chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Following menstrual cycle periods were much heavier on the bleeding. A heavy pad per hour. Significant pain and cramping were already an issue. Every month since shot period has been heavy and not as regular as I was before shot.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bedridden, C-reactive protein increased, Decreased appetite, Dyspnoea
Clinical narrative: Pt developed acute fatigue and shortness of breath. pt was bed bound and after about a week or so contacted our office due to persistance of symptoms, along with weight loss  and decreased appetite. Covid test was negative. He was severely weakned and both I and cardiology were very concerned that with his underlying conditions the degree of debility was potentially hospitalization worthy or life threatening, fortunately he seemed to stabilize and treatment and follow up was able to be done out patient.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, SARS-CoV-2 test negative, Weight decreased
Clinical narrative: Pt developed acute fatigue and shortness of breath. pt was bed bound and after about a week or so contacted our office due to persistance of symptoms, along with weight loss  and decreased appetite. Covid test was negative. He was severely weakned and both I and cardiology were very concerned that with his underlying conditions the degree of debility was potentially hospitalization worthy or life threatening, fortunately he seemed to stabilize and treatment and follow up was able to be done out patient.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Fatigue, Headache, Hypersensitivity
Clinical narrative: Allergies indoor/outdoor; 3 days after had low grade fever, runny nose, dry cough, and increased allergies and saw school nurse twice and has headache. Wheezy for the 1st time and kept her up all night. Lethargy, and extreme fatigue for 4 days. Before the vaccine she took a course of antibiotics; Cefdinir and Amoxicillin for strep from September to 30Oct2021.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pyrexia, Rhinorrhoea, Sleep disorder, Wheezing
Clinical narrative: Allergies indoor/outdoor; 3 days after had low grade fever, runny nose, dry cough, and increased allergies and saw school nurse twice and has headache. Wheezy for the 1st time and kept her up all night. Lethargy, and extreme fatigue for 4 days. Before the vaccine she took a course of antibiotics; Cefdinir and Amoxicillin for strep from September to 30Oct2021.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administration error. The Vaccine was given beyond 30 day refrigeration quidelines.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid 19 with rapid test during community outbreak
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vial beyond use date - storage was proper
Age: 51.0
Sex: F
Vaccine: FLUR4
Symptoms: Arthralgia, Product administered at inappropriate site, X-ray limb
Clinical narrative: Noticed that the injection site was near the joint and a couple of inches above the deltoid. Began to experience excruciating posterior shoulder pain several hours after the injection.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Sleep disorder, Vertigo, Vomiting
Clinical narrative: 11/09/2021, I woke up around midnight, and when I opened my eyes, the room was tilting. I was nauseas. I was really dizzy and vomiting for a few hours. When I turned my head, I was dizzy, it seemed like everything was tilting for a few hours until I was finally able to go to sleep. The next morning, 11/09/2021 I went to the urgent care and the doctor said I was probably experiencing vertigo. The doctor prescribed - Meclizine 25 mg, 1 tablet 3 times a day as needed. After the initial attack, I did not have anything like that, but I would have periods of slight nausea or dizziness maybe 2 or 3 day afterwards.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Nausea-Medium, Systemic: Unable to Sleep-Medium
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pruritus, Lethargy, Nausea, Sleep disorder
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Nausea-Medium, Systemic: Unable to Sleep-Medium
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Oesophageal disorder, Pruritus, Sleep disorder, Urticaria
Clinical narrative: I woke up on 11/14 morning and was itching all over, later in the day I started having hives to my elbows and a few other itchy spots. I took a zyrtec and it helped. Later in the evening I had to take a benadryl because the itching/hives were bad. On monday I called my PCP and they wanted to do an appt but I worked on Tuesday. Monday night I did not sleep well, I had itching all over, heartburn and some tightness in my esophagus. I went to health office at work on Tuesday morning, they put me on steroids. I did not start any new foods, detergents, lotions, etc.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 11/15/21 after being fully vaccinated.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Condition aggravated, Coronary artery bypass, Coronary artery disease, Dyspnoea exertional
Clinical narrative: Patient is a 61 yr/o female who presents today for  cardiac evaluation   for chest pain, abnormal EKG and prior history of coronary artery disease.  Conference for discussion of abnormal PET scan imaging and recommendationsShe has chest pain and shortness of breath on exertion cardiac cath on 6/29/2016 showed the left main 30 to 40% stenosis distally LAD 40 to 60% segmental stenosis and normal LV function at that time.   61 yo woman previously evaluated in office for CAD, who was involved in a MVA.  She was seen and cleared by NS to have CABG.  She has not been in a neck brace since initial visit.  Patient denies any issues or changes since last visit.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Positron emission tomogram abnormal, Road traffic accident
