chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Inflammation, Lymphadenopathy, Mobility decreased, Oesophageal pain
Clinical narrative: Patient is a 56-y.o. female with PMH of GERD who states that since receiving a COVID-19 vaccination 2 days ago has had progressive swelling, aching and redness in her left arm where she received the vaccination.  Complains of associated lymph node swelling under her left arm and into her neck.  Also complained of onset of phlegmy cough and some burning in her lungs associated with her asthma.  Additionally complained of burning discomfort in her upper abdomen.  Denied associated nausea, vomiting or diarrhea.  States she has had some low-grade fever and chills.  Musculoskeletal:        General: Swelling ( Left arm with mild swelling, erythema and tenderness) present. No deformity. Normal range of motion.     Cervical back: Normal range of motion and neck supple.  Lymphadenopathy:     Cervical: Cervical adenopathy present.     Left cervical: Superficial cervical adenopathy present.     Upper Body:     Left upper body: Axillary adenopathy present.  Skin:    General: Skin is warm and dry.     Findings: Rash ( Burning red rash on the outside aspect of both feet) present. No erythema.  56-y.o. yr old patient with PMH of hypertension and asthma presenting with adverse reaction to COVID-19 vaccination including acute pancreatitis. Lab work showed elevated lipase of 1000, and on examination she had epigastric tenderness: Admitted with acute pancreatitis, and was started on IV fluids
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Pancreatitis acute, Peripheral swelling, Productive cough
Clinical narrative: Patient is a 56-y.o. female with PMH of GERD who states that since receiving a COVID-19 vaccination 2 days ago has had progressive swelling, aching and redness in her left arm where she received the vaccination.  Complains of associated lymph node swelling under her left arm and into her neck.  Also complained of onset of phlegmy cough and some burning in her lungs associated with her asthma.  Additionally complained of burning discomfort in her upper abdomen.  Denied associated nausea, vomiting or diarrhea.  States she has had some low-grade fever and chills.  Musculoskeletal:        General: Swelling ( Left arm with mild swelling, erythema and tenderness) present. No deformity. Normal range of motion.     Cervical back: Normal range of motion and neck supple.  Lymphadenopathy:     Cervical: Cervical adenopathy present.     Left cervical: Superficial cervical adenopathy present.     Upper Body:     Left upper body: Axillary adenopathy present.  Skin:    General: Skin is warm and dry.     Findings: Rash ( Burning red rash on the outside aspect of both feet) present. No erythema.  56-y.o. yr old patient with PMH of hypertension and asthma presenting with adverse reaction to COVID-19 vaccination including acute pancreatitis. Lab work showed elevated lipase of 1000, and on examination she had epigastric tenderness: Admitted with acute pancreatitis, and was started on IV fluids
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, SARS-CoV-2 test negative, Swelling, Throat irritation
Clinical narrative: Patient is a 56-y.o. female with PMH of GERD who states that since receiving a COVID-19 vaccination 2 days ago has had progressive swelling, aching and redness in her left arm where she received the vaccination.  Complains of associated lymph node swelling under her left arm and into her neck.  Also complained of onset of phlegmy cough and some burning in her lungs associated with her asthma.  Additionally complained of burning discomfort in her upper abdomen.  Denied associated nausea, vomiting or diarrhea.  States she has had some low-grade fever and chills.  Musculoskeletal:        General: Swelling ( Left arm with mild swelling, erythema and tenderness) present. No deformity. Normal range of motion.     Cervical back: Normal range of motion and neck supple.  Lymphadenopathy:     Cervical: Cervical adenopathy present.     Left cervical: Superficial cervical adenopathy present.     Upper Body:     Left upper body: Axillary adenopathy present.  Skin:    General: Skin is warm and dry.     Findings: Rash ( Burning red rash on the outside aspect of both feet) present. No erythema.  56-y.o. yr old patient with PMH of hypertension and asthma presenting with adverse reaction to COVID-19 vaccination including acute pancreatitis. Lab work showed elevated lipase of 1000, and on examination she had epigastric tenderness: Admitted with acute pancreatitis, and was started on IV fluids
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan abnormal, Vaccination complication, Vision blurred
