chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Heart rate increased, Impaired work ability, Mental impairment
Clinical narrative: Fever, chills, shaking, dizziness, heart palpitations, fast heart rate, extreme weakness, inability to taste or smell, allover muscular pain. Fell asleep in the late afternoon.  Woke up around 10 PM unable to move or function, wanted to call 911 but couldn't find phone, fever, shaking chills, dizziness, extreme weakness, could not sit up or get out of bed, severe headache.  Around 2 AM was able to call off work by email and answer a question by email.  Woke up Wednesday with muscle pain but fever, shaking chills and dizziness had subsided. Still feeling somewhat weak. Did not work Wednesday due to extreme tiredness and thursday due to come and go awful headaches.  May not work Friday.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Myalgia, Palpitations, Pyrexia, Tremor
Clinical narrative: Fever, chills, shaking, dizziness, heart palpitations, fast heart rate, extreme weakness, inability to taste or smell, allover muscular pain. Fell asleep in the late afternoon.  Woke up around 10 PM unable to move or function, wanted to call 911 but couldn't find phone, fever, shaking chills, dizziness, extreme weakness, could not sit up or get out of bed, severe headache.  Around 2 AM was able to call off work by email and answer a question by email.  Woke up Wednesday with muscle pain but fever, shaking chills and dizziness had subsided. Still feeling somewhat weak. Did not work Wednesday due to extreme tiredness and thursday due to come and go awful headaches.  May not work Friday.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given one day after refridgerated beyond use date
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site erythema, Injection site urticaria, Injection site warmth, Muscular weakness
Clinical narrative: EVENT* A week after my shot I noticed a hive 4-5 inches in (diameter measurements). It was very red and warm to touch and it was located where my injection was given. It was a very uncomfortable feeling especially at night if I accidently rolled over on the arm in question. It lasted for 24 hours and left then came back exactly seven days later. This happened for a three week time period. My arm was very weak and sore most of the time. Medications- Motrin* I took 600milgrams in a 24 hour period and I was still in pain.  Dates* The dates in February are as followed 13, 21 and 28
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sleep disorder
Clinical narrative: EVENT* A week after my shot I noticed a hive 4-5 inches in (diameter measurements). It was very red and warm to touch and it was located where my injection was given. It was a very uncomfortable feeling especially at night if I accidently rolled over on the arm in question. It lasted for 24 hours and left then came back exactly seven days later. This happened for a three week time period. My arm was very weak and sore most of the time. Medications- Motrin* I took 600milgrams in a 24 hour period and I was still in pain.  Dates* The dates in February are as followed 13, 21 and 28
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered 5-11 dose to child that was 12 years of age.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Ear infection, Oligomenorrhoea
Clinical narrative: Prolonged menstrual cycle lasting longer than seven days. Prolonged ear infection lasting six months or more.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Inflammation, Lymphadenopathy, Myalgia
Clinical narrative: Headache, fatigue, muscle aches, left neck, collar bone, axilla inflammation with lymphadenopathy
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Flushing
Clinical narrative: Patient stated she could not breathe and was red and flushed in arms and face within 1 to 2 minutes after administration. I administered one 0.3mg epinephrine injection at 3:00pm.  Patient stated she was feeling better and the redness subsided within a few minutes.  EMS was called and arrived about 18-20 minutes after epipen.  The patient's vitals were within normal limits and patient was feeling better.   EMS consulted patient's mom.  Patient's mom elected to take patient home (about 40 minutes after incident) and observe for any additional reactions.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Headache, Pyrexia
Clinical narrative: I contracted Covid-19. Some of my symptoms included a headache, fever, congestion, and a loss of taste & smell.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I contracted Covid-19. Some of my symptoms included a headache, fever, congestion, and a loss of taste & smell.
