chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Visual field defect, Visual field tests, Visual impairment
Clinical narrative: Pt has history of metabolic disease, MELAS, in which she develops acute flares with headaches, vomiting, seizures, scotomas, and strokes in reaction to specific stressors. Received Pfizer COVID vaccine on 1/21/22. Developed fatigue and decreased oral intake on 1/28, then vision loss and scotomas on  1/30, which she describes as "sparkles" in her vision. No seizures. Because of persistence of symptoms for 3 days without improvement, family brought her to the emergency room for evaluation, and she was admitted to rule out strokes and acute MELAS flare. Symptoms improved with supportive IVF, medications for acute metabolic crisis (arginine, carnitine), and OTC NSAIDs. Discharge date from hospital currently pending, but anticipated 2/3/22. OF NOTE, family reported that after receiving her 2nd dose COVID PFizer vaccine on 6/6/21, pt developed  slurred speech and HAs approximately around 6/17. MRI brain performed on 6/24 demonstrated multiple subacute infarcts consistent with acute MELAS flare, in addition to interval progression of cerebral brain loss related to chronic condition.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Throat irritation
Clinical narrative: Client vaccinated with first dose of Moderna without incident at 10:20 am.  Had history of severe allergic reaction to bee sting as  child.  Instructed to stay for observation for 30 minutes.  At 10:40 am reported itchy neck and feeling of "a ball in my throat".  Monitored every 5 minutes for 90 minutes.  Incident occurred at County Jail so jail staff gave him 50 mg Benadryl.  O2 was 99%.  At 11:35 client stated everything feels normal.  Released back to POD at 12 noon.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had this vaccine administered on 1/10/22 after its "use-by date" of 1/1/22. 1/1/22 is the 31 days of refrigeration. Expiration date is February 2022. No adverse reactions reported. Per manufacturer, administration not recommended past 31 days + an additional 14 days of temperature excursion. Per manufacturer, patient will not need re-vaccination.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This nurse removed opened vial of Moderna from storage, 2-8 C. Placed in cooler with ice packs along with two other unopened vials of Moderna. This nurse then transported and gave the three vials to the agency nurse. Agency nurse administered open vial of Moderna to persons who had signed up for the Booster vaccination of the Moderna Vaccination 0.25ml. Once completed updated Manager that the bottle given to her was open and was going to open another vial. This nurse confirmed with the manager that the bottle had been opened previously, 1/19/2022. This nurse had mis read the storage information regarding Moderna to be stored unopened and unused for 30 days. This nurse made telephone call to each person affected by this opened vial. Per Medical Director Dr., offered everyone a dose of 0.25ml out of the new unopened vial. RN
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Headache, Myalgia
Clinical narrative: the reaction was after the 2nd dose: fever (2 days),  body ache, weakness, loss of appetite, headache, muscle pain, shivers, red itching rashes.  The rash reaction was getting worse, allergy medicine (cetirizine) didn't work, went to Urgent care on 3rd day after vaccination since my rashes were getting all over my body and inside my mouth. was prescribed prednisolone. it helped me to get better
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oral mucosal eruption, Pain, Pyrexia, Rash erythematous, Rash pruritic
Clinical narrative: the reaction was after the 2nd dose: fever (2 days),  body ache, weakness, loss of appetite, headache, muscle pain, shivers, red itching rashes.  The rash reaction was getting worse, allergy medicine (cetirizine) didn't work, went to Urgent care on 3rd day after vaccination since my rashes were getting all over my body and inside my mouth. was prescribed prednisolone. it helped me to get better
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Impaired work ability, Insomnia, Rash, Rash pruritic
Clinical narrative: ~ 1 month After 2nd vaccine broke out in 2 different rashes saw 2 dermatologists and several other docs with no agreement ? the rash was not only itchy but painful  preventing sleep ( which caused loss of sleep getting sick and missing work etc) the rashes lasted over 6 weeks ? several weeks after my booster I broke out in some spots but nothing like the first time . Nothing lije this has ever happened before. I would say this was worse than or as bad as shingles .
