chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram head, Magnetic resonance imaging head
Clinical narrative: Bell?s palsy.  Treated with prednisone 60 mg for 7 days and valacyclovir 1g tablet 3 times daily for 7 days.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was from the previous days clinic.  Box was labeled but not followed.  Vaccine was expired and out side the 6hr window for use.
Age: 50.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Hypoaesthesia oral, Pain in jaw, Paraesthesia oral
Clinical narrative: Tongue Tingling and numb Sore Left Jaw Muscle
Age: 59.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Swelling, Tooth infection, Toothache
Clinical narrative: I two teeth infected and the antibiotics I've been prescribed are not working.  I've have had two prescriptions of  Penicillin VK 500Mg twice and it did not complete get rid of the infection.  Now, I'm on Amoxicillin and the infection was doing better till the last hour or so as for pain. But swelling has never gone down. One lady at Dental told me that I need to move my jaw around to get rid of the puss.  I spoke to another clinic today and they said no I need a stronger antibiotic.    Since I have never had this sort of side effect before on an infection...other than someone vandalizing my medicine in my home which I can not prove for cameras and computers are hacked.  Then, all I have to go on is that this is a adverse side effect from the Covid Vaccine.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Urticaria
Clinical narrative: Hives/rash starting in arm pit and abdominal areas day after shot. Spread to entire body within week after shot.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Death
Clinical narrative: I am the epidemiologist reporting on behalf of 75 year-old female patient.  Patient received two doses of the Moderna vaccine, according to immunization records. The first dose was on 4/23/21 and the second was on 5/17/2021.  The patient was found dead at home on 5/19/2021 (2 days post second dose). The death certificate lists ?cardiopulmonary arrest? as the immediate cause of death secondary to ?CHF, Interstitial Lung Disease, OSA, AFIB (FEW weeks) and RHEUMATOID ARTHRITIS, HTN, DIABETES (MANY years).? No additional information is available.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash pruritic
Clinical narrative: Began with rash on upper back and grew to rash on right and left arm, rash on middle and upper back, rash on right thigh with constant itching. Apply Tramcinolone Acetonide Cream 2x day; Methylprednisolone DosePack
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Loss of consciousness, Seizure, Syncope
Clinical narrative: Patient fainted immediately after receiving full vaccination and then started seizure on ground for approximately 3-5 seconds before awakening
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: COUGH
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: I don't remember what was going on with me since it's been so long ago.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: No symptoms
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Alveolar lung disease, Blood creatinine increased, Blood culture negative
Clinical narrative: Patient is a very pleasant 82yo M admitted for orthostatic syncope as well as brief acute respiratory failure with hypoxia in setting of COVID19.  He has a PMH of CKD G3a and HTN as well as likely vaso-vagal events.  Patient presented after having viral syndrome symptoms and poor PO intake for ~ 5 days with syncope after standing up to let dog out.  Patient did not have any alarm symptoms to suggest arrhythmia.  On arrival patient had fever but VS were largely normal at rest but he had marked drop in BP w/ standing.  Labs revealed an AKI on his known CKD.  COVID19 PCR was positive.  He was admitted for monitoring and briefly was hypoxic and required supplemental O2 so was started on steroids and remdesivir; he was given fluid for AKI.  Patient symptomatically improved rapidly and was able to tolerate much more PO intake than before, O2 was titrated off, and he was hopeful for DC, however he became febrile again, Cr increased, and repeat orthostatics remained positive.  Patient was given further fluids and monitored.  The following day patient felt significant further improvement and felt close to his baseline.  Orthostatics were minimally positive and patient had no symptoms with standing.  He was discharged off his BP meds and will f/u with PCP to evaluate their need for reinitiation.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal, Cough
Clinical narrative: Patient is a very pleasant 82yo M admitted for orthostatic syncope as well as brief acute respiratory failure with hypoxia in setting of COVID19.  He has a PMH of CKD G3a and HTN as well as likely vaso-vagal events.  Patient presented after having viral syndrome symptoms and poor PO intake for ~ 5 days with syncope after standing up to let dog out.  Patient did not have any alarm symptoms to suggest arrhythmia.  On arrival patient had fever but VS were largely normal at rest but he had marked drop in BP w/ standing.  Labs revealed an AKI on his known CKD.  COVID19 PCR was positive.  He was admitted for monitoring and briefly was hypoxic and required supplemental O2 so was started on steroids and remdesivir; he was given fluid for AKI.  Patient symptomatically improved rapidly and was able to tolerate much more PO intake than before, O2 was titrated off, and he was hopeful for DC, however he became febrile again, Cr increased, and repeat orthostatics remained positive.  Patient was given further fluids and monitored.  The following day patient felt significant further improvement and felt close to his baseline.  Orthostatics were minimally positive and patient had no symptoms with standing.  He was discharged off his BP meds and will f/u with PCP to evaluate their need for reinitiation.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Head injury, Headache, Hypophagia, Laboratory test abnormal
