chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Tongue pruritus, Vaccine positive rechallenge
Clinical narrative: Status: Sign when Signing Visit Cosign Required: Yes    Patient had reaction to COVID-19 vaccine. Patient was monitored after COVID-19 vaccine as recommended per guidelines.    The following reaction signs/symptoms were observed: difficulty swallowing and other tounge itching  She had previus similar reaction to initial 1st dose did not for 2nd dose. Provider had advised to get booster. VS stable, no visual distress,no  SOB, lungs sound clear, denies n/v,dizziness.   Emergency response notified:  vitals taken and Dr  came and assessed. Symptoms improved.   EpiPen administered by RN as per standing order?:  No   Report given to Dr
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given an adult dose of Pfizer at our Covid Vaccine Clinic on 11/19/2021. Patient is 11 years of age and it was not caught at the time of check-in or vaccination. Patient was given the adult dose of Pfizer and completed the 15 min observation time without any side effects or symptoms. Patient was called by provider to inform them of the incident and follow up over phone was completed.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt administered expired medication. Pt Notified. No adverse effect.
Age: 40.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: 12 year old received 0.2ml of Pediatric Pfizer formula. Inappropriate dosing for age. No adverse events or treatment noted.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient received Pfizer Pediatric 5-11 vaccine of 0.2 MLs instead of the Pfizer adult vaccine.  No adverse affects reported. Per CDC Guidelines patient to return as soon as possible for full dose of adult vaccine. Called patient to return to the clinic for the Pfizer adult dose. Patient to return on 11/23.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Gait disturbance, Mobility decreased, Muscle contracture
Clinical narrative: I had inflammation in my joints. I became cramped up to where it was hard to sit and lay down. The inflammation in my hips makes it hard to move. It started to get difficult to walk. I am still struggling with the inflammation now I'm just not in as much pain. I have a lack in range of motion and movement. It feels like my body creates this contracting feeling. I didn't go to the doctor at all because I never thought nothing of it because it just progressed over time. I took more Advil and I have been going to physical therapy since July 2021. The pain that I had generated from my hip and only in my hips and also in my shoulders. I feel less pain now. I do feel better, but it still hurts.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: I had inflammation in my joints. I became cramped up to where it was hard to sit and lay down. The inflammation in my hips makes it hard to move. It started to get difficult to walk. I am still struggling with the inflammation now I'm just not in as much pain. I have a lack in range of motion and movement. It feels like my body creates this contracting feeling. I didn't go to the doctor at all because I never thought nothing of it because it just progressed over time. I took more Advil and I have been going to physical therapy since July 2021. The pain that I had generated from my hip and only in my hips and also in my shoulders. I feel less pain now. I do feel better, but it still hurts.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Restlessness, Vomiting
Clinical narrative: Patient reports she received the booster vaccine yesterday evening. She had some mild aches/pains and some restlessness last night. A few hours ago, she developed nausea/vomiting, and her aches/pains intensified. She presented to the office for a Zofran injection which greatly resolved her nausea/vomiting. Her PCP advising she also takes 1000mg Tylenol TID for the next couple days to help with aches/pains. She understood.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine 12 hours past expiration. No adverse event. Pt. declined revaccination
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pyrexia, Rash erythematous
Clinical narrative: Slight fever, headaches, chills, sweats, left arm itchy rash. Rash occurred a few hours after the vaccination. I thought band-aid reaction as I've had that before. It has grown in swelling, itching, and redness over the past 48 hrs. I've used Benadryl itch cream typically the past 2 days with no relief. I did not get this rash with the 2 previous injections.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Slight fever, headaches, chills, sweats, left arm itchy rash. Rash occurred a few hours after the vaccination. I thought band-aid reaction as I've had that before. It has grown in swelling, itching, and redness over the past 48 hrs. I've used Benadryl itch cream typically the past 2 days with no relief. I did not get this rash with the 2 previous injections.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Expired product administered
Clinical narrative: Medication given was expired
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash pruritic