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Injection site pain, Interchange of vaccine products, Pain
Clinical narrative: 42yo F px with no PMH, here to receive the Pfizer booster after receiving Johnson & Johnson as a primary vaccine. Approx. 7min after the shot she felt pain in the right arm (Injection site) that was radiating to the right side of her chest, sharp, 7/10, exacerbated by arm movement and alleviated by leaving the arm still. Denied any other symptom. Patient was evaluated by on-site EMS and MD. On PE AAO x 3; Initial VS: HR 82, RR 18, SpO2 99%, BP 118/74. RRR, lungs CTA, normal ROM on the affected limb. EKG (normal sinus rhythm); After 30min observation she felt better, pain now 2/10. Repeated set of VS WNL. Advised to go to the hospital to get a complete evaluation, but she refused. She was d/c home.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Medication error, No adverse event, Product preparation issue
Clinical narrative: Pfizer pediatric product given to vaccine recipient in an undiluted concentration. 0.2mL given of undiluted pediatric product. No adverse reaction observed or reported. 15 minutes wait time observed. After patient departed, medication error realized and reported to managerial chain and Local Health Authority.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Chills, Fatigue, Nausea
Clinical narrative: Patient is fully vaccinated.  COVID + at ED visit on 1/8/2022. Patient states that he began experiencing diffuse, generalized body aches, intermittent subjective fevers and chills, sore throat, and congestion yesterday. He denies any significant shortness of breath or chest pain. Positive for fatigue, nausea.  BP 132/84  | Pulse 65  | Temp 98.2 °F (36.8 °C) (Oral)  | Resp 18  | Ht 185.4 cm (6' 1")  | Wt 104 kg (230 lb)  | SpO2 99%  | BMI 30.34 kg/m² CXR: Patchy airspace opacities at the bilateral lung bases may reflect atelectasis or developing pneumonia. Medications; zofran, toradol. Stable for discharge.  Referred for monoclonal antiboldy influsion.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Patient is fully vaccinated.  COVID + at ED visit on 1/8/2022. Patient states that he began experiencing diffuse, generalized body aches, intermittent subjective fevers and chills, sore throat, and congestion yesterday. He denies any significant shortness of breath or chest pain. Positive for fatigue, nausea.  BP 132/84  | Pulse 65  | Temp 98.2 °F (36.8 °C) (Oral)  | Resp 18  | Ht 185.4 cm (6' 1")  | Wt 104 kg (230 lb)  | SpO2 99%  | BMI 30.34 kg/m² CXR: Patchy airspace opacities at the bilateral lung bases may reflect atelectasis or developing pneumonia. Medications; zofran, toradol. Stable for discharge.  Referred for monoclonal antiboldy influsion.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Patient had this vaccine administered on 1/10/22 after its "use-by date" of 1/1/22. 1/1/22 is the 31 days of refrigeration. Expiration date is February 2022. No adverse reactions reported. Per manufacturer, administration not recommended past 31 days + an additional 14 days of temperature excursion. Per manufacturer, patient will not need re-vaccination.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received 4th dose because she is immune compromised.  She should have received a booster dose, but she received an additional dose.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: asymptomatic, tested as part of follow up from known exposure, tested positive on binax rapid antigen test 1/28/2022
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Headache, Magnetic resonance imaging normal, Vision blurred
Clinical narrative: Pt.'s Mother states that after receiving the 3rd dose of Phizer 01/07/2022, started experiencing symptoms 01/09/2022 of headache and cloudiness in the eyes. Emergency Room visit / Admitted to Hospital 01/30/2022 x2 days. Follow-Up Ophthalmologist appt. scheduled for 02/03/2022.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Head discomfort, Malaise, Ocular discomfort, SARS-CoV-2 test
Clinical narrative: 01/27/2021 was feeling unwell, with pressure in your head, eyes, face and teeth and ear and throught a sinus infection and was advised to get a COVID test, went to see PA  on  01/28/2022 Dr. visit  was tested PCR and received the results on 01/30/2021.  No fever was ever presnt.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: 01/27/2021 was feeling unwell, with pressure in your head, eyes, face and teeth and ear and throught a sinus infection and was advised to get a COVID test, went to see PA  on  01/28/2022 Dr. visit  was tested PCR and received the results on 01/30/2021.  No fever was ever presnt.
