chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging
Clinical narrative: Ischemic and Hemorrhagic Stroke (April 30,21),  Stroke (May 4, 2021) Stroke (February 25, 2022)
Age: 65.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Impaired work ability, Laboratory test, Malaise, Seizure
Clinical narrative: Wife is reporting that patient had a seizure and has been sick ever since receiving both the covid booster and the shingles vaccine on the same day. She states that they went to the ER where all kinds of test were done and they suffered a seizure  and has been off work ever since the vaccines made him sick.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Dermatitis, Inability to afford medication, Influenza like illness, Rash pruritic
Clinical narrative: I experienced mild flu-like symptoms the next day. In February 2022 I developed an itchy, bumpy rash on the back of my head. It spread over the next few weeks to my neck and shoulder, around my waist and on both elbows. I saw my PCP in March and she prescribed steroidal cream for the itch. She increased the strength of the topical twice in the next 2 months and then referred me to a dermatologist. I saw him in July 2022 and he told me it was a reaction to the booster. He prescribed another topical, Clobetasol Propionate Foam .05%, which helped with the itch, but not the rash. He then gave me a 30-day sample of Cibinqo 100mg to take once a day and prescribed Loratadine 10mg to take twice a day. The Cibinqo has been effective, but the cost is prohibitive at $5,000 a month for 30 pills. The next option is Dupixent at $3,300 per month, also out of the question. I have tried taking the Cibinqo once every other day, but the rash returned with 2 -3 days. At this time, I have not been offered an affordable treatment option and I do not know what the resolution will be. Pfizer apparently caused this issue and now they want to charge me $60,000 a year to treat it.
Age: 42.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Abdominal pain lower, Chills, Fatigue, Flank pain, Gait disturbance
Clinical narrative: Ongoing cold and flu symptoms from 2 days after vaccine. Chills, migraine type headache, nausea, intense fatigue. Date of reported adverse event I woke up in the middle of the night 3 am) with severe lower abdominal/pubic area pain. Severe UTI /kidney infection symptoms without prior mild symptoms. Pain was so severe it was difficult to walk for 4 days. Prescribed Macrobid for 5 days of antibiotics, symptoms reduced on day 5, but are continuing (mild to moderate abdominal/pubic area pain, urgency, frequency, occasional mild flank pain).
Age: 42.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Influenza, Kidney infection, Micturition urgency, Migraine, Nasopharyngitis
Clinical narrative: Ongoing cold and flu symptoms from 2 days after vaccine. Chills, migraine type headache, nausea, intense fatigue. Date of reported adverse event I woke up in the middle of the night 3 am) with severe lower abdominal/pubic area pain. Severe UTI /kidney infection symptoms without prior mild symptoms. Pain was so severe it was difficult to walk for 4 days. Prescribed Macrobid for 5 days of antibiotics, symptoms reduced on day 5, but are continuing (mild to moderate abdominal/pubic area pain, urgency, frequency, occasional mild flank pain).
Age: 42.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Nausea, Pollakiuria, Pubic pain, Sleep disorder, Urinary tract infection
Clinical narrative: Ongoing cold and flu symptoms from 2 days after vaccine. Chills, migraine type headache, nausea, intense fatigue. Date of reported adverse event I woke up in the middle of the night 3 am) with severe lower abdominal/pubic area pain. Severe UTI /kidney infection symptoms without prior mild symptoms. Pain was so severe it was difficult to walk for 4 days. Prescribed Macrobid for 5 days of antibiotics, symptoms reduced on day 5, but are continuing (mild to moderate abdominal/pubic area pain, urgency, frequency, occasional mild flank pain).
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Redness, swelling, pain of right arm
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Insomnia, Tinnitus
Clinical narrative: Ringing in ears. A year and a half later the ringing continues. Sometimes it is so loud it is hard to hear other and hard to sleep in the quiet.
