chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, Urinary sediment present, Urine analysis abnormal, X-ray limb abnormal
Clinical narrative: Hospitalized 10/19/2021; COVID-19 positive 10/19/2021; fully vaccinated  HISTORY OF PRESENT ILLNESS: PT is a 62 y.o. female who presents today with not feeling well with shortness of breath and feeling sick. Her husband had covid and he is recovering now. Has chest pain with cough. No abdominal pain. She has had diarrhea. Her symptoms started on last Wednesday. No leg swelling. She recently had left foot fracture. CT angio was negative for PE. She has type 2 DM as well.  ASSESSMENT / PLAN: # Acute hypoxic respiratory failure: # Covid 19 pneumonia:     - Decadron and remdesevir as symptoms are ongoing for 5 days     - fully vaccinated     - not a candidate for MAB due to hypoxia     - continuous pulse ox 10/22/2012 note: CHIEF COMPLAINT: Hypoxia ASSESSMENT / PLAN: Acute hypoxic respiratory failure Covid 19 pneumonia - Symptom onset 10/14; COVID positive 10/19 - Decadron started 10/19 - On remdesivir through 10/24 - Fully vaccinated with Pfizer March and April 2021 - not a candidate for MAB due to hypoxia - Today desatting on 95% high flow. Requiring NRB. If continues to decline will need to reach out to ICU for possible intubation - Continuous pulse ox - CTA 10/19 no definitive PE, diffuse ground glass opacities  -CRP 80.3->28.1 -ddimer 460->680 -Will trial IV lasix
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Dyspnoea, Joint lock, Pain
Clinical narrative: palpitations, chest tightness, SOB, occurred 33 minutes after receiving the COVID vaccine. Associated symptoms are sharp shooting pain throughout her body, felt weak, her finger tips locked up x 4 days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: palpitations, chest tightness, SOB, occurred 33 minutes after receiving the COVID vaccine. Associated symptoms are sharp shooting pain throughout her body, felt weak, her finger tips locked up x 4 days.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Pt received full dose Moderna for booster after completing Janssen primary series 3/19/21.  No reaction noted during observation.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Laboratory test, Vasculitic rash
Clinical narrative: vasculitis like rash
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Chills, fever, inj. site swelling, inj. site redness
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Atrial fibrillation, Bipolar disorder, COVID-19, Cellulitis
Clinical narrative: Hospital Course:  61F with ovarian cancer, metastatic to LN and omentum, most recently Carboplatin (4/2021), pelvic XRT (6/2021), with comorbidities of bipolar affective disorder, chronic BLE lymphedema/anasarca, recurrent cellulitis, pAfib, right THA (2019) c/b PJI (9/2020) and sepsis (5/2021), admitted 8/10 with abdominal pain and symptoms from worsening lymphedema/anasarca. Admit complicated by AMS, ongoing pain, and intermittent hypotension (responsive to IVF). Given clinical decline, transition to CMO. Now COVID positive; plan to remain in-house for EOL. We were unable to transfer to an hospice at end of life because of covid infection.    Patient passed peacefully at 7:17 AM on 9/26. She was kept comfortable with a morphine drip and PRN thorazine. Her husband and her outpatient providers were notified. See below for problem based hospital course.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Death, General physical health deterioration, Generalised oedema, Hypotension
Clinical narrative: Hospital Course:  61F with ovarian cancer, metastatic to LN and omentum, most recently Carboplatin (4/2021), pelvic XRT (6/2021), with comorbidities of bipolar affective disorder, chronic BLE lymphedema/anasarca, recurrent cellulitis, pAfib, right THA (2019) c/b PJI (9/2020) and sepsis (5/2021), admitted 8/10 with abdominal pain and symptoms from worsening lymphedema/anasarca. Admit complicated by AMS, ongoing pain, and intermittent hypotension (responsive to IVF). Given clinical decline, transition to CMO. Now COVID positive; plan to remain in-house for EOL. We were unable to transfer to an hospice at end of life because of covid infection.    Patient passed peacefully at 7:17 AM on 9/26. She was kept comfortable with a morphine drip and PRN thorazine. Her husband and her outpatient providers were notified. See below for problem based hospital course.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphoedema, Mental status changes, Pain, Radiotherapy, SARS-CoV-2 test positive