Clinical narrative: Patient reports that on the late evening of 11/19 or certainly by the morning of 11/20 they experienced an itchy, red, rash at their injection site (left upper arm). The rash was reported to be 3in wide by 4-5in vertically at its largest. The patient self-administered an over-the-counter antihistamine. The patient denied any other symptoms, such as difficulty breathing, a widespread rash, lip/facial swelling, etc. The patient reports the localized rash lasted "a few days" and began to resolve." By 11/23/21, the rash is entirely resolved per the patient.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypoaesthesia, Hypoaesthesia oral, Muscle spasms
Clinical narrative: Patient states that she experiencing, Muscle Spasms, Numbness/tingling sensation in limbs and tongue and face. Headaches, Dizziness.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Patient states that she experiencing, Muscle Spasms, Numbness/tingling sensation in limbs and tongue and face. Headaches, Dizziness.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Mobility decreased, Pain
Clinical narrative: Patient received Moderna booster on 11/21/21.  The vaccine was administered too high and injected into the bursa.  Patient complains of extreme pain with range of motion of left arm.  No redness or swelling to vaccine site.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Bell's palsy
Clinical narrative: Bell?s palsy- I still have all the effects
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Underdose
Clinical narrative: Patient came in to vaccination clinic for 3rd dose Moderna booster. Patient was given wrong vaccine and received a Pfizer booster instead.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt administered expired medication. Pt Notified. No adverse effect.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Chills, Fatigue, Lymphadenopathy, Pyrexia
Clinical narrative: High fever next morning 104 degrees, fatigue, chills, loss of taste, swollen lymph under arm lasting three days so far (fever has broken)
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: High fever next morning 104 degrees, fatigue, chills, loss of taste, swollen lymph under arm lasting three days so far (fever has broken)
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: UNCERTAIN
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Back pain, COVID-19, Catheter placement, Chest pain
Clinical narrative: Pt is a 90 year old MALE with pmhx of HTN, HLD, chronic  kidney disease Stage III who presented to ED 11/13 for worsening shortness of  breath and recent hx of hemoptysis. Patient states that he began experiencing  shortness of breath last night while sitting watching TV. He began coughing up  bright red blood per patient and witnessed by multiple family members. Denies  sputum production. Denies headaches, chest pain, abdominal pain, N/V, dysuria.  Patient was ultimately brought in to ED 11/13 for evaluation. Of note, patient  received 2 doses Pfizer Covid-19 vaccine in March/April 2021. Per CPRS records,  patient was exposed to Covid-19 shortly after Labor Day, in a group setting with  multiple family members. He tested positive for Covid-19 9/24, and was treated  at home with Regeneron c/b PE (diagnosed on 10/6, requiring hospitalization for  2 days). During 10/12-24 hostpial stay, patient presented with hypoxemia,  dyspnea, and chest/back pain 2/2 large right pneumothorax. Ultimately, he became  s/p pigtail catheter placement by IR x2 with complication of exudative right  sided pleural effusion and persistent volume loss on right side with right sided  tracheal deviation. His previous CT Chest on 10/18 and 10/16 showed  consolidative opacity in RML and RUL likely related to inflammation/fibrosis  which is causing volume loss. Patient is currently now on Eliquis 5mg BID. His  CT scan on 10/23 showed right mediastinal shift, suggestive of  inflammmation/fibrosis and blebs on right lung possibly suggestive of right lung  volume loss, and extensive chest wall emphysema in left lung. Patient ultimately  underwent follow CT scan on 11/1, which showed resolution of apical and basilar  pneumothorax, with posterior right lung concerning for infiltrates (vs. previous  fibrosis) with consistent extensive chest wall emphysema in left lung.   At admission, BP 123/74, with tachycardia (127). It was documented in ED that he  was initially at 91% pulse ox; however, very soon after, patient was found to be  satting at 55% on pulse ox, unable to give full history. Patient was placed on  NRB 15Lm ultimately satting at 97% on pulse ox. Chest x-ray at admission showed  small bilateral pleural effusions and extensive bilateral lung opacities, right  greater than left, increased since prior comparison study. CT thorax showed  enlarging, large right pleural effusion with new small left pleural effusion;  new multifocal septal thickening with groundglass opacity of both lung, highly  concerning for multifocal pneumonia, new fat stranding about the pancreas,  incompletely visualized concerning for pancreatitis. Patient noted to have a  heart rate initially 150 range; EKG showed sinus tachycardia. Patient  subsequently improved with IV fluids. However, given recent complex hx and  tenuous nature of his oxygenation after multiple attempts to deescalate his  oxygen in ED from NRB to Oxymask (patient will sat down to high 80s), patient  was admitted to ICU for stabilization and management."