Clinical narrative: Patient is a 56-y.o. female with PMH of GERD who states that since receiving a COVID-19 vaccination 2 days ago has had progressive swelling, aching and redness in her left arm where she received the vaccination.  Complains of associated lymph node swelling under her left arm and into her neck.  Also complained of onset of phlegmy cough and some burning in her lungs associated with her asthma.  Additionally complained of burning discomfort in her upper abdomen.  Denied associated nausea, vomiting or diarrhea.  States she has had some low-grade fever and chills.  Musculoskeletal:        General: Swelling ( Left arm with mild swelling, erythema and tenderness) present. No deformity. Normal range of motion.     Cervical back: Normal range of motion and neck supple.  Lymphadenopathy:     Cervical: Cervical adenopathy present.     Left cervical: Superficial cervical adenopathy present.     Upper Body:     Left upper body: Axillary adenopathy present.  Skin:    General: Skin is warm and dry.     Findings: Rash ( Burning red rash on the outside aspect of both feet) present. No erythema.  56-y.o. yr old patient with PMH of hypertension and asthma presenting with adverse reaction to COVID-19 vaccination including acute pancreatitis. Lab work showed elevated lipase of 1000, and on examination she had epigastric tenderness: Admitted with acute pancreatitis, and was started on IV fluids
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Loss of consciousness, Paraesthesia, Seizure
Clinical narrative: Passed out. Seizure without shaking muscles contracted and fists clenched. Dizziness. Tingle in arms.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Passed out. Seizure without shaking muscles contracted and fists clenched. Dizziness. Tingle in arms.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Fall, Fatigue, Head injury, Headache
Clinical narrative: Administered vaccines at 0947. Observed client after vaccination. Client alert, oriented x 4, and responding appropriately to questions. Skin warm, dry, and pink. Asked client if lightheaded or dizzy; client denied and stated felt fine. Mother asked if could go over to the administrative section of the department for business. Nurse - seeing no issues - allowed. At 0950, while client and mother in the lobby, client suddenly fainted and fell from standing to the floor. Administrative secretary called for nursing support. Client returned to consciousness without intervention as nurse arrived to scene. Client alert and oriented x 4. Client's color became pale while lying. Elevated client's legs on chair while client lying on back on floor. Water and graham crackers provided, able to tolerate. Asked client if hit head; client doesn't remember falling but stated posterior of head hurt as well as intermittent sharp pain in right posterior shoulder and medial left arm from mid-arm to upper forearm focused primarily in crook of elbow; rated pain 4/10. Applied ice to the back of the head. Asked mother if client had passed out from vaccines before; mother stated client never fainted from vaccination before but has had 3 prior syncopal episodes. Mother stated mother and client's brother also are prone to syncopal episodes. Asked mother and client if client had breakfast before coming. Mother stated client had a banana on the way to the immunization clinic, did not have any other intake this morning. Mother also stated that client exercised this morning by riding bicycle. At 0956, checked vitals. Heart rate 89, automatic wrist blood pressure right arm 84/45 lying, manual blood pressure right arm 100/50 lying, O2 SAT 98% room air, eyes PERRLA bilaterally. Skin color pink, warm and dry. Client attempted to sit up but color paled from face and unable to tolerate so returned to lying with legs elevated. Skin color returned to pink. At 0959, client wanted to try sitting, moved to sitting. Color paled from face and unable to tolerate so returned to lying with legs elevated. Skin color returned to pink. At 1002, client wanted to try sitting, moved to sitting. Skin color remained pink and client able to tolerate. Client stated feeling tired and posterior head as only location of pain. At 1006, assisted client to standing, able to tolerate. Nurse and mother escort client from clinic lobby to private vehicle. Instructed mother to not have client fall asleep until evaluated by physician.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain in extremity, Pallor, Syncope
Clinical narrative: Administered vaccines at 0947. Observed client after vaccination. Client alert, oriented x 4, and responding appropriately to questions. Skin warm, dry, and pink. Asked client if lightheaded or dizzy; client denied and stated felt fine. Mother asked if could go over to the administrative section of the department for business. Nurse - seeing no issues - allowed. At 0950, while client and mother in the lobby, client suddenly fainted and fell from standing to the floor. Administrative secretary called for nursing support. Client returned to consciousness without intervention as nurse arrived to scene. Client alert and oriented x 4. Client's color became pale while lying. Elevated client's legs on chair while client lying on back on floor. Water and graham crackers provided, able to tolerate. Asked client if hit head; client doesn't remember falling but stated posterior of head hurt as well as intermittent sharp pain in right posterior shoulder and medial left arm from mid-arm to upper forearm focused primarily in crook of elbow; rated pain 4/10. Applied ice to the back of the head. Asked mother if client had passed out from vaccines before; mother stated client never fainted from vaccination before but has had 3 prior syncopal episodes. Mother stated mother and client's brother also are prone to syncopal episodes. Asked mother and client if client had breakfast before coming. Mother stated client had a