chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Feeling abnormal, Influenza like illness, SARS-CoV-2 test positive
Clinical narrative: On 01/04/2023, I started experiencing symptoms like I was experiencing a bad flu. I tested at home for Covid-19, and the test came back negative. I tested positive for Covid-19 on 01/05/2023. I contacted PCP to see if they could prescribe anti-viral. My wife had also tested positive for COVID-19. As of 01/16/2023, I am still testing positive and I have completed the anti-viral treatment. I am starting to feel better, though I did feel bad yesterday. Some days, I feel like I don't have any energy.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Computerised tomogram head normal, Headache, Nausea
Clinical narrative: On 11/07/2023, I started getting headachy. Sometimes I get headaches around my menstrual cycle which I have medication for, but this didn't seem to go away. I also took Benadryl and that seemed to help a little bit, but the headaches never fully went away. I started to feel better a few days later. However, since the beginning of November, I'll have a few good days here and there but then I'll start to get headachy again and nothing seems to help relieve the pain. On 12/09/2022, I saw a doctor who thought I may have a sinus infection. She prescribed antibiotics which I took for one week. I had begun experiencing nausea as well and the antibiotics seemed to help with that but not the headaches. on 12/12/2022, they performed blood work, but everything looked normal there. I went to a different doctor on 01/12/2023 who ordered a CT scan. He did not see any signs of a sinus infection and prescribed a daily medication, Amitriptyline, for my headaches. I began taking that on 01/14/2023. He also referred me to a neurologist for further testing.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Electrocardiogram normal, Hyperhidrosis, Laboratory test normal, Nausea, Vertigo
Clinical narrative: Next day at noon developed severe vertigo, sweating, nausea, and vomiting.  Went to local Hospital emergency room.  ECG and lab work normal. Two days later, woke up with sweating, vertigo, and vomiting.  Went to local Urgent Care.  Given meclizine and anti nausea med.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: Next day at noon developed severe vertigo, sweating, nausea, and vomiting.  Went to local Hospital emergency room.  ECG and lab work normal. Two days later, woke up with sweating, vertigo, and vomiting.  Went to local Urgent Care.  Given meclizine and anti nausea med.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: during our covid site visit from DOH on 12.15.22. It was discovered that we had a pfizer in the frig past BUD date. during the DOH investigation they went back through all the covid injections that were given and saw this patients lot number was given past the BUD date. patient has been contacted and revaccination was offered. manufacture was notified and reports were filed pending outcome.
Age: 3.0
Sex: F
Vaccine: RAB
Symptoms: Underdose
Clinical narrative: On 1/17/2023, 3-year-old patient with mother came to Health Department for the third dose in series of Rabavert Rabies Vaccine for post exposure prophylaxis.    Vaccine was administered in lateral aspect of right thigh.  The mother assisted with securing child during administration of vaccine.  The patient was able to raise her right leg during administration causing the needle and syringe to exit the leg.  At that time a small amount of vaccine was expressed outside of the leg.  The remaining amount of vaccine in the syringe was administered in the leg.  The amount was approximately 85- 90%.   Nurse immediately gave report to Medical Director
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Anticoagulant therapy, Biopsy liver abnormal, Computerised tomogram liver abnormal, Dizziness
Clinical narrative: Initially after getting the shot I had no major symptoms. After a while I started getting dizzy and went to see my PCP who asked for a full CBC blood work. Found out that my platelets count was low so the investigation started to find out why and after seeing several doctors (PCP, GI, Surgeon, Hematologist, Hepatologist) and doing several tests and imaging, the results showed that I have a cavernous transformation of the portal vein (Something that I never had before). The issues continued with my liver and spleen being enlarged causing pressure in the veins in my stomach and oesophagus which eventually busted causing me to have internal bleeding. An emergency endoscopy was performed and banding of the oesophageal varices was performed. Additionally,  a blood clot was found in my portal vein that is causing more stress to the functions of the liver and surrounding organs. All my blood counts are very low and I had to get blood transfusions and Iron transfusions. The treatment is ongoing to figure out what needs to happen with the clots and if blood thinners are a good option since I'm constantly bleeding from tiny veins.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Hepatomegaly, Internal haemorrhage, Liver scan abnormal, Oesophageal disorder