Age: 34.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Alopecia areata
Clinical narrative: alopecia barbae. hair falling out in beard
Age: 60.0
Sex: F
Vaccine: FLUR4
Symptoms: Asthenia, Chills, Influenza virus test negative, Pain, Pain of skin
Clinical narrative: Day 1 11/10/22 - 104.6 fever, severe chills, severe body aches (even skin hurt)   Started Tylenol 500mg 2 every 6 hours. Day 2 11/11/22 - 102 fever, severe chills, body aches (even skin hurt) Day 3 11/22/22 - No fever Just weak from last two days
Age: 60.0
Sex: F
Vaccine: FLUR4
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Day 1 11/10/22 - 104.6 fever, severe chills, severe body aches (even skin hurt)   Started Tylenol 500mg 2 every 6 hours. Day 2 11/11/22 - 102 fever, severe chills, body aches (even skin hurt) Day 3 11/22/22 - No fever Just weak from last two days
Age: 23.0
Sex: M
Vaccine: COVID19-2, PNC20
Symptoms: Syncope
Clinical narrative: Patient fainted within 5 minutes of receiving vaccine.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngeal swab, Nasopharyngitis
Clinical narrative: Cold like sypmtoms
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: PATIENT WAS GIVEN BIVALENT AS A PRIMARY SHOT. PATIENT DID NOT RECEIVED PRIMARY SERIES PREVIOUSLY.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthropod bite, Blood test, Erythema, Rash, Rash pruritic
Clinical narrative: After about 10 to 20 minutes of receiving my booster, I experienced what looked like mosquito bites on my left wrist. This rash/reaction progressed, and since I received my vaccine, every day I break out in these red, hot, itchy flares. I believe it is chronic urticaria. I went to urgent care about a week later and was prescribed some steroids. Those worked and I stopped experiencing the flare-ups, but now I am off the meds and still experience bad flare-ups at least once or twice a day.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin warm, Urticaria chronic
Clinical narrative: After about 10 to 20 minutes of receiving my booster, I experienced what looked like mosquito bites on my left wrist. This rash/reaction progressed, and since I received my vaccine, every day I break out in these red, hot, itchy flares. I believe it is chronic urticaria. I went to urgent care about a week later and was prescribed some steroids. Those worked and I stopped experiencing the flare-ups, but now I am off the meds and still experience bad flare-ups at least once or twice a day.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: A Second Moderna Monovalent was administered instead of a Moderna Bivalent dose.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heart rate increased
Clinical narrative: Fast heart beat. Resting rate staying in low 100's, even when sleeping - my normal resting rate is in high 70's/low 80's
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Gave pt a Pfizer monovalent vaccine instead of a bivalent pfizer vaccine as syring was labelled incorrectly
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Blood test, Headache, Magnetic resonance imaging, Presyncope
Clinical narrative: None at the time of the vaccine.  Adverse reactions became apparent after the 2nd shot and obvious after the 3rd shot. Second shot was 2/17/2021 lot # EN6201, third shot was 11/4/21 lot # FH8028. by spring 2021 patient sufferings from wild blood pressure swings - 170/95 to 85/55 within the same days.  Multiple events of near passing out, averted only by sitting down, chronic headaches that did not respond to Medrol pac.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Stress echocardiogram
Clinical narrative: None at the time of the vaccine.  Adverse reactions became apparent after the 2nd shot and obvious after the 3rd shot. Second shot was 2/17/2021 lot # EN6201, third shot was 11/4/21 lot # FH8028. by spring 2021 patient sufferings from wild blood pressure swings - 170/95 to 85/55 within the same days.  Multiple events of near passing out, averted only by sitting down, chronic headaches that did not respond to Medrol pac.
Age: 83.0
Sex: M
Vaccine: FLU4
Symptoms: Bursitis infective, Injection site erythema, Peripheral swelling
Clinical narrative: The area below my elbow became very swollen and a red area appeared around the injection site. I went to an Urgent Care Center and was told that I had "septic bursitis." I was placed on a regimen of prednisone and antibiotics for approximately nine days. As of now I have a large loose sack of material at the base of my elbow. I plan to seek further medical advise.
Age: 74.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Arrhythmia, Diarrhoea, Heart rate decreased, Mobility decreased, Muscular weakness
Clinical narrative: Patient reports diarrhea, muscle weakness, low pulse, arrhythmias starting the day after her vaccines. Says she could barely move enough to get out of bed. Patient went to the Emergency room because of her low pulse and arrhythmias. She was put on Metoprolol to control her arrhythmia.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Monovalent 5 yrs - 11 yrs administered in error. Patient was due for Bivalent.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Depression, Dysphoria, Feeling abnormal, Malaise, Pyrexia
Clinical narrative: Prior to the Pfizer vaccine booster, I had 3 injections of the Moderna Vaccine. For each Moderna vaccine (including third shot which was a booster), I had side effects of low grade fever, general malaise, and brain fog for ~ 24 hours.  The booster taken on 10 November 2022 resulted in ~ 24 hours of malaise and brain fog. Approximately 15 hours after shot, I experienced SEVERE DYSPHORIA/DEPRESSION symptoms for about 6 hours followed by moderate depression symptoms the remainder of the day. All symptoms (malaise, depression, brain fog) were gone the following morning.  I was diagnosed with Bipolar disorder ~ 8 years ago and have been stable (no major symptoms) for the past 7 years. This incident is the only event in the past 7 years with this degree of symptoms.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Decreased appetite, Fatigue, Laboratory test, Magnetic resonance imaging
