chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram abnormal, Endoscopy, Fatigue, Gait disturbance
Clinical narrative: I was going to my heart Doctor for a normal check in and was diagnosed with AFIB which was new since having had my COVID-19 Vaccine. I have had to change medications and also was diagnosed with AFLUTTER as well with my heart. I had a pace maker put in in June of 2021.  In February of 2022 I had woken up with what I thought was just terrible diarrhea but due to a medication I was bleeding internally and was passing out my wife had to call emergency number and I was taken to the ER and in the hospital.  I had been experiencing great fatigue but that was really the only thing  I was experiencing symptom wise.  I have since had a  permanent heart implant put in May of 202 because of that intestinal bleed. I have also had my migraine medication and Botox shots stop working for my migraines and have to change my medications and shots to manage them. The fatigue is really what has lasted and I am wobbly and dizzy.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhage, Laboratory test, Loss of consciousness, Migraine, Sleep study
Clinical narrative: I was going to my heart Doctor for a normal check in and was diagnosed with AFIB which was new since having had my COVID-19 Vaccine. I have had to change medications and also was diagnosed with AFLUTTER as well with my heart. I had a pace maker put in in June of 2021.  In February of 2022 I had woken up with what I thought was just terrible diarrhea but due to a medication I was bleeding internally and was passing out my wife had to call emergency number and I was taken to the ER and in the hospital.  I had been experiencing great fatigue but that was really the only thing  I was experiencing symptom wise.  I have since had a  permanent heart implant put in May of 202 because of that intestinal bleed. I have also had my migraine medication and Botox shots stop working for my migraines and have to change my medications and shots to manage them. The fatigue is really what has lasted and I am wobbly and dizzy.
Age: 18.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Pfizer Bivalent as initial dose in primary series, instead of Monovalent. No adverse event noted after vaccine administered. Vaccine given by staff at event. supervisor was notified regarding error. Pt to receive  Monovalent vaccine as second dose in primary series in 3-8 weeks. Attempted to call pt. X 3, left message.
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Breast feeding, Galactostasis
Clinical narrative: Clogged milk duct while breastfeeding
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Cardiac failure, Electrocardiogram, Renal failure
Clinical narrative: Kidney failure, heart failure
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: On the above-listed date, a vaccination clinic was held for staff to receive the COVID-19 booster vaccination.  On this day we had Bivalent Moderna Booster dosed vials on hand to be given to those requesting the booster dose.  At the time of the clinic, the vaccinator was operating on incorrect information that the Moderna Booster vaccination for the Bivalent vaccine was 0.25 mls rather than the new dosage of 0.5mls.  The error was not noticed until the end of the clinic.  Immediately the error was communicated to those affected.  All patients requesting so were vaccinated with the remaining 0.25 mls within 24 hours in line with the FDA and CDC recommendations for this specific error.  Two patients were contacted but requested the full dosage of the booster vaccine in the coming weeks.  Three patients were contacted and chose not to be vaccinated further.  There were no reactions noted upon follow-up.  All patients were advised to communicate with their primary care doctors and follow up with them should there be any adverse reactions.  The entire department debriefed and confirmed all new information and rehabilitated the draw-up and delivery of SOPS for all vaccinations in the future. This error was taken very seriously and all means of ensuring this is to not happen in the future were implemented.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Obstructive sleep apnoea syndrome, Positive airway pressure therapy
Clinical narrative: Patient was admitted because of URI type symptoms started on January 9th.  He was having a cough congestion and headache,.  Symptoms did not improve so he did home test for COVID-19 that was positive on January 15th.  Had a fever up to 100.1 degree.  He is using a CPAP machine with 3 L of oxygen at night for obstructive sleep apnea routinely.  He has a previous history of myasthenia gravis was on a prednisone up until October 2021.  Monoclonal antibodies were ordered that was scheduled yesterday 1/20/2022.  He was also advised if his oxygen saturation goes below 90 then he should come to the emergency department.  Patient presented to the emergency department by ambulance because his oxygen saturation was 87%.   Patient was on a non-rebreather mask during the transfer in emergency department he was switched over to nasal cannula.  Oxygen per protocol. IV dexamethasone. Vitamin-D vitamin-C and zinc.  DVT prophylaxis with Lovenox. Patient completed IV Rocephin and doxycycline for total 7 days.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted because of URI type symptoms started on January 9th.  He was having a cough congestion and headache,.  Symptoms did not improve so he did home test for COVID-19 that was positive on January 15th.  Had a fever up to 100.1 degree.  He is using a CPAP machine with 3 L of oxygen at night for obstructive sleep apnea routinely.  He has a previous history of myasthenia gravis was on a prednisone up until October 2021.  Monoclonal antibodies were ordered that was scheduled yesterday 1/20/2022.  He was also advised if his oxygen saturation goes below 90 then he should come to the emergency department.  Patient presented to the emergency department by ambulance because his oxygen saturation was 87%.   Patient was on a non-rebreather mask during the transfer in emergency department he was switched over to nasal cannula.  Oxygen per protocol. IV dexamethasone. Vitamin-D vitamin-C and zinc.  DVT prophylaxis with Lovenox. Patient completed IV Rocephin and doxycycline for total 7 days.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Diarrhoea, Hypovolaemic shock, Norovirus infection
