chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Diarrhoea, Nausea, Vomiting
Clinical narrative: After 2nd dose of covid, she had significant nausea and vomiting about 30ish hours later. Vaccine 3:45pm Friday Vomiting started about 30ish hours later 11:00pm Saturday.  Approximately every 2 hours for total of approximately 4 episodes.  Nonbloody nonbilious emesis.   Diarrhea started at same time as vomiting.  Both vomiting and diarrhea gradually improved by the next day. Temp 103. No rashes.  No difficulty breathing. No swelling at injection site.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Colitis, Computerised tomogram, Diarrhoea
Clinical narrative: Chills, fever of 102+ for three days, migraine headache for 3 days, vomiting for 1 day until controlled by prescription medication, rash on left arm, painful swollen gland(s) in left arm pit, tired and achy for 3 days. After fever broke 3 days after vaccine, severe cramping, nausea, vomiting, diarrhea which became bloody. Went to ER for assistance. Tests indicated colitis. This was my first ever visit to ER and my first ever experience with colitis. Given meds and put on bland diet. Did not feel 100% better for about a month.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea haemorrhagic, Electrocardiogram, Fatigue, Lymphadenopathy, Migraine
Clinical narrative: Chills, fever of 102+ for three days, migraine headache for 3 days, vomiting for 1 day until controlled by prescription medication, rash on left arm, painful swollen gland(s) in left arm pit, tired and achy for 3 days. After fever broke 3 days after vaccine, severe cramping, nausea, vomiting, diarrhea which became bloody. Went to ER for assistance. Tests indicated colitis. This was my first ever visit to ER and my first ever experience with colitis. Given meds and put on bland diet. Did not feel 100% better for about a month.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Nausea, Pain, Pyrexia, Rash
Clinical narrative: Chills, fever of 102+ for three days, migraine headache for 3 days, vomiting for 1 day until controlled by prescription medication, rash on left arm, painful swollen gland(s) in left arm pit, tired and achy for 3 days. After fever broke 3 days after vaccine, severe cramping, nausea, vomiting, diarrhea which became bloody. Went to ER for assistance. Tests indicated colitis. This was my first ever visit to ER and my first ever experience with colitis. Given meds and put on bland diet. Did not feel 100% better for about a month.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vomiting
Clinical narrative: Chills, fever of 102+ for three days, migraine headache for 3 days, vomiting for 1 day until controlled by prescription medication, rash on left arm, painful swollen gland(s) in left arm pit, tired and achy for 3 days. After fever broke 3 days after vaccine, severe cramping, nausea, vomiting, diarrhea which became bloody. Went to ER for assistance. Tests indicated colitis. This was my first ever visit to ER and my first ever experience with colitis. Given meds and put on bland diet. Did not feel 100% better for about a month.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, it was discovered that vaccine refrigerator was out of temp range.  Pt is notified and offered re=vaccination.
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Arthralgia, Injected limb mobility decreased, Product administered at inappropriate site
Clinical narrative: Patient reported pain in shoulder and difficultly lifting left arm following immunization and continuing until now. Patient reported vaccine given "too high".
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arterial angioplasty, Arterial spasm, Cerebral endovascular aneurysm repair, Computerised tomogram head abnormal, Headache
Clinical narrative: On 02/17/2021, swimming laps and severe headache occurred.  EMS called.  Transported via ambulance.  CT done.  Negative for Subarachnoid hemorrhage.  Discharged home.  Headache continued.  On 02/20/2021, seizure at home.  Transported via EMS back to hospital.  CT repeated.  Subarachnoid hemorrhage on CT.  Coiling of aneurysm at that time. Three weeks spent in Neuro ICU.  On 03/09/2021, basilar artery had severe spasm, emergent ballooning of basilar artery done.  Discharged home on 03/16/2021.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Laboratory test, Magnetic resonance imaging, Seizure, Subarachnoid haemorrhage
Clinical narrative: On 02/17/2021, swimming laps and severe headache occurred.  EMS called.  Transported via ambulance.  CT done.  Negative for Subarachnoid hemorrhage.  Discharged home.  Headache continued.  On 02/20/2021, seizure at home.  Transported via EMS back to hospital.  CT repeated.  Subarachnoid hemorrhage on CT.  Coiling of aneurysm at that time. Three weeks spent in Neuro ICU.  On 03/09/2021, basilar artery had severe spasm, emergent ballooning of basilar artery done.  Discharged home on 03/16/2021.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests normal, Sleep disorder, Tinnitus
Clinical narrative: On 02/17/2021, swimming laps and severe headache occurred.  EMS called.  Transported via ambulance.  CT done.  Negative for Subarachnoid hemorrhage.  Discharged home.  Headache continued.  On 02/20/2021, seizure at home.  Transported via EMS back to hospital.  CT repeated.  Subarachnoid hemorrhage on CT.  Coiling of aneurysm at that time. Three weeks spent in Neuro ICU.  On 03/09/2021, basilar artery had severe spasm, emergent ballooning of basilar artery done.  Discharged home on 03/16/2021.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arterial angioplasty, Arterial spasm, Cerebral endovascular aneurysm repair, Computerised tomogram head abnormal, Headache
