chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Pyrexia
Clinical narrative: Trouble breathing/fever/chest tightness and sharp pains... ended up being admitted into the hospital for 5 days
Age: 38.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Chest discomfort, Dyspnoea, Pyrexia, SARS-CoV-2 test
Clinical narrative: Trouble breathing/fever/chest tightness and sharp pains... ended up being admitted into the hospital for 5 days
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Moderna booster administered 11/16/21, expired 11/7/21.  Mistakenly read expiration date as 11/17/21.  No adverse events or outcome to recipient.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis perforated, Asthma, Condition aggravated, SARS-CoV-2 test negative
Clinical narrative: Received 3rd vaccine on 11/5.  Mild to moderate asthma attack began on 11/11.  Stated 20 mg of prednisone on 11/14.  On 11/17, had ruptured appendix requiring emergency surgery.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint swelling, Joint warmth, Musculoskeletal chest pain
Clinical narrative: Joints swollen and hot, knees, left shoulder shots completely erased effects of steriod shots in knees. Pain in right side under the ribs as of now no treatment.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Anxiety, Balance disorder, Deafness unilateral, Decreased appetite
Clinical narrative: On 02/15, we had a snow event. I was shoveling a path of snow and when I came back in the house, I noticed that my ears were ringing a lot. I noticed that I could not hear out of my right ear. I thought it was just stopped up, but nothing worked to clear it. I went to a walk-in clinic, and they set up an appointment with my PCP. My PCP set up an appointment for me to see an ENT. Doctor performed a hearing test and started me immediately on steroids. Beyond that, I had an MRI on my right ear, which they were unable to find any problems. I did that for several weeks. Right after my hearing loss, within the next week, I had a kidney stone, which I've never experienced in my life. After that I was sick for about 4-5 weeks. I had about 4-5 COVID-19 tests which were negative each time. I had a fever, headache that would not go away and loss of appetite. I could eat, but I didn't feel like eating. I was feeling a lot of anxiety, which I also do not have.  I did start physical therapy for my equilibrium loss.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging head normal, Malaise, Nephrolithiasis, Pyrexia
Clinical narrative: On 02/15, we had a snow event. I was shoveling a path of snow and when I came back in the house, I noticed that my ears were ringing a lot. I noticed that I could not hear out of my right ear. I thought it was just stopped up, but nothing worked to clear it. I went to a walk-in clinic, and they set up an appointment with my PCP. My PCP set up an appointment for me to see an ENT. Doctor performed a hearing test and started me immediately on steroids. Beyond that, I had an MRI on my right ear, which they were unable to find any problems. I did that for several weeks. Right after my hearing loss, within the next week, I had a kidney stone, which I've never experienced in my life. After that I was sick for about 4-5 weeks. I had about 4-5 COVID-19 tests which were negative each time. I had a fever, headache that would not go away and loss of appetite. I could eat, but I didn't feel like eating. I was feeling a lot of anxiety, which I also do not have.  I did start physical therapy for my equilibrium loss.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Tinnitus
Clinical narrative: On 02/15, we had a snow event. I was shoveling a path of snow and when I came back in the house, I noticed that my ears were ringing a lot. I noticed that I could not hear out of my right ear. I thought it was just stopped up, but nothing worked to clear it. I went to a walk-in clinic, and they set up an appointment with my PCP. My PCP set up an appointment for me to see an ENT. Doctor performed a hearing test and started me immediately on steroids. Beyond that, I had an MRI on my right ear, which they were unable to find any problems. I did that for several weeks. Right after my hearing loss, within the next week, I had a kidney stone, which I've never experienced in my life. After that I was sick for about 4-5 weeks. I had about 4-5 COVID-19 tests which were negative each time. I had a fever, headache that would not go away and loss of appetite. I could eat, but I didn't feel like eating. I was feeling a lot of anxiety, which I also do not have.  I did start physical therapy for my equilibrium loss.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Nausea
Clinical narrative: cough, shortness of breath, wheezing, chest pain, nausea
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Wheezing
Clinical narrative: cough, shortness of breath, wheezing, chest pain, nausea
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Family of 4 walk- ins for vaccines. Patient's paperwork was done but the families were not. Patient wanted to go 1st. Pharmacist took patient paperwork into the room but the card was with the families.  Pharmacist thought it was 1st dose and explained the vaccine as if it was first dose. Booster was given. Patient's mother has not reported any adverse side effects  or discomfort.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: At almost exactly 24 hours after injection, itching started in both hands.  Within minutes, itched progressed to arms, back, groin and backs of both legs. The almost immediately, whelps began forming in the same areas and all areas were very red in color.  Took 2 Benedryl capsules and lay down with heating pad.   Symptoms subsided in about 5 hours and were gone the next day.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Nasopharyngitis, Paranasal sinus discomfort, Rhinorrhoea