Age: 34.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Pain in extremity
Clinical narrative: Pt was administered Prevnar 20 simultaneously  with  Moderna Covid 19 vaccine.  The patient has only reported sore arm.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: Patient is 13 yr old child who received a Moderna booster dose on 01/11/2022.  Mother reported that kiddo had a fever ?between 100 and 101 for a few days and was fatigued for about a week?.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Hyperhidrosis, Injection site mass
Clinical narrative: 1 hour after the 2nd dose, my arm started getting a red raised rash on my whole arm down to back of hand. I had golf ball size lump at injection site and lymph node in armpit was apple size swollen. That started happening 1 hour after vaccine and then maybe 6 hours later I started running a fever up to 104 so I kept taking Tylenol every 4 hours and I remained at 103.8. Other than that, the rash and swelling stayed for 5 days and I just had fever and the symptoms of fever like chills, sweats, and exhaustion. I called my Doctor multiple times and she kept saying it was normal and I spoke with the RN in the same office recently and she said that it wasn't normal. I did call doctor again and she assured me everything was fine so I did not go to urgent care. Covid symptoms started 01/06/2022. I had symptoms starting on the 5th and positive test on the 6th. I had extreme sore throat and exhaustion like I've never felt before and by the 7th I was just maintaining the symptoms but the brain fog started to set in and I had to really think about simple tasks. I maintained sore throat, exhaustion, and brain fog for 4 days, then on the 5th day my airway swelled up and so I went to urgent care because I couldn't breathe or swallow and urgent care prescribed me steroid and that helped. I didn't feel well until a week ago. Fever was minimal at 99.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Pyrexia, Rash, Rash erythematous
Clinical narrative: 1 hour after the 2nd dose, my arm started getting a red raised rash on my whole arm down to back of hand. I had golf ball size lump at injection site and lymph node in armpit was apple size swollen. That started happening 1 hour after vaccine and then maybe 6 hours later I started running a fever up to 104 so I kept taking Tylenol every 4 hours and I remained at 103.8. Other than that, the rash and swelling stayed for 5 days and I just had fever and the symptoms of fever like chills, sweats, and exhaustion. I called my Doctor multiple times and she kept saying it was normal and I spoke with the RN in the same office recently and she said that it wasn't normal. I did call doctor again and she assured me everything was fine so I did not go to urgent care. Covid symptoms started 01/06/2022. I had symptoms starting on the 5th and positive test on the 6th. I had extreme sore throat and exhaustion like I've never felt before and by the 7th I was just maintaining the symptoms but the brain fog started to set in and I had to really think about simple tasks. I maintained sore throat, exhaustion, and brain fog for 4 days, then on the 5th day my airway swelled up and so I went to urgent care because I couldn't breathe or swallow and urgent care prescribed me steroid and that helped. I didn't feel well until a week ago. Fever was minimal at 99.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, SARS-CoV-2 test positive, Swelling
Clinical narrative: 1 hour after the 2nd dose, my arm started getting a red raised rash on my whole arm down to back of hand. I had golf ball size lump at injection site and lymph node in armpit was apple size swollen. That started happening 1 hour after vaccine and then maybe 6 hours later I started running a fever up to 104 so I kept taking Tylenol every 4 hours and I remained at 103.8. Other than that, the rash and swelling stayed for 5 days and I just had fever and the symptoms of fever like chills, sweats, and exhaustion. I called my Doctor multiple times and she kept saying it was normal and I spoke with the RN in the same office recently and she said that it wasn't normal. I did call doctor again and she assured me everything was fine so I did not go to urgent care. Covid symptoms started 01/06/2022. I had symptoms starting on the 5th and positive test on the 6th. I had extreme sore throat and exhaustion like I've never felt before and by the 7th I was just maintaining the symptoms but the brain fog started to set in and I had to really think about simple tasks. I maintained sore throat, exhaustion, and brain fog for 4 days, then on the 5th day my airway swelled up and so I went to urgent care because I couldn't breathe or swallow and urgent care prescribed me steroid and that helped. I didn't feel well until a week ago. Fever was minimal at 99.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: I forgot to dilute the vial for Pfizer-BioNTech covid 19 (5-11yrs) old before administering it to a 9 yrs old girl and my co-worker pharmacist found out before she gives the second dose and told me about it. So I am reporting to VAERS right after I gave the vaccine.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Ultrasound scan, X-ray
