chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac monitoring, Echocardiogram, Insomnia, Tachycardia
Clinical narrative: I recorded the following in my exercise diary:  Half-mile swim on Sept 7 (5-6 pm), Sept 12 (2-3 pm) & Sept 16 (6:40-7:40 pm); 2-mile jog on Sept 17 (7-9 pm); swim on Sept 20 (7-8 pm), Sept 22 (7:30-8 pm) & Sept 24 (7:50-8:30 pm); 2-mile jog on Sept 27 (1-2:30 pm), swim on Sept 28 (7-9 pm).  Super strong arrhythmia attack Sept 30 (11 pm-5am): couldn't sleepconsidered seeking medical attention. Medium arrhythmia attack Oct 1 (11 pm-1 am): kept me up. Light arrhythmia attack on Oct 2 (11 pm-midnight): not too bothersome.  Nothing like this has ever happened to me before that I recall, other than after 1st COVID vaccine, per separate report, and occasional tachycardia attacks prior to radio ablation in April, 2000.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Chest pain, Magnetic resonance imaging heart, Myocardial oedema, Myocarditis
Clinical narrative: Chest pain onset 8 hours prior to presenting to hospital.  Myocarditis confirmed by abnormal troponin and cardiac MRI demonstrating myocardial edema, late gadolinium enhancement, systolic dysfunction.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test, Systolic dysfunction, Troponin abnormal
Clinical narrative: Chest pain onset 8 hours prior to presenting to hospital.  Myocarditis confirmed by abnormal troponin and cardiac MRI demonstrating myocardial edema, late gadolinium enhancement, systolic dysfunction.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Patient experienced tachycardia 24 hours after vaccine. He was laying down resting when pulse jumped to upper 140s, no other explanation for tachycardia. No cardiac risk factors. Pt is currently in the ER getting tests done
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Vaginal bleeding on and off since the vaccine.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea, Pallor
Clinical narrative: 6mins post vaccination pt presented w/ Nausea, vomiting, flushing/sweating, dizziness and pt appear pale. Vitals: 78/46, 62, 18, Temp 97.4 Pt stabilized and released from the vaccination site.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 6mins post vaccination pt presented w/ Nausea, vomiting, flushing/sweating, dizziness and pt appear pale. Vitals: 78/46, 62, 18, Temp 97.4 Pt stabilized and released from the vaccination site.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pt received dose one hour after the punctured vial should have been discarded. No ADRs so far
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vial was punctured at 12pm 11/17/21  left out overnight in the refrigerator. Staff member drew and administered dose from punctured vial at around 10am on 11/18/21
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: 2:45 pm-Patient came into Covid Observation area after reporting tight feeling in lymph nodes around back and sides of neck. Patient alert and oriented, able to speak in complete sentences. No face, lip or tongue swelling noted. Patient able to swallow saliva and sips of water. States she experienced similar symptoms after 2nd dose of Moderna, was given Benadryl 50 mg and observed for 1 hour after 2nd dose. Patient states she took Benadryl 25 mg today at 2 pm shortly before arriving for her booster dose of Moderna as a preventative measure.  2:50 pm- VS: Temp 96.7, BP 151/77, HR 91, RR 18. 02 SATs 99% RA, no pain Call placed to ED physician on call, the doctor, informed of patient symptoms above. Verbal order given for Cetirizine 10 mg po x 1 now,  continue to observe patient and call MD back with an update in 15 minutes. Verbal order read back and confirmed.  2:55 pm- Cetirizine 10 mg po x 1 given as ordered.  3:06 pm- VS: BP 147/70, HR 71, RR 18,  02 SATs 99% RA.  3:14 pm- Call placed to the doctor, provided update. Patient states she feels much better, tight swollen lymph nodes in neck is mostly resolved. Per the doctor, continue to monitor patient for another 15 minutes and call her back with an update.   3:29 pm- VS BP: 141/63, HR 67, RR 18, 02 SATs 99% RA. Patient reports symptoms have resolved. Denies feeling drowsy and states she is able to drive home.  3:34 pm- Update call to the doctor, informed that patient symptoms resolved and patient denies feeling drowsy. Per the doctor, ok for patient to take additional dose of Zyrtec or Benadryl when she gets home and to seek emergent care if she develops any difficulty swallowing or swelling of face, lips or tongue.  3:38 pm- Patient discharged home in stable condition with above discharge instructions. Patient verbalized understanding of all.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Syncope
Clinical narrative: c/o headache, dizziness, and then had a syncopal episode
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: pt describes tingling on one side of the face, which began to spread
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Anxiety, Autonomic nervous system imbalance, Blood culture negative, CSF culture
