chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: CovId Vaccine Breakthrough Case  Moderna Dose 1 2/19/21 (031L20A) Moderna Dose 2 3/19/21 (013A21A) COVID Positive 12/19/21  12/19/21: History is mostly obtained by personal review of records. He is 80-year-old gentleman with known history of congestive heart failure, ejection fraction 25-30%, chronic kidney disease, insulin-dependent diabetes mellitus, pulmonary embolism and other medical problems.  Was having cough, subjective fever and generalized weakness for 10 days.  He tested positive for  SARS-CoV-2. Complaints of severe generalized weakness.  Having good pulse ox on 2 L oxygen.  Denied chest pain.  12/24/21: The patient is 80-year-old male with  history of 25-30%, CKD, insulin-dependent diabetes, SVT amiodarone, pulmonary embolism, AICD placement and other medical problems. Patient presents to the ER on 12/19/2021 with complaints of generalized weakness and fall. Patient tested himself with over-the-counter COVID-19 and reportedly was positive. Patient fell at home and was found on the ground. He denied losing consciousness and head trauma. Patient was noted at that time with low oxygen saturation 91% room air therefore EMT place him supplemental oxygen. He was then taken to the ER for further evaluation. Upon arrival to the ER patient was back to his baseline mentation. Patient was admitted into the medical unit and treated with bilateral COVID 19 pneumonia, and acute systolic CHF.  Patient was treated with remdesivir, dexamethasone, and IV antibiotic. His symptoms improved and patient was able to work with physical therapy who recommended skilled nursing. Patient received insurance approval and will be transferred to Allure.  Patient's wife who is his primary caretaker was informed about the plan.  Patient is being discharged in improved and stable condition. All questions were answered and patient to transfer through EMS.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes - neck and arm pit
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Patient admitted for treatment of pulmonary embolism.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Acute psychosis, COVID-19, Computerised tomogram normal, Electroencephalogram normal, Laboratory test normal
Clinical narrative: Acute psychosis. No history on either family. No mental issues prior. Perfectly fine straight A student. All testing done in hospital give him a clean bill of physical health.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal
Clinical narrative: Acute psychosis. No history on either family. No mental issues prior. Perfectly fine straight A student. All testing done in hospital give him a clean bill of physical health.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: shoulder joint pain and limited range of motion swelling and soreness around the injection site
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Vasovagal syncope immediatly after vaccination, laid patient flat, symptoms resolved within 5 minutes
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Tested positive for covid on April 12, 2021 after sore throat, fatigue, headache on April 11.  Other family member tested positive on April 9, 2022.  Treatment - paxlovid.  Symptoms were mild after paxlovid, mostly fatigue and cough.  Lasted a few days.  Fatigue lasted a few days longer than cough.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Tested positive for covid on April 12, 2021 after sore throat, fatigue, headache on April 11.  Other family member tested positive on April 9, 2022.  Treatment - paxlovid.  Symptoms were mild after paxlovid, mostly fatigue and cough.  Lasted a few days.  Fatigue lasted a few days longer than cough.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Crying, Eczema, Eosinophilic oesophagitis, Milk allergy, Pyrexia
Clinical narrative: "strange cry" inconsolable for more than 6 hours straight. Fever over 102
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dyspnoea, Hypoaesthesia, Musculoskeletal stiffness, Neurological symptom
Clinical narrative: Patient experienced neurologic adverse events, including numbness/loss of feeling in hands/legs, stiff neck and back pain, difficulty breathing
Age: 1.33
Sex: F
Vaccine: PPV
Symptoms: Culture, Dermatitis diaper, Folliculitis, Inflammation, Keratosis pilaris
Clinical narrative: 8/5/19 Pneumovax. 8/6/19 rash to buttocks 8/28/19 rash worse on buttocks- reached out to Dr by text and Keesler cream started. 9/5/19 appointment for diaper rash continued Keesler cream. 9/16/19 appointment for diaper rash and treated for folliculitis. 9/20/19 saw dermatologist and culture of lesions was inconclusive. 11/20/19 rash now on anterior thighs. 2/2020 saw pulmonologist who noted rash in his notes 5/14/20 Saw ENT who documented rash and felt too inflammed to be keratosis pilaris. 6/16/2020 saw Dermatology who stated diagnosis of keratosis pilaris verses folliculitis 7/22/20 saw MD with documented rash unclear etiology on arms and legs. 8/24/20 Dermatologist again says keratosis pilaris verses folliculitis. Rash is  papular and  angry red homogenous on dorsal surface of thighs and upper arms
Age: 1.33
Sex: F
Vaccine: PPV
Symptoms: Rash, Rash erythematous, Rash papular, Skin irritation, Skin lesion
Clinical narrative: 8/5/19 Pneumovax. 8/6/19 rash to buttocks 8/28/19 rash worse on buttocks- reached out to Dr by text and Keesler cream started. 9/5/19 appointment for diaper rash continued Keesler cream. 9/16/19 appointment for diaper rash and treated for folliculitis. 9/20/19 saw dermatologist and culture of lesions was inconclusive. 11/20/19 rash now on anterior thighs. 2/2020 saw pulmonologist who noted rash in his notes 5/14/20 Saw ENT who documented rash and felt too inflammed to be keratosis pilaris. 6/16/2020 saw Dermatology who stated diagnosis of keratosis pilaris verses folliculitis 7/22/20 saw MD with documented rash unclear etiology on arms and legs. 8/24/20 Dermatologist again says keratosis pilaris verses folliculitis. Rash is  papular and  angry red homogenous on dorsal surface of thighs and upper arms
