chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: MMR
Symptoms: Rubella antibody negative
Clinical narrative: low rubella titer; This spontaneous report has been received from a nurse referring to a 25-years-old male patient. The patient's pertinent medical history, concomitant therapies, and previous drug reactions or allergies were not reported.  On 01-DEC-1997 and 01-MAR-2002, the patient was vaccinated with the first and second doses of measles, mumps, and rubella (wistar RA 27-3) virus vaccine, live (M-M-R II) for prophylaxis (therapy type, dose, vaccination scheme, route of administration, anatomical location of vaccination, lot number, and expiration date were not reported).   Since an unspecified date, the patient had a low rubella titer (rubella antibody negative). The patient's measles and mumps titer were within normal limits.  The outcome of rubella antibody negative was reported as not resolved. The nurse causality assessment was not provided between the measles, mumps, and rubella (wistar RA 27-3) virus vaccine, live (M-M-R II), and rubella antibody negative.
Age: 54.0
Sex: U
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: an expired MMR II was given to a patient; This spontaneous report was received from a registered nurse referring to a 54-year-old patient of unreported gender. The patient's pertinent medical history, concomitant therapies, and previous drug reactions or allergies were not reported.  On 07-DEC-2021, the patient was vaccinated with one dose of expired measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (rHA) (M-M-R II) for prophylaxis (expired product administered) (lot number S037502 has been verified to be a valid lot number, the expiration date was reported and established as 04-DEC-2021; dose number, vaccination scheme frequency, route of administration and anatomical site of vaccination were not reported).   No temperature excursion was reported.
Sex: U
Vaccine: VARZOS
Symptoms: Expired product administered
Clinical narrative: received a dose of expired Shingrix; This case was reported by a pharmacist via call center representative and described the occurrence of expired vaccine used in a patient who received Herpes zoster (Shingrix) (batch number unknown, expiry date 26th November 2021) for prophylaxis.   On 7th December 2021, the patient received Shingrix. On 7th December 2021, unknown after receiving Shingrix, the patient experienced expired vaccine used. On an unknown date, the outcome of the expired vaccine used was unknown.  Additional details were reported as follows: Age at vaccination was not reported. The patient received an expired dose of Shingrix on 7th December 2021, which led to expired vaccine used. The health care professional was not in the pharmacy to provide patient's information, lot number or further details. The patient consented to follow up. This was 1 of the 3 cases reported by the same reporter.; Sender's Comments:  US-GLAXOSMITHKLINE-US2021AMR252431:same reporter US-GLAXOSMITHKLINE-US2021252024:same reporter
Sex: F
Vaccine: UNK, UNK, VARZOS
Symptoms: Herpes zoster, Vaccination failure
Clinical narrative: case of shingles. Pt has received Shingrix vaccines/suspected vaccination failure; shingles; This case was reported by a other health professional via sales rep and described the occurrence of suspected vaccination failure in a 91-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included mepolizumab (Nucala) solution for injection for product used for unknown indication and prednisone for product used for unknown indication.   On an unknown date, the patient received Shingrix, Nucala 100 mg at an unknown frequency and prednisone at an unknown dose and frequency. On an unknown date, unknown after receiving Shingrix and Nucala, the patient experienced vaccination failure (serious criteria GSK medically significant) and shingles. The action taken with Nucala was unknown. The action taken with prednisone was unknown. On an unknown date, the outcome of the vaccination failure was unknown and the outcome of the shingles was recovered/resolved.   It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingrix. It was unknown if the reporter considered the shingles to be related to Nucala.  Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix vaccines and timeline of Shingrix vaccine unknown.  The patient developed case of shingles while on Nucala 100 mg and Prednisone. No updated status available for patient. The patient's history part and demographics were unknown. It was unknown if the reporter considered the shingles to be related to Prednisone. The reporter consented to follow up. This case was considered as suspected vaccination failure as details regarding the time to onset and laboratory test confirming shingles for shingles were unknown at the time of reporting. This case had been linked with US2021AMR252583 for 2nd occurrence of shingles, reported by same reporter.; Sender's Comments:  US-GLAXOSMITHKLINE-US2021AMR252583:same patient, 2nd outbreak
Sex: U
Vaccine: COVID19
Symptoms: Death
