chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product preparation issue
Clinical narrative: Patient came in for the COVID vaccine booster. When in the clinic the patient received a dose at 0.3ml of the vaccine that was undiluted. The correct dose was provided, the wrong concentration was given.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Pt had arm pain since injection, pt states pain isn't as constant but still has significant pain with any pressure on the arm - ie if he bumps it, also can't sleep on that arm. Advised pt to follow-up with his primary care provider.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The adult Pfizer vaccine was accidently given to the child.
Age: 10.0
Sex: F
Vaccine: FLUR4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: incorrect influenza vaccine administered to pediatric patient, no adverse event noted.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Fatigue, Laboratory test, Pain in extremity
Clinical narrative: Initially it was just the standard really sore arm. Couldn't move or lay on it. Extreme fatigue. Two days later started developing acid indigestion and more extreme fatigue which lasted for 7 weeks. Went to the doctor at the beginning of week three. I was given omeprazole for a couple of weeks with no relief and over the counter Pepto, as well as changed diet to decrease acid. Watched for bloody stools, took probiotic. I never had stomach issues before.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Dermatographia: hives, itching, welts. Itching gets worse.
Age: 39.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chills, Condition aggravated, Deafness, Headache, Pain
Clinical narrative: Fever, chills, headache, all over body aches started 10 hours after administration, followed by hearing loss in right ear 43 hours after administration. Treatment consisted of one 600mg ibuprofen 15 hours after vaccine administration and another 600mg 31 hours after vaccine administration. Fever, chills and body aches gone 51 hours after vaccine administration, with hearing loss still remaining
Age: 39.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pyrexia
Clinical narrative: Fever, chills, headache, all over body aches started 10 hours after administration, followed by hearing loss in right ear 43 hours after administration. Treatment consisted of one 600mg ibuprofen 15 hours after vaccine administration and another 600mg 31 hours after vaccine administration. Fever, chills and body aches gone 51 hours after vaccine administration, with hearing loss still remaining
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: I have had a tingling in my arm since the 2nd shot.  From my elbow to my ring and pinky finger on my left hand
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received a booster dose (unknown primary series) that was one day past the 31-day use-by timeframe as indicated on Pfizer packaging.   The following day I contacted Pfizer and learned that according to their own research the vaccine is equally viable 32 days after thaw.  No adverse signs or symptoms reported by the patient.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Blood pressure increased, Electrocardiogram normal, Fatigue, Headache
Clinical narrative: Fatigue, headache and very tired and wanted to rest. Sick before COVID on Jan 2020 I was very sick and we assumed it was the flu, Heart palpitation and took meds and it helped. Long haul COVID symptoms. I still deal with it and EKG was good and before this it was abnormal. Summer had rapid and irregular heartbeat and made appointment to see the doctor, had Heart Monitor on Flagon and it helped.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Illness, Palpitations
Clinical narrative: Fatigue, headache and very tired and wanted to rest. Sick before COVID on Jan 2020 I was very sick and we assumed it was the flu, Heart palpitation and took meds and it helped. Long haul COVID symptoms. I still deal with it and EKG was good and before this it was abnormal. Summer had rapid and irregular heartbeat and made appointment to see the doctor, had Heart Monitor on Flagon and it helped.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received adult Pfizer dose as first dose of Pfizer vaccine series. Patient was 11 at the time of vaccination. Patient came to clinic for second dose where error was noted. Discussed with mother. Mother understood situation and mother stated she would contact pediatrician. Mother stated patient had no adverse effects after first does. Patient received pediatric Pfizer for second dose in series.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Migraine, Nausea, Pyrexia
Clinical narrative: Woke up after 3 hours of sleep with very bad migraine, nauseous, dizzy, threw up around half an hour after waking up. Had no energy for around 5 hours, had a fever, and a bad migraine. After taking Tylenol and Compazine symptoms got better all afternoon, then the nausea and dizziness returned around 10pm. Threw up again.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Woke up after 3 hours of sleep with very bad migraine, nauseous, dizzy, threw up around half an hour after waking up. Had no energy for around 5 hours, had a fever, and a bad migraine. After taking Tylenol and Compazine symptoms got better all afternoon, then the nausea and dizziness returned around 10pm. Threw up again.
Age: 27.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 2 days after vaccination, pt complained of dizziness, fatigue, and swelling with erythema around the injection site. There was a raised area of reddened skin about 4cm in diameter on her left deltoid.  She reported it was not itchy but was painful and tender to the touch. There was no discharge or streaking, and no pain in the shoulder joint.  Vital signs were normal.  Pt was advised to apply cold packs and rest, and to go to urgent care if her symptoms worsened.
