chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Dyspnoea
Clinical narrative: Patient fully vaccinated and has had his booster for coronavirus.  Positive COVID test 11/19/2021. Admission dx:  shortness of breath, COPD, hypoxemia requiring supplemental oxgen, COVID 19 infection.He developed Cova 19 pneumonia.  He progressively worsened.  He developed acute hypoxic respiratory failure.  He was treated medically and had slow clinical improvement. Treatment:  decadron, remdesivir, supplemental oxygen.   He qualified for 3 L on discharge.  He is discharged to home.  He will be staying with his daughter who will help with his recovery.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated and has had his booster for coronavirus.  Positive COVID test 11/19/2021. Admission dx:  shortness of breath, COPD, hypoxemia requiring supplemental oxgen, COVID 19 infection.He developed Cova 19 pneumonia.  He progressively worsened.  He developed acute hypoxic respiratory failure.  He was treated medically and had slow clinical improvement. Treatment:  decadron, remdesivir, supplemental oxygen.   He qualified for 3 L on discharge.  He is discharged to home.  He will be staying with his daughter who will help with his recovery.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Postmenopausal haemorrhage
Clinical narrative: Bleeding after menopause after first dose Started Ovulating after booster Headaches
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Depression, Diarrhoea, Fatigue, Headache
Clinical narrative: Deep depression lasting 3 months Blood sugar spiked and remained high over six months Diarrhea ongoing over six months beyond metformin related. Headache lasting over six months Prolonged fatigue lasting over six months On 3rd dose, neck swollen with itchy rash for several days.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic, SARS-CoV-2 test negative, Swelling
Clinical narrative: Deep depression lasting 3 months Blood sugar spiked and remained high over six months Diarrhea ongoing over six months beyond metformin related. Headache lasting over six months Prolonged fatigue lasting over six months On 3rd dose, neck swollen with itchy rash for several days.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient inadvertently received a Pfizer shot as his second dose, when he had started with the Moderna series.  Timeline of 3 weeks between doses was appropriate.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient is 13 and was given a pediatric dose of Pizer for his second dose. So he got the .2 instead of the .3 full dose.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Cough, Discharge, Fatigue
Clinical narrative: 12/29/2021 my Covid-19 symptoms started with sore throat, drainage, and cough. I did a virtual visit with the NP to get tested and on 12/30/21 I did a test that was positive. I did another virtual visit for increasing cough and drainage on 01/07/22 and they also did a chest x-ray and I received an albuterol inhaler and was instructed to continue taking the over the counter medications such as the Sudafed and Fluphenazine. Right now I just have fatigue and a slight cough, but the cough is not nearly as bad and is more like a clear my throat kind of cough.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Throat clearing
Clinical narrative: 12/29/2021 my Covid-19 symptoms started with sore throat, drainage, and cough. I did a virtual visit with the NP to get tested and on 12/30/21 I did a test that was positive. I did another virtual visit for increasing cough and drainage on 01/07/22 and they also did a chest x-ray and I received an albuterol inhaler and was instructed to continue taking the over the counter medications such as the Sudafed and Fluphenazine. Right now I just have fatigue and a slight cough, but the cough is not nearly as bad and is more like a clear my throat kind of cough.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient developed swelling , warmth, redness and pain 5 days after the initial injection.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Covid-19 related death.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: patient's vaccination card was scanned-- this copy only showed only first two doses that were administered (both in March 2021). when the 3rd dose was given, she handed in the actual vaccination card for me to write on and at the back of the card, was the 3rd dose she had in October. I asked her if she already received her 3rd dose and she denied receiving it. I checked immunet and discovered she did receive her 3rd dose.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Eye pruritus, Head discomfort, Headache
Clinical narrative: I had cough, tickle in my throat, pressure in my head, and congestive in my nose. My eye was red and itchy. I had a headache as well. Most of the symptoms lasted about 6 days and the cough is still ongoing. On Jan 5th, I did a home Covid-19 test, negative results. Then I did another Covid-19 test on Jan 6th, positive result.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Ocular hyperaemia, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had cough, tickle in my throat, pressure in my head, and congestive in my nose. My eye was red and itchy. I had a headache as well. Most of the symptoms lasted about 6 days and the cough is still ongoing. On Jan 5th, I did a home Covid-19 test, negative results. Then I did another Covid-19 test on Jan 6th, positive result.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Zoster - Developed Shingles