Clinical narrative: DIED; This spontaneous report received from a consumer via social media via company representative concerned 5 patients of unspecified sex, age, race and ethnic origin. The patient's height, and weight were not reported. The patients were healthy.  The patient received Covid-19 vaccine ad26.cov2.s (series 1) (suspension for injection, route of admin not reported, batch number: unknown and expiry: unknown) dose, start therapy date were not reported, 1 total administered for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported.  On an unspecified date, the reporter stated that, "Tell it to the families of the five healthy people we know of personally that have died within 48 hours of your Johnson and Johnson Jab." On an unspecified date, the patients died from unknown cause of death. It was unknown if autopsy was performed. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patients died from unknown cause of death. This report was serious (Death).; Sender's Comments: V0-20211222684- covid-19 vaccine ad26.cov2.s -Died. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s); Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH
Sex: U
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Heart rate increased, Pain of skin
Clinical narrative: FAST HEART RATE; OCCASIONAL LIGHT STOMACH PAIN; HORRIBLE SKIN PAIN; SEVERE JOINT ACHES IN BODY; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 08-DEC-2021 for prophylactic vaccination (series 1).The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported.  On 08-DEC-2021, the patient experienced fast heart rate. On 08-DEC-2021, the patient experienced severe joint aches in body. On 08-DEC-2021, the patient experienced occasional light stomach pain. On 08-DEC-2021, the patient experienced horrible skin pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from occasional light stomach pain, and the outcome of fast heart rate, severe joint aches in body and horrible skin pain was not reported. This report was non-serious.
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: BODY ACHES; CHILLS; SORE ARM; HEADACHES; TIREDNESS; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 08-DEC-2021 for prophylactic vaccination (series 1). The batch number was not reported and has been requested. No concomitant medications were reported.  On 09-DEC-2021, the patient experienced body aches. On 09-DEC-2021, the patient experienced chills. On 09-DEC-2021, the patient experienced sore arm. On 09-DEC-2021, the patient experienced headaches. On 09-DEC-2021, the patient experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills, body aches, headaches, sore arm, and tiredness. This report was non-serious.
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pruritus, Vaccination site swelling
Clinical narrative: ITCHY ARM WHERE THE SHOT WAS TAKEN; SWOLLEN ARM WHERE THE SHOT WAS TAKEN; This spontaneous report received from a patient concerned a 37 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included: sinusitis, anemia, urticaria, and chronic migraine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 208A21A expiry: UNKNOWN) dose was not reported, administered on 24-JUN-2021 for prophylactic vaccination (series 1). Concomitant medications included iron for anemia, and cetirizine hydrochloride for drug used for unknown indication.  On 09-DEC-2021, the patient experienced itchy arm where the shot was taken. On 09-DEC-2021, the patient experienced swollen arm where the shot was taken. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from swollen arm where the shot was taken, and itchy arm where the shot was taken. This report was non-serious.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Delayed urticaria (itching, hives) that lasted about a month, body remains itchy on occasion but hives rare now.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Diarrhoea, Fatigue
Clinical narrative: Injection site pain, sore arm, fatigue after about 4 to 5 hours, getting worse through the night. I took 2 doses of ibuprofen, one at start and another 4 to 5 hours layer before bed. At 4 am I woke up with stomach pain and nausea. Eventually began vomiting and had diarrhea. Muscle aches, chills, headache, and joint pain followed shortly after.  Effects still continuing
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Nausea, Pain in extremity
Clinical narrative: Injection site pain, sore arm, fatigue after about 4 to 5 hours, getting worse through the night. I took 2 doses of ibuprofen, one at start and another 4 to 5 hours layer before bed. At 4 am I woke up with stomach pain and nausea. Eventually began vomiting and had diarrhea. Muscle aches, chills, headache, and joint pain followed shortly after.  Effects still continuing
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Injection site pain, sore arm, fatigue after about 4 to 5 hours, getting worse through the night. I took 2 doses of ibuprofen, one at start and another 4 to 5 hours layer before bed. At 4 am I woke up with stomach pain and nausea. Eventually began vomiting and had diarrhea. Muscle aches, chills, headache, and joint pain followed shortly after.  Effects still continuing