Clinical narrative: After about a week November 24 2021 around 3PM I started to getting a low ringing in my left ear that has not stop. This is a constant ringing that has not stopped. This does wake me up in the middle of sleep.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Laboratory test, Magnetic resonance imaging, Seizure, Subarachnoid haemorrhage
Clinical narrative: After about a week November 24 2021 around 3PM I started to getting a low ringing in my left ear that has not stop. This is a constant ringing that has not stopped. This does wake me up in the middle of sleep.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests normal, Sleep disorder, Tinnitus
Clinical narrative: After about a week November 24 2021 around 3PM I started to getting a low ringing in my left ear that has not stop. This is a constant ringing that has not stopped. This does wake me up in the middle of sleep.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Pruritus
Clinical narrative: Pt had a history of adverse reaction to Covid vaccine (Moderna). Received Pfizer booster today. Approx 20 min after vaccine Pt stated she had upper body itching, mild. Pt given 25mg PO Benadryl
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, it was discovered that vaccine refrigerator was out of temp range.  Pt is notified and offered re=vaccination.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Depression, Dyspnoea, Fatigue
Clinical narrative: First effects I had was a sore arm and a rash all down my left arm. Then about 2 weeks later I started having uterine bleeding. My period wasn't due till November 26th but I started bleeding on November 12th. I kept bleeding until December 5th. I started having issues with being able to get up and move around. I was having trouble breathing if I tried doing anything so I would stay in bed all day. I had terrible brain fog where I would forget how to say things and unable to think. Recently I developed insomnia to where I would wake up at 1am and be awake for 6 or 7 hours then sleep all day. My sleep cycle is reversed. I have had an extreme amounts of fatigue and not having any energy at all. I am starting to get extreme depression. I went to ER for the bleeding. PCP doesn't know how to help me because we just did consultations over the phone. I was referred to a post covid clinic but cant get in until February 7, 2021. I haven't had any test did yet.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Haemorrhage, Heavy menstrual bleeding, Insomnia, Menstruation irregular
Clinical narrative: First effects I had was a sore arm and a rash all down my left arm. Then about 2 weeks later I started having uterine bleeding. My period wasn't due till November 26th but I started bleeding on November 12th. I kept bleeding until December 5th. I started having issues with being able to get up and move around. I was having trouble breathing if I tried doing anything so I would stay in bed all day. I had terrible brain fog where I would forget how to say things and unable to think. Recently I developed insomnia to where I would wake up at 1am and be awake for 6 or 7 hours then sleep all day. My sleep cycle is reversed. I have had an extreme amounts of fatigue and not having any energy at all. I am starting to get extreme depression. I went to ER for the bleeding. PCP doesn't know how to help me because we just did consultations over the phone. I was referred to a post covid clinic but cant get in until February 7, 2021. I haven't had any test did yet.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Mental impairment, Mobility decreased, Movement disorder, Non-24-hour sleep-wake disorder, Pain in extremity
Clinical narrative: First effects I had was a sore arm and a rash all down my left arm. Then about 2 weeks later I started having uterine bleeding. My period wasn't due till November 26th but I started bleeding on November 12th. I kept bleeding until December 5th. I started having issues with being able to get up and move around. I was having trouble breathing if I tried doing anything so I would stay in bed all day. I had terrible brain fog where I would forget how to say things and unable to think. Recently I developed insomnia to where I would wake up at 1am and be awake for 6 or 7 hours then sleep all day. My sleep cycle is reversed. I have had an extreme amounts of fatigue and not having any energy at all. I am starting to get extreme depression. I went to ER for the bleeding. PCP doesn't know how to help me because we just did consultations over the phone. I was referred to a post covid clinic but cant get in until February 7, 2021. I haven't had any test did yet.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Uterine haemorrhage
Clinical narrative: First effects I had was a sore arm and a rash all down my left arm. Then about 2 weeks later I started having uterine bleeding. My period wasn't due till November 26th but I started bleeding on November 12th. I kept bleeding until December 5th. I started having issues with being able to get up and move around. I was having trouble breathing if I tried doing anything so I would stay in bed all day. I had terrible brain fog where I would forget how to say things and unable to think. Recently I developed insomnia to where I would wake up at 1am and be awake for 6 or 7 hours then sleep all day. My sleep cycle is reversed. I have had an extreme amounts of fatigue and not having any energy at all. I am starting to get extreme depression. I went to ER for the bleeding. PCP doesn't know how to help me because we just did consultations over the phone. I was referred to a post covid clinic but cant get in until February 7, 2021. I haven't had any test did yet.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Headache, Myalgia, Parosmia
