chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Dyspnoea, Erythema, Flushing
Clinical narrative: She started with a dry, persistent cough within 1-2 minutes after the vaccine.  She stated "I can't breathe."  Her skin was flushed red.   I administered 0.15 mg of epinephrine.  She was given oxygen.  Her initial oxygen saturation was 82% but quickly went to 97% with oxygen.  She was transported by EMS and discharged home the same day.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS, FALL,
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Fatigue, Oedema peripheral, Pain
Clinical narrative: States local pain and, she felt very tired that day (attributed it to blood draw that happened the same day_. Next day, anterior axillary area became swollen and painful. Moving the arm hurts, because it manipulates the area. Taking OTC medication (she thinks ibuprofen) which does help with the pain. Wearing her back pack over the left side only right now
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: Arm turned red from elbow to shoulder, hot to the touch, painful, and lasted 3-4 weeks.
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Abdominal pain upper, C-reactive protein, Chlamydia test, Diarrhoea, Differential white blood cell count
Clinical narrative: Developed diarrhea and stomach pain issues that were not previously present.   Seen my pediatrician for gastrointestinal issues.   Referred to pediatric gastroenterologist.   Diagnosed with lactose intolerance
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Full blood count, Gastrointestinal disorder, Lactose intolerance, Lipids, Occult blood
Clinical narrative: Developed diarrhea and stomach pain issues that were not previously present.   Seen my pediatrician for gastrointestinal issues.   Referred to pediatric gastroenterologist.   Diagnosed with lactose intolerance
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Salmonella test, Urine analysis
Clinical narrative: Developed diarrhea and stomach pain issues that were not previously present.   Seen my pediatrician for gastrointestinal issues.   Referred to pediatric gastroenterologist.   Diagnosed with lactose intolerance
Age: 41.0
Sex: U
Vaccine: COVID19
Symptoms: Cardiac murmur
Clinical narrative: Heart mermer lasting 3 days.  physician noted that if it get worse, go to the ER.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Heart rate increased
Clinical narrative: Patient received the second dose of their vaccine and we were talking. About 1-2 minutes after the vaccination the patient stated that they "didn't feel right" and that their heart was beating really fast. I asked if they felt shortness of breath or difficulty breathing and they said no, just not right and fast heartrate and they wanted an ambulance called. Minutes went by and they still had no difficulty breathing. The ambulance arrived and took the patient out.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dysuria, Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever (101.5), headache, and nausea started showing up about 6 hours later. At 9 hours extreme vomiting, including the vomiting of the contents of the small intestines. Urine production stopped from 9pm Monday until 6pm on Tuesday. Went into Urgent Care treated with a liter IV for dehydration and checked for intestinal blockage-none found, and released.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Hypoxia
Clinical narrative: Presented to the hospital with COVID pneumonia and hypoxia. He was hospitalized for 12 days and discharge to home on oxygen.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic COVID-19 infection
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: A consent form to receive the COVID-19 vaccine was returned to the school for a COVID-19 vaccination. The vaccination was provided by a nurse. The consent form was completed with the child's correct name and date of birth. The family turned it in pre-emptively to have the child vaccinated when she turned 12 next spring. Patient was administered vaccine, during a period where it is yet approved for her age group. No adverse outcomes for child - medically stable.
Age: 68.0
Sex: M
Vaccine: FLUA4
Symptoms: Arthralgia, Back pain, Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Less than five minutes after injection, I experienced a tightness in my chest and difficulty breathing, followed by intense pain in my lower back and hip area and minor dizziness.  The severity of the symptoms seemed to lessen after about 10-15 minutes (I did not seek help which my wife is a little pissed off about).  I have never had a reaction like this to a flu shot or any vaccine.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: A consent form was returned for this student to receive the COVID-19 vaccine at school. The form and letter stated it was for >12 year olds. It was signed and returned by parent. The vaccine was administered to student despite him only being 11 years old. He received a dose of the vaccine at the time when the vaccine is not approved for his age group. No known side effects or adverse outcomes at this time.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Pyrexia, Tachypnoea
Clinical narrative: Patient presented to the ED with increasing shortness of breath, fever, and tachypnea. He was found to have COVID-19 pneumonia. He was admitted for further management. He was discharged from the hospital 12 days later in stable condition.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Ovarian cyst ruptured
Clinical narrative: From 2019 until the vaccine I had only had 3 periods. I have always had a hx of PCOS however would have 1 cyst rupture approximately every 4-6 months. Since receiving the vaccine I have had monthly periods, much heavier than the few I had before. I have also had multiple ovarian cysts rupture monthly. Usually 1-2 per day for 4-5 days. So my menstrual cycle has definitely changed as well as hormones.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyskinesia, Tremor
Clinical narrative: Client had uncontrollable body movements, shaking, and shivering.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Had headaches immediately after immunization and seen in ED for care and treatment
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Pfizer dose 1 administered.  Vaccinator went to start observation timer.  Patient stated she felt light headed, patient passed out.  Patient was carried to stretcher, regained consciousness.  Vital Signs obtained BP 115/73, HR 84, O2 sat 100.  Patient was observed 30 minutes and then released to the care of her mother.
