chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site pruritus
Clinical narrative: Vaccinations was site on the Left Lower arm, patient came in for the 2nd dose and said it was itching when it was his first one. No sign he said it wasn't bad at all.  1st dose 10/01/22 Time admin 10:15am
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Booster was no diluted properly before being given to patient
Age: 17.0
Sex: M
Vaccine: FLU4
Symptoms: Head injury, Syncope
Clinical narrative: Patient received flu shot. After leaving room and approaching doors to leave store patient fainted and claims that he hit his head on the floor and broke his glasses
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product leakage, Underdose
Clinical narrative: Patient here for bivalent booster.  During administration, vaccinator report that more than 50% of the vacicne leaked out. Vax site leads notified. Patient was revaccinated with no issues reported.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Hearing aid user, Impaired work ability, Magnetic resonance imaging head normal
Clinical narrative: Received the vaccine on July 19, 2022, around the 2-3 week in August 2022, I noticed I couldn't  hear out of my right ear and the mild tinnitus that I have had gotten worse.  I called my ENT and the "soonest" I could get in was September 30, which I also had an audio testing done.  I now have to get hearing devices in the hope that the devices will help...WHICH IS NOT COVERED BY INSURANCE!!!  I work at our local school district as a tutor and had to resign from the job, as I couldn't do my job BECAUSE I COULDN'T HEAR THE STUDENTS!
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Received the vaccine on July 19, 2022, around the 2-3 week in August 2022, I noticed I couldn't  hear out of my right ear and the mild tinnitus that I have had gotten worse.  I called my ENT and the "soonest" I could get in was September 30, which I also had an audio testing done.  I now have to get hearing devices in the hope that the devices will help...WHICH IS NOT COVERED BY INSURANCE!!!  I work at our local school district as a tutor and had to resign from the job, as I couldn't do my job BECAUSE I COULDN'T HEAR THE STUDENTS!
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The Pfizer vaccine for age 5-11 years old was sent to use on 08/26/2022. We put it in the fridge with the CDC label that stated to put a 10 week expiration date. We put a use by date of 11/4/2022. The manufacturer date on the vial was 10/2021 so the expiration date on the vial would have been 09/30/2022.
Age: 14.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect route of product administration
Clinical narrative: Flulaval Quadrivalent given nasal, not intramuscular. Wrong route.
Age: 0.5
Sex: M
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: HEPATITIS A VACCINE GIVEN DURING BABY'S 6 MONTH WELLNESS EXAM VISIT
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Blood glucose increased, Dizziness, Gait disturbance, Peripheral swelling
Clinical narrative: dizziness, could not walk, afib, blood sugars went high, arm swollen
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Biotech COVID-19 mRNA given instead of Pfizer COVID-19 Bivalent.
Age: 89.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Malaise
Clinical narrative: ALL ADVERSE EVENTS RESOLVED ON THEIR OWN WITH NO TREATMENT. PT EXPERIENCED MALAISE FOR 14 DAYS.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Impaired work ability
Clinical narrative: Patient reported pain the the left arm after receiving the flu vaccine. Patient was seen by the occupational Health physician on 10/24/22 was diagnosed with bursitis of the left shoulder and given work restrictions of no reaching over shoulder height with the left hand.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: He was given his first Moderna vaccine on 7/20/2022 and his second was administered on 8/10/2022, only 3 weeks later.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis, Coronary arterial stent insertion, Electrocardiogram, Feeding disorder, Fluid intake reduced
Clinical narrative: Was unable to eat or drink most of the following day and had difficulty getting up. slept most of that day and the following day. did not get back to 100% until late the third day after vaccination. Had Syncope episode 03/10/2022, resulting in tests leading to a stent in the left coronary artery.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Laboratory test, Mobility decreased, Syncope
Clinical narrative: Was unable to eat or drink most of the following day and had difficulty getting up. slept most of that day and the following day. did not get back to 100% until late the third day after vaccination. Had Syncope episode 03/10/2022, resulting in tests leading to a stent in the left coronary artery.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Feeling cold, Pain, Pyrexia
Clinical narrative: Woke day after vaccination with joint soreness and general body ache, and became cold/began shivering mid morning at work. Recorded temp of 100.2°F at 12:00pm, took 2 500mg Tylenol and went to bed. Temp at 9:00pm was 102.3°F, aches and pains persisting. Pain settled in mid- to lower spine by morning of 10/27, but fever broke overnight.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Spinal pain
Clinical narrative: Woke day after vaccination with joint soreness and general body ache, and became cold/began shivering mid morning at work. Recorded temp of 100.2°F at 12:00pm, took 2 500mg Tylenol and went to bed. Temp at 9:00pm was 102.3°F, aches and pains persisting. Pain settled in mid- to lower spine by morning of 10/27, but fever broke overnight.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Fatigue, Granuloma, Headache
Clinical narrative: I had long COVID-19 symptoms affecting my lungs, a lot of mucus production. I developed headaches, fatigue. I went to see my doctor, who ordered chest x-ray that showed calcified granuloma, heart is normal in size, mild collapse of one of my left lungs. The P.A was not concerned she said it should go back to normal as long as I do deep breathing exercises. They recommended that I continue to using my Proventil and cupping exercises to help expand my left lungs. I do not feel back to one hundred percent.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax, Post-acute COVID-19 syndrome, Secretion discharge
Clinical narrative: I had long COVID-19 symptoms affecting my lungs, a lot of mucus production. I developed headaches, fatigue. I went to see my doctor, who ordered chest x-ray that showed calcified granuloma, heart is normal in size, mild collapse of one of my left lungs. The P.A was not concerned she said it should go back to normal as long as I do deep breathing exercises. They recommended that I continue to using my Proventil and cupping exercises to help expand my left lungs. I do not feel back to one hundred percent.
