chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: U
Vaccine: SMALLMNK
Symptoms: Syncope
Clinical narrative: 2 minutes Post vaccination, client experienced a syncopal episode lasting approx. 5 sec. While walking to the observation area. No injury occurred on site.  Client was placed on the floor, legs elevated, vital signs initiated, cool packs provided. When in seating position water and lollipop was offered. Client stated to have an empty stomach.  Observation extended for an hour. Symptoms fully resolved when pt left the site. Oriented x4 and ambulatory.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Arthritis reactive, Gait inability, Swelling, Ultrasound Doppler
Clinical narrative: Reactive arthritis and joint pain and swelling.  Unable to walk for 2 days/
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: X-ray limb
Clinical narrative: Reactive arthritis and joint pain and swelling.  Unable to walk for 2 days/
Age: 38.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Inadverently given Bivalent instead of Monovlaent as 2nd dose in primary series.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Chills, Fatigue, Pain, Pain in extremity
Clinical narrative: The evening of 9/21 I started experiencing sore arm, chills, achiness and fatigue. The following day I had a stomachache that continued thru Sunday morning. Visited urgent care and was prescribed a cocktail of a medication and MAALOX. I am feeling somewhat better now I have a follow up with my primary physician on 9/30/2022.
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Chills, Cystitis, Headache, Neck pain
Clinical narrative: I started to have symptoms around 4PM and later I had severe chills that caused me to have to cover. I also having neck pains that cause me headaches. I called the doctor and advised that I was having chills. I also had a high dose flu vaccine as well. I had these same symptoms before. I am taking LEVAQUIN currently and so my symptoms subsided. I am not sure whether I have recovered from the symptoms or the bladder infection.
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urine analysis abnormal
Clinical narrative: I started to have symptoms around 4PM and later I had severe chills that caused me to have to cover. I also having neck pains that cause me headaches. I called the doctor and advised that I was having chills. I also had a high dose flu vaccine as well. I had these same symptoms before. I am taking LEVAQUIN currently and so my symptoms subsided. I am not sure whether I have recovered from the symptoms or the bladder infection.
Age: 6.0
Sex: M
Vaccine: MMRV
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired by 10 hours time when administered
Age: 38.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Arthralgia, Chills, Decreased appetite, Diarrhoea, Erythema
Clinical narrative: Patient went to urgent care on Friday 8/26/22 and had some labs done on 8/26/22 ESR 90 (ref range 0-10), CRP 64.2 (ref. range <5), glucose 95, creat 1.08, alb 4.7, Tbili 1.4 (ref <1.2), alk phos 64, ast 24, alt 25, ANA negative, wbc 10.27 (diff wnl, hgb 13.1, plt 292 Patient was prescribed for Bactrim on 8/26/22, patient went to f/u to urgent care today, was changed to Doxycycline (only took one day). Tick panel negative. Rx a medrol pack - completed  Patient started having tightness and stiffness on R leg (on 8/20/22), next day had chills. Patient went to gym and sauna the next day. Patient then developed muscle tightness on both legs calves, and achilles on R foot was tight and R index finger PIP got swollen and L wrist mild pain and swelling around 8/22/22 and ended 3 days later. On the 3rd day, patient was able to walk but it was painful and tight. Patient fully able to walk on Thursday 8/25/22 and was able to go to urgent care on 8/26/22. Patient had on Friday L hand swelling and pain at MCP joint which lasted for a few days and now is mostly resolved. Patient has had on/off small red bumps on upper thighs and on left hand, now dry and scabbed. Patient denies pustules or vesicles. Patient did not have any respiratory or URI symptoms. Patient denied at the time any nausea, vomiting, abdominal pain; had loose stools the day of the fever but no diarrhea otherwise. Patient also lost appetite for the entire time. Patient denies dysuria, headaches, sore throat, enlarged lymph nodes, visual changes, bloody stools, conjunctivitis, or urethral discharge.
Age: 38.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Joint swelling, Laboratory test normal, Muscle tightness, Musculoskeletal stiffness, Pain
Clinical narrative: Patient went to urgent care on Friday 8/26/22 and had some labs done on 8/26/22 ESR 90 (ref range 0-10), CRP 64.2 (ref. range <5), glucose 95, creat 1.08, alb 4.7, Tbili 1.4 (ref <1.2), alk phos 64, ast 24, alt 25, ANA negative, wbc 10.27 (diff wnl, hgb 13.1, plt 292 Patient was prescribed for Bactrim on 8/26/22, patient went to f/u to urgent care today, was changed to Doxycycline (only took one day). Tick panel negative. Rx a medrol pack - completed  Patient started having tightness and stiffness on R leg (on 8/20/22), next day had chills. Patient went to gym and sauna the next day. Patient then developed muscle tightness on both legs calves, and achilles on R foot was tight and R index finger PIP got swollen and L wrist mild pain and swelling around 8/22/22 and ended 3 days later. On the 3rd day, patient was able to walk but it was painful and tight. Patient fully able to walk on Thursday 8/25/22 and was able to go to urgent care on 8/26/22. Patient had on Friday L hand swelling and pain at MCP joint which lasted for a few days and now is mostly resolved. Patient has had on/off small red bumps on upper thighs and on left hand, now dry and scabbed. Patient denies pustules or vesicles. Patient did not have any respiratory or URI symptoms. Patient denied at the time any nausea, vomiting, abdominal pain; had loose stools the day of the fever but no diarrhea otherwise. Patient also lost appetite for the entire time. Patient denies dysuria, headaches, sore throat, enlarged lymph nodes, visual changes, bloody stools, conjunctivitis, or urethral discharge.