Clinical narrative: Initially after getting the shot I had no major symptoms. After a while I started getting dizzy and went to see my PCP who asked for a full CBC blood work. Found out that my platelets count was low so the investigation started to find out why and after seeing several doctors (PCP, GI, Surgeon, Hematologist, Hepatologist) and doing several tests and imaging, the results showed that I have a cavernous transformation of the portal vein (Something that I never had before). The issues continued with my liver and spleen being enlarged causing pressure in the veins in my stomach and oesophagus which eventually busted causing me to have internal bleeding. An emergency endoscopy was performed and banding of the oesophageal varices was performed. Additionally,  a blood clot was found in my portal vein that is causing more stress to the functions of the liver and surrounding organs. All my blood counts are very low and I had to get blood transfusions and Iron transfusions. The treatment is ongoing to figure out what needs to happen with the clots and if blood thinners are a good option since I'm constantly bleeding from tiny veins.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oesophageal variceal ligation, Platelet count decreased, Portal vein cavernous transformation, Portal vein thrombosis, Splenomegaly
Clinical narrative: Initially after getting the shot I had no major symptoms. After a while I started getting dizzy and went to see my PCP who asked for a full CBC blood work. Found out that my platelets count was low so the investigation started to find out why and after seeing several doctors (PCP, GI, Surgeon, Hematologist, Hepatologist) and doing several tests and imaging, the results showed that I have a cavernous transformation of the portal vein (Something that I never had before). The issues continued with my liver and spleen being enlarged causing pressure in the veins in my stomach and oesophagus which eventually busted causing me to have internal bleeding. An emergency endoscopy was performed and banding of the oesophageal varices was performed. Additionally,  a blood clot was found in my portal vein that is causing more stress to the functions of the liver and surrounding organs. All my blood counts are very low and I had to get blood transfusions and Iron transfusions. The treatment is ongoing to figure out what needs to happen with the clots and if blood thinners are a good option since I'm constantly bleeding from tiny veins.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Transfusion, Ultrasound liver abnormal
Clinical narrative: Initially after getting the shot I had no major symptoms. After a while I started getting dizzy and went to see my PCP who asked for a full CBC blood work. Found out that my platelets count was low so the investigation started to find out why and after seeing several doctors (PCP, GI, Surgeon, Hematologist, Hepatologist) and doing several tests and imaging, the results showed that I have a cavernous transformation of the portal vein (Something that I never had before). The issues continued with my liver and spleen being enlarged causing pressure in the veins in my stomach and oesophagus which eventually busted causing me to have internal bleeding. An emergency endoscopy was performed and banding of the oesophageal varices was performed. Additionally,  a blood clot was found in my portal vein that is causing more stress to the functions of the liver and surrounding organs. All my blood counts are very low and I had to get blood transfusions and Iron transfusions. The treatment is ongoing to figure out what needs to happen with the clots and if blood thinners are a good option since I'm constantly bleeding from tiny veins.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Ageusia, Anosmia, COVID-19, Chills
Clinical narrative: I experienced a breakthrough case of COVID-19 with severe congestion, chills, fever of 102 degrees, sneezing, body aches, coughing, loss of taste/smell, nausea, upset stomach and diarrhea.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Nausea, Pain, Pyrexia
Clinical narrative: I experienced a breakthrough case of COVID-19 with severe congestion, chills, fever of 102 degrees, sneezing, body aches, coughing, loss of taste/smell, nausea, upset stomach and diarrhea.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing, Vaccine breakthrough infection
Clinical narrative: I experienced a breakthrough case of COVID-19 with severe congestion, chills, fever of 102 degrees, sneezing, body aches, coughing, loss of taste/smell, nausea, upset stomach and diarrhea.
Age: 18.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: 2 days after shot developed numbness and tingling in left wrist and hand, this did not resolve.  Client saw her provider and was given Prednisone.  Symptoms have since resolved
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Sensitive skin, Urticaria
Clinical narrative: I can scape my self lightly and eventually get Welt if I scratch it I would get more welts just from a small cut; my skin is also red and very itchy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: during our covid site visit from on 12.15.22. it was discovered that we had a pfizer batch in the frig that was past BUD date. during the investigation they went back through all the covid injections that were given and saw this patients lot number was given past the BUD date. patient has been contacted and revaccination was offered . manufacture was notified and reports were filed pending outcome.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Pain in extremity
Clinical narrative: Initially right afterwards I got dizzy and light headed. I have a constant pain in my right arm that has gone away.  Ra10644
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebrovascular accident, Death, Dizziness
Clinical narrative: We got our booster in January and husband was fine then on may11 got really dizzy and went to the hospital and never came back home he had over 15 strokes
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient expired.
Age: 30.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received bivalent Moderna booster in error without first completing a primary covid vaccine series. Pt will come back in 8 weeks, at the recommendation of MD for his first Moderna primary dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient expired.