Clinical narrative: fever 100- 102, shivering during night and couldn't get warm, very bad headache, very sore muscles throughout body, one hours episode of phantosmia (fourth one in three years) four hours after fever broke, 38 hours of reaction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever 100- 102, shivering during night and couldn't get warm, very bad headache, very sore muscles throughout body, one hours episode of phantosmia (fourth one in three years) four hours after fever broke, 38 hours of reaction
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient noticed numbness of the arm and shoulder starting 20 minutes after receiving vaccine- returned to pharmacy to monitor. Symptoms have neither worsened or gotten better.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient complained of headache.  As needed acetaminophen 650mg given with relief.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Heart rate irregular
Clinical narrative: Irreglar heart rate which led to emergency room visit with end diagnosis of atrial fibrillation and patient needing to start eliquis
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Injection site erythema, Injection site vesicles, Mean platelet volume increased, Platelet count normal
Clinical narrative: My arm became red and blistering at the injection site, which lasted for about 8 days. After that on 02/19/2021 I started to get bruises on my legs and arms about 20 of them , which I didn't know where they came from, like small bruises bunched up on my leg. Went to Dr. office and drew blood and my white blood count was very low, my mpv was at 10.5,  did another blood count at 03/19/2021 and my blood levels were back up to normal but my white blood count was still low.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: My arm became red and blistering at the injection site, which lasted for about 8 days. After that on 02/19/2021 I started to get bruises on my legs and arms about 20 of them , which I didn't know where they came from, like small bruises bunched up on my leg. Went to Dr. office and drew blood and my white blood count was very low, my mpv was at 10.5,  did another blood count at 03/19/2021 and my blood levels were back up to normal but my white blood count was still low.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Vomiting
Clinical narrative: Immunization provided to patient.  After 5 minutes patient became light headed and had a syncope event. upon coming to Vomiting occurred.  Layed patient down and placed cold pack on back of neck.  Water provided. BP taken found to be stable.  Vital were normal. Within 5 minutes of sitting patient back to pre vaccine status.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, it was discovered that vaccine refrigerator was out of temp range.  Pt is notified and offered re=vaccination.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria developed five days after vaccine administration
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, it was discovered that vaccine refrigerator was out of temp range.  Pt is notified and offered re=vaccination.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Anxiety, Blood test normal, Fear, Heart rate increased
Clinical narrative: I have been experience rapid heartbeat, and irregular heartbeat since November 3rd, 2021.   Varying degrees of intensity, causing trouble sleeping and great anxiety.   My blood pressure is about 20pts higher than normal.  My pulse is about 10-15 beats per minute higher than normal.   My heart has been steady for my entire life, and I am quite frightened that the symptoms are permanent.  The NP that I saw regarding this had not heard of such adverse reactions but it is listed on the CDC website as an adverse reaction to the J & J Janssen vaccine.   My next step will be asking the NP for a referral to a cardiologist or internal medicine doctor.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Hypertension, Insomnia
Clinical narrative: I have been experience rapid heartbeat, and irregular heartbeat since November 3rd, 2021.   Varying degrees of intensity, causing trouble sleeping and great anxiety.   My blood pressure is about 20pts higher than normal.  My pulse is about 10-15 beats per minute higher than normal.   My heart has been steady for my entire life, and I am quite frightened that the symptoms are permanent.  The NP that I saw regarding this had not heard of such adverse reactions but it is listed on the CDC website as an adverse reaction to the J & J Janssen vaccine.   My next step will be asking the NP for a referral to a cardiologist or internal medicine doctor.
Age: 38.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Angina pectoris, Blood pressure increased, Chest discomfort, Chest pain, Dizziness
Clinical narrative: I had received Moderna Booster 11/6/21 and woke up the following morning 11/7/21 feeling  chest pain & tightness where my heart is. It felt like my heart muscle was clenching very tightly with pain radiating up my left arm. I have recognized this feeling before as I previously had a heart condition some years back. The pain in my chest would tighten with achiness, then release, then tighten again. I began experiencing shortness of breath, dizziness. I admitted myself to Urgent Care at 10:00 AM, explained my symptoms to the medical provider, explained that I had received Moderna Booster, Flu vaccination in my left arm the day prior w/ Tetanus shot Friday 10/29/21.