Age: 55.0
Sex: U
Vaccine: COVID19
Symptoms: Burning sensation, Dry skin, Myalgia
Clinical narrative: Burning sensation in forearms (from 1Nov to present) (feels like sandpaper scratching), muscle pain in fingers and forearms
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Condition aggravated, Deafness unilateral, Magnetic resonance imaging head, Tinnitus
Clinical narrative: Tinnitus and  more hearing loss in my left ear,taking Flucicasone propionate nasal spray and waiting to see if there is any relief.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Vaccinated with booster dose of Moderna on 12-22-21 Pt started having SOB, cough and chest congestion 12-26-21  12-29-21: presents to ED and tests positive for COVID-19 - symptomatic (note: booster given on 12-22-21, therefore did not have full protection form vaccine when tested positive) in ED pt was given 2L O2, remdesivir and steroids 12-30-2021:discharged home on room air, prednisone 1-6-21: pt returned to ED with worsening cough and SOB CXR showed improvement from 12-29-21 and patient was sent home with albuterol, benzonatate, guaifenesin and incentive spirometry
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was placed in fridge on 12/1/21 and administered on 1/6/22.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Fungal infection, Insomnia, Lymphadenopathy
Clinical narrative: I had fatigue, yeast infection, congestion, Covid positive, insomnia and swollen lymph node.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had fatigue, yeast infection, congestion, Covid positive, insomnia and swollen lymph node.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: December 1, 2021 Moderna vaccine Vial transferred from Freezer to Fridge. January 3, 2022 Moderna vaccine administered.
Age: 21.0
Sex: F
Vaccine: YF
Symptoms: Rash, Urticaria
Clinical narrative: Rash and urticaria covering arms, axilla, thighs and groin.  Went to urgent care and received steroid taper and epi pen.  Instructed to take benadryl at bedtime and allegra in the am.  1 week later rash improving but still present.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was placed in the fridge on 12/1/21 and administered 1/6/22.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Intermenstrual bleeding
Clinical narrative: Patient refers an episode of metromenorrhagia immediately after receiving her second dose of Moderna Vaccine. The patient refers it happened before during her first dose of vaccine. Previous VAERS was filled, and this VAERS is to report continuation of symptoms. Recommendation was to visit her OB/GYN. Currently, episodes have subsided.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out in car.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was placed in fridge on 12/1/21 and administered on 1/6/22.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was placed in freexer on 12/6 and pulled out of freezer on 1/3/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Menopausal symptoms
Clinical narrative: Started ovulating after menopause
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Rash, Urticaria
Clinical narrative: Hives, rash all over for 6 days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine placed in freezer on 12/9/2021 and removed from freezer on 1/3/22, outside the recommended amount of time they are supposed to  be in the freezer.  No adverse effects
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was placed in freezer on 12/6 and was not removed until 1/3/22.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Testicular swelling, Ultrasound testes
Clinical narrative: Severe swollen testicles.   Went to ER AT 4am lasted 5 days
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Intensive care, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: comes to ICU for dyspnea. Patient was beginning to have dyspnea 4 days ago and went to outpatient center for COVID testing. She was vaccinated x3 with pfizer. She came back positive and developed worsening dyspnea calling EMS. Upon arrival, per report, O2 saturations were in 50s and placed on NRB support with improvement in oxygenation. Patient was placed on HHFNC in the ED but still dyspneic and subsequently placed on BiPAP On arrival to ICU, patient was on BiPAP 10/5, 80% with MV around 7-8 and TV in 400s comfortable not in respiratory distress and speaking in full sentences without any drips.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was placed in freezer on 12/6/21 and was pulled out of freezer on 1/3/22.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardio-respiratory arrest, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: 10dys prior to this hospital admission, pt was diagnosed positive with COVID; presents with increasing SOB, pain with breathing, nausea and fever; O2 supplementation via NC; pt kept pulling  O2 off, was placed on NRB with high flow NC to maintain O2 sats; pt continued to remove O2; was found nonresponsive with emesis on body, PaO2 of 40; intubated and transferred to ICU; pt's condition continued to worsen and he coded; pronounced dead in the hospital
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Intentional medical device removal by patient, Nausea, PO2 decreased, Painful respiration