Clinical narrative: Extreme fatigue, muscle aches, cold symptoms- sneezing/runny nose/ sinus pressure
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: Extreme fatigue, muscle aches, cold symptoms- sneezing/runny nose/ sinus pressure
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Moderna booster administered 11/16/21, expired 11/7/21.  Mistakenly read expiration date as 11/17/21.  No adverse events or outcome to recipient.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Lymph node pain, Lymphadenopathy, Myalgia
Clinical narrative: I had zero known side effects after my first COVID19 vaccination. I had very mild muscle pain and fatigue x1 days, with mild left armpit lymph node swelling and pain on my 2nd COVID-19 vaccination. I had more than mild muscle pain and overall fatigue and flulike symptoms x2 days (currently on my second day after vaccination) with significantly more left armpit lymph node swelling and pain. All sides effects seem to increase each shot.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: **lot number above may be incorrect, the writing was illegible   strong reaction in lymph nodes in armpit, swollen to the size of a golfball
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Client receieved Moderna booster, was monitored for 15 minutes. She then left and drove down the street. She began to feel short of breath and flushed and went to another vaccine site. The pharmacist there, who reported this information to me, administered a benadryl tablet, but the patient was not improving. An administration of Epipen was used and the patient responded. After staying in store and being monitored for approximately 30-45 minutes, patient felt well enough to leave.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Sept 8,2021- I had head congestion and I thought it was allergies, my older dad had the same symptoms. My mom was in hospice and was dealing with that. I was exhausted. My head was hurting. My dad and fever that Sunday and I took him ER and positive with COVID-19. Sept 14, my dad was doing bad and went to doctor and was diagnosed COVID-19. Got the monoclonal infusion on Sept 17,2021. Didn't have a high fever. I still have issues - my legs hurt after the infusion - my joints in my ankles, bones and muscles hurt Friday - Sunday. I felt sick and slept and took ibuprofen and Sunday, my legs were better but some days my legs are crazy painful, was sweating badly - like 2-3 weeks.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pain in extremity, Sinus congestion
Clinical narrative: Sept 8,2021- I had head congestion and I thought it was allergies, my older dad had the same symptoms. My mom was in hospice and was dealing with that. I was exhausted. My head was hurting. My dad and fever that Sunday and I took him ER and positive with COVID-19. Sept 14, my dad was doing bad and went to doctor and was diagnosed COVID-19. Got the monoclonal infusion on Sept 17,2021. Didn't have a high fever. I still have issues - my legs hurt after the infusion - my joints in my ankles, bones and muscles hurt Friday - Sunday. I felt sick and slept and took ibuprofen and Sunday, my legs were better but some days my legs are crazy painful, was sweating badly - like 2-3 weeks.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Electrocardiogram, Fibrin D dimer
Clinical narrative: Chest pain and increased SOB
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, SARS-CoV-2 test positive, Troponin
Clinical narrative: Chest pain and increased SOB
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Tremor
Clinical narrative: light headed , shaky leg and rapid heart rate
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna booster administered 11/16/21, expired 11/7/21.  Mistakenly read expiration date as 11/17/21.  No adverse events or outcome to recipient.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Nurse reconstituted vaccine with bacteriostatic normal saline
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: breakthrough case
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Diarrhoea, Vomiting
Clinical narrative: I had spontaneous uncontrolled vomiting and diarrhea at the same time, which I treated with hydration. This occurred on the same day of the vaccine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Systemic: Just felt unwell and wanted to lay down.  Could not pinpoint any one thing as pt wanted to close his eyes and rest. Dad did report that pt gets anxious when getting shots.-Mild, Additional Details: Patient wanted to lay down & didn't feel well.  Vitals 104/61,pulse 60.  Patient father said that bp/pulse were pretty normal for patient.  He said for 1st dose pt was able to lie on a cot. Father said pt gets anxious with shots.I gave patient a chair to prop his feet up, a wet paper towel for his forehead &for his hand to hold.  Patient was closing his eyes leaned up against his father.  After about 1/2 hour patient felt better & was able to get up to leave
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress
Clinical narrative: Admitted 11/20/21 w/ respiratory distress, up to 5L O2 requiring floor admit.
