chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Anaemia, Asthenia, COVID-19
Clinical narrative: Pfizer Dose 1 1/14/21 (lot NA); Pfizer Dose 2 2/4/21 (lot NA); Pfizer Dose 3 10/16/21 (FF2593); COVID Positive 2/20/22. 2/20/22: 73-year-old female with rheumatoid arthritis/Sjogren's syndrome on Imuran and hydroxychloroquine, chronic IVIG infusion for '' antibody deficiency'', bronchiectasis, fibromyalgia/chronic pain syndrome, hypothyroidism and mild cognitive impairment presented with abdominal pain, nausea and headache. Patient reports cough, shortness of breath and chest congestion is with the intermittent chills and fever. Fully vaccinated for COVID-19.  Patient was a febrile and hemodynamically stable.  COVID-19 antigen positive, CT abdomen and pelvis showed no acute intra-abdominal abnormalities however noted bilateral multilobar pneumonia superimposed on interstitial lung disease.  Patient admitted for COVID-19 pneumonia. 2/26/22: 73-year-old female with mild cognitive impairment, fibromyalgia/chronic pain, insulin seizure lung disease rheumatoid arthritis, chronic abdominal pain and anemia presented with generalized weakness found to be hypoxic with the COVID-19.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, she has acute on chronic anemia with a drop in hemoglobin. Patient received standard treatment for COVID-19 with dexamethasone, Remdesivir, antibiotics and the oxygen. Subsequently she was weaned off oxygen to room air completed course of antibiotic Remdesivir and steroids 5. GI was consulted patient underwent EGD and colonoscopy which was unremarkable for acute evidence of bleeding, noted gastritis, diverticulosis and internal hemorrhoids. Patient to stop using indomethacin.  hemoglobin remained stable and GI recommendation is for capsule Enteroscopy if there is any further evidence of hemoglobin drop which did not happen during the hospitalization.  Therapy evaluated patient and recommended home with VNA.  Home O2 walk determined patient does not need oxygen at rest or with activity.  She was discharged home in a stable medical condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chills, Colonoscopy abnormal, Computerised tomogram abdomen normal, Condition aggravated
Clinical narrative: Pfizer Dose 1 1/14/21 (lot NA); Pfizer Dose 2 2/4/21 (lot NA); Pfizer Dose 3 10/16/21 (FF2593); COVID Positive 2/20/22. 2/20/22: 73-year-old female with rheumatoid arthritis/Sjogren's syndrome on Imuran and hydroxychloroquine, chronic IVIG infusion for '' antibody deficiency'', bronchiectasis, fibromyalgia/chronic pain syndrome, hypothyroidism and mild cognitive impairment presented with abdominal pain, nausea and headache. Patient reports cough, shortness of breath and chest congestion is with the intermittent chills and fever. Fully vaccinated for COVID-19.  Patient was a febrile and hemodynamically stable.  COVID-19 antigen positive, CT abdomen and pelvis showed no acute intra-abdominal abnormalities however noted bilateral multilobar pneumonia superimposed on interstitial lung disease.  Patient admitted for COVID-19 pneumonia. 2/26/22: 73-year-old female with mild cognitive impairment, fibromyalgia/chronic pain, insulin seizure lung disease rheumatoid arthritis, chronic abdominal pain and anemia presented with generalized weakness found to be hypoxic with the COVID-19.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, she has acute on chronic anemia with a drop in hemoglobin. Patient received standard treatment for COVID-19 with dexamethasone, Remdesivir, antibiotics and the oxygen. Subsequently she was weaned off oxygen to room air completed course of antibiotic Remdesivir and steroids 5. GI was consulted patient underwent EGD and colonoscopy which was unremarkable for acute evidence of bleeding, noted gastritis, diverticulosis and internal hemorrhoids. Patient to stop using indomethacin.  hemoglobin remained stable and GI recommendation is for capsule Enteroscopy if there is any further evidence of hemoglobin drop which did not happen during the hospitalization.  Therapy evaluated patient and recommended home with VNA.  Home O2 walk determined patient does not need oxygen at rest or with activity.  She was discharged home in a stable medical condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diverticulum, Dyspnoea, Gastritis, Haemoglobin decreased
