chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: Took a 1.5 hour nap and when she awoke around 4:30 pm she was unable to move for about 10 minutes. First able to open eyes, then wiggle fingers and toes, then head and shoulders were able to move last.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Magnetic resonance imaging head, Migraine, Ophthalmological examination, Photopsia
Clinical narrative: Episodes of flashing lights in my eyes.  Initially thought to be related to age related vitreous liquifying and detaching.   However length of time since onset and no noticeable changes in my eyes, thoughts turned to ocular migraines.  Several tests were run to rule out other factors.  It wasn't until I reviewed episodes on my calendar to make a summary document that I noticed that the onset was 11 days after my first episode.  I thought "curious."  When I mentioned this to Doctor, he also responded "curious."   Episodes are still occurring, less frequently.  I am just curious if there might be a connection.   All are 2021 dates - 1/28, 2/1, 2/16. 2/19. 2/28,3/8,5/22, 6/2, 6/28, 6/30, 7/2, 7/4, 7/7, 7/13, 7/19. 7/22, 8/11, 8/16 (twice). 8/18, 8/23, 8/28 (twice), 9/1 (twice), 9/30, 10/17, 10/25
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Nasal congestion, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I started feeling some chest congestion and stuffed up similar to allergies. It developed into a severe runny nose and coughing.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dehydration, Dizziness, Dizziness postural, Epistaxis
Clinical narrative: Received the 2nd dose of Moderna approx 8:45 am on 11/4/21. Started feeling the tingly and achy side effects by about 7 pm that night. Went to bed feeling pretty achy and weak and had a somewhat restless sleep. Just before 5 am, our home fire alarms went off - my husband and I walked through the house to turn them off. On my way back upstairs, I started feeling very weak and dizzy. I stopped at the hall bathroom to use the bathroom. Upon standing up I was feeling incredibly weak and dizzy as if I was about to pass out. I grabbed the sink vanity and the door frame, and the next thing I remember is waking up on the floor with my husband who rushed to my side when he heard the thud of my body hitting the floor. I had a bloody nose, a gash on the bridge of my nose, a gash near my eyebrow, and a slightly split lip (all on my right side of face). Also scraped my elbow. Got back to bed with the help of my husband but felt like I could barely walk I was so weak. Also felt slightly dehydrated. Put a cold compress and ice on my face and rested for the next 6 hours. Will likely have a black eye and suspect I may possibly have broken my nose during my fall. NOTE: I was forced to get this vaccine in order to keep my job; I did not otherwise intend to get the vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye contusion, Fall, Gait disturbance, Joint injury, Lip injury
Clinical narrative: Received the 2nd dose of Moderna approx 8:45 am on 11/4/21. Started feeling the tingly and achy side effects by about 7 pm that night. Went to bed feeling pretty achy and weak and had a somewhat restless sleep. Just before 5 am, our home fire alarms went off - my husband and I walked through the house to turn them off. On my way back upstairs, I started feeling very weak and dizzy. I stopped at the hall bathroom to use the bathroom. Upon standing up I was feeling incredibly weak and dizzy as if I was about to pass out. I grabbed the sink vanity and the door frame, and the next thing I remember is waking up on the floor with my husband who rushed to my side when he heard the thud of my body hitting the floor. I had a bloody nose, a gash on the bridge of my nose, a gash near my eyebrow, and a slightly split lip (all on my right side of face). Also scraped my elbow. Got back to bed with the help of my husband but felt like I could barely walk I was so weak. Also felt slightly dehydrated. Put a cold compress and ice on my face and rested for the next 6 hours. Will likely have a black eye and suspect I may possibly have broken my nose during my fall. NOTE: I was forced to get this vaccine in order to keep my job; I did not otherwise intend to get the vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal injury, Pain, Paraesthesia, Poor quality sleep, Skin abrasion
