chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Eructation, Gait disturbance, Loss of personal independence in daily activities, Metabolic encephalopathy, Nausea
Clinical narrative: Patient presented to the emergency department on the morning of 5/25/21 with decreased ability to walk and increasing confusion (has mild dementia at baseline), as well as nausea, burping, stomach pains. The patient received 2nd dose of Moderna vaccine at 5PM the evening prior (5/24/21). Also noted to be febrile. Patient's son reports after receiving the second vaccine dose the patient started to take very short steps and took a long time to get anywhere. Had to be held up by his son. Normally he uses a walker to ambulate and get around most places. Also the patient's son reports that he was poor to respond when given directions and will instead stare straight ahead. Son also reported frequent belching with the patient occurring overnight. No vomiting or diarrhea. Patient did have AKI on admission (creatinine 1.7, baseline ~ 1.1) and had been on gabapentin 900mg TID outpatient (this was reduced inpatient) which could have contributed to confusion. The patient did not have any reaction to the first vaccine. Attending physicians attributed acute metabolic encephalopathy, gait abnormality, and fever to Moderna vaccine. Acute encephalopathy was noted to be resolved on 5/27/21. Patient discharge home with home health 6/1/21.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Parkinsonian gait, Pyrexia, Slow response to stimuli, Staring, Walking aid user
Clinical narrative: Patient presented to the emergency department on the morning of 5/25/21 with decreased ability to walk and increasing confusion (has mild dementia at baseline), as well as nausea, burping, stomach pains. The patient received 2nd dose of Moderna vaccine at 5PM the evening prior (5/24/21). Also noted to be febrile. Patient's son reports after receiving the second vaccine dose the patient started to take very short steps and took a long time to get anywhere. Had to be held up by his son. Normally he uses a walker to ambulate and get around most places. Also the patient's son reports that he was poor to respond when given directions and will instead stare straight ahead. Son also reported frequent belching with the patient occurring overnight. No vomiting or diarrhea. Patient did have AKI on admission (creatinine 1.7, baseline ~ 1.1) and had been on gabapentin 900mg TID outpatient (this was reduced inpatient) which could have contributed to confusion. The patient did not have any reaction to the first vaccine. Attending physicians attributed acute metabolic encephalopathy, gait abnormality, and fever to Moderna vaccine. Acute encephalopathy was noted to be resolved on 5/27/21. Patient discharge home with home health 6/1/21.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Testicular pain
Clinical narrative: N50.811 - Right testicular pain
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patients wife Came in to health Dept for patients second dose but dud not have his card. Dose administered in car per patients request. Wife returned card into health Dept. Patient had received  first Covid Vaccine on 5-25-2021. patient then received second covid vaccine on 6-3-2021. No Side effects noted on 6-3-2021 and patient was contacted on 6-4-2021 and spoke to his wife and informed Health department he was doing fine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Patient reported numbness on lower lip and tip of tongue within 15 minutes of vaccination.  Was given 25 mg Benedryl and improved; given second dose of Benedryl 25 mg.  Patient was released to home.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia, Swelling face
Clinical narrative: patient called this morning around 9:00 am. She states that since getting her covid vaccination yesterday, she feels really sick. Fever/achy and she is having facial swelling. She said she didn't feel like this after the first dose. Since facial swelling is an abnormal and dangerous side effect, I recommended she go to the ER (or at least an urgent care) to be evaluated immediately because she doesnt want the facial swelling to get worse or extend to her breathing. She stated at that time she was having no trouble with her throat or breathing. She said she was going to go to the ER. I told her in the meantime she could take liquid benadryl while on her way to  the ER
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Basilar artery thrombosis, Cardiolipin antibody, Echocardiogram, Echocardiogram normal, Ejection fraction normal
Clinical narrative: Received second dose of Covid 19 vaccine from Pfizer on 05/08. Patient had a small stroke on 05/17 that possibly caused concussion and motor cycle accident with transient aphasia.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Ischaemic stroke, Magnetic resonance imaging head abnormal, Road traffic accident, SARS-CoV-2 test negative, Transient aphasia
Clinical narrative: Received second dose of Covid 19 vaccine from Pfizer on 05/08. Patient had a small stroke on 05/17 that possibly caused concussion and motor cycle accident with transient aphasia.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler, Ultrasound Doppler abnormal
Clinical narrative: Received second dose of Covid 19 vaccine from Pfizer on 05/08. Patient had a small stroke on 05/17 that possibly caused concussion and motor cycle accident with transient aphasia.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, International normalised ratio normal, Pain in extremity, Prothrombin time normal
Clinical narrative: ONE WEEK LATER, PT STARTING FEELING PAIN LEFT CALF.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Heart rate increased