Clinical narrative: 10dys prior to this hospital admission, pt was diagnosed positive with COVID; presents with increasing SOB, pain with breathing, nausea and fever; O2 supplementation via NC; pt kept pulling  O2 off, was placed on NRB with high flow NC to maintain O2 sats; pt continued to remove O2; was found nonresponsive with emesis on body, PaO2 of 40; intubated and transferred to ICU; pt's condition continued to worsen and he coded; pronounced dead in the hospital
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Unresponsive to stimuli, Vomiting
Clinical narrative: 10dys prior to this hospital admission, pt was diagnosed positive with COVID; presents with increasing SOB, pain with breathing, nausea and fever; O2 supplementation via NC; pt kept pulling  O2 off, was placed on NRB with high flow NC to maintain O2 sats; pt continued to remove O2; was found nonresponsive with emesis on body, PaO2 of 40; intubated and transferred to ICU; pt's condition continued to worsen and he coded; pronounced dead in the hospital
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine placed in freezer on 12/6/21 and removed from freezer on 1/3/22, outside the recommended freezer duration date. No adverse effects.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Hypotension, Unresponsive to stimuli
Clinical narrative: Moderna Booster administered. Patient had checked no on all pre-screening questions per staff. Patient assisted to common area to monitored by staff. Patient became unresponsive. Staff assessed patient and reported bradycardia and hypotension. Patient made comfortable and stable, staff remained at patients side and call for medical response to scene. Staff later reported patient has been trying to get her A-fib under control and is currently taking a beta blocker. Staff report that they may need to adjust her dosage and that this is the second time recently that this patient has had a hypotensive spell.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Extreme itchiness from scalp to lower torso (including inside of ears, arms and palms). Rash would appear in areas where scratched and would stay for approximately 30 minutes. Dr. diagnosed urticaria and dermatographia. Was given prednisone shot and a regimen of Zyrtec and Allegra to take.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness on the left side of neck and jaw (side of injection site). Lasted for about 2 weeks.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT WANTED TO GET THE MODERNA VACCINE BOOSTER BUT WAS GIVEN THE PFIZER COVID VACCINE BOOSTER. THE VACCINATOR ADMINISTERED THE PFIZER COVID VACCINE BOOSTER IN THE LEFT DELTOID WITH NO ISSUES. PT  EXPRESSED DISMAY THAT HE GOT THE PFIZER BOOSTER ONCE HE WAS TOLD THAT HE GOT THE PFIZER BUT DID NOT HAVE ANY ADVERSE REACTIONS DURING HIS 15 MINUTE POST BOOSTER WAITING PERIOD.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Dizziness postural, Heart rate increased
Clinical narrative: Patient gets rapid heart rate & dizziness upon standing.  Same reaction with 2nd dose and booster shot.  Used pulse ox for booster dose to determine if heart rate actually was rapid.  Laying in bed heart rate was 98.  Upon standing or trying to walk any where patient felt dizzy, light headed, and heart rate increases to 150s.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Erythema, Pruritus, Urticaria
Clinical narrative: Pt. states that after receiving the 3rd dose of Phizer 11/26/2021, started experiencing symptoms 12/01/2021 of red/itchy feet and palms till current. Spreading throughout the body in sensitive areas, welps across the back of the head with dryness. Primary recommendation is Ointment and Vistaril. Pt. still continuing experience symptoms. 01/13/2021 planned visit with Primary for Follow-Up Appt.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vaginal haemorrhage
Clinical narrative: vaginal bleeding, uti
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16 yo given Moderna first dose instead of Pfizer first dose. Family counciled by physician.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Bone pain, Chills, Condition aggravated
Clinical narrative: Patient Experienced fever (102 F), chills, migraine with aura, disoriented, hallucinations, bone pain, weakness, could not work for 3 days, joint pain, joints cracking. He described it as a "full body migraine". He also considered gong to the hospital but did not actually go.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Hallucination, Impaired work ability, Joint noise, Migraine with aura
