chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, COVID-19 pneumonia, Chest pain, Dyspnoea
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 2/17/21 (EN6200) Pfizer Dose 2 3/11/21 (EN6208) COVID Positive 8/23/21  8/27/21: The patient presents with "feeling sick" and history of covid positivity.  Location: generalized. The character of symptoms is no pain and no swelling.  The degree at onset was moderate.  The degree at present is moderate.  Risk factors consist of hypertension. Associated symptoms: chest pain, shortness of breath, fever, denies abdominal pain, denies nausea and denies vomiting.  Patient states she received the Pfizer  vaccine.  8/30/21: 87 y/o COPD pt admitted through the ER with covid positivity and pneumonia RLL; treated with iv levaquin, medrol dospak, and completion of z-pak.  Pt improved over 3 days and was discharged to home improved. IV saline corrected her hyponatremia; remainder of labs were normal.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Laboratory test normal, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 2/17/21 (EN6200) Pfizer Dose 2 3/11/21 (EN6208) COVID Positive 8/23/21  8/27/21: The patient presents with "feeling sick" and history of covid positivity.  Location: generalized. The character of symptoms is no pain and no swelling.  The degree at onset was moderate.  The degree at present is moderate.  Risk factors consist of hypertension. Associated symptoms: chest pain, shortness of breath, fever, denies abdominal pain, denies nausea and denies vomiting.  Patient states she received the Pfizer  vaccine.  8/30/21: 87 y/o COPD pt admitted through the ER with covid positivity and pneumonia RLL; treated with iv levaquin, medrol dospak, and completion of z-pak.  Pt improved over 3 days and was discharged to home improved. IV saline corrected her hyponatremia; remainder of labs were normal.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 2/17/21 (EN6200) Pfizer Dose 2 3/11/21 (EN6208) COVID Positive 8/23/21  8/27/21: The patient presents with "feeling sick" and history of covid positivity.  Location: generalized. The character of symptoms is no pain and no swelling.  The degree at onset was moderate.  The degree at present is moderate.  Risk factors consist of hypertension. Associated symptoms: chest pain, shortness of breath, fever, denies abdominal pain, denies nausea and denies vomiting.  Patient states she received the Pfizer  vaccine.  8/30/21: 87 y/o COPD pt admitted through the ER with covid positivity and pneumonia RLL; treated with iv levaquin, medrol dospak, and completion of z-pak.  Pt improved over 3 days and was discharged to home improved. IV saline corrected her hyponatremia; remainder of labs were normal.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Paraesthesia, Product administered at inappropriate site
Clinical narrative: So, I initially it was a burning sensation on left shoulder, they did it too high and I currently have a tingling on my upper shoulder and my doctor wanted me to wait another week to see how things get and if things don't get any better, she wants me to get referral for a I will physical therapy.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anosmia, COVID-19, Cough, Exposure to SARS-CoV-2, Rhinorrhoea
Clinical narrative: 11/18/21-In the last month, have you been in contact with someone who was confirmed or suspected to have Coronavirus / COVID-19?  Yes Have you had a COVID-19 viral test in the last 14 days?  Yes - Positive result Do you have any of the following new or worsening symptoms?  Runny nose;Cough;Loss of smell Have you traveled internationally or domestically in the last month?  No
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 11/18/21-In the last month, have you been in contact with someone who was confirmed or suspected to have Coronavirus / COVID-19?  Yes Have you had a COVID-19 viral test in the last 14 days?  Yes - Positive result Do you have any of the following new or worsening symptoms?  Runny nose;Cough;Loss of smell Have you traveled internationally or domestically in the last month?  No
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The vial of Pfizer vaccine produced only three 0.3mL and one 0.2mL syringe. The doses were not all drawn up at once. 2 were drawn up and 2.5 hours later our RN went to draw up another dose for a patient an questioned the amount in the vial, knowing only 2 had already been drawn up. She drew up the remainder in the vial and got one 0.3mL and 0.2ml. The decision was made to discard those two and reconstitute a new vial.  The MA that reconstituted the vial was adamant that she did the process correctly using a 3mL syringe and 21g needle to insert the diluent and 1mL syringe with needle already attached to draw out the vaccines.  The recommendation was made to all staff to draw up all vaccines immediately after reconstituting moving forward.  Patient was not notified as we don't know that they received an incorrect dosage.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented to the vaccination site on 11/18/2021. The client notified PHN that he received a both doses of Sinovac COVID vaccine in different country on 3/28/2021 and 5/6/2021. PHN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Janssen. Per CDC guidance, approval to proceed with COVID vaccine Janssen was obtained from medical consult team via text message from PHN, Vaccine Operations Lead, per Dr. Client received COVID vaccine Janssen Lot#211D21A on 11/18/2021. The client did not report any symptoms during the 30 minute observation period. RN educated client on possible adverse reactions and when to seek medical care. The client left the vaccination site at 1530 walking with steady gai
