chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Drug ineffective
Clinical narrative: used Paxlovid in the past. were positive/ 3 years ago...2021, that they took it; used Paxlovid in the past. were positive/ 3 years ago...2021, that they took it; This is a spontaneous report received from a Physician.  A male patient in his 80's received BNT162b2 (BNT162B2), as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 2021, outcome "unknown" and all described as "used Paxlovid in the past. were positive/ 3 years ago...2021, that they took it". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (2021) Positive. Therapeutic measures were taken as a result of drug ineffective, covid-19. The patient just turned 92 now.  The information on the batch/lot number for [BNT162B2] will be requested and submitted if and when received.; Sender's Comments: Based on the information currently available, a lack of efficacy with BNT162b2 in this patient cannot be completely excluded.,Linked Report(s) : US-PFIZER INC-PV202500043227 Same reporter/ drug/ event for different patients.;
Vaccine: COVID19
Symptoms: Upper limb fracture
Clinical narrative: broke arm; This is a spontaneous report received from a Consumer or other non HCP. Other Case identifier(s): MOD-2025-784109 (Moderna).  A patient (age and gender not provided) received BNT162b2 (BNT162B2), as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Spikevax (dose number unknown, intramuscular), for COVID-19 prophylaxis, reaction(s): "a side effect from Moderna/ have a lot to say regarding your side effects/Those are all really bad side effects from Moderna". The following information was reported: UPPER LIMB FRACTURE (medically significant), outcome "unknown", described as "broke arm". Clinical course: The reporter informed that date of administration was 2020, 2021, and 2022 in years. It was reported that so if wanted to believe that it's, that it was dangerous, then they went for research that. And if wanted to believe in the power of whatever, getting immunized and was doing what's best for country, and then making that into some sort of judgment on somebody's Character for personality, testing and 23 and testing, those were all the side effects of that. It was also added "That was a side effect of Moderna and Johnson and Johnson and Pfizer. That's also an ethical and compliance concern, Patient stated (redacted) had "numerous vaccines. that's a really negative side effect." Patient broke arm and patient wanted to learn how to write with left hand. (redacted) added, "(redacted) didn't go with Johnson Johnson." It was unknown if the patient experienced any additional symptoms/events. No treatment information was reported.  Batch/lot number is not provided, and it cannot be obtained.
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test
Clinical narrative: used Paxlovid in the past. were positive/ 3 years ago...2021, that they took it; used Paxlovid in the past. were positive/ 3 years ago...2021, that they took it; This is a spontaneous report received from a Physician.  A 72-year-old female patient received BNT162b2 (BNT162B2), as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 2021, outcome "unknown" and all described as "used Paxlovid in the past. were positive/ 3 years ago...2021, that they took it". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (2021) Positive. Therapeutic measures were taken as a result of drug ineffective, covid-19.  The information on the batch/lot number for [BNT162B2] will be requested and submitted if and when received.; Sender's Comments: Based on the information currently available, a lack of efficacy with BNT162b2 in this patient cannot be completely excluded.  The patient's predispositions such as old age associated immunosenescence may contribute to suboptimal response after vaccination.,Linked Report(s) : US-PFIZER INC-202500076435 Same reporter/ drug/ event for different patients.;
Age: 54.0
Sex: M
Vaccine: RAB
Symptoms: Chest discomfort, Epistaxis, Palpitations
Clinical narrative: Later that day he woke up at 2100 to use the bathroom and had to clear his throat and spit up blood tainted mucus. He said he had fresh blood in his nose but not a nose bleed. After awakening later that morning the blood tinged mucus; had heart palpitations; chest tightness; Initial information received on 15-Apr-2025 regarding an unsolicited valid  non-serious case received from a consumer/non-hcp.  This case involves a 54 years old male patient who woke up at 21:00 hours to use the bathroom and had to clear his throat and spit up blood tainted mucus, patient said he had fresh blood in his nose but not a nose bleed, after awakening later that morning the blood tinged mucus, had heart palpitations and chest tightness after receiving rabies (HDC) vaccine [Imovax Rabies].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  On 13-Apr-2025, the patient received an unknown dose of rabies (HDC) vaccine Powder and solvent for suspension for injection (strength, expiry date and lot number not reported) via unknown route in unknown administration site for Immunization.   Information on the batch number was requested corresponding to the one at time of event occurrence.   On 13-Apr-2025 at 21:00 hours, the patient woke up to use the bathroom and had to clear his throat and spit up blood tainted mucus, he said he had fresh blood in his nose but not a nose bleed, after awakening later that morning the blood tinged mucus (epistaxis) (latency- 1 day) following the administration of rabies (HDC) vaccine. On an unknown date in APR-2025 the patient had heart palpitations (palpitations) and chest tightness (chest discomfort) (unknown latency) following the administration of rabies (HDC) vaccine.  Reportedly, patient had the Imovax at a local ER (Emergency room) but switched to RabaVert at urgent care location for his second injection.  Action taken was not applicable.  It was not reported if the patient received a corrective treatment for all the events.   At time of reporting, the outcome was Recovered / Resolved on an unknown date in April 2025 for the event (epistaxis) and was Unknown for rest of the events.