Age: 27.0
Sex: F
Vaccine: FLUC4
Symptoms: SARS-CoV-2 test negative
Clinical narrative: 2 days after vaccination, pt complained of dizziness, fatigue, and swelling with erythema around the injection site. There was a raised area of reddened skin about 4cm in diameter on her left deltoid.  She reported it was not itchy but was painful and tender to the touch. There was no discharge or streaking, and no pain in the shoulder joint.  Vital signs were normal.  Pt was advised to apply cold packs and rest, and to go to urgent care if her symptoms worsened.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient came in for the COVID vaccine booster. When in the clinic the patient received a dose at 0.3ml of the vaccine that was undiluted. The correct dose was provided, the wrong concentration was given.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received a booster dose (unknown primary series) that was one day past the 31-day use-by timeframe as indicated on Pfizer packaging.   The following day I contacted Pfizer and learned that according to their own research the vaccine is equally viable 32 days after thaw.  No adverse signs or symptoms reported by the patient.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Pain, Respiratory tract congestion
Clinical narrative: Per receptionist:  He had his booster shot on Friday and he feels achy and has a cough. He would like to speak to a nurse about the side effects he is having.  COVID+ results on 12/7/21; Monoclonal antibody infusion given on 12/10.  Per Provider: 79yr old male here with complaints of cough and congestion since two days ago, Sunday. Has been achy. Booster on Friday.  Took Tylenol 3 days ago for achey shoulder, and yesterday afternoon, nothing for cough
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Per receptionist:  He had his booster shot on Friday and he feels achy and has a cough. He would like to speak to a nurse about the side effects he is having.  COVID+ results on 12/7/21; Monoclonal antibody infusion given on 12/10.  Per Provider: 79yr old male here with complaints of cough and congestion since two days ago, Sunday. Has been achy. Booster on Friday.  Took Tylenol 3 days ago for achey shoulder, and yesterday afternoon, nothing for cough
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: 24 hours after vaccine fever and 48 hours after vaccine total body hives he has a hx of small hives but not this severe went to ER, received epi pen denies resp/GI symtoms
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Mental status changes, Musculoskeletal pain
Clinical narrative: Home health called they said she is having altered mental status extreme pain between shoulder blades.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Nasopharyngitis, Nausea
Clinical narrative: Day 1 began feeling nauseated and went home approximately 45 mins after injection. Spiked fever that evening. Day 2 headache fever decreased appetite. Day 3 started to feel a little better. Day 4 severe fatigue. Day 5 fever cold symptoms worst day of symptoms. Day 6 cold symptoms COVID-19 tested negative. That evening I began feeling better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Day 1 began feeling nauseated and went home approximately 45 mins after injection. Spiked fever that evening. Day 2 headache fever decreased appetite. Day 3 started to feel a little better. Day 4 severe fatigue. Day 5 fever cold symptoms worst day of symptoms. Day 6 cold symptoms COVID-19 tested negative. That evening I began feeling better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Patient states she has noted changes in her menstrual cycle since receiving 3 rd dose of Moderna COVID vaccination on 11/21/21
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Cardiac function test, Chest X-ray, Chest pain, General physical condition abnormal
Clinical narrative: Got the vaccine at the request of friends, family, work colleagues and in preparation for a work conference. Two days later (after first shot), heart / chest pain begin. Pain continues and has not stopped. Now interfering with my mental and physical health, social life, and causing financial burden due to medical bills.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Loss of personal independence in daily activities, Mental disorder
Clinical narrative: Got the vaccine at the request of friends, family, work colleagues and in preparation for a work conference. Two days later (after first shot), heart / chest pain begin. Pain continues and has not stopped. Now interfering with my mental and physical health, social life, and causing financial burden due to medical bills.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Computerised tomogram, Headache, Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Blinding Headache, tingling & numb lips & mouth; received Benadryl, CAT Scan
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Flushing
