chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Muscle spasms, Paraesthesia
Clinical narrative: Patient developed paresthesia in left shoulder and involuntary jerky movements/ muscle spasms in arm, neck, and shoulder x 6 weeks following vaccine. Symptoms subsides then returned after receiving flu vaccine in October.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Dyspnoea exertional
Clinical narrative: Pneumonia due to COVID-19 virus; Hypomagnesemia; Type 2 MI (myocardial infarction); Paroxysmal atrial fibrillation with RVR; Dyspnea on minimal exertion
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Hypomagnesaemia
Clinical narrative: Pneumonia due to COVID-19 virus; Hypomagnesemia; Type 2 MI (myocardial infarction); Paroxysmal atrial fibrillation with RVR; Dyspnea on minimal exertion
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dizziness, Headache, Injected limb mobility decreased, Memory impairment
Clinical narrative: 1st dose ,October 13, 2021,  side effects included pain in left arm 2nd dose,  November 3, 2021, side effects began several minutes after the injection, with a mild constriction of the throat muscles.  Then several hours after the injection,  severe pain in right arm, to restrict movement in right arm.  Severe head pain that was unrelieved by anti dolorifc meds. Right arm was cold to touch. The evening after the injection several episodes of dizziness and  nausea were noted. Evening of November 5th, chest pain was observed for several hours, and a healthcare visit was made.  Noted an irregularity of menstrual cycle, otherwise normal Noted a decrease in short term memory.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Nausea, Pain in extremity, Throat irritation
Clinical narrative: 1st dose ,October 13, 2021,  side effects included pain in left arm 2nd dose,  November 3, 2021, side effects began several minutes after the injection, with a mild constriction of the throat muscles.  Then several hours after the injection,  severe pain in right arm, to restrict movement in right arm.  Severe head pain that was unrelieved by anti dolorifc meds. Right arm was cold to touch. The evening after the injection several episodes of dizziness and  nausea were noted. Evening of November 5th, chest pain was observed for several hours, and a healthcare visit was made.  Noted an irregularity of menstrual cycle, otherwise normal Noted a decrease in short term memory.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Lymphadenopathy, Myalgia
Clinical narrative: chills, fever, fatigue, muscle aches, nausea, pain at injection site, swollen lymph nodes;
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: chills, fever, fatigue, muscle aches, nausea, pain at injection site, swollen lymph nodes;
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Extreme fatique, headaches, body aches, 101F fever. All happens 12 hours after the injection and lasted for about 36 hours.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: red rash under vaccine site, itchiness, rash is tender and warm to touch
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Condition aggravated, Headache, Muscle fatigue
Clinical narrative: Muscular Fatigue Headache Fever  Chills Pain in the arm and armpit where the vaccine was applied (it's a constant pain)  Itching
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Vaccination site pain
Clinical narrative: Muscular Fatigue Headache Fever  Chills Pain in the arm and armpit where the vaccine was applied (it's a constant pain)  Itching
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia
Clinical narrative: Pneumonia due to COVID-19; weakness
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Ear discomfort, Headache, Paranasal sinus discomfort
Clinical narrative: Persistent sinus infection, headache, extreme sinus pressure, clogged ears, loss of taste/smell .  Unresponsive to Augmentin treatment, unresponsive to methylprednisolone treatment, pending azithromycin response.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinusitis
Clinical narrative: Persistent sinus infection, headache, extreme sinus pressure, clogged ears, loss of taste/smell .  Unresponsive to Augmentin treatment, unresponsive to methylprednisolone treatment, pending azithromycin response.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Nausea, Pain, Somnolence
Clinical narrative: Monday night started feeling very achy which has continued to today yet (Thursday) - Tuesday  night around 10pm he threw up and then again at 12pm and 3am.  Wednesday and Today(Thursday) he has been nauseous, achy, no appetite, headaches, sleepy
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Monday night started feeling very achy which has continued to today yet (Thursday) - Tuesday  night around 10pm he threw up and then again at 12pm and 3am.  Wednesday and Today(Thursday) he has been nauseous, achy, no appetite, headaches, sleepy
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest pains in middle of chest starting approx. 2 hours after booster dose administered. on and off for 2 days as of 12/9/21.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine   formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Lymphadenopathy, Swelling, Vaccine positive rechallenge