Age: 14.0
Sex: M
Vaccine: HPV4
Symptoms: Abdominal pain upper, Diarrhoea, Nausea, Sleep disorder, Vomiting
Clinical narrative: nausea; vomited; stomach pain; experienced diarrhea; This spontaneous report was received from a consumer via a company representative referring to a 14-year-old male patient. Information of the patient's medical history, concomitant medication and concurrent condition was not reported.   On the evening of 09-JAN-2023 (also reported as 09-JAN-2022), the patient was administrated with 1st dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection (strength, lot #, expiry date, anatomical location and route of administration were not reported) for prophylaxis .  In the middle of the night in January 2023, the patient woke up with stomach pain and experienced diarrhea. During the morning on 10-JAN-2023, the patient experienced nausea and vomited one time. Diarrhea resolved on 10-JAN-2023. The stomach pain continued as of 11-JAN-2023(also reported as today's date (11-JAN-2022)). The outcome of stomach pain was considered as not recovered. The outcome of nausea and vomited was not reported. The causal relationship between the events and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) was not reported.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient and spouse inquired on bivalent vaccine. Patient did not have her vaccine card with her. We have a check-in staff that is to lookup patients on database for vaccine history. Patient was sent back to the vaccine station and RN explained process  and asked required history questions. Vaccine was administered. Check-in staff stopped other staff member from vaccinating the patients spouse as he already received a bivalent dose. Both patients explained that they have received all their COVID-19 vaccines together. RN accessed a computer and was able to retrieve vaccine history on database. Check-in staff used just the last name and no results were found. RN tried a couple of different searches and record populated when just entering "name". Supervisor was notified right away and explained to staff if anyone has difficulty with pulling up a chart to notify another staff member. The Physician assistant on site spoke with patient after dose was administered. Patient was asymptomatic during her 15 minute post-vaccine administration.
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Dyspnoea, Pyrexia, Tachycardia
Clinical narrative: patient became febrile, SOB, dizzy, and tachycardic
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Headache, Influenza, Migraine, Nausea
Clinical narrative: Starting a few days before 01/08/2023, I had a horrible migraine with bad nausea and body aches. I threw up the medicine for migraines. I took anti-nausea medicine but threw that up as well. The following morning, I contacted my PCP, who said my symptoms were likely due to having the flu. I got the TAMIFLU on 01/09/2023, and I finished the last of it on 01/14/2023. Honestly, I feel better but not well because I'm still having issues like night time fevers and occasional day time fevers. I did my infusion this past Monday (01/16/2023) and it caused my fever to flare up higher than it was before which means I already had something brewing. I will be seeing the infectious disease doctor for the first time tomorrow. I still feel icky and am having the intermittent fever, but the headache is better. So, I know something is still going on.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Starting a few days before 01/08/2023, I had a horrible migraine with bad nausea and body aches. I threw up the medicine for migraines. I took anti-nausea medicine but threw that up as well. The following morning, I contacted my PCP, who said my symptoms were likely due to having the flu. I got the TAMIFLU on 01/09/2023, and I finished the last of it on 01/14/2023. Honestly, I feel better but not well because I'm still having issues like night time fevers and occasional day time fevers. I did my infusion this past Monday (01/16/2023) and it caused my fever to flare up higher than it was before which means I already had something brewing. I will be seeing the infectious disease doctor for the first time tomorrow. I still feel icky and am having the intermittent fever, but the headache is better. So, I know something is still going on.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 1/17/2023 symptoms started, runny nose, congestion, sore throat
Age: 85.0
Sex: M
Vaccine: VARZOS
Symptoms: Mobility decreased, Neuropathy peripheral, Paraesthesia
Clinical narrative: Positive reaction:   Positive  Wife and himself had shingles shot about 10 days ago and he has already had a problem for the last several months with COVID with neuropathy, pins and needles in his legs.  His neuropathy has eased up to a degree, not completely gone, but he can get up and work outside like he has had in the past.  He?s 85 years old.  He wanted to report a positive report that we are in the business to investigate and somebody will look into the serum for shingles shots and see if there is something that can be developed to a higher degree or get some survey?s and to see if they are having the same positive effect that he has had from the vaccine to help thousands of people with neuropathy.  Now he can get outside where he was not able to get out before since the vaccine.   He still continues to be able to get around and hopes that the 2nd vaccine he is to get continues to improve his condition.    Had COVID pretty bad in July of 2022 and neuropathy started after that in September/October in his legs.  He went to the doctor for this and he prescribed the Gabapentin to him.  He upped the dose from 100 mg to 400 mg in November as the lower dose was not doing anything, and was still being bothered by it so the dose was increased.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: during our covid site visit from on 12.15.22. it was discovered that we had a pfizer batch in the frig that was past BUD date. during the investigation they went back through all the covid injections that were given and saw this patients lot number was given past the BUD date. patient has been contacted and revaccination was offered . manufacture was notified and reports were filed pending outcome.
