chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Suddenly, the Friday after receiving my vaccine, I developed hives all over my rear end. The following Tuesday, it spread to my sides and down my legs to my knees. I went to immediate care, and no one can tell for sure what the cause is. I was taking a medication that has rash as a possible side effect, but I had never experienced that side effect with this medication before. I spoke with my dermatologist who also did not know what the cause was but advised that I take Claritin and Benadryl. Last night 10/12/2022 was the first night in many nights that I was not woken up with horrible itching and today, I haven't had any issues.
Age: 91.0
Sex: M
Vaccine: FLUA4
Symptoms: Cheilitis, Lip blister, Lip erythema, Lip exfoliation, Lip swelling
Clinical narrative: Pt. received a Sequirus Fluad quadrivalent for 65 years and over on 10/4/22 during pharmacy clinic.  On 10/6/22 he was noted to have redness, swelling, peeling, and blisters around both lips that lasted almost a week.  Petroleum jelly was ordered with no effect.  Abreva was ordered TID x 5 days and Docosanol cream.   The swelling has resolved with a few small resolving sores.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS GIVEN 10/4/22 EXPIRATION OF LOT # WAS 9/30/22
Age: 59.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site swelling, Rash, Rash erythematous, Rash pruritic
Clinical narrative: pt states that a few days after getting the monkey pox vaccine he developed a very itchy rash.  The rash started on the abdomen.  He took Benadryl and went bed. Upon waking the rash had covered his entire back and chest.  It was bright red and itchy bumps. He had incredible itchy and he could see the rash moving up his neck into his ears so called Teledoc.  He was told he needed to call the ambulance to go to the hospital for treatment.  He refused saying he had to get to work so would call an ambulance or go to the ER if he started having trouble breathing.  His breathing was never impaired. He was prescribed prednisone and steroids. His symptoms improved over next few days but he still has a red bump around the injection site.
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4, VARZOS, COVID19-2, FLU4, VARZOS
Symptoms: Blister, Fatigue, Malaise
Clinical narrative: Patient called stating he was not feeling well feeling fatigued and quite ill on 10/11/22; on 10/13/22 patient's wife called stating the patient had developed blisters
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4, VARZOS, COVID19-2, FLU4, VARZOS
Symptoms: Adverse drug reaction, Asthenia, Axillary pain, Back pain, Bradykinesia
Clinical narrative: Patient called stating he was not feeling well feeling fatigued and quite ill on 10/11/22; on 10/13/22 patient's wife called stating the patient had developed blisters
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4, VARZOS, COVID19-2, FLU4, VARZOS
Symptoms: Chest X-ray, Cogwheel rigidity, Computerised tomogram head, Dehydration, Dizziness
Clinical narrative: Patient called stating he was not feeling well feeling fatigued and quite ill on 10/11/22; on 10/13/22 patient's wife called stating the patient had developed blisters
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4, VARZOS, COVID19-2, FLU4, VARZOS
Symptoms: Dysgraphia, Electrocardiogram, Fatigue, Full blood count, Gait disturbance
Clinical narrative: Patient called stating he was not feeling well feeling fatigued and quite ill on 10/11/22; on 10/13/22 patient's wife called stating the patient had developed blisters
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4, VARZOS, COVID19-2, FLU4, VARZOS
Symptoms: Herpes zoster, Malaise, Metabolic function test, Musculoskeletal chest pain, Orthostatic hypotension
Clinical narrative: Patient called stating he was not feeling well feeling fatigued and quite ill on 10/11/22; on 10/13/22 patient's wife called stating the patient had developed blisters
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4, VARZOS, COVID19-2, FLU4, VARZOS
Symptoms: Red blood cell sedimentation rate, Reduced facial expression, Tremor, Urine analysis
Clinical narrative: Patient called stating he was not feeling well feeling fatigued and quite ill on 10/11/22; on 10/13/22 patient's wife called stating the patient had developed blisters
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Pfizer, bivalent on 10/11/2022
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiry date
Age: 5.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given past expiry date
