chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Feeling jittery
Clinical narrative: After patient had received vaccine, a vaccinator was called by a member of the healthcare facility to assess the patient. The patient was jittery and exhibited signs of confusion approximately 20 minutes (3PM) after her vaccination. The vaccinator asked if she was diabetic and the patient replied "yes" and takes metformin. Further questioning revealed that the patient had not eaten since 9AM - it was then around 3PM. The ambulance was called and the patient went to the hospital. Probe revealed that she had not taken her diabetic medication and that the patient had not eaten or drink. Patient was encouraged by vaccinator to eat on time and take her medicine as prescribed.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Nausea, Neck pain
Clinical narrative: (severe chills, 2 hrs) (aching shoulders and neck, 1 day) (fever, nausea, severe light and smell sensitivity, 2 days) (Severe headache, 3 days)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Photophobia, Pyrexia
Clinical narrative: (severe chills, 2 hrs) (aching shoulders and neck, 1 day) (fever, nausea, severe light and smell sensitivity, 2 days) (Severe headache, 3 days)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Choking, Dyspnoea, Erythema, Lacrimation increased, Limb discomfort
Clinical narrative: Approximately 35 minutes after receiving the vaccine staff reported the arm that she received injection on "felt heavy then she started to have SOB, hard to breath, wants air, felt hands on her chest and chocking".  Staff noticed that she was tearing, wouldn't talk and was not responding for approximately 5 minutes. Her arms and legs were uptight. Staff also noticed some pale red patches on her neck.   Diphenhydramine solution 50mg was given to the patient orally at approximately 9:10am.    Patient started to improve in her symptoms at approximately 9:25am. Patient refused to go to the ER when offered to her by 911 staff. Per staff she was nearly 100% better at 9:45am.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pallor, Speech disorder, Unresponsive to stimuli
Clinical narrative: Approximately 35 minutes after receiving the vaccine staff reported the arm that she received injection on "felt heavy then she started to have SOB, hard to breath, wants air, felt hands on her chest and chocking".  Staff noticed that she was tearing, wouldn't talk and was not responding for approximately 5 minutes. Her arms and legs were uptight. Staff also noticed some pale red patches on her neck.   Diphenhydramine solution 50mg was given to the patient orally at approximately 9:10am.    Patient started to improve in her symptoms at approximately 9:25am. Patient refused to go to the ER when offered to her by 911 staff. Per staff she was nearly 100% better at 9:45am.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: The patient had an apparent allergic reaction along the lower lip - in line with the location of dermal filler injected in March 2020. The reaction was minor and localized. This is known with Moderna but to my knowledge hadn't yet been reported with the Pfizer vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Pallor
Clinical narrative: 9 min post injection pt felt her heart rate increase, was pale and diaphoretic.  Vitals signs were taken  with BP being 183/113, HR 103 and respirations 22.  Pt was sat down, given cool water and apple juice.  She reported having not eaten much for the day.  Her symptoms began to subside within 10 min and she required no further  intervention.  She was observed for a total of about 1 hr post injection .  Her BP was 136/ 98, HR  83 and respirations 17 when she left for home with her husband.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ear discomfort, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: On 1/11/21, site became swollen, red and itchy. Diameter of a pingpong ball, hard with induration of a few centimeters   Starting the evening of 1/10/21  Also with localized reaction, significant nasal congestion, watery eyes , pressure in both ears and more shortness of breath than typical with my asthma.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lacrimation increased, Local reaction, Nasal congestion, SARS-CoV-2 test
Clinical narrative: On 1/11/21, site became swollen, red and itchy. Diameter of a pingpong ball, hard with induration of a few centimeters   Starting the evening of 1/10/21  Also with localized reaction, significant nasal congestion, watery eyes , pressure in both ears and more shortness of breath than typical with my asthma.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: On 1/11/21, site became swollen, red and itchy. Diameter of a pingpong ball, hard with induration of a few centimeters   Starting the evening of 1/10/21  Also with localized reaction, significant nasal congestion, watery eyes , pressure in both ears and more shortness of breath than typical with my asthma.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Oral mucosal eruption, Rash, Rash erythematous
Clinical narrative: 2 days after receiving the Moderno Vaccine for Covid-19 I started having a red  rash on my face. It then progressed to my throat and chest. It is very bad under my breasts. It has now broken out in red dots on both of my arms.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: After 9 days I had a swelling and itchy reaction at the injection site
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Cervical lymphadenopathy diagnosed by Urgent Care doctor on day 8 post vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Injection site pain, Lymphadenopathy, Neck pain
Clinical narrative: 1. Left Arm soreness at shot site for 2-3 days (01/07/21 - 01/10/21).    2. Fatigue lasting 4 days from date of injection.  Worsening on day 2 (01/8/2021).  Subsided on day 5 (01/12/2021).   3.  Neck soreness with swollen lymph nodes on left side of neck started on day 4 (01/10/21) .  Continues on day 5 (1/12/2021).