Age: 31.0
Sex: M
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: HPV vaccine dose 2 was administered 3 weeks and 3 days after the HPV vaccine dose 1, 5 days before the minimum recommendation of 4 weeks. No adverse reaction was noted. Patient was given HPV vaccine dose 2 on 01/17/2023 and HPV vaccine dose 3 is scheduled 12 weeks apart on April 11th 2023
Age: 77.0
Sex: M
Vaccine: COVID19-2, PNC20
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient already had a bivalent moderna in October of 2022 that was not discovered until after shot was given.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Asthenia, COVID-19, Computerised tomogram head normal, Computerised tomogram normal
Clinical narrative: COVID+ 12/29/2022.  Vaccination status - pfizer x4 + Pfizer BIVALENT x1 Initial hospitalizion 12/29/22-1/6/23: BRIEF OVERVIEW: Discharge Provider: DO  Primary Care Provider at Discharge: MD  Admission Date: 12/29/2022 Discharge Date: 01/07/2023 Discharge disposition: Home Condition on discharge: Stable.   DETAILS OF HOSPITAL STAY:   Generalized weakness [R53.1] COVID-19 [U07.1]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Generalized weakness Mechanical fall with right shoulder pain CT head and cervical spine negative for any significant findings Right shoulder x-ray negative for any fracture or dislocation PT and OT initially recommended inpatient rehab but patient improved and went home    COVID-19 infection Currently on room air Supportive care   Chronic diastolic heart failure Paroxysmal Afib Hypertension Dyslipidemia Continue home meds of Norvasc, metoprolol On anticoagulation with Eliquis   Cerebellar ataxia Continue home dose of Sinemet Follows outpatient with Neurology   Mild neurocognitive disorder Anxiety and depression Morbid obesity and deconditioning Continue Celexa  Re-admission 1/7/23-1/12/23- Hospital: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/7/2023 Discharge Date: Jan 12, 2023   Active Hospital Problems   Diagnosis Date Noted POA ? Weakness 12/29/2022 Yes ? Physical deconditioning 12/30/2022 Yes ? COVID-19 virus infection 01/07/2023 Yes ? Cerebellar ataxia (HCC) 10/22/2019 Yes ? Essential hypertension   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness generalized [R53.1] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: 80 y.o. male who presents today with weakness. Of note, patient was admitted 12/30-1/6 for similar complaints and just discharged yesterday. Wife states that once discharged yesterday and getting out of car had a fall. Were able to get him up with assistance of son and get him into the house. Later when trying to get into bed, slipped onto floor and needed help to get back into bed. May have fallen again overnight out of bed. Wife states that patient had a total of 4 falls since discharge. Wife states that before COVID infection, was walking pretty well was not having falls. Thinks falls are just because he is having significant amount of lower and upper extremity weakness. Does not think he is losing consciousness during falls, but did not witness a couple of the falls and just found him later laying on floor.    Patient otherwise hemodynamically stable. CMP and CBC grossly unremarkable. Patient saturating well on RA without respiratory complaints. Patient admitted to hospitalist service for repeat PT/OT evaluation. PT/OT recommended SAR. Patient was discharged on 1/12/2023.    Discharged to rehab 1/12/23-present
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fall, Full blood count normal, Metabolic function test, SARS-CoV-2 test positive, X-ray normal
Clinical narrative: COVID+ 12/29/2022.  Vaccination status - pfizer x4 + Pfizer BIVALENT x1 Initial hospitalizion 12/29/22-1/6/23: BRIEF OVERVIEW: Discharge Provider: DO  Primary Care Provider at Discharge: MD  Admission Date: 12/29/2022 Discharge Date: 01/07/2023 Discharge disposition: Home Condition on discharge: Stable.   DETAILS OF HOSPITAL STAY:   Generalized weakness [R53.1] COVID-19 [U07.1]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Generalized weakness Mechanical fall with right shoulder pain CT head and cervical spine negative for any significant findings Right shoulder x-ray negative for any fracture or dislocation PT and OT initially recommended inpatient rehab but patient improved and went home    COVID-19 infection Currently on room air Supportive care   Chronic diastolic heart failure Paroxysmal Afib Hypertension Dyslipidemia Continue home meds of Norvasc, metoprolol On anticoagulation with Eliquis   Cerebellar ataxia Continue home dose of Sinemet Follows outpatient with Neurology   Mild neurocognitive disorder Anxiety and depression Morbid obesity and deconditioning Continue Celexa  Re-admission 1/7/23-1/12/23- Hospital: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/7/2023 Discharge Date: Jan 12, 2023   Active Hospital Problems   Diagnosis Date Noted POA ? Weakness 12/29/2022 Yes ? Physical deconditioning 12/30/2022 Yes ? COVID-19 virus infection 01/07/2023 Yes ? Cerebellar ataxia (HCC) 10/22/2019 Yes ? Essential hypertension   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness generalized [R53.1] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: 80 y.o. male who presents today with weakness. Of note, patient was admitted 12/30-1/6 for similar complaints and just discharged yesterday. Wife states that once discharged yesterday and getting out of car had a fall. Were able to get him up with assistance of son and get him into the house. Later when trying to get into bed, slipped onto floor and needed help to get back into bed. May have fallen again overnight out of bed. Wife states that patient had a total of 4 falls since discharge. Wife states that before COVID infection, was walking pretty well was not having falls. Thinks falls are just because he is having significant amount of lower and upper extremity weakness. Does not think he is losing consciousness during falls, but did not witness a couple of the falls and just found him later laying on floor.    Patient otherwise hemodynamically stable. CMP and CBC grossly unremarkable. Patient saturating well on RA without respiratory complaints. Patient admitted to hospitalist service for repeat PT/OT evaluation. PT/OT recommended SAR. Patient was discharged on 1/12/2023.    Discharged to rehab 1/12/23-present