Clinical narrative: Patient Experienced fever (102 F), chills, migraine with aura, disoriented, hallucinations, bone pain, weakness, could not work for 3 days, joint pain, joints cracking. He described it as a "full body migraine". He also considered gong to the hospital but did not actually go.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient Experienced fever (102 F), chills, migraine with aura, disoriented, hallucinations, bone pain, weakness, could not work for 3 days, joint pain, joints cracking. He described it as a "full body migraine". He also considered gong to the hospital but did not actually go.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient and parent came into our pharmacy on 9/16/21, met with the team and filled out paperwork for the family to get J&J vaccine. Patient was inadvertently mixed in with family and assumed to be ok with getting J&J vaccine. Trained vaccine staff and pharmacists were on site but student pharmacist accidentally administered the J&J vaccine to the pt. who was 13 years old at the time when the EUA is specified for 18 and up at the current time. The pt. had no issues after 15 minutes and carried on the rest of their day and their has been no adverse event to report that we are aware of from that day nor since the past 3.5 months. The family was fine with the J&J vaccine as they had preferred this agent to begin with but the error was caught later that day when putting vaccine into the system. Patient family was called later that day and family said that the pt. was fine and would monitor for any abnormalities as specified in EUA to let us know if anything comes up. Since then we have not heard from the family. We have attempted calls to them to check in to see if there was anything else to report but have not heard anything. In overseeing these protocols, wanted to ensure we did the right thing and report the inadvertent incident to VAERS as specified within guidelines of providing the COVID-19 vaccines. Thankfully, all is seems ok at this time but we have since ensured that pharmacists, student pharmacists and staff slow down to ensure high quality care is priority, not speed.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Amnesia, Anticoagulant therapy, Blood creatinine increased
Clinical narrative: Patient fully vaccinated.  Patient COVID positive 11/19/2021.  88-year-old female with significant known history for atrial fibrillation/coronary artery disease, depression, who presented for shortness of breath.  In the emergency department, she is alert/oriented, states she is not sure how she ended up here, cannot recall exactly who brought her and/or why she is here and is asking to be discharged home.  Denies chest pain.  BP 96/62.  Admission dx:  acute respiratory failure, SOB, Hypoxia, COVID pneumonia.  CSR: multipfocal bilateral airspace opacities. Treatment: remdisivir, decadron, lovenox.  On 15/15NRB.  Progressive pulmonary infiltrates. broad spectrum ABX  CRP 301.1-242.7; D-dimer 1021--769; procalcitonin 0.51.  AKI: Cr 1.11--0.98-- 1.06--1.02--0.95--0.89--0.82-0.99--1.64-1.19.  Patient expired.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Confusional state
Clinical narrative: Patient fully vaccinated.  Patient COVID positive 11/19/2021.  88-year-old female with significant known history for atrial fibrillation/coronary artery disease, depression, who presented for shortness of breath.  In the emergency department, she is alert/oriented, states she is not sure how she ended up here, cannot recall exactly who brought her and/or why she is here and is asking to be discharged home.  Denies chest pain.  BP 96/62.  Admission dx:  acute respiratory failure, SOB, Hypoxia, COVID pneumonia.  CSR: multipfocal bilateral airspace opacities. Treatment: remdisivir, decadron, lovenox.  On 15/15NRB.  Progressive pulmonary infiltrates. broad spectrum ABX  CRP 301.1-242.7; D-dimer 1021--769; procalcitonin 0.51.  AKI: Cr 1.11--0.98-- 1.06--1.02--0.95--0.89--0.82-0.99--1.64-1.19.  Patient expired.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Fibrin D dimer, Hypoxia, Lung infiltration
Clinical narrative: Patient fully vaccinated.  Patient COVID positive 11/19/2021.  88-year-old female with significant known history for atrial fibrillation/coronary artery disease, depression, who presented for shortness of breath.  In the emergency department, she is alert/oriented, states she is not sure how she ended up here, cannot recall exactly who brought her and/or why she is here and is asking to be discharged home.  Denies chest pain.  BP 96/62.  Admission dx:  acute respiratory failure, SOB, Hypoxia, COVID pneumonia.  CSR: multipfocal bilateral airspace opacities. Treatment: remdisivir, decadron, lovenox.  On 15/15NRB.  Progressive pulmonary infiltrates. broad spectrum ABX  CRP 301.1-242.7; D-dimer 1021--769; procalcitonin 0.51.  AKI: Cr 1.11--0.98-- 1.06--1.02--0.95--0.89--0.82-0.99--1.64-1.19.  Patient expired.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Procalcitonin, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated.  Patient COVID positive 11/19/2021.  88-year-old female with significant known history for atrial fibrillation/coronary artery disease, depression, who presented for shortness of breath.  In the emergency department, she is alert/oriented, states she is not sure how she ended up here, cannot recall exactly who brought her and/or why she is here and is asking to be discharged home.  Denies chest pain.  BP 96/62.  Admission dx:  acute respiratory failure, SOB, Hypoxia, COVID pneumonia.  CSR: multipfocal bilateral airspace opacities. Treatment: remdisivir, decadron, lovenox.  On 15/15NRB.  Progressive pulmonary infiltrates. broad spectrum ABX  CRP 301.1-242.7; D-dimer 1021--769; procalcitonin 0.51.  AKI: Cr 1.11--0.98-- 1.06--1.02--0.95--0.89--0.82-0.99--1.64-1.19.  Patient expired.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Nurse administered Moderna booster dose (0.25 mL) per parent request versus Pfizer booster, but patient only 14 years of age and therefore not eligible for Moderna vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Fatigue, Mobility decreased, Muscular weakness