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Emphysema, Exposure to SARS-CoV-2, Haemoptysis, Hypoxia, Lung opacity
Clinical narrative: Pt is a 90 year old MALE with pmhx of HTN, HLD, chronic  kidney disease Stage III who presented to ED 11/13 for worsening shortness of  breath and recent hx of hemoptysis. Patient states that he began experiencing  shortness of breath last night while sitting watching TV. He began coughing up  bright red blood per patient and witnessed by multiple family members. Denies  sputum production. Denies headaches, chest pain, abdominal pain, N/V, dysuria.  Patient was ultimately brought in to ED 11/13 for evaluation. Of note, patient  received 2 doses Pfizer Covid-19 vaccine in March/April 2021. Per CPRS records,  patient was exposed to Covid-19 shortly after Labor Day, in a group setting with  multiple family members. He tested positive for Covid-19 9/24, and was treated  at home with Regeneron c/b PE (diagnosed on 10/6, requiring hospitalization for  2 days). During 10/12-24 hostpial stay, patient presented with hypoxemia,  dyspnea, and chest/back pain 2/2 large right pneumothorax. Ultimately, he became  s/p pigtail catheter placement by IR x2 with complication of exudative right  sided pleural effusion and persistent volume loss on right side with right sided  tracheal deviation. His previous CT Chest on 10/18 and 10/16 showed  consolidative opacity in RML and RUL likely related to inflammation/fibrosis  which is causing volume loss. Patient is currently now on Eliquis 5mg BID. His  CT scan on 10/23 showed right mediastinal shift, suggestive of  inflammmation/fibrosis and blebs on right lung possibly suggestive of right lung  volume loss, and extensive chest wall emphysema in left lung. Patient ultimately  underwent follow CT scan on 11/1, which showed resolution of apical and basilar  pneumothorax, with posterior right lung concerning for infiltrates (vs. previous  fibrosis) with consistent extensive chest wall emphysema in left lung.   At admission, BP 123/74, with tachycardia (127). It was documented in ED that he  was initially at 91% pulse ox; however, very soon after, patient was found to be  satting at 55% on pulse ox, unable to give full history. Patient was placed on  NRB 15Lm ultimately satting at 97% on pulse ox. Chest x-ray at admission showed  small bilateral pleural effusions and extensive bilateral lung opacities, right  greater than left, increased since prior comparison study. CT thorax showed  enlarging, large right pleural effusion with new small left pleural effusion;  new multifocal septal thickening with groundglass opacity of both lung, highly  concerning for multifocal pneumonia, new fat stranding about the pancreas,  incompletely visualized concerning for pancreatitis. Patient noted to have a  heart rate initially 150 range; EKG showed sinus tachycardia. Patient  subsequently improved with IV fluids. However, given recent complex hx and  tenuous nature of his oxygenation after multiple attempts to deescalate his  oxygen in ED from NRB to Oxymask (patient will sat down to high 80s), patient  was admitted to ICU for stabilization and management."
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonitis, Pneumothorax, Pulmonary fibrosis, SARS-CoV-2 test positive
Clinical narrative: Pt is a 90 year old MALE with pmhx of HTN, HLD, chronic  kidney disease Stage III who presented to ED 11/13 for worsening shortness of  breath and recent hx of hemoptysis. Patient states that he began experiencing  shortness of breath last night while sitting watching TV. He began coughing up  bright red blood per patient and witnessed by multiple family members. Denies  sputum production. Denies headaches, chest pain, abdominal pain, N/V, dysuria.  Patient was ultimately brought in to ED 11/13 for evaluation. Of note, patient  received 2 doses Pfizer Covid-19 vaccine in March/April 2021. Per CPRS records,  patient was exposed to Covid-19 shortly after Labor Day, in a group setting with  multiple family members. He tested positive for Covid-19 9/24, and was treated  at home with Regeneron c/b PE (diagnosed on 10/6, requiring hospitalization for  2 days). During 10/12-24 hostpial stay, patient presented with hypoxemia,  dyspnea, and chest/back pain 2/2 large right pneumothorax. Ultimately, he became  s/p pigtail catheter placement by IR x2 with complication of exudative right  sided pleural effusion and persistent volume loss on right side with right sided  tracheal deviation. His previous CT Chest on 10/18 and 10/16 showed  consolidative opacity in RML and RUL likely related to inflammation/fibrosis  which is causing volume loss. Patient is currently now on Eliquis 5mg BID. His  CT scan on 10/23 showed right mediastinal shift, suggestive of  inflammmation/fibrosis and blebs on right lung possibly suggestive of right lung  volume loss, and extensive chest wall emphysema in left lung. Patient ultimately  underwent follow CT scan on 11/1, which showed resolution of apical and basilar  pneumothorax, with posterior right lung concerning for infiltrates (vs. previous  fibrosis) with consistent extensive chest wall emphysema in left lung.   At admission, BP 123/74, with tachycardia (127). It was documented in ED that he  was initially at 91% pulse ox; however, very soon after, patient was found to be  satting at 55% on pulse ox, unable to give full history. Patient was placed on  NRB 15Lm ultimately satting at 97% on pulse ox. Chest x-ray at admission showed  small bilateral pleural effusions and extensive bilateral lung opacities, right  greater than left, increased since prior comparison study. CT thorax showed  enlarging, large right pleural effusion with new small left pleural effusion;  new multifocal septal thickening with groundglass opacity of both lung, highly  concerning for multifocal pneumonia, new fat stranding about the pancreas,  incompletely visualized concerning for pancreatitis. Patient noted to have a  heart rate initially 150 range; EKG showed sinus tachycardia. Patient  subsequently improved with IV fluids. However, given recent complex hx and  tenuous nature of his oxygenation after multiple attempts to deescalate his  oxygen in ED from NRB to Oxymask (patient will sat down to high 80s), patient  was admitted to ICU for stabilization and management."