Clinical narrative: Patient is a very pleasant 82yo M admitted for orthostatic syncope as well as brief acute respiratory failure with hypoxia in setting of COVID19.  He has a PMH of CKD G3a and HTN as well as likely vaso-vagal events.  Patient presented after having viral syndrome symptoms and poor PO intake for ~ 5 days with syncope after standing up to let dog out.  Patient did not have any alarm symptoms to suggest arrhythmia.  On arrival patient had fever but VS were largely normal at rest but he had marked drop in BP w/ standing.  Labs revealed an AKI on his known CKD.  COVID19 PCR was positive.  He was admitted for monitoring and briefly was hypoxic and required supplemental O2 so was started on steroids and remdesivir; he was given fluid for AKI.  Patient symptomatically improved rapidly and was able to tolerate much more PO intake than before, O2 was titrated off, and he was hopeful for DC, however he became febrile again, Cr increased, and repeat orthostatics remained positive.  Patient was given further fluids and monitored.  The following day patient felt significant further improvement and felt close to his baseline.  Orthostatics were minimally positive and patient had no symptoms with standing.  He was discharged off his BP meds and will f/u with PCP to evaluate their need for reinitiation.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Pyrexia, SARS-CoV-2 test positive, Syncope, Viral infection
Clinical narrative: Patient is a very pleasant 82yo M admitted for orthostatic syncope as well as brief acute respiratory failure with hypoxia in setting of COVID19.  He has a PMH of CKD G3a and HTN as well as likely vaso-vagal events.  Patient presented after having viral syndrome symptoms and poor PO intake for ~ 5 days with syncope after standing up to let dog out.  Patient did not have any alarm symptoms to suggest arrhythmia.  On arrival patient had fever but VS were largely normal at rest but he had marked drop in BP w/ standing.  Labs revealed an AKI on his known CKD.  COVID19 PCR was positive.  He was admitted for monitoring and briefly was hypoxic and required supplemental O2 so was started on steroids and remdesivir; he was given fluid for AKI.  Patient symptomatically improved rapidly and was able to tolerate much more PO intake than before, O2 was titrated off, and he was hopeful for DC, however he became febrile again, Cr increased, and repeat orthostatics remained positive.  Patient was given further fluids and monitored.  The following day patient felt significant further improvement and felt close to his baseline.  Orthostatics were minimally positive and patient had no symptoms with standing.  He was discharged off his BP meds and will f/u with PCP to evaluate their need for reinitiation.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial stored at incorrect temperature
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test abnormal, Computerised tomogram abnormal, Computerised tomogram normal, Dyspnoea exertional, Pulmonary embolism
Clinical narrative: I noticed I was having shortness of breath (mild) when I was riding a bike in mid-April through June/July. I did not think it was in relation to anything other than thinking my COPD was getting worse. In September I went to see my pulmonologist. I got a breathing test and a CAT scan and those were fine. He recommended seeing a cardiologist. At the end of October, I got the Pfizer booster shot 10/27/2021. By August I would say the SOB got worse, so by the end of September/middle of October, it was difficult to climb stairs without feeling completely out of breath. And last week 11/5, the cardiologist gave me a stress test and put a pulse ox and it would drop with exertion. And on Monday 11/8, I went and got a CAT scan with contrast dye and the determination was that I had pulmonary embolism, multiple. I noticed I was having shortness of breath (mild) when I was riding a bike in mid-April through June/July. Currently on blood thinners.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast
Clinical narrative: I noticed I was having shortness of breath (mild) when I was riding a bike in mid-April through June/July. I did not think it was in relation to anything other than thinking my COPD was getting worse. In September I went to see my pulmonologist. I got a breathing test and a CAT scan and those were fine. He recommended seeing a cardiologist. At the end of October, I got the Pfizer booster shot 10/27/2021. By August I would say the SOB got worse, so by the end of September/middle of October, it was difficult to climb stairs without feeling completely out of breath. And last week 11/5, the cardiologist gave me a stress test and put a pulse ox and it would drop with exertion. And on Monday 11/8, I went and got a CAT scan with contrast dye and the determination was that I had pulmonary embolism, multiple. I noticed I was having shortness of breath (mild) when I was riding a bike in mid-April through June/July. Currently on blood thinners.
Age: 68.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Product preparation error
Clinical narrative: PT was injected with 0.3 ml of undiluted pfizer booster shot, staff were immediately notified. Per protocol PT was informed of the issue and informed of reactions and told to seek medical attention if she feels she is having a reaction. She was watched for fifteen minutes and vitals were checked a second time vitals were still normal and were charted.
