chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: About a week after receiving my second dose, I started to feel like I was achy and I was hurting all over. I had a lot of pain, especially in my left arm, which is the side that I had breast cancer. Under my left breast was hurting as well. I had surgery to remove lymph nodes from my breast on 02/09/2021. I went to my doctor on 03/09 and I advised that I was having frequent urination with blood in my urine. I was referred to a Urologist, who I saw on 03/12. They put me on an antibiotic and did a cystoscopy. I had the cystoscopy on 03/25. Other adverse events that I'm experiencing are vertigo or feeling dizzy spells. I am also experiencing blurred/hazy vision and numbness in my extremities. It seems that every night, my hands, arms, legs and feet will be tingling or be numb. The main place is in my feet where I will have shaking/trembling occur and shoot to my legs. My hands will also shake at times and my fingers and joints hurt. I did go through radiation after my symptoms started, but that was for my cancer. Overall, I just feel achy all the time.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 41.0
Sex: F
Vaccine: FLUC4
Symptoms: Injury associated with device
Clinical narrative: No reaction. Pharmacist had a needle stick after administering the vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PATIENT WAS GIVEN THE WRONG DOSE FOR 2ND VACCINE. SHE WAS GIVEN 0.25CC, OPPOSED TO THE FULL 0.5CC DOSE. PATIENT WAS MADE AWARE IMMEDIATELY BUT HAD ALREADY LEFT THE CLINIC. SHE WAS UNABLE TO RETURN SAME DAY DUE TO WORK COMMITMENTS. SHE HAD NO ADVERSE REACTIONS.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Nausea, Syncope
Clinical narrative: 10mins post vacciantion pt had a syncopal event with associated nausea, flushing and sweating Vitals: 11:55 105/62, 86, 20, 100% -- > 12:15 105/69, 92, 100% Pt stable and released from the vaccination site @ 12:24
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Carotid artery stent insertion, Carotid artery thrombosis, Cerebrovascular accident, Computerised tomogram, Hemiplegia
Clinical narrative: 15 days after vaccination on March 9, 2021  after I received my vaccine I had a massive stroke/CBA when I woke up couldn't type and followed by a complete collapse and paralysis of left side. I called 911 and went to the ER. I was then sent to the Hospital where the doctor cleared the clot placed stents in my Carotid artery. I went to  rehab March 16th where I was treated by the doctor.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging, Mobility decreased, Syncope
Clinical narrative: 15 days after vaccination on March 9, 2021  after I received my vaccine I had a massive stroke/CBA when I woke up couldn't type and followed by a complete collapse and paralysis of left side. I called 911 and went to the ER. I was then sent to the Hospital where the doctor cleared the clot placed stents in my Carotid artery. I went to  rehab March 16th where I was treated by the doctor.
Age: 62.0
Sex: F
Vaccine: FLUR4
Symptoms: Breast pain, Pain, Sleep disorder
Clinical narrative: PT CALLED TODAY C/O ALL OVER BODY ACHES. RIGHT BREAST REALLY SORE BUT THE INJECTION SITE IS NOT SORE. DID NOT SLEEP VERY GOOD LAST NIGHT. THIS STARTED APPROXIMATELY 10:30PM.  PT ASKED WHAT SHE COULD TAKE. I ADVISED HER TO TAKE IBUPROFEN.