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus tachycardia, Tachycardia, Tracheal deviation
Clinical narrative: Pt is a 90 year old MALE with pmhx of HTN, HLD, chronic  kidney disease Stage III who presented to ED 11/13 for worsening shortness of  breath and recent hx of hemoptysis. Patient states that he began experiencing  shortness of breath last night while sitting watching TV. He began coughing up  bright red blood per patient and witnessed by multiple family members. Denies  sputum production. Denies headaches, chest pain, abdominal pain, N/V, dysuria.  Patient was ultimately brought in to ED 11/13 for evaluation. Of note, patient  received 2 doses Pfizer Covid-19 vaccine in March/April 2021. Per CPRS records,  patient was exposed to Covid-19 shortly after Labor Day, in a group setting with  multiple family members. He tested positive for Covid-19 9/24, and was treated  at home with Regeneron c/b PE (diagnosed on 10/6, requiring hospitalization for  2 days). During 10/12-24 hostpial stay, patient presented with hypoxemia,  dyspnea, and chest/back pain 2/2 large right pneumothorax. Ultimately, he became  s/p pigtail catheter placement by IR x2 with complication of exudative right  sided pleural effusion and persistent volume loss on right side with right sided  tracheal deviation. His previous CT Chest on 10/18 and 10/16 showed  consolidative opacity in RML and RUL likely related to inflammation/fibrosis  which is causing volume loss. Patient is currently now on Eliquis 5mg BID. His  CT scan on 10/23 showed right mediastinal shift, suggestive of  inflammmation/fibrosis and blebs on right lung possibly suggestive of right lung  volume loss, and extensive chest wall emphysema in left lung. Patient ultimately  underwent follow CT scan on 11/1, which showed resolution of apical and basilar  pneumothorax, with posterior right lung concerning for infiltrates (vs. previous  fibrosis) with consistent extensive chest wall emphysema in left lung.   At admission, BP 123/74, with tachycardia (127). It was documented in ED that he  was initially at 91% pulse ox; however, very soon after, patient was found to be  satting at 55% on pulse ox, unable to give full history. Patient was placed on  NRB 15Lm ultimately satting at 97% on pulse ox. Chest x-ray at admission showed  small bilateral pleural effusions and extensive bilateral lung opacities, right  greater than left, increased since prior comparison study. CT thorax showed  enlarging, large right pleural effusion with new small left pleural effusion;  new multifocal septal thickening with groundglass opacity of both lung, highly  concerning for multifocal pneumonia, new fat stranding about the pancreas,  incompletely visualized concerning for pancreatitis. Patient noted to have a  heart rate initially 150 range; EKG showed sinus tachycardia. Patient  subsequently improved with IV fluids. However, given recent complex hx and  tenuous nature of his oxygenation after multiple attempts to deescalate his  oxygen in ED from NRB to Oxymask (patient will sat down to high 80s), patient  was admitted to ICU for stabilization and management."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Pt. recieved vaccine 12 hours past expiration. MD contacted pt. No adverse event. Pt. chooses to be revaccinated which is scheduled for 11/18/21
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Chills, Decreased appetite, Fatigue
Clinical narrative: Within hours of the Saturday, 1:30 PM injection, fatigue, headache, and worsened muscle & joint pain were experienced. That evening/night, high fever and chills (in addition to all listed above) began, as well as loss of appetite (all he ate all day was a dish of vanilla ice cream) and nausea. Sunday , vomiting began accompanied by abdominal pain. This has continued through until this reporting on Tuesday at 1PM (over 48 hours in duration at this point). With the exception of a little ice cream on Sunday, he has been unable to consume food since lunch on Saturday, which he ate immediately following his injection. He has been unable to hold down even small amounts of ginger ale.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Within hours of the Saturday, 1:30 PM injection, fatigue, headache, and worsened muscle & joint pain were experienced. That evening/night, high fever and chills (in addition to all listed above) began, as well as loss of appetite (all he ate all day was a dish of vanilla ice cream) and nausea. Sunday , vomiting began accompanied by abdominal pain. This has continued through until this reporting on Tuesday at 1PM (over 48 hours in duration at this point). With the exception of a little ice cream on Sunday, he has been unable to consume food since lunch on Saturday, which he ate immediately following his injection. He has been unable to hold down even small amounts of ginger ale.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test abnormal, Chest X-ray, Computerised tomogram normal, Electrocardiogram
Clinical narrative: Took my second dosage on 11/19/21, experienced some flu like symptoms and a low grade temp of 99 on 11/20/21, felt fine 11/21/21 and woke up at 3:30 AM on 11/22/21 with severe pain in by rib cage, chest, and upper abdomen. Went to the emergency room that morning, got tired of waiting to be seen after waiting three hours and went home. Went to Urgent care where they checked by vitals and advised my blood pressure is high, recommended I go back to the emergency room. Went back around 10-11 AM in which they did an EKG, Blood work, CT Scan, and Chest X-ray on me. Blood work indicated that my D-Dimer was elevated and they did a CT Scan to check for bloodclots, but the CT scan came back negative.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hypertension, Influenza like illness, Musculoskeletal chest pain