Clinical narrative: Received the 2nd dose of Moderna approx 8:45 am on 11/4/21. Started feeling the tingly and achy side effects by about 7 pm that night. Went to bed feeling pretty achy and weak and had a somewhat restless sleep. Just before 5 am, our home fire alarms went off - my husband and I walked through the house to turn them off. On my way back upstairs, I started feeling very weak and dizzy. I stopped at the hall bathroom to use the bathroom. Upon standing up I was feeling incredibly weak and dizzy as if I was about to pass out. I grabbed the sink vanity and the door frame, and the next thing I remember is waking up on the floor with my husband who rushed to my side when he heard the thud of my body hitting the floor. I had a bloody nose, a gash on the bridge of my nose, a gash near my eyebrow, and a slightly split lip (all on my right side of face). Also scraped my elbow. Got back to bed with the help of my husband but felt like I could barely walk I was so weak. Also felt slightly dehydrated. Put a cold compress and ice on my face and rested for the next 6 hours. Will likely have a black eye and suspect I may possibly have broken my nose during my fall. NOTE: I was forced to get this vaccine in order to keep my job; I did not otherwise intend to get the vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin laceration
Clinical narrative: Received the 2nd dose of Moderna approx 8:45 am on 11/4/21. Started feeling the tingly and achy side effects by about 7 pm that night. Went to bed feeling pretty achy and weak and had a somewhat restless sleep. Just before 5 am, our home fire alarms went off - my husband and I walked through the house to turn them off. On my way back upstairs, I started feeling very weak and dizzy. I stopped at the hall bathroom to use the bathroom. Upon standing up I was feeling incredibly weak and dizzy as if I was about to pass out. I grabbed the sink vanity and the door frame, and the next thing I remember is waking up on the floor with my husband who rushed to my side when he heard the thud of my body hitting the floor. I had a bloody nose, a gash on the bridge of my nose, a gash near my eyebrow, and a slightly split lip (all on my right side of face). Also scraped my elbow. Got back to bed with the help of my husband but felt like I could barely walk I was so weak. Also felt slightly dehydrated. Put a cold compress and ice on my face and rested for the next 6 hours. Will likely have a black eye and suspect I may possibly have broken my nose during my fall. NOTE: I was forced to get this vaccine in order to keep my job; I did not otherwise intend to get the vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperaesthesia
Clinical narrative: Cutaneous hyperesthesia at about 12 hours post injection. Started with lower body and at about 14 hours, was entire body. It was most noticeable in lower extremity, face, abdomen, and scalp.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Photopsia, Vitreous detachment, Vitreous floaters
Clinical narrative: 10/29- Severe Migraine, resolved with medication 10/30, 2:30 PM- Started with a black/webby floater in my left eye. Followed by lightening flashes on outer peripheral vision of left eye. Continued sporadically all that day and evening. Intensity of flashes would increase with movement and were much more noticeable in low light. 10/31- flashes continue sporadically all day and night. Kept still most of the day which helped with the frequency. 11/1- Went to eye doctor for exam of eye. No tear of retina or detachment. Believed to be Posterior vitreous detachment (PVD)
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Unexplained fever of 104.8 within 12 hours in injection
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and indicated vaccine maintained activity necessary to protect against covid 19 on date of administration. Also patient did not call in to complain of adverse event. This is administrative error without adverse event.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Palpitations, Throat tightness, Wheezing
Clinical narrative: Tightening in chest & throat, palpitations, eventual wheezing began approximately 5 minutes after shot administered. Had taken prophylactic 25mg Benadryl 30 minutes before shot. Ambulance EMT administered 5-mg Benadryl intramuscular in right arm about 10 minutes later. Proceeded to ER, symptoms never worsened while under observation for 1 hour. Released after that
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 11/3/2021 with complaints of chest pain. He reported feeling unwell for the past week and tested positive for COVID-19 on 11/1/2021. Patient did not require any symptomatic treatment for his COVID-19 infection during admission. He was discharged home on 11/5/2021. Patient completed his primary COVID-19 vaccine series with Pfizer on 1/26/2021 and 2/16/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated, Hypertension
Clinical narrative: About 3 weeks post vaccination, 08/24/2021- I had really severe arthritis flare up on all my joints, head to toe and high blood pressure. I went to the doctor twice-they discontinued lisinopril and chlorthalidone 25 mg and replaced it with lisinopril hctz 20/12.5 mg and meloxicam 15 mg and amlodipine besylate 10 mg. My arthritis is still very bad, and my blood pressure is still high.