Clinical narrative: Pfizer Dose 1 1/14/21 (lot NA); Pfizer Dose 2 2/4/21 (lot NA); Pfizer Dose 3 10/16/21 (FF2593); COVID Positive 2/20/22. 2/20/22: 73-year-old female with rheumatoid arthritis/Sjogren's syndrome on Imuran and hydroxychloroquine, chronic IVIG infusion for '' antibody deficiency'', bronchiectasis, fibromyalgia/chronic pain syndrome, hypothyroidism and mild cognitive impairment presented with abdominal pain, nausea and headache. Patient reports cough, shortness of breath and chest congestion is with the intermittent chills and fever. Fully vaccinated for COVID-19.  Patient was a febrile and hemodynamically stable.  COVID-19 antigen positive, CT abdomen and pelvis showed no acute intra-abdominal abnormalities however noted bilateral multilobar pneumonia superimposed on interstitial lung disease.  Patient admitted for COVID-19 pneumonia. 2/26/22: 73-year-old female with mild cognitive impairment, fibromyalgia/chronic pain, insulin seizure lung disease rheumatoid arthritis, chronic abdominal pain and anemia presented with generalized weakness found to be hypoxic with the COVID-19.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, she has acute on chronic anemia with a drop in hemoglobin. Patient received standard treatment for COVID-19 with dexamethasone, Remdesivir, antibiotics and the oxygen. Subsequently she was weaned off oxygen to room air completed course of antibiotic Remdesivir and steroids 5. GI was consulted patient underwent EGD and colonoscopy which was unremarkable for acute evidence of bleeding, noted gastritis, diverticulosis and internal hemorrhoids. Patient to stop using indomethacin.  hemoglobin remained stable and GI recommendation is for capsule Enteroscopy if there is any further evidence of hemoglobin drop which did not happen during the hospitalization.  Therapy evaluated patient and recommended home with VNA.  Home O2 walk determined patient does not need oxygen at rest or with activity.  She was discharged home in a stable medical condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Haemorrhoids, Headache, Interstitial lung disease, Nausea
Clinical narrative: Pfizer Dose 1 1/14/21 (lot NA); Pfizer Dose 2 2/4/21 (lot NA); Pfizer Dose 3 10/16/21 (FF2593); COVID Positive 2/20/22. 2/20/22: 73-year-old female with rheumatoid arthritis/Sjogren's syndrome on Imuran and hydroxychloroquine, chronic IVIG infusion for '' antibody deficiency'', bronchiectasis, fibromyalgia/chronic pain syndrome, hypothyroidism and mild cognitive impairment presented with abdominal pain, nausea and headache. Patient reports cough, shortness of breath and chest congestion is with the intermittent chills and fever. Fully vaccinated for COVID-19.  Patient was a febrile and hemodynamically stable.  COVID-19 antigen positive, CT abdomen and pelvis showed no acute intra-abdominal abnormalities however noted bilateral multilobar pneumonia superimposed on interstitial lung disease.  Patient admitted for COVID-19 pneumonia. 2/26/22: 73-year-old female with mild cognitive impairment, fibromyalgia/chronic pain, insulin seizure lung disease rheumatoid arthritis, chronic abdominal pain and anemia presented with generalized weakness found to be hypoxic with the COVID-19.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, she has acute on chronic anemia with a drop in hemoglobin. Patient received standard treatment for COVID-19 with dexamethasone, Remdesivir, antibiotics and the oxygen. Subsequently she was weaned off oxygen to room air completed course of antibiotic Remdesivir and steroids 5. GI was consulted patient underwent EGD and colonoscopy which was unremarkable for acute evidence of bleeding, noted gastritis, diverticulosis and internal hemorrhoids. Patient to stop using indomethacin.  hemoglobin remained stable and GI recommendation is for capsule Enteroscopy if there is any further evidence of hemoglobin drop which did not happen during the hospitalization.  Therapy evaluated patient and recommended home with VNA.  Home O2 walk determined patient does not need oxygen at rest or with activity.  She was discharged home in a stable medical condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Oesophagogastroduodenoscopy abnormal, Pneumonia, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 1/14/21 (lot NA); Pfizer Dose 2 2/4/21 (lot NA); Pfizer Dose 3 10/16/21 (FF2593); COVID Positive 2/20/22. 2/20/22: 73-year-old female with rheumatoid arthritis/Sjogren's syndrome on Imuran and hydroxychloroquine, chronic IVIG infusion for '' antibody deficiency'', bronchiectasis, fibromyalgia/chronic pain syndrome, hypothyroidism and mild cognitive impairment presented with abdominal pain, nausea and headache. Patient reports cough, shortness of breath and chest congestion is with the intermittent chills and fever. Fully vaccinated for COVID-19.  Patient was a febrile and hemodynamically stable.  COVID-19 antigen positive, CT abdomen and pelvis showed no acute intra-abdominal abnormalities however noted bilateral multilobar pneumonia superimposed on interstitial lung disease.  Patient admitted for COVID-19 pneumonia. 2/26/22: 73-year-old female with mild cognitive impairment, fibromyalgia/chronic pain, insulin seizure lung disease rheumatoid arthritis, chronic abdominal pain and anemia presented with generalized weakness found to be hypoxic with the COVID-19.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, she has acute on chronic anemia with a drop in hemoglobin. Patient received standard treatment for COVID-19 with dexamethasone, Remdesivir, antibiotics and the oxygen. Subsequently she was weaned off oxygen to room air completed course of antibiotic Remdesivir and steroids 5. GI was consulted patient underwent EGD and colonoscopy which was unremarkable for acute evidence of bleeding, noted gastritis, diverticulosis and internal hemorrhoids. Patient to stop using indomethacin.  hemoglobin remained stable and GI recommendation is for capsule Enteroscopy if there is any further evidence of hemoglobin drop which did not happen during the hospitalization.  Therapy evaluated patient and recommended home with VNA.  Home O2 walk determined patient does not need oxygen at rest or with activity.  She was discharged home in a stable medical condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Superinfection
