chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Nasopharyngitis, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I was completely healthy and went from 100% fine to spiking a fever at 12:45PM on Thursday, November 3, 2022. It was followed by a fever, chills, congestion, vomiting, severe headache. I called my primary care's office. The nurse called me and she noted that the doctor would like me to get a COVID-19 test and it came back positive. The doctor called in a prescription for PAXLOVID and cough pearls and ZOFRAN. I had started having diarrhea as well. I did 5 days of PAXLOVID and I had a fever that ranged from 103.4 to low grade 102 that persisted. I talked to the doctor the 5th day on Tuesday when I finished the PAXLOVID and told him I still had symptoms. He noted that if I took another test, it would still be positive. The vomiting and diarrhea had slowed down and I still had a fever and what seemed to be a bad head cold. My head didn't hurt as badly, and I was coughing with no production. I couldn't get a deep breath all the way. The doctor had me do a Z-PAK as well for 1 a day for 5 days. He did that in the hopes that if there was secondary infection of any kind, it would be taken care of. I talked to the nurse about every other day as I still had a low grade fever, fatigue, and trouble with deep breathing. On Wednesday 11/16/2022 when I talked to my doctor, he suggested that I go to urgent care and get a chest x-ray and let him talk to the doctor for the results. The results showed no pneumonia or bronchitis. They suspected inflammation and listened to me breathe. They also tested me for flu and I was negative. I talked to my doctor again and he noted that I was one of those people where after effects were still present, but I was not contagious. He noted there was no other treatments and recommended I stay inside due to the weather. On Friday 11/18 was the first time that I noted no fever at all. The doctor noted to just monitor the progression and he noted that I could be vulnerable. He suggested to be careful and to wear a mask for protection. I am definitely not 100%. I still have the head cold feeling, but it's not as strong. I am still fatigued and my voice is not back to normal.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I was completely healthy and went from 100% fine to spiking a fever at 12:45PM on Thursday, November 3, 2022. It was followed by a fever, chills, congestion, vomiting, severe headache. I called my primary care's office. The nurse called me and she noted that the doctor would like me to get a COVID-19 test and it came back positive. The doctor called in a prescription for PAXLOVID and cough pearls and ZOFRAN. I had started having diarrhea as well. I did 5 days of PAXLOVID and I had a fever that ranged from 103.4 to low grade 102 that persisted. I talked to the doctor the 5th day on Tuesday when I finished the PAXLOVID and told him I still had symptoms. He noted that if I took another test, it would still be positive. The vomiting and diarrhea had slowed down and I still had a fever and what seemed to be a bad head cold. My head didn't hurt as badly, and I was coughing with no production. I couldn't get a deep breath all the way. The doctor had me do a Z-PAK as well for 1 a day for 5 days. He did that in the hopes that if there was secondary infection of any kind, it would be taken care of. I talked to the nurse about every other day as I still had a low grade fever, fatigue, and trouble with deep breathing. On Wednesday 11/16/2022 when I talked to my doctor, he suggested that I go to urgent care and get a chest x-ray and let him talk to the doctor for the results. The results showed no pneumonia or bronchitis. They suspected inflammation and listened to me breathe. They also tested me for flu and I was negative. I talked to my doctor again and he noted that I was one of those people where after effects were still present, but I was not contagious. He noted there was no other treatments and recommended I stay inside due to the weather. On Friday 11/18 was the first time that I noted no fever at all. The doctor noted to just monitor the progression and he noted that I could be vulnerable. He suggested to be careful and to wear a mask for protection. I am definitely not 100%. I still have the head cold feeling, but it's not as strong. I am still fatigued and my voice is not back to normal.