Clinical narrative: Took my second dosage on 11/19/21, experienced some flu like symptoms and a low grade temp of 99 on 11/20/21, felt fine 11/21/21 and woke up at 3:30 AM on 11/22/21 with severe pain in by rib cage, chest, and upper abdomen. Went to the emergency room that morning, got tired of waiting to be seen after waiting three hours and went home. Went to Urgent care where they checked by vitals and advised my blood pressure is high, recommended I go back to the emergency room. Went back around 10-11 AM in which they did an EKG, Blood work, CT Scan, and Chest X-ray on me. Blood work indicated that my D-Dimer was elevated and they did a CT Scan to check for bloodclots, but the CT scan came back negative.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 11/22/21-Pt had covid on 11/11/2021. 11/12/21  Regeneron infusion
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Syncope
Clinical narrative: VASOVAGAL SYNCOPE FAINTNESS FOLLOWING 30 MINUTES AFTER VACCINATION
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 74.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient was inadvertently given a 0.5ml dose instead of a 0.25 dose
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine 12 hours past expiration. MD contacted pt. No adverse event. Pt. declined revaccination
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Muscle spasms, Neck pain
Clinical narrative: Had a large reaction the next day after the first shot - couldn't get up off the couch.  Worse on the second shot.   The first big issue was that my left ankle started aching horribly, as did my neck and toes and knees.  It's continued. The next one I've noticed is that my issues with horrible muscle knots that causes headaches constantly has returned.  Neck aches and my body locks up.  I've had it previously but it's back with a vengeance.  I have also started gaining weight and being tired - feels like my thyroid may be going out of balance again (had been stable at a high Synthroid dose for several years - thought I was on a full replacement dose at this point).  It appears that the vaccine has triggered a number of autoimmune/inflammation flareups.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Weight increased
Clinical narrative: Had a large reaction the next day after the first shot - couldn't get up off the couch.  Worse on the second shot.   The first big issue was that my left ankle started aching horribly, as did my neck and toes and knees.  It's continued. The next one I've noticed is that my issues with horrible muscle knots that causes headaches constantly has returned.  Neck aches and my body locks up.  I've had it previously but it's back with a vengeance.  I have also started gaining weight and being tired - feels like my thyroid may be going out of balance again (had been stable at a high Synthroid dose for several years - thought I was on a full replacement dose at this point).  It appears that the vaccine has triggered a number of autoimmune/inflammation flareups.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received Pfizer Covid 19 5-11 year old vaccine (Pfizer 10mcg dose) and not the Pfizer Covid 19 30mcg dose
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt administered expired medication. Pt Notified. No adverse effect.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Incorrect diluent given, sterile water used instead of saline.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Seizure
Clinical narrative: Patient started to feel lightheaded and convulsed. He eventually slid down his chair and was caught by his parent. Our medical presiding Doctor tended to him and he felt better after some time with water and a snack bar. The ambulance came and he felt better at the moment and refused to go with them. Parents were with him and will be driving him to get his bloodwork done for further screening.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Headache, Hypoaesthesia, Loss of consciousness, Nausea
Clinical narrative: -stood on his tiptoe and that made him black out and fall down  -sat at a computer and his feet went numb, count move feet for 20 mins  -was on a 10 foot ladder and blacked out and feel off the ladder  -went to hospital and was given a walker, was experiencing nausea, face swelling and he said his forehead felt like he has a block on his head -was laying in a bed and at 2 am his face swole up and forehead felt like he had a 50 pound bag on his head
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Swelling face, Walking aid user
Clinical narrative: -stood on his tiptoe and that made him black out and fall down  -sat at a computer and his feet went numb, count move feet for 20 mins  -was on a 10 foot ladder and blacked out and feel off the ladder  -went to hospital and was given a walker, was experiencing nausea, face swelling and he said his forehead felt like he has a block on his head -was laying in a bed and at 2 am his face swole up and forehead felt like he had a 50 pound bag on his head
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back injury, Chest injury, Dizziness, Gait inability, Loss of consciousness