Sex: U
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cough, Dizziness, Extra dose administered
Clinical narrative: Became dizzy immediately after vaccine. Left side headache also. 2 hours later temp was  101.8. 4 hours later temp was 104.8. Headache, body aches, cough and vomiting. Very heavy chest. Severe chills with uncontrollable shakes. Fever continued for 5.5 days. Body aches and headache for 2 weeks. Still not eating solid food. Same side effects after vaccine #2 but those symptoms lasted 3 days.
Sex: U
Vaccine: COVID19
Symptoms: Headache, Hypophagia, Pain, Pyrexia, Tremor
Clinical narrative: Became dizzy immediately after vaccine. Left side headache also. 2 hours later temp was  101.8. 4 hours later temp was 104.8. Headache, body aches, cough and vomiting. Very heavy chest. Severe chills with uncontrollable shakes. Fever continued for 5.5 days. Body aches and headache for 2 weeks. Still not eating solid food. Same side effects after vaccine #2 but those symptoms lasted 3 days.
Sex: U
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge, Vomiting
Clinical narrative: Became dizzy immediately after vaccine. Left side headache also. 2 hours later temp was  101.8. 4 hours later temp was 104.8. Headache, body aches, cough and vomiting. Very heavy chest. Severe chills with uncontrollable shakes. Fever continued for 5.5 days. Body aches and headache for 2 weeks. Still not eating solid food. Same side effects after vaccine #2 but those symptoms lasted 3 days.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus, Glycosylated haemoglobin increased
Clinical narrative: I have been monitored for years.  My blood glucose was fine.  Four months after the second Moderna vaccine I was diagnosed as being diabetic.  The only thing that changed this year was being vaccinated and now I am a diabetic for life thanks to Moderna and the mrna vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gout, Insomnia
Clinical narrative: Severe joint pains and Gout at left leg big Toe. Started midnight and could not sleep and tolerate pain due Gout.  Visited Clinic on 09/16/2021 and got prescription COLCHICINE 0.6 MG TABLETS and PREDNISONE 10MG TABLETS  FOR FIVE DAYS.  AFTER 24 HOURS got relief from severe pain and it two weeks to become normal.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Fatigue, Hypomagnesaemia
Clinical narrative: Patient presents to the ED with fever, chills, fatigue, body aches, sore throat, cough, diarrhea and nausea. She was found to have hypomagnesemia and was admitted for magnesium repletion. She was discharged in stable condition 6 days later.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Mineral supplementation, Nausea, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Patient presents to the ED with fever, chills, fatigue, body aches, sore throat, cough, diarrhea and nausea. She was found to have hypomagnesemia and was admitted for magnesium repletion. She was discharged in stable condition 6 days later.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Patient came into pharmacy 10/15/21 stating her arm has gotten progressively more sore since receiving flu shot on 10/4/21
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pain in extremity, Product preparation error
Clinical narrative: No unexpected adverse events - arm pain, chills, generalized muscle aches as typically seen with this vaccine.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Hypoaesthesia, Muscular weakness, Pain, Pain in extremity
Clinical narrative: Right arm hurt at Vax site and surrounding upper arm gradually worsening. By 48hrs, arm was tingling, intermittent numbness distally. Intermittently, pain would shoot down the arm to the wrist or up over the shoulder. This was intermittent with the arm feeling tired. At one week, phoned Health Center because it was not improving. Since 10/10/21,  upper right arm pain. Intermittently the forearm has pain. On going, at present.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia, Vaccination site pain
Clinical narrative: Right arm hurt at Vax site and surrounding upper arm gradually worsening. By 48hrs, arm was tingling, intermittent numbness distally. Intermittently, pain would shoot down the arm to the wrist or up over the shoulder. This was intermittent with the arm feeling tired. At one week, phoned Health Center because it was not improving. Since 10/10/21,  upper right arm pain. Intermittently the forearm has pain. On going, at present.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: After giving the booster vaccine to the patient, we found out that there is less than 6  months interval after  the second dose to the booster dose
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Adenocarcinoma, Biopsy, Computerised tomogram abnormal, Hilar lymphadenopathy, Lymphadenopathy
Clinical narrative: CT scans showed numerous enlarged Lymph Nodes in Hilar and Mediastinal lymph nodes, under left lavicle, and other areas, pleura in right lung
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy mediastinal
Clinical narrative: CT scans showed numerous enlarged Lymph Nodes in Hilar and Mediastinal lymph nodes, under left lavicle, and other areas, pleura in right lung
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Arthralgia, Blood test normal, Chest pain, Dizziness