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Illness, Muscular weakness
Clinical narrative: Became sick twice in two weeks since receiving the vaccine; both times a severe fatigue, chills, muscle weakness, and body ache.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative
Clinical narrative: Became sick twice in two weeks since receiving the vaccine; both times a severe fatigue, chills, muscle weakness, and body ache.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Extra dose administered, Hypoaesthesia, Panic attack, Paraesthesia
Clinical narrative: Four weeks after the booster shot a slight tremor began in bilateral upper extremities. Then other symptoms progressed including panic attacks, anxiety, numbness and tingling in hands.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Four weeks after the booster shot a slight tremor began in bilateral upper extremities. Then other symptoms progressed including panic attacks, anxiety, numbness and tingling in hands.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, COVID-19, Cough, Diarrhoea, Dyspnoea
Clinical narrative: COVID Breakthrough  Moderna Dose 1 2/9/21 (013M20A) Moderna Dose 2 3/9/21 (040A21A) COVID Positive 8/24/21  8/24/21: History is obtained from patient as well as the personal review of records. speaks limited English.  Video interpretation services used for translation.   She is 76-year-old with known history of diabetes mellitus, hypertension, chronic kidney disease, carotid stenosis and other medical problems.  She has chronic kidney disease stage 3. Her serum creatinine on 7/8/2021 was 2.59.  Follows with nephrology team.   She had cough, nausea, or diarrhea and generalized body pains for 5 days.  She tested positive for  SARS-CoV-2 on 8/19/2021.  Her breathing became worse.  Any activity would make her short of breath.  Diarrhea was resolving.  She had a virtual visit with primary care provider.  She was advised to go to emergency department for worsening shortness of breath.  She was found to be hypoxic and required oxygen supplementation.  Her renal function has become worse.  Serum creatinine was 4.86.  She also had elevated troponin and proBNP.  Denied current fever or chills.  She reported getting vaccinations for  SARS-CoV-2.  8/28/21: Patient is being discharged home and will need to be in isolation at least 10 days.  She needs to follow-up with surgery team for outpatient colonoscopy.  She should follow up with her PCP in 1-2 weeks, nephrology as scheduled.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Hypoxia, Nausea, Pain, Prohormone brain natriuretic peptide increased
Clinical narrative: COVID Breakthrough  Moderna Dose 1 2/9/21 (013M20A) Moderna Dose 2 3/9/21 (040A21A) COVID Positive 8/24/21  8/24/21: History is obtained from patient as well as the personal review of records. speaks limited English.  Video interpretation services used for translation.   She is 76-year-old with known history of diabetes mellitus, hypertension, chronic kidney disease, carotid stenosis and other medical problems.  She has chronic kidney disease stage 3. Her serum creatinine on 7/8/2021 was 2.59.  Follows with nephrology team.   She had cough, nausea, or diarrhea and generalized body pains for 5 days.  She tested positive for  SARS-CoV-2 on 8/19/2021.  Her breathing became worse.  Any activity would make her short of breath.  Diarrhea was resolving.  She had a virtual visit with primary care provider.  She was advised to go to emergency department for worsening shortness of breath.  She was found to be hypoxic and required oxygen supplementation.  Her renal function has become worse.  Serum creatinine was 4.86.  She also had elevated troponin and proBNP.  Denied current fever or chills.  She reported getting vaccinations for  SARS-CoV-2.  8/28/21: Patient is being discharged home and will need to be in isolation at least 10 days.  She needs to follow-up with surgery team for outpatient colonoscopy.  She should follow up with her PCP in 1-2 weeks, nephrology as scheduled.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Renal impairment, SARS-CoV-2 test positive, Troponin increased, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough  Moderna Dose 1 2/9/21 (013M20A) Moderna Dose 2 3/9/21 (040A21A) COVID Positive 8/24/21  8/24/21: History is obtained from patient as well as the personal review of records. speaks limited English.  Video interpretation services used for translation.   She is 76-year-old with known history of diabetes mellitus, hypertension, chronic kidney disease, carotid stenosis and other medical problems.  She has chronic kidney disease stage 3. Her serum creatinine on 7/8/2021 was 2.59.  Follows with nephrology team.   She had cough, nausea, or diarrhea and generalized body pains for 5 days.  She tested positive for  SARS-CoV-2 on 8/19/2021.  Her breathing became worse.  Any activity would make her short of breath.  Diarrhea was resolving.  She had a virtual visit with primary care provider.  She was advised to go to emergency department for worsening shortness of breath.  She was found to be hypoxic and required oxygen supplementation.  Her renal function has become worse.  Serum creatinine was 4.86.  She also had elevated troponin and proBNP.  Denied current fever or chills.  She reported getting vaccinations for  SARS-CoV-2.  8/28/21: Patient is being discharged home and will need to be in isolation at least 10 days.  She needs to follow-up with surgery team for outpatient colonoscopy.  She should follow up with her PCP in 1-2 weeks, nephrology as scheduled.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 12 year old given 5-11 year old Pfizer Covid dose
