chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Endotracheal intubation, Exposure to SARS-CoV-2, Fibrin D dimer
Clinical narrative: Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Headache, Hypoxia, Lung opacity
Clinical narrative: Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oxygen saturation decreased, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Tachypnoea, Vomiting
Clinical narrative: Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Back pain, COVID-19, Death
Clinical narrative: Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Dysstasia, Fall, Head injury
Clinical narrative: Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Positive airway pressure therapy, Rib fracture, SARS-CoV-2 test positive
Clinical narrative: Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Ear pain, Fatigue, Pain, Respiratory disorder
Clinical narrative: Breakthrough COVID case. Onset was Wed. October 5.  Felt like a respiratory infection that escalated. I had severe ear pain, fatigue and body aches.  I received antibodies via stomach injections on Monday, Oct 11th in the evening. Starting feeling better 24-48 hours after treatment.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Hypoaesthesia, Injection site haemorrhage, Pain in extremity
Clinical narrative: When shot was given it burned throughout my whole arm. In comparison I didnt even feel my 1st shot. My arm all the way to my fingers continued to hurt and was numb for the next 3 weeks. I felt like someone injected me with acid. In addition the injection site bleed for 5 to 10 mins, this also did not occur when i received the 1st shot. To this day, I believe the vaccine was contaminated.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test, Urticaria
Clinical narrative: Systemic urticaria x 1.5 months, better with prednisone taper but persisted afterwards. Patient taking Cetirizine but not helping after prednisone taper as urticaria has returned.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Immunization Administration Error - Patient presented to clinic and denied having received any prior doses of COVID-19 vaccines. It was later determined/verified in system that the patient did receive the Johnson & Johnson vaccine in March 2021. The patient denied this at the time of the visit. Now admits that he may have just forgotten that he had gotten the vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient attended clinic to receive second dose COVID-19 vaccination requesting Moderna. RN administered second dose Moderna and discovered patient had received first dose Pfizer COVID-19 vaccination afterwards.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: Client was vaccinated at the site on March 1 (approx) and on March 29 (definite) with Pfizer vaccines for Covid.  Symptoms started on October 11 - cough, headache, myalgia, sore throat.  Received monoclonal antibody infusion at Hospital on 10/13/2021.  Reported as a case of breakthrough Covid illness in a previously vaccinated person.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Client was vaccinated at the site on March 1 (approx) and on March 29 (definite) with Pfizer vaccines for Covid.  Symptoms started on October 11 - cough, headache, myalgia, sore throat.  Received monoclonal antibody infusion at Hospital on 10/13/2021.  Reported as a case of breakthrough Covid illness in a previously vaccinated person.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Dizziness, Heart rate increased, Injection site erythema
Clinical narrative: Multiple reactions:  Dizzy/Lightheadedness Fast beating heart/heart palpitations Sharp pains in chest near heart Fever Pain in arm, armpit, and down ribs Swelling and redness at injection site
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Musculoskeletal chest pain, Pain in extremity, Palpitations, Pyrexia
Clinical narrative: Multiple reactions:  Dizzy/Lightheadedness Fast beating heart/heart palpitations Sharp pains in chest near heart Fever Pain in arm, armpit, and down ribs Swelling and redness at injection site
Age: 55.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Dysphagia, Flushing, Throat irritation
Clinical narrative: 2033-Employee c/o an itchy throat, difficulty swallowing, feeling flushed. Rapid Response called to vaccine clinic. 2035-BP 178/112, HR 86, RR 16, Temp 97.7, O2 98% 2038-BP 178/114, HR 82, RR 16, O2 98% 2043-BP 182/119, HR 83, RR 16, O2 98% 2044-Rapid Response took employee to ER for further evaluation/monitoring. When the rapid response team reported back to the charge nurse of the vaccine clinic, he stated the employee did well once he was in the ED and  was discharged approximately 15 minutes after arriving in the ED.