Age: 78.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: States left arm swollen about the size of her palm. Warm to touch. It was tender yesterday, but not tender today. A little itching.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received the bivalent booster before the recommended 2 month waiting period after their last regular booster.  During a vaccine clinic,  Provider and patient did not let us know patient had received booster from another provider 1 month prior.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: Contracted COVID-19 while travelling. Symptoms started 09/13/2022. Sore throat, congested sinuses, tiredness, slight body aches, slight headache. Called Dr. when returned home on 09/15/2022. He prescribed Pavlovid 300-100 mg pack (EUA), a five day course. Symptoms abated almost immediately and were gone by the end of the course.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Contracted COVID-19 while travelling. Symptoms started 09/13/2022. Sore throat, congested sinuses, tiredness, slight body aches, slight headache. Called Dr. when returned home on 09/15/2022. He prescribed Pavlovid 300-100 mg pack (EUA), a five day course. Symptoms abated almost immediately and were gone by the end of the course.
Age: 73.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient received Flu vaccine on 9/26/22 followed by an additional vaccination 10/27/22. Patient is asymptomatic at this time
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Biotech COVID-19 mRNA Tris Su given instead of Pfizer COVID-19 Bivalent
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Malaise, Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: The patient was administered the incorrect COVID 19 Pfizer Bivalent vaccine according to his age. Patient received the Pfizer-BioNTech Covid 19 vaccine Bivalent Age 12 years & older.  I reached out to the patient's parents on 10/20/2022 after receiving a call from the regulatory authority to notify their son had received the incorrect vaccine. The parents reported their son had no adverse effects after getting the COVID vaccine. However, they did mention their son felt mildly ill with a fever after getting the Flu shot the following week on 10/15/2022.
Age: 69.0
Sex: M
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Pruritus
Clinical narrative: 1ST DOSE DATE ADMIN 10/01/22 TIME ADMIN 10:38AM  INTRADERMAL LEFT LOWER FOREARM HE SAID IT WAS NOT SO BAD BUT ITCHINESS FIRST TIME.  2ND DOSE ADMIN 10/25/22 TIME ADMIN 12:43PM INTRADERMAL RIGHT LOWER FOREARM
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Fatigue, Glycosylated haemoglobin increased, Hepatic enzyme increased, Pyrexia
Clinical narrative: The day after I received the vaccine, I felt feverish and fatigue. It knocked me out. The symptoms were certainly gone within 24 to 48 hours. On 6/14/2022 I had blood work done. My liver enzymes were high, my A1C was up, and my kidney numbers were high.  My endocrinologist suggested I go to a gastroenterologist, liver specialist, to check my liver enzyme. I had blood work done by that specialist and the results were fine. The enzymes had gone back to normal at that point. My kidney functions, I just saw my nephrologist, and he tell me that my kidneys seem to be stable. High but stable. next week I will go see my endocrinologist for my sugar, but that is to be determined. At the beginning of 11/3/2022. I will be going to my urologist, and he will let me know if I need a biopsy. I had bladder cancerous tumor removed 25 years ago in 5/2001 and in 12/2001, I had a second bladder tumor removed. Since then, I had no problems with my bladder.  This was the first time the urologist looked inside my bladder and was unsure what he saw. I decided to wait 90 days check it again. As of a week ago, my liver enzymes and my kidney numbers were getting back to a better level. Next week, I will find out if my sugar levels are at a better level.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Renal function test abnormal
Clinical narrative: The day after I received the vaccine, I felt feverish and fatigue. It knocked me out. The symptoms were certainly gone within 24 to 48 hours. On 6/14/2022 I had blood work done. My liver enzymes were high, my A1C was up, and my kidney numbers were high.  My endocrinologist suggested I go to a gastroenterologist, liver specialist, to check my liver enzyme. I had blood work done by that specialist and the results were fine. The enzymes had gone back to normal at that point. My kidney functions, I just saw my nephrologist, and he tell me that my kidneys seem to be stable. High but stable. next week I will go see my endocrinologist for my sugar, but that is to be determined. At the beginning of 11/3/2022. I will be going to my urologist, and he will let me know if I need a biopsy. I had bladder cancerous tumor removed 25 years ago in 5/2001 and in 12/2001, I had a second bladder tumor removed. Since then, I had no problems with my bladder.  This was the first time the urologist looked inside my bladder and was unsure what he saw. I decided to wait 90 days check it again. As of a week ago, my liver enzymes and my kidney numbers were getting back to a better level. Next week, I will find out if my sugar levels are at a better level.