Clinical narrative: -stood on his tiptoe and that made him black out and fall down  -sat at a computer and his feet went numb, count move feet for 20 mins  -was on a 10 foot ladder and blacked out and feel off the ladder  -went to hospital and was given a walker, was experiencing nausea, face swelling and he said his forehead felt like he has a block on his head -was laying in a bed and at 2 am his face swole up and forehead felt like he had a 50 pound bag on his head
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pelvic fracture, Tremor
Clinical narrative: -stood on his tiptoe and that made him black out and fall down  -sat at a computer and his feet went numb, count move feet for 20 mins  -was on a 10 foot ladder and blacked out and feel off the ladder  -went to hospital and was given a walker, was experiencing nausea, face swelling and he said his forehead felt like he has a block on his head -was laying in a bed and at 2 am his face swole up and forehead felt like he had a 50 pound bag on his head
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Malaise, Muscle spasms, Pain
Clinical narrative: Severe headache for hours, Tylenol did not help Dizziness Body shaking Tingling sensations in legs Feeling sick Muscle cramps, was painful to move
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Tremor
Clinical narrative: Severe headache for hours, Tylenol did not help Dizziness Body shaking Tingling sensations in legs Feeling sick Muscle cramps, was painful to move
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Eye pain, Fatigue, Feeling abnormal, Flushing
Clinical narrative: Achy, low fever, arm soreness, tired for at least 7 days.  Stabbing pain in left eye a few times a day.  Palpitations of the heart at times.  Usually only a few then it would stop.  I would get pain/pressure in my legs and head that would last a few minutes then stop.  Tomorrow will be 28 days and it isn't as bad but just had palpitations yesterday.   I also continue to get a tingly, flushing feeling in my arms and legs almost everyday.  It doesn't hurt just is weird and at times makes you shaky.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Palpitations, Paraesthesia, Pyrexia
Clinical narrative: Achy, low fever, arm soreness, tired for at least 7 days.  Stabbing pain in left eye a few times a day.  Palpitations of the heart at times.  Usually only a few then it would stop.  I would get pain/pressure in my legs and head that would last a few minutes then stop.  Tomorrow will be 28 days and it isn't as bad but just had palpitations yesterday.   I also continue to get a tingly, flushing feeling in my arms and legs almost everyday.  It doesn't hurt just is weird and at times makes you shaky.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Achy, low fever, arm soreness, tired for at least 7 days.  Stabbing pain in left eye a few times a day.  Palpitations of the heart at times.  Usually only a few then it would stop.  I would get pain/pressure in my legs and head that would last a few minutes then stop.  Tomorrow will be 28 days and it isn't as bad but just had palpitations yesterday.   I also continue to get a tingly, flushing feeling in my arms and legs almost everyday.  It doesn't hurt just is weird and at times makes you shaky.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received two Moderna COVID-19 vaccines on 2/19/2021 and 3/16/2021, respectively, and was admitted to our hospital on 11/23/2021 and was tested positive with COVID-19 on 11/23/2021
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was inadvertently given a 0.5ml dose instead of a 0.25 dose
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given 2nd Pfizer Covid vaccine too early.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. receieved vaccine 12 hours past expiration. No adverse event. MD contacted pt. Pt. declined revaccination
Age: 32.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Testicular pain
Clinical narrative: got booster and next day my testicals felt like i got kicked in them. coincidently after initially receiving my  1st and 2nd dose i had a thrombus in my right spermatic cord which led to me having a denervation of the right groin in june. Initially, my doctors chalked up the first incident to coincidence. after talking with my urologist, he had me do 2 weeks of nsaids, with only an increase in pain. now currently on 600mg gabapentin 3x a day with moderate relief. currently continuing to follow with urologist.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Loss of personal independence in daily activities, Lymph node pain, Lymphadenopathy, Mobility decreased
Clinical narrative: After receiving booster shot on Friday November 19th, one day later started to have pain in left side of neck from ear  down to collar bone, and some fullness in left cheek. Pain has been increasing. It is more than a swollen node. Left side is swollen, and sore to the touch, difficulty with full range of motion of neck. Saw doctor, said it was an adverse reaction interfering with day to day activities. Prescribed anti-inflammatories.  It's more than just a swollen lymph node.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Swelling face, Vaccination complication
Clinical narrative: After receiving booster shot on Friday November 19th, one day later started to have pain in left side of neck from ear  down to collar bone, and some fullness in left cheek. Pain has been increasing. It is more than a swollen node. Left side is swollen, and sore to the touch, difficulty with full range of motion of neck. Saw doctor, said it was an adverse reaction interfering with day to day activities. Prescribed anti-inflammatories.  It's more than just a swollen lymph node.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Chest pain, SOB