Clinical narrative: An hour after, I was dizzy, eyes were drying out and liquid coming out of my pupil. Arm was heavy with tremors in legs and arms all night and I still have them. Chest pains and pounding in my heart. Joint pains in hand and feet. Cant sleep at night and feel nervous and agitated and like ants feeling and headaches. The next day, the news that J and J vaccines had side affects. 6 months later, my legs are jumpy, cant sleepy and agitated and insomnia because my body in tingling all night. Eyes are dry. My mind goes blank and cant do normal stuff like before. My left arm is still hurting and does not have any strength, I was very active and cant do it anymore. Four day later went to the doctor, all test were normal and they couldn't understand because PT had no preexisting conditions. Doctors cant explain why I am having all these symptoms. Medications like Tylenol and try melatonin and chamomile tea. Scheduled to go Optomologiest and the eye still has a stain on white of my eyes.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Dyskinesia, Electrocardiogram normal, Eye discharge, Formication
Clinical narrative: An hour after, I was dizzy, eyes were drying out and liquid coming out of my pupil. Arm was heavy with tremors in legs and arms all night and I still have them. Chest pains and pounding in my heart. Joint pains in hand and feet. Cant sleep at night and feel nervous and agitated and like ants feeling and headaches. The next day, the news that J and J vaccines had side affects. 6 months later, my legs are jumpy, cant sleepy and agitated and insomnia because my body in tingling all night. Eyes are dry. My mind goes blank and cant do normal stuff like before. My left arm is still hurting and does not have any strength, I was very active and cant do it anymore. Four day later went to the doctor, all test were normal and they couldn't understand because PT had no preexisting conditions. Doctors cant explain why I am having all these symptoms. Medications like Tylenol and try melatonin and chamomile tea. Scheduled to go Optomologiest and the eye still has a stain on white of my eyes.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia, Laboratory test normal, Limb discomfort, Loss of personal independence in daily activities
Clinical narrative: An hour after, I was dizzy, eyes were drying out and liquid coming out of my pupil. Arm was heavy with tremors in legs and arms all night and I still have them. Chest pains and pounding in my heart. Joint pains in hand and feet. Cant sleep at night and feel nervous and agitated and like ants feeling and headaches. The next day, the news that J and J vaccines had side affects. 6 months later, my legs are jumpy, cant sleepy and agitated and insomnia because my body in tingling all night. Eyes are dry. My mind goes blank and cant do normal stuff like before. My left arm is still hurting and does not have any strength, I was very active and cant do it anymore. Four day later went to the doctor, all test were normal and they couldn't understand because PT had no preexisting conditions. Doctors cant explain why I am having all these symptoms. Medications like Tylenol and try melatonin and chamomile tea. Scheduled to go Optomologiest and the eye still has a stain on white of my eyes.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Mental impairment, Muscular weakness, Nervousness, Pain in extremity, Palpitations
Clinical narrative: An hour after, I was dizzy, eyes were drying out and liquid coming out of my pupil. Arm was heavy with tremors in legs and arms all night and I still have them. Chest pains and pounding in my heart. Joint pains in hand and feet. Cant sleep at night and feel nervous and agitated and like ants feeling and headaches. The next day, the news that J and J vaccines had side affects. 6 months later, my legs are jumpy, cant sleepy and agitated and insomnia because my body in tingling all night. Eyes are dry. My mind goes blank and cant do normal stuff like before. My left arm is still hurting and does not have any strength, I was very active and cant do it anymore. Four day later went to the doctor, all test were normal and they couldn't understand because PT had no preexisting conditions. Doctors cant explain why I am having all these symptoms. Medications like Tylenol and try melatonin and chamomile tea. Scheduled to go Optomologiest and the eye still has a stain on white of my eyes.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Scleral discolouration, Tremor, Ultrasound Doppler normal
Clinical narrative: An hour after, I was dizzy, eyes were drying out and liquid coming out of my pupil. Arm was heavy with tremors in legs and arms all night and I still have them. Chest pains and pounding in my heart. Joint pains in hand and feet. Cant sleep at night and feel nervous and agitated and like ants feeling and headaches. The next day, the news that J and J vaccines had side affects. 6 months later, my legs are jumpy, cant sleepy and agitated and insomnia because my body in tingling all night. Eyes are dry. My mind goes blank and cant do normal stuff like before. My left arm is still hurting and does not have any strength, I was very active and cant do it anymore. Four day later went to the doctor, all test were normal and they couldn't understand because PT had no preexisting conditions. Doctors cant explain why I am having all these symptoms. Medications like Tylenol and try melatonin and chamomile tea. Scheduled to go Optomologiest and the eye still has a stain on white of my eyes.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Intensive care
Clinical narrative: Admission to critical care hospital with COVID-19 diagnosis on admission
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given a dose of Moderna on 10/14 that expired on 10/12
