chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 11/11/21 after being fully vaccinated.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Myalgia
Clinical narrative: Patient came into vaccination pod and was accompanied by a previous patient whom got her first dose earlier that morning. The guardian was vaccinated with a 12+ pfizer vaccine and requested the same for the patient she brought in.  The administrator for the day registered the patient into the clinic system before the PrepMod system and proceeded to vaccinate the 11 year old with a (0.3mL) dose rather than a (0.2mL) dose.  The pediatric patient showed no adverse symptoms and was called a few hours to check in on the patient and inform them of the mistake. The patient's guardian reported only muscle ache on the injected arm - nothing else. She was informed to please inform of the patient's age and required dose when returning for the second dose.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Death, Encephalopathy, Unresponsive to stimuli
Clinical narrative: pt admitted to hosp with severe COVID pneumonia, AHRF; on high flow O2; DNR; placed on comfort care; encephalopathy and her condition continued to worsen; no response to verbal or tactile stimuli for 2 days prior to her death in the hospital
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Intensive care, Ventricular tachycardia
Clinical narrative: One month after booster dose, Ventricular Tachycardia, decrease in EF to 30% requiring ICU admission.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, Wrong technique in product usage process
Clinical narrative: Patient was given dose of influenza vaccine with a 5/8" 25G needle, which would not be appropriate for adult IM dosing. Patient was notified and offered a new vaccine.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Pyrexia
Clinical narrative: Low grade fever- 100, upset stomach, bad headache
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Henoch-Schonlein purpura
Clinical narrative: Henoch Schonlein Purpura 2 days after vaccine, currently being managed outpatient
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Full blood count, Headache, Laboratory test
Clinical narrative: Typical signs for 3 days post vaccination (fever, headache, nausea, chills-worse than when had covid)  After 1 week since 1st vaccine starting having dizziness so bad that couldn't work. Headache persisted and nausea worsened with dizziness. rDVM state either long haul covid vs vx rxn; Pulmonologist stated sinus infection and started antibitics which responded to.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test, Sinusitis
Clinical narrative: Typical signs for 3 days post vaccination (fever, headache, nausea, chills-worse than when had covid)  After 1 week since 1st vaccine starting having dizziness so bad that couldn't work. Headache persisted and nausea worsened with dizziness. rDVM state either long haul covid vs vx rxn; Pulmonologist stated sinus infection and started antibitics which responded to.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Peripheral swelling, Pyrexia, Skin discolouration
Clinical narrative: Severe chills and fever Severe fatigue swelling and discoloration of upper arm (6 inches x 3.5 inches)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever/chills, extreme body aches, extremely sore arm, sore throat - 48+ hours
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Blood pressure increased, Chills, Decreased appetite, Diarrhoea, Erythema
Clinical narrative: Flu shot taken and about 24 hours later I lost my appetite, nauseous and had the chills. My blood pressure was slightly elevated and I turned bright red with redness on my face and chest. The symptoms became worse over the night, I had extreme body and muscle aches, chills and sweating. No fever. I called into work and slept on and off for about 24 hours, very nauseous and did not eat anything for over 24 hours. It was hard to even drink water. These symptoms lasted about 24 hours but the diarrhea started after and lasted 3 days.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Hyperhidrosis, Impaired work ability, Myalgia, Nausea, Pain
Clinical narrative: Flu shot taken and about 24 hours later I lost my appetite, nauseous and had the chills. My blood pressure was slightly elevated and I turned bright red with redness on my face and chest. The symptoms became worse over the night, I had extreme body and muscle aches, chills and sweating. No fever. I called into work and slept on and off for about 24 hours, very nauseous and did not eat anything for over 24 hours. It was hard to even drink water. These symptoms lasted about 24 hours but the diarrhea started after and lasted 3 days.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Somnolence
Clinical narrative: Flu shot taken and about 24 hours later I lost my appetite, nauseous and had the chills. My blood pressure was slightly elevated and I turned bright red with redness on my face and chest. The symptoms became worse over the night, I had extreme body and muscle aches, chills and sweating. No fever. I called into work and slept on and off for about 24 hours, very nauseous and did not eat anything for over 24 hours. It was hard to even drink water. These symptoms lasted about 24 hours but the diarrhea started after and lasted 3 days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardio-respiratory arrest, Condition aggravated, Death, Hypertensive heart disease