Clinical narrative: Pfizer Dose 1 1/14/21 (lot NA); Pfizer Dose 2 2/4/21 (lot NA); Pfizer Dose 3 10/16/21 (FF2593); COVID Positive 2/20/22. 2/20/22: 73-year-old female with rheumatoid arthritis/Sjogren's syndrome on Imuran and hydroxychloroquine, chronic IVIG infusion for '' antibody deficiency'', bronchiectasis, fibromyalgia/chronic pain syndrome, hypothyroidism and mild cognitive impairment presented with abdominal pain, nausea and headache. Patient reports cough, shortness of breath and chest congestion is with the intermittent chills and fever. Fully vaccinated for COVID-19.  Patient was a febrile and hemodynamically stable.  COVID-19 antigen positive, CT abdomen and pelvis showed no acute intra-abdominal abnormalities however noted bilateral multilobar pneumonia superimposed on interstitial lung disease.  Patient admitted for COVID-19 pneumonia. 2/26/22: 73-year-old female with mild cognitive impairment, fibromyalgia/chronic pain, insulin seizure lung disease rheumatoid arthritis, chronic abdominal pain and anemia presented with generalized weakness found to be hypoxic with the COVID-19.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia, she has acute on chronic anemia with a drop in hemoglobin. Patient received standard treatment for COVID-19 with dexamethasone, Remdesivir, antibiotics and the oxygen. Subsequently she was weaned off oxygen to room air completed course of antibiotic Remdesivir and steroids 5. GI was consulted patient underwent EGD and colonoscopy which was unremarkable for acute evidence of bleeding, noted gastritis, diverticulosis and internal hemorrhoids. Patient to stop using indomethacin.  hemoglobin remained stable and GI recommendation is for capsule Enteroscopy if there is any further evidence of hemoglobin drop which did not happen during the hospitalization.  Therapy evaluated patient and recommended home with VNA.  Home O2 walk determined patient does not need oxygen at rest or with activity.  She was discharged home in a stable medical condition.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past beyond use date.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: Patient stated she had significant swelling and redness lasting 2-3 weeks on whole upper part of arm, including lymph nodes under arms.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired (4 days), manufacture was notified, Moderna is evaluating the effectiveness of the expired vaccine and we are waiting for a response.  Note: her first two vaccines were
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood lactic acid, COVID-19, Chest X-ray abnormal, Chest pain
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) COVID Positive 1/17/22  1/17/22: 78-year-old female with heart failure with reduced ejection fraction LVEF 30 35%, atrial fibrillation anticoagulated on warfarin, coronary artery disease status post PTCA and stents, COPD not on home oxygen, CKD stage 3, dementia and hypothyroidism presented with chest pain and shortness of breath.  Due to patient's dementia history is obtained from her son at bedside.  Patient lives with her son and complained of shortness of breath which has progressively worsened over the past 2-3 days with decreased oral intake and the increased confusion.  Patient also complained of chest pain, has been having cough. Patient is vaccinated for COVID-19,  not receive the booster yet.  In the emergency room patient was febrile with T-max of 100.7°, tachycardic, tachypneic and hypotensive.  Hypotension resolved after IV fluids. COVID-19 rapid antigen is positive, INR 2.5, lactic acid 3.1 and creatinine of 1.3 which is close to patient's baseline otherwise unremarkable CMP and CBC.  Chest x-ray showed infiltrate in the right lung base.  Patient received IV fluids and levofloxacin in the emergency room  1/18/22: Albuterol HFA  P.o. Levaquin course  P.o. Decadron course  P.o. Zinc sulfate, vitamin-C and vitamin D  Continue on home Coumadin dose  Hemodynamically stable for discharge  Will discharge home with nursing services  Follow-up with PCP in 3-5 days  Patient agrees with plan of care
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Cough, Dyspnoea, Full blood count normal, Hypophagia