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Malaise, Syncope
Clinical narrative: The patient was nervous for first dose of pfizer covid 19 vaccine. she got the dose and sat down. A few minutes later stated was not feeling well. She took a drink of water. She was positioned with head between legs in case she would faint. Patient then fainted a few minutes after that by falling forward and hit her head on sanitizing station. Emt were called and she was not taken to the hospital. her boyfriend came to pick her up.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Patient was given an a dose of Moderna that expired on 10/12/2021 Patient did not have any reactions to our knowledge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Infusion, Pneumonia
Clinical narrative: Patient arrived for a BAM infusions and was found to be hypoxic at 71% on room air. She was sent to the ED for further evaluation. In the ED, it was found that the patient likely had pneumonia. She was admitted for further management. She was discharge 4 days later in stable condition.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Diarrhoea
Clinical narrative: Patient completed Janseen one dose COVID-19 series on 4/2/21. Patient was admitted to reporting hospital on 10/11/21 with 10 days of on-going symptoms with persistent diarrhea, fatigue, cough, and poor oxygenation. Patient continues to be hospitalized on day 4 and has been treated with dexamethasone and remdesivir. Original positive test was at pharmacy on 10/4.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lung opacity, Oxygen saturation abnormal, SARS-CoV-2 test positive
Clinical narrative: Patient completed Janseen one dose COVID-19 series on 4/2/21. Patient was admitted to reporting hospital on 10/11/21 with 10 days of on-going symptoms with persistent diarrhea, fatigue, cough, and poor oxygenation. Patient continues to be hospitalized on day 4 and has been treated with dexamethasone and remdesivir. Original positive test was at pharmacy on 10/4.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Respiratory failure
Clinical narrative: Patient admitted for COVID on 10/13/2021.  Currently an inpatient with respiratory failire.  Vaccinated with 2 doses of Pfizer COVID vaccine on 4/12/21, and 3/22/21.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Rash, Urticaria
Clinical narrative: Hives/Rash on torso, arms and legs.  Unsure if related, but felt I should report just in case.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient previously received Moderna vaccine for the prior 2 doses. We inadvertently gave Pfizer vaccine to the patient for the booster dose.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: soreness to shoulder where vaccine was given. The following day, lymph nodes in the armpit were swollen and painful.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Fatigue
Clinical narrative: Generalized weakness, fatigue and sleeping all day, no appetite with severely limited p.o. intake, dry cough,.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Hypophagia, SARS-CoV-2 test positive
Clinical narrative: Generalized weakness, fatigue and sleeping all day, no appetite with severely limited p.o. intake, dry cough,.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered
Clinical narrative: Patient was administered third dose of Moderna on 10/13/21 but the vial in which the dose was drawn from expired on 10/12/21
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The booster dose was given to the patient, and then later we found out that there is less than 6 months interval between second dose and the booster.  No side effects happened to the patient.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Patient was given a Moderna dose that expired on10/12/2021 Patient did not have any symptoms to our knowledge
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Vertigo
Clinical narrative: Intermittent chest pain: sharp/burning, mostly upper chest and under clavicles, improved with sitting up and/or leaning forward Intermittent vertigo, brought on by movement, episodes lasting < 60 seconds
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient Contacted COVID-19
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: About an hour or two after injection, a small raised area around my site of injection started to form. It was hard to the touch and painful. As the days went on, the raised site continued to grow to about two inches in diameter. It continued to be painful, raised, slightly hard to the touch, quite red, and slightly itchy from time to time. After approx. a week, the swelling, redness, pain, and itch went away.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperacusis, Injection site erythema, Injection site pain
Clinical narrative: Hot red swollen area 7inches x 3inches.  Very painful lasting 9days at injection site.  Severe body aches lasting 3 days. Severe headache lasting 3 days with light and sound sensitivity. Severe chills and nausea last 4 days.  Fever of 102 degrees Fahrenheit lasting 2 days. Mild intermittent chills still occurring.  Mild to moderate headaches still continue.  Used acetaminophen 1000mg 4 times a day and 800mg ibuprofen every 8hours through the first week.  Continuing to have to take at least 2 or 3 doses of both the ibuprofen and acetaminophen daily for continued mild to moderate headaches.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Nausea, Pain, Photophobia
