chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electric shock sensation, Gait disturbance, Headache
Clinical narrative: Severe Headaches (24/7) Felt like burning needles pushing through my head (Symptoms subsided after about 6 months to about once per month/30 min) Irregular Heart Beat /Tremors (constant)-Saw Cardiologist: CT Scan/Monitor/Ultrasound (Symptoms are less but continue after 8 months. Still very erratic & debilitating) Lungs-Burning/Pressure/Out of Breath. Testing done: Pulmonary Function Tests/CT Scan. Dr. Appt is in Jan. 2022. (Symptoms have very slightly lessened. Lungs still burning, unable to walk any distance or do any laborous chores Breasts-Feel engorged. Shock like feelings in arms & legs
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Pulmonary function test, Tremor
Clinical narrative: Severe Headaches (24/7) Felt like burning needles pushing through my head (Symptoms subsided after about 6 months to about once per month/30 min) Irregular Heart Beat /Tremors (constant)-Saw Cardiologist: CT Scan/Monitor/Ultrasound (Symptoms are less but continue after 8 months. Still very erratic & debilitating) Lungs-Burning/Pressure/Out of Breath. Testing done: Pulmonary Function Tests/CT Scan. Dr. Appt is in Jan. 2022. (Symptoms have very slightly lessened. Lungs still burning, unable to walk any distance or do any laborous chores Breasts-Feel engorged. Shock like feelings in arms & legs
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given 0.5 mL of Moderna when they should have received the booster dose of 0.25 mL of Moderna.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 1.0
Sex: F
Vaccine: HIBV
Symptoms: Extra dose administered
Clinical narrative: PedVaxHIB was given at the same time as Pentacel DTaP-IPV-HIB Lot UJ435AA Exp 05/17/2022 Manufacture Sanofi Pasteur was given in Right Thigh. Family was called and instructed to watch for signs of a reaction.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash on right side of face
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Respiratory tract congestion, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I had my first symptom of diarrhea on Tuesday Nov 9th and then Nov 10th I had congestion. On the 9th my 2 COVID tests came back negative. Friday Nov 12, I became more congested and took another test that was positive. I tried the monoclonal antibody treatment but was getting reactions to that, so I was given steroids and Benadryl on Saturday. I took another rapid test on Nov 22, and it came back negative, and symptoms have gotten better.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine past 12 hours expiration. No adverse event. MD notified pt. Pt. declined revaccination.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given 0.5 mL of Moderna when they should have received the booster dose of 0.25 mL of Moderna.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND AGENCY REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site rash, Swollen tongue
Clinical narrative: Rash around injection site.  Tongue swelling starting 1 day after injection and lasting for 3 days
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation normal
Clinical narrative: Started her period for the first time on 11/23/2021 at 10 years old. (Probably coincidence, but wanted to report it)
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given 0.5 mL of Moderna when they should have received the booster dose of 0.25 mL of Moderna.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND AGENCY REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine past 12 hour expiration. No adverse event. MD contacted pt. Pt. declined revaccination.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Gait disturbance, Impaired driving ability, Loss of personal independence in daily activities
Clinical narrative: Feelings of vertigo, spinning light headedness.  This is daily, no improvements.  The need to close my eyes, rest my head, which is very difficult when working.  At times affecting my walking and driving, working on the computer.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Feelings of vertigo, spinning light headedness.  This is daily, no improvements.  The need to close my eyes, rest my head, which is very difficult when working.  At times affecting my walking and driving, working on the computer.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine remained in freezer beyond manufacturer recommendation. After consultation with Pfizer revaccination recommended to ensure proper effectiveness.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given 0.5 mL of Moderna when they should have received the booster dose of 0.25 mL of Moderna.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND agency REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient vomited shortly after getting home following her vaccination. It occured 3 times yesterday evening and an additional 4 times overnight and this morning. Her mother, has reached out to the pediatrician and is waiting for a call back. Patient is currently not tolerating any food or water. They have purchased pedialyte.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, Blood culture, Blood lactic acid normal, COVID-19
