chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malignant melanoma
Clinical narrative: It felt like a spike was driven into my head, top right side then eventually felt like a long pointed ice cycle was driven into that spot, then 6 months later when I had a full body skin check which I get every 6 months because I have genetic mutation for melanoma, I found out I had malignant melanoma on my right leg.  It wasn't there at my last check but was there this time 6 months after this vaccine in August 2021 .  I'm sure that there wasn't anyone in the test group with this and I should not have been told it was safe for me.  Through epigenitics I have been able to keep melanoma away for 32 years and the only thing different introduced to my clean healthy body was this vaccine which encouraged the gene to wake up.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Vomiting
Clinical narrative: Uncontrollable vomiting, body aches, nausea,  extreme headache, and extreme fatigue.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness postural, Electrocardiogram normal, Fatigue
Clinical narrative: 16 hrs post vaccine, severe chills, then dizzy when standing, dry heaves and diarrhea. BP remains normal 126/78, Pulse 70, EKG normal sinus, oxygen saturation 96-110% Extremely tired for another 12 hours
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Retching
Clinical narrative: 16 hrs post vaccine, severe chills, then dizzy when standing, dry heaves and diarrhea. BP remains normal 126/78, Pulse 70, EKG normal sinus, oxygen saturation 96-110% Extremely tired for another 12 hours
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, FLU4
Symptoms: Cough, Hypopnoea, SARS-CoV-2 test negative, Upper-airway cough syndrome, Wheezing
Clinical narrative: Worst ast, wheezing and coughing and increased post nasail drip in my life. worse when trying to go to bed. Wheezing cough, shallow breaths.  went on for almost 3 months.  I have noticed other people coughing quite a lot.  Used rescue inhailer Ibuterol, nebulized with Ibuterol, Pumacort inhaile, Triligy, inhailer and Delsun cough syrup. On worst nights I had to take all above TWICE in a seriesover a 1.5-2 hour period to finally subdue the wheezing and coughing. Novenber 20th seems quite a bit better and have not been using the nebulized.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Muscular weakness, Vertigo
Clinical narrative: Vertigo, headaches, fatigue, malaise, muscle weakness.  The symptoms come and go randomly and have continued up to this day.  I have taken Tylenol and ibuprofen with minimal relief.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Lip swelling
Clinical narrative: At approximately 1340  Co-lead RN was notified that a medical consult was requested.  On assessment, Client communicated that after receiving her 2nd dose Pfizer COVID vaccine 4/30/2021, she experienced lip swelling and difficulty swallowing.  Client reports that she was observed for approximately 45 minutes at the vaccination center and then released from observation. Client  states she went home and took a benadryl and felt fine.  Client  reports that she did not have a reaction following her 1st dose of Pfizer COVID Vaccine.  Client did not follow up with her primary care physician following the 2nd dose reaction. Client  denies any underlying medications and not currently taking any medication.  Client does report an allergy to penicillin, codeine, and cinnamon air fresheners.  Client reports rash and difficulty breathing with these allergies.  At 1410 Co-lead RN elevated medical consult to Vaccination Operations team for review.  At  1601,  Co-lead RN received response from Doctor approving Pfizer Booster dose and observation for 30 minutes.  Client  was notified of the approval and at 1613 Client  was administered Pfizer Booster COVID Vaccine ( Lot # FF8841, exp 12/30).  Client was observed for 30 minutes and no adverse reactions nor symptoms were noted.  Client  educated on adverse reactions and when to seek care.  At 1645 Client  completed observation without complaints and left vaccination center with steady gait.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted after the vaccine
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Moderate to severe joint pain in digits of opposing hand from injection site side
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product administration error
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Our patient received a Moderna booster dose that was in room temperature less than 24 hours, but longer than the recommended time from initial puncture. He was informed of the incident and stated that he feels well, with no rash, fever, SOB, or any unusual symptoms. Reported incident to Moderna , and waiting response on the validity of the booster dose given.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Blood test, Lip swelling, Peripheral swelling, Rash
Clinical narrative: Woke up on 11/27 covered head to toe in hives and a rash. Went to the ER, got put on steroids. Went back to the ER on 11/29,  hives covering body, swollen arm, swollen lips.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Woke up on 11/27 covered head to toe in hives and a rash. Went to the ER, got put on steroids. Went back to the ER on 11/29,  hives covering body, swollen arm, swollen lips.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Intermenstrual bleeding, Nausea, Pain, Pain in extremity