Age: 65.0
Sex: F
Vaccine: HEPAB, PNC21, TDAP
Symptoms: Acute myocardial infarction, Asthenia, Depressed level of consciousness, Echocardiogram, Ejection fraction normal
Clinical narrative: The patient was seen in ED 3/25/25 with weakness and altered mental status stating that she received the Hep B/A shot Thursday and hasn't been the same since Sunday Night.  She was admitted with hyperglycemia and blood culture returned positive for Moraxella osloensis.  She was discharged on 4/2/25 and saw PCP on 4/9/25.  She then presented to ED with altered mental status and developed PEA arrest and was admitted to ICU intubated on invasive vent support.  Per ED note: patient appeared obtunded initially with respiratory arrest followed by cardiac arrest.  CPR was initiated immediately.  IO access obtained and patient received epinephrine.  On rhythm check, patient appeared to be in PEA.  CPR was continued and patient received additional dose of epinephrine.  Patient intubated and continuous compressions performed.  Patient had return of spontaneous circulation after approximately 7-10 minutes of CPR.  Blood pressure 70s/50s; vasopressors (Levophed) initiated along with IV fluid resuscitation.  Patient received calcium chloride/magnesium sulfate and sodium bicarbonate.  Subsequently she was found to have a NON-STEMI with elevated troponin and on heparin gtt.  Extubated 4/16 with recurrent bouts of pulmonary edema requiring lasix and noninvasive vent support.
Age: 65.0
Sex: F
Vaccine: HEPAB, PNC21, TDAP
Symptoms: Endotracheal intubation, Hyperglycaemia, Intensive care, Mechanical ventilation, Mental status changes
Clinical narrative: The patient was seen in ED 3/25/25 with weakness and altered mental status stating that she received the Hep B/A shot Thursday and hasn't been the same since Sunday Night.  She was admitted with hyperglycemia and blood culture returned positive for Moraxella osloensis.  She was discharged on 4/2/25 and saw PCP on 4/9/25.  She then presented to ED with altered mental status and developed PEA arrest and was admitted to ICU intubated on invasive vent support.  Per ED note: patient appeared obtunded initially with respiratory arrest followed by cardiac arrest.  CPR was initiated immediately.  IO access obtained and patient received epinephrine.  On rhythm check, patient appeared to be in PEA.  CPR was continued and patient received additional dose of epinephrine.  Patient intubated and continuous compressions performed.  Patient had return of spontaneous circulation after approximately 7-10 minutes of CPR.  Blood pressure 70s/50s; vasopressors (Levophed) initiated along with IV fluid resuscitation.  Patient received calcium chloride/magnesium sulfate and sodium bicarbonate.  Subsequently she was found to have a NON-STEMI with elevated troponin and on heparin gtt.  Extubated 4/16 with recurrent bouts of pulmonary edema requiring lasix and noninvasive vent support.
Age: 65.0
Sex: F
Vaccine: HEPAB, PNC21, TDAP
Symptoms: Moraxella test positive, Pulmonary oedema, Pulseless electrical activity, Respiratory arrest, Resuscitation
Clinical narrative: The patient was seen in ED 3/25/25 with weakness and altered mental status stating that she received the Hep B/A shot Thursday and hasn't been the same since Sunday Night.  She was admitted with hyperglycemia and blood culture returned positive for Moraxella osloensis.  She was discharged on 4/2/25 and saw PCP on 4/9/25.  She then presented to ED with altered mental status and developed PEA arrest and was admitted to ICU intubated on invasive vent support.  Per ED note: patient appeared obtunded initially with respiratory arrest followed by cardiac arrest.  CPR was initiated immediately.  IO access obtained and patient received epinephrine.  On rhythm check, patient appeared to be in PEA.  CPR was continued and patient received additional dose of epinephrine.  Patient intubated and continuous compressions performed.  Patient had return of spontaneous circulation after approximately 7-10 minutes of CPR.  Blood pressure 70s/50s; vasopressors (Levophed) initiated along with IV fluid resuscitation.  Patient received calcium chloride/magnesium sulfate and sodium bicarbonate.  Subsequently she was found to have a NON-STEMI with elevated troponin and on heparin gtt.  Extubated 4/16 with recurrent bouts of pulmonary edema requiring lasix and noninvasive vent support.
Age: 65.0
Sex: F
Vaccine: HEPAB, PNC21, TDAP
Symptoms: Troponin increased
Clinical narrative: The patient was seen in ED 3/25/25 with weakness and altered mental status stating that she received the Hep B/A shot Thursday and hasn't been the same since Sunday Night.  She was admitted with hyperglycemia and blood culture returned positive for Moraxella osloensis.  She was discharged on 4/2/25 and saw PCP on 4/9/25.  She then presented to ED with altered mental status and developed PEA arrest and was admitted to ICU intubated on invasive vent support.  Per ED note: patient appeared obtunded initially with respiratory arrest followed by cardiac arrest.  CPR was initiated immediately.  IO access obtained and patient received epinephrine.  On rhythm check, patient appeared to be in PEA.  CPR was continued and patient received additional dose of epinephrine.  Patient intubated and continuous compressions performed.  Patient had return of spontaneous circulation after approximately 7-10 minutes of CPR.  Blood pressure 70s/50s; vasopressors (Levophed) initiated along with IV fluid resuscitation.  Patient received calcium chloride/magnesium sulfate and sodium bicarbonate.  Subsequently she was found to have a NON-STEMI with elevated troponin and on heparin gtt.  Extubated 4/16 with recurrent bouts of pulmonary edema requiring lasix and noninvasive vent support.