Clinical narrative: Deceased 11/19/2021; Hospitalized 11/11/2021; COVID-19 positive 11/13/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 11/11/2021 Discharge Date: Nov 19, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness AKI (acute kidney injury) Altered mental status, unspecified altered mental status type Venous stasis ulcer of other part of left lower leg with fat layer exposed with varicose veins Venous stasis ulcer of other part of right lower leg with fat layer exposed with varicose veins Pneumonia due to COVID-19 virus COVID-19 AMS (altered mental status)   HOSPITAL COURSE: 90 y.o. male who presents today from assisted living with one week of progressive generalized weakness and AMS. PMHx of venous stasis ulcers on legs chronic, unhealable, CAD, HTN, pacemaker, PAF, CKD3, h/o PE and DVT on Eliquis. Patient was actually enrolled in hospice recently to try to achieve better pain control for leg ulcers, despite life expectancy being >6 months. He had been started on neurontin and hydromorphine, then the narcotic was changed to moprhine.  Patient has CKD. In the ED he was noted to be COVID+ but on RA.  He was admitted for further care.     Neurontin and narcotics were held and patient's mental status improved. Palliative care was consulted and began oxycodone for pain control. This was titrated up.  Initially patient remained on RA and was symptoms free with the covid19 infection. Repeat CXR was consistent with multifocal PNA and PCR confirmed covid +. Was offered monoclonal AB treatment but declined. On 11/14 patient began declining again with AKI and hypotension and worsening AMS. Lactic acid was normal, WBC 11.  CXR 11/14 showed new medial rt lung base opacities concerning for aspiration/PNA.  Unchanged lt opacities.  Blood cultures sent and zosyn given while ruling out superimposed bacterial infection. Given worsening renal function, despite patient not having had received narcotics in the past 12 hours, narcan was given with good response.  Narcotics held.  Patient was placed on IVFs and bolused. Starting on 11/14 patient began to have an O2 requirement and was started on Decadron. After initial narcan patient then had recurrent hypotension and sedation.  2nd narcan given with some response.  At this point discussion was had with daughter regarding goals of care. As patient was at the beginning of his covid course, which was likely to continue to worsen, having AKI, AMS, and then bleeding and severe pain from his chronic LE venous ulcers, We made the decision to pursue comfort care.  All aggressive interventions were discontinued and patient was started on comfort medications.  Hospice were consulted.      The patient was discharged home with hospice on 11/19/21.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated, Death, Hypotension
Clinical narrative: Deceased 11/19/2021; Hospitalized 11/11/2021; COVID-19 positive 11/13/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 11/11/2021 Discharge Date: Nov 19, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness AKI (acute kidney injury) Altered mental status, unspecified altered mental status type Venous stasis ulcer of other part of left lower leg with fat layer exposed with varicose veins Venous stasis ulcer of other part of right lower leg with fat layer exposed with varicose veins Pneumonia due to COVID-19 virus COVID-19 AMS (altered mental status)   HOSPITAL COURSE: 90 y.o. male who presents today from assisted living with one week of progressive generalized weakness and AMS. PMHx of venous stasis ulcers on legs chronic, unhealable, CAD, HTN, pacemaker, PAF, CKD3, h/o PE and DVT on Eliquis. Patient was actually enrolled in hospice recently to try to achieve better pain control for leg ulcers, despite life expectancy being >6 months. He had been started on neurontin and hydromorphine, then the narcotic was changed to moprhine.  Patient has CKD. In the ED he was noted to be COVID+ but on RA.  He was admitted for further care.     Neurontin and narcotics were held and patient's mental status improved. Palliative care was consulted and began oxycodone for pain control. This was titrated up.  Initially patient remained on RA and was symptoms free with the covid19 infection. Repeat CXR was consistent with multifocal PNA and PCR confirmed covid +. Was offered monoclonal AB treatment but declined. On 11/14 patient began declining again with AKI and hypotension and worsening AMS. Lactic acid was normal, WBC 11.  CXR 11/14 showed new medial rt lung base opacities concerning for aspiration/PNA.  Unchanged lt opacities.  Blood cultures sent and zosyn given while ruling out superimposed bacterial infection. Given worsening renal function, despite patient not having had received narcotics in the past 12 hours, narcan was given with good response.  Narcotics held.  Patient was placed on IVFs and bolused. Starting on 11/14 patient began to have an O2 requirement and was started on Decadron. After initial narcan patient then had recurrent hypotension and sedation.  2nd narcan given with some response.  At this point discussion was had with daughter regarding goals of care. As patient was at the beginning of his covid course, which was likely to continue to worsen, having AKI, AMS, and then bleeding and severe pain from his chronic LE venous ulcers, We made the decision to pursue comfort care.  All aggressive interventions were discontinued and patient was started on comfort medications.  Hospice were consulted.      The patient was discharged home with hospice on 11/19/21.