chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Background: Pharmacy received 49 vials of Pfizer COVID vaccine (Lot number EN6199) on 5 March 2021 and stored them in the pharmacy refrigerator.   The doses were labeled with an expiration date of 10 March 2021 at 0701.   Since starting the COVID-19 vaccine program, has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer?s recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.    When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Muscle spasms
Clinical narrative: Patient reported muscle spasms starting 3/14/21 in evening, on 3/17 patient reported a red spreading area on arm below the site of injection. Patient sought medical help that day and initial diagnosis was possible cellulitis.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Glossodynia, Swollen tongue, Tongue discomfort
Clinical narrative: The morning after receiving the vaccine I woke up with a painful tongue. It felt like I burned my tongue on a hot coffee but I hadn?t don?t that recently. My tongue was also slightly swollen. The following day (2 days after the vaccine) I woke up with that same symptom but the effect/discomfort was worse. Third day post vaccine it got worse again. Then starting on the 4th day post vaccine, it started to get better and return to normal a little bit each day. I?m 5 days post vaccine and still have this burned feeling lingering on my tongue.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Patient developed a runny nose, cough, sore throat, and minor loss of smell
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Dyspnoea, Lacrimation increased, Nasal congestion
Clinical narrative: Monitored for 30 minutes after injection, no symptoms, released back to housing (cell). Approximately one hour later, presented to Health Care Unit with c/o itching, nasal congestion, watery eyes, lightheadedness, nausea, "hard time breathing". Very anxious. Administered 50 mg Benadryl IM without any relief. Patient was sent to local emergency department as precaution. Given epi SQ and additional Benadryl in the emergency department
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pruritus
Clinical narrative: Monitored for 30 minutes after injection, no symptoms, released back to housing (cell). Approximately one hour later, presented to Health Care Unit with c/o itching, nasal congestion, watery eyes, lightheadedness, nausea, "hard time breathing". Very anxious. Administered 50 mg Benadryl IM without any relief. Patient was sent to local emergency department as precaution. Given epi SQ and additional Benadryl in the emergency department
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Loss of consciousness
Clinical narrative: Unconscious by 8pm after shot on Saturday, awoke on Monday after 4pm confused and lightheaded. Fell back asleep until Tuesday around 11am. Barely remember speaking to anyone, didn?t drink any fluid or go to bathroom.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Eye movement disorder, Fatigue, Speech disorder
Clinical narrative: 17 YEAR OLD PATIENT: AFTER RECEIVING VACCINE PATIENT SAT IN OVERVATION AREA, UPON SITTING DOWN EXPERIENCED DIZZINESS, SHORTNESS OF BREATH, FATIGUE.  PATIENT DEMONSTRTING RAPID EYE MOVEMENTS, RESPONSIVE TO DIRECET QUESTIONS AND TO PAINFUL STIMULI THOUGH UNABLE TO SPEAK IN FULL SENTENCES.  DENIED CHEST PAIN, COUGH NAUSEA, VOMITING.  MOTHER STATES SIMILIAR BEHAVIOR WHEN SHE DEVELOPED BLOOD CLOT IN THE PAST.  PATIENT THEN STATED FELT LIKE THROAT WAS SCRATCHY.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation
Clinical narrative: 17 YEAR OLD PATIENT: AFTER RECEIVING VACCINE PATIENT SAT IN OVERVATION AREA, UPON SITTING DOWN EXPERIENCED DIZZINESS, SHORTNESS OF BREATH, FATIGUE.  PATIENT DEMONSTRTING RAPID EYE MOVEMENTS, RESPONSIVE TO DIRECET QUESTIONS AND TO PAINFUL STIMULI THOUGH UNABLE TO SPEAK IN FULL SENTENCES.  DENIED CHEST PAIN, COUGH NAUSEA, VOMITING.  MOTHER STATES SIMILIAR BEHAVIOR WHEN SHE DEVELOPED BLOOD CLOT IN THE PAST.  PATIENT THEN STATED FELT LIKE THROAT WAS SCRATCHY.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiovascular evaluation, Hyperhidrosis, Loss of consciousness, Syncope