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Heart rate decreased, Pulse abnormal, Visual impairment
Clinical narrative: Approximately 24 hours after receiving the vaccine, I was in the shower and my heart rate dropped, I became very dizzy and lightheaded, and the room started to go black. I never fully lost consciousness but I sat down and my pulse was extremely soft and around 40.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, Arthralgia, Dysgeusia, Fatigue, Malaise
Clinical narrative: She states she did well with prior Pfizer vaccines.  She noted from 11/10-11/14 she had: ? Fatigue ? Felt ?sickly? ? Hands felt painful ? Hip joints hurt   Later she noted from 11/14-11/20: ? Loss of taste ? ?mouth feels like its been burned? ? no sores noted ? ?things taste bad? ? Joints no longer painful   Hx of multiple ?joint impact? and arthritis. She states she is over 70 years old and never had issues with other vaccines before.  No reported treatments.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oral discomfort, Pain in extremity
Clinical narrative: She states she did well with prior Pfizer vaccines.  She noted from 11/10-11/14 she had: ? Fatigue ? Felt ?sickly? ? Hands felt painful ? Hip joints hurt   Later she noted from 11/14-11/20: ? Loss of taste ? ?mouth feels like its been burned? ? no sores noted ? ?things taste bad? ? Joints no longer painful   Hx of multiple ?joint impact? and arthritis. She states she is over 70 years old and never had issues with other vaccines before.  No reported treatments.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Complication of device insertion, Cough, Dysphagia, Encephalopathy
Clinical narrative: Hospital Course:    Patient is a 77 y.o. male patient with a history of pAfib Eliquis, CAD, CKD, OSA, HTN, HLD, GERD, hiatal hernia BPH, SSS s/p PPM, Parkinson's disease, and hx of Roux-en-Y gastric bypass. He presented from Hospital on 10/21/2022 with encephalopathy and increased, productive cough. He was found to be COVID positive at the outside hospital and required intubation due to hypoxia. He attempted OG insertion but had hematemesis. GI was consulted and he underwent EGD. He was found to have bleeding esophageal ulcer that was injected and clipped. Course further complicated by pneumomediastinum with concern for esophageal perforation. He briefly required TPN and bowel rest. He was initially extubated. However, course further complicated by klebsiella pneumonia, then aspiration pneumonia requiring reintubation on 11/11. Extubated 11/5 code status updated to DNRCCA-DNI at that time. However he continues to require heated high flow oxygen. Ongoing dysphagia with concern that patient will need J-tube placed for continued feeding.    After discussion with family and hospice, patient has elected for DNRCC with plans for ongoing oxygen wean at inpt hospice.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Haematemesis, Haemostasis, Hypoxia, Oesophageal ulcer haemorrhage
Clinical narrative: Hospital Course:    Patient is a 77 y.o. male patient with a history of pAfib Eliquis, CAD, CKD, OSA, HTN, HLD, GERD, hiatal hernia BPH, SSS s/p PPM, Parkinson's disease, and hx of Roux-en-Y gastric bypass. He presented from Hospital on 10/21/2022 with encephalopathy and increased, productive cough. He was found to be COVID positive at the outside hospital and required intubation due to hypoxia. He attempted OG insertion but had hematemesis. GI was consulted and he underwent EGD. He was found to have bleeding esophageal ulcer that was injected and clipped. Course further complicated by pneumomediastinum with concern for esophageal perforation. He briefly required TPN and bowel rest. He was initially extubated. However, course further complicated by klebsiella pneumonia, then aspiration pneumonia requiring reintubation on 11/11. Extubated 11/5 code status updated to DNRCCA-DNI at that time. However he continues to require heated high flow oxygen. Ongoing dysphagia with concern that patient will need J-tube placed for continued feeding.    After discussion with family and hospice, patient has elected for DNRCC with plans for ongoing oxygen wean at inpt hospice.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Oesophagogastroduodenoscopy abnormal, Pneumomediastinum, Pneumonia aspiration, Pneumonia klebsiella, Productive cough
Clinical narrative: Hospital Course:    Patient is a 77 y.o. male patient with a history of pAfib Eliquis, CAD, CKD, OSA, HTN, HLD, GERD, hiatal hernia BPH, SSS s/p PPM, Parkinson's disease, and hx of Roux-en-Y gastric bypass. He presented from Hospital on 10/21/2022 with encephalopathy and increased, productive cough. He was found to be COVID positive at the outside hospital and required intubation due to hypoxia. He attempted OG insertion but had hematemesis. GI was consulted and he underwent EGD. He was found to have bleeding esophageal ulcer that was injected and clipped. Course further complicated by pneumomediastinum with concern for esophageal perforation. He briefly required TPN and bowel rest. He was initially extubated. However, course further complicated by klebsiella pneumonia, then aspiration pneumonia requiring reintubation on 11/11. Extubated 11/5 code status updated to DNRCCA-DNI at that time. However he continues to require heated high flow oxygen. Ongoing dysphagia with concern that patient will need J-tube placed for continued feeding.    After discussion with family and hospice, patient has elected for DNRCC with plans for ongoing oxygen wean at inpt hospice.