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Limb injury
Clinical narrative: Pt. met with me on December 9, 2022  with 3 months of left shoulder pain since receiving the shingles vaccine in the left deltoid on 9/7/2022. She reports that the injection was painful, but not more than usual, and she does recall it was several cm down the deltoid.  2 days after the vaccine she got a fever and a ring of redness and some swelling around where the injection had been given. She thought it would just get better. She has been exercising, doing pilates, and sometimes it is sore after those activities, but particularly sore if she bumps it or sleeps on that side. She has lost some range of motion to abduction and extension. When I met with her in the office I gave her some ROM exercises and  recommended a formal PT referral and her first appt is happening later this week, however she is meeting with me today as the pain has continued to worsen and she would like to consult with ortho.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Pt. met with me on December 9, 2022  with 3 months of left shoulder pain since receiving the shingles vaccine in the left deltoid on 9/7/2022. She reports that the injection was painful, but not more than usual, and she does recall it was several cm down the deltoid.  2 days after the vaccine she got a fever and a ring of redness and some swelling around where the injection had been given. She thought it would just get better. She has been exercising, doing pilates, and sometimes it is sore after those activities, but particularly sore if she bumps it or sleeps on that side. She has lost some range of motion to abduction and extension. When I met with her in the office I gave her some ROM exercises and  recommended a formal PT referral and her first appt is happening later this week, however she is meeting with me today as the pain has continued to worsen and she would like to consult with ortho.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Vertigo
Clinical narrative: A couple of weeks after receiving my bivalent dose, I started experiencing vertigo; it started off pretty mild and has gotten progressively worse. The dizziness is beyond controllable. I contacted my doctor and told her about the dizziness, so she prescribed me meclizine 25mg twice daily; I started it taking immediately. It's helped reduce and calm down the dizziness when it was at its worst and has now made it tolerable when I'm having an episode.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, Cough, Ear infection, Ear pain, Feeling abnormal
Clinical narrative: I had a sore arm and felt off for one day after receiving the vaccine. I started not feeling well on 01/03/2022. I had a very bad sore throat, try cough, my eyes where red, nasal congestion and pain in my ears. I went to the doctor four times and two telehealth visits. I had an antibiotic prescription for my ear because they thought it was an ear infection. I was tested for COVID-19, strep throat, influenza and RSV and all negative. I was diagnosed with acute bronchitis. As of today, I still have a cough and hives.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza virus test negative, Malaise, Nasal congestion, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: I had a sore arm and felt off for one day after receiving the vaccine. I started not feeling well on 01/03/2022. I had a very bad sore throat, try cough, my eyes where red, nasal congestion and pain in my ears. I went to the doctor four times and two telehealth visits. I had an antibiotic prescription for my ear because they thought it was an ear infection. I was tested for COVID-19, strep throat, influenza and RSV and all negative. I was diagnosed with acute bronchitis. As of today, I still have a cough and hives.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Streptococcus test negative, Urticaria
Clinical narrative: I had a sore arm and felt off for one day after receiving the vaccine. I started not feeling well on 01/03/2022. I had a very bad sore throat, try cough, my eyes where red, nasal congestion and pain in my ears. I went to the doctor four times and two telehealth visits. I had an antibiotic prescription for my ear because they thought it was an ear infection. I was tested for COVID-19, strep throat, influenza and RSV and all negative. I was diagnosed with acute bronchitis. As of today, I still have a cough and hives.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: during our covid site visit on 12.15.22. it was discovered that we had a pfizer batch in the frig that was past BUD date. during the investigation they went back through all the covid injections that were given and saw this patients lot number was given past the BUD date. patient has been contacted and revaccination was offered . manufacture was notified and reports were filed pending outcome.
