chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test positive
Clinical narrative: Patient presented to Regional Medical Center on 02/18/2022 with SOB, and AMS. Patient was recently admitted at alternate Medical Center 02/04-02/07/22 with heart failure exacerbation and COVID PNA. At the time the patient was treated with dexamethasone, remdesivir and diuresis. In the ED at local Regional hospital, chest x-ray showed bilateral interstitial opacities consistent with pulmonary edema and bilateral PNA. The patient met sepsis criteria with hypotension and lactic acidosis. He was started on azithromycin and cefepime. Initially the patient required Opti Flow.  Blood cultures grew staph, vancomycin was added but it ended being MSSA. Ultimately, the patient was discharged to hospice services on 02/27/2022 and expired on 03/01/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Colitis ischaemic, Colonoscopy abnormal, Computerised tomogram, Diarrhoea
Clinical narrative: I began to have bowel changes.  I would have regular bowel movements, about once a week I would have severe pain and diarrhea.  This went on for about 4 weeks.  I began bleeding from my colon on August 14th.  I went to the ER and was admitted to the hospital and was released yesterday.  The diagnosis was Ischemic Colitis.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Large intestinal haemorrhage, Pain, Stool analysis
Clinical narrative: I began to have bowel changes.  I would have regular bowel movements, about once a week I would have severe pain and diarrhea.  This went on for about 4 weeks.  I began bleeding from my colon on August 14th.  I went to the ER and was admitted to the hospital and was released yesterday.  The diagnosis was Ischemic Colitis.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer 3/6/21 EL9267 and 3/17/21 EN6202
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Back pain, Chest pain, Dyspnoea
Clinical narrative: COVID vaccine breakthrough case. Pfizer 3/6/21 EL9267 and 3/17/21 EN6202
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Lymphoedema, Peripheral swelling
Clinical narrative: I developed lymphedema after the 2nd dose of the vaccine. I developed swelling in both my feet and ankles. I was not able to put shoes on due to swelling. I started to wear compression socks which helped but the swelling persisted. So I went to see a doctor who indicated that it was not normal swelling, it was lymphedema. I was able to see a Lymphedema Therapist who referred me to certified therapist. I saw the doctors there and he confirmed that it was lymphedema and referred me to a certified lymphedema. I went all last summer and was treated with wrap therapy in July and August. I also had massage therapy and the swelling went down. It did not go away all the way, I am still wearing compression socks and have not completely recovered. I initially did not think it was related but after having my mammogram and seeing the questionnaire, I was able to make the connection to what I was experiencing.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: After patient was vaccinated, he felt dizzy and diaphoretic. He was able to rest. He had something to eat from the clinic and also something to drink. Patient was good after 30 minutes of observation. He told staff that he hadn't ate or drank anything before coming into the clinic for a vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Moderna 3/1/21 011A21A, 3/30/21 038K20A, and boosted 11/02/21 939905.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, COVID-19, Computerised tomogram abdomen abnormal, Death
Clinical narrative: Patient was admitted to Hospital on 01/18/2022 with acute on chronic abdominal pain and high output ileostomy causing dehydration with acute kidney injury.  CT showed mild enterocolitis.  Acute kidney injury initially resolved with IV fluids.  Nephrology was consulted d/t worsening.  She incidentally had Covid-19.  Patient continued to decline in spite of supportive treatment.  Patient and family agreed for hospice and transitioned to comfort measures only.  The patient expired on 01/31/2022.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Enterocolitis, General physical health deterioration, Ileostomy
Clinical narrative: Patient was admitted to Hospital on 01/18/2022 with acute on chronic abdominal pain and high output ileostomy causing dehydration with acute kidney injury.  CT showed mild enterocolitis.  Acute kidney injury initially resolved with IV fluids.  Nephrology was consulted d/t worsening.  She incidentally had Covid-19.  Patient continued to decline in spite of supportive treatment.  Patient and family agreed for hospice and transitioned to comfort measures only.  The patient expired on 01/31/2022.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, COVID-19, Cough, Headache