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: PATIENT BECAME DIZZY, LIGHTHEADED AND PALE. PATIENT LAYED IN SUPINE POSTION AND GIVEN FOOD. BP OF 99/69, HR 72, O2 100% RA BS 159. CALLED 911- PATIENT REFUSED TRANSPORT. PATIENT MONITORED AN ADDITIONAL 15 MINS WITHOUT ANY PROBLEMS. ALL SYMPTOMS RESOLVED.
Age: 26.0
Sex: M
Vaccine: PPV, TDAP, PPV
Symptoms: Chest X-ray, Chills, Culture urine, Full blood count, Headache
Clinical narrative: Fever, chills, headache, photophobia, swelling, tenderness in left arm
Age: 26.0
Sex: M
Vaccine: PPV, TDAP, PPV
Symptoms: Metabolic function test, Mononucleosis heterophile test, Photophobia, Pyrexia, Swelling
Clinical narrative: Fever, chills, headache, photophobia, swelling, tenderness in left arm
Age: 26.0
Sex: M
Vaccine: PPV, TDAP, PPV
Symptoms: Tenderness, Urine analysis
Clinical narrative: Fever, chills, headache, photophobia, swelling, tenderness in left arm
Age: 26.0
Sex: M
Vaccine: PPV, TDAP, PPV
Symptoms: Chest X-ray, Chills, Full blood count, Headache, Injection site pain
Clinical narrative: Fever, chills, headache, photophobia, swelling, tenderness in left arm
Age: 26.0
Sex: M
Vaccine: PPV, TDAP, PPV
Symptoms: Mononucleosis heterophile test, Pyrexia
Clinical narrative: Fever, chills, headache, photophobia, swelling, tenderness in left arm
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site a week later
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Myalgia, Nausea, Pyrexia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Instructions to report effects after receiving COVID-19 vaccine.  Symptoms of severe chills, muscle aches, fever, rapid heart rate, nausea, diarrhea  all lasting 48hrs with nausea continuing thereafter.  No treatment. Continued nausea, however otherwise recovered
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Instructions to report effects after receiving COVID-19 vaccine.  Symptoms of severe chills, muscle aches, fever, rapid heart rate, nausea, diarrhea  all lasting 48hrs with nausea continuing thereafter.  No treatment. Continued nausea, however otherwise recovered
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Hyperhidrosis, Nausea
Clinical narrative: 12 hours from injection fatigue started. 14 hours past and chills and sweats started (highest measured temp 99.4F orally). Body aches occurred at 16 hours. Body aches and sweats and chills continued until hour 36. At hour 33 awoke from sleep with nausea but did not have emesis. At 48 hours all symptoms basically resolved.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: 12 hours from injection fatigue started. 14 hours past and chills and sweats started (highest measured temp 99.4F orally). Body aches occurred at 16 hours. Body aches and sweats and chills continued until hour 36. At hour 33 awoke from sleep with nausea but did not have emesis. At 48 hours all symptoms basically resolved.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia, Vomiting
Clinical narrative: Low-grade Fever (38.4 degrees C), Chills, muscle aches, vomiting for three hours
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site bruising, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Sore arm, itching, swelling & bruise at injection site.  Headache
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: Axillary pain, Injection site erythema, Injection site pruritus
Clinical narrative: Itching at injection site, 4 inch red ring around injection site, armpit pain on left arm
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure via skin contact, Immediate post-injection reaction, Injection site extravasation, Underdose
Clinical narrative: The vaccine leaked out from injection site immediately after the needle was removed. About 5 drops came out from injection site (around half of the vaccine injected). Despite of informing the health care provider who administered the vaccine about this issue, the health care provider (fire department officer)  didn't inject more vaccine to cover the unsuccessful vaccination due to the leakage.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, Blood test, Electrocardiogram, Loss of consciousness, Urine analysis
Clinical narrative: Dramatic decrease in blood sugar levels that lead to loss of consciousness. Roommates brought to the ER for glucose levels to rise. Repeated ER visit two days later with a similar problem. PCP and ER physician deduced COVID vaccine interference. My body is burning through my food faster than I can normally replace it. Recommended frequent meals and rest until symptoms cease. Conducted blood work, urine samples, and EKG to rule out other factors during both ER visits.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Dramatic decrease in blood sugar levels that lead to loss of consciousness. Roommates brought to the ER for glucose levels to rise. Repeated ER visit two days later with a similar problem. PCP and ER physician deduced COVID vaccine interference. My body is burning through my food faster than I can normally replace it. Recommended frequent meals and rest until symptoms cease. Conducted blood work, urine samples, and EKG to rule out other factors during both ER visits.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood glucose normal, Blood pressure normal, Body temperature normal, Dizziness
