chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 6/27/2021, LOT #FF2587; pt passed away at home; pt had a positive COVID test 6/15/22; no medical records on this patient; PCP is unknown
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Condition aggravated, Rash
Clinical narrative: rash-patient was being treated for an ear infection as well and was on Amoxicillin for 9 days (10 day coarse), had a light rash from ATB increased rash post vaccination. Patient was given Prednisolone Suspension for 5 day treatment on 9/17/22.
Age: 78.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Feeling abnormal
Clinical narrative: Extreme sudden onset of  dizziness which required me to sit quietly for about 15 minutes to prevent possible falling.  After the incident passed, I felt out of sorts for the next hour or so and I went to bed (and slept well) commencing at about 10pm.
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site joint movement impairment, Injection site rash, Injection site swelling
Clinical narrative: Seen in ER on 9/17/22:  A red, erythematous rash spreading from the proximal thigh (from puncture site of Pneumovax vaccination) to the knee; consistent with cellulitis.  Mild swelling along the progression of the rash; is not firm or indurated. There is mild swelling overlying the left knee. Range of motion is limited secondary to pain; unable to fully flex the left knee secondary to pain, is able to fully extend. No pain with range of motion of the left ankle or left hip. Examination findings most consistent with cellulitis especially in context of fever. Did also consider delayed reaction after receiving Pneumovax vaccination; however given fever less likely..  Treated with 7 days of Keflex.
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Joint range of motion decreased, Pain, Pyrexia
Clinical narrative: Seen in ER on 9/17/22:  A red, erythematous rash spreading from the proximal thigh (from puncture site of Pneumovax vaccination) to the knee; consistent with cellulitis.  Mild swelling along the progression of the rash; is not firm or indurated. There is mild swelling overlying the left knee. Range of motion is limited secondary to pain; unable to fully flex the left knee secondary to pain, is able to fully extend. No pain with range of motion of the left ankle or left hip. Examination findings most consistent with cellulitis especially in context of fever. Did also consider delayed reaction after receiving Pneumovax vaccination; however given fever less likely..  Treated with 7 days of Keflex.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Chest pain
Clinical narrative: One hour after vaccine administration approximately @1400  the patient returned to the vaccine clinic with complaints of chest pain/discomfort. Nurse obtained VS,  BP 185/50, HR 103. Patient escorted to the ED for further evaluation.
Age: 22.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Bradycardia, Immediate post-injection reaction, Loss of consciousness, Pallor, Posture abnormal
Clinical narrative: Pt reported hx of vasovagal to vax RN. Pt was advised that due to medical hx, it would be preferred to vaccinate the pt lying down, however the pt refused. Immediately post injection at 1026, the pt appeared pale and began to lull/sag forward. Legs were elevated. Pt was stabilized by additional RN. Ice packs were applied to nape of neck and chest. Pt lost consciousness for approximately 15 seconds. Pt began to arouse while still sitting in the chair but was quickly transferred over to the cot where VS were initiated. VS q3 WNL aside from slight bradycardia with set one and four, later determined to be pt baseline. At approximately 1036, pt reported feeling better. Pt was transferred to a seated position at approximately 1041, tolerated well. Pt moved to stand at approximately 1045, tolerated well.   Pt then walked over to observation at 1046 for an additional 20 minutes after reporting feeling completely better. Pt left observation with roommate at 1106 ambulatory with a steady gait.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Death, Sepsis
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 01/06/2022, LOT #030H21B; pt passed away at home with COD being:  severe sepsis, post COVID condition, COPD; no record of pt's PCP or when a positive COVID test was done
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID on 9/17/22. Patient unable to provide any other vaccine information.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Was hospitalized for other issue when COVID positive.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Arthralgia, COVID-19, Chronic obstructive pulmonary disease, Dyspnoea
Clinical narrative: Pt arrived to the hospital with fatigue, myalgias and joint pain, and shortness of breath. The patient has COPD and is oxygen dependent. She tested positive for COVID-19. She was admitted for acute hypoxic respiratory failure and COVID-19.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Myalgia, SARS-CoV-2 test positive
Clinical narrative: Pt arrived to the hospital with fatigue, myalgias and joint pain, and shortness of breath. The patient has COPD and is oxygen dependent. She tested positive for COVID-19. She was admitted for acute hypoxic respiratory failure and COVID-19.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was given the Pfizer monovalent adult vaccine instead of the Pfizer Bivalent booster
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Hypersomnia, Influenza like illness, Pain
Clinical narrative: I experienced a scratchy throat and post nasal drip, fatigue, aches and pain and I slept for a few days off and on. I would say I pretty much had flu like symptoms. I was prescribed PAXLOVID after my COVID-19 home test came back positive. I was sick again around August 30, 2022. I then tested positive again and I did not take any medications as my symptoms were minor. I felt more like I had a head cold.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation, Upper-airway cough syndrome
Clinical narrative: I experienced a scratchy throat and post nasal drip, fatigue, aches and pain and I slept for a few days off and on. I would say I pretty much had flu like symptoms. I was prescribed PAXLOVID after my COVID-19 home test came back positive. I was sick again around August 30, 2022. I then tested positive again and I did not take any medications as my symptoms were minor. I felt more like I had a head cold.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Injected limb mobility decreased, Pain
Clinical narrative: G3P1.  EDD 11/11/2022. Repeat C/S scheduled for 11/7/2022 Tdap given to the right arm. Patient states it was administered high.  Several hours after injection she had pain, (reports feeling similar to a fracture) and limited mobility to right arm. 17 days later in office, still unable to lay on arm at night and has continued limited ROM.