Clinical narrative: After 1st and 2nd dose, arm was completely un-movable from pain and soreness.  After 2nd dose extremely tired. After 2nd dose both legs were tingly and weak and had shooting pains from thighs to kneecaps the next day, this continued all day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia
Clinical narrative: After 1st and 2nd dose, arm was completely un-movable from pain and soreness.  After 2nd dose extremely tired. After 2nd dose both legs were tingly and weak and had shooting pains from thighs to kneecaps the next day, this continued all day.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: A couple weeks after the vaccine I noticed my cycle was delayed and hadn't begun as it usually does. I previously had my cycle in May but didn't receive another cycle until 7/1.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Pain in extremity, Pruritus, Rash macular
Clinical narrative: My son received the Covid booster on Saturday afternoon and by bedtime Sunday night he said his hands were itching really badly. I thought maybe it was dry skin and had him use lotion. By the next morning, the itching was more intense and also involved his feet, especially between his toes. I gave him benadryl which helped with the itching, however, by Tuesday morning he had joint pains in his fingers, his feet hurt to walk on, he had red splotchy areas over the palms of both hands and his fingertips were red. He was also experiencing continued itching despite taking round the clock benadryl for 2 days. He is scheduled to see his pediatrician this afternoon at 5pm.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received booster dose early . Patient received second dose of Pfizer on September 20, 2021 and booster on 01/07/2022.  Patient was monitored and no adverse event occured. Follow up call was made to patient and they are fine.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Mental status changes, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: 12/30/2021: Event occurred after 2nd vaccine. 87-year-old female with history of dementia, Parkinson's, aortic aneurysm, hyperlipidemia, HTN; presented to the ED today for increased altered mental status. patient was nonresponsive to daughter's questioning.  Pt is hemodynamically stable, and afebrile. Respiratory viral panel positive for Covid. Chest X-Ray showed no acute cardiopulmonary process. Treated with Remdesivir 5 day course (12/30-01/03). Decadron 10mg (12/30), and 6mg (12/31-01/04)
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: 12/30/2021: Event occurred after 2nd vaccine. 87-year-old female with history of dementia, Parkinson's, aortic aneurysm, hyperlipidemia, HTN; presented to the ED today for increased altered mental status. patient was nonresponsive to daughter's questioning.  Pt is hemodynamically stable, and afebrile. Respiratory viral panel positive for Covid. Chest X-Ray showed no acute cardiopulmonary process. Treated with Remdesivir 5 day course (12/30-01/03). Decadron 10mg (12/30), and 6mg (12/31-01/04)
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Brain operation, Cerebral haemorrhage, Computerised tomogram head abnormal, Thrombectomy
Clinical narrative: Cerebral Hemorrhage. Brain surgery to remove blood clots.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Large red oval below injection site, itching started 2 days after injection and continued for 6-7 days.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hypomenorrhoea
Clinical narrative: I had such a light period it was almost as if I missed it. I have been having periods for 13 years and they have always been very, very heavy. This has never happened. My period returned the next month.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Postmenopausal haemorrhage
Clinical narrative: Hot Flashes which I had never had and then my periods started again as well
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Received Moderna vaccines on 1/28, 2/27, 8/20/21 COVID-19 positive by PCR on  1/7/22. admitted to hospital on 1/7/22 d/t generalized weakness, pneumonia d/t COVID-19.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Dyspnoea
Clinical narrative: SHORTNESS OF BREATH AND PAIN IN THE MIDDLE F IS BACK BEHIND HEART . PATIENT HAD TO HOLD IS CHEST TO BREATHE. PATIENT HAD DIFFICULTY BREATHING FOR 4 DAYS.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pruritus, Peripheral swelling, Pyrexia
Clinical narrative: I began to feel rash on the vaccination site on my arm that was painful and caused itchiness. Caused swelling down to my hand as well. I also had major fatigue, chills, and feverish as well. 3 days later I was given steroids for the reaction, which helped resolve the symptoms completely after steroid course.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain, Vaccination site rash, Vaccination site swelling
Clinical narrative: I began to feel rash on the vaccination site on my arm that was painful and caused itchiness. Caused swelling down to my hand as well. I also had major fatigue, chills, and feverish as well. 3 days later I was given steroids for the reaction, which helped resolve the symptoms completely after steroid course.
Age: 1.67
Sex: F
Vaccine: DTPPVHBHPB, HEP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: no adverse reaction, gave two doses of Hep B at time of vaccine.