Age: 25.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This nurse removed opened vial of Moderna from storage, 2-8 C. Placed in cooler with ice packs along with two other unopened vials of Moderna. This nurse then transported and gave the three vials to the agency nurse. Agency nurse administered open vial of Moderna to persons who had signed up for the Booster vaccination of the Moderna Vaccination 0.25ml. Once completed updated Manager that the bottle given to her was open and was going to open another vial. This nurse confirmed with the manager that the bottle had been opened previously, 1/19/2022. This nurse had mis read the storage information regarding Moderna to be stored unopened and unused for 30 days. This nurse made telephone call to each person affected by this opened vial. Per Medical Director, offered everyone a dose of 0.25ml out of the new unopened vial.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had this vaccine administered on 1/12/22 after its "use-by date" of 1/1/22. 1/1/22 is the 31 days of refrigeration. Expiration date is February 2022. No adverse reactions reported. Per manufacturer, administration not recommended past 31 days + an additional 14 days of temperature excursion. Per manufacturer, patient will not need re-vaccination.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Erythema, Pruritus, Rash, Rash erythematous
Clinical narrative: 1/23/22 I began experiencing red, itchy raised rash and irritation on various areas of my body - best described as hives. The hives would appear in a few locations and go away within 30-60 minutes, recurring in other areas.  Scratch marks from itching would also appear as red raised lines. I have also experienced inner ear throbbing while external ear it itchy, red and warm. The following day 1/24/22 I was seen at an urgent care and prescribed a 5-day course of Prednisone 50mg daily, which has since been completed as prescribed. The same day, i began taking Benadryl nightly, and Allegra daily. I also began using calamine lotion on irritated areas as needed. Since beginning these medications, the occurrence of hives and itching had become less frequent, but has remained the same in its intensity.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, Skin irritation, Skin swelling, Skin warm
Clinical narrative: 1/23/22 I began experiencing red, itchy raised rash and irritation on various areas of my body - best described as hives. The hives would appear in a few locations and go away within 30-60 minutes, recurring in other areas.  Scratch marks from itching would also appear as red raised lines. I have also experienced inner ear throbbing while external ear it itchy, red and warm. The following day 1/24/22 I was seen at an urgent care and prescribed a 5-day course of Prednisone 50mg daily, which has since been completed as prescribed. The same day, i began taking Benadryl nightly, and Allegra daily. I also began using calamine lotion on irritated areas as needed. Since beginning these medications, the occurrence of hives and itching had become less frequent, but has remained the same in its intensity.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 1/23/22 I began experiencing red, itchy raised rash and irritation on various areas of my body - best described as hives. The hives would appear in a few locations and go away within 30-60 minutes, recurring in other areas.  Scratch marks from itching would also appear as red raised lines. I have also experienced inner ear throbbing while external ear it itchy, red and warm. The following day 1/24/22 I was seen at an urgent care and prescribed a 5-day course of Prednisone 50mg daily, which has since been completed as prescribed. The same day, i began taking Benadryl nightly, and Allegra daily. I also began using calamine lotion on irritated areas as needed. Since beginning these medications, the occurrence of hives and itching had become less frequent, but has remained the same in its intensity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient does not meet criteria for administrations of Modern COVID Vaccine as patient is under recommended age for the same. Patient was administered vaccine in error. No adverse event reported during time of visit. None reported during follow up phone contact.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: per death certificate, pt died at home of COVID; doctor who signed death certificate did not have any death related records per their fax;
Age: 34.0
Sex: M
Vaccine: FLUN4
Symptoms: Hypoaesthesia
Clinical narrative: Numbness in shoulder, arm, and face. Symptoms started within 20 minutes and lasted for approximately two days.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to Hospital  on 1/29/22 for COVID pneumonia. This is considered a breakthrough case.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Tinnitus
Clinical narrative: Ringing in ears / tinnitus has occurred ever since I received the Moderna booster.  The ringing is constant and interrupts my sleep.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Patient had this vaccine administered on 1/14/22 after its "use-by date" of 1/1/22. 1/1/22 is the 31 days of refrigeration. Expiration date is February 2022. No adverse reactions reported. Per manufacturer, administration not recommended past 31 days + an additional 14 days of temperature excursion. Per manufacturer, patient will not need re-vaccination.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This nurse removed opened vial of Moderna from storage, 2-8 C. Placed in cooler with ice packs along with two other unopened vials of Moderna. This nurse then transported and gave the three vials to the agency nurse. Agency nurse administered open vial of Moderna to persons who had signed up for the Booster vaccination of the Moderna Vaccination 0.25ml. Once completed updated Manager that the bottle given to her was open and was going to open another vial. This nurse confirmed with the manager that the bottle had been opened previously, 1/19/2022. This nurse had mis read the storage information regarding Moderna to be stored unopened and unused for 30 days. This nurse made telephone call to each person affected by this opened vial. Per Medical Director, offered everyone a dose of 0.25ml out of the new unopened vial. RN