Clinical narrative: Severe ache/pain in arm from shoulder to wrist. Severity is mild through severe throughout the day and night. After 4 weeks it has not dissipated.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: i develop numb and twinkling  of my torso, and i lost sensation on my hand. shooting pain around my neck and chest. and fatigue.it starts and progress over the time.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Pain, Sensory loss
Clinical narrative: i develop numb and twinkling  of my torso, and i lost sensation on my hand. shooting pain around my neck and chest. and fatigue.it starts and progress over the time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Severe arm pain that has lasted over 6 weeks
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: Seizures.  New medication added - Tegretol - which was not tolerated.   Seizures increased after the second dose of Pfizer Covid vaccine to almost every night.   The seizures stopped about a month after the second vaccine.   Continued on the same original dose of Keppra  with no further seizures since then.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Arthralgia, Dyspnoea, Haemoptysis
Clinical narrative: Shortness of breath, lack of taste and smell, coughing up blood and headaches. Having muscle and joint pains.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: Shortness of breath, lack of taste and smell, coughing up blood and headaches. Having muscle and joint pains.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Spontaneous Uticaria 11 days after Moderna booster shot. Has continued for the past 2 months. Claritin provides some relief.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given one day after refridgeration use  date
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Nausea, Parosmia, Vomiting projectile
Clinical narrative: Nausea and complaints of stomach aching. Complaints of "bad smell". After about an hour following onset of stomach ache and smells, heavy projectile vomiting.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Skin abrasion
Clinical narrative: Non-verbal autistic child improperly restrained by parent was able to free one arm and grab at syringe resulting in a superficial 2" long abrasion to the skin. Pharmacist cleansed area, applied triple antibiotic ointment and bandaged due to very minor bleeding
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Vaccine was given to pt as patient has 2 vaccine cards. No adverse reactions were noted during the 15 min observation. Pt was also called to inform of incident @ 3:58PM. Pt stated he was stable.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Chills, Dizziness, Dyspnoea, Nausea
Clinical narrative: Adverse reaction to Moderna covid booster with dyspnea, rigors, nausea and dizziness today. Had simliar symptoms with previous 2 covid vaccine doses. Prior 2 doses Pfizer vaccine. Known anaphylacitc reactions in the past to unclear triggers (gluten, mint, hibiscus, skin products). Notes allergist believes she may react to preservatives in food. Lungs clear to auscultation, good air entry on exam. - Observed in clinic until symptoms resolved; patient declined to be transported to ED - Vitals stable throughout reaction, oxygen saturation >95%, normotensive, intermittently tachycardic while in pain though recovers quickly - Completed albuterol nebulizer treatment with improvement - Declined epipen or prednisone; preferred to take own benadryl she brought with her - Encourage hydration given rigors and muscle pain - Discussed warning signs, when to present to ED, patient voiced understanding - Caution with further covid vaccines, has not had reaction to 3 of 3 doses, 2 different brands - Encourage follow up with allergist to narrow down potential allergens
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tachycardia
Clinical narrative: Adverse reaction to Moderna covid booster with dyspnea, rigors, nausea and dizziness today. Had simliar symptoms with previous 2 covid vaccine doses. Prior 2 doses Pfizer vaccine. Known anaphylacitc reactions in the past to unclear triggers (gluten, mint, hibiscus, skin products). Notes allergist believes she may react to preservatives in food. Lungs clear to auscultation, good air entry on exam. - Observed in clinic until symptoms resolved; patient declined to be transported to ED - Vitals stable throughout reaction, oxygen saturation >95%, normotensive, intermittently tachycardic while in pain though recovers quickly - Completed albuterol nebulizer treatment with improvement - Declined epipen or prednisone; preferred to take own benadryl she brought with her - Encourage hydration given rigors and muscle pain - Discussed warning signs, when to present to ED, patient voiced understanding - Caution with further covid vaccines, has not had reaction to 3 of 3 doses, 2 different brands - Encourage follow up with allergist to narrow down potential allergens
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Two months after the second shot i had debilitating joint pain in both shoulders   also felt like radiated down my arms   also many other joints affected     at the end of two months almost to the day the pain and limited mobility seemed  to subside.  don't want to go thru that again
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Dyskinesia, Electrocardiogram, Electroencephalogram, Feeling abnormal