Age: 95.0
Sex: U
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Dyspnoea, Hypoxia, Productive cough
Clinical narrative: Positive COVID-19 status and progressively worsening dyspnea over the last 1-2 months and most concerning over the last few days. Despite outpatient follow up with pulmonology and the decision to perform outpatient testing and work up, she sought evaluation in the ED given the acute decompensation from a respiratory hypoxemia standpoint. EMS was originally called to her nursing facility and was found to be hypoxic. In addition to her dyspnea and hypoxemia, she describes a productive cough consistent with clear and white sputum.
Age: 95.0
Sex: U
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19 status and progressively worsening dyspnea over the last 1-2 months and most concerning over the last few days. Despite outpatient follow up with pulmonology and the decision to perform outpatient testing and work up, she sought evaluation in the ED given the acute decompensation from a respiratory hypoxemia standpoint. EMS was originally called to her nursing facility and was found to be hypoxic. In addition to her dyspnea and hypoxemia, she describes a productive cough consistent with clear and white sputum.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Headache, Nausea
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Under my left arm is swollen and i cant set it down
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: NUMBNESS & TINGLING OF RIGHT ARM AND HAND WITH RADIATION TO RIGHT LEG AND RIGHT FOOT/GREAT TOE
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Fall
Clinical narrative: Patient received vaccination (0.2 mL) in right deltoid without incident Patient jumped down from exam table ~ 1 ? 2 minutes after vaccination received     Immediately fell to the floor, eyes closed, unsure if loss of consciousness or not     Opened eyes < 10 seconds from incident and responded appropriately Patient observed for 30 minutes in office, received juice/crackers, and was at neurologic baseline upon release from the office
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Lip swelling, Mechanical urticaria, Peripheral swelling, Pharyngeal swelling
Clinical narrative: Dermographia, hives, swelling of feet, hands, lips, eyes, tongue and throat. Ordered to take 2 zyrtec and 2 pepcid a day. Prescribed a 5 day 40mg per day dose of Prednisone. Prescribed an epi pen due to throat, lip and tongue swelling. Swelling subsided with the prednisone treatment after 8 days. Hives, itchiness and dermographia continue to persist but are being managed by the zyrtec and pepcid. Breakthrough hives, itchiness and dermographia continue to persist, even with medication
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Swollen tongue, Urticaria
Clinical narrative: Dermographia, hives, swelling of feet, hands, lips, eyes, tongue and throat. Ordered to take 2 zyrtec and 2 pepcid a day. Prescribed a 5 day 40mg per day dose of Prednisone. Prescribed an epi pen due to throat, lip and tongue swelling. Swelling subsided with the prednisone treatment after 8 days. Hives, itchiness and dermographia continue to persist but are being managed by the zyrtec and pepcid. Breakthrough hives, itchiness and dermographia continue to persist, even with medication
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Gait inability, Pain
Clinical narrative: I had a hip arthroscopy on the left hip on 10/27/21 and was recovering well. The surgery was to repair a torn labrum and shave down ball/socket so it would better fit together. Also shaved off CAM lesions. One week prior to the vaccine I was recovering so well that I was able to walk 1-2 miles normally. Two days after my booster (third shot) (12/22/21), I was in so much pain in left hip that I was unable to walk. I had to go back on crutches and was in pain intermittently until seeing my surgeon on 1/10/21 who prescribed MethylPRESDNISolone because he believed that the pain was being caused by increased inflammation in the joint as a result of the COVID-19 vaccine. He reported other orthopedic surgery patients reporting similar symptoms following vaccination. I have been taking the prescription (4mg) for two days now and am already feeling better, not perfect - so I do think this had to do with inflammation that was not causing any issues prior to COVID19 booster.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: Patient developed a large knot and redness at injection site.  Patient was advised to monitor the area for changes and to see his medical provider if the area worsened/expanded over the next couple of days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound scan
Clinical narrative: 2 Blood Clots in right arm on 1/9/22
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Chest discomfort, Dyspnoea, Fatigue
Clinical narrative: DISCHARGED FROM HOSPITAL  ON 12/29/21 WITH DIAGNOSIS OF PNEUMONIA AND A -FIB.  PT SEEN IN OFFICE ON 1/11/22 WITH SYMPTOMS OF FATIGUE, CHEST TIGHTNESS, DYSPNEA, FEVER, SYMPTOMS WORSENED OVER LAST 2 DAYS  ADMITTED TO HOSPITAL
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: DISCHARGED FROM HOSPITAL  ON 12/29/21 WITH DIAGNOSIS OF PNEUMONIA AND A -FIB.  PT SEEN IN OFFICE ON 1/11/22 WITH SYMPTOMS OF FATIGUE, CHEST TIGHTNESS, DYSPNEA, FEVER, SYMPTOMS WORSENED OVER LAST 2 DAYS  ADMITTED TO HOSPITAL