Clinical narrative: Hot red swollen area 7inches x 3inches.  Very painful lasting 9days at injection site.  Severe body aches lasting 3 days. Severe headache lasting 3 days with light and sound sensitivity. Severe chills and nausea last 4 days.  Fever of 102 degrees Fahrenheit lasting 2 days. Mild intermittent chills still occurring.  Mild to moderate headaches still continue.  Used acetaminophen 1000mg 4 times a day and 800mg ibuprofen every 8hours through the first week.  Continuing to have to take at least 2 or 3 doses of both the ibuprofen and acetaminophen daily for continued mild to moderate headaches.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Hot red swollen area 7inches x 3inches.  Very painful lasting 9days at injection site.  Severe body aches lasting 3 days. Severe headache lasting 3 days with light and sound sensitivity. Severe chills and nausea last 4 days.  Fever of 102 degrees Fahrenheit lasting 2 days. Mild intermittent chills still occurring.  Mild to moderate headaches still continue.  Used acetaminophen 1000mg 4 times a day and 800mg ibuprofen every 8hours through the first week.  Continuing to have to take at least 2 or 3 doses of both the ibuprofen and acetaminophen daily for continued mild to moderate headaches.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ED with mild chest discomfort and was found to be COVID positive.  Was admitted for rule out due to significant cardiac history.  He was discharged the next day in stable condition.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Swelling, Pain and warmth at the site of the injection that?s not going away. It?s also causing a dull pain throughout my left arm.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered
Clinical narrative: Patient received a dose of Moderna on 10/13/21. The vial in which the dose came form expired on 10/12/21.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered
Clinical narrative: Patient was given a Moderna Dose that expired on 10/12/2021
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Headache, Vision blurred
Clinical narrative: Severe headaches, loss of balance, and darkening and blurriness of vision in one eye, was prescribed Prednisone by healthcare provider.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: burning on injection, redness developed same day, large, erythematous patch developed, 4cm x 6cm, became painful to the touch and began to spread towards the left axilla.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue, Vaccine positive rechallenge
Clinical narrative: pt reported tongue swelling 10mins after receiving vaccination. He reports this happened after his first dose as well (but was not reported to healthcare facility). Vitals were WNL, attending provider assessed, 50mg PO benadryl given.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Chills, Nausea, Pain, Retching
Clinical narrative: pt received shot at 9:30 am and experience normal side effects of chills, achy around 10 pm Wednesday am she started nausea and drive heaves.  Her sister in law called her on the phone and she reports she was unable to talk.  she knew what she wanted to say, but unable to get the words out.  Reports she recovered quickly.  Event lasted about 15 mins.  Did not seek treatment.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given an expired Moderna dose that expired 10/12/2021 Patient has not had any symptoms to our knowledge
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event reported.   Administration error: Patient was given 1 ml of Moderna vaccine instead of 0.5 ml
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Diarrhoea, Dyspnoea exertional
Clinical narrative: Patient presents to the ED with complaints of shortness of breath on exertion, nocturnal cough, fever, diarrhea, nausea, vomiting, and poor PO intake. She had tested positive for COVID-19 the day prior to presentation. She was admitted for COVID pneumonia, hypoxia and elevated D-Dimer. She was discharged 3 days later in stable condition.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hypophagia, Hypoxia, Nausea, Pyrexia
Clinical narrative: Patient presents to the ED with complaints of shortness of breath on exertion, nocturnal cough, fever, diarrhea, nausea, vomiting, and poor PO intake. She had tested positive for COVID-19 the day prior to presentation. She was admitted for COVID pneumonia, hypoxia and elevated D-Dimer. She was discharged 3 days later in stable condition.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient presents to the ED with complaints of shortness of breath on exertion, nocturnal cough, fever, diarrhea, nausea, vomiting, and poor PO intake. She had tested positive for COVID-19 the day prior to presentation. She was admitted for COVID pneumonia, hypoxia and elevated D-Dimer. She was discharged 3 days later in stable condition.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram abnormal, Exercise tolerance decreased