Clinical narrative: I received my second Moderna booster for COVID-19 on 5/5/2022. On the morning of 8/9/2022, I had a terrible headache, a sore throat, a temperature of 101, and body aches. Later that day, I took a home COVID-19 test, and the result was negative. On the morning of 8/10/2022, the symptoms continued and worsened. I took another home COVID-19 test, and the result was positive. I called my doctor's office and did a telehealth visit. The doctor prescribed me Paxlovid and montelukast. I started taking them that same day. I was advised that I shouldn't take simvastatin while I was on Paxlovid, so I discontinued the simvastatin during the 5 days I took Paxlovid. I had a fever of 101 for 6 days; I would take Tylenol, which would reduce it, but then it would rise again after the Tylenol wore off. I had a sore throat, mild cough, and a terrible headache. Altogether, all of the symptoms lasted for about 6 days. I finally started to feel better on 8/15/2022. On 8/15/2022, I took another home test and got a positive result. On 8/16/2022, I took another home test and finally got a negative result. On 8/17/2022, I took another home test and got another negative result. At the time of this writing, I feel much better, though I still have a little bit of a sore throat, and my energy levels aren't what they were before the COVID-19. I have also returned to work.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: I received my second Moderna booster for COVID-19 on 5/5/2022. On the morning of 8/9/2022, I had a terrible headache, a sore throat, a temperature of 101, and body aches. Later that day, I took a home COVID-19 test, and the result was negative. On the morning of 8/10/2022, the symptoms continued and worsened. I took another home COVID-19 test, and the result was positive. I called my doctor's office and did a telehealth visit. The doctor prescribed me Paxlovid and montelukast. I started taking them that same day. I was advised that I shouldn't take simvastatin while I was on Paxlovid, so I discontinued the simvastatin during the 5 days I took Paxlovid. I had a fever of 101 for 6 days; I would take Tylenol, which would reduce it, but then it would rise again after the Tylenol wore off. I had a sore throat, mild cough, and a terrible headache. Altogether, all of the symptoms lasted for about 6 days. I finally started to feel better on 8/15/2022. On 8/15/2022, I took another home test and got a positive result. On 8/16/2022, I took another home test and finally got a negative result. On 8/17/2022, I took another home test and got another negative result. At the time of this writing, I feel much better, though I still have a little bit of a sore throat, and my energy levels aren't what they were before the COVID-19. I have also returned to work.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: I discussed options with her and her husband 8/12. RTAC for CRRT offered, not likely to change outcome, she and her husband were very clear that they desire transition to comfort care. This occurred and she died shortly thereafter.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Got covid 7/13/2022
Age: 48.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Rash, Rash macular, Rash papular
Clinical narrative: macular/papular rash on upper chest and back which started 4 days after reveiving vaccine - afebrile
Age: 9.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Dizziness, Vomiting
Clinical narrative: Dizziness and vomiting
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Wheezing
Clinical narrative: chest tightness, SOB, wheezing
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Hypoaesthesia, Impaired work ability, Musculoskeletal stiffness
Clinical narrative: After first dose on 12/30/2020  everything was fine. After 2nd dose of 1/20/2021, knot formed in right wrist in June of 2021. Patient started prednisone for the next full year until present. Numbness, tingling, stiffness persists in right arm, has lost strength in right arm. Persisted from June 2021 until present.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: No reaction on previous exposure to drug, Nodule, Pain, Paraesthesia, Rheumatoid factor negative
Clinical narrative: After first dose on 12/30/2020  everything was fine. After 2nd dose of 1/20/2021, knot formed in right wrist in June of 2021. Patient started prednisone for the next full year until present. Numbness, tingling, stiffness persists in right arm, has lost strength in right arm. Persisted from June 2021 until present.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, X-ray
Clinical narrative: After first dose on 12/30/2020  everything was fine. After 2nd dose of 1/20/2021, knot formed in right wrist in June of 2021. Patient started prednisone for the next full year until present. Numbness, tingling, stiffness persists in right arm, has lost strength in right arm. Persisted from June 2021 until present.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder discomfort, Bladder pain, Cystitis interstitial, Sleep disorder, Urinary tract infection
