chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Electrocardiogram, Hot flush, Impaired work ability, Lymphadenopathy
Clinical narrative: I was suffering from extreme body ache, it was awful. The lymph nodes under my left arm swelled into the size of a baseball. I was unable to lift or use my left arm. The lymph nodes in my neck became swollen and created difficulty swallowing. The pain in my neck was aching and tightness. I was unable to work for three days.  I was prescribed steroids from my doctor and that helped a bit. Two weeks after I have been suffering from hot flashes and fever. I was given an EKG on November 17, 2021, the results came back as abnormal. I now have an upcoming appointment with a cardiologist.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Neck pain, Pain, Pyrexia
Clinical narrative: I was suffering from extreme body ache, it was awful. The lymph nodes under my left arm swelled into the size of a baseball. I was unable to lift or use my left arm. The lymph nodes in my neck became swollen and created difficulty swallowing. The pain in my neck was aching and tightness. I was unable to work for three days.  I was prescribed steroids from my doctor and that helped a bit. Two weeks after I have been suffering from hot flashes and fever. I was given an EKG on November 17, 2021, the results came back as abnormal. I now have an upcoming appointment with a cardiologist.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Left armpit swelling. Swollen lymph node in armpit on left side. Pain in left armpit
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm, Urticaria
Clinical narrative: Generalized hives that are itchy, worsen and improve throughout the day, move to different areas on the body, worsens with touching. Hot to touch. Zyrtec and benadryl provide minimal temporary relief. Has been ongoing for over 1 week now. 3 other people in the workplace have the same issue.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Needle issue, Underdose
Clinical narrative: Some of the Pfizer vaccine leaked from the syringe when needle retracted from the patient's arm.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Amnesia, Apnoea, Blood cholesterol increased, Blood test normal
Clinical narrative: It was about 4:00 PM, I experienced high heart rate. Couldn't control my heart rate and blood pressure. At 1:00 AM, stopped breathing. After care from the hospital, I went to see PCP and since then, I've had ongoing cough that I cannot get rid of. Tried every cough syrup, antibiotic, capsule, it won't stop. I've had an X-Ray and MRI of my lungs, and we can't figure out anything. High blood pressure has not been in control for a while. Increased Metoprolol to see if that would help but nothing has helped with controlling blood pressure, 149/110 with a pulse of 115. Severe abdominal pain since the first vaccination and it will just not go away. Ongoing exhaustion and memory issues (short term memory loss) affecting my work.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Heart rate increased, Hypertension, Magnetic resonance imaging normal
Clinical narrative: It was about 4:00 PM, I experienced high heart rate. Couldn't control my heart rate and blood pressure. At 1:00 AM, stopped breathing. After care from the hospital, I went to see PCP and since then, I've had ongoing cough that I cannot get rid of. Tried every cough syrup, antibiotic, capsule, it won't stop. I've had an X-Ray and MRI of my lungs, and we can't figure out anything. High blood pressure has not been in control for a while. Increased Metoprolol to see if that would help but nothing has helped with controlling blood pressure, 149/110 with a pulse of 115. Severe abdominal pain since the first vaccination and it will just not go away. Ongoing exhaustion and memory issues (short term memory loss) affecting my work.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: It was about 4:00 PM, I experienced high heart rate. Couldn't control my heart rate and blood pressure. At 1:00 AM, stopped breathing. After care from the hospital, I went to see PCP and since then, I've had ongoing cough that I cannot get rid of. Tried every cough syrup, antibiotic, capsule, it won't stop. I've had an X-Ray and MRI of my lungs, and we can't figure out anything. High blood pressure has not been in control for a while. Increased Metoprolol to see if that would help but nothing has helped with controlling blood pressure, 149/110 with a pulse of 115. Severe abdominal pain since the first vaccination and it will just not go away. Ongoing exhaustion and memory issues (short term memory loss) affecting my work.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Electric shock sensation, Headache, Pain in extremity
Clinical narrative: HEADACHE, FEVER, ELECTRICITY THROUGHOUT THE BODY, DIARRHEA, WEAKNESS.  BUT THE WORST IS A LOT OF PAIN AND INFLAMMATION OF THE GANGLIA IN THE LEFT ARM WHERE THE VACCINE GIVEN ME
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vaccination site inflammation
Clinical narrative: HEADACHE, FEVER, ELECTRICITY THROUGHOUT THE BODY, DIARRHEA, WEAKNESS.  BUT THE WORST IS A LOT OF PAIN AND INFLAMMATION OF THE GANGLIA IN THE LEFT ARM WHERE THE VACCINE GIVEN ME
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Mass, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: Patient started having a very sore arm on 11/19/2021 and then by 11/20/2021 it became swollen and one big red lump on it.  There was no puss and no warmth.  She didn't take anything for it.  Now on 11/22/2021 (Monday) it is better.  There is still a small spot that is not swollen or red, but is VERY tender still.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram abnormal, Tinnitus