Clinical narrative: sick at my stomach and heart was racing around.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Ringing in right ear.  It gets louder then softer throughout the day.  It started about 9 or 10 days after the vaccine and has not subsided.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: PT REPORTS NAUSEA THEN CRACKERS WAS GIVEN AFTER THAT N/V STOPPED 02 99%
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure
Clinical narrative: Patient's mother reported that she had a grand mal seizure about 2 hours after receiving her vaccination.  Patient has poorly-controlled epilepsy.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: Vaccine Administration Error
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pain in extremity
Clinical narrative: At 1034, vaccinator reported to learn nurse "I think the needle may be in the client because I cannot find it." At 1034,  co-lead nurse activated. Lead nurses assessed patient. Patient reported he felt 0/10 left arm pain and felt dizziness. Lead nurses examined syringe and confirmed that the needle was inside the syringe. Vaccinator confirmed that there was no spillage during administration of the vaccine and there was no vaccine left in the syringe. Patient reported no allergies, no medications, no medical conditions. At 1038, EMT assessed vitals: blood pressure 130/80 mmHg, pulse 85 beats/minute, and SpO2 99%. At 1046 paramedics arrived and assumed care. Paramedics confirmed there was no needle in patient's arm and patient refused to go to the hospital. Supervisor advised lead nurse to have patient wait in observation area for 30 minutes. Lead nurse was attending to  vaccinator who stated she felt "traumatized" and "overwhelmed". Co-lead and EMT attended to another patient reaction in observation area. At approximately 1058, lead nurses realized patient already left observation area. Syringe used was 1mL Vanish Point syringe 25G x 1".
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Loss of consciousness
Clinical narrative: Patient felt dizziness and flushing and then passed out 3 minutes after receiving  vaccination and was out for approximately 1 minute.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: She had erythema at the site of injection with soreness starting the following day, it has progressed  and over the past couple of days the injection site has become indurated swollen, hot and the area of erythema has increased from the size of a quarter (description by patient) to now 5x4 cm at day 9 s/p injection
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Pfizer vaccine for 1st dose on 5/04. Patient was given Moderna vaccine for 2nd dose. Patient did not report any issues.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Uterine haemorrhage, Vaginal haemorrhage
Clinical narrative: N93.9 - Abnormal uterine and vaginal bleeding, unspecified
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness
Clinical narrative: After receiving his vaccine at 1020, patient c/o dizziness and lightheadedness at 1037, reporting he had similar mild side effects with the first dose.  VS monitored, initially exhibiting elevated BPs.   The following VS were obtained throughout monitoring: 1037 BP149/85, HR 69, O2 Sats 100% 1040 BP 133/67, HR 70, O2 sats 100% 1043 BP135/67, HR 75, O2 sats 100% 1048 BP 133/72, HR 73, O2 sats 99% 1055 BP 131/72, HR 69, O2 sats 97% 1105 BP 122/77, HR 67, O2 sats 97% Patient was given a bottled water.  No meds given.  Patient just monitored for extra minutes with final VS as follows: BP 122/77, HR 67, O2 sat 97%.  Pt discharged in stable condition accompanied by spouse.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram thorax, Cough, Dyspnoea
Clinical narrative: PATIENT STATES SHE STARTED HAVING A COUGH AND SOB 5 DAYS AFTER GETTING VACCINE
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immune thrombocytopenia, Platelet count decreased
Clinical narrative: Relapse of ITP 1 week after 2nd dose given (after not having an issue for 2 years)
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received 2nd dose of Moderna and was under 18 years of age at the time.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Cardiac stress test normal, Dizziness, Echocardiogram normal
Clinical narrative: Heart skips beats Felling faint Extremely tired Wanting to sleep all the time No Energy
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Extrasystoles, Fatigue, Hypersomnia
Clinical narrative: Heart skips beats Felling faint Extremely tired Wanting to sleep all the time No Energy
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: Vaccine Administration Error
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Confusional state, Dehydration, Fear, Hypotension
Clinical narrative: I administered a Janssen covid imz to patient at 1:07pm. Immediately following the patient proceeded to faint, his head fell back and limps went limp. I called for pharmacist  to come into the immunization room for assistance and bring an ice pack. She ran into the room to help. At this time 1:08pm the patient began to shake and had what appeared to be a seizure. I dialed 911 and pharmacist was helping patient and protected his head. After shaking for about 10 seconds, the patient stopped. He then awoke, jumped awake confused and scared. We sat patient down and monitored him. At this time the pharmacy tech called management. After patient was calm and sitting, we called his wife into the room. Management arrived in pharmacy. At 1:12pm patient felt cold and clammy.  He said he very much had to use the restroom. With assistance, he used the pharmacy bathroom. EMT arrived at 1:16pm. EMT determined low blood pressure. Patient had worked outside all morning in heat and was likely under hydrated. Over the next few minutes, EMT determined the patient's blood pressure was increasing. At 1:22pm, patient declined to go to the hospital. EMT signed off and left. Patient remained in room until about 1:40 with his wife to rest. Management got him candy and a fan to help. His wife and management then took him to their car.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Seizure like phenomena, Syncope, Tremor