Clinical narrative: Hospital Course:  61F with ovarian cancer, metastatic to LN and omentum, most recently Carboplatin (4/2021), pelvic XRT (6/2021), with comorbidities of bipolar affective disorder, chronic BLE lymphedema/anasarca, recurrent cellulitis, pAfib, right THA (2019) c/b PJI (9/2020) and sepsis (5/2021), admitted 8/10 with abdominal pain and symptoms from worsening lymphedema/anasarca. Admit complicated by AMS, ongoing pain, and intermittent hypotension (responsive to IVF). Given clinical decline, transition to CMO. Now COVID positive; plan to remain in-house for EOL. We were unable to transfer to an hospice at end of life because of covid infection.    Patient passed peacefully at 7:17 AM on 9/26. She was kept comfortable with a morphine drip and PRN thorazine. Her husband and her outpatient providers were notified. See below for problem based hospital course.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Eye pain, Eyelid oedema, Hordeolum, Hyperhidrosis
Clinical narrative: This was a sudden onset of shakiness,abd discomfort,nausea,completely drenched in sweat.Upon returning home BP was 210/116 HR 130 at rest.I took 25 mg atenolol and BP + HR improved.The next morning I awake with orbital left eye pain and edema under eye Plus a small stye that my MD ordered a antibiotic .......after 4 days it was better.Since that day on Oct 5th I've had numbness in my lower legs and feet and my right arm musles are weak and very sore after performing work.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscular weakness, Myalgia, Nausea, Tremor
Clinical narrative: This was a sudden onset of shakiness,abd discomfort,nausea,completely drenched in sweat.Upon returning home BP was 210/116 HR 130 at rest.I took 25 mg atenolol and BP + HR improved.The next morning I awake with orbital left eye pain and edema under eye Plus a small stye that my MD ordered a antibiotic .......after 4 days it was better.Since that day on Oct 5th I've had numbness in my lower legs and feet and my right arm musles are weak and very sore after performing work.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arterial occlusive disease, Computerised tomogram thorax abnormal, Deep vein thrombosis, Intensive care, Pulmonary embolism
Clinical narrative: Patient developed "extensive pulmonary embolism" and "acute common femoral artery DVT" seven days after receiving the covid vaccine requiring ICU. He was on prophylactic heparin during hospitalization for leg cellulitis w/ abscess (no sepsis) prior to this event.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: chest pain/ pressure and shortness of breath
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Lymphadenopathy, Seizure
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 10/18/2021, started experiencing symptoms 10/20/2021 of Seizure and swollen lymphnoids. Emergency Room visit 10/20/2021 with Observation, Cat-Scan preformed. EEG recommended with Neurologist.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest, Chest X-ray abnormal
Clinical narrative: Patient presented to ED on 9/13/21 with fever and cough, found to be covid positive with concern for overlying CAP +/- pulmonary pneumonia. Patient was treated appropriately and was recovering from covid 19 pneumonia when she became somnolent, developed acute hypoxemic respiratory failure and then cardiopulmonary arrest. The precipitating cause of her somnolence and respiratory failure are unknown. Patient was deceased on 9/26/21
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Death, Lung opacity, Pulmonary oedema, Pyrexia
Clinical narrative: Patient presented to ED on 9/13/21 with fever and cough, found to be covid positive with concern for overlying CAP +/- pulmonary pneumonia. Patient was treated appropriately and was recovering from covid 19 pneumonia when she became somnolent, developed acute hypoxemic respiratory failure and then cardiopulmonary arrest. The precipitating cause of her somnolence and respiratory failure are unknown. Patient was deceased on 9/26/21
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Somnolence
Clinical narrative: Patient presented to ED on 9/13/21 with fever and cough, found to be covid positive with concern for overlying CAP +/- pulmonary pneumonia. Patient was treated appropriately and was recovering from covid 19 pneumonia when she became somnolent, developed acute hypoxemic respiratory failure and then cardiopulmonary arrest. The precipitating cause of her somnolence and respiratory failure are unknown. Patient was deceased on 9/26/21
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Patient felt dizzy and fell to floor. She felt lightheaded and was sweating and pale once she sat up. She was given an ice pack and 911 was called. EMS transported her to the hospital.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Pyrexia
Clinical narrative: Fevers since last shot.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Left leg swelling 1 week after 1st moderna vaccination Swelling decreased over time. No swelling by the time pt arrived for the second dose in the moderna vaccination series.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Youth was vaccinated covid-19 first dose on date 8/30/2021, covid-19 second dose on date 9/23/2021, covid-19 booster on date 10/14/2021. no adverse reaction
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Culture stool negative, Diarrhoea
Clinical narrative: Explosive watery diarrhea for 6-8 weeks starting  about 5-7 days after vaccine.