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: patient fainted upon standing after administration of vaccine at 5:50 pm on 12/12/21. 911 was immediately called, patient regained consciousness in less than a minute. was alert and oriented to time place and person, but refused to go to the hospital with the EMT once they arrived.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: patient fainted upon standing after administration of vaccine at 5:50 pm on 12/12/21. 911 was immediately called, patient regained consciousness in less than a minute. was alert and oriented to time place and person, but refused to go to the hospital with the EMT once they arrived.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: Patient fainted at approximately 5:50pm likely due to fear of needles
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Syncope
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: Patient fainted at approximately 5:50pm likely due to fear of needles
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Scratch, Urticaria
Clinical narrative: Urticaria , welting after scratching all over. Arms legs, palms, chest, abdomen, back, soles of feet.  Different spots at different times.  Taking Zyrtec day and Benadryl at night helps but this has been ongoing
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus, Vaccination site reaction
Clinical narrative: Tinnitus  and  feeling of ear being blocked mostly in left ear.   COVID  arm
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Lymphadenopathy, Pain
Clinical narrative: Normal reactions were elevated temp 100.6, headache and body aches.   Abnormal reaction, swollen lymph node under right arm.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Bradykinesia, Chills, Extra dose administered, Fatigue, Headache
Clinical narrative: Previous Vaccine: Both Pfizer (Little side effects) - decided to get Moderna Booster  12/11/21 - 7:00 p.m. | 11 hours after Moderna Booster - Chills and fatigue. 12/12/21 - 5:00 a.m. | 21 hours after Moderna Booster -  Chills, Sweats, Aching, and headache.  Serious pain at the injection site - muscles very sore - I did move the shoulder a lot during the day but it didn't seem to reduce the ache.  - took some Ibuprophen and it improved as the day progressed.  12/12/21 - 7:00 p.m. | 1d + 11hours after Moderna Booster - Chills returned and very fatigued.  took 2 more Ibuprophen and went to bed. 12/13/21 - 3:30 a.m | 1d + 21.5hrs after Moderna Booster - Serious sweats, chills, slow to get going.  Shoulder still very sore.  Took 2 more Ibuprophen.  Tried to go back to bed but couldn't 12/13/21 - 5:00 a.m. - trying to go to work, sweating a lot.  Hoping that issues mellow out as the day progresses.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Impaired work ability, Injection site pain, Myalgia, Pain
Clinical narrative: Previous Vaccine: Both Pfizer (Little side effects) - decided to get Moderna Booster  12/11/21 - 7:00 p.m. | 11 hours after Moderna Booster - Chills and fatigue. 12/12/21 - 5:00 a.m. | 21 hours after Moderna Booster -  Chills, Sweats, Aching, and headache.  Serious pain at the injection site - muscles very sore - I did move the shoulder a lot during the day but it didn't seem to reduce the ache.  - took some Ibuprophen and it improved as the day progressed.  12/12/21 - 7:00 p.m. | 1d + 11hours after Moderna Booster - Chills returned and very fatigued.  took 2 more Ibuprophen and went to bed. 12/13/21 - 3:30 a.m | 1d + 21.5hrs after Moderna Booster - Serious sweats, chills, slow to get going.  Shoulder still very sore.  Took 2 more Ibuprophen.  Tried to go back to bed but couldn't 12/13/21 - 5:00 a.m. - trying to go to work, sweating a lot.  Hoping that issues mellow out as the day progresses.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness neurosensory, Tinnitus
Clinical narrative: Patient reports developing tinnitus after receiving covid vaccine although she is unsure of exact timing. The date entered is an estimate. States that symptom has been increasing and provider suspects sensorineural hearing loss.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Influenza like illness, Nausea
Clinical narrative: Mild flue-like symptoms for about 15 hours. Dizziness,  fatigue and nauseous. I feel fine now.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient waited 15 minutes. No reaction noted during wait time.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus was mild and has worsened.  Attempting to do various exercises to remedy as well as starting to take herbal anti-inflammatory to see if it will help.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, body aches, fatigue, headache, chills
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: Underarm and lower neck are swollen and painful on the side shot was administered; running fever and chills for 24 hours so far, general joint aches