Clinical narrative: I administered a Janssen covid imz to patient at 1:07pm. Immediately following the patient proceeded to faint, his head fell back and limps went limp. I called for pharmacist  to come into the immunization room for assistance and bring an ice pack. She ran into the room to help. At this time 1:08pm the patient began to shake and had what appeared to be a seizure. I dialed 911 and pharmacist was helping patient and protected his head. After shaking for about 10 seconds, the patient stopped. He then awoke, jumped awake confused and scared. We sat patient down and monitored him. At this time the pharmacy tech called management. After patient was calm and sitting, we called his wife into the room. Management arrived in pharmacy. At 1:12pm patient felt cold and clammy.  He said he very much had to use the restroom. With assistance, he used the pharmacy bathroom. EMT arrived at 1:16pm. EMT determined low blood pressure. Patient had worked outside all morning in heat and was likely under hydrated. Over the next few minutes, EMT determined the patient's blood pressure was increasing. At 1:22pm, patient declined to go to the hospital. EMT signed off and left. Patient remained in room until about 1:40 with his wife to rest. Management got him candy and a fan to help. His wife and management then took him to their car.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient's mother, falsified form noting daughter's date of birth as 1/15/2009 and age as 12. Her correct date of birth is 11/15/2009 and her correct age is 11. We did not discover this until billing the vaccination, at which time the vaccination had already been administered. No adverse reaction has been reported at this time.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood creatine phosphokinase, Chest pain, Chills, Computerised tomogram head
Clinical narrative: On 5/10/2021, I woke up with deep muscle aches, waves of chills, overall fatigue and malaise, and a bad headache. That evening, at approximately 7:30-8pm, I suddenly got very lightheaded while sitting at the table. Then my heart started racing out of no where. Intense pain rose in the center of my chest and radiated down both of my arms, before I went completely limp. My husband reports that one minute, I was somewhat responsive, and the next I wasn't responding at all. He had to hold me up from falling out of the chair and immediately called 911. He said my head flopped lifelessly while they transported me, in a chair with straps, into the ambulance. I started to come to after a while, but had generalized weakness that slowly wore off. The attending physician said that I either had an adverse reaction to the Pfizer vaccine, or the vaccine and my migraine med (Ubrelvy) had a bad interaction with one another. I was treated with IV fluids (NACI) and injected with a dose of Toradol.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dizziness, Electrocardiogram abnormal, Fatigue, Full blood count
Clinical narrative: On 5/10/2021, I woke up with deep muscle aches, waves of chills, overall fatigue and malaise, and a bad headache. That evening, at approximately 7:30-8pm, I suddenly got very lightheaded while sitting at the table. Then my heart started racing out of no where. Intense pain rose in the center of my chest and radiated down both of my arms, before I went completely limp. My husband reports that one minute, I was somewhat responsive, and the next I wasn't responding at all. He had to hold me up from falling out of the chair and immediately called 911. He said my head flopped lifelessly while they transported me, in a chair with straps, into the ambulance. I started to come to after a while, but had generalized weakness that slowly wore off. The attending physician said that I either had an adverse reaction to the Pfizer vaccine, or the vaccine and my migraine med (Ubrelvy) had a bad interaction with one another. I was treated with IV fluids (NACI) and injected with a dose of Toradol.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Metabolic function test, Myalgia, Pain
Clinical narrative: On 5/10/2021, I woke up with deep muscle aches, waves of chills, overall fatigue and malaise, and a bad headache. That evening, at approximately 7:30-8pm, I suddenly got very lightheaded while sitting at the table. Then my heart started racing out of no where. Intense pain rose in the center of my chest and radiated down both of my arms, before I went completely limp. My husband reports that one minute, I was somewhat responsive, and the next I wasn't responding at all. He had to hold me up from falling out of the chair and immediately called 911. He said my head flopped lifelessly while they transported me, in a chair with straps, into the ambulance. I started to come to after a while, but had generalized weakness that slowly wore off. The attending physician said that I either had an adverse reaction to the Pfizer vaccine, or the vaccine and my migraine med (Ubrelvy) had a bad interaction with one another. I was treated with IV fluids (NACI) and injected with a dose of Toradol.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Unresponsive to stimuli