banana on the way to the immunization clinic, did not have any other intake this morning. Mother also stated that client exercised this morning by riding bicycle. At 0956, checked vitals. Heart rate 89, automatic wrist blood pressure right arm 84/45 lying, manual blood pressure right arm 100/50 lying, O2 SAT 98% room air, eyes PERRLA bilaterally. Skin color pink, warm and dry. Client attempted to sit up but color paled from face and unable to tolerate so returned to lying with legs elevated. Skin color returned to pink. At 0959, client wanted to try sitting, moved to sitting. Color paled from face and unable to tolerate so returned to lying with legs elevated. Skin color returned to pink. At 1002, client wanted to try sitting, moved to sitting. Skin color remained pink and client able to tolerate. Client stated feeling tired and posterior head as only location of pain. At 1006, assisted client to standing, able to tolerate. Nurse and mother escort client from clinic lobby to private vehicle. Instructed mother to not have client fall asleep until evaluated by physician.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Immediate post-injection reaction, Incoherent, Pallor
Clinical narrative: patient received first covid 19 shot on 6/1 immediately had a rxn of turning very pale, clamy, dizzy, and was incoherent off and on.  She never fully lost consciousness however we called 911 and she was checked out by emt.  Mother reported she was filling better later in the day
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Continue pain that jabs and throbs at all times of the day, every day for weeks now. Since getting the 2nd dose. The pain generates into the shoulder and rest of the arm.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Pain in extremity
Clinical narrative: Within 15 minutes started to feel soreness in left leg. Got tired. Next morning was feeling elevated heart rate while laying down.  90 bpm and above when normally 50-60 bpm.  Heart rate would go up and down. This happened mostly on the second day, but also seems to have occurred since then. I have not had this issue before.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Brain natriuretic peptide increased, Glucose urine present, Glycosylated haemoglobin increased, Oedema peripheral
Clinical narrative: Pt. presents to ED on 05/29/2021 stating that she received her 2nd Covid vaccine on 05/05/2021 and she feels like she is having a reaction to her 2nd covid shot. Pt. reports having shooting left arm pain and left leg pain with movement. Pt. reports that her 1st Covid vaccine made her feel the same way.  ED physician reports that pt. admitted to not taking basically any of her regular medications due to not having, ran out, or quit taking because she did not tolerate the side effects of her medications. Pt. presents with significant left lower leg edema, reports putting on 60 + pounds in the past 2 years, and reports she quit her HCTZ because it hurts to bad to get up and pee.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Pt. presents to ED on 05/29/2021 stating that she received her 2nd Covid vaccine on 05/05/2021 and she feels like she is having a reaction to her 2nd covid shot. Pt. reports having shooting left arm pain and left leg pain with movement. Pt. reports that her 1st Covid vaccine made her feel the same way.  ED physician reports that pt. admitted to not taking basically any of her regular medications due to not having, ran out, or quit taking because she did not tolerate the side effects of her medications. Pt. presents with significant left lower leg edema, reports putting on 60 + pounds in the past 2 years, and reports she quit her HCTZ because it hurts to bad to get up and pee.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Injection site thrombosis, Ultrasound Doppler abnormal
Clinical narrative: RUE DVT in brachial vein at site of injection.  Patient complained of RUE pain and swelling on 4/28. That evening the team ordered a RUE venous duplex. The venous duplex noted a DVT in the proximal aspect of one of the two brachial veins.  He was vaccinated during an inpatient psychiatric hospitalization.   He was evaluated by the medical team on 4/29 and noted to be in stable condition. On discharge he was prescribed xarelto 15 mg BID with food for 21 days with instruction to follow up with PCP in 1-2 weeks. After 21 days of therapy plan was to switch to xarelto 20 mg daily with food until 7/22/21 for a total of 3 months of therapy. The adverse event did not prolong his hospitalization.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Needle issue, No adverse event
Clinical narrative: VACCINE ADMINISTRATION WAS GIVEN WITH A 5/8" NEEDLE.  A 1" NEEDLE SHOULD HAVE BEEN USED.   PATIENT WAS CONTACTED TWO DAYS LATER.  PATIENT HAD NO ADVERSE EFFECTS FROM THE SHORTER NEEDLE.   PATIENT FELT WELL AND HAD NO COMPLAINTS.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Pt experienced vomiting & dizziness post vaccination. BP 119/76; HR 71; RR 21. Pt denies chest pain, swelling, SOB. Hx of vertigo.  No medications given, pt stable & released from vaccination site, recommended f/u w/PCP
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pruritus, Rash, Throat tightness, Urticaria