Clinical narrative: About two weeks after dose two I woke in the middle of the night with pain and pressure in my bladder.  I went to the doctor and diagnosed with UTI.  I was prescribed Cipro and after this round of prescription I still was not better.  I was referred to urologist and prescribed a different antibiotic.  After this round I still was not better.  I was prescribed a third type of antibiotic and it took two rounds before my UTI was cleared up.  I was diagnosed with Interstitial Cystitis.  I treat with diet changes, hydration and AZO when the symptoms first begin, and Premarin cream.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: About two weeks after dose two I woke in the middle of the night with pain and pressure in my bladder.  I went to the doctor and diagnosed with UTI.  I was prescribed Cipro and after this round of prescription I still was not better.  I was referred to urologist and prescribed a different antibiotic.  After this round I still was not better.  I was prescribed a third type of antibiotic and it took two rounds before my UTI was cleared up.  I was diagnosed with Interstitial Cystitis.  I treat with diet changes, hydration and AZO when the symptoms first begin, and Premarin cream.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted after getting 1st Pfizer dose. Patient stated that he hadn't had anything to eat or drink before coming in. Patient was given snacks and water. He was observed for 30 minutes and felt fine. Patient walked out the clinic without help.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Cough, Dyspnoea, Peripheral swelling
Clinical narrative: cough, SOB, leg swelling, back pain
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Feeling abnormal, Palpitations
Clinical narrative: Patient complain of feeling lighted headed, palpitations and having a desperate feeling.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Fall, Gait inability
Clinical narrative: The patient was hospitalized in February 2022 d/t a fall at home, and urinary tract infection.  She tested positive for Covid-19 during rehab stay and was returned to the hospital.  She required assistance with eating and was non ambulatory and was placed in a nursing facility.  She developed SOB with saturation in 70s on 03/09/2022 and was hospitalized again.  She continued to decline and has required high flow oxygen and bipap.  The family ultimately chose comfort  focused care with Hospice Patient expired on 03/17/2022.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Loss of personal independence in daily activities, Positive airway pressure therapy, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: The patient was hospitalized in February 2022 d/t a fall at home, and urinary tract infection.  She tested positive for Covid-19 during rehab stay and was returned to the hospital.  She required assistance with eating and was non ambulatory and was placed in a nursing facility.  She developed SOB with saturation in 70s on 03/09/2022 and was hospitalized again.  She continued to decline and has required high flow oxygen and bipap.  The family ultimately chose comfort  focused care with Hospice Patient expired on 03/17/2022.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Nausea, Pyrexia
Clinical narrative: fever, abdominal pain, nausea
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: deceased on 12/05/2021
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccinated patient with expired batch.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Pain of skin, Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: scalp pain-Mild
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted after receiving 1st Pfizer dose. He stated that he hadn't ate or drank anything before coming into the clinic. Patient was offered a granola bar and water. He ate the granola bar and drank the water. He left with his dad about 30 minutes later.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Apnoea, COVID-19, COVID-19 pneumonia, Death, Encephalopathy
Clinical narrative: MODERNA COVID #3 GIVEN 11/2/21, LOT #076C21A; 2/2/22 pt to ED from a SNF with AMS and apnea; in PSVT, treated with medication; acute encephalopathy; admitted to ICU; positive for COVID; COVID pneumonia; ABX; BiPAP; status changed to DNR; pt expired the following day
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Mental status changes, Positive airway pressure therapy, SARS-CoV-2 test positive, Supraventricular tachycardia
Clinical narrative: MODERNA COVID #3 GIVEN 11/2/21, LOT #076C21A; 2/2/22 pt to ED from a SNF with AMS and apnea; in PSVT, treated with medication; acute encephalopathy; admitted to ICU; positive for COVID; COVID pneumonia; ABX; BiPAP; status changed to DNR; pt expired the following day