Clinical narrative: Patient up to date on COVID vaccines who admitted with COVID detected PCR and possible complications from COVID.  No hypoxia during stay.  Provider d/c note:  "73 YO male with CKD, CAD, cardiomyopathy and COPD.  Came in with weakness and was found to be in shock.  Likely a combination of septic shock and hypovolemic shock.  He required a very short course of pressors in the ER but recovered quickly.  The patient was noted to have COVID and Norovirus infection.  No bacterial infection was found.  The patient was treated with supportive care.  Patient didn't require any oxygen or have any respiratory symptoms.  His diarrhea resolved and he was discharged home in a stable condition."
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock
Clinical narrative: Patient up to date on COVID vaccines who admitted with COVID detected PCR and possible complications from COVID.  No hypoxia during stay.  Provider d/c note:  "73 YO male with CKD, CAD, cardiomyopathy and COPD.  Came in with weakness and was found to be in shock.  Likely a combination of septic shock and hypovolemic shock.  He required a very short course of pressors in the ER but recovered quickly.  The patient was noted to have COVID and Norovirus infection.  No bacterial infection was found.  The patient was treated with supportive care.  Patient didn't require any oxygen or have any respiratory symptoms.  His diarrhea resolved and he was discharged home in a stable condition."
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: On the above-listed date, a vaccination clinic was held for staff to receive the COVID-19 booster vaccination.  On this day we had Bivalent Moderna Booster dosed vials on hand to be given to those requesting the booster dose.  At the time of the clinic, the vaccinator was operating on incorrect information that the Moderna Booster vaccination for the Bivalent vaccine was 0.25 mls rather than the new dosage of 0.5mls.  The error was not noticed until the end of the clinic.  Immediately the error was communicated to those affected.  All patients requesting so were vaccinated with the remaining 0.25 mls within 24 hours in line with the FDA and CDC recommendations for this specific error.  Two patients were contacted but requested the full dosage of the booster vaccine in the coming weeks.  Three patients were contacted and chose not to be vaccinated further.  There were no reactions noted upon follow-up.  All patients were advised to communicate with their primary care doctors and follow up with them should there be any adverse reactions.  The entire department debriefed and confirmed all new information and rehabilitated the draw-up and delivery of SOPS for all vaccinations in the future. This error was taken very seriously and all means of ensuring this is to not happen in the future were implemented.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Pfizer Bivalent as initial dose in primary series, instead of Monovalent. No adverse event noted after vaccine administered. Vaccine given by staff at event partnered with Health Unit. Supervisor was notified regarding error. Pt to receive  Monovalent vaccine as second dose in primary series in 3-8 weeks. Attempted to call pt. X 3, left message.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Fever.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: On the above-listed date, a vaccination clinic was held for staff to receive the COVID-19 booster vaccination. On this day we had Bivalent Moderna Booster dosed vials on hand to be given to those requesting the booster dose. At the time of the clinic, the vaccinator was operating on incorrect information that the Moderna Booster vaccination for the Bivalent vaccine was 0.25 mls rather than the new dosage of 0.5mls.  The error was not noticed until the end of the clinic.  Immediately the error was communicated to those affected. All patients requesting so were vaccinated with the remaining 0.25 mls within 24 hours in line with the FDA and CDC recommendations for this specific error.  Two patients were contacted but requested the full dosage of the booster vaccine in the coming weeks.  Three patients were contacted and chose not to be vaccinated further.  There were no reactions noted upon follow-up.  All patients were advised to communicate with their primary care doctors and follow up with them should there be any adverse reactions.  The entire department debriefed and confirmed all new information and rehabilitated the draw-up and delivery of for all vaccinations in the future. This error was taken very seriously and all means of ensuring this is to not happen in the future were implemented.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: On the above-listed date, a vaccination clinic was held for staff to receive the COVID-19 booster vaccination.  On this day we had Bivalent Moderna Booster dosed vials on hand to be given to those requesting the booster dose.  At the time of the clinic, the vaccinator was operating on incorrect information that the Moderna Booster vaccination for the Bivalent vaccine was 0.25 mls rather than the new dosage of 0.5mls.  The error was not noticed until the end of the clinic.  Immediately the error was communicated to those affected.  All patients requesting so were vaccinated with the remaining 0.25 mls within 24 hours in line with the FDA and CDC recommendations for this specific error.  Two patients were contacted but requested the full dosage of the booster vaccine in the coming weeks.  Three patients were contacted and chose not to be vaccinated further.  There were no reactions noted upon follow-up.  All patients were advised to communicate with their primary care doctors and follow up with them should there be any adverse reactions.  The entire department debriefed and confirmed all new information and rehabilitated the draw-up and delivery of SOPS for all vaccinations in the future. This error was taken very seriously and all means of ensuring this is to not happen in the future were implemented.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Hypoaesthesia, Mobility decreased, Pain, Sciatica