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospital Course:    Patient is a 77 y.o. male patient with a history of pAfib Eliquis, CAD, CKD, OSA, HTN, HLD, GERD, hiatal hernia BPH, SSS s/p PPM, Parkinson's disease, and hx of Roux-en-Y gastric bypass. He presented from Hospital on 10/21/2022 with encephalopathy and increased, productive cough. He was found to be COVID positive at the outside hospital and required intubation due to hypoxia. He attempted OG insertion but had hematemesis. GI was consulted and he underwent EGD. He was found to have bleeding esophageal ulcer that was injected and clipped. Course further complicated by pneumomediastinum with concern for esophageal perforation. He briefly required TPN and bowel rest. He was initially extubated. However, course further complicated by klebsiella pneumonia, then aspiration pneumonia requiring reintubation on 11/11. Extubated 11/5 code status updated to DNRCCA-DNI at that time. However he continues to require heated high flow oxygen. Ongoing dysphagia with concern that patient will need J-tube placed for continued feeding.    After discussion with family and hospice, patient has elected for DNRCC with plans for ongoing oxygen wean at inpt hospice.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: gave bivalent for first covid of series. should have been monovalent.  Pt getting monovalent for 2nd dose of series tonight.  will follow up in 60 days for her bivalent booster per cdc guidelines.  Pt had no adverse rxns to the bivalent vaccine (dose 1)
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Antibody test positive, Anticoagulant therapy, Asthenia, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: She had increased shortness of breath that day. She went to the emergency, and they completed a CT scan of her chest and found lots of clots. She was then hospitalized and placed on supportive care with anti-coagulants. She has had testing that shows vaccine-induced Thrombotic Thrombocytopenia. She is getting worse and worse. She has had increased weaknesses. They have given her IV ID therapy. That has not been effective. She remains hospitalized for this condition since. Her doctor referred her to the emergency room.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: General physical health deterioration, Pulmonary thrombosis, Thrombosis, Thrombosis with thrombocytopenia syndrome
Clinical narrative: She had increased shortness of breath that day. She went to the emergency, and they completed a CT scan of her chest and found lots of clots. She was then hospitalized and placed on supportive care with anti-coagulants. She has had testing that shows vaccine-induced Thrombotic Thrombocytopenia. She is getting worse and worse. She has had increased weaknesses. They have given her IV ID therapy. That has not been effective. She remains hospitalized for this condition since. Her doctor referred her to the emergency room.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Blood creatinine increased, C-reactive protein increased
Clinical narrative: Patient is a 51 y.o. female patient of MD with history of lupus, rheumatoid arthritis, asthma, migraine, depression, anxiety transferring to to Medical Center with acute hypoxemic respiratory failure due to COVID pneumonia.   Acute hypoxemic respiratory failure Secondary to recent COVID PNA, underlying OSA/OHS Requiring 3L NC on admission, no baseline requirement CTPA 10/20 w/patchy bilateral infiltrates Aggressive pulmonary hygiene Wean O2 as able to maintain SpO2 88-92% Qualified for home O2 10/22, F2F completed Pulm/CC consulted   Covid-19 Virus Infection Date of onset of symptoms: 9/29 Symptoms present on admission: SOB, cough, weakness Date of covid positive test: 9/29 Vaccination status: Vaccinated, booster x1 Imaging: CTA w/patchy bilateral interstitial infiltrates Oxygen requirements on admission: 6L Current oxygen requirements: 3L Medical therapy: Decadron Consultants following: Pulmonary, ID CRP elevated 308 No indication for ongoing isolation    Bacteria PNA Pt reports subjective fevers and diaphoresis No SIRS/Sepsis criteria on admission MRSA probe, PCR antigens pending  Cefepime, Flagyl ordered on admission Flagyl stopped 10/21 Changed to Levaquin on DC, to complete 7D total   AKI, resolved Likely pre-renal secondary to poor intake Cr 1.28 on admission, baseline WNL Cr normalized 10/21 UOP remains adequate Limit nephrotoxins as able Daily RFP    Asthma, w/o acute exacerbation Stable, at baseline Continue Symbicort, Singulair Needs PFT as OP   History of lupus History of rheumatoid arthritis Continue home medications; Plaquenil and Arava  Methotrexate recently discontinued, has not started Baricitinib Multimodal pain management   History of depression Continue home medications   History of migraine headaches Sumatriptan as needed   GERD  Cont pantoprazole    OSA/OHS Suspected based on snoring, non-restful sleep Home PSG per Pulm   Morbid Obesity BMI 53.27 Weight loss, lifestyle modifications encouraged
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Dyspnoea, Fluid intake reduced, Hyperhidrosis
Clinical narrative: Patient is a 51 y.o. female patient of MD with history of lupus, rheumatoid arthritis, asthma, migraine, depression, anxiety transferring to to Medical Center with acute hypoxemic respiratory failure due to COVID pneumonia.   Acute hypoxemic respiratory failure Secondary to recent COVID PNA, underlying OSA/OHS Requiring 3L NC on admission, no baseline requirement CTPA 10/20 w/patchy bilateral infiltrates Aggressive pulmonary hygiene Wean O2 as able to maintain SpO2 88-92% Qualified for home O2 10/22, F2F completed Pulm/CC consulted   Covid-19 Virus Infection Date of onset of symptoms: 9/29 Symptoms present on admission: SOB, cough, weakness Date of covid positive test: 9/29 Vaccination status: Vaccinated, booster x1 Imaging: CTA w/patchy bilateral interstitial infiltrates Oxygen requirements on admission: 6L Current oxygen requirements: 3L Medical therapy: Decadron Consultants following: Pulmonary, ID CRP elevated 308 No indication for ongoing isolation    Bacteria PNA Pt reports subjective fevers and diaphoresis No SIRS/Sepsis criteria on admission MRSA probe, PCR antigens pending  Cefepime, Flagyl ordered on admission Flagyl stopped 10/21 Changed to Levaquin on DC, to complete 7D total   AKI, resolved Likely pre-renal secondary to poor intake Cr 1.28 on admission, baseline WNL Cr normalized 10/21 UOP remains adequate Limit nephrotoxins as able Daily RFP    Asthma, w/o acute exacerbation Stable, at baseline Continue Symbicort, Singulair Needs PFT as OP   History of lupus History of rheumatoid arthritis Continue home medications; Plaquenil and Arava  Methotrexate recently discontinued, has not started Baricitinib Multimodal pain management   History of depression Continue home medications   History of migraine headaches Sumatriptan as needed   GERD  Cont pantoprazole    OSA/OHS Suspected based on snoring, non-restful sleep Home PSG per Pulm   Morbid Obesity BMI 53.27 Weight loss, lifestyle modifications encouraged