Age: 38.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Ultrasound scan normal
Clinical narrative: I had received Moderna Booster 11/6/21 and woke up the following morning 11/7/21 feeling  chest pain & tightness where my heart is. It felt like my heart muscle was clenching very tightly with pain radiating up my left arm. I have recognized this feeling before as I previously had a heart condition some years back. The pain in my chest would tighten with achiness, then release, then tighten again. I began experiencing shortness of breath, dizziness. I admitted myself to Urgent Care at 10:00 AM, explained my symptoms to the medical provider, explained that I had received Moderna Booster, Flu vaccination in my left arm the day prior w/ Tetanus shot Friday 10/29/21.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscular weakness, X-ray
Clinical narrative: 7/10 level pain in left shoulder at approximate location of proximal biceps tendon origin.  Weakness L arm.  Four days duration then spontaneous resolution.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient scheduled for dose # 1 Pfizer vaccine. Consent signed by parent. noting no previous covid vaccines. during discussion no mention of previous vaccine in our immunization section no covid vaccines documented. gave vaccine. presented covid vaccine card to parent parent stated patient already had a card.  Looked at card it was noted that patient received 2 doses of pfizer vaccine at a pharmacy. spoke with parent that due to child's age a third dose was not recommended. observed patient for 30 minutes. did a follow up call 24 hours later. no adverse symptoms noted. Provider informed at time of occurrence
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Apathy, Headache, Nausea, Pyrexia, Tremor
Clinical narrative: Week 1: Headache, switching arm (left), high temp, uncontrollable shaking, fatigue, loss of motivation, nausea.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Arm at injection site started swelling on 12/7/21.  The area has gotten progressively larger.  Today 12/09/21 (day 4), it is red, hot, swollen to the size of a baseball.  The injection site is also very sore.   She is calling her family doctor.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Headache, Pain
Clinical narrative: Fever, Chills, Headache, Body Aches, Chest tightness and shortness of breath for about 72 hours
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vaccine positive rechallenge
Clinical narrative: Fever, Chills, Headache, Body Aches, Chest tightness and shortness of breath for about 72 hours
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vaccine positive rechallenge
Clinical narrative: hives, again five days after COVID vaccine administration
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Chest pain, Constipation, Cough, Decreased appetite
Clinical narrative: 12/7/21 Pt is a 32 yr/o who presents to the ED complaining of fatigue, myalgias, mild HA, nausea, vomiting and loss of appetite for 3 days. Pt has covid and is concerned about her pregnancy.  She denies any cough, congestion, dyspnea, chest pain, palpitations, hematemesis, diarrhea, constipation, hematochezia, melena, vaginal bleeding, vaginal discharge or abdominal pain.  She does report being exposed to Covid and she is currently 27 weeks pregnant.  She does not have any medications at home for nausea and has not contacted her OB/GYN today but was seen in the office yesterday.  She does not believe she has lost taste or smell but states that throughout her pregnancy she has had alteration in taste and intermittent
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Exposure during pregnancy, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: 12/7/21 Pt is a 32 yr/o who presents to the ED complaining of fatigue, myalgias, mild HA, nausea, vomiting and loss of appetite for 3 days. Pt has covid and is concerned about her pregnancy.  She denies any cough, congestion, dyspnea, chest pain, palpitations, hematemesis, diarrhea, constipation, hematochezia, melena, vaginal bleeding, vaginal discharge or abdominal pain.  She does report being exposed to Covid and she is currently 27 weeks pregnant.  She does not have any medications at home for nausea and has not contacted her OB/GYN today but was seen in the office yesterday.  She does not believe she has lost taste or smell but states that throughout her pregnancy she has had alteration in taste and intermittent
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematemesis, Haematochezia, Headache, Melaena, Myalgia
Clinical narrative: 12/7/21 Pt is a 32 yr/o who presents to the ED complaining of fatigue, myalgias, mild HA, nausea, vomiting and loss of appetite for 3 days. Pt has covid and is concerned about her pregnancy.  She denies any cough, congestion, dyspnea, chest pain, palpitations, hematemesis, diarrhea, constipation, hematochezia, melena, vaginal bleeding, vaginal discharge or abdominal pain.  She does report being exposed to Covid and she is currently 27 weeks pregnant.  She does not have any medications at home for nausea and has not contacted her OB/GYN today but was seen in the office yesterday.  She does not believe she has lost taste or smell but states that throughout her pregnancy she has had alteration in taste and intermittent
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Palpitations, Respiratory tract congestion, SARS-CoV-2 test positive, Vaginal discharge
Clinical narrative: 12/7/21 Pt is a 32 yr/o who presents to the ED complaining of fatigue, myalgias, mild HA, nausea, vomiting and loss of appetite for 3 days. Pt has covid and is concerned about her pregnancy.  She denies any cough, congestion, dyspnea, chest pain, palpitations, hematemesis, diarrhea, constipation, hematochezia, melena, vaginal bleeding, vaginal discharge or abdominal pain.  She does report being exposed to Covid and she is currently 27 weeks pregnant.  She does not have any medications at home for nausea and has not contacted her OB/GYN today but was seen in the office yesterday.  She does not believe she has lost taste or smell but states that throughout her pregnancy she has had alteration in taste and intermittent