Clinical narrative: PT STATES 1 HR AFTER COVID SHOT SHE DEVELOPED A RASH AND HIVES  TO BOTH ARMS AND LEGS, THIS PROGRESSED TO HER ABD BY SATURDAY.  SHE HAD ITCHING, A SORE THROAT AND FELT LIKE THROAT WAS 'CLOSING'. SHE WAS SEEN AT URGENT CARE AND GIVEN BENADRYL CREAM AND ZYRTEC.  STATES SHE WAS FEELING A LITTLE BETTER AFTER 2 DAYS. ADVISED NOT TO TAKE PFIZER AGAIN WITHOUT TALKING TO PCP OR AN ALLERGIST.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Ultrasound antenatal screen
Clinical narrative: Two days following the vaccine, I had a miscarriage . I was 8 weeks pregnant.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Abnormal faeces, Diarrhoea, Flatulence
Clinical narrative: Developed  stomach cramps resulting in explosive, somewhat loose bowl movements that were unusually smelly. Had a scheduled physical exam on March 8 which recorded low platelet count. Platelet count was normal when retested in early April. Stomach condition returned on June 1, 2021 although with much less bloating/gaseous bowl movements; the cramps are less noticeable and last much less time during the day.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, Platelet count normal
Clinical narrative: Developed  stomach cramps resulting in explosive, somewhat loose bowl movements that were unusually smelly. Had a scheduled physical exam on March 8 which recorded low platelet count. Platelet count was normal when retested in early April. Stomach condition returned on June 1, 2021 although with much less bloating/gaseous bowl movements; the cramps are less noticeable and last much less time during the day.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Lymphadenopathy, Pain
Clinical narrative: The day after receiving the vaccine, some balls appeared in my chest at the level of the clavicle which have presented a lot of pain and inflammation that until today, Tuesday 06-02-2021, has not diminished.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test normal, Computerised tomogram normal
Clinical narrative: Nerve abdominal, upper and lower severe pain.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Bell's palsy, Facial paralysis, Paralytic lagophthalmos, Tinnitus
Clinical narrative: Bells Palsy on right side of  face, loss of taste on right side of tongue, inability to move right side of mouth, paralysis of right side of face from forehead to chin. Inability to close eyes, move lips raise brow, tinnitus right ear.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Head injury, Impaired work ability, Laboratory test, Loss of consciousness
Clinical narrative: 2 weeks after the first dose  Awful pain and stiffness in both hands. went to DR on 4/12 did blood work diagnosed with RA. Did not think about the vaccine until two weeks after the second dose I struggle to walk with severe pain in my legs, arms, and hands. Life since has been pretty rough passed out from the pain on May 16th had to have 9 staples in my head. Now my life is trying to balance medication so I can sleep at night. And get through the days at work. I have had to miss days.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, Rheumatoid arthritis, Suture insertion
Clinical narrative: 2 weeks after the first dose  Awful pain and stiffness in both hands. went to DR on 4/12 did blood work diagnosed with RA. Did not think about the vaccine until two weeks after the second dose I struggle to walk with severe pain in my legs, arms, and hands. Life since has been pretty rough passed out from the pain on May 16th had to have 9 staples in my head. Now my life is trying to balance medication so I can sleep at night. And get through the days at work. I have had to miss days.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Headache, Pain in extremity
Clinical narrative: 1st shot in right arm.  After 24 hrs sore arm then intense headache on right side.  Took 200mg Advil.  Very tired with intense lack of focus.  Mental cramps on 5th & 6th days.  Most symptoms lasted 2 weeks.  2nd shot 05/06/2021 in AM in left arm.  2nd day started having pain in chest on left side, lungs heavy, like couldn't catch breath, very weak in the knees and very tired.  I am a non-smoker, healthy, only take vitamins and only have an occasional drink with alcohol 1x or 2x per week.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Peripheral swelling, Swelling face
Clinical narrative: Client complained of swelling and redness  to site of injection and radiating down arm. She also complained of facial and legs swelling. Client received vaccine at 10:30am and symptoms started around 11pm that night. Symptoms resolved per client on Monday 5/31/2021. Patient did not seek medical care, symptoms resolved on its own.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Tinnitus
Clinical narrative: Patient called call center only to report side effects from 1st dose Pfizer vaccine on 4/12. Pt denied emergency symptoms at time of call. Only wanted to report what happened after first dose, per advisement from PCP.  4/12 pt received 1st dose Pfizer vacc  4/21 evening pt experienced intense tinnitus.  4/22 pt states she experienced complete hearing loss in one ear. Received medical attention from PCP @outside insitutation. Per PCP pt was told not to receive 2nd dose of Pfizer vaccine. Pt is on 2 week steroid treatment, still reports complete hearing loss in one ear."