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Patient called pharmacy on 11/17/2021 reporting she developed cellulitis following administration of Moderna booster vaccine (0.25mL) on 11/11/2021. Her symptoms are improving, but plans to follow-up with primary care provider.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Angiogram pulmonary normal, Arthralgia, Blood chloride decreased, Blood urea increased
Clinical narrative: 9/22/2021 She was with her daughter who indicated she had blue lips. She felt very tired and was sitting with her daughter. She was not able to walk with her walker like usual. She put on a pulse oximeter and her sat was 84%. She put on her oxygen and her oxygen did get up to 97% and was sitting still. Any movement she would go down into the 80s even with oxygen. Normally she could move about and not have to wear oxygen. She is now using oxygen 24 hours a day. Up til this point she was using oxygen at night only. She has a cpap, but was recalled and so she has not had her cpap. She has some changes in her sensation of the left arm, with some numbness and tingling. This is intermittent, but in the pinky and ring finger and half her hand. This is up her arm as well. This was not present before the vaccine. She believes 4 days after vaccine this occurred. Right foot may also getting some symptoms about 4 days. She also got the typical fevers, stomach ache, cramps, diarhea, and joint point which all occurred the night of the vaccination on the 9/20/2021.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, Chest X-ray abnormal, Cyanosis, Diarrhoea, Electrocardiogram
Clinical narrative: 9/22/2021 She was with her daughter who indicated she had blue lips. She felt very tired and was sitting with her daughter. She was not able to walk with her walker like usual. She put on a pulse oximeter and her sat was 84%. She put on her oxygen and her oxygen did get up to 97% and was sitting still. Any movement she would go down into the 80s even with oxygen. Normally she could move about and not have to wear oxygen. She is now using oxygen 24 hours a day. Up til this point she was using oxygen at night only. She has a cpap, but was recalled and so she has not had her cpap. She has some changes in her sensation of the left arm, with some numbness and tingling. This is intermittent, but in the pinky and ring finger and half her hand. This is up her arm as well. This was not present before the vaccine. She believes 4 days after vaccine this occurred. Right foot may also getting some symptoms about 4 days. She also got the typical fevers, stomach ache, cramps, diarhea, and joint point which all occurred the night of the vaccination on the 9/20/2021.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Gait inability, Haematocrit normal, Hypoaesthesia
Clinical narrative: 9/22/2021 She was with her daughter who indicated she had blue lips. She felt very tired and was sitting with her daughter. She was not able to walk with her walker like usual. She put on a pulse oximeter and her sat was 84%. She put on her oxygen and her oxygen did get up to 97% and was sitting still. Any movement she would go down into the 80s even with oxygen. Normally she could move about and not have to wear oxygen. She is now using oxygen 24 hours a day. Up til this point she was using oxygen at night only. She has a cpap, but was recalled and so she has not had her cpap. She has some changes in her sensation of the left arm, with some numbness and tingling. This is intermittent, but in the pinky and ring finger and half her hand. This is up her arm as well. This was not present before the vaccine. She believes 4 days after vaccine this occurred. Right foot may also getting some symptoms about 4 days. She also got the typical fevers, stomach ache, cramps, diarhea, and joint point which all occurred the night of the vaccination on the 9/20/2021.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Paraesthesia, Positive airway pressure therapy, Pyrexia, Sensory disturbance
Clinical narrative: 9/22/2021 She was with her daughter who indicated she had blue lips. She felt very tired and was sitting with her daughter. She was not able to walk with her walker like usual. She put on a pulse oximeter and her sat was 84%. She put on her oxygen and her oxygen did get up to 97% and was sitting still. Any movement she would go down into the 80s even with oxygen. Normally she could move about and not have to wear oxygen. She is now using oxygen 24 hours a day. Up til this point she was using oxygen at night only. She has a cpap, but was recalled and so she has not had her cpap. She has some changes in her sensation of the left arm, with some numbness and tingling. This is intermittent, but in the pinky and ring finger and half her hand. This is up her arm as well. This was not present before the vaccine. She believes 4 days after vaccine this occurred. Right foot may also getting some symptoms about 4 days. She also got the typical fevers, stomach ache, cramps, diarhea, and joint point which all occurred the night of the vaccination on the 9/20/2021.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus rhythm, Total lung capacity decreased, Troponin, Walking aid user