Clinical narrative: 17 YEAR OLD PATIENT: AFTER RECEIVING VACCINE PATIENT SAT IN OVERVATION AREA, UPON SITTING DOWN EXPERIENCED DIZZINESS, SHORTNESS OF BREATH, FATIGUE.  PATIENT DEMONSTRTING RAPID EYE MOVEMENTS, RESPONSIVE TO DIRECET QUESTIONS AND TO PAINFUL STIMULI THOUGH UNABLE TO SPEAK IN FULL SENTENCES.  DENIED CHEST PAIN, COUGH NAUSEA, VOMITING.  MOTHER STATES SIMILIAR BEHAVIOR WHEN SHE DEVELOPED BLOOD CLOT IN THE PAST.  PATIENT THEN STATED FELT LIKE THROAT WAS SCRATCHY.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt felt dizzy and needed to lay down.  Pt laid down on floor.  Feet placed up on a chair.  Series of vitals taken until patient vitals stable in standing position.  Pt drank water and OJ as he recovered.  Patient stabilized and went home with spouse.  Instructions given to seek emergency medical care if  symptoms returned.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: urticaria trunk and extremities
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pruritus, Injection site rash, Rash, Rash pruritic
Clinical narrative: Red, itchy rash developed around injection site 8 days after Moderna shot #1. Rash was 2 inch x 3 inch. Also 1 day after arm rash developed (day 9 after injection),  I developed a small itchy rash on left foot heel - about the size of a quarter and 2 tiny, itchy red spots on each hand and one spot on right foot small toe & 1 tiny bump on back. Arm rash lasted 5 days ( until 3/23) , heel rash is getting better but still visible and not as itchy. Tiny bumps are not as itchy anymore and have faded some as of today 3/23/21.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot
Clinical narrative: 3:20 Client stated she felt hot and her neck was red. We took her out observation area and took blood pressure. BP 130/88- P 75. The redness in her neck had spread to her face and ears.  At the time a whelp had started forming on her right cheek. We put an ice pack on her neck and started to fan her.  She stated that her face felt like it was swelling.  3:45 her redness had started to recede and she felt that her face was feeling better. We continued to monitor her symptoms and at 4:10 her spouse arrived to drive her home and the whelp was gone or right cheek, the redness had receded from her cheeks and ears. Her neck was not as red and she stated that she was not hot and she was able to return home.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Background: pharmacy received 49 vials of Pfizer COVID vaccine (Lot number EN6199) on 5 March 2021 and stored them in the pharmacy refrigerator.   The doses were labeled with an expiration date of 10 March 2021 at 0701.   Since starting the COVID-19 vaccine program, facility has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer?s recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.    When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Given 2 different COVID vaccines. Dose #1 Pfizer, Dose # 2 Moderna.  Patient was observed on site during both vaccinations, no reported adverse events.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Erythema, Exposure during pregnancy, Skin warm
Clinical narrative: Second dose, ~ 15 minutes post vaccine...left the building .  She experienced redness, warmth & weakness.  She was given oral benadryl at her clinic and  administered 0.3mg epi x 1 en route by EMS.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Amblyopia, Anxiety, Eyelid disorder, Eyelid sensory disorder, Hypoaesthesia eye
Clinical narrative: Right eye lid/eyeball feels numb and it was slightly lazy (that has resolved).  I noticed it first on 2/16/21 and my eye lid still feels "off" and kind of numb.  It seems like the right eye lid doesn't open all the way unless I use extra effort.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Foaming at mouth, Loss of consciousness, Pallor, Seizure like phenomena
Clinical narrative: Patient was normal upon administration. Was given instruction to wait 15 minutes in the pharmacy to monitor for adverse reaction, per protocol. Pharmacy staff was alerted by customer that patient was "not looking good". As we walked to patient, we slipped out of his chair and appeared to loose consciousness and/or have seizure-like symptoms. Patient looked very pale, perhaps had some minor foam at the mouth and was extremely hot. We stayed by patient, protected his head, allowed him to come to, took coat off and applied ice packs, took BP/pulse (normal) and patient was oriented x3. EMS arrived and took over.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Patient was normal upon administration. Was given instruction to wait 15 minutes in the pharmacy to monitor for adverse reaction, per protocol. Pharmacy staff was alerted by customer that patient was "not looking good". As we walked to patient, we slipped out of his chair and appeared to loose consciousness and/or have seizure-like symptoms. Patient looked very pale, perhaps had some minor foam at the mouth and was extremely hot. We stayed by patient, protected his head, allowed him to come to, took coat off and applied ice packs, took BP/pulse (normal) and patient was oriented x3. EMS arrived and took over.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Urine odour abnormal
