chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered second booster, under the age of 50. She states her father is immunocompromised, but she states she is not immunocompromised. It was realized that this was her second booster after administration.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Sex: U
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: While loading the Data logger I had it away from the Refrigerator too long and the X appeared. None of the vaccines were compromised they never left the refrigerator and the temp did not change.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PARENT SAID THIS WAS HER THIRD DOSE.  WE VACCINATED AND WHEN WE WENT TO REPORT ON SYSTEM, PATIENT ALREADY HAD PRIMARY DOSE AND BOOSTER.   SO SHE GOT A 2ND BOOSTER (4TH DOSE).  WE SHOULD HAVE LOOKED ON SYSTEM BEFORE VACCINATING.  SHE DID NOT HAVE ANY SYMPTOMS.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination site erythema, Vaccination site pruritus
Clinical narrative: Red, itchy circle around the vaccine site.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site erythema, Injection site inflammation, Injection site pruritus
Clinical narrative: Inflamed left upper arm (redness, swelling, itching) from injection site , traveling out and down (at present) -3 " wide x 5" long; headache, fatigue, body aches.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Inflamed left upper arm (redness, swelling, itching) from injection site , traveling out and down (at present) -3 " wide x 5" long; headache, fatigue, body aches.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED AFTER LOT EXPIRATION DATE.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administered post expiration date
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED AFTER LOT EXPIRATION DATE.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, COVID-19, Chest X-ray abnormal, Chills, Death
Clinical narrative: Pfizer COVID vaccine #3 given 8/25/21, lot # FC3184; 1/12/22 pt went to dr's office with productive cough, negative COVID test, CXR showed pneumonia; treated with steroids, and ABX and sent home; later in the week, he developed chills and hypoxia (on 4L O2 via NC and O2 sats in 70s);  1/24/22 brought to ED via EMS and admitted; positive COVID test; increased O2 to 15 L; given remdesivir, ABX, and dexamethasone; increased O2 demands requiring ventilator; developed acute thromobosis; condition worsened; Atrial flutter; tracheostomy performed; G tube placed; continued encephalopathy; wife made pt a DNR but not to withdraw care; 3/5/22 pt transferred to Hospital where he passed away
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalopathy, Gastrostomy, General physical health deterioration, Hypoxia, Mechanical ventilation
Clinical narrative: Pfizer COVID vaccine #3 given 8/25/21, lot # FC3184; 1/12/22 pt went to dr's office with productive cough, negative COVID test, CXR showed pneumonia; treated with steroids, and ABX and sent home; later in the week, he developed chills and hypoxia (on 4L O2 via NC and O2 sats in 70s);  1/24/22 brought to ED via EMS and admitted; positive COVID test; increased O2 to 15 L; given remdesivir, ABX, and dexamethasone; increased O2 demands requiring ventilator; developed acute thromobosis; condition worsened; Atrial flutter; tracheostomy performed; G tube placed; continued encephalopathy; wife made pt a DNR but not to withdraw care; 3/5/22 pt transferred to Hospital where he passed away
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Productive cough, SARS-CoV-2 test positive, Thrombosis, Tracheostomy
Clinical narrative: Pfizer COVID vaccine #3 given 8/25/21, lot # FC3184; 1/12/22 pt went to dr's office with productive cough, negative COVID test, CXR showed pneumonia; treated with steroids, and ABX and sent home; later in the week, he developed chills and hypoxia (on 4L O2 via NC and O2 sats in 70s);  1/24/22 brought to ED via EMS and admitted; positive COVID test; increased O2 to 15 L; given remdesivir, ABX, and dexamethasone; increased O2 demands requiring ventilator; developed acute thromobosis; condition worsened; Atrial flutter; tracheostomy performed; G tube placed; continued encephalopathy; wife made pt a DNR but not to withdraw care; 3/5/22 pt transferred to Hospital where he passed away
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Electrocardiogram normal, Exercise tolerance decreased, Fatigue
Clinical narrative: Pt had several hours of chest tightening, elevated heart rate starting immediately after the first Pfizer injection.  The second injection made these symptoms worse (Pfizer EW0172 given 5/1/21) and pt has since had chest tightness, nonexertional arm pain, as well as fatigue and decreased exercise tolerance.  Pt also has noted memory issues since this time.  Pt additionally contracted covid 12/21 which exacerbated the same symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Pain in extremity
Clinical narrative: Pt had several hours of chest tightening, elevated heart rate starting immediately after the first Pfizer injection.  The second injection made these symptoms worse (Pfizer EW0172 given 5/1/21) and pt has since had chest tightness, nonexertional arm pain, as well as fatigue and decreased exercise tolerance.  Pt also has noted memory issues since this time.  Pt additionally contracted covid 12/21 which exacerbated the same symptoms.