Age: 69.0
Sex: F
Vaccine: PNC21
Symptoms: Dizziness, Fatigue, Injection site pain, Nausea
Clinical narrative: Dizziness,  nausea, fatigue,  sore arm at injection site
Age: 52.0
Sex: F
Vaccine: PNC21
Symptoms: Chest discomfort, Feeling abnormal, Injected limb mobility decreased, Neck pain, Pain in extremity
Clinical narrative: 04/10/25 (Thr Apr 10) 02:05 PM   Pt called stating she is not reacting well to the shot she got yesterday. pt states her left arm is in so much pain and it is going to her neck, pt states she can barley move her arm. pt states she knows she is going to be sore but this is more then that pt states she took Advil as the day has gone by it has gotten better but she wanted to inform us.  04/10/25 (Thr Apr 10) 02:05 PM   Sent to PA-C    04/11/25 (Fri Apr 11) 11:13 AM  PA-C  can you call and see how she is today  04/11/25 (Fri Apr 11) 11:13 AM  PA-C  Forwarded    04/11/25 (Fri Apr 11) 11:26 AM   lvm for pt to call office back    04/14/25 (Mon Apr 14) 10:18 AM   lvm for pt to call office back    04/14/25 (Mon Apr 14) 10:38 AM   pt called back relayed above pt states she feels better now she has full range of motion in her arm pt states she started feeling better on Saturday. pt states she believes she had an allergic reaction pt states her arm was in so much pain she could not even work.  04/14/25 (Mon Apr 14) 10:38 AM   Forwarded   04/15/25 (Tue Apr 15) 07:05 AM  PA-C Closed 04/15/25 (Tue Apr 15) 03:21 PM LPN Opened   04/15/25 (Tue Apr 15) 03:32 PM  LPN  Patient called, states that she is "having severe reaction to pneumonia vaccine", states that it was "akin to paralysis" on her left arm and entire left side.  States that she has regained mobility.  Still has pain in left shoulder, but skin still has discoloration.  Reports that she was bed ridden throughout the weekend.  Patient wants this reported to CDC for negative vaccine reaction.  Do you want me to add vaccine to allergy list??   After talking to patient, states that she felt "weird", after getting vaccine, states that she sat in her car and believed it to be vasovagal.  After discussing reactions with her, patient states that she felt chest tightness immediately after.     04/15/25 (Tue Apr 15) 03:41 PM   Employee discussed this with me. If pt wants us to report an adverse reaction to the vaccine we need to report on VAERS (Vaccine Adverse Event Reporting System). This can be done online. I will use the information in this triage to report it. I haven't had to report before so Im not sure of the follow up but the process seems pretty simple.      04/15/25 (Tue Apr 15) 03:46 PM  PA-C  the story is so inconsistent.  But yes seems like we should report.... hopefully you can free text what pt stated.  With the arm pain I don't suspect it to be an allergic reaction but more so the needle could have hit a nerve or gone into bursa/muscle.  Let me know what other info you may need, TY  04/15/25 (Tue Apr 15) 03:46 PM  PA-C  Forwarded
Age: 52.0
Sex: F
Vaccine: PNC21
Symptoms: Skin discolouration
Clinical narrative: 04/10/25 (Thr Apr 10) 02:05 PM   Pt called stating she is not reacting well to the shot she got yesterday. pt states her left arm is in so much pain and it is going to her neck, pt states she can barley move her arm. pt states she knows she is going to be sore but this is more then that pt states she took Advil as the day has gone by it has gotten better but she wanted to inform us.  04/10/25 (Thr Apr 10) 02:05 PM   Sent to PA-C    04/11/25 (Fri Apr 11) 11:13 AM  PA-C  can you call and see how she is today  04/11/25 (Fri Apr 11) 11:13 AM  PA-C  Forwarded    04/11/25 (Fri Apr 11) 11:26 AM   lvm for pt to call office back    04/14/25 (Mon Apr 14) 10:18 AM   lvm for pt to call office back    04/14/25 (Mon Apr 14) 10:38 AM   pt called back relayed above pt states she feels better now she has full range of motion in her arm pt states she started feeling better on Saturday. pt states she believes she had an allergic reaction pt states her arm was in so much pain she could not even work.  04/14/25 (Mon Apr 14) 10:38 AM   Forwarded   04/15/25 (Tue Apr 15) 07:05 AM  PA-C Closed 04/15/25 (Tue Apr 15) 03:21 PM LPN Opened   04/15/25 (Tue Apr 15) 03:32 PM  LPN  Patient called, states that she is "having severe reaction to pneumonia vaccine", states that it was "akin to paralysis" on her left arm and entire left side.  States that she has regained mobility.  Still has pain in left shoulder, but skin still has discoloration.  Reports that she was bed ridden throughout the weekend.  Patient wants this reported to CDC for negative vaccine reaction.  Do you want me to add vaccine to allergy list??   After talking to patient, states that she felt "weird", after getting vaccine, states that she sat in her car and believed it to be vasovagal.  After discussing reactions with her, patient states that she felt chest tightness immediately after.     04/15/25 (Tue Apr 15) 03:41 PM   Employee discussed this with me. If pt wants us to report an adverse reaction to the vaccine we need to report on VAERS (Vaccine Adverse Event Reporting System). This can be done online. I will use the information in this triage to report it. I haven't had to report before so Im not sure of the follow up but the process seems pretty simple.      04/15/25 (Tue Apr 15) 03:46 PM  PA-C  the story is so inconsistent.  But yes seems like we should report.... hopefully you can free text what pt stated.  With the arm pain I don't suspect it to be an allergic reaction but more so the needle could have hit a nerve or gone into bursa/muscle.  Let me know what other info you may need, TY  04/15/25 (Tue Apr 15) 03:46 PM  PA-C  Forwarded
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse event occurred. Patient tolerated vaccine well. This report is being written due to a discovery that the vaccines given may have been improperly stored in the fridge at some point. The freezer at the facility began malfunctioning for short periods of time in December 20214 and January 2025. The temperature excursions were discovered and vaccines were moved to the fridge while repairs were being made in February. Vaccines were administered between January and march. Upon inquiry with the manufacturers, vaccines were deemed viable at the time of administration because Moderna vaccines can be used within 60 days if stored in the fridge. We were asked to submit this report by the DOH after the fact