Clinical narrative: Patient reported feeling flushed and anxiety. She indicated she had not taken her clonazepam this morning but had it with her. Pt was given water at 1;40 to take her medication. Also took first set of vital signs 156/8 pulse 90 and 02 sat 100. After 20 mins patient reported anxiety was gone and no longer flushed. Second set of vitals 145/75 pulse 71 and 02 sat 100. Pt then waited another 10mins and reported feeling okay to leave with no symptoms or anxiety. Pt verbalized understanding of signs and symptoms to call 911 for.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring abnormal, Cardioversion, Heart rate irregular
Clinical narrative: I noticed an erratic heartbeat that day and it persisted through the next day. I called my doctor. They told me to go into ER, so I went on 12/8/2021. They diagnosed me with atrial fibrillation. I stayed in the hospital overnight. They did an electrical cardioversion procedure on me this morning which brought my heart back into rhythm. I did have an aortic valve replacement back on June 30, 2021.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram thorax abnormal, Fatigue, Injection site pain, Lymphadenopathy
Clinical narrative: Sore arm, fatigue, pain at shoulder blade, rib cage , and back on the right side, pain in left shoulder at injection site, pericardial thickening, vs a  trace  pericardial effusion (fluid and inflation around heart), mildly enlarged lymph node
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Musculoskeletal pain, Pain in extremity, Pericardial effusion, Pericardial fibrosis
Clinical narrative: Sore arm, fatigue, pain at shoulder blade, rib cage , and back on the right side, pain in left shoulder at injection site, pericardial thickening, vs a  trace  pericardial effusion (fluid and inflation around heart), mildly enlarged lymph node
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: pt developed diffuse hives several days after vaccine and continues to hives and pruritus
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: There is no reported adverse event. Patient  received the formulation intended for children 5 to 11 years, resulting in underdoses. Patient received 0.2mL instead of 0.3ml.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given a booster dose at the age of 17. Form complete by patient had incorrect DOB listed and patient checked box indicating he was 18 or older.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Ear pain, Induration, Lymph node pain, Lymphadenopathy
Clinical narrative: Left lymph nodes behind the sternocleidomastoid at the base of the neck swollen to size of pennies, tender, and hard.    Tinnitus in the left ear followed by complete hearing loss in the left ear with lots of pain.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Left lymph nodes behind the sternocleidomastoid at the base of the neck swollen to size of pennies, tender, and hard.    Tinnitus in the left ear followed by complete hearing loss in the left ear with lots of pain.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Diarrhoea, Dizziness postural
Clinical narrative: he day after the vaccine, I ran a fever, had chills, body aches, headache, fatigue and diahrrea and arthralgia. I also had heart palpatations on lying down or reclining. The third day after the vaccine, I woke up with sharp chest pain on my left side. It felt like when you have gas or a stitch in your side, but it was up too high. I felt no crushing pressure, so I knew it wasn't a heart attack. I tried to breathe in deeply to see if it was gas, but the pain was worse the deeper I breathed. I had the urge to yawn all day to try to alleviate the pain. I also had headache, diziness upon standing, heart palpatations upon reclining or lyning down, and diarrhea. The fourth day after the vaccine, the chest pain was still there upon deep breathing.  Heart palpatations upon lying down or reclining and headache continued through the fourth and fifth day. I started taking NSAIDS the 3rd day and 4th day after reading about paracarditis and myocarditis, hoping that the asprin, ibuprofen and acetaminophen would bring down the swelling. By about 1:00 pm on the 5th day, the chest pain subsided. I still have heart palpatations upon lying down, but less frequently and not as strong when the beat returns.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Painful respiration, Palpitations
Clinical narrative: he day after the vaccine, I ran a fever, had chills, body aches, headache, fatigue and diahrrea and arthralgia. I also had heart palpatations on lying down or reclining. The third day after the vaccine, I woke up with sharp chest pain on my left side. It felt like when you have gas or a stitch in your side, but it was up too high. I felt no crushing pressure, so I knew it wasn't a heart attack. I tried to breathe in deeply to see if it was gas, but the pain was worse the deeper I breathed. I had the urge to yawn all day to try to alleviate the pain. I also had headache, diziness upon standing, heart palpatations upon reclining or lyning down, and diarrhea. The fourth day after the vaccine, the chest pain was still there upon deep breathing.  Heart palpatations upon lying down or reclining and headache continued through the fourth and fifth day. I started taking NSAIDS the 3rd day and 4th day after reading about paracarditis and myocarditis, hoping that the asprin, ibuprofen and acetaminophen would bring down the swelling. By about 1:00 pm on the 5th day, the chest pain subsided. I still have heart palpatations upon lying down, but less frequently and not as strong when the beat returns.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Yawning