Clinical narrative: Received vaccine when 20 weeks pregnant. After vaccine, started feeling heart palpitations. The following evening felt heart palpitations, tachycardia, dizzy, shaky, and impending sense of doom. Called 911. Vitals (blood pressure, heart rate, oxygenation, temperature), blood glucose, and heart rhythm were normal. No interventions made. Continued to have intermittent palpitations the following 2 weeks.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate normal, Nervousness, Oxygen saturation normal, Palpitations, Pregnancy
Clinical narrative: Received vaccine when 20 weeks pregnant. After vaccine, started feeling heart palpitations. The following evening felt heart palpitations, tachycardia, dizzy, shaky, and impending sense of doom. Called 911. Vitals (blood pressure, heart rate, oxygenation, temperature), blood glucose, and heart rhythm were normal. No interventions made. Continued to have intermittent palpitations the following 2 weeks.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Pain, Sensitive skin, Skin burning sensation
Clinical narrative: Fatigue, Intermittent stabbing pains moving everywhere around my body  continuously; skin sensative to touch with burning feeling, swollen glands under armpits, neck..  Lasting now over a week. Some lessening with GabaPenton prescription after telehealth consult. His thinking it was  neuropathic pain.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: On January 7 (approximately 1 week after getting the first dose of the Moderna vaccine), I experienced itching, hives, redness, and swelling at the injection site. None of these symptoms appeared immediately after getting the injection, and only first appeared on January 7. The symptoms subsided after 3 days and multiple doses of benadryl.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Developed symptoms of COVID after vaccine and was positive.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Influenza like illness, Pain
Clinical narrative: later that day, i felf flu like symptoms like body ache, very tired, chills, low grade fever (99.7), abd x1 episode of diarrhea in the morning. took tylenol and low grade fever resolved but still felt very tired.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: later that day, i felf flu like symptoms like body ache, very tired, chills, low grade fever (99.7), abd x1 episode of diarrhea in the morning. took tylenol and low grade fever resolved but still felt very tired.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Throat tightness, Vulvovaginal swelling
Clinical narrative: Complaint of throat tightness and brought to the patient room. On exam she had mild swelling of the uvula and was given diphenhydramine 50 mg orally. Patient had normal vital signs and normal lung exam. She had tingling of her hands and lips and was given a brown paper bag to help with the hyperventilation.  Vital signs remained stable. Lungs remained clear. The uvula swelling resolved.  Patient was monitored and released to go home after 2 hours feeling well but tired.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Pyrexia
Clinical narrative: Diarrhea, chills, fever
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: headache, fatigue, chills, muscular body pain, joint pain, low grade temp., nausea. Swelling,pain, redness, warm to touch at injection site Took prescription and over counter medication, in bed all day. Started gradually feeling better the next day
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Myalgia, Nausea
Clinical narrative: headache, fatigue, chills, muscular body pain, joint pain, low grade temp., nausea. Swelling,pain, redness, warm to touch at injection site Took prescription and over counter medication, in bed all day. Started gradually feeling better the next day
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: headache, fatigue, chills, muscular body pain, joint pain, low grade temp., nausea. Swelling,pain, redness, warm to touch at injection site Took prescription and over counter medication, in bed all day. Started gradually feeling better the next day
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Chemotherapy, Rash
Clinical narrative: Patient wqs reported to have a general rash 2 hours after her vaccination.  She was reported to have the rash from her mid chest area to her bottocks area.  She did not have shortness of breath or any swelling in the throat.  She was also reported to not have this reaction at the injection site on her   arm.  Nurses stated that she had also very recently had her chemotherapy infusion.   An hour later, no additional symptoms were reported and the home was awaiting further direction from her physician's office.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Diarrhoea, Nausea, Vomiting