Clinical narrative: Tinnitus, in both ears. Started within a couple days of the vaccine and has not gotten better since.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site movement impairment, Injection site pain, Muscular weakness
Clinical narrative: left arm became completely useless, weakness throughout entire arm, muscle at injection site wouldnt relax, shoulder/ arm muscles were sore about a week after arm began to function again
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Pallor, Tremor
Clinical narrative: Soon after administering the vaccine, patient felt dizzy and sat on the floor. He may have passed out for a couple seconds and upon calling out his name he responded and mentioned that he has this kind of a reaction during blood draws. The patient failed to mention that to me before I gave him the vaccine. He came around  and then his arm started to shake as well and he turned very pale at which point we called 911. But within a few seconds he started feeling better and said he was fine and to cancel 911 but they were already on their way.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram abnormal
Clinical narrative: Rapid heart beat and shortness of breath the next day. Resolved in ER. 2 weeks later rapid heart beat, shortness of breath, fainted. Went to urgent care and EKG was abnormal, referred to cardiology. 3 days later, woke up with severe chest pain, shortness of breath, rapid heartbeat, went to ER and hospitalized.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Syncope
Clinical narrative: Rapid heart beat and shortness of breath the next day. Resolved in ER. 2 weeks later rapid heart beat, shortness of breath, fainted. Went to urgent care and EKG was abnormal, referred to cardiology. 3 days later, woke up with severe chest pain, shortness of breath, rapid heartbeat, went to ER and hospitalized.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Migraine, Mobility decreased, Photophobia
Clinical narrative: After dose once, I experienced two days of migraines so bad that I had to stay in bed (which I'd never experienced before). After that, for the three weeks between doses, I experienced some form of headache for at least half the days. After dose two, I experienced a seven-day migraine and have experienced persistent light sensitivity and prone to migraines for the remaining eight months. I've experimented with different treatments, and found relief for a couple months, but have relapsed again. My main symptom currently is persistent light sensitivity and light associated headaches.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blister, Blood test normal, Burning sensation, Computerised tomogram, Dizziness
Clinical narrative: Had two adverse events: first was 4/2/21 while we were on spring break (teacher) started as cold, freezing, shaking then led to dizziness, triceps (both) stinging, both butt cheeks feeling like they were burning (blisters), could not sleep, shaking as if I were having withdrawal symptoms, could not sit down or lay down without pain. Went to Hospital on holiday morning. They ran an EKG, CT Scan, took 11-12 vials of blood and did cultures which came back negative.  We left early to return back home where I went to Family Practice to see my personal physician where he took eight more vials of blood and it all came back negative.  The second episode occurred in October 2021, where I had a fever for a week and broke out in a rash over my whole body.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Feeling cold, Insomnia, Pain, Pyrexia
Clinical narrative: Had two adverse events: first was 4/2/21 while we were on spring break (teacher) started as cold, freezing, shaking then led to dizziness, triceps (both) stinging, both butt cheeks feeling like they were burning (blisters), could not sleep, shaking as if I were having withdrawal symptoms, could not sit down or lay down without pain. Went to Hospital on holiday morning. They ran an EKG, CT Scan, took 11-12 vials of blood and did cultures which came back negative.  We left early to return back home where I went to Family Practice to see my personal physician where he took eight more vials of blood and it all came back negative.  The second episode occurred in October 2021, where I had a fever for a week and broke out in a rash over my whole body.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Tremor
Clinical narrative: Had two adverse events: first was 4/2/21 while we were on spring break (teacher) started as cold, freezing, shaking then led to dizziness, triceps (both) stinging, both butt cheeks feeling like they were burning (blisters), could not sleep, shaking as if I were having withdrawal symptoms, could not sit down or lay down without pain. Went to Hospital on holiday morning. They ran an EKG, CT Scan, took 11-12 vials of blood and did cultures which came back negative.  We left early to return back home where I went to Family Practice to see my personal physician where he took eight more vials of blood and it all came back negative.  The second episode occurred in October 2021, where I had a fever for a week and broke out in a rash over my whole body.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Immediate post-injection reaction, Nausea