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Syringe issue
Clinical narrative: VACCINE ADMINISTRATION WAS GIVEN WITH A 5/8" NEEDLE.  A 1" NEEDLE SHOULD HAVE BEEN USED.   PATIENT WAS CONTACTED TWO DAYS LATER.  PATIENT HAD NO ADVERSE EFFECTS FROM THE SHORTER NEEDLE.   PATIENT FELT WELL AND HAD NO COMPLAINTS.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope.  No treatment needed.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Chest X-ray, Chest pain, Discomfort
Clinical narrative: I am a healthy 50 year old male who competes in endurance events including 15 Ironman triathlons and many ultra endurance races.  I was diagnosed with acute Pericarditis 8 years ago, after 4 days in the hospital and a couple of weeks of rest at home all of my symptoms had subsided and I have had no reoccurrence of this condition since.  Approximately one week after receiving my second dose of the Covid 19 Moderna vaccine I began to experience chest pain.  8 days post vaccination the chest pain was radiating into my Left shoulder and arm, I had significant pain on breathing and was extremely uncomfortable lying on my back and could not lie on my left side due to pain.   I went to the ER  on the evening of May 6th, they performed a chest x-ray, 2 EKG's as well as 2 separate blood work panels.   While I did relate my history of having pericarditis and that this pain was very similar to what I had felt before, they, of course, were more concerned on if I was having a coronary event.  The EKG and blood work showed I was not so I was simply sent home with a "we don't know why your chest hurts but your are not having a heart attack."   After a follow up to a cardiologists almost 2 weeks later it was determined that it was more than likely a flare up of pericarditis but that it had subsided by that time.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Pain in extremity
Clinical narrative: I am a healthy 50 year old male who competes in endurance events including 15 Ironman triathlons and many ultra endurance races.  I was diagnosed with acute Pericarditis 8 years ago, after 4 days in the hospital and a couple of weeks of rest at home all of my symptoms had subsided and I have had no reoccurrence of this condition since.  Approximately one week after receiving my second dose of the Covid 19 Moderna vaccine I began to experience chest pain.  8 days post vaccination the chest pain was radiating into my Left shoulder and arm, I had significant pain on breathing and was extremely uncomfortable lying on my back and could not lie on my left side due to pain.   I went to the ER  on the evening of May 6th, they performed a chest x-ray, 2 EKG's as well as 2 separate blood work panels.   While I did relate my history of having pericarditis and that this pain was very similar to what I had felt before, they, of course, were more concerned on if I was having a coronary event.  The EKG and blood work showed I was not so I was simply sent home with a "we don't know why your chest hurts but your are not having a heart attack."   After a follow up to a cardiologists almost 2 weeks later it was determined that it was more than likely a flare up of pericarditis but that it had subsided by that time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm
Clinical narrative: Pt experienced R eye twitch. BP 144/90; HR 80; RR 18. Pt was stable & released from vaccination site
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, FLU4, RV1
Symptoms: Unevaluable event
Clinical narrative: Pts mom to monitor pt and injection site and will contact office if any concerns.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patients mother gave the wrong DOB at time of initial vaccine. Patients mother was present and stated the patients birthday was 2008, but in actuality, the patients birthday is 2009. This was discovered on 06/02/2021 when the patient was due back for second immunization. The patients mother stated today that the child was 12 and was born in 2009. Upon more questioning, we discovered the patient is not 12 and was not born in 2008 and that the patient is currently 11 years old. Staff instructed patients mother to not return for second dose until patient was 12.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Fatigue, Migraine, Pain
Clinical narrative: 1. Migraine for three days; 2. Fever of 99.2 for two days; 3. Chills and body aches all over not just sore arm; 4. Diarrhea; 5. Swollen right eye lid (weird right?); 6. I was in bed for almost two days which I rarely do.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Swelling of eyelid
Clinical narrative: 1. Migraine for three days; 2. Fever of 99.2 for two days; 3. Chills and body aches all over not just sore arm; 4. Diarrhea; 5. Swollen right eye lid (weird right?); 6. I was in bed for almost two days which I rarely do.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood culture, Culture urine positive, Klebsiella infection, Klebsiella test positive
Clinical narrative: Patient admitted to hospital 5/31 with worsening of baseline weakness, also found to have UTI.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Urinary tract infection