Clinical narrative: Had covid booster and flu shot at work and 4 hours later began to have progressive fatigue, chills, confusion, dysarthria, echolalia, dyskinesia, emesis and was taken to the ER. In the ER she was found to be hypotensive and febrile to 39.2 with tachycardia. Her psychiatric symptoms resolved with lorazepam, toradol and acetaminophen. She was admitted for ongoing care as she remained hypotensive requiring norepinephrine.   With remote teratoma 2015 s/p resection and no e/o recurrence I wonder if her COVID (and/or influenza) vaccinations reactivated a senescent paraneoplastic syndrome. Her prodromal headache, fever and dysautonomia have now been complicated by two prolonged episodes of anxiety, agitation, psychosis, dyskinesias, diminished language output and echolalia which are concerning for an encephalitis like picture. Her dramatic improvement after high dose lorazepam with complete normalization of neuropsychiatric symptoms but not all autonomic symptoms is puzzling. Her symptoms are not typical for anxiety attacks. She was responsive enough during the episodes to argue strongly against generalized seizures. CT abd/pelvis did not show recurrent mass. Procalcitonin negative, arguing against systemic bacterial infection/sepsis. Her symptoms are too delayed to attribute to anaphylaxis to vaccinations.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: CSF test, Chills, Computerised tomogram abdomen normal, Condition aggravated, Confusional state
Clinical narrative: Had covid booster and flu shot at work and 4 hours later began to have progressive fatigue, chills, confusion, dysarthria, echolalia, dyskinesia, emesis and was taken to the ER. In the ER she was found to be hypotensive and febrile to 39.2 with tachycardia. Her psychiatric symptoms resolved with lorazepam, toradol and acetaminophen. She was admitted for ongoing care as she remained hypotensive requiring norepinephrine.   With remote teratoma 2015 s/p resection and no e/o recurrence I wonder if her COVID (and/or influenza) vaccinations reactivated a senescent paraneoplastic syndrome. Her prodromal headache, fever and dysautonomia have now been complicated by two prolonged episodes of anxiety, agitation, psychosis, dyskinesias, diminished language output and echolalia which are concerning for an encephalitis like picture. Her dramatic improvement after high dose lorazepam with complete normalization of neuropsychiatric symptoms but not all autonomic symptoms is puzzling. Her symptoms are not typical for anxiety attacks. She was responsive enough during the episodes to argue strongly against generalized seizures. CT abd/pelvis did not show recurrent mass. Procalcitonin negative, arguing against systemic bacterial infection/sepsis. Her symptoms are too delayed to attribute to anaphylaxis to vaccinations.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Dyskinesia, Echolalia, Enterovirus test, Fatigue
Clinical narrative: Had covid booster and flu shot at work and 4 hours later began to have progressive fatigue, chills, confusion, dysarthria, echolalia, dyskinesia, emesis and was taken to the ER. In the ER she was found to be hypotensive and febrile to 39.2 with tachycardia. Her psychiatric symptoms resolved with lorazepam, toradol and acetaminophen. She was admitted for ongoing care as she remained hypotensive requiring norepinephrine.   With remote teratoma 2015 s/p resection and no e/o recurrence I wonder if her COVID (and/or influenza) vaccinations reactivated a senescent paraneoplastic syndrome. Her prodromal headache, fever and dysautonomia have now been complicated by two prolonged episodes of anxiety, agitation, psychosis, dyskinesias, diminished language output and echolalia which are concerning for an encephalitis like picture. Her dramatic improvement after high dose lorazepam with complete normalization of neuropsychiatric symptoms but not all autonomic symptoms is puzzling. Her symptoms are not typical for anxiety attacks. She was responsive enough during the episodes to argue strongly against generalized seizures. CT abd/pelvis did not show recurrent mass. Procalcitonin negative, arguing against systemic bacterial infection/sepsis. Her symptoms are too delayed to attribute to anaphylaxis to vaccinations.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Herpes simplex test, Hypotension, Laboratory test, Language disorder
Clinical narrative: Had covid booster and flu shot at work and 4 hours later began to have progressive fatigue, chills, confusion, dysarthria, echolalia, dyskinesia, emesis and was taken to the ER. In the ER she was found to be hypotensive and febrile to 39.2 with tachycardia. Her psychiatric symptoms resolved with lorazepam, toradol and acetaminophen. She was admitted for ongoing care as she remained hypotensive requiring norepinephrine.   With remote teratoma 2015 s/p resection and no e/o recurrence I wonder if her COVID (and/or influenza) vaccinations reactivated a senescent paraneoplastic syndrome. Her prodromal headache, fever and dysautonomia have now been complicated by two prolonged episodes of anxiety, agitation, psychosis, dyskinesias, diminished language output and echolalia which are concerning for an encephalitis like picture. Her dramatic improvement after high dose lorazepam with complete normalization of neuropsychiatric symptoms but not all autonomic symptoms is puzzling. Her symptoms are not typical for anxiety attacks. She was responsive enough during the episodes to argue strongly against generalized seizures. CT abd/pelvis did not show recurrent mass. Procalcitonin negative, arguing against systemic bacterial infection/sepsis. Her symptoms are too delayed to attribute to anaphylaxis to vaccinations.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Neuropsychiatric symptoms, Paraneoplastic syndrome, Procalcitonin normal, Psychotic disorder