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) COVID Positive 1/17/22  1/17/22: 78-year-old female with heart failure with reduced ejection fraction LVEF 30 35%, atrial fibrillation anticoagulated on warfarin, coronary artery disease status post PTCA and stents, COPD not on home oxygen, CKD stage 3, dementia and hypothyroidism presented with chest pain and shortness of breath.  Due to patient's dementia history is obtained from her son at bedside.  Patient lives with her son and complained of shortness of breath which has progressively worsened over the past 2-3 days with decreased oral intake and the increased confusion.  Patient also complained of chest pain, has been having cough. Patient is vaccinated for COVID-19,  not receive the booster yet.  In the emergency room patient was febrile with T-max of 100.7°, tachycardic, tachypneic and hypotensive.  Hypotension resolved after IV fluids. COVID-19 rapid antigen is positive, INR 2.5, lactic acid 3.1 and creatinine of 1.3 which is close to patient's baseline otherwise unremarkable CMP and CBC.  Chest x-ray showed infiltrate in the right lung base.  Patient received IV fluids and levofloxacin in the emergency room  1/18/22: Albuterol HFA  P.o. Levaquin course  P.o. Decadron course  P.o. Zinc sulfate, vitamin-C and vitamin D  Continue on home Coumadin dose  Hemodynamically stable for discharge  Will discharge home with nursing services  Follow-up with PCP in 3-5 days  Patient agrees with plan of care
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, International normalised ratio increased, Lung infiltration, Metabolic function test normal, Pyrexia
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) COVID Positive 1/17/22  1/17/22: 78-year-old female with heart failure with reduced ejection fraction LVEF 30 35%, atrial fibrillation anticoagulated on warfarin, coronary artery disease status post PTCA and stents, COPD not on home oxygen, CKD stage 3, dementia and hypothyroidism presented with chest pain and shortness of breath.  Due to patient's dementia history is obtained from her son at bedside.  Patient lives with her son and complained of shortness of breath which has progressively worsened over the past 2-3 days with decreased oral intake and the increased confusion.  Patient also complained of chest pain, has been having cough. Patient is vaccinated for COVID-19,  not receive the booster yet.  In the emergency room patient was febrile with T-max of 100.7°, tachycardic, tachypneic and hypotensive.  Hypotension resolved after IV fluids. COVID-19 rapid antigen is positive, INR 2.5, lactic acid 3.1 and creatinine of 1.3 which is close to patient's baseline otherwise unremarkable CMP and CBC.  Chest x-ray showed infiltrate in the right lung base.  Patient received IV fluids and levofloxacin in the emergency room  1/18/22: Albuterol HFA  P.o. Levaquin course  P.o. Decadron course  P.o. Zinc sulfate, vitamin-C and vitamin D  Continue on home Coumadin dose  Hemodynamically stable for discharge  Will discharge home with nursing services  Follow-up with PCP in 3-5 days  Patient agrees with plan of care
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia, Tachypnoea
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) COVID Positive 1/17/22  1/17/22: 78-year-old female with heart failure with reduced ejection fraction LVEF 30 35%, atrial fibrillation anticoagulated on warfarin, coronary artery disease status post PTCA and stents, COPD not on home oxygen, CKD stage 3, dementia and hypothyroidism presented with chest pain and shortness of breath.  Due to patient's dementia history is obtained from her son at bedside.  Patient lives with her son and complained of shortness of breath which has progressively worsened over the past 2-3 days with decreased oral intake and the increased confusion.  Patient also complained of chest pain, has been having cough. Patient is vaccinated for COVID-19,  not receive the booster yet.  In the emergency room patient was febrile with T-max of 100.7°, tachycardic, tachypneic and hypotensive.  Hypotension resolved after IV fluids. COVID-19 rapid antigen is positive, INR 2.5, lactic acid 3.1 and creatinine of 1.3 which is close to patient's baseline otherwise unremarkable CMP and CBC.  Chest x-ray showed infiltrate in the right lung base.  Patient received IV fluids and levofloxacin in the emergency room  1/18/22: Albuterol HFA  P.o. Levaquin course  P.o. Decadron course  P.o. Zinc sulfate, vitamin-C and vitamin D  Continue on home Coumadin dose  Hemodynamically stable for discharge  Will discharge home with nursing services  Follow-up with PCP in 3-5 days  Patient agrees with plan of care
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural
Clinical narrative: Persistent postural-persistent dizziness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient apparently received a second dose 5/6/2021 from a clinic and then came to our pharmacy 5/10/2021 to receive his 2nd dose from us again after we did his first dose 4/9/2021. We filled his COVID vaccination record card out with our 2 doses and billed his medicaid for both. Found out 6/22/22 he had received a vaccine 5/6/21 from a different clinic. Patient has not reported any adverse events from this.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 87.0
Sex: U
Vaccine: COVID19
Symptoms: Asthenia, Sensory loss
Clinical narrative: weakness, sensory deficit
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired (4 days), manufacture was notified, Moderna is evaluating the effectiveness of the expired vaccine and we are waiting for a response.