Clinical narrative: Several hours after vaccine patient had nausea, vomiting (green mucous), chills, diarrhea and confusion.  Patient is in generally good health so confusion was concerning.  Patient was taken to the hospital via ambulance.  Do not know outcome.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: accine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Dyspnoea, Injected limb mobility decreased, Nausea, Pain in extremity
Clinical narrative: Less than 12 hours after the shot I became nauseous. I got the shot approximately around 12:45-50 pm........this began around 11:30 pm. I went to bed with no issues then within a short time I felt an instant burning in my stomach...before I could make it to the bathroom....I began vomiting uncontrollably...this lasted for 3 hours. I had 1 bout of bathroom issues but that was it. I thought I was going to go unconscious because I couldn't stop to catch a breath. Each time last about 7 minutes. As soon as I went back to bed....I got that feeling and had to rush back to the bathroom again. Today  (24 hours later) my left arm is extremely sore. (no swelling or redness------very tight and sore to the touch). I cannot lift my arm  more than 50%.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Skin tightness, Tenderness, Vomiting
Clinical narrative: Less than 12 hours after the shot I became nauseous. I got the shot approximately around 12:45-50 pm........this began around 11:30 pm. I went to bed with no issues then within a short time I felt an instant burning in my stomach...before I could make it to the bathroom....I began vomiting uncontrollably...this lasted for 3 hours. I had 1 bout of bathroom issues but that was it. I thought I was going to go unconscious because I couldn't stop to catch a breath. Each time last about 7 minutes. As soon as I went back to bed....I got that feeling and had to rush back to the bathroom again. Today  (24 hours later) my left arm is extremely sore. (no swelling or redness------very tight and sore to the touch). I cannot lift my arm  more than 50%.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Cough, Death, Endotracheal intubation, Hemiparesis
Clinical narrative: Patient vaccinated on 12/28.  Approximately one day later, develops cough and on azithromycin x 1 week.  On 1/3, patient develops left-sided weakness and aphasia.  Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P.  Patient died on 1/4/21 at 7:20am.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated on 12/28.  Approximately one day later, develops cough and on azithromycin x 1 week.  On 1/3, patient develops left-sided weakness and aphasia.  Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P.  Patient died on 1/4/21 at 7:20am.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye swelling, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Received the second dose on 1/8- Felt tired with muscle aches and minor headache. Felt pain and soreness around injection site.  On 1/9- had a severe migraine was unable to get out of bed due to migraine and extreme light sensitivity. Experienced severe muscle aches and chills.  1/10- started experiencing facial swelling especially of the left side. Extreme left eye swelling. With headache. Went to ER. Was given Benadryl to reduce swelling fluids and Prilosec for throat irritation.  1/11-started experiencing left arm numbness and tingling radiating down to fingertips.  Experience left side facial numbness and tingling. 1/12- symptoms have begun to improve.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Migraine, Mobility decreased, Myalgia, Paraesthesia
Clinical narrative: Received the second dose on 1/8- Felt tired with muscle aches and minor headache. Felt pain and soreness around injection site.  On 1/9- had a severe migraine was unable to get out of bed due to migraine and extreme light sensitivity. Experienced severe muscle aches and chills.  1/10- started experiencing facial swelling especially of the left side. Extreme left eye swelling. With headache. Went to ER. Was given Benadryl to reduce swelling fluids and Prilosec for throat irritation.  1/11-started experiencing left arm numbness and tingling radiating down to fingertips.  Experience left side facial numbness and tingling. 1/12- symptoms have begun to improve.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Swelling face, Throat irritation
Clinical narrative: Received the second dose on 1/8- Felt tired with muscle aches and minor headache. Felt pain and soreness around injection site.  On 1/9- had a severe migraine was unable to get out of bed due to migraine and extreme light sensitivity. Experienced severe muscle aches and chills.  1/10- started experiencing facial swelling especially of the left side. Extreme left eye swelling. With headache. Went to ER. Was given Benadryl to reduce swelling fluids and Prilosec for throat irritation.  1/11-started experiencing left arm numbness and tingling radiating down to fingertips.  Experience left side facial numbness and tingling. 1/12- symptoms have begun to improve.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Gait disturbance, Myalgia
Clinical narrative: muscle and joint pain, weakness, difficulty walking