Clinical narrative: Patient is a 61 yr/o female who presents today for  cardiac evaluation   for chest pain, abnormal EKG and prior history of coronary artery disease.  Conference for discussion of abnormal PET scan imaging and recommendationsShe has chest pain and shortness of breath on exertion cardiac cath on 6/29/2016 showed the left main 30 to 40% stenosis distally LAD 40 to 60% segmental stenosis and normal LV function at that time.   61 yo woman previously evaluated in office for CAD, who was involved in a MVA.  She was seen and cleared by NS to have CABG.  She has not been in a neck brace since initial visit.  Patient denies any issues or changes since last visit.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No symptoms.  Vaccine Administration Error.  Vaccine was administered from an adult vial.  0.2 ml was given to this patient for approx 20 mcg of Pfizer vaccine.  This is calculated to be double the supposed dose.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received incorrect dose of Covid 19 Pfizer Booster.  No adverse signs or symptoms demonstrated during 15 minutes observation period.  We plan to decrease the risk of incidence through additional inservicing of clinical staff  on the appropriate preparation of all Covid-19 vaccine.  The plan will include re-education on our color coding system and implementation of a vaccine preparation verification system.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administration error. Vaccine was given beyond the 30 day refrigeration guidelines.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Dysstasia, Fatigue, Injection site erythema
Clinical narrative: Redness and swelling at the site 48 hours after given, assessed by provider with no treatment recommended. 4 days after given back/leg pain and weakness started making patient unable to sit/stand without assistance for 4 days. Moderate pain and fatigue continued for weeks after but resolved by 2/19/2021 and no further visit with provider were made.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Redness and swelling at the site 48 hours after given, assessed by provider with no treatment recommended. 4 days after given back/leg pain and weakness started making patient unable to sit/stand without assistance for 4 days. Moderate pain and fatigue continued for weeks after but resolved by 2/19/2021 and no further visit with provider were made.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Sepsis
Clinical narrative: Pt has a history of CAD s/p CABG, type 2 IDDM, and a history of colon cancer.  Pt was admitted due to sepsis and COVID-19 pneumonia.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Back pain, Chest pain, Condition aggravated
Clinical narrative: Fever and fast heart rate. Fever broke and elevated heart rate still ongoing felt very weak. Any time I moved around it was a big effort. And my heart rate would elevate to 130-140. I took some more Tylenol and stayed in bed. I had a lot of inflammation in my lymph nodes in my armpit. I took some Advil 800mg and went back to bed, and I felt a bit better after being in bed. When moving around, my heart rate would increase, and I would start to get chest pain. And then on Saturday I went to the urgent care, and I still felt like crap. And anything I did would result in the elevated heart rate and chest pain. The chest pain was under my left breast, and it radiated around to the back. It did mess with more of my stomach since last time. And even nausea was present but that also went away. At urgent care, ECG was done and came back normal. Was told to just keep doing what I was doing at home and take Advil as it was a side effect of the vaccination.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Feeling abnormal, Heart rate increased, Lymphadenitis, Mobility decreased
Clinical narrative: Fever and fast heart rate. Fever broke and elevated heart rate still ongoing felt very weak. Any time I moved around it was a big effort. And my heart rate would elevate to 130-140. I took some more Tylenol and stayed in bed. I had a lot of inflammation in my lymph nodes in my armpit. I took some Advil 800mg and went back to bed, and I felt a bit better after being in bed. When moving around, my heart rate would increase, and I would start to get chest pain. And then on Saturday I went to the urgent care, and I still felt like crap. And anything I did would result in the elevated heart rate and chest pain. The chest pain was under my left breast, and it radiated around to the back. It did mess with more of my stomach since last time. And even nausea was present but that also went away. At urgent care, ECG was done and came back normal. Was told to just keep doing what I was doing at home and take Advil as it was a side effect of the vaccination.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Fever and fast heart rate. Fever broke and elevated heart rate still ongoing felt very weak. Any time I moved around it was a big effort. And my heart rate would elevate to 130-140. I took some more Tylenol and stayed in bed. I had a lot of inflammation in my lymph nodes in my armpit. I took some Advil 800mg and went back to bed, and I felt a bit better after being in bed. When moving around, my heart rate would increase, and I would start to get chest pain. And then on Saturday I went to the urgent care, and I still felt like crap. And anything I did would result in the elevated heart rate and chest pain. The chest pain was under my left breast, and it radiated around to the back. It did mess with more of my stomach since last time. And even nausea was present but that also went away. At urgent care, ECG was done and came back normal. Was told to just keep doing what I was doing at home and take Advil as it was a side effect of the vaccination.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: used beyond 12 hour use date - stored  in fridge