Clinical narrative: 9/22/2021 She was with her daughter who indicated she had blue lips. She felt very tired and was sitting with her daughter. She was not able to walk with her walker like usual. She put on a pulse oximeter and her sat was 84%. She put on her oxygen and her oxygen did get up to 97% and was sitting still. Any movement she would go down into the 80s even with oxygen. Normally she could move about and not have to wear oxygen. She is now using oxygen 24 hours a day. Up til this point she was using oxygen at night only. She has a cpap, but was recalled and so she has not had her cpap. She has some changes in her sensation of the left arm, with some numbness and tingling. This is intermittent, but in the pinky and ring finger and half her hand. This is up her arm as well. This was not present before the vaccine. She believes 4 days after vaccine this occurred. Right foot may also getting some symptoms about 4 days. She also got the typical fevers, stomach ache, cramps, diarhea, and joint point which all occurred the night of the vaccination on the 9/20/2021.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Eye injury, Headache, Nausea, Pallor, Syncope
Clinical narrative: 3 minutes after, patient fainted. We received vitals, which were already stable by that point.  Hit left upper eye. Pale. Neurological check 10 mins: normal. Nausea, headache, pupils (PERRLA) and bilateral equal strength.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Extraocular muscle paresis, Gait disturbance, Ophthalmological examination abnormal
Clinical narrative: Patient received first dose 0.5ml Moderna. Walked off the bus with out abnormalities noted. Patient states she is now having issue with ambulating also notes vision loss right eye. Vision test notes Patient unable to see right eye. FAST test done slight weakness noted left. Patient having difficulty following commands for tasks of test.   Vitals done  Blood pressure - 90/42 manual  Pulse - 78  Spo2- 97% room air Ems and fire have arrived on scene. Patient left in their care.  Patient is going to urgent care POV by grandmother.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Extra dose administered, Gait disturbance, Mobility decreased
Clinical narrative: Per pt's portal message from his wife "After 2nd COVID shot, patient became disoriented, confused and physically impaired from walking or standing.  The following day he was fine but admitted to "losing a day".  Following the 3rd shot, 24 hrs later, he lost physical ability to get out of a chair, walk, or get into bed.  It was like he "forgot" how to walk.  Mental capability was fine.  He was better the following day, with some wobbly walking that improved as the day went on.  Both episodes seem to be related to the shot"
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Injection site rash, Injection site swelling, Lymphadenopathy
Clinical narrative: Two episodes of  fainting night of  11/16/21; Fever with chills, began 11/15 and lasted 3 days; headache began 11/15, lasted 3 days; swollen lymph nodes throughout body, began 11/15; Rash and swelling around injection site extending entire outside of upper arm with arm pain to the point of being unable to use arm, which began night of 11/15; metallic taste in mouth, began 11/15
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Pyrexia, Syncope
Clinical narrative: Two episodes of  fainting night of  11/16/21; Fever with chills, began 11/15 and lasted 3 days; headache began 11/15, lasted 3 days; swollen lymph nodes throughout body, began 11/15; Rash and swelling around injection site extending entire outside of upper arm with arm pain to the point of being unable to use arm, which began night of 11/15; metallic taste in mouth, began 11/15
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Eye contusion, Headache, Heart rate increased
Clinical narrative: fever, sore throat, severe headache, chest pains, severe cough, lethargic, fatigue, black eyes, chest pains, high heart rate
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Oropharyngeal pain, Pyrexia
Clinical narrative: fever, sore throat, severe headache, chest pains, severe cough, lethargic, fatigue, black eyes, chest pains, high heart rate
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Night sweats, Pain
Clinical narrative: 6 hrs after shot started feeling fatigue and chills. 12 hrs  after shot started body aches.  Fatigue and body aches lasted 36 hrs. Night sweats next 2 nights.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Extra dose administered, Headache, Hyperhidrosis
Clinical narrative: I started to have fever and chills about 6-7 hours after receiving the Moderna booster. I went to sleep in the evening and woke in the middle of the night with severe chills, sweating, headache, nausea, and a feeling of rigidity in the muscles of my forearms and wrists, with involuntary contraction of my hands. I wasn't in a condition to check my temperature with a thermometer. I took two aspirin, drank some cold water, and the chills improved and the muscle rigidity and hand contraction went away. I continued to have chills, headache and nausea return every 4-6 hours, into the next day, which I alleviated with 1-2 aspirin during each interval. By the next afternoon, about a day after receiving the booster, I was feeling subjectively much better and measured my temperature with an oral thermometer: it was 102 Fahrenheit. Two days subsequently, I noticed a palpable left axillary lymph node, which persisted for another 2-3 days. Altogether, these symptoms were similar but to a worse degree than what I experienced after the second dose of the Pfizer vaccine nine months earlier. However, the fever seemed higher and came on faster; the muscle rigidity/hand contraction, and axillary lymphadenopathy were new symptoms.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Joint contracture, Lymph node palpable, Lymphadenopathy, Muscle rigidity