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Mental status changes, Pneumonia, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Deceased 11/19/2021; Hospitalized 11/11/2021; COVID-19 positive 11/13/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 11/11/2021 Discharge Date: Nov 19, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness AKI (acute kidney injury) Altered mental status, unspecified altered mental status type Venous stasis ulcer of other part of left lower leg with fat layer exposed with varicose veins Venous stasis ulcer of other part of right lower leg with fat layer exposed with varicose veins Pneumonia due to COVID-19 virus COVID-19 AMS (altered mental status)   HOSPITAL COURSE: 90 y.o. male who presents today from assisted living with one week of progressive generalized weakness and AMS. PMHx of venous stasis ulcers on legs chronic, unhealable, CAD, HTN, pacemaker, PAF, CKD3, h/o PE and DVT on Eliquis. Patient was actually enrolled in hospice recently to try to achieve better pain control for leg ulcers, despite life expectancy being >6 months. He had been started on neurontin and hydromorphine, then the narcotic was changed to moprhine.  Patient has CKD. In the ED he was noted to be COVID+ but on RA.  He was admitted for further care.     Neurontin and narcotics were held and patient's mental status improved. Palliative care was consulted and began oxycodone for pain control. This was titrated up.  Initially patient remained on RA and was symptoms free with the covid19 infection. Repeat CXR was consistent with multifocal PNA and PCR confirmed covid +. Was offered monoclonal AB treatment but declined. On 11/14 patient began declining again with AKI and hypotension and worsening AMS. Lactic acid was normal, WBC 11.  CXR 11/14 showed new medial rt lung base opacities concerning for aspiration/PNA.  Unchanged lt opacities.  Blood cultures sent and zosyn given while ruling out superimposed bacterial infection. Given worsening renal function, despite patient not having had received narcotics in the past 12 hours, narcan was given with good response.  Narcotics held.  Patient was placed on IVFs and bolused. Starting on 11/14 patient began to have an O2 requirement and was started on Decadron. After initial narcan patient then had recurrent hypotension and sedation.  2nd narcan given with some response.  At this point discussion was had with daughter regarding goals of care. As patient was at the beginning of his covid course, which was likely to continue to worsen, having AKI, AMS, and then bleeding and severe pain from his chronic LE venous ulcers, We made the decision to pursue comfort care.  All aggressive interventions were discontinued and patient was started on comfort medications.  Hospice were consulted.      The patient was discharged home with hospice on 11/19/21.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sedation, Skin ulcer, Ulcer haemorrhage, Varicose vein, Venous ulcer pain
Clinical narrative: Deceased 11/19/2021; Hospitalized 11/11/2021; COVID-19 positive 11/13/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 11/11/2021 Discharge Date: Nov 19, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness AKI (acute kidney injury) Altered mental status, unspecified altered mental status type Venous stasis ulcer of other part of left lower leg with fat layer exposed with varicose veins Venous stasis ulcer of other part of right lower leg with fat layer exposed with varicose veins Pneumonia due to COVID-19 virus COVID-19 AMS (altered mental status)   HOSPITAL COURSE: 90 y.o. male who presents today from assisted living with one week of progressive generalized weakness and AMS. PMHx of venous stasis ulcers on legs chronic, unhealable, CAD, HTN, pacemaker, PAF, CKD3, h/o PE and DVT on Eliquis. Patient was actually enrolled in hospice recently to try to achieve better pain control for leg ulcers, despite life expectancy being >6 months. He had been started on neurontin and hydromorphine, then the narcotic was changed to moprhine.  Patient has CKD. In the ED he was noted to be COVID+ but on RA.  He was admitted for further care.     Neurontin and narcotics were held and patient's mental status improved. Palliative care was consulted and began oxycodone for pain control. This was titrated up.  Initially patient remained on RA and was symptoms free with the covid19 infection. Repeat CXR was consistent with multifocal PNA and PCR confirmed covid +. Was offered monoclonal AB treatment but declined. On 11/14 patient began declining again with AKI and hypotension and worsening AMS. Lactic acid was normal, WBC 11.  CXR 11/14 showed new medial rt lung base opacities concerning for aspiration/PNA.  Unchanged lt opacities.  Blood cultures sent and zosyn given while ruling out superimposed bacterial infection. Given worsening renal function, despite patient not having had received narcotics in the past 12 hours, narcan was given with good response.  Narcotics held.  Patient was placed on IVFs and bolused. Starting on 11/14 patient began to have an O2 requirement and was started on Decadron. After initial narcan patient then had recurrent hypotension and sedation.  2nd narcan given with some response.  At this point discussion was had with daughter regarding goals of care. As patient was at the beginning of his covid course, which was likely to continue to worsen, having AKI, AMS, and then bleeding and severe pain from his chronic LE venous ulcers, We made the decision to pursue comfort care.  All aggressive interventions were discontinued and patient was started on comfort medications.  Hospice were consulted.      The patient was discharged home with hospice on 11/19/21.