Clinical narrative: Very sore arm started 12/1 Nausea 12/2 Chills, fever, body aches Breakthrough bleeding between period
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Very sore arm started 12/1 Nausea 12/2 Chills, fever, body aches Breakthrough bleeding between period
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: A few minutes after injection the patient complained of body itching.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Tenderness
Clinical narrative: Starting pretty soon after my vaccine, my arm became tender and I started experiencing mild joint pain. By that night the joint pain in the shoulder where I?d received the injection, the pain was severe and my mobility was impacted drastically. The pain has not really decreased (48 hours later). My mobility is extremely limited and I can?t bear body weight on my arm without very intense pain.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Growing red, itchy, hot spot on arm near the injection site. Grew to include the injection site on the third day after injection.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fear of injection, Syncope
Clinical narrative: patient fainted during 15 minute wait period. stated she had phobia of needles
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adnexa uteri pain, Arthralgia, Pain in extremity, Peripheral coldness, Pulse abnormal
Clinical narrative: 4/28/21 Leg pain. 7/22/21 Pain in feet and hands. 8/23/21 Pain in right side ovary area/hip. 8/24/21 Also now having cold spots in feet and ankles.(have since subsided for the most part) 10/5/21 Now feel pulse (bounding pulse) in feet. 11/28/21 Bounding pulse is now in feet and has spread to calves.  All of these symptoms have come and gone, but now for the last 4 weeks or so they've been more consistent.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Hospitalized (11.26.21);  COVID-19 positive (11.25.21);  fully vaccinated  Admission Date: 11/26/2021 Discharge Date: 11/30/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus   HOSPITAL COURSE: Patient is a 48 y.o. male who presents to hospital with shortness of breath. Patient is fully vaccinated against COVID and began having symptoms approximately 1 week ago. Initial symptoms were fatigue generalized aches and fever. He subsequently developed a cough decreased appetite and worsening shortness of breath. He lost smell and taste, days ago.  Because of worsening shortness of breath he was seen in the emergency department yesterday. He was found to have a chest x-ray consistent with COVID pneumonia and positive COVID test. He was requiring 6 L of oxygen and admission was recommended but there were no available inpatient beds. The patient did not wish to board in the emergency department overnight and was discharged home on 6 L of oxygen. He did receive a dose of dexamethasone while in the emergency department yesterday. Overnight his shortness of breath worsened and he developed hypoxemia with oxygen saturations into the mid 80s. After several hours he eventually returned to the emergency department where CT scan showed diffuse bilateral ground-glass infiltrates but no PE.  Due to his worsening hypoxemia he was referred to the hospital for further evaluation care and transferred to bigger hospital for further inpatient care. 11.31.21:  Progress: improving Outcome Summary: Patient ready for discharge this afternoon. He has been able to maintain his oxygen sats above 90% on room air. Discharge instructions were provided and he will be leaving via private vehicle with family.  Pneumonia due to COVID-19 virus Assessment & Plan Patient with symptoms for approximately one week (11/19) Seen in ED 11/25 for diagnosis, found to by hypoxic Fully vaccinated Worsening hypoxia on admission, CT with diffuse infiltrates negative for PE Dexamethasone 4/10 Remdesivir 3/5 Vacillating between 5 and 6 L of supplemental oxygen.  He had some swelling and pain in the bilateral lower extremities.  I dosed with Lasix 40 mg once and got bilateral lower extremity Dopplers which were negative for DVT.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Cough, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: Hospitalized (11.26.21);  COVID-19 positive (11.25.21);  fully vaccinated  Admission Date: 11/26/2021 Discharge Date: 11/30/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus   HOSPITAL COURSE: Patient is a 48 y.o. male who presents to hospital with shortness of breath. Patient is fully vaccinated against COVID and began having symptoms approximately 1 week ago. Initial symptoms were fatigue generalized aches and fever. He subsequently developed a cough decreased appetite and worsening shortness of breath. He lost smell and taste, days ago.  Because of worsening shortness of breath he was seen in the emergency department yesterday. He was found to have a chest x-ray consistent with COVID pneumonia and positive COVID test. He was requiring 6 L of oxygen and admission was recommended but there were no available inpatient beds. The patient did not wish to board in the emergency department overnight and was discharged home on 6 L of oxygen. He did receive a dose of dexamethasone while in the emergency department yesterday. Overnight his shortness of breath worsened and he developed hypoxemia with oxygen saturations into the mid 80s. After several hours he eventually returned to the emergency department where CT scan showed diffuse bilateral ground-glass infiltrates but no PE.  