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccinated patient with expired batch.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Myalgia
Clinical narrative: cough, myalgias
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram neck, Computerised tomogram pelvis, Injection site pain, Laboratory test
Clinical narrative: Pain in the left arm swelling of lymph nodes in both armpits, neck and Inguinal.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Pain in the left arm swelling of lymph nodes in both armpits, neck and Inguinal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Cardiac arrest, Death, Life support
Clinical narrative: Patient presented to Hospital on 01/08/2022 with an unwitnessed cardiac arrest onset just PTA. EMS reports that the patient was found unresponsive, pulseless V-tach.  EMS gave patient 2 rounds of Epinephrine and 1 round of sodium bicarbonate en route to the ED, at which point the patient went into asystole. CPR was continued upon EMS arrival to the ED. Multiple rounds of ACLS were continued. Eventually a very bradycardic pulse was obtained and despite giving atropine, patient became asystole again. Patient had been resuscitated for over an hour and time of death was called.  To note, patient tested positive for Covid-19 on 01/03/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Unresponsive to stimuli, Ventricular tachycardia
Clinical narrative: Patient presented to Hospital on 01/08/2022 with an unwitnessed cardiac arrest onset just PTA. EMS reports that the patient was found unresponsive, pulseless V-tach.  EMS gave patient 2 rounds of Epinephrine and 1 round of sodium bicarbonate en route to the ED, at which point the patient went into asystole. CPR was continued upon EMS arrival to the ED. Multiple rounds of ACLS were continued. Eventually a very bradycardic pulse was obtained and despite giving atropine, patient became asystole again. Patient had been resuscitated for over an hour and time of death was called.  To note, patient tested positive for Covid-19 on 01/03/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder disorder, COVID-19, Chills, Fatigue, Feeling abnormal
Clinical narrative: On 8-10-2022, I started having a sore throat, feeling of fever but did not check temp, chills, headache, general malaise, body aches and oral gum pain as well. I also had a hypersensitive bladder. The following day, 8-11-2022, I took a home COVID-19 test with positive results. I called my primary care doctor for a telehealth visit and he prescribed Paxlovid. I started taking the Paxlovid on the same day. I am still having fatigue and feeling "spacey". I am reporting a breakthrough case of COVID-19.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival pain, Headache, Malaise, Oropharyngeal pain, Pain
Clinical narrative: On 8-10-2022, I started having a sore throat, feeling of fever but did not check temp, chills, headache, general malaise, body aches and oral gum pain as well. I also had a hypersensitive bladder. The following day, 8-11-2022, I took a home COVID-19 test with positive results. I called my primary care doctor for a telehealth visit and he prescribed Paxlovid. I started taking the Paxlovid on the same day. I am still having fatigue and feeling "spacey". I am reporting a breakthrough case of COVID-19.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: On 8-10-2022, I started having a sore throat, feeling of fever but did not check temp, chills, headache, general malaise, body aches and oral gum pain as well. I also had a hypersensitive bladder. The following day, 8-11-2022, I took a home COVID-19 test with positive results. I called my primary care doctor for a telehealth visit and he prescribed Paxlovid. I started taking the Paxlovid on the same day. I am still having fatigue and feeling "spacey". I am reporting a breakthrough case of COVID-19.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Rash macular
Clinical narrative: red macular rash on left arm started same day after receiving shingrix vaccine.
Age: 39.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Acute myocardial infarction, Chest discomfort, Electrocardiogram normal, Jaw disorder, Muscle tightness
Clinical narrative: Patient presented to ED on 8/17/22 with NSTEMI after receiving one dose of Jynneos vaccine (administered on 8/14/22). The symptoms included chest tightness/heaviness which radiated to his jaw, lasted for about three hours, and resolved prior to ER admission.
Age: 39.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Troponin increased
Clinical narrative: Patient presented to ED on 8/17/22 with NSTEMI after receiving one dose of Jynneos vaccine (administered on 8/14/22). The symptoms included chest tightness/heaviness which radiated to his jaw, lasted for about three hours, and resolved prior to ER admission.