Age: 75.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Erythema, Pruritus, Rash, Skin irritation
Clinical narrative: Redness of the left arm. Itching and irritation of arm. Rash spread further over and down arm over the course of 3 days from 4/15/25 to 4/17/25.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: none- This report is being written due to a discovery that the vaccines given may have been improperly stored in the fridge at some point. The freezer at the facility began malfunctioning for short periods of time in December 20214 and January 2025. The temperature excursions were discovered and vaccines were moved to the fridge while repairs were being made in February. Vaccines were administered between January and March. Upon inquiry with the manufacturers, vaccines were deemed viable at the time of administration because Moderna vaccines can be used within 60 days if stored in the fridge. We were asked to submit this report by the DOH after the fact
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: none-This report is being written due to a discovery that the vaccines given may have been improperly stored in the fridge at some point. The freezer at the facility began malfunctioning for short periods of time in December 20214 and January 2025. The temperature excursions were discovered and vaccines were moved to the fridge while repairs were being made in February. Vaccines were administered between January and March. Upon inquiry with the manufacturers, vaccines were deemed viable at the time of administration because Moderna vaccines can be used within 60 days if stored in the fridge. We were asked to submit this report by the DOH after the fact.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse events- patient tolerated vaccine well. This report is being written due to a discovery that the vaccines given may have been improperly stored in the fridge at some point. The freezer at the facility began malfunctioning for short periods of time in December 20214 and January 2025. The temperature excursions were discovered and vaccines were moved to the fridge while repairs were being made in February. Vaccines were administered between January and March. However, upon inquiry with the manufacturers, vaccines were deemed viable at the time of administration because Moderna vaccines can be used within 60 days if stored in the fridge. We were asked to submit this report by the DOH after the fact.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: none- patient tolerated vaccine well. This report is being written due to a discovery that the vaccines given may have been improperly stored in the fridge at some point. The freezer at the facility began malfunctioning for short periods of time in December 20214 and January 2025. The temperature excursions were discovered and vaccines were moved to the fridge while repairs were being made in February. Vaccines were administered between January and march. Upon inquiry with the manufacturers, vaccines were deemed viable at the time of administration because Moderna vaccines can be used within 60 days if stored in the fridge. We were asked to submit this report by the DOH after the fact
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Blood test, Brain fog, Computerised tomogram, Diarrhoea
Clinical narrative: Migraine like headaches lasting three to four days each, extreme fatigue that kept me in bed for days and weeks at a time, brain fog that did not allow me to concentrate or make decisions,memory loss, diarrhea, shortness of breath and accelerated heart heart after any activity. These began near the end of October and gradually got worse until I was unable to work after January 13. It took until late March to obtain a diagnosis and several more weeks to develop a treatment plan. This plan started  4/14/2024. I?m not recovered yet.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Disturbance in attention, Dyspnoea, Fatigue, Heart rate increased, Impaired work ability
Clinical narrative: Migraine like headaches lasting three to four days each, extreme fatigue that kept me in bed for days and weeks at a time, brain fog that did not allow me to concentrate or make decisions,memory loss, diarrhea, shortness of breath and accelerated heart heart after any activity. These began near the end of October and gradually got worse until I was unable to work after January 13. It took until late March to obtain a diagnosis and several more weeks to develop a treatment plan. This plan started  4/14/2024. I?m not recovered yet.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Migraine, Mobility decreased, Scan with contrast
Clinical narrative: Migraine like headaches lasting three to four days each, extreme fatigue that kept me in bed for days and weeks at a time, brain fog that did not allow me to concentrate or make decisions,memory loss, diarrhea, shortness of breath and accelerated heart heart after any activity. These began near the end of October and gradually got worse until I was unable to work after January 13. It took until late March to obtain a diagnosis and several more weeks to develop a treatment plan. This plan started  4/14/2024. I?m not recovered yet.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac disorder, Hypertension, Injection site pain, Post-acute COVID-19 syndrome, Venous injury
Clinical narrative: Migraine like headaches lasting three to four days each, extreme fatigue that kept me in bed for days and weeks at a time, brain fog that did not allow me to concentrate or make decisions,memory loss, diarrhea, shortness of breath and accelerated heart heart after any activity. These began near the end of October and gradually got worse until I was unable to work after January 13. It took until late March to obtain a diagnosis and several more weeks to develop a treatment plan. This plan started  4/14/2024. I?m not recovered yet.