Age: 53.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, PNC13, RV5
Symptoms: Product storage error
Clinical narrative: The refrigerator that houses the vaccines experienced a temperature excursion. Per the program, the PEDIARIX vaccine was considered to be out of range and therefore invalid.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Urticaria
Clinical narrative: Patient was called to schedule 2nd dose of Moderna.  Patient reports "about 6 days after my COVID shot, I had about a 4" in diameter selling, reddness and hives to the outside of my arm.  This is the arm I got my shot in".  Reports did not show any health care provider, did not seek medical attention, did not require use of OTC or Rx meds.  Complete resolution of symptoms 4 days later.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given , but unsure of dose  exp date 10/13 or 10/30 (as in record).
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Diplopia, Fatigue, Feeling abnormal, Headache
Clinical narrative: 24 hrs., mild fever, muscle headache, and brain fog, and exhaustion. End of July 2021, things looked wavy, and distorted, and greyed out circle, and double vision. 9 Aug 2021, I went to see the doctor; Diagnosed white dots syndrome on left eye for 11 weeks now. Loss of central vision, just saw a circle, caused by a virus beforehand similar like an auto-immune response. MEWDS. It's still improving and not fully recovered.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmological examination, Pyrexia, Retinal exudates, Visual impairment
Clinical narrative: 24 hrs., mild fever, muscle headache, and brain fog, and exhaustion. End of July 2021, things looked wavy, and distorted, and greyed out circle, and double vision. 9 Aug 2021, I went to see the doctor; Diagnosed white dots syndrome on left eye for 11 weeks now. Loss of central vision, just saw a circle, caused by a virus beforehand similar like an auto-immune response. MEWDS. It's still improving and not fully recovered.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Extreme arm soreness, and felt feverish but no fever
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperglycaemia, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review.  Presented for evaluation of hyperglycemia.  No other COVID SxS
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Bruxism, Physical examination, Temporomandibular joint syndrome, Tinnitus
Clinical narrative: I woke up morning, with noticeable ringing in my ears. I scheduled a doctor's appt with ENT, took a couple of weeks to get in, ringing continued. He diagnosed it relating to TMJ and he had me go to the dentist for a mouth guard to relieve the TMJ grinding overnight. I did get fitted for the mouth guard. It will be available for me to pick up on Monday, but I'm hoping once I get the mouth guard, I will get some relief from symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling cold, Peripheral coldness, Tremor
Clinical narrative: Coldness on legs and upper body, shakiness and weakness. Nurse assessed and cleared  patient.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pain, Vaccine positive rechallenge
Clinical narrative: chills, body aches, muscle tenderness, pounding headache
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Oropharyngeal pain, Tonsillitis
Clinical narrative: PATIENT DESCRIBED THAT SHE WAS DIAGNOSED WITH TONSILITIS THE MORNING AFTER COVID VACCINE. SHE EXPERIENCE SEVERE THROAT PAIN AND WAS NOT ABLE TO SWALLOW. SHE EXPRESSED CONCERN FOR SIDE EFFECTS WITH 2ND. SHE SAID SHE WAS TREATED AND Dx BY HER MD. MD DID NOT TELL HER SHE SHOULDNT GET HER 2ND DOSE.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Extra dose administered, Immediate post-injection reaction
Clinical narrative: Right after getting the vaccine I got a metallic taste in my mouth that wasn't there before, and it has lasted the las two hours (since I got the shot)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy bone marrow, Blood test, Computerised tomogram, Follicular lymphoma, Lymphadenopathy
Clinical narrative: Eight days after the 2nd dose of Pfizer Covid vaccine I developed a lump in  my groin that needed surgery.  After the surgery I was told the lump was a tumor on my lymph node and was diagnosed with Follicular Lymphoma.  Since the covid vaccine in April of 2021 my lympnnodes in my neck, groin and armpits have been enlarged and changing.  Never before the covid vaccine had my lymphnodes ever been an issue.  I believe the covid vaccine is responsible for my changing lymphnodes.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Neoplasm, Positron emission tomogram, Surgery, Swelling
Clinical narrative: Eight days after the 2nd dose of Pfizer Covid vaccine I developed a lump in  my groin that needed surgery.  After the surgery I was told the lump was a tumor on my lymph node and was diagnosed with Follicular Lymphoma.  Since the covid vaccine in April of 2021 my lympnnodes in my neck, groin and armpits have been enlarged and changing.  Never before the covid vaccine had my lymphnodes ever been an issue.  I believe the covid vaccine is responsible for my changing lymphnodes.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: The morning after the shot I woke up to extreme muscle, whole body pain.  Could hardly move.  Also generally feeling awful.  That lasted for two days.  Then for 3 more days I was on the couch but more mobile experiencing nauseousness, headaches, fatigue, dizziness, pain in armpit in injection arm.  Since then I continue to have nauseousness and fatigue.  It's now been over three weeks. After the 2nd dose, I had extreme reaction also but it only lasted 4 days.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Mobility decreased, Myalgia, Nausea, Pain
Clinical narrative: The morning after the shot I woke up to extreme muscle, whole body pain.  Could hardly move.  Also generally feeling awful.  That lasted for two days.  Then for 3 more days I was on the couch but more mobile experiencing nauseousness, headaches, fatigue, dizziness, pain in armpit in injection arm.  Since then I continue to have nauseousness and fatigue.  It's now been over three weeks. After the 2nd dose, I had extreme reaction also but it only lasted 4 days.