Clinical narrative: On 5/10/2021, I woke up with deep muscle aches, waves of chills, overall fatigue and malaise, and a bad headache. That evening, at approximately 7:30-8pm, I suddenly got very lightheaded while sitting at the table. Then my heart started racing out of no where. Intense pain rose in the center of my chest and radiated down both of my arms, before I went completely limp. My husband reports that one minute, I was somewhat responsive, and the next I wasn't responding at all. He had to hold me up from falling out of the chair and immediately called 911. He said my head flopped lifelessly while they transported me, in a chair with straps, into the ambulance. I started to come to after a while, but had generalized weakness that slowly wore off. The attending physician said that I either had an adverse reaction to the Pfizer vaccine, or the vaccine and my migraine med (Ubrelvy) had a bad interaction with one another. I was treated with IV fluids (NACI) and injected with a dose of Toradol.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Occipital Lymph node on left side swelled and was very painful. It lasted about a week and a half or approximately 10 days
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness
Clinical narrative: PT REPORTS DIZZINESS CLAIMS DID NOT EAT. LATER CRACKER AND WATER WAS GIVEN REPORTED FINE.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Pain
Clinical narrative: Arm muscle hurting and still hurting 04.06.21. This is one month later and I am finding it hard to lift my arm without it causing pain
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Illness, Pyrexia, Vomiting
Clinical narrative: Client had chills, fever, headache and was throwing up after the 1st dose of the Pfizer vaccine.  She was sick most of the day after the vaccine was administered.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Heart rate increased, Pyrexia
Clinical narrative: Pregnant, due date 07/12/2021 Got fever for two days, starting 12 hours after the second dose covid-19 vaccine. Used tylenol for fever.   Starting from the second day (05/13/2021), noted rapid heart rate. Normal resting  heart rate before was 70-80 BPM, after taking the vaccine, increased to 100-110 BPM.  Two weeks after the vaccine until now, it is around 90 BPM.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Tested POSITIVE for COVID on 6/3/2021  - SOB
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyponatraemia, Hypoosmolar state, Pericarditis, Pneumonia
Clinical narrative: I30.9 - Acute pericarditis, unspecified J18.9 - Pneumonia, unspecified organism E87.1 - Hypo-osmolality and hyponatremia
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dyspnoea, Rash
Clinical narrative: Rash all over body within 1 hour of the shot, Severe Lower Back pain Rash got worse and trouble breathing day after the shot
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular tachycardia
Clinical narrative: Patient was found to have NSVT on recent pacemaker check.  This occurred 4 days after receiving her 2nd Pfizer COVID-19 vaccination.  Patient states it was a 'blip' on her device.  She had no further other symptoms noted.  Patient is unsure if is related to the vaccine or if this was something else related to cardiac history.  Her primary care provider did ask that she report this.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vial used for this vaccination was opened for the first time on Thursday May 27th around 5 PM with an expiration time set for 6 hours after opening (11 PM on Thursday May 27th). The vial was accidentally not discarded at store closure and was placed back into the refrigerator. The next day Friday, May 28th the patient was administered a vaccine from the expired vial. The manufacturer was called for a recommendation. They stated administering the vaccination at the time period it was given was not studied and for the pharmacist to use their best clinical judgment. After consulting other pharmacists it was determined to not re-administer the dose, but to contact the patient and monitor for infection. The patient
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pneumothorax
Clinical narrative: Patient experienced left sided chest pain that started a few hours prior to getting his second dose of the covid vaccine on June 1, 2021.   Patient states the pain worsened after receiving his second dose of the vaccine.   He was admitted for a small pneumothorax on his left side.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Vaccine Administration Error
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Eosinophil count increased, Full blood count, Lymphadenopathy, Rash
Clinical narrative: Cervical lymphadenopathy and macular rash on trunk.  Present on 5/2 initially and advancing through end of May. Has follow up scheduled in June.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Cervical lymphadenopathy and macular rash on trunk.  Present on 5/2 initially and advancing through end of May. Has follow up scheduled in June.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Full blood count, Imaging procedure, Immunoglobulin therapy
Clinical narrative: I woke up with petechiae on 5/10. By 5/11 the petechiae developed into thrombocytopenia purpura with a platelet count fo 1000, including mouth lesions and prolonged mucosal bleeding. Admitted Hospital for treatment on 5/11. Treatment included a high dose of oral dexomethasone for four days, IVIG transfusion for two days, and a single platelet transfusion. Fluid developed in the lungs, but that was determined to be a byproduct of treatment, and not part of the adverse reaction. By the time of discharge on 5/14, platelet count had risen to 88000. One week later at outpatient, platelet count had risen to 180000.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Mucosal haemorrhage, Oral disorder, Petechiae, Platelet count decreased, Platelet transfusion