Clinical narrative: Urine smells like burnt plastic . Went to do doctor twice to have urine tested for an infection but there is no infection just a terrible smell.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blister, Genital rash, Headache, Herpes zoster
Clinical narrative: On 3/2 I develop headache, body ache, and low grade fever. On 3/9 I developed blotchy skin on my legs and my hip joints felt like they were on fire. My thigh and groin areas were sensitive to touch. On 3/10 I had a blistering rash develop in the groin area on the right side .  On 3/12 I was diagnosed with shingles and was prescribed medication; Acyclovir 800 miligram tablets by mouth, 5 tablets a day for 7 days and Temazepam 15 milligram capsules for 10 days. I completed the subscriptions on 3/21. Should I get my scheduled second Covid vaccine shot on 3/31 given the scenario described above?
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Pain, Pyrexia, Rash macular, Sensitive skin
Clinical narrative: On 3/2 I develop headache, body ache, and low grade fever. On 3/9 I developed blotchy skin on my legs and my hip joints felt like they were on fire. My thigh and groin areas were sensitive to touch. On 3/10 I had a blistering rash develop in the groin area on the right side .  On 3/12 I was diagnosed with shingles and was prescribed medication; Acyclovir 800 miligram tablets by mouth, 5 tablets a day for 7 days and Temazepam 15 milligram capsules for 10 days. I completed the subscriptions on 3/21. Should I get my scheduled second Covid vaccine shot on 3/31 given the scenario described above?
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: 12:45 Post vaccination reports feeling some  generalized  "numbness" to face, denies any additional complaints or associated symptoms, NAD, no respiratory complaints; medical monitoring, vitals assessed: BP 130/90 P80 O2 sat 96%. Reports "feels better", released from facility w/self.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Formication, Heart rate increased, Herpes zoster, Hyperhidrosis
Clinical narrative: Felt fine yesterday. No pain in my arm. Sudden flare of post shingles nerve pain, have had it before. Feels like bugs are crawling on my leg. Random racing heart beats, sweating, mouth sores,  have been giving wrong phone numbers and addresses, really foggy
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Stomatitis
Clinical narrative: Felt fine yesterday. No pain in my arm. Sudden flare of post shingles nerve pain, have had it before. Feels like bugs are crawling on my leg. Random racing heart beats, sweating, mouth sores,  have been giving wrong phone numbers and addresses, really foggy
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Background: pharmacy received 49 vials of Pfizer COVID vaccine (Lot number EN6199) on 5 March 2021 and stored them in the pharmacy refrigerator.   The doses were labeled with an expiration date of 10 March 2021 at 0701.   Since starting the COVID-19 vaccine program, the medical office has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer?s recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.    When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Woke up in the middle of the night with chills and a fever of 101.8.  Fatigue, headache, nausea throughout the day. Pain at the injection site.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Woke up in the middle of the night with chills and a fever of 101.8.  Fatigue, headache, nausea throughout the day. Pain at the injection site.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient reported to another nurse dizziness and feeling faint.  VS obtained  bp 141/90 pulse 88 o2 saturation 98% RA.  Upon writers assessment patient denied shortness of breath, tongue tingling or swelling.  She denies rash.  Patient able to walk, gait steady.  Declined further medical attention offered by writer.  Patient waited 30+ minutes before leaving vaccination site stating "I am fine."