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Hypoxia, Inappropriate schedule of product administration, Respiratory failure
Clinical narrative: Received Moderna vaccines on 2/16, 3/23/21 COVID-19 positive by PCR on 1/8/22 admitted to hospital on 1/8 due to acute on chronic hypoxic and hypercapnic respiratory failure, pneumonia d/t COVID
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Received Moderna vaccines on 2/16, 3/23/21 COVID-19 positive by PCR on 1/8/22 admitted to hospital on 1/8 due to acute on chronic hypoxic and hypercapnic respiratory failure, pneumonia d/t COVID
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: pt felt right away, came back mid december arm still hurt, pt advised to take ibuprofen regularly for 2 weeks.  pt arm still sore as of today 1/12/22. informed pt to contact md
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperaesthesia
Clinical narrative: Approximately 13 hours after receiving the Moderna Covid 19 Booster vaccine I developed an acute case of cutaneous hyperesthesia. This symptom lasted close to 31 hours and was tx with tylenol 500mg  2x.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Central venous catheterisation, Endotracheal intubation, Hypophagia, Hypoxia
Clinical narrative: 65-year-old female with past medical history of hypertension, asthma, diverticulitis and GERD presented to the ED after having tested positive for COVID-19 3 days prior to admission.  Patient has had altered mental status for the last 2 days prior to admission.  Per family, patient has had poor oral intake for several days as well. Per EMS, patient's initial O2 saturation was 50% on room air at which point they placed her on CPAP which improved O2 saturation to 75%.  Patient did not tolerate CPAP and remained persistently hypoxic and was therefore intubated in the emergency department.  She also arrived with a right upper extremity PICC line for outpatient antibiotics for a "groin wound." Laboratory results showed
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, Mental status changes, Positive airway pressure therapy, SARS-CoV-2 test positive, Wound
Clinical narrative: 65-year-old female with past medical history of hypertension, asthma, diverticulitis and GERD presented to the ED after having tested positive for COVID-19 3 days prior to admission.  Patient has had altered mental status for the last 2 days prior to admission.  Per family, patient has had poor oral intake for several days as well. Per EMS, patient's initial O2 saturation was 50% on room air at which point they placed her on CPAP which improved O2 saturation to 75%.  Patient did not tolerate CPAP and remained persistently hypoxic and was therefore intubated in the emergency department.  She also arrived with a right upper extremity PICC line for outpatient antibiotics for a "groin wound." Laboratory results showed
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema, Pruritus, Psoriasis, Skin burning sensation
Clinical narrative: Skin  complaint, I have psoriasis, and since the jab, my skin has become 10 times worse, my skin feels like it`s on fire and is very red and itchy.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Pain, Paraesthesia, Pyrexia
Clinical narrative: Immediately had tingling in your hand and still having the tingling a couple weeks later pain in the area for a couple days had the fever for 2 days body aches and headaches
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Recurring chest pain over three days
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Approximately 2 weeks after the vaccination of booster shot, around 11/29/2021 hives began to appear all over my body that was aggravated by heat and fragrances. I took Claritin that did not do much, I was given a steroid pack for 6 days and helped, however once I finished the steroid my symptoms came back. I then was advised to take Claritin and Pepcid HC for 2 weeks and helped calm things down, and it began a flare up again. I am still experiencing these hives and itchiness however heat seems to trigger it and the rash  spreads all over.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Dialysis, Pain
Clinical narrative: Patient had a cough Friday, 1/7/22. Tested pos Saturday. Feeling weak and some body aches with one episode of vomiting. Nurse coordinator told patient to come to the ED to be dialyzed as unable to get into a COVID accessible dialysis unit.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient had a cough Friday, 1/7/22. Tested pos Saturday. Feeling weak and some body aches with one episode of vomiting. Nurse coordinator told patient to come to the ED to be dialyzed as unable to get into a COVID accessible dialysis unit.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Dehydration, Fatigue, Herpes zoster, Hypersomnia