Clinical narrative: Fatigue, No appetite, short term memory lost
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test
Clinical narrative: Fatigue, No appetite, short term memory lost
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Monovalent 5 yrs - 11 yrs administered in error. Patient was due for Bivalent.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Immunisation reaction
Clinical narrative: Post-vaccine sub deltoid bursitis
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: The day of the vaccine, no symptoms Day 2: fever, chills, and soreness in arm upon waking.  By noon I had more pain and redness in the right upper arm.  Took Aleve for pain Day 3: Woke up in more pain, redness on my right upper arm was now bigger and raised up with defined edges.  Wrapped from the front of the arm to the back. Went to the ED after discussing my symptoms with a 24 Hours RN Hotline.  I had a huge hived area. Was given Dexamethasone and Tylenol and sent home to rest. Day 4  Arm still redden and sore.  Pain is resolving.  Will follow up with Primary Monday or Tuesday
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: The day of the vaccine, no symptoms Day 2: fever, chills, and soreness in arm upon waking.  By noon I had more pain and redness in the right upper arm.  Took Aleve for pain Day 3: Woke up in more pain, redness on my right upper arm was now bigger and raised up with defined edges.  Wrapped from the front of the arm to the back. Went to the ED after discussing my symptoms with a 24 Hours RN Hotline.  I had a huge hived area. Was given Dexamethasone and Tylenol and sent home to rest. Day 4  Arm still redden and sore.  Pain is resolving.  Will follow up with Primary Monday or Tuesday
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Nipple pain, Oedema peripheral
Clinical narrative: axillary swelling on right side; nipple soreness  (both); injection site still itchy, red and swollen
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urticaria, Vaccine positive rechallenge
Clinical narrative: Severe hives all over body. Has occurred after each booster (dose 3 in November 2021, and now dose 4 in November 2022)
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Right after administration of the vaccine. Patient became dizzy and fainted for a few seconds and then regained consciousness. She stated that she was nervous before the vaccine was administered. No other adverse reactions and the patient felt fine soon after. No treatment was needed
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, Bed rest, Blood test, Condition aggravated, Fatigue
Clinical narrative: With each Moderna COVID vaccine, dates of 1/21/2021, 2/18/2021, and 10/21/2021 the adverse events were similiar in the short term; COVID like symptoms, fatigue (requiring bed rest), nausea, headaches, muscle achiness, exacerbation of athsma requirign use of oral rescue inhaler, mild redness and soreness and itching at injection site, mild paryngeal and laryngeal edema, eustachian tube and oral cavity itchiness, overall skin itchiness which was mitigated by oral Benadryl.  "Allergic" reaction lasted 1-3 days each time but was managed/controlled by taking oral Benadryl.  After 1/21/2021 immunization,  3 days of bedrest needed (no work time missed due to work being virtual only).  After 2/18/2021- Sick symptoms  and bed rest lasted 5 days.  (No work missed due to work being virtual only.)  After 10/21/2021, Sick symptoms lasted 7-10 days, with 10/30/2021 being the first date of an inperson follow up doctor's appointment.  Post 10/21/2021, I had 5-6 cyclical bouts of fatigue/COVID like post vaccine  symptoms, each resulted in 3-10 days of feeling ill, several doctor's visits from 10/30/2021-present.  5/12/2022, fatigue became so bad I could not longer work.  I had 2 weeks of nearly complete bed rest during this time period, which got slightly better over time.  I have not been able to return to my previous job since.  Fatigue has lessened some.  Underlying cause still unkown.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Hypersensitivity, Impaired work ability, Influenza virus test negative, Injection site erythema
Clinical narrative: With each Moderna COVID vaccine, dates of 1/21/2021, 2/18/2021, and 10/21/2021 the adverse events were similiar in the short term; COVID like symptoms, fatigue (requiring bed rest), nausea, headaches, muscle achiness, exacerbation of athsma requirign use of oral rescue inhaler, mild redness and soreness and itching at injection site, mild paryngeal and laryngeal edema, eustachian tube and oral cavity itchiness, overall skin itchiness which was mitigated by oral Benadryl.  "Allergic" reaction lasted 1-3 days each time but was managed/controlled by taking oral Benadryl.  After 1/21/2021 immunization,  3 days of bedrest needed (no work time missed due to work being virtual only).  After 2/18/2021- Sick symptoms  and bed rest lasted 5 days.  (No work missed due to work being virtual only.)  After 10/21/2021, Sick symptoms lasted 7-10 days, with 10/30/2021 being the first date of an inperson follow up doctor's appointment.  Post 10/21/2021, I had 5-6 cyclical bouts of fatigue/COVID like post vaccine  symptoms, each resulted in 3-10 days of feeling ill, several doctor's visits from 10/30/2021-present.  5/12/2022, fatigue became so bad I could not longer work.  I had 2 weeks of nearly complete bed rest during this time period, which got slightly better over time.  I have not been able to return to my previous job since.  Fatigue has lessened some.  Underlying cause still unkown.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Injection site pruritus, Laryngeal oedema, Malaise, Myalgia