Age: 79.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Rhinorrhoea
Clinical narrative: General tired feeling, sniffling.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Hyperhidrosis, Influenza like illness, Injection site erythema, Injection site haematoma
Clinical narrative: Patient reported today having severe flu like sx (fever, chills, sweats) for 3-4 days. Also, had swelling, redness and pain to injection site. Today, during administration of 2nd dose patient had small hematoma remaining on left deltoid. 2nd dose administered onset of edema within 3-4 minutes of administration. No additional adverse sx presented.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site swelling, Oedema, Pyrexia
Clinical narrative: Patient reported today having severe flu like sx (fever, chills, sweats) for 3-4 days. Also, had swelling, redness and pain to injection site. Today, during administration of 2nd dose patient had small hematoma remaining on left deltoid. 2nd dose administered onset of edema within 3-4 minutes of administration. No additional adverse sx presented.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: On Thursday 5/26, one week after my second booster  I tested positive for Covid.  I most likely was exposed since my daughter in law came down with Covid the next day, Friday 5/27.  We were both eating in a restaurant the Monday before (5/23).  Two other members of our party never came down with Covid. I contacted advice nurse, who schedule a video appointment with my doctor the same day.  I was showing mild symptoms:  congestion, sore throat, fatigue.  My doctor prescribed Paxlovid started the same day.  Tuesday 5/31,  I tested negative and my symptoms were gone.   I tested again on Friday 6/3, tested negative again.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On Thursday 5/26, one week after my second booster  I tested positive for Covid.  I most likely was exposed since my daughter in law came down with Covid the next day, Friday 5/27.  We were both eating in a restaurant the Monday before (5/23).  Two other members of our party never came down with Covid. I contacted advice nurse, who schedule a video appointment with my doctor the same day.  I was showing mild symptoms:  congestion, sore throat, fatigue.  My doctor prescribed Paxlovid started the same day.  Tuesday 5/31,  I tested negative and my symptoms were gone.   I tested again on Friday 6/3, tested negative again.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received Moderna 2nd booster instead of Pfizer 2nd booster as desired.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Pharyngitis, Rhinitis
Clinical narrative: Developed symptoms of COVID-19: pharyngitis, rhinitis, cough 5/25/2022 Symptomatic treatment: Decongestant, cough suppressant, acetaminophen, steroid nasal spray Antiviral: Paxlovid for 5 days 5/27-31/2022 Symptoms much improved by 6/2/2022
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Developed symptoms of COVID-19: pharyngitis, rhinitis, cough 5/25/2022 Symptomatic treatment: Decongestant, cough suppressant, acetaminophen, steroid nasal spray Antiviral: Paxlovid for 5 days 5/27-31/2022 Symptoms much improved by 6/2/2022
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Tired, aches, pain whole body, mild fever
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling hot, Pallor, Urinary tract infection
Clinical narrative: About 45mins after vaccination I had rigor. This was not normal chills. I did not have a fever. I did feel warm. I was very pale. The next morning around 06:30AM it happened again for about 30mins. Two days later it came back again and I ended up going to urgent care. I had been expecting I had a UTI. I was started on Keflex 500mg four times a day. By the following day all my symptoms are gone. I do still experience fatigue.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED AFTER LOT EXPIRATION DATE.
Age: 1.67
Sex: F
Vaccine: FLU4, HEPA
Symptoms: Extra dose administered
Clinical narrative: Patient received an extra dose of flu vaccine.  She received a dose of Fluzone on 04/23/22 despite having a previous dose on 12/09/21 and her initial 2 dose series during the previous flu season on 03/04/21 and 04/05/21.  This information was not available at the time patient received 04/23/22 dose.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED AFTER LOT EXPIRATION DATE.