Due to his worsening hypoxemia he was referred to the hospital for further evaluation care and transferred to bigger hospital for further inpatient care. 11.31.21:  Progress: improving Outcome Summary: Patient ready for discharge this afternoon. He has been able to maintain his oxygen sats above 90% on room air. Discharge instructions were provided and he will be leaving via private vehicle with family.  Pneumonia due to COVID-19 virus Assessment & Plan Patient with symptoms for approximately one week (11/19) Seen in ED 11/25 for diagnosis, found to by hypoxic Fully vaccinated Worsening hypoxia on admission, CT with diffuse infiltrates negative for PE Dexamethasone 4/10 Remdesivir 3/5 Vacillating between 5 and 6 L of supplemental oxygen.  He had some swelling and pain in the bilateral lower extremities.  I dosed with Lasix 40 mg once and got bilateral lower extremity Dopplers which were negative for DVT.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Lung opacity, Pain, Pain in extremity
Clinical narrative: Hospitalized (11.26.21);  COVID-19 positive (11.25.21);  fully vaccinated  Admission Date: 11/26/2021 Discharge Date: 11/30/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus   HOSPITAL COURSE: Patient is a 48 y.o. male who presents to hospital with shortness of breath. Patient is fully vaccinated against COVID and began having symptoms approximately 1 week ago. Initial symptoms were fatigue generalized aches and fever. He subsequently developed a cough decreased appetite and worsening shortness of breath. He lost smell and taste, days ago.  Because of worsening shortness of breath he was seen in the emergency department yesterday. He was found to have a chest x-ray consistent with COVID pneumonia and positive COVID test. He was requiring 6 L of oxygen and admission was recommended but there were no available inpatient beds. The patient did not wish to board in the emergency department overnight and was discharged home on 6 L of oxygen. He did receive a dose of dexamethasone while in the emergency department yesterday. Overnight his shortness of breath worsened and he developed hypoxemia with oxygen saturations into the mid 80s. After several hours he eventually returned to the emergency department where CT scan showed diffuse bilateral ground-glass infiltrates but no PE.  Due to his worsening hypoxemia he was referred to the hospital for further evaluation care and transferred to bigger hospital for further inpatient care. 11.31.21:  Progress: improving Outcome Summary: Patient ready for discharge this afternoon. He has been able to maintain his oxygen sats above 90% on room air. Discharge instructions were provided and he will be leaving via private vehicle with family.  Pneumonia due to COVID-19 virus Assessment & Plan Patient with symptoms for approximately one week (11/19) Seen in ED 11/25 for diagnosis, found to by hypoxic Fully vaccinated Worsening hypoxia on admission, CT with diffuse infiltrates negative for PE Dexamethasone 4/10 Remdesivir 3/5 Vacillating between 5 and 6 L of supplemental oxygen.  He had some swelling and pain in the bilateral lower extremities.  I dosed with Lasix 40 mg once and got bilateral lower extremity Dopplers which were negative for DVT.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Respiratory distress, SARS-CoV-2 test positive, Ultrasound Doppler normal
Clinical narrative: Hospitalized (11.26.21);  COVID-19 positive (11.25.21);  fully vaccinated  Admission Date: 11/26/2021 Discharge Date: 11/30/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus   HOSPITAL COURSE: Patient is a 48 y.o. male who presents to hospital with shortness of breath. Patient is fully vaccinated against COVID and began having symptoms approximately 1 week ago. Initial symptoms were fatigue generalized aches and fever. He subsequently developed a cough decreased appetite and worsening shortness of breath. He lost smell and taste, days ago.  Because of worsening shortness of breath he was seen in the emergency department yesterday. He was found to have a chest x-ray consistent with COVID pneumonia and positive COVID test. He was requiring 6 L of oxygen and admission was recommended but there were no available inpatient beds. The patient did not wish to board in the emergency department overnight and was discharged home on 6 L of oxygen. He did receive a dose of dexamethasone while in the emergency department yesterday. Overnight his shortness of breath worsened and he developed hypoxemia with oxygen saturations into the mid 80s. After several hours he eventually returned to the emergency department where CT scan showed diffuse bilateral ground-glass infiltrates but no PE.  Due to his worsening hypoxemia he was referred to the hospital for further evaluation care and transferred to bigger hospital for further inpatient care. 11.31.21:  Progress: improving Outcome Summary: Patient ready for discharge this afternoon. He has been able to maintain his oxygen sats above 90% on room air. Discharge instructions were provided and he will be leaving via private vehicle with family.  Pneumonia due to COVID-19 virus Assessment & Plan Patient with symptoms for approximately one week (11/19) Seen in ED 11/25 for diagnosis, found to by hypoxic Fully vaccinated Worsening hypoxia on admission, CT with diffuse infiltrates negative for PE Dexamethasone 4/10 Remdesivir 3/5 Vacillating between 5 and 6 L of supplemental oxygen.  He had some swelling and pain in the bilateral lower extremities.  I dosed with Lasix 40 mg once and got bilateral lower extremity Dopplers which were negative for DVT.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None Administration Error- dose administered 12 days after QR code expiry date