Age: 59.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: dizziness
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Nausea, Vomiting
Clinical narrative: 13 y/o M reported feeling anxious, lightheaded, and nauseous during post recovery. Patient then started to vomit. He reported that he was nervous for the shot. BP was taken at start (118/50) and again before discharge (108/60). SpO2 remained between 97-100. Patient felt better after emesis and water was provided and patient laid down on floor with legs elevated for another 15 minutes. Patient reported feeling completely fine after 15 minutes and left clinic with guardian.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Joint swelling, Peripheral swelling
Clinical narrative: My ankle and leg started swell. I was seen by a doctor and discovered my lung and heart was fine. My doctor stated my age cause with vaccine caused my legs and ankle to swell.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse outcome. When Vaccine ordered and given there was no existing record in medical record or Immunization Record) of any vaccination received. RN asked patient and patient denied having had one. Later discovered patient had gotten a vaccine 12 days prior at her church.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine administered past beyond use date
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain in extremity, Product storage error
Clinical narrative: Nurse drew up a covid 19 vaccine for pt but the vial used was punctured greater than 12 hours prior to administration. Pt was contacted, and informed pt, reported sore arm, fatigue and nausea x2 days-now resolved, no other side effects. Provider informed.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was expired (4 days), manufacture was notified, Moderna is evaluation the effectiveness of the expired vaccine and we are waiting for a response.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine administered past beyond use date
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past beyond use date.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash, Swelling
Clinical narrative: mom noted bumps and redness over left eye and left ear. Then it looked like it was spreading to eye brow, ear ,all they way up, then left cheek, redness was on both cheeks, pale area was in center of cheek redness. Overall, the exanthem ultimately resembled that of 5th disease, with cheek redness and a reticular faint exanthem on the extremities. There was quick resolution of the rash  after the child was moved to a cool indoor environment.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: vaccine administered past beyond use date
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test positive
Clinical narrative: Father tested positive 4/28 in AM, have previously been in state for the past 7 days, had little to no contact with him the next day, though he was not wearing a mask around the house. Started feeling symptomatic that afternoon, tested negative on 4/29, tested positive on 5/1.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: vaccine administered past beyond use date
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy
Clinical narrative: Normal effects but disappeared within a week.  Lymph nodes under my left collar bone are still extremely swollen and painful after 7 months.  I have been extremely tired since this shot as well.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Product storage error
Clinical narrative: Nurse drew up a covid 19 vaccine for pt but the vial used was punctured greater than 12 hours prior to administration.  Pt was contacted, and informed pt's caregiver, reported only being more fatigued than normal for a couple of days, no other side effects. Provider informed.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past beyond use date.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Fall, Immediate post-injection reaction, Syncope
Clinical narrative: Immediately after receiving the Menactra vaccine pt. experienced syncope (fainted).  He fell forward, I caught him and laid him down with his feet above his head.  He "came to " within 60 seconds.  Kept him laying down for approximately 10 minutes then seated for 20 minutes with feet up.  He left with his mom and was doing well .
Age: 6.0
Sex: M
Vaccine: HEPA, IPV
Symptoms: Urticaria
Clinical narrative: patient broke out in hives face, ears, chest and arms 24 hours after receiving vaccines. no swelling or breathing difficulties noted
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal tenderness, Decreased appetite, Extra dose administered, Headache
Clinical narrative: Patient had 3 prior Pfizer doses with mild aching, fever and headache at the third dose. This 4th dose was Moderna. 10 hours later she had onset of severe headache, nausea, repeated vomiting, fever, generalized abdominal pain, arm pain, and generalized myalgias. On neurologic exam she was normal, abdomen mildly tender, tender cervical chain  nodes, and heart tones normal, no rub.  Vomiting subsided in  few hours but the headache, myalgias, and nausea persisted strongly for 48 hours.  She was bedfast for 2 days which is very unusual for patient.  Five days later she still feels unwell, with loss of appetite, some nausea but is resolving and capable of usual activities. Treatment consisted of acetaminophen and rest.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nausea, Neurological examination normal, Pain in extremity