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Peripheral swelling
Clinical narrative: SWOLLEN ARM, SOME JOINT PAIN, TIREDNESS.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Nasal disorder
Clinical narrative: 2 days after vaccine pt developed redness with small whitish sore on the entrance of bilateral nares.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: MD wrote certification regarding the need of patient to have covid-19 vaccine administered. Patient did not have any adverse effects.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Axillary pain, Back pain, Body temperature increased, Chest pain
Clinical narrative: Within 3 hours of receiving it I suddenly became very dizzy and lightheaded. My vision blurred and I felt like I was hallucinating. My mouth also became severely dry and I felt dehydrated. I have a metallic taste and have pain when I take deep breaths. I blacked out at one point and can?t recall anything. My temp was 103 all night Saturday and I never slept. Sunday I woke up Dazed, Confused and dizzy. I was extremely light headed and out of it.  I had double vision and was running into everything.  My heart has been racing non stop with a feeling of severe anxiety.  Tuesday I woke up again with sharp pain in upper left back shoulder/armpit along with severe dry mouth which feels like dehydration. My head still hurts, but somewhat manageable.  Fast forward 10 days later and I?m still experiencing dizziness, rapid heart beat, anxiety, dry mouth, feel dehydrated and headache.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Diplopia, Dizziness, Dry mouth, Dysgeusia
Clinical narrative: Within 3 hours of receiving it I suddenly became very dizzy and lightheaded. My vision blurred and I felt like I was hallucinating. My mouth also became severely dry and I felt dehydrated. I have a metallic taste and have pain when I take deep breaths. I blacked out at one point and can?t recall anything. My temp was 103 all night Saturday and I never slept. Sunday I woke up Dazed, Confused and dizzy. I was extremely light headed and out of it.  I had double vision and was running into everything.  My heart has been racing non stop with a feeling of severe anxiety.  Tuesday I woke up again with sharp pain in upper left back shoulder/armpit along with severe dry mouth which feels like dehydration. My head still hurts, but somewhat manageable.  Fast forward 10 days later and I?m still experiencing dizziness, rapid heart beat, anxiety, dry mouth, feel dehydrated and headache.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Injection site pain, Insomnia, Loss of consciousness
Clinical narrative: Within 3 hours of receiving it I suddenly became very dizzy and lightheaded. My vision blurred and I felt like I was hallucinating. My mouth also became severely dry and I felt dehydrated. I have a metallic taste and have pain when I take deep breaths. I blacked out at one point and can?t recall anything. My temp was 103 all night Saturday and I never slept. Sunday I woke up Dazed, Confused and dizzy. I was extremely light headed and out of it.  I had double vision and was running into everything.  My heart has been racing non stop with a feeling of severe anxiety.  Tuesday I woke up again with sharp pain in upper left back shoulder/armpit along with severe dry mouth which feels like dehydration. My head still hurts, but somewhat manageable.  Fast forward 10 days later and I?m still experiencing dizziness, rapid heart beat, anxiety, dry mouth, feel dehydrated and headache.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Vision blurred
Clinical narrative: Within 3 hours of receiving it I suddenly became very dizzy and lightheaded. My vision blurred and I felt like I was hallucinating. My mouth also became severely dry and I felt dehydrated. I have a metallic taste and have pain when I take deep breaths. I blacked out at one point and can?t recall anything. My temp was 103 all night Saturday and I never slept. Sunday I woke up Dazed, Confused and dizzy. I was extremely light headed and out of it.  I had double vision and was running into everything.  My heart has been racing non stop with a feeling of severe anxiety.  Tuesday I woke up again with sharp pain in upper left back shoulder/armpit along with severe dry mouth which feels like dehydration. My head still hurts, but somewhat manageable.  Fast forward 10 days later and I?m still experiencing dizziness, rapid heart beat, anxiety, dry mouth, feel dehydrated and headache.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea/vomiting
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Pallor, Presyncope