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cystitis haemorrhagic, SARS-CoV-2 test positive
Clinical narrative: Patient received Moderna COVID vaccine on 2/9/21 and 3/9/21. He lives in adult family home. On 11/28/21, patient is admitted to our facility with acute hypoxic respiratory failure due to COVID-19 pneumonia and acute hemorrhagic cystitis (recurrent issue with multiple prior UTIs). On 12/1/21, patient was discharged back to his adult family home in stable condition.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced syncope shortly after being vaccinated with first dose of Pfizer vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram neck, Dizziness, Full blood count normal, Hypoaesthesia, Magnetic resonance imaging head normal
Clinical narrative: Sudden onset right ear tinnitus, right facial numbness, dizziness Had episode of tinnitus after 2nd Pfizer COVID19 vaccine.  Dx possible Meniere's disease No treatment; observation; follow up with neurology if persistent symptoms.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Tinnitus
Clinical narrative: Sudden onset right ear tinnitus, right facial numbness, dizziness Had episode of tinnitus after 2nd Pfizer COVID19 vaccine.  Dx possible Meniere's disease No treatment; observation; follow up with neurology if persistent symptoms.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product administration error
Clinical narrative: None Administration Error ? dose administered 6 days after the QR
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Patient had sore arm  pain and numbness for 1 week after shot,
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Appendicectomy, Appendicitis perforated, Infection
Clinical narrative: Approximately 1 week after my Janssen COVID19 vaccine, I started to experience lower right side abdominal pain and went to the ER. Unfortunately I was misdiagnosed and did not find out it was appendicitis until after it had already perforated and had a severe infection. I underwent an open appendectomy and recovered.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site swelling, Lymphadenopathy, Oedema peripheral
Clinical narrative: Headache was relieved after taking Tylenol. Injection site Swelling lasted three days. Lymph node swelling under left arm continues after three days (as of  7 p.m. of Dec. 2); Would like to know what to do to reduce swelling.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Injection site rash, Rash
Clinical narrative: I had a delayed allergic reaction. I broke out on a rash on my upper left arm (wear I got the shot). Most of the rashes were in the inner arm. I have a picture, but there isn?t a way to upload it. I took Benadryl and use some stop itch cream and it wasn?t away a couple of days later.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells palsy
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Pt. requested second series Maderna vaccination. Pt was given Pfizer as second dose. During the 15 minute observation period, the did not display and signs of discomfort or adverse reactions. Lead nurse notified pt. there are no contraindications if given both brands of vaccinations and to come back to get booster of her choice in 6 months.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic aneurysm, Bile duct stent insertion, Biliary obstruction, Blood culture positive, COVID-19
Clinical narrative: Admitted on November 16th with fatigue and sleepiness for 3 days.  Patient currently getting chemotherapy q. 3 weeks. He underwent a CT abdomen and pelvis on November 8th which showed worsening of his hepatic lesions with extension of tumor thrombus into hepatic vein.  Patient was found to be COVID positive.  PE with evidence of pulmonary infarct again seen.  Abdominal aortic aneurysm up to 4.8 cm which is similar to prior.  1/2 blood cultures positive for Klebsiella species.  Infectious Disease consulted and placed on zosyn.  I have discussed case with Dr.  Recommended GI consult.  I have consulted Dr. Patient underwent ERCP on November 17th which showed biliary obstruction and prior stents were removed, stone or debris  was extracted and 2 new biliary stents were placed. Antibiotic switched to IV Rocephin.  Repeat blood cultures drawn on November 21st with no growth so far.    PT will be on Levaquin 500 mg daily for another week per ID recommendations. Stable for discharge He is out of his infectious period of COVID. Discharged on 11/25/21
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chemotherapy, Chest X-ray normal, Computerised tomogram abdomen abnormal, Condition aggravated, Endoscopic retrograde cholangiopancreatography