Clinical narrative: I started to have fever and chills about 6-7 hours after receiving the Moderna booster. I went to sleep in the evening and woke in the middle of the night with severe chills, sweating, headache, nausea, and a feeling of rigidity in the muscles of my forearms and wrists, with involuntary contraction of my hands. I wasn't in a condition to check my temperature with a thermometer. I took two aspirin, drank some cold water, and the chills improved and the muscle rigidity and hand contraction went away. I continued to have chills, headache and nausea return every 4-6 hours, into the next day, which I alleviated with 1-2 aspirin during each interval. By the next afternoon, about a day after receiving the booster, I was feeling subjectively much better and measured my temperature with an oral thermometer: it was 102 Fahrenheit. Two days subsequently, I noticed a palpable left axillary lymph node, which persisted for another 2-3 days. Altogether, these symptoms were similar but to a worse degree than what I experienced after the second dose of the Pfizer vaccine nine months earlier. However, the fever seemed higher and came on faster; the muscle rigidity/hand contraction, and axillary lymphadenopathy were new symptoms.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Sleep disorder
Clinical narrative: I started to have fever and chills about 6-7 hours after receiving the Moderna booster. I went to sleep in the evening and woke in the middle of the night with severe chills, sweating, headache, nausea, and a feeling of rigidity in the muscles of my forearms and wrists, with involuntary contraction of my hands. I wasn't in a condition to check my temperature with a thermometer. I took two aspirin, drank some cold water, and the chills improved and the muscle rigidity and hand contraction went away. I continued to have chills, headache and nausea return every 4-6 hours, into the next day, which I alleviated with 1-2 aspirin during each interval. By the next afternoon, about a day after receiving the booster, I was feeling subjectively much better and measured my temperature with an oral thermometer: it was 102 Fahrenheit. Two days subsequently, I noticed a palpable left axillary lymph node, which persisted for another 2-3 days. Altogether, these symptoms were similar but to a worse degree than what I experienced after the second dose of the Pfizer vaccine nine months earlier. However, the fever seemed higher and came on faster; the muscle rigidity/hand contraction, and axillary lymphadenopathy were new symptoms.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Aggression, Agitation, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 3/2/21 (EN6203) Pfizer Dose 2 3/23/21 (EN6207) COVID Positive 8/23/21  8/24/21: Patient is a 77-year-old female with history of Alzheimer's dementia, CKD stage IIIB, and recent prolonged admission for surgical intervention of rectal prolapse was admitted with increased confusion from baseline and recent diagnosis of COVID-19 and found to have hypoxemia.  History is obtained from chart review as well as discussion with the ED provider.  Patient is quite lethargic and does not provide a history.  Patient resides in a nursing home stay with her Alzheimer's dementia.  She is on multiple antipsychotics given frequent combative behavior.  She had a prolonged admission in May and June of this year after an admission for a repair of a rectal prolapse.  She did require multiple subsequent procedures secondary to complications.  Patient reportedly was COVID positive yesterday at her nursing home.  She was noted to be more altered today than her baseline which is combative most of the time.  She was brought to the ER.  Did found to be hypoxemic in the 80s and now on 2 L. CT showed concern for possible right lower lobe pneumonia.  She is currently afebrile.  She was given Haldol in the ER and currently quite sleepy.  8/28/21: 77-year-old female with PMH of Alzheimer's dementia, CKD stage IIIB, recent diagnosis of COVID-19, recent surgical intervention for rectal prolapse who presented from long-term care due to confusion and concern of hypoxemia.  Patient admitted for questionable COVID-19 pneumonia however she was not on oxygen and did not need treatment COVID-19 pneumonia.  Was started on Rocephin and Zithromax to cover for bacterial pneumonia, she is very agitated at times, and I think part of her confusion and encephalopathy is polypharmacy.  At this point I do not think she needs treatment for COVID-19 or any in-hospital treatment.  The plan was discussed with patient's daughter/POA yesterday over phone and she is in agreement. Patient will be discharged back to long-term care in a stable condition.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Encephalopathy, Hypoxia, Interventional procedure, Lethargy