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Deceased 11/19/2021; Hospitalized 11/11/2021; COVID-19 positive 11/13/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 11/11/2021 Discharge Date: Nov 19, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness AKI (acute kidney injury) Altered mental status, unspecified altered mental status type Venous stasis ulcer of other part of left lower leg with fat layer exposed with varicose veins Venous stasis ulcer of other part of right lower leg with fat layer exposed with varicose veins Pneumonia due to COVID-19 virus COVID-19 AMS (altered mental status)   HOSPITAL COURSE: 90 y.o. male who presents today from assisted living with one week of progressive generalized weakness and AMS. PMHx of venous stasis ulcers on legs chronic, unhealable, CAD, HTN, pacemaker, PAF, CKD3, h/o PE and DVT on Eliquis. Patient was actually enrolled in hospice recently to try to achieve better pain control for leg ulcers, despite life expectancy being >6 months. He had been started on neurontin and hydromorphine, then the narcotic was changed to moprhine.  Patient has CKD. In the ED he was noted to be COVID+ but on RA.  He was admitted for further care.     Neurontin and narcotics were held and patient's mental status improved. Palliative care was consulted and began oxycodone for pain control. This was titrated up.  Initially patient remained on RA and was symptoms free with the covid19 infection. Repeat CXR was consistent with multifocal PNA and PCR confirmed covid +. Was offered monoclonal AB treatment but declined. On 11/14 patient began declining again with AKI and hypotension and worsening AMS. Lactic acid was normal, WBC 11.  CXR 11/14 showed new medial rt lung base opacities concerning for aspiration/PNA.  Unchanged lt opacities.  Blood cultures sent and zosyn given while ruling out superimposed bacterial infection. Given worsening renal function, despite patient not having had received narcotics in the past 12 hours, narcan was given with good response.  Narcotics held.  Patient was placed on IVFs and bolused. Starting on 11/14 patient began to have an O2 requirement and was started on Decadron. After initial narcan patient then had recurrent hypotension and sedation.  2nd narcan given with some response.  At this point discussion was had with daughter regarding goals of care. As patient was at the beginning of his covid course, which was likely to continue to worsen, having AKI, AMS, and then bleeding and severe pain from his chronic LE venous ulcers, We made the decision to pursue comfort care.  All aggressive interventions were discontinued and patient was started on comfort medications.  Hospice were consulted.      The patient was discharged home with hospice on 11/19/21.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sensation of foreign body, Throat irritation, Throat tightness
Clinical narrative: Pt states she waited for 25 min, then went outside to" get fresh air", then came back inside and told observer she was feeling itchy/throat felt tight. Observer contacted clinical lead who did initial assessment. Pt observed to be scratching arms, shrugging shoulders repeatedly (pt states shoulder shrug is from ADHD condition), throat pink, no noticible swelling.Breathing at normal rate. No adventitious breath sounds. No rash noted on arms, abdomen, neck. No facial or other swelling noted.  Benadryl 25mg po prn for itch given per standing orders for itch. Pt then reported that she felt the benadryl was "stuck in her throat". Pt drank water, but still stated it felt "stuck". ED called for further eval and treat.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine past 12 hour expiration. No adverse event. MD contacted pt. Pt. declined revaccination.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Migraine
Clinical narrative: Migraine that occured Sunday and Monday. I had a headache Saturday, but this transitioned to a migraine that lasted sunday all day and monday until about 12:00pm
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PT SHOULD HAVE RECIEVED THE PEDIATRIC DOSE, BUT WAS GIVEN THE ADULT. NO ADVERSE EVENTS WERE REPORTED
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Back pain, Blood test normal, Chest X-ray normal, Chest pain
Clinical narrative: Sore arm, low grade fever, intestinal discomfort, upper back and chest pain, shortness of breathe, irregular heart rate
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Heart rate irregular, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, low grade fever, intestinal discomfort, upper back and chest pain, shortness of breathe, irregular heart rate
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Hives all over
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Fatigue, Headache, Heart rate increased
Clinical narrative: After getting my booster shot, the following morning I experienced an increased heart rate between (110-119) that would not come down with breathing exercises. My heart rate remained high at rest the entire day. I also had chest tightness which felt like pressure behind my sternum sometimes on the right side and sometimes on the left side.  After a day, my heart rate came down but stayed in the 100-108 range. On Day 3, my heart rate at rest has come down from 100, however, it is still not at my usual range 75-89. I did 25-30min of moderate exercise on Day 3 and noted that the chest tightness/pressure increased with exertion, however, it resolved after resting less than 10 mins.   I also had fatigue and headache which I would consider normal side effects the day after my third dose, which subsides within 24 hours. I took 200mg of ibuprofen mid-afternoon.