Clinical narrative: I received vaccine on August 1, 2021. Two weeks after getting vaccine, I developed intermittent sharp chest pains and difficulty taking deep breaths. My exercise tolerance decreased and I had difficulty doing my usual treadmill exercises. The symptoms persisted so I eventually reached out to my Cardiologist who did an EKG on September 2, 2021, which showed ST elevation in V4, V5, V6 suggestive of pericarditis. I was advised to take anti-inflammatory medications so I took ibuprofen and refrained from exercise and eventually symptoms resolved.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: I received vaccine on August 1, 2021. Two weeks after getting vaccine, I developed intermittent sharp chest pains and difficulty taking deep breaths. My exercise tolerance decreased and I had difficulty doing my usual treadmill exercises. The symptoms persisted so I eventually reached out to my Cardiologist who did an EKG on September 2, 2021, which showed ST elevation in V4, V5, V6 suggestive of pericarditis. I was advised to take anti-inflammatory medications so I took ibuprofen and refrained from exercise and eventually symptoms resolved.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The booster dose was given to the patient, and after that, we found out that the time interval between the second dose and the booster is less than 6 months. No side effects or reactions happened to the patient.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given 1st Moderna vaccine and he was under 18 (17 yr and 9 mo) Patient and step-father deny and adverse reactions
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Breast feeding, Delivery, Exposure during pregnancy, Gestational diabetes
Clinical narrative: Admission  Discharged   10/6/2021 - 10/8/2021 (2 days)  Ephrata Community Hospital   Encounter for induction of labor Principal problem  DETAILS OF HOSPITAL STAY    Presenting Problem/History of Present Illness/Reason for Admission Encounter for induction of labor [Z34.90] at 39 weeks IOL for itching and GDM On Ursodiol after delivery   Hospital Course  postpartum Day #2 S/P SVD + Covid - but asymptomatic and had her vaccinations Breastfeeding well
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Labour induction, Pruritus, SARS-CoV-2 test positive
Clinical narrative: Admission  Discharged   10/6/2021 - 10/8/2021 (2 days)  Ephrata Community Hospital   Encounter for induction of labor Principal problem  DETAILS OF HOSPITAL STAY    Presenting Problem/History of Present Illness/Reason for Admission Encounter for induction of labor [Z34.90] at 39 weeks IOL for itching and GDM On Ursodiol after delivery   Hospital Course  postpartum Day #2 S/P SVD + Covid - but asymptomatic and had her vaccinations Breastfeeding well
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chest pain, Electrocardiogram normal, Heart rate increased
Clinical narrative: Chest Pain started 9/8/21 typically noticed when lying down, felt like pressure/tightness and like heart was beating stronger, some pain radiating into left shoulder.   Went to the doctor on 9/20/21 to be seen for this.  The initial symptoms have mostly subsided but am experiencing some sharper pains in chest that come and go occasionally that started on 9/26/21.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Chest Pain started 9/8/21 typically noticed when lying down, felt like pressure/tightness and like heart was beating stronger, some pain radiating into left shoulder.   Went to the doctor on 9/20/21 to be seen for this.  The initial symptoms have mostly subsided but am experiencing some sharper pains in chest that come and go occasionally that started on 9/26/21.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Muscle spasms, Pain
Clinical narrative: Severe Chills, Sever Muscle cramps (leg), Joint Pain, Body ache, Headache,
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was supposed to get a second dose of Moderna, but got Pfizer instead.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: None  Administration error - patient was given 1 ml of Moderna rather than 0.5 ml
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: The booster dose was given to the patient, and after that, we found that there is less than 6  months interval between the second dose and the booster, No side effects or reactions happened to the patient.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Axillary pain, Eye swelling, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Injection site reaction (redness, swelling), swollen axilla (painful), and severely red and swollen eyes (no pus or discharge)
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Ocular hyperaemia, Oedema peripheral
Clinical narrative: Injection site reaction (redness, swelling), swollen axilla (painful), and severely red and swollen eyes (no pus or discharge)
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive on 9/17 was hospitalized; was transferred to another hospital on 10/08 for swing bed status to receive therapy for strengthening.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on left side of upper body.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Adnexa uteri pain, Anxiety, Arthralgia, Asthenia, Decreased appetite
Clinical narrative: Rapid heart rate 110-135 bpm (baseline heart rate is 80s), frequent heart palpitations (some in a row), heart rate speeds up and slows down intermittently / seems irregular at times/ seems to beat harder and softer intermittently in the same minute, dizziness for 2 days especially when rising from laying even if slowly, severe joint pain in all joints (feet, ankles, hands, wrists, knees, hips, entire spine from neck to sacrum, Ovary pains off cycle time, nausea, anorexia, headache, lymph node swelling and pain, body aches, malaise, fatigue, general sense of doom as if something bad is very wrong, anxiety, standing and walking is painful and takes all energy to perform. Mild Skin rash on hands (possible flare of eczema or psoriasis, however this condition became much worse since having COVID19 in 01/2021 and vaccines 08/31/21 and 10/13/21).  Some breathing changes, such as more mucus production and was unable to take as deep of a breath and noted voice changes. Injection site hot, swollen, red, very painful and unable to use arm for most activity.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dizziness postural, Dysphonia, Dyspnoea, Fatigue