Clinical narrative: Pt reported that he had light headedness. Pt reports that he gets Vagal response. Pt passed out and was pale and sweaty. Pt came to and BP 114/71, sats of 94% and HR 62.  Assoc redid Vital signs 130/73 and 3rd BP at 5 minutes after 119/73, SAO2 96%, HR 56. Patient was then escorted to ER.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Movement disorder
Clinical narrative: PT SAID COULD NOT USE  LEFT ARM
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyschromatopsia, Hyperhidrosis, Immediate post-injection reaction, Nausea
Clinical narrative: Within 30 sec of vac pt felt dizzy, nauseated, vomitted  x1,  greying of vision, became diaphoretic and pale.  no LOC .  Past hx of vaso-vagel episodes with vac.  Moved to recovery area in wheelchair. Improved rapidly once supine. Recovery Nurse placed ice pack to back of neck, VS 112/72, HR 73 reg strong, Resps 12 reg, non labored, SpO2 100%. Left Deltoid site benign,  monitored 30 min.  pt stated felt much better, color came back to face diaphoresis ceased.  sat up edge of cot. no N/V, no dizziness.  Encouraged fluids, continued to monitor,  walked back to vehicle. no further complications. encouraged to be driven 2nd dose. provided reassurance.   ok'd to exit.   (Name), RN
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Vomiting
Clinical narrative: Within 30 sec of vac pt felt dizzy, nauseated, vomitted  x1,  greying of vision, became diaphoretic and pale.  no LOC .  Past hx of vaso-vagel episodes with vac.  Moved to recovery area in wheelchair. Improved rapidly once supine. Recovery Nurse placed ice pack to back of neck, VS 112/72, HR 73 reg strong, Resps 12 reg, non labored, SpO2 100%. Left Deltoid site benign,  monitored 30 min.  pt stated felt much better, color came back to face diaphoresis ceased.  sat up edge of cot. no N/V, no dizziness.  Encouraged fluids, continued to monitor,  walked back to vehicle. no further complications. encouraged to be driven 2nd dose. provided reassurance.   ok'd to exit.   (Name), RN
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site rash, Malaise
Clinical narrative: unable to use arm,  touch sensitivity to entire arm, rash at injection site for 2 days, fatigue, malaise, headaches, nausea, ulcers on tongue and inside mouth, joint pain and unable to use hands
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Nausea, Sensitive skin, Tongue ulceration
Clinical narrative: unable to use arm,  touch sensitivity to entire arm, rash at injection site for 2 days, fatigue, malaise, headaches, nausea, ulcers on tongue and inside mouth, joint pain and unable to use hands
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blister, Burning sensation, Chills, Ear pain
Clinical narrative: The night of the injection I had a headache and chills no fever.  In the morning my headache was a migraine no energy and a rash on forehead. My evening my head was on fire and blister formed on rash.  My ear was ringing and hurt   It was painful to swallow.  Went to ER and was Dx with shingles  was prescribed valtrex 1gram q8 hours and lotramin lotion
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Headache, Herpes zoster, Migraine, Odynophagia
Clinical narrative: The night of the injection I had a headache and chills no fever.  In the morning my headache was a migraine no energy and a rash on forehead. My evening my head was on fire and blister formed on rash.  My ear was ringing and hurt   It was painful to swallow.  Went to ER and was Dx with shingles  was prescribed valtrex 1gram q8 hours and lotramin lotion
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash vesicular, Tinnitus
Clinical narrative: The night of the injection I had a headache and chills no fever.  In the morning my headache was a migraine no energy and a rash on forehead. My evening my head was on fire and blister formed on rash.  My ear was ringing and hurt   It was painful to swallow.  Went to ER and was Dx with shingles  was prescribed valtrex 1gram q8 hours and lotramin lotion
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Hypopnoea, Palpitations, Tachypnoea
Clinical narrative: Vaccine time- 1335 S/S onset- 1345 51/F reports SOB, chest tightness and heart racing 10 mins after vaccination. She states it feels like a panic attack. Pt AOx4, Tachypnea, Shallow respirations, speaks in short sentences but able to follow commands. Lungs CTA, heart sounds wnl. Instructed to bring mask down and take deep slow breaths.  BP-140/100, Hr-76, O2-99%, RR-22. 1400- 122/90, Hr-70, O2-97%, RR-18. Denies any symptoms at this time. Lungs CTA, speaks in clear complete sentences. No chest pain. 1415- BP-119/90, HR-72, O2- 96%, RR-16. Pt AOx4, resp even, skin wnl, lungs CTA, ambulates with an even gait, denies any symptoms, chest tightness and SOB have subsided. RN