Age: 38.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Peripheral swelling, Pyrexia, Scab
Clinical narrative: Patient went to urgent care on Friday 8/26/22 and had some labs done on 8/26/22 ESR 90 (ref range 0-10), CRP 64.2 (ref. range <5), glucose 95, creat 1.08, alb 4.7, Tbili 1.4 (ref <1.2), alk phos 64, ast 24, alt 25, ANA negative, wbc 10.27 (diff wnl, hgb 13.1, plt 292 Patient was prescribed for Bactrim on 8/26/22, patient went to f/u to urgent care today, was changed to Doxycycline (only took one day). Tick panel negative. Rx a medrol pack - completed  Patient started having tightness and stiffness on R leg (on 8/20/22), next day had chills. Patient went to gym and sauna the next day. Patient then developed muscle tightness on both legs calves, and achilles on R foot was tight and R index finger PIP got swollen and L wrist mild pain and swelling around 8/22/22 and ended 3 days later. On the 3rd day, patient was able to walk but it was painful and tight. Patient fully able to walk on Thursday 8/25/22 and was able to go to urgent care on 8/26/22. Patient had on Friday L hand swelling and pain at MCP joint which lasted for a few days and now is mostly resolved. Patient has had on/off small red bumps on upper thighs and on left hand, now dry and scabbed. Patient denies pustules or vesicles. Patient did not have any respiratory or URI symptoms. Patient denied at the time any nausea, vomiting, abdominal pain; had loose stools the day of the fever but no diarrhea otherwise. Patient also lost appetite for the entire time. Patient denies dysuria, headaches, sore throat, enlarged lymph nodes, visual changes, bloody stools, conjunctivitis, or urethral discharge.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Incorrect route of product administration
Clinical narrative: Immunization was given by nurse in IM site instead of in the sub Q. No problems reported.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pyrexia, Tinnitus
Clinical narrative: ringing in ears, dizziness, fever 101, headache,
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Extra dose administered
Clinical narrative: Patient was due to receive Meningococcal and a Meningococcal B. However, he was accidentally given two doses of the Meningococcal vaccine and no doses of Meningococcal B. The mistake was not realized until afterwards.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ear pain, Eye pain, Gingival bleeding, Noninfective gingivitis, Oral pain
Clinical narrative: Gum bleeding, tooth pain, lower right jaw pain,  right side occular pain, right side ear pain. Painful to eat on right side of mouth.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in jaw, Toothache, X-ray normal
Clinical narrative: Gum bleeding, tooth pain, lower right jaw pain,  right side occular pain, right side ear pain. Painful to eat on right side of mouth.
Age: 24.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Loss of consciousness, Seizure
Clinical narrative: Patient received the three vaccinations listed above around 6:25PM. I requested patient sit in the waiting area following immunization for about 15 minutes to be monitored. Within 5 minutes of sitting down patient appeared to have briefly convulsed then passed out. I yelled her name then exited the pharmacy and went to her at the chair. I shook her and she came to very quickly. I provided patient with water and an ice pack. She remained awake and oriented to time and place for the next 20 minutes. She expressed after this time that she was okay and was comfortable leaving to go home/meet her ride. I called patient the next day to follow up and see how she was feeling but was unable to reach her.