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site nodule, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: patient received yearly flu vaccine on 10/6/22.  patient called pharmacy on 10/8/22 and informed me (pharmacist) that she had throbbing, itching, bruising and a knot at the injection site; i confirmed not redness/heat.  after discussing with the patient, she stated that all of the these symptoms usually occur after any vaccine but were not present for this length of time and the know was larger than usual.  patient did indicate that the symptoms were getting better versus getting worse.  i told her that while these symptoms were not a "typical" response, they were not extremely rare.  i advised her to continue ibuprofen and ice and i would contact her the next day.  if symptoms worsened, go to er/urgent care.  i contacted patient on 10/9/22 and patient stated that symptoms were getting better but the knot was still present.  she stated that the itching continued and that when she scratched the area, it would swell.  she has no allergies to speak of (just sensitive skin) and tramadol causes itching.  i suspect a possible allergy to an inactive ingredient in the vaccine but unsure.  informed pt the if the know was still present on 10/10/22 to contact her primary care prescriber which was not indicated on the patient record and let him/her assess patient.  also recommended potential allergy testing.  i contacted patient on 10/10/22 and the patient stated that she was much better and any problems had resolved.  i am only reporting this because of the severity of the reaction that the patient reported.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Pain
Clinical narrative: patient received yearly flu vaccine on 10/6/22.  patient called pharmacy on 10/8/22 and informed me (pharmacist) that she had throbbing, itching, bruising and a knot at the injection site; i confirmed not redness/heat.  after discussing with the patient, she stated that all of the these symptoms usually occur after any vaccine but were not present for this length of time and the know was larger than usual.  patient did indicate that the symptoms were getting better versus getting worse.  i told her that while these symptoms were not a "typical" response, they were not extremely rare.  i advised her to continue ibuprofen and ice and i would contact her the next day.  if symptoms worsened, go to er/urgent care.  i contacted patient on 10/9/22 and patient stated that symptoms were getting better but the knot was still present.  she stated that the itching continued and that when she scratched the area, it would swell.  she has no allergies to speak of (just sensitive skin) and tramadol causes itching.  i suspect a possible allergy to an inactive ingredient in the vaccine but unsure.  informed pt the if the know was still present on 10/10/22 to contact her primary care prescriber which was not indicated on the patient record and let him/her assess patient.  also recommended potential allergy testing.  i contacted patient on 10/10/22 and the patient stated that she was much better and any problems had resolved.  i am only reporting this because of the severity of the reaction that the patient reported.
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Approximately 5 minutes post vaccination, while sitting outside pharmacy, patient began to feel dizzy and nauseous, pallor was noted in her face.  Asked patient to move to the ground, but she felt too nauseous and didn't want to throw up while laying down. Patient then moved to a hunched over position, as I sat in front of her to prevent her from falling forward onto the concrete if she were to pass out.  Blood pressure taken and noted as low 89/51.  Patient continued to be able to respond to questions and verbalized without exertion or issue.  Patient noted no difficulty breathing, no bluing of the lips, no tingling or swelling of the mouth, lips, or tongue.  She continued to note that she just felt dizzy and nauseous.  Cold compress applied to the back of the neck and cold water offered to patient as requested.  Repeat blood pressure taken after 8 minutes and BP had stabilized to 110/89. After 5 minutes patient noted a dizziness level of 5/10, versus a 10/10 when she first started feeling symptoms.  Continued to draw BP's every 5 minutes for 20 minutes and all remained stable and normal.  Patient was able to sit up after 10 minutes without worsening symptoms and color had returned to her face.  Asked patient to remain sitting for an additional 10 minutes.  After a total of 30 minutes post vaccination, I had the patient stand for 1 minute straight and walk up and down an aisle.  There were no issues with dizziness per patient and noted no issues in gait or stability.   The patient said that this had not happened to her before with any other vaccines and that she felt 100% better.  I instructed her to receive further vaccinations in a healthcare setting, like her primary care provider's office. I released her to continue her shopping, noting that she would return or call if any other issues arose.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT ADMINISTERED THE HIGH DOSE FLU SHOT WHEN INELIGIBLE DUE TO AGE. PATIENT IS 64 YEARS OLD.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acne, Blister, Drainage, Erythema, Productive cough
Clinical narrative: The afternoon and evening on the day I got my Bivalent COVID-19 vaccine I noticed that I started getting hives. They then kept showing up and were all over the only places I did not get them was my stomach, my back, the palms of hands, and the bottoms of my feet. I was asked by my doctor when I saw him on that following Monday about the inside of my mouth and I did not have them there. I have also had a cough that is a congestive cough since I had the shot, but it is also allergy season here, but this has come on at the same time as these hives. The hives were so itchy I could not sleep they are very red and very raised- they were hot to the touch and then they also had like a head on them. It seemed after a few days that it had like a head like a pimple and then they would open up and drain. They are now like scabbed over- it's like I had these blister pimples. They are still kind of showing up as well, but they are smaller and not in as large numbers. The doctor gave me an 8 day course of prednisone and also to take Zyrtec as well. I would not say I am recovered but is greatly improved.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Scab, Skin warm, Sleep disorder, Urticaria