Age: 1.0
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Musculoskeletal stiffness, Staring, Strabismus
Clinical narrative: 40 mins after vaccine administration, family was out driving looking at houses and mother noticed that pt. appeared like she fell asleep in her carseat however she appeared like she was staring with eyes crossed, she was breathing, arms were stiff, no cyanosis. This episode lasted about 30 seconds and pt. gradually returned to baseline 2 minutes from the start of the episode. Parents immediately returned to clinic to be evaluated. She has history of breatholding spells, but this instance was different than her previous episodes and last time she had breathholding spells was 8/10 and none since. She didn't have fever, she received Ibuprofen prior to vaccines as she has done in the past.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccinated patient with expired batch.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiospasm, Echocardiogram, Electrocardiogram ambulatory, Syncope
Clinical narrative: Developed syncope events and a  Paroxysmal  heart spasm
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse reactions noted at this time.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient presented to local hospital on 02/15/2022 with significant SOB from a skilled nursing facility where she tested positive for Covid-19. Patient has had persistent nonproductive cough. Initially on arrival patient was on 6LNC but continued to complain of SOB and went into respiratory distress requiring intubation. Patient had multifocal PNA and was intubated throughout admission. 03/01/2022 was terminally extubated and expired shortly after.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: Patient presented to local hospital on 02/15/2022 with significant SOB from a skilled nursing facility where she tested positive for Covid-19. Patient has had persistent nonproductive cough. Initially on arrival patient was on 6LNC but continued to complain of SOB and went into respiratory distress requiring intubation. Patient had multifocal PNA and was intubated throughout admission. 03/01/2022 was terminally extubated and expired shortly after.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Body temperature increased, Chest X-ray normal, Dyspnoea, Enterovirus test positive, Human rhinovirus test positive
Clinical narrative: Patient presented to ED about 5 hours after vaccine with shortness of breath and temperature 100.4
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Vomiting
Clinical narrative: with 1st and 2nd Covid vaccines, patient developed vomiting. The 1st one within 24 hours of the vaccine. The second within 72 hours of the vaccine. With the second vaccine, patient got dehydrated and required IV fluids at an emergency room.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Chills, Dizziness, Headache
Clinical narrative: Fever, severe joint pain, burning on left arm, chills, headache, nausea, severe light headedness, kidney pain.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Renal pain
Clinical narrative: Fever, severe joint pain, burning on left arm, chills, headache, nausea, severe light headedness, kidney pain.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Skin reaction, Vaccination site erythema, Vaccination site reaction, Vaccination site swelling
Clinical narrative: Skin reaction below the site where vaccines was given- redness and swelling
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Injection site pain, Skin warm
Clinical narrative: On 8/18/2022 patient received 2nd dose of Varicella & MMR in combination MMRV, and 4th dose of Polio & 5th dose of Dtap in Quadracel.  Left arm noted redness that began at appx 1900 on 8/18/2022. When first noted redness to be size of quarter, when reported at 1445 on 8/19/2022 now the size of a baseball and warm to touch and patient reporting pain at site.  Mother has given Tylenol and Motrin PRN which has helped with the pain but not the redness. Referred to call PCP.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccination administered after BUD of 6/22/2022, without adverse effect.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case of Covid.  Congestion, sneezing and coughing, mild headache for 5 days.  Home Covid test on August 1 when I returned from a trip. Reported positive  test and mild symptoms to doctors office via email. Nurse contacted me to confirm that I had only mild symptoms  suggested OTC remedies for symptoms and isolation.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of Covid.  Congestion, sneezing and coughing, mild headache for 5 days.  Home Covid test on August 1 when I returned from a trip. Reported positive  test and mild symptoms to doctors office via email. Nurse contacted me to confirm that I had only mild symptoms  suggested OTC remedies for symptoms and isolation.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Peripheral swelling
Clinical narrative: The evening after dose 3, 05/17/2022, my arm swelled up.  That lasted a week or two.  I had no energy.  I can still tell a difference. I still have loss of taste and smell.
Age: 5.0
Sex: M
Vaccine: MNQ
Symptoms: Wrong product administered
Clinical narrative: Pt. was accidentally given a meningococcal vaccine instead of Kinrix , due to his brother and his non compliant behavior,  the wrong vaccine was picked up and given.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccination given after BUD of 6/22/22 without adverse effect
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dizziness, Hyperhidrosis, Loss of consciousness, Posture abnormal