Clinical narrative: About a week after receiving the booster i began having a strange feeling in my arm.  I began having involuntary jerking movements and numbness in my left arm that soon progressed to a grand mal seizure. I am currently on keppra and i am still having a numb feeling/jittery ness in my arm.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling jittery, Generalised tonic-clonic seizure, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: About a week after receiving the booster i began having a strange feeling in my arm.  I began having involuntary jerking movements and numbness in my left arm that soon progressed to a grand mal seizure. I am currently on keppra and i am still having a numb feeling/jittery ness in my arm.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head, Disorganised speech, Transient ischaemic attack
Clinical narrative: Patient presented with word salad--concern for stroke--symptoms resolved about 45 mins after onset. will be admitted for TIA
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 26 hours after shot, patient had a high fever it is was 101.2 whe first checked and it lasted 11 days and ranged from 99.1 to 101.2
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: administered one day passed of refregerator use by dates
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Pyrexia
Clinical narrative: Client presented  to receive Pfizer booster. Client informed RN that when she received Moderna vaccine dose 1 on 3/25/21 and dose 4/22/21. Client experienced a 102 fever with cold sores around her mouth and in the back of her ears,  the same night of vaccination. The cold sores lasted for about a week and the fever lasted 3 days. Cold sores were not itchy. She took Tylenol and antiviral meds. Client went to the Dr was told it was a normal vaccine reaction. Client has no history of allergies and no medical conditions. A medical consult was submitted by  RN to Clinical Project Coordinator Client received approval to receive Pfizer COVID vaccine Booster. Client received Pfizer Booster lot#FK9896. Client reported no symptoms during her 15min-observation period.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood test, Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: Sore arm, spotting, irregular period and then after seven days extremely heavy  period. Leading to bad case of menorrhagia  bleeding for another week and a half. Caused me to be anemic. So now taking iron, colace, and possibly progesterone if it comes back.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm, spotting, irregular period and then after seven days extremely heavy  period. Leading to bad case of menorrhagia  bleeding for another week and a half. Caused me to be anemic. So now taking iron, colace, and possibly progesterone if it comes back.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Headache
Clinical narrative: My side effects after taking the 3rd dose included achiness, chills, and a sore arm. I also contracted Covid-19. My symptoms included a high fever, chills, headache, cough, congestion, and a lack of energy.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: My side effects after taking the 3rd dose included achiness, chills, and a sore arm. I also contracted Covid-19. My symptoms included a high fever, chills, headache, cough, congestion, and a lack of energy.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna Vaccine given one day past refrigertion use by date
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Peripheral swelling
Clinical narrative: swelling in legs, dizziness, brain fog, fatigue
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired driving ability, Impaired work ability, Nausea
Clinical narrative: After 24 hours post vaccination I had severe headaches, nausea, and vomiting that wouldn't allow me to drive and so I had to take a next day off work. Monday, day 2 post vaccine, my headache and nausea continued to be an annoyance and I suffered from a lot of fatigue that caused me to go to bed almost immediately after work for the remainder of the week. I tried to sleep in during the weekend however when speaking with healthcare professionals they had no answers for my symptoms. I am now starting to feel a lot better, and my nausea has gone away however my headache comes and goes.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: After 24 hours post vaccination I had severe headaches, nausea, and vomiting that wouldn't allow me to drive and so I had to take a next day off work. Monday, day 2 post vaccine, my headache and nausea continued to be an annoyance and I suffered from a lot of fatigue that caused me to go to bed almost immediately after work for the remainder of the week. I tried to sleep in during the weekend however when speaking with healthcare professionals they had no answers for my symptoms. I am now starting to feel a lot better, and my nausea has gone away however my headache comes and goes.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna Vaccine given one day after refrigeration date
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient had no reaction at the time of the vaccine or after.  patient came in to receive his 3rd dose, he is redoing the Pfizer series after having stem transplant  his 2nd Pfizer was 21 days ago, it should have been 28 days ago.  patient received 3rd dose 7 days early.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Herpes zoster, Nodule, Peripheral swelling