Clinical narrative: The afternoon and evening on the day I got my Bivalent COVID-19 vaccine I noticed that I started getting hives. They then kept showing up and were all over the only places I did not get them was my stomach, my back, the palms of hands, and the bottoms of my feet. I was asked by my doctor when I saw him on that following Monday about the inside of my mouth and I did not have them there. I have also had a cough that is a congestive cough since I had the shot, but it is also allergy season here, but this has come on at the same time as these hives. The hives were so itchy I could not sleep they are very red and very raised- they were hot to the touch and then they also had like a head on them. It seemed after a few days that it had like a head like a pimple and then they would open up and drain. They are now like scabbed over- it's like I had these blister pimples. They are still kind of showing up as well, but they are smaller and not in as large numbers. The doctor gave me an 8 day course of prednisone and also to take Zyrtec as well. I would not say I am recovered but is greatly improved.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Body temperature increased, Feeling cold, Lethargy, Myalgia
Clinical narrative: High body temperature. 105 at peak. 48 hours total.  Muscle aches, chills, lethargy
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: On 10/12/2022 Covid Bivalent Pfizer was given IM for a first time dose.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test abnormal, Dehydration, Diarrhoea, Muscle spasms, Nausea
Clinical narrative: Five hours after I received dose 5, I began running a low fever.  For the next nine days my temperature was between 100 and 101.  It may have started at 98 in the morning but would rise during the day.  The day after the booster I began having diarrhea and was persistent and uncontrollable. I began a clear liquid diet.  By the following Monday, September 19th, I talked to my doctor.  By then I was dehydrated.  A mobile health care unit came to my home and gave me IV fluids.  They also drew blood.  She gave me a prescription that stops cramping and spasms and something for my nausea; Dicyclomine and Ondansetron.   The first day I did not have diarrhea at all was 19 days after the booster.  Monday the 26th, I saw the doctor.  She told me that the number of COVID-19 antibodies was ?huge?.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Stool analysis normal, Urine analysis normal
Clinical narrative: Five hours after I received dose 5, I began running a low fever.  For the next nine days my temperature was between 100 and 101.  It may have started at 98 in the morning but would rise during the day.  The day after the booster I began having diarrhea and was persistent and uncontrollable. I began a clear liquid diet.  By the following Monday, September 19th, I talked to my doctor.  By then I was dehydrated.  A mobile health care unit came to my home and gave me IV fluids.  They also drew blood.  She gave me a prescription that stops cramping and spasms and something for my nausea; Dicyclomine and Ondansetron.   The first day I did not have diarrhea at all was 19 days after the booster.  Monday the 26th, I saw the doctor.  She told me that the number of COVID-19 antibodies was ?huge?.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: NO ADVERSE EVENT OCCURED. RESIDENT ONLY HAD 1ST DOSE OF PFIZER COVID 19 VACCINE.  SHE DID NOT HAVE THE 2ND DOSE.  NOT A COMPLETE SERIES.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Body temperature increased, Chills, Glycosylated haemoglobin increased
Clinical narrative: Given injection around 10 AM on 09/26/22, at 9pm side effects started.  Rigors, temp at highest 103.6 hovered around 102.4 (this is with Tylenol and motrin on board)  Symptoms lasted 3 days.  Then as per with the other doses of the vaccine my fasting sugar went to 330(which actually wasn't as high as previous covid vaccinations ). I was more prepared gave self slidding scale homolog insulin.  I gave last dose of insulin on Monday 10/3/2022. After talking with physician we increased my glipizide to 5 mg in morning and 2.5 mg in evening.  So far my fasting glucose hovers around 130-140 with nights around 150 to 170.  This usually last for 2-3 months then I become "normal" again.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Death, Escherichia bacteraemia, Medical device site joint infection
Clinical narrative: pt from a nursing home; brought to hospital due to left neck mass; left parotiditis; E. Coli bacteremia; given ABX; right knee prosthetic joint infection; anemia requiring blood transfusions; acute metabolic encephalopathy, while in hospital found to be positive for COVID (9/20/21); positive UA; pt did not require oxygen or any specific treatments for COVID; pt passed away in the hospital