Age: 23.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered bivalent booster as primary series first dose by RN in vaccination clinic.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Biotech COVID-19 mRNA Tris Su given instead of Pfizer COVID-19 Bivalent
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, Product administration error
Clinical narrative: She has received flu shots annually and had two doses in one season her first year. She received the flu vaccine on 9/15/2022 and did not need the dosage administered today, however there was an administration error.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac flutter, Dizziness
Clinical narrative: Prior to receiving Pfizer bivalent shot, patient stated previous Covid shots "became mild lightheaded and mils fluttering in chest." States her Healthcare Provider is aware and has OK'd booster shot to be given today. Patient also confirmed with her Nurse that it is OK to receive Covid booster today. At 11am Pfizer bivalent booster shot given. At 11:45am states "feels light headed and has mild fluttering in chest".  B/p 150/90. Escorted patient to Nurse office to rest and lie down. Monitored patient. At 12;05pm Nurse took B/p 150/90 and heartrate 102. Patient states has not eaten for a few days. Juice encouraged and given at this time and tolerated juice well. At 12:15pm B/p 150/85 and patient feeling about the same. Nurse and patient decided it was OK for patient to go home and rest. nurse stated she will be checking in on patient by phone. Nurse called today to check status of patient.  Nurse stated  patient stayed home today to rest. Nurse will me if any changes occur.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in to get bivalent moderna. Both moderna boxes moderna and moderna bivalent on the same shelf. Pharmacist chose the wrong box
Age: 17.0
Sex: F
Vaccine: COVID19-2, FLU4, HPV9, VARCEL
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Pallor, Seizure
Clinical narrative: Patient passed out approximately 3-4 minutes after vaccines were administered. Patient convulsed for approximately 10 seconds while passed out. Was unresponsive for 30 seconds to 1 minute. Patient was pale once she woke up and was shaky. Stated that she was lightheaded. No pain or cognitive deficits noted. Vitals after patient came to were P 70 O2 99 BP 106/72. Patient was given some juice, crackers and sat with her head lowered and her legs propped up. She began to feel better after approximately 10 minutes, stating she no longer felt light headed.
Age: 17.0
Sex: F
Vaccine: COVID19-2, FLU4, HPV9, VARCEL
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Patient passed out approximately 3-4 minutes after vaccines were administered. Patient convulsed for approximately 10 seconds while passed out. Was unresponsive for 30 seconds to 1 minute. Patient was pale once she woke up and was shaky. Stated that she was lightheaded. No pain or cognitive deficits noted. Vitals after patient came to were P 70 O2 99 BP 106/72. Patient was given some juice, crackers and sat with her head lowered and her legs propped up. She began to feel better after approximately 10 minutes, stating she no longer felt light headed.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Nothing happened until days later when I got COVID-19, I was exposed the day before that I was golfing, I got tired, on October 1st, the next morning I felt very fatigue, tired and sore throat, I had a Home Test for COVID-19, and I tested Positive. I called the doctor, and he prescribed medication. I started taking it that evening, went to bed and that night it was really bad, a headache, body pain and overnight, the next morning I was very fatigue, a little caught and headache.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: Nothing happened until days later when I got COVID-19, I was exposed the day before that I was golfing, I got tired, on October 1st, the next morning I felt very fatigue, tired and sore throat, I had a Home Test for COVID-19, and I tested Positive. I called the doctor, and he prescribed medication. I started taking it that evening, went to bed and that night it was really bad, a headache, body pain and overnight, the next morning I was very fatigue, a little caught and headache.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Headache, Heart rate increased, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Received flu shot and experienced instant headache, followed by severe fatigue, elevated heart rate and respiratory rate, diaphoresis and mild nausea. Symptoms lasted until approx. 9pm. Vaccine received at approx.1pm.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Respiratory rate increased
Clinical narrative: Received flu shot and experienced instant headache, followed by severe fatigue, elevated heart rate and respiratory rate, diaphoresis and mild nausea. Symptoms lasted until approx. 9pm. Vaccine received at approx.1pm.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Headache, SARS-CoV-2 test positive
Clinical narrative: Three weeks after 5th vaccine started feeling extreme chills and headache. Three days later took a home COVID-19 test and was positive. Went to Primary Care Doctor and prescribed Paxlovid.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes ophthalmic
