after receiving the vaccine, she encountered a sore throat and jaw pain.  The jaw pain was described as "like biting on a needle."  Patient reported that symptoms did resolve after a day or two, and she has had no problems since.
Age: 0.67
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Underdose
Clinical narrative: The patient received their first Covid vaccine on 3/21/2023. This was the MODERNA SARSCOV2 Vaccine (Age 6m-5y) (25mcg/0.25 mL) which is the monovalent formulation. On 4/18/2023, the monovalent Covid 19 vaccines were no longer authorized to be used. On 4/19/2023, CDC's ACIP recommendations for Covid 19 vaccines changed. The recommendation at the time is to provide the BIVALENT Moderna vaccine. Patients who are unvaccinated or only received 1 dose of the monovalent Moderna should receive MODERNA SARSCOV2 BIVALENT (6M-11Y: 25MCG/0.25ML) [blue cap with grey border].  This situation is considered an incorrect product resulting in a lower-than-authorized dose being administered as 10 mcg was given when 25 mcg was indicated. The CDC recommends repeating the correct dose (25 mcg) immediately with no minimum interval.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Partial seizures, Petit mal epilepsy
Clinical narrative: PARTIAL EPILEPSY ABSENCE EPILEPSY
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: Patient was administered expired MMR vaccination SQ on Left Upper Arm at 2:50 PM (date of expiration: 4/23/23).
Age: 72.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, Dizziness, Electrocardiogram, Malaise, Palpitations
Clinical narrative: My first symptoms started 18APR2023 I tested positive for COVID-19 with a home test on 19APR2023. On 22APR2023 I had a consistent feeling of lightheadedness that would not go away and my heart was racing so I called EMS and the paramedics came and hooked me up to an EKG machine and I was transported to the local hospital ER. I stayed six hours felt better and went home.
Age: 72.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: My first symptoms started 18APR2023 I tested positive for COVID-19 with a home test on 19APR2023. On 22APR2023 I had a consistent feeling of lightheadedness that would not go away and my heart was racing so I called EMS and the paramedics came and hooked me up to an EKG machine and I was transported to the local hospital ER. I stayed six hours felt better and went home.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chest pain, Chills, Diarrhoea, Dizziness
Clinical narrative: 7:30 PM whole body muscle aches started on day of shot. By the morning of 5/9 I had the chills and shaking, I was extremely dizzy. A headache on a scale of 9/10.  I was also having odd shooting pains near the chest and stomach. I slept roughly 22 to 23 hours and the little bit I was up I was nauseated.  By the morning of 5/10 I was sweaty and I had diarrhea x1. unexpectedly no pain at that point. By noon of 5/10 I was starting to feel better.  By 5 PM 5/10 I felt about 93% back to normal. I called my doctors office at 4 PM 5/9.  The  nurse who I was told would probably be remote didn't return my call until 10:30 that evening.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Hyperhidrosis, Hypersomnia, Myalgia, Nausea
Clinical narrative: 7:30 PM whole body muscle aches started on day of shot. By the morning of 5/9 I had the chills and shaking, I was extremely dizzy. A headache on a scale of 9/10.  I was also having odd shooting pains near the chest and stomach. I slept roughly 22 to 23 hours and the little bit I was up I was nauseated.  By the morning of 5/10 I was sweaty and I had diarrhea x1. unexpectedly no pain at that point. By noon of 5/10 I was starting to feel better.  By 5 PM 5/10 I felt about 93% back to normal. I called my doctors office at 4 PM 5/9.  The  nurse who I was told would probably be remote didn't return my call until 10:30 that evening.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Tremor
Clinical narrative: 7:30 PM whole body muscle aches started on day of shot. By the morning of 5/9 I had the chills and shaking, I was extremely dizzy. A headache on a scale of 9/10.  I was also having odd shooting pains near the chest and stomach. I slept roughly 22 to 23 hours and the little bit I was up I was nauseated.  By the morning of 5/10 I was sweaty and I had diarrhea x1. unexpectedly no pain at that point. By noon of 5/10 I was starting to feel better.  By 5 PM 5/10 I felt about 93% back to normal. I called my doctors office at 4 PM 5/9.  The  nurse who I was told would probably be remote didn't return my call until 10:30 that evening.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient had itchy red rash to arms and trunk. Patient took 50mg benadryl 1x.
Age: 0.5
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient presented for 2nd dose moderna bivalent. Pink cap vial was used instead of blue cap vial. This resulted in patient receiving a lower than recommended dose. Patient received 10 mcg of bivalent moderna instead of 25 mcg.