Age: 66.0
Sex: F
Vaccine: FLUA4
Symptoms: Tinnitus
Clinical narrative: Pt complained of ringing in the ears for several day, that has been improving.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: About two weeks after received 2nd dose of Pfizer COVID vaccine I started experimenting the following symptoms: - pain in both arms - upper back-pain - shoulder and neck pain These symptoms only appeared during exercise or moderately intensive physical activity (for example walking up a steep hill or swimming), about 5-10 min after initiating the activity.  The intensity of the pain was proportional to the intensity of the physical strain., and would typically start with discomfort in the arms, then upper back-pain and finally shoulder and neck pain.   The symptoms would disappear spontaneously after a brief rest (less than 3 min), but return quickly after restarting intense physical activity.  The symptoms were similar to angina, however I did NOT experience chest pain or pressure, shortness of breath or "racing" heart.  I did not experience any of these symptoms during rest time or light physical activity (for example walking).  Eventually, the symptoms gradually disappeared after several weeks (6 to 8), and currently I no longer experience them.  I have maintained regular physical activity (moderate exercise, but avoiding strenuous activities).  I can't positively say that these symptoms were triggered by the COVID vaccine, however I have never experienced them before, and they have disappeared almost completely by now.  Considering how new the COVID vaccines are, I just wanted to share with you these observations to see if you have seen more similar cases that could point to a potential adverse effect of this vaccine.  Overall, I am very happy with the COVID vaccine and grateful that I was able to get it.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Neuralgia, Paraesthesia
Clinical narrative: tingling, pain, and numbness of the radial nerve from the armpit to the fingertips
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Dyspnoea, Eye discharge, Eye irritation, Secretion discharge
Clinical narrative: difficulty deep breathin - very irritated eyes, thick greyish secretion both eyes - chills
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Vaccine positive rechallenge
Clinical narrative: difficulty deep breathin - very irritated eyes, thick greyish secretion both eyes - chills
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient unintentionally given full vial of covid-19 vaccine without diluent (total of 6 doses) by the medical assistant. Pt observed for 30 minutes without adverse reaction. Patient and family informed of the error. Patient follow up in 1 week with no report of adverse effects. Patient again follow up in 1 month with no report of adverse effect, no complaints.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Lymphadenitis
Clinical narrative: A few weeks after my 2nd injection I noticed a lymph node in my arm pit/side of chest that was inflamed. It caused some discomfort and randomly goes away and comes back. I heard from friends they had this reaction as well.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy
Clinical narrative: Miscarriage at around 7 weeks (I found out at 9 weeks pregnant).  No symptoms were present. I found out about the miscarriage because of a routine ultrasound- the fetus did not have a heartbeat and was measuring at 7 weeks.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Polymenorrhoea, Ultrasound pelvis abnormal
Clinical narrative: After receiving the vaccine my period became very irregular.  I was having it every 2 weeks for 4-5 days at a time.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID 19
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The Moderna vaccine that was pulled from the refrigerator was over 30 days from the date the vaccine was pulled from the freezer. The vaccine was pulled from the freezer on 9/8/21 (expiring 10/9/21) but given on 10/13/21. The mfg lot # was 014F21A and Exp 01/23/22. Patient has not experienced any side effects as of yet. He was informed almost immediately following receiving the vaccination. He was not upset. Awaiting response from Moderna on how to proceed was told it would take 8-10 days to receive a response,
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None, but vaccine is for 65+ and the patient is 64.5 YO!
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Diagnosed with shingles on 13 October 2021. I am a 32 year old healthy male.
Age: 92.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Abdominal distension, Asthenia, Chills, Dizziness
Clinical narrative: Pt. states that after receiving the 1st dose of Shingrix 09/17/2021, started experiencing symptoms that evening of extreme chills, fatigue, dizziness, upset stomach, bloating, and weakness. Lasting 3 days time, No noted Primary visit. Still continuing to experience upset stomach and bloating.