Clinical narrative: Ocular herpes left eye
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Two patients (ages 8 years and 11 years) were supossed to receive a bivalent Moderna booster as they were due for a booster. Both patients received a 3rd dose of the Moderna monovalent formulation for ages 6-11 years due to confusion about the phrase "booster dose" on the box. Staff is trying to contact the parent of these patients to assess current condition and determine next steps for vaccination.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood magnesium decreased, Breast swelling, Haemoglobin decreased, Injection site haemorrhage, Peripheral swelling
Clinical narrative: flat eccymosis at injection site developing into pupuric swelling of left inhected arm speading to left breast and back
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Purpura, Swelling, Ultrasound Doppler normal
Clinical narrative: flat eccymosis at injection site developing into pupuric swelling of left inhected arm speading to left breast and back
Age: 70.0
Sex: F
Vaccine: SMALL
Symptoms: General symptom, Impaired work ability, Laboratory test abnormal, Pyrexia
Clinical narrative: Exposed at school, symptoms two days later, Paxlovid  for 5 days.  !01 degree fever for a couple of days, returned to work within 10 days.   Phone consult only.
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Regular moderna vaccine given instead of moderna bivalent. Wrong vial chosen from refrigerator. Patient called and no ADR on 10/27/22
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Paraesthesia
Clinical narrative: LOCALIZED REDNESS SWELLING AT INJECTION SITE. TINGLING IN FINGERS
Age: 34.0
Sex: M
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Pruritus
Clinical narrative: 1st dose  DATE ADMIN 10/03/22  TIME ADMIN 03:42PM  2nd dose DATE ADMIN 10/25/22 TIME ADMIN 03:18PM  he said it was little itchiness first dose
Age: 8.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent Covid19 vaccine was administered as booster dose instead of Bivalent Covid19 vaccine
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Headache, Lacrimation increased, Productive cough
Clinical narrative: I received my Pfizer Bivalent booster for COVID-19 and a flu shot on 9/23/2022. On the evening of 10/18/2022, I felt more tired than usual. We were out socializing with friends, and I couldn't wait to get home and rest. I basically felt like I was coming down with a cold. That night, I also developed a headache, a runny nose, a hacking cough, and watery eyes. I also continued to experience the aforementioned fatigue. These symptoms all continued throughout the day of 10/19/2022. On the morning of 10/20/2022, I took my temperature, which was around 100 degrees. I felt pretty sure it was the cause of my headache. I also had the symptoms I had developed on 10/18/2022. At around 11 AM that day, I took a rapid test for COVID-19 and got a positive result. I then contacted my doctor, who prescribed me Paxlovid, which I began taking that evening. I then spent the rest of the day sleeping. On the morning of 10/21/2022, I took my temperature, which was about 99. I had previously alternated Tylenol and ibuprofen to manage my temperature, and it seems that they worked well. I continued to periodically take my temperature for the rest of the day, and it remained in the normal range. When my fever subsided, so did my headache. On 10/22/2022, my other symptoms began to decrease. I coughed less, my nose was less runny, and my eyes were less watery. However, I still had fatigue. On 10/23/2022, I felt like almost all of my symptoms were gone, though my fatigue continued. On 10/24/2022, I stayed at home and rested; I still felt that I was improving, though I still felt fatigued. I also had a little bit of the cough left, but it soon subsided. While I was taking the Paxlovid, I had a metallic taste in my mouth, and I looked forward to finishing taking it, which I did on the morning of 10/25/2022. On the evening of 10/26/2022, I began to have sneezing and a runny nose, so I took Alka-Seltzer to treat the symptoms, and it worked. On the morning of 10/27/2022, I had a little bit of a runny nose, so I took some more Alka-Seltzer, and I haven't had a runny nose since. At the time of this writing, I feel pretty well, but I still feel more fatigued than usual. I work in spurts and then rest. I don't exert myself too much, as my stamina isn't quite what it was before I had COVID-19.