Clinical narrative: With each Moderna COVID vaccine, dates of 1/21/2021, 2/18/2021, and 10/21/2021 the adverse events were similiar in the short term; COVID like symptoms, fatigue (requiring bed rest), nausea, headaches, muscle achiness, exacerbation of athsma requirign use of oral rescue inhaler, mild redness and soreness and itching at injection site, mild paryngeal and laryngeal edema, eustachian tube and oral cavity itchiness, overall skin itchiness which was mitigated by oral Benadryl.  "Allergic" reaction lasted 1-3 days each time but was managed/controlled by taking oral Benadryl.  After 1/21/2021 immunization,  3 days of bedrest needed (no work time missed due to work being virtual only).  After 2/18/2021- Sick symptoms  and bed rest lasted 5 days.  (No work missed due to work being virtual only.)  After 10/21/2021, Sick symptoms lasted 7-10 days, with 10/30/2021 being the first date of an inperson follow up doctor's appointment.  Post 10/21/2021, I had 5-6 cyclical bouts of fatigue/COVID like post vaccine  symptoms, each resulted in 3-10 days of feeling ill, several doctor's visits from 10/30/2021-present.  5/12/2022, fatigue became so bad I could not longer work.  I had 2 weeks of nearly complete bed rest during this time period, which got slightly better over time.  I have not been able to return to my previous job since.  Fatigue has lessened some.  Underlying cause still unkown.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pharyngeal oedema, Pruritus, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: With each Moderna COVID vaccine, dates of 1/21/2021, 2/18/2021, and 10/21/2021 the adverse events were similiar in the short term; COVID like symptoms, fatigue (requiring bed rest), nausea, headaches, muscle achiness, exacerbation of athsma requirign use of oral rescue inhaler, mild redness and soreness and itching at injection site, mild paryngeal and laryngeal edema, eustachian tube and oral cavity itchiness, overall skin itchiness which was mitigated by oral Benadryl.  "Allergic" reaction lasted 1-3 days each time but was managed/controlled by taking oral Benadryl.  After 1/21/2021 immunization,  3 days of bedrest needed (no work time missed due to work being virtual only).  After 2/18/2021- Sick symptoms  and bed rest lasted 5 days.  (No work missed due to work being virtual only.)  After 10/21/2021, Sick symptoms lasted 7-10 days, with 10/30/2021 being the first date of an inperson follow up doctor's appointment.  Post 10/21/2021, I had 5-6 cyclical bouts of fatigue/COVID like post vaccine  symptoms, each resulted in 3-10 days of feeling ill, several doctor's visits from 10/30/2021-present.  5/12/2022, fatigue became so bad I could not longer work.  I had 2 weeks of nearly complete bed rest during this time period, which got slightly better over time.  I have not been able to return to my previous job since.  Fatigue has lessened some.  Underlying cause still unkown.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Bone pain, Chills, Dyspepsia, Pyrexia
Clinical narrative: Severe bone, joint (all joints) pain, chills, fever, for over 12 jours, slight indigestion. Has gappened with all covid shots (moderna included) so far. I had not reported before. Pain severe alleviatted slightly with 500mg tylenol. Pain is ongoing as of now.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hyperaesthesia, Sensitive skin
Clinical narrative: Hyperesthesia - hypersensitive skin. Starting with back of left forearm. Then both arms. Progressing to sides and back. Mild version of one of the worst and most severe symptoms when I had covid.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: arm pain and sometime numbness to fingers
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site swelling, Pain in extremity
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: arm pain and sometime numbness to fingers
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Severe, Additional Details: Patient reposrt left shoulder pain from elbow to top of shoulder. Intermittent during the day and constant at night. most pain on movement. difficulty raising arm. currently taking motrin and tramadol prn. will see PCP in coming days and will report back with outcome
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Limb discomfort, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Since receiving the 2nd dose of the Shingrix vaccine, the patient has suffered from soreness and loss of flexibility in that arm. The soreness and tightness has remained constant, but has not improved or gotten worse  since the vaccination. The patient did not experience this adverse event with the first dose she received.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Injection site erythema, Pain, Pruritus, Rash
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Additional Details: Patient recieved the vaccine on 11/6/22 and started having symptoms on 11/7/22. Pt noted that she can still cover the entirety of the rash on her left arm with her hand. it was instructed to have the pt take benadryl
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hot flush
Clinical narrative: Hot flashes 3-4 times a day. Never had them before. Got this booster and 2 days later I?m having terrible hot flashes. Need to take off clothing, cold compresses, ice water. They last for 20 minutes.
Age: 57.0
Sex: F
Vaccine: FLUC4
Symptoms: Headache, Nausea, Pain, Throat tightness, Vomiting
Clinical narrative: Extreme headache, nausea vomiting, tight throat, sore.
Age: 59.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Chest X-ray normal, Chest pain, Drug screen negative, Dyspnoea, Electrocardiogram normal
Clinical narrative: Please contact the clinic RN for the exact vaccine info including lot number.  He received both vaccines on November 3rd and complained of headache, chest pain, dyspnea and vision changes the following day.  His vitals were within normal limits.  He was given nitroglycerin and sent to the local ED.  Work up including troponins and EKG were normal but he was given a prescription for nitroglycerin based upon his complaint of intermittent chest pains prior to the event.  Upon return to prison, he was back to his baseline.