Age: 1.5
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pulled out an expired medication. Medication was drawn up on 1/13 and is only good for 12 hours. Vaccine was then given on 1/16/23.
Age: 63.0
Sex: U
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Computerised tomogram head abnormal, Craniotomy, Haemorrhage intracranial
Clinical narrative: On 1/4/22 right temporal intraparenchymal hemorrhage (STROKE).  1/5/22 right craniotomy for evacuation of intraparenchymal hemorrhage. 3/22/22 More blood clots in right leg, surgery to remove  Permanently disabled and legally blind.  Unable to work, unable to drive, must have 24x7 care to help dress, eat, take medication, etc.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Impaired driving ability, Impaired work ability, Loss of personal independence in daily activities, Thrombectomy, Thrombosis
Clinical narrative: On 1/4/22 right temporal intraparenchymal hemorrhage (STROKE).  1/5/22 right craniotomy for evacuation of intraparenchymal hemorrhage. 3/22/22 More blood clots in right leg, surgery to remove  Permanently disabled and legally blind.  Unable to work, unable to drive, must have 24x7 care to help dress, eat, take medication, etc.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Patient developed hives across body the morning after receiving vaccination. Patient will receive and take Benadryl as a precaution. Patient directed to call EMS or visit hospital if he develops shortness of breath or condition worsens.
Age: 68.0
Sex: F
Vaccine: FLUA4, PNC20
Symptoms: Blood cholesterol increased, Injected limb mobility decreased, Injection site pain, Laboratory test normal, Loss of personal independence in daily activities
Clinical narrative: Both of my arms are very painful and can't lift them. Is in the area where they gave the vaccine. I can't even carry groceries. It hurts to put my sports bra on. The pain I've had it since the 11/15/2022.
Age: 68.0
Sex: F
Vaccine: FLUA4, PNC20
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Both of my arms are very painful and can't lift them. Is in the area where they gave the vaccine. I can't even carry groceries. It hurts to put my sports bra on. The pain I've had it since the 11/15/2022.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Pulmonary embolism
Clinical narrative: Pulmonary Embolism, bilateral
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism
Clinical narrative: Pulmonary embolism, R lower Pulmonary artery
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: covid pneumonia
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Received my second booster shot on Wednesday afternoon 1/11/2023 woke up Sunday morning with drooping right side of face went to ER on Monday the 16th of January, was told I have Bells Palsy put on Steroids
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Customer reported had 8 doses of GARDASIL 9. She said the patient completed the series in 2014 and now got additional doses to make 8 doses total. Her 8th dose was on 12/13/2022; Customer reported had 8 doses of GARDASIL 9.; No additional AE reported; This spontaneous report was received from a consumer (reported as "educator") and refers to a female of unknown age. The patient's medical history, concurrent conditions and concomitant medications were not reported.  On an unknown date, reported as "completed the series in 2014", the patient received 7 doses of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, administered for prophylaxis (strength, dose, lot #, expiry date, and route of administration were not provided). On 13-DEC-2022, the patient was vaccinated with 8th dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (Inappropriate schedule of product administration, Extra dose administered).  No additional adverse event reported.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cardiac function test normal, Myocarditis, Nasal congestion, Nasopharyngitis
Clinical narrative: I received my Covid-19 vaccine on 10/14/2022. On the Morning of 12/07/2022 I woke up and tested positive for Covid-19. I had cold symptoms and nasal congestion with sore throat. Symptoms lasted a few days.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: I received my Covid-19 vaccine on 10/14/2022. On the Morning of 12/07/2022 I woke up and tested positive for Covid-19. I had cold symptoms and nasal congestion with sore throat. Symptoms lasted a few days.
Age: 13.0
Sex: M
Vaccine: HEP, IPV, TD
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient arrived at Public Health Services with his Grandmother for vaccines. Scheduled vaccines are as follows: Hep B, Polio, and TD. Administered TD. Polio and Hep B not administered at the time due to not having any in stock. While administering other vaccines to his siblings, the vaccines arrived. Vaccines were being dispensed into system by LVN. I obtained a Hep B vaccine. I thought all the vaccines box were for program only, since we were completely out of Hep B, Hep A, IPV, and Varicella. I thought it was an emergency shipment. While administering Hep B to the patient, I noticed that it was more than .5 ml. I went to verify with LVN and he informed me that there was other vaccines in the box as well. I then seen that I had administered an adult dose to patient. His weight is 134 lbs. Patient walked out in good spirits. No noticeable distress noted.