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia bacterial, Pyrexia, Urine output
Clinical narrative: Patient is a 51 y.o. female patient of MD with history of lupus, rheumatoid arthritis, asthma, migraine, depression, anxiety transferring to to Medical Center with acute hypoxemic respiratory failure due to COVID pneumonia.   Acute hypoxemic respiratory failure Secondary to recent COVID PNA, underlying OSA/OHS Requiring 3L NC on admission, no baseline requirement CTPA 10/20 w/patchy bilateral infiltrates Aggressive pulmonary hygiene Wean O2 as able to maintain SpO2 88-92% Qualified for home O2 10/22, F2F completed Pulm/CC consulted   Covid-19 Virus Infection Date of onset of symptoms: 9/29 Symptoms present on admission: SOB, cough, weakness Date of covid positive test: 9/29 Vaccination status: Vaccinated, booster x1 Imaging: CTA w/patchy bilateral interstitial infiltrates Oxygen requirements on admission: 6L Current oxygen requirements: 3L Medical therapy: Decadron Consultants following: Pulmonary, ID CRP elevated 308 No indication for ongoing isolation    Bacteria PNA Pt reports subjective fevers and diaphoresis No SIRS/Sepsis criteria on admission MRSA probe, PCR antigens pending  Cefepime, Flagyl ordered on admission Flagyl stopped 10/21 Changed to Levaquin on DC, to complete 7D total   AKI, resolved Likely pre-renal secondary to poor intake Cr 1.28 on admission, baseline WNL Cr normalized 10/21 UOP remains adequate Limit nephrotoxins as able Daily RFP    Asthma, w/o acute exacerbation Stable, at baseline Continue Symbicort, Singulair Needs PFT as OP   History of lupus History of rheumatoid arthritis Continue home medications; Plaquenil and Arava  Methotrexate recently discontinued, has not started Baricitinib Multimodal pain management   History of depression Continue home medications   History of migraine headaches Sumatriptan as needed   GERD  Cont pantoprazole    OSA/OHS Suspected based on snoring, non-restful sleep Home PSG per Pulm   Morbid Obesity BMI 53.27 Weight loss, lifestyle modifications encouraged
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Skin warm
Clinical narrative: I experienced a reaction at the injection site for my second Moderna dose. It started with redness to my arm. My symptoms at the vaccine site was warm to the touch on area and it was very itchy. I felt warm to touch but never had a fever, felt my body warm at times. This lasted for about two weeks and came back few weeks later then it went away but not as constant as before. I also can say that on my first dose I experienced some redness at the injection site. I went to see my doctor who prescribed a topical cream to apply to the injection site.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: sore arm for at least 3 weeks now- not resolved
Age: 1.25
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Wrong brand and age range given. Given Pfizer 5-11 when patient should have been given moderna under 5. Spoke to patient the next day and mom stated  child was  "happy and doing fine"
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product preparation issue
Clinical narrative: IT IS NOT AN ADVERSE EVENT.  Patient received bivalent booster dose without diluent.  Spoke with parent 40min and 2 hrs after event and no SE reported
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased
Clinical narrative: Patient came in to receive a COVID-19 Booster vaccine. Shortly after receiving the vaccine, pt began to state that her blood pressure was elevated. 911 was called and an ambulance came to evaluate the patient. Patient was found to have an elevated blood pressure of 200/108. Per the clinician vaccinating the patient, she states she has a history of hypertension and takes medication for it. Patient ultimately decided to refuse EMS. Patient signed and AMA form with at Mobile Vax site as well
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Diarrhoea
Clinical narrative: I had diarrhea on the 14th. On Saturday fever body aches migraine cough stuffy nose, running nose. I tested positive for COVID-19 on the 16th. On Monday I went to the doctor and gave me PAXLOVID. Then I lost sense of smell and taste on Wednesday for about 10 days. I started to test negative on 25th but I still had a cough and fatigue for 4-5 weeks. I still get shortness of breath and I had to use my inhaler again. I haven't had to use my inhaler for almost 2 years until I got COVID-19.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Migraine, Nasal congestion, Pain
Clinical narrative: I had diarrhea on the 14th. On Saturday fever body aches migraine cough stuffy nose, running nose. I tested positive for COVID-19 on the 16th. On Monday I went to the doctor and gave me PAXLOVID. Then I lost sense of smell and taste on Wednesday for about 10 days. I started to test negative on 25th but I still had a cough and fatigue for 4-5 weeks. I still get shortness of breath and I had to use my inhaler again. I haven't had to use my inhaler for almost 2 years until I got COVID-19.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had diarrhea on the 14th. On Saturday fever body aches migraine cough stuffy nose, running nose. I tested positive for COVID-19 on the 16th. On Monday I went to the doctor and gave me PAXLOVID. Then I lost sense of smell and taste on Wednesday for about 10 days. I started to test negative on 25th but I still had a cough and fatigue for 4-5 weeks. I still get shortness of breath and I had to use my inhaler again. I haven't had to use my inhaler for almost 2 years until I got COVID-19.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Wrong brand and age range given to patient. Given pfizer 5-11 when should have given moderna under 5