Age: 6.0
Sex: F
Vaccine: MMRV
Symptoms: Expired product administered
Clinical narrative: Vaccine adminstered 10 hours after expiration date
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Cardiac flutter, Cardiac stress test, Cardiovascular symptom
Clinical narrative: --Cardiac Symptoms. One week after Pfizer Booster:  3 times  squeezing in center of chest;  fluttering and skipping of heartbeats; unsteady on my feet;  lightheaded;  tired;  chills
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dizziness, Echocardiogram, Electrocardiogram ambulatory
Clinical narrative: --Cardiac Symptoms. One week after Pfizer Booster:  3 times  squeezing in center of chest;  fluttering and skipping of heartbeats; unsteady on my feet;  lightheaded;  tired;  chills
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Extrasystoles, Fatigue, Heart valve incompetence, Scan
Clinical narrative: --Cardiac Symptoms. One week after Pfizer Booster:  3 times  squeezing in center of chest;  fluttering and skipping of heartbeats; unsteady on my feet;  lightheaded;  tired;  chills
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: expired vaccine was administered
Age: 32.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: 2 attempts were made to administer the vaccine intradermally.  No wheals were produced either time.  Order was obtained from Medical Director to administer .3 ml of vaccine subcuatneously.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Endometrial ablation, Fatigue, Heavy menstrual bleeding, Muscle spasms
Clinical narrative: Beginning with my second menstrual cycle after the shot (2nd of series); I experienced extremely heavy bleeding with intense cramps and burning accompanied by fatigue. This continued with all of my following cycles every 22 days, lasting 4-5 days. I would utilize an entire box of super absorbant tampons (18 ct.) every two (2) days. Approximately November 2021 I went to my family doctor due to this continued sequence of events impeding my life. She referred me to the Physician listed above, who performed an ablation of the uterus. Since the procedure I had spotty or sparse menstrual cycles for approximately three (3) months; with no further menstrual cycles to date. Fatigue continues to date.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: On 9/20/2022 I started experiencing facial numbness on the right side. I had a neurological screening to rule out a stroke and it was normal. Dx Hypesthesia and was prescribed an antiviral medication in the event that I get Shingles.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was vaccinated with an expired product
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: No harm to patient. Patient was administered a monovalent dose on 9/5/22 as a booster versus the bivalent booster. Of note: Bivalent was not available in the department at the time and no communication had been sent that we were not to administer monovalent as a booster dose any longer.
Age: 71.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Computerised tomogram head abnormal, Dizziness, Facial paralysis, Feeling abnormal, Hemiparesis
Clinical narrative: Patient was dizzy, didn't feel right, called squad. Systolic BP was in the 230s. Patient taken to the ED,  noted to have left side weakness with facial droop and arm drift. Patient had Acute ischemic stroke,
Age: 71.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Ischaemic stroke, Upper motor neurone lesion
Clinical narrative: Patient was dizzy, didn't feel right, called squad. Systolic BP was in the 230s. Patient taken to the ED,  noted to have left side weakness with facial droop and arm drift. Patient had Acute ischemic stroke,
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: extrem pain left wrist
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test normal, Fatigue, Loss of personal independence in daily activities
Clinical narrative: Deep fatigue 7th day after vaccination. Then extreme fatigue (unable to do anything but sit or lay down) 9 days after vaccination. Gradually improved over the following 4 days.
Age: 55.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: 2 attempts were made to administer the vaccine intradermally.  No wheals were produced with either attempt. Medical Director was consulted and order was given to administer .3ml of the vaccine subcutaneously.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Paraesthesia
Clinical narrative: patient stated she felt tingling,numbing in her left arm. She felt dizzy and stated she felt like she wanted to pass out.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Headache, sore on left arm (injection site), fatigue
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Red itchy bumps appeared on the right side of my abdomen. They were in a strip around the area of my bra strap around the middle of my ribs. After about 3 or 4 days, these areas became sensitive and  painful, like a moderate sunburn. the itchiness and pain has begun to subside as of Sept. 27.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 9/25/2022.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 7/21/22 at the Health Department; pt passed away at home; no medical records in our records
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: About 20 minutes after the shot the left side of my face felt tingly and number.  It sort of felt like I had dental work done and the Novocain was wearing off.  It lasted about 2-3 days.   I could still smile and function fine.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Sleep disorder
Clinical narrative: Patient woke up between the hours of 3 am-430 am with a rash. Patient complained of itching on the legs, ankles, hips, and breasts. Patient used benadryl gel, tylenol, and zyrtec orally.
Age: 22.0
Sex: F
Vaccine: COVID19-2
Symptoms: Breast pain, Chest pain, Hypoaesthesia, Myalgia, Pain
Clinical narrative: Patient presented for virtual care visit today with complaints of possible vaccine reaction:   received covid Pfizer booster on Friday. Now with complaints of slight "numbness and tingling" on lert left chest wall started yesterday  -received the shot on the left upper arm. NO localized reaction noted.  -endorses muscle tenderness on the left chest wall, able to reproduce the pain when palpated. States it feels slightly "numb", denies any actual pain, shortness of breath or chest pain. States it feels "like taking a lidocaine patch off".  -has been taking tylenol and doing warm compresses, but symptoms have persisted. Denies any worsening symptoms  -denies any visual changes, no loss of motion or decreased ROM. Pain occasionally radiating to left breast.