Age: 19.0
Sex: F
Vaccine: HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Loss of consciousness, Pallor
Clinical narrative: After 4 of the 5 vaccines were given, patient stated she felt a little dizzy and began to turn pale, she passed out for about 15 seconds, and was aroused by calling her name, once she came back too, we provided her with juice X2, a pack of crackers and a bottle of water. Monitored her for 30 mins. Her blood pressure was 107/67 with a HR of 47. Patient was feeling back to self upon departure.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test, Cardiovascular symptom, Cardioversion, Chest discomfort
Clinical narrative: Felt classic myocarditis symptoms the next day, 01/24/21. Chest felt tight. Short of breath. Felt like my lungs are inflated and I was unable to take deep breaths. These symptoms subsided after around 4 days. On 01/28/21 my Apple Watch started alerting me that my heart was in Atrial Fibrillation. I've never experienced myocarditis, nor Atrial Fibrillation before previous until then. Between 01/30/2021 and 02/04/2021, my Apple Watch reported 4 more episodes of Afib. From 02/04/2021 to 02/12/2021, I did not experience any episodes of Afib. On 02/13/2021 I received my 2nd Pfizer/BioNTech covid vaccine. On 02/13/2021, after receiving the second shot I went into Afib again on 4 separate occasions, all on 02/13. On 02/14, I went into Afib on 3 occasions. It was constant, every day from that day going forward.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Tachycardia
Clinical narrative: Felt classic myocarditis symptoms the next day, 01/24/21. Chest felt tight. Short of breath. Felt like my lungs are inflated and I was unable to take deep breaths. These symptoms subsided after around 4 days. On 01/28/21 my Apple Watch started alerting me that my heart was in Atrial Fibrillation. I've never experienced myocarditis, nor Atrial Fibrillation before previous until then. Between 01/30/2021 and 02/04/2021, my Apple Watch reported 4 more episodes of Afib. From 02/04/2021 to 02/12/2021, I did not experience any episodes of Afib. On 02/13/2021 I received my 2nd Pfizer/BioNTech covid vaccine. On 02/13/2021, after receiving the second shot I went into Afib again on 4 separate occasions, all on 02/13. On 02/14, I went into Afib on 3 occasions. It was constant, every day from that day going forward.
Age: 55.0
Sex: F
Vaccine: PNC21, VARZOS
Symptoms: Cellulitis, Chills, Injection site erythema, Malaise, Pain
Clinical narrative: Patient experienced malaise, fever, chills, and body ache the evening after receiving vaccine.  Reported injection site Erythema on Tuesday 4/15/25 and went to emergency department on Wednesday 4/16/25, treated for cellulitis with Keflex
Age: 55.0
Sex: F
Vaccine: PNC21, VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient experienced malaise, fever, chills, and body ache the evening after receiving vaccine.  Reported injection site Erythema on Tuesday 4/15/25 and went to emergency department on Wednesday 4/16/25, treated for cellulitis with Keflex
Age: 2.0
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no symptoms reported
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt reports initial soreness immediately after the injection that lasted a few days with associated swelling/erythema extending down the deltoid muscle. This improved over the course of 2 weeks , but then developed a throbbing pain extending from the deltoid muscle into the elbow and down the dorsum of her left hand. Pain can range from 0-5/10 and is worst at rest, slightly better with raising arm above head. Difficulty with sleeping secondary to the pain.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Magnetic resonance imaging joint, Pain, Sleep disorder
Clinical narrative: Pt reports initial soreness immediately after the injection that lasted a few days with associated swelling/erythema extending down the deltoid muscle. This improved over the course of 2 weeks , but then developed a throbbing pain extending from the deltoid muscle into the elbow and down the dorsum of her left hand. Pain can range from 0-5/10 and is worst at rest, slightly better with raising arm above head. Difficulty with sleeping secondary to the pain.