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hemiparesis
Clinical narrative: Acute stroke - right sided weakness. Admitted to hopsital
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Lymph node pain, Myalgia, Pyrexia
Clinical narrative: Over 48 hours of extreme pains joint muscle / lymph pain underarm of injection arm . Spiking fevers over 100 for two days
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: Patient describes continued moderate pain months after second injection. She works out every day, has range of motion but pain remains.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Inflammation, Pain in extremity, X-ray normal
Clinical narrative: Inflammation and pain in right hand and wrist increased. Blood was tested for rheumatoid arthritis and came back with none of the markers for RA. Xray was done on hand and is normal. Being referred to orthopedic.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood test abnormal, C-reactive protein increased, Joint range of motion decreased
Clinical narrative: I began experiencing bilateral pain starting in my buttocks and down through the back of both of my legs. I thought perhaps I had a lower back issue but the pain was so very much different. It was achey and everywhere...not localized. This pain continued and actually got worse  and then the bilateral pain spread to my shoulders, arms, hands and neck. This continued for about 2 weeks and then we left on vacation. While on vacation, it would take me up to two hours every morning to get out of bed. I could not lift my arms to reach for anything on a table close by and would need assistance doing thins like turning on light switches. While gone, I did video visits with PA at  orthopedics as I continued to believe this was structural. PA told me to try and get some prednisone and to see him when I returned. The 5 day course of prednisone that I got prescribed helped minimally and then the pain came rushing back.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Mobility decreased, Musculoskeletal pain, Neck pain, Pain
Clinical narrative: I began experiencing bilateral pain starting in my buttocks and down through the back of both of my legs. I thought perhaps I had a lower back issue but the pain was so very much different. It was achey and everywhere...not localized. This pain continued and actually got worse  and then the bilateral pain spread to my shoulders, arms, hands and neck. This continued for about 2 weeks and then we left on vacation. While on vacation, it would take me up to two hours every morning to get out of bed. I could not lift my arms to reach for anything on a table close by and would need assistance doing thins like turning on light switches. While gone, I did video visits with PA at  orthopedics as I continued to believe this was structural. PA told me to try and get some prednisone and to see him when I returned. The 5 day course of prednisone that I got prescribed helped minimally and then the pain came rushing back.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: I began experiencing bilateral pain starting in my buttocks and down through the back of both of my legs. I thought perhaps I had a lower back issue but the pain was so very much different. It was achey and everywhere...not localized. This pain continued and actually got worse  and then the bilateral pain spread to my shoulders, arms, hands and neck. This continued for about 2 weeks and then we left on vacation. While on vacation, it would take me up to two hours every morning to get out of bed. I could not lift my arms to reach for anything on a table close by and would need assistance doing thins like turning on light switches. While gone, I did video visits with PA at  orthopedics as I continued to believe this was structural. PA told me to try and get some prednisone and to see him when I returned. The 5 day course of prednisone that I got prescribed helped minimally and then the pain came rushing back.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oral disorder
Clinical narrative: Lesions on my tongue and the roof of my mouth
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Hypoaesthesia
Clinical narrative: Headaches, hand numbness bilaterally, hip/knee joint pain
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site reaction, Injection site warmth
Clinical narrative: At injection site: red, itchy rash, hot skin, hard knot, about 3 inches in circumference
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: At injection site: red, itchy rash, hot skin, hard knot, about 3 inches in circumference
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numb feeling in arm.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Mydriasis, Posture abnormal