Age: 6.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nipple swelling
Clinical narrative: Child presented with raised left nipple 1 week after second immunization
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Disturbance in attention, Dyslexia, Dyspnoea, Feeling abnormal
Clinical narrative: 1) LS of head heated up, then pulsated 30 min. 2) LS of head's artery (from left eye lid to left-side of back of neck) heated like boiling oil for 30 min. 3) Left chest (heart) felt strange and started to hurt, following shortness of breath for approximately 15 - 20 min. 4) Sudden intense pain & pressure on left temple area. 5) Memory fog issue. 6) Dyslexia 10-15: Weird sensation over left breast/heart. 10-18 thru 20: Type-O's, dyslexia and hard to focus (work), didn't sleep good all week. 10-20: work (see above 1 thru 3 & 5), got home felt flu and drain symptoms with sinus problems. No fever. 10-21: Called out sick, slept. 10-25: work (see above 4) went to hosp. 10-28: Sudden sore throat.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Influenza like illness, Insomnia, Memory impairment
Clinical narrative: 1) LS of head heated up, then pulsated 30 min. 2) LS of head's artery (from left eye lid to left-side of back of neck) heated like boiling oil for 30 min. 3) Left chest (heart) felt strange and started to hurt, following shortness of breath for approximately 15 - 20 min. 4) Sudden intense pain & pressure on left temple area. 5) Memory fog issue. 6) Dyslexia 10-15: Weird sensation over left breast/heart. 10-18 thru 20: Type-O's, dyslexia and hard to focus (work), didn't sleep good all week. 10-20: work (see above 1 thru 3 & 5), got home felt flu and drain symptoms with sinus problems. No fever. 10-21: Called out sick, slept. 10-25: work (see above 4) went to hosp. 10-28: Sudden sore throat.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: 1) LS of head heated up, then pulsated 30 min. 2) LS of head's artery (from left eye lid to left-side of back of neck) heated like boiling oil for 30 min. 3) Left chest (heart) felt strange and started to hurt, following shortness of breath for approximately 15 - 20 min. 4) Sudden intense pain & pressure on left temple area. 5) Memory fog issue. 6) Dyslexia 10-15: Weird sensation over left breast/heart. 10-18 thru 20: Type-O's, dyslexia and hard to focus (work), didn't sleep good all week. 10-20: work (see above 1 thru 3 & 5), got home felt flu and drain symptoms with sinus problems. No fever. 10-21: Called out sick, slept. 10-25: work (see above 4) went to hosp. 10-28: Sudden sore throat.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pain, SARS-CoV-2 test positive
Clinical narrative: Pt received pfizer vaccines on 04/01/21 and 04/22/21. Pt presented to the ED with complaints of difficulty breathing, body aches, and cough. Pt was tested for COVID at Urgent care, which came back positive.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: 2nd immunization 8/6/21, Pfizer brand COVID vaccine,  LOT EW0183, IM R arm
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient refers paresthesia in her contralateral arm after receiving the Moderna vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia oral, Painful respiration, Respiratory distress
Clinical narrative: Friday, Dec.10th 2021 16:32   During a Vaccination clinic, Medical Teams staff/volunteers administered a 1st dose of Pfizer covid vaccine to a 25-year-old female. Approx. 5 minutes later a volunteer flagged me down and reported that the patient was having difficulty breathing. I immediately stopped the clinic. Upon seeing the patient, she was obviously in respiratory distress. I instructed volunteer to activate 911. I then drew up 0.3 mg of epinephrine and RN administered to patient via IM (1635). Patient was then placed supine on the ground and her legs were elevated. Post epi administration, patient vitals: pulse 120, BP, 120/100, resp rate 20. Patient reported that beathing became easier post epi administration, but pain on inspiration. After four minutes patient reported her tongue and lips were feeling numb. We had drawn up a second 0.3 ml of Epi, but fire had arrived on scene(1644). Report was given to paramedics, and patient was handed off and transported by paramedics.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 13 year old patient received the Pfizer Covid vaccine intended for 5-11 years old and received the 0.2 ml dosage. We are currently reaching out to patient to inform about the error, but per CDC patient is to come back at 21 days to receive the second dose of Pfizer but patient is to receive age appropriate Pfizer vaccine 12 and over.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia, Sensitive skin, Tenderness
Clinical narrative: Fatigue started about 12 hours after the injection. My body ached and was painful to the touch. I had a fever for about 6 hours (hours 12-18 post injection). The fatigue and body sensitivity lasted 24 hours.
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: Immunisation, No adverse event, Wrong technique in product usage process
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine (PEDS) pediatric formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9% NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9% NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was 17 years old at the time she received the COVID-19 booster. The patient should have received the Pfizer booster instead received the Moderna booster. No symptoms reported.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood pressure systolic increased, Blood test normal, Dizziness, Electrocardiogram normal