Clinical narrative: I am the epidemiologist reporting on behalf of 73 year-old female patient.  The patient received two doses of the Pfizer Vaccine: First: 2/27/2021 Second: 03/20/2021 The patient was found dead at home on 3/27/2021 (7 days post second dose). The immediate cause of death listed on the death certificate is ?cardiopulmonary arrest? (few minutes) secondary to ?arrhythmia? (few minutes) and ?hypertensive heart disease? (few years). I do not have any additional information about other underlying conditions that may have contributed to this person?s death.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Cold sweat, Hypoaesthesia, Tremor
Clinical narrative: extreme feeling of anxiety and need to leave a room full of people. Hands went numb, legs were shaky and broke out in cold sweat.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 infection. Pt received Moderna on 12/28/2020 and 01/26/2021
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 infection. Patient fully vaccinated April 10, 2021. Tested positive Aug 25, 2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: Note, symptoms --  headache, extreme fatigue, diarrhea -- occured five weeks after vaccination.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Constipation, Eye irritation, Hypoaesthesia
Clinical narrative: Numbness in shot arm immediately Comes and goes now. Next day pain in both knees Painful to walk and constipation. Eye irritation  beginning on the 11/06/2021. Neck and shoulder pain beginning on 11/08/2021. Burning sensation from knees down to toes beginning on 11/11/2021 Comes and goes now.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Neck pain, Pain
Clinical narrative: Numbness in shot arm immediately Comes and goes now. Next day pain in both knees Painful to walk and constipation. Eye irritation  beginning on the 11/06/2021. Neck and shoulder pain beginning on 11/08/2021. Burning sensation from knees down to toes beginning on 11/11/2021 Comes and goes now.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: Heavy menstrual bleeding with a lot of cramping.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Seizure
Clinical narrative: SEIZURES STARTED ALMOST IMMEDIATELY AND THEN CONTINUED FOR 16 HOURS EVEN AFTER GIVEN LORAZEPAM RESCUE MEDICATION AND NOW IS HAVING ANXIETY AS A RESULT
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Chest pain, Dyspnoea exertional
Clinical narrative: Began feeling pain/tightness in chest within 24 hours. Pain was generally more mild in the morning, but progressively got worse over the day. During exercise, pain was very noticeable along with shortness of breath that was not normal to the exercise being performed.  Symptoms have persisted for over two weeks.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Lymphadenopathy
Clinical narrative: Began feeling pain/tightness in chest within 24 hours. Pain was generally more mild in the morning, but progressively got worse over the day. During exercise, pain was very noticeable along with shortness of breath that was not normal to the exercise being performed.  Symptoms have persisted for over two weeks.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Herpes zoster, Pain, Pain in extremity, Rash
Clinical narrative: Felt skin sensitivity and soreness along torso, back and underarms starting possibly that night, definitely by following morning. Presented with rash on lower right back, which has spread around to the lower right stomach. Diagnosed as shingles.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Sensitive skin
Clinical narrative: Felt skin sensitivity and soreness along torso, back and underarms starting possibly that night, definitely by following morning. Presented with rash on lower right back, which has spread around to the lower right stomach. Diagnosed as shingles.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm
Clinical narrative: Left eye started twitching within 30 minutes of the 2nd dose of the Pfizer Covid Vaccine.  It is not constant but happens through out the day, every day.  It has been 2 1/2 weeks since the shot and it is still going on.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis reactive, Blood test, Gait disturbance, Ultrasound Doppler
Clinical narrative: Reactive Arthritis. Extreme pain to knees, can barely walk and have two rounds of steroids
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Reactive Arthritis. Extreme pain to knees, can barely walk and have two rounds of steroids
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient moved as injector was administering the vaccines and some of the dose was lost from end of needle onto patient arm before being fully inserted into muscle
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: unknown. product administered when stored in freezer beyond the 21days that pfizer has data to support.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood creatinine increased, Blood urea increased, Carbon dioxide normal, Chest X-ray abnormal