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: PASSED AWAY ON HOSPICE SERVICES WITH COMFORT MAINTAINED ON 11/23/2021
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acne, Alopecia, Asthenia, Blood test normal, Body temperature increased
Clinical narrative: Background note: I am a very fit and healthy, now 34 yr old, who never drinks nor does drugs, is plant based, and never gets sick.  Got 2 doses of the pfizer vaccine end of April 2021. In May - starting noticing very dry skin and hair. In June, Started experiencing, hair loss, dizziness especially when getting up, increased body heat and sweating (i used to run cold and rarely sweat), and sudden weight gain (not other variables changed.) .... major hair loss continued. chunks every 4 days for the last 8 months.  Occasional Headaches (and occasional weird thunderbolt feeling in head..not too painful, but uncomfortable bolts in certain areas of my head. Never had this before)  Major Insomnia for months. Not emotional. definitely biological.  Much Weaker and out of breath  when working out  10-15lb weight gain without any diet change   skin changes - acne and rashes  Brain fog and poor memory  Very painful periods
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Dizziness postural, Dry skin, Dysmenorrhoea, Dyspnoea
Clinical narrative: Background note: I am a very fit and healthy, now 34 yr old, who never drinks nor does drugs, is plant based, and never gets sick.  Got 2 doses of the pfizer vaccine end of April 2021. In May - starting noticing very dry skin and hair. In June, Started experiencing, hair loss, dizziness especially when getting up, increased body heat and sweating (i used to run cold and rarely sweat), and sudden weight gain (not other variables changed.) .... major hair loss continued. chunks every 4 days for the last 8 months.  Occasional Headaches (and occasional weird thunderbolt feeling in head..not too painful, but uncomfortable bolts in certain areas of my head. Never had this before)  Major Insomnia for months. Not emotional. definitely biological.  Much Weaker and out of breath  when working out  10-15lb weight gain without any diet change   skin changes - acne and rashes  Brain fog and poor memory  Very painful periods
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electric shock sensation, Exercise tolerance decreased, Feeling abnormal, Hair texture abnormal, Headache
Clinical narrative: Background note: I am a very fit and healthy, now 34 yr old, who never drinks nor does drugs, is plant based, and never gets sick.  Got 2 doses of the pfizer vaccine end of April 2021. In May - starting noticing very dry skin and hair. In June, Started experiencing, hair loss, dizziness especially when getting up, increased body heat and sweating (i used to run cold and rarely sweat), and sudden weight gain (not other variables changed.) .... major hair loss continued. chunks every 4 days for the last 8 months.  Occasional Headaches (and occasional weird thunderbolt feeling in head..not too painful, but uncomfortable bolts in certain areas of my head. Never had this before)  Major Insomnia for months. Not emotional. definitely biological.  Much Weaker and out of breath  when working out  10-15lb weight gain without any diet change   skin changes - acne and rashes  Brain fog and poor memory  Very painful periods
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyperhidrosis, Insomnia, Laboratory test, Memory impairment, Rash
Clinical narrative: Background note: I am a very fit and healthy, now 34 yr old, who never drinks nor does drugs, is plant based, and never gets sick.  Got 2 doses of the pfizer vaccine end of April 2021. In May - starting noticing very dry skin and hair. In June, Started experiencing, hair loss, dizziness especially when getting up, increased body heat and sweating (i used to run cold and rarely sweat), and sudden weight gain (not other variables changed.) .... major hair loss continued. chunks every 4 days for the last 8 months.  Occasional Headaches (and occasional weird thunderbolt feeling in head..not too painful, but uncomfortable bolts in certain areas of my head. Never had this before)  Major Insomnia for months. Not emotional. definitely biological.  Much Weaker and out of breath  when working out  10-15lb weight gain without any diet change   skin changes - acne and rashes  Brain fog and poor memory  Very painful periods
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thyroid function test normal, Weight increased
Clinical narrative: Background note: I am a very fit and healthy, now 34 yr old, who never drinks nor does drugs, is plant based, and never gets sick.  Got 2 doses of the pfizer vaccine end of April 2021. In May - starting noticing very dry skin and hair. In June, Started experiencing, hair loss, dizziness especially when getting up, increased body heat and sweating (i used to run cold and rarely sweat), and sudden weight gain (not other variables changed.) .... major hair loss continued. chunks every 4 days for the last 8 months.  Occasional Headaches (and occasional weird thunderbolt feeling in head..not too painful, but uncomfortable bolts in certain areas of my head. Never had this before)  Major Insomnia for months. Not emotional. definitely biological.  Much Weaker and out of breath  when working out  10-15lb weight gain without any diet change   skin changes - acne and rashes  Brain fog and poor memory  Very painful periods