Clinical narrative: Had covid booster and flu shot at work and 4 hours later began to have progressive fatigue, chills, confusion, dysarthria, echolalia, dyskinesia, emesis and was taken to the ER. In the ER she was found to be hypotensive and febrile to 39.2 with tachycardia. Her psychiatric symptoms resolved with lorazepam, toradol and acetaminophen. She was admitted for ongoing care as she remained hypotensive requiring norepinephrine.   With remote teratoma 2015 s/p resection and no e/o recurrence I wonder if her COVID (and/or influenza) vaccinations reactivated a senescent paraneoplastic syndrome. Her prodromal headache, fever and dysautonomia have now been complicated by two prolonged episodes of anxiety, agitation, psychosis, dyskinesias, diminished language output and echolalia which are concerning for an encephalitis like picture. Her dramatic improvement after high dose lorazepam with complete normalization of neuropsychiatric symptoms but not all autonomic symptoms is puzzling. Her symptoms are not typical for anxiety attacks. She was responsive enough during the episodes to argue strongly against generalized seizures. CT abd/pelvis did not show recurrent mass. Procalcitonin negative, arguing against systemic bacterial infection/sepsis. Her symptoms are too delayed to attribute to anaphylaxis to vaccinations.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia, Vomiting
Clinical narrative: Had covid booster and flu shot at work and 4 hours later began to have progressive fatigue, chills, confusion, dysarthria, echolalia, dyskinesia, emesis and was taken to the ER. In the ER she was found to be hypotensive and febrile to 39.2 with tachycardia. Her psychiatric symptoms resolved with lorazepam, toradol and acetaminophen. She was admitted for ongoing care as she remained hypotensive requiring norepinephrine.   With remote teratoma 2015 s/p resection and no e/o recurrence I wonder if her COVID (and/or influenza) vaccinations reactivated a senescent paraneoplastic syndrome. Her prodromal headache, fever and dysautonomia have now been complicated by two prolonged episodes of anxiety, agitation, psychosis, dyskinesias, diminished language output and echolalia which are concerning for an encephalitis like picture. Her dramatic improvement after high dose lorazepam with complete normalization of neuropsychiatric symptoms but not all autonomic symptoms is puzzling. Her symptoms are not typical for anxiety attacks. She was responsive enough during the episodes to argue strongly against generalized seizures. CT abd/pelvis did not show recurrent mass. Procalcitonin negative, arguing against systemic bacterial infection/sepsis. Her symptoms are too delayed to attribute to anaphylaxis to vaccinations.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: 1. Pressure and pain in left arm, sudden onset 3 days after second dose, ongoing intermittent. 2. Numbness and tingling "funny-bone" sensation from left forearm through left index finger. 3. "Pins and needles" tingling, numbness and pain in both feet and sometimes lower legs, four days after second dose. Ongoing intermittent. May subside for many hours or a few days, then flare up again. Symptoms worse in left foot. 4. Aching pain in bottoms of both feet when walking. 5. Sometimes "pins and needles" sensation will fire randomly at various locations over the body. 6. Fluctuating resting HR and BP. * Contacted my PCP 15 days after second dose and 11 days into symptoms. Teleconference with PCP prompted concerns over the possibility of Guillaine Barre Syndrome and immediate referral to neurologist at Hospital. Complete and thorough exam by both healthcare provider and attending Neurologist found no signs of muscle weakness, paralysis or muscle weakness. Was given additional signs and symptoms of GBS to watch for and instructed to report to Emergency if any signs of facial drooping or foot/leg weakness paralysis occurred. Advised to discontinue Zinc supplementation to see if that reduces "pins and needles" sensation and left arm/foot numbness and pain. Almost no symptoms during bed rest/sleep.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Started wheezing 3 or 4 hours after 2nd shot and have not stopped wheezing.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given second COVID vaccine 7 days sooner than scheduled. Patient has currently experienced no adverse effects.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness, Petit mal epilepsy
Clinical narrative: Absence Seizure (total unconsciousness for 5-7 min)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Red, hot, itchy rash that spread from upper arm down to the elbow