Age: 22.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paraesthesia
Clinical narrative: Patient presented for virtual care visit today with complaints of possible vaccine reaction:   received covid Pfizer booster on Friday. Now with complaints of slight "numbness and tingling" on lert left chest wall started yesterday  -received the shot on the left upper arm. NO localized reaction noted.  -endorses muscle tenderness on the left chest wall, able to reproduce the pain when palpated. States it feels slightly "numb", denies any actual pain, shortness of breath or chest pain. States it feels "like taking a lidocaine patch off".  -has been taking tylenol and doing warm compresses, but symptoms have persisted. Denies any worsening symptoms  -denies any visual changes, no loss of motion or decreased ROM. Pain occasionally radiating to left breast.
Age: 0.92
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: 1st dose was Moderna. 2nd dose was given Pfizer in error. Parents instructed to return for 3rd dose in 8 weeks per CDC recommendations.
Age: 34.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Therapeutic response changed
Clinical narrative: 2 attempts were made to administer the vaccine intradermally.  No wheal was produced either time. Medical Director consulted and order was given to administer .3ml  of the vaccine subcutaneously.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Product administered at inappropriate site
Clinical narrative: Patient, MA received vaccine at work by another employee MA. Vaccine was given too low.  Patient repoerted to me (RN Lead),  that it looked too low on her deltoid and that it was red and itchy. Vaccine was given Friday 9/23 and reported to me on Monday 9/26.  Site appeared red and slightly swollen.   Spoke to MA and she reported that she learned to give vaccines 4 finger lengths below acromium process. Spoke to our training clinical educators, who reported: "We do not teach to 4 finger lengths. We teach to half way between the acromion process and the axillary fold. Back in the day, it was only 2-3 finger lengths, so I?m not quite sure where she learned 4 finger lengths. Looking at this photo, it actually looks like a whole hand was used. " (unable to attach photo).  I provided training/coaching to MA and she has to be "checked off" by a preceptor with 5 different patients before giving a vaccine on her own. Clinic Incident report completed. Administration staff informed.   Clinical educators reported that revaccination was not needed: "You do not need to revaccinate. See below. I don?t want to assume, but from your account, the MA-R had the correct size needle and angle for an IM injection, so it was intended to go into the muscle. Even if some subcutaneous tissue was hit, you would not need to revaccinate.   What should we do if we give an injection by the wrong route (SC instead of IM)? There is no minimum interval between the invalid dose and the repeat dose. ACIP and/or CDC recommends that if HepA, MenACWY, IPV, PPSV23, COVID-19, and RZV vaccines are administered subcutaneously, the doses can count and do not need to be repeated.  Correct needle size was used.
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Malaise, Rash
Clinical narrative: patient checked yes to feeling sick today, when asked, he then stated " I was feeling bad three days ago, but I am not feeling bad now." supervisor was notified .  Pt stated he had an exposure 6 days ago, denied any s/sx.  vaccine was administered after pt denies any symptoms today.   Patient's right sleeve fell down over wheel, and he pulled his sleeve up to allow for bandaid placement. multiple bumps noted to right upper arm.  When questioned, he said yes i have some on my other arm, chest and back also.  Patient was asked why he denied any s/sx today.  Pt states " I thought this was an allergic reaction to grass."  Patient referred to adult health for testing.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Alcohol test negative, Asthenia, Atrial fibrillation, Blood test, Computerised tomogram
Clinical narrative: She got her vaccine, was doing fine, and then that evening around 8:00 PM she started jerking very badly like a puppet.  It was difficult for her to walk, had to hold onto furniture or walls.  She does not remember what else went on during that evening.  She did not sleep well.  On Tuesday she was still having the same reaction, she called the pharmacy first and they told her that they had not heard of any of those AE.  She called Dr. who sent her to the ER.  She was still jerking/spastic, they tested her to see if she had alcohol in her system which she did not .  Her BP was off the charts high, and she does not remember a whole lot.  She spent the night in the ER, her BP was still high and was waiting to get in a room.  She had severe headache about a 10, nausea and starting to vomit.  The nurse did not leave her, she was given IV pain medicine, Norco for her headache which did not help.  Then gave her Dilaudid and that started easing the headache, but her BP was still being too high.  They did finally say on Friday that she could go home.  They let her walk out, did not take her out on a wheelchair, but then started having a headache which she felt might be due to her stay.  She went home, she started feeling bad, her BP was high.  She called the hospital, and they told her to call her PCP.  He increased her Alopurinol and then to recheck in 2 hours and to see if it had gone down.  It did, but then the next morning it was high again 2__/1__.  He then called her in Clonidine .1 mg, and told her to take this BP if her BP goes 160/80 and to take every 8 hours.  Throughout the night she did not feel well, her BP was 144/103.  Then she got up at 6:45 took her medicine, and then she took her BP again it was 249/113.  She took the other medication (fast acting), and had called 911 and it was coming down it was 198/1__, and once she got to the hospital it was coming down to a more normal range.  She is weak, lethargic, she works part-time, and she moves a lot on her job and is not able to do that, cannot do her roommate's hair and her arms have no strength.  Her BP is now under better control.  She has adjusted how she takes her medication to prevent the overnight spikes.    She is going to call her Cardiologist to see him about the BP issues.  She had an A-Fib issue come up at the end of June, and now she has the issue with her BP.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyskinesia, Feeling abnormal, Gait disturbance, Headache, Hypertension