Clinical narrative: Immediately after receiving vaccine, slight nausea lasted one hour, explosive bowels lasted for 15 mins.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine administered beyond the best used date but before expiration date.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis
Clinical narrative: 10mins post vaccination pt c/o flushing/sweating and dizziness Vitals: 09:38 132/72, 103, 20, 100% -- > 09:50 134/81, 106, 18, 100% 09:55 Pt is standing and states that she is feeling better.  Symptoms resolved.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Heart rate increased
Clinical narrative: After 5 mins of receiving the vaccine pt was feeling light headed/ dizzy/ fast heart rate/ and anxious. Pt was asking for juice thinking that his blood glucose level might be low. Offered and pt took a glucose tablet. Pt waited for another 20 mins. Symptoms did not preside. Offered to call the ambulance. PT refused said he just wants to go home. I walked him to his car to make sure he didn't fall. His wife drove him home.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: Generalized rash starting on chest then spreading to back, arms, legs, hands, and feet. fever of 101 degrees that lasted three days
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Syncope
Clinical narrative: Patient got lightheaded and almost fainted arund 15-20 minutes after the vaccine. 911 was called and she was taken to the hospital because her pressure was really low
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Seizure
Clinical narrative: Pt w/ ongoing seizure disorder for the past 2 yrs. Depending on the day/ week pt can have up to 3-4 seizures per day. Reports having had a seizure after both 1st and 2nd Moderna COVID vaccines. Pt had seizure at 3:22pm; rapid response called. No loss of consciousness. Pt was alert and oriented during seizure ? was speaking w/ wife and verbalizing his experience during seizure. Pt works closely w/ a neurologist. Has had his medications adjusted several times by neurologist but has not yet found one that can manage his seizures. Pt does not know names of his meds. Pt does not have a rescue medication for seizures. No fall or head trauma occurred. Pt was monitored in clinic for ~1 hr and was escorted to his car in a wheelchair in stable condition at 4:26pm.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: Within 1 to 2 minutes of administering the Janssen Covid Vaccine to the patient, the patient fainted while waiting in the observation area at the front of the pharmacy. His wife yelled to staff that he had fainted and wasn't sure if he may be having a seizure. The pharmacist immediately approached the patient, who did not appear to be having a seizure, although she did observe that his face was drained of color (white/gray), and the patient was unresponsive, his eyes were shut. The patient did have a pulse and was breathing normally. At this time, a pharmacy technician was contacting 911 emergency medical services, who were on their way to the pharmacy. A second pharmacist approached to help the patient immediately, and the patient started to wake, and become responsive to verbal cues from his spouse and pharmacy staff. The second pharmacist conducted neurological tests (checked patient's eyes, ability to speak, maneuver arms), and the patient was given orange juice to drink. The patient blood pressure and heart rate were checked (119/95, 41 bpm). The patient became very apologetic and embarrassed (he stated this), and it was explained that he had a history of fainting in response to seeing needles previously (i.e., during blood draw). The patient was able to drink a few gulps of orange juice. Within the first few minutes of waking, the patient then fainted again. He was not responsive for about a minute, and then became responsive again, as EMS arrived. EMS than evaluated the patient, and offered to take him to the ER, which the patient declined. The patient signed a release to not go to the ER, and returned home for the evening, but was instructed to seek medical attention if further warranted at any time.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Face injury, Fall, Haematoma, Orbital swelling
Clinical narrative: 10 yo girl presented for first covid without PMD or allergies  who 2 mins after reported have cloudy vision then fell forward from chair hitting the right side of face .exam remarkable for mild orthostasis of blood pressure supine 140/100 sitting 120/80 standing 100/60 appearance anxious well developed well nourished girl with swelling over right superior orbit but alert and responsive approximately 30 seconds of syncope. head with 1.5x1 cm hematoma over the superior orbit without laceration or ecchymosis eyes visual acuity 20/16 right eye and 20/20 left eye PERRL unable to do fundi due to lack of opthalmoscope  no clear drainage for nare mouth with chipped incisor neck full range of motion chest clr p and a cor rrr neuro o&a x3 after syncope cranial nerve 2,3,4,&6 as well as other cranial nerves grossly intact motor grip good cerebellar grossly intact no romberg dtr wnl. impression +post vaccination vasovagal syncope c/b right orbital hematoma and chipped right incisor thus advised ED visit for orbital imaging and evaluation whether hematoma might require I&D but if taken home apply ice pack and use tylenol rather than NSAIDs and observe for altered mental status ie somnolence or progressive headache with nausea or blurry vision or bulging of the eye or double vision
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tooth fracture, Vision blurred