Age: 28.0
Sex: F
Vaccine: HPV9
Symptoms: Cellulitis, Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus
Clinical narrative: Patient stated feeling itchy and warmth over injection area the evening she received vaccine.  The area because more painful.  Patient took Benadryl which helped with itching.  Made appointment and was seen on Thursday 1/12.  Upon exam injection site was tender to palpation with 3x4 cm erythematous raised area.  Diagnosed with acute cellulitis secondary to vaccine administration and prescribed Bacrim DS 800mg-160 mg tablet BID x 14 days.
Age: 28.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site warmth
Clinical narrative: Patient stated feeling itchy and warmth over injection area the evening she received vaccine.  The area because more painful.  Patient took Benadryl which helped with itching.  Made appointment and was seen on Thursday 1/12.  Upon exam injection site was tender to palpation with 3x4 cm erythematous raised area.  Diagnosed with acute cellulitis secondary to vaccine administration and prescribed Bacrim DS 800mg-160 mg tablet BID x 14 days.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, COVID-19, Death, Liver function test increased, Mental status changes
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 10/12/2021, LOT #30155BA; pt brought to hospital via EMS for AMS; dx with UTI and COVID; treated with ABX; septic shock from aspiration pneumonia; pleural effusion; right sided thoracentesis done; elevated LFTs; discussion with family about placing a Dobbhoff tube and transitioning to GJ tube; family decided to send him home on Hospice; pt passed away at home that same day
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonia aspiration, Septic shock, Urinary tract infection
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 10/12/2021, LOT #30155BA; pt brought to hospital via EMS for AMS; dx with UTI and COVID; treated with ABX; septic shock from aspiration pneumonia; pleural effusion; right sided thoracentesis done; elevated LFTs; discussion with family about placing a Dobbhoff tube and transitioning to GJ tube; family decided to send him home on Hospice; pt passed away at home that same day
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Cardiac monitoring, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: She got her vaccine Pfizer Bivalent vaccine, bad news reaction.  Not immediate, but had sore arm that was normal.  Within a couple of days she had an extremely bad headache.  She had some shortness of breath and some chest pains.  When she called her PCP they referred her to more immediate care.  She does not drive and her pastors wife took her and at that point they did an EKG and wasn?t quite sure what was going on.  Immediately she suggested to call an ambulance to take her to a local hospital, enough concern that she was taken to the ER closer to where she lives.  She did not have a heart attack, they were busy there, but the ER nurse told her that she has seen cases where people have a reaction to the booster vaccine.  She had the J&J, then she had two boosters of Pfizer and that was nothing major.  Then she had this one that something went wrong and she will not get another booster again.     While in the ER they said she needed to be assessed for heart issues for the chest pains, and they immediate did another EKG/blood work and put her on a monitor.  If there would have been an issue she felt they would have kept her.  She was told to investigate with her own doctor and was sent home.   She is doing OK now, did not like that experience.  She is not a heart patient at all.  In the past she has had a work up for heart issues when she had a stroke, and no heart condition that she is aware of.    She believes she may have had the flu vaccine within 30 days of this one, but did have a COVID and flu vaccine in the past at the same time and did not have any problems with them.  She had an ischemic stroke.  She is wanting to know if there is an added risk for getting vaccines with an ischemic stroke.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Pain in extremity
Clinical narrative: She got her vaccine Pfizer Bivalent vaccine, bad news reaction.  Not immediate, but had sore arm that was normal.  Within a couple of days she had an extremely bad headache.  She had some shortness of breath and some chest pains.  When she called her PCP they referred her to more immediate care.  She does not drive and her pastors wife took her and at that point they did an EKG and wasn?t quite sure what was going on.  Immediately she suggested to call an ambulance to take her to a local hospital, enough concern that she was taken to the ER closer to where she lives.  She did not have a heart attack, they were busy there, but the ER nurse told her that she has seen cases where people have a reaction to the booster vaccine.  She had the J&J, then she had two boosters of Pfizer and that was nothing major.  Then she had this one that something went wrong and she will not get another booster again.     While in the ER they said she needed to be assessed for heart issues for the chest pains, and they immediate did another EKG/blood work and put her on a monitor.  If there would have been an issue she felt they would have kept her.  She was told to investigate with her own doctor and was sent home.   She is doing OK now, did not like that experience.  She is not a heart patient at all.  In the past she has had a work up for heart issues when she had a stroke, and no heart condition that she is aware of.    She believes she may have had the flu vaccine within 30 days of this one, but did have a COVID and flu vaccine in the past at the same time and did not have any problems with them.  She had an ischemic stroke.  She is wanting to know if there is an added risk for getting vaccines with an ischemic stroke.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Decreased appetite, Fatigue
Clinical narrative: My COVID-19 symptoms started on 01/02/2023 at noon. I had a high fever of 103.00, chills, body aches, loss of appetite, head congestions, weakness and fatigue. I tested positive with a home COVID-19 test on 01/04/2023. I called my doctor's office on 01/04/2023 she prescribed me with PAXLOVID for 5 days. I started taking the medication on 01/05/2023. I still have lingering fatigue.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: My COVID-19 symptoms started on 01/02/2023 at noon. I had a high fever of 103.00, chills, body aches, loss of appetite, head congestions, weakness and fatigue. I tested positive with a home COVID-19 test on 01/04/2023. I called my doctor's office on 01/04/2023 she prescribed me with PAXLOVID for 5 days. I started taking the medication on 01/05/2023. I still have lingering fatigue.