Clinical narrative: My arm was swollen I had a knot in my arm the size of an apple. About 10 days after my vaccination my skin started to itch. When I woke up I scratched my back and I saw this stuff on my finger. My skin was itching the day before. I thought I was bit by something. I grabbed a mirror and saw blisters on my skin. The spots and redness kept spreading. It covered the right side of my body. The itching was from my back to my stomach. My husband states that it was getting out of control and he took me to urgent care.  When I got to urgent care the doctor stated that I had shingles.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: My arm was swollen I had a knot in my arm the size of an apple. About 10 days after my vaccination my skin started to itch. When I woke up I scratched my back and I saw this stuff on my finger. My skin was itching the day before. I thought I was bit by something. I grabbed a mirror and saw blisters on my skin. The spots and redness kept spreading. It covered the right side of my body. The itching was from my back to my stomach. My husband states that it was getting out of control and he took me to urgent care.  When I got to urgent care the doctor stated that I had shingles.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anxiety, Constipation, Dizziness, Feeling cold
Clinical narrative: Client received her Janssen COVID booster vaccine (lot # 1855194, exp. 4.9.22) on 11.09.21 at 1645. At 1648, client reported that she was feeling dizzy, a little sleepy, had a ringing in the ear with her skin pale and diaphoretic, and was transferred to the anti-gravity chair in semi-fowler position at the vaccination room by vaccinator RN & PHN with A & O x 4. Second PHN came to assist with client. Client denied SOB or any signs and symptoms of anaphylaxis. Client told she didn?t eat since 0800 and had only a snack. At 1650, RN took client?s vitals: BP 86/56, P 50, O2 Sat. 99 %. At 1700, RN took client?s vitals: BP 105/69, P 87, O2 Sat. 99 %, R 15. Client denied any reactions to her first Janssen COVID dose except feeling a little sleepy with after received the vaccine. At 1700, she told she has headache, feeling a little sleepy, has no ringing in the ear, has no dizziness, has no SOB, has no redness, has no swelling on any parts of her body. Client drank water and juice provided without any issues. At 1705, client was transferred to a wheelchair to EMT station due to still feeling a little dizzy again. PHNs and RN continue to assist with client at the EMT station. At 1717, EMT took client?s vitals: BP 116/86, P 88, O2 Sat. 98 %. At 1717, client reported she has a lower stomach cramping with a pain level of a 7 due to client was not able to have a bowel movement. At 1720, client reported nauseous with A & O x 4 and that she has a history of constipation. At 1725, EMT took client?s vitals: BP 98/64, P 84, O2 Sat. 99 %, and client stated ?feeling nervous and anxious? with still having dizziness and lower stomach cramping and feeling cold. RN elevated her feet and client stated she had gas. At 1731, client reported all her symptoms are improving. At 1733, she sat up in the anti-gravity chair and EMT took her vitals: BP 98/76, P 83, O2 Sat. 99 %, T 97.4 F and denied any symptoms. PHN educated client on S/S of anaphylaxis and when to call EMS. Client verbalized understanding. At 1735, client got up from the anti-gravity chair unassisted and left the HCF vaccination site with her parents driving her home.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Flatulence, Headache, Hyperhidrosis, Nausea, Nervousness
Clinical narrative: Client received her Janssen COVID booster vaccine (lot # 1855194, exp. 4.9.22) on 11.09.21 at 1645. At 1648, client reported that she was feeling dizzy, a little sleepy, had a ringing in the ear with her skin pale and diaphoretic, and was transferred to the anti-gravity chair in semi-fowler position at the vaccination room by vaccinator RN & PHN with A & O x 4. Second PHN came to assist with client. Client denied SOB or any signs and symptoms of anaphylaxis. Client told she didn?t eat since 0800 and had only a snack. At 1650, RN took client?s vitals: BP 86/56, P 50, O2 Sat. 99 %. At 1700, RN took client?s vitals: BP 105/69, P 87, O2 Sat. 99 %, R 15. Client denied any reactions to her first Janssen COVID dose except feeling a little sleepy with after received the vaccine. At 1700, she told she has headache, feeling a little sleepy, has no ringing in the ear, has no dizziness, has no SOB, has no redness, has no swelling on any parts of her body. Client drank water and juice provided without any issues. At 1705, client was transferred to a wheelchair to EMT station due to still feeling a little dizzy again. PHNs and RN continue to assist with client at the EMT station. At 1717, EMT took client?s vitals: BP 116/86, P 88, O2 Sat. 98 %. At 1717, client reported she has a lower stomach cramping with a pain level of a 7 due to client was not able to have a bowel movement. At 1720, client reported nauseous with A & O x 4 and that she has a history of constipation. At 1725, EMT took client?s vitals: BP 98/64, P 84, O2 Sat. 99 %, and client stated ?feeling nervous and anxious? with still having dizziness and lower stomach cramping and feeling cold. RN elevated her feet and client stated she had gas. At 1731, client reported all her symptoms are improving. At 1733, she sat up in the anti-gravity chair and EMT took her vitals: BP 98/76, P 83, O2 Sat. 99 %, T 97.4 F and denied any symptoms. PHN educated client on S/S of anaphylaxis and when to call EMS. Client verbalized understanding. At 1735, client got up from the anti-gravity chair unassisted and left the HCF vaccination site with her parents driving her home.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Somnolence, Tinnitus