Clinical narrative: nausea and vomitting, refusing food and drink (clear liquid diet initiated as well as zofran), covid test - negative, IV fluids initiated, 1 gram Rocephin given to right deltoid Vitals 11/13/2021 BP- 94/64, PULSE-79, RESPIRATIONS-18, TEMP-99F, O2 92%
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diet refusal, Food refusal, Full blood count abnormal, Glomerular filtration rate normal, Haematocrit decreased
Clinical narrative: nausea and vomitting, refusing food and drink (clear liquid diet initiated as well as zofran), covid test - negative, IV fluids initiated, 1 gram Rocephin given to right deltoid Vitals 11/13/2021 BP- 94/64, PULSE-79, RESPIRATIONS-18, TEMP-99F, O2 92%
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Lung opacity, Lymphocyte count increased, Metabolic function test abnormal, Nausea
Clinical narrative: nausea and vomitting, refusing food and drink (clear liquid diet initiated as well as zofran), covid test - negative, IV fluids initiated, 1 gram Rocephin given to right deltoid Vitals 11/13/2021 BP- 94/64, PULSE-79, RESPIRATIONS-18, TEMP-99F, O2 92%
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count increased, Protein urine present, Red blood cell count decreased, SARS-CoV-2 test negative, Urine analysis abnormal
Clinical narrative: nausea and vomitting, refusing food and drink (clear liquid diet initiated as well as zofran), covid test - negative, IV fluids initiated, 1 gram Rocephin given to right deltoid Vitals 11/13/2021 BP- 94/64, PULSE-79, RESPIRATIONS-18, TEMP-99F, O2 92%
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase, Vomiting, White blood cell count increased, White blood cells urine positive
Clinical narrative: nausea and vomitting, refusing food and drink (clear liquid diet initiated as well as zofran), covid test - negative, IV fluids initiated, 1 gram Rocephin given to right deltoid Vitals 11/13/2021 BP- 94/64, PULSE-79, RESPIRATIONS-18, TEMP-99F, O2 92%
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Injection site pain
Clinical narrative: I experienced hot flashes for a number of months. I entered menopause ten years ago, and have not experienced any hot flashes until I took the Johnson and Johnson COVID shot. Also, the site of injection remained painful for several months.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection. Pt fully vaccinated by April 10 2021. Pt tested positive July 8 2021
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Vomiting
Clinical narrative: Severe Chills, Severe Body Aches, Vomiting, Severe Headache
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 8.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Wrong product administered
Clinical narrative: 8 year old client received a dose of Kinrix instead of Td.
Age: 29.0
Sex: M
Vaccine: HPV9
Symptoms: Oral mucosal eruption, Rash
Clinical narrative: Patient reported bumps around the mouth, back and on the body.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Blood pressure increased, Blood thyroid stimulating hormone normal, Chest discomfort, Dyspnoea
Clinical narrative: Anaphylaxis.  3 trips to Emergency Department. Difficulty Breathing and Swelling of face or throat:  Received her 3rd dose (booster) Moderna vaccine at approx 1540. After about 5 minutes she began to have chest tightness and throat closing. She was alert and oriented and didn't have any trouble talking. She was monitored for an additional 5 minutes and noted her tongue swelling. Her tongue was visibly swollen and her oropharynx was significantly smaller.  Patient was administered 0.3 mg epinephrine and 50 mg benadryl. She didn't have any audible wheezes, rales or ronchi. She had red small hives on her cheeks and neck. As soon as the EPI was administered, 911 was called and RN remained with patient until EMS arrived.   ED: MEDICAL DECISION MAKING:   Patient is a 30-year-old female without past medical history presents with acute onset chest tightness, shortness of breath, throat swelling following COVID booster administration at 3:30 p.m..  She was given epinephrine at the clinic without resolution of symptoms thus prompting EMS who gave her IV Solu-Medrol prior to arrival.  Upon initial evaluation here, patient states interval improvement of her symptoms, vitals are significant for tachycardia to 103 otherwise satting 100% on room air. Physical exam without tongue edema throat swelling, lung sounds without wheezing.  She was given additional 25 mg of IV Benadryl, however developed another episode of chest tightness in her tongue discomfort with tachycardia and elevated BP to 150/70s.  Re-examination also benign, patient had intermittent elevated blood pressure to 150/70 that spontaneously resolved. Patient remained asymptomatic for the remainder of her emergency department course.  She states understanding of likely similar reaction for future COVID vaccinations.  She states that she has Benadryl and EpiPen at home.  She was given the option for short 3day course of steroids for anaphylaxis however she declined.  She was given strict return precautions and discharged in stable condition.  