Age: 8.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury
Clinical narrative: Employee has an unwitnessed fall landing on her back statin she hit her head, no loss of consciousness.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Bursitis, Type I hypersensitivity, X-ray limb abnormal
Clinical narrative: Patient reported that following the shot she had pain in her shoulder which started immediately and got more intense.  (Reported no redness/tenderness/swelling).  Went to doctor, who referred her to the orthopedist.  This week, patient heard from the orthopedist said that there was a "definite bursitis inflammation attack".  Received a cortisone shot.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Feeling abnormal, Gait inability, Headache
Clinical narrative: 12 hours after vaccine couldnt walk, extreme headache, never felt so bad in my whole life.  Slept for 2 days.  Continue to feel ill to this day.  Current symptoms include extreme fatigue, tremors, brain fog, pin stick feeling on arms and chest, difficulty concentrating and at time speaking
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Laboratory test, Malaise, Paraesthesia, Speech disorder
Clinical narrative: 12 hours after vaccine couldnt walk, extreme headache, never felt so bad in my whole life.  Slept for 2 days.  Continue to feel ill to this day.  Current symptoms include extreme fatigue, tremors, brain fog, pin stick feeling on arms and chest, difficulty concentrating and at time speaking
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: 12 hours after vaccine couldnt walk, extreme headache, never felt so bad in my whole life.  Slept for 2 days.  Continue to feel ill to this day.  Current symptoms include extreme fatigue, tremors, brain fog, pin stick feeling on arms and chest, difficulty concentrating and at time speaking
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthma prophylaxis, Bronchitis, Fatigue, Immunodeficiency, Malaise
Clinical narrative: Upper respiratory infection, asthma exacerbation, bronchitis with non productive cough no fever @ day 9, seen in urgent care.  Azithromycin 500X3d, albuterol inhaler, QVar inhaler. Tesalon.  OTC expectorant Cough, malaise,fatigue still present today. Improving gradually.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Upper respiratory tract infection
Clinical narrative: Upper respiratory infection, asthma exacerbation, bronchitis with non productive cough no fever @ day 9, seen in urgent care.  Azithromycin 500X3d, albuterol inhaler, QVar inhaler. Tesalon.  OTC expectorant Cough, malaise,fatigue still present today. Improving gradually.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Tested positive on 11/04/21  while conducting testing for all of the residents.  Patient claims to feel tired.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Caesarean section, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated.  Vaccine Breakthrough.   Planned admit for a C-section, tested COVID + asymptomatic.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Fully vaccinated.  Vaccine Breakthrough.   Planned admit for a C-section, tested COVID + asymptomatic.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, SARS-CoV-2 test negative
Clinical narrative: It started out that I could not breath and I was coughing really bad. I thought it was bronchitis. I contacted my doctor, but she was out of town. I was seen by the nurse. She gave me 2 COVID-19 tests, negative results. I called on Saturday October 30th because I was not feeling any better. She gave me a prescription to help. I have been in the house all week. These symptoms have been going on for about a week since it got really bad.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Agitation, COVID-19, Chest X-ray normal, Choking
Clinical narrative: Hospitalized (10.31.21 - still hospitalized / admitted);  COVID-19 positive (10.31.21);  fully vaccinated  CHIEF COMPLAINT:  Acute respiratory failure due to COVID-19 (HCC) HISTORY OF PRESENT ILLNESS: Patient is a 91 y.o. male who presents today with shortness of breath, fatigue, fever and cough for the past few days. PMH of mod-severe COPD (not on O2), venous insufficiency with chronic left ankle ulcer, dysphagia, s/p RLL resection d/t aspirating gold crown, anemia of CKD. He received a Covid booster and flu vaccine 4 days ago, s/s s/s started the next couple days.  In the ED, he was initially afebrile, then temp 100F, non tachycardic (on Lopressor), BP normal. CXR without acute airspace disease; however hypoxic to 88% at rest on multiple trials with ED provider. He did test (+) for Covid. He requires admission for treatment of acute respiratory failure in setting of COPD.  At time of my exam, he is resting in bed, appears tired with mild increased work of breathing, but alert and oriented. Daughter, who is a nutritionist, is at bedside and assists with hx. He's not having other concerns besides the fatigue and SHOB. At baseline, he is independent at an independent living facility. He does have chronic anemia of CKD, gets somewhat regular Fe infusions as well as Retacrit. He had a stroke in the past, has residual dysphagia and often coughs/chokes while eating. He's had venous insufficiency since he was a teen, and has wraps on his legs all the time; follows with general surgery for OP management of an ulcer on left ankle.  He is a beloved member of the volunteer team at this hospital. * Acute respiratory failure due to COVID-19 (HCC) Assessment & Plan -S/P vaccine x2, received booster and influenza vaccine 4 days ago -Fever/cough and fatigue/SHOB for the past 2-3 days, tested (+) today -CXR no acute disease -Needing 2L O2 to maintain sats -Daily inflammatory labs, check viral film array -Remdesivir, decadron, BID lovenox, guaifenesin, duonebs q4 -Treat for CAP, check blood cultures  Progress Note from 11.4.21:  SUBJECTIVE:  Patient is on unresponsive.  Family made a decision yesterday they want to convert him to comfort care only.  I discontinued all medicines.  Discontinue the IVs.  Apparently he has not been doing well for the past 6 months or so also and their minds he has been declining dramatically. Progress Note from 11.5.21:  SUBJECTIVE:  Patient is unresponsive.  He is having still lot of agitation discontinue the Haldol switch him over to Ativan.  He is a do not resuscitate comfort care