Age: 71.0
Sex: M
Vaccine: TDAP
Symptoms: Malaise
Clinical narrative: Pt reports that he felt sick after getting this vaccine for approximately 5 days
Age: 67.0
Sex: F
Vaccine: COVID19, PPV, VARZOS
Symptoms: Expired product administered, Product storage error
Clinical narrative: Moderna vaccine expired by 18 hours (vaccine had been open 30 hours)
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Bladder cancer, Chemotherapy, Electrocardiogram normal, Feeling abnormal
Clinical narrative: So we got the shot on a Thursday night, and the follow day I worked on the car. My back and muscles started tensing. The following night the muscle tightness and soreness got worse. It also was followed by finger numbness. A week later the numbness got worse, and I also started having massive anxiety attacks. Only thing that could calm me was driving around. I felt like a lunatic. A week later I went to the doctor, they did an EKG to check my heart and gave me an anxiety medication that I consider a sleeping pill because I was knocked out which was nice because I had not slept in 4 days. The anxiety was still there when I woke up. I week after I was given a different anxiety medication, and about 2 weeks after taking the vaccine and around May 10th because it was time for pre surgery for bladder cancer. I went through the surgery worried about the anxiety so I was knocked out before I was moved out the room. I still take the nefopam for the anxiety and the finger tip numbness is still going on. I also have leg numbness that still is there we are 6 weeks out. I was put back on chemo for the cancer a week ago.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle tightness, Myalgia, Radiotherapy, Sleep disorder
Clinical narrative: So we got the shot on a Thursday night, and the follow day I worked on the car. My back and muscles started tensing. The following night the muscle tightness and soreness got worse. It also was followed by finger numbness. A week later the numbness got worse, and I also started having massive anxiety attacks. Only thing that could calm me was driving around. I felt like a lunatic. A week later I went to the doctor, they did an EKG to check my heart and gave me an anxiety medication that I consider a sleeping pill because I was knocked out which was nice because I had not slept in 4 days. The anxiety was still there when I woke up. I week after I was given a different anxiety medication, and about 2 weeks after taking the vaccine and around May 10th because it was time for pre surgery for bladder cancer. I went through the surgery worried about the anxiety so I was knocked out before I was moved out the room. I still take the nefopam for the anxiety and the finger tip numbness is still going on. I also have leg numbness that still is there we are 6 weeks out. I was put back on chemo for the cancer a week ago.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED AFTER LOT EXPIRATION DATE.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.3 ml dose but drawn from Pediatric Pfizer Vial
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Movement disorder
Clinical narrative: Patient describes the last few days he has had trouble breathing after getting up out of bed, difficulty exerting physical movements. Patient was advised to call md office as soon as possible.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neurological symptom, Pain, Pyrexia, Sensory disturbance, Tremor
Clinical narrative: Besides lots of pain and fever, I am more concerned about the neurological symptoms which include tremors and strange symptoms on face as if walking into spider webs
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Pyrexia
Clinical narrative: Fever Tiredness Dizziness  Headache
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Palpitations
Clinical narrative: Client called and reported that she is still having reactions to her vaccine 72 hours since vaccinated, and still has not let up in reaction. She reported vomiting/nausea, sores inside of her mouth, fever, headaches all over body aches, tiredness, racing heart. Client stated that it is worse and more sever than her other doses. Client stated that she was gong  to call her cardiologist and follow up with him.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Similar reaction on previous exposure to drug, Stomatitis, Vomiting
Clinical narrative: Client called and reported that she is still having reactions to her vaccine 72 hours since vaccinated, and still has not let up in reaction. She reported vomiting/nausea, sores inside of her mouth, fever, headaches all over body aches, tiredness, racing heart. Client stated that it is worse and more sever than her other doses. Client stated that she was gong  to call her cardiologist and follow up with him.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Eye inflammation, Ophthalmological examination abnormal
Clinical narrative: My eye became inflamed and was first misdiagnosed as conjunctivitis at Urgent Care. When condition worsened over the next week I went to my opthamologist who said I had inflammation in the eye and had me start on prednisolone and dorzolomide. It is over a year later and I am still fighting this condition. It will get better and then worse. After several months of iffy improvement Dr. put me on vanacyclovir which cleared it up for a while. But then it worsened. I was able to have the booster because Dr. put me on a prophatactic regimin  (4 weeks)which worked.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Arthropathy, Blood immunoglobulin G, Blood lactic acid, Blood sodium normal