Clinical narrative: Patient had a vasovagal response to injection. Patient stated they felt like they were going to pass out about 1 minute after shot was administered.  Technician informed Pharmacist then fanned patient off and had someone bring her some water, then the patient's eyes dilated and skin became clammy and sweaty. Patient urinated herself and her head fell into her chest and she groaned.  Technician called emergency number and then went to get NP on site. Another technician came in and elevated patient's feet and applied a cold rag to the back of her neck.  Patient came to within a couple of seconds and NP evaluated her and then got her some juice. NP stated she was stable and didn't need emergency care but instructed the technician to call a family member to pick patient up.  EMT arrived and took her vitals and established she was stable and did not need to be taken to the ER. Patient's father came to pick her up.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Urinary incontinence
Clinical narrative: Patient had a vasovagal response to injection. Patient stated they felt like they were going to pass out about 1 minute after shot was administered.  Technician informed Pharmacist then fanned patient off and had someone bring her some water, then the patient's eyes dilated and skin became clammy and sweaty. Patient urinated herself and her head fell into her chest and she groaned.  Technician called emergency number and then went to get NP on site. Another technician came in and elevated patient's feet and applied a cold rag to the back of her neck.  Patient came to within a couple of seconds and NP evaluated her and then got her some juice. NP stated she was stable and didn't need emergency care but instructed the technician to call a family member to pick patient up.  EMT arrived and took her vitals and established she was stable and did not need to be taken to the ER. Patient's father came to pick her up.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine Administration error. Vaccine given beyond the 30 day refrigeration guideline.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 11/15/21 after being fully vaccinated.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd COVID vaccination 5/5/21. Pfizer.  LOT: EW0164 Hospitalization 11/11/21
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Impaired work ability, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: Started with very sore arm, next day right shoulder and right side of waist hurt pretty bad (throbbing pain), next day all of that hurt plus right hip and buttocks very painful.  Hurts to walk, go up steps, and even hurts to sit.  I have been taking IBprofen every 6 hours.  Came home from work half day today to try and rest.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON  10/12/2021. PATIENT WAS FULLY VACCINATED ON 05/28/2021.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Eye infection
Clinical narrative: Post Phizer Booster.  Left eye became infected.  Treated with Erythormycin ointment and oral antibiotic Cephalexin along with increased eye hygiene.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Bell's palsy, Exposure during pregnancy
Clinical narrative: Bell's palsy
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: used beyond 12 hour date - stored in fridge
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: No symptoms.  Vaccine Administration Error.  Vaccine was administered from an adult vial.  0.2 ml was given to this patient for approx 20 mcg of Pfizer vaccine.  This is calculated to be double the supposed dose.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Nausea, Pyrexia
Clinical narrative: Stomach cramping, diarrhea, fever, nausea
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented for first dose of Moderna  however when I began to place into Web Roster I found he had Pfizer 10/26/2021. I notified Dr. who stated no harm was done and to update patient card to show full vaccinated.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: high fever beginning overnight, 103-104 Fever continues to persist at 101-102 the next day despite treatment with Motrin
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administration error. Vaccine was given beyond the 30 refrigeration storage guidelines.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Angiogram pulmonary abnormal, Aortic aneurysm, Aortic dilatation
Clinical narrative: Presented to the emergency department on 11/6/21 for evaluation of abdominal pain as well as cough for 1 day prior to arrival.  Patient is fully vaccinated for COVID with moderna vaccine with last dose being April 1, 2021.  She was recently discharged from nursing home approximately 1 week ago and was negative for COVID at discharge.  In the emergency department, CT angiogram of the chest was done which did not show any pulmonary embolism but did show some small bilateral pleural effusions as well as chronic thoracic aortic aneurysm.  CBC did not show any leukocytosis but BNP was high at 1270 and troponin was mildly elevated at 0.055.  COVID was positive. She was found to be desaturating on room air into the 80s therefore she was placed on 2 L nasal cannula and saturating in the low 90s on exam.  She was given 1 L normal saline bolus, full-dose aspirin as well as Decadron in the emergency department. Patient was admitted for acute hypoxemic respiratory failure likely secondary to COVID as well as some CHF.  She was treated with Decadron, Rocephin, azithromycin as well as remdesivir.  Oxygen to maintain saturations.  She required 2-3L O2 via NC for first 48 hours to maintain saturation >90%. Afebrile, aleukocytosis; with initial BNP 2070 improved to 830, and mildly elevated trop 0.055. She received 1L NS bolus, and x5 days of Rocephin 1g, Azithromycin 500mg, Remdesivir and decadron 6mg.Received lasix 40mg IV/PO daily throughout stay, which improved her oxygen requirements and cleared fluid from lung. She was continued on lasix 40mg PO daily as outpatient.Pt was discharged saturating >94% on room air and was active and back to her baseline mentation (A&Ox2) on 11/11/21