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Cough, Dysphagia, Dyspnoea, Fatigue
Clinical narrative: Hospitalized (10.31.21 - still hospitalized / admitted);  COVID-19 positive (10.31.21);  fully vaccinated  CHIEF COMPLAINT:  Acute respiratory failure due to COVID-19 (HCC) HISTORY OF PRESENT ILLNESS: Patient is a 91 y.o. male who presents today with shortness of breath, fatigue, fever and cough for the past few days. PMH of mod-severe COPD (not on O2), venous insufficiency with chronic left ankle ulcer, dysphagia, s/p RLL resection d/t aspirating gold crown, anemia of CKD. He received a Covid booster and flu vaccine 4 days ago, s/s s/s started the next couple days.  In the ED, he was initially afebrile, then temp 100F, non tachycardic (on Lopressor), BP normal. CXR without acute airspace disease; however hypoxic to 88% at rest on multiple trials with ED provider. He did test (+) for Covid. He requires admission for treatment of acute respiratory failure in setting of COPD.  At time of my exam, he is resting in bed, appears tired with mild increased work of breathing, but alert and oriented. Daughter, who is a nutritionist, is at bedside and assists with hx. He's not having other concerns besides the fatigue and SHOB. At baseline, he is independent at an independent living facility. He does have chronic anemia of CKD, gets somewhat regular Fe infusions as well as Retacrit. He had a stroke in the past, has residual dysphagia and often coughs/chokes while eating. He's had venous insufficiency since he was a teen, and has wraps on his legs all the time; follows with general surgery for OP management of an ulcer on left ankle.  He is a beloved member of the volunteer team at this hospital. * Acute respiratory failure due to COVID-19 (HCC) Assessment & Plan -S/P vaccine x2, received booster and influenza vaccine 4 days ago -Fever/cough and fatigue/SHOB for the past 2-3 days, tested (+) today -CXR no acute disease -Needing 2L O2 to maintain sats -Daily inflammatory labs, check viral film array -Remdesivir, decadron, BID lovenox, guaifenesin, duonebs q4 -Treat for CAP, check blood cultures  Progress Note from 11.4.21:  SUBJECTIVE:  Patient is on unresponsive.  Family made a decision yesterday they want to convert him to comfort care only.  I discontinued all medicines.  Discontinue the IVs.  Apparently he has not been doing well for the past 6 months or so also and their minds he has been declining dramatically. Progress Note from 11.5.21:  SUBJECTIVE:  Patient is unresponsive.  He is having still lot of agitation discontinue the Haldol switch him over to Ativan.  He is a do not resuscitate comfort care
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: General physical health deterioration, Hypoxia, Laboratory test, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (10.31.21 - still hospitalized / admitted);  COVID-19 positive (10.31.21);  fully vaccinated  CHIEF COMPLAINT:  Acute respiratory failure due to COVID-19 (HCC) HISTORY OF PRESENT ILLNESS: Patient is a 91 y.o. male who presents today with shortness of breath, fatigue, fever and cough for the past few days. PMH of mod-severe COPD (not on O2), venous insufficiency with chronic left ankle ulcer, dysphagia, s/p RLL resection d/t aspirating gold crown, anemia of CKD. He received a Covid booster and flu vaccine 4 days ago, s/s s/s started the next couple days.  In the ED, he was initially afebrile, then temp 100F, non tachycardic (on Lopressor), BP normal. CXR without acute airspace disease; however hypoxic to 88% at rest on multiple trials with ED provider. He did test (+) for Covid. He requires admission for treatment of acute respiratory failure in setting of COPD.  At time of my exam, he is resting in bed, appears tired with mild increased work of breathing, but alert and oriented. Daughter, who is a nutritionist, is at bedside and assists with hx. He's not having other concerns besides the fatigue and SHOB. At baseline, he is independent at an independent living facility. He does have chronic anemia of CKD, gets somewhat regular Fe infusions as well as Retacrit. He had a stroke in the past, has residual dysphagia and often coughs/chokes while eating. He's had venous insufficiency since he was a teen, and has wraps on his legs all the time; follows with general surgery for OP management of an ulcer on left ankle.  He is a beloved member of the volunteer team at this hospital. * Acute respiratory failure due to COVID-19 (HCC) Assessment & Plan -S/P vaccine x2, received booster and influenza vaccine 4 days ago -Fever/cough and fatigue/SHOB for the past 2-3 days, tested (+) today -CXR no acute disease -Needing 2L O2 to maintain sats -Daily inflammatory labs, check viral film array -Remdesivir, decadron, BID lovenox, guaifenesin, duonebs q4 -Treat for CAP, check blood cultures  Progress Note from 11.4.21:  SUBJECTIVE:  Patient is on unresponsive.  Family made a decision yesterday they want to convert him to comfort care only.  I discontinued all medicines.  Discontinue the IVs.  Apparently he has not been doing well for the past 6 months or so also and their minds he has been declining dramatically. Progress Note from 11.5.21:  SUBJECTIVE:  Patient is unresponsive.  He is having still lot of agitation discontinue the Haldol switch him over to Ativan.  He is a do not resuscitate comfort care