Clinical narrative: Within a few minutes of receiving the Janssen vaccine, patient became sweaty and lightheaded, then  an additional symptoms of blurred vision. Shortly afterwards  he gagged and coughed and slouched in chair and  passed out for less than 30 secs  then became alert .  Comfort measures of damp cloth on forehead and neck were used as well as giving patient water ..  He had a designated driver  and was walked to the car for safety precautions
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Retching, Vision blurred
Clinical narrative: Within a few minutes of receiving the Janssen vaccine, patient became sweaty and lightheaded, then  an additional symptoms of blurred vision. Shortly afterwards  he gagged and coughed and slouched in chair and  passed out for less than 30 secs  then became alert .  Comfort measures of damp cloth on forehead and neck were used as well as giving patient water ..  He had a designated driver  and was walked to the car for safety precautions
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness postural, Lethargy, Pallor, Syncope
Clinical narrative: The patient just fainted after the vaccine was given. The patient remain lethargic and weak. The patient face was pale and she was experiencing dizziness whenever she tries to get up. The
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Got COVID. Symptoms started on 7/16.  Tested negative via rapid test but positive via PCR on 7/17.  Pretty sick for about 48 hours with fever and cough.  Never had trouble breathing and started feeling better by 3rd day.  One month after infection still have a lingering cough.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccination given after BUD of 6/22/22 without adverse effect
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccinated patient with expired batch.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized with COVID 19.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccination given after BUD of 6/22/22 without adverse effect
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Febrile convulsion, Irritability, Partial seizures, Staring
Clinical narrative: Patient arrived to ED with CC of Focal/Febrile Seizure. Parents stated that pt was at home and began to become fussy and crying inconsolably and then began to stare off into space. Pt then proceeded to make a gagging sound and she started to then fall asleep. Upon arrival, pt is now mildly fussy but eating and acting normal.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Pain, Pain in extremity, Pyrexia
Clinical narrative: Ackey fever 101.5, very tired big red circle around injection site about 3dia.  5 days 6 day still fever but was not to tired I got out of bed. day 7 I was fine but still had the red circle and arm sore.  3 days later the red was gone and the soreness was less and then went away.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Blood iron decreased, Bone pain, Chest discomfort
Clinical narrative: Unexplained rising in heart rate almost daily, heart rate monitor goes nuts, chest tightens. Major stomach issues daily, gas, bloating, nausea, acid. Bones ache sometimes. Constant headaches/migraines, blurred vision, brain fog. Extremely low iron. All of this began after the 2nd dose. Was healthy and running 10 miles and now can't do one due to pain amd exhaustion. Been to Cardiologist, Hematology, and GI doctors.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Colonoscopy abnormal, Endoscopy abnormal, Fatigue, Feeling abnormal, Flatulence
Clinical narrative: Unexplained rising in heart rate almost daily, heart rate monitor goes nuts, chest tightens. Major stomach issues daily, gas, bloating, nausea, acid. Bones ache sometimes. Constant headaches/migraines, blurred vision, brain fog. Extremely low iron. All of this began after the 2nd dose. Was healthy and running 10 miles and now can't do one due to pain amd exhaustion. Been to Cardiologist, Hematology, and GI doctors.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Gastritis, Gastrooesophageal reflux disease, Headache, Heart rate increased, Migraine
Clinical narrative: Unexplained rising in heart rate almost daily, heart rate monitor goes nuts, chest tightens. Major stomach issues daily, gas, bloating, nausea, acid. Bones ache sometimes. Constant headaches/migraines, blurred vision, brain fog. Extremely low iron. All of this began after the 2nd dose. Was healthy and running 10 miles and now can't do one due to pain amd exhaustion. Been to Cardiologist, Hematology, and GI doctors.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Vision blurred
Clinical narrative: Unexplained rising in heart rate almost daily, heart rate monitor goes nuts, chest tightens. Major stomach issues daily, gas, bloating, nausea, acid. Bones ache sometimes. Constant headaches/migraines, blurred vision, brain fog. Extremely low iron. All of this began after the 2nd dose. Was healthy and running 10 miles and now can't do one due to pain amd exhaustion. Been to Cardiologist, Hematology, and GI doctors.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pruritus
Clinical narrative: The patient had a 7cm x 7cm swollen circular area to his right deltoid that was red and warm to the touch. The patient complained of itching and pain when touched.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Tenderness
Clinical narrative: The patient had a 7cm x 7cm swollen circular area to his right deltoid that was red and warm to the touch. The patient complained of itching and pain when touched.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccinated patient with expired batch.