Clinical narrative: he day after the vaccine, I ran a fever, had chills, body aches, headache, fatigue and diahrrea and arthralgia. I also had heart palpatations on lying down or reclining. The third day after the vaccine, I woke up with sharp chest pain on my left side. It felt like when you have gas or a stitch in your side, but it was up too high. I felt no crushing pressure, so I knew it wasn't a heart attack. I tried to breathe in deeply to see if it was gas, but the pain was worse the deeper I breathed. I had the urge to yawn all day to try to alleviate the pain. I also had headache, diziness upon standing, heart palpatations upon reclining or lyning down, and diarrhea. The fourth day after the vaccine, the chest pain was still there upon deep breathing.  Heart palpatations upon lying down or reclining and headache continued through the fourth and fifth day. I started taking NSAIDS the 3rd day and 4th day after reading about paracarditis and myocarditis, hoping that the asprin, ibuprofen and acetaminophen would bring down the swelling. By about 1:00 pm on the 5th day, the chest pain subsided. I still have heart palpatations upon lying down, but less frequently and not as strong when the beat returns.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, Anticoagulant therapy, Chest pain, Deep vein thrombosis, Dyspnoea
Clinical narrative: Patient presented to the ED complaining of worsening dyspnea, chest pain, and right lower extremity swelling. He was found to have bilateral extensive PE with signs of right heart strain on CTA in the ED. Additionally found to have DVT of right external iliac vein, right common femoral vein, right proximal femoral vein, and occlusive DVT of right deep femoral vein. ECHO showed RV systolic function was severely reduced. He received a heparin bolus and drip in the emergency department, Vascular Surgery was consulted for suction thrombectomy completed on 12/9 for his PE. Additional thrombectomy 12/10 scheduled for RLE. He was successfully weaned off O2 post thrombectomy, plans for likely discharge home 12/11 pending clinical course.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Myocardial strain imaging abnormal, Pelvic venous thrombosis, Peripheral swelling, Peripheral vein occlusion
Clinical narrative: Patient presented to the ED complaining of worsening dyspnea, chest pain, and right lower extremity swelling. He was found to have bilateral extensive PE with signs of right heart strain on CTA in the ED. Additionally found to have DVT of right external iliac vein, right common femoral vein, right proximal femoral vein, and occlusive DVT of right deep femoral vein. ECHO showed RV systolic function was severely reduced. He received a heparin bolus and drip in the emergency department, Vascular Surgery was consulted for suction thrombectomy completed on 12/9 for his PE. Additional thrombectomy 12/10 scheduled for RLE. He was successfully weaned off O2 post thrombectomy, plans for likely discharge home 12/11 pending clinical course.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Systolic dysfunction, Thrombectomy, Ultrasound Doppler abnormal
Clinical narrative: Patient presented to the ED complaining of worsening dyspnea, chest pain, and right lower extremity swelling. He was found to have bilateral extensive PE with signs of right heart strain on CTA in the ED. Additionally found to have DVT of right external iliac vein, right common femoral vein, right proximal femoral vein, and occlusive DVT of right deep femoral vein. ECHO showed RV systolic function was severely reduced. He received a heparin bolus and drip in the emergency department, Vascular Surgery was consulted for suction thrombectomy completed on 12/9 for his PE. Additional thrombectomy 12/10 scheduled for RLE. He was successfully weaned off O2 post thrombectomy, plans for likely discharge home 12/11 pending clinical course.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Urticaria, Urticaria chronic
Clinical narrative: After first vaccine on 3/22/2001 developed hives on left arm 140 days after first vaccine on August 11, 2021.  Hives re-occurred every week on different spot - mainly at night.  Always on arms, back, stomach, or neck.  Never in legs or face.  Went to Dermatologist on  who prescribed over the counter.  The hives re-occurred and is chronic.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Interchange of vaccine products, Pain, Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: Patient was administered Moderna booster shot (0.25 mL dose). Had previously received Pfizer series COVID vaccine. Patient is not 18 years old and is not authorized to receive any Moderna vaccines. Patient had fever 102.0 F., chills and body aches the day after vaccine and symptoms ended the same day.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient came in for the COVID-19 vaccine booster. When in the clinic the patient received a vaccine dose at 0.3mL undiluted. The correct dose was provided, the wrong concentration given.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Immunology test, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative
Clinical narrative: Macular rash to chest, abdomen, upper back, and neck Fever, fatigue, body aches
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, Rash macular, SARS-CoV-2 test negative
Clinical narrative: Macular rash to chest, abdomen, upper back, and neck Fever, fatigue, body aches
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 9 yr old male received 0.2cc of vaccine from Purple vial, essentially 20mcg. No adverse reactions noted during time in clinic.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abstains from alcohol, Abstains from recreational drugs, COVID-19, Cough, Diarrhoea
Clinical narrative: 12/09/21 H and P note: "Patient initially developed symptoms on 12/2 and tested (+) for covid on 12/6 at an urgent care and discharged with cough medicine, prednisone, and inhalers. He is vaccinated for covid, but did not receive the booster vaccine; has not gotten the flu shot. He developed worsening shortness of breath today, and reports having difficulty walking, sleeping, and at rest. He also reports two episodes of NBNB emesis and a dry cough. He denies any fevers at home. He took ibuprofen, mucinex, albuterol and tessalon perles. Endorses loose stools, non bloody. He overall feels tired and fatigue and decrease in po intake, and says has not slept well in the past two days.    Patient was found to be febrile upon arrival, and hypoxic, requiring supplemental O2. He currently feels better and denies any dyspnea, chest pain, palpitations, orthopnea, PND, leg edema, headaches, constipation, abdominal pain, hematuria, recent travel, known sick contacts, lightheadedness, dizziness, hx of sleep apnea. Lives with wife and kids, and wife tested positive as well. Nonsmoker, no alcohol or drug use. "
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Gait disturbance, Hypophagia, Hypoxia
Clinical narrative: 12/09/21 H and P note: "Patient initially developed symptoms on 12/2 and tested (+) for covid on 12/6 at an urgent care and discharged with cough medicine, prednisone, and inhalers. He is vaccinated for covid, but did not receive the booster vaccine; has not gotten the flu shot. He developed worsening shortness of breath today, and reports having difficulty walking, sleeping, and at rest. He also reports two episodes of NBNB emesis and a dry cough. He denies any fevers at home. He took ibuprofen, mucinex, albuterol and tessalon perles. Endorses loose stools, non bloody. He overall feels tired and fatigue and decrease in po intake, and says has not slept well in the past two days.    Patient was found to be febrile upon arrival, and hypoxic, requiring supplemental O2. He currently feels better and denies any dyspnea, chest pain, palpitations, orthopnea, PND, leg edema, headaches, constipation, abdominal pain, hematuria, recent travel, known sick contacts, lightheadedness, dizziness, hx of sleep apnea. Lives with wife and kids, and wife tested positive as well. Nonsmoker, no alcohol or drug use. "
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Non-tobacco user, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 12/09/21 H and P note: "Patient initially developed symptoms on 12/2 and tested (+) for covid on 12/6 at an urgent care and discharged with cough medicine, prednisone, and inhalers. He is vaccinated for covid, but did not receive the booster vaccine; has not gotten the flu shot. He developed worsening shortness of breath today, and reports having difficulty walking, sleeping, and at rest. He also reports two episodes of NBNB emesis and a dry cough. He denies any fevers at home. He took ibuprofen, mucinex, albuterol and tessalon perles. Endorses loose stools, non bloody. He overall feels tired and fatigue and decrease in po intake, and says has not slept well in the past two days.    Patient was found to be febrile upon arrival, and hypoxic, requiring supplemental O2. He currently feels better and denies any dyspnea, chest pain, palpitations, orthopnea, PND, leg edema, headaches, constipation, abdominal pain, hematuria, recent travel, known sick contacts, lightheadedness, dizziness, hx of sleep apnea. Lives with wife and kids, and wife tested positive as well. Nonsmoker, no alcohol or drug use. "
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest X-ray, Chills, Decreased appetite, Diarrhoea
Clinical narrative: 12/7:  Patient presents with URI symptoms for 2 weeks.  He has continual congestion, back and body aches, chills, affected appetite with no improvement, and maybe reports some recent worsening with regard to coughing up 'gross' sputum, and chills.  Original symptoms started on 11/24.  He is vaccinated for covid in Feb/march 2021, but no booster shot.  He is eating and drinking still but has not been eating much.  He does smoke cigarettes daily.  He denies nausea/vomiting, but does have diarrhea since yesterday, which is a new symptom.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Productive cough, Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: 12/7:  Patient presents with URI symptoms for 2 weeks.  He has continual congestion, back and body aches, chills, affected appetite with no improvement, and maybe reports some recent worsening with regard to coughing up 'gross' sputum, and chills.  Original symptoms started on 11/24.  He is vaccinated for covid in Feb/march 2021, but no booster shot.  He is eating and drinking still but has not been eating much.  He does smoke cigarettes daily.  He denies nausea/vomiting, but does have diarrhea since yesterday, which is a new symptom.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Chest discomfort, Erythema, Full blood count normal, Metabolic function test normal