Clinical narrative: Admitted on November 16th with fatigue and sleepiness for 3 days.  Patient currently getting chemotherapy q. 3 weeks. He underwent a CT abdomen and pelvis on November 8th which showed worsening of his hepatic lesions with extension of tumor thrombus into hepatic vein.  Patient was found to be COVID positive.  PE with evidence of pulmonary infarct again seen.  Abdominal aortic aneurysm up to 4.8 cm which is similar to prior.  1/2 blood cultures positive for Klebsiella species.  Infectious Disease consulted and placed on zosyn.  I have discussed case with Dr.  Recommended GI consult.  I have consulted Dr. Patient underwent ERCP on November 17th which showed biliary obstruction and prior stents were removed, stone or debris  was extracted and 2 new biliary stents were placed. Antibiotic switched to IV Rocephin.  Repeat blood cultures drawn on November 21st with no growth so far.    PT will be on Levaquin 500 mg daily for another week per ID recommendations. Stable for discharge He is out of his infectious period of COVID. Discharged on 11/25/21
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hepatic cancer, Hepatic lesion, Hepatic vein thrombosis, Klebsiella test positive
Clinical narrative: Admitted on November 16th with fatigue and sleepiness for 3 days.  Patient currently getting chemotherapy q. 3 weeks. He underwent a CT abdomen and pelvis on November 8th which showed worsening of his hepatic lesions with extension of tumor thrombus into hepatic vein.  Patient was found to be COVID positive.  PE with evidence of pulmonary infarct again seen.  Abdominal aortic aneurysm up to 4.8 cm which is similar to prior.  1/2 blood cultures positive for Klebsiella species.  Infectious Disease consulted and placed on zosyn.  I have discussed case with Dr.  Recommended GI consult.  I have consulted Dr. Patient underwent ERCP on November 17th which showed biliary obstruction and prior stents were removed, stone or debris  was extracted and 2 new biliary stents were placed. Antibiotic switched to IV Rocephin.  Repeat blood cultures drawn on November 21st with no growth so far.    PT will be on Levaquin 500 mg daily for another week per ID recommendations. Stable for discharge He is out of his infectious period of COVID. Discharged on 11/25/21
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary infarction, SARS-CoV-2 test positive, Somnolence
Clinical narrative: Admitted on November 16th with fatigue and sleepiness for 3 days.  Patient currently getting chemotherapy q. 3 weeks. He underwent a CT abdomen and pelvis on November 8th which showed worsening of his hepatic lesions with extension of tumor thrombus into hepatic vein.  Patient was found to be COVID positive.  PE with evidence of pulmonary infarct again seen.  Abdominal aortic aneurysm up to 4.8 cm which is similar to prior.  1/2 blood cultures positive for Klebsiella species.  Infectious Disease consulted and placed on zosyn.  I have discussed case with Dr.  Recommended GI consult.  I have consulted Dr. Patient underwent ERCP on November 17th which showed biliary obstruction and prior stents were removed, stone or debris  was extracted and 2 new biliary stents were placed. Antibiotic switched to IV Rocephin.  Repeat blood cultures drawn on November 21st with no growth so far.    PT will be on Levaquin 500 mg daily for another week per ID recommendations. Stable for discharge He is out of his infectious period of COVID. Discharged on 11/25/21
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The 1.3ml vial of pediatric Pfizer Covid vaccine was not diluted with 1.3ml of 0.9% sterile sodium chloride injection prior to injecting intramuscularly into the pediatric patient.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: PATIENT DEVELOPED BODY RASH 7 DAYS AFTER ADMINSTRATION--SAW MD AND GIVE STEROIDS AND ANTIHISTAmines for treatment
Age: 23.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction  to 24 year old patient receiving  flu high dose vaccine
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product administration error
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 29.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Electrocardiogram normal, Palpitations
Clinical narrative: Heart palpitations lasting 5-10 minutes. Presented when exercises but continued when at a standstill. They had not occurred previously or since.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain, Pruritus, Rash
Clinical narrative: Shingles - T 6 dermatomal rash with pruritis and pain
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy, Pain, Pyrexia
Clinical narrative: Fever over 101 degrees, chills, body aches, headache, from 10:30 pm the night of the vaccination. Lethargic, aches, and fever remained for 24 hours. Tylenol was taken 12 hours after the vaccination. All symptoms were resolved within 36 hours.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The 1.3ml vial of pediatric Pfizer Covid vaccine was not diluted with 1.3ml of 0.9% sterile sodium chloride injection prior to injecting intramuscularly into the pediatric patient.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Heavy menstrual bleeding, Infertility female
Clinical narrative: Much heavier period and unable to get pregnant.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Paraesthesia