Age: 14.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Pt was supposed to receive HPV, gave Men B in error.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Fatigue, Palpitations
Clinical narrative: Hair loss, fatigue, palpitations
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Vaccination error
Clinical narrative: NO WHEEL OBSERVED AFTER DOSE ADMINISTERED. INTRADERMAL DOSE REPEATED 2-3 INCHES FROM PREVIOUS DOSE. WHEEL OBSERVED AFTER DOSE REPEATED.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Vaccinator administered a child's dose 0.5 mL of  Energrix-B using a pre-filled syringe from the childhood vaccine inventory rather than an adult 1.0 mL dose from the vaccine for adults inventory.  The child dose is 1/2 of the adult dose.  The patient had left the clinic when the error was realized.  We are contacting the patient to request that they return for the full dose per guidelines.   The two inventories of vaccine were stored in separate refrigerators in clearly labeled bins for clarity prior to the error.  Now additional staff training and refrigerator labeling are in place to ensure this error does not happen again.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/4/21 Lot# EN6202;  Pfizer 3/25/21 Lot# ER8727;  Pfizer 12/10/21 Lot# FH8028
Age: 13.0
Sex: F
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Pt should have received HPV, received Men B in error
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Neck pain, Photophobia, Vision blurred
Clinical narrative: C/o mild headache, neck,  back of head pain, photophobia and slightly blurred vision. Onset approximately 24 hours after administration of vaccine and lasted for  a little over 48 hours.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: On 08/01/2022 I started feeling some sore throat and congestion and maybe a little bit of coughing. I did a rapid COVID-19 test which was positive. I expected these results because 3 days earlier, I had been in a confined space with my brother-in-law who tested positive later that day. My symptoms got worse and worse. The sore throat was really unbearable. Every time I swallowed, I would get a burning searing pain in my throat. I threw up once. It may have been since I had just taken my first dose of PAXLOVID. I got very congested. I had a headache, but it wasn't too bad. My lungs were fine. I was a little tired. I used and oximeter and was at 98%. That all went on for 5 or 6 days and then I began to feel better for 2 or 3 days, maybe more. On 08/13/2022. Most of the symptoms came back except for the sore throat. I experienced a COVID-19 rebound. This time, I was in a less remote area, so I went to a local clinic and was tested with a PCR test and it was positive. I quarantined again. Both times, I quarantined for 5 days and masked for at least 10 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Rebound effect, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On 08/01/2022 I started feeling some sore throat and congestion and maybe a little bit of coughing. I did a rapid COVID-19 test which was positive. I expected these results because 3 days earlier, I had been in a confined space with my brother-in-law who tested positive later that day. My symptoms got worse and worse. The sore throat was really unbearable. Every time I swallowed, I would get a burning searing pain in my throat. I threw up once. It may have been since I had just taken my first dose of PAXLOVID. I got very congested. I had a headache, but it wasn't too bad. My lungs were fine. I was a little tired. I used and oximeter and was at 98%. That all went on for 5 or 6 days and then I began to feel better for 2 or 3 days, maybe more. On 08/13/2022. Most of the symptoms came back except for the sore throat. I experienced a COVID-19 rebound. This time, I was in a less remote area, so I went to a local clinic and was tested with a PCR test and it was positive. I quarantined again. Both times, I quarantined for 5 days and masked for at least 10 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation, Vomiting
Clinical narrative: On 08/01/2022 I started feeling some sore throat and congestion and maybe a little bit of coughing. I did a rapid COVID-19 test which was positive. I expected these results because 3 days earlier, I had been in a confined space with my brother-in-law who tested positive later that day. My symptoms got worse and worse. The sore throat was really unbearable. Every time I swallowed, I would get a burning searing pain in my throat. I threw up once. It may have been since I had just taken my first dose of PAXLOVID. I got very congested. I had a headache, but it wasn't too bad. My lungs were fine. I was a little tired. I used and oximeter and was at 98%. That all went on for 5 or 6 days and then I began to feel better for 2 or 3 days, maybe more. On 08/13/2022. Most of the symptoms came back except for the sore throat. I experienced a COVID-19 rebound. This time, I was in a less remote area, so I went to a local clinic and was tested with a PCR test and it was positive. I quarantined again. Both times, I quarantined for 5 days and masked for at least 10 days.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Injection site pain, Lymphadenopathy, Malaise