Age: 92.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue
Clinical narrative: Pt. states that after receiving the 1st dose of Shingrix 09/17/2021, started experiencing symptoms that evening of extreme chills, fatigue, dizziness, upset stomach, bloating, and weakness. Lasting 3 days time, No noted Primary visit. Still continuing to experience upset stomach and bloating.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hypomenorrhoea, Menstruation delayed
Clinical narrative: Extremely delayed menstruation. Had one light period in July (9 weeks late) and nothing since (13 weeks). Not pregnant, no weight loss or other changes to explain symptom.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse events or treatments reported. Vaccination mistakenly given 2 weeks (14 days) after the first dose rather than the standard 21 days. Patient's vaccine card was written incorrectly for the return date of 14 days and this mistake was not caught before administering the 2nd dose.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Pyrexia
Clinical narrative: chills, fever (up  to 101.5), and headache starting 6 hours after injection and lasting for 30 hours.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Biopsy kidney, Blood test, Cough, Diarrhoea
Clinical narrative: In June a hacky, dry, nonproductive cough started. So intense I almost threw up. saw two doctors,  Tried Albuterol, nothing helped. The cough continued. Had a bout of diarrhea, GI distress, Went to an Immediate care, they took blood work and sent me to ER. GHF = Kidney failure
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Renal failure
Clinical narrative: In June a hacky, dry, nonproductive cough started. So intense I almost threw up. saw two doctors,  Tried Albuterol, nothing helped. The cough continued. Had a bout of diarrhea, GI distress, Went to an Immediate care, they took blood work and sent me to ER. GHF = Kidney failure
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Nausea, Peripheral swelling, Pruritus
Clinical narrative: I felt very nauseous, and he left arm started swelling up and my right as well. I began red marks all over my body and started blistering. Itchy arms and scalp.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Biopsy, Cardiac function test, Cardiac therapeutic procedure, Cerebrovascular accident
Clinical narrative: It occurred on 03/07/2021, I did not feel like I had any symptoms, but I noticed whenever I picked up anything with my left hand I would drop it quickly. I drove to my sister's. They said my face was droopy. They suggested we go to the hospital. We went and they did a heart test. It showed I had a stroke. I was there overnight and then they dismissed me. From then, I have been going to doctors because I developed tachycardia and I had to have a procedure for that. Then I developed atrial fibrillation. They put on a chip recorder in my chest because they were not sure how the stroke occurred. That has been there since March. They also did a platelets test which was negative, they also did a biopsy, but I do not know the results.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Grip strength decreased, Implantable cardiac monitor insertion, Platelet count normal, Tachycardia
Clinical narrative: It occurred on 03/07/2021, I did not feel like I had any symptoms, but I noticed whenever I picked up anything with my left hand I would drop it quickly. I drove to my sister's. They said my face was droopy. They suggested we go to the hospital. We went and they did a heart test. It showed I had a stroke. I was there overnight and then they dismissed me. From then, I have been going to doctors because I developed tachycardia and I had to have a procedure for that. Then I developed atrial fibrillation. They put on a chip recorder in my chest because they were not sure how the stroke occurred. That has been there since March. They also did a platelets test which was negative, they also did a biopsy, but I do not know the results.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Headache, Malaise, Myalgia
Clinical narrative: Complaint of cough, headache, runny nose/congestion, myalgia and mailais
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Complaint of cough, headache, runny nose/congestion, myalgia and mailais
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID > 14 days after completion of Pfizer vaccine series
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong vaccine formulation (ex. different manufact. initial and booster).