Age: 60.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Fatigue, Malaise, Productive cough, SARS-CoV-2 test negative
Clinical narrative: productive cough, fatigue, malaise.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Administered undiluted dosage, no symptoms reported during observation.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Pt given Covid Bivalent for 12 yo  she was given 0.2 cc instead of Covid Bivalent for 5-11 yo Reported the event.  On call nurse with the state advised no specific treatment and to monitor for increased local reaction.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Administered undiluted dosage, no symptoms reported during observation.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Chest pain, Syncope
Clinical narrative: SYNCOPE, CHEST PAIN- TRANSPORTED TO LOCAL ER
Age: 60.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chest discomfort, Cough, Dysgeusia, Fatigue
Clinical narrative: Saturday, March 25, 2023, I got really tired that afternoon and felt weird. Sunday, I woke up and my chest felt like it was being crushed. I had overall lethargy and head congestion. I felt worse as the day went on and got a sore throat as well. I tested positive for COVID-19 and was prescribed PAXLOVID. I took 3 doses, but it made me throw up and the metal taste was horrible. I ran a fever for 9 days straight. Oxygen level was normal. The cough horrible. As of today, I have not regained my energy. On day 10 I had not fever and it has not returned. I still have the metal taste in my mouth as well.
Age: 60.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Feeling abnormal, Lethargy, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Saturday, March 25, 2023, I got really tired that afternoon and felt weird. Sunday, I woke up and my chest felt like it was being crushed. I had overall lethargy and head congestion. I felt worse as the day went on and got a sore throat as well. I tested positive for COVID-19 and was prescribed PAXLOVID. I took 3 doses, but it made me throw up and the metal taste was horrible. I ran a fever for 9 days straight. Oxygen level was normal. The cough horrible. As of today, I have not regained my energy. On day 10 I had not fever and it has not returned. I still have the metal taste in my mouth as well.
Age: 60.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Saturday, March 25, 2023, I got really tired that afternoon and felt weird. Sunday, I woke up and my chest felt like it was being crushed. I had overall lethargy and head congestion. I felt worse as the day went on and got a sore throat as well. I tested positive for COVID-19 and was prescribed PAXLOVID. I took 3 doses, but it made me throw up and the metal taste was horrible. I ran a fever for 9 days straight. Oxygen level was normal. The cough horrible. As of today, I have not regained my energy. On day 10 I had not fever and it has not returned. I still have the metal taste in my mouth as well.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure abnormal, COVID-19, Cardiac failure congestive, Colitis, Cough
Clinical narrative: retention of fluid, hypertension, vomiting, diarrhea, blood in stool, unable to urinate & abnormal ECG - DX with severe sepsis, tachycardia unspecified, hypokalemia & noninfective gastroenteritis & colitis. was in the hospital from 7/12/22 to 7/18/22 and discharged in fair condition.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Diarrhoea, Electrocardiogram abnormal, Fluid retention, Gastrointestinal inflammation
Clinical narrative: retention of fluid, hypertension, vomiting, diarrhea, blood in stool, unable to urinate & abnormal ECG - DX with severe sepsis, tachycardia unspecified, hypokalemia & noninfective gastroenteritis & colitis. was in the hospital from 7/12/22 to 7/18/22 and discharged in fair condition.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haematochezia, Hypertension, Hypokalaemia, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: retention of fluid, hypertension, vomiting, diarrhea, blood in stool, unable to urinate & abnormal ECG - DX with severe sepsis, tachycardia unspecified, hypokalemia & noninfective gastroenteritis & colitis. was in the hospital from 7/12/22 to 7/18/22 and discharged in fair condition.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sepsis, Tachycardia, Urinary retention, Vomiting
Clinical narrative: retention of fluid, hypertension, vomiting, diarrhea, blood in stool, unable to urinate & abnormal ECG - DX with severe sepsis, tachycardia unspecified, hypokalemia & noninfective gastroenteritis & colitis. was in the hospital from 7/12/22 to 7/18/22 and discharged in fair condition.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE GIVEN TO PATIENT. KINRIX EXPIRED  ON 5/7/23 VACCINE ADMINISTERED 5/8/23. NOT CAUGHT BY PHARMACY OR NURSING STAFF.