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I received my Pfizer Bivalent booster for COVID-19 and a flu shot on 9/23/2022. On the evening of 10/18/2022, I felt more tired than usual. We were out socializing with friends, and I couldn't wait to get home and rest. I basically felt like I was coming down with a cold. That night, I also developed a headache, a runny nose, a hacking cough, and watery eyes. I also continued to experience the aforementioned fatigue. These symptoms all continued throughout the day of 10/19/2022. On the morning of 10/20/2022, I took my temperature, which was around 100 degrees. I felt pretty sure it was the cause of my headache. I also had the symptoms I had developed on 10/18/2022. At around 11 AM that day, I took a rapid test for COVID-19 and got a positive result. I then contacted my doctor, who prescribed me Paxlovid, which I began taking that evening. I then spent the rest of the day sleeping. On the morning of 10/21/2022, I took my temperature, which was about 99. I had previously alternated Tylenol and ibuprofen to manage my temperature, and it seems that they worked well. I continued to periodically take my temperature for the rest of the day, and it remained in the normal range. When my fever subsided, so did my headache. On 10/22/2022, my other symptoms began to decrease. I coughed less, my nose was less runny, and my eyes were less watery. However, I still had fatigue. On 10/23/2022, I felt like almost all of my symptoms were gone, though my fatigue continued. On 10/24/2022, I stayed at home and rested; I still felt that I was improving, though I still felt fatigued. I also had a little bit of the cough left, but it soon subsided. While I was taking the Paxlovid, I had a metallic taste in my mouth, and I looked forward to finishing taking it, which I did on the morning of 10/25/2022. On the evening of 10/26/2022, I began to have sneezing and a runny nose, so I took Alka-Seltzer to treat the symptoms, and it worked. On the morning of 10/27/2022, I had a little bit of a runny nose, so I took some more Alka-Seltzer, and I haven't had a runny nose since. At the time of this writing, I feel pretty well, but I still feel more fatigued than usual. I work in spurts and then rest. I don't exert myself too much, as my stamina isn't quite what it was before I had COVID-19.
Age: 65.0
Sex: F
Vaccine: FLUR4
Symptoms: Arthralgia
Clinical narrative: Symptoms began on 10/26/22, patient complains of arthritic, painful joints, mostly in the hips and knees, pain continues to progress through today 10/27/22.  Patient has taken acetaminophen, but no relief from that.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: THIS WAS A SHIPPED LOT WHICH WAS SENT WITH EXPIRATION SOON AFTER RECEIVING
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, RV1
Symptoms: Product administration error, Product preparation issue, Single component of a two-component product administered
Clinical narrative: Child recieved Pentacel and Rotarix diluent mixed together orally.  None of the powder form was administered.  Patient is doing well.  Staff spoke to pt's mother of misadministration after we spoke to the CDC for guidance as to how to proceed.  Both Pentacel and Rotarix where then administered correctly per the information given to our staff by the CDC.  A separete incidenreport was filled out and sent to staff supervisor for further training and per our clinic's policy.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient given 0.3 mL of undiluted PEDS bivalent pfizer instead of intended 0.3 mL of adult bivalent
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: none occured
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac function test normal, Cardiac monitoring normal, Cardiac stress test normal, Deep vein thrombosis, Dyspnoea
Clinical narrative: Swelling in right leg started on 9-10-2022. Shortness of breath episodes and heart palpitations randomly. Ended up with DVT in right leg and bilateral PE - May 2022
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Palpitations, Peripheral swelling, Pulmonary embolism
Clinical narrative: Swelling in right leg started on 9-10-2022. Shortness of breath episodes and heart palpitations randomly. Ended up with DVT in right leg and bilateral PE - May 2022
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: On 10/10/2022 I was having chest congestion, cough, sneezing, and sore throat. On 10/12/2022 I went to an urgent care and had a rapid test and it was negative. On 10/16/2022 I took a home test and the results were positive. My symptoms were about the same. On 10/17/2022, I did telemedicine and the doctor prescribed prednisone, and the reason was I had a medication, alfuzosin, that was counter to the antibodies. That is why they did not prescribe the PAXLOVID. I have had a negative test, but I still do not feel 100 percent. I still have a cough.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: On 10/10/2022 I was having chest congestion, cough, sneezing, and sore throat. On 10/12/2022 I went to an urgent care and had a rapid test and it was negative. On 10/16/2022 I took a home test and the results were positive. My symptoms were about the same. On 10/17/2022, I did telemedicine and the doctor prescribed prednisone, and the reason was I had a medication, alfuzosin, that was counter to the antibodies. That is why they did not prescribe the PAXLOVID. I have had a negative test, but I still do not feel 100 percent. I still have a cough.
Age: 82.0
Sex: M
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient receive 0.3 ml of undiluted PEDS pfizer bivalent instead of the intended adult bivlatent pfizer
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: I had a very mild sore throat, running nose, started with a dry cough and now it is a wet cough, very mild body aches, and fatigue. I tested positive for COVID-19 at home. I spoke to my doctor and she prescribed me PAXLOVID for 5 days. I just tested negative for COVID-19 today.