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: I had rapid heart beat and palpitation for several weeks after got the vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Respiratory tract congestion, Tinnitus
Clinical narrative: Congestion, loss of hearing and ringing  in my Right ear.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Culture, Peripheral swelling, Pruritus
Clinical narrative: Swollen, itchy inflamed feet an d hands. Severe blisters on right foot, less  so on left foot and hands
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient received 1st dose of moderna vaccine. says sometimes feel faint after. vaccine given and then patient was seated in front of pharamcy for observation. patient was sitting down and then suddenly our colleague noticed patients legs went stiff and he tipped over onto a display stand. patient fainted and bump his head into display stand. I came to the patient immediately and called to wake him. Within 3 secs he became coherent and says he was okay. given OJ and declined ice pack. pt ok
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: On 10/13/21 I was made aware of a vaccination error by pharmacist for patient. The patient had come into the pharmacy with her mother to receive the Johnson & Johnson (J&J) COVID vaccination.  The patient completed the J&J Patient Consent & Release Form and screening questionnaire for COVID19 immunization from the CDC.  The form was given to pharmacist to administer the vaccination.  Upon completion of the vaccination, pharmacist had noticed we did not have the insurance information for the patient to process the claim.  The patient?s mother called the pharmacy and provided the insurance information.  After attempting to process the vaccination through the insurance, the patient?s insurance rejected the claim due to the patient?s age.  Pharmacist then brought this to my attention. My course of action is to fill out a VAERS report.  Additionally, I have contacted the manufacturer of J&J (Janssen) and have contacted the patient?s mother to make her aware.  I explained to her that a miscalculation was made with patient's age and she received the J&J vaccine, but it is not currently approved through EUA for her age?therefore, there is no concrete safety & efficacy data.  The patient?s mother kept repeating ?we are good here? and reported no current adverse effects.  I recommended for the patient to contact her primary care doctor to make them aware and to seek recommendation for further course of action as far as being evaluated for any potential adverse effects.  I have attempted to contact the physician?s office personally to make them aware of the vaccination error and am currently waiting on a return phone call after having to leave a voicemail.  I am following up on Friday with the patient?s mother & will also next week.  We are amending our vaccination forms to include in bold print EUA ages for each respective vaccination, as well as emphasizing the importance of workflow with our staff and the necessity of a pharmacist looking at the consent/release forms & screening questionnaires prior to vaccine administration.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Off label use, Product administered to patient of inappropriate age
Clinical narrative: On 10/13/21 I was made aware of a vaccination error by pharmacist for patient. The patient had come into the pharmacy with her mother to receive the Johnson & Johnson (J&J) COVID vaccination.  The patient completed the J&J Patient Consent & Release Form and screening questionnaire for COVID19 immunization from the CDC.  The form was given to pharmacist to administer the vaccination.  Upon completion of the vaccination, pharmacist had noticed we did not have the insurance information for the patient to process the claim.  The patient?s mother called the pharmacy and provided the insurance information.  After attempting to process the vaccination through the insurance, the patient?s insurance rejected the claim due to the patient?s age.  Pharmacist then brought this to my attention. My course of action is to fill out a VAERS report.  Additionally, I have contacted the manufacturer of J&J (Janssen) and have contacted the patient?s mother to make her aware.  I explained to her that a miscalculation was made with patient's age and she received the J&J vaccine, but it is not currently approved through EUA for her age?therefore, there is no concrete safety & efficacy data.  The patient?s mother kept repeating ?we are good here? and reported no current adverse effects.  I recommended for the patient to contact her primary care doctor to make them aware and to seek recommendation for further course of action as far as being evaluated for any potential adverse effects.  I have attempted to contact the physician?s office personally to make them aware of the vaccination error and am currently waiting on a return phone call after having to leave a voicemail.  I am following up on Friday with the patient?s mother & will also next week.  We are amending our vaccination forms to include in bold print EUA ages for each respective vaccination, as well as emphasizing the importance of workflow with our staff and the necessity of a pharmacist looking at the consent/release forms & screening questionnaires prior to vaccine administration.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Swollen tongue, Throat clearing
Clinical narrative: Patient visited vaccine clinic today for third dose of COVID vaccine. Patient states has a history of respiratory issues related to asthma following COVID vaccine. Patient states followed medication regimen as ordered by their HCP before COVID vaccine today. Patient advised to remain in clinic at least 30 minutes after vaccination. Patient received third dose Pfizer Covid vaccine 0.3mL. At around 1000 patient states is having minor tongue swelling and states beginning to feel the need to clear her airways. Patient states she felt that way after receiving her second dose, but that it cleared. Urgent care was notified and patient was advised to schedule visit with Urgent care clinic. Patient transferred over to urgent care clinic and was discharged home after receiving Solumedrol IM and Rx for oral prednisone. .