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Dizziness, Fall, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: When patient went to stand up she fell and had the paramedics called. She bruised the side that she fell on.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: fainted for less than 30 seconds and regained consciousness. Called ambulance but patient did not get on ambulance. sat for 30 mins next to the pharmacy before leaving.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Cardiac flutter, Chest discomfort, Chest pain, Chills
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Lymph Node Swelling-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Severe, Additional Details: Stated received Moderna for 1st and 2nd dose and pfizer for the booster. pt reported having flutter, tachycardia,lymp node imflammation and pain, has large red and inflammed brused at the site of injection,feel warn to touch 24hours after vaccination.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Flushing, Hyperhidrosis, Hyperventilation
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Lymph Node Swelling-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Severe, Additional Details: Stated received Moderna for 1st and 2nd dose and pfizer for the booster. pt reported having flutter, tachycardia,lymp node imflammation and pain, has large red and inflammed brused at the site of injection,feel warn to touch 24hours after vaccination.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth, Lethargy
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Lymph Node Swelling-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Severe, Additional Details: Stated received Moderna for 1st and 2nd dose and pfizer for the booster. pt reported having flutter, tachycardia,lymp node imflammation and pain, has large red and inflammed brused at the site of injection,feel warn to touch 24hours after vaccination.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Rash, Tachycardia, Tremor
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Lymph Node Swelling-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Severe, Additional Details: Stated received Moderna for 1st and 2nd dose and pfizer for the booster. pt reported having flutter, tachycardia,lymp node imflammation and pain, has large red and inflammed brused at the site of injection,feel warn to touch 24hours after vaccination.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness postural, Vertigo
Clinical narrative: Vertigo. Every morning. To dizzy tk stand
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cyst, Mammogram abnormal, Ultrasound breast
Clinical narrative: Multiple cysts in right breast and left foot.  11/03 initial consult with primary care for referral for mammo, 11/16 initial mammo,   11/24 letter from radiography to come in for another mammo and ultrasound due to abnormalities found,  11/30 referral from  primary care to get the mammo and ultrasound sent to radiographer.    12/08/21 ultrasound at radiology.  12/10 results given.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Muscle fatigue
Clinical narrative: More persistent asthma symptoms  Muscle fatigue
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Headache, Hypoaesthesia, Muscle spasms, Palpitations
Clinical narrative: headache,heart palpitation,chest pain,left side of my face has numbness,muscle cramsp in my legs,tingling in my hands and feet
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: headache,heart palpitation,chest pain,left side of my face has numbness,muscle cramsp in my legs,tingling in my hands and feet
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Dyskinesia, Sleep disorder
Clinical narrative: Involuntary movements in the legs and in the back of the head, sometimes these movements prevent me from being able to sleep.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood lactate dehydrogenase increased, C-reactive protein increased, COVID-19, Chest X-ray abnormal
Clinical narrative: 81-year-old female with a PMH significant for atrial fibrillation on Eliquis, hypertension, hypothyroidism who presented to the ER for evaluation of a BAM infusion. Vaccinated with Moderna x2 doses. Reportedly she tested positive last Friday with onset of symptoms Thursday with fevers/HA/SOB with productive cough, chest pain "some nights" intermittently with weakness. In the ER, her O2 sat was 90 % on RA, BP 99/76 for which she given IVF bolus. CXR was significant for small RLL infiltrate. Labs with elevated CRP and LDH. She is admitted to medical for further management.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Headache, Lung infiltration, Productive cough