Clinical narrative: 9 days after vaccine, hives, erythema, angioedema, peripheral edema, itching, chest tightening.  Features of serum sickness
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Pruritus, Serum sickness-like reaction, Urticaria
Clinical narrative: 9 days after vaccine, hives, erythema, angioedema, peripheral edema, itching, chest tightening.  Features of serum sickness
Age: 59.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Incorrect dose administered
Clinical narrative: Patient came to clinic requesting the booster vaccine. patient explained that he had received his 1st dose somewhere else, which he had no records of, on the day of the visit. He stated that he had received his 2nd dose somewhere else and provided a digital copy of the dose received with the provided lot# and date mentioned above. Patient explained that later on, if he locates his 1st dose information, he will e-mail it to us. Follwoing policy, patient is allowed to receive his vaccine based on verbal history that the patient provides on the day of visit. No requirements per policy to request proof of prior vaccination. On 11/30/21, patient received his booster dose per clinic's policy and left without any adverse effect after completion of 15 min monitoring. Patient e-mailed us on 12/1/21 and explained that he was wrong and he had never received a dose. However, he had tested postive for Antibodies and as per guidlines, he was told to only receive 1 dose, in order to complete the series.  This incident was reported. Per his request this was reported to Moderna, requesting further guidance. Received 2 different guidlines; either ask the patient to return and receive the full dose of 0.5 ml, or receive the remaining volume of the vaccine for 0.25 ml on the same incident date. Since neither instructions applied to patient anymore, as days had passed since the incident, Moderna suggested to contact CDC. After reporting to CDC, it was suggested to have the patient return and repeat the entire dose without minimum interval. They also suggested that 6 months later patient is eligible to receive his booster. On 12/08/21, patient returned and received 0.5 ml of Moderna, and was monitored for 15 minutes. Patient left the facility without experiencing any adverse effect. Patient was contacted on 12/10/21 to follow up. patient states he has not experienced any adverse effects. he also stated that on 12/9/21 he had slight temp elevation that has resolved.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle swelling, Neck pain, Nerve compression, Ultrasound scan
Clinical narrative: Major pain and pinched nerve in the neck from the swelling of the trapezius muscle, affecting the C3, C4, and C5.  Treated with myotherapy, sonogram, and chiropractic adjustment, along with ice and a cervical collar.  The following day, had another myotherapy session and chiropractic adjustment, with continued wearing of the cervical collar and some ice.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicitis, Computerised tomogram abdomen abnormal
Clinical narrative: One week after my vaccination I had an appendicitis.
Age: 36.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Erythema, Injection site swelling, Pain
Clinical narrative: 36 y/o male  shoulder pain. PT received T/D WED, and then on THURS pain started to get worse especially with movement. PT tried  ice w/ little to no relief. PT reports egg like swelling at injection site redness was minimal. PT goal is exam, consult, and treatment plan.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient came in for the COVID vaccine booster. When in the clinic the patient received a dose at 0.3ml of the vaccine that was undiluted. The correct dose was provided, the wrong concentration was given.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hot flush, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient stated that starting the day following the receipt of her 1st dose of Pfizer vaccine (12/2/21) through today (12/10/21), she has been experiencing some tingling, numbness, and hot and cold flashes. She said it is throughout her body and not just on the side where the vaccine was administered
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Urinary tract infection, Urine analysis
Clinical narrative: Pain in lower right abdomen and UTI.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Mental status changes, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient to the ED on 12/6/2021 for altered mental status from nursing home.  Patient with a fever here of 101.2.  Denies any other complaints.