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia, Asthenia, Body temperature, Body temperature increased, Dizziness
Clinical narrative: Background note: I am a very fit and healthy, now 34 yr old, who never drinks nor does drugs, is plant based, and never gets sick.  Got 2 doses of the pfizer vaccine end of April 2021. In May - starting noticing very dry skin and hair. In June, Started experiencing, hair loss, dizziness especially when getting up, increased body heat and sweating (i used to run cold and rarely sweat), and sudden weight gain (not other variables changed.) .... major hair loss continued. chunks every 4 days for the last 8 months.  Occasional Headaches (and occasional weird thunderbolt feeling in head..not too painful, but uncomfortable bolts in certain areas of my head. Never had this before)  Major Insomnia for months. Not emotional. definitely biological.  Much Weaker and out of breath  when working out  10-15lb weight gain without any diet change   skin changes - acne and rashes  Brain fog and poor memory  Very painful periods
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dry skin, Dyspnoea, Hair texture abnormal, Hyperhidrosis, Insomnia
Clinical narrative: Background note: I am a very fit and healthy, now 34 yr old, who never drinks nor does drugs, is plant based, and never gets sick.  Got 2 doses of the pfizer vaccine end of April 2021. In May - starting noticing very dry skin and hair. In June, Started experiencing, hair loss, dizziness especially when getting up, increased body heat and sweating (i used to run cold and rarely sweat), and sudden weight gain (not other variables changed.) .... major hair loss continued. chunks every 4 days for the last 8 months.  Occasional Headaches (and occasional weird thunderbolt feeling in head..not too painful, but uncomfortable bolts in certain areas of my head. Never had this before)  Major Insomnia for months. Not emotional. definitely biological.  Much Weaker and out of breath  when working out  10-15lb weight gain without any diet change   skin changes - acne and rashes  Brain fog and poor memory  Very painful periods
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Weight, Weight increased
Clinical narrative: Background note: I am a very fit and healthy, now 34 yr old, who never drinks nor does drugs, is plant based, and never gets sick.  Got 2 doses of the pfizer vaccine end of April 2021. In May - starting noticing very dry skin and hair. In June, Started experiencing, hair loss, dizziness especially when getting up, increased body heat and sweating (i used to run cold and rarely sweat), and sudden weight gain (not other variables changed.) .... major hair loss continued. chunks every 4 days for the last 8 months.  Occasional Headaches (and occasional weird thunderbolt feeling in head..not too painful, but uncomfortable bolts in certain areas of my head. Never had this before)  Major Insomnia for months. Not emotional. definitely biological.  Much Weaker and out of breath  when working out  10-15lb weight gain without any diet change   skin changes - acne and rashes  Brain fog and poor memory  Very painful periods
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient received 4th dose for immune compromised condition.  She received a full dose instead of a booster dose.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was disclosed of an event related to receiving their Moderna COVID-19 vaccine 4 days beyond the recommended expiration date. Per Moderna, the vaccine will maintain the necessary effectiveness against COVID-19. There is no further follow up needed with the patient.
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Patient reported aching and numbness from shoulder to fingertips of injected arm (left arm)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient had this vaccine administered on 1/14/22 after its "use-by date" of 1/1/22. 1/1/22 is the 31 days of refrigeration. Expiration date is February 2022. No adverse reactions reported. Per manufacturer, administration not recommended past 31 days + an additional 14 days of temperature excursion. Per manufacturer, patient will not need re-vaccination.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal incarcerated hernia, Abdominal pain, Abdominal strangulated hernia, Abdominal tenderness, Desmoid tumour
Clinical narrative: History of Present Illness: strangulated ileostomy, abd pain increasing since 5 am, irreducible edematous venous congestion tender abdomen, HX of pouch with pouch failure and subsequent permant ileos formation also has desmoid tumors          PT REMAINS INPATIENT AT THIS TIME.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ileostomy, Oedema
Clinical narrative: History of Present Illness: strangulated ileostomy, abd pain increasing since 5 am, irreducible edematous venous congestion tender abdomen, HX of pouch with pouch failure and subsequent permant ileos formation also has desmoid tumors          PT REMAINS INPATIENT AT THIS TIME.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Chest discomfort, Chest pain, Fall