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Cardiac failure congestive, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: Presented to the emergency department on 11/6/21 for evaluation of abdominal pain as well as cough for 1 day prior to arrival.  Patient is fully vaccinated for COVID with moderna vaccine with last dose being April 1, 2021.  She was recently discharged from nursing home approximately 1 week ago and was negative for COVID at discharge.  In the emergency department, CT angiogram of the chest was done which did not show any pulmonary embolism but did show some small bilateral pleural effusions as well as chronic thoracic aortic aneurysm.  CBC did not show any leukocytosis but BNP was high at 1270 and troponin was mildly elevated at 0.055.  COVID was positive. She was found to be desaturating on room air into the 80s therefore she was placed on 2 L nasal cannula and saturating in the low 90s on exam.  She was given 1 L normal saline bolus, full-dose aspirin as well as Decadron in the emergency department. Patient was admitted for acute hypoxemic respiratory failure likely secondary to COVID as well as some CHF.  She was treated with Decadron, Rocephin, azithromycin as well as remdesivir.  Oxygen to maintain saturations.  She required 2-3L O2 via NC for first 48 hours to maintain saturation >90%. Afebrile, aleukocytosis; with initial BNP 2070 improved to 830, and mildly elevated trop 0.055. She received 1L NS bolus, and x5 days of Rocephin 1g, Azithromycin 500mg, Remdesivir and decadron 6mg.Received lasix 40mg IV/PO daily throughout stay, which improved her oxygen requirements and cleared fluid from lung. She was continued on lasix 40mg PO daily as outpatient.Pt was discharged saturating >94% on room air and was active and back to her baseline mentation (A&Ox2) on 11/11/21
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Full blood count normal, Oxygen saturation decreased, Pleural effusion
Clinical narrative: Presented to the emergency department on 11/6/21 for evaluation of abdominal pain as well as cough for 1 day prior to arrival.  Patient is fully vaccinated for COVID with moderna vaccine with last dose being April 1, 2021.  She was recently discharged from nursing home approximately 1 week ago and was negative for COVID at discharge.  In the emergency department, CT angiogram of the chest was done which did not show any pulmonary embolism but did show some small bilateral pleural effusions as well as chronic thoracic aortic aneurysm.  CBC did not show any leukocytosis but BNP was high at 1270 and troponin was mildly elevated at 0.055.  COVID was positive. She was found to be desaturating on room air into the 80s therefore she was placed on 2 L nasal cannula and saturating in the low 90s on exam.  She was given 1 L normal saline bolus, full-dose aspirin as well as Decadron in the emergency department. Patient was admitted for acute hypoxemic respiratory failure likely secondary to COVID as well as some CHF.  She was treated with Decadron, Rocephin, azithromycin as well as remdesivir.  Oxygen to maintain saturations.  She required 2-3L O2 via NC for first 48 hours to maintain saturation >90%. Afebrile, aleukocytosis; with initial BNP 2070 improved to 830, and mildly elevated trop 0.055. She received 1L NS bolus, and x5 days of Rocephin 1g, Azithromycin 500mg, Remdesivir and decadron 6mg.Received lasix 40mg IV/PO daily throughout stay, which improved her oxygen requirements and cleared fluid from lung. She was continued on lasix 40mg PO daily as outpatient.Pt was discharged saturating >94% on room air and was active and back to her baseline mentation (A&Ox2) on 11/11/21
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Presented to the emergency department on 11/6/21 for evaluation of abdominal pain as well as cough for 1 day prior to arrival.  Patient is fully vaccinated for COVID with moderna vaccine with last dose being April 1, 2021.  She was recently discharged from nursing home approximately 1 week ago and was negative for COVID at discharge.  In the emergency department, CT angiogram of the chest was done which did not show any pulmonary embolism but did show some small bilateral pleural effusions as well as chronic thoracic aortic aneurysm.  CBC did not show any leukocytosis but BNP was high at 1270 and troponin was mildly elevated at 0.055.  COVID was positive. She was found to be desaturating on room air into the 80s therefore she was placed on 2 L nasal cannula and saturating in the low 90s on exam.  She was given 1 L normal saline bolus, full-dose aspirin as well as Decadron in the emergency department. Patient was admitted for acute hypoxemic respiratory failure likely secondary to COVID as well as some CHF.  She was treated with Decadron, Rocephin, azithromycin as well as remdesivir.  Oxygen to maintain saturations.  She required 2-3L O2 via NC for first 48 hours to maintain saturation >90%. Afebrile, aleukocytosis; with initial BNP 2070 improved to 830, and mildly elevated trop 0.055. She received 1L NS bolus, and x5 days of Rocephin 1g, Azithromycin 500mg, Remdesivir and decadron 6mg.Received lasix 40mg IV/PO daily throughout stay, which improved her oxygen requirements and cleared fluid from lung. She was continued on lasix 40mg PO daily as outpatient.Pt was discharged saturating >94% on room air and was active and back to her baseline mentation (A&Ox2) on 11/11/21
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 09/23/2021. PATIENT WAS FULLY VACCINATED ON 02/23/2021.