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaginal haemorrhage, Vomiting
Clinical narrative: 12/7/21 Pt is a 32 yr/o who presents to the ED complaining of fatigue, myalgias, mild HA, nausea, vomiting and loss of appetite for 3 days. Pt has covid and is concerned about her pregnancy.  She denies any cough, congestion, dyspnea, chest pain, palpitations, hematemesis, diarrhea, constipation, hematochezia, melena, vaginal bleeding, vaginal discharge or abdominal pain.  She does report being exposed to Covid and she is currently 27 weeks pregnant.  She does not have any medications at home for nausea and has not contacted her OB/GYN today but was seen in the office yesterday.  She does not believe she has lost taste or smell but states that throughout her pregnancy she has had alteration in taste and intermittent
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, FLU4, HEPA
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient was administered all three doses x 2 due to miscommunication. no adverse effects noted during the time at the clinic.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, it was discovered that vaccine refrigerator was out of temp range.  Pt is notified and offered re=vaccination.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Breast mass, Mammogram
Clinical narrative: Noticed a lump on right breast 48 hours after the vaccine that wasn't there before. Got mammogram and biopsy immediately.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Syncope
Clinical narrative: After receiving Moderna booster Client walked a few distance and collapsed into a chair. She was alert and response but feeling dizzy and weak. Patient responded to Ammonia Inhalant. BP was taken three times: 98/60, 100/50, 100/60. Patient was alert but still felt weak and was given orange juice.  Patient stated that she had a history of low blood pressure was nervous.  Client stated a history of spontaneous panic attacks and was feeling nervous.  Client waited in observation for 30 minutes. Client was able to walk to vehicle with family members.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature decreased, Cough, Diarrhoea, Erythema
Clinical narrative: Sore arm with big red patch, itchiness, swollen lymph node in arm pit and throat, dry cough, mucus (first clear, then white ,now pale yellow), diarrhea, muscle and joint pain, brain fog, numbness on left side from face to toes, numbness on both sides from rib up (comes and go), racing heartbeat, low temperature,  eye aches, ringing in ears, nausea, vomitting, extremely fatigued.  Doctor has prescribed prednisone and z-pack.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Fatigue, Feeling abnormal, Hypoaesthesia, Lymphadenopathy
Clinical narrative: Sore arm with big red patch, itchiness, swollen lymph node in arm pit and throat, dry cough, mucus (first clear, then white ,now pale yellow), diarrhea, muscle and joint pain, brain fog, numbness on left side from face to toes, numbness on both sides from rib up (comes and go), racing heartbeat, low temperature,  eye aches, ringing in ears, nausea, vomitting, extremely fatigued.  Doctor has prescribed prednisone and z-pack.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain in extremity, Palpitations, Pruritus
Clinical narrative: Sore arm with big red patch, itchiness, swollen lymph node in arm pit and throat, dry cough, mucus (first clear, then white ,now pale yellow), diarrhea, muscle and joint pain, brain fog, numbness on left side from face to toes, numbness on both sides from rib up (comes and go), racing heartbeat, low temperature,  eye aches, ringing in ears, nausea, vomitting, extremely fatigued.  Doctor has prescribed prednisone and z-pack.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Secretion discharge, Tinnitus, Vomiting
Clinical narrative: Sore arm with big red patch, itchiness, swollen lymph node in arm pit and throat, dry cough, mucus (first clear, then white ,now pale yellow), diarrhea, muscle and joint pain, brain fog, numbness on left side from face to toes, numbness on both sides from rib up (comes and go), racing heartbeat, low temperature,  eye aches, ringing in ears, nausea, vomitting, extremely fatigued.  Doctor has prescribed prednisone and z-pack.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia
Clinical narrative: Patient came in said she had a high fever over 100. She said after getting Moderna, she was really sick for 6 days. She did not say if she went to the doctor or anything. She said she is fine now but it really made her sick and wanted to let us know. I told her I am glad she is fine now. If she needs to go see a doctor she should; but again she said she is fine and she will if she needs to.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Discomfort, Gaze palsy, Paraesthesia oral, Restless legs syndrome