Clinical narrative: Patient admitted to hospital 5/31 with worsening of baseline weakness, also found to have UTI.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: After taking that your are was sore.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Medication error; incorrect interval between doses 1 and 2.   Given 22 days apart.   No adverse reactions reported.  Error discovered when client requested updated vaccination card.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: Case had a physical in late  2020 that was unremarkable. He saw his PCP and had EKG done on 3/23/21 and showed Atrial Fib. PCP was concerned and referred him to Dr who diagnosed him with Atrial Fib as well. He had his  second dose of Moderna vaccine on 4/1/21. Has has since been placed on Eliquis. indicated that Dr could not rule out this was due to the Moderma vaccine and requested it be reported to VARES.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Chronic upper bilateral  leg pain and stiffness
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient given vaccine at age 11 due to mom inputting incorrect dob on vaccine convent form. No adverse reactions noted during the waiting period after vaccine given.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Dizziness, Hyperacusis, Monoplegia
Clinical narrative: Sore arm started about 6 hours later and lasted about 24 hours Dizziness started within half an hour intermittent for 48 hours Extreme sensitivity to normal noises and lights started 20 hours after, lasted 4 hours Shooting, intermittent pain in upper left quadrant of chest, started 6 hours after, ongoing, 30 hours out also occasionally in right shoulder/chest, and left side of neck Partial  PARALYSIS of left arm starting about 3 hours after, significant worsening 40 hours after and ongoing
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Photophobia
Clinical narrative: Sore arm started about 6 hours later and lasted about 24 hours Dizziness started within half an hour intermittent for 48 hours Extreme sensitivity to normal noises and lights started 20 hours after, lasted 4 hours Shooting, intermittent pain in upper left quadrant of chest, started 6 hours after, ongoing, 30 hours out also occasionally in right shoulder/chest, and left side of neck Partial  PARALYSIS of left arm starting about 3 hours after, significant worsening 40 hours after and ongoing
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Needle issue, No adverse event
Clinical narrative: VACCINE ADMINISTRATION WAS GIVEN WITH A 5/8" NEEDLE.  A 1" NEEDLE SHOULD HAVE BEEN USED.   PATIENT WAS CONTACTED TWO DAYS LATER.  PATIENT HAD NO ADVERSE EFFECTS FROM THE SHORTER NEEDLE.   PATIENT FELT WELL AND HAD NO COMPLAINTS.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given an undiluted COVID-19 vaccine (Pfizer). Medication was given with no diluent to dilute the vaccine vial and 0.3 mL of the vial contents were administered to the patient.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: At 12-00pm the pharmacist gave patient a J & J Covid Vaccine.  He asked him to sit down for 15 minutes.  At approximately 12-10PM Patient yelled for assistance. At the time the pharmacist ran over to the chair. Patient siaf that he was going to pass out. His eyes rolled back and it seemed like a seizure, at that point he began to pass out. The pharmacist assisted him to the floor. He was unresponsive on the floor for 10 seconds. After 10 seconds he regained consiouness. He said he felt fine. We called the ambulance. They came 15 minutes later. The pharmacist did his vitals pulse: 60 respirations:16 blood pressure 115/70. At that time the ambulance came and assisted him to the hospital.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vaccine positive rechallenge
Clinical narrative: Hives developed about 5 days after 1st dose but ended. Hives developed after 2nd dose and still exist 3 months later. Already taking antihistamine. Doctor prescribed Singulair, but it does not seem to help.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Nausea
Clinical narrative: Within 5 minutes of vaccination patient was sweating, flushed, and nauseous. She did previously report she did not like shots and had felt the needle go in when her dose was administered. Was given a cool compress, cold water, and layed down on some chairs for observation. Patient quickly recovered and was feeling normal in less than 10 minutes.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Per patients mother/guardian, mom thought it would be okay for the patient to receive the vaccination due to the fact that the patient was going to be 12 in September, and felt that the benefits outweighed the risks. Mother/Patient also attested that patient was 12 years of age/older
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Covid arm- swelling itching pain
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Swelling of injection site 5 mins post injection. Itching of injection site and surrounding area 10 mins post injection
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt received first dose of Pfizer vaccine at age 11.  Pt and father presented for second dose and was declined due to age.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: I developed Bell's Palsy, paralysis on my left side of my face. This occur 3 weeks after I receive my first dose of the Pfizer vaccine. I could not close my left eye, inability of smile, drooling, facial distoration,  difficulties in eating.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Seizure
Clinical narrative: Seizure activity noted within 30 minutes of vaccination. Pt known to have functional neurologic disorder and pseudoseizures daily (sometimes back-to-back). Pt alert and orientedx4. Pt dizzy and states she did not eat lunch today. Provided with water and granola bar.  Second seizure noted 20 minutes later. Pt stayed for observation for additinal 40 minutes following second seizure. Client refused transportation to hospital and clients brother came to pick her up.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lip swelling, Urticaria