Clinical narrative: Rapid heart rate 110-135 bpm (baseline heart rate is 80s), frequent heart palpitations (some in a row), heart rate speeds up and slows down intermittently / seems irregular at times/ seems to beat harder and softer intermittently in the same minute, dizziness for 2 days especially when rising from laying even if slowly, severe joint pain in all joints (feet, ankles, hands, wrists, knees, hips, entire spine from neck to sacrum, Ovary pains off cycle time, nausea, anorexia, headache, lymph node swelling and pain, body aches, malaise, fatigue, general sense of doom as if something bad is very wrong, anxiety, standing and walking is painful and takes all energy to perform. Mild Skin rash on hands (possible flare of eczema or psoriasis, however this condition became much worse since having COVID19 in 01/2021 and vaccines 08/31/21 and 10/13/21).  Some breathing changes, such as more mucus production and was unable to take as deep of a breath and noted voice changes. Injection site hot, swollen, red, very painful and unable to use arm for most activity.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Heart rate irregular, Injection site erythema, Injection site pain
Clinical narrative: Rapid heart rate 110-135 bpm (baseline heart rate is 80s), frequent heart palpitations (some in a row), heart rate speeds up and slows down intermittently / seems irregular at times/ seems to beat harder and softer intermittently in the same minute, dizziness for 2 days especially when rising from laying even if slowly, severe joint pain in all joints (feet, ankles, hands, wrists, knees, hips, entire spine from neck to sacrum, Ovary pains off cycle time, nausea, anorexia, headache, lymph node swelling and pain, body aches, malaise, fatigue, general sense of doom as if something bad is very wrong, anxiety, standing and walking is painful and takes all energy to perform. Mild Skin rash on hands (possible flare of eczema or psoriasis, however this condition became much worse since having COVID19 in 01/2021 and vaccines 08/31/21 and 10/13/21).  Some breathing changes, such as more mucus production and was unable to take as deep of a breath and noted voice changes. Injection site hot, swollen, red, very painful and unable to use arm for most activity.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Lymphadenopathy, Malaise, Mobility decreased
Clinical narrative: Rapid heart rate 110-135 bpm (baseline heart rate is 80s), frequent heart palpitations (some in a row), heart rate speeds up and slows down intermittently / seems irregular at times/ seems to beat harder and softer intermittently in the same minute, dizziness for 2 days especially when rising from laying even if slowly, severe joint pain in all joints (feet, ankles, hands, wrists, knees, hips, entire spine from neck to sacrum, Ovary pains off cycle time, nausea, anorexia, headache, lymph node swelling and pain, body aches, malaise, fatigue, general sense of doom as if something bad is very wrong, anxiety, standing and walking is painful and takes all energy to perform. Mild Skin rash on hands (possible flare of eczema or psoriasis, however this condition became much worse since having COVID19 in 01/2021 and vaccines 08/31/21 and 10/13/21).  Some breathing changes, such as more mucus production and was unable to take as deep of a breath and noted voice changes. Injection site hot, swollen, red, very painful and unable to use arm for most activity.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Palpitations, Productive cough, Rash
Clinical narrative: Rapid heart rate 110-135 bpm (baseline heart rate is 80s), frequent heart palpitations (some in a row), heart rate speeds up and slows down intermittently / seems irregular at times/ seems to beat harder and softer intermittently in the same minute, dizziness for 2 days especially when rising from laying even if slowly, severe joint pain in all joints (feet, ankles, hands, wrists, knees, hips, entire spine from neck to sacrum, Ovary pains off cycle time, nausea, anorexia, headache, lymph node swelling and pain, body aches, malaise, fatigue, general sense of doom as if something bad is very wrong, anxiety, standing and walking is painful and takes all energy to perform. Mild Skin rash on hands (possible flare of eczema or psoriasis, however this condition became much worse since having COVID19 in 01/2021 and vaccines 08/31/21 and 10/13/21).  Some breathing changes, such as more mucus production and was unable to take as deep of a breath and noted voice changes. Injection site hot, swollen, red, very painful and unable to use arm for most activity.
Age: 63.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Body temperature increased, Bone pain, Gait disturbance, Head discomfort
Clinical narrative: Had a slight headache the night of vaccination, but about an hour after getting up the next morning, extreme body aches made it difficult to even walk. Every bone, joint, and muscle was sore all day (despite alternating doses of Tylenol and Aleve) until about 8:00 pm when it started to subside. My temperature was also elevated, but no in fever range. I didn't have a true headache, but it felt like my head was going to explode, kind of like a bad sinus infection, but throughout my whole head. Slight headache this morning, but the body aches have gone away.