Clinical narrative: She got her vaccine, was doing fine, and then that evening around 8:00 PM she started jerking very badly like a puppet.  It was difficult for her to walk, had to hold onto furniture or walls.  She does not remember what else went on during that evening.  She did not sleep well.  On Tuesday she was still having the same reaction, she called the pharmacy first and they told her that they had not heard of any of those AE.  She called Dr. who sent her to the ER.  She was still jerking/spastic, they tested her to see if she had alcohol in her system which she did not .  Her BP was off the charts high, and she does not remember a whole lot.  She spent the night in the ER, her BP was still high and was waiting to get in a room.  She had severe headache about a 10, nausea and starting to vomit.  The nurse did not leave her, she was given IV pain medicine, Norco for her headache which did not help.  Then gave her Dilaudid and that started easing the headache, but her BP was still being too high.  They did finally say on Friday that she could go home.  They let her walk out, did not take her out on a wheelchair, but then started having a headache which she felt might be due to her stay.  She went home, she started feeling bad, her BP was high.  She called the hospital, and they told her to call her PCP.  He increased her Alopurinol and then to recheck in 2 hours and to see if it had gone down.  It did, but then the next morning it was high again 2__/1__.  He then called her in Clonidine .1 mg, and told her to take this BP if her BP goes 160/80 and to take every 8 hours.  Throughout the night she did not feel well, her BP was 144/103.  Then she got up at 6:45 took her medicine, and then she took her BP again it was 249/113.  She took the other medication (fast acting), and had called 911 and it was coming down it was 198/1__, and once she got to the hospital it was coming down to a more normal range.  She is weak, lethargic, she works part-time, and she moves a lot on her job and is not able to do that, cannot do her roommate's hair and her arms have no strength.  Her BP is now under better control.  She has adjusted how she takes her medication to prevent the overnight spikes.    She is going to call her Cardiologist to see him about the BP issues.  She had an A-Fib issue come up at the end of June, and now she has the issue with her BP.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Impaired work ability, Laboratory test, Lethargy, Magnetic resonance imaging, Muscular weakness
Clinical narrative: She got her vaccine, was doing fine, and then that evening around 8:00 PM she started jerking very badly like a puppet.  It was difficult for her to walk, had to hold onto furniture or walls.  She does not remember what else went on during that evening.  She did not sleep well.  On Tuesday she was still having the same reaction, she called the pharmacy first and they told her that they had not heard of any of those AE.  She called Dr. who sent her to the ER.  She was still jerking/spastic, they tested her to see if she had alcohol in her system which she did not .  Her BP was off the charts high, and she does not remember a whole lot.  She spent the night in the ER, her BP was still high and was waiting to get in a room.  She had severe headache about a 10, nausea and starting to vomit.  The nurse did not leave her, she was given IV pain medicine, Norco for her headache which did not help.  Then gave her Dilaudid and that started easing the headache, but her BP was still being too high.  They did finally say on Friday that she could go home.  They let her walk out, did not take her out on a wheelchair, but then started having a headache which she felt might be due to her stay.  She went home, she started feeling bad, her BP was high.  She called the hospital, and they told her to call her PCP.  He increased her Alopurinol and then to recheck in 2 hours and to see if it had gone down.  It did, but then the next morning it was high again 2__/1__.  He then called her in Clonidine .1 mg, and told her to take this BP if her BP goes 160/80 and to take every 8 hours.  Throughout the night she did not feel well, her BP was 144/103.  Then she got up at 6:45 took her medicine, and then she took her BP again it was 249/113.  She took the other medication (fast acting), and had called 911 and it was coming down it was 198/1__, and once she got to the hospital it was coming down to a more normal range.  She is weak, lethargic, she works part-time, and she moves a lot on her job and is not able to do that, cannot do her roommate's hair and her arms have no strength.  Her BP is now under better control.  She has adjusted how she takes her medication to prevent the overnight spikes.    She is going to call her Cardiologist to see him about the BP issues.  She had an A-Fib issue come up at the end of June, and now she has the issue with her BP.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Poor quality sleep, Vomiting