Clinical narrative: Per chart note from 6/1/21, pt had hives day after COVID vaccine w/extensive erythema, lip swelling. She was admitted to hospital for 4 hrs & treated w/Benadryl & steroids. Pt will not receive 2nd dose
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Eye swelling, Hypoaesthesia oral, Mouth swelling, Paraesthesia oral
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Pt stated her tongue felt funny a little tingly-Mild, Additional Details: Pt refused 911. stated her tongue felt a little numb and "funny." but not swollen just different feeling
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Pt stated her tongue felt funny a little tingly-Mild, Additional Details: Pt refused 911. stated her tongue felt a little numb and "funny." but not swollen just different feeling
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Systemic: see additional comments-Medium, Additional Details: pt was given expired vial of moderna; it was punctured on may 30 2021
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blindness, Cerebrovascular accident, Death, Hyponatraemia
Clinical narrative: death vision loss Acute cerebrovascular accident acute hyponatremia
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Systemic: see additional comments-Medium, Additional Details: pt was given expired vial of moderna. vial was punctured may 30 2021 at 11am and was not disposed of before we closed.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Systemic: see comments-Medium, Additional Details: pt was given expired vial of moderna vaccine; the vial was punctured at 11 am on May 30 2021 and shot was given June 1.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Death, Hyponatraemia
Clinical narrative: death weakness E87.1 - Hyponatremia
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Systemic: see comments-Medium, Additional Details: pt recieved an expired vial of moderna; vial was punctured on may 30 2021 at 11 am and was not disposed of correctly that night. pt was given the open vial today June 1st.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Systemic: see comments-Medium, Additional Details: pt received expired vial of moderna; vial was punctured at 11am on May 30 2021 and the vaccine was given today June 1 2021. the open vial was not disposed of correctly end of day May 30 2021.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Dyskinesia, Fatigue, Flushing
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: Pt fainted after 3 mins of getting vaccine. He asked for water and passed out. His head jerked every 3 seconds slightly for 25 seconds. Alcohol was provided under nose but provided no relief. After 25 seconds of LOC, he woke up. He drank water and caprisun, and felt better.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lethargy, Loss of consciousness, Syncope, Tremor
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: Pt fainted after 3 mins of getting vaccine. He asked for water and passed out. His head jerked every 3 seconds slightly for 25 seconds. Alcohol was provided under nose but provided no relief. After 25 seconds of LOC, he woke up. He drank water and caprisun, and felt better.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: Pt fainted after 3 mins of getting vaccine. He asked for water and passed out. His head jerked every 3 seconds slightly for 25 seconds. Alcohol was provided under nose but provided no relief. After 25 seconds of LOC, he woke up. He drank water and caprisun, and felt better.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Severe. Additional Details: Pain in arm, unable to lift arm without pain.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood osmolarity decreased, Cerebrovascular accident, Facial paresis, Hyponatraemia, Immune system disorder
Clinical narrative: I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC) E87.1 - Hypo-osmolality and hyponatremia R29.810 - Facial weakness
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HEP, IPV, PNC13, RV5
Symptoms: Angiopathy, C-reactive protein, Cellulitis, Epstein-Barr virus test, Erythema
Clinical narrative: office visit 5/16/2021- left leg swelling along with erythema along with increased vascularity, no warmth or tenderness, full ROM office visit 5/19/2021- left leg purple and swollen, basic CBC done in office was normal office visit 5/30/2021- left leg cellulitis, given Augmentin 400mg/ml 2.5ml BID x 10 days, sent for bloodwork (CBC, EBV, CRP ), sent for X-Ray & Ultrasound, refer ortho ; parent informed us they "saw PA, at Dr.'s office,  who  rubbed and massaged leg for 30 seconds and child was screaming whole time" office visit 6/1/2021- leg still swollen, parent advised to take patient to ER for be evaluated.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HEP, IPV, PNC13, RV5
Symptoms: Full blood count, Peripheral swelling, Skin discolouration, Ultrasound Doppler, X-ray