Clinical narrative: Patient noticed leg buckling beginning 2 days prior to hospitalization, lasting a few seconds and then resolving. This continued to happen throughout the following days. The next early morning patient awake to find he had a hard time lifting his left arm, and when he was able to lift it the arm would drop like a dead weight. Morning of hospitalization, patient had left lower extremity weakness and passed out, spouse found him on the floor and alerted EMS. It took some time for him to get back to his normal self. Tongue bite was noted, but no bladder/bowel incontinence.   Patient with cerebral venous sinus thrombosis of unclear etiology, treated with heparin and discharged on Eliquis.         During hospitalization, patient had breakthrough seizures on Depakote. Medication was discontinued, Dilantin was initiated, though through the course of titration patient developed Phenytoin Toxicity. Medication was weaned and Keppra was initiated.        Fluconazole initiated to manage coccidioidomycosis.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebral venous sinus thrombosis, Computerised tomogram abdomen abnormal, Computerised tomogram head abnormal, Electroencephalogram normal, Hepatic steatosis
Clinical narrative: Patient noticed leg buckling beginning 2 days prior to hospitalization, lasting a few seconds and then resolving. This continued to happen throughout the following days. The next early morning patient awake to find he had a hard time lifting his left arm, and when he was able to lift it the arm would drop like a dead weight. Morning of hospitalization, patient had left lower extremity weakness and passed out, spouse found him on the floor and alerted EMS. It took some time for him to get back to his normal self. Tongue bite was noted, but no bladder/bowel incontinence.   Patient with cerebral venous sinus thrombosis of unclear etiology, treated with heparin and discharged on Eliquis.         During hospitalization, patient had breakthrough seizures on Depakote. Medication was discontinued, Dilantin was initiated, though through the course of titration patient developed Phenytoin Toxicity. Medication was weaned and Keppra was initiated.        Fluconazole initiated to manage coccidioidomycosis.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Loss of consciousness, Magnetic resonance imaging head abnormal, Mobility decreased, Muscular weakness, Pulmonary mass
Clinical narrative: Patient noticed leg buckling beginning 2 days prior to hospitalization, lasting a few seconds and then resolving. This continued to happen throughout the following days. The next early morning patient awake to find he had a hard time lifting his left arm, and when he was able to lift it the arm would drop like a dead weight. Morning of hospitalization, patient had left lower extremity weakness and passed out, spouse found him on the floor and alerted EMS. It took some time for him to get back to his normal self. Tongue bite was noted, but no bladder/bowel incontinence.   Patient with cerebral venous sinus thrombosis of unclear etiology, treated with heparin and discharged on Eliquis.         During hospitalization, patient had breakthrough seizures on Depakote. Medication was discontinued, Dilantin was initiated, though through the course of titration patient developed Phenytoin Toxicity. Medication was weaned and Keppra was initiated.        Fluconazole initiated to manage coccidioidomycosis.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Seizure, Spinal osteoarthritis, Subdural haematoma, Superior sagittal sinus thrombosis, Tongue biting
Clinical narrative: Patient noticed leg buckling beginning 2 days prior to hospitalization, lasting a few seconds and then resolving. This continued to happen throughout the following days. The next early morning patient awake to find he had a hard time lifting his left arm, and when he was able to lift it the arm would drop like a dead weight. Morning of hospitalization, patient had left lower extremity weakness and passed out, spouse found him on the floor and alerted EMS. It took some time for him to get back to his normal self. Tongue bite was noted, but no bladder/bowel incontinence.   Patient with cerebral venous sinus thrombosis of unclear etiology, treated with heparin and discharged on Eliquis.         During hospitalization, patient had breakthrough seizures on Depakote. Medication was discontinued, Dilantin was initiated, though through the course of titration patient developed Phenytoin Toxicity. Medication was weaned and Keppra was initiated.        Fluconazole initiated to manage coccidioidomycosis.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Toxicity to various agents, Venogram abnormal, White blood cell count increased