Clinical narrative: I woke up with petechiae on 5/10. By 5/11 the petechiae developed into thrombocytopenia purpura with a platelet count fo 1000, including mouth lesions and prolonged mucosal bleeding. Admitted Hospital for treatment on 5/11. Treatment included a high dose of oral dexomethasone for four days, IVIG transfusion for two days, and a single platelet transfusion. Fluid developed in the lungs, but that was determined to be a byproduct of treatment, and not part of the adverse reaction. By the time of discharge on 5/14, platelet count had risen to 88000. One week later at outpatient, platelet count had risen to 180000.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenic purpura
Clinical narrative: I woke up with petechiae on 5/10. By 5/11 the petechiae developed into thrombocytopenia purpura with a platelet count fo 1000, including mouth lesions and prolonged mucosal bleeding. Admitted Hospital for treatment on 5/11. Treatment included a high dose of oral dexomethasone for four days, IVIG transfusion for two days, and a single platelet transfusion. Fluid developed in the lungs, but that was determined to be a byproduct of treatment, and not part of the adverse reaction. By the time of discharge on 5/14, platelet count had risen to 88000. One week later at outpatient, platelet count had risen to 180000.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: An expired vaccine dose that had been left in the fridge the previous night was erroneously administered to the patient the following morning.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fall, Pallor, Syncope, Tremor
Clinical narrative: After getting vaccinated , pt sat in the waiting room for 15 minutes. While sitting he fainted and another customer caught a hold of him. I was called out and I see the boy on the floor . I told him to sit still and rest and not to do anything. I went back in pharmacy to call manager to see if we can get some water for him. I also had someone page mom because mom went shopping. When I went back out to see the boy, his mom was there and he was drinking some water. I came out to talk to mom. while I was there, the boy started to shake and complained of chill. He look pale, so, I went and called 911. They transfer me to the fire department. They said to have him stay where he is and not have anything to eat or drink just incase her may throw up.I told mom.  After that , I went about doing my things . Then emergency came . Then they all left. About 7 pm that day I called mom for follow up and she said he was doing ok.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Pain
Clinical narrative: The vial used for this vaccination was opened for the first time on Thursday May 27th around 5 PM with an expiration time set for 6 hours after opening (11 PM on Thursday May 27th). The vial was accidentally not discarded at store closure and was placed back into the refrigerator. The next day Friday, May 28th the patient was administered a vaccine from the expired vial. The manufacturer was called for a recommendation. They stated administering the vaccination at the time period it was given was not studied and for the pharmacist to use their best clinical judgment. After consulting other pharmacists it was determined to not re-administer the dose, but to contact the patient and monitor for infection. The patient
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received her first dose of the Moderna Covid-19 vaccine at the age of 17.43 years.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pain, Product storage error
Clinical narrative: The vial used for this vaccination was opened for the first time on Thursday May 27th around 5 PM with an expiration time set for 6 hours after opening (11 PM on Thursday May 27th). The vial was accidentally not discarded at store closure and was placed back into the refrigerator. The next day Friday, May 28th the patient was administered a vaccine from the expired vial. The manufacturer was called for a recommendation. They stated administering the vaccination at the time period it was given was not studied and for the pharmacist to use their best clinical judgment. After consulting other pharmacists it was determined to not re-administer the dose, but to contact the patient and monitor for infection. The patient was contacted to be made aware of the event that had occurred and reported feeling "achey" with a slightly red injection site but no fever (05/30/21). The patient was advised to call back with the onset of any side effects, and has not called us to date.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd vaccine 10 days early.  First vaccine administered on 05/17/2021 and received 2nd dose today, 06/04/2021.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: An expired dose that had been left in the fridge from the previous evening was erroneously administered to the patient the following morning
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: 3 days after first dose, had sudden and severe menstrual bleeding through clothing.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site pain, Joint range of motion decreased, Pain, Sleep disorder
Clinical narrative: Patient immediately felt pain in upper left shoulder and felt injection had been given too high based on other injections in the past.  She came in to see Nurse Practitioner as she was still having pain 17 days after the injection.  Patient had also had a decrease range of motion with trouble reaching for things and putting on her seatbelt behind her.  The NP sent her for physical therapy.. PT did not help so she came in to see Dr. n 4/28/21.  Dr.  thought it was SIRVA and discussed the case with an orthopedist.  Based on that discussion short term therapy on methylprednisolone was tried, which helped minimally briefly.  So patient was then seen by the orthopedist on 5/24/21 who ordered an MRI.  However, the MRI was denied because the patient had not completed 6 weeks of PT.  However after 6 PT sessions there was no improvement of pain or ROM.  Pain is 8/10 in the morning and is improved to 5/10 after ibuprofen by afternoon.  Ice also helps with the pain.  Dr.  will appeal getting the MRI as it failed to help, but this has not been approved yet.  Patient is still having trouble sleeping on left side and the pain awakens her at night.  ROM when reaching for things or putting on seatbelt still a problem and causes increased pain.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Iodine uptake increased, Thyroid gland scan abnormal, Thyroid stimulating immunoglobulin increased, Thyroxine normal