Clinical narrative: Patient with booster vaccine to COVID-19 given 2 evenings ago.  Previous history of swollen lymph nodes on injection side site to neck and under her arm was treated with Benadryl ice, packs and a course of Augmentin with resolution of problem.  Appears the clinic today with same reaction to vaccine.  Patient states she did not contact vaccine reaction board after previous reaction.  This reaction not quite as bad as last time.  Patient wore a cloth mask.  MA and self wore N95 with loop mask covering.   Allergic Reaction This is a recurrent problem. The current episode started 2 days ago. The problem occurs constantly. The problem has been gradually worsening since onset. The problem is severe. The patient was exposed to a prescription drug (COVID-19 Materna booster vaccine). The time of exposure was separated in time (Dec 6, 2020 at 1730 was the time of the injectiion) from the onset of symptoms. The exposure occurred at home. Pertinent negatives include no abdominal pain, chest pain, chest pressure, coughing, diarrhea, difficulty breathing, drooling, eye itching, eye redness, eye watering, globus sensation, hyperventilation, itching, rash, stridor, trouble swallowing, vomiting or wheezing. (Positive for left-sided neck swelling lymph nodes enlargement and under the arm lymph node enlargement with pain.) Swelling location: left neck and under left arm. Past treatments include ibuprofen and diphenhydramine (ice compression). The treatment provided mild relief. There is no history of atopic dermatitis, food allergies or seasonal allergies
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Metabolic encephalopathy, Pyrexia
Clinical narrative: Per ER, transient acute metabolic encephalopathy secondary to fever of 102
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Per Database, patient received two doses of Moderna COVID-19 vaccine on 4/28/21 and 5/26/21, respectively. Patient admitted to our hospital on 12/2/2021 and diagnosed with COVID-19 on 12/7/2021
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Protein S, SARS-CoV-2 antibody test negative
Clinical narrative: The Nurse gave me the booster shot in my left arm - the back of  my left arm - subcutaneously and then said " Well at least your muscle won't hurt".  My primary care doctor WILL NOT HELP ME.  The Department of Health WILL NOT HELP ME.  NO ONE WILL HELP ME.  NO ONE WANTS TO TAKE RESPONSIBLITY FOR HELPING ME.  I had any antibody test done to see if the vaccine work - they tested the "S" protein which came back NEGATIVE.  THE VACCINE DID NOT WORK.  I WANT ANOTHER BOOSTER SHOT.  MY PRIMARY CARE SAID SHE WOULD NOT TAKE "RESPONSIBILITY" DOES NOT WANT TO BE LIABLE.  AGENCY said they do not provide medical advise and deferred me back to my Primary Care who will not help me.  So I am walking around with NO PROTECTION DUE TO THE INCOMPETENT NURSE AND PRIMARY CARE AND AGENCY WHO WILL NOT HELP ME GET ANOTHER BOOSTER SHOT.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, COVID-19, Chest X-ray abnormal, Diaphragmatic hernia
Clinical narrative: This is an 82 year old male, , with past medical history significant for Parkinson's Disease, CAD, HTN, HLP, Dementia, Subarachnoid hemorrhage, who presented to the ED for weakness, fatigue, AMS, s/p fall. The patient is + for Covid 19. The patient's wife and Daughters are all positive. His wife is admitted here as well. He is fully vaccinated with Moderna x 2 in March/April 2021. One of the patient's Daughter's is not vaccinated. Apparently he lost his balance and fell at home. He denies any loss of consciousness. A chest xray showed poor lung volumes, linear bibasilar atelectasis, no infiltrate, stable right sided diaphragmatic hernia. . His sats were 89% on room air and improved to 98% on 2L n/c.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fatigue, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: This is an 82 year old male, , with past medical history significant for Parkinson's Disease, CAD, HTN, HLP, Dementia, Subarachnoid hemorrhage, who presented to the ED for weakness, fatigue, AMS, s/p fall. The patient is + for Covid 19. The patient's wife and Daughters are all positive. His wife is admitted here as well. He is fully vaccinated with Moderna x 2 in March/April 2021. One of the patient's Daughter's is not vaccinated. Apparently he lost his balance and fell at home. He denies any loss of consciousness. A chest xray showed poor lung volumes, linear bibasilar atelectasis, no infiltrate, stable right sided diaphragmatic hernia. . His sats were 89% on room air and improved to 98% on 2L n/c.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Electrocardiogram normal, Malaise, Nausea
Clinical narrative: Second dose Moderna given IM in Medical Clinic, shortly after (15 minutes) began to fill ill, nausea, vomited, dizzy, chest pain, brough to the ER and evaluated by the Dr, EKG showed no signs ischemia, troponin negative x2, by time arrived to ER symptoms had subsides, IVF's and Zofran given, discharged home after. Follow up with primary provider as needed.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Vomiting
Clinical narrative: Second dose Moderna given IM in Medical Clinic, shortly after (15 minutes) began to fill ill, nausea, vomited, dizzy, chest pain, brough to the ER and evaluated by the Dr, EKG showed no signs ischemia, troponin negative x2, by time arrived to ER symptoms had subsides, IVF's and Zofran given, discharged home after. Follow up with primary provider as needed.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Monoplegia, Pyrexia