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Asthenia, Dyspnoea, Headache, Lacrimation increased
Clinical narrative: headache, throat irritation and difficulty breathing, eyes watery, stomach pain and weak.
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Throat irritation
Clinical narrative: headache, throat irritation and difficulty breathing, eyes watery, stomach pain and weak.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna booster administered 11/16/21, expired 11/7/21.  Mistakenly read expiration date as 11/17/21.  No adverse events or outcome to recipient.
Age: 76.0
Sex: F
Vaccine: PNC13
Symptoms: Axillary pain, Breast swelling, Chills, Fatigue, Injection site induration
Clinical narrative: Several hours after the vaccine on 11/18/2021, I had chills, became extremely fatigued, drowsy, and could not stay awake. The left-arm shot site hard and my arm was swollen.  11/19, 2021, chills and fatigue continued.  Pain under my left armpit commenced followed by the lymph nodes swelling to the point of extending down toward my breast. Painful and very tender to touch. Stripes of pain felt deep inside and moved down toward my left breast. Still feeling fatigued. Today is 11/22/2021, the lymph node condition has not abated. The vaccine shot sight is still a hard node and feels not hot, hot, but too warm to be normal.  I cannot wear my bra. I have been advised to treat with warm compresses, take 600mg ibuprophin. If the condition does not change in 24 hours, report to urgent care.
Age: 76.0
Sex: F
Vaccine: PNC13
Symptoms: Lymphadenopathy, Pain, Peripheral swelling, Somnolence, Tenderness
Clinical narrative: Several hours after the vaccine on 11/18/2021, I had chills, became extremely fatigued, drowsy, and could not stay awake. The left-arm shot site hard and my arm was swollen.  11/19, 2021, chills and fatigue continued.  Pain under my left armpit commenced followed by the lymph nodes swelling to the point of extending down toward my breast. Painful and very tender to touch. Stripes of pain felt deep inside and moved down toward my left breast. Still feeling fatigued. Today is 11/22/2021, the lymph node condition has not abated. The vaccine shot sight is still a hard node and feels not hot, hot, but too warm to be normal.  I cannot wear my bra. I have been advised to treat with warm compresses, take 600mg ibuprophin. If the condition does not change in 24 hours, report to urgent care.
Age: 76.0
Sex: F
Vaccine: PNC13
Symptoms: Vaccination site warmth
Clinical narrative: Several hours after the vaccine on 11/18/2021, I had chills, became extremely fatigued, drowsy, and could not stay awake. The left-arm shot site hard and my arm was swollen.  11/19, 2021, chills and fatigue continued.  Pain under my left armpit commenced followed by the lymph nodes swelling to the point of extending down toward my breast. Painful and very tender to touch. Stripes of pain felt deep inside and moved down toward my left breast. Still feeling fatigued. Today is 11/22/2021, the lymph node condition has not abated. The vaccine shot sight is still a hard node and feels not hot, hot, but too warm to be normal.  I cannot wear my bra. I have been advised to treat with warm compresses, take 600mg ibuprophin. If the condition does not change in 24 hours, report to urgent care.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Nasopharyngitis
Clinical narrative: Received dose #1 and #2 at outside facility, unable to access lot #.  Cold symptoms starting on 11/17/21. Exposure to grandson who was COVID positive on 11/15
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Tinnitus - ears feel clogged and ringing
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Admitted 11/22/2021 with breakthrough COVID infection, COVID positive test on 11/14, symptom onset 11/8
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Fatigue, Feeling abnormal, Hypoaesthesia
Clinical narrative: About 5 days after the vaccine I started to feel unwell. I am still experiencing symptoms. I had the following symptoms:  -Brain Fog -Weakness in Arms and Legs -Numbness in Face -Extreme Fatigue   I have been to the walk in clinic and the ER with nothing they can do. I have received blood work and a CT Scan.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Muscular weakness
Clinical narrative: About 5 days after the vaccine I started to feel unwell. I am still experiencing symptoms. I had the following symptoms:  -Brain Fog -Weakness in Arms and Legs -Numbness in Face -Extreme Fatigue   I have been to the walk in clinic and the ER with nothing they can do. I have received blood work and a CT Scan.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Nausea, Palpitations
Clinical narrative: during post vaccination observation period- began feeling faint and weak. Notified clinic personnel and was moved to a private exam room.  Then began nauseated and felt like heart was racing.  VS taken and O2 sat within normal limits. Patient was observed for 30 minutes, no medicines or labs were done