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was inadvertently given a 0.5ml dose instead of a 0.25 dose
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood potassium increased, Chronic kidney disease, Condition aggravated, Cough
Clinical narrative: Within a few days (at least by 9/6/2021) patient began to have fever and a cough.  Patient began to progressively decline.  Started with inability to ambulate.  At baseline patient could ambulate independently in her assisted living room.  Within days, she was no longer able to do so, her swelling worsened, and her oral intake declined.  This time period was complicated by an elevated potassium that improved with oral hydration and it was rechecked and improved, but her decline continued.  She was treated for a UTI from a gathered urine sample starting 9/7/21, but there is uncertainty to the extent it was either responsible or contributing to her declining status.  Patient was carried to the office on 9/16/21.  She was found to have an oxygen saturation of 79-81% on room air, she was too weak to hold her head up, and her swelling had increased.  EMS was recommended for transport to the hospital and with some convincing with her son's assistance, she finally agreed.  Patient was transferred from the rural hospital to a tertiary center in city.  She became severely oliguric.  She was given IV furosemide that was not very effective.  Patient was not only volume overloaded but also hypotensive requiring ionotropic treatment.  Renal failure worsened and nephrology opinioned that she was a poor candidate for dialysis given her poor clinical condition and recommended hospice care.  Patient died three days after admission on 9/19/21.  Inpatient team determined that urinary tract infection did not appear to be septic in nature.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Gait inability, Hypervolaemia, Hypophagia, Hypotension
Clinical narrative: Within a few days (at least by 9/6/2021) patient began to have fever and a cough.  Patient began to progressively decline.  Started with inability to ambulate.  At baseline patient could ambulate independently in her assisted living room.  Within days, she was no longer able to do so, her swelling worsened, and her oral intake declined.  This time period was complicated by an elevated potassium that improved with oral hydration and it was rechecked and improved, but her decline continued.  She was treated for a UTI from a gathered urine sample starting 9/7/21, but there is uncertainty to the extent it was either responsible or contributing to her declining status.  Patient was carried to the office on 9/16/21.  She was found to have an oxygen saturation of 79-81% on room air, she was too weak to hold her head up, and her swelling had increased.  EMS was recommended for transport to the hospital and with some convincing with her son's assistance, she finally agreed.  Patient was transferred from the rural hospital to a tertiary center in city.  She became severely oliguric.  She was given IV furosemide that was not very effective.  Patient was not only volume overloaded but also hypotensive requiring ionotropic treatment.  Renal failure worsened and nephrology opinioned that she was a poor candidate for dialysis given her poor clinical condition and recommended hospice care.  Patient died three days after admission on 9/19/21.  Inpatient team determined that urinary tract infection did not appear to be septic in nature.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Oliguria, Pyrexia, Swelling, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Within a few days (at least by 9/6/2021) patient began to have fever and a cough.  Patient began to progressively decline.  Started with inability to ambulate.  At baseline patient could ambulate independently in her assisted living room.  Within days, she was no longer able to do so, her swelling worsened, and her oral intake declined.  This time period was complicated by an elevated potassium that improved with oral hydration and it was rechecked and improved, but her decline continued.  She was treated for a UTI from a gathered urine sample starting 9/7/21, but there is uncertainty to the extent it was either responsible or contributing to her declining status.  Patient was carried to the office on 9/16/21.  She was found to have an oxygen saturation of 79-81% on room air, she was too weak to hold her head up, and her swelling had increased.  EMS was recommended for transport to the hospital and with some convincing with her son's assistance, she finally agreed.  Patient was transferred from the rural hospital to a tertiary center in city.  She became severely oliguric.  She was given IV furosemide that was not very effective.  Patient was not only volume overloaded but also hypotensive requiring ionotropic treatment.  Renal failure worsened and nephrology opinioned that she was a poor candidate for dialysis given her poor clinical condition and recommended hospice care.  Patient died three days after admission on 9/19/21.  Inpatient team determined that urinary tract infection did not appear to be septic in nature.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, COVID-19, Gastrointestinal haemorrhage, Haemoglobin decreased, Melaena