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Autoimmune disorder, Dry skin, Psoriatic arthropathy
Clinical narrative: Extremely dry skin believed now to be an autoimmune issue called psoriatic arthritis
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse events reported
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Chills, Dehydration, Dyspnoea
Clinical narrative: At 11:30PM I started having chills, my chest hurt, difficulty breathing, headache, body ache, like a flu, I went to the hospital, they told me I had fever, was dehydrated, earing ringing. At the hospital they took a chest x-ray, gave some fluids; when I finished the IV (2 bags) they sent me home, from that day symptoms got less and less every day. They also gave me TYLENOL.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Influenza, Pain, Pyrexia, Tinnitus
Clinical narrative: At 11:30PM I started having chills, my chest hurt, difficulty breathing, headache, body ache, like a flu, I went to the hospital, they told me I had fever, was dehydrated, earing ringing. At the hospital they took a chest x-ray, gave some fluids; when I finished the IV (2 bags) they sent me home, from that day symptoms got less and less every day. They also gave me TYLENOL.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse events reported
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse event reported
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Wrong vaccine given, wrong manufacturer and age range
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pain, Pain in extremity
Clinical narrative: Patient had some pain in her arm that then radiated to her chest. At time of report that pain had been going on for 5 days. Patient was told to visit with her doctor for follow-up.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Loss of consciousness, Somnolence
Clinical narrative: PATIENT WAS GIVEN PFIZER BIVALENT BOOSTER VACCINE FOR  CHILDREN AGE 5 TO 11 YEAR OLDS. THE PATIENT WAS OK AT THE TIME OF VACCINE. WHEN THE PATIENT WALKED OUT WITH HER FAMILY SHE PASSED OUT. MOTHER BROUGHT PATIENT BACK TO THE PHARMACY. PATIENT SAT DOWN, MONITORED AND WAS GIVEN A GATORADE OR POWERADE TO REPLENISH HER ELECTROLYTES. PATIENT WAS DIZZY, LIGHTHEADED AND WANTED TO SLEEP. PATIENT WAITED 15-20 MINUTES OR SO BEFORE THEY FELT BETTER/RECOVERED AND LEFT THE PHARMACY.
Age: 1.33
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Wrong manufacturer and age range given to patient should have received moderna under 5
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Feeling abnormal, Impaired work ability, Influenza virus test negative, Nasal mucosal disorder, Nasopharyngitis
Clinical narrative: I was traveling and tested for COVID-19 during the trip, which was negative on 10/21/2022. I came home on 10/22. By 10/23, I developed a sore throat and tested myself at home and that came back negative. On 10/24, I tested again and came back negative. On 10/25, I went to see my doctor and they did a PCR test, flu test, etc. Those came back negative, but on 10/26, my COVID-19 test came back positive. I also did a home test at home while waiting for my PCR which also came back positive. On the 26th I was feeling cold symptoms. On 10/27, I felt worse. All my symptoms were cold symptoms. I took a couple days off. On 11/3/2022, I went back to the doctor because I was feeling horrible. It felt like something was stuck in the back of my throat and she noted that my nasal passages were all red and were draining into my throat. I was given SUDAFED and was also using FLONASE from the previous visit. The SUDAFED made a big difference, but I'm still not getting better and my congestion has not resolved. Last week, on Saturday 11/12, I had to go back to the doctor again because I'm on SUDAFED and I'm still not getting better. She said I may have developed a sinus infection so she put me on antibiotics which I'm now finishing today. I have also taken over the counter cold and flu syrup as well. I've also been using a lot of nasal mist to help with my nasal passages and I'm continuing to use the FLONASE. I've never had COVID-19 before, so this is my first infection.
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Oropharyngeal pain, Paranasal sinus hypersecretion, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I was traveling and tested for COVID-19 during the trip, which was negative on 10/21/2022. I came home on 10/22. By 10/23, I developed a sore throat and tested myself at home and that came back negative. On 10/24, I tested again and came back negative. On 10/25, I went to see my doctor and they did a PCR test, flu test, etc. Those came back negative, but on 10/26, my COVID-19 test came back positive. I also did a home test at home while waiting for my PCR which also came back positive. On the 26th I was feeling cold symptoms. On 10/27, I felt worse. All my symptoms were cold symptoms. I took a couple days off. On 11/3/2022, I went back to the doctor because I was feeling horrible. It felt like something was stuck in the back of my throat and she noted that my nasal passages were all red and were draining into my throat. I was given SUDAFED and was also using FLONASE from the previous visit. The SUDAFED made a big difference, but I'm still not getting better and my congestion has not resolved. Last week, on Saturday 11/12, I had to go back to the doctor again because I'm on SUDAFED and I'm still not getting better. She said I may have developed a sinus infection so she put me on antibiotics which I'm now finishing today. I have also taken over the counter cold and flu syrup as well. I've also been using a lot of nasal mist to help with my nasal passages and I'm continuing to use the FLONASE. I've never had COVID-19 before, so this is my first infection.