Age: 67.0
Sex: F
Vaccine: PNC21
Symptoms: Pain in extremity
Clinical narrative: Sore arm
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Magnetic resonance imaging joint, Pain, Pain in extremity
Clinical narrative: I received my 7th Covid vaccine at the same pharmacy where I had previously had 6 Covid injections. For the other six injections, my left arm was sore for 3-4 days and that was it. For this 7th injection, my left shoulder/arm has been sore and in pain for 7 months. For the first 5 months, it was uncomfortable to move my arm certain ways but I pretty much had full range of motion. In the past 2 months, the pain has gotten worse and range of motion has been affected.  I wake up every morning with a sore shoulder and certain movements cause instense pain. My orthopecic surgeon told me that it is inflammation/bursitis and getting a cortisone shot is an option. However, given my pain is from an injection in my shoulder, I'm a little hesitant to get another injection in my shoulder that will  also cause pain for a few days.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV, PNC13
Symptoms: Injection site erythema, Lip swelling, Swollen tongue
Clinical narrative: Pt had lip and tongue swelling at 8pm after receiving vaccination at 9:30am. Ambulance was called. Benadryl was given and symptoms resolved. Mild redness to site of vaccination.
Age: 57.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose was given too soon.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Nausea, headache, chills, low fever, body aches, started about 1 hour after receiving the covid booster
Age: 17.0
Sex: F
Vaccine: HEP, HPV9, MENB, MNQ
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Nausea/ dizziness                                                                                                                                                                                                                                                              At approximately 0908, I began administering vaccines to a 17-year-old female patient. Prior to administration, I asked if the patient had eaten. Mother stated she had not. I offered the patient a snack prior to preparing the vaccines.  A total of four vaccines were administered. Following the final dose (MenB), the patient became quiet and was unable to speak for approximately four seconds. I remained with the patient and instructed the mother to notify another nurse. I stood in front of the patient and observed pallor. The patient then verbalized feeling dizzy and nauseated. An emesis bag was provided; no emesis occurred.  RN arrived with the emergency bag. Initial vitals obtained at 0915 were: T 98.5°F, HR 54?64, SpO2 99% on RA, BP 108/47. Vitals were monitored every five minutes with improvement noted. Final set of vitals: T 98.5°F, HR 62, SpO2 98%, BP 111/74.  The patient was offered juice and stated she felt better. She reported experiencing cold sweats and nervousness following the MenB dose. RNs remained with the patient and provided education to the mother. Patient stated she felt well enough to go home. Recommended that patient remain home for the remainder of the day and continue to monitor for any further adverse effects.  Injection sites were assessed post-vaccination. No signs of adverse reaction noted at this time. Will follow up with patient.
Age: 1.08
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event reported by patient's parent
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was not having any symptoms. the first dose was over looked and she given her 2nd dose which was actually her 3rd.
Age: 48.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Received a triage call from patient regarding side effects. Per pt she began to have pain, swelling, and redness at the injection site the same day injection was given. The redness and swelling worsened on Sunday 04/13/2025. Per pt, the pain is currently mild at a 5/10 pain. She stated that she only feels the pain at the injection site, denies radiation, says that the swelling is going down and improving. However, she states that she continues to have swelling and mild pain on the right arm where the injection site is after more than a week of receiving the vaccine. Pt will be seeing her provider in the clinic to be assessed in person on 04/18/2025.
Age: 58.0
Sex: F
Vaccine: PNC21
Symptoms: Erythema, Malaise, Pain in extremity
Clinical narrative: Patient had soreness from elbow to shoulder and redness in arm face neck and ear and general not feeling great. Patients symptoms subsided after 2 days and the redness was down to a small area on arm on 4/16/25
Age: 0.5
Sex: F
Vaccine: DTPPVHBHPB
Symptoms: Rash papular
Clinical narrative: papular rash consistent with Gianotti-Crosti Syndrome
Age: 4.0
Sex: F
Vaccine: HPV9
Symptoms: Irritability
Clinical narrative: Mom reports irratibility
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Loss of personal independence in daily activities, Myocardial infarction
Clinical narrative: Had heart attack on 01/20/2023. Had no other signs or heart issues prior to the shot.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Peripheral swelling, Rash, Rash pruritic
Clinical narrative: Swelling of the hands with pruritic rash within 24 hours of vaccination
Age: 62.0
Sex: M
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Injection site warmth
Clinical narrative: Left arm inflammation - erythema, edema, warmth, TTP distal to injection site; seemed to be local reaction, however was treated empirically for cellulitis; upon follow up the clinical course continues to be most consistent with local reaction, and the process is nearly resolved as of today (4/17/25)
Age: 14.0
Sex: M
Vaccine: VARCEL
Symptoms: Expired product administered
Clinical narrative: Expired Vaccination Received. Vaccine Expired on 4/11/2025
Age: 2.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: MA Gave 4y/o siblings vaccines to this PT .