Clinical narrative: Patient is an 82-year-old female admitted with subacute GI bleed (hemodynamically stable) who had positive COVID-19 on admission.  She has chronic anemia, hemoglobin 10.4 on 3/25, 8.7 on 9/24, and 7.9 on admission this morning.  She has reported some intermittent melena at home over the past couple weeks.  Stool occult blood was positive, but no overt signs of GI bleeding and patient has been hemodynamically stable.  Reviewed with GI attending, Dr., and primary team,  second Dr. .  Given subacute bleed, hemodynamic stability, and COVID-19 status resulting in high sedation risk, will hold off on endoscopic evaluation at this time.  GI will follow peripherally and complete formal consult in the future if pat
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Occult blood positive, SARS-CoV-2 test positive
Clinical narrative: Patient is an 82-year-old female admitted with subacute GI bleed (hemodynamically stable) who had positive COVID-19 on admission.  She has chronic anemia, hemoglobin 10.4 on 3/25, 8.7 on 9/24, and 7.9 on admission this morning.  She has reported some intermittent melena at home over the past couple weeks.  Stool occult blood was positive, but no overt signs of GI bleeding and patient has been hemodynamically stable.  Reviewed with GI attending, Dr., and primary team,  second Dr. .  Given subacute bleed, hemodynamic stability, and COVID-19 status resulting in high sedation risk, will hold off on endoscopic evaluation at this time.  GI will follow peripherally and complete formal consult in the future if pat
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Petechiae
Clinical narrative: 10/04/2021, noticed a bunch of little spots all over both legs. There were hundreds of little spots all over my legs. The only places I noticed it was in my lower extremities. I saw the doctor 10/05/2021 and she said they were little capillaries that had broken. Little blood spots. The doctor said the vaccine caused it. She said to watch them and if they got worse to come back. Within 3 days they were fading out on their own. After the 4th day they were gone.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Sepsis
Clinical narrative: Severe sepsis; NSTEMI
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine 12 hours past expiration. MD contacted pt. No adverse event. pt. declined revaccination
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Client was given pediatric dose.  Was supposed to get adolescent/adult dose.  Pt tolerated well. No adverse reaction to vaccine.  Parents and client informed.  Discussed repeat dose not indicated and client should get adolescent/adult dose at her 2nd dose appointment.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Haemorrhage, Packed red blood cell transfusion, Premature delivery, Premature labour
Clinical narrative: EDD 4/11/2022. Patient had normal US on 11/17/21 with cervix long and closed. Patient went into labor starting 11/21 and delivered at 20 weeks 1 day. She had retained products and a hemorrhage, requiring 2 units of PRBCs.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Retained products of conception, Ultrasound antenatal screen abnormal
Clinical narrative: EDD 4/11/2022. Patient had normal US on 11/17/21 with cervix long and closed. Patient went into labor starting 11/21 and delivered at 20 weeks 1 day. She had retained products and a hemorrhage, requiring 2 units of PRBCs.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Abortion incomplete, Delivery, Exposure during pregnancy, Postpartum haemorrhage
Clinical narrative: EDD 4/11/2022. Patient had normal US on 11/17/21 with cervix long and closed. Patient went into labor starting 11/21 and delivered at 20 weeks 1 day. She had retained products and a hemorrhage, requiring 2 units of PRBCs.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: EDD 4/11/2022. Patient had normal US on 11/17/21 with cervix long and closed. Patient went into labor starting 11/21 and delivered at 20 weeks 1 day. She had retained products and a hemorrhage, requiring 2 units of PRBCs.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Haemorrhage, Packed red blood cell transfusion, Premature delivery, Premature labour
Clinical narrative: 26 year old G2P1 presented for routine prenatal appointment with complaints of lower abdominal cramping and blood tinged discharge on 11/22/21 at 20 weeks gestation. EDD:  4/11/2022. Cervix found to be dilated and patient was sent to triage.  In triage she was found to be 7 cm with BBOW and diagnosis of incomplete abortion.  Delivered vaginally with postpartum hemorrhage .  Uncomplicated prenatal course
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Retained products of conception, Ultrasound antenatal screen abnormal
Clinical narrative: 26 year old G2P1 presented for routine prenatal appointment with complaints of lower abdominal cramping and blood tinged discharge on 11/22/21 at 20 weeks gestation. EDD:  4/11/2022. Cervix found to be dilated and patient was sent to triage.  In triage she was found to be 7 cm with BBOW and diagnosis of incomplete abortion.  Delivered vaginally with postpartum hemorrhage .  Uncomplicated prenatal course
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Abortion incomplete, Delivery, Exposure during pregnancy, Postpartum haemorrhage
Clinical narrative: 26 year old G2P1 presented for routine prenatal appointment with complaints of lower abdominal cramping and blood tinged discharge on 11/22/21 at 20 weeks gestation. EDD:  4/11/2022. Cervix found to be dilated and patient was sent to triage.  In triage she was found to be 7 cm with BBOW and diagnosis of incomplete abortion.  Delivered vaginally with postpartum hemorrhage .  Uncomplicated prenatal course