Clinical narrative: Patient noticed leg buckling beginning 2 days prior to hospitalization, lasting a few seconds and then resolving. This continued to happen throughout the following days. The next early morning patient awake to find he had a hard time lifting his left arm, and when he was able to lift it the arm would drop like a dead weight. Morning of hospitalization, patient had left lower extremity weakness and passed out, spouse found him on the floor and alerted EMS. It took some time for him to get back to his normal self. Tongue bite was noted, but no bladder/bowel incontinence.   Patient with cerebral venous sinus thrombosis of unclear etiology, treated with heparin and discharged on Eliquis.         During hospitalization, patient had breakthrough seizures on Depakote. Medication was discontinued, Dilantin was initiated, though through the course of titration patient developed Phenytoin Toxicity. Medication was weaned and Keppra was initiated.        Fluconazole initiated to manage coccidioidomycosis.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Product preparation error
Clinical narrative: Patient received an undiluted Pediatric (orange cap)  Pfizer dose. 0.2 ml's
Age: 0.33
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is a 4 month old infant and was given Kinrix Vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED AFTER LOT EXPIRATION DATE.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED OUTSIDE OF THE RECOMMENDED USE BY DATE FROM MANUFACTURER
Age: 0.33
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient is a 4 month old infant which received Kinrix Vaccine.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED OUTSIDE OF THE RECOMMENDED USE BY DATE FROM MANUFACTURER
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Feeling abnormal, Headache
Clinical narrative: Chills started around 1:30am, very bad headache (I never get headaches), some muscle discomfort,  was unable to sleep. The following day,  very weak, no appetite, nauseous and did vomit several times.  Had to stay in bed pretty much the whole day. Following day -today- feel better but still not 100%- some brain fog.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Mobility decreased, Muscle discomfort, Nausea, Vomiting
Clinical narrative: Chills started around 1:30am, very bad headache (I never get headaches), some muscle discomfort,  was unable to sleep. The following day,  very weak, no appetite, nauseous and did vomit several times.  Had to stay in bed pretty much the whole day. Following day -today- feel better but still not 100%- some brain fog.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 4 1/2 months after I got my Moderna booster, I tested positive for COVID.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Eye pruritus, Malaise, Nasal congestion, Pain
Clinical narrative: COVID breakthrough case. I received my 2nd booster shot on 04/23/2022 and I tested positive for COVID on 05/24/2022. My COVID symptoms started on the same day 05/24/2022 I had a stuffy nose, scratchy throat, itchy eyes and body ache. It felt like a sinus infection. I took Tylenol. I had to quarantine for 5 days and wear mask for 5 more day. I am still recovering from sinus infection. I never had fever. I didn't go to see a doctor but I went to urgent care and they told me if it gets worst to go back but I was feeling better after few days.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinusitis, Throat irritation, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case. I received my 2nd booster shot on 04/23/2022 and I tested positive for COVID on 05/24/2022. My COVID symptoms started on the same day 05/24/2022 I had a stuffy nose, scratchy throat, itchy eyes and body ache. It felt like a sinus infection. I took Tylenol. I had to quarantine for 5 days and wear mask for 5 more day. I am still recovering from sinus infection. I never had fever. I didn't go to see a doctor but I went to urgent care and they told me if it gets worst to go back but I was feeling better after few days.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED OUTSIDE OF THE RECOMMENDED USE BY DATE FROM MANUFACTURER
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Covid booster given 5/26/22 was a 12+ Pfizer dosing instead of 5-11 yo Pfizer dose; nurse inadvertantly grabbed incorrect vial.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: One day after I received vaccine, I experienced moderate dizziness that came in waves over the course of 4 hours. 2 days after (today) I felt some lingering dizziness when I bent forward and moved my head around.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received an initial dose of Varicella vaccine on 05/13/2022 and later received a Proquad dose on 05/24/22.  Proquad dose was not valid due to being administered less than 4 weeks after initial dose.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Contracted COVID-19.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Chills, Fatigue, Feeling hot, Malaise
Clinical narrative: Sore arm. fatigue. eyes tired. Nausea. Chills. Feel feverish but normal temp.  General malaise.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: Sore arm. fatigue. eyes tired. Nausea. Chills. Feel feverish but normal temp.  General malaise.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: sore arm
Age: 51.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Anaemia, Anti-transglutaminase antibody, Coeliac disease, Endoscopy abnormal, Gluten free diet
Clinical narrative: I had nausea and a headache. I had to go on a bland diet for 6 months. I normally experience this but it was an increase in those symptoms. I went to a gastroenterologist who determined that I suffered from Celiac disease. I had to eliminate gluten from my diet completely. I was advised that it would take up to a year for my body to heal. I had some symptoms prior to the vaccine but they are elevated after the fact.