Age: 10.0
Sex: M
Vaccine: MNQ
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Menquad at age 10 instead of age 11
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Administered undiluted dosage, no symptoms reported during observation.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bladder cancer, Hypovolaemic shock, Syncope
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 9/12/2021 BLADDER CANCER, UNSPECIFIED SITE HYPOVOLEMIC SHOCK 9/12/2021 BLADDER CANCER, UNSPECIFIED SITE ACUTE HYPOXEMIC RESPIRATORY FAILURE 9/12/2021 BLADDER CANCER, UNSPECIFIED SITE HYPOVOLEMIC SHOCK 9/12/2021 BLADDER CANCER, UNSPECIFIED SITE ACUTE HYPOXEMIC RESPIRATORY FAILURE 9/12/2021 SYNCOPE HYPOVOLEMIC SHOCK 9/12/2021 SYNCOPE
Age: 0.58
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient present for 2nd dose of infant bivalent moderna. The wrong vial was used and patient recived  a lower dose of vaccine then what was recommended. Patient received 10mcg of bivalent moderna instead of 25mcg dose
Age: 0.83
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient had previously received one dose of Moderna Monovalent COVID-19 vaccine on 4/13/23. Patient returned to office today to receive second dose in series. Patient was given Moderna Bivalent (6m-5y)-PF COVID-19 booster (dark pink cap/yellow label) 0.2 mL. Upon reviewing the updated recommendations, patient should have received the Moderna Bivalent (blue cap/gray label) 0.25 mL. Our provider, Dr., contacted Moderna to determine the correct next steps. Since patient was under-dosed, Moderna recommended patient come back into office (same day) to receive the correct Moderna Bivalent dose (blue cap/gray label). Contacted mother, informed her of situation, and patient came in today to receive the correct dose. No adverse reactions reported by mother.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Hypotension, Pulmonary embolism
Clinical narrative: I26.99 ACUTE PULMONARY EMBOLISM 12/22/2021 COVID-19 PNEUMONIA I95.9 HYPOTENSION 12/22/2021 COVID-19 PNEUMONIA J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/22/2021 COVID-19 PNEUMONIA
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: Moderna vaccine was administered - reported by patient ? NO LOT NUMBER WERE SUPPLIED  HYPOXIA 7/9/2022 HYPOXIA
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac failure acute, Hypotension, Left ventricular failure
Clinical narrative: I95.9 HYPOTENSION 5/26/2021 DIASTOLIC HEART FAILURE, ACUTE ON CHRONIC I95.9 HYPOTENSION 5/26/2021 ATRIAL FIBRILLATION, UNSPECIFIED
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure
Clinical narrative: J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/29/2022 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/29/2022 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 44.0
Sex: M
Vaccine: TYP
Symptoms: Allergy to vaccine, Flushing, Hypersensitivity, Pruritus, Throat clearing
Clinical narrative: Approximately around 10:10am, patient was screen for contraindication, and stated that he had allergic reaction to Covid Bivalent vaccine. Patient stated that he had mild itchiness and broke out in hive. He was given Benadryl but unsure of the dosage. Other than allergic reaction to Covid 19  Bivalent vaccine (Moderna) patient has no known history of allergies.  10:20am, patient received typhoid vaccine to left deltoid 1mL. Given history to previous reaction to Covid 19, patient is aware that he will be kept for 15 minutes observation. Approximately, about 10:25 patient began scratching his head. LVN observed that the patient was clearing his throat and ask if he was alright. LVN also noted that the patient face was flush. Patient show no sign of difficulty breathing nor urticaria. 10:27 patient stated that he felt itchy and asked for Benadryl. Diphenhydramine 25mg capsule was given orally.  10:30am patient stated that he felt better and wanted to leave. However, LVN kept patient for another 10 minutes observation. 10:40 patient left the exam room ambulating independently, alert and oriented with no sign of distress.
Age: 44.0
Sex: M
Vaccine: TYP
Symptoms: Urticaria
Clinical narrative: Approximately around 10:10am, patient was screen for contraindication, and stated that he had allergic reaction to Covid Bivalent vaccine. Patient stated that he had mild itchiness and broke out in hive. He was given Benadryl but unsure of the dosage. Other than allergic reaction to Covid 19  Bivalent vaccine (Moderna) patient has no known history of allergies.  10:20am, patient received typhoid vaccine to left deltoid 1mL. Given history to previous reaction to Covid 19, patient is aware that he will be kept for 15 minutes observation. Approximately, about 10:25 patient began scratching his head. LVN observed that the patient was clearing his throat and ask if he was alright. LVN also noted that the patient face was flush. Patient show no sign of difficulty breathing nor urticaria. 10:27 patient stated that he felt itchy and asked for Benadryl. Diphenhydramine 25mg capsule was given orally.  10:30am patient stated that he felt better and wanted to leave. However, LVN kept patient for another 10 minutes observation. 10:40 patient left the exam room ambulating independently, alert and oriented with no sign of distress.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event
Clinical narrative: No signs of any distressed symptoms.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Urticaria
Clinical narrative: Pt starting experiencing hives through out the body following 24 hours after vaccination. She had also experience elevated heart rate 140 thereafter.  Pt was seen in clinic and was giving saline and has since been stable.  Prior to that, she had taking benadryl along with ibuprofen/tylenol .
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient had no known adverse events, he was given an adult dose 1ML and is 13 years old. He should have been given the 0.5ML dose.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Lung adenocarcinoma
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/18/2022 ADENOCARCINOMA, LEFT LUNG UPPER LOBE
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Diabetic nephropathy
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 9/22/2021 DM 2 W RENAL MANIFESTATION
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Gastrooesophageal reflux disease, Respiratory failure
Clinical narrative: J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 12/23/2021 GERD (GASTROESOPHAGEAL REFLUX DISEASE) J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 12/23/2021 CHRONIC HYPOXEMIC RESPIRATORY FAILURE