Clinical narrative: 81-year-old female with a PMH significant for atrial fibrillation on Eliquis, hypertension, hypothyroidism who presented to the ER for evaluation of a BAM infusion. Vaccinated with Moderna x2 doses. Reportedly she tested positive last Friday with onset of symptoms Thursday with fevers/HA/SOB with productive cough, chest pain "some nights" intermittently with weakness. In the ER, her O2 sat was 90 % on RA, BP 99/76 for which she given IVF bolus. CXR was significant for small RLL infiltrate. Labs with elevated CRP and LDH. She is admitted to medical for further management.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 81-year-old female with a PMH significant for atrial fibrillation on Eliquis, hypertension, hypothyroidism who presented to the ER for evaluation of a BAM infusion. Vaccinated with Moderna x2 doses. Reportedly she tested positive last Friday with onset of symptoms Thursday with fevers/HA/SOB with productive cough, chest pain "some nights" intermittently with weakness. In the ER, her O2 sat was 90 % on RA, BP 99/76 for which she given IVF bolus. CXR was significant for small RLL infiltrate. Labs with elevated CRP and LDH. She is admitted to medical for further management.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Pyrexia
Clinical narrative: Fever 102 for more than 24 hours, slight cough, heaviness in chest
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bladder dysfunction, Dysstasia, Mobility decreased
Clinical narrative: Started feeling weak at bedtime- woke up- could not move my legs- lost bladder function- had no ability to help myself entire day on 12/12- was able to stand with assistance around 9pm- still very weak in 12/13- when I had 2nd dose- lost function in right leg- took 12 hours before it worked- did not go to Dr or ER- Wanted to wait and see what happened
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Diarrhoea, Hypokalaemia
Clinical narrative: Covid vaccine monitoring documentation: Admitted primary diagnoses Hypoxic with covid-19 pneumonia upper lobe pneumonia, diarrhea, hypokalemia, weakness. POC SARS COV2 ANTIGEN POS 11/30/21. Moderna dose 1 given 5/26/21 Lot 033C21A. Dose 2 Moderna given 6/21/21 Lot 047C21A. PT discharged to nursing home 12/7/21.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Covid vaccine monitoring documentation: Admitted primary diagnoses Hypoxic with covid-19 pneumonia upper lobe pneumonia, diarrhea, hypokalemia, weakness. POC SARS COV2 ANTIGEN POS 11/30/21. Moderna dose 1 given 5/26/21 Lot 033C21A. Dose 2 Moderna given 6/21/21 Lot 047C21A. PT discharged to nursing home 12/7/21.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Fatigue, Migraine, Myalgia
Clinical narrative: Migraine, extreme fatigue, nausea, unusually sore muscles generating from injection shot and moving through underarm, shoulder to chest.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: Migraine, extreme fatigue, nausea, unusually sore muscles generating from injection shot and moving through underarm, shoulder to chest.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site swelling, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: First reaction vomiting around 2 hours later, Arm Pain swollen in injected area, fever and articular pain
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: Splitting headache. Mild headache at midnight the day/night after, pounding headache morning after Moderately sore arm
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swelling of lymph nodes in left armpit
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient is 12 years old.  On 12/11/21 patient presented vaccination card for second vaccine of Pfizer.  On vaccine card is was noted that on 11/20/21, patient received pediatric Pfizer covid vaccine.  After professional medical consultation it was determined to complete the vaccination series with the pediatric dose.  Therefore, patient received second dose on 12/11/21 as the pediatric formulation.  There was no adverse affect,
Age: 80.0
Sex: M
Vaccine: FLU4
Symptoms: H3N2 influenza, Influenza virus test positive
Clinical narrative: Admit with PCR confirmed Influenza aH3
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Cardiac monitoring normal, Cardiac stress test, Echocardiogram, Exercise tolerance decreased, Pericarditis
Clinical narrative: SM developed a pericarditis with cyclic fevers and exercise intolerance treated with rest and NSAIDs. 14 day cardiac monitoring has been unremarkable as has stress test and echo. Cardiac MRI is pending. Symptoms began about 2 days after vaccination and improved after 6 weeks and by 3 months have nearly completely resolved.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: SM developed a pericarditis with cyclic fevers and exercise intolerance treated with rest and NSAIDs. 14 day cardiac monitoring has been unremarkable as has stress test and echo. Cardiac MRI is pending. Symptoms began about 2 days after vaccination and improved after 6 weeks and by 3 months have nearly completely resolved.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was given the pediatric dose of Pfizer instead of adult dose for 12 and up.  There were no adverse outcomes.  At this time no action needs to be taken.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Limb discomfort, Lymph node pain, Lymphadenopathy, Pain