Age: 51.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Headache, Nausea
Clinical narrative: I had nausea and a headache. I had to go on a bland diet for 6 months. I normally experience this but it was an increase in those symptoms. I went to a gastroenterologist who determined that I suffered from Celiac disease. I had to eliminate gluten from my diet completely. I was advised that it would take up to a year for my body to heal. I had some symptoms prior to the vaccine but they are elevated after the fact.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Inside of same arm started to swell, itch, get hot and red. The day after vaccination.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fall, Headache, Nausea
Clinical narrative: pt feels dizzy and fell at home. Pt also experiences HA, N/D. Pt only takes tylenol at home to help with the headache.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received three Covid vaccine boosters  on 10/27/21, 4/13/22,  and on 5/4/22. Patient said she forgot she received the second booster on 4/13/22. Patient said she had no symptoms and was fine. Vaccine was administered by Hospital staff where she works.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Product preparation issue
Clinical narrative: Unreconstituted vaccine administered - patient experienced headaches, lightheadedness, and fatigue
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Deep vein thrombosis, Pelvic venous thrombosis, Ultrasound scan
Clinical narrative: DVT (Iliac to Popliteal vein)
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Bursitis, Cervical spinal stenosis, Clumsiness, Cystoscopy
Clinical narrative: 1) Numbness in Fingers, then arms; weakness in legs and clumsy gait, increasing in severity. 2) Oleacron Bursitis; arthritis 3) Blood in urine 1) Diagnosed 5/2022 as severe cervical spinal stenosis
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Magnetic resonance imaging, Muscular weakness, Neurological examination
Clinical narrative: 1) Numbness in Fingers, then arms; weakness in legs and clumsy gait, increasing in severity. 2) Oleacron Bursitis; arthritis 3) Blood in urine 1) Diagnosed 5/2022 as severe cervical spinal stenosis
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Urogram, X-ray
Clinical narrative: 1) Numbness in Fingers, then arms; weakness in legs and clumsy gait, increasing in severity. 2) Oleacron Bursitis; arthritis 3) Blood in urine 1) Diagnosed 5/2022 as severe cervical spinal stenosis
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: significant rash on both shoulders and 2/3 of back starting the second day after vaccination.  Redness went away by the 4th day but still itchy after 1 week.  No blisters.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Differential white blood cell count, Diverticulitis, Full blood count, Metabolic function test
Clinical narrative: Acute diverticulitis requiring hospitalization twice (5/5-5/9/2022 and 5/26-5/30/2022)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: About 30 minutes following the injection into my left deltoid, I began to experience slight numbness/decreased sensation in the left index and thumb.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine expiration date was identified to expire on June 22, 2021, but the manufacturer expiration date was February 25, 2021.  Based on the information learned, County Health took the following steps: ? Contacted Moderna for guidance and based on Moderna data, the Moderna Medical Information team provided the following information:  o ?The vaccine administered on March 4, 2021 through March 10, 2021 from lot number 025J20-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  ? Contacted a county medical director and based on this information from Moderna, no re-vaccination is needed.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: patient wanted Pfizer, Moderna was given
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient received Moderna COVID vaccine on 2/20/21 (lot # 012M20A), 3/18/21 (lot # 045A21A), and 9/15/21 (lot # 004F21A). On 5/31/22, patient admitted to our inpatient facility with COVID-19 infection, weakness/SOB, and ESRD on dialysis. As of today (6/3/22), patient is still admitted in our med/surg unit.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine expiration date was identified to expire on June 22, 2021, but the manufacturer expiration date was February 25, 2021.  Based on the information learned, County Health took the following steps: ? Contacted Moderna for guidance and based on Moderna data, the Moderna Medical Information team provided the following information:  o ?The vaccine administered on March 4, 2021 through March 10, 2021 from lot number 025J20-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  ? Contacted a county medical director and based on this information from Moderna, no re-vaccination is needed.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Angina pectoris, Arthralgia, Asthenia, Back pain
Clinical narrative: chest(heart) pain, upper shoulder and back pain, abdominal pain happen every 1-5days. weak, some time faint, nausea. duration from 1hr to whole day. more severe at beginning(March). now feel less pain.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: chest(heart) pain, upper shoulder and back pain, abdominal pain happen every 1-5days. weak, some time faint, nausea. duration from 1hr to whole day. more severe at beginning(March). now feel less pain.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Productive cough, Rhinorrhoea