3rd ED: MEDICAL DECISION MAKING:  30 year old female with no significant PMHx presenting with tachycardia. She was recently seen in the ED on 11/12 and 11/13 for anaphylactic reactions after the COVID booster on 11/12. She self-administered Epi on 11/12 and 11/13 and was started on Prednisone yesterday. Concern for delayed anaphylactic reaction, possible response to multiple Epi administrations with initiation of steroids, or underlying arrhythmia. Vital signs were stable upon arrival with her physical exam unremarkable. CBC and CMP were obtained and were unremarkable. Troponin was ordered per patient request with no reports of chest pain. TSH was normal. Zio patch was ordered upon discharge. Patient was then stable for discharge.  Patient to follow-up with Allergy immunology to assess for component of vaccine the patient is allergic to and how to approach future vaccinations.  At this time patient should avoid any further COVID immunization
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Erythema, Full blood count normal, Metabolic function test, Pharyngeal swelling, Swelling face
Clinical narrative: Anaphylaxis.  3 trips to Emergency Department. Difficulty Breathing and Swelling of face or throat:  Received her 3rd dose (booster) Moderna vaccine at approx 1540. After about 5 minutes she began to have chest tightness and throat closing. She was alert and oriented and didn't have any trouble talking. She was monitored for an additional 5 minutes and noted her tongue swelling. Her tongue was visibly swollen and her oropharynx was significantly smaller.  Patient was administered 0.3 mg epinephrine and 50 mg benadryl. She didn't have any audible wheezes, rales or ronchi. She had red small hives on her cheeks and neck. As soon as the EPI was administered, 911 was called and RN remained with patient until EMS arrived.   ED: MEDICAL DECISION MAKING:   Patient is a 30-year-old female without past medical history presents with acute onset chest tightness, shortness of breath, throat swelling following COVID booster administration at 3:30 p.m..  She was given epinephrine at the clinic without resolution of symptoms thus prompting EMS who gave her IV Solu-Medrol prior to arrival.  Upon initial evaluation here, patient states interval improvement of her symptoms, vitals are significant for tachycardia to 103 otherwise satting 100% on room air. Physical exam without tongue edema throat swelling, lung sounds without wheezing.  She was given additional 25 mg of IV Benadryl, however developed another episode of chest tightness in her tongue discomfort with tachycardia and elevated BP to 150/70s.  Re-examination also benign, patient had intermittent elevated blood pressure to 150/70 that spontaneously resolved. Patient remained asymptomatic for the remainder of her emergency department course.  She states understanding of likely similar reaction for future COVID vaccinations.  She states that she has Benadryl and EpiPen at home.  She was given the option for short 3day course of steroids for anaphylaxis however she declined.  She was given strict return precautions and discharged in stable condition.  3rd ED: MEDICAL DECISION MAKING:  30 year old female with no significant PMHx presenting with tachycardia. She was recently seen in the ED on 11/12 and 11/13 for anaphylactic reactions after the COVID booster on 11/12. She self-administered Epi on 11/12 and 11/13 and was started on Prednisone yesterday. Concern for delayed anaphylactic reaction, possible response to multiple Epi administrations with initiation of steroids, or underlying arrhythmia. Vital signs were stable upon arrival with her physical exam unremarkable. CBC and CMP were obtained and were unremarkable. Troponin was ordered per patient request with no reports of chest pain. TSH was normal. Zio patch was ordered upon discharge. Patient was then stable for discharge.  Patient to follow-up with Allergy immunology to assess for component of vaccine the patient is allergic to and how to approach future vaccinations.  At this time patient should avoid any further COVID immunization
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Swollen tongue, Tachycardia, Throat tightness, Tongue discomfort, Troponin
Clinical narrative: Anaphylaxis.  3 trips to Emergency Department. Difficulty Breathing and Swelling of face or throat:  Received her 3rd dose (booster) Moderna vaccine at approx 1540. After about 5 minutes she began to have chest tightness and throat closing. She was alert and oriented and didn't have any trouble talking. She was monitored for an additional 5 minutes and noted her tongue swelling. Her tongue was visibly swollen and her oropharynx was significantly smaller.  Patient was administered 0.3 mg epinephrine and 50 mg benadryl. She didn't have any audible wheezes, rales or ronchi. She had red small hives on her cheeks and neck. As soon as the EPI was administered, 911 was called and RN remained with patient until EMS arrived.   ED: MEDICAL DECISION MAKING:   Patient is a 30-year-old female without past medical history presents with acute onset chest tightness, shortness of breath, throat swelling following COVID booster administration at 3:30 p.m..  She was given epinephrine at the clinic without resolution of symptoms thus prompting EMS who gave her IV Solu-Medrol prior to arrival.  