Clinical narrative: October 29 started nausea which was pronounced for six days.  No vomiting just aversion yo food sight or smell.  The following Friday, one hour after nausea stopped, dizxiness began.  Checked blood pressure and it was 188 over 82, much higher than ever before.  Went to DC octor and she increased metropolol. However, systolic pressure kept climbing over weekend and went to ER twice on Friday then Sunday.  Systolic reached over 200 but diastolic normal, heart rate normal and EKG and heart rate ok as well as blood and urine.  It took two weeks, an addition of amlodopine and upping lorazepam to one mg to get pressure back to normal.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Urine analysis normal
Clinical narrative: October 29 started nausea which was pronounced for six days.  No vomiting just aversion yo food sight or smell.  The following Friday, one hour after nausea stopped, dizxiness began.  Checked blood pressure and it was 188 over 82, much higher than ever before.  Went to DC octor and she increased metropolol. However, systolic pressure kept climbing over weekend and went to ER twice on Friday then Sunday.  Systolic reached over 200 but diastolic normal, heart rate normal and EKG and heart rate ok as well as blood and urine.  It took two weeks, an addition of amlodopine and upping lorazepam to one mg to get pressure back to normal.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Depression, Discomfort, Disturbance in attention, Dizziness
Clinical narrative: 1st dose - 4/24/2021 Sharp pain down injected arm to the elbow and into wrist and finger night of vaccine. Very tired. 4/25/2021 Next morning body aches, no appetite, no fever, restless, lethargic, nauseous for two next days. Rash over the left upper arm, warm, swollen, and itchy 6 days later, lasted 8 days. Continued feeling tired, headaches, foggy feeling for weeks. I was too out of it to be seen by a physician. Missed work. 2nd dose - 5/22/2021 Sharp pain down injected arm to the elbow and into wrist and finger a few hours after vaccine. 5/23/2021 Next morning, tire, sore muscles in every part of my body, restless, could not get comfortable, tired, dizzy, fever, headache, my whole body was in pain, body aches and pain, lasted 2 days. I was the most miserable I have ever been and I've had my fair share of things. Rash over upper left arm, warm, swollen, lasted 5 days. I was too out of it to be seen by a physician. Missed work. Since 2nd dose. Menstruation is very irregular, severe cramps but no period, period shows up erratically, severe depression and mood swings, cannot lose weight, headaches often, difficulty concentrating and  allergies worse than before. I have not felt like myself since that first dose but cannot exactly pinpoint it. My menstruation was very regular before the vaccines, now my body has no idea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Fatigue, Feeling abnormal, Headache, Hypersensitivity
Clinical narrative: 1st dose - 4/24/2021 Sharp pain down injected arm to the elbow and into wrist and finger night of vaccine. Very tired. 4/25/2021 Next morning body aches, no appetite, no fever, restless, lethargic, nauseous for two next days. Rash over the left upper arm, warm, swollen, and itchy 6 days later, lasted 8 days. Continued feeling tired, headaches, foggy feeling for weeks. I was too out of it to be seen by a physician. Missed work. 2nd dose - 5/22/2021 Sharp pain down injected arm to the elbow and into wrist and finger a few hours after vaccine. 5/23/2021 Next morning, tire, sore muscles in every part of my body, restless, could not get comfortable, tired, dizzy, fever, headache, my whole body was in pain, body aches and pain, lasted 2 days. I was the most miserable I have ever been and I've had my fair share of things. Rash over upper left arm, warm, swollen, lasted 5 days. I was too out of it to be seen by a physician. Missed work. Since 2nd dose. Menstruation is very irregular, severe cramps but no period, period shows up erratically, severe depression and mood swings, cannot lose weight, headaches often, difficulty concentrating and  allergies worse than before. I have not felt like myself since that first dose but cannot exactly pinpoint it. My menstruation was very regular before the vaccines, now my body has no idea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Menstruation irregular, Mood swings, Myalgia, Pain
Clinical narrative: 1st dose - 4/24/2021 Sharp pain down injected arm to the elbow and into wrist and finger night of vaccine. Very tired. 4/25/2021 Next morning body aches, no appetite, no fever, restless, lethargic, nauseous for two next days. Rash over the left upper arm, warm, swollen, and itchy 6 days later, lasted 8 days. Continued feeling tired, headaches, foggy feeling for weeks. I was too out of it to be seen by a physician. Missed work. 2nd dose - 5/22/2021 Sharp pain down injected arm to the elbow and into wrist and finger a few hours after vaccine. 5/23/2021 Next morning, tire, sore muscles in every part of my body, restless, could not get comfortable, tired, dizzy, fever, headache, my whole body was in pain, body aches and pain, lasted 2 days. I was the most miserable I have ever been and I've had my fair share of things. Rash over upper left arm, warm, swollen, lasted 5 days. I was too out of it to be seen by a physician. Missed work. Since 2nd dose. Menstruation is very irregular, severe cramps but no period, period shows up erratically, severe depression and mood swings, cannot lose weight, headaches often, difficulty concentrating and  allergies worse than before. I have not felt like myself since that first dose but cannot exactly pinpoint it. My menstruation was very regular before the vaccines, now my body has no idea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Rash, Restlessness