Age: 47.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram normal, Hypotension, Syncope, Tinnitus
Clinical narrative: After 2nd shot, fainted at 3am due to low blood pressure, outcome paramedics came, doctor said probably could be vaccine component side affect. Chest pain, Electrocardiography outcome was fine, continue to have chest pain. Tinnitus left ear got referred from my primary care doctor to ENT specialist. Prescribed Lipo Flavonoid 2x a day for one month. Folllow up appointment 10/29/2021 no change, continue to have tinnitus.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic COVID-19 infection (exposed to COVID+ roommate inpatient)
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient Contracted COVID-19
Age: 18.0
Sex: F
Vaccine: HEPA, HPV9, IPV, MNQ
Symptoms: Dyspnoea, Feeling hot, Malaise
Clinical narrative: Patient's brother contacted the Dept. of Health at 10/22/21 @ 0641. He left a message stating that his sister, 'was feeling very sick, with many symptoms'. I contacted the brother, as the parents do not speak the language as their first language, he stated that the patient was at the Dept. of Health on 10/20/21 and recieved vaccinations. On  10/21/21, she began to feel warm (temperature was not taken) and intermittent periods of shortness of breath. Prior to him going to work, she was feeling a little better as their mother had given her some medications, but he did not know what their mother had given her. I contacted the patient, she stated the same, that she was feeling warm (temperature not taken) and having periods of shortness of breath. She further stated that her arms were sore. I told her that her arms could be sore from the injections that she recieved, however the temperature (?) and the shortness of breath could be COVID symptoms. I advised her to go to the emergency room as soon as possible for testing and treatment. She verbalized understanding.   I called her brother back, who was at work. I told him that I spoke to his sister and that the symptoms that she was complaining of (temperature? Shortness of breath) could possibly be Covid symptoms and that because she was experiencing shortness of breath, it was advised that she goes to the emergency room as soon as possible for testing and treatment. He verbalized understanding. Unknown if patient went to the emergency room as advised or not.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Herpes zoster, Pain, Pyrexia
Clinical narrative: Abdominal pain began 15 October; back pain began 16 October; rash began on back 17 October and continued to spread; burning pain, fever. Dr at Urgent Care diagnosed shingles on 21 October and prescribed acyclovir. Painful rash is continuing to spread.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Abdominal pain began 15 October; back pain began 16 October; rash began on back 17 October and continued to spread; burning pain, fever. Dr at Urgent Care diagnosed shingles on 21 October and prescribed acyclovir. Painful rash is continuing to spread.
Age: 1.42
Sex: M
Vaccine: DTAP, FLU4, PNC13
Symptoms: Product storage error
Clinical narrative: The refrigerator that houses the vaccines experienced a temperature excursion. The FLUARIX and INFANRIX vaccines were considered to be out of range and therefore invalid.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Cardiac arrest, Choking, Pulseless electrical activity, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. Patient admitted for acute respiratory failure secondary to choking episode followed by PEA arrest.  Unknown if COVID SxS prior.