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Anosmia, Cough, Decreased appetite, Dysmenorrhoea
Clinical narrative: lost my previous appetite and  smell after vaccination my cycle change lot and very pain during it, shortened menstrual cycle and chocolate color since vaccination my hair fall a lot my eye sight go down a lot  in very short time immunity becomes very weak and easy to get sick, easy to catch cold, and will keep coughing for a while as long as the back of body feels cold, it's hard to stop cough especially at night.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Immune system disorder, Menstrual disorder, Polymenorrhoea, Visual impairment
Clinical narrative: lost my previous appetite and  smell after vaccination my cycle change lot and very pain during it, shortened menstrual cycle and chocolate color since vaccination my hair fall a lot my eye sight go down a lot  in very short time immunity becomes very weak and easy to get sick, easy to catch cold, and will keep coughing for a while as long as the back of body feels cold, it's hard to stop cough especially at night.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Dose diluted to wrong dilution  -  no adverse effects.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Immune thrombocytopenia
Clinical narrative: ITP
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Hyperhidrosis, Pain, Pain in extremity
Clinical narrative: Very sore arm, extreme chills last night, then sweating. Extreme body aches and joint pain all over my body all night and this morning.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cardiac function test, Chest pain, Colon cancer, Dry mouth
Clinical narrative: Tooth loss, dry mouth, vision problems that come and go, extreme fatigue, chest pains
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Fatigue, Laboratory test, Ophthalmological examination, Stool analysis
Clinical narrative: Tooth loss, dry mouth, vision problems that come and go, extreme fatigue, chest pains
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thyroid function test, Tooth loss, Visual impairment
Clinical narrative: Tooth loss, dry mouth, vision problems that come and go, extreme fatigue, chest pains
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Maternal exposure before pregnancy, Pregnancy, Uterine dilation and curettage
Clinical narrative: I became pregnant shorty after receiving my COVID 19 booster, and miscarried 9 weeks later.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient reports 8 inch by 3 inch swelling near injection side 3 days after the injection. The area was reported as hot and sore.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Soreness in arm for 3 days post vaccination. Soreness did not persist in other vaccines in the series.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Joint swelling, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Experienced fever/chills and extreme fatigue within 48 hours after injection. Then,  day 3 after vaccine woke up with full body hives and swollen joints. Went on 3 days of steroids with Zyrtec 2x a day. On day 6 after vaccine ended steroids and continued Zyrtec 2x a day, Pepcid 2x a day, extra strength Tylenol every 6 hours and benedryl  at night.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Experienced fever/chills and extreme fatigue within 48 hours after injection. Then,  day 3 after vaccine woke up with full body hives and swollen joints. Went on 3 days of steroids with Zyrtec 2x a day. On day 6 after vaccine ended steroids and continued Zyrtec 2x a day, Pepcid 2x a day, extra strength Tylenol every 6 hours and benedryl  at night.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Urticaria
Clinical narrative: Hives urticaria over 12 days needing ER visit
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Presyncope
Clinical narrative: PATIENT STATED THAT HE WAS  ABOUT TO PASS OUT AFTER RECEIVING JANSSEN COVID  19 VACCINE IN HIS LEFT ARM.  PATIENT WAS LAID  ON THE FLOOR AND EMS WAS CONTACTED. PATIENT  STATED THAT HIS  LEFT LEG WAS FEELING KIND OF NUMB AND HE WANTED  WATER TO DRINK. PATIENT WAS GIVEN WATER . EMS ARRIVED AND CHECKED ON HIM.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Mobility decreased, Muscular weakness, Pyrexia, Rash
Clinical narrative: Patient broke out in a rash over chest, back and arms and experienced muscle weakness in legs and arms and was unable to move out of the bed at 3:00 am on Saturday 5/21/2022.  Patient also had a fever of 101 degrees Fahrenheit.  Patient's wife called EMS where the rescue squad came to evaluate.  He was told to take Tylenol and did take two Tylenol.  Patient's wife states that EMS told her it was a reaction to the COVID vaccine.  As of Sunday at roughly 12:15 pm, the patient's wife reported that the rash was gone and that he can now move arms and legs with no issue.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Nervous system disorder, Unresponsive to stimuli
Clinical narrative: UNKNOWN IF REACTION WAS RELATED TO VACCINE:  Patient received his Pfizer COVID-19 booster in the clinic (he received Moderna for his initial series).  Shortly after, he  developed intermittent episodes of being verbally unresponsive.  Episodes lasted between 30-60 seconds.  He also developed spasms of his upper extremities.  The muscle spasming and jolting resolved in less than 30 seconds.  Family said these were the full body spams he had been experiencing and that they were NOT new to patient (family said he experienced 8 or 9 full body spasm episodes the day before).  After full body spasms, patient was immediately alert and noted to be back to pre-spasm cognition; vital signs within normal limits for patient and oxygen saturation adequate on room air.  Patient became unresponsive, was given epi pen, and became immediately responsive.   Emergency Medical Services  was called.  5 minute vital signs within normal limits for patient.   Shortly after, patient became unresponsive again. Epinephrine administered, and patient immediately began full body spasm, lasting approximately  30 seconds. When spasm was complete, patient was back to pre-level of conscious cognition. Emergency Medical Services arrived and patient was taken by ambulance to an emergency department (where diagnosis was ?tremors of nervous system?).  Patient also has a known seizure disorder, has been on Keppra, states he is compliant, but misses his meds sometimes.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error, Vaccination error