Age: 68.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Headache, Vomiting
Clinical narrative: Patient left the pharmacy and did not report any adverse affects. His wife called the pharmacy the next day and according to her within 20 minutes he had a headache so went to the car. She continued shopping and returned to the car about an hour later. During that time he also threw up. His wife reported that he had not eaten anything that day.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Vision blurred
Clinical narrative: headache,legs red,blurry vision
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Child had received vaccine and was sitting in monitoring area when he fainted. His father got him.  Child placed on floor and seen by EMS.  He vomited liquid and white pieces of meat. He felt better.  Initial P57 BP 110/84 lying, sitting BP110/78,BP 108/78. Child stood and sat in chair. Stated he felt better.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Client    presented to the vaccination site on 11/04/21. The client notified RN  that she received a single dose of CanSino COVID vaccine on 4/30/21. RN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Janssen. Per CDC guidance, approval to proceed with COVID vaccine Janssen was obtained from medical consult team via text message from Vaccine Operations Lead . Client received COVID vaccine Janssen 11/04/21 Lot# 1855194. The client did not report any symptoms during the 15 minute observation period. RN educated client on possible adverse reactions and when to seek medical care
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 11/11/21 after being fully vaccinated.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial stored at incorrect temperature
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Flank pain, Incontinence, Postmenopausal haemorrhage
Clinical narrative: On 11/5/21 patient noticed spotting  and urine in underwear, patient has not had period for over 3 years.    By 11/8/21- Patient had pretty heavy bleeding similar to having a period.  She also had abdominal pain on her sides.  As of 11/11/21 patient states she still has her period.  She will see her md next week.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Headache, Heart rate increased
Clinical narrative: Received COVID-19 booster on afternoon 2 November 2021.  Next day had similar symptoms from Moderna second shot:  sore arm, headache, chills and fatigue.  In addition, in the late afternoon started had a fast-beating /pounding heart.  The fast heart beating subsided toward evening and I did not seek medical care.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations
Clinical narrative: Received COVID-19 booster on afternoon 2 November 2021.  Next day had similar symptoms from Moderna second shot:  sore arm, headache, chills and fatigue.  In addition, in the late afternoon started had a fast-beating /pounding heart.  The fast heart beating subsided toward evening and I did not seek medical care.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse events as far as symptoms. Vaccine was administered 6 hours and 40 mins post reconstitution time.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client presented to the vaccination site on 11/11/2021. The client notified that he completed the series  on 08/21/2021. RN submitted a medical consult via phone call to agency Operations Leads, requesting to proceed with the COVID vaccine Janssen. Per Agency guidance, approval to proceed with COVID vaccine Janssen was obtained from medical consult team via phone call from agency Operations  . Client received COVID vaccine Janssen Lot#1822809 on 11/11/21. The client did not report any symptoms during the 15 min minute observation period. RN educated client on possible adverse reactions and when to seek medical care. The client left the vaccination site in a steady gait.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient accidently received too high a dose of the vaccine. The administrator withdrew 0.2mL of undiluted vaccine and added 1.3mL of diluent to the syringe. In total, the patient received 1.5mL of liquid with an estimated 28.5mcg of mRNA. At this time, there have been no reported reactions to this mistake.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Moderna vaccine that was past the use by date
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Moderna vaccine that was past the use by date
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Bladder catheterisation, Complication associated with device, Death
Clinical narrative: Patient began with bloody nose, unable to stop bleeding,   Pressure applied, ice applied, nasal clamp applied.  Did also note some bleeding in foley.  New foley placed, resident removed clamp and bleeding returned, resident was sitting at 90 degree angle in bed, and was swallowing blood.  Suctioning and oxygen attempted.  Family alerted and did come and request to have resident have comfort medications only in place of going to hospital.  Resident expired 11/11/2021 1240.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Full blood count, Haemorrhage, International normalised ratio
Clinical narrative: Patient began with bloody nose, unable to stop bleeding,   Pressure applied, ice applied, nasal clamp applied.  Did also note some bleeding in foley.  New foley placed, resident removed clamp and bleeding returned, resident was sitting at 90 degree angle in bed, and was swallowing blood.  Suctioning and oxygen attempted.  Family alerted and did come and request to have resident have comfort medications only in place of going to hospital.  Resident expired 11/11/2021 1240.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Extra dose administered, Muscular weakness, Pain in extremity