Clinical narrative: I initially had a scratchy throat and a runny nose along with a cough for the 1st 12 hours. I called my doctor the next morning and was prescribed Paxlovid. I completed at at home COVID-19 test and was positive. My wife came home from her college reunion and was positive which was how I got it. I treated it with over the counter flu medicine and it worked. I am still testing positive for COVID-19 but I feel fine. I do still have a little phlegm in my throat. I am still quarantining until Monday.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I initially had a scratchy throat and a runny nose along with a cough for the 1st 12 hours. I called my doctor the next morning and was prescribed Paxlovid. I completed at at home COVID-19 test and was positive. My wife came home from her college reunion and was positive which was how I got it. I treated it with over the counter flu medicine and it worked. I am still testing positive for COVID-19 but I feel fine. I do still have a little phlegm in my throat. I am still quarantining until Monday.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine expiration date was identified to expire on June 22, 2021, but the manufacturer expiration date was February 25, 2021.  Based on the information learned, County Health took the following steps: ? Contacted Moderna for guidance and based on Moderna data, the Moderna Medical Information team provided the following information:  o ?The vaccine administered on March 4, 2021 through March 10, 2021 from lot number 025J20-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  ? Contacted a county medical director and based on this information from Moderna, no re-vaccination is needed.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine expiration date was identified to expire on June 22, 2021, but the manufacturer expiration date was February 25, 2021.  Based on the information learned, Health took the following steps: ? Contacted Moderna for guidance and based on Moderna data, the Moderna Medical Information team provided the following information:  o ?The vaccine administered on March 4, 2021 through March 10, 2021 from lot number 025J20-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  ? Contacted a county medical director and based on this information from Moderna, no re-vaccination is needed.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine expiration date was identified to expire on June 22, 2021, but the manufacturer expiration date was February 25, 2021.  Based on the information learned, County Health took the following steps: ? Contacted Moderna for guidance and based on Moderna data, the Moderna Medical Information team provided the following information:  o ?The vaccine administered on March 4, 2021 through March 10, 2021 from lot number 025J20-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  ? Contacted a county medical director and based on this information from Moderna, no re-vaccination is needed.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Nervousness, Respiratory arrest, Unresponsive to stimuli
Clinical narrative: Patient went to stand after vaccine and sat back down in chair, became unresponsive to stimuli and seemed to stop breathing.  She regained consciousness with a bloody nose and feeling "shaky".  Offered water and cold cloth on neck. EMTs arrived and assessed patient. Patients vitals seemed stable and they offered she could go to hospital or not. Patient chose to go and was taken by EMTs to ER. Has a history of cardiac issues
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chills, Dyspnoea, Fatigue, Pyrexia
Clinical narrative: Patient said after she got moderna she started experiencing fewer a few hours later and the she had shivers, heart fluttering , tires and shortness of breath.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Eye pain, Headache, Injection site pain
Clinical narrative: Sxs stared with left deltoid pain then progressed to nausea approx 7 to 8 hours after receiving the vaccine.  Assoc sxs: diarrhea, acute left-sided headache, acute  posterior neck pain and left eye pain & pressure & bilateral shoulder pain (left > right).   She has been taking Tylenol for relief.  Over the past 12+ hours, her symptoms have plateaued.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Ocular discomfort, SARS-CoV-2 test negative
Clinical narrative: Sxs stared with left deltoid pain then progressed to nausea approx 7 to 8 hours after receiving the vaccine.  Assoc sxs: diarrhea, acute left-sided headache, acute  posterior neck pain and left eye pain & pressure & bilateral shoulder pain (left > right).   She has been taking Tylenol for relief.  Over the past 12+ hours, her symptoms have plateaued.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bacteraemia, COVID-19, Condition aggravated, Hyponatraemia
Clinical narrative: Patient received Moderna COVID vaccine on 2/27/21 (lot # 001A21A), 3/27/21 (lot # 045A21A), and 11/16/21 (lot # 031H21A). On 6/1/22, patient admitted to our inpatient facility with generalized weakness secondary to COVID-19 infection, hyponatremia, and bacteremia secondary to UTI. Patient also tested positive for COVID upon admission as a confirmation. As of today (6/3/22), patient is still admitted in the med/surg unit.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient received Moderna COVID vaccine on 2/27/21 (lot # 001A21A), 3/27/21 (lot # 045A21A), and 11/16/21 (lot # 031H21A). On 6/1/22, patient admitted to our inpatient facility with generalized weakness secondary to COVID-19 infection, hyponatremia, and bacteremia secondary to UTI. Patient also tested positive for COVID upon admission as a confirmation. As of today (6/3/22), patient is still admitted in the med/surg unit.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: patient asked for pfizer, received moderna