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Productive cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a very mild sore throat, running nose, started with a dry cough and now it is a wet cough, very mild body aches, and fatigue. I tested positive for COVID-19 at home. I spoke to my doctor and she prescribed me PAXLOVID for 5 days. I just tested negative for COVID-19 today.
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Electrocardiogram normal, Full blood count normal, Migraine, Pain, Respiratory syncytial virus test negative
Clinical narrative: The day after the vaccine 10/06 I started experiencing a migraine and the worst body aches that I ever experienced. I went to the emergency room where they conducted several tests and was discharged shortly thereafter. I saw my Neurologist and he prescribed a course of steroids to take over 5 days.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The dose given was inadvertently pulled from a primary series vial rather than from a bivalent vial. No symptoms or signs reported so far.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: no symptoms to report. Adverse event was administering 3rd dose of J&J when not supposed to
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Electrocardiogram
Clinical narrative: In September of 2022, no changes in my medications have been done. I was given an EKG and the doctors did not give me any definite diagnosis. I had some shortness of breath, I had some problems with my knees, and I also had received a different vaccination as well nothing to do with COVID-19.  My symptoms have not really improved and unfortunately it is very sudden when it comes on and then it will go away.
Age: 14.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Product preparation issue
Clinical narrative: Drew up 0.3 mL undiluted, pfizer bivalent vaccine for 5-11 year old patients. And administered.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Patient presented to pharmacy on 10/27/22 with rash/sores on torso.  She complained of persistent itch and stated the issue began the day after shingrix vaccination (8/16/22).  Patient was advised to consider otc oral benadryl and topical antibiotic ointment.  Additionally, it was recommended that she not receive the second dose of shingrix and to follow up with PCP if no improvement.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Hypotonia
Clinical narrative: At the moment the syringe was removed from pt's arm, she became limp. No loss of consciousness, vitals remained WNL (one elevated BP), pt was given juice and crackers, rested for 20mins, and left clinic stable and independently.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Insomnia, Pain, Restlessness, Somnolence
Clinical narrative: Could not sleep more than hour, very restless, chills for half the night (4) hours and then I?d get warm.  No fever temp taken was 98, achy tough time waking up , by about 10am today felt better.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Eye inflammation, Mydriasis, Scleritis, Uveitis, Visual acuity tests
Clinical narrative: Eye inflammation. Diagnosed with uveitis with vitritis and scleritis. Taking Prednisone 1% eye drops and will be seeing a retina specialist on 10/31/2022.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction.  Lot number expired 10/24/2022.  Called Pfizer for guidance for the need of re administration of dose and interval if needed.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Recipient is newly onboarded clinic staff and selected her vaccine out of the fridge. She selected the children's formulation instead of the adult formulation. The medical assistant who administered the vaccine did not notice the discrepancy prior to administration.
Age: 53.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Drew up 0.3 mL undiluted bivalent Pfizer vaccine for 5-11 year old patients and administered
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Recalled product administered
Clinical narrative: Pt received the lot number FL2757 on 10/09/2022. On 10/19/2022 we received and email with information that this lot number expires on 09/30/2022
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Blood test, Chest discomfort, Cough, Diarrhoea
Clinical narrative: On October 13, 2022, I began having diarrhea and this happened in the morning.  On the 16th, I was picking up a cooler and I noticed my chest felt tight and when I put my hand over my heart, I had a rapid heart rate.  I also had pain in my back near my ribs close to my spine.  I hike a lot and I was having the same symptoms when I walked up hill or climbing the ropes.  It was same tightness in my chest.  I had a cough that would originate from my sternum area, and it was only one cough.  I noticed I was also having shortness of breath beginning yesterday.  It is only when I am exercising.  This is not normal for me as I work in the field and have not experienced this before.  I went to the doctor on Monday October the 24th.  At the doctor my blood pressure was 145/90 and it normally runs at 114/77.  Heart rate was 101bpm and the last time I was at the doctor it was 67 bpm.  I was referred to a cardiologist and I will have that appointment scheduled soon.  I also have an appointment with my doctor to follow up on the blood tests results.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Electrocardiogram, Heart rate increased, Musculoskeletal chest pain, Spinal pain
Clinical narrative: On October 13, 2022, I began having diarrhea and this happened in the morning.  On the 16th, I was picking up a cooler and I noticed my chest felt tight and when I put my hand over my heart, I had a rapid heart rate.  I also had pain in my back near my ribs close to my spine.  I hike a lot and I was having the same symptoms when I walked up hill or climbing the ropes.  It was same tightness in my chest.  I had a cough that would originate from my sternum area, and it was only one cough.  I noticed I was also having shortness of breath beginning yesterday.  It is only when I am exercising.  This is not normal for me as I work in the field and have not experienced this before.  I went to the doctor on Monday October the 24th.  At the doctor my blood pressure was 145/90 and it normally runs at 114/77.  Heart rate was 101bpm and the last time I was at the doctor it was 67 bpm.  I was referred to a cardiologist and I will have that appointment scheduled soon.  I also have an appointment with my doctor to follow up on the blood tests results.