Clinical narrative: I brought my 5 year old to get his second dose of the COVID vaccine.  As we were waiting in the wait area after his vaccination, the person (I assume it was a nurse) that administered the vaccine in his arm told me that she had accidentally forgotten to dilute his vaccine.  She told me to watch for side effects and that there maybe be more than usual.   I didn't quite understand what that meant, so I asked her if she still had a pediatric dose and she assured me he had.  She mentioned that they would be sure to call to check on him, since there had been a mistake with his vaccination.  She also mentioned that the incident would be reported.   I had no idea what that meant.   A few minutes later she came back into the waiting area and told me that she had done the math and my son had actually gotten 1.5 doses because of her mistake.  She again assured me that it was a pediatric vaccine but at a higher dosage.  She said there could be worse than usual side effects because of the higher dose and the fact that it was not diluted as it should have been.  She also told me again that they would be calling to check in on how my son was doing.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: adult booster administered to 11 year old patient. no adverse effects have been reported by patient yet
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on torso/back
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: The patient was given 0.2 mL of an undiluted pediatric COVID vaccine. It was discovered that the vial had not been diluted when a different pharmacist went to pull a dose for a different patient and thought the amount of liquid seemed small given the number of shots given that day. Upon investigating, it was confirmed that the morning pharmacist who pulled the dose had not diluted/mixed the vaccine prior to withdrawing the 0.2 mL. It was administered by a technician after the morning pharmacist pulled the dose and checked the Vaccine Administration Record. The patient's mother was notified of the error and given recommendation on what to monitor for. Upon her request, Dr. (the doctor on call) was spoken to regarding the error. The patient has not had any symptoms as of yet. Dr. recommended monitoring for side effects including local site reactions, fatigue, fever, blood flow through the limbs and treating as they come  up. Dr. stated that she would follow up with the mother and it was later confirmed that she had received that call.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Ultrasound scan, Vaccination site pain
Clinical narrative: Arm hurts daily in the same location of the vaccine pain is extreme and radiates down the left arm. This happens all day most days maybe ever now and then it will not hurt.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Vaccination site discolouration, Vaccination site pain, Vaccination site swelling
Clinical narrative: The swollen area at the vaccine site was a golf ball-sized on 5.14.22, pink, slightly raised, and tender to touch. Treatment was mupirocin, ibuprofen if needed for pain,  outline swollen area to assess if worsening and return to the clinic if signs of worsening infection (fever or red streaks). The parent was also advised to start oral antibiotics if symptoms persisted or worsened in the next 24-48 hours.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chills, Cough, Dyspnoea, Ear congestion
Clinical narrative: Multiple times I have sought out medical attention for a respiratory illness that prevented me from normal daily activities. Symptoms were: Fever. Body aches, shortness of breath, Uncontrollable coughing. Chills/night sweats. Exhaustion. Sever sore throat with swollen lymph nodes. Ear Congestion (No where else) Each time these symptoms last for about 2 to 3 weeks at a time and sought out medical attention about 1 week into the illness.   *I don't normally get sick often. Maybe once a year with the change of seasons. Even rare when I am so sick I can't perform daily activities. Since the vaccine I have been ill with respiratory related illness at least 3-4 times since the shot. The last couple times I sought medical attention from Emergency room visits with a follow up from my doctor.  I was given Benzonate for cough. Azythromyacin tablets as well as cephalexin and sudafed.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza virus test negative, Loss of personal independence in daily activities, Lymphadenopathy, Night sweats
Clinical narrative: Multiple times I have sought out medical attention for a respiratory illness that prevented me from normal daily activities. Symptoms were: Fever. Body aches, shortness of breath, Uncontrollable coughing. Chills/night sweats. Exhaustion. Sever sore throat with swollen lymph nodes. Ear Congestion (No where else) Each time these symptoms last for about 2 to 3 weeks at a time and sought out medical attention about 1 week into the illness.   *I don't normally get sick often. Maybe once a year with the change of seasons. Even rare when I am so sick I can't perform daily activities. Since the vaccine I have been ill with respiratory related illness at least 3-4 times since the shot. The last couple times I sought medical attention from Emergency room visits with a follow up from my doctor.  I was given Benzonate for cough. Azythromyacin tablets as well as cephalexin and sudafed.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Respiratory disorder, SARS-CoV-2 test negative