Clinical narrative: 10 yo girl presented for first covid without PMD or allergies  who 2 mins after reported have cloudy vision then fell forward from chair hitting the right side of face .exam remarkable for mild orthostasis of blood pressure supine 140/100 sitting 120/80 standing 100/60 appearance anxious well developed well nourished girl with swelling over right superior orbit but alert and responsive approximately 30 seconds of syncope. head with 1.5x1 cm hematoma over the superior orbit without laceration or ecchymosis eyes visual acuity 20/16 right eye and 20/20 left eye PERRL unable to do fundi due to lack of opthalmoscope  no clear drainage for nare mouth with chipped incisor neck full range of motion chest clr p and a cor rrr neuro o&a x3 after syncope cranial nerve 2,3,4,&6 as well as other cranial nerves grossly intact motor grip good cerebellar grossly intact no romberg dtr wnl. impression +post vaccination vasovagal syncope c/b right orbital hematoma and chipped right incisor thus advised ED visit for orbital imaging and evaluation whether hematoma might require I&D but if taken home apply ice pack and use tylenol rather than NSAIDs and observe for altered mental status ie somnolence or progressive headache with nausea or blurry vision or bulging of the eye or double vision
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Pain in extremity
Clinical narrative: Sore arm redness spreading throughout arm plus being tired and chills
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Immediately post vacciantion pt felt dizzy.  Pt taken to triage area. Vitals: 104/58, 65, 95%. Pt was observed for an additional time.  Pt stable and released from the vaccination site w/ a family member.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pediatric patient inadvertently given booster dose of Pfizer vaccine
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocardial necrosis marker increased
Clinical narrative: Chest pain, elevated cardiac enzymes
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Very swollen lymph nodes in right armpit and right breast. Extremely tender. Pain level 6/10.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Injection site haemorrhage, Loss of consciousness
Clinical narrative: Patient got the shot(Pfizer) in his right arm at 5:20pm by Doctor. He had some bleeding at the shot site when the needle was taken out of his arm. Doctor then put a band aid and cleaned up the blood that had dripped down his arm. Then filled out his covid-19 record card. Pt then stood up and put his jacket on while his mother put his brother in the seat vacated. Pt stood while his brother was put in the chair and while his mother was taking his brothers jacket off. Pt passed out and fell on the floor beside the chair. He was then picked up and seated at the table and given apple juice and crackers while the doctor and administrator asked health questions about pt's health.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: SARS-CoV-2 infection; Vaccination failure; This case was received via regulatory authority (Reference number: AT-BASGAGES-2021-054241) on 12-Nov-2021 and was forwarded to Moderna on 12-Nov-2021.    This regulatory authority case was reported by a physician and describes the occurrence of COVID-19 (SARS-CoV-2 infection) and VACCINATION FAILURE (Vaccination failure) in a 47-year-old female patient who received mRNA-1273 (Spikevax) (batch nos. 3002920 and 3001943) for COVID-19 vaccination.     No Medical History information was reported.   On 07-May-2021, the patient received first dose of mRNA-1273 (Spikevax) (Intramuscular) 1 dosage form. On 08-Jun-2021, received second dose of mRNA-1273 (Spikevax) (Intramuscular) dosage was changed to 1 dosage form. On 02-Oct-2021, the patient experienced COVID-19 (SARS-CoV-2 infection) (seriousness criterion medically significant) and VACCINATION FAILURE (Vaccination failure) (seriousness criterion medically significant). At the time of the report, COVID-19 (SARS-CoV-2 infection) and VACCINATION FAILURE (Vaccination failure) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 02-Oct-2021, SARS-CoV-2 test: positive (Positive) Positive.     For mRNA-1273 (Spikevax) (Intramuscular), the reporter did not provide any causality assessments.   No concomitant medications were reported.  No treatment medications was provided.  This case concerns a 47-year-old, female patient with no relevant medical history, who experienced the unexpected serious events of COVID-19 (AESI) and vaccination failure. The events occurred 3 months, 24 days after the second dose of mRNA-1273. The rechallenge for COVID-19 is not applicable. The benefit-risk relationship of mRNA-1273 is not affected by this report. Events term, onset date, outcome and seriousness captured per source document from Regulatory Authority reporting.   Most recent FOLLOW-UP information incorporated above includes: On 12-Nov-2021: Translation Received on 15-NOV-2021,Information on Sender of Case Safety Report, Dosage Relevant is translated; Sender's Comments: This case concerns a 47-year-old, female patient with no relevant medical history, who experienced the unexpected serious events of COVID-19 (AESI) and vaccination failure. The events occurred 3 months, 24 days after the second dose of mRNA-1273. The rechallenge for COVID-19 is not applicable. The benefit-risk relationship of mRNA-1273 is not affected by this report. Events term, onset date, outcome and seriousness captured per source document from Regulatory Authority reporting.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Lip swelling