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 3/2/21 (EN6203) Pfizer Dose 2 3/23/21 (EN6207) COVID Positive 8/23/21  8/24/21: Patient is a 77-year-old female with history of Alzheimer's dementia, CKD stage IIIB, and recent prolonged admission for surgical intervention of rectal prolapse was admitted with increased confusion from baseline and recent diagnosis of COVID-19 and found to have hypoxemia.  History is obtained from chart review as well as discussion with the ED provider.  Patient is quite lethargic and does not provide a history.  Patient resides in a nursing home stay with her Alzheimer's dementia.  She is on multiple antipsychotics given frequent combative behavior.  She had a prolonged admission in May and June of this year after an admission for a repair of a rectal prolapse.  She did require multiple subsequent procedures secondary to complications.  Patient reportedly was COVID positive yesterday at her nursing home.  She was noted to be more altered today than her baseline which is combative most of the time.  She was brought to the ER.  Did found to be hypoxemic in the 80s and now on 2 L. CT showed concern for possible right lower lobe pneumonia.  She is currently afebrile.  She was given Haldol in the ER and currently quite sleepy.  8/28/21: 77-year-old female with PMH of Alzheimer's dementia, CKD stage IIIB, recent diagnosis of COVID-19, recent surgical intervention for rectal prolapse who presented from long-term care due to confusion and concern of hypoxemia.  Patient admitted for questionable COVID-19 pneumonia however she was not on oxygen and did not need treatment COVID-19 pneumonia.  Was started on Rocephin and Zithromax to cover for bacterial pneumonia, she is very agitated at times, and I think part of her confusion and encephalopathy is polypharmacy.  At this point I do not think she needs treatment for COVID-19 or any in-hospital treatment.  The plan was discussed with patient's daughter/POA yesterday over phone and she is in agreement. Patient will be discharged back to long-term care in a stable condition.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mood altered, Multiple drug therapy, Pneumonia bacterial, Post procedural complication, Rectal prolapse repair
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 3/2/21 (EN6203) Pfizer Dose 2 3/23/21 (EN6207) COVID Positive 8/23/21  8/24/21: Patient is a 77-year-old female with history of Alzheimer's dementia, CKD stage IIIB, and recent prolonged admission for surgical intervention of rectal prolapse was admitted with increased confusion from baseline and recent diagnosis of COVID-19 and found to have hypoxemia.  History is obtained from chart review as well as discussion with the ED provider.  Patient is quite lethargic and does not provide a history.  Patient resides in a nursing home stay with her Alzheimer's dementia.  She is on multiple antipsychotics given frequent combative behavior.  She had a prolonged admission in May and June of this year after an admission for a repair of a rectal prolapse.  She did require multiple subsequent procedures secondary to complications.  Patient reportedly was COVID positive yesterday at her nursing home.  She was noted to be more altered today than her baseline which is combative most of the time.  She was brought to the ER.  Did found to be hypoxemic in the 80s and now on 2 L. CT showed concern for possible right lower lobe pneumonia.  She is currently afebrile.  She was given Haldol in the ER and currently quite sleepy.  8/28/21: 77-year-old female with PMH of Alzheimer's dementia, CKD stage IIIB, recent diagnosis of COVID-19, recent surgical intervention for rectal prolapse who presented from long-term care due to confusion and concern of hypoxemia.  Patient admitted for questionable COVID-19 pneumonia however she was not on oxygen and did not need treatment COVID-19 pneumonia.  Was started on Rocephin and Zithromax to cover for bacterial pneumonia, she is very agitated at times, and I think part of her confusion and encephalopathy is polypharmacy.  At this point I do not think she needs treatment for COVID-19 or any in-hospital treatment.  The plan was discussed with patient's daughter/POA yesterday over phone and she is in agreement. Patient will be discharged back to long-term care in a stable condition.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 3/2/21 (EN6203) Pfizer Dose 2 3/23/21 (EN6207) COVID Positive 8/23/21  8/24/21: Patient is a 77-year-old female with history of Alzheimer's dementia, CKD stage IIIB, and recent prolonged admission for surgical intervention of rectal prolapse was admitted with increased confusion from baseline and recent diagnosis of COVID-19 and found to have hypoxemia.  History is obtained from chart review as well as discussion with the ED provider.  Patient is quite lethargic and does not provide a history.  Patient resides in a nursing home stay with her Alzheimer's dementia.  She is on multiple antipsychotics given frequent combative behavior.  She had a prolonged admission in May and June of this year after an admission for a repair of a rectal prolapse.  She did require multiple subsequent procedures secondary to complications.  Patient reportedly was COVID positive yesterday at her nursing home.  She was noted to be more altered today than her baseline which is combative most of the time.  She was brought to the ER.  Did found to be hypoxemic in the 80s and now on 2 L. CT showed concern for possible right lower lobe pneumonia.  She is currently afebrile.  She was given Haldol in the ER and currently quite sleepy.  