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Day 8 post injection - redness and itching below and to the side of  injection site . Improved with topical hydrocortisone
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Headache
Clinical narrative: Body shivers chills, head ache,  dizziness, loss apatite.  Self medication and home rest at this time.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure increased, Cough, Discomfort, Dizziness
Clinical narrative: Injection approximately 0855 Reaction at 0900 Dizziness, blurry vision, feeling of heaviness to body. Blood pressure slightly elevated 159/82  P 88 100% Os Sat RA. Provider notice slight swelling to uvula, however airway open, slight swelling noted to face. Slight cough noted. Patient was given oral Pepcid, and IM Benadryl. After monitoring for 1 1/2 hours patient felt better BP within normal range 128/73 P80 96-100 % 02 Sat RA. No redness, swelling or pain to injection site.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Enlarged uvula, Swelling face, Vision blurred
Clinical narrative: Injection approximately 0855 Reaction at 0900 Dizziness, blurry vision, feeling of heaviness to body. Blood pressure slightly elevated 159/82  P 88 100% Os Sat RA. Provider notice slight swelling to uvula, however airway open, slight swelling noted to face. Slight cough noted. Patient was given oral Pepcid, and IM Benadryl. After monitoring for 1 1/2 hours patient felt better BP within normal range 128/73 P80 96-100 % 02 Sat RA. No redness, swelling or pain to injection site.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Pt c/o numbness to tip of tongue x 15 minutes than went away.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia eye
Clinical narrative: Moderna Covid 19 Vaccine EUA Aprox. 5 minutes after injection entire head went numb, aprox 45 minutes later numbness moved to being left eye, aprox 2 hours numbness was gone. No other symptoms to report.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Pruritus
Clinical narrative: Non-anaphylactic reaction. Patient began to experience tingling/numbness on her fingers and Itching on chest area. Patient was given 4 ml of Benadryl at 6:15 patient was discharged home at 6:35 with improving signs and symptoms.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia
Clinical narrative: Metallic taste
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: Metallic taste
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Erythema, Induration, Skin discolouration, Tenderness
Clinical narrative: patch on your arm shaped like a square of 2x2x2x2 that red in the middle and the outside edge is yellow and blue like a tattoo,  it was hard the first then, a little tender but mostly reddish, square and yellowish blue brushing.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Erythema, Vertigo
Clinical narrative: Patient had vertigo, dizziness, cold sewats, redness near side of neck repoerted agter 15 minutes of observation. HR was nor remarkable, went from 80's to 90's. After addiitonal 10 minutes rapid response was iniciated and patient was given water
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Therapeutic response unexpected
Clinical narrative: Unusual not adverse reaction. By 6:00 am the following day, knee pain reduced by about 90%. By 6:00 pm the following day rash cleared up.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: I experienced a rash shingles on 12/22/2020 the next day of vaccination. The rash lasted for a week in a half.   I seen my primary care doctor on 12/29/2020
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypertension, Tremor
Clinical narrative: The patient received the vaccine at 10 am and an hour later the patient experienced slight dizziness, sweating, and shakiness. The ambulance was called just to be on the safe side. She was taken to the hospital via ambulance and was later discharged that same night as symptoms improved.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Sore arm Low grade fever between 101-102 F Really bad body aches Nausea and vomiting that lasted 24 hours Fever has continued in the afternoons
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Impaired work ability, Loss of personal independence in daily activities, Pyrexia
Clinical narrative: Fever 100.8 after Tylenol for 10-24 hours post vaccination. , extreme chills, shaking, waking from sleep. Severe fatigue, unable to work for 2 days post vaccination. Unable to do daily activities.  24 hours after vaccination fever resolved, temp elevated 99.5-99.8, fatigue is mild to moderate.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tremor
Clinical narrative: Fever 100.8 after Tylenol for 10-24 hours post vaccination. , extreme chills, shaking, waking from sleep. Severe fatigue, unable to work for 2 days post vaccination. Unable to do daily activities.  24 hours after vaccination fever resolved, temp elevated 99.5-99.8, fatigue is mild to moderate.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Injection site erythema, Injection site oedema, Injection site pain, Injection site pruritus