Clinical narrative: After the vaccine booster, on Monday the 8th of November, swelling in my lips gradually became worse until Monday the 15th of November where I had a telehealth visit with the NP, I was prescribed Allegra in the morning and Xyzal at night. Symptoms do flair at times and come and go with swelling.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Myalgia, Nausea
Clinical narrative: About 12 hours after receiving the booster I felt normal side effects of fatigue, muscle aches and chills.  These continued and close to 24 hours after receiving the booster, I started to fell nauseous, light headed., and then I nearly passed out twice during the span of about 30 minutes.  I spoke to a RN with my doctor's office, described all symptoms.  After the consultation, I was told to drink plenty of liquids and try to snack lightly; and if I experienced it again to contact them.  While I felt a little light-headed for the next 12 hours, I seemed to be improving and did not have another episode.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: About 12 hours after receiving the booster I felt normal side effects of fatigue, muscle aches and chills.  These continued and close to 24 hours after receiving the booster, I started to fell nauseous, light headed., and then I nearly passed out twice during the span of about 30 minutes.  I spoke to a RN with my doctor's office, described all symptoms.  After the consultation, I was told to drink plenty of liquids and try to snack lightly; and if I experienced it again to contact them.  While I felt a little light-headed for the next 12 hours, I seemed to be improving and did not have another episode.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Papule, Pruritus, Rash
Clinical narrative: Patient devleoped rash on left clavicle, left side of throat, and 2 papules on left cheek on 11/21/21.  mother treated with benadryl and hydrocortisone.  experienced itchiness.  at time of office call (11/22) symptoms were still present
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Off label use, Papule, Product use issue, Pruritus, Rash
Clinical narrative: Patient devleoped rash on left clavicle, left side of throat, and 2 papules on left cheek on 11/21/21.  mother treated with benadryl and hydrocortisone.  experienced itchiness.  at time of office call (11/22) symptoms were still present
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Injection site rash
Clinical narrative: Mild fatigue starting around 3 hours later and lasting 1 day. 2 days later rash around injection sight with no itching, and lymph node under armpit right side sore.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cellulitis, Erythema, Fatigue, Injection site pain
Clinical narrative: On 11/1 patient received a booster shot from pharmacy. On approximately, 11/ 10 patient showing symptoms for cellulitis w/  left arm redness, itching, warmth, swelling after covid booster. On 11/11 patient received  treatment from primary care MD where she was diagnosed with cellulitis and prescribed doxycycline hyclate (VIBRAMYCIN) 100 MG capsule (Take 1 capsule by mouth 2 times daily). When antibiotics course was completed on 11/21, patient continued to experience jolts of pain in the area near the shot radiating down into her arm, the arm feels heavy,  weak and fatigued. Pt was prescribed meloxicam 15 MG tablet (1 tablet by mouth daily) for pain.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: On 11/1 patient received a booster shot from pharmacy. On approximately, 11/ 10 patient showing symptoms for cellulitis w/  left arm redness, itching, warmth, swelling after covid booster. On 11/11 patient received  treatment from primary care MD where she was diagnosed with cellulitis and prescribed doxycycline hyclate (VIBRAMYCIN) 100 MG capsule (Take 1 capsule by mouth 2 times daily). When antibiotics course was completed on 11/21, patient continued to experience jolts of pain in the area near the shot radiating down into her arm, the arm feels heavy,  weak and fatigued. Pt was prescribed meloxicam 15 MG tablet (1 tablet by mouth daily) for pain.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the best-used-date but before expiration date.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Syncope
Clinical narrative: Pt came in w/a ho of syncopal episode from the 2nd pfizer dose. Assessed v/s. First B/P after pfizer booster was 140/80, hr 70, o2 sat 99. 4 min after p booster pt c/o feeling ehausted then pt experienced syncopal episode for <10 sec. BP 79/41 hr 74 o2 99. Once pt awoke from episode she was AOx4. Feet were propped up. Rechecked BP 141/82 hr 74. Symptoms resolved 2 min after episode. Pt remained w/ me for 50 min, v/s aftter episode wnl. Pt never c/p SOB or chest tightness.  Pt instructed to check to check blood sugar at home, drink fluids, consume calories and follow up with PCP. And if she continues to feel faint instructed to go to the ER/Urgent care
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation, No adverse event, Wrong product administered
Clinical narrative: We had given a pediatric Pfizer vaccine on Saturday and had left vaccine vial in refrigerator in case another patient needed a dose. Patient presented for Moderna booster on Monday and was inadvertently given a dose out of this pediatric Pfizer vial (0.25 ml). When realized, we contacted patient, who returned to receive correct Moderna booster. No adverse effects known at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature).