Clinical narrative: Severe pain in sciatic,, left side. Couldn?t move. Numbness in front left leg. Lasted about 3 weeks! Yes, 3 weeks. Pain n sciatic lasted about a week that was severe then subsided a little. I slowly regained motion where I could walk but used a walker in the house. Stayed in the house! Took acetaminophen. Rubbed muscle in left leg and sciatic and glut. Exercised leg, stretching etc. When I felt less pain and could walk a little with confidence  I walked in the house, slowly, carefully. Did not see physician or go to emergency or hospital.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Walking aid user
Clinical narrative: Severe pain in sciatic,, left side. Couldn?t move. Numbness in front left leg. Lasted about 3 weeks! Yes, 3 weeks. Pain n sciatic lasted about a week that was severe then subsided a little. I slowly regained motion where I could walk but used a walker in the house. Stayed in the house! Took acetaminophen. Rubbed muscle in left leg and sciatic and glut. Exercised leg, stretching etc. When I felt less pain and could walk a little with confidence  I walked in the house, slowly, carefully. Did not see physician or go to emergency or hospital.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Axillary pain, Pain in extremity, Peripheral swelling, Swelling
Clinical narrative: Flu vaccine administered on 09/21/22. Patient developed pain to right arm, axilla and right cervical area with swelling. Treated in ER on 09/24 wuth dexamethasone 10mg IM and benadryl 50mg. Disharged with hydroxizine 50mg 1 tab TID and dexamethasone 4mg 1 tab BID x 3 days. Patient was re-evaluted in our office on 09/26/22. She reports improvement of pain to right axilla and right cervical area but still has swelling. Now developed pain and swelling to left side of neck yesterday. Tiny lymph mode palpated to left posterior cervical area. No axillary lymph nodes palpated. Patient advised to continue dexamethasone and f/u if lymphadenopathy does not resolve.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Patient was given expired flu vaccine. Expiration was 7/2022.  Error was noted the following day. No reaction present. Currently working closely with our medical director to determine the best next course of action.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: Pt was given 6yr-11 yr old and needed to be Moderna Bivalent
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nasopharyngitis, Pain, Pain in extremity, Paraesthesia
Clinical narrative: On the evening of April 11th after receiving the J&J COVID shot, my entire left arm was very sore and hurt to move. I knew to expect this because it was listed as a side effect. It was very painful to the point I could not sleep on my left side. If I did, it would hurt really bad. The extreme pain persisted for two weeks. As time went on, I noticed my left arm would be sore occasionally. During the summer of 2021 and onward, I noticed a pattern that when I would have a runny nose or cold-like symptoms, I could feel the soreness from the injection site through my arm. I thought the vaccine was possibly "working" and that's why my arm would be sore. I have grown very concerned about this because it is starting to feel like a disability with chronic pain that began the day I was injected with the J&J vaccine. The pain comes and goes but this was not my normal prior to the vaccine. I avoid sleeping on my left side because it hurts if I do. I feel a buzzing feeling sometimes in my left hand. I'm reporting this today because I am experiencing the pain again and I undoubtedly believe it is related to the vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sleep disorder
Clinical narrative: On the evening of April 11th after receiving the J&J COVID shot, my entire left arm was very sore and hurt to move. I knew to expect this because it was listed as a side effect. It was very painful to the point I could not sleep on my left side. If I did, it would hurt really bad. The extreme pain persisted for two weeks. As time went on, I noticed my left arm would be sore occasionally. During the summer of 2021 and onward, I noticed a pattern that when I would have a runny nose or cold-like symptoms, I could feel the soreness from the injection site through my arm. I thought the vaccine was possibly "working" and that's why my arm would be sore. I have grown very concerned about this because it is starting to feel like a disability with chronic pain that began the day I was injected with the J&J vaccine. The pain comes and goes but this was not my normal prior to the vaccine. I avoid sleeping on my left side because it hurts if I do. I feel a buzzing feeling sometimes in my left hand. I'm reporting this today because I am experiencing the pain again and I undoubtedly believe it is related to the vaccine.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: redness, rash on arm localized to right deltoid area, warm to touch
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Moderna monovalent booster dose (0.25ml of 100mcg/0.5ml) given on 8/31/22 when it was declared not to use monovalent for boosters anymore. Doses given prior to learning of this guidance. 4 total given, an additional was a full dose given to a patient that had Janssen and moderna half dose that was immunocompromised. This patient received a full dose.