Age: 50.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 11/15/2021, started experiencing symptoms 11/16/2021 of feverish, chills, and muscle aches. Self-treating with Tylenol, no noted Primary visit/communications. Symptoms have subsided. 11/15/2021 Influenza Quad Flu Vaccine given.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 y.o. and 12 weeks pregnant, patient received the Moderna vaccine.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Arthralgia, Cardiac flutter, Chills, Diarrhoea
Clinical narrative: severe headache (constant)  severe diahrea (constant) 3-months, chills, nausea, muscle/joint pain, dizziness, vision changes and foggy thinking, pain in heart, fluttering, low blood pressure breating difficulty, sores in mouth and roof of mouth.     The runny diahrea and headach are the worst and remain constant.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Headache, Hypotension
Clinical narrative: severe headache (constant)  severe diahrea (constant) 3-months, chills, nausea, muscle/joint pain, dizziness, vision changes and foggy thinking, pain in heart, fluttering, low blood pressure breating difficulty, sores in mouth and roof of mouth.     The runny diahrea and headach are the worst and remain constant.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Stomatitis, Visual impairment
Clinical narrative: severe headache (constant)  severe diahrea (constant) 3-months, chills, nausea, muscle/joint pain, dizziness, vision changes and foggy thinking, pain in heart, fluttering, low blood pressure breating difficulty, sores in mouth and roof of mouth.     The runny diahrea and headach are the worst and remain constant.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, No adverse event
Clinical narrative: Client reported to vaccinator RN that he experienced chest pain and SOB after his 2nd dose Moderna COVID vaccine on 04/11/2021 that resulted in hospitalization for approximately 48 hours. Client reported onset of adverse reactions was about 24 hours after receiving his 2nd dose Moderna COVID vaccine. Client reported he recieved pain medication for treatment in the hospital and was advised by PCP to proceed with receiving Moderna Booster. Lead RN  submitted a medical consult via test message to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Moderna Booster. RN received approval from MD to proceed with Moderna Booster. Client received COVID vaccine Moderna Booster (lot# 066F21A) at approximately 0315 in the R deltoid and was instructed to be observed 30 minutes and f/u with PCP. No adverse reactions reported during observation. Client left vaccine site with steady and symmetrical gait.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Ear pruritus, Swelling of eyelid, Swollen tongue, Urticaria
Clinical narrative: Ears started itching 8p, the day after the vaccine injection.  Woke up at 6:30a to see hive welts on underside of arm that had injection, along with hives on legs, right arm, upper chest and back.  Coughing and feeling of tongue and eyelid swelling started at 7:30a
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: used beyond use date - stored in fridge
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Nausea, Vomiting
Clinical narrative: Felt woozy. Nausea. "Violent" vomiting and diarrhea.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Musculoskeletal stiffness, Peripheral swelling, Tremor
Clinical narrative: On 10/17/2021 hands started to shake so bad that spilling hot things on myself, that lasted till this day. Fatigue, joint pain, both ankles and toes are stiff, all joints are painful, swelling in the top part of left foot-still ongoing as of today. My doctor is on vacation till 11/29, I have an appointment scheduled for 11/30 to get tests done.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dry skin, Injection site erythema, Injection site swelling, Pruritus, Rash
Clinical narrative: day 1, red swollen  arm on the place where it was injected, dry itchy skin,  day 2 rash patches on my  left leg, dry itchy skin day 10 rash patch on my belly, dry itchy skin day 15 rash behind my left ear, dry itchy patchy skin and several additional patches of dry itchy skin on my legs. day 22  rash  under my left  breast
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pt inadvertently received COVID-19, mRNA, LNP-S, PF 5yrs-11yrs (Pfizer-BioNTech, Tris-sucrose) vaccine instead of intended Fluarix vaccine. Pt was under the minimum age to receive this vaccine. No symptoms noted during 15 minute observation period post administration.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 11/08/2021. PATIENT FULLY VACCINATED ON 04/09/2021.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Administration error. Vaccine was given beyond the 30 day refrigeration guidelines.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date. Moderna analysis revealed full strength of vaccine still present.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Exercise tolerance decreased, Musculoskeletal stiffness, Pain, Pain in extremity