Clinical narrative: The next day, in the evening, on my right arm, I felt like I had been bitten by something. I look and I had raised hives around the injection site. I also noticed more soreness. earlier in the evening I felt that my lymph nodes or thyroid was reacting to something.  I was falling asleep and not thinking about this injection. The hives made me look at them,  The hives went away the next morning. Again, later in the evening my thyroid or lymph nodes on my neck felt funny. I  didnt think anything of it. Was watching TV and fell asleep. Again around 10PM, it felt like a bug bite, and started itching. Again my should welled with the hives. I chose not to take my thyroid medication the next day. I felt toward evening again a little soreness around my thyroid or lymph nodes in neck. However, the hives did not occur that night when I did not take the thyroid medication. I took the medication this morning. I will see if the hives come back.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Thyroid disorder
Clinical narrative: The next day, in the evening, on my right arm, I felt like I had been bitten by something. I look and I had raised hives around the injection site. I also noticed more soreness. earlier in the evening I felt that my lymph nodes or thyroid was reacting to something.  I was falling asleep and not thinking about this injection. The hives made me look at them,  The hives went away the next morning. Again, later in the evening my thyroid or lymph nodes on my neck felt funny. I  didnt think anything of it. Was watching TV and fell asleep. Again around 10PM, it felt like a bug bite, and started itching. Again my should welled with the hives. I chose not to take my thyroid medication the next day. I felt toward evening again a little soreness around my thyroid or lymph nodes in neck. However, the hives did not occur that night when I did not take the thyroid medication. I took the medication this morning. I will see if the hives come back.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient  had recently turned 12 and was given a Pediatric dose at an elementary school clinic.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 15 year old patient wasn't eligible for 3rd dose, but received the vaccination.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Rash macular, Vomiting
Clinical narrative: Vomiting, blotchy skin rash, swollen lips
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Heart rate increased, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Directly after the shot and for the next three days a sore arm was observed.  The day after the shot was administered the patient had a black out event while in a seated position. No high exertion or exercise was occurring before or during the event. While seated and speaking to another individual the patient experienced cold sweats, rapid heart rate, which was immediately followed by a blackout and nausea. The rest of day and the day following, the patient continued to experience nausea and dizziness.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: Directly after the shot and for the next three days a sore arm was observed.  The day after the shot was administered the patient had a black out event while in a seated position. No high exertion or exercise was occurring before or during the event. While seated and speaking to another individual the patient experienced cold sweats, rapid heart rate, which was immediately followed by a blackout and nausea. The rest of day and the day following, the patient continued to experience nausea and dizziness.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Pain, Pyrexia
Clinical narrative: 75 y/o female presents with being sick for 7 days. c/o fever cough and bodyache. NO
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: 75 y/o female presents with being sick for 7 days. c/o fever cough and bodyache. NO
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Prostate cancer, Weight decreased
Clinical narrative: admitted after cough for 3 weeks, 20lb weightloss also has prostate cancer.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity, Tenderness
Clinical narrative: Headache that started close to 12 hours after booster shot. Pain in my left arm started during the night Saturday and is a little tender this Monday morning.  Woke up Sunday morning with the headache worse, feeling exhausted (lasted all day) and horrible body aches. It lasted until over night Sunday night and I seem to be feeling better today.(12/12/21 @ 8:45am)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cough, Electrocardiogram normal, Heart rate increased, Throat irritation
Clinical narrative: WITHIN ABOUT 16 HOURS I WOKE UP WITH A HEART RATE OF 122 BPM (I WEAR A FITBIT WATCH TO SLEEP).  OVER THE COURSE OF THE NEXT 24 HOURS MY HEART RATE RANGED BETWEEN 99-125 BMP AND MY BLOOD PRESSURE READING WAS 140/95.  I WENT TO THE DOCTOR THE FOLLOWING DAY (DEC. 9) AND WAS SEEN, RECEIVED AN ECG WHICH WAS NORMAL AND WAS TOLD TO MONITOR THE HEART RATE.  BY THE MORNING OF DEC. 10 (APPROX 48 HOURS AFTER 2ND DOSE) MY BPM WERE AVERAGING 85-90 AND 70'S DURING RESTING.  IT IS NOW 5 DAYS POST VACCINE AND HEART RATE APPEARS TO BE MORE OF MY NORMAL RANGE WITH AN OCCASIONAL INCREASE, HOWEVER, I AM NOW EXPERIENCING A BURNING SENSATION IN THE BACK OF MY THROAT ALONG WITH A DRY PAINFUL COUGH.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache