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Moderna booster administered 11/16/21, expired 11/7/21.  Mistakenly read expiration date as 11/17/21.  No adverse events or outcome to recipient.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Erythema, Facial pain, Ocular hyperaemia, Peripheral swelling
Clinical narrative: Redness to arm and face.  Swelling of arm and left side of face.  Started 2 days after vaccine.  Left ear and cheek pain.  Eye redness.  Symptoms improved at 5 days after injection.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Redness to arm and face.  Swelling of arm and left side of face.  Started 2 days after vaccine.  Left ear and cheek pain.  Eye redness.  Symptoms improved at 5 days after injection.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Constant tinnitus
Age: 25.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood test abnormal, Cytomegalovirus test negative
Clinical narrative: With 7-8 days of documented fevers, body aches and fatigue following vaccination
Age: 25.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Epstein-Barr virus test negative, Fatigue, Liver function test decreased, Pain, Pyrexia
Clinical narrative: With 7-8 days of documented fevers, body aches and fatigue following vaccination
Age: 25.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: SARS-CoV-2 test negative, Thrombocytopenia
Clinical narrative: With 7-8 days of documented fevers, body aches and fatigue following vaccination
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site inflammation, Vaccination site rash, Vaccination site urticaria
Clinical narrative: Mild inflammation at injection site. Beginning stages of a rash and mild urticaria approximately 1 inch in radius centered on vaccination site. Given 12.5 mg chewable Benadryl PO. Mother informed to seek medical attention if sign and symptoms worsen or don't alleviate. Vital signs taken and monitored for 15 minute period and WNL for patient. Lung sounds clear bilaterally. Pt monitored and showed no signs of anaphylaxis. Mother took child with her and left clinic after patient monitoring period.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Retinal tear, Vitreous floaters
Clinical narrative: Started to have floaters in my right eye approximately 1 - 2 hours post shot. Eventually went to eye doctors like I had after the first dose in February 2021, and had more retinal tears. This cannot be a coincidence since I have never had these issues prior to the shots.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Electrocardiogram, Heart rate increased, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Immediately after received the vaccine, received experienced rapid heart rate, loss of conscious for 3 seconds, nausea, skin turned gray, confusion. The physician at side drove my car near to the ambulance. Physician, paramedics and medical staff assisted me inside ambulance. Electronic Blood pressure monitor in the ambulance marked BP 186/96 and HR 96. The paramedics performed several electrocardiograms. Paramedics inquired physician at site to complete an adverse event report. Physician states no report will be needed at this time.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Skin discolouration
Clinical narrative: Immediately after received the vaccine, received experienced rapid heart rate, loss of conscious for 3 seconds, nausea, skin turned gray, confusion. The physician at side drove my car near to the ambulance. Physician, paramedics and medical staff assisted me inside ambulance. Electronic Blood pressure monitor in the ambulance marked BP 186/96 and HR 96. The paramedics performed several electrocardiograms. Paramedics inquired physician at site to complete an adverse event report. Physician states no report will be needed at this time.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: REC'D BOOSTER ON 11/18/21, STARTED RUNNING FEVER  OF 101 AT DIALYSIS ON 11/19/21. SENT TO ER, ADMITTED TO HOSPITAL.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Peripheral swelling
Clinical narrative: Swollen lip, hands, arm that was injected
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphemia, Hot flush, Presyncope, Pruritus, Tremor
Clinical narrative: The evening of the vaccination, patient had hot flash, near syncope and body tremors, stuttering. One week later, she developed complete body itching, but no rash present.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: swollen injection site very warm to the touch red itchy  sore
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Paraesthesia
Clinical narrative: Adverse symptoms experienced were severe burning throughout entire body. Felt as though nerve endings were on fire and intensified with even minimal applied pressures. Symptoms did not cease until well into the following day. Sense of touch was impaired for the remainder of that day. Burning sensation has since ceased and normal touch sensations have since returned to normal.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough case
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Autism spectrum disorder, Dehydration, Urine analysis, Urine ketone body present, Vomiting