Age: 12.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Underdose
Clinical narrative: patient given pediatric covid vaccine dose instead of adult dose
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Vomiting
Clinical narrative: Patient came in today to receive his #3 booster Pfizer vaccine.  After his 15 minutes window , he did not complain of any adverse affects but later came back to us 5 minutes later complaining that he he had a headache and felt dizzy. Upon sitting for an additional 15 minutes, staff laid him down on a gurney  for patient was complaining of nausea and vomiting in addition. Vital signs  stable at 137/85, O2 sat 99%, afebrile, heart rate 77, no labored breathing seen.  Patient vomited x 1.  He also said had symptoms on his 2nd vaccine as well.  Patient was given sips of water. He called a family member to drive him home.  Upon leaving , he only complained of a headache.  His supervisor was notified. He will f/u with his doctors for any other s/s.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pain in extremity
Clinical narrative: Rapid heart rate, more than double my normal resting.   120-140 bpm  When normally I?m about 65 bpm. Right arm is still sore many months after the vaccine
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Headache, low grade fever 100.5 - 101, body aches,  soreness at injection site (lasting 1 day)  Swollen lymph node under arm of injection site - started day of vaccine and still present 4 days later
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Culture urine, Electrocardiogram, Irritability
Clinical narrative: 12/09 Lymph nodes above clavicle itchy and swollen, lump under armpit and left and, had a recent GI tract local anesthetic and thought it may be reacting to the booster. Chest cavity was sore and achy and had an itchy lump on left side neck. Irritability from pain and swelling. Went to ER thinking it may be heart related. EKG, blood work, urine sample, and Orthostatic test was done, and all came back normal. Gave bed rest and instructed for at-home treatment. Took Tylenol for the pain and swelling.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lymphadenopathy, Physical examination, Pruritus
Clinical narrative: 12/09 Lymph nodes above clavicle itchy and swollen, lump under armpit and left and, had a recent GI tract local anesthetic and thought it may be reacting to the booster. Chest cavity was sore and achy and had an itchy lump on left side neck. Irritability from pain and swelling. Went to ER thinking it may be heart related. EKG, blood work, urine sample, and Orthostatic test was done, and all came back normal. Gave bed rest and instructed for at-home treatment. Took Tylenol for the pain and swelling.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Inadvertently administered 30mcg adult dose to 11-year-old patient instead of pediatric 10mcg dose. No symptoms or adverse reactions experienced as of yet.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot# 053E21A administered outside the 30-day use by date.  A case was opened with Moderna ID Case ID CEA-1261. "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Gait disturbance, Headache, Impaired driving ability, Impaired work ability
Clinical narrative: I had a headache, muscle aches, the normal side effects of a vaccine. One day I felt so bad I was unable to perform at work. There were a few days that I was unable to drive. I went to see my doctor and was told that it was arthritis. I am unable to walk normally or run. I have to be very careful when performing task like getting in and out of the car.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: I had a headache, muscle aches, the normal side effects of a vaccine. One day I felt so bad I was unable to perform at work. There were a few days that I was unable to drive. I went to see my doctor and was told that it was arthritis. I am unable to walk normally or run. I have to be very careful when performing task like getting in and out of the car.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in for the COVID vaccine booster. When in the clinic the patient received a dose at 0.3ml of the vaccine that was undiluted. The correct dose was provided, the wrong concentration was given.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Tendon pain
Clinical narrative: Tendons in my arms hurts since the vaccination. I have no strength and they are in pain
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient completed the Moderna Primary Series on 11/11/2021 but received Janssen for booster yesterday.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Lymphadenopathy, Myalgia
Clinical narrative: Swollen lymph nodes on left side of neck. Winded. Fatigue. Muscle or body aches. Headache.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Swollen lymph nodes on left side of neck. Winded. Fatigue. Muscle or body aches. Headache.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: patient over 12 years old and received pediatric dose- Patient family informed
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Pain
Clinical narrative: Patient admitted to the hospital on 12/9/2021 for evaluation of body aches, fever, cough, and fatigue since getting the flu vaccine on November 29.  Progressively getting worse since then.  Also has associated shortness of breath when she coughs, as well as lower extremity swelling.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient admitted to the hospital on 12/9/2021 for evaluation of body aches, fever, cough, and fatigue since getting the flu vaccine on November 29.  Progressively getting worse since then.  Also has associated shortness of breath when she coughs, as well as lower extremity swelling.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Chills, Condition aggravated, Fatigue
Clinical narrative: Initial pain at injection site, flu-like symptoms ~16 hours post-vaccine (chills, fever of ~101, exhaustion, body aches, nausea). Resolved ~25hours post-vaccine when acetaminophen was taken at 24 hours post-vaccine. Severe lower back pain began ~22 hours post vaccine and has not resolved. Swollen lymph node under right  arm showed up ~36 hours post-vaccine accompanied by pain in the area.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site pain, Lymphadenopathy, Nausea, Pain