Clinical narrative: 1st dose - 4/24/2021 Sharp pain down injected arm to the elbow and into wrist and finger night of vaccine. Very tired. 4/25/2021 Next morning body aches, no appetite, no fever, restless, lethargic, nauseous for two next days. Rash over the left upper arm, warm, swollen, and itchy 6 days later, lasted 8 days. Continued feeling tired, headaches, foggy feeling for weeks. I was too out of it to be seen by a physician. Missed work. 2nd dose - 5/22/2021 Sharp pain down injected arm to the elbow and into wrist and finger a few hours after vaccine. 5/23/2021 Next morning, tire, sore muscles in every part of my body, restless, could not get comfortable, tired, dizzy, fever, headache, my whole body was in pain, body aches and pain, lasted 2 days. I was the most miserable I have ever been and I've had my fair share of things. Rash over upper left arm, warm, swollen, lasted 5 days. I was too out of it to be seen by a physician. Missed work. Since 2nd dose. Menstruation is very irregular, severe cramps but no period, period shows up erratically, severe depression and mood swings, cannot lose weight, headaches often, difficulty concentrating and  allergies worse than before. I have not felt like myself since that first dose but cannot exactly pinpoint it. My menstruation was very regular before the vaccines, now my body has no idea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Weight loss poor
Clinical narrative: 1st dose - 4/24/2021 Sharp pain down injected arm to the elbow and into wrist and finger night of vaccine. Very tired. 4/25/2021 Next morning body aches, no appetite, no fever, restless, lethargic, nauseous for two next days. Rash over the left upper arm, warm, swollen, and itchy 6 days later, lasted 8 days. Continued feeling tired, headaches, foggy feeling for weeks. I was too out of it to be seen by a physician. Missed work. 2nd dose - 5/22/2021 Sharp pain down injected arm to the elbow and into wrist and finger a few hours after vaccine. 5/23/2021 Next morning, tire, sore muscles in every part of my body, restless, could not get comfortable, tired, dizzy, fever, headache, my whole body was in pain, body aches and pain, lasted 2 days. I was the most miserable I have ever been and I've had my fair share of things. Rash over upper left arm, warm, swollen, lasted 5 days. I was too out of it to be seen by a physician. Missed work. Since 2nd dose. Menstruation is very irregular, severe cramps but no period, period shows up erratically, severe depression and mood swings, cannot lose weight, headaches often, difficulty concentrating and  allergies worse than before. I have not felt like myself since that first dose but cannot exactly pinpoint it. My menstruation was very regular before the vaccines, now my body has no idea.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, COVID-19 pneumonia, Cough, Death
Clinical narrative: pt diagnosed by PCP for being positive for COVID 4 days before admission to hosp; presents to ED with c/o worsening SOB x 2dys; non-productive cough, headache, fever, diarrhea, body aches, O2 sats 52% in ED on RA; placed on BiPAP; COVID pneumonia; pt experienced severe drop in O2 sats with sinus bradycardia; continued to struggle with oxygenation and ventilation; became hypotensive, bradycardic, and hyposic; pt transitioned to comfort care; pt died in the hosp
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Headache, Hypotension, Hypoxia
Clinical narrative: pt diagnosed by PCP for being positive for COVID 4 days before admission to hosp; presents to ED with c/o worsening SOB x 2dys; non-productive cough, headache, fever, diarrhea, body aches, O2 sats 52% in ED on RA; placed on BiPAP; COVID pneumonia; pt experienced severe drop in O2 sats with sinus bradycardia; continued to struggle with oxygenation and ventilation; became hypotensive, bradycardic, and hyposic; pt transitioned to comfort care; pt died in the hosp
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pain, Positive airway pressure therapy, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: pt diagnosed by PCP for being positive for COVID 4 days before admission to hosp; presents to ED with c/o worsening SOB x 2dys; non-productive cough, headache, fever, diarrhea, body aches, O2 sats 52% in ED on RA; placed on BiPAP; COVID pneumonia; pt experienced severe drop in O2 sats with sinus bradycardia; continued to struggle with oxygenation and ventilation; became hypotensive, bradycardic, and hyposic; pt transitioned to comfort care; pt died in the hosp
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus bradycardia