Clinical narrative: 08/30/2021, within the 1st hour that I had the vaccine, I threw up. I had extreme fatigue, 6 hours after the shot, I passed out, hurry-up and-get-to-your-bed fatigue. I slept for 3 days, I went to sleep and did not wake up. I slept 42 hours. It was bizarre. I woke up dehydrated. 09/26/2021 at midnight, the shingles breaking out, little blisters on my face. I started my valacyclovir immediately, I have rescue medications because I can't wait to start them. And I called my doctor on 09/29/2021 to report the shingles and by then I was doing better. I was supposed to get 2nd vaccine on 09/27/2021. The doctor would not let me get my 2nd vaccine because I had the shingles virus. I was not able to get my vaccine until 10/13/2021, when the shingles virus was out of my system. After the 2nd vaccine, I just had fatigue, no shingles. I stopped taking my antibiotics when I had the shingles and just took the valacyclovir. 10/07- 10/10/2021, I got bad infection, lower pelvic, double over excruciating pain on my lower pelvic. On 10/10/2021, I started my antibiotics, and the infection went away. That was not an AE. It was because I stopped taking my antibiotics.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Pelvic infection, Pelvic pain, Vomiting
Clinical narrative: 08/30/2021, within the 1st hour that I had the vaccine, I threw up. I had extreme fatigue, 6 hours after the shot, I passed out, hurry-up and-get-to-your-bed fatigue. I slept for 3 days, I went to sleep and did not wake up. I slept 42 hours. It was bizarre. I woke up dehydrated. 09/26/2021 at midnight, the shingles breaking out, little blisters on my face. I started my valacyclovir immediately, I have rescue medications because I can't wait to start them. And I called my doctor on 09/29/2021 to report the shingles and by then I was doing better. I was supposed to get 2nd vaccine on 09/27/2021. The doctor would not let me get my 2nd vaccine because I had the shingles virus. I was not able to get my vaccine until 10/13/2021, when the shingles virus was out of my system. After the 2nd vaccine, I just had fatigue, no shingles. I stopped taking my antibiotics when I had the shingles and just took the valacyclovir. 10/07- 10/10/2021, I got bad infection, lower pelvic, double over excruciating pain on my lower pelvic. On 10/10/2021, I started my antibiotics, and the infection went away. That was not an AE. It was because I stopped taking my antibiotics.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Myalgia, Nausea, SARS-CoV-2 test positive
Clinical narrative: Pt received Moderna vaccines at the Health Department on 4/3/21 and 5/1/21. Pt received booster Moderna vaccine on 11/18/21. On 1/7/22, pt presented to the ED with complaints of generalized myalgias, nausea, and cough. Pt noted that symptoms were worsening since 1/3/22. Pt was test for COVID on 1/7/21 and was found to be COVID positive. Pt did require oxygen while admitted, but was weaned off of oxygen prior to discharge.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Axillary pain, Back pain, Body temperature decreased
Clinical narrative: Severe headache, tachycardia, low body temperature (34.9c), severe pain in the right armpit and a little on the left, severe pain in the bones and joints. Strong pain in the abdominal area, diarrhea, dizziness and nausea. Pain in the back when breathing. shooting pains in different parts of the body.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Diarrhoea, Dizziness, Headache, Nausea
Clinical narrative: Severe headache, tachycardia, low body temperature (34.9c), severe pain in the right armpit and a little on the left, severe pain in the bones and joints. Strong pain in the abdominal area, diarrhea, dizziness and nausea. Pain in the back when breathing. shooting pains in different parts of the body.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Painful respiration, Tachycardia
Clinical narrative: Severe headache, tachycardia, low body temperature (34.9c), severe pain in the right armpit and a little on the left, severe pain in the bones and joints. Strong pain in the abdominal area, diarrhea, dizziness and nausea. Pain in the back when breathing. shooting pains in different parts of the body.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Tylenol Discharged home
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Haemorrhage, Menstruation irregular, Muscle spasms, Polymenorrhoea
Clinical narrative: Frequent periods, every two weeks. Irregular menstruation. Severe cramping and abdominal pain with bleeding
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan vagina
Clinical narrative: Frequent periods, every two weeks. Irregular menstruation. Severe cramping and abdominal pain with bleeding
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Illness, Menstrual disorder, SARS-CoV-2 test positive
Clinical narrative: I had no AE to the vaccine but again my cycle was delayed. The last time my cycle began was 7/1 and this time it didn't begin until 8/24 which lasted for 11 days which was totally abnormal for me. It was a whole full cycle for the entire 11 days and I am normally a 5 day runner. 1/5 I was fatigued and extra tired I took an at home COVID test and on 1/6 I tested positive to COVID. I got really sick on Friday but to date I am still slowly recovering but feeling just a little better today. I am currently taking the Antiviral Molnupiravir to help recover from the COVID-19.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Headache
Clinical narrative: Headache, a ball under the left arm.