Clinical narrative: Received the booster of Moderna on 11/10/2021  at 11am and at 6:00pm had a sharp pain in his   left ear and left arm felt weakness in his arms and legs. Felt better on 11/11/2021
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: Itching at injection site started evening of date flu was administered 11/2/2021, then progressed to left neck, in between breasts, back, then today 11/12/2021 spreading to right arm.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE GIVEN BEYOND  THE BEST USED DATE.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN BEYOND  THE BEST USED DATE.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial stored at incorrect temperature
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: HYPOXIA, CONFUSION, WEAKNESS
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Urticaria
Clinical narrative: acute urticaria and syncope.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient accidently received too high a dose of the vaccine. The administrator withdrew 0.2mL of undiluted vaccine and added 1.3mL of diluent to the syringe. In total, the patient received 1.5mL of liquid with an estimated 28.5mcg of mRNA. At this time, there have been no reported reactions to this mistake.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Approximately 2 hours after vaccination was received, employee stated she had hives on her abdomen. No swelling to face and no difficulty breathing were noted.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Condition aggravated, Cough, Dyschezia, Dysuria
Clinical narrative: Post Moderna 2nd vaccination on Sept 19th - 6 1/2 hrs post injection, became very ill for 2 days vomiting, fever and fatigue.  Then from Sept19th to Oct 6th experienced hot flashes/fatigue/HA/nausea/bloating/*intermittent acute visceral pain near spleen and appendix/*weird whole body tenderness to light touch trunk and extremities/persistent tickling cough; dwindling sxs through to Oct 13th.  An additional concerning response 1 week after the 2nd dose was inflammation of my intestines and vaginal region which was sore and when I moved my bowels or urinated, it felt as if my organs were going to fall out of my body.  This bizarre sxs lasted 9 days.  I have never had this complaint prior to Covid vaccine and has not returned since. Remaining sxs now are hormonal changes of my menstrual cycle which is occurring every 2-3 wks and lasting 2wks once arrived, along with continued HAs.  This same hormonal response began 1 week into having Covid in April 2020 and lasted 14 months post Covid, it normalized and began all over again 1 wk post 2nd vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastrointestinal inflammation, Headache, Heavy menstrual bleeding, Hot flush
Clinical narrative: Post Moderna 2nd vaccination on Sept 19th - 6 1/2 hrs post injection, became very ill for 2 days vomiting, fever and fatigue.  Then from Sept19th to Oct 6th experienced hot flashes/fatigue/HA/nausea/bloating/*intermittent acute visceral pain near spleen and appendix/*weird whole body tenderness to light touch trunk and extremities/persistent tickling cough; dwindling sxs through to Oct 13th.  An additional concerning response 1 week after the 2nd dose was inflammation of my intestines and vaginal region which was sore and when I moved my bowels or urinated, it felt as if my organs were going to fall out of my body.  This bizarre sxs lasted 9 days.  I have never had this complaint prior to Covid vaccine and has not returned since. Remaining sxs now are hormonal changes of my menstrual cycle which is occurring every 2-3 wks and lasting 2wks once arrived, along with continued HAs.  This same hormonal response began 1 week into having Covid in April 2020 and lasted 14 months post Covid, it normalized and began all over again 1 wk post 2nd vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Menstruation irregular, Nausea, Pyrexia, Sensory disturbance
Clinical narrative: Post Moderna 2nd vaccination on Sept 19th - 6 1/2 hrs post injection, became very ill for 2 days vomiting, fever and fatigue.  Then from Sept19th to Oct 6th experienced hot flashes/fatigue/HA/nausea/bloating/*intermittent acute visceral pain near spleen and appendix/*weird whole body tenderness to light touch trunk and extremities/persistent tickling cough; dwindling sxs through to Oct 13th.  An additional concerning response 1 week after the 2nd dose was inflammation of my intestines and vaginal region which was sore and when I moved my bowels or urinated, it felt as if my organs were going to fall out of my body.  This bizarre sxs lasted 9 days.  I have never had this complaint prior to Covid vaccine and has not returned since. Remaining sxs now are hormonal changes of my menstrual cycle which is occurring every 2-3 wks and lasting 2wks once arrived, along with continued HAs.  This same hormonal response began 1 week into having Covid in April 2020 and lasted 14 months post Covid, it normalized and began all over again 1 wk post 2nd vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness, Throat irritation, Visceral pain, Vomiting, Vulvovaginal inflammation