Clinical narrative: pt diagnosed by PCP for being positive for COVID 4 days before admission to hosp; presents to ED with c/o worsening SOB x 2dys; non-productive cough, headache, fever, diarrhea, body aches, O2 sats 52% in ED on RA; placed on BiPAP; COVID pneumonia; pt experienced severe drop in O2 sats with sinus bradycardia; continued to struggle with oxygenation and ventilation; became hypotensive, bradycardic, and hyposic; pt transitioned to comfort care; pt died in the hosp
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: I had COVID symptoms including a fever for 3 days. I had ongoing chest pain and shortness of breath, I had wheezing and breathing problems. I went to the doctor within 1 week of having the vaccine. He referred me to a cardiologist who ran a number of test on me including ekg, echocardiogram, and a stress test.  I still have some shortness of breath and chest pain and feel I am 90% better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Wheezing
Clinical narrative: I had COVID symptoms including a fever for 3 days. I had ongoing chest pain and shortness of breath, I had wheezing and breathing problems. I went to the doctor within 1 week of having the vaccine. He referred me to a cardiologist who ran a number of test on me including ekg, echocardiogram, and a stress test.  I still have some shortness of breath and chest pain and feel I am 90% better.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Hyperhidrosis, Laboratory test
Clinical narrative: I had sore throat, headache off and on, very low energy, chills and body ache. I wake up with sweating.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: I had sore throat, headache off and on, very low energy, chills and body ache. I wake up with sweating.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Left swallow hand
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient presented to clinic for a booster dose of Moderna. Patient had received her 1st dose on 5/20/21 and 2nd dose on 6/16/21. She received her booster dose, (Moderna, 0.25 ml dose) on 11/09/21 , approximately 37 days before she should of received her booster dose.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID test result 12/12/21 post full vaccination.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: 20mins post vaccination pt c/o feeling SOB. Vitals: 121/70, 84, 24, 100% -- > 114/66, 85, 24, 100% Color WNL for ethnicity and all VS WNL for age.  Recommended parent take patient to PCP if symptoms do not improve. Pt stable and released from the vaccination site @10:25
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Aspiration joint, Asthenia, COVID-19, Facial paralysis
Clinical narrative: Patient is a 70 YOF with PMH of DM2, CKD4, cardiorenal syndrome, anemia of CKD, HTN, mitral regurgitation, STEMI in 2020, and CHF who presents with 3 days of generalized weakness and pain in her feet, knees and wrists as well as a left-sided facial droop.  Arthrocentesis of right knee shows monosodium urate crystals consistent with diagnosis of acute gout flare. Covid PCR positive.  Admitted on 12/06/21
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gout, Pain in extremity, SARS-CoV-2 test positive, Synovial fluid crystal present
Clinical narrative: Patient is a 70 YOF with PMH of DM2, CKD4, cardiorenal syndrome, anemia of CKD, HTN, mitral regurgitation, STEMI in 2020, and CHF who presents with 3 days of generalized weakness and pain in her feet, knees and wrists as well as a left-sided facial droop.  Arthrocentesis of right knee shows monosodium urate crystals consistent with diagnosis of acute gout flare. Covid PCR positive.  Admitted on 12/06/21
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Laboratory test
Clinical narrative: 12/12/21 - evening after vaccine started with chest pain. EKG and labs pending. PT has not been to the hospital.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: fullyvaccinated 03/01 but then tested (+) 11/29. Case was not interviewed thus no info obtained regarding PMH, symptoms or course of illness.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Chills, Headache, Pain
Clinical narrative: Severe HA, all over weakness, body aches, chills, Left sided chest pain
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Chest X-ray, Chest pain, Electrocardiogram
Clinical narrative: Hair loss and chest pain five months post vaccine administration.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: patient presented to emergency department on 10/20/21 with abdominal pain, cough and congestion patient was admitted for further management of covid-19 infection patient took a home covid test and said it was positive on 10/19/21 patient did not require treatment for symptoms associated with covid-19  patient was discharged to home on 10/25/21
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Eye pain, Swelling of eyelid
Clinical narrative: Pt developed delayed bilateral upper eye lid swelling and lower eye lid eczema like rash lasted for 3-4 days. Eyes are slightly painful the first few days and gradually resolve.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: 2mins post vaccination pt c/o nausea. Vitals: 9:35 103/50, 75, 18, 100%, 98.0F -- > 9:45 103/60, 70, 17, 100% Pt stable and released from the vaccination site.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt administered 0.25 ml booster dose in error for her first dose. Per CDC interim clinical guidance Appendix A, immediately administered additional 0.25 ml dose to equal one single full 0.5 ml dose.