Clinical narrative: Briefly, patient presents with vomiting that 10 episodes of nonbloody nonbilious per day since receiving his first Pfizer COVID-19 vaccine 48 hours ago. No fevers, diarrhea, apparent headache.     Exam (after Zofran) showed: Gen: Nontoxic appearing, no acute distress, alert and active, playing with phone; HEENT: mucus membranes dry, PERRL, EOMI, normal conjunctiva, neck supple without LAN; Card: RRR, no murmur, good perfusion; Lungs: CTAB, good air entry, no increased WOB; Abd: soft, non-tender, non-distended, no masses; Ext: warm and well perfused, moving all extremities; Skin: no rashes; GU: Testes do not appear to swollen, tender to palpation, and have normal cremasteric reflex bilaterally     Symptoms likely due to post vaccine reaction versus viral illness with component of gastroenteritis. Less likely appendicitis or other concerning intraabdominal pathology given benign abdominal exam. Do not suspect increased ICP given normal neuro exam and lack of apparent HA.  GU exam is reassuring against hernia or torsion as etiology.  Given age, UTI is less likely but discussed with family and obtained urinalysis which was reassuring against UTI, ketones likely due to dehydration.  Covid swab and rapid strep sent, strep negative, COVID pending.  Given Zofran and PO challenged tolerated multiple glasses of water without vomiting. Patient safe for discharge to home with supportive care and PCP follow up, prescribed short course of zofran in case of ongoing vomiting. Family in agreement with plan and verbalize understanding of signs and symptoms to return to care. Final Diagnosis  1. Vomiting R11.10 2. Dehydration E86.0 3. Autism spectrum disorder F84.9
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: A one inch 25 gauge vanish point needle was properly inserted into the left deltoid muscle. Upon pushing the syringe the needle retracted before dispensing the 0.25 mL booster dose of Moderna vaccine. I observed what appeared to be the entire dose spill down the patient left arm. The patient also confirmed he felt the liquid spill down his arm. I immediately informed patient, another Registered Nurse, and my manager of the malfunction. Patient verbalized understanding and was amicable. I informed we would contact him when we had more definitive answers about the situation.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Pain in left arm, redness, warmth and swelling at and below injection site, headache
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Admitted to hospital 11/21/21 with breakthrough COVID infection
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram abnormal, Computerised tomogram head normal, Ear congestion, Hyperacusis, Hypoacusis
Clinical narrative: 2 days following injection:  fullness in ears, decreased hearing (since documented low frequency hearing loss), followed by hyperacusis.  Has been evaluated by:  PCP x 4, ENT x 2.  Since back stateside:  PCP x 3, ENT x 2,  ENT/Neurology/Cochlear specialist x 1.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Magnetic resonance imaging head normal
Clinical narrative: 2 days following injection:  fullness in ears, decreased hearing (since documented low frequency hearing loss), followed by hyperacusis.  Has been evaluated by:  PCP x 4, ENT x 2.  Since back stateside:  PCP x 3, ENT x 2,  ENT/Neurology/Cochlear specialist x 1.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 1hr post vaccine, pt started to experience itchiness all over his body
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Product administered to patient of inappropriate age
Clinical narrative: Mother said she just complained about a painful arm site and that is it.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: mild to moderate headache daily ranging from several hours to all day.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Eye swelling, Mouth swelling, Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: client called about 4 hours after his pfizer shot & complained about his face being all swollen. his wife stated it was red like a rash too.  i advised him to take some benadryl.  he said he had no other symptoms, but that the swelling was not getting better. so i advised that he go to the emergency room so they could check  on this possible allergic reaction.  i appolized that this happened and told him to let us know the outcome
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Sinus congestion, Sneezing
Clinical narrative: cough, sinus congestion, sneezing starting 11/11/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna booster administered 11/16/21, expired 11/7/21.  Mistakenly read expiration date as 11/17/21.  No adverse events or outcome to recipient.
Age: 5.0
Sex: F
Vaccine: FLUN4
Symptoms: Extra dose administered
Clinical narrative: Patient was asked to return to clinic for 2nd dose of influenza vaccine as mom related that this was first influenza vaccine she received. Patient was given #2 dose of flumist, when entering dose/date into immumization computer registry, it was noted that patient had had several other flu vaccines in past, so this 2nd dose was not needed.