Clinical narrative: Treatment:  PIV placed for anticipation of access.  Reviewed treatment plan, pt expressing desire if possible to avoid iv steroids to "not negate the efficacy of the vaccine."  Pt with previous reaction to vaccine administration 3/21 and 11/21. Pt premedicated with IV benadryl 25 mg and Famotidine 2 mg iv push.  NS fluids started on pt.  Vaccine administered in R deltoid without problem.   10:28  About 5 minutes after vaccine injection, pt c/o tingling in lips/tongue and new onset headache 6/10.  Pt also describes chest pressure as "a bus slowly loading up and driving upward."  BP and O2 sats stable. Pt given additional Benadryl 25mg iv and Epi 0.3mg IM in L upper leg.      10:45 Pt reports chest pressure is lighter but still states she can feel tingling and possible swelling in her lips and tongue.  Second dose of Epi 0.3mg IM given.   10:55 Pt continues to endorse mild chest pressure and lip/tongue tingling.  Pt's main discomfort is restless legs "convulsing and kicking like a seizure, but the rest of my body is not."  Third dose of Epi 0.3 mg IM given.  VSS and pt requests to not receive iv steroids unless absolutely necessary.   11:05 Call made to provider's office regarding pt's reaction and need for additional medication orders. PA-C in touch with Dr for additional orders.   11:45 Pt continues to c/o restless legs and continuous motion of arms and legs.  Able to ambulate in unit with SBA.  Fourth dose of Epi 0.3mg IM given.  Pt reports decreased pressure in her chest.   12:20 Pt states symptoms of restless legs and arms resolved.  Ambulating independently in unit.  States chest pressure gone and no difficulty breathing.  VSS.  Reports 4/10 headache and mild tingling in lips/tongue. Pt requesting to go home so she can rest.  Pt discharged home in stable condition
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Muscular weakness
Clinical narrative: Weakness in legs and an unsteady feeling.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Peripheral swelling, Sleep disorder
Clinical narrative: Patients arm became extremely sore and swollen the day after vaccination; cannot lift arm; has to wake up multiple times a night to take tylenol for pain; injection into rotator cuff???? patient is seeing her PCP on Tuesday
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Staff gave patient Moderna booster 0.25mL instead of Moderna 3rd dose vaccine. Patient contacted by provider and will be returning on 12/10/2021 for Moderna third dose 0.50mL.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient was given a peds dose instead of an adult dose for his second shot.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: 11-year-old client received adult dose of Pfizer for his 1st dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Patient called 12/08 stating injection site was swollen and red when she woke up. She stated it was "like a bee sting" with a welp. Patient was going to go to the doctor to get it looked at. Patient came into pharmacy on 12/09 and added her under arm is swollen. Upon looking at patients arm, I can confirm patients arm has a 2in x 2 in welp, is red and swollen only in that area a little to the right, but still on the deltoid. Patient stated it has gotten bigger over the last day. Isn't very painful, just concerned about the redness/fever and swelling at injection site.   Assured patient it appears to be injection site reaction and to be sure to monitor it over the next couple of days. Also told patient to notify her Dr if pain and swelling gets worse.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Urticaria
Clinical narrative: Patient called 12/08 stating injection site was swollen and red when she woke up. She stated it was "like a bee sting" with a welp. Patient was going to go to the doctor to get it looked at. Patient came into pharmacy on 12/09 and added her under arm is swollen. Upon looking at patients arm, I can confirm patients arm has a 2in x 2 in welp, is red and swollen only in that area a little to the right, but still on the deltoid. Patient stated it has gotten bigger over the last day. Isn't very painful, just concerned about the redness/fever and swelling at injection site.   Assured patient it appears to be injection site reaction and to be sure to monitor it over the next couple of days. Also told patient to notify her Dr if pain and swelling gets worse.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Spreading erythema and induration of left thigh
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Anosmia, Cough, Pain, Pain in extremity, SARS-CoV-2 test
Clinical narrative: 12/8/21-40-year-old male Covid vaccinated 3 days history of loss of smell when he eats nonproductive cough not short of breath body ache and lower extremities no previous Covid CPAP with history of sleep apnea
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Anosmia, COVID-19, Cough, Headache, Oropharyngeal pain
Clinical narrative: 12/8/21-40-year-old male Covid vaccinated 3 days history of loss of smell when he eats nonproductive cough not short of breath body ache and lower extremities no previous Covid CPAP with history of sleep apnea
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 12/8/21-40-year-old male Covid vaccinated 3 days history of loss of smell when he eats nonproductive cough not short of breath body ache and lower extremities no previous Covid CPAP with history of sleep apnea
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired healing, Injection site pain, Lymphadenopathy, Pruritus, Tinnitus
Clinical narrative: 11/29/21 - Got Pfizer booster 11/30- Started getting sore left deltoid at injection site 12/1 - Lymph nodes in left armpit feel swollen 12/2 - Lymph nodes at left collarbone feel swollen, feel itchy around neck/chest for a few days 12/3-12/4 - Armpit feels better, itchiness resolves, collarbone lymph nodes still swollen 12/5 - MAIN ADVERSE EVENT: Woke up with muffled hearing in left ear, felt like cotton in ear. Towards evening, noticed rumbling/high-pitched whine/tinnitus in quiet rooms, hearing still poor. Right ear feels OK.  Took 2 rounds of 2 pills of OTC ibuprofen throughout the day, no change 12/6 - No change, called for ENT appts. Took 1 Aleve around midday, no change 12/7 - Saw ENT, he looked in ears/nose/throat with otascope and said no sign of wax problem or infection, noted swollen lymph nodes at left collarbone. Got prescription for Prednisone: 2x20mg once a day for 4 days, 1x20mg once a day for 4 days after that (12 pills over 8 days total). Took first dose (2X20mg) around 11am. No change in hearing.  Tried to sleep with head elevated and on right side per ENT suggestion. 12/8 - Took 2nd dose (2x20mg) at 8:45am.  No change in hearing.  12/9 - Took 3rd dose (2x20mg) at 8:45am.  No change in hearing thus far. Lymph nodes at left collarbone still seem swollen.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: menstrual cycle started