Clinical narrative: office visit 5/16/2021- left leg swelling along with erythema along with increased vascularity, no warmth or tenderness, full ROM office visit 5/19/2021- left leg purple and swollen, basic CBC done in office was normal office visit 5/30/2021- left leg cellulitis, given Augmentin 400mg/ml 2.5ml BID x 10 days, sent for bloodwork (CBC, EBV, CRP ), sent for X-Ray & Ultrasound, refer ortho ; parent informed us they "saw PA, at Dr.'s office,  who  rubbed and massaged leg for 30 seconds and child was screaming whole time" office visit 6/1/2021- leg still swollen, parent advised to take patient to ER for be evaluated.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Head injury, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Mom reports that patient has a history of fainting after vaccine administration. Patient complained of feeling dizzy and lightheaded after receiving Covid vaccine. Patient fell from standing position and hit his forehead against store aisle. NP was called by Pharmacist, to assist/evaluate. Patient alert and oriented upon NP arrival. BP 116/60, pulse 76, O2 sat 99% on room air. Patient with normal neuro exam. Patient returned to baseline.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Systemic: patient had a seizure about 5 mins following adminstration-Severe, Systemic: Seizure-Severe, Additional Details: ems was called and patient was evaluated and pt was cleared with normal vitals and alert from ems parent refused to go to er i tried calling to follow up with patient and now answer on best contact number
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Flushing, Headache, Hyperhidrosis, Pain
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: red itchy rash on left side of trunk of my body spreading to armpit and neck
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anxiety, Dizziness, Fall, Flushing
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Stomach aches-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Pt started feeling lightheaded 1-2 minutes post-vaccination at 2:50PM and fell down on her backpack. Pt was conscious and mouth showed mild bleeding. RPh on duty had pt lie down on floor with both legs raised on chair and continuously monitored pt's BP and pulse. Pt's BPM was 109/73 and pulse was 88 at 3PM. Of note, pt reported PMH of vertigo x7 years and attributed her lightheadedness to anxiety. At 3:20PM, pt recovered and was able to stand and walk on her own.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Mouth haemorrhage
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Stomach aches-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Pt started feeling lightheaded 1-2 minutes post-vaccination at 2:50PM and fell down on her backpack. Pt was conscious and mouth showed mild bleeding. RPh on duty had pt lie down on floor with both legs raised on chair and continuously monitored pt's BP and pulse. Pt's BPM was 109/73 and pulse was 88 at 3PM. Of note, pt reported PMH of vertigo x7 years and attributed her lightheadedness to anxiety. At 3:20PM, pt recovered and was able to stand and walk on her own.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting/Unresponsive-Mild.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: extremely heavy period
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Injection site swelling, Pain, Peripheral swelling
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Mild, Systemic: Joint Pain-Severe, Additional Details: sweeling of the leg the left leg twoce the size of right leg. body ches.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Muscular weakness, Pain
Clinical narrative: Concerningly patient had her first Moderna COVID-19 vaccination on 3/9/2021.  I actually saw her in the office on 3/12/2021 for low back pain.  She was having a hard time bearing weight and had fallen multiple times. This had started prior to her vaccine.  She reports that after the vaccine, approximately 2 to 3 days after she had the vaccine, she had sudden onset lower extremity weakness that was extreme.  This was acutely worse than when I saw her in the office.  She reports her lower legs were almost paralyzed and she was unable to walk.  She did not seek medical attention or contact my office regarding the symptoms.  Patient reports she was basically bedbound for 3 to 4 weeks and then symptoms very suddenly stopped.  She did talk to her cardiologist about that at her routine follow-up and they recommended she hold off on getting the second Moderna vaccine.  Her strength has recovered, she estimates she has approximately 60 to 70% of her lower extremity strength at this time.  She continues to have mild back pain however this has almost resolved as well.  Denies falls or trauma around the time of her pain and weakness.  Patient does report follow-up with her neurologist in the next few weeks and will discuss further with them
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Stomach aches-Mild, Systemic: Flushed / Sweating-Medium, Additional Details: Pt started feeling lightheaded and signs of flushing at 3:05PM post-vaccination. RPh had pt lie down on the floor and continiously monitored BP and pulse. BP and pulse were 96/55; 52 and 122/74; 80 at 3:08PM and 3:17PM, respectively. Pt had no relevant PMH and attributed his lightheadness to anxiety and witnessing his partner experience vertigo post-vaccination. Pt fully recovered and left the pharmacy at 3:35PM. Pt's temp was 95.5 F at 3:24 PM.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: 104.5 fever, severe headache, left leg and left arm pain and numbness, body aches, chills
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 104.5 fever, severe headache, left leg and left arm pain and numbness, body aches, chills
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Fainted. in addition to vomiting, severe sweating, headache, achy, fever, chills, etc.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Fainted. in addition to vomiting, severe sweating, headache, achy, fever, chills, etc.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Severe muscle pain from shoulder to elbow.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product reconstitution quality issue
Clinical narrative: Error: Incorrect Reconstitution
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Fatigue, fever, headache, soreness at injection site