Clinical narrative: Post Moderna 2nd vaccination on Sept 19th - 6 1/2 hrs post injection, became very ill for 2 days vomiting, fever and fatigue.  Then from Sept19th to Oct 6th experienced hot flashes/fatigue/HA/nausea/bloating/*intermittent acute visceral pain near spleen and appendix/*weird whole body tenderness to light touch trunk and extremities/persistent tickling cough; dwindling sxs through to Oct 13th.  An additional concerning response 1 week after the 2nd dose was inflammation of my intestines and vaginal region which was sore and when I moved my bowels or urinated, it felt as if my organs were going to fall out of my body.  This bizarre sxs lasted 9 days.  I have never had this complaint prior to Covid vaccine and has not returned since. Remaining sxs now are hormonal changes of my menstrual cycle which is occurring every 2-3 wks and lasting 2wks once arrived, along with continued HAs.  This same hormonal response began 1 week into having Covid in April 2020 and lasted 14 months post Covid, it normalized and began all over again 1 wk post 2nd vaccine.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Lymphadenopathy, Musculoskeletal chest pain, Pain
Clinical narrative: soreness in right armpit that intensified and radiated into the breast, down the ribs, and deep in the armpit. It specifically felt like it was coming from a knot -- I assume a swollen lymph node reacting. It decreased intensity after 2 days and went away after 4 days. I did not seek care for it, but wanted to report it as it was different than what I had heard were common side effects. I just received the Pfizer booster and had the same tenderness in the armpit, but much less severe.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Moderna vaccine that was past the use by date
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Vial already reconstituted, LPN administering vaccine drew dose from vial, then diluted further using 1.8ml of Normal Saline.  Injected entire syringe into arm of patient.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Joint swelling, Pain
Clinical narrative: Vial already reconstituted, LPN administering vaccine drew dose from vial, then diluted further using 1.8ml of Normal Saline.  Injected entire syringe into arm of patient.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Fluid retention, Lymphadenopathy, Oedema peripheral
Clinical narrative: Severe swelling of lymph nodes in the right armpit, the size of a golf ball/tennis ball.  Later that day the right armpit and side began to swell and fill with fluid.  I experienced a sac of fluid and pain for just over 8 days after the shot. The area was hot to the touch and sensitive. The swelling was visibly noticeable and protruded a few inches from the body.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Cardiac failure congestive, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: PRESENTING PROBLEM: CHF (congestive heart failure), NYHA class I, acute, combined [I50.41] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9]   HOSPITAL COURSE: Patient is a 85 y.o. male who presents today with SOB. Pt. has a PMH of CHF, seizure disorder, OSA w/ CPAP, DM2, CKD3, A-fib on eliquis, HTN. He presented with 3 week history of dyspnea, edema, and orthopnea.  He presented w/o hypoxia but Chest x-ray shows pulmonary edema. Labs with elevated BNP of 16,000, previously around 3,000.  He was admitted to ED obs but Patient was also found to have COVID though he was fully vaccinated so he was transferred to medicine service. He did well and was euvolemic on room air and discharge was planned however his room mate at his facility was covid negative so he couldn't dc home until there was a private room for him. He discharged on 11/8 without incident and no change in long term medications (antitussives sent).    Consultations - none   Procedures - none   BP 124/71  | Pulse 77  | Temp 36.8 °C (Oral)  | Resp 20  | Ht 1.702 m  | Wt 99.4 kg  | SpO2 98%  | BMI 34.32 kg/m²    Physical Exam  Physical Exam: BP 124/71  | Pulse 77  | Temp 36.8 °C (Oral)  | Resp 20  | Ht 1.702 m  | Wt 99.4 kg  | SpO2 98%  | BMI 34.32 kg/m²  General appearance: alert, cooperative, no distress, appears stated age Head: Normocephalic, without obvious abnormality, atraumatic Throat: Lips, mucosa, and tongue normal. Teeth and gums normal Lungs: clear to auscultation bilaterally Heart: regular rate and rhythm, S1, S2 normal, no murmur, click, rub or gallop Abdomen: soft, non-tender. Bowel sounds normal. No masses,  no organomegaly Extremities: extremities normal, atraumatic, no cyanosis or edema Skin: Skin color, texture, turgor normal. No rashes or lesions     Radiology results reviewed from the following date(s): admission Lab results reviewed from the following date(s): admission
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test, Oedema, Orthopnoea, Pleural effusion
Clinical narrative: PRESENTING PROBLEM: CHF (congestive heart failure), NYHA class I, acute, combined [I50.41] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9]   HOSPITAL COURSE: Patient is a 85 y.o. male who presents today with SOB. Pt. has a PMH of CHF, seizure disorder, OSA w/ CPAP, DM2, CKD3, A-fib on eliquis, HTN. He presented with 3 week history of dyspnea, edema, and orthopnea.  He presented w/o hypoxia but Chest x-ray shows pulmonary edema. Labs with elevated BNP of 16,000, previously around 3,000.  He was admitted to ED obs but Patient was also found to have COVID though he was fully vaccinated so he was transferred to medicine service. He did well and was euvolemic on room air and discharge was planned however his room mate at his facility was covid negative so he couldn't dc home until there was a private room for him. He discharged on 11/8 without incident and no change in long term medications (antitussives sent).    Consultations - none   Procedures - none   BP 124/71  | Pulse 77  | Temp 36.8 °C (Oral)  | Resp 20  | Ht 1.702 m  | Wt 99.4 kg  | SpO2 98%  | BMI 34.32 kg/m²    Physical Exam  Physical Exam: BP 124/71  | Pulse 77  | Temp 36.8 °C (Oral)  | Resp 20  | Ht 1.702 m  | Wt 99.4 kg  | SpO2 98%  | BMI 34.32 kg/m²  General appearance: alert, cooperative, no distress, appears stated age Head: Normocephalic, without obvious abnormality, atraumatic Throat: Lips, mucosa, and tongue normal. Teeth and gums normal Lungs: clear to auscultation bilaterally Heart: regular rate and rhythm, S1, S2 normal, no murmur, click, rub or gallop Abdomen: soft, non-tender. Bowel sounds normal. No masses,  no organomegaly Extremities: extremities normal, atraumatic, no cyanosis or edema Skin: Skin color, texture, turgor normal. No rashes or lesions     Radiology results reviewed from the following date(s): admission Lab results reviewed from the following date(s): admission