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Cough, Full blood count abnormal, Pyrexia
Clinical narrative: Symptoms started on august 30th, I was running a fever 102.5 and still have a cough since August 30th, Still have low grade temp and Low blood count.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Fatigue, Feeling abnormal, Hypertension, Impaired work ability
Clinical narrative: Right side of face  and felt like I was in a fog- it did something to it on the very first vaccine; And then with this second vaccine - it made my lips funny - some kind of sensation -  and I felt in a fog and tired. Within an hour this happened. I had those symptoms for a few hours. I stayed  home from work for a couple of days to make sure I was okay. I have been experiencing high blood pressure symptoms - I was having a pain in my arm - and that's when I found out I had high blood pressure (about a month ago is when I found this out) - I had to see the doctor once a week to check the blood pressure - Losartan - He put me on this for the symptoms - they've changed the medicine about three different times to see what will help me and Losartan starting to help.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Right side of face  and felt like I was in a fog- it did something to it on the very first vaccine; And then with this second vaccine - it made my lips funny - some kind of sensation -  and I felt in a fog and tired. Within an hour this happened. I had those symptoms for a few hours. I stayed  home from work for a couple of days to make sure I was okay. I have been experiencing high blood pressure symptoms - I was having a pain in my arm - and that's when I found out I had high blood pressure (about a month ago is when I found this out) - I had to see the doctor once a week to check the blood pressure - Losartan - He put me on this for the symptoms - they've changed the medicine about three different times to see what will help me and Losartan starting to help.
Age: 56.0
Sex: M
Vaccine: FLUC4
Symptoms: Rash, Rash pruritic
Clinical narrative: Little bumps erupted on his arms and legs.   It was an itchy rash.  It started the day after the vaccination and continued through 10-13-21
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID 19
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Colitis ulcerative, Condition aggravated, Diarrhoea, Injection site pain, Pain
Clinical narrative: Have had trouble with loose bowels since the 2nd injection on 4/22/2021.  The injection appears to have triggered a relapse of ulcerative colitis from over 10 years ago. Also still having aching sensation at injection site in upper left arm during  physical activity.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID 18
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hypoaesthesia, Oral discomfort, Oral lichen planus, Pain
Clinical narrative: 1st shot: No reaction 2nd shot: 12 hours after vaccine got reactions.  Went to bed feeling fine.     Felt hot and burning inside mouth.  Severe pain for 1 week.  vicodin helped a little.     Residual numbness and pain - inside of skin.  But no residual symptoms now (10/13/2021).   Before 1st vaccine - had spot in mouth.  Had biopsy 2 days after 2nd vaccine - diagnosed with lichen planus in mouth -    biopsy scheduled and done 2 days after COVID vaccine.   Given steroid gel - helped some.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID 19
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Public Health called to inform us we gave the patient a 4th dose of Pfizer. She answered a booster dose on her consent form stating it was her 3rd dose. Public health wanted a VAERS reported
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Body temperature increased, COVID-19, Cough, Dyspnoea
Clinical narrative: Patient presents to the ED on 8/12/2021 with a temperature of 104F.  She also reports intermittent shortness of breath and cough for 1 week.  She also complains of some abdominal pain, nausea, and vomiting.  She was found to have a ureteral stone with pyelonephritis and was COVID positive.  For the COVID treatment, she required oxygen, dexamethasone, and remdesivir.  She received oxygen via nasal cannula from 8/12 through 8/16/2021, received 10 days of dexamethasone and 4 days of remdesivir.  The pyelonephritis was treated with antibiotics.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pyelonephritis, SARS-CoV-2 test positive, Ureterolithiasis, Vomiting