Age: 41.0
Sex: F
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Peripheral swelling, Rash
Clinical narrative: Sweeling on left arm with no fevers, and small rash on chest. No EMS needed. Checked on her 09-26-2022 and she stated that rash is gone and swelling has got smaller.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electric shock sensation, Fatigue, Inflammation, Insomnia, Metabolic function test
Clinical narrative: Progrerssively worsening systemic inflammatory response with severe all-over itching, exhaustion, inability to sleep, neurological shocks and twitches
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Muscle twitching, Pruritus, Vitamin B12 increased
Clinical narrative: Progrerssively worsening systemic inflammatory response with severe all-over itching, exhaustion, inability to sleep, neurological shocks and twitches
Age: 22.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse event occurred.  Patients received the monovalent booster, which was the only available vaccine booster at the time of visit.  Health Department had not yet received the shipment of bivalent vaccines at the time of the clinics.  Communication regarding the new approved recommendations was still being clarified and distributed by leadership team and the current standing order was in force at the time of vaccination.  Patients were contacted and notified that this resets the timeframe for their booster dose and were advised to return after 8 weeks for the bivalent booster.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Feeling abnormal
Clinical narrative: COVID 19- I Tested positive on July 2, 2022 I experienced a high fever of 102.4 on the first few days, Coughing, Brain fog, loss of energy, Sinus congestion, difficulty breathing . I was taking Sinus medication, Nyquil, & Mucinex.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: COVID 19- I Tested positive on July 2, 2022 I experienced a high fever of 102.4 on the first few days, Coughing, Brain fog, loss of energy, Sinus congestion, difficulty breathing . I was taking Sinus medication, Nyquil, & Mucinex.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Pruritus
Clinical narrative: I don?t know if the number (above ) is accurate; it is the only one on my Vaccination Record Card Within 48 hours of receiving the shot I developed a large red circular mark, over a raised painful lump. At the injection site.  The lump and the mark grew larger?circumference about 5 inches?over the next few days.   It was painful to the touch and itched.  I did not see a doctor.  I read what I could find about ?Covid arm? and followed the advice rendered.  Today, one week after the injection, there is only a slight bump and a slight itch.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Blood test abnormal, Human chorionic gonadotropin decreased, Maternal exposure before pregnancy
Clinical narrative: Miscarriage
Age: 82.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain, Skin reaction, Swelling
Clinical narrative: patient has had a bump and area has been red and that it hurts on and off since getting the shot. Patient was seen by a dermatologist and he told her to report it to us.
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Cough, Pulmonary oedema, Pyrexia, X-ray
Clinical narrative: Fever of 104 for 4 days, caughing very high. Lungs feeling with liquid, about half way on right side.