Upon initial evaluation here, patient states interval improvement of her symptoms, vitals are significant for tachycardia to 103 otherwise satting 100% on room air. Physical exam without tongue edema throat swelling, lung sounds without wheezing.  She was given additional 25 mg of IV Benadryl, however developed another episode of chest tightness in her tongue discomfort with tachycardia and elevated BP to 150/70s.  Re-examination also benign, patient had intermittent elevated blood pressure to 150/70 that spontaneously resolved. Patient remained asymptomatic for the remainder of her emergency department course.  She states understanding of likely similar reaction for future COVID vaccinations.  She states that she has Benadryl and EpiPen at home.  She was given the option for short 3day course of steroids for anaphylaxis however she declined.  She was given strict return precautions and discharged in stable condition.  3rd ED: MEDICAL DECISION MAKING:  30 year old female with no significant PMHx presenting with tachycardia. She was recently seen in the ED on 11/12 and 11/13 for anaphylactic reactions after the COVID booster on 11/12. She self-administered Epi on 11/12 and 11/13 and was started on Prednisone yesterday. Concern for delayed anaphylactic reaction, possible response to multiple Epi administrations with initiation of steroids, or underlying arrhythmia. Vital signs were stable upon arrival with her physical exam unremarkable. CBC and CMP were obtained and were unremarkable. Troponin was ordered per patient request with no reports of chest pain. TSH was normal. Zio patch was ordered upon discharge. Patient was then stable for discharge.  Patient to follow-up with Allergy immunology to assess for component of vaccine the patient is allergic to and how to approach future vaccinations.  At this time patient should avoid any further COVID immunization
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Anaphylaxis.  3 trips to Emergency Department. Difficulty Breathing and Swelling of face or throat:  Received her 3rd dose (booster) Moderna vaccine at approx 1540. After about 5 minutes she began to have chest tightness and throat closing. She was alert and oriented and didn't have any trouble talking. She was monitored for an additional 5 minutes and noted her tongue swelling. Her tongue was visibly swollen and her oropharynx was significantly smaller.  Patient was administered 0.3 mg epinephrine and 50 mg benadryl. She didn't have any audible wheezes, rales or ronchi. She had red small hives on her cheeks and neck. As soon as the EPI was administered, 911 was called and RN remained with patient until EMS arrived.   ED: MEDICAL DECISION MAKING:   Patient is a 30-year-old female without past medical history presents with acute onset chest tightness, shortness of breath, throat swelling following COVID booster administration at 3:30 p.m..  She was given epinephrine at the clinic without resolution of symptoms thus prompting EMS who gave her IV Solu-Medrol prior to arrival.  Upon initial evaluation here, patient states interval improvement of her symptoms, vitals are significant for tachycardia to 103 otherwise satting 100% on room air. Physical exam without tongue edema throat swelling, lung sounds without wheezing.  She was given additional 25 mg of IV Benadryl, however developed another episode of chest tightness in her tongue discomfort with tachycardia and elevated BP to 150/70s.  Re-examination also benign, patient had intermittent elevated blood pressure to 150/70 that spontaneously resolved. Patient remained asymptomatic for the remainder of her emergency department course.  She states understanding of likely similar reaction for future COVID vaccinations.  She states that she has Benadryl and EpiPen at home.  She was given the option for short 3day course of steroids for anaphylaxis however she declined.  She was given strict return precautions and discharged in stable condition.  3rd ED: MEDICAL DECISION MAKING:  30 year old female with no significant PMHx presenting with tachycardia. She was recently seen in the ED on 11/12 and 11/13 for anaphylactic reactions after the COVID booster on 11/12. She self-administered Epi on 11/12 and 11/13 and was started on Prednisone yesterday. Concern for delayed anaphylactic reaction, possible response to multiple Epi administrations with initiation of steroids, or underlying arrhythmia. Vital signs were stable upon arrival with her physical exam unremarkable. CBC and CMP were obtained and were unremarkable. Troponin was ordered per patient request with no reports of chest pain. TSH was normal. Zio patch was ordered upon discharge. Patient was then stable for discharge.  Patient to follow-up with Allergy immunology to assess for component of vaccine the patient is allergic to and how to approach future vaccinations.  At this time patient should avoid any further COVID immunization
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest pain, Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea
Clinical narrative: Presented with chest pain and acute shortness of breath, found to have bilateral sub-segmental PE with LLE DVT, treated with UF Heparin. Hospitalization ongoing (day 3).