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: PRESENTING PROBLEM: CHF (congestive heart failure), NYHA class I, acute, combined [I50.41] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9]   HOSPITAL COURSE: Patient is a 85 y.o. male who presents today with SOB. Pt. has a PMH of CHF, seizure disorder, OSA w/ CPAP, DM2, CKD3, A-fib on eliquis, HTN. He presented with 3 week history of dyspnea, edema, and orthopnea.  He presented w/o hypoxia but Chest x-ray shows pulmonary edema. Labs with elevated BNP of 16,000, previously around 3,000.  He was admitted to ED obs but Patient was also found to have COVID though he was fully vaccinated so he was transferred to medicine service. He did well and was euvolemic on room air and discharge was planned however his room mate at his facility was covid negative so he couldn't dc home until there was a private room for him. He discharged on 11/8 without incident and no change in long term medications (antitussives sent).    Consultations - none   Procedures - none   BP 124/71  | Pulse 77  | Temp 36.8 °C (Oral)  | Resp 20  | Ht 1.702 m  | Wt 99.4 kg  | SpO2 98%  | BMI 34.32 kg/m²    Physical Exam  Physical Exam: BP 124/71  | Pulse 77  | Temp 36.8 °C (Oral)  | Resp 20  | Ht 1.702 m  | Wt 99.4 kg  | SpO2 98%  | BMI 34.32 kg/m²  General appearance: alert, cooperative, no distress, appears stated age Head: Normocephalic, without obvious abnormality, atraumatic Throat: Lips, mucosa, and tongue normal. Teeth and gums normal Lungs: clear to auscultation bilaterally Heart: regular rate and rhythm, S1, S2 normal, no murmur, click, rub or gallop Abdomen: soft, non-tender. Bowel sounds normal. No masses,  no organomegaly Extremities: extremities normal, atraumatic, no cyanosis or edema Skin: Skin color, texture, turgor normal. No rashes or lesions     Radiology results reviewed from the following date(s): admission Lab results reviewed from the following date(s): admission
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tachycardia
Clinical narrative: Had tachycardia, started having blackout feelings.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Infection, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: patient experienced redness several inches in diameter in injection site.  It was warm to the touch and sore.  She approached the pharmacy 10 days after shot given to discuss what was going on.  She reached out to physician and she wanted to see her.  MD diagnosis was an infection and cephalexin was given
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Angina pectoris, Arthralgia, Pain, Tendon pain
Clinical narrative: Achilles tendon pain in both ankles starting the next day. One ankle improved over time while the other continues to get worse each day. Is worse with use. No period for two months. Random heart pain every two days since vaccination.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial stored at incorrect temperature
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: pt received COVID vaccine at the local pharmacy on 11/10/21 in left arm.  Patient started with lymphadenopathy on 11/11/21.  Patient was seen in our clinic for evaluation of lymphadenopathy on 11/12/21 (medium sized left axillary node as well as small supraclavicular lymph node).   Requires follow up appointment in office in 1 week for recheck
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching
Clinical narrative: Uncontrollable involuntary twitching, especially at night.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Client presented to the vaccination site on 11/11/2021. The client notified RN that he she received a single dose of Sputnik COVID vaccine on 06/05/21 and Moderna First dose 08/28/2021. RN submitted a medical consult via phone number to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Moderna second dose. Per CDC guidance, approval to proceed with COVID vaccine Moderna was obtained from medical consult team via phone by Vaccine Operations Lead. Client received COVID vaccine Moderna Lot#066F21A on 11/11/21. The client did not report any symptoms during the 15 minute observation period.  RN educated client on possible adverse reactions and when to seek medical care. The client left the vaccination site in a steady gait
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial stored at incorrect temperature.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: THE PATIENT CALLED THE OFFICE STATING THE VACCINE INJECTION WAS ITCHY, RED, SWOLLEN.  SHE ARRIVED AT 3:15 PM.  VITAL SIGNS STABLE, NO RESPIRATORY DISTRESS/SYMPTOMS.  THE AREA WAS RAISED/SWOLLEN  APPROX. ONE HALF INCH HIGH BY TWO INCHES IN DIAMETER.  THE PATIENT STATES SHE NEVER HAD A REACTION TO ANY VACCINE IN HER PAST.  DR. EVALUATED THE PATIENT.  ICE PACK APPLIED, DISCHARGED TO HOME IN STABLE CONDITION.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: NAUSEA AND VOMITING
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 11/11/21 after being fully vaccinated.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial stored at incorrect temperature.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Anticoagulant therapy, Antimicrobial susceptibility test, Bacterial test positive, Bordetella test negative