Age: 53.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypertension, Muscle spasms, Myalgia
Clinical narrative: Patient experienced dizziness, headache, fever, muscle/body aches, muscle spasms in the back, and hypertension.  Patient went to primary care provider, was prescribed muscle relaxer, steroid, and narcotic as a result.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient experienced dizziness, headache, fever, muscle/body aches, muscle spasms in the back, and hypertension.  Patient went to primary care provider, was prescribed muscle relaxer, steroid, and narcotic as a result.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Neck pain
Clinical narrative: swollen lymph nodes under left arm.  lymph nodes are tender to touch.  pain in left side of neck.  swelling started the night of 10/20/2021 and is still swollen on 10/22/2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased, Physical examination, Type 2 diabetes mellitus, Urine analysis
Clinical narrative: On September 27th I went for annual exam and gave a urine sample which showed sugar in my urine.  On September 29th fasting blood work was done and  my HGBA1C was 12.1.  I have been diagnosed with type 2 diabetes and have started medication orally for it.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site rash, Injection site warmth, Rash pruritic
Clinical narrative: Warm pruritic rash developed in left thigh about 24 hours after vaccine administration
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Blood creatine phosphokinase increased, CSF cell count normal, CSF glucose normal, CSF protein normal, Magnetic resonance imaging head normal
Clinical narrative: 5 days after vaccination, patient unable to bear weight on either leg. No pain, swelling, bruising or injury. Admitted to the hospital to rule out Guillan Barre Syndrome. Cerebrospinal fluid evaluation and MRI normal. .CPK elevated in 400s. Symptoms resolved within 48 hours with rapid decline in CPK. Working diagnosis of myositis.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Magnetic resonance imaging spinal normal, Myositis, Weight bearing difficulty
Clinical narrative: 5 days after vaccination, patient unable to bear weight on either leg. No pain, swelling, bruising or injury. Admitted to the hospital to rule out Guillan Barre Syndrome. Cerebrospinal fluid evaluation and MRI normal. .CPK elevated in 400s. Symptoms resolved within 48 hours with rapid decline in CPK. Working diagnosis of myositis.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: local erythema, tenderness, swelling spanning from site of injection at the left deltoid region to ~2cm above the elbow in the left upper arm. no systemic signs/symptoms
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: The refrigerator that houses the vaccines experienced a temperature excursion. The FLUARIX vaccine was considered to be out of range and therefore invalid.
Age: 72.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 80.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Nausea, Pyrexia, Urticaria
Clinical narrative: Headache, violent chills, low-grade fever, nausea, and whole-body hives, which I still have
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Not currently having symptoms
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Culture negative, Neutropenia, Pyrexia, Sepsis
Clinical narrative: Patient with PMH breast cancer on chemotherapy presented to ED on 10/21 with fever, chills c/f sepsis. Due to neutropenia, started on IV cefepime. Pt now afebrile. NO positive cultures at this time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Feeling of body temperature change, Nasal congestion
Clinical narrative: I started coughing with a sore throat on 9/29/2021; It was worse a few days later. I suddenly couldn't catch my breath while just sitting in a chair. I got tested for COVID-19 that day. I received a positive COVID-19 result on 10/2/2021. I called my doctor and told them I tested positive, and they told me to stay home, and rest, and drink fluids, and go to the hospital if I couldn't breathe. The symptoms worsened with stuffy nose, coughing, and sore throat. On 10/2, - 10/4/2021, I had extreme body aches. It was the worst pain I have ever felt. On 10/5/2021, I was hot and cold at the same time all day long. However, I did not have a fever. On 10/6/2021, I started feeling better. I still had mild symptoms. By the 7th, I was feeling exponentially better with milder symptoms. By 10/8/2021 I just had congestion and occasional coughing which has continued to present day.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I started coughing with a sore throat on 9/29/2021; It was worse a few days later. I suddenly couldn't catch my breath while just sitting in a chair. I got tested for COVID-19 that day. I received a positive COVID-19 result on 10/2/2021. I called my doctor and told them I tested positive, and they told me to stay home, and rest, and drink fluids, and go to the hospital if I couldn't breathe. The symptoms worsened with stuffy nose, coughing, and sore throat. On 10/2, - 10/4/2021, I had extreme body aches. It was the worst pain I have ever felt. On 10/5/2021, I was hot and cold at the same time all day long. However, I did not have a fever. On 10/6/2021, I started feeling better. I still had mild symptoms. By the 7th, I was feeling exponentially better with milder symptoms. By 10/8/2021 I just had congestion and occasional coughing which has continued to present day.