Clinical narrative: 1/10/21 - Feeling of "pulling a muscle" in armpit in left upper extremity that limited movement. (around 8:00 am). New onset of hives, erythema, warmth, edema, pain, and itching experienced at injection site in left upper extremity (6:34 pm). Call was placed to NP, the provider on call at 6:46 pm. Under advisement of provider, application of hydrocortisone cream at injection site and X2 PO 25 mg benadryl self-administered (around 7:00 pm). Sensation of throat closing and hoarseness/change in voice surfaced (around 7:45 pm).  Presented to ED, with complaints as listed (around 8:15 pm). Condition/symptoms treated at ED with 60 mg prednisone and pepcid (8:31 pm) followed by direct observation until 10:08 pm.  Prescription for prednisone 20 mg X3/day for 5 days written by MD. 1/11/21 - Arm continued to appear slightly swollen with erythema and warmth at the site. Treatment included observation throughout the day. 1/12/21 - Follow-up appointment attended with provider at 2:10 pm. Told by provider that prednisone would only be necessary in  the case of resurfacing symptoms of a hypersensitivity reaction.  At this time the cause of said symptoms is undetermined. Tingling sensation experienced in face and direct observation of left-sided facial swelling noticed (5:59 pm).  Call placed to provider on call (6:08 pm) . Provider advised to take X2 25 mg benadryl and to take X3 20 mg prednisone stat. Benadryl taken at 6:15 pm and prednisone taken at 6:30 pm. Tingling sensation minimized by 7:30 pm, but left sided facial swelling remains as of 7:40 pm. Plans to follow-up with PCP later in the week and potential for re-visiting ED  if symptoms worsen or continue throughout the night.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Injection site warmth, Mobility decreased, Muscle strain, Paraesthesia
Clinical narrative: 1/10/21 - Feeling of "pulling a muscle" in armpit in left upper extremity that limited movement. (around 8:00 am). New onset of hives, erythema, warmth, edema, pain, and itching experienced at injection site in left upper extremity (6:34 pm). Call was placed to NP, the provider on call at 6:46 pm. Under advisement of provider, application of hydrocortisone cream at injection site and X2 PO 25 mg benadryl self-administered (around 7:00 pm). Sensation of throat closing and hoarseness/change in voice surfaced (around 7:45 pm).  Presented to ED, with complaints as listed (around 8:15 pm). Condition/symptoms treated at ED with 60 mg prednisone and pepcid (8:31 pm) followed by direct observation until 10:08 pm.  Prescription for prednisone 20 mg X3/day for 5 days written by MD. 1/11/21 - Arm continued to appear slightly swollen with erythema and warmth at the site. Treatment included observation throughout the day. 1/12/21 - Follow-up appointment attended with provider at 2:10 pm. Told by provider that prednisone would only be necessary in  the case of resurfacing symptoms of a hypersensitivity reaction.  At this time the cause of said symptoms is undetermined. Tingling sensation experienced in face and direct observation of left-sided facial swelling noticed (5:59 pm).  Call placed to provider on call (6:08 pm) . Provider advised to take X2 25 mg benadryl and to take X3 20 mg prednisone stat. Benadryl taken at 6:15 pm and prednisone taken at 6:30 pm. Tingling sensation minimized by 7:30 pm, but left sided facial swelling remains as of 7:40 pm. Plans to follow-up with PCP later in the week and potential for re-visiting ED  if symptoms worsen or continue throughout the night.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Throat tightness
Clinical narrative: 1/10/21 - Feeling of "pulling a muscle" in armpit in left upper extremity that limited movement. (around 8:00 am). New onset of hives, erythema, warmth, edema, pain, and itching experienced at injection site in left upper extremity (6:34 pm). Call was placed to NP, the provider on call at 6:46 pm. Under advisement of provider, application of hydrocortisone cream at injection site and X2 PO 25 mg benadryl self-administered (around 7:00 pm). Sensation of throat closing and hoarseness/change in voice surfaced (around 7:45 pm).  Presented to ED, with complaints as listed (around 8:15 pm). Condition/symptoms treated at ED with 60 mg prednisone and pepcid (8:31 pm) followed by direct observation until 10:08 pm.  Prescription for prednisone 20 mg X3/day for 5 days written by MD. 1/11/21 - Arm continued to appear slightly swollen with erythema and warmth at the site. Treatment included observation throughout the day. 1/12/21 - Follow-up appointment attended with provider at 2:10 pm. Told by provider that prednisone would only be necessary in  the case of resurfacing symptoms of a hypersensitivity reaction.  At this time the cause of said symptoms is undetermined. Tingling sensation experienced in face and direct observation of left-sided facial swelling noticed (5:59 pm).  Call placed to provider on call (6:08 pm) . Provider advised to take X2 25 mg benadryl and to take X3 20 mg prednisone stat. Benadryl taken at 6:15 pm and prednisone taken at 6:30 pm. Tingling sensation minimized by 7:30 pm, but left sided facial swelling remains as of 7:40 pm. Plans to follow-up with PCP later in the week and potential for re-visiting ED  if symptoms worsen or continue throughout the night.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Fever, vomiting, body aches, headache