Clinical narrative: Multiple times I have sought out medical attention for a respiratory illness that prevented me from normal daily activities. Symptoms were: Fever. Body aches, shortness of breath, Uncontrollable coughing. Chills/night sweats. Exhaustion. Sever sore throat with swollen lymph nodes. Ear Congestion (No where else) Each time these symptoms last for about 2 to 3 weeks at a time and sought out medical attention about 1 week into the illness.   *I don't normally get sick often. Maybe once a year with the change of seasons. Even rare when I am so sick I can't perform daily activities. Since the vaccine I have been ill with respiratory related illness at least 3-4 times since the shot. The last couple times I sought medical attention from Emergency room visits with a follow up from my doctor.  I was given Benzonate for cough. Azythromyacin tablets as well as cephalexin and sudafed.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative, Viral infection
Clinical narrative: Multiple times I have sought out medical attention for a respiratory illness that prevented me from normal daily activities. Symptoms were: Fever. Body aches, shortness of breath, Uncontrollable coughing. Chills/night sweats. Exhaustion. Sever sore throat with swollen lymph nodes. Ear Congestion (No where else) Each time these symptoms last for about 2 to 3 weeks at a time and sought out medical attention about 1 week into the illness.   *I don't normally get sick often. Maybe once a year with the change of seasons. Even rare when I am so sick I can't perform daily activities. Since the vaccine I have been ill with respiratory related illness at least 3-4 times since the shot. The last couple times I sought medical attention from Emergency room visits with a follow up from my doctor.  I was given Benzonate for cough. Azythromyacin tablets as well as cephalexin and sudafed.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Autoimmune disorder, Blood testosterone decreased, Confusional state, Decreased appetite, Fatigue
Clinical narrative: fever, muscle aches, confusion, significant increase seizure, body aches, extreme fatigue, change in red blood cells, inflammation of vascular structure of organs, multiple autoimmune symptoms, headaches, loss of appetite, testosterone levels declined
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Magnetic resonance imaging, Myalgia, Pain
Clinical narrative: fever, muscle aches, confusion, significant increase seizure, body aches, extreme fatigue, change in red blood cells, inflammation of vascular structure of organs, multiple autoimmune symptoms, headaches, loss of appetite, testosterone levels declined
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell count abnormal, Seizure, Vasculitis
Clinical narrative: fever, muscle aches, confusion, significant increase seizure, body aches, extreme fatigue, change in red blood cells, inflammation of vascular structure of organs, multiple autoimmune symptoms, headaches, loss of appetite, testosterone levels declined
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Erythema, Fatigue, Headache
Clinical narrative: 2/25:  - 20 minutes after shot: slight discomfort in the throat and slight swelling of the tongue  - 5 p.m.: feeling dizzy and tired, headache  - 9 p.m.: fever, chills/sweats, really bad headache, flu-like symptoms begin  2/26:  - All day: flu-like symptoms, fever (~101dF), chills/sweats, body aches (shoulders, knees)  2/27:  - 9 a.m.: headache and lethargy (took DayQuil to help deal with flu-like symptoms, was able to go on a 30-min walk around the neighborhood at 5 p.m.)  - 5 p.m.: noticed some swelling of the lymph node in the left armpit and some redness of the left arm  2/28:  - 10 a.m.: noticed that left side of the neck is also swollen  3/1:  - 11 a.m.: swelling in the left side of the neck has gone down 80%  3/2:  - 10 a.m.: still noticing some swelling and redness of the arm and some swelling of the lymph node in the left armpit, swelling in the neck has gone done completely  3/4: 10 a.m.: all swelling and redness are gone
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Influenza like illness, Lethargy, Lymphadenopathy, Oropharyngeal discomfort
Clinical narrative: 2/25:  - 20 minutes after shot: slight discomfort in the throat and slight swelling of the tongue  - 5 p.m.: feeling dizzy and tired, headache  - 9 p.m.: fever, chills/sweats, really bad headache, flu-like symptoms begin  2/26:  - All day: flu-like symptoms, fever (~101dF), chills/sweats, body aches (shoulders, knees)  2/27:  - 9 a.m.: headache and lethargy (took DayQuil to help deal with flu-like symptoms, was able to go on a 30-min walk around the neighborhood at 5 p.m.)  - 5 p.m.: noticed some swelling of the lymph node in the left armpit and some redness of the left arm  2/28:  - 10 a.m.: noticed that left side of the neck is also swollen  3/1:  - 11 a.m.: swelling in the left side of the neck has gone down 80%  3/2:  - 10 a.m.: still noticing some swelling and redness of the arm and some swelling of the lymph node in the left armpit, swelling in the neck has gone done completely  3/4: 10 a.m.: all swelling and redness are gone
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Swelling, Swollen tongue
Clinical narrative: 2/25:  - 20 minutes after shot: slight discomfort in the throat and slight swelling of the tongue  - 5 p.m.: feeling dizzy and tired, headache  - 9 p.m.: fever, chills/sweats, really bad headache, flu-like symptoms begin  2/26:  - All day: flu-like symptoms, fever (~101dF), chills/sweats, body aches (shoulders, knees)  2/27:  - 9 a.m.: headache and lethargy (took DayQuil to help deal with flu-like symptoms, was able to go on a 30-min walk around the neighborhood at 5 p.m.)  - 5 p.m.: noticed some swelling of the lymph node in the left armpit and some redness of the left arm  2/28:  - 10 a.m.: noticed that left side of the neck is also swollen  3/1:  - 11 a.m.: swelling in the left side of the neck has gone down 80%  3/2:  - 10 a.m.: still noticing some swelling and redness of the arm and some swelling of the lymph node in the left armpit, swelling in the neck has gone done completely  3/4: 10 a.m.: all swelling and redness are gone
Age: 63.0
Sex: M
Vaccine: UNK
Symptoms: Rash
Clinical narrative: None stated.