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient came for their COVID booster and TDAP vaccine and was mistakenly given a second flu vaccine and TDAP vaccine. Both of which were administered in the left arm. Patient returned asking for a COVID card and realized the patient did not receive the COVID booster. COVID booster was administered afterwards in their right arm and informed patient to report any adverse reaction incidence to the pharmacy.  No adverse events have been yet reported.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Recalled product administered
Clinical narrative: LOT GOT RECALLED 10/12
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Recalled product administered
Clinical narrative: Pt received the lot number FL2757 on 10/09/2022. On 10/19/2022 we received and email with information that this lot number expires on 09/30/2022
Age: 49.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Hypoaesthesia, Tinnitus
Clinical narrative: Tinnitus - onset on shortly after midnight on Thursday, 27 October. Patient woke up due to a loud ringing in the left ear.  Intensity had decreased in the morning, but ringing is still noticeable. A feeling of numbness due to underlying sensorineural hearing loss is present.  No treatment adminstered, PCP contacted outcome: tinnitus ongoing
Age: 45.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Arthralgia, Joint swelling, Oedema, Pain in extremity, Peripheral swelling
Clinical narrative: Patient presented to pharmacy pursuant to being seen in the ER to pick up prescriptions for Prednisone and Hydrocodone/APAP to treat Right arm pain and edema of unknown etiology or diagnosis.  She was wearing a splint, her fingers, hand an wrist were noticeably swollen and she stated they were painful and tender / hot to touch.  Pain starts in the wrist and travels up the arm.  I only inquired about the relationship to vaccination as I saw in our work que that she had been vaccinated less than a week earlier.  She did not mention this to the doctor in the ER but I advised her to do so with her next doctor visit if necessary.  She does not recall any type of injury, but that the pain and swelling just came out of the blue.
Age: 45.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Skin warm, Tenderness, Ultrasound Doppler normal
Clinical narrative: Patient presented to pharmacy pursuant to being seen in the ER to pick up prescriptions for Prednisone and Hydrocodone/APAP to treat Right arm pain and edema of unknown etiology or diagnosis.  She was wearing a splint, her fingers, hand an wrist were noticeably swollen and she stated they were painful and tender / hot to touch.  Pain starts in the wrist and travels up the arm.  I only inquired about the relationship to vaccination as I saw in our work que that she had been vaccinated less than a week earlier.  She did not mention this to the doctor in the ER but I advised her to do so with her next doctor visit if necessary.  She does not recall any type of injury, but that the pain and swelling just came out of the blue.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain
Clinical narrative: arm pain from right shoulder to elbow started approx 2 hours after receiving the vaccine
Age: 59.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Dizziness, Dry throat, Headache, Influenza, Nasopharyngitis
Clinical narrative: Had cold/flu symptoms including headache, dizziness and dry and scratchy throat  for 7 days.  Took Covid home test 3 days later that was negative.
Age: 59.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test negative, Throat irritation
Clinical narrative: Had cold/flu symptoms including headache, dizziness and dry and scratchy throat  for 7 days.  Took Covid home test 3 days later that was negative.
Age: 9.0
Sex: M
Vaccine: UNK
Symptoms: Recalled product administered
Clinical narrative: RECALLED
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Recalled product administered
Clinical narrative: RECALLED
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Computerised tomogram normal, Dizziness, Electrocardiogram normal, Incontinence
Clinical narrative: I had my vaccination on 10/12/2022. I woke up on 10/13/2022 with vertigo. As soon as I tried to sit up, I was overwhelmed with dizziness. I made several attempts to get up but threw up and had incontinence. I tried to drink water but vomited. I went back to bed and stayed there. I have had a history of vertigo but never this bad. It eased up on 10/14/2022. I went to the emergency room on 10/18/2022 and they prescribed me meclizine.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo, Vomiting
Clinical narrative: I had my vaccination on 10/12/2022. I woke up on 10/13/2022 with vertigo. As soon as I tried to sit up, I was overwhelmed with dizziness. I made several attempts to get up but threw up and had incontinence. I tried to drink water but vomited. I went back to bed and stayed there. I have had a history of vertigo but never this bad. It eased up on 10/14/2022. I went to the emergency room on 10/18/2022 and they prescribed me meclizine.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Recalled product administered
Clinical narrative: RECALLED
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood glucose increased
Clinical narrative: Patient called and said that his blood sugar this morning  was very high compared to normal.