Clinical narrative: Patient presents to the ED on 8/12/2021 with a temperature of 104F.  She also reports intermittent shortness of breath and cough for 1 week.  She also complains of some abdominal pain, nausea, and vomiting.  She was found to have a ureteral stone with pyelonephritis and was COVID positive.  For the COVID treatment, she required oxygen, dexamethasone, and remdesivir.  She received oxygen via nasal cannula from 8/12 through 8/16/2021, received 10 days of dexamethasone and 4 days of remdesivir.  The pyelonephritis was treated with antibiotics.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: second Moderna given earlier than due.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Urticaria
Clinical narrative: The day after the vaccine I started to itch, and the next day my entire torso was red and covered in rash, I went to urgent care and they diagnosed me with rash and hives and prescribed prednisone and I had to go back after three days and was given a steroid shot and I am still dealing with this after almost three weeks.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Incoherent, Seizure, Urinary incontinence
Clinical narrative: Patient received MCV4 vaccine at approximately 2:15pm. At about 2:20pm, she had a seizure and urinated on the floor. Paramedics accessed the patient and she was still not coherent. She was then transported to Hospital.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Paraesthesia, Peripheral swelling, Pyrexia
Clinical narrative: Several hours after receiving the vaccination, I experienced violent shaking/trembling as well as swelling of my limbs and tingling in lower extremities. Other symptoms included fever, sweats and nausea. Symptoms have not resolved completely at time of submission.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Several hours after receiving the vaccination, I experienced violent shaking/trembling as well as swelling of my limbs and tingling in lower extremities. Other symptoms included fever, sweats and nausea. Symptoms have not resolved completely at time of submission.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution-
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Influenza like illness, Pain
Clinical narrative: got shingles, flu like symptoms, body aches,
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Encephalopathy
Clinical narrative: Patient admitted to hospital on 09/23/2021 with encephalopathy and was incidentally diagnosed with covid-19 on 9/13, but was asymptomatic.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Faeces discoloured, Pain
Clinical narrative: Internal ache..lower back and black stool..
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Decreased appetite, Eye pain, Lethargy, Night sweats
Clinical narrative: I had to do some stuff at work and I might have tweak my back a little bit. I ended up with back pain. It was a back pain that went all the way to my shoulders, eyes, and neck. I was having a fever. I took some Aspirin and the fever went away. I had some weird feeling behind my eyeballs. It felt like a tension headache. I talked to my doctor and she prescribed a muscle relaxer. That helped. Then it became a light grade fever. I had loss of appetite, lethargic, night sweats. At the end of everything I had a Covid test and it was negative.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Tension headache
Clinical narrative: I had to do some stuff at work and I might have tweak my back a little bit. I ended up with back pain. It was a back pain that went all the way to my shoulders, eyes, and neck. I was having a fever. I took some Aspirin and the fever went away. I had some weird feeling behind my eyeballs. It felt like a tension headache. I talked to my doctor and she prescribed a muscle relaxer. That helped. Then it became a light grade fever. I had loss of appetite, lethargic, night sweats. At the end of everything I had a Covid test and it was negative.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received a dose of Moderna Covid-19  vaccine on 10/9/2021 as the 2nd dose after receiving Pfizer's covid-19 vaccine on 9/18/2021 as the 1st dose in the series. Pfizer was available at the clinic on that date.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Impaired work ability, Pyrexia
Clinical narrative: Joints ached and had to stay home from work also experience a fever for 12 hours
Age: 85.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Cerebrovascular accident, Computerised tomogram abnormal, Dysarthria, Dysphagia, Hemiparesis
Clinical narrative: The patient presented to the emergency department on 10/10/21 for altered mental status.  History was primarily obtained from the son and EMS. Last time the son was in contact with his mother was at 2:30 yesterday, she was doing well.  This morning he went over to check on her found her stuck between the toilet and the wall. Noticed that she was slurring her speech not moving her left side, EMS was called.  Upon arrival EMS noted her to be hypoxic not moving her left side activated her as a stroke.