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Intensely itchy hives and red skin.  Over the counter anti-histamines taken (loratadine, Benadryl)
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Employee came in for Moderna Booster  1st dose was given on 9/2/21   2nd dose given 9/30/21  booster given on 11/19/21.  When error was recognized, observed employee for 40 minutes. No reports of illness and none were observed.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated individual
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Thrombosis
Clinical narrative: day after, started my menstrual cycle even though i already had it a week prior. have now been bleeding for 8 days, extremely heavy. lots of blood clots, soaking through tampons within 30-40 minutes, and having to change my pads every time i stand up
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: I inserted syringe into arm to inject imz and realized that the syringe was empty;  I explained situation to patient;  i apologized; I retrieved a new syringe and imz and administered
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Fatigue, Hypophagia
Clinical narrative: COVID Breakthrough  J&J Dose 4/10/21 (043A21A) COVID Positive 8/16/21  8/18/21: Patient is a 63-year-old male diagnosed with COVID-19 on August 16 presents to ER with chief complaint of shortness of breath that is associated with generalized fatigue and poor p.o. intake.  Patient states that he is vaccinated with Johnson and Johnson vaccine, recently traveled, developed respiratory symptoms approximately 8 days ago.  Evaluations completed the emergency room noted for fever T-max of 101.3°, stable blood pressure, hypoxia requiring supplemental oxygen. Patient was treated with bronchodilator, empiric azithromycin.  8/22/21: A 63-year-old gentleman presented to the emergency room with increasing shortness of breath and fatigue. Patient spiked a fever of 101.3.  Further evaluation suggestive of COVID-19 pneumonia. The patient was admitted, eventually started on remdesevir, dexamethasone, and empiric antibiotic therapy.  The patient's condition progressively improved. His oxygen requirement returned to baseline, eventually off oxygen, saturating well on room air. The patient reports feeling better.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Pyrexia, Respiratory symptom, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough  J&J Dose 4/10/21 (043A21A) COVID Positive 8/16/21  8/18/21: Patient is a 63-year-old male diagnosed with COVID-19 on August 16 presents to ER with chief complaint of shortness of breath that is associated with generalized fatigue and poor p.o. intake.  Patient states that he is vaccinated with Johnson and Johnson vaccine, recently traveled, developed respiratory symptoms approximately 8 days ago.  Evaluations completed the emergency room noted for fever T-max of 101.3°, stable blood pressure, hypoxia requiring supplemental oxygen. Patient was treated with bronchodilator, empiric azithromycin.  8/22/21: A 63-year-old gentleman presented to the emergency room with increasing shortness of breath and fatigue. Patient spiked a fever of 101.3.  Further evaluation suggestive of COVID-19 pneumonia. The patient was admitted, eventually started on remdesevir, dexamethasone, and empiric antibiotic therapy.  The patient's condition progressively improved. His oxygen requirement returned to baseline, eventually off oxygen, saturating well on room air. The patient reports feeling better.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Electrocardiogram, Laboratory test, Tachycardia
Clinical narrative: Tachycardia starting approximately 45 minutes after injection. A total of 8 episodes followed through the next 52 hour period where my resting heart rate would jump to 140-160 BPM with no activity or stimulation. At these times it would feel difficult to breathe.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure, Syncope
Clinical narrative: Patient had a syncope event and grand mal seizure approximately 2 minutes post vaccination. Seizure activity lasting less than 1 minute.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: 10mins post vaccination, pt was found to have tachycardia.  Pt was monitored, was stable, and released from the vaccination site. Vitals 110/55, 104, 24
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, Chest pain, Differential white blood cell count, Dizziness, Dyspnoea
Clinical narrative: 11/11/21 @ 0900 PT found on floor of bathroom. PT experienced nausea, dizziness; BP 77/50 HR 98; PT complained of SOB and chest pain. Emergency number was called, PT transported to ED, PT admitted to hospital; diagnosis of idiopathic pericarditis.  PT discharged with medication Colchicine 0.6mg PO BID X14 days. PT readmitted to our facility 11/12 @1950. PT will need follow-up with medical consultant following post hospitalization.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Nausea, Pericarditis, Red blood cell sedimentation rate