Age: 49.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cyst, Dysmenorrhoea, Fatigue, Headache
Clinical narrative: Sore arm at injection site, Headache, Body Aches, Fatigue, Joint Pain, increased heart rate, etc. Ovarian/Menstruation issues starting approximately a week after injection = irregular and increased bleeding, cramping, previously regular menstruation cycles are now shorter/more frequent with increased and irregular bleeding and cramping. Also developed a parauterine cyst/abnormality that required 3 visits to a urologist including extensive exam/procedure.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Heavy menstrual bleeding, Injection site pain, Laboratory test, Menstruation irregular
Clinical narrative: Sore arm at injection site, Headache, Body Aches, Fatigue, Joint Pain, increased heart rate, etc. Ovarian/Menstruation issues starting approximately a week after injection = irregular and increased bleeding, cramping, previously regular menstruation cycles are now shorter/more frequent with increased and irregular bleeding and cramping. Also developed a parauterine cyst/abnormality that required 3 visits to a urologist including extensive exam/procedure.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Sore arm at injection site, Headache, Body Aches, Fatigue, Joint Pain, increased heart rate, etc. Ovarian/Menstruation issues starting approximately a week after injection = irregular and increased bleeding, cramping, previously regular menstruation cycles are now shorter/more frequent with increased and irregular bleeding and cramping. Also developed a parauterine cyst/abnormality that required 3 visits to a urologist including extensive exam/procedure.
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Instead of giving the booster dose, we gave additional dose
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Youth was vaccinated with covid-19 first dose on date 8/31/2021, covid-19 second dose on date 9/23/2021, covid-19 booster on date 10/14/2021. No adverse reaction
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, C-reactive protein increased, COVID-19, Computerised tomogram thorax abnormal, Fibrin D dimer
Clinical narrative: COVID breakthrough infection with hospital admission requiring xfer to ICU. Increasing weakness, frailty in weeks prior to admission on 10/14/21. Significant decline in resp status on evening of 10/16 w/ transfer to ICU lvl of care for  respiratory support. Given remdesivir x5 days. Tocilizumab 8 mg/mg given x 1.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Infection, Inflammation, Intensive care, Lung opacity, Respiratory failure
Clinical narrative: COVID breakthrough infection with hospital admission requiring xfer to ICU. Increasing weakness, frailty in weeks prior to admission on 10/14/21. Significant decline in resp status on evening of 10/16 w/ transfer to ICU lvl of care for  respiratory support. Given remdesivir x5 days. Tocilizumab 8 mg/mg given x 1.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin increased, Vaccine breakthrough infection, White blood cell count decreased
Clinical narrative: COVID breakthrough infection with hospital admission requiring xfer to ICU. Increasing weakness, frailty in weeks prior to admission on 10/14/21. Significant decline in resp status on evening of 10/16 w/ transfer to ICU lvl of care for  respiratory support. Given remdesivir x5 days. Tocilizumab 8 mg/mg given x 1.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial appendage resection, Atrial fibrillation, Cardiac ablation, Cardiac operation, Echocardiogram
Clinical narrative: I had 2 instances of Atrial Fibrillation after my vaccinations.  1st A-Fib about 2 weeks after my first shot. 2nd A-Fib episode
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram
Clinical narrative: I had 2 instances of Atrial Fibrillation after my vaccinations.  1st A-Fib about 2 weeks after my first shot. 2nd A-Fib episode
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: The refrigerator that houses the vaccines experienced a temperature excursion. The FLUARIX vaccine was considered to be out of range and therefore invalid.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Skin swelling, Skin warm
Clinical narrative: rash/hives all over body.  Intense itching, redness, skin is raised and very hot to touch
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: rash/hives all over body.  Intense itching, redness, skin is raised and very hot to touch
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase MB increased, Myocarditis, Troponin
Clinical narrative: myopericarditis
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Magnetic resonance imaging heart, Myocarditis, Pericarditis
Clinical narrative: myopericarditis
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin, X-ray
Clinical narrative: myopericarditis
Age: 44.0
Sex: F
Vaccine: UNK
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: hives around the injection site that traveled throughout the entire arm and hand
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: instead of giving booster dose, additional dose was given
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Thrombosis
Clinical narrative: Severely heavy periods lasting 10 days. Small clots are also seen. Severe menstrual pain.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asymptomatic COVID-19, Cough, Dyspnoea
Clinical narrative: This case meets criteria for vaccine breakthrough review. Patient admitted for abdominal pain,  asymptomatic for COVID at time of admission but now worsening cough and "winded".