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Hospitalized (10.31.21 - still hospitalized / admitted);  COVID-19 positive (10.31.21);  fully vaccinated  CHIEF COMPLAINT:  Acute respiratory failure due to COVID-19 (HCC) HISTORY OF PRESENT ILLNESS: Patient is a 91 y.o. male who presents today with shortness of breath, fatigue, fever and cough for the past few days. PMH of mod-severe COPD (not on O2), venous insufficiency with chronic left ankle ulcer, dysphagia, s/p RLL resection d/t aspirating gold crown, anemia of CKD. He received a Covid booster and flu vaccine 4 days ago, s/s s/s started the next couple days.  In the ED, he was initially afebrile, then temp 100F, non tachycardic (on Lopressor), BP normal. CXR without acute airspace disease; however hypoxic to 88% at rest on multiple trials with ED provider. He did test (+) for Covid. He requires admission for treatment of acute respiratory failure in setting of COPD.  At time of my exam, he is resting in bed, appears tired with mild increased work of breathing, but alert and oriented. Daughter, who is a nutritionist, is at bedside and assists with hx. He's not having other concerns besides the fatigue and SHOB. At baseline, he is independent at an independent living facility. He does have chronic anemia of CKD, gets somewhat regular Fe infusions as well as Retacrit. He had a stroke in the past, has residual dysphagia and often coughs/chokes while eating. He's had venous insufficiency since he was a teen, and has wraps on his legs all the time; follows with general surgery for OP management of an ulcer on left ankle.  He is a beloved member of the volunteer team at this hospital. * Acute respiratory failure due to COVID-19 (HCC) Assessment & Plan -S/P vaccine x2, received booster and influenza vaccine 4 days ago -Fever/cough and fatigue/SHOB for the past 2-3 days, tested (+) today -CXR no acute disease -Needing 2L O2 to maintain sats -Daily inflammatory labs, check viral film array -Remdesivir, decadron, BID lovenox, guaifenesin, duonebs q4 -Treat for CAP, check blood cultures  Progress Note from 11.4.21:  SUBJECTIVE:  Patient is on unresponsive.  Family made a decision yesterday they want to convert him to comfort care only.  I discontinued all medicines.  Discontinue the IVs.  Apparently he has not been doing well for the past 6 months or so also and their minds he has been declining dramatically. Progress Note from 11.5.21:  SUBJECTIVE:  Patient is unresponsive.  He is having still lot of agitation discontinue the Haldol switch him over to Ativan.  He is a do not resuscitate comfort care
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient inadvertently received vaccine after expiration date. Moderna Company analyzed lot 007B21 and advised vaccine maintained  activity necessary to protect against covid 19 at time of administration. Also patient did not call in to complain of adverse event.  This is administrative error without adverse event.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was mistakenly given a dose of 0.5 mL instead of the protocol 0.25 mL dose for the Moderna booster dose.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthma, Condition aggravated, Respiratory disorder
Clinical narrative: Prior to the shots I had mile asthma where I used my rescue inhaler once a year. Since then I have needed my inhaler once to twice a week, and I am on a daily medication to help with breathing issues.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Hysteroscopy, Pelvic pain, Ultrasound abdomen normal
Clinical narrative: I have had unexplainable moderate to severe pelvic pain which have been ongoing  since 8/1/2021. I have seen 5 doctors who had run all possible blood and urine tests, and conducted hysteroscopy, pelvic ultrasound, and CT scan. All tests and procedures came back normal and none could explain the underlying causes of my pain. The only possible explanation is this could be related to the COVID  vaccine
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound pelvis normal, Ultrasound scan vagina normal, Urine analysis normal
Clinical narrative: I have had unexplainable moderate to severe pelvic pain which have been ongoing  since 8/1/2021. I have seen 5 doctors who had run all possible blood and urine tests, and conducted hysteroscopy, pelvic ultrasound, and CT scan. All tests and procedures came back normal and none could explain the underlying causes of my pain. The only possible explanation is this could be related to the COVID  vaccine
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue
Clinical narrative: Tested positive on 11/04/2021.  symptoms are tired and dry cough
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Affected patient monitored for 48Hrs in conjunction with a doctor. Patient returned to work after vaccine.  All symptoms consistent with expected Pfizer-BioNTech - Comirnaty side effects.