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site pain, Injection site pruritus
Clinical narrative: Hard red itchy painful inflammation at injection site! l
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: pt came in for her second dose of Pfizer and received Moderna. She has not reported any adverse reactions yet.  This report is for reference only.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling hot
Clinical narrative: Per client post vaccine felt lightheaded and felt hot, and sob. Client states did not eat this morning, reports last meal was at 7pm last night.  EMT and MD assessed, BP 132/90 @ 130pm, second BP 122/88  at 2pm , oxygenation 97%.  Client remained in observation , left with parent without incident.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Dizziness, Tinnitus, Vertigo
Clinical narrative: 2 days  after I was vaccinated I felt dizzy(vertigo) my  blood pressure and temperature were normal. I went  to bed and woke up with ringing in my ears that has not stopped since then.   I never had tinnitus during the day. Occasionally I would notice very mild ringing at night before I would fall asleep when the room was very quiet.  This has not stopped since I first noticed it Thursday night.  It seems to be more in my right ear than my left.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dyspnoea, Feeling cold, Headache
Clinical narrative: i received the vaccine at 5:30 pm no side affect but at midnight 12:05 I woke u with massive headache around my head and muscles pain with temp and shivering cold i could not sleep all night after also with stomach pain too and at one time i felt short of breath i did not take anything until 12:00noon the day with tylenol and i drank lots of Gatorade, i night sweat a lot and i slept all night after taking another two pills of tylenol 500 mg each, i sweat all night and I woke up good thanks god i feel much better
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Night sweats, Sleep disorder
Clinical narrative: i received the vaccine at 5:30 pm no side affect but at midnight 12:05 I woke u with massive headache around my head and muscles pain with temp and shivering cold i could not sleep all night after also with stomach pain too and at one time i felt short of breath i did not take anything until 12:00noon the day with tylenol and i drank lots of Gatorade, i night sweat a lot and i slept all night after taking another two pills of tylenol 500 mg each, i sweat all night and I woke up good thanks god i feel much better
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Woke up eight days after my first dose with a large red welt at the injection site. It feel warm but otherwise doesn?t seem to hurt or itch. It is just unsightly and weird.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Eye pruritus, Pruritus
Clinical narrative: itchy feet, hands, eyes, voice became hoarse within 15 minutes of shot; took Benadryl immediately (as I do for food allergies); cleared up symptom of voice, but not itchiness; took 3 Benadryl spaced out over 1.5 hours, under care of nurses/EMT at site, but hadn't cleared up symptoms, so nurses directed me, with my accompanying friends, to an ER, where physician gave me Pepcid (rather than a steroid which he said would compromise the effect of the vaccination) and told me to take Benadryl every 8 hours for next 3 days
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blindness, Computerised tomogram, Confusional state, Eye haemorrhage, Headache
Clinical narrative: Started with headache and mental confusion within a hour of first injection.  Right eye was becoming blurry by day 3 and loss of vision apx 6 days after first injection.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vision blurred
Clinical narrative: Started with headache and mental confusion within a hour of first injection.  Right eye was becoming blurry by day 3 and loss of vision apx 6 days after first injection.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Device connection issue, No adverse event
Clinical narrative: Vaccine was given with a retracable syringe, but the needle would not retract back out due to RN error. The syringe was removed but needle in the patients arm and removed by RN. Appears patient recieved full amount of vaccine, none was left in the syringe. No negative side effects reported by patient.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Given 2 different vaccines for dose #1 and #2.  Pfizer given as dose #1, Moderna given for Dose #2.  No reported adverse effects.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Decreased appetite, Diarrhoea, Insomnia