Sex: M
Vaccine: UNK
Symptoms: Brief resolved unexplained event, Illness
Clinical narrative: None stated.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Asthenia, Back pain, Influenza like illness, Rhinorrhoea
Clinical narrative: Within 24 hours, typical flu like symptoms appeared.  Low back pain, joint aches, runny nose, lack of energy
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Administered the pedi dose and the student is 12yo. The student did not exhibit any adverse reaction to the vaccine. Parent notified.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Condition aggravated, Cough, Decreased appetite
Clinical narrative: Hospitalized (11.14.21 - 11.19.21);  COVID-19 positive (11.13.21);  Fully Vaccinated  Admission Date: 11/14/2021 Discharge Date: Nov 19, 2021 Brief history and medical decision making:  53-year-old female with shortness of breath admitted for COVID-19 pneumonia She is fully vaccinated Received 5 days of remdesivir She is to complete 10 days of Decadron outpatient Sent home on 3 liters/minute nasal cannula of oxygen. Potassium replaced prior to discharge DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Non-intractable vomiting with nausea, unspecified vomiting type [R11.2] COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: This is a 53 yo woman with a history of hypertension who presented from home with worsening shortness of breath and was found to have bilateral lung infiltrates and was positive for COVID-19. She was treated for COVID-19 pneumonia with improvement and stabilization in oxygen demands. She completed a course of remdesivir and was discharged home to complete 10 days of decadron. Patient received Decadron for DVT prophylaxis. She experienced hypokalemia and replacement was provided. She required 2L of O2 at rest and 2L of O2 with ambulation. She will follow up with her primary care physician next week. She agrees to the medication recommendations and follow up plan. Discharged in stable condition.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Headache, Hypokalaemia, Lung infiltration, Nausea
Clinical narrative: Hospitalized (11.14.21 - 11.19.21);  COVID-19 positive (11.13.21);  Fully Vaccinated  Admission Date: 11/14/2021 Discharge Date: Nov 19, 2021 Brief history and medical decision making:  53-year-old female with shortness of breath admitted for COVID-19 pneumonia She is fully vaccinated Received 5 days of remdesivir She is to complete 10 days of Decadron outpatient Sent home on 3 liters/minute nasal cannula of oxygen. Potassium replaced prior to discharge DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Non-intractable vomiting with nausea, unspecified vomiting type [R11.2] COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: This is a 53 yo woman with a history of hypertension who presented from home with worsening shortness of breath and was found to have bilateral lung infiltrates and was positive for COVID-19. She was treated for COVID-19 pneumonia with improvement and stabilization in oxygen demands. She completed a course of remdesivir and was discharged home to complete 10 days of decadron. Patient received Decadron for DVT prophylaxis. She experienced hypokalemia and replacement was provided. She required 2L of O2 at rest and 2L of O2 with ambulation. She will follow up with her primary care physician next week. She agrees to the medication recommendations and follow up plan. Discharged in stable condition.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Transaminases increased, Vomiting
Clinical narrative: Hospitalized (11.14.21 - 11.19.21);  COVID-19 positive (11.13.21);  Fully Vaccinated  Admission Date: 11/14/2021 Discharge Date: Nov 19, 2021 Brief history and medical decision making:  53-year-old female with shortness of breath admitted for COVID-19 pneumonia She is fully vaccinated Received 5 days of remdesivir She is to complete 10 days of Decadron outpatient Sent home on 3 liters/minute nasal cannula of oxygen. Potassium replaced prior to discharge DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Non-intractable vomiting with nausea, unspecified vomiting type [R11.2] COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: This is a 53 yo woman with a history of hypertension who presented from home with worsening shortness of breath and was found to have bilateral lung infiltrates and was positive for COVID-19. She was treated for COVID-19 pneumonia with improvement and stabilization in oxygen demands. She completed a course of remdesivir and was discharged home to complete 10 days of decadron. Patient received Decadron for DVT prophylaxis. She experienced hypokalemia and replacement was provided. She required 2L of O2 at rest and 2L of O2 with ambulation. She will follow up with her primary care physician next week. She agrees to the medication recommendations and follow up plan. Discharged in stable condition.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Wrong product administered