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: PATIENTS ARM WAS RED AND SWOLLEN AT THE INJECTION SITE.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Second dose of Vaccine given in error. No adverse reaction noted.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: The patient presented 4 days after the vaccines with swelling below the injection site in the right deltoid and extending towards the axilla. Additionally, there was bruising around the injection site. He denies experiencing any fevers, redness, or drainage.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV1
Symptoms: Computerised tomogram normal, Infant irritability, Lumbar puncture normal, Magnetic resonance imaging normal, Muscle twitching
Clinical narrative: Irritable 2 hours after vaccines. Seizure like activity,twitching at 0200. to ER on 2/27/25, admitted.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV1
Symptoms: Seizure like phenomena
Clinical narrative: Irritable 2 hours after vaccines. Seizure like activity,twitching at 0200. to ER on 2/27/25, admitted.
Age: 16.0
Sex: M
Vaccine: HPV9, MMR, TDAP
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: Had fever yesterday (10 days after vaccine) and rash. Rash is on trunk and face but no where else. Fever has been 101 or lower. Patient has had headache but no other symptoms. Patient has not travelled outside the county for several months and has had no sick contacts.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Coma, Death, Guillain-Barre syndrome, Paraplegia, Syncope
Clinical narrative: My mother, received her covid vaccine injection on 7/21/2021.  On 7/24/2021, while we were visiting a relative in (redacted), she went to stand up and she collapsed on the floor. She transported to Hospital in (redacted), where she was diagnosed suffering from Guillain-Barre syndrome due to the covid vaccine (the ER doctor told us that they had seen a sharp uptick in GBS cases from the vaccine, especially in the elderly). Her GBS left her paralyzed from the waist down. One week later she was transferred to a nearby nursing care facility.  The GBS paralysis spread up her torso over the next 4 weeks when she went into a coma, and passed away on 8/22/2021.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Mechanical urticaria, Urticaria
Clinical narrative: Delayed allergic reaction occuring (2 weeks) after injection. Dermatographia, hives, and asthma lasting for two years after injection. Treated symptoms with antihistamines, and steroids.
Age: 74.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal discomfort, Asthenia, Balance disorder, Dizziness
Clinical narrative: Patient called on 04/11/2025 reported feeling Weak, loosing balance (dizziness), upset stomach.
Age: 1.92
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Wrong product administered
Clinical narrative: Patient was administered MMR-V instead of MMR in left leg.  PC was made aware and patient's parents were informed.
Age: 50.0
Sex: F
Vaccine: PNC21
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: I had a patient that received a pneumonia vaccine on Saturday. She came today and said her arm is red, warm and painful.  She said she had been doing ice packs and taking ibuprofen and Tylenol it does not help.  I told her the reactions are normal, however, if she is concerned about it then she can visit the doctor.  I told her continue with ice packs and take tylenol and ibuprofen as needed for the pain.
Age: 59.0
Sex: F
Vaccine: PNC21
Symptoms: Erythema, Immediate post-injection reaction, Pain, Pruritus, Swelling
Clinical narrative: Immediate pain followed by 5?x3? red raised warm itchy patch
Age: 65.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site pain
Clinical narrative: Extreme pain in my upper left arm from the shoulder to the elbow. It started the next day. I figured it was just from the shot. It got worse and has continued for two weeks now.
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Cerebrovascular accident, Condition aggravated
Clinical narrative: pt wife reported husband had a stroke the next day, they are not sure of cause. Pt does have A. fib hx. They are consulting neurologist before taking second dose.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropathy, Autoimmune disorder, Brain fog, Magnetic resonance imaging, Rash
Clinical narrative: TINNITUS very bad,Left shoulder is crumbling apart,skin rashes,brain fog, autoimmune disfunction
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: TINNITUS very bad,Left shoulder is crumbling apart,skin rashes,brain fog, autoimmune disfunction
Age: 10.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Aspartate aminotransferase, Full blood count normal, Henoch-Schonlein purpura, Influenza virus test negative, Mononucleosis heterophile test negative
Clinical narrative: Developed Henoch Schonlein Purpura about 12 hours after vacciantion, was RSV+ and had had cold sx 2-3weeks prior.
Age: 10.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Rash, Streptococcus test negative, Upper respiratory tract infection
Clinical narrative: Developed Henoch Schonlein Purpura about 12 hours after vacciantion, was RSV+ and had had cold sx 2-3weeks prior.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Joint swelling, Product administered at inappropriate site
Clinical narrative: pt states after getting the second dose of the shingles vaccine he started having severe pain in his left shoulder at the injection site.  His entire shoulder is very sore and swollen but is not discolored and there is no rash. He saw his doctor today and she told him that she didn't like the way it looked or the location of the injection.  She told him to go back to the pharmacy where he had the vaccine to have it documented. He contacted the pharmacy and they told him to report with us.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: pt states after getting the second dose of the shingles vaccine he started having severe pain in his left shoulder at the injection site.  His entire shoulder is very sore and swollen but is not discolored and there is no rash. He saw his doctor today and she told him that she didn't like the way it looked or the location of the injection.  She told him to go back to the pharmacy where he had the vaccine to have it documented. He contacted the pharmacy and they told him to report with us.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Joint swelling, Product administered at inappropriate site
Clinical narrative: On 4/16/2025 patient's left arm pain started about 1 to 2 hours after administration. told patient to use ice on site of admnistration and take tylenol for pain. he called back in a few hours and told him to add ibuprofen to regimen if he felt necessary but ice was necessary. he was also told if worsened or did not get better within the next 24-48 hours to contact his primary care provider or go to local emergency room.  he went to his primary care provider today (4/17/2025) and was given tramadol for left shoulder pain.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: On 4/16/2025 patient's left arm pain started about 1 to 2 hours after administration. told patient to use ice on site of admnistration and take tylenol for pain. he called back in a few hours and told him to add ibuprofen to regimen if he felt necessary but ice was necessary. he was also told if worsened or did not get better within the next 24-48 hours to contact his primary care provider or go to local emergency room.  he went to his primary care provider today (4/17/2025) and was given tramadol for left shoulder pain.