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Sensation of foreign body
Clinical narrative: I was traveling and tested for COVID-19 during the trip, which was negative on 10/21/2022. I came home on 10/22. By 10/23, I developed a sore throat and tested myself at home and that came back negative. On 10/24, I tested again and came back negative. On 10/25, I went to see my doctor and they did a PCR test, flu test, etc. Those came back negative, but on 10/26, my COVID-19 test came back positive. I also did a home test at home while waiting for my PCR which also came back positive. On the 26th I was feeling cold symptoms. On 10/27, I felt worse. All my symptoms were cold symptoms. I took a couple days off. On 11/3/2022, I went back to the doctor because I was feeling horrible. It felt like something was stuck in the back of my throat and she noted that my nasal passages were all red and were draining into my throat. I was given SUDAFED and was also using FLONASE from the previous visit. The SUDAFED made a big difference, but I'm still not getting better and my congestion has not resolved. Last week, on Saturday 11/12, I had to go back to the doctor again because I'm on SUDAFED and I'm still not getting better. She said I may have developed a sinus infection so she put me on antibiotics which I'm now finishing today. I have also taken over the counter cold and flu syrup as well. I've also been using a lot of nasal mist to help with my nasal passages and I'm continuing to use the FLONASE. I've never had COVID-19 before, so this is my first infection.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Given Moderna Bivalent Booster on 11/2/2022 before Primary Series was complete. No adverse effects reported.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Moderna vaccine 0.25ml instead of the bivalent.  We will contact the patient to schedule to come in for the bivalent in 2 months from 9/9/22.
Age: 1.42
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Wrong manufacturer and age range given. Should have received Moderna under 5
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: I had sore throat, headache, stuffing and running nose, body aches, stuffy head, and ears ringing. I tested positive for COVID-19 at home. I called my doctor on the same day and she prescribed me Paxlovid.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Tinnitus
Clinical narrative: I had sore throat, headache, stuffing and running nose, body aches, stuffy head, and ears ringing. I tested positive for COVID-19 at home. I called my doctor on the same day and she prescribed me Paxlovid.
Age: 0.58
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was administered a pfizer, maroon cap covid-19 vaccine (6 mo-4 years). The medical assistant preparing the vaccine diluted  the vaccine with an incorrect amount of sodium chloride. She diluted with 1.3 ml instead of 2.2 ml of sodium chloride. No adverse reaction has been reported to us by this family. We did notify family of the error.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Malaise, Muscle spasms, Pain
Clinical narrative: The evening after the injection I got sick, achy body, feverish, body was having internal spasms and tremors. The spasms and tremors didn?t go away. I thought they would with time but after 4 months I got worried and reached out to my primary. Still happening g 6 months later with no explanation.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: The evening after the injection I got sick, achy body, feverish, body was having internal spasms and tremors. The spasms and tremors didn?t go away. I thought they would with time but after 4 months I got worried and reached out to my primary. Still happening g 6 months later with no explanation.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient was administered Pfizer Biv 6 days before the vaccine was supposed to be administered
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Rash, Rash erythematous, Rash papular
Clinical narrative: Patient awoke around 11:00am on 11/20/22 to find a painful rash mostly on the palmar sides of both hands.  There is no rash at any other location.  The rash is described as small, interrupted round, raised, red spots of multiple sizes and painful, no open wounds or blisters.  Treatment prescribed is triamcinolone acetonide topical cream 0.5%, Prednisone 20mg two tablets orally once daily for 3 days and mupirocin 2% ointment.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Autoimmune hepatitis, Biopsy liver abnormal
Clinical narrative: Autoimmune hepatitis.  Started getting symptoms 3-4 days after vaccination.  Nausea, itching, fatigue, abdominal pain.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin increased, Fatigue, Hepatitis acute, Hepatitis cholestatic
Clinical narrative: Autoimmune hepatitis.  Started getting symptoms 3-4 days after vaccination.  Nausea, itching, fatigue, abdominal pain.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immunisation reaction, Nausea, Pathology test, Pruritus
Clinical narrative: Autoimmune hepatitis.  Started getting symptoms 3-4 days after vaccination.  Nausea, itching, fatigue, abdominal pain.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Pain
Clinical narrative: Since the day after the shot my left upper arm has hurt.  Both an ache in my upper arm as well as some pain when lifting arm.
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Dehydration, Haemorrhage, Hyperhidrosis, Hypotension, Micturition disorder
Clinical narrative: Daughter of patient called the pharmacy today to state Dad was taken to the hospital on Saturday and admitted. She stated he was dehydrated, soak and wet from heavy sweating. She mentioned low blood pressure. She was concerned that Dad had a seizure. She was concerned about Dad passing out. She mentioned something about bleeding. She mention something about urination.