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Presented with chest pain and acute shortness of breath, found to have bilateral sub-segmental PE with LLE DVT, treated with UF Heparin. Hospitalization ongoing (day 3).
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Blood fibrinogen increased, C-reactive protein increased, Chapped lips, Conjunctival hyperaemia
Clinical narrative: One day after vaccine developed fever, nasal congestion, cough, post-tussive emesis and then on 11/13 conjunctival injection and red, cracked lips and cervical Lymphadenopathy
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fibrin D dimer increased, Full blood count abnormal, Lip erythema, Lymphadenopathy
Clinical narrative: One day after vaccine developed fever, nasal congestion, cough, post-tussive emesis and then on 11/13 conjunctival injection and red, cracked lips and cervical Lymphadenopathy
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Post-tussive vomiting, Procalcitonin increased, Prohormone brain natriuretic peptide increased, Pyrexia
Clinical narrative: One day after vaccine developed fever, nasal congestion, cough, post-tussive emesis and then on 11/13 conjunctival injection and red, cracked lips and cervical Lymphadenopathy
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 antibody test negative, Serum ferritin increased, White blood cell count increased
Clinical narrative: One day after vaccine developed fever, nasal congestion, cough, post-tussive emesis and then on 11/13 conjunctival injection and red, cracked lips and cervical Lymphadenopathy
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctivitis, Tinnitus
Clinical narrative: onset of conjunctivitis in the left eye . I was unable to get into a walkin center on Sunday. My niece,filled the order for me . The symptoms quickly resolved with eye drops.  After my second shot , I has tinnitis in my left ear for several days a few weeks after the shot. It resolved spontaneously
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Pt fully vaccinated on feb 6 2021. Positive covid test 10/13/2021
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 infection. Pt received Pfizer on 02/26/2021, 03/29/2021, and 11/12/2021
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pediatric dose (0.2mL) was given to a 14 year old.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Gait disturbance, Headache, Muscle spasms
Clinical narrative: Dizziness, headache, Blurry vision,  heaviness in hand and feet , Painful, trouble walking. Cramping in feet, Cramping in hands.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vision blurred
Clinical narrative: Dizziness, headache, Blurry vision,  heaviness in hand and feet , Painful, trouble walking. Cramping in feet, Cramping in hands.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength of vaccine still present.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 13 year old received Pfizer Pediatric for 5-11 year olds. Discussed with parent and child that she will receive Pfizer for 12+ year olds for second dose in 21 days. They acknowledged.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 11/12/21 after being fully vaccinated.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Syncope
Clinical narrative: Became dizzy, fainted and fell.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Inflammatory pain, Neck pain, Palpitations
Clinical narrative: Within a few weeks of her second dose of vaccine, patient developed intermittent heart palpitations and chest pain along with inflammatory pain at her ankle, shoulder, and neck
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood culture positive, COVID-19, Chills, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt has a history of AML and is undergoing chemotherapy.  Pt had a fever and chills for 3 days and was admitted for positive blood cultures and also found to be COVID positive.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Approximately 9 days after injection, Existing Tinnutis (from 2008 after a bout of  Labrynthitis, and hearing loss), became extremely loud.  Previous Tinnitus fluctuates in tone, but this at least tripled the volume suddenly, and has not gone down.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given the Fluzone High Dose and is only 64
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Trigeminal neuralgia
Clinical narrative: TRIGEMINAL NEURALGIA DIAGNOSED
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No symptoms noted, displayed by patient. Physician made aware.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Coronary artery disease, Death
Clinical narrative: I am the epidemiologist reporting on behalf of 65 year-old male patient.  The patient received two doses of the Pfizer Vaccine: First: 3/17/2021 Second: 4/07/2021 The patient was found dead at home on 4/19/2021 (12 days post second dose). The immediate cause of death listed on the death certificate is ?coronary artery disease.? Other significant conditions contributing to death but not resulting in underlying cause are listed as ?hypertension COPD?. I do not have any additional information about other underlying conditions that may have contributed to this person?s death.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Cough, SOB, Symptomatic Covid