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Neck mass, Parotitis, SARS-CoV-2 test positive, Transfusion
Clinical narrative: pt from a nursing home; brought to hospital due to left neck mass; left parotiditis; E. Coli bacteremia; given ABX; right knee prosthetic joint infection; anemia requiring blood transfusions; acute metabolic encephalopathy, while in hospital found to be positive for COVID (9/20/21); positive UA; pt did not require oxygen or any specific treatments for COVID; pt passed away in the hospital
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: pt from a nursing home; brought to hospital due to left neck mass; left parotiditis; E. Coli bacteremia; given ABX; right knee prosthetic joint infection; anemia requiring blood transfusions; acute metabolic encephalopathy, while in hospital found to be positive for COVID (9/20/21); positive UA; pt did not require oxygen or any specific treatments for COVID; pt passed away in the hospital
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, COVID-19, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had a scratchy throat and started to lose my voice. Took a home COVID-19 test and it was positive. Called telehealth provider and was prescribed PAXLOVID. Tested again after 7 days and tested negative.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Arthritis, Mobility decreased, Pain in extremity
Clinical narrative: Severe pain in multiple joints (hands, shoulders, back, SI joints, knees, feet) the morning after the bivalent booster. I had trouble getting out of bed. Symptoms improved in 2 hours after taking Aleve. Only my feet (1st MTP joints) were involved by gout previously.  Since starting COVID vaccinations in 2021, I have developed some type of inflammatory arthritis, which was intermittent and milder before this last booster. I have seen a rheumatologist for work-up. My hands continue to be painful.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Pain and swelling on the arm,
Age: 68.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect dose administered, No adverse event, Underdose
Clinical narrative: Patient was administered only half dose (0.25 milliliters) of the recommended (0.5milliliter) moderna bivalent dose. No adverse reactions reported
Age: 30.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Feeling cold, Limb discomfort, Paraesthesia
Clinical narrative: Influenza quad Pres Free vaccine given. Within 20 minutes of receiving the vaccine there were 3 red streaks up my forearm. My arm felt heavy and cold the blood vessels felt tingly. This last 1.5 hours.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Chills, Formication, Mobility decreased, Pain in extremity
Clinical narrative: Woke up with a very, very very sore arm that I can barely move and creepy crawly skin like when you run a fever with chills chills low-grade fever. Stomachache
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Woke up with a very, very very sore arm that I can barely move and creepy crawly skin like when you run a fever with chills chills low-grade fever. Stomachache
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Vaccination site swelling
Clinical narrative: Patient has swelling 2 inches in diameter from the site of the vaccine. It is red and war and tender to the touch. It is also a bit itchy. This started the evening after the vaccine and has slowly progressed since then. The patient cannot take motrin and has not taken anything to treat it.  Encouraged the patient to seek treatment if it continued to worsen or did not improve. Recommended Benadryl
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic enzyme, Renal cell carcinoma
Clinical narrative: Diagnosed with renal cell carcinoma in Feb '22. Needing a kidney removal.  Not having elevated liver enzymes.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: Tdap Boostrix was given on 10/13/2022.  Noted it had expired 10/08/22.  CDC recommended repeating the dose at that time. Provider and parent notified. Parent declined child to have an additional dose.  No adverse reaction noted
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: symptoms start  on 10/03/2022, tested positive 10/05/2022,started Paxlovid 10/05/2022,feeling normal 10/13/2022.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. No adverse reactions reported.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive covid test on October 3, 2022, Paxlovid taken for five days, October 5-9, 2022, negative covid test on October 11, 2022
Age: 51.0
Sex: U
Vaccine: VARZOS
Symptoms: Injection site vesicles
Clinical narrative: patient called and said a clear round blister about 1/4 inch formed at injection site on left arm
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Incorrect influenza vaccine given. Patient is 66 years old and should have been given a high dose influenza vaccine but was given regular quadrivalent.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered her covid vaccine and then noted it expired and had a short expiration of 09/30/2022 at 8:50am. We received the vaccine from the Public Health 08/31/2022. The vaccine was still kept in the fridge at appropriate temp the whole time.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) Moderna bivalent dose. No adverse reactions reported.