Age: 15.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Extra dose administered
Clinical narrative: There were 2 MMR vaccines and 2 Varicella vaccines pulled for the pt and her sister. Patient may have received two  MMRII vaccines in the same visit because the MMR vaccine changed from a yellow color to a clear color and was with the varicella vaccine that was a clear color. Medical Assistant is unsure if they gave a Varicella vaccine or an MMR vaccine.
Age: 20.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: No adverse event, Product administered at inappropriate site
Clinical narrative: patient a Men B (Bexsero) vaccine in the same deltoid as a MCV4 (Menquadfi) at 11:30am on 4/15 patient had no adverse effects. later in the day I realized I had given both in the same site and knew this was an error so after speaking with provider and immunization program coordinator called and informed patient about adverse effects. I  discussed the incident with the Primary Care Immunization Program Coordinator regarding rationale for administering in separate injection sites and have a plan to prevent future incidents.
Age: 53.0
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse side effects. Client here to get a shingrix and given a varicella vaccine instead on accident.
Age: 54.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site rash, Rash
Clinical narrative: Pt develop rash on upper arm around injection site on 4/13/2025. Rash has spread further down upper arm. Rash is 9-10cm in length, darker red noted in the center with raised area, lighter red on the edges. Rash was noted where Band-Aids were placed on both arms. Pt endorsed improvement in rash. Pt was given montelukast 1 in the evening, acetaminophen and fexoffenadine (prior medication) 1BID . Pt was informed to return to clinic/ED if symptoms continue or worsen.
Age: 53.0
Sex: F
Vaccine: VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse effects, Patient given varicella instead of Shingrix on accident
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Neurological symptom
Clinical narrative: PT WENT TO URGENT CARE WITH SYMPTOMS OF STROKE AND FEELING GENERALLY UNWELL
Age: 66.0
Sex: M
Vaccine: PNC20
Symptoms: Arthralgia, Injected limb mobility decreased, Paraesthesia
Clinical narrative: "normal" shoulder pain relative to other vaccinations the patient received, per patient. Day after immunization, pain worsened, struggles to lift his arm above ~30degrees (increasing pain) and unable to lift arm above 45degrees, both laterally and anteriorly lifting. starting day 7 (4/17/25) reports tingling sensation in wrist and fingers.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Musculoskeletal stiffness, Swelling
Clinical narrative: Swelling, redness, stiff arm for 1 month post-vaccination
Age: 1.25
Sex: F
Vaccine: HIBV
Symptoms: Product preparation issue
Clinical narrative: Pt possibly received the diluent only instead of the mixed vaccine. It was discovered an extra powder vial in the box.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV1
Symptoms: Abnormal behaviour, Decreased appetite, Mobility decreased, Staring
Clinical narrative: Mom c/o pt "Numified, Zombified", laid still, blank stare, decreased appetite. All lasted 1 wk.
Sex: M
Vaccine: DTAPIPV, FLU3, IPV
Symptoms: Extra dose administered
Clinical narrative: Patient received 2 doses of Polio. The kindrix and polio seperate. Advise the provider and the patient to moniter for
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received one dose on 3/19/2025 and a second dose on 4/16/2025. Patient had no adverse reactions noted.
Age: 68.0
Sex: F
Vaccine: PNC13
Symptoms: Expired product administered, Renal function test abnormal
Clinical narrative: Abnormal labs on last kidney test; Caller is wanting to know if a patient received an expired vaccine.; This is a spontaneous report received from an Other HCP from medical information team.  A 68-year-old female patient received pneumococcal 13-val conj vac (dipht CRM197 protein) (PREVNAR 13), on 08Apr2025 as dose number unknown, 0.5ml single (Lot number: GC1035, Expiration Date: 31Dec2024) at the age of 68 years intramuscular, in right arm for immunisation, Device Lot Number: GC1035, Device Expiration Date: 31Dec2024. The patient's relevant medical history included: "Overweight" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: EXPIRED PRODUCT ADMINISTERED (non-serious) with onset 08Apr2025, outcome "unknown", described as "Caller is wanting to know if a patient received an expired vaccine."; RENAL FUNCTION TEST ABNORMAL (non-serious), outcome "unknown", described as "Abnormal labs on last kidney test".