Clinical narrative: Patient is fully vaccinated. COVID + at ED visit on 1/9/2022.  Positive for fever and generalized myalgias, chest pain and chest tightness. Patient also reports a mechanical fall. States he tripped and fell at home. Denies any cough or congestion. No nausea or vomiting. No abdominal pain. X-ray show no acute fractures. CXR: No acute pulmonary process. Medications: Toradol, decatron, robaxin. Discharged to home.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, X-ray
Clinical narrative: Patient is fully vaccinated. COVID + at ED visit on 1/9/2022.  Positive for fever and generalized myalgias, chest pain and chest tightness. Patient also reports a mechanical fall. States he tripped and fell at home. Denies any cough or congestion. No nausea or vomiting. No abdominal pain. X-ray show no acute fractures. CXR: No acute pulmonary process. Medications: Toradol, decatron, robaxin. Discharged to home.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Computerised tomogram thorax abnormal, Condition aggravated, Feeling cold, Hypotension
Clinical narrative: Patient presented to the hospital emergency department with a 105 F fever from the nursing home,  feeling cold.  He had no edema, cough or SOB noted.  Patient has a recent prolonged history of covid admitted 10/4-11/19/21  complicated by hypoxic respiratory failure requiring vent/trach, malnutrition requiring PEG tube, both of which have been reversed.   Patient did have an admission 1/9-1/18 for GI bleed and anemia and went to rehab.  Admitted concerned for sepsis, concern for infected decubitus ulcers.  ICU admit on 1/22 with fever 105F, hypotension and concern for septic shock.  Exact source of infection was not clearly delineated; patient was treated with Zosyn for possible PNA noted on checst CT.  LP performed with no evidence of meningitis.  Patient was persistently hypotensive.  He required vasopressors.  Septic shock resolved. Pneumonia resolved.  Hematology consulted for anemia and thrombocytopenia.  Outpatient follow up was recommended.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Infection, Intensive care, Lumbar puncture normal, Pneumonia, Pyrexia
Clinical narrative: Patient presented to the hospital emergency department with a 105 F fever from the nursing home,  feeling cold.  He had no edema, cough or SOB noted.  Patient has a recent prolonged history of covid admitted 10/4-11/19/21  complicated by hypoxic respiratory failure requiring vent/trach, malnutrition requiring PEG tube, both of which have been reversed.   Patient did have an admission 1/9-1/18 for GI bleed and anemia and went to rehab.  Admitted concerned for sepsis, concern for infected decubitus ulcers.  ICU admit on 1/22 with fever 105F, hypotension and concern for septic shock.  Exact source of infection was not clearly delineated; patient was treated with Zosyn for possible PNA noted on checst CT.  LP performed with no evidence of meningitis.  Patient was persistently hypotensive.  He required vasopressors.  Septic shock resolved. Pneumonia resolved.  Hematology consulted for anemia and thrombocytopenia.  Outpatient follow up was recommended.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Septic shock, Thrombocytopenia
Clinical narrative: Patient presented to the hospital emergency department with a 105 F fever from the nursing home,  feeling cold.  He had no edema, cough or SOB noted.  Patient has a recent prolonged history of covid admitted 10/4-11/19/21  complicated by hypoxic respiratory failure requiring vent/trach, malnutrition requiring PEG tube, both of which have been reversed.   Patient did have an admission 1/9-1/18 for GI bleed and anemia and went to rehab.  Admitted concerned for sepsis, concern for infected decubitus ulcers.  ICU admit on 1/22 with fever 105F, hypotension and concern for septic shock.  Exact source of infection was not clearly delineated; patient was treated with Zosyn for possible PNA noted on checst CT.  LP performed with no evidence of meningitis.  Patient was persistently hypotensive.  He required vasopressors.  Septic shock resolved. Pneumonia resolved.  Hematology consulted for anemia and thrombocytopenia.  Outpatient follow up was recommended.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product preparation issue
Clinical narrative: Clinician prepared vial with 1.3ml Normal Saline diluent rather than 1.8ml Normal Saline. . Pt did report sore arm for 24 hrs, denied redness or swelling, Otherwise no other clinical concerns reported
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient received a 4th dose due to being immune compromised.  He received a full dose instead of a booster dose.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Eye infection viral
Clinical narrative: Viral eye infection.  Ophthalmologist confirmed that was likely due to immune system reaction to COVID vaccine.  Took several office visits and various prescriptions to resolve.  Took more than one month to resolve.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Onset of tinnitus
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 34.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Antiphospholipid antibodies, Blood test, Physical examination, Sjogren's syndrome, Skin discolouration
Clinical narrative: Discoloration of leg and buttocks. Subsequent blood work revealed antiphospholipid and Sjogren's antibodies. Referral to dermatologist and rheumatologist. Diagnostics and treatment ongoing.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Sensation of foreign body
Clinical narrative: Patient received Moderna booster. After 30 minutes waiting, she said it "felt like a lump was in her  throat and it was hard to swallow." She denied SOB. No trouble breathing. She was given Benadryl 50mg by mouth at 10:42 am. After waiting an additional 30 minutes, patient stated her symptoms have 'minimized."