Clinical narrative: She got her vaccine, was doing fine, and then that evening around 8:00 PM she started jerking very badly like a puppet.  It was difficult for her to walk, had to hold onto furniture or walls.  She does not remember what else went on during that evening.  She did not sleep well.  On Tuesday she was still having the same reaction, she called the pharmacy first and they told her that they had not heard of any of those AE.  She called Dr. who sent her to the ER.  She was still jerking/spastic, they tested her to see if she had alcohol in her system which she did not .  Her BP was off the charts high, and she does not remember a whole lot.  She spent the night in the ER, her BP was still high and was waiting to get in a room.  She had severe headache about a 10, nausea and starting to vomit.  The nurse did not leave her, she was given IV pain medicine, Norco for her headache which did not help.  Then gave her Dilaudid and that started easing the headache, but her BP was still being too high.  They did finally say on Friday that she could go home.  They let her walk out, did not take her out on a wheelchair, but then started having a headache which she felt might be due to her stay.  She went home, she started feeling bad, her BP was high.  She called the hospital, and they told her to call her PCP.  He increased her Alopurinol and then to recheck in 2 hours and to see if it had gone down.  It did, but then the next morning it was high again 2__/1__.  He then called her in Clonidine .1 mg, and told her to take this BP if her BP goes 160/80 and to take every 8 hours.  Throughout the night she did not feel well, her BP was 144/103.  Then she got up at 6:45 took her medicine, and then she took her BP again it was 249/113.  She took the other medication (fast acting), and had called 911 and it was coming down it was 198/1__, and once she got to the hospital it was coming down to a more normal range.  She is weak, lethargic, she works part-time, and she moves a lot on her job and is not able to do that, cannot do her roommate's hair and her arms have no strength.  Her BP is now under better control.  She has adjusted how she takes her medication to prevent the overnight spikes.    She is going to call her Cardiologist to see him about the BP issues.  She had an A-Fib issue come up at the end of June, and now she has the issue with her BP.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUC4, COVID19, FLUC3
Symptoms: Chills, Dry mouth, Ear congestion, Fatigue, Myalgia
Clinical narrative: Received my bivalent covid booster on 9/23/22 (2nd total booster.  First covid booster was 10/28/21.  All have been pfizer vaccines.  No known history of covid-19 infection) and a flu shot on the same day.   That evening (9/23/22) I had expected side effects which included mylagias, fatigue, and some chills.  Those subsided the next day (9/24/22) however I subsequently developed a very painful sore throat 8/10 in severity.  It is located more superior in the oropharynx than what I typically experience and seems to approach the posterior aspect of the hard palate.  There is also a fullness of my ears.  Lastly, I am experiencing severe xerostomia which I have never had before.   I tested myself twice for covid-19 infection on subsequent days but this was negative.  I have no other infectious symptoms such as n/v, diarrhea, mylagias, arthralgia, fever, cough, sinus pain,  or congestion. No significant erythema or exudates noted on exam.  I have been taking advil 600mg BID with minimal relief,  The symptoms continue to persist (9/27/22) but do not appear to be getting worse. Given that I do not have any other infectious symptoms and that this was so closely temporally related to my vaccine, I worry that this constellation of symptoms may be secondary to covid bivakent vs flu shot vs conbo covid + flu.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUC4, COVID19, FLUC3
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Received my bivalent covid booster on 9/23/22 (2nd total booster.  First covid booster was 10/28/21.  All have been pfizer vaccines.  No known history of covid-19 infection) and a flu shot on the same day.   That evening (9/23/22) I had expected side effects which included mylagias, fatigue, and some chills.  Those subsided the next day (9/24/22) however I subsequently developed a very painful sore throat 8/10 in severity.  It is located more superior in the oropharynx than what I typically experience and seems to approach the posterior aspect of the hard palate.  There is also a fullness of my ears.  Lastly, I am experiencing severe xerostomia which I have never had before.   I tested myself twice for covid-19 infection on subsequent days but this was negative.  I have no other infectious symptoms such as n/v, diarrhea, mylagias, arthralgia, fever, cough, sinus pain,  or congestion. No significant erythema or exudates noted on exam.  I have been taking advil 600mg BID with minimal relief,  The symptoms continue to persist (9/27/22) but do not appear to be getting worse. Given that I do not have any other infectious symptoms and that this was so closely temporally related to my vaccine, I worry that this constellation of symptoms may be secondary to covid bivakent vs flu shot vs conbo covid + flu.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUC4, COVID19, FLUC3
Symptoms: Dry mouth, Off label use, Oropharyngeal pain, Product use issue, SARS-CoV-2 test
Clinical narrative: Received my bivalent covid booster on 9/23/22 (2nd total booster.  First covid booster was 10/28/21.  All have been pfizer vaccines.  No known history of covid-19 infection) and a flu shot on the same day.   That evening (9/23/22) I had expected side effects which included mylagias, fatigue, and some chills.  Those subsided the next day (9/24/22) however I subsequently developed a very painful sore throat 8/10 in severity.  It is located more superior in the oropharynx than what I typically experience and seems to approach the posterior aspect of the hard palate.  There is also a fullness of my ears.  Lastly, I am experiencing severe xerostomia which I have never had before.   I tested myself twice for covid-19 infection on subsequent days but this was negative.  I have no other infectious symptoms such as n/v, diarrhea, mylagias, arthralgia, fever, cough, sinus pain,  or congestion. No significant erythema or exudates noted on exam.  I have been taking advil 600mg BID with minimal relief,  The symptoms continue to persist (9/27/22) but do not appear to be getting worse. Given that I do not have any other infectious symptoms and that this was so closely temporally related to my vaccine, I worry that this constellation of symptoms may be secondary to covid bivakent vs flu shot vs conbo covid + flu.