Age: 1.33
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Gave 3rd dose too soon. Was given 4 weeks after 2nd dose instead of 8 weeks.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site reaction, Lymphadenopathy, Skin warm
Clinical narrative: Pt has red circle about 5 inches in diameter around site of injection. pt has swollen lymph notes and the arm is hot to the touch
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Decreased appetite, Dyspnoea, Endotracheal intubation
Clinical narrative: pt to hospital with SOB, nausea, anorexia, productive cough; found to be positive for COVID; over the hospital course, pt had progressive respiratory failure requiring intubation; vasopressors needed for BP support; transitioned to in patient hospice; extubated and passed away in the hospital
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Productive cough, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: pt to hospital with SOB, nausea, anorexia, productive cough; found to be positive for COVID; over the hospital course, pt had progressive respiratory failure requiring intubation; vasopressors needed for BP support; transitioned to in patient hospice; extubated and passed away in the hospital
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was receiving her first Covid-19 vaccination. Nurse intended to give monovalent, but instead used a vial of bivalent vaccine for 1st. dose.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Depression, Exercise tolerance decreased, Fatigue
Clinical narrative: Experiences waves of depression that would come on for an hour or up to a few hours at a time. Usually once or twice a day following the vaccine. After 3 weeks it started settling into feelings of depression all the time instead of these sudden waves. With the depression, I was started getting suicidal thoughts throughout this time  which worsened and is why I reached out to my doctor. I was concerned for my life and thoughts for taking it continued to increase.  Also, experienced chest tightness especially with activity and intense anxiety for a couple weeks after vaccine. The chest tightness has subsided, but I feel like my cardiac abilities are less. I get tired more easily with exercise.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Suicidal ideation
Clinical narrative: Experiences waves of depression that would come on for an hour or up to a few hours at a time. Usually once or twice a day following the vaccine. After 3 weeks it started settling into feelings of depression all the time instead of these sudden waves. With the depression, I was started getting suicidal thoughts throughout this time  which worsened and is why I reached out to my doctor. I was concerned for my life and thoughts for taking it continued to increase.  Also, experienced chest tightness especially with activity and intense anxiety for a couple weeks after vaccine. The chest tightness has subsided, but I feel like my cardiac abilities are less. I get tired more easily with exercise.
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal discomfort, Cold sweat, Diarrhoea, Emotional distress, Fatigue
Clinical narrative: Second dose of JYNNEOS vaccine received intradermal on right forearm (first dose was received IM). Approximately 30 hours after receiving vaccine, patient felt extremely fatigued and had to lie down. Fever reported- temperature was not measured, but patient "felt very hot and sweaty" for a few hours, then alternating with feeling "cooler and/or clammy" for a few hours. Patient then slept for nine hours straight. That day the site appeared red, raised, hot to touch, and felt very itchy per patient report. These local reactions increased on the next two days. On day two after vaccination, area is extremely uncomfortable- hot to touch, red, hurts, patient reports they feel swelling underneath the skin (similar to what was experienced at the site of the first IM dose of this vaccine in her right deltoid- reports the swelling lasted for many weeks, at least six weeks with first dose). This is very uncomfortable. Patient is tired and upset. Reports she still felt somewhat feverish the night before but so far feels better in terms of temperature today. Local reaction/swelling and redness measures about 4 inches in diameter on day 2, and has since last night. She is upset she was not adequately prepared for this outcome when receiving the second dose, nor did she know if was intradermal until she was at the vaccine site about to receive the vaccine.  Patient also reports some gastrointestinal upset on day one and two and three after receiving second dose, including diarrhea. She took a covid rapid on day two and received a negative result.
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Feeling cold, Feeling hot, Hyperhidrosis, Hypersomnia, Injection site discomfort
Clinical narrative: Second dose of JYNNEOS vaccine received intradermal on right forearm (first dose was received IM). Approximately 30 hours after receiving vaccine, patient felt extremely fatigued and had to lie down. Fever reported- temperature was not measured, but patient "felt very hot and sweaty" for a few hours, then alternating with feeling "cooler and/or clammy" for a few hours. Patient then slept for nine hours straight. That day the site appeared red, raised, hot to touch, and felt very itchy per patient report. These local reactions increased on the next two days. On day two after vaccination, area is extremely uncomfortable- hot to touch, red, hurts, patient reports they feel swelling underneath the skin (similar to what was experienced at the site of the first IM dose of this vaccine in her right deltoid- reports the swelling lasted for many weeks, at least six weeks with first dose). This is very uncomfortable. Patient is tired and upset. Reports she still felt somewhat feverish the night before but so far feels better in terms of temperature today. Local reaction/swelling and redness measures about 4 inches in diameter on day 2, and has since last night. She is upset she was not adequately prepared for this outcome when receiving the second dose, nor did she know if was intradermal until she was at the vaccine site about to receive the vaccine.  Patient also reports some gastrointestinal upset on day one and two and three after receiving second dose, including diarrhea. She took a covid rapid on day two and received a negative result.