Clinical narrative: I was diagnosed with Graves disease on 01Jun2021. Symptoms began after the vaccine, however I do have a family history of thyroid disorder (mother)
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Tri-iodothyronine increased
Clinical narrative: I was diagnosed with Graves disease on 01Jun2021. Symptoms began after the vaccine, however I do have a family history of thyroid disorder (mother)
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Ocular hyperaemia, Swollen tongue
Clinical narrative: swelling of her tongue.  She only has swelling to the left side of her tongue.  Redness and burning of her face and bilateral eye redness
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was to receive Moderna Booster but was administered Pfizer vaccine
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest pain, no definite pericarditis, but less than 1 week after vaccine
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Pain
Clinical narrative: COVID Second dose.  Debilitating fatigue, body aches, joint pain, severe headache  beginning 5 hours after injection and lasting for 48 hours.  Milder symptoms of fatigue and injection site pain for an additional 72 hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient got the vaccine at two weeks instead of three.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blood test, Rash
Clinical narrative: RASH ALL OVER BODY
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Discomfort, Dry throat, Hypoaesthesia, Urine flow decreased
Clinical narrative: Patient received the Moderna vaccine (dose 1) and reported numbness and soreness in the kidney/back area that lasted 30 minutes later that night; she also reports pressure in that same area for a few days after. She also reports low urinary flow starting the night after getting the vaccine. She also has throat dryness at night, but feels fine during the day. She reports drinking plenty of water. She will follow up with her PCP in a few days.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Anxiety, Chest X-ray, Chest pain, Ear discomfort
Clinical narrative: I  had my first Pfizer dose on 3/16, I  immediately got hot and flushed with high heart rate and heart palpitations.  I  was assured by multiple doctors that this was "normal". I  was rushed to ER with sever pain my left leg and chest pain on 3/24/21. I  was instructed this was all my anxiety and it was safe to receive the second dose.  The anxiety and severe brain fog did resolve within 2 weeks. I  stupidly received the second dose 4/7/21. I  was fine for 3 days until I  got severe ear pressure, severe vertigo, low blood pressure, high heart rate, GI symptoms, severe brain fog, anxiety, neurological issues and palpitations.  9 weeks later and I  am still not recovered form the inflammation and Pfizer admitted "severe adverse reaction". I  reported this to V-Safe and heard nothing back.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Feeling abnormal, Feeling hot, Flushing
Clinical narrative: I  had my first Pfizer dose on 3/16, I  immediately got hot and flushed with high heart rate and heart palpitations.  I  was assured by multiple doctors that this was "normal". I  was rushed to ER with sever pain my left leg and chest pain on 3/24/21. I  was instructed this was all my anxiety and it was safe to receive the second dose.  The anxiety and severe brain fog did resolve within 2 weeks. I  stupidly received the second dose 4/7/21. I  was fine for 3 days until I  got severe ear pressure, severe vertigo, low blood pressure, high heart rate, GI symptoms, severe brain fog, anxiety, neurological issues and palpitations.  9 weeks later and I  am still not recovered form the inflammation and Pfizer admitted "severe adverse reaction". I  reported this to V-Safe and heard nothing back.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hypotension, Immediate post-injection reaction, Inflammation, Magnetic resonance imaging
Clinical narrative: I  had my first Pfizer dose on 3/16, I  immediately got hot and flushed with high heart rate and heart palpitations.  I  was assured by multiple doctors that this was "normal". I  was rushed to ER with sever pain my left leg and chest pain on 3/24/21. I  was instructed this was all my anxiety and it was safe to receive the second dose.  The anxiety and severe brain fog did resolve within 2 weeks. I  stupidly received the second dose 4/7/21. I  was fine for 3 days until I  got severe ear pressure, severe vertigo, low blood pressure, high heart rate, GI symptoms, severe brain fog, anxiety, neurological issues and palpitations.  9 weeks later and I  am still not recovered form the inflammation and Pfizer admitted "severe adverse reaction". I  reported this to V-Safe and heard nothing back.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neurological symptom, Pain in extremity, Palpitations, SARS-CoV-2 test negative, Stool analysis