Clinical narrative: 11/11/21 @ 0900 PT found on floor of bathroom. PT experienced nausea, dizziness; BP 77/50 HR 98; PT complained of SOB and chest pain. Emergency number was called, PT transported to ED, PT admitted to hospital; diagnosis of idiopathic pericarditis.  PT discharged with medication Colchicine 0.6mg PO BID X14 days. PT readmitted to our facility 11/12 @1950. PT will need follow-up with medical consultant following post hospitalization.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Rash around neck,shoulders ,down to elbows ,on chest  very bumpy on back and chest also around belly button a d on right and left around waist. Seems to go in 3 or 4 week cycle , going on for over three months as of now, very itchy
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Chills
Clinical narrative: COVID Breakthrough  J&J Dose 5/12/21 (043A21A) COVID Positive 8/22/21; Client is a 85 year old female with past history of hypothyroidism, stress incontinence, and pacemaker placement who was admitted with worsening shortness of breath and fevers despite antibiotic treatment for pneumonia and found to have COVID-19 pneumonia. History is obtained from chart review as well as discussion with the patient, her family at bedside, and the ED provider. Patient does have a history of a pacemaker and follows with EP Cardiology.  She does not take any cardiac medications other than a baby aspirin daily.  Patient started feeling poorly approximately 8 days ago.  At that time she started having a headache along with cough and fever with chills. Also developed nausea with diarrhea. She had a COVID-19 test performed on the 14th which returned negative.  She was seen by her PCP on the 16th and diagnosed with a right lower lobe pneumonia and given 10 days of Augmentin.  She seems to have worsening nausea and vomiting after she takes the Augmentin at night.  Does not have issues with taking it during the day.  Continues to have a cough and shortness of breath.  Has been very weak and does seem to be getting weaker.  Ongoing low-grade fevers.  Does have a cough which is occasionally productive of sputum.  She denies a history of lung disease.  Given no improvement she came into the ER today.  She was noted to drop her oxygen saturations to 89% and currently is on 2 L. She did receive the Johnson and Johnson vaccine earlier this year.  8/26/21: Very pleasant 85-year-old female with history of hypothyroidism and permanent pacemaker who presented to the emergency department with shortness breath admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, treated remdesivir, no steroids due to allergy, levofloxacin to cover for bacterial component.  Was successfully weaned off oxygen, had some sore throat as part of complication viral illness.  No other issues, was saturating well on room air and ready for discharge.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Feeling abnormal, Headache
Clinical narrative: COVID Breakthrough  J&J Dose 5/12/21 (043A21A) COVID Positive 8/22/21; Client is a 85 year old female with past history of hypothyroidism, stress incontinence, and pacemaker placement who was admitted with worsening shortness of breath and fevers despite antibiotic treatment for pneumonia and found to have COVID-19 pneumonia. History is obtained from chart review as well as discussion with the patient, her family at bedside, and the ED provider. Patient does have a history of a pacemaker and follows with EP Cardiology.  She does not take any cardiac medications other than a baby aspirin daily.  Patient started feeling poorly approximately 8 days ago.  At that time she started having a headache along with cough and fever with chills. Also developed nausea with diarrhea. She had a COVID-19 test performed on the 14th which returned negative.  She was seen by her PCP on the 16th and diagnosed with a right lower lobe pneumonia and given 10 days of Augmentin.  She seems to have worsening nausea and vomiting after she takes the Augmentin at night.  Does not have issues with taking it during the day.  Continues to have a cough and shortness of breath.  Has been very weak and does seem to be getting weaker.  Ongoing low-grade fevers.  Does have a cough which is occasionally productive of sputum.  She denies a history of lung disease.  Given no improvement she came into the ER today.  She was noted to drop her oxygen saturations to 89% and currently is on 2 L. She did receive the Johnson and Johnson vaccine earlier this year.  8/26/21: Very pleasant 85-year-old female with history of hypothyroidism and permanent pacemaker who presented to the emergency department with shortness breath admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, treated remdesivir, no steroids due to allergy, levofloxacin to cover for bacterial component.  Was successfully weaned off oxygen, had some sore throat as part of complication viral illness.  No other issues, was saturating well on room air and ready for discharge.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Oxygen saturation decreased, Productive cough, Pyrexia