Clinical narrative: Swollen lymph nodes under arm, pain at injection site, chills, fever, congestion, malaise, body aches, headache, leg pains, sensitivity to light.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in extremity, Photophobia, Pyrexia, Respiratory tract congestion
Clinical narrative: Swollen lymph nodes under arm, pain at injection site, chills, fever, congestion, malaise, body aches, headache, leg pains, sensitivity to light.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Chills, Decreased appetite, Dry throat, Dysphonia
Clinical narrative: Received Tdap and Menveo 2 days ago around 1200. Woke at 0100 (13h post-vaccination) with hoarse dry throat, legs felt quivery, nausea, pale, lips grey. Body quivering but no fever.  Laid down, given Motrin.  Left hand felt numb (he says due to watch for monitoring HR).  Shivered for about 45 min and fell asleep.    REPORTED BY MOM  9/9/22 Slept through the night, didn't feel well when woke, color a little better. Temp 99.6 (s/p advil, normal 98 for him). Through the day yesterday, sleeping, achey, tired, only ate a smoothie. In the bath last night, felt queasy, almost passed out but laid down in time. Last night, temp 101 at 2300, slept all night and didn't have a fever this morning Today no appetite, very low energy, low appetite.  Taking 15 min to use bathroom due to peristent low energy
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Fatigue, Hypoaesthesia, Influenza virus test negative, Lip discolouration, Malaise
Clinical narrative: Received Tdap and Menveo 2 days ago around 1200. Woke at 0100 (13h post-vaccination) with hoarse dry throat, legs felt quivery, nausea, pale, lips grey. Body quivering but no fever.  Laid down, given Motrin.  Left hand felt numb (he says due to watch for monitoring HR).  Shivered for about 45 min and fell asleep.    REPORTED BY MOM  9/9/22 Slept through the night, didn't feel well when woke, color a little better. Temp 99.6 (s/p advil, normal 98 for him). Through the day yesterday, sleeping, achey, tired, only ate a smoothie. In the bath last night, felt queasy, almost passed out but laid down in time. Last night, temp 101 at 2300, slept all night and didn't have a fever this morning Today no appetite, very low energy, low appetite.  Taking 15 min to use bathroom due to peristent low energy
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Muscular weakness, Nausea, Pain, Pallor, Presyncope
Clinical narrative: Received Tdap and Menveo 2 days ago around 1200. Woke at 0100 (13h post-vaccination) with hoarse dry throat, legs felt quivery, nausea, pale, lips grey. Body quivering but no fever.  Laid down, given Motrin.  Left hand felt numb (he says due to watch for monitoring HR).  Shivered for about 45 min and fell asleep.    REPORTED BY MOM  9/9/22 Slept through the night, didn't feel well when woke, color a little better. Temp 99.6 (s/p advil, normal 98 for him). Through the day yesterday, sleeping, achey, tired, only ate a smoothie. In the bath last night, felt queasy, almost passed out but laid down in time. Last night, temp 101 at 2300, slept all night and didn't have a fever this morning Today no appetite, very low energy, low appetite.  Taking 15 min to use bathroom due to peristent low energy
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Received Tdap and Menveo 2 days ago around 1200. Woke at 0100 (13h post-vaccination) with hoarse dry throat, legs felt quivery, nausea, pale, lips grey. Body quivering but no fever.  Laid down, given Motrin.  Left hand felt numb (he says due to watch for monitoring HR).  Shivered for about 45 min and fell asleep.    REPORTED BY MOM  9/9/22 Slept through the night, didn't feel well when woke, color a little better. Temp 99.6 (s/p advil, normal 98 for him). Through the day yesterday, sleeping, achey, tired, only ate a smoothie. In the bath last night, felt queasy, almost passed out but laid down in time. Last night, temp 101 at 2300, slept all night and didn't have a fever this morning Today no appetite, very low energy, low appetite.  Taking 15 min to use bathroom due to peristent low energy
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after 3 vaccines Moderna 2/10/21 Lot# 0M1520A ; Moderna 3/10/21 Lot#044a21A;  Moderna 11/30/21 Lot# 004F21A
Age: 14.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Pt should have received HPV, was given Men B in error
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Injection site swelling, Laboratory test, Lymphadenopathy, Pain
Clinical narrative: Patient woke up with bumps under the injection site arm, swollen lymph nodes and was in severe pain. Severe pain has subsided but patient still feels like something is pushing on the chest.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: No signs and symptoms
Age: 67.0
Sex: F
Vaccine: ADEN_4_7
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: SWOLLEN RED LEFT ARM , PAINFUL