Age: 73.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given 0.5 mL of Moderna when they should have received the booster dose of 0.25 mL of Moderna.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: developed temp of 101.3 and tested positive for COVID 11/23/2021- has known exposure from wife who visited
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Pruritus, Urticaria
Clinical narrative: On 10/30/2021, 36 hours post vaccine, it first started with some large hives on my throat. Then it grew to a large patch on my throat and upper chest, and they were really large, almond shape, they were large high up bumps, itching and burning, very red. It just started getting better about 2 days ago, 11/21/2021 when I got off the Zyrtec. Now I am left with what feels like a small patch of eczema or psoriasis, but no hives anymore. Right on my throat where I had the hives, it stretches and pulls on that dry patch, and I have been putting ointment like a Neosporin on it. I spoke to a doctor, and he suggested I take Zyrtec.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine breakthrough case
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Swelling of eyelid
Clinical narrative: My son had severe eye swelling after his first shot. They swelled shut and we gave him adult benadryl every 6 hours for 24 hours.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests abnormal, Condition aggravated, Deafness unilateral, Sleep disorder, Tinnitus
Clinical narrative: Patient received her first dose of the Pfizer vaccine in March 2021.   A few days later, she noticed a sudden onset of bilateral, intermittent tinnitus.  She received her second dose of the Pfizer vaccine in April and noticed an immediate increase in the severity of the tinnitus, at which time it became constant.  On   November 10th, she received her booster COVID19 vaccine and noticed another increased in the severity of her tinnitus, which began on November 12th.  It has now increased to the point where it will wake her from her sleep and she has a hard time falling asleep again.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Pain, Pain in extremity, Pyrexia, Tinnitus
Clinical narrative: Patient received her first dose of the Pfizer vaccine in March 2021.   A few days later, she noticed a sudden onset of bilateral, intermittent tinnitus.  She received her second dose of the Pfizer vaccine in April and noticed an immediate increase in the severity of the tinnitus, at which time it became constant.  On   November 10th, she received her booster COVID19 vaccine and noticed another increased in the severity of her tinnitus, which began on November 12th.  It has now increased to the point where it will wake her from her sleep and she has a hard time falling asleep again.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Illness, Influenza A virus test negative, Influenza B virus test, SARS-CoV-2 test positive
Clinical narrative: I received a Booster, and was verbally told it was 1/2 the dose.  I now have Covid, and over the past few days, have experienced all of the symptoms and am actively sick.  The vaccine is not supposted to be live?