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: MODERNA COVID BIVALENT BOOSTER IS APPROVED FOR >18years old; PATIENT IS 14years old
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. No adverse reactions reported.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient came in for a Nurse Visit for her 4-year-old immunizations.  With the help of an interpreter, I verified with the parent that her child was here to get DTaP, Polio, MMR, Varicella, and a flu shot.  Parent said yes.  When the child was scheduled for a Nurse Visit, it just said "4 year old imms".   I highlighed the immunizations needed on the paper - DTaP, Polio, MMR, Varicella, and I accidently highlighted Influenza.  Since this is still the beginning of the flu vaccine season, I highlighted Influenza in error.  I drew up the vaccines, had them verified by another medical assistant, and administered them to the patient.  It wasn't until I went to document the immunizations that I realized the patient had already had an influenza vaccine on 9/23/2022.  I alerted my supervisor and informed the parent that I accidently gave the child an extra flu shot for the season.  I informed the parent that her child might be a little extra sleepy.  I encouraged her to call us if her child has any negative reactions to the extra vaccine.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The pharmacy received a urgent product removal on 10/12/22 and the patient received the vaccine on 10/03/22. The removal was due to drug expiring on 9/30.  Patient received the expired vaccine.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXP IMZ
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was initially administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. Approximately 6 hours later, the additional 0.25milliliters was administered. No adverse reactions reported.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Dizziness, Feeling abnormal, Musculoskeletal stiffness
Clinical narrative: Fluarix Influenza Vaccine: resulting in adverse event Patient received Fluarix on 10/3/22. Patient reports feeling dizzy and foggy brain for the rest of the day. Symptoms were followed by joint soreness and the following day awoke with neck stiffness and shoulder stiffness on same side she received vaccine. Pt treated herself with Tylenol and has not reported additional symptoms
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Dyspnoea, Endotracheal intubation, General physical health deterioration
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Patient received Pfizer BioNTech vaccine on 8/25/2021 and 09/15/2021. Presented to ED 9/21/22 for SOB; COVID test + 9/15/22. O2 sat 88% on RA, placed on 2L NC. O2 requirement cont'd to increase, 9/22 placed on HFNC & intermittent rebreather use. 9/24, hypoxic to 86% on HFNC 60/60, placed on bipap with fio2 100%. Intubated and proned, increased PEEP and fio2 with worsening p/f ratio. Cont'd to decompensate and transitioned to comfort care, expired 10/7/22. Tx'd w/meropenem, levofloxacin, voriconazaole, azithromycin, decadron, micafungin,cefepime, rocephin, vancomycin azithromycin, decadron and remdesivir.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Positive airway pressure therapy, Positive end-expiratory pressure, SARS-CoV-2 test positive
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Patient received Pfizer BioNTech vaccine on 8/25/2021 and 09/15/2021. Presented to ED 9/21/22 for SOB; COVID test + 9/15/22. O2 sat 88% on RA, placed on 2L NC. O2 requirement cont'd to increase, 9/22 placed on HFNC & intermittent rebreather use. 9/24, hypoxic to 86% on HFNC 60/60, placed on bipap with fio2 100%. Intubated and proned, increased PEEP and fio2 with worsening p/f ratio. Cont'd to decompensate and transitioned to comfort care, expired 10/7/22. Tx'd w/meropenem, levofloxacin, voriconazaole, azithromycin, decadron, micafungin,cefepime, rocephin, vancomycin azithromycin, decadron and remdesivir.
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Dysphagia, Dyspnoea, Flushing, Impaired work ability
Clinical narrative: Within about 5 mins of receiving the vaccine, I started to have throat swelling that progressively worsened over a few minutes, difficulty swallowing, mild SOB, felt flushed and dizzy, my HR was in the 140s, the injection site was mildly itchy.  I am a RN and received this vaccine during work hours. I had to be immediately taken to the ED  for treatment. They gave me IV solumedrol, IV Benadryl, IV pepcid, and IV fluids. My symptoms began to improve within 30 mins of med administration.
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pruritus, Pharyngeal swelling
Clinical narrative: Within about 5 mins of receiving the vaccine, I started to have throat swelling that progressively worsened over a few minutes, difficulty swallowing, mild SOB, felt flushed and dizzy, my HR was in the 140s, the injection site was mildly itchy.  I am a RN and received this vaccine during work hours. I had to be immediately taken to the ED  for treatment. They gave me IV solumedrol, IV Benadryl, IV pepcid, and IV fluids. My symptoms began to improve within 30 mins of med administration.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, Laboratory test normal
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 1/2/22, 1/23/2021 and 10/7/2021. COVID-19+ and hypoxic w/O2 sat of 85% on 5L NC. Clinic exam and initial labs consistent w/Covid PNA, afebrile, labs wnl. Admitted, initially maintaining sats on HFNC, acutely decompensated despite standard of care Covid interventions. Transitioned to inpatient hospice and expired on 10/06/22. Tx'd w/decadron and remdesivir
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 1/2/22, 1/23/2021 and 10/7/2021. COVID-19+ and hypoxic w/O2 sat of 85% on 5L NC. Clinic exam and initial labs consistent w/Covid PNA, afebrile, labs wnl. Admitted, initially maintaining sats on HFNC, acutely decompensated despite standard of care Covid interventions. Transitioned to inpatient hospice and expired on 10/06/22. Tx'd w/decadron and remdesivir
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Ear congestion, Eye inflammation, Eye pain, Headache
Clinical narrative: On Aug 12 I had very bad head congestion in nose, eyes, ears, headache which I found out by testing myself the next day was caused by COVID.  I had pain in my left eye and redness and trouble focusing. I went to the doctor who  had done my catarct surgery 2 year s before and he said I  had infamation and some scarring around the cataract that might need laser treatment later. He gave me steroid eye drops which have helped.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Ocular hyperaemia, SARS-CoV-2 test positive, Scar, Vision blurred
Clinical narrative: On Aug 12 I had very bad head congestion in nose, eyes, ears, headache which I found out by testing myself the next day was caused by COVID.  I had pain in my left eye and redness and trouble focusing. I went to the doctor who  had done my catarct surgery 2 year s before and he said I  had infamation and some scarring around the cataract that might need laser treatment later. He gave me steroid eye drops which have helped.