Sex: U
Vaccine: COVID19
Symptoms: Atypical haemolytic uraemic syndrome, Coagulation factor VIII level decreased, Dyspnoea, Fatigue, Platelet disorder
Clinical narrative: Fatigue December 2021  February 2022 shortness of breathe  March - current (5/22/22) Low factor 8/blood platelets/blood volume.  Atypical  hemolytic-uremic syndrome
Sex: U
Vaccine: COVID19
Symptoms: Volume blood decreased
Clinical narrative: Fatigue December 2021  February 2022 shortness of breathe  March - current (5/22/22) Low factor 8/blood platelets/blood volume.  Atypical  hemolytic-uremic syndrome
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Insomnia, Mobility decreased, Pain
Clinical narrative: Since my Covid shot I have had pain in my right shoulder and arm.  My motion has been limited and painful.  I now have difficulty writing, carrying, lifting, and any activity which requires the use or my right arm.  It is even more painful at night when I am laying down.  I find it almost impossible to get comfortable - this interferes with my getting to sleep.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Since my Covid shot I have had pain in my right shoulder and arm.  My motion has been limited and painful.  I now have difficulty writing, carrying, lifting, and any activity which requires the use or my right arm.  It is even more painful at night when I am laying down.  I find it almost impossible to get comfortable - this interferes with my getting to sleep.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Lymph node pain, Oedema peripheral
Clinical narrative: Left armpit swollen painful lymph node and pin on left chest
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: Dermatographia
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lip swelling, Swelling of eyelid, Urticaria
Clinical narrative: 1st Covid shot- hives, swollen lips 2nd Covid shot -took allergy meds beforehand as prescribed.  Fatigued but no other symptoms. 1st booster - took allergy meds beforehand as prescribed.  Fatigued but no other symptoms 2nd booster - took allergy meds shortly beforehand.  Eye lid developed large lump that did not go away despite hot compresses, showers.  Friend shared article on adverse effects to eye.  I saw opthalomologist who prescribed Eysuvis & Tobradex & continues to monitor.
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: Left Arm Chronic Pain
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient presented to the COVID-19 Vaccination Clinic on 10/27/2021 for her first COVID-19 vaccine. She received the adult-formulation of Pfizer with the lot number EWO185-H. However, a routine audit revealed that her age at the time of vaccination was 11.97 years old, rendering this dose inappropriate for her age as she should have been 12 years old in order to receive it. The physician was contacted regarding the occurrence and reported that he had no medical concerns regarding this vaccination and that revaccination would not be required.   During the investigation to determine whether the occurrence had been a documentation or a vaccine administration error, the client?s guardians were able to be contacted via email. Once the investigation was completed and it was determined that the client had received an adult-formulation Pfizer dose 11 days early, this writer attempted to contact the client?s guardians on 5/7/2022 by calling, leaving a voicemail, and sending another email to the thread to which the client?s guardians had previously responded. This writer also called and left a voicemail again on 5/15/2022 and sent another, separate email to the client?s guardians on 5/20/2022. They have not yet responded as of the time of this report.  All staff at the COVID-19 vaccination clinic had been educated on a new procedure designed to reduce such errors: vaccination staff ask clients to confirm their name and DOB and then respond by speaking the client?s age aloud and verbally confirming which vaccine the client is receiving. They will also verbally confirm the vaccine type aloud when they choose the vaccine type from the drop-down menu in order to reduce the risk of documentation errors.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dysgeusia, Headache, Heart rate increased
Clinical narrative: Received booster on 5/20/22 at 1300h. Almost immediately experienced stiffness and pain at the injection site. Around 9 p.m. developed low grade fever and slight headache.  By 1 am I experienced high fever (105.3), chills, nausea, severe body ache and headache. I used cold compress and took ibuprofen 600 mg to relieve the fever. It subsequently went down to about 102F. By 10 am, I felt very weak and my fever rose to 104F. I took  ibuprofen 300 mg, and called the doctor. I was seen at 1130h and the NP registered a fever of 103.2. She also found that my heart rate was very high. I was administered IV saline at the office and kept for observation. By 1300h I felt better and asked to be discharged. The NP advised me to visit the ER if my fever went above 103F or if my heart rate was above 120, and to stay well hydrated. She also performed a PCR test for Covid-19 as there have been several positive cases in the area. After I returned home, my fever lingered between 100-103F. I took another ibuprofen 600 mg as I had chills, body ache and headache. At 1 am on 5/22/22, my fever broke, I was drenched in sweat. After that my temperature started normal, my body ache was resolved. As of 5/22/22 2315h the only symptoms that remain are moderately painful headache and a slightly racy pulse,  feelings of nausea, and a poor taste in my mouth.