Age: 59.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Full blood count normal, Headache, Metabolic function test normal, Troponin normal, Visual impairment
Clinical narrative: Please contact the clinic RN for the exact vaccine info including lot number.  He received both vaccines on November 3rd and complained of headache, chest pain, dyspnea and vision changes the following day.  His vitals were within normal limits.  He was given nitroglycerin and sent to the local ED.  Work up including troponins and EKG were normal but he was given a prescription for nitroglycerin based upon his complaint of intermittent chest pains prior to the event.  Upon return to prison, he was back to his baseline.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Neck pain, Swelling
Clinical narrative: Bad pain in the back of the neck that turned into pain in the back of the head and a sore bump in the same location.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Palatal disorder
Clinical narrative: Superficial inflammation of the palate that is decreasing today second day.
Age: 61.0
Sex: M
Vaccine: FLUR4
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: Patient's wife described the injection as being very high on his arm.  The top of his shoulder became very sore and painful, and he developed an apple sized bump. He visited his doctor and received a pain medication and anti-inflammatory. His wife said that now he experiancing tingling down his arm and cannot even raise it.  He is scheduled for an MRI.  She is concerned that he may have nerve damage.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Balance disorder, Dyspnoea, Fatigue, Myalgia
Clinical narrative: tired trouble breathing joints muscle aches slight fever 100.5 balance off
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: tired trouble breathing joints muscle aches slight fever 100.5 balance off
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Server artius pain in hands, shoulders, and back, . Pain is so bad she can hardly get around.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Nausea
Clinical narrative: headache, stomach pain, nausea, diarrhea
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient got the Pfizer regular vaccine instead of Pfizer bivalent vaccine.  Patient was notified 11-11-22. She has no problems with the vaccine and was instructed to get bivalent one in 2 months if she wants it.
Age: 8.0
Sex: M
Vaccine: FLUC4
Symptoms: Vomiting
Clinical narrative: Patient was fine until about 10 minutes after the vaccine and then started to throw up
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Administration of Pfizer Bivalent child dose (age 5-11).  The vaccine was not diluted prior to administration.  Patient received 0.2ml however there was no dilution.   Spoke to mother, she said daughter was okay with no adverse reactions as of yet.  No tenderness, fever, arm pain.  Vaccine was administered at 12:04pm on left arm.  Spoke to mom at 2:09pm to let her know of the discovery.  We will follow up with parents in a couple days to see if patient is ok and or is having any reactions.
Age: 88.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: patient received moderna bivalent booster from the previous day (it was at room temp>12 hours)
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: patient received moderna bivalent dose from previous day vial (out of refrigeration >12 hours)
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Drainage, Laboratory test, Loss of personal independence in daily activities, Musculoskeletal disorder, Peripheral swelling
Clinical narrative: Patient's right arm swelled up so large she could not use her hand to write or for daily function/activity; was admitted to the hospital for 6 days; fluid removed, antibiotics and steroids given and tests/exams run
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Facial paralysis, Muscular weakness
Clinical narrative: My right face?s muscle is very weak and I can not fully control it. I felt I have facial paralysis. I have not gone through any treatment yet. Not sure where I should go regarding this. I told my family doctor we gave me the shot, but today is Saturday and her office closed.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Inflammation, Pain in extremity
Clinical narrative: left and right arm inflamed, pain in hands and joints
Age: 93.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Abnormal behaviour, Incoherent, Laboratory test
Clinical narrative: According to daughter, pt was incoherent almost immediately (a day later) after receiving shot; and still "not right". Apparently pt was taken to hospital where test were run but nothing came back.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Intermenstrual bleeding, Menstruation delayed
Clinical narrative: 2 days post injection (October 2022)  unusual spotting a week earlier than scheduled period. Seemingly normal period followed. (November 2022) Delayed period. Believe ovulated on time/normal per at-home urine-based IVD tracking system (trying to conceive).
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: extreme pain, aches, in muscles all over the body, for several days, gradually subsiding
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest pain, Dizziness, Dyspnoea, Fatigue
Clinical narrative: I received the first Pfizer vaccine shot and within hours, I felt dizzy, fatigued and short winded. For several weeks afterwards, I was having chest pains, shortness of breath and fluttering in my chest when I tried to exercise. I was experiencing the symptoms of myocarditis.