Age: 59.0
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac failure congestive, Condition aggravated, Coronary artery disease
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 4/30/2021, 5/22/2021, and 12/02/2021. Presented w/SOB x3days. Hx of COVID-19 01/2021 c/b pulmonary disease requiring 3L NC of O2. SOB worsened; admitted to hospital; tx'd for CHF and PNA, d/c on 10L NC O2. ED 9/12, found to have acute on chronic hypoxic resp failure requiring Airvo support 2/2 progression of fibrotic lung disease from COVID-19. Severe 2-vessel CAD dx'd 9/15 plan to perform stage PCI. Cont'd to decompensate 2/2 resp status. Private was called; PCI cancelled 2/2 inability to tolerate procedure. Comfort care only, exp'd 10/05/22. Tx'd w/vanc, linezolid, zosyn, prednisone, levofloxacin,
Age: 59.0
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Dyspnoea, General physical health deterioration, Pneumonia, Pulmonary fibrosis
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 4/30/2021, 5/22/2021, and 12/02/2021. Presented w/SOB x3days. Hx of COVID-19 01/2021 c/b pulmonary disease requiring 3L NC of O2. SOB worsened; admitted to hospital; tx'd for CHF and PNA, d/c on 10L NC O2. ED 9/12, found to have acute on chronic hypoxic resp failure requiring Airvo support 2/2 progression of fibrotic lung disease from COVID-19. Severe 2-vessel CAD dx'd 9/15 plan to perform stage PCI. Cont'd to decompensate 2/2 resp status. Private was called; PCI cancelled 2/2 inability to tolerate procedure. Comfort care only, exp'd 10/05/22. Tx'd w/vanc, linezolid, zosyn, prednisone, levofloxacin,
Age: 59.0
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory failure
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 4/30/2021, 5/22/2021, and 12/02/2021. Presented w/SOB x3days. Hx of COVID-19 01/2021 c/b pulmonary disease requiring 3L NC of O2. SOB worsened; admitted to hospital; tx'd for CHF and PNA, d/c on 10L NC O2. ED 9/12, found to have acute on chronic hypoxic resp failure requiring Airvo support 2/2 progression of fibrotic lung disease from COVID-19. Severe 2-vessel CAD dx'd 9/15 plan to perform stage PCI. Cont'd to decompensate 2/2 resp status. Private was called; PCI cancelled 2/2 inability to tolerate procedure. Comfort care only, exp'd 10/05/22. Tx'd w/vanc, linezolid, zosyn, prednisone, levofloxacin,
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was initially administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. Approximately 6 hours later, the additional 0.25milliliters was administered. No adverse reactions reported.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Anaemia, Asthenia, COVID-19, Death
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 3/5/2021, 3/26/2021, and 10/12/2021. Presented to ED 9/17/22 w/generalized weakness, fatigue, and SOB. Recent CTAP w/PCP concerning for pancreatic cancer w/mets confirmed by IR liver bx on 9/15/22. Course c/b COVID, concern for GI bleed, acute bilateral PEs, hyponatremia, and anemia requiring transfusions,and acute respiratory distress. Transitioned to comfort care and expired on 10/05/22.  Tx'd w/cefepime, rocephin, metronidazole, vancomycin, meropenem and refused other COVID-19 therapies.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Gastrointestinal haemorrhage, Hyponatraemia, Pancreatic carcinoma metastatic
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 3/5/2021, 3/26/2021, and 10/12/2021. Presented to ED 9/17/22 w/generalized weakness, fatigue, and SOB. Recent CTAP w/PCP concerning for pancreatic cancer w/mets confirmed by IR liver bx on 9/15/22. Course c/b COVID, concern for GI bleed, acute bilateral PEs, hyponatremia, and anemia requiring transfusions,and acute respiratory distress. Transitioned to comfort care and expired on 10/05/22.  Tx'd w/cefepime, rocephin, metronidazole, vancomycin, meropenem and refused other COVID-19 therapies.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Portogram, SARS-CoV-2 test positive, Transfusion
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 3/5/2021, 3/26/2021, and 10/12/2021. Presented to ED 9/17/22 w/generalized weakness, fatigue, and SOB. Recent CTAP w/PCP concerning for pancreatic cancer w/mets confirmed by IR liver bx on 9/15/22. Course c/b COVID, concern for GI bleed, acute bilateral PEs, hyponatremia, and anemia requiring transfusions,and acute respiratory distress. Transitioned to comfort care and expired on 10/05/22.  Tx'd w/cefepime, rocephin, metronidazole, vancomycin, meropenem and refused other COVID-19 therapies.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anuria, Asthenia, Bradycardia, COVID-19, Death
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/26/21, 3/01/2021 and 12/22/2021. Presented to ED 10/04/22 after several days of increasing lethargy, and weakness and eventually became encephalopathic. In route, she was identified as having both bradycardia and hypoglycemia. In ED, dx'd w/multi-system organ failure 2/2 septic shock due to Covid-19. Went into PEA arrest, ROSC after 2 rounds. Overnight she was completely aneuric. Transitioned to comfort care and expired on 10/04/22. Tx'd w/cefepime, vancomycin, zosyn and decadron.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Encephalopathy, Hypoglycaemia, Lethargy, Multiple organ dysfunction syndrome, Pulseless electrical activity