Age: 14.0
Sex: F
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Wrong product administered
Clinical narrative: patient should have received Tdap but instead received Dtap.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Pfizer Primary series instead of the intended Pfizer Bivalent third dose
Age: 54.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Balance disorder, Blood test, Cerebral haemorrhage, Choking, Computerised tomogram
Clinical narrative: On November 25th I started with some nasal and sinus soreness, but no runny nose or congestion. It moved down to my throat where I just had a really sore throat. I also developed some hives but I develop hives very easily. On Monday I just so happened to have an ENT appointment, and he looked at my throat and stated it was probably some type of virus. I was tested for COVID-19, Flu, and RSV. Negative for all of them. They gave me a steroid to help, and then my son ended up getting sick. About a week later we both went to urgent care because I had developed a cough. They prescribed some penicillin to take along with the steroid. It didn't feel like the cough was coming from my chest, it felt like drainage was coming from my head. My son tested positive for flu at that time, and ended up giving him half of my steroids, so I didn't finish that regiment. I kept coughing and coughing but wasn't coughing anything up, but it just felt like something was stuck in my throat and I couldn't get it up and it made me start choking. I was in bed for about a week. Finally a clear mucus started coming up but it was so thick I couldn't get it out and it was choking me and giving me massive headaches. I went to ER several times and they gave me a cough medicine and fentanyl several times, at one point I could barely walk and they still discharged. I was just coughing constantly and my head was banging and I was losing my balance and became confused. We called 911 and I was later diagnosed with two brain bleeds and a hypertensive emergency. I was in ICU for 3 days and they worked on getting my blood pressure down, and then I was in hospital for 6 more days. Doctor's were in and out but I was heavily medicated but I know they discussed possible surgeries, stroke, and aneurisms, but none of that is on my chart. When I went back to my Parkinson's neurologist, he said it could possibly have been a burst blood vessel.
Age: 54.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Confusional state, Cough, Gait disturbance, Headache, Hypertensive emergency
Clinical narrative: On November 25th I started with some nasal and sinus soreness, but no runny nose or congestion. It moved down to my throat where I just had a really sore throat. I also developed some hives but I develop hives very easily. On Monday I just so happened to have an ENT appointment, and he looked at my throat and stated it was probably some type of virus. I was tested for COVID-19, Flu, and RSV. Negative for all of them. They gave me a steroid to help, and then my son ended up getting sick. About a week later we both went to urgent care because I had developed a cough. They prescribed some penicillin to take along with the steroid. It didn't feel like the cough was coming from my chest, it felt like drainage was coming from my head. My son tested positive for flu at that time, and ended up giving him half of my steroids, so I didn't finish that regiment. I kept coughing and coughing but wasn't coughing anything up, but it just felt like something was stuck in my throat and I couldn't get it up and it made me start choking. I was in bed for about a week. Finally a clear mucus started coming up but it was so thick I couldn't get it out and it was choking me and giving me massive headaches. I went to ER several times and they gave me a cough medicine and fentanyl several times, at one point I could barely walk and they still discharged. I was just coughing constantly and my head was banging and I was losing my balance and became confused. We called 911 and I was later diagnosed with two brain bleeds and a hypertensive emergency. I was in ICU for 3 days and they worked on getting my blood pressure down, and then I was in hospital for 6 more days. Doctor's were in and out but I was heavily medicated but I know they discussed possible surgeries, stroke, and aneurisms, but none of that is on my chart. When I went back to my Parkinson's neurologist, he said it could possibly have been a burst blood vessel.