Clinical narrative: Right leg paralysis 14 hours after booster shot lasting 20 minutes Fever of 103 degrees starting 14 hours after booster shot lasting until 10:30pm. Chills lasting until 10:30pm day after booster shot Right arm numbness still present (shot given to left arm)
Age: 11.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Approximately a month after 2nd dose of vaccine, I stated experiencing a constant ringing in my ear (tinnitus) Its quite loud
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Dyspnoea, Fatigue, Influenza like illness
Clinical narrative: This was a booster shot (3rd). Side effects began within hours of administration and lasted for 3 days. They included debilitating  body aches, migraine, sore throat, labored breathing, fatigue, somnolence and loss of appetite that kept me in bed for days. Ibuprofen and Tylenol made no difference. The experience felt like a serious case of flu but without the fever. The same side effects were experienced after the 2nd shot although the time after the 1st shot was uneventful.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Mobility decreased, Oropharyngeal pain, Pain, Somnolence
Clinical narrative: This was a booster shot (3rd). Side effects began within hours of administration and lasted for 3 days. They included debilitating  body aches, migraine, sore throat, labored breathing, fatigue, somnolence and loss of appetite that kept me in bed for days. Ibuprofen and Tylenol made no difference. The experience felt like a serious case of flu but without the fever. The same side effects were experienced after the 2nd shot although the time after the 1st shot was uneventful.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: This was a booster shot (3rd). Side effects began within hours of administration and lasted for 3 days. They included debilitating  body aches, migraine, sore throat, labored breathing, fatigue, somnolence and loss of appetite that kept me in bed for days. Ibuprofen and Tylenol made no difference. The experience felt like a serious case of flu but without the fever. The same side effects were experienced after the 2nd shot although the time after the 1st shot was uneventful.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: a fever of 100.8  fever broke Thursday morning  It was a booster shot
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood creatine phosphokinase increased, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: This is a 76 year old female,  with past medical history signficant for Hypertension, Hyperlipidemia, Paroxysmal Atrial Fibrillation, Osteoarthritis, who presented to the ED s/p mechanical fall 2/2 Dizziness. The patient tested positive for Covid 19 on 12/4, and was initially set up to have a BAM infusion. She sustained a fall and subsequent right hip pain last night therefor presented to the ED today for further work up and evaluation. A CXR showed bilateral infiltrates, left greater than right. Her CPK was >4,000. A CT of the head showed no acute abnormality
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Lung infiltration, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: This is a 76 year old female,  with past medical history signficant for Hypertension, Hyperlipidemia, Paroxysmal Atrial Fibrillation, Osteoarthritis, who presented to the ED s/p mechanical fall 2/2 Dizziness. The patient tested positive for Covid 19 on 12/4, and was initially set up to have a BAM infusion. She sustained a fall and subsequent right hip pain last night therefor presented to the ED today for further work up and evaluation. A CXR showed bilateral infiltrates, left greater than right. Her CPK was >4,000. A CT of the head showed no acute abnormality
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fear, Feeling abnormal, Migraine
Clinical narrative: SEVERE aches and chilling.  Severe migraines.  I have never felt this bad in my life.  Seriously contemplated going to ER and I have not been to an ER for 25 years.  The only reason I didn't go is because I was unable to sit up for that long of a period to get there and get checked in. I am scared if I have to get another booster at some point.  This lasted for 48 hours.  I was unable to get out of bed except to occasionally going to bathroom.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Sitting disability
Clinical narrative: SEVERE aches and chilling.  Severe migraines.  I have never felt this bad in my life.  Seriously contemplated going to ER and I have not been to an ER for 25 years.  The only reason I didn't go is because I was unable to sit up for that long of a period to get there and get checked in. I am scared if I have to get another booster at some point.  This lasted for 48 hours.  I was unable to get out of bed except to occasionally going to bathroom.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Fatigue, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient wore a cloth mask.  Medical assistant and I wore loop mask.  Patient received second Moderna 3 days ago.  Patient started to experience swelling in left supraclavicular area and lower area of neck as well as rash in that area and back of neck.  