Age: 60.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site mass, Injection site pain, Injection site pruritus, Injection site rash, Tuberculin test negative
Clinical narrative: on 9-19-22, pt noticed one bump on R. arm ,  now has 5 total bump close to injection site.  the injection site has a lump under skin/ pt.  The bumps are drying up now . Injection site is sore and itchy.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, COVID-19, Computerised tomogram abnormal, Dyspnoea, Fatigue
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 with a home test on 08/08/2022. I had severe fatigue, difficulty in breathing, fluid on lungs and minor pneumonia. I went to an urgent care center because I had low oxygen levels and they send me to an emergency room. I did not have a blood clot as they thought I did but I did have pneumonia. I was sick for a month. As of today, I continue to have fatigue.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oxygen saturation decreased, Pneumonia, Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 with a home test on 08/08/2022. I had severe fatigue, difficulty in breathing, fluid on lungs and minor pneumonia. I went to an urgent care center because I had low oxygen levels and they send me to an emergency room. I did not have a blood clot as they thought I did but I did have pneumonia. I was sick for a month. As of today, I continue to have fatigue.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Per Department of Public Health recommendation and CDC guidelines: case offered reimmunization with Pfizer Vaccine for appropriate age in 8 weeks.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: 1st dose was Moderna. 2nfd dose was given Pfizer in error. parents instructed to return for a 3rd dose in 8 weeks per the CDC recommendation.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Syringe issue, Underdose
Clinical narrative: Technician administered vaccine intramuscular into right deltoid. Vaccine dripped a large clear droplett down patients arm upon administration. It is likely vaccine leaked out of syringe. We were using pre drawn syringe so likely leur lock syringe was loose or faulty.  According to CDC Website dose could be repeated immediately or can wait 8 weeks for re administration due to risk of pericarditis. pt wanted to wait 8 weeks to re administer.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: THE PATIENT WAS UNDER THE AGE OF 18 AND RECEIVED THE BIVALENT MODERNA BOOSTER. SHE RECEIVED PFIZER FOR HER PRIMARY SERIES. SHE ALSO RECEIVED AN INFLUENZA VACCINATION THE SAME DAY (AFLURIA PF QUAD 0.5ML IN HER LEFT ARM). NO HARM CAME TO THE PATIENT.  THE NURSE CALLED HER THE NEXT DAY AND PATIENT'S MOTHER REPORTED NO SIDE EFFECTS.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Headache, Injection site erythema, Injection site pain, Pain
Clinical narrative: I started feeling pain at the site of the injection on 9/23 shortly thereafter I started getting a headache. I took TYLENOL 500 mg and 1000mg for the pain. However the pain in my left arm did not subside and radiated thru my upper body. My arm started itching and burning and I took BENADRYL. Today I am feeling much better but continue to have red welts at the site of the injection.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Pruritus, Urticaria
Clinical narrative: I started feeling pain at the site of the injection on 9/23 shortly thereafter I started getting a headache. I took TYLENOL 500 mg and 1000mg for the pain. However the pain in my left arm did not subside and radiated thru my upper body. My arm started itching and burning and I took BENADRYL. Today I am feeling much better but continue to have red welts at the site of the injection.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Wrong product administered
Clinical narrative: Patient was only given Diluent. Not the mixed solution of Menveo
Age: 84.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site irritation, Pain in extremity
Clinical narrative: Pt came in today and said that she received the flu shot and her covid 19 bivalent booster on 9/23/22 and that the arm that she got her flu shot in really hurt. She said that the vaccine hurt when she received the shot and she had a quarter sized bruise in the location (left arm) today (9/27/22). She also indicated that her arm was still hurting and upon observation the skin on her upper arm looked very red and irritated. I let her know that it might be infected and that she should contact her dr.  I also called the patient's primary physician and let them know that her arm looked infected.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: A dose of the Pfizer Bivalent 30mg/0.3ml was given to an 11 year old child on 9/24/22. Spoke with the legal guardian on 9/27/22 and the child experienced no adverse side effects from this dose.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: C-reactive protein normal, Dyspnoea, Full blood count normal, Heart rate increased, Metabolic function test normal
Clinical narrative: I had a fever that night. Then, I developed an elevated heart rate and shortness of breath. I went to the emergency room and had some test ran, but all test came back normal. They did not prescribe any medications.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pregnancy test negative, Pyrexia, Red blood cell sedimentation rate normal, Troponin normal, X-ray normal
Clinical narrative: I had a fever that night. Then, I developed an elevated heart rate and shortness of breath. I went to the emergency room and had some test ran, but all test came back normal. They did not prescribe any medications.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Asthenia, Diarrhoea, Nausea, Vomiting
Clinical narrative: Watery Diarrhea,, Nausea & Vomiting:  General Weakness, All symptoms improving but  not well