Clinical narrative: I  had my first Pfizer dose on 3/16, I  immediately got hot and flushed with high heart rate and heart palpitations.  I  was assured by multiple doctors that this was "normal". I  was rushed to ER with sever pain my left leg and chest pain on 3/24/21. I  was instructed this was all my anxiety and it was safe to receive the second dose.  The anxiety and severe brain fog did resolve within 2 weeks. I  stupidly received the second dose 4/7/21. I  was fine for 3 days until I  got severe ear pressure, severe vertigo, low blood pressure, high heart rate, GI symptoms, severe brain fog, anxiety, neurological issues and palpitations.  9 weeks later and I  am still not recovered form the inflammation and Pfizer admitted "severe adverse reaction". I  reported this to V-Safe and heard nothing back.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan, Vertigo
Clinical narrative: I  had my first Pfizer dose on 3/16, I  immediately got hot and flushed with high heart rate and heart palpitations.  I  was assured by multiple doctors that this was "normal". I  was rushed to ER with sever pain my left leg and chest pain on 3/24/21. I  was instructed this was all my anxiety and it was safe to receive the second dose.  The anxiety and severe brain fog did resolve within 2 weeks. I  stupidly received the second dose 4/7/21. I  was fine for 3 days until I  got severe ear pressure, severe vertigo, low blood pressure, high heart rate, GI symptoms, severe brain fog, anxiety, neurological issues and palpitations.  9 weeks later and I  am still not recovered form the inflammation and Pfizer admitted "severe adverse reaction". I  reported this to V-Safe and heard nothing back.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Sudden hearing loss
Clinical narrative: Sudden hearing loss in right ear
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Headache, Memory impairment
Clinical narrative: onset of fatigue, headache, within hours of vaccine, difficulty with concentration, cognition, memory, headaches 1 month after vaccination
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Mom had called us stating that two doses of the Pfizer were administered too close to each other within 2 weeks time frame. 1st dose was administered 05/19/2021, 2nd dose 06/02/2021
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Severe dizziness with nausea and vomiting  for multiple days. Bed rest
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: An expired dose that had been left in the fridge the previous evening was erroneously administered to the patient the following morning
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Blood glucose increased, Diabetes mellitus
Clinical narrative: On 10th day after vaccine, he developed Bell's Palsy with onset diabetes.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody negative, Biopsy bone marrow normal, Blood copper normal, Chromosome analysis normal, Electrophoresis normal
Clinical narrative: one month post second injection she was noted to have pancytopenia:  she was urgently referred to hematology where work up over the last month has been un revealing of etiology of pancytopenia.  most recent counts are wbc 2.7, hbg 9.9, hct 28.5, PLT 14. she has required IVIG and platelets.  she is needing a referral to a tertiary center.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, HIV test negative, Haematocrit decreased, Haemoglobin decreased, Hepatitis viral test negative
Clinical narrative: one month post second injection she was noted to have pancytopenia:  she was urgently referred to hematology where work up over the last month has been un revealing of etiology of pancytopenia.  most recent counts are wbc 2.7, hbg 9.9, hct 28.5, PLT 14. she has required IVIG and platelets.  she is needing a referral to a tertiary center.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Low density lipoprotein normal, Metabolic function test normal, Pancytopenia, Platelet count decreased, Red blood cell count decreased
Clinical narrative: one month post second injection she was noted to have pancytopenia:  she was urgently referred to hematology where work up over the last month has been un revealing of etiology of pancytopenia.  most recent counts are wbc 2.7, hbg 9.9, hct 28.5, PLT 14. she has required IVIG and platelets.  she is needing a referral to a tertiary center.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin B12 normal, White blood cell count decreased
Clinical narrative: one month post second injection she was noted to have pancytopenia:  she was urgently referred to hematology where work up over the last month has been un revealing of etiology of pancytopenia.  most recent counts are wbc 2.7, hbg 9.9, hct 28.5, PLT 14. she has required IVIG and platelets.  she is needing a referral to a tertiary center.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Panic attack
Clinical narrative: Pt experienced extreme panic attack right after vaccination.  Contacted 911, and paramedics were dispatched from Delaware County Memorial Hospital.  Pt alleges he "can't breathe and don't feel right. Never felt like this before."  Epipen was really to be administered.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Diarrhoea, Fatigue, Hypersomnia, Pyrexia
Clinical narrative: I received my second Covid19 vaccine about 9:30AM Friday April 16, 2021. The next day, Saturday, I was on bed all day - exhausted.  I didn't eat or get up. On Sunday, I was still fatigued and had some vomiting and diahrea.  I was again in bed all day. Monday: fatigued and unable to get up and going. Tuesday: same - for the entire week.  After a week's time, I was still fatigued and began having a low grade fever. This situation lasted for TWO WEEKS. At the 14th day after my second vaccine, I went to the clinic and got urine and blood tests because I thought something was wrong with me.  All came back negative. The next day ( again, TWO WEEKS after the second shot), I finally felt better.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal, Vomiting