Age: 1.92
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient died in his sleep overnight Oct 6-Oct 7. There have been no answers given as to how or why he died.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Patient fainted within a couple of minutes of receiving vaccine. she was nervous prior to, and woke up pretty quickly after she fainted. stated she felt okay after having her hang out for 5 minutes, color back to normal, no sweating or nausea. called grandmother later in the evening to check on her and grandmother stated that she was feeling great.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Photopsia, Visual impairment
Clinical narrative: Experienced visual disturbance that lasted about 4 minutes.  A colorful, prismatic flashing effect to the right of my field of vision caused half of words to be unreadable.  For example, on the word Jackson  I could only see Jac.   This was visualized with the right eye closed and also upon closing left eye and opening right eye.   There were no residual effects after 4 minute event.  However, I felt it was enough to be worthy of reporting.
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Patient received Pfizer Pediatric Bivalent (5-11y.o) vaccine, 0.2mL undiluted. Patient was stable at time of discharge after 30 min observation. No further needed at this time.  Patient's parents advised to inform PCP.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Cold sweat, Dizziness
Clinical narrative: Shortly after vaccination, the patient started feeling clammy, dizzy, and had cold sweats. She remained seated and we gave her some water. After a few minutes, she started feeling back to normal.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Patient received the  Pfizer Pediatric Bivalent COVID vaccine, 0.2mL undiluted. Patient was stable during the 30 mins observation and no further treatment was needed at time of discharge. Patient's parents were advised to inform their PCP and follow up with them for any other concerns.
Age: 35.0
Sex: F
Vaccine: COVID19-2, FLUR4
Symptoms: Chest pain, Dyspnoea, Headache, Pain
Clinical narrative: Severe chest pain and shortness of breath lasting several hours. Symoptoms stopped after taking Advil for headache and body aches. Did not seek medical care to confirm/rule out myocarditis or pericarditis.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Musculoskeletal stiffness, Pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Patient complains of sore arm that remains stiff and painful several weeks after receiving a flu vaccine. She stated that it was sore for a few days after receiving the vaccine and she thought it would get better but it has not. She also states that she has trouble lifting the arm past shoulder height due to pain. When asked, patient has not tried any over the counter treatments for the pain. Advised to try ibuprofen 200-400mg every 8 hours for a few days to see if the pain improves. Also recommended that patient see her primary care provider for further evaluation. I asked patient to point to where she received her vaccination and she pointed fairly high up on the arm, closer to the shoulder above the muscle.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cardiac disorder, Dizziness, Exercise tolerance decreased, Fatigue
Clinical narrative: I was vaccinated at 11am. By 3-4 pm on the same day I was experiencing muscle spasm and fluttering all throughout body. My stomach muscles were all spasming along with persistent muscle spasms all over. The waves of fever had returned along with blurred vision and sweating. I fell asleep exhausted and woke up feeling fatigued and wiped. I went to the shop that day after feeling like I was hit by a truck. It felt identical to having faced an actual wave of the actual virus. I could hardly move when halfway to the shop. I feel weak and felt terrible heart palpitations.  I couldn't finish my shopping and felt feint the entire time.  The heart problems and cardio problems lasted months. I couldn't exercise or do basic activities for ages. Even trying to do up my shoes or pick up my daughter would leave me bed ridden again. I tried to get back to work around May 2021 and forced myself into very compromising situations with the long-term effects of the virus and then the added symptoms with the first dose of virus. The blurred vision was far worse and aggravated by the initial dose. The muscle spasms and muscle flickers were magnified A LOT. I now faced 1+ year of debilitation as a long hauler and made my situation way worse by vaccinating. My cardio and ability to exercise is still a mess to this day. Minor activities leave me bed ridden and fatigued.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Impaired work ability, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: I was vaccinated at 11am. By 3-4 pm on the same day I was experiencing muscle spasm and fluttering all throughout body. My stomach muscles were all spasming along with persistent muscle spasms all over. The waves of fever had returned along with blurred vision and sweating. I fell asleep exhausted and woke up feeling fatigued and wiped. I went to the shop that day after feeling like I was hit by a truck. It felt identical to having faced an actual wave of the actual virus. I could hardly move when halfway to the shop. I feel weak and felt terrible heart palpitations.  I couldn't finish my shopping and felt feint the entire time.  The heart problems and cardio problems lasted months. I couldn't exercise or do basic activities for ages. Even trying to do up my shoes or pick up my daughter would leave me bed ridden again. I tried to get back to work around May 2021 and forced myself into very compromising situations with the long-term effects of the virus and then the added symptoms with the first dose of virus. The blurred vision was far worse and aggravated by the initial dose. The muscle spasms and muscle flickers were magnified A LOT. I now faced 1+ year of debilitation as a long hauler and made my situation way worse by vaccinating. My cardio and ability to exercise is still a mess to this day. Minor activities leave me bed ridden and fatigued.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Palpitations, Pyrexia, SARS-CoV-2 antibody test, Vision blurred
Clinical narrative: I was vaccinated at 11am. By 3-4 pm on the same day I was experiencing muscle spasm and fluttering all throughout body. My stomach muscles were all spasming along with persistent muscle spasms all over. The waves of fever had returned along with blurred vision and sweating. I fell asleep exhausted and woke up feeling fatigued and wiped. I went to the shop that day after feeling like I was hit by a truck. It felt identical to having faced an actual wave of the actual virus. I could hardly move when halfway to the shop. I feel weak and felt terrible heart palpitations.  I couldn't finish my shopping and felt feint the entire time.  The heart problems and cardio problems lasted months. I couldn't exercise or do basic activities for ages. Even trying to do up my shoes or pick up my daughter would leave me bed ridden again. I tried to get back to work around May 2021 and forced myself into very compromising situations with the long-term effects of the virus and then the added symptoms with the first dose of virus. The blurred vision was far worse and aggravated by the initial dose. The muscle spasms and muscle flickers were magnified A LOT. I now faced 1+ year of debilitation as a long hauler and made my situation way worse by vaccinating. My cardio and ability to exercise is still a mess to this day. Minor activities leave me bed ridden and fatigued.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Fall, Pain, Pyrexia
Clinical narrative: Symptoms started 3 hours after vaccine. Severe chills, fever, vomiting, body aches and weakness. PT fell in bedroom.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Symptoms started 3 hours after vaccine. Severe chills, fever, vomiting, body aches and weakness. PT fell in bedroom.