Clinical narrative: Vaccine administration error, gave child moderna booster instead of pfizer pediatric.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt turned 12 the day before mass vaccination. Wrong dose of Pfizer given for age.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna booster administered 11/16/21, expired 11/7/21.  Mistakenly read expiration date as 11/17/21.  No adverse events or outcome to recipient.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Mental status changes, Rectal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   Pt. arrives via EMS, as per EMS personel pt. was having rectal bleeding today after going to the bathroom. this was witsnessed by her boyfriend, and the blood was trailing from the bathroom to the bedroom. Pt. is also AMS, not answering questions.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Tenderness
Clinical narrative: Pt started to experience erythematous papular eruption that is tender to touch around the lips and chin and diffuse papular eruption with surrounding erythema tender rash on the right lower forearm  Treatment: Continue loratidine, pt does not like to take benadry  Prednisone taper prescribed
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH CASE
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aphasia, Blood glucose increased, Blood pressure increased, Central nervous system lesion
Clinical narrative: Approximately 45 minutes to 1 hour following the Moderna booster administration on 11/16/2021, patient had sudden onset expressive aphasia, which lasted 1 hour in duration before resolving spontaneously.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram head abnormal, Electrocardiogram normal, Full blood count normal, Influenza A virus test negative
Clinical narrative: Approximately 45 minutes to 1 hour following the Moderna booster administration on 11/16/2021, patient had sudden onset expressive aphasia, which lasted 1 hour in duration before resolving spontaneously.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, International normalised ratio normal, Meningioma, Metabolic function test, Respiratory syncytial virus test negative
Clinical narrative: Approximately 45 minutes to 1 hour following the Moderna booster administration on 11/16/2021, patient had sudden onset expressive aphasia, which lasted 1 hour in duration before resolving spontaneously.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Troponin normal, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Approximately 45 minutes to 1 hour following the Moderna booster administration on 11/16/2021, patient had sudden onset expressive aphasia, which lasted 1 hour in duration before resolving spontaneously.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Headache
Clinical narrative: I was officially diagnosed with COVID-19 on November 3rd. I had the following symptoms: Fever 101.3 Cough Fatigue Muscle  Headache Loss of taste and smell Congestion Nausea
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle fatigue, Nausea, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I was officially diagnosed with COVID-19 on November 3rd. I had the following symptoms: Fever 101.3 Cough Fatigue Muscle  Headache Loss of taste and smell Congestion Nausea
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16 year old Patient was give unauthorized Pfizer Booster dose. Patient said he was 18 years old.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna booster administered 11/16/21, expired 11/7/21.  Mistakenly read expiration date as 11/17/21.  No adverse events or outcome to recipient.
Age: 55.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient received a 2nd flu this season by mistake when patient was supposed to receive Tdap and Pneumovax.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Developed hive like rash on inner thigh two days after vaccine, approximately 1-2 weeks later, developed more diffuse urticaria which had persisted for approx 6 weeks at time of evaluation.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Urticaria
Clinical narrative: Developed hive like rash on inner thigh two days after vaccine, approximately 1-2 weeks later, developed more diffuse urticaria which had persisted for approx 6 weeks at time of evaluation.
Age: 1.25
Sex: F
Vaccine: FLUC4, HIBV, PNC13
Symptoms: Blister, Dry skin, Lip blister, Pyrexia, Rash
Clinical narrative: Fever starting with 8 hours of injection. Fever spiking to 100-103 Fahrenheit for three days. Blisters on hands, feet and lips.  Rough, itchy rash on arms, and legs.
Age: 1.25
Sex: F
Vaccine: FLUC4, HIBV, PNC13
Symptoms: Rash pruritic
Clinical narrative: Fever starting with 8 hours of injection. Fever spiking to 100-103 Fahrenheit for three days. Blisters on hands, feet and lips.  Rough, itchy rash on arms, and legs.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Feeling abnormal, Influenza, Muscular weakness
Clinical narrative: Began having side effects roughly 8 hours after shot. Felt like severe flu and lasted for 4-5 days. The majority of side effects went away. However as of this writing it has been 19 days since the vaccine and I still have a cough, shortness of breath, severe brain fog, and weakness in limbs. The weakness in limbs is in my quads, hamstrings, and hands. In addition to feeling weak my legs feel very wobbly.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Nausea, Syncope, Vomiting
Clinical narrative: syncope multiple episodes nausea and vomiting
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Hyperpyrexia, Nausea
Clinical narrative: HIGH FEVER UNCONTROLLED BY IBUPROFEN (SUBSIDED AFTER 12 HOURS), NAUSEA (LASTED 12 HOURS), NO APPETITE (ONGOING),  SEVERE FATIGUE (ONGOING).