Clinical narrative: Client received her Janssen COVID booster vaccine (lot # 1855194, exp. 4.9.22) on 11.09.21 at 1645. At 1648, client reported that she was feeling dizzy, a little sleepy, had a ringing in the ear with her skin pale and diaphoretic, and was transferred to the anti-gravity chair in semi-fowler position at the vaccination room by vaccinator RN & PHN with A & O x 4. Second PHN came to assist with client. Client denied SOB or any signs and symptoms of anaphylaxis. Client told she didn?t eat since 0800 and had only a snack. At 1650, RN took client?s vitals: BP 86/56, P 50, O2 Sat. 99 %. At 1700, RN took client?s vitals: BP 105/69, P 87, O2 Sat. 99 %, R 15. Client denied any reactions to her first Janssen COVID dose except feeling a little sleepy with after received the vaccine. At 1700, she told she has headache, feeling a little sleepy, has no ringing in the ear, has no dizziness, has no SOB, has no redness, has no swelling on any parts of her body. Client drank water and juice provided without any issues. At 1705, client was transferred to a wheelchair to EMT station due to still feeling a little dizzy again. PHNs and RN continue to assist with client at the EMT station. At 1717, EMT took client?s vitals: BP 116/86, P 88, O2 Sat. 98 %. At 1717, client reported she has a lower stomach cramping with a pain level of a 7 due to client was not able to have a bowel movement. At 1720, client reported nauseous with A & O x 4 and that she has a history of constipation. At 1725, EMT took client?s vitals: BP 98/64, P 84, O2 Sat. 99 %, and client stated ?feeling nervous and anxious? with still having dizziness and lower stomach cramping and feeling cold. RN elevated her feet and client stated she had gas. At 1731, client reported all her symptoms are improving. At 1733, she sat up in the anti-gravity chair and EMT took her vitals: BP 98/76, P 83, O2 Sat. 99 %, T 97.4 F and denied any symptoms. PHN educated client on S/S of anaphylaxis and when to call EMS. Client verbalized understanding. At 1735, client got up from the anti-gravity chair unassisted and left the HCF vaccination site with her parents driving her home.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Immunology test, Laboratory test, Urinary tract infection, Urine analysis
Clinical narrative: I received the booster shot in October and two months later I got a really bad UTI, PSC levels went up. I went to the emergency room and they gave me medication and I am currently taking the medication.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No Adverse Event. Patient is 10 yo autistic male. At time of IM injection patient pulled away from injection nurse while nurse still plunging and an unmeasurable amount was not injected into patient's arm. Both mother and father were witness and stated, "it's OK, at least he got some in there." Mother was understanding due to child's condition and stated, "it'll be alright, we'll be alright." Patient was calm post injection. No adverse reactions during 15 minute observation period. No treatment necessary. Dose 2 scheduled for 21 days per pharmaceutical/CDC guideline for Pfizer. Nurse Leader made aware.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given one day after refrigeration date
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: administered one day pased refregerator use by date moderna vaccine
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacturer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given outside refrigeration date
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Carditis, Chest discomfort, Chest pain, Dyspnoea, Palpitations
Clinical narrative: Carditis, unusual palpitations, thumping heart beat, chest pain, chest tightness, chest pressure, shortness of breath, swelling of left chest. All onset approx 24-48hrs after vaccination.  Treated with rest, and Ibuprofen. Symptoms diminished after 4 days of treatment, but re-emerged a week later after exercise recommensed. Additional treatment involved rest for 4 weeks, and Ibuprofen at higher dose for 2 weeks (2,000mg per day, divided into 3 doses)  until no longer tolerable due to severe GI discomfort. Symptoms mostly gone after the 4th week of rest. Only occasional unusual palpitation / heart thumping remaining thereafter (& now at time of reporting).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Carditis, unusual palpitations, thumping heart beat, chest pain, chest tightness, chest pressure, shortness of breath, swelling of left chest. All onset approx 24-48hrs after vaccination.  Treated with rest, and Ibuprofen. Symptoms diminished after 4 days of treatment, but re-emerged a week later after exercise recommensed. Additional treatment involved rest for 4 weeks, and Ibuprofen at higher dose for 2 weeks (2,000mg per day, divided into 3 doses)  until no longer tolerable due to severe GI discomfort. Symptoms mostly gone after the 4th week of rest. Only occasional unusual palpitation / heart thumping remaining thereafter (& now at time of reporting).