Age: 0.92
Sex: M
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given 3rd dose of hepatitis B too early (first dose was given 9/7/22 and second dose 10/6/22). Doctor reached out to parents to inform that the patient will need an additional dose.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abortion spontaneous, Blood grouping, Foetal death, Maternal exposure before pregnancy
Clinical narrative: Miscarriage at 11 weeks pregnant (last period Aug 13, 2022, miscarriage commenced Oct 28, 2022). Fetus death dated to approx 8 weeks 6 days. First pregnancy, no known risk factors. No smoking , no alcohol,  no drugs, no caffeine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound foetal abnormal, Vaginal haemorrhage
Clinical narrative: Miscarriage at 11 weeks pregnant (last period Aug 13, 2022, miscarriage commenced Oct 28, 2022). Fetus death dated to approx 8 weeks 6 days. First pregnancy, no known risk factors. No smoking , no alcohol,  no drugs, no caffeine.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dermatitis contact, Erythema, Injection site erythema
Clinical narrative: red skin under bandage; patient said she is reacting to bandage, not the vaccine. she said she has a latex allergy
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Maroon cap pfizer vaccine (age 2 to <5) was not diluted prior to administration. Patient received 0.2mL of undiluted vaccine. Followed-up with parents today and she has had no issues/side effects
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: PATIENT WAS GIVEN 0.2ML OF UNDILUTED VACCINATION OF PFIZER-BIONTECH 5-11YO  BIVALENT BOOSTER. COUNSELED POTENTIAL SIGNS AND SYMPTOMS AND RECOMMEND SEE DOCTOR RIGHT AWAY IF SYMPTOMS SUCH AS CHEST PAIN, SHORTNESS OF BREATH, SEVERE FLU-LIKE SYMPTOMS, OR ANY OTHER SEVERE OR UNUSUAL SYMPTOMS
Age: 62.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Immediate post-injection reaction, Injection site mass, Injection site warmth, Joint swelling
Clinical narrative: Right arm hurt immediately after injection with increasing pain, heat and on day 3 painful to move arm and has a hot 4 inch lump at injection site. Constant pain, heat and difficulty using arm. Left hand joints swollen the next day and hand remains swollen. Knee joints swollen and painful. Worst side effects are the right arm and left hand.