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Electrocardiogram, Laboratory test, Myalgia
Clinical narrative: patient reports having muscle aches.  also with left-sided chest pain.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Disorientation, Immediate post-injection reaction, Muscle spasms, Pallor
Clinical narrative: Patient reported "virtigo" with last pfizer vaccination; but after todays incident occurred, patient and mother agreed seizure-like activity occurred with both doses (today included). Within 20 seconds of administering pfizer vaccine, patient began experiencing seizure-like activity: muscle spasms of head, arms, feet, pale skin, blue lips that lasted about 30 seconds. During seizure, the mother of the patient and myself supported patient to prevent falling out of the chair until seizure was complete. Following the seizure-like movement, patient ate a piece of candy and drank a small amount of soda; patient was disoriented. Patient remained seated for 30 minutes until post-ictal confusion subsided. EMS was not called as this incident has happened in the past, but patient was instructed to seek medical attention.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Postictal state, Seizure like phenomena
Clinical narrative: Patient reported "virtigo" with last pfizer vaccination; but after todays incident occurred, patient and mother agreed seizure-like activity occurred with both doses (today included). Within 20 seconds of administering pfizer vaccine, patient began experiencing seizure-like activity: muscle spasms of head, arms, feet, pale skin, blue lips that lasted about 30 seconds. During seizure, the mother of the patient and myself supported patient to prevent falling out of the chair until seizure was complete. Following the seizure-like movement, patient ate a piece of candy and drank a small amount of soda; patient was disoriented. Patient remained seated for 30 minutes until post-ictal confusion subsided. EMS was not called as this incident has happened in the past, but patient was instructed to seek medical attention.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Client received a pediatric dose of Pfizer instead of an adult dose.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Extra dose administered, Hypoacusis, Tinnitus
Clinical narrative: My longstanding tinnitus worsened noticeably since I received my booster shot. I have also noticed that my hearing has worsened.  I was not anticipating any sort of side effects so I didn?t note when the changes occurred.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Arthralgia, Asthenia, Axillary pain, Chest pain
Clinical narrative: The day after her vaccination, the only side effect she got was chills. Then after that day, it went away and she had no symptoms of any kind until a week later starting 12/1/2021. She started to feel pain on the right side between the shoulder and chest on her right side. Then the pain started to spread into her arm, shoulder blade, underarm armpit, and it was a very sharp pain. 12/2/2021, we went to urgent care, the pain got so bad that I had to help her get out of bed and help her use the restroom, helped her get dressed, pick her up because she had to work that day and she works from home. I had to place her on the bed and lift her because she couldn't scoot or move. The act of breathing would activate a stabbing pain. That's when we went to urgent care and what they put down as a diagnosis was chest wall pain costochondritis. It wasn't pain of her heart or difficulty breathing. But breathing would activate the pain her shoulder area if she would breathe. It was absolutely crippling. The only thing they prescribed her was a muscle relaxant called Cyclobenzaprine and Motrin. With that, the ibuprofen was more effective and took her about two days to actually start feeling better to the point where she can get up by herself, go to the bathroom, dress herself etc. She never got pain in her arm the next day, it was just the chills. She actually got pain at her injection site a week later. After the urgent care visit, it took 2 days for her to be able to move.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Costochondritis, Dyspnoea, Dysstasia, Gait disturbance
Clinical narrative: The day after her vaccination, the only side effect she got was chills. Then after that day, it went away and she had no symptoms of any kind until a week later starting 12/1/2021. She started to feel pain on the right side between the shoulder and chest on her right side. Then the pain started to spread into her arm, shoulder blade, underarm armpit, and it was a very sharp pain. 12/2/2021, we went to urgent care, the pain got so bad that I had to help her get out of bed and help her use the restroom, helped her get dressed, pick her up because she had to work that day and she works from home. I had to place her on the bed and lift her because she couldn't scoot or move. The act of breathing would activate a stabbing pain. That's when we went to urgent care and what they put down as a diagnosis was chest wall pain costochondritis. It wasn't pain of her heart or difficulty breathing. But breathing would activate the pain her shoulder area if she would breathe. It was absolutely crippling. The only thing they prescribed her was a muscle relaxant called Cyclobenzaprine and Motrin. With that, the ibuprofen was more effective and took her about two days to actually start feeling better to the point where she can get up by herself, go to the bathroom, dress herself etc. She never got pain in her arm the next day, it was just the chills. She actually got pain at her injection site a week later. After the urgent care visit, it took 2 days for her to be able to move.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Loss of personal independence in daily activities, Movement disorder, Musculoskeletal chest pain, Musculoskeletal pain