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Magnetic resonance imaging abnormal, Pain, Tendonitis
Clinical narrative: I started experiencing arm pain at the injection site at about 12pm the same day. I had injection site pain for 24 hours. Then, it spread to the shoulder joint, and was worse with movement and pressure applied to the area. This worsened over several months and I reached out to a physical therapy office, an orthopedic doctor and my PCP. I had an MRI of the shoulder that showed tendonitis. I did 8-10 weeks of PT, and it is a lot better. I will follow up in 6 months with the orthopedic surgeon to ensure it doesn't return.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: I started experiencing arm pain at the injection site at about 12pm the same day. I had injection site pain for 24 hours. Then, it spread to the shoulder joint, and was worse with movement and pressure applied to the area. This worsened over several months and I reached out to a physical therapy office, an orthopedic doctor and my PCP. I had an MRI of the shoulder that showed tendonitis. I did 8-10 weeks of PT, and it is a lot better. I will follow up in 6 months with the orthopedic surgeon to ensure it doesn't return.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This nurse removed opened vial of Moderna from storage, 2-8 C. Placed in cooler with ice packs along with two other unopened vials of Moderna. This nurse then transported and gave the three vials to the agency nurse. Agency nurse administered open vial of Moderna to persons who had signed up for the Booster vaccination of the Moderna Vaccination 0.25ml. Once completed updated Manager that the bottle given to her was open and was going to open another vial. This nurse confirmed with the manager that the bottle had been opened previously, 1/19/2022. This nurse had mis read the storage information regarding Moderna to be stored unopened and unused for 30 days. This nurse made telephone call to each person affected by this opened vial. Per Medical Director Dr, offered everyone a dose of 0.25ml out of the new unopened vial. RN
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Patient had this vaccine administered on 1/14/22 after its "use-by date" of 1/1/22. 1/1/22 is the 31 days of refrigeration. Expiration date is February 2022. No adverse reactions reported. Per manufacturer, administration not recommended past 31 days + an additional 14 days of temperature excursion. Per manufacturer, patient will not need re-vaccination.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Remdesivir, Tylenol Discharged Home
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough hospitalization for COVID -19 in fully vaccinated patient with 2 dose primary series of vaccine
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Headache, Pain
Clinical narrative: PT WITH SYMPTOMS OF HEADACHES, DIFFUSE BODY ACHES, COUGH, NON BLOODY DIARRHEA 1 WEEK PRIOR TO ADMISSION TO HOSPITAL.  PATIENT MAY HAVE HAD BOOSTER?  ADMITTED TO OUR HOSPITAL ON 2/1 AND COVID PCR POSITIVE. BREAKTHROUGH VACCINATION COVID CASE
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: PT WITH SYMPTOMS OF HEADACHES, DIFFUSE BODY ACHES, COUGH, NON BLOODY DIARRHEA 1 WEEK PRIOR TO ADMISSION TO HOSPITAL.  PATIENT MAY HAVE HAD BOOSTER?  ADMITTED TO OUR HOSPITAL ON 2/1 AND COVID PCR POSITIVE. BREAKTHROUGH VACCINATION COVID CASE
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This nurse removed opened vial of Moderna from storage, 2-8 C. Placed in cooler with ice packs along with two other unopened vials of Moderna. This nurse then transported and gave the three vials to the agency nurse. Agency nurse administered open vial of Moderna to persons who had signed up for the Booster vaccination of the Moderna Vaccination 0.25ml. Once completed updated Manager that the bottle given to her was open and was going to open another vial. This nurse confirmed with the manager that the bottle had been opened previously, 1/19/2022. This nurse had mis read the storage information regarding Moderna to be stored unopened and unused for 30 days. This nurse made telephone call to each person affected by this opened vial. Per Medical Director Dr. , offered everyone a dose of 0.25ml out of the new unopened vial.  RN
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hospitalisation, Infection
Clinical narrative: This patient was admitted to Hospital on 1/30/2022 for COVID related symptoms. This is considered a breakthrough case.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema
Clinical narrative: That night, my body started turning red and my feet was on fire. These lasted for about a month. I went to the ER on Feb 01, 2021. They said that they could not determine if the vaccine caused it because it was to new to know. Then I went to my doctor and he said the same thing.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had this vaccine administered on 1/26/22 after its "use-by date" of 1/1/22. 1/1/22 is the 31 days of refrigeration. Expiration date is February 2022. No adverse reactions reported. Per manufacturer, administration not recommended past 31 days + an additional 14 days of temperature excursion. Per manufacturer, patient will need revaccination. No minimum time interval for this revaccination.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid on January 19, 2021.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient is 13 years old and received a pediatric Pfizer 5-11 dose. Spoke with parent as patient is minor.  Plan for the child to have Pfizer 12+ for his 2nd dose