Patient also reports feeling of tightness and swelling under her arm.  Injection site area warm and swollen and left upper deltoid.   Rash This is a new problem. The current episode started in the past 7 days (2 days). The problem has been gradually worsening since onset. The affected locations include the left arm, left shoulder and neck. The rash is characterized by redness. Associated with: Maternal COVID-19 vaccine. Associated symptoms include fatigue. Pertinent negatives include no congestion, cough, diarrhea, fever, joint pain, rhinorrhea, shortness of breath, sore throat or vomiting. (Positive for swelling and tightness under her left arm and armpit, Negative for shortness of breath, tightness of throat swelling of tongue) Past treatments include nothing. The treatment provided no relief. There is no history of allergies, asthma or eczema.      The following portions of the patient's history were reviewed and updated as appropriate: allergies, current medications, past family history, past medical history, past social history, past surgical history and problem list.   Review of Systems Constitutional: Positive for fatigue. Negative for chills and fever. HENT: Negative for congestion, rhinorrhea, sore throat and voice change.   Respiratory: Negative for cough, chest tightness, shortness of breath, wheezing and stridor.   Cardiovascular: Negative for chest pain. Gastrointestinal: Negative for diarrhea, nausea and vomiting. Musculoskeletal: Negative for arthralgias, joint pain, myalgias and neck pain (swelliing).       Left upper arm and deltoid at area of injection red, warm, swollen  Skin: Positive for rash (neck anterior and posterior, as well as swelling in the supraclavicular area). Neurological: Negative for dizziness and headaches. Psychiatric/Behavioral: Negative for sleep disturbance.  All other systems reviewed and are negative.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Rash, Rash erythematous, Skin tightness, Swelling
Clinical narrative: Patient wore a cloth mask.  Medical assistant and I wore loop mask.  Patient received second Moderna 3 days ago.  Patient started to experience swelling in left supraclavicular area and lower area of neck as well as rash in that area and back of neck.  Patient also reports feeling of tightness and swelling under her arm.  Injection site area warm and swollen and left upper deltoid.   Rash This is a new problem. The current episode started in the past 7 days (2 days). The problem has been gradually worsening since onset. The affected locations include the left arm, left shoulder and neck. The rash is characterized by redness. Associated with: Maternal COVID-19 vaccine. Associated symptoms include fatigue. Pertinent negatives include no congestion, cough, diarrhea, fever, joint pain, rhinorrhea, shortness of breath, sore throat or vomiting. (Positive for swelling and tightness under her left arm and armpit, Negative for shortness of breath, tightness of throat swelling of tongue) Past treatments include nothing. The treatment provided no relief. There is no history of allergies, asthma or eczema.      The following portions of the patient's history were reviewed and updated as appropriate: allergies, current medications, past family history, past medical history, past social history, past surgical history and problem list.   Review of Systems Constitutional: Positive for fatigue. Negative for chills and fever. HENT: Negative for congestion, rhinorrhea, sore throat and voice change.   Respiratory: Negative for cough, chest tightness, shortness of breath, wheezing and stridor.   Cardiovascular: Negative for chest pain. Gastrointestinal: Negative for diarrhea, nausea and vomiting. Musculoskeletal: Negative for arthralgias, joint pain, myalgias and neck pain (swelliing).       Left upper arm and deltoid at area of injection red, warm, swollen  Skin: Positive for rash (neck anterior and posterior, as well as swelling in the supraclavicular area). Neurological: Negative for dizziness and headaches. Psychiatric/Behavioral: Negative for sleep disturbance.  All other systems reviewed and are negative.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Symptoms: Hives and itchiness all over body, neck and face., started around 7: AM ( 1 day after shot). Treatment: Over the counter Cortizone 10 Anti- Itch cream.  Rash and itching stop at around 7:PM next day ( 2 days after shot)
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lymphadenopathy, Ultrasound scan
Clinical narrative: Swollen lymph nodes; two ultrasounds for follow up. Unknown if any additional ultrasounds are needed
Age: 11.0
Sex: M
Vaccine: COVID19, HPV9, MNQ, TDAP
Symptoms: Biopsy skin abnormal, Blood calcium normal, Blood immunoglobulin E, C-reactive protein normal, Differential white blood cell count normal
Clinical narrative: Patient was seen by his PCP and received age related vaccines or Tdap and meningitis (right arm), Pfizer COVID (given the 12 year old dose) and HPV vaccine (left arm).  Within minutes of receiving the vaccine, he developed a large erythematous wheal that progressed to vesicles on the hive, which progressed over minutes to hours, which bursts and left with open sore that eventually dried and is now left with crusting wound with granulation tissue.  He had no systemic symptoms with this reaction.