Clinical narrative: COVID Breakthrough  J&J Dose 5/12/21 (043A21A) COVID Positive 8/22/21; Client is a 85 year old female with past history of hypothyroidism, stress incontinence, and pacemaker placement who was admitted with worsening shortness of breath and fevers despite antibiotic treatment for pneumonia and found to have COVID-19 pneumonia. History is obtained from chart review as well as discussion with the patient, her family at bedside, and the ED provider. Patient does have a history of a pacemaker and follows with EP Cardiology.  She does not take any cardiac medications other than a baby aspirin daily.  Patient started feeling poorly approximately 8 days ago.  At that time she started having a headache along with cough and fever with chills. Also developed nausea with diarrhea. She had a COVID-19 test performed on the 14th which returned negative.  She was seen by her PCP on the 16th and diagnosed with a right lower lobe pneumonia and given 10 days of Augmentin.  She seems to have worsening nausea and vomiting after she takes the Augmentin at night.  Does not have issues with taking it during the day.  Continues to have a cough and shortness of breath.  Has been very weak and does seem to be getting weaker.  Ongoing low-grade fevers.  Does have a cough which is occasionally productive of sputum.  She denies a history of lung disease.  Given no improvement she came into the ER today.  She was noted to drop her oxygen saturations to 89% and currently is on 2 L. She did receive the Johnson and Johnson vaccine earlier this year.  8/26/21: Very pleasant 85-year-old female with history of hypothyroidism and permanent pacemaker who presented to the emergency department with shortness breath admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, treated remdesivir, no steroids due to allergy, levofloxacin to cover for bacterial component.  Was successfully weaned off oxygen, had some sore throat as part of complication viral illness.  No other issues, was saturating well on room air and ready for discharge.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection, Vomiting
Clinical narrative: COVID Breakthrough  J&J Dose 5/12/21 (043A21A) COVID Positive 8/22/21; Client is a 85 year old female with past history of hypothyroidism, stress incontinence, and pacemaker placement who was admitted with worsening shortness of breath and fevers despite antibiotic treatment for pneumonia and found to have COVID-19 pneumonia. History is obtained from chart review as well as discussion with the patient, her family at bedside, and the ED provider. Patient does have a history of a pacemaker and follows with EP Cardiology.  She does not take any cardiac medications other than a baby aspirin daily.  Patient started feeling poorly approximately 8 days ago.  At that time she started having a headache along with cough and fever with chills. Also developed nausea with diarrhea. She had a COVID-19 test performed on the 14th which returned negative.  She was seen by her PCP on the 16th and diagnosed with a right lower lobe pneumonia and given 10 days of Augmentin.  She seems to have worsening nausea and vomiting after she takes the Augmentin at night.  Does not have issues with taking it during the day.  Continues to have a cough and shortness of breath.  Has been very weak and does seem to be getting weaker.  Ongoing low-grade fevers.  Does have a cough which is occasionally productive of sputum.  She denies a history of lung disease.  Given no improvement she came into the ER today.  She was noted to drop her oxygen saturations to 89% and currently is on 2 L. She did receive the Johnson and Johnson vaccine earlier this year.  8/26/21: Very pleasant 85-year-old female with history of hypothyroidism and permanent pacemaker who presented to the emergency department with shortness breath admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, treated remdesivir, no steroids due to allergy, levofloxacin to cover for bacterial component.  Was successfully weaned off oxygen, had some sore throat as part of complication viral illness.  No other issues, was saturating well on room air and ready for discharge.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Blood test normal, Electromyogram normal, Eye disorder
Clinical narrative: I'm having problem with my eyes; it comes and goes. I have random twitching on my right and left eye. It never happens.  Once my left eye starts to twitch, it could be consistent, and my right eye, quivers at the bottom of my eye. I thought it could be a magnesium deficiency. I worried that it could be neurological. I've been dealing with it since April. It kept doing it every day and I cut caffeine and I thought it could be that. I tried sleeping more. Its random with no trigger. I have a lot of allergies in my family, and I thought it could be an allergy. I saw Dr for my issue, it was sometime in the summer. They sent me to a neurologist, I don't remember the name, but my test came back normal.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Magnetic resonance imaging heart, Myocarditis
Clinical narrative: chest pain and shortness of breath for 2 days after 1st dose of Moderna Vaccine
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pain in extremity, Presyncope, Seizure, Syncope