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Rash macular, Urticaria
Clinical narrative: INJECTION SITE STARTED WITH RED BLOTCH AND ITCHING, THEN WOKE UP TO WHOLE BODY COVERED IN HIVES LEGS, ARMS, STOMACH. STATED 1/7/2021 - CONTINUING
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Axillary pain, Chest pain, Electrocardiogram normal, Pain
Clinical narrative: Woke up 1/9/2021 Saturday morning around 0700 with stabbing pain in my left chest/underarm area whenever I took a deep breath.  No other symptoms. No fever no real shortness of breath only when inhaling deep and exhaling.  Continued as a dull ache in the background.      I was due for my 2nd covid vaccine which I proceeded to get at 1045am on 1/9/2021.  The pain continued as a dull ache in the background.   I took Ibuprofen 600mg and then later took a Pepcid 20mg.   No real change with the pain and by 3:30pm in the afternoon it was starting to get worse so I when to ER.  All tests were normal, I was diagnosed with Pleurisy but no cause was identified.  Have taken Aleve  2 x a day for 3 days and tylenol as needed.  I self scheduled a covid test 1/11/2021 which was negative.  on 1/12/2021 I still have mild pain but it has slowly improved but has not resolved as of this date 1/12/21  Still no other symptoms.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pleurisy, SARS-CoV-2 test negative, Troponin normal
Clinical narrative: Woke up 1/9/2021 Saturday morning around 0700 with stabbing pain in my left chest/underarm area whenever I took a deep breath.  No other symptoms. No fever no real shortness of breath only when inhaling deep and exhaling.  Continued as a dull ache in the background.      I was due for my 2nd covid vaccine which I proceeded to get at 1045am on 1/9/2021.  The pain continued as a dull ache in the background.   I took Ibuprofen 600mg and then later took a Pepcid 20mg.   No real change with the pain and by 3:30pm in the afternoon it was starting to get worse so I when to ER.  All tests were normal, I was diagnosed with Pleurisy but no cause was identified.  Have taken Aleve  2 x a day for 3 days and tylenol as needed.  I self scheduled a covid test 1/11/2021 which was negative.  on 1/12/2021 I still have mild pain but it has slowly improved but has not resolved as of this date 1/12/21  Still no other symptoms.
Age: 29.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Lymphadenopathy, Ultrasound scan
Clinical narrative: bilateral painful lymphadenopathy, erythema
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Rash, Tenderness
Clinical narrative: worsening of the rash developed tender/swollen supraclavicular lymph nodes
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Rash
Clinical narrative: worsening of the rash developed tender/swollen supraclavicular lymph nodes
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Pain in extremity
Clinical narrative: Day after and for a few days ,strong pain in arm.  On January 11th , 9 days after the injection, I have  pink at the injection site and a rash about 2 inches long below the injection site.  No fever  but itching. The rash just appeared yesterday evening.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Fatigue, Musculoskeletal chest pain, Swollen tongue
Clinical narrative: 20 min post vaccination (conducted in workplace setting), patient report feeling of swelling of tongue; in her words "thick feeling tongue."  Also reported L upper chest tenderness and "very tired and no energy."  RN found no SOB, not appearance of swollen tongue or other angioedema, no evidence of urticaria, no respiratory distress including no wheezing. Not evidence of vasovagal response.  After consultation, RN provided 12.5 mg Benadryl IM in opposite arm of vaccination.  Pt remained under observation of RN and after 30 min states she feels better, previous symptoms abated, and again without evidence of anaphylaxis.  Pt was released back to office 45 min after first presenting with symptoms.  Pt stated "I think I was anxious." on departure.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue disorder
Clinical narrative: 20 min post vaccination (conducted in workplace setting), patient report feeling of swelling of tongue; in her words "thick feeling tongue."  Also reported L upper chest tenderness and "very tired and no energy."  RN found no SOB, not appearance of swollen tongue or other angioedema, no evidence of urticaria, no respiratory distress including no wheezing. Not evidence of vasovagal response.  After consultation, RN provided 12.5 mg Benadryl IM in opposite arm of vaccination.  Pt remained under observation of RN and after 30 min states she feels better, previous symptoms abated, and again without evidence of anaphylaxis.  Pt was released back to office 45 min after first presenting with symptoms.  Pt stated "I think I was anxious." on departure.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Somnolence