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 via a home test on 09/01/2022. I started having symptoms of a bad cold on 08/30/2022 that just got worse. I contacted my physician and PAXLOVID. I felt so much better after the second day and I took all the prescription. I did have a dry mouth for a couple of days after starting the PAXLOVID. I also had COVID-19 on 04/02/2022. At that time I also took PAXLOVID.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Feeling hot, Pain
Clinical narrative: 12 hours later, severe shivering, body aches . 18 hours large red patch, heat, pain when moved, body aches. 36 hours minor shivering. 48 hours redness and body aches reduced. 60 hours later, reactions have resolved (yay!)
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after Janssen vaccine
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Intensive care, SARS-CoV-2 test positive
Clinical narrative: Admitted to ER with PCR positive COVID.
Age: 1.83
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 3RD PFIZER VACCINE GIVEN AT 4 WEEKS INSTEAD OF 8 WEEK INTERVAL
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt was given the wrong COVID dosage.  She received 5-11 dosage instead of 6m-5y.  No symptoms or side effects noted at the time.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 3/22/21 Lot# no recorded;  4/12/21 Pfizer lot # not recorded;  Pfizer 10/13/21 Lot# 30145BA;  Pfizer 5/13/22 Lot# FK9893
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Amnesia, Blood test, Computerised tomogram, Disorientation, Electroencephalogram
Clinical narrative: Woke up at 6 am the day after vaccine disoriented. I had no short term memory. I repeated myself multiple times in a loop. I knew my name and my husbands name but no idea time of day, weather, if I worked, etc. husband was extremely concerned so took me to the hospital about 8:30 am.  Dr eventually had me admitted into hospital overnight for observation
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Woke up at 6 am the day after vaccine disoriented. I had no short term memory. I repeated myself multiple times in a loop. I knew my name and my husbands name but no idea time of day, weather, if I worked, etc. husband was extremely concerned so took me to the hospital about 8:30 am.  Dr eventually had me admitted into hospital overnight for observation
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Fatigue, Feeling abnormal, Irritability
Clinical narrative: He started having a runny nose, congestion, fatigue, loss of appetite, irritable, coughing and a low grade fever. They just told me to give him MOTRIN and TYLENOL. He hasn't been feeling good since the night of the vaccination.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: He started having a runny nose, congestion, fatigue, loss of appetite, irritable, coughing and a low grade fever. They just told me to give him MOTRIN and TYLENOL. He hasn't been feeling good since the night of the vaccination.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Injection site bruising
Clinical narrative: bruising at injection site, pain in opposite shoulder
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Heart rate increased, Injection site erythema, Injection site swelling
Clinical narrative: COVID - Bivalent booster received 2 days ago at 1900. Yesterday walked to lunch, sitting for at least 5 minutes around 1240, and noticed his heart was beating fast, felt tired. (But maybe had started earlier and just didn't notice with being busy at school). After lunch had to walk across school and noticed heartbeat was faster and felt more tired. Faster heart rate continued through the school day, calmed some by bedtime. Began monitoring with watch, HR 100-120, variable rate recorded. This morning, similar symptoms, resting all day and HR still 100s. Redness and swelling at injection site. +HA yesterday.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 2/4/21 Lot# 013M20A;  Moderna 3/4/21 Lot# 030A21A;  Moderna 10/20/21 Lot# 076C21A;  Moderna 9/8/22 Lot# AS7143C
Age: 1.5
Sex: M
Vaccine: COVID19, FLU4, HEPA
Symptoms: Product preparation error
Clinical narrative: patient received undiluted dose of pfizer for 6m-4y. No reported adverse reactions as of today
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Moderna 1/3/21 Lot# 011L20A;  Moderna 10/28/21 Lot# 088D21A;  Moderna 4/21/22 Lot#  002M21A
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: I had a flu shot (FLUAD 65+ QUAD PF 2022-23) along with the Moderna booster.  The following morning, I experienced chills, headache, muscle/joint pain, and extreme tiredness.  There was no nausea.  I had a low grade fever (99.3) and treated with Advil.  Today, I am feeling much better.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had a flu shot (FLUAD 65+ QUAD PF 2022-23) along with the Moderna booster.  The following morning, I experienced chills, headache, muscle/joint pain, and extreme tiredness.  There was no nausea.  I had a low grade fever (99.3) and treated with Advil.  Today, I am feeling much better.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient received pfizer bivalent in a dose of 0.5ml instead of 0.3ml.  As of 9/19/22, patient has had no adverse effect.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Rhabdomyolysis