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Nausea
Clinical narrative: Extreme dizziness and nausea
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Skin lesion
Clinical narrative: two days later I developed Huge lesions/ blister and was Hospitalized for 10 days. Still trying to get the blisters to stop developing
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Dermatitis bullous
Clinical narrative: two days later I developed Huge lesions/ blister and was Hospitalized for 10 days. Still trying to get the blisters to stop developing
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: instead of giving booster, additional dose was given
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Fatigue, Feeling abnormal, Heart rate increased
Clinical narrative: Day 1. No symptoms/Day 2.fast heart beat all day.foggy mind.sent message to physician/Day 3.fast heart beat all day.foggy mind.took 4 ibuprofen/Day 4.fast heart beat at random times throughout day.tiredness/Day 5.fast heart beat at random times throughout day.tiredness.recd message from physician with name of shot.recd 2nd message from physician about treating with tylenol, advil or could try benadryl.took half a benadryl, helped for a while. Took another half at bedtime and helped through night/Days 6-14,16,17.fast heart beat at random times throughout day.tiredness.took 4 ibuprofen 2 or 3 nights not consecutively and did not seem the help/Day 15.diarrhea.fast heart beat at random times throughout day.tiredness/Day 16-21 fast heart beat at random times throughout day.tiredness/Day 22(10/22/2021) fast heart beat at continuous throughout day.tiredness.took half of 25mg Benadryl.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Injection site pruritus, Injection site urticaria, Pain, Pain in extremity
Clinical narrative: 1.  Arm sore 2. Body aches  3. Injection site 2 inch hive and itching  4. Congestion  5.fatigue
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: 1.  Arm sore 2. Body aches  3. Injection site 2 inch hive and itching  4. Congestion  5.fatigue
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fibrin D dimer, Fibrin D dimer increased, Respiratory tract congestion
Clinical narrative: 1.  Arm sore 2. Body aches  3. Injection site 2 inch hive and itching  4. Congestion  5.fatigue
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: instead of giving booster, additional dose was given
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Bursitis, Injected limb mobility decreased, Pain, Product administered at inappropriate site, X-ray
Clinical narrative: Routine flu shot given IM left deltoid, given too high in arm. Resulted in severe pain and limited function after injection, diagnosed with bursitis.  Received cortisone injection per orthopedic physician 10/13/2021.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood lactate dehydrogenase, Blood lactic acid, C-reactive protein increased, COVID-19
Clinical narrative: Patient contracted COVID after being fully vaccinated
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fibrin D dimer, Full blood count, Metabolic function test, Procalcitonin
Clinical narrative: Patient contracted COVID after being fully vaccinated
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Scan with contrast, Serum ferritin
Clinical narrative: Patient contracted COVID after being fully vaccinated
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Chest X-ray, Chest pain, Echocardiogram
Clinical narrative: Atrial fibrillation on and off for 4 days, high inflammatory markers, fatigue, chest pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Inflammatory marker increased
Clinical narrative: Atrial fibrillation on and off for 4 days, high inflammatory markers, fatigue, chest pain
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: None stated.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Asymptomatic COVID-19, Fall, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. Patient admitted for evaluation of weakness and falls.  Asymptomatic of other COVID SxS
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: GIVEN INFLUENZA HD BEFORE 65 Y.O.; NO ADVERSE REACTION REPORTED.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Hip fracture, Incomplete course of vaccination, Muscular weakness, Walking aid user
Clinical narrative: Starting feeling like her legs were weak. Within a couple days couldn?t walk without a walker. Eventually got so weak broke her hip and is now living a nursing home. Before injection was living alone and walking fine .