Age: 8.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 vaccine pediatric formulation (5-11 years) that may have been reconstituted with a single-use vial of 0.9% NS entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single-use only (to take out 1.3mL then discard). Each time the vial was used, it was swabbed with alcohol and a new syringe was used to enter the vial to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9% NS vial disposed of at the end of each day. The patient did not experience any adverse reaction. At recommendation and due to lack of stability data, it was advised to revaccinate the patient.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac arrest, Cerebrovascular accident, Chronic kidney disease
Clinical narrative: Hx of COPD, CHF, HTN, arthritis and positive for COVID; sent to ICU with AHRF, acute on chronic kidney disease; EMS reports pt's O2 sats on RA were 55%, placed on CPAP with little improvement; in ED pt placed on BiPAP; experienced CVA, shock, multisystem organ failure, GI bleed; vasopressors; pt went into asystole, ACLS protocol initiated but pt died in the hosp
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Gastrointestinal haemorrhage, Intensive care, Life support, Multiple organ dysfunction syndrome
Clinical narrative: Hx of COPD, CHF, HTN, arthritis and positive for COVID; sent to ICU with AHRF, acute on chronic kidney disease; EMS reports pt's O2 sats on RA were 55%, placed on CPAP with little improvement; in ED pt placed on BiPAP; experienced CVA, shock, multisystem organ failure, GI bleed; vasopressors; pt went into asystole, ACLS protocol initiated but pt died in the hosp
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive, Shock
Clinical narrative: Hx of COPD, CHF, HTN, arthritis and positive for COVID; sent to ICU with AHRF, acute on chronic kidney disease; EMS reports pt's O2 sats on RA were 55%, placed on CPAP with little improvement; in ED pt placed on BiPAP; experienced CVA, shock, multisystem organ failure, GI bleed; vasopressors; pt went into asystole, ACLS protocol initiated but pt died in the hosp
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell's Palsy
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Patient complained of a red itchy rash
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: Resident of a local Nursing home. Public health nurse on site to adminster COVID vaccines. Resident  received 0.3 cc of Pfizer vaccine IM Left deltoid. Upon record review. Pt noted to have previously received 2 dose series of Moderna on 01/14/2021 and 02/10/2021. Booster dose 0.25 cc of Moderna on 10/29/2021.  No booster was needed at this time. Nursing home staff made aware. Nursing home medical staff notified. Resident to be monitored for 72 hours. At time of report no adverse effects noted.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy
Clinical narrative: Pregnant woman received 2nd dose of COVID pfizer vaccine at 4 weeks pregnant. Pregnancy ended in miscarriage at 11 weeks pregnant.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong route
Clinical narrative: Error: Wrong Route (SC, IM, etc.)-
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Deafness unilateral, Rash
Clinical narrative: Rash on the inside elbow both arms. Loss of complete hearing in right ear.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache, Hypotension, Nausea
Clinical narrative: Fever/chills, headache, nausea, light-headed, low blood pressure, weakness.  Lasted approx. 12?16 hours.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever/chills, headache, nausea, light-headed, low blood pressure, weakness.  Lasted approx. 12?16 hours.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: patient came in on dec. 3rd and told our lead tech that she has shoulder injury in her left related to vaccine administration.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received booster dose Pfizer. First COVID-19 vaccine was Janssen 3/10/2021.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated adult female tested positive for COVID-19.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot #053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Approx 30-36 hrs post vaccination, donor experienced fever, stiffness, achiness, and fatigue. Donor called to tell the center on 12/14/21. She was advised to seek further medical attention.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient was nervous among arriving into immunization room. He said shots and other medical procedures made him nervous. He was shaky and nervous.  He recived the vaccine and was waiting in the waiting area in front of the pharmacy, when his wife yelled for help. Among arriving patient had briefly passed out, for a couple of seconds and then regained conciousness. Patient was fine and could tell me where he was, and was coherent. Watched patient for another 30 minutes he was fine and left.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site erythema
Clinical narrative: 2 mins post vaccination, patient had dizziness and redness at injection site. Vitals: 115/73, 80, 18, 100% on RA. Patient given water and juice. Patient stable and released from the vaccination site.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chest pain, Dyspnoea
Clinical narrative: Chest pain and difficulty breathing, feeling very similar to Anaphylaxis.  Treatment including 50mg of Diphenhydramine HCl, and 600mg of ibuprofen.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Condition aggravated, Feeling abnormal
Clinical narrative: 2nd dose energy really bad for 3-4weeks and still not back to normal and still don't have smell and taste. Memory problems/ brain fog, MRI. Had COVID-19 in Jul2021 after my 1st dose in Jun22. Loss of taste and smell, bad headache and I thought it was a reaction to the shot I got it possibly a day or two before the 1st dose. The cough was so bad and nearly went to ER but didn't want to go. Over a week in bed and not coherent. Long haul and still have fatigue, headache and memory loss. Had a flu shot and went into metabolic problems.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Memory impairment