Clinical narrative: The patient  is a 72 y.o. male with past medical history significant for COPD, chronic hypoxia, hypertension, RA on prednisone, DDD who presented to the ED with complaints of worsening cough, SOB and fatigue.   He was started on Doxycycline by his PCP and did not improve.   He tested positive for COVID 19 and was started on steroids, lovenox, rocpehin and z-max.   Sputum Cx positive for PSA and abx changed to pip/tazo.   Patient improved quickly and was back to his baseline on day #3.   He agreed with verbal instructions to pick up anti-biotics and staroids at his pharmacy and take as directed. He agrred to be in COVID isolationthrough 11/18   11/10 Pt S+E. On room air. Tolerating diet. Ambulating well. Stable at discharge
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chlamydia test negative, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: The patient  is a 72 y.o. male with past medical history significant for COPD, chronic hypoxia, hypertension, RA on prednisone, DDD who presented to the ED with complaints of worsening cough, SOB and fatigue.   He was started on Doxycycline by his PCP and did not improve.   He tested positive for COVID 19 and was started on steroids, lovenox, rocpehin and z-max.   Sputum Cx positive for PSA and abx changed to pip/tazo.   Patient improved quickly and was back to his baseline on day #3.   He agreed with verbal instructions to pick up anti-biotics and staroids at his pharmacy and take as directed. He agrred to be in COVID isolationthrough 11/18   11/10 Pt S+E. On room air. Tolerating diet. Ambulating well. Stable at discharge
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Coronavirus test negative, Cough, Dyspnoea, Enterovirus test negative, Fatigue
Clinical narrative: The patient  is a 72 y.o. male with past medical history significant for COPD, chronic hypoxia, hypertension, RA on prednisone, DDD who presented to the ED with complaints of worsening cough, SOB and fatigue.   He was started on Doxycycline by his PCP and did not improve.   He tested positive for COVID 19 and was started on steroids, lovenox, rocpehin and z-max.   Sputum Cx positive for PSA and abx changed to pip/tazo.   Patient improved quickly and was back to his baseline on day #3.   He agreed with verbal instructions to pick up anti-biotics and staroids at his pharmacy and take as directed. He agrred to be in COVID isolationthrough 11/18   11/10 Pt S+E. On room air. Tolerating diet. Ambulating well. Stable at discharge
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Gram stain positive, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test
Clinical narrative: The patient  is a 72 y.o. male with past medical history significant for COPD, chronic hypoxia, hypertension, RA on prednisone, DDD who presented to the ED with complaints of worsening cough, SOB and fatigue.   He was started on Doxycycline by his PCP and did not improve.   He tested positive for COVID 19 and was started on steroids, lovenox, rocpehin and z-max.   Sputum Cx positive for PSA and abx changed to pip/tazo.   Patient improved quickly and was back to his baseline on day #3.   He agreed with verbal instructions to pick up anti-biotics and staroids at his pharmacy and take as directed. He agrred to be in COVID isolationthrough 11/18   11/10 Pt S+E. On room air. Tolerating diet. Ambulating well. Stable at discharge
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Legionella test, Lung disorder, Lung hyperinflation, Microscopy, Multipathogen PCR test
Clinical narrative: The patient  is a 72 y.o. male with past medical history significant for COPD, chronic hypoxia, hypertension, RA on prednisone, DDD who presented to the ED with complaints of worsening cough, SOB and fatigue.   He was started on Doxycycline by his PCP and did not improve.   He tested positive for COVID 19 and was started on steroids, lovenox, rocpehin and z-max.   Sputum Cx positive for PSA and abx changed to pip/tazo.   Patient improved quickly and was back to his baseline on day #3.   He agreed with verbal instructions to pick up anti-biotics and staroids at his pharmacy and take as directed. He agrred to be in COVID isolationthrough 11/18   11/10 Pt S+E. On room air. Tolerating diet. Ambulating well. Stable at discharge
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Prostatic specific antigen, Pseudomonas test positive, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: The patient  is a 72 y.o. male with past medical history significant for COPD, chronic hypoxia, hypertension, RA on prednisone, DDD who presented to the ED with complaints of worsening cough, SOB and fatigue.   He was started on Doxycycline by his PCP and did not improve.   He tested positive for COVID 19 and was started on steroids, lovenox, rocpehin and z-max.   Sputum Cx positive for PSA and abx changed to pip/tazo.   Patient improved quickly and was back to his baseline on day #3.   He agreed with verbal instructions to pick up anti-biotics and staroids at his pharmacy and take as directed. He agrred to be in COVID isolationthrough 11/18   11/10 Pt S+E. On room air. Tolerating diet. Ambulating well. Stable at discharge
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum culture positive, Streptococcus test negative, Urine analysis