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second dose too early.  His first dose was received on 5/23/2022.  Patient was no experiencing any side effect while in the pharmacy.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Presyncope
Clinical narrative: 10 minutes after injection patient experienced lightheadedness and nearly fainted. Water and ice packs were provided, candy was offered in case of low blood sugar but declined, ambulatory care was offered and declined. After about 30 minutes patient was well enough to leave on their own power.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hormone level abnormal, Menstrual disorder
Clinical narrative: After my first two shots, I did not have a menstrual cycle for 67 days, after what was traditional, monthly cycle leading up to that time.  The same thing happened when I received my booster shot in February of 2022.  I did not have a cycle for approximately 63 days. This also caused a change in my hormone levels, which was not an issue prior to receiving the vaccination.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: I gave the patient the 5-11 year old dose, but did not dilute it.  I spoke with dad and let him know that I gave his daughter a slightly higher dose than recommended.  He returned my phone call around 7pm today.  I let him know per our Clinical Specialist to be on the look out for increased side effects of headaches, arm ache and fever.  I asked him to reach out to us with any questions, and that the other pharmacist would reach out to them tomorrow between 12pm and 4pm.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear discomfort, Headache, Nasal congestion
Clinical narrative: Stuffed up, plugged ears, mild headache, off/on chills, no fever.  Started Monday night/early Tuesday AM.  Took over the counter meds (Vitamin C, D3 and CoQ10, generic pseudofed, Nyquil and Tylenol - starting on Tuesday night).  Went to the doctor Thursday late afternoon due to the pressure in nasal area/frontal area of head and fluid in ears.  Was given amoxicillin for sinus for 10 days and steroids for 5 days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Patient came to receive second booster dose of Moderna 0.25 ml, Lot: 001M21A on 06/03/2022. When RN went to administer the vaccine in Right Deltoid at 1158, the needle punctured the skin and when nurse pushed plunger to administer the dose the needle disconnected from the hub of the syringe and upon pushing plunger down vaccine leaked onto client?s arm. Since it appeared that majority of the dose was not administered an additional dose of Moderna 0.25ml Lot: 001M21, vaccine was correctly administered in client?s Left Deltoid at 1159. Per protocol Client remained in clinic for observation for 15 minutes. Client able to ambulate independently from clinic accompanied by his spouse.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient is 13 y.o and was in clinic to receive her booster shot. She should have received the adult dose of pfizer and instead she received the pediatric dose of Pfizer. Provider has tried to make patient aware through a phone call but patient has not returned the call. Will send letter out regarding the incident. According to CDC there is not contra-indication or need for revaccination.   Team reviewed the appropriate ages and vaccines that went with the people when resuming session. Management was notified. There was no adverse reaction from the vaccine. Just too small of a dose.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Correct medication & patient, incorrect dosing interval. 3rd dose (initial booster was administered 3/19/2022). 4th dose (2nd booster) was administered today (2.5 months after last dose) in error rather than appropriate time interval of 4 months after previous booster. No adverse effects reported at this time.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Vaccination error
Clinical narrative: Vaccine administration error: Covid booster (3rd dose) was administered 1/2022 but was not recorded on our immunization records.  At today's visit, I advised a covid booster on the belief that patient had had only 2 doses of her covid vaccine.  After administration of her covid vaccine today, family produced covid vaccination card showing 3 previous doses of covid vaccine.  Patient received an unintentional 4th dose of covid vaccine today.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Vaccine administration error: Covid booster (3rd dose) was administered 1/2022 but was not recorded on our immunization records.  At today's visit, I advised a covid booster on the belief that patient had had only 2 doses of her covid vaccine.  After administration of her covid vaccine today, family produced covid vaccination card showing 3 previous doses of covid vaccine.  Patient received an unintentional 4th dose of covid vaccine today.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: A dose of 0.2 mL was administered instead of a dose of 0.3 mL
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in left ear (constant)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Chest pain, Coronary artery dissection, Echocardiogram, Ultrasound kidney
Clinical narrative: chest pain - diagnosed with spontaneous coronary artery dissection