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/26/21, 3/01/2021 and 12/22/2021. Presented to ED 10/04/22 after several days of increasing lethargy, and weakness and eventually became encephalopathic. In route, she was identified as having both bradycardia and hypoglycemia. In ED, dx'd w/multi-system organ failure 2/2 septic shock due to Covid-19. Went into PEA arrest, ROSC after 2 rounds. Overnight she was completely aneuric. Transitioned to comfort care and expired on 10/04/22. Tx'd w/cefepime, vancomycin, zosyn and decadron.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/26/21, 3/01/2021 and 12/22/2021. Presented to ED 10/04/22 after several days of increasing lethargy, and weakness and eventually became encephalopathic. In route, she was identified as having both bradycardia and hypoglycemia. In ED, dx'd w/multi-system organ failure 2/2 septic shock due to Covid-19. Went into PEA arrest, ROSC after 2 rounds. Overnight she was completely aneuric. Transitioned to comfort care and expired on 10/04/22. Tx'd w/cefepime, vancomycin, zosyn and decadron.
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was initially administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. Approximately 6 hours later, the additional 0.25milliliters was administered. No adverse reactions reported.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was initially administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. Approximately 6 hours later, the additional 0.25milliliters was administered. No adverse reactions reported.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction to vaccine. Given an expired Covid-19 vaccine. Expiration date of Covid-19 vaccine: 09/30/22
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was initially administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. Approximately 6 hours later, the additional 0.25milliliters was administered. No adverse reactions reported.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Incomplete course of vaccination, Nerve injury, Pericarditis, Pleurisy
Clinical narrative: My son received only 1 shot, soon after he started having chest pain, he went to the hospital and was diagnosed with pericarditis and pleurisy. His care has been ongoing since the vaccine, he did NOT get the 2nd dose...obviously. Most recently he's been diagnosed with nerve damage to his heart. I do not have all of the exact info, but he does, and I'm sure you could obtain it.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, COVID-19, Condition aggravated, Cough, Dyspnoea
Clinical narrative: I received the Moderna Bivalent booster for COVID-19 on 9/7/2022. On 9/17/2022, I began to feel very fatigued. I took two home COVID-19 tests and got a negative result both times. On 9/18/2022, I still felt fatigued, plus I had a runny nose and a cough. I took another home test and got a positive result. On 9/19/2022, I called my doctor's office and requested Paxlovid, which I began taking that day. The cough and the runny nose continued for about 3 more days. I still felt fatigued and occasionally had a headache. When I finished the Paxlovid 5 days after obtaining it, the runny nose was gone, but I still had a cough and fatigue. I gradually started to feel better, but I soon began to have shortness of breath around 9/30/2022. I have a history of asthma, and at this point, I didn't know if my asthma symptoms were triggered by the COVID-19 or smoke from local forest fires. On 10/3/2022, I called my doctor's office to inform them of the situation. I was advised to increase my use of albuterol and Arnuity Ellipta. Since increasing my use of the albuterol and the Arnuity Ellipta, my symptoms have been gradually improving. I now have less coughing and shortness of breath. On 10/11/2022, I took another home test and got a negative result for the first time.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received the Moderna Bivalent booster for COVID-19 on 9/7/2022. On 9/17/2022, I began to feel very fatigued. I took two home COVID-19 tests and got a negative result both times. On 9/18/2022, I still felt fatigued, plus I had a runny nose and a cough. I took another home test and got a positive result. On 9/19/2022, I called my doctor's office and requested Paxlovid, which I began taking that day. The cough and the runny nose continued for about 3 more days. I still felt fatigued and occasionally had a headache. When I finished the Paxlovid 5 days after obtaining it, the runny nose was gone, but I still had a cough and fatigue. I gradually started to feel better, but I soon began to have shortness of breath around 9/30/2022. I have a history of asthma, and at this point, I didn't know if my asthma symptoms were triggered by the COVID-19 or smoke from local forest fires. On 10/3/2022, I called my doctor's office to inform them of the situation. I was advised to increase my use of albuterol and Arnuity Ellipta. Since increasing my use of the albuterol and the Arnuity Ellipta, my symptoms have been gradually improving. I now have less coughing and shortness of breath. On 10/11/2022, I took another home test and got a negative result for the first time.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was initially administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. Approximately 7 hours later, the additional 0.25milliliters was administered. No adverse reactions reported.