Clinical narrative: The patient  is a 72 y.o. male with past medical history significant for COPD, chronic hypoxia, hypertension, RA on prednisone, DDD who presented to the ED with complaints of worsening cough, SOB and fatigue.   He was started on Doxycycline by his PCP and did not improve.   He tested positive for COVID 19 and was started on steroids, lovenox, rocpehin and z-max.   Sputum Cx positive for PSA and abx changed to pip/tazo.   Patient improved quickly and was back to his baseline on day #3.   He agreed with verbal instructions to pick up anti-biotics and staroids at his pharmacy and take as directed. He agrred to be in COVID isolationthrough 11/18   11/10 Pt S+E. On room air. Tolerating diet. Ambulating well. Stable at discharge
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Dysstasia, Fall, Feeling cold
Clinical narrative: Im very healthy,  haven't been sick in 10+ years, workout, eat clean , have very good hygeine. 4 hours after injection I had shakes and shivers where I felt like I was freezing inside. 7 hours after the injection the shakes and shivers increasing got worse and with them came terrible muscle aches and following that a terrible headache started and with each hour proceeded to get worse to the point of being practically unbearable.  10 hours after a fever insued and I began hallucinating and could hardly stand up without falling over. 24 hours later the hallucinations and shaking stopped but the headache, muscle aches, and shivers persisted for 3 more days and I felt incredibly weak. A full week after the injection I feel fine and am back to normal and do not seem to have any lasting symptoms.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hallucination, Headache, Myalgia, Pyrexia, Tremor
Clinical narrative: Im very healthy,  haven't been sick in 10+ years, workout, eat clean , have very good hygeine. 4 hours after injection I had shakes and shivers where I felt like I was freezing inside. 7 hours after the injection the shakes and shivers increasing got worse and with them came terrible muscle aches and following that a terrible headache started and with each hour proceeded to get worse to the point of being practically unbearable.  10 hours after a fever insued and I began hallucinating and could hardly stand up without falling over. 24 hours later the hallucinations and shaking stopped but the headache, muscle aches, and shivers persisted for 3 more days and I felt incredibly weak. A full week after the injection I feel fine and am back to normal and do not seem to have any lasting symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Headache, Injection site erythema, Injection site swelling, Pain
Clinical narrative: severe arm pain. started within 3 hours after injection. unable to move arm without severe pain.  took  tylenol 1000mg x 3. arm red swollen @injection site . unable to sleep due to severity of pain. lasted about 3and 1/2 days. headaches very uncomfortable due to pain  extreme itching to palms and top of feet 2 weeks after injection lasting around 10 days
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Sleep disorder
Clinical narrative: severe arm pain. started within 3 hours after injection. unable to move arm without severe pain.  took  tylenol 1000mg x 3. arm red swollen @injection site . unable to sleep due to severity of pain. lasted about 3and 1/2 days. headaches very uncomfortable due to pain  extreme itching to palms and top of feet 2 weeks after injection lasting around 10 days
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dysphonia, Nasal congestion, Sneezing, Upper respiratory tract infection
Clinical narrative: The patient presents with URI symptoms for since 10/31.        Symptoms include nonproductive cough, sneezing, stuffy nose, "different voice".
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial stored at incorrect temperature.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Guillain-Barre syndrome, Magnetic resonance imaging normal, Neuralgia, Neurological symptom
Clinical narrative: Continually progressing nerve pain causing stroke like symptoms. Currently suspected as Guillain Barre syndrome
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired work ability, Nausea, Pain
Clinical narrative: Approximately 2 hours of severe tremors, along with nausea, and body aches. Followed by several days of fatigue and headache, missing several hours of work. Ibuprofen and rest for several days. Symptoms mostly resolved after approximately 1 week.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Tremor
Clinical narrative: Approximately 2 hours of severe tremors, along with nausea, and body aches. Followed by several days of fatigue and headache, missing several hours of work. Ibuprofen and rest for several days. Symptoms mostly resolved after approximately 1 week.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Immediate post-injection reaction
Clinical narrative: Aprox 1 min after receiving injection patient felt short of breath. Patient was immediatly assesed by a Nurse practitioner who gave her a pediatric dose of Benedryl and subsequently given EPI via EPI pen-Pediatric dose. 911 called and transported to the hospital via EMS.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash macular
Clinical narrative: Patient developed red blotchy non hive like rash on his forehead and around his eyes and mouth.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Severe spasm of pectoralis minor on same side as injection
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Myalgia
Clinical narrative: 102.5°F fever, joint pain, muscle pain, headache, chills, sweats
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 102.5°F fever, joint pain, muscle pain, headache, chills, sweats
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial stored at incorrect temperature.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pyrexia, Rhinorrhoea
Clinical narrative: Severe fatigue Weakness Runny nose  Low grade temp All occurred within 24 hours and continue today