Clinical narrative: 2nd dose energy really bad for 3-4weeks and still not back to normal and still don't have smell and taste. Memory problems/ brain fog, MRI. Had COVID-19 in Jul2021 after my 1st dose in Jun22. Loss of taste and smell, bad headache and I thought it was a reaction to the shot I got it possibly a day or two before the 1st dose. The cough was so bad and nearly went to ER but didn't want to go. Over a week in bed and not coherent. Long haul and still have fatigue, headache and memory loss. Had a flu shot and went into metabolic problems.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Maternal exposure during breast feeding, Nausea, Pyrexia
Clinical narrative: 8-12 1st vaccination. 9-9 2nd vaccination. About 3 hours later after the vaccination, I got home. I nursed my son; 2 1/2 months old. I nursed him after the vaccine. Never had formula. His face and chest broke out in a rash. It went away within 10 minutes. Every time it would occur thereafter. If I gave him previous milk that was frozen from before vaccine, he did not break out in a rash. I contacted the pediatrician on 9-10-21. At the 10 hour mark, I personally felt chills, teeth chattering, horrible horrible lower back pain, super nauseous, dry heaving, low grade fever; lasted about 24hours. 9-10-12 Pediatrician office stated 1 of 2 possibilities; 1 allergic reaction to something in the vaccine or an immune response for my son. Told to keep a VERY close eye on my son. No crying, fussing, pain, sob, etc. He was having some sort of reaction, though. Son still has reaction when I breastfeed. I would not consider it the exact same; more blotchy. Son is currently 7 months next Monday.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Retching
Clinical narrative: 8-12 1st vaccination. 9-9 2nd vaccination. About 3 hours later after the vaccination, I got home. I nursed my son; 2 1/2 months old. I nursed him after the vaccine. Never had formula. His face and chest broke out in a rash. It went away within 10 minutes. Every time it would occur thereafter. If I gave him previous milk that was frozen from before vaccine, he did not break out in a rash. I contacted the pediatrician on 9-10-21. At the 10 hour mark, I personally felt chills, teeth chattering, horrible horrible lower back pain, super nauseous, dry heaving, low grade fever; lasted about 24hours. 9-10-12 Pediatrician office stated 1 of 2 possibilities; 1 allergic reaction to something in the vaccine or an immune response for my son. Told to keep a VERY close eye on my son. No crying, fussing, pain, sob, etc. He was having some sort of reaction, though. Son still has reaction when I breastfeed. I would not consider it the exact same; more blotchy. Son is currently 7 months next Monday.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Medication driven out of the barrel of the syringe while administering the COVID-19 Vaccine--Patient didn't receive full dose of the COVID-19 Pfizer vaccine.  Patients parents were advised to get child another dose and that was done the following day for the patient.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Decreased appetite, Oropharyngeal pain
Clinical narrative: Severe stomach pains for 5 days, they have continued; Severe sore throat for 5+ days; loss of appetite for 5+ days
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Echocardiogram, Electrocardiogram, Hepatic enzyme increased
Clinical narrative: After booster shot, I had chest tightness, heart palpitations, high heart rate and lower than normal resting heart rate.  Had to have EKG which showed the lower resting heart rate and eco cardiogram.  Also, blood work showed elevated inflammation and high liver enzymes.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Palpitations
Clinical narrative: After booster shot, I had chest tightness, heart palpitations, high heart rate and lower than normal resting heart rate.  Had to have EKG which showed the lower resting heart rate and eco cardiogram.  Also, blood work showed elevated inflammation and high liver enzymes.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse effects were reported. The patient received a fourth dose incorrectly. The patient and the LTCF did not make the administering pharmacist aware that she had already received a third dose 11-5-21 at a hospital setting.  The LTCF and the patient's doctor were both contacted.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram normal, Fibrin D dimer normal
Clinical narrative: This was a booster shot for just one shot before (J&J in April). Approximately 3 hours after shot, noticed shortness of breath while talking and raised heart rate. Had a raised heart rate (still do) for many days, with some episodes taking it about 100 bpm for multiple days. Shortness of breath continued while talking, and eventually (three days later) started noticing minor chest pain. Went to a doctor who suggested going to ER immediately on Dec 13th.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Heart rate increased, Metabolic function test normal, Pregnancy test negative, Troponin I normal
Clinical narrative: This was a booster shot for just one shot before (J&J in April). Approximately 3 hours after shot, noticed shortness of breath while talking and raised heart rate. Had a raised heart rate (still do) for many days, with some episodes taking it about 100 bpm for multiple days. Shortness of breath continued while talking, and eventually (three days later) started noticing minor chest pain. Went to a doctor who suggested going to ER immediately on Dec 13th.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: This was a booster shot for just one shot before (J&J in April). Approximately 3 hours after shot, noticed shortness of breath while talking and raised heart rate. Had a raised heart rate (still do) for many days, with some episodes taking it about 100 bpm for multiple days. Shortness of breath continued while talking, and eventually (three days later) started noticing minor chest pain. Went to a doctor who suggested going to ER immediately on Dec 13th.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Erythema, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: patient presented to emergency department on 11/29/21 with left lower extremity pain and redness patient tested positive for covid-19 on 11/26/21 patient was admitted for further management of sepsis patient expired on 12/6/21 due to severe sepsis