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Injection site pain, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: Received booster on 5/20/22 at 1300h. Almost immediately experienced stiffness and pain at the injection site. Around 9 p.m. developed low grade fever and slight headache.  By 1 am I experienced high fever (105.3), chills, nausea, severe body ache and headache. I used cold compress and took ibuprofen 600 mg to relieve the fever. It subsequently went down to about 102F. By 10 am, I felt very weak and my fever rose to 104F. I took  ibuprofen 300 mg, and called the doctor. I was seen at 1130h and the NP registered a fever of 103.2. She also found that my heart rate was very high. I was administered IV saline at the office and kept for observation. By 1300h I felt better and asked to be discharged. The NP advised me to visit the ER if my fever went above 103F or if my heart rate was above 120, and to stay well hydrated. She also performed a PCR test for Covid-19 as there have been several positive cases in the area. After I returned home, my fever lingered between 100-103F. I took another ibuprofen 600 mg as I had chills, body ache and headache. At 1 am on 5/22/22, my fever broke, I was drenched in sweat. After that my temperature started normal, my body ache was resolved. As of 5/22/22 2315h the only symptoms that remain are moderately painful headache and a slightly racy pulse,  feelings of nausea, and a poor taste in my mouth.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: Received booster on 5/20/22 at 1300h. Almost immediately experienced stiffness and pain at the injection site. Around 9 p.m. developed low grade fever and slight headache.  By 1 am I experienced high fever (105.3), chills, nausea, severe body ache and headache. I used cold compress and took ibuprofen 600 mg to relieve the fever. It subsequently went down to about 102F. By 10 am, I felt very weak and my fever rose to 104F. I took  ibuprofen 300 mg, and called the doctor. I was seen at 1130h and the NP registered a fever of 103.2. She also found that my heart rate was very high. I was administered IV saline at the office and kept for observation. By 1300h I felt better and asked to be discharged. The NP advised me to visit the ER if my fever went above 103F or if my heart rate was above 120, and to stay well hydrated. She also performed a PCR test for Covid-19 as there have been several positive cases in the area. After I returned home, my fever lingered between 100-103F. I took another ibuprofen 600 mg as I had chills, body ache and headache. At 1 am on 5/22/22, my fever broke, I was drenched in sweat. After that my temperature started normal, my body ache was resolved. As of 5/22/22 2315h the only symptoms that remain are moderately painful headache and a slightly racy pulse,  feelings of nausea, and a poor taste in my mouth.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block first degree, Blood magnesium normal, Blood potassium normal, Bradycardia, Cardiac telemetry
Clinical narrative: Admitted to hospital one day following vaccination with syncope due to symptomatic bradycardia (HR into 20s on telemetry during episodes)
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Syncope, Troponin normal
Clinical narrative: Admitted to hospital one day following vaccination with syncope due to symptomatic bradycardia (HR into 20s on telemetry during episodes)
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Pt. presented to the COVID-19 Vaccination Clinic on 7/27/2021 for his first COVID-19 vaccine. He received the adult-formulation of Pfizer with the lot number EWO183-H. However, a routine audit later revealed that his age at the time of vaccination was 11.95 years old, rendering this dose inappropriate for his age, as he should have been 12 years old in order to receive it. The physician was contacted regarding the occurrence and reported that he had no medical concerns regarding this vaccination and that revaccination would not be required.   The client?s guardians were called on 4-13-2022, 5-8-2022, emailed on 5-8-2022, and called again on 5-15-2022. The facility left voicemails after each attempt to call the client?s guardian. On 5-17-2022, the client?s guardian called this writer back and reported that the client had been brought in for a vaccination in order to prepare for a trip the client was going to attend with the other boys. The client?s guardian was made aware that the vaccine had been received shortly before the client?s 12 birthday and that the dose was technically inappropriate for his age at the time. The client?s guardian was informed of interventions put in place to reduce the risk of such occurrences and informed of the physician?s guidance and response. He verbalized understanding and reported that he had not noticed anything out of the ordinary following his son's vaccination.  All staff at the COVID-19 vaccination clinic have been educated on a new procedure designed to reduce such errors: vaccination staff ask clients to confirm their name and DOB and then respond by speaking the client?s age aloud and verbally confirming which vaccine the client is receiving. They will also verbally confirm the vaccine type aloud when they choose the vaccine type from the drop-down menu in order to reduce the risk of documentation errors.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Immediate post-injection reaction