Clinical narrative: Severe Rhabdomyolysis
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Fatigue, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: Swelling on injected arm, swelling in eyes, fatigue, large welt at injection site, pain in injected arm
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/1/21 Lot# ER8733;  Pfizer 4/22/21 Lot# EW0164
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Musculoskeletal stiffness, Somnolence, Tonic convulsion, Unresponsive to stimuli
Clinical narrative: WITHIN 1 MINUTE OF VACCINATION AND INSTRUCTIONS, PT ASKED FOR AN EXTRA ALCOHOL PAD AND THEN STIFFENED WITH HEAD BACK AND WAS NONVERBAL.  PT HAD TONIC SEIZURE LASTING 15-30 SECONDS WITH NO RESPONSIVENESS.  CALLED FOR ASSISTANCE FROM STAFF.  NO INTERRRUPTION IN BREATHING.  UPON, RECOVERY, PT YAWNED AND WAS DROWSY.  REPEATEDLY CALLED PTS NAME.  FIRST RESPONSE RECOVERYING FROM DROWSINESS WAS THAT PT FELT DIZZY.  PUT PTS HEAD DOWN. PT WAS FULLY AND APPROPRIATEDLY RESPONSIVE.  NO PRIOR H/O SZ BUT UPON ASKING AGAIN, PT DID HAVE A H/O SYNCOPE W/ NEEDLES (DENIED THIS PRIOR TO VAX).  WHEN FEELING BETTER, PT WAS WHEELED INTO ANOTHER EXAM ROOM AND LAID ON A TABLE TO RECOVER.  REFUSED PARAMEDICS TO BE CALLED.  STRESSED TO PT THAT HE NEEDED URGENT FOLLOWUP W/ PMD.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer x4; Pfizer 3/15/21 Lot# EN6207;  Pfizer 4/5/21 Lot# EW0150;  Pfizer 8/23/21 Lot# FC3183;  Pfizer 4/13/22 Lot# FK9896
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: On Friday, he had a runny nose. Then, he had a cough, congestion, fever, and vomiting over a 4 days period. He still has a cough and some lingering congestion. He had to miss 2 weekends of sports and a week of school.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: On Friday, he had a runny nose. Then, he had a cough, congestion, fever, and vomiting over a 4 days period. He still has a cough and some lingering congestion. He had to miss 2 weekends of sports and a week of school.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: patient received 0.5ml dose instead of 0.3ml.  As of 9/19/22 patient has not had any adverse effect.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test 6/28/22; pt passed away at home; no medical records on patient; PCP unknown
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Diarrhoea, Diarrhoea haemorrhagic, Gastrointestinal pain, Rectal haemorrhage
Clinical narrative: At 11:30PM on the 14th of September I  started with extreme intestinal cramping followed by explosive diarrhea at 4AM the diarrhea turned bloody and ran out of diarrhea it but the blood  sporadically continued until stopping at 9PM September 15 2022.  At 8AM on the 15th of September 2022 my Primary care physician instructed me to go to the emergency room, I was examined and given fluids, blood work and urine tests were given which resulted in a hospital admission for observation. Colonoscopy recommended.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: At 11:30PM on the 14th of September I  started with extreme intestinal cramping followed by explosive diarrhea at 4AM the diarrhea turned bloody and ran out of diarrhea it but the blood  sporadically continued until stopping at 9PM September 15 2022.  At 8AM on the 15th of September 2022 my Primary care physician instructed me to go to the emergency room, I was examined and given fluids, blood work and urine tests were given which resulted in a hospital admission for observation. Colonoscopy recommended.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Fatigue, Headache
Clinical narrative: Towards Thursday afternoon I started experiencing a sore throat. About 3:00AM on Friday, I had a slight fever and a headache which awakened me. I took a COVID-19 home test and got a faint positive. The fever continued to about 100.0 I developed some fatigue and a yucky cough. I started to feel a little discomfort in my upper chest so I made an appointment and saw the doctor on that Saturday. I had a fever of 101.1, I had taken a 2nd test on Friday and it immediately was positive. I took a total of 3 test and all were positive. I was prescribed PAXLOVID and all my symptoms improved except for the cough. I still have coughs that produces phlegm 2 or 3 times an hour that I did not have prior to this. My fatigue subsided about 7 or 8 days ago.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Productive cough, Pyrexia, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: Towards Thursday afternoon I started experiencing a sore throat. About 3:00AM on Friday, I had a slight fever and a headache which awakened me. I took a COVID-19 home test and got a faint positive. The fever continued to about 100.0 I developed some fatigue and a yucky cough. I started to feel a little discomfort in my upper chest so I made an appointment and saw the doctor on that Saturday. I had a fever of 101.1, I had taken a 2nd test on Friday and it immediately was positive. I took a total of 3 test and all were positive. I was prescribed PAXLOVID and all my symptoms improved except for the cough. I still have coughs that produces phlegm 2 or 3 times an hour that I did not have prior to this. My fatigue subsided about 7 or 8 days ago.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines  Moderna 3/26/21 Lot3 017b21a;  mODERNA 4/23/21 Lot# 043B21A;  Moderna 8/18/22 Lot# 011B22A