Clinical narrative: I woke up on 12/1/21 and felt numbness in parts of lower right leg, tingling in different parts of right leg down to toes, tingling in right arm and fingers. Tingling comes an goes. Feels like pins and needles. Injection site still  sore.  On 12/2/21, still feel same. Doctor said to report to Agency and take pain reliever.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: This was a Moderna booster shot  (Moderna shots 1 and 2 received on 3/13/21 and 4/28/21). No problems blend the day of the shot, but developed noticeable  ?COVID arm starting around the next night (24 hours later) that worsened over the following 48 hours and is now persistent. Big red reaction circumference the size of my hand around the injection site. Has been itchy and skin feels rough like a rash. Also warm to the touch. Experienced a headache, fatigue and mild nausea within 48 hours too but that went away.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site warmth, Nausea
Clinical narrative: This was a Moderna booster shot  (Moderna shots 1 and 2 received on 3/13/21 and 4/28/21). No problems blend the day of the shot, but developed noticeable  ?COVID arm starting around the next night (24 hours later) that worsened over the following 48 hours and is now persistent. Big red reaction circumference the size of my hand around the injection site. Has been itchy and skin feels rough like a rash. Also warm to the touch. Experienced a headache, fatigue and mild nausea within 48 hours too but that went away.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The adverse event is a medication error of giving the vaccine undiluted, the patinet was informed that a wrong dose was given, a more concentrated dose than normal, educated and instruction on what symptoms he may have in the next 24 hours - increased swelling or redness in arm, flu-like symptoms, to call in or come to ED if any concerning symptoms occur, that we will call him back in 24 hours to check on him.  Patient reports no side effects at this time (7:28 pm)
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The 1.3ml vial of Pfizer Covid vaccine was not diluted with 1.3ml of 0.9% sterile sodium chloride injection prior to injecting intramuscularly into the patient.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site haemorrhage, Nausea, Syncope, Vomiting
Clinical narrative: Pt received her first does of pfizer 6:50pm today. HCP administering IMZ with RP. Immediately after the immunization, the patient bled a little and had syncope immediately where she fainted for approximately 5 seconds in the chair. Pt woke up again talking but feeling a bit nausous. Pt was given water to drink and offered a cold compress. Father was there and sat with her. After waking up, pt vomited. RP made her sit for 45 mins in the IMZ booth. Management notified immediately by RP. According to the father when she felt better she was monitored got up and was ok. Syncope/nausea reported promptly to VAERS by RP
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Aphasia, Feeling abnormal, Memory impairment
Clinical narrative: Difficulty with word finding and speech with subsequent blurred/fuzzy memory of the timeline of the event. Attempted to call PCP - was told to call vaccine site. Called employee health, told they were not in charge of vaccinations that day. Called the hospital operator and then gave up? the timeline of the adverse event was somewhere between 45 minutes and 2 hours?
Age: 35.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse Reactions to 35 year old patient that received flu high dose vaccine
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstruation delayed
Clinical narrative: I had spotting mid-cycle for 5 days and now my period is over 10 days late.  I am not pregnant.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Appendicectomy, Appendicitis, Arthritis
Clinical narrative: I am a healthy, fit, 37 year old male, previously infected with COVID in 2020 and mandated to receive the COVID vaccine by my employers.  I received my first dose of Pfizer COVID19 vaccine (LOT 30135BA) on October 26th, 2021. Hours after receiving the vaccine I developed facial numbness. It started in my neck, beneath my chin and all around my chin. Later it would move into my cheeks, around my jaw, and near my eyes. It would only go away for short periods of time and remained pretty constant. This lasted until about November 9th (15 days).   Two days after the numbness subsided, I began to have sharp abdominal pains and felt very bloated. The pain and discomfort was constant and would not go away, even days after it began.   I received my second dose on November 19th (LOT FE3590). The day after the second dose I began having joint inflammation in my knees and ankles.    By November 22rd my stomach pain had become more concerning. I could no longer button my pants due to abdominal swelling. I went to the ER locally where I was given CT scans and was diagnosed with acute appendicitis. The surgeons wanted to perform surgery immediately, but I was hesitant and declined.  On November 23rd, after doing research and making an informed decision, I proceeded to the ER of a second hospital. I was again given a CT scan and diagnosed with acute appendicitis. I stayed overnight in the ER and on November 24th I had an appendectomy performed.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen abnormal, Condition aggravated, Scan with contrast abnormal