Clinical narrative: The night of the day after the vaccine was given, client started feeling an upset stomach with nausea and cramps, felt very weak; didn't sleep that night, unable to eat d/t nausea and diarrhea started the following day. Felt better on day 3 and resolved by day 4.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Nausea
Clinical narrative: The night of the day after the vaccine was given, client started feeling an upset stomach with nausea and cramps, felt very weak; didn't sleep that night, unable to eat d/t nausea and diarrhea started the following day. Felt better on day 3 and resolved by day 4.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Blood test, Chest X-ray, Cyanosis, Dizziness
Clinical narrative: Approx1255: Patient stated he was not feeling well, light-headed.  Patient pale, sweating.  He asked to lie down.  Encouraged to take deep breaths.  Patient asked to step outside of room, assisted to hallway chair for air.  Wife at side, encouraging to take deep breaths.  Patient stated he could not see us and slumped in chair with eyes open and glazed.  Shallow breathing, unresponsive to sternal rub.  Lips noted to turn purple-blue and then gray.  Called for assistance and LVN at patient side obtaining VS, patient took deep breath and started to become responsive.  VS at approx. 1303: BP104/47, HR 57, 02 Sat 95%.   Patient talking, continued pale and diaphoretic.  911 called and EMS arrived at approx. 1305  Transferred to  hospital.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Hyperhidrosis, Hypopnoea, Laboratory test, Liver function test
Clinical narrative: Approx1255: Patient stated he was not feeling well, light-headed.  Patient pale, sweating.  He asked to lie down.  Encouraged to take deep breaths.  Patient asked to step outside of room, assisted to hallway chair for air.  Wife at side, encouraging to take deep breaths.  Patient stated he could not see us and slumped in chair with eyes open and glazed.  Shallow breathing, unresponsive to sternal rub.  Lips noted to turn purple-blue and then gray.  Called for assistance and LVN at patient side obtaining VS, patient took deep breath and started to become responsive.  VS at approx. 1303: BP104/47, HR 57, 02 Sat 95%.   Patient talking, continued pale and diaphoretic.  911 called and EMS arrived at approx. 1305  Transferred to  hospital.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pallor, Troponin, Unresponsive to stimuli
Clinical narrative: Approx1255: Patient stated he was not feeling well, light-headed.  Patient pale, sweating.  He asked to lie down.  Encouraged to take deep breaths.  Patient asked to step outside of room, assisted to hallway chair for air.  Wife at side, encouraging to take deep breaths.  Patient stated he could not see us and slumped in chair with eyes open and glazed.  Shallow breathing, unresponsive to sternal rub.  Lips noted to turn purple-blue and then gray.  Called for assistance and LVN at patient side obtaining VS, patient took deep breath and started to become responsive.  VS at approx. 1303: BP104/47, HR 57, 02 Sat 95%.   Patient talking, continued pale and diaphoretic.  911 called and EMS arrived at approx. 1305  Transferred to  hospital.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Severe shaking & chills for 2/3  hours 2:00 am to 4:00am and again for an hour 10:00 am.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Fatigue, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: After about 40 minutes post-vaccination in my left arm, I experienced some numbness on left side of my chin/cheek and general nausea. The numbness proceeded up the left side of my face w/no visible drooping, and also included my left arm, left leg and left side of my tongue. Numbness level was like what it feels like as dental novocaine wears off.   Went to ER and had CT scan, bloodwork, and an MRI which ruled out any stroke concerns.  Monday, day after vaccine, I was tired (understandably since in the ER until 4 AM Monday) and had some residual numbness, mostly on my face, some on my arm/leg. Nausea went away after an hour or so on Sunday afternoon and I ate variety of food w/no issues on Sunday and forward. Still have some of the numbness sensations as of Tuesday, mostly feel it in my face. Overall, it feels like half my body got the vaccine and the other half wasn't impacted.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Nausea