Clinical narrative: PT states she experienced extreme depression that was immediate after receiving 1st booster shot. No prior history of depression. Lasted 2 months. Also had some symptom after being infected with Covid prior to the booster.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Alanine aminotransferase increased, Anticoagulant therapy, Aspartate aminotransferase increased
Clinical narrative: 11/30/21:  Patient went to PCP with complaints of increasing SOB for weeks, nausea, syncopal events, increased edema and pain bilater lower extremities.  PCP diagnosed high suspicion for DVT/PE and recommended patient go to ER for evaluation.  Patient refused. 12/1/21:  Patient called EMS due to increased dyspnea and tachypnea, inability to ambulate without syncope.  Arrived to ER with noted SOB at rest requiring 6L NC to sat 90%.  RR 32-40, HR 110, +3 bilateral LE pitting edema, coarse rhonchi on auscultation throughout.  Orthostatic hypotension in ER with BP 104/71 at rest then 75/49 upon standing with complaints of vision changes.  During evaluation patient became suddenly unable to maintain oxygenation over 80% despite increase in oxygen to 10L via HFNC.  Placed on BiPAP 10/5 FiO2 40% sat 98% with improved dyspnea.  CXR shows emphysema and diffuse pulmonary fibrosis.  NA 132, K5.5, eGFR 36 BUN/Creatine 34/2.5, AST 3214, ALT 1827, WBC 27.5, CRP 2.7, Lactic acid 8.7, d-dimer 856.  Admit with acute hypoxic respiratory failure and sepsis in the setting of COVID 19 PNA, new acute kidney injury with transaminitis, acute on chronic heart failure exacerbation, shocked liver.  Started on IV Lasix, rocephin, azythromycin, IV solumedrol, Lovenox, and home dulera, spiriva.  Remdesivir and baricitinib held due to AKI. 12/2/21:  CT negative for PE, dopplar negative for DVT.  RR 22-30, afebrile, HR 80, sat 93% on 6L via NC using BiPap at night 10/5 FiO2 40%.  BNP 2580 12/4/21:  ambulating in room on 4L NC sat 90%.  Sat 98% at rest.  RR 16-20, afebrile, SBP 90-110s.  No distress noted with speaking or ambulating.  BUN/Creating 42/1.2 eGFR >60, AST 332, ALT 1006. 12/5/21:  Patient to be discharged home on baseline home O2 of 4L.  Continue long steroid taper and have sleep study outpatient for new home CPAP at night.  WBC 14.7, BUN/Creating 22/0.9, ALT 711, AST 160.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, Blood lactic acid, Blood potassium increased, Blood sodium decreased, Blood urea increased
Clinical narrative: 11/30/21:  Patient went to PCP with complaints of increasing SOB for weeks, nausea, syncopal events, increased edema and pain bilater lower extremities.  PCP diagnosed high suspicion for DVT/PE and recommended patient go to ER for evaluation.  Patient refused. 12/1/21:  Patient called EMS due to increased dyspnea and tachypnea, inability to ambulate without syncope.  Arrived to ER with noted SOB at rest requiring 6L NC to sat 90%.  RR 32-40, HR 110, +3 bilateral LE pitting edema, coarse rhonchi on auscultation throughout.  Orthostatic hypotension in ER with BP 104/71 at rest then 75/49 upon standing with complaints of vision changes.  During evaluation patient became suddenly unable to maintain oxygenation over 80% despite increase in oxygen to 10L via HFNC.  Placed on BiPAP 10/5 FiO2 40% sat 98% with improved dyspnea.  CXR shows emphysema and diffuse pulmonary fibrosis.  NA 132, K5.5, eGFR 36 BUN/Creatine 34/2.5, AST 3214, ALT 1827, WBC 27.5, CRP 2.7, Lactic acid 8.7, d-dimer 856.  Admit with acute hypoxic respiratory failure and sepsis in the setting of COVID 19 PNA, new acute kidney injury with transaminitis, acute on chronic heart failure exacerbation, shocked liver.  Started on IV Lasix, rocephin, azythromycin, IV solumedrol, Lovenox, and home dulera, spiriva.  Remdesivir and baricitinib held due to AKI. 12/2/21:  CT negative for PE, dopplar negative for DVT.  RR 22-30, afebrile, HR 80, sat 93% on 6L via NC using BiPap at night 10/5 FiO2 40%.  BNP 2580 12/4/21:  ambulating in room on 4L NC sat 90%.  Sat 98% at rest.  RR 16-20, afebrile, SBP 90-110s.  No distress noted with speaking or ambulating.  BUN/Creating 42/1.2 eGFR >60, AST 332, ALT 1006. 12/5/21:  Patient to be discharged home on baseline home O2 of 4L.  Continue long steroid taper and have sleep study outpatient for new home CPAP at night.  WBC 14.7, BUN/Creating 22/0.9, ALT 711, AST 160.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, COVID-19 pneumonia, Cardiac failure acute, Chest X-ray abnormal