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: 2 nose bleeds over the course of two days, following Covid vaccine
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Dysphagia, Dyspnoea, Pallor, Throat tightness
Clinical narrative: Patient complained of not being able to swallow, shortness of breath, and feeling like throat was closing.  He became extremely pale and his lips turned blue.  He was given Epinephrine Injection .3 mg.  His symptoms improved.  He was able to walk and talk after injection and never lost consciousness.  He was transferred by ambulance to ER for further evaluation and monitoring. His twin brother suffered the same symptoms about 5 minutes later- as he had received the shot about 5 min after his brother.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Malaise, SARS-CoV-2 test positive
Clinical narrative: Case received COVID vaccine #1 on 3/2/21 and #2 on 4/1/21. On 11/11/21 she developed COVID symptoms . Her condition worsened until she was hospitalized on 11/17/21 for COVID pneumonia, at which time she tested positive by PCR.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Electromyogram, Magnetic resonance imaging, Neuralgic amyotrophy
Clinical narrative: Parsonage Turner Syndrome
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dizziness
Clinical narrative: Lightheaded starting two weeks after first shot. Second shot was 3/15/2021.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Cardiac monitoring abnormal, Chest pain, Condition aggravated
Clinical narrative: CHIEF COMPLAINT:   C/O of L sided chest pain at 18:00 - has resolved - bilateral ankle edema  increased confusion - admited x1week new dx of Afib - transfusion low vitamin levels  - nauseated decreased oral intake   HISTORY OF PRESENT ILLNESS:     78-year-old woman with past medical history of alcohol abuse, dementia, vitamin deficiency, B12 deficiency, folate deficiency, atrial fibrillation presents with family member for concern for chest pain as well as edema lower extremities. States symptoms are acute. Patient reports chest pain yesterday. Cannot describe quality of chest pain. Cannot describe severity of chest pain. On arrival to ED placed on cardiac monitor and found to be in atrial fibrillation with rapid ventricular rate in the 120s to 130s. No shortness of breath reported. Patient's family member also states that very difficult to move around the house and she is getting more immobile.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Hypophagia, Hypovitaminosis, Mobility decreased, Nausea
Clinical narrative: CHIEF COMPLAINT:   C/O of L sided chest pain at 18:00 - has resolved - bilateral ankle edema  increased confusion - admited x1week new dx of Afib - transfusion low vitamin levels  - nauseated decreased oral intake   HISTORY OF PRESENT ILLNESS:     78-year-old woman with past medical history of alcohol abuse, dementia, vitamin deficiency, B12 deficiency, folate deficiency, atrial fibrillation presents with family member for concern for chest pain as well as edema lower extremities. States symptoms are acute. Patient reports chest pain yesterday. Cannot describe quality of chest pain. Cannot describe severity of chest pain. On arrival to ED placed on cardiac monitor and found to be in atrial fibrillation with rapid ventricular rate in the 120s to 130s. No shortness of breath reported. Patient's family member also states that very difficult to move around the house and she is getting more immobile.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oedema peripheral, SARS-CoV-2 test positive, Transfusion
Clinical narrative: CHIEF COMPLAINT:   C/O of L sided chest pain at 18:00 - has resolved - bilateral ankle edema  increased confusion - admited x1week new dx of Afib - transfusion low vitamin levels  - nauseated decreased oral intake   HISTORY OF PRESENT ILLNESS:     78-year-old woman with past medical history of alcohol abuse, dementia, vitamin deficiency, B12 deficiency, folate deficiency, atrial fibrillation presents with family member for concern for chest pain as well as edema lower extremities. States symptoms are acute. Patient reports chest pain yesterday. Cannot describe quality of chest pain. Cannot describe severity of chest pain. On arrival to ED placed on cardiac monitor and found to be in atrial fibrillation with rapid ventricular rate in the 120s to 130s. No shortness of breath reported. Patient's family member also states that very difficult to move around the house and she is getting more immobile.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Dysstasia, Fall, General physical health deterioration
Clinical narrative: CHIEF COMPLAINT:   C/O of L sided chest pain at 18:00 - has resolved - bilateral ankle edema  increased confusion - admited x1week new dx of Afib - transfusion low vitamin levels  - nauseated decreased oral intake   HISTORY OF PRESENT ILLNESS:     78-year-old woman with past medical history of alcohol abuse, dementia, vitamin deficiency, B12 deficiency, folate deficiency, atrial fibrillation presents with family member for concern for chest pain as well as edema lower extremities. States symptoms are acute. Patient reports chest pain yesterday. Cannot describe quality of chest pain. Cannot describe severity of chest pain. On arrival to ED placed on cardiac monitor and found to be in atrial fibrillation with rapid ventricular rate in the 120s to 130s. No shortness of breath reported. Patient's family member also states that very difficult to move around the house and she is getting more immobile.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   C/O of L sided chest pain at 18:00 - has resolved - bilateral ankle edema  increased confusion - admited x1week new dx of Afib - transfusion low vitamin levels  - nauseated decreased oral intake   HISTORY OF PRESENT ILLNESS:     78-year-old woman with past medical history of alcohol abuse, dementia, vitamin deficiency, B12 deficiency, folate deficiency, atrial fibrillation presents with family member for concern for chest pain as well as edema lower extremities. States symptoms are acute. Patient reports chest pain yesterday. Cannot describe quality of chest pain. Cannot describe severity of chest pain. On arrival to ED placed on cardiac monitor and found to be in atrial fibrillation with rapid ventricular rate in the 120s to 130s. No shortness of breath reported. Patient's family member also states that very difficult to move around the house and she is getting more immobile.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.