Age: 84.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Pt came in on 10/28/2021 to get a flu vaccine. When asked if she had already received her flu shot, pt said no. After the vaccine was given and we went to put it into IRIS to document it, we noticed a flu vaccine for her was already in there from 10/05/2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Balance disorder, Blood test normal, Chest pain, Dizziness
Clinical narrative: Respiratory difficulty began about 10 weeks after vaccination. It was a sensation of the diaphragm being restricted in its movement, a pulling downward inside the chest area, and pain and discomfort in the celiac plexus area. (Lungs remained open and clear)   As the breathing-related symptoms improved over some weeks other neurologically related symptoms began. These included a constant disequilibrium and a sensation of electrical pulsing in my head which was made worse on certain movements of the neck. Additional symptoms included a sense of urgency on urination and feelings like those that are associated with low-blood sugar? lightheadedness and agitation.   All blood labs, urine labs, and liver function tests come back normal.  These symptoms have been lingering now for four months.  They are improving, but slowly.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Electric shock sensation, Liver function test normal, Micturition urgency, Respiratory disorder, Urine analysis
Clinical narrative: Respiratory difficulty began about 10 weeks after vaccination. It was a sensation of the diaphragm being restricted in its movement, a pulling downward inside the chest area, and pain and discomfort in the celiac plexus area. (Lungs remained open and clear)   As the breathing-related symptoms improved over some weeks other neurologically related symptoms began. These included a constant disequilibrium and a sensation of electrical pulsing in my head which was made worse on certain movements of the neck. Additional symptoms included a sense of urgency on urination and feelings like those that are associated with low-blood sugar? lightheadedness and agitation.   All blood labs, urine labs, and liver function tests come back normal.  These symptoms have been lingering now for four months.  They are improving, but slowly.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial infection, Blood test, Chest X-ray normal, Cough, Oropharyngeal pain
Clinical narrative: woke up in the am on 10/31/21 coughing , sore throat, chest congestion went to get tested for covid, tests come back negative.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: woke up in the am on 10/31/21 coughing , sore throat, chest congestion went to get tested for covid, tests come back negative.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis
Clinical narrative: I have been experiencing cold like symptoms for one week.  The symptoms are net improving after a week. I am healthy and have a excellent health history and started taking vitamin D supplements approximately 4 years ago. I was exposed to covid several times before being vaccinated and never had any symptoms. Since the vaccine isn?t reducing transmission was it necessary for me to have.  My fear is that it has negatively impacted my immune system.  I have never had a cold like this that lasted this long. Thanks for your consideration.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Flushing, Throat tightness
Clinical narrative: Patient received second COVID-19 vaccine around 1445 on NOV 4, 2021 and about 4 minutes later reported feeling flushed , hot and tightness in her throat and lightheaded. Vaccine was administered at an outlying clinic. Administrators on scene gave her half a milligram of epinephrine IM in the right thigh.. She was then transported b to ED and arrived at about 1516 where she reported she had a similar reaction after her first COVID19 vaccine, but she also received a penicillin injection at the same time and the allergy was determined at that time to probably be related to the penicillin injection.  Patient monitored for 3 hours after epinephrine (0.5 mg IM) administered.  At no time (on arrival, throughout stay, at discharge) did she exhibit hives, uvular swelling, stridor, wheezes or any other acute anaphylactic reaction. She was given acet325Tab, 975 mg, Oral; diphSol, 25 mg, IV Push (Intravenous); famotidine, 20 mg, IV Push (Intravenous); mecl25Tab - Shared, 25 mg, Oral; methylPREDNISolone sod succinate 125 mg vial, 125 mg, IV Push (Intravenous) ; NS1000bolus_IP, 1000 mL, IV Bolus (Intravenous). She was discharged with 5 day supply of  prednisone and 10 days of Zyrtec.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Associate was given flu vaccine 11/4/21 by vaccinator (I did not give this vaccine). Per employee," I received the flu shot to my right arm. On the night of receiving the shot I noticed the injection site to be red and warm. The area is swollen. The areas is the size 3inx 2in around. No pain noted, full range of motion. induration was circled around site last night and has gone down some since.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Basophil percentage increased, Blood glucose normal, Chest pain, Dizziness, Fibrin D dimer increased
Clinical narrative: Extreme chest pain, fever, dizziness, pulmonary embolism, hospitalization. No treatment was given at the hospital due to staff negligence. I left the hospital to take my own pain medicine since staff had me waiting for two hours and could not produce pain treatment during my time of need.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Pyrexia
Clinical narrative: Extreme chest pain, fever, dizziness, pulmonary embolism, hospitalization. No treatment was given at the hospital due to staff negligence. I left the hospital to take my own pain medicine since staff had me waiting for two hours and could not produce pain treatment during my time of need.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: none
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Hepatic enzyme abnormal, Ultrasound liver
Clinical narrative: Since having my Covid vaccine, I?ve had elevated liver enzyme levels (AST & ALT). I don?t know if this is a result of the vaccine, but I?ve had my blood taken several times and had an ultrasound done on my liver. The ultrasound was fine, but each time I get my blood taken the levels are still elevated. I had this same test done in December of last year and the levels were within normal range.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: headach  musille pain fagtive