Clinical narrative: Pain to left thigh and thigh area. Stiffness. Increased over all pain to body. No redness. 2-3 doctor visit and one emergency visit. Reduce fitness class to just mat pi and the stopped all fitness class. Warm water therapy pool exercises currently  about one hour ever other day. Lately added time hot pool (tub) to relax body.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Hypoxia
Clinical narrative: Pt is from a SNF and has a history of Parkinson's disease and type 2 DM.  Pt has increasing shortness of breath and cough.  He was found to be hypoxic.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product expiration date issue
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Bell's palsy, Chills, Dizziness, Eye swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Medium, Systemic: Bell's Palsy-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Additional Details: swelling of the eyes and itchiness.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Injection site swelling, Lethargy, Mouth swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Medium, Systemic: Bell's Palsy-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Additional Details: swelling of the eyes and itchiness.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Swelling face, Swollen tongue
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Medium, Systemic: Bell's Palsy-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Additional Details: swelling of the eyes and itchiness.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue, Underdose
Clinical narrative: on 11/5/21 I went to push in the plunger to administer the vaccine, the vaccine gushed out of the syringe instead of going into the patient. I wasn't sure what to do at the time, so I let the patient go so I could contact my clinical pharmacist specialist and also call Janssen. They advised me to administer the vaccine again, but the patient had already left. I called him to come back, and he was not able to come back that day. So I reached out again to Janssen and our clinical specialist to see if I should just administer it as soon as possible. Janssen could not give me that information, but my clinical specialist advised that if an unknown amount was administered, it should be repeated. I called the patient on 11/10/21 to come back in, and he finally came back on 11/16/21 for his repeat dose.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cold sweat, Vision blurred
Clinical narrative: Vaccine given in LT deltoid. Patient alert and talking after vaccine given. She proceeded to waiting area. A 15-minute timer was set for observation. After 3 minutes, patient's daughter-in-law alerted nursing personnel with complaints of chest pain, blurred vision and clamminess. Provider notified. Vitals taken: BP 94/60; pulse 78; oxygen 99%. Chest clear. Notified EMS. EMS transferred patient to local hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 08/06/2021. PATIENT FULLY VACCINATED ON 03/19/2021.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Chest pain, Erythema
Clinical narrative: 103 degree Fahrenheit fever for 3 days.  Excessive sweating.  Skin turned red all over entire body and took on the rough texture of a football.  Persistent headache.  Low energy.  Contacted Doctors.  No medicine prescribed.  Plenty of rest, water, and NSAIDs as required.   Four and a half months after second Moderna COVID 19 vaccine recieved, developed what a different doctor described as "the worst case of Shingles" he had ever seen.  That lasted a full month.  Multiple Shingles prescriptions filled.  I still have lasting, painful yet numb nerve damage in my chest, shoulder, and back from the Shingles.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Herpes zoster, Hyperhidrosis, Hypoaesthesia, Nerve injury
Clinical narrative: 103 degree Fahrenheit fever for 3 days.  Excessive sweating.  Skin turned red all over entire body and took on the rough texture of a football.  Persistent headache.  Low energy.  Contacted Doctors.  No medicine prescribed.  Plenty of rest, water, and NSAIDs as required.   Four and a half months after second Moderna COVID 19 vaccine recieved, developed what a different doctor described as "the worst case of Shingles" he had ever seen.  That lasted a full month.  Multiple Shingles prescriptions filled.  I still have lasting, painful yet numb nerve damage in my chest, shoulder, and back from the Shingles.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Skin texture abnormal