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: patient presented to emergency department on 11/29/21 with left lower extremity pain and redness patient tested positive for covid-19 on 11/26/21 patient was admitted for further management of sepsis patient expired on 12/6/21 due to severe sepsis
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Facial bones fracture, Syncope
Clinical narrative: snycope the same evening, resulting in fractured nose
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Genital herpes, Lymphadenopathy
Clinical narrative: Genital herpes outbreak, swollen lymph node in groin area
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase increased, Blood sodium decreased, C-reactive protein increased, COVID-19
Clinical narrative: Hospitalized 12/3/2021; COVID-19 positive 12/3/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: DO Admission Date: 12/3/2021 Discharge Date: Dec 5, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE:   66-year-old female with PMH of hypertension, hypothyroidism, obesity, gastritis, depression anxiety, vitamin-D deficiency, who presented on 12/03/2021 with cough and shortness of breath since Sunday 11/28/21.  Found to COVID-19 positive.  Patient has been vaccinated x3.  Admitted for COVID-19 pneumonia.   Throughout admission, patient was requiring minimal oxygen requirement with only 2 liter nasal cannula.  Hemodynamically stable.  She was started on dexamethasone.  Not a candidate for remdesivir or monoclonal antibody.  She received Lovenox for DVT prophylaxis.  Low suspicion for PE.   She had some mild laboratory abnormalities, including mild hyponatremia 132. Home lisinopril-hydrochlorothiazide was held, replaced by lisinopril only during admission. Sodium normalized the following day.  She also had mild elevated ALT 42, which normalized the following day.  CRP on admission was 148, trended down to 49 on day of discharge.    Given patient's overall benign clinical course, she was discharged with instructions to follow-up with COVID-19 at home program.  Discharged home on 2 liters oxygen.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cough, Dyspnoea, Hyponatraemia, Laboratory test abnormal
Clinical narrative: Hospitalized 12/3/2021; COVID-19 positive 12/3/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: DO Admission Date: 12/3/2021 Discharge Date: Dec 5, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE:   66-year-old female with PMH of hypertension, hypothyroidism, obesity, gastritis, depression anxiety, vitamin-D deficiency, who presented on 12/03/2021 with cough and shortness of breath since Sunday 11/28/21.  Found to COVID-19 positive.  Patient has been vaccinated x3.  Admitted for COVID-19 pneumonia.   Throughout admission, patient was requiring minimal oxygen requirement with only 2 liter nasal cannula.  Hemodynamically stable.  She was started on dexamethasone.  Not a candidate for remdesivir or monoclonal antibody.  She received Lovenox for DVT prophylaxis.  Low suspicion for PE.   She had some mild laboratory abnormalities, including mild hyponatremia 132. Home lisinopril-hydrochlorothiazide was held, replaced by lisinopril only during admission. Sodium normalized the following day.  She also had mild elevated ALT 42, which normalized the following day.  CRP on admission was 148, trended down to 49 on day of discharge.    Given patient's overall benign clinical course, she was discharged with instructions to follow-up with COVID-19 at home program.  Discharged home on 2 liters oxygen.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalized 12/3/2021; COVID-19 positive 12/3/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: DO Admission Date: 12/3/2021 Discharge Date: Dec 5, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE:   66-year-old female with PMH of hypertension, hypothyroidism, obesity, gastritis, depression anxiety, vitamin-D deficiency, who presented on 12/03/2021 with cough and shortness of breath since Sunday 11/28/21.  Found to COVID-19 positive.  Patient has been vaccinated x3.  Admitted for COVID-19 pneumonia.   Throughout admission, patient was requiring minimal oxygen requirement with only 2 liter nasal cannula.  Hemodynamically stable.  She was started on dexamethasone.  Not a candidate for remdesivir or monoclonal antibody.  She received Lovenox for DVT prophylaxis.  Low suspicion for PE.   She had some mild laboratory abnormalities, including mild hyponatremia 132. Home lisinopril-hydrochlorothiazide was held, replaced by lisinopril only during admission. Sodium normalized the following day.  She also had mild elevated ALT 42, which normalized the following day.  CRP on admission was 148, trended down to 49 on day of discharge.    Given patient's overall benign clinical course, she was discharged with instructions to follow-up with COVID-19 at home program.  Discharged home on 2 liters oxygen.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Ringing in my ears started about a minute after the shot.  It has become an ongoing issue, which gets worse after each shot (2 and 3).
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia
Clinical narrative: Dose 1 received on 12/6/21. Patient's mother called pharmacy on 12/14 to report that on 12/13 patient experienced left facial numbness and shortness of breath lasting around 10 minutes. It resolved on its own and he did not seek medical attention. I advised mother to have patient seek medical attention.
Age: 75.0
Sex: U
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: SOB