Clinical narrative: Vasovagal syncope (fainting) approximately 20 hours after vaccine. Received vaccine at 12:40pm, no issues other than sore arm that day.  The next morning woke at 7:30 and got up for a few minutes with a very sore arm.  Went back to bed until about 8:30.  After waking at 8:30, walked into the hallway and felt like passing out.  Sat down and then layed on the floor hoping to relieve the symptoms, but within a few minutes lost consciousness and convulsed for about 30 seconds (according to husband). Returned to bed and rested the rest of the day.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was a 9 year old girl arriving to receive a age 5-11 Pfizer COVID vaccine under NDC 59267-1055-04 Lot number FK5127 Exp 1/15/22. Her mother was also receiving her Pfizer COVID booster. Both shots had been taken into the vaccination booth and the 9 year old received the adult dose of vaccine instead of the child. No adverse events to report at this time.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
Clinical narrative: Patient is experiencing pain in shoulder/arm and having trouble raising  the affected arm.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: 11/19/2021 I woke up at 0430 am with a severely sore arm. I got up to take Tylenol, I felt a little dizzy. At 1230pm I began to have a bad headache , severe chills, low grade temperature  I was very weak and my eyes were feeling like I had the flu. I took Tylenol every 6 jours These symptoms lasted until 6 pm When I finally began to warm up I still felt very tired headache an dizzy
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Pain in extremity, Pyrexia
Clinical narrative: 11/19/2021 I woke up at 0430 am with a severely sore arm. I got up to take Tylenol, I felt a little dizzy. At 1230pm I began to have a bad headache , severe chills, low grade temperature  I was very weak and my eyes were feeling like I had the flu. I took Tylenol every 6 jours These symptoms lasted until 6 pm When I finally began to warm up I still felt very tired headache an dizzy
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site infection, No adverse event
Clinical narrative: 60 year old male client arrives to vaccination site requesting 2nd dose in Moderna series.  Client reports that approximately 1 week after receiving his 1st dose of Moderna vaccine, that he experienced a localized infection at the injection site on his right arm.  Client reports seeing Primary Care Provider who provided treatment of antibiotics for a few days.  Client reports that infection resolved after completion of antibiotics.  Elevated issue to Clinical Supervisor, who received approval from Dr. to proceed with administration of 2nd dose in Moderna series, with administration in left arm.  Second Moderna dose was administered by RN on 11/13/21 at approximately 11:00 AM.  Lot # 066F21A.  Explained emergency precautions to client who verbalized understanding. No adverse symptoms reported during observation period.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Dyspnoea, Headache, Nausea
Clinical narrative: Woke with a headache and that got progressively worse. When standing experienced severe vertigo and nausea. On February 28 went to ER and tested positive for COVID-19. Sent home and by that Tuesday, 3/2/2021, had issues breathing. Was prescribed nausea medication but did not take it much because it did not help. It took about 3 weeks to recover.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vertigo
Clinical narrative: Woke with a headache and that got progressively worse. When standing experienced severe vertigo and nausea. On February 28 went to ER and tested positive for COVID-19. Sent home and by that Tuesday, 3/2/2021, had issues breathing. Was prescribed nausea medication but did not take it much because it did not help. It took about 3 weeks to recover.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Joint range of motion decreased, Pain in extremity
Clinical narrative: The patient came into the pharmacy the afternoon of his appointment stating that he believed it had been given too high by the immunizer. He still had his bandaid on, so I confirmed that it had been given too high. He states that he felt as if it were being given too high at the time of administration, that it hurt more than previous doses and that he was able to feel the liquid going into his arm, which he had never felt before with other immunizations. His arm is not hurting and he has poor range of motion. He was told to take ibuprofen/tylenol, to follow up with his doctor if it continued to hurt, and to call us back if anything else where to aspire.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Heart rate irregular, Panic attack, Pyrexia
Clinical narrative: Irregular heartbeat Panic attacks  Fever  Chills
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dry skin, Eczema, Eye swelling, Pruritus
Clinical narrative: facial eczema, itchy dry areas  by eyelids, and neck, and forehead, and swelling of eyes
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Skin test
Clinical narrative: facial eczema, itchy dry areas  by eyelids, and neck, and forehead, and swelling of eyes