Clinical narrative: Patient had 3 prior Pfizer doses with mild aching, fever and headache at the third dose. This 4th dose was Moderna. 10 hours later she had onset of severe headache, nausea, repeated vomiting, fever, generalized abdominal pain, arm pain, and generalized myalgias. On neurologic exam she was normal, abdomen mildly tender, tender cervical chain  nodes, and heart tones normal, no rub.  Vomiting subsided in  few hours but the headache, myalgias, and nausea persisted strongly for 48 hours.  She was bedfast for 2 days which is very unusual for patient.  Five days later she still feels unwell, with loss of appetite, some nausea but is resolving and capable of usual activities. Treatment consisted of acetaminophen and rest.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tenderness, Vomiting
Clinical narrative: Patient had 3 prior Pfizer doses with mild aching, fever and headache at the third dose. This 4th dose was Moderna. 10 hours later she had onset of severe headache, nausea, repeated vomiting, fever, generalized abdominal pain, arm pain, and generalized myalgias. On neurologic exam she was normal, abdomen mildly tender, tender cervical chain  nodes, and heart tones normal, no rub.  Vomiting subsided in  few hours but the headache, myalgias, and nausea persisted strongly for 48 hours.  She was bedfast for 2 days which is very unusual for patient.  Five days later she still feels unwell, with loss of appetite, some nausea but is resolving and capable of usual activities. Treatment consisted of acetaminophen and rest.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past beyond use date.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: tingling sensation
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, COVID-19, Cough, Fatigue, Respiratory tract congestion
Clinical narrative: Tested positive for Covid19 after traveling for a family wedding.  Symptoms included cough, congestion, fatigue, increased arthritis pain in knees and lasted approximately 4 days.  Was prescribed paxlovid at facility
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid19 after traveling for a family wedding.  Symptoms included cough, congestion, fatigue, increased arthritis pain in knees and lasted approximately 4 days.  Was prescribed paxlovid at facility
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: vaccine administered past beyond use date.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Discomfort, Erythema, Headache, Herpes zoster
Clinical narrative: OnMonday 6/13/22, I woke up from a nap around 4pm with severe itchiness R side of neck. I looked in mirror and saw 3 small red bumps on side of neck about one inch apart in straight line. I thought a bug bit me. The next few days my skin itched badly and noticed another red bump about 4 inches away. By Thursday of that week, my right side of chin, neck spot on right forehead and few spots were visible on R  upper chest with blisters weeping, severe itchiness. I thought it was poison ivy. I had it 20 years ago, but nothing since. I applied hydrocortisone cream for the itch.I had no pain, just discomfort, and headache all week.  By Friday evening I was very uncomfortable. The rash was in some clusters, reddened and some weeping of fluids. I followed up with my neurologist on Monday 6/20/22.  I have shingles. Started me on Acyclovir 800mg 2 times a day. Prednisone 60 mg for 3 day, then 40 mg for 3 days, then 20 mg for 3 days. I began the antiviral med on6/20/22 at 4pm and Prednisone 60 mg on 6/21/22 at 1pm. I noticed a few hives are now on my left lower chin, one on left neck. Itchiness is better, but reddness persists with welts appearing
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Skin weeping, Urticaria
Clinical narrative: OnMonday 6/13/22, I woke up from a nap around 4pm with severe itchiness R side of neck. I looked in mirror and saw 3 small red bumps on side of neck about one inch apart in straight line. I thought a bug bit me. The next few days my skin itched badly and noticed another red bump about 4 inches away. By Thursday of that week, my right side of chin, neck spot on right forehead and few spots were visible on R  upper chest with blisters weeping, severe itchiness. I thought it was poison ivy. I had it 20 years ago, but nothing since. I applied hydrocortisone cream for the itch.I had no pain, just discomfort, and headache all week.  By Friday evening I was very uncomfortable. The rash was in some clusters, reddened and some weeping of fluids. I followed up with my neurologist on Monday 6/20/22.  I have shingles. Started me on Acyclovir 800mg 2 times a day. Prednisone 60 mg for 3 day, then 40 mg for 3 days, then 20 mg for 3 days. I began the antiviral med on6/20/22 at 4pm and Prednisone 60 mg on 6/21/22 at 1pm. I noticed a few hives are now on my left lower chin, one on left neck. Itchiness is better, but reddness persists with welts appearing
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Injection site pain, SARS-CoV-2 test positive
Clinical narrative: Only slight soreness in the arm at the injection site. COVID infection about a week later