Age: 84.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient had previously received flu shot 3 weeks ago.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site oedema, Injection site pain, Injection site pruritus
Clinical narrative: Patient stated that she experienced itchiness and pain at injection site. Slight edema noted at injection site. Pt monitored for 30 minutes afterward. No further progression of swelling or redness noted upon observation period.Pt denied shortness of breath or chest pain. No urticaria noted after assessment completed. VS obtained with assessment.  Pt denied ambulance and AAOX4 with GCS 15 and ambulatory prior to leaving clinic. Form and VAERS completed.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was initially administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. Approximately 6 hours later, the additional 0.25milliliters was administered. No adverse reactions reported.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: None. Pt received flu vaccine 9/8/2022 and 10/13/2022
Age: 48.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was initially administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. Approximately 6 hours later, the additional 0.25milliliters was administered. No adverse reactions reported.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Device connection issue, Incorrect dose administered, Syringe issue, Underdose
Clinical narrative: The majority of the vaccine leaked from the syringe (at point where needle and syringe body meet) upon administering.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was initially administered only half dose (0.25 milliliters) of the recommended (0.5 milliliters) moderna bivalent dose. Approximately 6 hours later, the additional 0.25milliliters was administered. No adverse reactions reported.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Recalled product administered
Clinical narrative: Pt was administered vaccine on 10/5/22. Pharmacy reported vaccine recall for being shortdated to 9/30/22 on 10/12/22. Mother reported no significant adverse reaction except for a sore arm. She will wait for upcoming pediatric booster.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was seen on 10/03/22 and was given a Pfizer-BioNTech Covid-19 vaccine (5yr-11yrs) that was Expired (Expiration date: 09/30/22). No adverse reaction to vaccine.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site reaction, Injection site warmth, Rash erythematous, Wrong product administered
Clinical narrative: Was administered flu vaccine indicated for 65 years and older when should've been given flu vaccine for <65. A hot red confluent rash developed below injection site 24 hours later. It wasn?t itchy and did lessen with a dose of OTC Claritin. Otherwise no other complaint other than mild soreness of my deltoid.
Age: 58.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dyspnoea, Palpitations, Sleep disorder
Clinical narrative: patient stated 2 days 9/10/22  after getting the monkey pox vaccine when he woke up felt sob and palpitations. Patient stated  "I kinda freak out but when I start to walk I felt okay and symptoms went away".  Patient stated he had 2 episodes of waking up with shortness of breath that went away after he walked around and relaxed.  These episodes happened 2 days and 4 days after first Jynneos vaccine.
Age: 25.0
Sex: M
Vaccine: TD
Symptoms: Aphasia, Back pain, Blood test normal, Chest discomfort, Disturbance in attention
Clinical narrative: Vaccine was administered by pharmacy worker, at approximately 11:30 on 9/3/2022. Staff did not swab the patient's arm with alcohol prior to injection. Primary symptom is neurological: Brain fog (ongoing), including difficulty recalling memories, concentrating, and finding the right word Brain fog started after experiencing a sudden, brief, and painful pressure in the center of the brain approximately 6 hours after vaccine administration.  Physical symptoms started gradually the day of the vaccine and gradually dissipated over the next several days (soreness/stiffness in arm, neck, back, passing chest discomfort)
Age: 25.0
Sex: M
Vaccine: TD
Symptoms: Feeling abnormal, Head discomfort, Headache, Magnetic resonance imaging normal, Memory impairment
Clinical narrative: Vaccine was administered by pharmacy worker, at approximately 11:30 on 9/3/2022. Staff did not swab the patient's arm with alcohol prior to injection. Primary symptom is neurological: Brain fog (ongoing), including difficulty recalling memories, concentrating, and finding the right word Brain fog started after experiencing a sudden, brief, and painful pressure in the center of the brain approximately 6 hours after vaccine administration.  Physical symptoms started gradually the day of the vaccine and gradually dissipated over the next several days (soreness/stiffness in arm, neck, back, passing chest discomfort)