Clinical narrative: 103 degree Fahrenheit fever for 3 days.  Excessive sweating.  Skin turned red all over entire body and took on the rough texture of a football.  Persistent headache.  Low energy.  Contacted Doctors.  No medicine prescribed.  Plenty of rest, water, and NSAIDs as required.   Four and a half months after second Moderna COVID 19 vaccine recieved, developed what a different doctor described as "the worst case of Shingles" he had ever seen.  That lasted a full month.  Multiple Shingles prescriptions filled.  I still have lasting, painful yet numb nerve damage in my chest, shoulder, and back from the Shingles.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: reaction started 2 days after shot
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Computerised tomogram thorax abnormal, Hypoxia, Pericardial effusion
Clinical narrative: Presented to ER on 11/4/21. Admitted for hypoxia due to COVID19. Both CXR and CT chest does not mention infiltrates , however , hypoxic and  requiring 5 L NC-- > 4 L NC -- >3 L NC . Imaging results may be lagging behind clinical viral pneumonia . He is on Decadron and Remdesivir . Will monitor clinical progression. Upon discharge, CXR still no findings of infiltrates , his 6 min walk test shows he is needing 2 L NC with exertion and no oxygen at rest. Discharge him with home oxygen and prednisone taper on 11/8/21
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented to ER on 11/4/21. Admitted for hypoxia due to COVID19. Both CXR and CT chest does not mention infiltrates , however , hypoxic and  requiring 5 L NC-- > 4 L NC -- >3 L NC . Imaging results may be lagging behind clinical viral pneumonia . He is on Decadron and Remdesivir . Will monitor clinical progression. Upon discharge, CXR still no findings of infiltrates , his 6 min walk test shows he is needing 2 L NC with exertion and no oxygen at rest. Discharge him with home oxygen and prednisone taper on 11/8/21
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Diarrhoea, Lumbar puncture, Magnetic resonance imaging, Movement disorder
Clinical narrative: 36 hours after the shot, Patient had two bouts of vomiting. That started early Thursday morning. Friday and Saturday he had diarrhea. Sunday he woke up screaming that he couldn't move his limbs and was in excruciating pain.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Screaming, Urine analysis, Vomiting
Clinical narrative: 36 hours after the shot, Patient had two bouts of vomiting. That started early Thursday morning. Friday and Saturday he had diarrhea. Sunday he woke up screaming that he couldn't move his limbs and was in excruciating pain.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Patient reported disruption of menstrual cycle.  It was difficult to say specific times or dates but it started after receiving the COVID vaccine.  Second dose received on June 17, 2021 lot EP7533.  Advised by vaccine clinic nurse to see primary provider.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine Administration error. Vaccine was given beyond the 30 day refrigeration guideline.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Headache, Nausea, Fatigue
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Incorrect dose administered
Clinical narrative: No symptoms.  Vaccine Administration Error.  Vaccine was administered from an adult vial.  0.2 ml was given to this patient for approx 20 mcg of Pfizer vaccine.  This is calculated to be double the supposed dose.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, Death, Dyspnoea
Clinical narrative: pt diagnosed positive for COVID 19 on 8/13/21; to ED on 8/15 with increasing SOB; hypoxic with O2 sats 70%; on BiPAP; Hx of lung CA, currently not taking chemotherapy or radiation; treated with dexamethasone, tocilizumab, remdesivir, therapeutic anticoagulation; DNR; TPN; became septic with increasing weakness; made comfort care; inpatient hospice; pt died in hospice
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Positive airway pressure therapy, SARS-CoV-2 test positive, Sepsis
Clinical narrative: pt diagnosed positive for COVID 19 on 8/13/21; to ED on 8/15 with increasing SOB; hypoxic with O2 sats 70%; on BiPAP; Hx of lung CA, currently not taking chemotherapy or radiation; treated with dexamethasone, tocilizumab, remdesivir, therapeutic anticoagulation; DNR; TPN; became septic with increasing weakness; made comfort care; inpatient hospice; pt died in hospice
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Chills, Computerised tomogram, Dizziness
Clinical narrative: Fever, chills, nausea, vomiting for four days after and then sharp chest pain over heart, difficulty breathing, lightheaded state, shortness of breath on day 6 after vaccination and onward
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Nausea, Pyrexia
Clinical narrative: Fever, chills, nausea, vomiting for four days after and then sharp chest pain over heart, difficulty breathing, lightheaded state, shortness of breath on day 6 after vaccination and onward
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever, chills, nausea, vomiting for four days after and then sharp chest pain over heart, difficulty breathing, lightheaded state, shortness of breath on day 6 after vaccination and onward