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Flushing, Hyperhidrosis, Loss of consciousness
Clinical narrative: 0755 - patient became dizzy, flushed and diaphoretic in appearance and temporarily lost consciousness. BP - 123/82 HR - 106 with strong radial pulse O2 sat- 100 on RA With verbal stimulation patient became arousable and was able to state name and where she was. Once fully conscious, pt stated she felt as if her "nerve" was hit when she received her vaccine which caused severe arm pain, muscle weakness in the arm and tingling. She then stated that it felt as if her "blood vessels in her head were all becoming smaller." VS taken again - BP-120/86 HR - 103 O2 - 100 on RA  Patient began feeling better & was sat up in chair, but after a few minutes sitting upright the chair, pt started to become pale and c/o "not feeling well again."  We safely lowered pt back to the floor and rechecked VS. BP- 80/32 HR - 130 - O2 - 98% on RA. Pt still conscious at this time and agreeable to be transported to ED for further evaluation. Received fluids and had labs in ED, stable and dcd home same day
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Muscular weakness, Pain in extremity, Pallor, Paraesthesia
Clinical narrative: 0755 - patient became dizzy, flushed and diaphoretic in appearance and temporarily lost consciousness. BP - 123/82 HR - 106 with strong radial pulse O2 sat- 100 on RA With verbal stimulation patient became arousable and was able to state name and where she was. Once fully conscious, pt stated she felt as if her "nerve" was hit when she received her vaccine which caused severe arm pain, muscle weakness in the arm and tingling. She then stated that it felt as if her "blood vessels in her head were all becoming smaller." VS taken again - BP-120/86 HR - 103 O2 - 100 on RA  Patient began feeling better & was sat up in chair, but after a few minutes sitting upright the chair, pt started to become pale and c/o "not feeling well again."  We safely lowered pt back to the floor and rechecked VS. BP- 80/32 HR - 130 - O2 - 98% on RA. Pt still conscious at this time and agreeable to be transported to ED for further evaluation. Received fluids and had labs in ED, stable and dcd home same day
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthma, Blood lactic acid increased, Cardiac failure, Cardiac failure congestive, Cardiomegaly
Clinical narrative: Symptoms: shortness of breath, coughing, extreme fatigue, racing heart, high blood pressure began right after 2nd dose. It continued to get worse and in June it was treated as asthma not controlled.  In September I went to the ER due to not being able to breath. The heart failure was discovered after being admitted. I was treated with multiple medications and had multiple tests while in the hospital.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiomyopathy, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Condition aggravated, Cough
Clinical narrative: Symptoms: shortness of breath, coughing, extreme fatigue, racing heart, high blood pressure began right after 2nd dose. It continued to get worse and in June it was treated as asthma not controlled.  In September I went to the ER due to not being able to breath. The heart failure was discovered after being admitted. I was treated with multiple medications and had multiple tests while in the hospital.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Fatigue
Clinical narrative: Symptoms: shortness of breath, coughing, extreme fatigue, racing heart, high blood pressure began right after 2nd dose. It continued to get worse and in June it was treated as asthma not controlled.  In September I went to the ER due to not being able to breath. The heart failure was discovered after being admitted. I was treated with multiple medications and had multiple tests while in the hospital.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Palpitations, Pulmonary oedema, Ultrasound Doppler normal, White blood cell count increased
Clinical narrative: Symptoms: shortness of breath, coughing, extreme fatigue, racing heart, high blood pressure began right after 2nd dose. It continued to get worse and in June it was treated as asthma not controlled.  In September I went to the ER due to not being able to breath. The heart failure was discovered after being admitted. I was treated with multiple medications and had multiple tests while in the hospital.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Asthenia, Condition aggravated, Mobility decreased
Clinical narrative: Arthritis flared up and continued to get worse.  Arthritis in left shoulder - couldn?t raise arm - Dr recommended therapy - pulleys daily.  No recommendations for other areas. Pain in left wrist - unable to use it normally - fingers on left hand painful swollen - loss of strength in middle arm. Also pain in right wrist but not to same extent of left hand.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, X-ray
Clinical narrative: Arthritis flared up and continued to get worse.  Arthritis in left shoulder - couldn?t raise arm - Dr recommended therapy - pulleys daily.  No recommendations for other areas. Pain in left wrist - unable to use it normally - fingers on left hand painful swollen - loss of strength in middle arm. Also pain in right wrist but not to same extent of left hand.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, COVID-19 pneumonia, Chest X-ray normal, Computerised tomogram abnormal
Clinical narrative: After receiving the vaccine, I sat for 15 minutes to make sure nothing happened. After that, I went home and then I started to have a headache. Then, I woke up coughing with a fever over 102 degrees. I took some Ibuprofen and Tylenol; I didn't get any better. The next morning, I was throwing up. I ended up coughing up phlegm and blood. The substance I coughed up was hard. I started taking in fluids and eating soup, but I couldn't hold anything down.  On Tuesday 10/12/2021, I went to the ER at Health Center and got diagnosed with COVID-19. The doctor told me to quarantine and then I went home. I was not able to go to work. On Wednesday 10/13/2021, I ended up back in the ER at Health Center. I ended up getting pneumonia due to having the COVID-19 virus. I ended up getting IVs put in me. The doctor gave me an oxygen odometer to take home to check my oxygen levels. They informed me if my oxygen goes below 90 then I have to go to the ER. I was prescribed Dexamethasone, 4mg tab 2xday, and Ketorolac Tromethamine 10mg, as needed, every six hours for pain. I am still currently quarantining. I did go to the doctor today and they said that they didn't hear anything abnormal with my lungs but said to finish out the rest of the 4 days of quarantining.