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past beyond use date.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hypersomnia, Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: Patient was given a 0.25mL booster of Moderna instead of the age appropriate booster for Pfizer 5-11 year-old vaccine. We did not have any Pfizer in stock, and mother was insistent on the patient getting the vaccine that day. She did not have a reaction immediately after receiving the vaccine. For the next two days mother reported that she was very tired and slept for almost 2 days, was dizzy, and slightly feverish. Since then she has not reported any side-effects and seems to be doing fine.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was given a 0.25mL booster of Moderna instead of the age appropriate booster for Pfizer 5-11 year-old vaccine. We did not have any Pfizer in stock, and mother was insistent on the patient getting the vaccine that day. She did not have a reaction immediately after receiving the vaccine. For the next two days mother reported that she was very tired and slept for almost 2 days, was dizzy, and slightly feverish. Since then she has not reported any side-effects and seems to be doing fine.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Ear discomfort, Head discomfort, Influenza like illness, Lethargy
Clinical narrative: On June 14, 2022 he felt like he had a sinus infection. He had congestion in his head, and his ears was bothering him. He felt pressure in his throat. On June 15th his covid symptoms started to get worse. He is still currently sick. He felt like he was having the flu. He was achy and hurting. He had a bad fever on the first night. He took some Tylenol, Advil, and decongestion medicine for it. He had been drinking lot of fluids. He couldn't hardly talk, and  he felt lethargic. Today he said he is feeling a lot better.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal discomfort, Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: On June 14, 2022 he felt like he had a sinus infection. He had congestion in his head, and his ears was bothering him. He felt pressure in his throat. On June 15th his covid symptoms started to get worse. He is still currently sick. He felt like he was having the flu. He was achy and hurting. He had a bad fever on the first night. He took some Tylenol, Advil, and decongestion medicine for it. He had been drinking lot of fluids. He couldn't hardly talk, and  he felt lethargic. Today he said he is feeling a lot better.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: On June 14, 2022 he felt like he had a sinus infection. He had congestion in his head, and his ears was bothering him. He felt pressure in his throat. On June 15th his covid symptoms started to get worse. He is still currently sick. He felt like he was having the flu. He was achy and hurting. He had a bad fever on the first night. He took some Tylenol, Advil, and decongestion medicine for it. He had been drinking lot of fluids. He couldn't hardly talk, and  he felt lethargic. Today he said he is feeling a lot better.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Borrelia test negative, Laboratory test normal, Photosensitivity reaction, Sunburn, Thyroid function test normal
Clinical narrative: 2wks after 2nd dose severe sunburn despite being sunscreened up. Was put on 3 wks of prednisone and one prednisone shot.  Then  4 weeks after prednisone was finished started developing hives/ welts that were random. After several months sought out an allergist who put me on xyzal every night plus Pepcid in the morning. Ruled out allergies to new foods, lupus and Lyme disease as well as thyroid disease. Looked for uticaria positive titer to rule out T cells going haywire but titers were negative. She decided it has to do with the covid vaccine based on the timing of events. Over one year since 2 mid vaccine and still getting breakthrough hives and still on Xyzal even though they occur less frequently.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Viral titre
Clinical narrative: 2wks after 2nd dose severe sunburn despite being sunscreened up. Was put on 3 wks of prednisone and one prednisone shot.  Then  4 weeks after prednisone was finished started developing hives/ welts that were random. After several months sought out an allergist who put me on xyzal every night plus Pepcid in the morning. Ruled out allergies to new foods, lupus and Lyme disease as well as thyroid disease. Looked for uticaria positive titer to rule out T cells going haywire but titers were negative. She decided it has to do with the covid vaccine based on the timing of events. Over one year since 2 mid vaccine and still getting breakthrough hives and still on Xyzal even though they occur less frequently.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Death, Oxygen saturation decreased, Unresponsive to stimuli
Clinical narrative: Chest pain began 6/18 with decrease in oxygen saturation.  Became unresponsive and subsequently expired in the afternoon of 6/18.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: The patient had redness, swelling, itching, and soreness around injection site.  He noticed it starting about 2 days after getting vaccination.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Myelitis transverse, Neurological examination
Clinical narrative: Diagnosed with Transverse Myelitis.  Have been seeing neurologist and am on Prednisone.  Have also had Prednisone infusions.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Investigation, Muscular weakness, Myalgia, Myelitis transverse, SARS-CoV-2 test
Clinical narrative: Diagnosed with Transverse Myelitis.  Have been seeing neurologist and am on Prednisone.  Have also had Prednisone infusions.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: The client was given the incorrect dose of pfizer vaccine for his age. He is 11 yrs old and recieved a 12 and up dose. This was the client's first dose. His mother was notified while they were here at the clinic. No adverse reactions were noted during the 15 min. Observation and client left in care of mom.