Clinical narrative: After about 40 minutes post-vaccination in my left arm, I experienced some numbness on left side of my chin/cheek and general nausea. The numbness proceeded up the left side of my face w/no visible drooping, and also included my left arm, left leg and left side of my tongue. Numbness level was like what it feels like as dental novocaine wears off.   Went to ER and had CT scan, bloodwork, and an MRI which ruled out any stroke concerns.  Monday, day after vaccine, I was tired (understandably since in the ER until 4 AM Monday) and had some residual numbness, mostly on my face, some on my arm/leg. Nausea went away after an hour or so on Sunday afternoon and I ate variety of food w/no issues on Sunday and forward. Still have some of the numbness sensations as of Tuesday, mostly feel it in my face. Overall, it feels like half my body got the vaccine and the other half wasn't impacted.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Pain, Pyrexia
Clinical narrative: chills, fever 100.1 ache all over, no energy
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Rash erythematous
Clinical narrative: Red rash, firmness around injection
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement
Clinical narrative: I was fine up until I went to my dental appt and had my BP taken. The bottom number was 98 and my pulse rate was over 100 (which is not normal for me), so I scheduled an appointment with my PCP to get checked out. My PCP performed a physical and did bloodwork. He added Bystolic to my regimen and it has helped to regulate my BP.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Cough, Crying, Dyspnoea
Clinical narrative: Patient started to cough after vaccine, felt it was her asthma. EMT on site took vitals 14:08 - BP 190/120, HR 118, R 20, labored and wheezing. Patient denies allergies but has long standing asthma and hasn't taken her medication today. RN advised patient to take Albuterol - patient took 3 puffs with immediate relief.  Vitals at 14:20 - BP 202/120, O2 97, HR 102. Ambulance called at 14:25 d/t increased BP and visible anxiety sx from patient, crying and coughing. 14:31 Ambulance assessed patient found BP lowered to 162/92, HR 108. Patient refused transport, will follow up with PMD or 911 prn worsening. Patient walked out of vaccination waiting area on her own and obtained a ride with Lyft.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Patient started to cough after vaccine, felt it was her asthma. EMT on site took vitals 14:08 - BP 190/120, HR 118, R 20, labored and wheezing. Patient denies allergies but has long standing asthma and hasn't taken her medication today. RN advised patient to take Albuterol - patient took 3 puffs with immediate relief.  Vitals at 14:20 - BP 202/120, O2 97, HR 102. Ambulance called at 14:25 d/t increased BP and visible anxiety sx from patient, crying and coughing. 14:31 Ambulance assessed patient found BP lowered to 162/92, HR 108. Patient refused transport, will follow up with PMD or 911 prn worsening. Patient walked out of vaccination waiting area on her own and obtained a ride with Lyft.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Background: pharmacy received 49 vials of Pfizer COVID vaccine (Lot number EN6199) on 5 March 2021 and stored them in the pharmacy refrigerator.   The doses were labeled with an expiration date of 10 March 2021 at 0701.   Since starting the COVID-19 vaccine program, the MOB has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer?s recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.    When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Head injury, Panic attack, Syncope
Clinical narrative: Pt received a covid imz, pt stated after about 5 minutes that he felt warm, we went to get him some water and were immediately notified by another pt that he fainted, he hit his head after falling out of the chair, he hit his head but awoke immediately and was coherent. after pt stated that he has anxiety and probably had a panic attack and fainted. there was a small cut on his head but he appeared ok, ambulance arrived at the location and ems gave him an ice pack and checked him out he mentioned that he would see a dr but refused any other treatment from ems
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia, Pyrexia, Rash
Clinical narrative: Chills, Fever, muscle aches, fatigue, rash
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: ~24 hours after injection, injection site became swollen, sore and itchy, and experienced extreme fatigue and joint pain lasting ~48 hours. Over following 3 days, arm swelling expanded to ~5" diameter with hard center and warm to touch, sore and itchy. Still swollen  on Day 4 but beginning to resolve. Fatigue and joint pain resolved by end of Day 3.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: ~24 hours after injection, injection site became swollen, sore and itchy, and experienced extreme fatigue and joint pain lasting ~48 hours. Over following 3 days, arm swelling expanded to ~5" diameter with hard center and warm to touch, sore and itchy. Still swollen  on Day 4 but beginning to resolve. Fatigue and joint pain resolved by end of Day 3.