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Clonus, Dizziness, Dry skin, Eye movement disorder
Clinical narrative: Following injections, child's arm became clonic and eyes rolled back, put child on the floor with legs elevated, diaphoretic.  Child jumped up and stated does this, passes out. Sat child down on the bench and he became clonic again with arms and stared ahead.  Eased child back down to the floor and the back of the childs head hit the floor.  Resulted in a small elevated area on the posterior head.  Vitals at 9:24AM were blood pressure  left arm 120/40,Pulse 80, Respirations,  child warm to touch, diaphoretic, face pale.  Elevated legs, ice pack on the back of the head and cold compress on forehead.  9:35AM Vitals blood pressure 102/50, Pulse 78, Resp.  24, c/o being  hot then cold.  sat up the child and become lightheaded so layed back down at 9:40AM,  Lips pale.  9:50AM blood pressure 94/30 pulse 72, Respirations 10 States not lightheaded, skin dry to touch and not hot.  States feels better so was sitting and then would lay down in front of a fan.  10:01AM, blood pressure 120/72, Pulse 80, Resp. 12, states feeling better, lips red, skin warm to touch sitting up.  Tried standing up and stated weak and sat back down on the bench.  10:04 AM  blood pressure 120/70, Pulse 82, Resp 12,  While sitting observed involuntary shaking of legs and arms.  Child stated feeling better.  at 10:15AM walked child to vehicle.  Recommended to the adult with child that the child should rest the rest of this day.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Feeling of body temperature change, Head injury, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Following injections, child's arm became clonic and eyes rolled back, put child on the floor with legs elevated, diaphoretic.  Child jumped up and stated does this, passes out. Sat child down on the bench and he became clonic again with arms and stared ahead.  Eased child back down to the floor and the back of the childs head hit the floor.  Resulted in a small elevated area on the posterior head.  Vitals at 9:24AM were blood pressure  left arm 120/40,Pulse 80, Respirations,  child warm to touch, diaphoretic, face pale.  Elevated legs, ice pack on the back of the head and cold compress on forehead.  9:35AM Vitals blood pressure 102/50, Pulse 78, Resp.  24, c/o being  hot then cold.  sat up the child and become lightheaded so layed back down at 9:40AM,  Lips pale.  9:50AM blood pressure 94/30 pulse 72, Respirations 10 States not lightheaded, skin dry to touch and not hot.  States feels better so was sitting and then would lay down in front of a fan.  10:01AM, blood pressure 120/72, Pulse 80, Resp. 12, states feeling better, lips red, skin warm to touch sitting up.  Tried standing up and stated weak and sat back down on the bench.  10:04 AM  blood pressure 120/70, Pulse 82, Resp 12,  While sitting observed involuntary shaking of legs and arms.  Child stated feeling better.  at 10:15AM walked child to vehicle.  Recommended to the adult with child that the child should rest the rest of this day.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Swelling, Tremor
Clinical narrative: Following injections, child's arm became clonic and eyes rolled back, put child on the floor with legs elevated, diaphoretic.  Child jumped up and stated does this, passes out. Sat child down on the bench and he became clonic again with arms and stared ahead.  Eased child back down to the floor and the back of the childs head hit the floor.  Resulted in a small elevated area on the posterior head.  Vitals at 9:24AM were blood pressure  left arm 120/40,Pulse 80, Respirations,  child warm to touch, diaphoretic, face pale.  Elevated legs, ice pack on the back of the head and cold compress on forehead.  9:35AM Vitals blood pressure 102/50, Pulse 78, Resp.  24, c/o being  hot then cold.  sat up the child and become lightheaded so layed back down at 9:40AM,  Lips pale.  9:50AM blood pressure 94/30 pulse 72, Respirations 10 States not lightheaded, skin dry to touch and not hot.  States feels better so was sitting and then would lay down in front of a fan.  10:01AM, blood pressure 120/72, Pulse 80, Resp. 12, states feeling better, lips red, skin warm to touch sitting up.  Tried standing up and stated weak and sat back down on the bench.  10:04 AM  blood pressure 120/70, Pulse 82, Resp 12,  While sitting observed involuntary shaking of legs and arms.  Child stated feeling better.  at 10:15AM walked child to vehicle.  Recommended to the adult with child that the child should rest the rest of this day.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 33.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Headache