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: PATIENT DEVELOPED SHORTNESS OF BREATH AT SCHOOL THE DAY FOLLOWING VACCINE.  PT WAS PICKED UP AND BROUGHT TO THE PCP'S OFFICE FOR TREATMENT.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Papule, Pruritus
Clinical narrative: Lower extremity dermatitis to b/l legs. Also papules to wrist area b/l Pruritus present  treatment: antihistamines
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible Breakthrough case
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, General physical health deterioration, Positive airway pressure therapy
Clinical narrative: pt to hosp with increasing dyspnea and productive cough x 2 wks; positive for COVID; placed on BiPAP, transitioned to Vapotherm 40 L @ 80%; immunocompromised due to being on Neulasta for prostate CA; started on remdesivir, Decadron; pt's condition worsened; per death certificate, pt expired in the hospital
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: pt to hosp with increasing dyspnea and productive cough x 2 wks; positive for COVID; placed on BiPAP, transitioned to Vapotherm 40 L @ 80%; immunocompromised due to being on Neulasta for prostate CA; started on remdesivir, Decadron; pt's condition worsened; per death certificate, pt expired in the hospital
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Chills, Dizziness, Herpes zoster, Neuralgia
Clinical narrative: Developed shingles within 24 hours of dose two of  Pfizer vaccine. Within 9 hours of vaccine was bed ridden for 3 days with high fever, extreme pins and needles chills, dizziness and welts covering the back left side of my body. Most welts disappeared after the fever broke except a  severe cluster of blisters that developed on my left back to buttocks that remain now and have been diagnosed by my primary doctor as shingles. I am still experiencing severe nerve pain  and the shingles have crusted over and are incredibly sore. I have never had shingles ever before.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Pyrexia, Scab, Urticaria
Clinical narrative: Developed shingles within 24 hours of dose two of  Pfizer vaccine. Within 9 hours of vaccine was bed ridden for 3 days with high fever, extreme pins and needles chills, dizziness and welts covering the back left side of my body. Most welts disappeared after the fever broke except a  severe cluster of blisters that developed on my left back to buttocks that remain now and have been diagnosed by my primary doctor as shingles. I am still experiencing severe nerve pain  and the shingles have crusted over and are incredibly sore. I have never had shingles ever before.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: RN  is helping to enter from mass immunization event on 11/12/21  and realizes vaccine error.   This patient received a Janssen vaccine on 4/10/2021 and then a Pfizer booster on 10/22/2021. Patient put on on their sheet that they have previously received a dose of Pfizer but did not mention the previous Janssen so it was marked that this was his second dose of Pfizer. Extra dose given in error. Patient had no adverse reactions to the vaccine. This is being done to report the extra dose that was given.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Head injury, Headache, Nausea, Syncope
Clinical narrative: 11:10 Pfizer COVID 19 EUA vaccine given in R deltoid.  11:30 Pt fainted, hitting L side of forehead on wall. 11:30 1st RN and 2nd RN arrived in room.  Pt helped to R lateral position on mat on floor.  Pt was complaining of stomach pain and head ache on L side of head.  Assessed client?s head, no bump, redness or trauma noted. Client alert and oriented x 3. Cool cloth was applied to forehead and juice was given after nausea resolved. 11:42 Pt reported feeling better and was helped to sitting position, continued to sip juice. 12:00 PM Pt was alert and oriented x 3 and denied headache or stomach ache.  Pt's father pulled car to entrance and pt walked to family car. Pt and her mother were advised to contact PCP with any concerns.   Pt and her mother were informed that VAERS report would be filed and information for VAERS was given to them in English and native language.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fatigue, Gait inability, Headache, Vomiting
Clinical narrative: She felt dizziness and was unable to walk within 15 mins of leaving. She went to a grocery store after leaving health department had to have two people walk her to her car. Sat in her car for an hour. Once she got home she was able to walk into the house. Has laid around all afternoon and has felt fatigue. Vomited yellowish bile once she got home. States she now at 3:10 pm, feels better but does feel tired with a headache.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Condition aggravated, Cough, Fatigue