8/28/21: 77-year-old female with PMH of Alzheimer's dementia, CKD stage IIIB, recent diagnosis of COVID-19, recent surgical intervention for rectal prolapse who presented from long-term care due to confusion and concern of hypoxemia.  Patient admitted for questionable COVID-19 pneumonia however she was not on oxygen and did not need treatment COVID-19 pneumonia.  Was started on Rocephin and Zithromax to cover for bacterial pneumonia, she is very agitated at times, and I think part of her confusion and encephalopathy is polypharmacy.  At this point I do not think she needs treatment for COVID-19 or any in-hospital treatment.  The plan was discussed with patient's daughter/POA yesterday over phone and she is in agreement. Patient will be discharged back to long-term care in a stable condition.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemorrhage, Heavy menstrual bleeding
Clinical narrative: I have not had a menstrual period since 3/2021 due to taking birth control without placebo, which was prescribed by my doctor. Several days after I received the vaccine, I began to have a severe, heavy period / menstrual bleeding which was not normal or part of my regular cycle. The bleeding was significant?I changed a pad every several hours and bled for 3 weeks straight at this rate. I did not have money to go to the doctor about this and it eventually stopped. Now, every time I have sex with my husband, I bleed.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Itchy neck began on 11/17/2021. Broke out in hives on 11/18/2021. Hives on face, neck, back, stomach, and one on my knee. Began Xyzal medication that evening and following morning. Hives have continued to come and go.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: Fatigue, headache, body aches, nausea
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Extra dose administered, Feeling abnormal, Paraesthesia
Clinical narrative: Patient is a 26 year old female who is 12 weeks pregnant. Soon after receiving her 1/2 dose booster dose of Moderna COVID vaccine, she described to the RN in the observation area that she was feeling "weird", dizzy, her hands were tingly and she felt like her hands "are not working" (bilaterally.) Clinical lead was immediately notified. Vital signs were unremarkable: BP 124/88, HR 98, O2 98% on RA, temp 98.9 F. Fingerstick glucose 111. Patient was given water and asked to lie down but her symptoms did not subside. She was by herself and did not feel safe driving so EMS was called. No pharmacological, airway, or breathing intervention was necessary. Patient remained alert, awake, able to ambulate to the ambulance without assistance. No s/s suggestive of anaphylaxis.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Neck pain, Pain
Clinical narrative: I started receiving sharp burning pain in my left arm from my shoulder to my finger tips with 48 hours of receiving my 1st covid shot. I am still having the same pain 2 months later hower it is now traveling to my neck and chest.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vial was punctured at 12pm 11/17/21  left out overnight in the refrigerator. Staff member drew and administered dose from punctured vial at around 10am on 11/18/21
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Interchange of vaccine products, Swelling face
Clinical narrative: Client presented to the vaccination site on 11/19/2021. The client notified PHN that she received a single dose of Moderna COVID vaccine on 3/18/2021. Patient reported that 12 hours after receiving dose 1 of Moderna COVID vaccine, she experienced swelling on her chin to her neck, difficulty breathing, extreme fatigue. The side effects resolved within 4 days post injection. The patient reported no allergies. Medical conditions include hypertension and hypotention. Medications include losartan, amlodipine, aspirin, and a statin drug. PHN submitted a medical consult via message to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Janssen. Approval to proceed with COVID vaccine Janssen was obtained from medical consult team via message from another PHN, Vaccine Operations Lead. Client received COVID vaccine Janssen Lot 211D21A on 11/19/2021. The client did not report any symptoms during the 30 minute observation period. RN educated client on possible adverse reactions and when to seek medical care. The client left the vaccination site at 1530 walking with steady gait.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Tongue disorder, Tremor
Clinical narrative: Severe shaking (not shivers), tongue curving at rear. Felt like I would swallow my tongue if I lay down. Lasted about 10 minutes.  I had the Moderna Booster after receiving the single J&J vaccine in April.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac monitoring, Echocardiogram, Extrasystoles, Fatigue
Clinical narrative: I recorded the following in my exercise diary:  Aug 20; 2-3 pm noticed heart skipping beats (no exercise & feeling "off".) Half-mile swim on Aug. 24; swim & 1-mile jog Aug 28.  Feeling tired and lying down after exercise Aug 28 with heart bothering me (skipping beats), continuing into the night but without much concern other than fitful sleep.  Swim Aug 31 with no ill effect.  Heart monitor provided Sept 1 for 30 days, but had trouble operating, although supposedly waterproof.   Swim & jog Sept 4 suffering significant arrhythmia attack (irregular/skipped beats, not tachycardia) 5:30-7:00 pm while lying down after exercise; felt fine later on.  Nothing like this has ever happened to me before that I recall.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Sleep disorder