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pallor
Clinical narrative: Patient received dose 1 of the Pfizer COVID vaccine (lot FK5127) at approximately 1115. At 1124, RN approached the patient and mother to inquire about how he felt. The patient reported feeling nauseous. RN transferred patient to zero-gravity chair. PHN and Paramedic approached to assess. At 1125, vital signs: blood pressure 98/72, respirations 12, O2 100%, pulse 96. Patient placed supine. Patient reported improvement in symptoms, no longer nauseous. Patient appeared pale; denied diaphoresis, blurry vision, pain, dizziness. Patient's mother reported he had eaten breakfast and was well hydrated. Patient has no allergies, no medical conditions, and takes gummy vitamins. No history of fainting. Patient reported anxiety to needles. At 1133, PHN offered Benadryl, mother declined. PHN educated patient's mother on remaining for 30min monitoring since report of symptoms, on following up with provider, and ER precautions. Patient sat up and drank water provided by Paramedic. At 1137, vital signs: blood pressure 96/68, pulse 84, O2 100%, respirations 22. Patient reported symptoms had resolved. PHN noted improved skin tone color. At 1140, patient stood up unassisted, continued to report no symptoms. At 1142, patient left with mother, against medical advice of remaining for 30min monitoring from time of reporting symptoms.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, General symptom, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Was exposed to Covid-19 on 9/22/21. Was test and experienced symptoms on 9/26/21. Tested positive on 9/27/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Headache, Pyrexia
Clinical narrative: Low grade fever at 100.6F, headache, fatigue, loss of appetite, diarrhea
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: At approximately 1320 hours, A patient housed in a facility was scheduled by Admin staff for a 3rd dose Phizer.  This individual was registered in the system and was the first individual patient that was visited for the vaccination. After the nurses arrived back to the dining area to identify other patients to give vaccinations too, the patients CDC card was located.  Note that the CDC cards were provided to staff in a Tupperware container, and all of the cards had to be checked to find the individual patients that we needed to provide.  It was discovered that the first patient vaccinated had already received his 3rd dose Pfizer on October 15, 2021.  I advised the staff that we will not provide any other doses unless we can verify the proper dose in database.  The appropriate lead was advised of the situation and agreed with our method going forward.  The clinical lead conducted a VAERS report on the incident and notified her chain of command.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardio-respiratory arrest, Cough, Death, Dyspnoea
Clinical narrative: /Patient presented to the emergency room on 10/23/2021 with cough and shortness of breath. He was found to be hypoxic and was admitted for further management. He was treated with remdesivir, dexamethasone, baricitinib, and supplemental oxygen. He condition worsened and he was transferred to the intensive care unit on 10/25/2021.  Patient was intubated on 10/29/2021. Patient's condition continued to worsen.  Patient had a pulselessness event on 11/5/2021 and code was called. Patient was unable to be resuscitated and he expired on 11/5/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Hypoxia, Intensive care, Pulse absent
Clinical narrative: /Patient presented to the emergency room on 10/23/2021 with cough and shortness of breath. He was found to be hypoxic and was admitted for further management. He was treated with remdesivir, dexamethasone, baricitinib, and supplemental oxygen. He condition worsened and he was transferred to the intensive care unit on 10/25/2021.  Patient was intubated on 10/29/2021. Patient's condition continued to worsen.  Patient had a pulselessness event on 11/5/2021 and code was called. Patient was unable to be resuscitated and he expired on 11/5/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: /Patient presented to the emergency room on 10/23/2021 with cough and shortness of breath. He was found to be hypoxic and was admitted for further management. He was treated with remdesivir, dexamethasone, baricitinib, and supplemental oxygen. He condition worsened and he was transferred to the intensive care unit on 10/25/2021.  Patient was intubated on 10/29/2021. Patient's condition continued to worsen.  Patient had a pulselessness event on 11/5/2021 and code was called. Patient was unable to be resuscitated and he expired on 11/5/2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cyanosis, Erythema, Fatigue, Feeling cold
Clinical narrative: 1. Almost immediately, my left arm became red and swollen and hot to the touch. This side effect lasted for almost 2 weeks. The arm was quite painful if I touched or bumped it for one week, then gradually got better and was fine on the 14th day. 2. That evening of the vaccine and for the following 24 hours, I felt very, very cold with blue skin under my  fingernails and toenails and mottling of my skin on arms and legs. So cold, that even after/during sitting in a 140 degree sauna for 30 minutes, I did not even sweat.  3. Very fatigued for 2 days, slept most of the second day. 4. I had pulsing in my ears for one day, but this occurred a week or two later as well.  5. A sharp pain in my right kidney area also occurred but did not last long.   The only effect that occurred after the first shot was redness and soreness for 2 days.    Today, there seem to be no lasting side effects.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Livedo reticularis, Pain, Pain in extremity, Peripheral swelling, Renal pain