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Second dose of JYNNEOS vaccine received intradermal on right forearm (first dose was received IM). Approximately 30 hours after receiving vaccine, patient felt extremely fatigued and had to lie down. Fever reported- temperature was not measured, but patient "felt very hot and sweaty" for a few hours, then alternating with feeling "cooler and/or clammy" for a few hours. Patient then slept for nine hours straight. That day the site appeared red, raised, hot to touch, and felt very itchy per patient report. These local reactions increased on the next two days. On day two after vaccination, area is extremely uncomfortable- hot to touch, red, hurts, patient reports they feel swelling underneath the skin (similar to what was experienced at the site of the first IM dose of this vaccine in her right deltoid- reports the swelling lasted for many weeks, at least six weeks with first dose). This is very uncomfortable. Patient is tired and upset. Reports she still felt somewhat feverish the night before but so far feels better in terms of temperature today. Local reaction/swelling and redness measures about 4 inches in diameter on day 2, and has since last night. She is upset she was not adequately prepared for this outcome when receiving the second dose, nor did she know if was intradermal until she was at the vaccine site about to receive the vaccine.  Patient also reports some gastrointestinal upset on day one and two and three after receiving second dose, including diarrhea. She took a covid rapid on day two and received a negative result.
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Second dose of JYNNEOS vaccine received intradermal on right forearm (first dose was received IM). Approximately 30 hours after receiving vaccine, patient felt extremely fatigued and had to lie down. Fever reported- temperature was not measured, but patient "felt very hot and sweaty" for a few hours, then alternating with feeling "cooler and/or clammy" for a few hours. Patient then slept for nine hours straight. That day the site appeared red, raised, hot to touch, and felt very itchy per patient report. These local reactions increased on the next two days. On day two after vaccination, area is extremely uncomfortable- hot to touch, red, hurts, patient reports they feel swelling underneath the skin (similar to what was experienced at the site of the first IM dose of this vaccine in her right deltoid- reports the swelling lasted for many weeks, at least six weeks with first dose). This is very uncomfortable. Patient is tired and upset. Reports she still felt somewhat feverish the night before but so far feels better in terms of temperature today. Local reaction/swelling and redness measures about 4 inches in diameter on day 2, and has since last night. She is upset she was not adequately prepared for this outcome when receiving the second dose, nor did she know if was intradermal until she was at the vaccine site about to receive the vaccine.  Patient also reports some gastrointestinal upset on day one and two and three after receiving second dose, including diarrhea. She took a covid rapid on day two and received a negative result.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose normal, Confusional state, Dysarthria, Hyperhidrosis, Nausea
Clinical narrative: After eating lunch, I laid down for a nap. When I woke up around 05:25PM, I was sweating and shaking. I also had some head confusion. I pulled out my glucose meter to check my blood sugar. It was 50. I ate 2 spoonful of sunflower butter and a big spoonful of yogurt. My son made me drink milk. I felt like I was going to throw up, so I stopped eating. I checked my blood sugar again. It was 55. My son called the emergency number because I couldn't put my words together. EMS took me to the hospital. My blood sugar was 97 at that point. I sat in the waiting room for about six hours. I finally just went home. I have an appointment with my doctor tomorrow.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tremor
Clinical narrative: After eating lunch, I laid down for a nap. When I woke up around 05:25PM, I was sweating and shaking. I also had some head confusion. I pulled out my glucose meter to check my blood sugar. It was 50. I ate 2 spoonful of sunflower butter and a big spoonful of yogurt. My son made me drink milk. I felt like I was going to throw up, so I stopped eating. I checked my blood sugar again. It was 55. My son called the emergency number because I couldn't put my words together. EMS took me to the hospital. My blood sugar was 97 at that point. I sat in the waiting room for about six hours. I finally just went home. I have an appointment with my doctor tomorrow.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Electrocardiogram abnormal, Heart rate increased
Clinical narrative: Thursday 9/8 may have started around 2 p.m., ended 4 p.m.  Atrial fibrillation with very high heart rate.  No prior history of either. Symptoms validated with multiple ECGs taken by Watch. Symptoms lasted for about 2 hours and then resolved suddenly with no intervention.  ECG validated the return to sinus rhythm and normal heart rate.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy bone marrow abnormal, Myelodysplastic syndrome, White blood cell count decreased