Clinical narrative: -Severe headache that felt like my brain was exploding out the top of my skull.  Over the counter pain medication did not help with the pain.  Headache was ongoing for over a week after injection.  -Severe widespread joint pain.  This lasted for weeks after the injection.  I continue to have some joint pain lingering in my hands.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Extrasystoles, Myocarditis, Troponin
Clinical narrative: myocarditis with troponin leak and EKG abnormalities and ectopy,  MRI scheduled
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid +; hospitalized; supplemental oxygen and remdesivir.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives so bad. Everywhere.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Covid vaccine monitoring documentation.  PT admitted 11/26/21 ? 11/30/21. POC SARS COV2 ANTIGEN POS 11/30/21. PT received dose 1 Moderna 2/4/21 Lot 013M20A. Dose 2 Moderna on 3/4/21 Lot 030M20A. PT currently admitted. PT documented to have covid-19 pneumonia with escalating oxygen requirements.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Eye irritation, Fatigue, Headache
Clinical narrative: 12 HOURS LATER, I STARTED TO HAVE A HEADACHE, CHILLS, FEVER, BURNING EYES, COUGH. I WAS SWEATING TOO.  IT LASTED UNTIL SUNDAY 12TH AT NIGHT. MY BODY IS EXHAUSTED.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pyrexia
Clinical narrative: 12 HOURS LATER, I STARTED TO HAVE A HEADACHE, CHILLS, FEVER, BURNING EYES, COUGH. I WAS SWEATING TOO.  IT LASTED UNTIL SUNDAY 12TH AT NIGHT. MY BODY IS EXHAUSTED.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Hypoaesthesia, Muscle spasms, Myalgia
Clinical narrative: Within a half hour of receiving the vaccine, I experienced severe cramping in my right forearm at the elbow joint. Also some numbness in the right calf. This is in addition to the expected headache and feeling like I was run over by a truck that evening through the night. Muscle aches over my entire body.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Nasal congestion, Pain
Clinical narrative: NASAL CONGESTION, CHEST CONGESTION, COUGH, BODY ACHES, DIARRHEA
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: NASAL CONGESTION, CHEST CONGESTION, COUGH, BODY ACHES, DIARRHEA
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oral herpes, Pyrexia
Clinical narrative: I started 4 hours after the second vaccine I had a fever as high as 103. It lasted 12 hours I did take a Tylenol. I was also tired from not sleeping. About 2 weeks after the vaccine, I started to get cold sores. I called my doctor after having 3 cold sores. I did have shingles after I had COVID. I was having cold sores for a few months. My doctor did prescribe Valtrex for the cold sores. I haven't had any I a few months.
Age: 65.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Deafness unilateral, Physical examination
Clinical narrative: Hearing loss in L ear
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Chills, Joint stiffness, Musculoskeletal stiffness
Clinical narrative: Chills, body aches, severe bone and joint pain and stiffness.  Chills and body aches 12 to 16 hours. Bone and joint pain and joint stiffness 24+ (still present). Pain reduced with homeopathic anti-inflammatory supplement. Stiffness still present especially in hands and shoulders, with mild pain since using the supplement. Bone pain in arms and back also reduced with supplement.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Chills, body aches, severe bone and joint pain and stiffness.  Chills and body aches 12 to 16 hours. Bone and joint pain and joint stiffness 24+ (still present). Pain reduced with homeopathic anti-inflammatory supplement. Stiffness still present especially in hands and shoulders, with mild pain since using the supplement. Bone pain in arms and back also reduced with supplement.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: admitted with COVID
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives, noted in face, scalp, hands, knees, feet.  Currently treated with steroids and anti-histamines for 4 days, with mild improvement.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Fatigue, Lymphadenopathy, Pain in extremity
Clinical narrative: The next morning after the vaccine I had significant pain in my arm where the injection was and my arm continued to be sore for 2 months. It would keep me up at night. My chest was also sore and I had extreme fatigue, swollen lymph nodes through shoulder and armpit. I started doing acupuncture and massage to help with the pain.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Effusion, Interchange of vaccine products, Lymphadenopathy, Tinnitus
Clinical narrative: received moderna booster 12/9 (initial vaccine was Jannsen), 12/10 developed left sided cervical lymph node enlargement and tinnitus in right ear, symptoms resolving, small effusion on right TM- did have allergic rhinitis a few weeks ago, no fevers or dizziness