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Dyskinesia, Extra dose administered, Fall, Muscle twitching
Clinical narrative: My husband received his Pfizer booster vaccine on Oct. 29, 2021.  Two weeks later I had to call 911.  My husband was staring with no eye movement.  He would not respond by talking to him or snapping fingers in front of his eyes.  It was like he wasn?t there.  His behavior was strange and I finally got him to a least to sit down. Then his lip started twitching and body had odd movements. He fell in the floor and his whole body started to convulse.  He was  unresponsive. Medics were close to  intubating him. He started to respond and was taken to the ER.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Staring, Unresponsive to stimuli
Clinical narrative: My husband received his Pfizer booster vaccine on Oct. 29, 2021.  Two weeks later I had to call 911.  My husband was staring with no eye movement.  He would not respond by talking to him or snapping fingers in front of his eyes.  It was like he wasn?t there.  His behavior was strange and I finally got him to a least to sit down. Then his lip started twitching and body had odd movements. He fell in the floor and his whole body started to convulse.  He was  unresponsive. Medics were close to  intubating him. He started to respond and was taken to the ER.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cardiac function test, Chest X-ray, Computerised tomogram head, Dizziness
Clinical narrative: 11/16/21-11/17/21 Fever up to 102; myalgia, arthralgia, dizziness 11/18/21-11/19/21 Asymptomatic 11/20/21 Experienced acute severe vertigo with retching; husband called EMS due to my inability to stand or walk without staggering. Went to ER where had CT of head, 12-lead EKG, labs and chest xray. Had IV Zofran and PO meclizine with slight improvement. D/C'd home with presumed diagnosis of vertigo. Vertigo continued despite Meclizine until  6pm 11/22/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Metabolic function test, Myalgia, Pyrexia, Retching
Clinical narrative: 11/16/21-11/17/21 Fever up to 102; myalgia, arthralgia, dizziness 11/18/21-11/19/21 Asymptomatic 11/20/21 Experienced acute severe vertigo with retching; husband called EMS due to my inability to stand or walk without staggering. Went to ER where had CT of head, 12-lead EKG, labs and chest xray. Had IV Zofran and PO meclizine with slight improvement. D/C'd home with presumed diagnosis of vertigo. Vertigo continued despite Meclizine until  6pm 11/22/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vertigo
Clinical narrative: 11/16/21-11/17/21 Fever up to 102; myalgia, arthralgia, dizziness 11/18/21-11/19/21 Asymptomatic 11/20/21 Experienced acute severe vertigo with retching; husband called EMS due to my inability to stand or walk without staggering. Went to ER where had CT of head, 12-lead EKG, labs and chest xray. Had IV Zofran and PO meclizine with slight improvement. D/C'd home with presumed diagnosis of vertigo. Vertigo continued despite Meclizine until  6pm 11/22/21
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Severe swelling under the arm, at injection site and redness and painful areas around the chest and upper back.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Severe swelling under the arm, at injection site and redness and painful areas around the chest and upper back.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt was nervous prior to vaccination.  Immediately after vaccination, pt experienced syncope.  VSS.  Pt able to be discharged w/ parent after 15 in wait.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered
Clinical narrative: Expired medication administered to the patient.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Adrenal disorder, Bronchitis, Fatigue
Clinical narrative: The following day began the process of acute bronchitis which ultimately went into adrenal fatigue Working now to g
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Feeling hot, Induration, Injected limb mobility decreased, Malaise
Clinical narrative: Felt a warm stinging sensation as soon as it was given. My right arm was very sore after the first hour and by the night it was sore to the touch. The next day my arm had a large hard knot that was hot to the touch and very sore. I had difficulty moving my arm.  It stayed sore for several days.  I developed body aches and malaise with diarrhea  on day two. I took Tylenol for pain and chose to rest. It was back to normal after a week. This is the first time I have ever had a reaction to a flu shot. I had recovered from Covid about 12 weeks prior.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Nodule, Pain, Pain in extremity, Skin warm, Tenderness
Clinical narrative: Felt a warm stinging sensation as soon as it was given. My right arm was very sore after the first hour and by the night it was sore to the touch. The next day my arm had a large hard knot that was hot to the touch and very sore. I had difficulty moving my arm.  It stayed sore for several days.  I developed body aches and malaise with diarrhea  on day two. I took Tylenol for pain and chose to rest. It was back to normal after a week. This is the first time I have ever had a reaction to a flu shot. I had recovered from Covid about 12 weeks prior.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Vaccination site pain