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given 0.5 mL of Moderna when they should have received the booster dose of 0.25 mL of Moderna.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND AGENCY REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Moderna .25ml administered booster on 11/18/21 dose when it should have been .5ml b/c it was Dose #1 in the primary series.  On 11/19 Moderna .5ml administer
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND AGENCY REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: Sunday 11/21 had bad headache, Monday 11/22 had bad migraine
Age: 17.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse effect.  Patient was given Pfizer Covid Vaccine Booster dose and patient did not meet the required age for booster at time and date of administration.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient originally received Pfizer as her primary dose and thought she had gotten Moderna. So when she came to us for her 2nd dose she filled out consent with all Moderna, wishing to receive Moderna. When looked up in database after administration it was noticed that persons actually received Pfizer. Spoke to persons she is made aware. Spoke with Representative at health facility and she is not to do anything further she is considered fully vaccinated and may get whichever she would like as her booster 6 months after her 2nd dose which ended up being the Moderna. Verbiage of this clarification was also emailed to me. Patient called and notified. She is doing well and has had no adverse reaction.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine 12 hours past expiration. No adverse event. MD contacted pt. Pt. declined revaccination
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Mass, Pain in extremity, Swelling
Clinical narrative: Patient received COVID vaccine on 10/27/2021. Patient called on 11/20/21 stating that she developed a mass next to her arm pit 4 days after receiving her first shot. Patient stated that she had typical arm pain associate with the shot but also swelling and hardness to the side of the armpit. Patient did receive a lymphatic massage and the swelling did decrease. Patient did seek advice from her medical doctor on Saturday 11/20/21 who was unsure of the cause of the mass but did suggest the patient complete the Pfizer regimen and get second dose in the opposite arm. Patient came on 11/22/21 and received 2nd Pfizer dose in opposite arm. Patient will follow up with pharmacist next week.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Cough, Dyspnoea exertional, Fall, Head injury
Clinical narrative: Pt is a 75-year-old woman with a history of COPD, chronic alcoholism, hypertension, depression, anxiety, osteoarthritis another orthopedic ailments who presented to the emergency room on 11/20/2021 after family noted several days of confusion.  She had undergone a dental extraction on Wednesday the 17th and was prescribed hydrocodone at that time.  Patient notes that she has been drinking brandy along with the hydrocodone.  She also had developed a cough and some worsening dyspnea on exertion.  Subjective fevers.  She is not on oxygen at baseline with her COPD.  She has been vaccinated for COVID-19.  She had a fall and struck her head sometime prior to admission, she thinks it was over a week ago.  Patient admitted and started on remdesivir.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Pt is a 75-year-old woman with a history of COPD, chronic alcoholism, hypertension, depression, anxiety, osteoarthritis another orthopedic ailments who presented to the emergency room on 11/20/2021 after family noted several days of confusion.  She had undergone a dental extraction on Wednesday the 17th and was prescribed hydrocodone at that time.  Patient notes that she has been drinking brandy along with the hydrocodone.  She also had developed a cough and some worsening dyspnea on exertion.  Subjective fevers.  She is not on oxygen at baseline with her COPD.  She has been vaccinated for COVID-19.  She had a fall and struck her head sometime prior to admission, she thinks it was over a week ago.  Patient admitted and started on remdesivir.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adnexa uteri pain, Arthralgia, Bone pain, Breast pain, Chest discomfort
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dizziness, Dry mouth, Ear pain, Eye pain
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Malaise, Maternal exposure during breast feeding
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine, Musculoskeletal pain, Pain in extremity, Paraesthesia, Paraesthesia oral
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Pharyngitis, Pruritus, Respiratory tract congestion, Rhinitis
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sneezing, Throat tightness, Vision blurred, Visual impairment
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adnexa uteri pain, Bone pain, Dizziness, Dyspnoea, Eye disorder
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Lactation disorder, Migraine, Musculoskeletal pain, Nasal congestion
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Off label use, Oropharyngeal pain, Pain in extremity, Pharyngeal swelling, Product use issue
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rhinorrhoea, Sneezing, Visual impairment
Clinical narrative: On November 19, not long after the vaccine, patient got dizzy. Had pre-existing headache that worsened after the vaccine. Patient waited in the parking lot of the clinic for 2 hours, still felt dizzy. Left arm pruritic. Felt sharp pain in LLQ/ovaries. Started feeling occasional pin-like feeling in chest with breathing. Throat felt slightly swollen and 'cotton mouth' feeling, did not feel dyspneic, felt tight. Pain in L shoulder, scapula, clavicle started that evening.   November 20 - more soreness in L arm. Rhinitis, sneezing, slightly dizzy, and slight headache.   November 21 - rhinitis, sharp pain in LLQ/ovaries again, increased fatigue that was different than usual. Pain in L breast with lactation (currently nursing). Slight pharyngitis, felt as though cold was starting.  November 22 - felt more fatigue, pain in shoulders and wrists, rhinitis, congestion. Had headache that became migraine. Change in vision, seeing spots, blurry vision. Otalgia, pain in eyes. L arm and hand numbness and tingling. Face felt numb, tongue felt tingly. Went to urgent care November 22 to be evaluated.  November 23 - fatigue, slight migraine but improving