Clinical narrative: I am a healthy, fit, 37 year old male, previously infected with COVID in 2020 and mandated to receive the COVID vaccine by my employers.  I received my first dose of Pfizer COVID19 vaccine (LOT 30135BA) on October 26th, 2021. Hours after receiving the vaccine I developed facial numbness. It started in my neck, beneath my chin and all around my chin. Later it would move into my cheeks, around my jaw, and near my eyes. It would only go away for short periods of time and remained pretty constant. This lasted until about November 9th (15 days).   Two days after the numbness subsided, I began to have sharp abdominal pains and felt very bloated. The pain and discomfort was constant and would not go away, even days after it began.   I received my second dose on November 19th (LOT FE3590). The day after the second dose I began having joint inflammation in my knees and ankles.    By November 22rd my stomach pain had become more concerning. I could no longer button my pants due to abdominal swelling. I went to the ER locally where I was given CT scans and was diagnosed with acute appendicitis. The surgeons wanted to perform surgery immediately, but I was hesitant and declined.  On November 23rd, after doing research and making an informed decision, I proceeded to the ER of a second hospital. I was again given a CT scan and diagnosed with acute appendicitis. I stayed overnight in the ER and on November 24th I had an appendectomy performed.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given COVID booster (3rd dose) too early by a staff member here at our office. See timeline below... 09/29/2021- Pfizer COVID Vaccine 11/02/2021- Pfizer COVID Vaccine 12/02/2021 - Pfizer COVID Vaccine Patient was monitored for 30 minutes after injection, and experienced no side effects. We will continue to call and monitor patient for the next few days.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The 1.3ml vial of pediatric Pfizer Covid vaccine was not diluted with 1.3ml of 0.9% sterile sodium chloride injection prior to injecting intramuscularly into the pediatric patient.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Immediate post-injection reaction, Syncope
Clinical narrative: Immediately after the vaccine was given , the patient fell down and collapsed.  We called 911 ,  paramedic came and attended to him for a while before taking  him to the hospital
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Hyperhidrosis, Rash
Clinical narrative: GENERALIZED RASH, SWEATING 38 HOURS AFTER INJECTION,  SELF MEDICATED WITH DIPHENHYDRAMINE. WENT TO EMERGENCY DEPARTMENT AND WAS PRESCRIBED PREDNISONE
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient has not experienced any adverse affects at this point however patient received 2 booster pfizer vaccines in 2 months (10/5 and 12/2)
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 17 days after QR code expiry date
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Urticaria
Clinical narrative: Urticaria 12 days following booster shot. Went to see an allergist today, possibly urticaria related to booster shot. Will start on prednisone and antihistamines.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Diarrhoea, Nausea, Pyrexia
Clinical narrative: 11/9/2021 - fever, chills, nausea, diarrhea  11/10/2021 to present - constant back pain
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Peripheral swelling, Pruritus
Clinical narrative: Very itchy, big raised bump on arm, red, sore, now going on 4 days
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Protein urine present, Purpura, Rash
Clinical narrative: The following day she developed a painful purpuric rash on her lower extremities.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient has not reported any adverse reactions at this point however patient received two Pfizer booster shots separated by  2 months (10/5 and 12/2/21)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product administration error
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Gait disturbance, Headache, Hyperhidrosis
Clinical narrative: I am very very sick my arm is swollen with huge lump on injection site. Pain and inflammation  and cant move arm . I immediately  felt sick and felt the medicine  enter my body.  Fever and sweats and chills 35 mins after injection. I am in pain all over with headache and i have fever still 24+ hours later. I am weak and cant move and unable  to rest . I am throwing up and an able to work or walk
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Impaired work ability, Inflammation, Injection site mass, Insomnia
Clinical narrative: I am very very sick my arm is swollen with huge lump on injection site. Pain and inflammation  and cant move arm . I immediately  felt sick and felt the medicine  enter my body.  Fever and sweats and chills 35 mins after injection. I am in pain all over with headache and i have fever still 24+ hours later. I am weak and cant move and unable  to rest . I am throwing up and an able to work or walk
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: I am very very sick my arm is swollen with huge lump on injection site. Pain and inflammation  and cant move arm . I immediately  felt sick and felt the medicine  enter my body.  Fever and sweats and chills 35 mins after injection. I am in pain all over with headache and i have fever still 24+ hours later. I am weak and cant move and unable  to rest . I am throwing up and an able to work or walk
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site movement impairment, Vomiting