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Breast discomfort, Chest discomfort, Ear discomfort, Headache, Limb discomfort
Clinical narrative: Pharmacy on 10/23/22 1:20pm appointment for Flu vaccine. The injection site was very high on the left arm, extremally close to the shoulder. Thought it was very strange that it was so high on my arm?  Started experiencing soreness in left arm 3-4 hours following injection.  Then 5-6 hours later started muscle pain, tightness, soreness and discomfort on left side from ear, neck, shoulder, shoulder blade, underarm, outer and under breast and side of chest.  Sharp pain around top of arm/shoulder and shoulder blade.  Headaches on left side, tingling and ringing in left ear. Pain level has been  6-7 in shoulder and arm in the evening 6-7pm til bedtime around 11pm for past 4 days.  Applied ice and heat, but did not stop the pain and discomfort. This has been consistent for past 4 days increasing by the evening.  Seems a little better in the morning, but think that is because of inactivity overnight and gradually increases through the day.
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Muscle tightness, Musculoskeletal discomfort, Myalgia, Pain in extremity, Paraesthesia
Clinical narrative: Pharmacy on 10/23/22 1:20pm appointment for Flu vaccine. The injection site was very high on the left arm, extremally close to the shoulder. Thought it was very strange that it was so high on my arm?  Started experiencing soreness in left arm 3-4 hours following injection.  Then 5-6 hours later started muscle pain, tightness, soreness and discomfort on left side from ear, neck, shoulder, shoulder blade, underarm, outer and under breast and side of chest.  Sharp pain around top of arm/shoulder and shoulder blade.  Headaches on left side, tingling and ringing in left ear. Pain level has been  6-7 in shoulder and arm in the evening 6-7pm til bedtime around 11pm for past 4 days.  Applied ice and heat, but did not stop the pain and discomfort. This has been consistent for past 4 days increasing by the evening.  Seems a little better in the morning, but think that is because of inactivity overnight and gradually increases through the day.
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Product administered at inappropriate site, Tinnitus
Clinical narrative: Pharmacy on 10/23/22 1:20pm appointment for Flu vaccine. The injection site was very high on the left arm, extremally close to the shoulder. Thought it was very strange that it was so high on my arm?  Started experiencing soreness in left arm 3-4 hours following injection.  Then 5-6 hours later started muscle pain, tightness, soreness and discomfort on left side from ear, neck, shoulder, shoulder blade, underarm, outer and under breast and side of chest.  Sharp pain around top of arm/shoulder and shoulder blade.  Headaches on left side, tingling and ringing in left ear. Pain level has been  6-7 in shoulder and arm in the evening 6-7pm til bedtime around 11pm for past 4 days.  Applied ice and heat, but did not stop the pain and discomfort. This has been consistent for past 4 days increasing by the evening.  Seems a little better in the morning, but think that is because of inactivity overnight and gradually increases through the day.
Age: 70.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: 2nd Pfizer bivalent vaccine given
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Lethargy, Loss of consciousness, Pallor, Syncope
Clinical narrative: Patient anxious prior to receiving vaccine.  Approximately one minute after injection complete, patient had syncopal episode that lasted less than one minute.  Regained consciousness and was placed with legs elevated above heart.  Provided and encouraged patient to consume water.  Ice pack applied to back of head while patient rested in dads arms.  After approximately 5 minutes, patient had pinkness to her cheeks and lips vs the minute following the syncopal episode when her skin tone changed to pale.  Encouraged patient to continue consuming fluids and begin slowly moving feet and hands around.  After 15 minutes patient appeared more alert, ambulating independently without complaint of dizziness or lightheadedness.  Denied nausea, numbness.  Patient remained with this writer and her father while continuing to consume water and converse.  Mother came into vaccine room and was educated regarding event.  Encouraged parents to provide well rounded meal, push fluids and allow patient to rest.  Parents and patient acknowledged reasoning and rationale.   Patient remained slightly lethargic upon discharge.  Was ambulating independently, conversing and oriented.  Patients doctor office contacted by this writer and informed of adverse event.  No further questions remained from nurse, patient or parents.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Mobility decreased, Pyrexia
Clinical narrative: Patient experienced diarrhea, fever, limited range of arm mobility, and a sore shoulder that "feels like it has been wrenched out of the socket". She states it is slowly getting better.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Balance disorder, Burning sensation, Dizziness, Paraesthesia
Clinical narrative: On or about October 10, 2022, I started having tingling down both arms, tingling in my left cheek and a burning sensation in my back.  I also felt lightheaded and off balance.  I started taking ibuprofen for the inflammation and it helped a little bit.  I saw the doctor on October 14th and they recommended physical therapy for my back pain.  I was also referred to a pain management doctor.  I have seen him on October 20th and 26th and they will do an epidural soon.  As of today, my symptoms are still the same by my back pain is now lower towards my tail bone.