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Hyperthyroidism, Insomnia, Irritability, Myositis
Clinical narrative: One month later developed bilateral muscle inflammation and pain in legs, this resolved several weeks later. No labs done. Developed insomnia and irritability in following month, three months later (november) diagnosed with hyperthyroidism with tachycardia. Now this  month confirmed diagnosis of new onset Graves Disease  Thyroid stimulating IG level 3.38.  Had prior history of thyrotoxicosis 10 years prior after a viral illness. Spontaneously resolved after 9 months.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tachycardia, Thyroid stimulating immunoglobulin
Clinical narrative: One month later developed bilateral muscle inflammation and pain in legs, this resolved several weeks later. No labs done. Developed insomnia and irritability in following month, three months later (november) diagnosed with hyperthyroidism with tachycardia. Now this  month confirmed diagnosis of new onset Graves Disease  Thyroid stimulating IG level 3.38.  Had prior history of thyrotoxicosis 10 years prior after a viral illness. Spontaneously resolved after 9 months.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pain, Injection site erythema, Injection site swelling, Pain
Clinical narrative: High fever (104) resistant to medications, erythema and swelling at injection site, chills, body aches, nausea and vomiting, tachycardia, left ear pain radiating to the back of head
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia, Vomiting
Clinical narrative: High fever (104) resistant to medications, erythema and swelling at injection site, chills, body aches, nausea and vomiting, tachycardia, left ear pain radiating to the back of head
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given outside use by refrigeration date
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Client presented to Company Mobile event to receive Pfizer Booster. Client states that after Dose 1 and Dose 2 of Pfizer client developed painful fluid filled neck welts. Client didn't seek emergency care but went to her dermatologist. Client states Dr doesn't believe it was related to vaccine, but client states it's never happened before. Client states the welts come and go and feels a mass. A medical consult was submitted by RN to Clinical Project Coordinator. Client received approval to receive Pfizer Booster COVID vaccine by MD. Client received Moderna Booster Lot#FK9895. RN gave client Emergency precautions for recurring symptoms. Client verbalized understanding. Client refused to stay for observation time. Client left vaccination site in a steady gait.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Dysstasia, Heart rate irregular, Pelvic pain, Spinal pain
Clinical narrative: I awoke with extreme bone pain pain in the marrow of the bones all long bones entire pelvis and spine?.. My heart rate would go up and down the bone pain was unbearable I was actually screaming for a couple of hours until my husband got a hold of my pulmonologist who had me take prednisone 40 mg I have been a registered nurse for 46 years and extremely aware of my body and of the human body After my second Pfizer shot which was on 4/22/2021 I had bone pain and have continued to have bone pain in my pelvis and difficulty at some time standing I am physically very fit I work 40+ hours a week and I?m not a crybaby?. The pain  was excruciating reminded me of when I worked and took care of sickle cell anemia patients it was the same type of pain that those people were described to me over and over again
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Malaise, Mobility decreased
Clinical narrative: After the shot, I felt ill for about 48 hours. This included a slight fever, chills, headache, and joint pain. All symptoms subsided expect the joint pain which has been especially painful in my left elbow. The joint pain occurs on the left side of my body to include my knees when I work out. The pain in my left elbow limits my ability to rotate/move my elbow and has significantly affected my ability to complete my usual workout routine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After the shot, I felt ill for about 48 hours. This included a slight fever, chills, headache, and joint pain. All symptoms subsided expect the joint pain which has been especially painful in my left elbow. The joint pain occurs on the left side of my body to include my knees when I work out. The pain in my left elbow limits my ability to rotate/move my elbow and has significantly affected my ability to complete my usual workout routine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: 08/31/21 Janssen COIVD vaccine given. 01/06/22  Moderna COVID booster, vaccine given.  (.25ml) 02/11/22   Moderna COVID vaccine given. (0.5ml)  per providers insructions.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered
Clinical narrative: Client was screened at registration, client reported to registration staff that he was here for his first dose of Pfizer. Client was sent to vaccine station where vaccine was given to left arm without incident. Client then was sent to observation for 15 mins. While in observation and receiving education from nurse in observation unit about importance of completing series, client disclosed this was his booster. Nurse asked him to verify and he showed her immunization record from (Privacy) which showed 1st dose of Astra Zeneca was in 8/10/2021 and second dose was 10/26/2021. Nurse asked if he provided this documentation to registration staff. Client stated he did not. Vaccine card and medical record were updated to indicate booster . MD on site was consulted and informed that client was given booster dose 1 month before due date. MD spoke to client and reports ok, no need to restart . client provide information on possible adverse effect of vaccine, info given verbally and in written format.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Alanine aminotransferase normal, Albumin globulin ratio decreased, Anion gap
Clinical narrative: 81 yr/o male who presents to the ED with 10 days of flulike symptoms, worsening over the past 2 days. o He was initially seen 10 days ago by his PCP at community family center. o Was prescribed amoxicillin prophylactically, has been taking it as prescribed. o He has had 2 - Covid test at home. o He has had increasing phlegm over the past 2 days, white in color. o Exertional dyspnea. o Had diarrhea 5 days ago, vomiting 2 days ago, both of which have mostly resolved. o Has been taking Tylenol for body aches. o No history of COPD, asthma, or diabetes. o He does have a history of hypertension, on enalapril for that. o No abdominal pain. o Pain "in his lungs," more on the right, worse w deep breaths. o No leg swelling Review of Systems  Constitutional: Positive for appetite change, fatigue and fever. Negative for chills and diaphoresis.  HENT: Positive for congestion. Negative for ear pain, sore throat, rhinorrhea, neck pain and sinus pressure.   Eyes: Negative for discharge, redness and itching.  Respiratory: Positive for cough, chest tightness and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Positive for decreased urine volume. Negative for dysuria.  Musculoskeletal: Positive for myalgias. Negative for arthralgias.  Skin: Negative for rash.  Neurological: Negative for light-headedness and headaches.  Psychiatric/Behavioral: Negative for confusion.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aspartate aminotransferase normal, Asthenia, Basophil count decreased, Basophil percentage decreased, Blood albumin normal
Clinical narrative: 81 yr/o male who presents to the ED with 10 days of flulike symptoms, worsening over the past 2 days. o He was initially seen 10 days ago by his PCP at community family center. o Was prescribed amoxicillin prophylactically, has been taking it as prescribed. o He has had 2 - Covid test at home. o He has had increasing phlegm over the past 2 days, white in color. o Exertional dyspnea. o Had diarrhea 5 days ago, vomiting 2 days ago, both of which have mostly resolved. o Has been taking Tylenol for body aches. o No history of COPD, asthma, or diabetes. o He does have a history of hypertension, on enalapril for that. o No abdominal pain. o Pain "in his lungs," more on the right, worse w deep breaths. o No leg swelling Review of Systems  Constitutional: Positive for appetite change, fatigue and fever. Negative for chills and diaphoresis.  HENT: Positive for congestion. Negative for ear pain, sore throat, rhinorrhea, neck pain and sinus pressure.   Eyes: Negative for discharge, redness and itching.  Respiratory: Positive for cough, chest tightness and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Positive for decreased urine volume. Negative for dysuria.  Musculoskeletal: Positive for myalgias. Negative for arthralgias.  Skin: Negative for rash.  Neurological: Negative for light-headedness and headaches.  Psychiatric/Behavioral: Negative for confusion.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine increased
Clinical narrative: 81 yr/o male who presents to the ED with 10 days of flulike symptoms, worsening over the past 2 days. o He was initially seen 10 days ago by his PCP at community family center. o Was prescribed amoxicillin prophylactically, has been taking it as prescribed. o He has had 2 - Covid test at home. o He has had increasing phlegm over the past 2 days, white in color. o Exertional dyspnea. o Had diarrhea 5 days ago, vomiting 2 days ago, both of which have mostly resolved. o Has been taking Tylenol for body aches. o No history of COPD, asthma, or diabetes. o He does have a history of hypertension, on enalapril for that. o No abdominal pain. o Pain "in his lungs," more on the right, worse w deep breaths. o No leg swelling Review of Systems  Constitutional: Positive for appetite change, fatigue and fever. Negative for chills and diaphoresis.  HENT: Positive for congestion. Negative for ear pain, sore throat, rhinorrhea, neck pain and sinus pressure.   Eyes: Negative for discharge, redness and itching.  Respiratory: Positive for cough, chest tightness and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Positive for decreased urine volume. Negative for dysuria.  Musculoskeletal: Positive for myalgias. Negative for arthralgias.  Skin: Negative for rash.  Neurological: Negative for light-headedness and headaches.  Psychiatric/Behavioral: Negative for confusion.