Clinical narrative: Initial pain at injection site, flu-like symptoms ~16 hours post-vaccine (chills, fever of ~101, exhaustion, body aches, nausea). Resolved ~25hours post-vaccine when acetaminophen was taken at 24 hours post-vaccine. Severe lower back pain began ~22 hours post vaccine and has not resolved. Swollen lymph node under right  arm showed up ~36 hours post-vaccine accompanied by pain in the area.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Initial pain at injection site, flu-like symptoms ~16 hours post-vaccine (chills, fever of ~101, exhaustion, body aches, nausea). Resolved ~25hours post-vaccine when acetaminophen was taken at 24 hours post-vaccine. Severe lower back pain began ~22 hours post vaccine and has not resolved. Swollen lymph node under right  arm showed up ~36 hours post-vaccine accompanied by pain in the area.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Magnetic resonance imaging, Muscular weakness, Nerve stimulation test, Tremor
Clinical narrative: I had surgery 3 years prior for nerve issues in my spine after the vaccine I started having weakness in my arm and tremors so I made an appointment for doctor and this continued for about 5 months.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Inflammation
Clinical narrative: Numbness in face on the same side of the body as the injection site. It persisted for multiple days and gradually decreased over that time. The sensation was similar to having a numbing shot for dental work and that medicine wearing off over a couple of days rather than a few hours. My doctor instructed me that it was likely inflammation affecting the nerves as a result of the injection and that use of Advil or a similar product would help.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site pruritus, Nausea
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 12/08/2021, started experiencing symptoms 12/10/2021 of nausea, light headedness, and  itchiness (left) at the injection site. No noted Primary visit/communications. Still experiencing symptoms.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in for the COVID-19 vaccine booster. When in the clinic the patient received a vaccine dose at 0.3mL undiluted. The correct dose was provided, the wrong concentration was given.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Loss of consciousness, Muscle rigidity, Nausea, Unresponsive to stimuli
Clinical narrative: Less than 24 hours after my second dose of the vaccine, I woke up feeling extremely nauseous.  Shortly after waking, I was walking out of my bedroom and passed out.  For several minutes I was unresponsive, my body was rigid and I was not able to breath.  My husband had to call 911 and was about to start chest compressions when I came to.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster Dose given too soon. 1st dose administered 7/30/2021 2nd dose administered 8/20/2021
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient here for evaluation of hypoxia.  Patient tested positive for COVID-19 on 12/7.  Patient has symptoms of shortness of breath and cough.  Oxygen sats were 86-88% on room air.  PCP sent the patient to the hospital for an ID consult and Remdesivir infusion.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Urticaria
Clinical narrative: hives over entire body
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient came in for the COVID vaccine booster. When in the clinic the patient received a dose at 0.3ml of the vaccine that was undiluted. The correct dose was provided, the wrong concentration was given.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pain of skin, Pruritus, Sensitive skin, Skin discolouration
Clinical narrative: At the time indicated (December 9th, ~05:00pm; roughly 48 hours after receiving my Moderna COVID booster shot) I noticed itchy red areas on the top of my left hand. later that evening (December 9th, ~08:00pm) I noticed a roughly round shaped , ca. 5cm in diameter area on my right thigh that appeared very red and slightly itchy. This morning the area had turned a darker shade of red leaning towards purple. The area feels warm, slightly itchy and mildly tender when I push on it. The rest of the skin on my body also feels slightly sensitized or itchy, but no redness outside the area on my thigh. This is still ongoing as of now (December 10th, 2pm).
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: At the time indicated (December 9th, ~05:00pm; roughly 48 hours after receiving my Moderna COVID booster shot) I noticed itchy red areas on the top of my left hand. later that evening (December 9th, ~08:00pm) I noticed a roughly round shaped , ca. 5cm in diameter area on my right thigh that appeared very red and slightly itchy. This morning the area had turned a darker shade of red leaning towards purple. The area feels warm, slightly itchy and mildly tender when I push on it. The rest of the skin on my body also feels slightly sensitized or itchy, but no redness outside the area on my thigh. This is still ongoing as of now (December 10th, 2pm).
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Syringe broke?  No liquid made it thru the needle.  It ran down my entire arm to my hand.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Burning sensation, Injection site erythema, Injection site pain, Injection site paraesthesia
Clinical narrative: Patient described redness and pain along with tingling starting from injection site, which then spread down to elbow and shoulder blade. It initially started at about 8PM on the day of vaccination and then continued, reported after 2 days and was still present. Patient tried taking both benadryl 25 mg and naproxen 220 mg neither provided relief from burning or pain. Informed patient to continue trying benadryl as tolerated and tylenol or ibuprofen for pain.