Age: 15.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Contusion, Disorientation, Dry skin, Fall, Feeling cold
Clinical narrative: Pt received Pfizer 0.3ml Bivalent booster in the left arm at 1429 with a flu vaccine in the right arm. While standing up and waiting for her brother to be vaccinated, patient was observed to fall backwards to the ground, hitting the back of her head. Pt had a momentary loss of consciousness and RN observer was at the scene promptly. Team alert was called in and hospital staff arrived on scene. Dr. DO arrived on scene at 1440 with MA and MA. The patient was placed in a wheelchair to the triage tent. Sitting BP was initially taken at 1438 79/39, HR 56. 100% O2 on room air. at 1440, BP was 100/65, HR 69, 99% o2 on room air. while on stretcher at 1447, BP was 114/77, HR 89, 100% O2 on room air. At 1455, patients standing BP was 112/90, HR 81, 100% O2 on room air. During assessment, the pt experienced difficulty answering basic orientation questions. Pt was complained of right side of head Headache (4-5/10 on pain scale) and ringing in her left ear. After examination of the back of pts head, she had a small, bruised area. Pt also complained of feeling nauseous and appeared pale, cold, and dry.  Mother reports pt has no history of syncope. Mother was present at the scene. Pt was examined by DO present at the scene and was cleared to return home at 1456. Pt declined to go to the ER, however, was instructed to call 911 or go to nearest emergency room if symptoms worsen. Pt walked out of vaccine tent with steady gait with mother at her side.
Age: 15.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Head injury, Headache, Loss of consciousness, Nausea, Pallor
Clinical narrative: Pt received Pfizer 0.3ml Bivalent booster in the left arm at 1429 with a flu vaccine in the right arm. While standing up and waiting for her brother to be vaccinated, patient was observed to fall backwards to the ground, hitting the back of her head. Pt had a momentary loss of consciousness and RN observer was at the scene promptly. Team alert was called in and hospital staff arrived on scene. Dr. DO arrived on scene at 1440 with MA and MA. The patient was placed in a wheelchair to the triage tent. Sitting BP was initially taken at 1438 79/39, HR 56. 100% O2 on room air. at 1440, BP was 100/65, HR 69, 99% o2 on room air. while on stretcher at 1447, BP was 114/77, HR 89, 100% O2 on room air. At 1455, patients standing BP was 112/90, HR 81, 100% O2 on room air. During assessment, the pt experienced difficulty answering basic orientation questions. Pt was complained of right side of head Headache (4-5/10 on pain scale) and ringing in her left ear. After examination of the back of pts head, she had a small, bruised area. Pt also complained of feeling nauseous and appeared pale, cold, and dry.  Mother reports pt has no history of syncope. Mother was present at the scene. Pt was examined by DO present at the scene and was cleared to return home at 1456. Pt declined to go to the ER, however, was instructed to call 911 or go to nearest emergency room if symptoms worsen. Pt walked out of vaccine tent with steady gait with mother at her side.
Age: 15.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Tinnitus
Clinical narrative: Pt received Pfizer 0.3ml Bivalent booster in the left arm at 1429 with a flu vaccine in the right arm. While standing up and waiting for her brother to be vaccinated, patient was observed to fall backwards to the ground, hitting the back of her head. Pt had a momentary loss of consciousness and RN observer was at the scene promptly. Team alert was called in and hospital staff arrived on scene. Dr. DO arrived on scene at 1440 with MA and MA. The patient was placed in a wheelchair to the triage tent. Sitting BP was initially taken at 1438 79/39, HR 56. 100% O2 on room air. at 1440, BP was 100/65, HR 69, 99% o2 on room air. while on stretcher at 1447, BP was 114/77, HR 89, 100% O2 on room air. At 1455, patients standing BP was 112/90, HR 81, 100% O2 on room air. During assessment, the pt experienced difficulty answering basic orientation questions. Pt was complained of right side of head Headache (4-5/10 on pain scale) and ringing in her left ear. After examination of the back of pts head, she had a small, bruised area. Pt also complained of feeling nauseous and appeared pale, cold, and dry.  Mother reports pt has no history of syncope. Mother was present at the scene. Pt was examined by DO present at the scene and was cleared to return home at 1456. Pt declined to go to the ER, however, was instructed to call 911 or go to nearest emergency room if symptoms worsen. Pt walked out of vaccine tent with steady gait with mother at her side.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Headache
Clinical narrative: Headaches since administration of vaccine
Age: 87.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure increased, Nausea
Clinical narrative: Patient stated her blood pressure was elevated the rest of the day following her vaccine. Reporting a systolic blood pressure of 200. Patient also stated she was nauseated the following day but felt better and back to normal on 11/20/2022.