Clinical narrative: Felt a warm stinging sensation as soon as it was given. My right arm was very sore after the first hour and by the night it was sore to the touch. The next day my arm had a large hard knot that was hot to the touch and very sore. I had difficulty moving my arm.  It stayed sore for several days.  I developed body aches and malaise with diarrhea  on day two. I took Tylenol for pain and chose to rest. It was back to normal after a week. This is the first time I have ever had a reaction to a flu shot. I had recovered from Covid about 12 weeks prior.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: slight swelling of lymph node under the (L) arm pit
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoaesthesia
Clinical narrative: Client came to our facility requesting a Modern booster shot.  She explained to the RN that she received her 1st dose of the COVID19 Pfizer vaccine on 12/21/2020, and approximately 5 minutes later, the client experienced a rapid heartbeat for approximately 30 seconds.  She experienced no other side effects from the 1st shot of the vaccine.  The client received her 2nd shot of the COVID19 Pfizer vaccine on 1/11/21 and 5 minutes later experienced numbness in her cheeks, which lasted for approximately 2 minutes.  The client did not experience a rapid heart rate with her 2nd dose or any other side effects.  The RN communicated this information to the Lead RN who conducted a medical consult with Clinical Lead.  Due to the client experiencing reactions to her 1st & 2nd dose of the Pfizer vaccine within the first 4 hours of receiving the vaccine, the Clinical Lead escalated the issue to the County doctor for approval.  The doctor gave approval for the client to receive the COVID19 Moderna booster shot (Lot#FF8841) with a 30-minute observation period.  The RN administered the shot at approximately 13:30 and educated the client on both the potential side effects and adverse effects of the vaccine, when to seek medical attention, and ER precautions.   The client was escorted to the observation area where she observed for 30 minutes, and no issues were noted.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Patient came to get a Moderna booster and was inadvertently given Pfizer pediatric. We had used a vial of pediatric Pfizer Saturday and had left in fridge should another patient come that day for a shot. This was given to patient instead of Moderna (0.25ml given). No known adverse effects to patient. We have attempted to contact him to inform of error and ask him to return for appropriate shot, but had to leave a message pending return call.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure via skin contact, Needle issue, Underdose
Clinical narrative: The needle must not have been secured properly to the syringe, because when the plunger was depressed to inject the immunization, only some of the immunization went in the patient's arm, and the remainder squirted out of the side of the leurlok. The entire dose of the vaccination was not given.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Early menstrual cycle
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Wrong vaccine administered to patient under 18 years of age. Patient specifically requested Moderna,  looked "in her mid 20s", and had a child in the car per nurse giving the vaccine at our drive-through event. DOB was not verified prior to administration. Patient notified. Nurse re-educated that medication administration process includes verification of patient name and dob prior to administration. Nurse stated understanding. Patient not concerned and did not have any adverse reaction after vaccine. Plan to continue with Moderna series for 2nd dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: several swollen/tender lymph nodes under left arm, left hand, left shoulder, left breast
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Feeling abnormal, Heart rate increased, Pharyngeal swelling, Throat irritation
Clinical narrative: Patient came in 9:40 AM to get his booster 0.25 mL Moderna vaccine. At 9:54 AM, patient came back describing feeling of throat swelling, restrictive, and back of throat feeling scratchy. Pharmacist checked on his pulse (120 HR) and O2 sensor (98%). Patient was able to talk freely and swallow water and feeling "freaked out", which explains his high HR. At 10:00, when arrived, I looked at his throat, tongue, pharynx, uvula, and mouth. No swelling was seen. No tenderness of throat. Patient mentioned it is still scratchy but does not feel restrictive anymore. At 10:05 AM, O2 sensor (99%) and HR (80%) were consistent with not having an anaphylactic shock, however due to throat scratchiness. Recommended to give 50 mg diphenhydramine and 20 mg famotidine (verbal order from ED doctor in  Regional hospital). Patient was able to swallow pills without issues. Recommended to monitor for 30 minutes. At 10:40 AM, Patient was doing well. Throat scratch was a little better. HR and O2 sensor were 80 and 99%, respectively. Advised the patient to go home and monitor himself. Give us a call if condition gets worse. Counseled that he could be drowsy and someone should take him home.   