Age: 85.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Hypoxia, Mental disorder
Clinical narrative: The patient presented to the emergency department on 10/10/21 for altered mental status.  History was primarily obtained from the son and EMS. Last time the son was in contact with his mother was at 2:30 yesterday, she was doing well.  This morning he went over to check on her found her stuck between the toilet and the wall. Noticed that she was slurring her speech not moving her left side, EMS was called.  Upon arrival EMS noted her to be hypoxic not moving her left side activated her as a stroke.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given a the booster pfizer shot a week early. Vaccinator misread the date by confusing the first shot date with the second date.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admission to critical care hospital with COVID-19 diagnosis on admission
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Cholecystitis acute, Death
Clinical narrative: I am the epidemiologist reporting on behalf of 75-year-old male patient. The patient received two doses of the Moderna vaccine on 3/19/21 and 4/16/21. The patient tested positive for COVID-19 on 4/23/21 (5 days post second dose) via PCR. The patient died 5/1/21 (15 days post second dose) and the cause of death is listed as ?Pneumonia secondary to COVID 19?. Other significant conditions contributing to death but not resulting in underlying cause are listed as ?gastrointestinal hemorrhage, acute cholecystitis, and congestive heart failure.?
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: I am the epidemiologist reporting on behalf of 75-year-old male patient. The patient received two doses of the Moderna vaccine on 3/19/21 and 4/16/21. The patient tested positive for COVID-19 on 4/23/21 (5 days post second dose) via PCR. The patient died 5/1/21 (15 days post second dose) and the cause of death is listed as ?Pneumonia secondary to COVID 19?. Other significant conditions contributing to death but not resulting in underlying cause are listed as ?gastrointestinal hemorrhage, acute cholecystitis, and congestive heart failure.?
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Burning sensation
Clinical narrative: burning sensation in chest that lasts 15-20nseconds
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Patient contracted COVID after being fully vaccinated Cough, Fever, and Congestion
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Full blood count normal, Metabolic function test normal, Procalcitonin normal, Pyrexia
Clinical narrative: Patient contracted COVID after being fully vaccinated Cough, Fever, and Congestion
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Scan with contrast abnormal, Troponin normal
Clinical narrative: Patient contracted COVID after being fully vaccinated Cough, Fever, and Congestion
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILDS DOB PROVIDED ON CONSENT. WHEN VACCINE WAS BEING RECORDED IN DATABASE, CHILD'S DOB IS RECORDED, WHICH WOULD MAKE CHILD UNDERAGE FOR VACCINE AT THE TIME IT WAS RECEIVED.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was administered 2nd Moderna vaccine. Patient is under 18 years of age.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Convulsive syncope (fainted for a couple of seconds) - I have never fainted in my life before this
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Fatigue, Headache, Mobility decreased
Clinical narrative: I was receiving headaches, and I've never had this problems. I had an issue with fatigue. I haven't had no taste. I've mentioned it to my doctor, but no result. I took medicine, and for the fatigue I just attempt to sleep. I haven't been active.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood pressure decreased, Dizziness, Pyrexia, Sensitive skin
Clinical narrative: Blood pressure drop, dizziness, fever, skin sensitivity, light headed, upset stomach
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Injection site still throwing off heat and raised lesion around site approximately 3 inchX2 inch (covid arm). It has been more than 2 weeks since the injection. Information online gives time between 24hrs and a week for this "new" symptom to dissipate. I know the thread of advice states that this should not prevent getting the second shot. I am already immune compromised due to MS. I have lost muscular strength and use in the past due to antibiotic allergic reaction. Quite frankly I do not trust the current available info nor my body to this situation.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: Pressure in chest Stiffness in right shoulder