Clinical narrative: The first dose 3/17/21 and second dose 4/4/21 had similar reaction of chills, low grade fever, cough, runny nose, body aches, sore throat, sore arm, fatigue for a week.  The second dose also caused swollen glands.The booster on 8/16/2021 was mild with similar reaction but milder in scale for a couple of days. With each vaccine, after about 7 to 10 days my inflammatory arthritis flared up and lasted for a long time till I had a course of prednisone. In all cases I couldn?t get the prednisone right away as I was having medical procedures. In general my joint pains have been worse this year. I had an IV on 10/22/2021 at the ER and a couple of weeks later my arm was sore.  On 11/11/2021 the doctor said I have a blood clot in my arm and we had an ultrasound the same day to confirm. Because of multiple medical procedures. IVs are common and I never had this reaction.  Prior to that I had a bilateral radio frequency ablation on  greater and lesser occipital nerves. That caused severe edema and hematomas which caught the doctor by surprise.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma, Lymphadenopathy, Oedema, Oropharyngeal pain, Pain
Clinical narrative: The first dose 3/17/21 and second dose 4/4/21 had similar reaction of chills, low grade fever, cough, runny nose, body aches, sore throat, sore arm, fatigue for a week.  The second dose also caused swollen glands.The booster on 8/16/2021 was mild with similar reaction but milder in scale for a couple of days. With each vaccine, after about 7 to 10 days my inflammatory arthritis flared up and lasted for a long time till I had a course of prednisone. In all cases I couldn?t get the prednisone right away as I was having medical procedures. In general my joint pains have been worse this year. I had an IV on 10/22/2021 at the ER and a couple of weeks later my arm was sore.  On 11/11/2021 the doctor said I have a blood clot in my arm and we had an ultrasound the same day to confirm. Because of multiple medical procedures. IVs are common and I never had this reaction.  Prior to that I had a bilateral radio frequency ablation on  greater and lesser occipital nerves. That caused severe edema and hematomas which caught the doctor by surprise.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Rheumatoid arthritis, Rhinorrhoea, Therapeutic nerve ablation
Clinical narrative: The first dose 3/17/21 and second dose 4/4/21 had similar reaction of chills, low grade fever, cough, runny nose, body aches, sore throat, sore arm, fatigue for a week.  The second dose also caused swollen glands.The booster on 8/16/2021 was mild with similar reaction but milder in scale for a couple of days. With each vaccine, after about 7 to 10 days my inflammatory arthritis flared up and lasted for a long time till I had a course of prednisone. In all cases I couldn?t get the prednisone right away as I was having medical procedures. In general my joint pains have been worse this year. I had an IV on 10/22/2021 at the ER and a couple of weeks later my arm was sore.  On 11/11/2021 the doctor said I have a blood clot in my arm and we had an ultrasound the same day to confirm. Because of multiple medical procedures. IVs are common and I never had this reaction.  Prior to that I had a bilateral radio frequency ablation on  greater and lesser occipital nerves. That caused severe edema and hematomas which caught the doctor by surprise.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: The first dose 3/17/21 and second dose 4/4/21 had similar reaction of chills, low grade fever, cough, runny nose, body aches, sore throat, sore arm, fatigue for a week.  The second dose also caused swollen glands.The booster on 8/16/2021 was mild with similar reaction but milder in scale for a couple of days. With each vaccine, after about 7 to 10 days my inflammatory arthritis flared up and lasted for a long time till I had a course of prednisone. In all cases I couldn?t get the prednisone right away as I was having medical procedures. In general my joint pains have been worse this year. I had an IV on 10/22/2021 at the ER and a couple of weeks later my arm was sore.  On 11/11/2021 the doctor said I have a blood clot in my arm and we had an ultrasound the same day to confirm. Because of multiple medical procedures. IVs are common and I never had this reaction.  Prior to that I had a bilateral radio frequency ablation on  greater and lesser occipital nerves. That caused severe edema and hematomas which caught the doctor by surprise.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Nine days after my shot, my hands and feet were excessively itching. During the 10th and 11th day, the itch moved to my entire body with a rash and hives on different parts of my body. I was on prednisone for 5 days, and the rash and itching has gone down, but still continues. I have to take an allergy med (Allegra) everyday.At first I was taking Allegra once a day and Benadryl every 4 hours. I no longer have to take 2 allergy pills to manage the itching, just one daily, but I can't let up on that one. I also have to see an allergist and continue to see my doctor, since the prednisone doesn't stop it.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Headache, Nausea
Clinical narrative: On 10/01/2021 that night about 9:00pm I felt nauseated and chilled. My arm was beginning to get sore. 10/02/2021 that day I felt feverish and chills, I had a headache and fatigue. I stayed tired for several days. When I would try to take a deep breaths on 10/02/2021 I could not expand my lungs without a catch preventing me from totally expanding my lungs.  That only lasted for that day, and got better over the next few days till 10/05/2021.