Clinical narrative: Because I had a low white blood count that went exceptionally low I had a bone marrow biopsy on June eighth two thousands and twenty two 06/08/2022.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines Moderna 7/23/21 Lot# 018B21A;  Moderna 8/24/21 Lot# 048B21A
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Feeling abnormal, Influenza, Nasopharyngitis
Clinical narrative: I had soreness/achy feeling in my arm after receiving the vaccine. I started having symptoms of a cold or flu on 07/08/22.  I felt achy all over and I had a runny nose. My symptoms got worse after a couple  of days so  I had a PCR test done at an urgent care center which confirmed the positive COVID 19  on 07/10/22. I went home and later that day/night I went into respiratory distress and had to go to the emergency room.  They kept me for observation and gave me breathing treatments and medication. As of today I continue to feel bad and I have no energy. I have been to my doctor and they tell me it's just going to take longer to recover.  I also tested positive for COVID 19 in January 2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Respiratory distress, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had soreness/achy feeling in my arm after receiving the vaccine. I started having symptoms of a cold or flu on 07/08/22.  I felt achy all over and I had a runny nose. My symptoms got worse after a couple  of days so  I had a PCR test done at an urgent care center which confirmed the positive COVID 19  on 07/10/22. I went home and later that day/night I went into respiratory distress and had to go to the emergency room.  They kept me for observation and gave me breathing treatments and medication. As of today I continue to feel bad and I have no energy. I have been to my doctor and they tell me it's just going to take longer to recover.  I also tested positive for COVID 19 in January 2022.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after four vaccines: Pfizer 2/24/21 Lot# EN6202; Pfizer 3/17/21 Lot# EN6204;  Moderna 11/6/21 Lot# 051F21A; Moderna 4/1/22 Lot# 066K21A.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Laboratory test, Mobility decreased, Pyrexia
Clinical narrative: The next day after the vaccine I had fever of 102, I stay in bed all day. The next day fever went down, I was tired for a couple of days and stay in bed.
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: The child has autism and mom wanted him to get his first covid vaccine. The child was verbally and visually nervous. The brother, dad and mother were all trying to calm him. The person registering him and who had brought the child to me didn't say how old the child was and in the chaos I forgot to ask. I vaccinated the child with the Pfizer Bivalent Booster. The child didn't even know he was vaccinated so he then began to calm down and we had him wait with dad and brother while I filled out the covid vaccine card. It was at that point that I ask my co-worker how old the child was and for his date of birth and realized that I had given the wrong vaccine to him.  I informed the mother what happened and contacted the CDC. The CDC informed me that there was no need to repeat the dose for his series and that when it's time for his second primary dose, that he receives the age appropriate vaccine and dose.  The CDC doctor also informed me to watch out for difficulty breathing, lethargy, and any GI issues. I informed the mother of what to look out for in great detail, explaining to her that if she had any questions to call me and I gave her my cell phone number and told her that if she notices any of those symptoms in her son, to go straight to the ER. Do not hesitate.  Since the incident, I have been in contact with the mother, who stated that her son is not showing any signs of distress. She called me around 10:00pm in the evening the day of the incident to see what her son could take if he was in pain. I asked her what does his doctor recommend you give him when he is in a pain and to give him that  or call his primary and see what he can have. She mentioned that he was tired, but that it was his bed time.  I left a message for mom today 09-26-2022 for a callback as to how he is feeling. I am still waiting for a call back.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after 4 vaccines  Pfizer 3/22/21 Lot# not given;  Pfizer 4/12/21 Lot# not given;   Pfizer 10/13/21 Lot# 30145BA;  Pfizer 5/13/22 Lot# FK9893
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Pfizer Bivalent booster dose was inadvertently administered instead of the second monoclonal Pfizer 2nd dose due for the resident.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Loss of personal independence in daily activities, Pulmonary function test normal
Clinical narrative: Ever since I received the Moderna booster shot, I have experienced something new, shortness of breath. This has gotten worse in the last year. Now I am limited in my activities and almost always am dealing with this shortness of breath issues.  Please help. I had an extensive pulmonary test, no issues shown there. 9/30/2021 No know causes to date. Now my Dr. is going to order a calcium test and?? My symptoms are worsening more rapidly now.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines  Pfizer 2/8/21 Lot# EL9265;  Pfizer 3/1/21 Lot# EN6202;  Pfizer 10/28/21 Lot# FF2593;  Moderna 8/25/22 Lot# 055A22A
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Burning sensation, Pruritus, Rash, Scar