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given 2nd dose of Moderna. Patient is under 18 years of age.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Injection site pain, Joint range of motion decreased, Nausea
Clinical narrative: -Linear blisters in mouth bilateral cheeks on day 2, resolved 3 or 4 days after - Day 2 through Day 3 left arm ache, felt feverish and chills - throbbing pain and neuropathy which felt worse after day 4 to day 5 -Nausea and vomiting on day 5 -> patient took tylenol and motrin on day 5 and on for 8 days  - starting day 5 patient could not move arm  - on 10/9 patient started Medrol Dose pack had 10% improvement  Ice resolved pain a little bit still reports pain and neuropathy and feels hot  - on 10/1 pt reported papularrash in fingers with fluid on left 2,3,4 on day 4-5 patients reported rash on right hand and on fingers day 5-6 rash looked like bug bites left hand resolved, reports rash has spread no report of cardio/respiratory symptoms
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Oral mucosal blistering, Pain, Pyrexia, Rash
Clinical narrative: -Linear blisters in mouth bilateral cheeks on day 2, resolved 3 or 4 days after - Day 2 through Day 3 left arm ache, felt feverish and chills - throbbing pain and neuropathy which felt worse after day 4 to day 5 -Nausea and vomiting on day 5 -> patient took tylenol and motrin on day 5 and on for 8 days  - starting day 5 patient could not move arm  - on 10/9 patient started Medrol Dose pack had 10% improvement  Ice resolved pain a little bit still reports pain and neuropathy and feels hot  - on 10/1 pt reported papularrash in fingers with fluid on left 2,3,4 on day 4-5 patients reported rash on right hand and on fingers day 5-6 rash looked like bug bites left hand resolved, reports rash has spread no report of cardio/respiratory symptoms
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Rash papular, Vomiting
Clinical narrative: -Linear blisters in mouth bilateral cheeks on day 2, resolved 3 or 4 days after - Day 2 through Day 3 left arm ache, felt feverish and chills - throbbing pain and neuropathy which felt worse after day 4 to day 5 -Nausea and vomiting on day 5 -> patient took tylenol and motrin on day 5 and on for 8 days  - starting day 5 patient could not move arm  - on 10/9 patient started Medrol Dose pack had 10% improvement  Ice resolved pain a little bit still reports pain and neuropathy and feels hot  - on 10/1 pt reported papularrash in fingers with fluid on left 2,3,4 on day 4-5 patients reported rash on right hand and on fingers day 5-6 rash looked like bug bites left hand resolved, reports rash has spread no report of cardio/respiratory symptoms
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Head discomfort, Lymph node calcification, Mobility decreased, Muscle tightness
Clinical narrative: Shortly after my second dose, I experienced significant pain in my opposite shoulder.  Couldn't raise the bed covers the next morning.  Then experiences tingling and tightness in my lower left leg.  Muscle tightness followed through my back and into the traps.  I experienced tingling in my left arm for several days.  Occasionally tingling in my right arm.  Then then tingling made its way to my trapezius region and along the back of my head/occipital region.  I started to experience pressure in my right temple.  Then, finally the tingling went to the lower right side of my face.  These occurrences happened on and off for about 6 weeks.  During that time I also experienced multiple cold sores, multiple tonsil stones, and a sore inside my nose.  I have chest pressure that has persisted for several weeks.  I have a rash on my backside at the moment.    I did not seek any medical attention at the time of any of the symptoms.  They were quick to come and go, and only lasted a few minutes at a time.    I was told by an Aunt of mine that Gullian barre runs in my family and to avoid the flu shot.  My concern with the vaccine was that it could possibly trigger the GB.  I am worried that some of the tingling is the reaction to the vaccine.