Age: 4.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: parent/guardian indicated patient was older than 5 years and was given the vaccine.  Record review revealed patient was 4 years old at the time of vaccination and would not be eligible at that time.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Expired product administered, No adverse event
Clinical narrative: no adverse event or side effects, however varivax administered on 6/22/22 had previously expired on 6/13/22
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Chest pain, Electrocardiogram normal
Clinical narrative: Patient experienced chest pain and tightness approximately 15 mins after administration of a Moderna booster dose. Patient experienced numbness down through his hands and still feels the same way nearly 2 weeks later.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient experienced chest pain and tightness approximately 15 mins after administration of a Moderna booster dose. Patient experienced numbness down through his hands and still feels the same way nearly 2 weeks later.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Dyspnoea, Malaise, SARS-CoV-2 test positive
Clinical narrative: I started having symptoms on 4/18/2022 that kept worsening over the next couple of days, and I tested positive for COVID on 4/20/2022. I started having shortness of breath and tightness in my chest so I went to my Dr. at the dr.'s office. I don't remember the name of the Dr., but she gave me an albuterol Inhaler to use and I'm still using it now.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: Pt had right shoulder pain with minimal range of motion; pt took APAP and NSAIDS  and tried to keep moving it .  Did not seek treatment or discuss with MD.  Pain lasted almost 4 weeks.  Pt reported the pain in her right arm due to SHINGRIX, but our records indicate she received Moderna in the right arm that day.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Discomfort, Fatigue, Feeding disorder
Clinical narrative: On about 15th of May I got what I thought was the flu. By Monday I felt worse so I went to the urgent care and tested me for the flu and Covid, and I had Covid. I went home and felt miserable for a few more days and slowly got back to work. I had body aches, fever at least 102.5, uncomfortable sore throat with extreme sinus pain that felt like a sinus infection, could not eat felt nausea, and pretty bad headache that came with the sinus discomfort. Level of severity was 10 I was quite miserable. Also had weakness and fatigue and slept 20hrs a day and could barely walk around the house. And I'm still extremely tired today, and still brain fog. They gave me some medicine that didn't agree with me and I got a serious skin rash.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Gait disturbance, Headache, Hypersomnia, Impaired work ability
Clinical narrative: On about 15th of May I got what I thought was the flu. By Monday I felt worse so I went to the urgent care and tested me for the flu and Covid, and I had Covid. I went home and felt miserable for a few more days and slowly got back to work. I had body aches, fever at least 102.5, uncomfortable sore throat with extreme sinus pain that felt like a sinus infection, could not eat felt nausea, and pretty bad headache that came with the sinus discomfort. Level of severity was 10 I was quite miserable. Also had weakness and fatigue and slept 20hrs a day and could barely walk around the house. And I'm still extremely tired today, and still brain fog. They gave me some medicine that didn't agree with me and I got a serious skin rash.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Influenza virus test, Nausea, Oropharyngeal pain, Pain
Clinical narrative: On about 15th of May I got what I thought was the flu. By Monday I felt worse so I went to the urgent care and tested me for the flu and Covid, and I had Covid. I went home and felt miserable for a few more days and slowly got back to work. I had body aches, fever at least 102.5, uncomfortable sore throat with extreme sinus pain that felt like a sinus infection, could not eat felt nausea, and pretty bad headache that came with the sinus discomfort. Level of severity was 10 I was quite miserable. Also had weakness and fatigue and slept 20hrs a day and could barely walk around the house. And I'm still extremely tired today, and still brain fog. They gave me some medicine that didn't agree with me and I got a serious skin rash.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinus pain
Clinical narrative: On about 15th of May I got what I thought was the flu. By Monday I felt worse so I went to the urgent care and tested me for the flu and Covid, and I had Covid. I went home and felt miserable for a few more days and slowly got back to work. I had body aches, fever at least 102.5, uncomfortable sore throat with extreme sinus pain that felt like a sinus infection, could not eat felt nausea, and pretty bad headache that came with the sinus discomfort. Level of severity was 10 I was quite miserable. Also had weakness and fatigue and slept 20hrs a day and could barely walk around the house. And I'm still extremely tired today, and still brain fog. They gave me some medicine that didn't agree with me and I got a serious skin rash.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient came into our clinic and she had the primary series of Moderna in "private". She came for her booster with her parent who requested Moderna to complete the series. She was given the booster dose of 0.25mL and it was then identified that she was only 14 years old and not eligible for this vaccine. We will input the patient into system directly, since Moderna will not populate. We have also reeducated the vaccinating nurse and referenced the binders on site that have all the vaccine doses information, as well as provided remediation training and testing. Patient was monitored for 30 minutes and reported no side effects from the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Sudden hearing loss, Tinnitus
Clinical narrative: 36 hours after 2nd Pfizer booster I had ringing/roaring in Rt. ear and sudden loss of hearing.  Went to urgent care and was instructed to go to emergency room where Dr.  on call ENT advised to begin steroid therapy.  Followed up with Dr.  on6/20/22. Hearing test performed by audiologist.  result Profound hearing loss in Rt. ear.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Foetal disorder, In vitro fertilisation, Maternal exposure before pregnancy, Pregnancy, Pregnancy test positive
Clinical narrative: Vaccine 12/17/21 Frozen embryo transfer 1/7/22 with positive pregnancy test on 1/16/22 3/22 discovered at 12.5 weeks pregnant that baby has anencephaly with no known cause
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound antenatal screen abnormal
Clinical narrative: Vaccine 12/17/21 Frozen embryo transfer 1/7/22 with positive pregnancy test on 1/16/22 3/22 discovered at 12.5 weeks pregnant that baby has anencephaly with no known cause