Age: 21.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient had requested to receive the annual flu shot and Moderna Bivalent vaccine. We did not have the Moderna Bivalent vaccine in stock so patient opted to just get the flu shot. When the pharmacy technician giving  vaccines administered the shot, she accidentally administered the Pfizer Bivalent vaccine rather than the flu shot. He opted to still get the flu shot.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Pain in extremity
Clinical narrative: sore arm for a couple days chills overnight fatigue almost immediately lasting 36 hours headache almost immediately lasting 24 hours Swollen glands under left arm pit for 4 days
Age: 11.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt received the 2nd dose too early. Reached out to the CDC and was informed pt needs to repeat 2nd dose at 3/26/22.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Bile output increased, Cholestasis, Exposure during pregnancy, Hepatic enzyme increased, Induced labour
Clinical narrative: The patient experience cholestasis 4 days after receiving the vaccine. They had itching on their hands and when they went in they bile levels were 3 times normal and had elevated liver enzymes. They were induced by the doctors to protect the pregnancy.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: The patient experience cholestasis 4 days after receiving the vaccine. They had itching on their hands and when they went in they bile levels were 3 times normal and had elevated liver enzymes. They were induced by the doctors to protect the pregnancy.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Covid vaccine was not reconstituted - Observed for 30 minutes before leaving the clinic. No side effects noted.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Fatigue, Myalgia, Pain
Clinical narrative: When I woke up I had shooting pains in my muscles and joint pains, fever of 101 and I was very very tired. I took and at home COVID-19 test and I tested positive. I called my doctor and they prescribed me Paxlovid on the same day. My symptoms lasted for about a week. Then the symptoms came back on day 10 in a milder form.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: When I woke up I had shooting pains in my muscles and joint pains, fever of 101 and I was very very tired. I took and at home COVID-19 test and I tested positive. I called my doctor and they prescribed me Paxlovid on the same day. My symptoms lasted for about a week. Then the symptoms came back on day 10 in a milder form.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: incorrect pfizer covid 19 vaccine administered - should have been pfizer covid 19 bivalent vaccine
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: dose of moderna vaccine for age 6 months - 5 years given in error instead of Moderna bivalent booster
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given a dose of Hep B before it was due. Patient was monitored and showed no signs or symptoms over the course of 15 minutes.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Client presented to the vaccination site on 09/22/2022. The client notified Lead nurse,  that he received his Covid vaccine on 09/13/2022 at Health Center and brought documentation of his previous Covid Vaccine administered so that it could be entered in Immunization Registry today. Per client?s documentation, client received a Janssen primary series Lot # 1821281 in another country on 06/22/2021. Client had previously presented to vaccination site on 09/13/2022 and had requested a Covid Vaccine. A medical consult was done by lead nurse because client did not have documentation of previous Covid vaccine. Per client, he received a Pfizer first dose around March 2021, no adverse reactions to primary series, NKA, and no medical conditions. Medical consult was sent to Dr. at 1159 via text message. At 1204 Dr.  approved via text message for a monovalent Pfizer second dose. At 1219 client received Pfizer monovalent second dose Lot# FP7138 on left arm. Client stayed in the observation area, reported no symptoms, and left the facility in a steady gait.  Lead nurse explained to the client that because he had no documentation on 09/13/2022 and per what client had previously stated, he received a Pfizer monovalent second dose, but because his documentation says Janssen he should have received a Pfizer Bivalent booster per CDC guidelines. Client understood of the medication error. Client was informed that he could come back in two months for a Pfizer Bivalent booster. At 1110 client left the facility in a steady gait.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse effects. Patient got Pfizer COVID-19 vaccine on  2/5/2021 and 3/1/2021, then booster on 9/26/2021 and 4/7/2022. She came in on 7/25/2022 requesting a "second booster",  even though she already had 2 boosters. She is not immunocompromised. That additional dose was given 7/25/2022. Patient had NO reactions or issues with the extra dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient mistakenly received monovalent vaccine instead of updated bivalent vaccine
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pulmonary thrombosis, Scan with contrast, Thrombosis, Ultrasound scan
Clinical narrative: Blood Clots in lung and leg
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient mistakenly received monovalent vaccine instead of update bivalent vaccine.
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, Feeling abnormal, Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: 5 TH COVID MODERNA DOSE -1ST UPDATED BI-VALENT BOOSTER-The patient reported fleeing headaches 24 hours after her vaccines, brain fogginess 48 hours after her vaccine, and numbness and tingling in her arms and legs that she had to repeatedly rub which improved several days later
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: NO KNOWN SYMPTOMS OCCURED