Clinical narrative: Patient reported daily headaches since vaccine was given that are relieved by Tylenol and Ibuprofen, but then will come back. Apparently, this happened after her 3rd dose in 11/21 for two or more weeks, but she never reported it. I encouraged her to download Vsafe for reporting purposes/tracking and also submit to VAERS, as she is a healthcare professional as well.
Age: 33.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Headache
Clinical narrative: Recurrent Headache
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: On Thursday, September 16th, 2022, at Healthcare, we administered the new bivalent Modena Booster Vaccines to the following patients (listed below). Our Nurse Practitioner on duty was used to the ?0.25mg per dose' booster vaccines which yields 20 doses per vial. She was aware of a difference between the previous monovalent and the new bivalent but wasn?t aware of a vast difference. The bivalent vaccines appear to give 5 doses per vial (0.5mg per dose) versus the monovalent which yielded 20 doses per vial. Our provider was under the impression that it yielded 10 doses per vial. Since 10 doses per vial were administered each patient received 0.25mg instead of 0.5mg.   Each patient did not receive the recommended amount. The POC at the facility is aware of this. There were no adverse reactions noted and everyone seemed to be in good health status prior to our departure. ?
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Cough, Pyrexia, Rash, Respiratory tract congestion
Clinical narrative: She had a cough, congestion, fever, and a runny nose. She still is having these symptoms at this time. She was not prescribed any medications. She also got a rash on her torso that looked kind of like pimples. She does not have the rash at this time and I'm not sure if it is related.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: She had a cough, congestion, fever, and a runny nose. She still is having these symptoms at this time. She was not prescribed any medications. She also got a rash on her torso that looked kind of like pimples. She does not have the rash at this time and I'm not sure if it is related.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough admission after three vaccines Janssen 4/12/21 Lot# 042A21A;  Pfizer 2/8/22 Lot# FJ6369;  Pfizer 8/2/22 Lot# FP7138
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Rhinorrhoea, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: It was a Monday and I had what I thought was a allergy reaction with runny nose, post nasal drip. and that went on for 2 days and on Wednesday I was worse and I took a home test and was positive and I called my physician on Thursday,  and they scheduled me a telehealth and I was prescribed PAXLOVID and after I started the PAXLOVID I started to feel better by the 30th.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood pressure increased, Blood test normal, Chest X-ray normal, Chest pain
Clinical narrative: On 05/04/2022 I went to bed at around 09:30 and fell asleep. I woke up at around 10:15 with rapid heartbeat and trouble breathing. My husband called an ambulance that took me to a local emergency room. My blood pressure extremely elevated and I was having chest pains. They performed an EKG that revealed that my heart was doing some strange things. They told me I was in A-fib but it corrected itself. I followed up with a cardiologist who basically said that things were ok and I just needed to wait and see if it happened again.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Heart rate increased
Clinical narrative: On 05/04/2022 I went to bed at around 09:30 and fell asleep. I woke up at around 10:15 with rapid heartbeat and trouble breathing. My husband called an ambulance that took me to a local emergency room. My blood pressure extremely elevated and I was having chest pains. They performed an EKG that revealed that my heart was doing some strange things. They told me I was in A-fib but it corrected itself. I followed up with a cardiologist who basically said that things were ok and I just needed to wait and see if it happened again.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient states that her arm was incredibly sore when she woke up the morning after vaccination and that she couldn't lift it. She saw her prescriber later in the week her had her take an oral NSAID to help with pain and inflammation. Provider told her she would refer her to physical therapy if the pain in her arm did not resolve.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Intensive care, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 doses of vaccine tested COVID PCR + 9/18/22 and was admitted to ICU.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Fatigue, Vomiting
Clinical narrative: Exhaustion starting after 2 hours first day , increasing to second day, with simultaneous vomiting and diarrhea second day (30 hrs post vaccine) that lasted 2 hrs
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, VARCEL