Clinical narrative: I recorded the following in my exercise diary:  Aug 20; 2-3 pm noticed heart skipping beats (no exercise & feeling "off".) Half-mile swim on Aug. 24; swim & 1-mile jog Aug 28.  Feeling tired and lying down after exercise Aug 28 with heart bothering me (skipping beats), continuing into the night but without much concern other than fitful sleep.  Swim Aug 31 with no ill effect.  Heart monitor provided Sept 1 for 30 days, but had trouble operating, although supposedly waterproof.   Swim & jog Sept 4 suffering significant arrhythmia attack (irregular/skipped beats, not tachycardia) 5:30-7:00 pm while lying down after exercise; felt fine later on.  Nothing like this has ever happened to me before that I recall.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Drainage, Erythema, Lymphadenopathy, Paraesthesia, Swelling
Clinical narrative: Significant left axillary adenopathy with swelling and clear drainage with tingling/erythema down the arm. Started day after vaccination, still mildly present on evaluation 11/19/21
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site injection.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arterial thrombosis, Chest pain, Chills, Echocardiogram, Fibrin D dimer
Clinical narrative: The day after I had chills, body aches, fever100.3, nausea, headache, and it felt like I had the flu. I felt super sick and 02/23/2021, at 8PM, I was watching TV and I had severe chest pain and I went to ER, and they did lab work, and it came out that I had 3 blood clot on right leg behind my knee, I got an a TEE and they found a clot on my heart and the third they found on that Friday 02/26/2021 on my artery. They discharged me the next day and I started with blood thinner. It was kind of scary to go through all of that. I was told I was maybe going to be on blood thinners for possibly a year.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Intracardiac thrombus, Laboratory test abnormal, Malaise
Clinical narrative: The day after I had chills, body aches, fever100.3, nausea, headache, and it felt like I had the flu. I felt super sick and 02/23/2021, at 8PM, I was watching TV and I had severe chest pain and I went to ER, and they did lab work, and it came out that I had 3 blood clot on right leg behind my knee, I got an a TEE and they found a clot on my heart and the third they found on that Friday 02/26/2021 on my artery. They discharged me the next day and I started with blood thinner. It was kind of scary to go through all of that. I was told I was maybe going to be on blood thinners for possibly a year.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: The day after I had chills, body aches, fever100.3, nausea, headache, and it felt like I had the flu. I felt super sick and 02/23/2021, at 8PM, I was watching TV and I had severe chest pain and I went to ER, and they did lab work, and it came out that I had 3 blood clot on right leg behind my knee, I got an a TEE and they found a clot on my heart and the third they found on that Friday 02/26/2021 on my artery. They discharged me the next day and I started with blood thinner. It was kind of scary to go through all of that. I was told I was maybe going to be on blood thinners for possibly a year.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Pt received second dose of Pfizer (lot #FH8028) at 1651. While pt was waiting in observation area family member called RN over to inform that pt was experiencing "itching in her arms". Pt denies trouble breathing, shortness of breath, trouble swallowing or dizziness. Pt denies any other symptoms besides "itching". Pt was transferred to tent and vitals were taken. Family member states that this itching occurred with the first dose of Pfizer and she was "given benadryl" in the tent.    1700  BP 122/63 O2 98 HR 83 Temp. 98.9 RR 16  On call ED doc, Dr. was contacted. Vital signs above were reported. Dr. ordered 25 mg diphenhydramine orally via phone. Pt states that the itching is felt "all over" but itching is not getting worse. Family member states that she was given "10 ml of benadryl was given at 1500". Dr. was notified and states that it is still okay to administer the additional 25 mg of diphenhydramine orally".   1710 BP 111/65 O2 98 HR 84 RR 16  Pt given diphenhydramine 25 mg orally with water. No problems swallowing.   1720 BP 115/66 O2 96 HR 74 RR 16  Pt states she is feeling relief from medication and is no longer "itchy".  Pt and family member were told that if symptoms return they should seek medical care at ED/urgent care.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 11/17/21   51 yr/o male who complains of Headache (-symptoms started yesterday), Congestion, Sinus Problem, Fatigue, and Covid-19 Positive
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus disorder
Clinical narrative: 11/17/21   51 yr/o male who complains of Headache (-symptoms started yesterday), Congestion, Sinus Problem, Fatigue, and Covid-19 Positive
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: Allergic reaction to unknown item
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Booster doses of 0.5 ml administered instead of 0.25ml.  0.25ml was warranted dose for subject patient.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Myalgia
Clinical narrative: Muscle soreness at site and chest pain lasting for a few hours and resolved