Clinical narrative: 11/30/21:  Patient went to PCP with complaints of increasing SOB for weeks, nausea, syncopal events, increased edema and pain bilater lower extremities.  PCP diagnosed high suspicion for DVT/PE and recommended patient go to ER for evaluation.  Patient refused. 12/1/21:  Patient called EMS due to increased dyspnea and tachypnea, inability to ambulate without syncope.  Arrived to ER with noted SOB at rest requiring 6L NC to sat 90%.  RR 32-40, HR 110, +3 bilateral LE pitting edema, coarse rhonchi on auscultation throughout.  Orthostatic hypotension in ER with BP 104/71 at rest then 75/49 upon standing with complaints of vision changes.  During evaluation patient became suddenly unable to maintain oxygenation over 80% despite increase in oxygen to 10L via HFNC.  Placed on BiPAP 10/5 FiO2 40% sat 98% with improved dyspnea.  CXR shows emphysema and diffuse pulmonary fibrosis.  NA 132, K5.5, eGFR 36 BUN/Creatine 34/2.5, AST 3214, ALT 1827, WBC 27.5, CRP 2.7, Lactic acid 8.7, d-dimer 856.  Admit with acute hypoxic respiratory failure and sepsis in the setting of COVID 19 PNA, new acute kidney injury with transaminitis, acute on chronic heart failure exacerbation, shocked liver.  Started on IV Lasix, rocephin, azythromycin, IV solumedrol, Lovenox, and home dulera, spiriva.  Remdesivir and baricitinib held due to AKI. 12/2/21:  CT negative for PE, dopplar negative for DVT.  RR 22-30, afebrile, HR 80, sat 93% on 6L via NC using BiPap at night 10/5 FiO2 40%.  BNP 2580 12/4/21:  ambulating in room on 4L NC sat 90%.  Sat 98% at rest.  RR 16-20, afebrile, SBP 90-110s.  No distress noted with speaking or ambulating.  BUN/Creating 42/1.2 eGFR >60, AST 332, ALT 1006. 12/5/21:  Patient to be discharged home on baseline home O2 of 4L.  Continue long steroid taper and have sleep study outpatient for new home CPAP at night.  WBC 14.7, BUN/Creating 22/0.9, ALT 711, AST 160.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax normal, Dyspnoea, Fibrin D dimer, Gait disturbance, Glomerular filtration rate decreased
Clinical narrative: 11/30/21:  Patient went to PCP with complaints of increasing SOB for weeks, nausea, syncopal events, increased edema and pain bilater lower extremities.  PCP diagnosed high suspicion for DVT/PE and recommended patient go to ER for evaluation.  Patient refused. 12/1/21:  Patient called EMS due to increased dyspnea and tachypnea, inability to ambulate without syncope.  Arrived to ER with noted SOB at rest requiring 6L NC to sat 90%.  RR 32-40, HR 110, +3 bilateral LE pitting edema, coarse rhonchi on auscultation throughout.  Orthostatic hypotension in ER with BP 104/71 at rest then 75/49 upon standing with complaints of vision changes.  During evaluation patient became suddenly unable to maintain oxygenation over 80% despite increase in oxygen to 10L via HFNC.  Placed on BiPAP 10/5 FiO2 40% sat 98% with improved dyspnea.  CXR shows emphysema and diffuse pulmonary fibrosis.  NA 132, K5.5, eGFR 36 BUN/Creatine 34/2.5, AST 3214, ALT 1827, WBC 27.5, CRP 2.7, Lactic acid 8.7, d-dimer 856.  Admit with acute hypoxic respiratory failure and sepsis in the setting of COVID 19 PNA, new acute kidney injury with transaminitis, acute on chronic heart failure exacerbation, shocked liver.  Started on IV Lasix, rocephin, azythromycin, IV solumedrol, Lovenox, and home dulera, spiriva.  Remdesivir and baricitinib held due to AKI. 12/2/21:  CT negative for PE, dopplar negative for DVT.  RR 22-30, afebrile, HR 80, sat 93% on 6L via NC using BiPap at night 10/5 FiO2 40%.  BNP 2580 12/4/21:  ambulating in room on 4L NC sat 90%.  Sat 98% at rest.  RR 16-20, afebrile, SBP 90-110s.  No distress noted with speaking or ambulating.  BUN/Creating 42/1.2 eGFR >60, AST 332, ALT 1006. 12/5/21:  Patient to be discharged home on baseline home O2 of 4L.  Continue long steroid taper and have sleep study outpatient for new home CPAP at night.  WBC 14.7, BUN/Creating 22/0.9, ALT 711, AST 160.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ischaemic hepatitis, Nausea, Oedema, Oedema peripheral, Orthostatic hypotension
Clinical narrative: 11/30/21:  Patient went to PCP with complaints of increasing SOB for weeks, nausea, syncopal events, increased edema and pain bilater lower extremities.  PCP diagnosed high suspicion for DVT/PE and recommended patient go to ER for evaluation.  Patient refused. 12/1/21:  Patient called EMS due to increased dyspnea and tachypnea, inability to ambulate without syncope.  Arrived to ER with noted SOB at rest requiring 6L NC to sat 90%.  RR 32-40, HR 110, +3 bilateral LE pitting edema, coarse rhonchi on auscultation throughout.  Orthostatic hypotension in ER with BP 104/71 at rest then 75/49 upon standing with complaints of vision changes.  During evaluation patient became suddenly unable to maintain oxygenation over 80% despite increase in oxygen to 10L via HFNC.  Placed on BiPAP 10/5 FiO2 40% sat 98% with improved dyspnea.  CXR shows emphysema and diffuse pulmonary fibrosis.  NA 132, K5.5, eGFR 36 BUN/Creatine 34/2.5, AST 3214, ALT 1827, WBC 27.5, CRP 2.7, Lactic acid 8.7, d-dimer 856.  Admit with acute hypoxic respiratory failure and sepsis in the setting of COVID 19 PNA, new acute kidney injury with transaminitis, acute on chronic heart failure exacerbation, shocked liver.  Started on IV Lasix, rocephin, azythromycin, IV solumedrol, Lovenox, and home dulera, spiriva.  Remdesivir and baricitinib held due to AKI. 12/2/21:  CT negative for PE, dopplar negative for DVT.  RR 22-30, afebrile, HR 80, sat 93% on 6L via NC using BiPap at night 10/5 FiO2 40%.  BNP 2580 12/4/21:  ambulating in room on 4L NC sat 90%.  Sat 98% at rest.  RR 16-20, afebrile, SBP 90-110s.  No distress noted with speaking or ambulating.  BUN/Creating 42/1.2 eGFR >60, AST 332, ALT 1006. 12/5/21:  Patient to be discharged home on baseline home O2 of 4L.  Continue long steroid taper and have sleep study outpatient for new home CPAP at night.  WBC 14.7, BUN/Creating 22/0.9, ALT 711, AST 160.