Age: 11.0
Sex: M
Vaccine: COVID19, HPV9, MNQ, TDAP
Symptoms: Excessive granulation tissue, Fat necrosis, Full blood count normal, Metabolic function test, Neutrophilic dermatosis
Clinical narrative: Patient was seen by his PCP and received age related vaccines or Tdap and meningitis (right arm), Pfizer COVID (given the 12 year old dose) and HPV vaccine (left arm).  Within minutes of receiving the vaccine, he developed a large erythematous wheal that progressed to vesicles on the hive, which progressed over minutes to hours, which bursts and left with open sore that eventually dried and is now left with crusting wound with granulation tissue.  He had no systemic symptoms with this reaction.
Age: 11.0
Sex: M
Vaccine: COVID19, HPV9, MNQ, TDAP
Symptoms: Parakeratosis, Red blood cell sedimentation rate increased, Skin fibrosis, Tryptase, Urticaria
Clinical narrative: Patient was seen by his PCP and received age related vaccines or Tdap and meningitis (right arm), Pfizer COVID (given the 12 year old dose) and HPV vaccine (left arm).  Within minutes of receiving the vaccine, he developed a large erythematous wheal that progressed to vesicles on the hive, which progressed over minutes to hours, which bursts and left with open sore that eventually dried and is now left with crusting wound with granulation tissue.  He had no systemic symptoms with this reaction.
Age: 11.0
Sex: M
Vaccine: COVID19, HPV9, MNQ, TDAP
Symptoms: Wound
Clinical narrative: Patient was seen by his PCP and received age related vaccines or Tdap and meningitis (right arm), Pfizer COVID (given the 12 year old dose) and HPV vaccine (left arm).  Within minutes of receiving the vaccine, he developed a large erythematous wheal that progressed to vesicles on the hive, which progressed over minutes to hours, which bursts and left with open sore that eventually dried and is now left with crusting wound with granulation tissue.  He had no systemic symptoms with this reaction.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: patient was given 0.5ml of moderna instead of the 0.25ml she should have received for a booster.  Patient reported no ill effects.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm
Clinical narrative: No idea if it's related,  just thought it best to report.  Eyelids fluttering,  no pain or irritation, upper eyelid,  mostly right eye,  but both occasionally
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the agency, due to lack of stability data, it was advised to revaccinate the patient.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Blood test, Erythema, Injection site erythema, Injection site inflammation
Clinical narrative: Pfizer Booster injection site reaction, pain in shoulder, arm turned red injection site area and itchy. inflamed  site was warm to touch. was adv to take Benadryl, use ice and anti inflammatory meds. Noticed redness and swelling was spreading all over body. Went to doctor, and was prescribed antibiotics.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site warmth, Swelling
Clinical narrative: Pfizer Booster injection site reaction, pain in shoulder, arm turned red injection site area and itchy. inflamed  site was warm to touch. was adv to take Benadryl, use ice and anti inflammatory meds. Noticed redness and swelling was spreading all over body. Went to doctor, and was prescribed antibiotics.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac imaging procedure abnormal, Chest pain, Chills, Cough, Echocardiogram abnormal
Clinical narrative: chest pain with activity, some chills, cough, and sneezing.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram, Right ventricular ejection fraction decreased, Sneezing, Tricuspid valve incompetence
Clinical narrative: chest pain with activity, some chills, cough, and sneezing.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: chest pain with activity, some chills, cough, and sneezing.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: Patient reported that when she got home one hour after receiving vaccination and began unloading her groceries she began to feel sharp pain in the back of her right knee. She reports that it has continued for the past three days and is worse upon exertion. She reports that the pain is better at rest but comes back when she walks or moves around. She also notes that the pain has started to spread down her legs and toward her hips. Reports taking tylenol which has helped the pain somewhat. Recommended that patient contact her doctor to explain the situation and receive examination to which the patient agreed.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Confusional state, Disorientation, Hyperhidrosis, Loss of personal independence in daily activities