Clinical narrative: I received my second Covid19 vaccine about 9:30AM Friday April 16, 2021. The next day, Saturday, I was on bed all day - exhausted.  I didn't eat or get up. On Sunday, I was still fatigued and had some vomiting and diahrea.  I was again in bed all day. Monday: fatigued and unable to get up and going. Tuesday: same - for the entire week.  After a week's time, I was still fatigued and began having a low grade fever. This situation lasted for TWO WEEKS. At the 14th day after my second vaccine, I went to the clinic and got urine and blood tests because I thought something was wrong with me.  All came back negative. The next day ( again, TWO WEEKS after the second shot), I finally felt better.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypersomnia, Impaired work ability, Injection site pain
Clinical narrative: Major fatigue the next day. It kept me from working. I slept majority of the day. Pain and swelling at injection site lasting for 2 days. Bad headache lasting two days.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Major fatigue the next day. It kept me from working. I slept majority of the day. Pain and swelling at injection site lasting for 2 days. Bad headache lasting two days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein increased, Erythema, Full blood count normal, Joint stiffness
Clinical narrative: moderna #1 2/6 , 9 days later she developed a large red spot on her arm, 8 inch long, lasted a week and since faded,  New sx started for about 1 week Neck feels stiff over mid line, not into shoulders, sore to touch on one side, and same into hips, stiff, no pain into arms or thighs, no fevers, no specific joints are swollen, no headache or vision changes, no pain in jaw with chewing or talking   She started first with tylenol, switched to voltaren oral and thinks is helping some, getting up in am and up from supine/prone is her worst time  she was started on prednisone for possible PMR, she started at 40mg daily but not recovering  after 1 week, increased to 60mg with relief and decreased in crp, she continued on 60mg for 2 weeks, then tapered to 40mg , 30 mg and 20mg every 2 weeks,  she has now tapered to 10mg daily every 2 weeks by 2.5mg was seen in office today with complete resolution of symptoms
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Musculoskeletal stiffness, Neck pain, Red blood cell sedimentation rate increased
Clinical narrative: moderna #1 2/6 , 9 days later she developed a large red spot on her arm, 8 inch long, lasted a week and since faded,  New sx started for about 1 week Neck feels stiff over mid line, not into shoulders, sore to touch on one side, and same into hips, stiff, no pain into arms or thighs, no fevers, no specific joints are swollen, no headache or vision changes, no pain in jaw with chewing or talking   She started first with tylenol, switched to voltaren oral and thinks is helping some, getting up in am and up from supine/prone is her worst time  she was started on prednisone for possible PMR, she started at 40mg daily but not recovering  after 1 week, increased to 60mg with relief and decreased in crp, she continued on 60mg for 2 weeks, then tapered to 40mg , 30 mg and 20mg every 2 weeks,  she has now tapered to 10mg daily every 2 weeks by 2.5mg was seen in office today with complete resolution of symptoms
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Syncope
Clinical narrative: Syncope; 911 called; patient woke up promptly, was pale, but responsive
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was to receive Moderna Booster but landed up getting Pfizer booster
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: 1) Pain around the location of the first shot.  The pain went away after a couple of days. 2) Chills, fatigue, and body ache after the second shot.  They all went away after 2 days.  However, 2 days ago (June 2, 2021) - that is 2 months after the second shot (April 2, 2021), I started to have chills, fatigue, body ache, and some low fever (99.5), the same exact feelings that I had right after the second shot!  I took one pill of ibuprofen and it helped with the body ache.  However, fatigue did not go away until 2 days later (June 4, 2021).  I was worried and thought I had caught covid, so I got tested, and the result was negative!  Today, June 4, 2021, I got up and felt like myself again!    What is the possibility that the side effect keeps coming back like this?  I asked the nurse, who informed me about my negative result, this question, and she said that I might have caught a bug!  I told her that it was unlikely I would have recovered quickly if that had happened!
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: 1) Pain around the location of the first shot.  The pain went away after a couple of days. 2) Chills, fatigue, and body ache after the second shot.  They all went away after 2 days.  However, 2 days ago (June 2, 2021) - that is 2 months after the second shot (April 2, 2021), I started to have chills, fatigue, body ache, and some low fever (99.5), the same exact feelings that I had right after the second shot!  I took one pill of ibuprofen and it helped with the body ache.  However, fatigue did not go away until 2 days later (June 4, 2021).  I was worried and thought I had caught covid, so I got tested, and the result was negative!  Today, June 4, 2021, I got up and felt like myself again!    What is the possibility that the side effect keeps coming back like this?  I asked the nurse, who informed me about my negative result, this question, and she said that I might have caught a bug!  I told her that it was unlikely I would have recovered quickly if that had happened!
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: An expired dose that had been left in the fridge the previous evening was administered the a patient the following morning