Clinical narrative: In mid to late March 2022, I started having all over itching.  It began on my knees.  There were small bumps.  I don?t have a rash that can be seen.  I itch mostly at night and now have scars from the scratching.  I now have itching on the sides of my breasts, under my armpits, on my lower back, my hips and buttocks and outer thighs.  I used to have itching on forearms but no longer.  If I feel a little bit of itch and I scratch it becomes an itching burning sensation.  I was treated for scabies but that was not the case.  I was also told I had dermatitis.  One of the medications I was prescribed interfered with my diabetes, so I stopped taking.  I have been prescribed some over the counter anti-itch medicine.  I haven?t found a medication that helps with the itching.  I was treated for fungus but that was not the case.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Scratch
Clinical narrative: In mid to late March 2022, I started having all over itching.  It began on my knees.  There were small bumps.  I don?t have a rash that can be seen.  I itch mostly at night and now have scars from the scratching.  I now have itching on the sides of my breasts, under my armpits, on my lower back, my hips and buttocks and outer thighs.  I used to have itching on forearms but no longer.  If I feel a little bit of itch and I scratch it becomes an itching burning sensation.  I was treated for scabies but that was not the case.  I was also told I had dermatitis.  One of the medications I was prescribed interfered with my diabetes, so I stopped taking.  I have been prescribed some over the counter anti-itch medicine.  I haven?t found a medication that helps with the itching.  I was treated for fungus but that was not the case.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines  Moderna 3/5/21 Lot# 0299219;  Moderna 4/2/21 Lot# 016B21A;  Moderna 11/9/21 Lot# 058F21A;  Moderna 7/22/22 Lot# 016B22A
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, C-reactive protein, Full blood count, Metabolic function test, Rash
Clinical narrative: Patient developed a rash 2 days after vaccination in the same are that extended down to wrist, shoulder, and middle back. Rash is raised, erythematous, painful, and burning. Rash continues to spread on day 4 post vaccination. Labs have been ordered (CBC, CRP, ESR, CMP, and UA).
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Red blood cell sedimentation rate, Urine analysis
Clinical narrative: Patient developed a rash 2 days after vaccination in the same are that extended down to wrist, shoulder, and middle back. Rash is raised, erythematous, painful, and burning. Rash continues to spread on day 4 post vaccination. Labs have been ordered (CBC, CRP, ESR, CMP, and UA).
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ear pain, Fatigue, Headache, Nausea, Oropharyngeal pain
Clinical narrative: 09/13/2022, I woke up nauseated and I threw up with no food on my stomach, I had a headache all day.  I tried over the counter pain relievers and it didn't touch it.  I drank a lot of water.  I felt better on 09/14/2022.  On 09/19/2022, I started to get a sore throat. I was very tired. On 09/20/2022, my son started to run a fever. In the afternoon, I still had a sore throat and my ears began to hurt.  I rode in an ambulance to the hospital for my son.  On 09/21/2022, I started running a fever. By 09/23/2022, my lungs began to hurt. I drove myself to urgent care. He gave me a dose of steroids.  My ears still hurt, my throat still hurts.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulmonary pain, Pyrexia, Vomiting
Clinical narrative: 09/13/2022, I woke up nauseated and I threw up with no food on my stomach, I had a headache all day.  I tried over the counter pain relievers and it didn't touch it.  I drank a lot of water.  I felt better on 09/14/2022.  On 09/19/2022, I started to get a sore throat. I was very tired. On 09/20/2022, my son started to run a fever. In the afternoon, I still had a sore throat and my ears began to hurt.  I rode in an ambulance to the hospital for my son.  On 09/21/2022, I started running a fever. By 09/23/2022, my lungs began to hurt. I drove myself to urgent care. He gave me a dose of steroids.  My ears still hurt, my throat still hurts.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after two vaccines  Pfizer x2; Pfizer 3/2/21 Lot# EN6205;  Pfizer 3/23/21 Lot# EP6955
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: rash
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines; Pfizer x2; Pfizer 5/5/21 Lot# Ew0179; Pfizer 5/26/21 Lot# EW0183.
Age: 24.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Musculoskeletal stiffness, Peripheral swelling
Clinical narrative: About 3 hours after vaccine, left forearm and hand began to become noticeably swollen and stiff. The effect lasted about 6 hours and peaked about 1 hour after onset.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling abnormal, Nausea
Clinical narrative: Fatigue started day after injection and has continued through current date.  Same for nausea and brain fog.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Pfizer 3/15/21 Lot# EN6207;  Pfizer 4/12/21 Lot# Ew0150;  Pfizer 10/14/21 Lot# EW0150
Age: 15.0
Sex: F
Vaccine: UNK
Symptoms: Biopsy cervix, Biopsy cervix abnormal, Cervical dysplasia, Papilloma viral infection, Smear cervix abnormal
Clinical narrative: Severe Dysplasia with HPV changes