Clinical narrative: Fatigue, sleepiness, pain on left arm
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Hair loss on anterolateral aspect of bilateral lower legs
Age: 47.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral coldness
Clinical narrative: Cold extremity below injection site
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site nodule, Injection site warmth, Psychomotor hyperactivity
Clinical narrative: 12/30/20 after vaccination very pt was very hyperactive; following days chills and headache . 1/4/20 Large knot appeared in shoulder right collar bone, pt could push down shoulder, uncomfortable feeling when touched and very hot to touch. Knot in right collarbone of shoulder is still present but not as large.  Follow up with PCP; PCP has referred patient to infectious specialist for f/u
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, Body temperature increased, CSF test normal, Mental status changes, Urine analysis normal
Clinical narrative: Attempting to confirm which COVID 19 vaccine was given (Moderna or Pfizer). They did not send the record when they sent the patient to General ER the next am.  Did not answer the phone.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Attempting to confirm which COVID 19 vaccine was given (Moderna or Pfizer). They did not send the record when they sent the patient to General ER the next am.  Did not answer the phone.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Lymphadenopathy, Urticaria
Clinical narrative: Palm sized Red welt on left anterior subclavian area. Inflamed lymph nodes in axilla for 2 days
Age: 40.0
Sex: M
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: hives over the entire trunk and torso
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to surgical sutures, Chills, Fatigue, Incision site erythema, Lethargy
Clinical narrative: RUnny nose that evening after receiving vaccine which then turned into low grade fever and chills for about 5 days.  Incision sites also had a red ring around them as if I was allergic to the Vicryl sutures used during the surgery.  Also very tired and lethargic while exhibiting low grade fever as well.  I was taking Percocet for pain control from the procedure along with Motrin 400mg respectively.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: RUnny nose that evening after receiving vaccine which then turned into low grade fever and chills for about 5 days.  Incision sites also had a red ring around them as if I was allergic to the Vicryl sutures used during the surgery.  Also very tired and lethargic while exhibiting low grade fever as well.  I was taking Percocet for pain control from the procedure along with Motrin 400mg respectively.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia
Clinical narrative: Severe headache about 7 hours after vaccine snd then progressed around 17 hours after with severe joint pain, muscle aches, headache and fever of 100.3. Lasted well into the next day and evening
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Vaccination site induration, Vaccination site pain
Clinical narrative: - Moderna vaccine Sunday 1/3/21 - Vaccine site remained sore from 1/3/21 through Wednesday (1/6/21) before starting to improve.  - On Sunday 1/10/21,area again became painful, warm to touch, firm, and itchy - Woke up this morning (1/12/21) and noticed the redness that was just around the injection site had migrated down, mid-arm and has continued to moved downward today.  - Describes sensation as similar to after spider bite - The area feels itchy when clothing touches the area some burning/itch.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site warmth
Clinical narrative: - Moderna vaccine Sunday 1/3/21 - Vaccine site remained sore from 1/3/21 through Wednesday (1/6/21) before starting to improve.  - On Sunday 1/10/21,area again became painful, warm to touch, firm, and itchy - Woke up this morning (1/12/21) and noticed the redness that was just around the injection site had migrated down, mid-arm and has continued to moved downward today.  - Describes sensation as similar to after spider bite - The area feels itchy when clothing touches the area some burning/itch.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Feeling abnormal, Headache, Lethargy
Clinical narrative: Lethargic not hungry  Headache  Weak Cloudy head
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Patient had vaccine at pharmacy.   Patient states that within hours of receiving Shingrix her arm was sore, she got a headache, nausea, slight fever, and fatigue (tiredness).  The next day she states she had hives on her arm, chest, and forehead. Patient took Benadryl for a few days.  Now need to know if she can have the second dose?
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Patient had vaccine at pharmacy.   Patient states that within hours of receiving Shingrix her arm was sore, she got a headache, nausea, slight fever, and fatigue (tiredness).  The next day she states she had hives on her arm, chest, and forehead. Patient took Benadryl for a few days.  Now need to know if she can have the second dose?