Clinical narrative: 1. Almost immediately, my left arm became red and swollen and hot to the touch. This side effect lasted for almost 2 weeks. The arm was quite painful if I touched or bumped it for one week, then gradually got better and was fine on the 14th day. 2. That evening of the vaccine and for the following 24 hours, I felt very, very cold with blue skin under my  fingernails and toenails and mottling of my skin on arms and legs. So cold, that even after/during sitting in a 140 degree sauna for 30 minutes, I did not even sweat.  3. Very fatigued for 2 days, slept most of the second day. 4. I had pulsing in my ears for one day, but this occurred a week or two later as well.  5. A sharp pain in my right kidney area also occurred but did not last long.   The only effect that occurred after the first shot was redness and soreness for 2 days.    Today, there seem to be no lasting side effects.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Somnolence, Tinnitus
Clinical narrative: 1. Almost immediately, my left arm became red and swollen and hot to the touch. This side effect lasted for almost 2 weeks. The arm was quite painful if I touched or bumped it for one week, then gradually got better and was fine on the 14th day. 2. That evening of the vaccine and for the following 24 hours, I felt very, very cold with blue skin under my  fingernails and toenails and mottling of my skin on arms and legs. So cold, that even after/during sitting in a 140 degree sauna for 30 minutes, I did not even sweat.  3. Very fatigued for 2 days, slept most of the second day. 4. I had pulsing in my ears for one day, but this occurred a week or two later as well.  5. A sharp pain in my right kidney area also occurred but did not last long.   The only effect that occurred after the first shot was redness and soreness for 2 days.    Today, there seem to be no lasting side effects.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Nasal congestion, Pain, Pain in extremity
Clinical narrative: Sore arm, weak, achy, stuffed nose
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given vaccine, afterwards it was found to be expired.  The vile was expired on 11/1/21, and it was administered on 11/5/21. I am awaiting instructions/call back from the manufacturer, Moderna for next steps.  The patient did not have any reaction or symptoms from this event yet.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Extra dose administered
Clinical narrative: Patient reported 3 heavy nose bleeds in the same day.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial infection, COVID-19, Chills, Death, Decreased appetite
Clinical narrative: pt admitted to hosp on 9/21/21 with positive COVID test; dc'd on 9/22/21; presents back to ED with increasing SOB, productive cough, chills, poor appetite; Respiratory failure probable superimposed bacterial infection; antibiotics given; worsening sepsis and metabolic acidosis; given dexamethasone; worsening delirium; placed on comfort measures only and pt expired in the hosp
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Delirium, Dyspnoea, Metabolic acidosis, Productive cough, Respiratory failure
Clinical narrative: pt admitted to hosp on 9/21/21 with positive COVID test; dc'd on 9/22/21; presents back to ED with increasing SOB, productive cough, chills, poor appetite; Respiratory failure probable superimposed bacterial infection; antibiotics given; worsening sepsis and metabolic acidosis; given dexamethasone; worsening delirium; placed on comfort measures only and pt expired in the hosp
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Superinfection
Clinical narrative: pt admitted to hosp on 9/21/21 with positive COVID test; dc'd on 9/22/21; presents back to ED with increasing SOB, productive cough, chills, poor appetite; Respiratory failure probable superimposed bacterial infection; antibiotics given; worsening sepsis and metabolic acidosis; given dexamethasone; worsening delirium; placed on comfort measures only and pt expired in the hosp
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Chills, Extra dose administered, Musculoskeletal stiffness
Clinical narrative: 6:15 am Nov 5 2021: sudden extreme vertigo upon standing up from bed. Mostly resolved upon lying down, but turning head, or turning over produced moderate vertigo. This happened again at 7 am.  After that it became less and less until by 9 am it was gone. Pt never had this before. No fever. BP was acutely elevated to about 160/90. Pulse was 56 (He usually runs a lower "marathoner's" pulse, so this was high for him). 1 day after booster, Pt had chills and muscle aches/ mild joint aches / mild neck stiffness, resolved by evening. The vertigo was the morning of the 2nd day after the booster.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Vertigo
Clinical narrative: 6:15 am Nov 5 2021: sudden extreme vertigo upon standing up from bed. Mostly resolved upon lying down, but turning head, or turning over produced moderate vertigo. This happened again at 7 am.  After that it became less and less until by 9 am it was gone. Pt never had this before. No fever. BP was acutely elevated to about 160/90. Pulse was 56 (He usually runs a lower "marathoner's" pulse, so this was high for him). 1 day after booster, Pt had chills and muscle aches/ mild joint aches / mild neck stiffness, resolved by evening. The vertigo was the morning of the 2nd day after the booster.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 11/5/21 after being fully vaccinated.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Hypoaesthesia, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Patient returned to pharmacy and complained of Swelling, warm rash that carried through breast area and upper back, and bruising and pain at injection site.  Patient appeared to have a mild allergy type reaction at injection site.  Reaction was quelling and patient was counseled to use mild antihistamine and cold packs at area of swelling
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Paraesthesia, Rash, Skin warm
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Patient returned to pharmacy and complained of Swelling, warm rash that carried through breast area and upper back, and bruising and pain at injection site.  Patient appeared to have a mild allergy type reaction at injection site.  Reaction was quelling and patient was counseled to use mild antihistamine and cold packs at area of swelling
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anosmia, Cough, Fatigue, Headache, Rhinorrhoea
Clinical narrative: wet cough, sinus congestion, runny nose, headache, loss of smell, some faitgue. Loss of smell just happened last night. starting 10/31/21
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus congestion
Clinical narrative: wet cough, sinus congestion, runny nose, headache, loss of smell, some faitgue. Loss of smell just happened last night. starting 10/31/21