Clinical narrative: I had severe muscle/ joint pains that made it to where I could barely get out of bed to care for my kids. I also had a slight fever until I went to bed and then it spiked to 103. I went to bed and my husband stayed up all night placing ice packs on me because of how bad my fever and sweating was. While he was placing ice packs on me, I stopped breathing and he had to shake me and hit my chest for me to breath again. At no point did I wake up. He continued placing ice packs to keep my fever down. I woke up the next morning very disoriented and confused. I have been having random sweating spells ever since and I have never had those before.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Pyrexia, Respiratory arrest
Clinical narrative: I had severe muscle/ joint pains that made it to where I could barely get out of bed to care for my kids. I also had a slight fever until I went to bed and then it spiked to 103. I went to bed and my husband stayed up all night placing ice packs on me because of how bad my fever and sweating was. While he was placing ice packs on me, I stopped breathing and he had to shake me and hit my chest for me to breath again. At no point did I wake up. He continued placing ice packs to keep my fever down. I woke up the next morning very disoriented and confused. I have been having random sweating spells ever since and I have never had those before.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site lymphadenopathy, Injection site pain, Injection site reaction, Migraine
Clinical narrative: Pain while breathing,  2 inch diameter raised welt on arm near injection site (treated with Benadryl), feverish for 24 hours, soreness in joints, pain in arm and lymphnode near injection site, migraine lasting 2 days.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Urticaria
Clinical narrative: Pain while breathing,  2 inch diameter raised welt on arm near injection site (treated with Benadryl), feverish for 24 hours, soreness in joints, pain in arm and lymphnode near injection site, migraine lasting 2 days.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the Agency, due to lack of stability data, it was advised to revaccinate the patient.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Pneumonia bacterial
Clinical narrative: Hospitalized for Covid-19 with superimposed bacterial Pneumonia requiring supplemental oxygen
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pruritus, Urticaria
Clinical narrative: Swollen lymph nodes in left underarm Persistent pruritus without urticaria on legs (esp. thighs) Infrequent but recurring pruritus with urticaria on both forearms
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lymphadenopathy, Migraine, Nausea
Clinical narrative: Very nauseous/dizzy, migraine, on the day after. Swelling in lymph nodes on left arm (injection arm)
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID CASE
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The person in charge of completing the demographic information of the patient before the administration of the vaccine forgot to record the age of the patient and the nurse administered the dose and when she went to complete the vaccination card she realized that the age was not set and when she verifies the The patient is 15 years old and the third dose was administered, which is not authorized in children under 18 years of age. Mother and patient were instructed to wait 30 minutes to observe and identify reactions, at the moment there were no reactions or adverse effects
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: redness, swelling, tenderness, itching around the site with concern for cellulitis +/- vaccine reaction
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure abnormal, Diarrhoea, Headache, Mobility decreased
Clinical narrative: Symptoms began 12/4/2021. Headache for 5 days, Tylenol did not help, Nausea, Diarrhe for 5 days, too weak to get out of bed, , fever,   Came to local Health Dept 12/8/2021  Bp 170/110.  I referred to her Primary care Dr.. I called to check on her today 12/9/2021.  She said Dr said her bp was wnl now and did no changes to her meds.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Symptoms began 12/4/2021. Headache for 5 days, Tylenol did not help, Nausea, Diarrhe for 5 days, too weak to get out of bed, , fever,   Came to local Health Dept 12/8/2021  Bp 170/110.  I referred to her Primary care Dr.. I called to check on her today 12/9/2021.  She said Dr said her bp was wnl now and did no changes to her meds.
Age: 10.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was administered incorrect dosage of Pfizer COVID vaccine. 17 year old received 10 mcg dose instead of 30 mcg dose. No adverse event to vaccine administration. After consulting with CDC, patient was advised to complete her COVID series in 21 days with 30 mcg dose.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vestibular neuronitis
Clinical narrative: Dizziness caused by vestibular neuritis
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Oxygen saturation decreased
Clinical narrative: Increased resting heart rate from 60s to 80s to over 100 Decreased oxygen level from 97-99 to 95-96
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Product administered to patient of inappropriate age
Clinical narrative: 15 YEAR OLD WAS GIVEN A BOOSTER WITHINT SIX MONTHS OF INITIAL SERIES COMPLETION