Age: 62.0
Sex: F
Vaccine: PNC20
Symptoms: Pain, Pain in extremity
Clinical narrative: Right arm hurt immediately after injection with increasing pain, heat and on day 3 painful to move arm and has a hot 4 inch lump at injection site. Constant pain, heat and difficulty using arm. Left hand joints swollen the next day and hand remains swollen. Knee joints swollen and painful. Worst side effects are the right arm and left hand.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: Clinical Summary A 73 y.o. female with a history of ILD on chronic steroids, Sjogren's syndrome, iatrogenic Cushing's disease, anxiety and depression who presented to hospital 10/5/2022 with dyspnea and hypoxia SAT level 79% RA, CTPA showed multilobar ground glass opacities consistent with inflammatory or infectious process. COVID-19 negative initially then repeat 10/08/22 positive. Patient received empiric antibiotics, IV steroids, and Remdesivir with minimal improvement in hypoxia. She developed severe esophagitis with poor PO intake on chronic malnutrition. She also experienced acute RLE limb ischemia. Pulmonology, GI, peripheral cardiology, and palliative care followed. She was eventual changed to a DNRCC and was discharged.   1. Acute on chronic hypoxic respiratory failure: Suspect ILD exacerbation, complicated by COVID-19 infection, less likely bacterial process. CTPA showed multilobar ground glass opacities consistent with inflammatory or infectious process, RA sat 79%. Worsened clinically 10/07/22 and progressed from NC to HHF. Completed 5 day course of empiric Rocephin/Azithromycin 10/10/22. S/p IV solumedrol, switched to PO prednisone 10/12/22. Failed attempt at nasal oxymizer 10/12/22, successful on second attempt 10/14/22. Transitioned to DNRCC 10/15/22 given additional co-morbidities below. Symptom management per hospice. 2. Esophagitis: Concern for candida esophagitis given thrush and high dose steroids, possibly erosive given high dose steroids. GI consulted, recommended IV PPI BID and IV Pepcid. Symptom management per hospice. 3. Acute RLE limb ischemia: Patient noted pain and discoloration of RLE toes. ABIs with severe PAD. Peripheral cardiology evaluated, suspected embolic, poor candidate for intervention. Symptom management per hospice. 4. Hypercalcemia: Secondary to TUMS use. Initiated TUMS for above, patient/family requesting more, discussed risks of hypercalcemia. Notified that husband was also giving TUMS from home. Discontinued TUMS order and re-educated patient/husband. iCal improved with IVF. No further lab draws given goals of care. 5. COVID-19 pneumonia: COVID-19 initially negative but repeat 10/07/22 positive. Steroids as above. Completed Remdesivir 10/12/22. Pulmonology followed. 6. ILD: diagnosed 2019, follows with Dr. has been on chronic Prednisone 10 mg daily, was started on Dapson for prophylaxis 2020 but not taking now. Continued high dose steroids per pulmonology.  7. Sjogren's syndrome: mild, no specific organ involvement.  8. Anxiety and depression: continued home meds.  9. Thrush: Oral nystatin started 10/10/2022  10. Underweight/Severe malnutrition present on admission: BMI 16.19, patient denies anorexia. PO diet as tolerated, doesn't like any of the available protein supplements. Dietician followed. Patient and family decline artificial nutrition given goals of care.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypercalcaemia, Hypophagia, Hypoxia, Interstitial lung disease
Clinical narrative: Clinical Summary A 73 y.o. female with a history of ILD on chronic steroids, Sjogren's syndrome, iatrogenic Cushing's disease, anxiety and depression who presented to hospital 10/5/2022 with dyspnea and hypoxia SAT level 79% RA, CTPA showed multilobar ground glass opacities consistent with inflammatory or infectious process. COVID-19 negative initially then repeat 10/08/22 positive. Patient received empiric antibiotics, IV steroids, and Remdesivir with minimal improvement in hypoxia. She developed severe esophagitis with poor PO intake on chronic malnutrition. She also experienced acute RLE limb ischemia. Pulmonology, GI, peripheral cardiology, and palliative care followed. She was eventual changed to a DNRCC and was discharged.   1. Acute on chronic hypoxic respiratory failure: Suspect ILD exacerbation, complicated by COVID-19 infection, less likely bacterial process. CTPA showed multilobar ground glass opacities consistent with inflammatory or infectious process, RA sat 79%. Worsened clinically 10/07/22 and progressed from NC to HHF. Completed 5 day course of empiric Rocephin/Azithromycin 10/10/22. S/p IV solumedrol, switched to PO prednisone 10/12/22. Failed attempt at nasal oxymizer 10/12/22, successful on second attempt 10/14/22. Transitioned to DNRCC 10/15/22 given additional co-morbidities below. Symptom management per hospice. 2. Esophagitis: Concern for candida esophagitis given thrush and high dose steroids, possibly erosive given high dose steroids. GI consulted, recommended IV PPI BID and IV Pepcid. Symptom management per hospice. 3. Acute RLE limb ischemia: Patient noted pain and discoloration of RLE toes. ABIs with severe PAD. Peripheral cardiology evaluated, suspected embolic, poor candidate for intervention. Symptom management per hospice. 4. Hypercalcemia: Secondary to TUMS use. Initiated TUMS for above, patient/family requesting more, discussed risks of hypercalcemia. Notified that husband was also giving TUMS from home. Discontinued TUMS order and re-educated patient/husband. iCal improved with IVF. No further lab draws given goals of care. 5. COVID-19 pneumonia: COVID-19 initially negative but repeat 10/07/22 positive. Steroids as above. Completed Remdesivir 10/12/22. Pulmonology followed. 6. ILD: diagnosed 2019, follows with Dr. has been on chronic Prednisone 10 mg daily, was started on Dapson for prophylaxis 2020 but not taking now. Continued high dose steroids per pulmonology.  7. Sjogren's syndrome: mild, no specific organ involvement.  8. Anxiety and depression: continued home meds.  9. Thrush: Oral nystatin started 10/10/2022  10. Underweight/Severe malnutrition present on admission: BMI 16.19, patient denies anorexia. PO diet as tolerated, doesn't like any of the available protein supplements. Dietician followed. Patient and family decline artificial nutrition given goals of care.