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Patient received 3 different vaccines. After 5-10,  minutes waiting , patient complained dizziness and short of breath.  I checked the vital signs BP 112/80 HR 90 Temp 35.7 C, oxygen 100% at room temp. Patient given water and stabilized by nurses. Parent given education about HPV. Patient discharged after stabilized.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropathy, Feeling abnormal, Headache, Myalgia
Clinical narrative: Left shoulder required physical therapy for a few months. Severe headaches. Sore muscles. Brain fog. I still have these today.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Wrong product administered
Clinical narrative: Patient was administered only the adjuvant (diluent) without it being mixed with the shingrix powder. Patient reported a red arm 2 days later.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Eyelid ptosis, Facial asymmetry, Gait disturbance, Grip strength decreased
Clinical narrative: Minor Bells palsy on left (injection side); asymmetrical smile and gait, and left eyelid drooping, and a marked difference in hand grip strength.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Electrocardiogram normal, Full blood count normal, Glycosylated haemoglobin normal, Loss of consciousness
Clinical narrative: After HPV vaccine given patient passed out and had shaking of upper extremities for <5 seconds. He then came to and was coherent and acting like his usual self aside from some shivering.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Metabolic function test normal, Tremor
Clinical narrative: After HPV vaccine given patient passed out and had shaking of upper extremities for <5 seconds. He then came to and was coherent and acting like his usual self aside from some shivering.
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient has not experienced an adverse reaction from the vaccine itself, but was given the wrong bivalent immunization based on age. He was given the Moderna bivalent which is for 18 and older instead of the Pfizer bivalent.
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Fever 103.8 (2 days)  Rash on neck, trunk, upper thighs
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient with 4 doses of COVID vaccine admitted to hospital with PCR + COVID 9/18/22
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Exposure to SARS-CoV-2, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The day after the vaccine, 09/14/2022 started feeling a slight fever and chills. Took a COVID-19 PCR test - Positive. Wife tested positive for COVID-19 the same day I was vaccinated. Prescribed Paxlovid. Haven't been retested yet.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Peripheral swelling
Clinical narrative: Swelling in 10 fingers and 10 toes after injection. Swelling lasted 1 hour.
Age: 12.0
Sex: F
Vaccine: HEPA
Symptoms: No adverse event, Wrong product administered
Clinical narrative: I was going into the patient's room to administer shots to her and her sister. Her sister was getting the Hep A and flu and pt. was just getting the flu. They wanted the older sister to go first, and I grabbed the Hep A vaccine by accident and gave it to the older sister instead of the younger sister. I told the doctor and she went in to speak with them and everything was fine. No adverse reactions.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema
Clinical narrative: Redness to injection site x 5 days.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Erythema, Eye swelling, Nocturia, Sleep disorder
Clinical narrative: I received my third Moderna booster for COVID-19 on 9/13/2022. When I woke up on the morning of 9/14/2022, my eyes were nearly swollen shut. Both of my cheeks were also swollen, and the skin on my face was bright red. I went straight to the emergency room. My vitals were taken, and no anomalies were detected. I was given a dose of steroids, BENADRYL, and PEPCID. We waited for about 2 hours to make sure I didn't have an adverse reaction to the medicines, which I did not. I was then discharged and prescribed a 6-day regimen of methylprednisolone. I was also told that I could take OTC ZYRTEC and BENADRYL as needed. In the beginning, the changes weren't noticeable, but my symptoms gradually improved. My color is now better, and I occasionally have just a little bit of swelling. However, the longer I am up and about during the day, my face reddens a little and becomes slightly swollen. The swelling and redness aren't as severe as they were in the beginning, though. Also, prior to the incident, I hardly ever got up from my sleep to go to the bathroom, but ever since the incident took place, I have been getting up to go to the bathroom 2-3 times every night. When I was at the ER, I asked the doctor who treated me if she thought my symptoms were related to the shot I had just received. She said that she didn't think so, but I haven't experienced any other changes lately, so I don't know what else could have caused it. Although my symptoms have improved, I am anxious to see how I will fare after the medication regimen is completed.