Clinical narrative: The day after her vaccination, the only side effect she got was chills. Then after that day, it went away and she had no symptoms of any kind until a week later starting 12/1/2021. She started to feel pain on the right side between the shoulder and chest on her right side. Then the pain started to spread into her arm, shoulder blade, underarm armpit, and it was a very sharp pain. 12/2/2021, we went to urgent care, the pain got so bad that I had to help her get out of bed and help her use the restroom, helped her get dressed, pick her up because she had to work that day and she works from home. I had to place her on the bed and lift her because she couldn't scoot or move. The act of breathing would activate a stabbing pain. That's when we went to urgent care and what they put down as a diagnosis was chest wall pain costochondritis. It wasn't pain of her heart or difficulty breathing. But breathing would activate the pain her shoulder area if she would breathe. It was absolutely crippling. The only thing they prescribed her was a muscle relaxant called Cyclobenzaprine and Motrin. With that, the ibuprofen was more effective and took her about two days to actually start feeling better to the point where she can get up by herself, go to the bathroom, dress herself etc. She never got pain in her arm the next day, it was just the chills. She actually got pain at her injection site a week later. After the urgent care visit, it took 2 days for her to be able to move.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Painful respiration
Clinical narrative: The day after her vaccination, the only side effect she got was chills. Then after that day, it went away and she had no symptoms of any kind until a week later starting 12/1/2021. She started to feel pain on the right side between the shoulder and chest on her right side. Then the pain started to spread into her arm, shoulder blade, underarm armpit, and it was a very sharp pain. 12/2/2021, we went to urgent care, the pain got so bad that I had to help her get out of bed and help her use the restroom, helped her get dressed, pick her up because she had to work that day and she works from home. I had to place her on the bed and lift her because she couldn't scoot or move. The act of breathing would activate a stabbing pain. That's when we went to urgent care and what they put down as a diagnosis was chest wall pain costochondritis. It wasn't pain of her heart or difficulty breathing. But breathing would activate the pain her shoulder area if she would breathe. It was absolutely crippling. The only thing they prescribed her was a muscle relaxant called Cyclobenzaprine and Motrin. With that, the ibuprofen was more effective and took her about two days to actually start feeling better to the point where she can get up by herself, go to the bathroom, dress herself etc. She never got pain in her arm the next day, it was just the chills. She actually got pain at her injection site a week later. After the urgent care visit, it took 2 days for her to be able to move.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Went to go vaccinate patient, which included a prick on arm when noticed vaccine was frozen. I removed the needle and discarded vaccine. I then went and re-drawled a new vaccine and administrated to patient. Patient was okay with the process after explaining.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, it was discovered that vaccine refrigerator was out of temp range.  Pt is notified and offered re=vaccination.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Muscular weakness
Clinical narrative: Extreme weakness and fatigue especially  in legs.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure systolic increased
Clinical narrative: Three days after vaccination I incidentally had blood pressure checked and systolic was 20 points higher than usual. I asked for a recheck. 155/86, 160/83. Before this, it was most recently ~ 135/82.  Note: It had NOT been checked very recently and it was NOT checked before or after shots 1 and 2 (February 23, March 26 2021).
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Product administration error
Clinical narrative: Booster dose Pfizer administered to a 17-year-old. Vaccine administration error. Patient not 18 and not eligible for a booster dose of Pfizer.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Pain in extremity, Paraesthesia, Tenderness
Clinical narrative: Patient received his COVID booster 11/10/2021. Patient came in on 12/09/2021 to let me know that he has had intermittent right arm and right leg pain. Reports he believes related to vaccine as it started day after the vaccine and has been intermittent since receiving the vaccine.   Described right arm pain as cramping and tender with movement. Described right leg pain as pins and needles. Reports right leg pain does not interfere with walking and not bothersome with walking
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to communicable disease, Nasopharyngitis
Clinical narrative: cold symptoms, no fever.  My grandson visited who had a runny nose.  He is 2, but his parents tested him twice for covid before visiting.  I believe I just caught his cold.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood creatine phosphokinase, Rhabdomyolysis
Clinical narrative: weakness, rhabdomyolysis