Age: 63.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Headache, Myalgia, Pain, Sinusitis
Clinical narrative: Had a slight headache the night of vaccination, but about an hour after getting up the next morning, extreme body aches made it difficult to even walk. Every bone, joint, and muscle was sore all day (despite alternating doses of Tylenol and Aleve) until about 8:00 pm when it started to subside. My temperature was also elevated, but no in fever range. I didn't have a true headache, but it felt like my head was going to explode, kind of like a bad sinus infection, but throughout my whole head. Slight headache this morning, but the body aches have gone away.
Age: 16.0
Sex: F
Vaccine: DTAP, HEPA, MNQ
Symptoms: Wrong product administered
Clinical narrative: Patient came in for a 1 month office visit on 10.7.21, patient was due for Hep A, Mennigococcal, and Tdap vaccines. Patient was given Hep A, Mennigococcal, and Dtap vaccines. It was discovered today, 10.15.21 that she was given the wrong vaccine (Dtap instead of Tdap), I first contacted the health department and they informed me patient would need the correct vaccine charted, I spoke to our VFC rep, and she informed me that is not the case, I will need to make a medication error report per Health center's policy and make a report to VAERS. That the patient was just given a stronger dose of diptheria than that is required for patients age. The tetanus part of either vaccine, Tdap or Dtap is the same strength/concentration, so patient is still covered. I informed pateint's mother of the incident. RN
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: None administration error - patient was given 1 ml of Moderna COVID vaccine instead of 0.5 ml
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort
Clinical narrative: Patient originally Covid + on 10/06. Tested positive again on 10/14/2021. Patient fully vaccinated with Pfizer. 1st dose 04/21/2021 and 2nd dose on 05/12/2021.  Per HCP: Patient is 49-year-old female with past medical history significant for cardiomyopathy, atrial fibrillation on Eliquis, diabetes mellitus, hypertension, hyperlipidemia presented to the ER with complaints of some chest tightness and feeling out of breath and some lightheadedness. Patient tells me that she was recently diagnosed with COVID-19 infection on 10/6/2021 and she has not been feeling well since then. She said that she has received antibody infusion at a HCF past Tuesday as recommended by her PCP. Although her chest tightness 10 shortness of breath got worsened she said her shortness of breath is more when she exerts and walks. Patient already has been vaccinated with 2 doses of either vaccine in May 2021. Patient also has some coughing and phlegm production. On my evaluation also she has some chest discomfort and she said it is more with the coughing. She denies any chills although she has been having fevers on and off. Patient also is complaining of having diarrhea she denies any abdominal pointer she said she has some nausea here and there no vomiting on further evaluation in the ER her chest x-ray showed patchy opacities throughout the lungs compatible with COVID-19 pneumonia she did not have any leukocytosis she was found to be afebrile her troponin x2 were negative. She had mild hyponatremia with sodium of 130. Patient initially had some hypoxemia although it was resolved on my evaluation patient was maintaining normal saturations on room air
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dizziness, Dyspnoea, Dyspnoea exertional
Clinical narrative: Patient originally Covid + on 10/06. Tested positive again on 10/14/2021. Patient fully vaccinated with Pfizer. 1st dose 04/21/2021 and 2nd dose on 05/12/2021.  Per HCP: Patient is 49-year-old female with past medical history significant for cardiomyopathy, atrial fibrillation on Eliquis, diabetes mellitus, hypertension, hyperlipidemia presented to the ER with complaints of some chest tightness and feeling out of breath and some lightheadedness. Patient tells me that she was recently diagnosed with COVID-19 infection on 10/6/2021 and she has not been feeling well since then. She said that she has received antibody infusion at a HCF past Tuesday as recommended by her PCP. Although her chest tightness 10 shortness of breath got worsened she said her shortness of breath is more when she exerts and walks. Patient already has been vaccinated with 2 doses of either vaccine in May 2021. Patient also has some coughing and phlegm production. On my evaluation also she has some chest discomfort and she said it is more with the coughing. She denies any chills although she has been having fevers on and off. Patient also is complaining of having diarrhea she denies any abdominal pointer she said she has some nausea here and there no vomiting on further evaluation in the ER her chest x-ray showed patchy opacities throughout the lungs compatible with COVID-19 pneumonia she did not have any leukocytosis she was found to be afebrile her troponin x2 were negative. She had mild hyponatremia with sodium of 130. Patient initially had some hypoxemia although it was resolved on my evaluation patient was maintaining normal saturations on room air