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: On 11/3/2021 it was discovered the vaccine administered on 10/22/2021 had been stored in the freezer longer than the recommended 14 days. Patient did not have an adverse event.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Syncope
Clinical narrative: 1min post vaccination, pt was feeling dizzy on walk over to observation.  Pt was assissted to the ground and had a syncopal episode. Pt was flushed and sweating.  Pt assissted to wheelchair once alert and taken to medical tent.  Syncopal episode only lasted seconds.  Pt given juice and crackers remains clammy and flushed but states that she is feeling much better.  Pt states that her BP normally runs low.  After 15mins of observation, Vital signs and pt states that she feels better and is comfortable going home.  Pt stable w/ strong/steady gait upon leaving. Vitals: 95/53, 68, 14 -- > 97/57, 74
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac murmur, Echocardiogram, Electrocardiogram, Hypertension, Hypotension
Clinical narrative: Prior to the vaccination I did not have HBP. Several weeks after vaccination, around 03/01/2021, I was going to routine doctor appointment and I notice my BP was suddenly high.  The BP was up and down for a month and a half after the vaccine. My blood pressure was very high 160/98.  I went to see a Cardiologist and he immediately said I had HBP and put me on medication. He sent me for a bunch of test.  My BP was spiking up and down. I thought it was white coat syndrome or the tightness of the cuff.  I did not want to take my HBP medication. I was afraid to take the medication when my BP was very low. I did not know what was going on. The doctor suggested I track my BP for two weeks. The results were suggested I did not have HBP. After I had the 3rd booster vaccine, a couple of weeks later I had the same HBP results again-190/105. It was worse after the 3rd dose, instead of spiking up and down. It was spiking up.  I have a heart murmur that I did not have before.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: When the student nurse injected the child the first time,  there was significant spilling and less than half the dose was administered. The student withdrew the needle and attempted a 2nd time with another loaded syringe. However, she felt resistance and unable to inject the vaccine, so she withdrew the needle without giving any vaccine. Her partner saw that, and helped her administered a full dose (0.2 ml) with another loaded syringe.    The child received 3 pokes at her left arm, and one full dose was delivered.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Biopsy kidney, Blood test, Catheter placement, Computerised tomogram
Clinical narrative: Woke the morning after vaccination to severe abdominal pain, vomiting, severe body aches, lethargy.  Labs revealed elevated liver enzymes and kidney failure on 10/14/2021.  Subsequent hospitalization, treatment, dialysis.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dialysis, Hepatic enzyme increased, Laboratory test abnormal, Lethargy, Pain
Clinical narrative: Woke the morning after vaccination to severe abdominal pain, vomiting, severe body aches, lethargy.  Labs revealed elevated liver enzymes and kidney failure on 10/14/2021.  Subsequent hospitalization, treatment, dialysis.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Renal failure, Ultrasound abdomen, Vomiting
Clinical narrative: Woke the morning after vaccination to severe abdominal pain, vomiting, severe body aches, lethargy.  Labs revealed elevated liver enzymes and kidney failure on 10/14/2021.  Subsequent hospitalization, treatment, dialysis.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Mood altered, Myalgia
Clinical narrative: mood changes fatigue myalgia stomach cramps
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Abnormal dreams, Arthralgia, Dizziness, Fatigue, Injection site erythema
Clinical narrative: By 11-18-2021, injection site swelling with red, raised bump. Increased muscle soreness, area of injection very warm to touch, tingling in tongue and floor of mouth, aching joints and skin, low-grade temperature of 99.4, dizziness, fatigue. Itchiness over the night - dreaming of hives all over face.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Injection site warmth, Myalgia, Pain of skin, Paraesthesia oral
Clinical narrative: By 11-18-2021, injection site swelling with red, raised bump. Increased muscle soreness, area of injection very warm to touch, tingling in tongue and floor of mouth, aching joints and skin, low-grade temperature of 99.4, dizziness, fatigue. Itchiness over the night - dreaming of hives all over face.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Pyrexia
Clinical narrative: By 11-18-2021, injection site swelling with red, raised bump. Increased muscle soreness, area of injection very warm to touch, tingling in tongue and floor of mouth, aching joints and skin, low-grade temperature of 99.4, dizziness, fatigue. Itchiness over the night - dreaming of hives all over face.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: On 11/3/2021 it was discovered the vaccine administered on 10/22/2021 had been stored in the freezer longer than the recommended 14 days. Patient did not have an adverse event.