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest X-ray, Dyspnoea, Electrocardiogram, Heart rate increased
Clinical narrative: 10 days later, I developed generalized uticaria-type rash. Painful, itching. I developed swelling to joints, and pain. I developed throat pain and Shortness of breath. My HR was fast, at 150. I had to be hospitalized and placed on IV Solumedrol and Benadryl for 4 days.  I was then discharged on Oral Prednisone, Atarax, and Singulair.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Laboratory test, Oropharyngeal pain, Rash, Rash pruritic
Clinical narrative: 10 days later, I developed generalized uticaria-type rash. Painful, itching. I developed swelling to joints, and pain. I developed throat pain and Shortness of breath. My HR was fast, at 150. I had to be hospitalized and placed on IV Solumedrol and Benadryl for 4 days.  I was then discharged on Oral Prednisone, Atarax, and Singulair.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 10 days later, I developed generalized uticaria-type rash. Painful, itching. I developed swelling to joints, and pain. I developed throat pain and Shortness of breath. My HR was fast, at 150. I had to be hospitalized and placed on IV Solumedrol and Benadryl for 4 days.  I was then discharged on Oral Prednisone, Atarax, and Singulair.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid after being fully vaccinated
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Pruritus, Scab
Clinical narrative: Developed Shingles under right arm.  First noticed when going to bed at approximately 10 pm after receiving the shot earlier in the day. I had 4 quarter size spots.  Went to the listed doctor the next day and was prescribed Valacyclovir for 7 days. They scabbed over after approximately 6 days.  Minor itching and burning pain to this day 12 days later.  The 4 spots are still visible 12 days later but have scabbed over.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Muscle spasms
Clinical narrative: pt reported 24 hours post booster spasms,limited range of motion.Pt took aleve and advil used voltaren no relief. Assured patient that the vaccination site was not near the shoulder when given but to seek physicians help.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, COVID-19, Cough, Faeces soft, Pyrexia
Clinical narrative: pt is a 67 yo f who has been having fever cough x 5 d . she tested pos covid 12/5 as well as other family members ,Pt id ESRD on H/D bt did not get her H/D since Wednesday . She denies nausea vomit but had few bouts of soft BM , No blood No Recent travel . Had Moderna x 2 doses vaccine ,FBS around 110 IN E patient had o2 sats in mid 80s .
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt is a 67 yo f who has been having fever cough x 5 d . she tested pos covid 12/5 as well as other family members ,Pt id ESRD on H/D bt did not get her H/D since Wednesday . She denies nausea vomit but had few bouts of soft BM , No blood No Recent travel . Had Moderna x 2 doses vaccine ,FBS around 110 IN E patient had o2 sats in mid 80s .
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Angiogram pulmonary abnormal, Anosmia, Asthenia, COVID-19
Clinical narrative: This is a 70-year-old male with PMH of DM and HTN presents to the ED for evaluation of shortness of breath. Patient reports that he had COVID-19 symptoms for approximately 2 weeks ago and was tested positive for COVID-19 last week. Patient reports he still feels short of breath on exertion, mild loss of taste and smell, weakness and fatigue. Patient reports he was vaccinated with the J&J in June 2021. Patient reports he is more concerned now because he has persisted short of breath and not getting any better. In the ED, patient was given 6 mg of Decadron IV. Patient is currently saturating 97 98% on room air and appears mild short of breath on exertion. CTA shows extensive bilateral pulmonary infiltrates Patient denies any chest pain, dizziness, lightheadedness, palpitations, nausea, vomiting, diarrhea, fever and chills.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fatigue, Lung infiltration, Malaise
Clinical narrative: This is a 70-year-old male with PMH of DM and HTN presents to the ED for evaluation of shortness of breath. Patient reports that he had COVID-19 symptoms for approximately 2 weeks ago and was tested positive for COVID-19 last week. Patient reports he still feels short of breath on exertion, mild loss of taste and smell, weakness and fatigue. Patient reports he was vaccinated with the J&J in June 2021. Patient reports he is more concerned now because he has persisted short of breath and not getting any better. In the ED, patient was given 6 mg of Decadron IV. Patient is currently saturating 97 98% on room air and appears mild short of breath on exertion. CTA shows extensive bilateral pulmonary infiltrates Patient denies any chest pain, dizziness, lightheadedness, palpitations, nausea, vomiting, diarrhea, fever and chills.