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Incorrect dose administered, Pain in extremity, Product preparation issue
Clinical narrative: Clinician prepared vial with 1.3ml Normal Saline diluent rather than 1.8ml Normal Saline.  Pt stated his arm hurt for 2 days after injection (denied redness/swelling) and had a headache. Stated symptoms resolved on own after 2 days. No other clinical concerns reported
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Diagnosed with shingles
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: person who received vaccine was under the age of 18 when the 1st and 2nd dose of the series was given   Failure of intake process  no adverse events . has now received booster as well  and moderna fully approved
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: RESIDENT CONTINUED TO DECLINE ON HOSPICE SERVICES WITH COMFORT MEASURES IN PLACE. PASSED AWAY ON 12/22/21.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This nurse removed opened vial of Moderna from storage. Placed in cooler with ice packs along with two other unopened vials of Moderna. This nurse then transported and gave the three vials to the agency nurse. Agency nurse administered open vial of Moderna to persons who had signed up for the Booster vaccination of the Moderna Vaccination 0.25ml. Once completed updated Manager that the bottle given to her was open and was going to open another vial. This nurse confirmed with the manager that the bottle had been opened previously, 1/19/2022. This nurse had mis read the storage information regarding Moderna to be stored unopened and unused for 30 days. This nurse made telephone call to each person affected by this opened vial. Per Medical Director, offered everyone a dose of 0.25ml out of the new unopened vial.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, COVID-19, Chest discomfort, Chest pain, Cough
Clinical narrative: Patient is fully vaccinated. CHIEF COMPLAINT:  Chest pain, shortness of breath, acute COVID-19  infection.45-year-old white female with a known history of both diabetes mellitus and coronary artery disease presented to the emergency department complaining of chest pain and shortness of breath. Positive for cough and congestion and SOB.  She apparently tested positive for COVID-19 infection on Friday, January 7th at an urgent care clinic. She also experiences racing of her heart with activity and tightness of the chest. She had a chest CT angiogram with a PE protocol, which showed no evidence of acute pulmonary emboli.  No acute intrathoracic process was identified. She was treated with aggressive IV hydration because of her lactic acidosis. She is receiving narcotic analgesics for pain control.  Did not qualify for remdesivir and steriods.  Discharged home.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Lactic acidosis, Pain, Palpitations, Respiratory tract congestion
Clinical narrative: Patient is fully vaccinated. CHIEF COMPLAINT:  Chest pain, shortness of breath, acute COVID-19  infection.45-year-old white female with a known history of both diabetes mellitus and coronary artery disease presented to the emergency department complaining of chest pain and shortness of breath. Positive for cough and congestion and SOB.  She apparently tested positive for COVID-19 infection on Friday, January 7th at an urgent care clinic. She also experiences racing of her heart with activity and tightness of the chest. She had a chest CT angiogram with a PE protocol, which showed no evidence of acute pulmonary emboli.  No acute intrathoracic process was identified. She was treated with aggressive IV hydration because of her lactic acidosis. She is receiving narcotic analgesics for pain control.  Did not qualify for remdesivir and steriods.  Discharged home.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. CHIEF COMPLAINT:  Chest pain, shortness of breath, acute COVID-19  infection.45-year-old white female with a known history of both diabetes mellitus and coronary artery disease presented to the emergency department complaining of chest pain and shortness of breath. Positive for cough and congestion and SOB.  She apparently tested positive for COVID-19 infection on Friday, January 7th at an urgent care clinic. She also experiences racing of her heart with activity and tightness of the chest. She had a chest CT angiogram with a PE protocol, which showed no evidence of acute pulmonary emboli.  No acute intrathoracic process was identified. She was treated with aggressive IV hydration because of her lactic acidosis. She is receiving narcotic analgesics for pain control.  Did not qualify for remdesivir and steriods.  Discharged home.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Patient had this vaccine administered on 1/28/22 after its "use-by date" of 1/1/22. 1/1/22 is the 31 days of refrigeration. Expiration date is February 2022. No adverse reactions reported. Per manufacturer, administration not recommended past 31 days + an additional 14 days of temperature excursion. Per manufacturer, patient will need revaccination. No minimum time interval for this revaccination.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED AN EXPIRED DOSE OF THE PFIZER VACCINE.  PER STORAGE INSTRUCTIONS, THE VACCINE SHOULD HAVE BEEN WASTED ON 01.21.22.
Age: 66.0
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Tinnitus
Clinical narrative: Persistent ear ringing, first in one ear then both. Has continued and actually increased as I progressed through second shot and booster.