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Seizure
Clinical narrative: fever up to 103 F starting eight days after vaccines with 2 minute generalized seizure 9 days after vaccines
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Rx was processed for a 0.5mL dose however a 0.25mL dose was administered
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: I received my second Moderna booster for COVID-19 at some point in July 2022, though I do not recall the date. On 10/2/2022, I took a domestic flight on a commercial plane and returned home on 10/11/2022. On 10/11/2022, I had a mild cough. The cough continued, and I took some OTC DELSYM a few days later. The cough improved and it was better by 10/14/2022. I took 2 home antigen tests during this period and got a negative result both times. I also began sneezing a lot, and my sneezes were very loud and strong, which is unusual for me. However, I did not experience fever, runny nose, or body aches. A few days later, the cough returned. It wasn't a severe cough, but I started to feel a little tired. I also noticed that when I slept at night, I had a little bit of mild nasal congestion. Whenever I woke up in the morning, though, the congestion would be gone, but I would always be tired afterwards. On 10/21/2022, after the fatigue became more noticeable, I took another home antigen test and got a positive result. I then took a second home antigen test immediately afterwards just to be sure, and it also yielded a positive result. I called my doctor and saw her the same day. She prescribed me a 5-day course of antibiotics instead of antivirals for the COVID-19. She also prescribed cough drops, which I was reluctant to take at first, but I began taking them after my cough worsened. The cough drops did not help, and I continued to cough more every day. I self-isolated at home and tried to drink more water and rest more. On 10/26/2022, I took another home antigen test and got a positive result with a very faint line. On 10/27/2022, I took yet another home test, and it yielded a negative result. At the time of this writing, I no longer have the fatigue from COVID-19, but I still have an occasional lingering cough.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I received my second Moderna booster for COVID-19 at some point in July 2022, though I do not recall the date. On 10/2/2022, I took a domestic flight on a commercial plane and returned home on 10/11/2022. On 10/11/2022, I had a mild cough. The cough continued, and I took some OTC DELSYM a few days later. The cough improved and it was better by 10/14/2022. I took 2 home antigen tests during this period and got a negative result both times. I also began sneezing a lot, and my sneezes were very loud and strong, which is unusual for me. However, I did not experience fever, runny nose, or body aches. A few days later, the cough returned. It wasn't a severe cough, but I started to feel a little tired. I also noticed that when I slept at night, I had a little bit of mild nasal congestion. Whenever I woke up in the morning, though, the congestion would be gone, but I would always be tired afterwards. On 10/21/2022, after the fatigue became more noticeable, I took another home antigen test and got a positive result. I then took a second home antigen test immediately afterwards just to be sure, and it also yielded a positive result. I called my doctor and saw her the same day. She prescribed me a 5-day course of antibiotics instead of antivirals for the COVID-19. She also prescribed cough drops, which I was reluctant to take at first, but I began taking them after my cough worsened. The cough drops did not help, and I continued to cough more every day. I self-isolated at home and tried to drink more water and rest more. On 10/26/2022, I took another home antigen test and got a positive result with a very faint line. On 10/27/2022, I took yet another home test, and it yielded a negative result. At the time of this writing, I no longer have the fatigue from COVID-19, but I still have an occasional lingering cough.
Age: 32.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Condition aggravated, Faecal calprotectin increased, Gastrointestinal inflammation, Inflammatory bowel disease, Laboratory test
Clinical narrative: IBD worsening - Increased intestinal inflammation (very high calprotectin), still doing tests.  MRI and colonoscopy on the way.  From my first report, my first IBD symptoms started in December after first Covid booster in November 2021. And I also had my first ever flu shot that year in September.  In summer 2022 I also had issues with liver (elevated liver enzymes) after a booster shot in July 2022. Got liver biopsy and diagnosed with Primary Sclerosing Cholangitis. Currently taking Ursodiol and there is no treatment for PSC. Waiting to change medication for IBD because Entyvio doesn?t seem to work. Potentially, my iron supplement might be exacerbating intestinal inflammation. So I?ve stopped taking it.
Age: 32.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Magnetic resonance imaging, Scan with contrast
Clinical narrative: IBD worsening - Increased intestinal inflammation (very high calprotectin), still doing tests.  MRI and colonoscopy on the way.  From my first report, my first IBD symptoms started in December after first Covid booster in November 2021. And I also had my first ever flu shot that year in September.  In summer 2022 I also had issues with liver (elevated liver enzymes) after a booster shot in July 2022. Got liver biopsy and diagnosed with Primary Sclerosing Cholangitis. Currently taking Ursodiol and there is no treatment for PSC. Waiting to change medication for IBD because Entyvio doesn?t seem to work. Potentially, my iron supplement might be exacerbating intestinal inflammation. So I?ve stopped taking it.
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: patient was given a flu vaccine on 11/22/22 but had previously received a flu vaccine on 10/18/22
Age: 13.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was at Clinic 11/22/2022 with mom for injection/s. Noticed after patient left while documenting that Pfizer BioNTech Bivalent was given instead of recommended Pfizer BioNTech Monovalent. Discussed with stated appropriate forms need to be completed AND patients parent/s needs to be notified of situation and that no harm done. Notified. Interpreter for patient.  Tried to call patient's mom x 2 tries today, but interpreter stated person "can't receive call at this time".   RN, if she can try to get a hold of mom tomorrow since I am out of Clinic. RN agreed  to try mom tomorrow and message sent to team.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling jittery, Tremor
Clinical narrative: Covid Omicron vaccine admin in left deltoid.  Left arm tremors, feels like I drank 100 cups of coffee and have jitters in my left arm