Called patient at home at 11:50 Am and he was doing really well breathing fine. Will call again before evening shift. Recommended to go to emergency department if condition gets worse.  Called patient at home 3:39 PM and he states full recovery.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Patient came in 9:40 AM to get his booster 0.25 mL Moderna vaccine. At 9:54 AM, patient came back describing feeling of throat swelling, restrictive, and back of throat feeling scratchy. Pharmacist checked on his pulse (120 HR) and O2 sensor (98%). Patient was able to talk freely and swallow water and feeling "freaked out", which explains his high HR. At 10:00, when arrived, I looked at his throat, tongue, pharynx, uvula, and mouth. No swelling was seen. No tenderness of throat. Patient mentioned it is still scratchy but does not feel restrictive anymore. At 10:05 AM, O2 sensor (99%) and HR (80%) were consistent with not having an anaphylactic shock, however due to throat scratchiness. Recommended to give 50 mg diphenhydramine and 20 mg famotidine (verbal order from ED doctor in  Regional hospital). Patient was able to swallow pills without issues. Recommended to monitor for 30 minutes. At 10:40 AM, Patient was doing well. Throat scratch was a little better. HR and O2 sensor were 80 and 99%, respectively. Advised the patient to go home and monitor himself. Give us a call if condition gets worse. Counseled that he could be drowsy and someone should take him home.   Called patient at home at 11:50 Am and he was doing really well breathing fine. Will call again before evening shift. Recommended to go to emergency department if condition gets worse.  Called patient at home 3:39 PM and he states full recovery.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired medication administered to the patient.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Sinus congestion, Wheezing
Clinical narrative: Fever, chills, wheezing, sinus congestion
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Petit mal epilepsy
Clinical narrative: Patient experienced absence seizure, about 5 mins post COVID vaccination. Patient was laid on the floor, and pulse checked . Patient was breathing and had a pulse, but was "out of it momentarily". Patient was revived after about 5-10 minutes, drank water, sat and waited for about 15 minutes more before being allowed to leave
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient is a twelve year old patient who received her first Pfizer vaccine. On Monday 11/22/2021 she received a dosage amount of, 0.2, which is a pediatric dosage amount. Because of her age, she should have received an adult Pfizer amount, 0.3. The pt did not experience any side effects during her observation period.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Body aches, chills, Fever 100.2, bad headache.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: The day after her vaccination, later in the day, she developed very itchy hives starting on her left forearm. The hives spread in about five minutes to her wrist, upper arm, shoulder, back, upper legs and face (chin, left cheek, and forehead). We gave her 1.75 tablets of children's Benadryl and the hives went away in about 20 minutes. We called her pediatrician's office to get advice a few minutes after we noticed the hives. The hives didn't come back overnight or today.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: Muscle aches, fatigue, fever
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Biliary colic, Blood test, Cholelithiasis, Decreased appetite, Fatigue
Clinical narrative: I had itching around my waist that looked like shingles (rash and bumps).  I called doctor to get a test done. Returned negative. Acyclovir was prescribed for 7 day course. Seems to have worked. Also had issue with fatigue, lack of appetite, pain in gallbladder area. Was sent to ER by order of PCP. After 3 tests were done it was determined I had a gall stone. Was advised to get referral to surgeon for consult. Currently waiting for PCP to give referral for evaluation. NOTE: Flu Vaccine was given on 11/5/2021 before issue with gall stone.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pruritus, Rash, Ultrasound scan, Urine analysis
Clinical narrative: I had itching around my waist that looked like shingles (rash and bumps).  I called doctor to get a test done. Returned negative. Acyclovir was prescribed for 7 day course. Seems to have worked. Also had issue with fatigue, lack of appetite, pain in gallbladder area. Was sent to ER by order of PCP. After 3 tests were done it was determined I had a gall stone. Was advised to get referral to surgeon for consult. Currently waiting for PCP to give referral for evaluation. NOTE: Flu Vaccine was given on 11/5/2021 before issue with gall stone.
Age: 11.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Child who was 11 years and 9 months old at the time of vaccination was inadvertently given a dose of Pfizer COVID19 BioNTech intended for patients 12 years and up. There were no adverse events, no symptoms, no treatment required. The vaccine was well tolerated without incident. Mistake was not detected until provider attempted to submit the record through the portal and the system would not take the information. At this point, the incorrect dose had already been given.