Clinical narrative: I am very very sick my arm is swollen with huge lump on injection site. Pain and inflammation  and cant move arm . I immediately  felt sick and felt the medicine  enter my body.  Fever and sweats and chills 35 mins after injection. I am in pain all over with headache and i have fever still 24+ hours later. I am weak and cant move and unable  to rest . I am throwing up and an able to work or walk
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injected limb mobility decreased, Injection site pain, Shoulder injury related to vaccine administration, Tremor
Clinical narrative: By 9:30 that night I started shaking uncontrollably - like my entire body clenched and wouldn?t let go.  I have never reacted like that before.  That lasted about 4 hours, but my body didn?t recover for months.  I developed SIRVA from the injection going in too deep, which cause excruciating pain and loss of motion.  Finally, after escalating pain, I figured out what SIRVA was and went to my doctor, who prescribed physical therapy because I lost about 60-70% functionality of my left arm.  Finally, my body started to stabilize 4 months later.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Chest pain, Headache, Oedema
Clinical narrative: Pains in right leg  after first dose  Pains at ankles in both legs after first dose  Headache after second dose of vaccine only  Chills after first dose only  Swollen under left arm and is still painful -second dose  Chest pains left side - after second dose Upper back pain comes and goes -after second dose
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: Pains in right leg  after first dose  Pains at ankles in both legs after first dose  Headache after second dose of vaccine only  Chills after first dose only  Swollen under left arm and is still painful -second dose  Chest pains left side - after second dose Upper back pain comes and goes -after second dose
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dysphagia, Heart rate increased, Hypoaesthesia oral, Paraesthesia
Clinical narrative: Numbness and tingling of lips and roof of mouth 5-10 minutes after vaccine administration, followed by globus sensation with swallowing 15 minutes after. Difficulty swallowing progressed with onset of full body tingling and rapid heartbeat 20 minutes after. BP and pulse elevated. Given 50mg Benadryl and recommended ER. Stayed in lobby and symptoms started to improve 10 minutes after Benadryl. I work in ENT on same campus with anaphylaxis cart in office, so permitted to return to work. Symptoms fully subsided within an hour or two.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Sensation of foreign body
Clinical narrative: Numbness and tingling of lips and roof of mouth 5-10 minutes after vaccine administration, followed by globus sensation with swallowing 15 minutes after. Difficulty swallowing progressed with onset of full body tingling and rapid heartbeat 20 minutes after. BP and pulse elevated. Given 50mg Benadryl and recommended ER. Stayed in lobby and symptoms started to improve 10 minutes after Benadryl. I work in ENT on same campus with anaphylaxis cart in office, so permitted to return to work. Symptoms fully subsided within an hour or two.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: PATIENT WAS 13 AT TIME OF VACCINE AND RECEIVED DOSING FOR PEDIATRIC 5-11 PATIENTS. PATIENT WAS INFORMED OF THE ERROR AND WAS TOLD THAT IT IS CONSIDERED BY CDC TO BE SAFE FOR PATIENT TO GET THIS DOSE AND GET THE CORRECT DOSE FOR PATIENTS 12+ FOR THE SECOND DOSE 21 DAYS LATER.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Phlebitis superficial
Clinical narrative: Mondor?s disease of the left breast
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Two months of mild to moderate chest pain and shortness of breath. These symptoms would last approximately 10 minutes at a time, and then fade away. Symptoms occurred randomly (often in the mornings after working out) 1-2 times/day.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Malaise, Pain
Clinical narrative: 7:15 am woke up very tired and no energy. When home from school at 3:45 feeling achy and slept for two hours. Awoke at 5:45pm  with headache and worse body aches. Temperature with thermometer under tongue was 102.0 F. Continued feeling not well. Back to sleep in bed at 7:30pm with body aches, headache, and overall feeling unwell.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: ost-vaccination after patient completed her grocery shopping and was heading out to her vehicle, became dizzy and light-headed. Patient called out for help, security remained with them while an associate came and got pharmacy personnel. Security contacted 911, EMTs arrived to scene and evaluated patient. Patient declined to be transported to the hospital. Patient's sister arrived, picked her up, and took her home.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Extra dose administered, Formication, Gastrooesophageal reflux disease, Palpitations
Clinical narrative: Patient stated that felt palpitations, crawling sensations in her arms and a worsening of her GERD symptoms later in the day after her booster.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Incorrect dose administered. Patient should have received adult pfizer
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Lymphadenopathy, Nausea, Pain, Swelling
Clinical narrative: Nausea, swollen lymph node right arm pit, pain and swelling and pain upper right abdominal area near ribs specifically after eating.