Age: 12.0
Sex: F
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: pt's mom called after 5pm to ask about vaccinations for school for her daughter; told her to come in by 6:30 or 7pm; family came in just before 7 pm; tried to research which vaccine pt needed, didn't find specific information; gave pt the only meningococcal vaccine we had in stock, Trumenda; mom called this morning upset that he daughter received the meningococcal vaccine B, not ACWY
Age: 68.0
Sex: M
Vaccine: UNK
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: About 50mm induration within 3 hrs of injection and broad patch of topical redness/erythema and bruised feeling lasting for about 3 weeks.  After second dose (sub-q) in right forearm about 30 days after first dose a small induration (~15mm) was observed within 1 hr of injection followed by large (~100 mm) erythema after about 1 day spreading along forearm with mild itching.  Second injection site is resolving slowly as of this report
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: patient left deltoid reddened and inflamed, warm to touch but non tender and bothersome to patient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Condition aggravated, Cough, Fatigue
Clinical narrative: I had COVID-19 and it started with a cough. My son had it so I tested myself and it was positive. I had mild muscle ache and was tired. No symptoms were severe. My Doctor gave me Paxlovid for 5 days.  Two weeks after that my heart went into Affib which didn't suprised me because I have a history of this but it stayed for a while so I went to my Cardiologist who said sometimes ppl with COVID sometimes have gone back into Affib, and it's been a year and a half since I was in Affib.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, SARS-CoV-2 test positive
Clinical narrative: I had COVID-19 and it started with a cough. My son had it so I tested myself and it was positive. I had mild muscle ache and was tired. No symptoms were severe. My Doctor gave me Paxlovid for 5 days.  Two weeks after that my heart went into Affib which didn't suprised me because I have a history of this but it stayed for a while so I went to my Cardiologist who said sometimes ppl with COVID sometimes have gone back into Affib, and it's been a year and a half since I was in Affib.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: 1/30/22 pt had a positive COVID test; was hospitalized for SOB, dyspnea at rest, COVID pneumonia and hypoxia; O2 via NC; transferred to Medical Center on 1/31/22; DNR/DNI; given Remdesivir and Dexamethasone; hypotensive; AKI; increased O2 needs; Vapotherm then BiPAP; given Baricitinib; pt had worsening lethargy; possible aspiration; given ABX; pt's condition worsened and she expired in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea at rest, General physical health deterioration, Hypotension, Hypoxia, Lethargy
Clinical narrative: 1/30/22 pt had a positive COVID test; was hospitalized for SOB, dyspnea at rest, COVID pneumonia and hypoxia; O2 via NC; transferred to Medical Center on 1/31/22; DNR/DNI; given Remdesivir and Dexamethasone; hypotensive; AKI; increased O2 needs; Vapotherm then BiPAP; given Baricitinib; pt had worsening lethargy; possible aspiration; given ABX; pt's condition worsened and she expired in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 1/30/22 pt had a positive COVID test; was hospitalized for SOB, dyspnea at rest, COVID pneumonia and hypoxia; O2 via NC; transferred to Medical Center on 1/31/22; DNR/DNI; given Remdesivir and Dexamethasone; hypotensive; AKI; increased O2 needs; Vapotherm then BiPAP; given Baricitinib; pt had worsening lethargy; possible aspiration; given ABX; pt's condition worsened and she expired in the hospital
Age: 13.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: Dizziness, Dreamy state, Syncope
Clinical narrative: 11:07, Right after administering HPV patient had an episode of syncope that lasted approx. 5 seconds. Pt states he felt as he was dreaming. Patient oriented X3 and was given cookies, juice, and candy. 11:29 states he felt fine and no longer felt faint.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Aneurysm ruptured, Intensive care, Subarachnoid haemorrhage
Clinical narrative: Patient developed SAH due to ruptured aneurysm requiring ICU stay and neuro IR intervention
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest
Clinical narrative: Cardiac arrest
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Neoplasm malignant, Pathology test, Ultrasound scan
Clinical narrative: I have developed an 8CM tumor in my upper chest that is cancerous
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia, COVID-19, Decreased appetite, Fatigue, Feeling abnormal
Clinical narrative: I received my second Moderna booster for COVID-19 on 5/19/2022. On the morning of 7/22/2022, I had a severe headache and severe fatigue. I also had a bit of brain fog and a slight fever. I had runny eyes and a runny nose with sinus congestion and pain. I took 2 home tests for COVID-19 that day, and they both yielded positive results. I called the doctor's office and requested a prescription for Paxlovid, which I got and started taking that evening. The fever reached 103 on 7/23/2022, and I took an OTC medicine for migraines to treat it, and the medicine seemed to treat about 10-20% of the pain. The fever lasted only 24 hours, though. I was really tired that day, so I spent most of the day sleeping. On 7/24/2022, the temperature and the headache began to abate. I had a low-grade fever, and the fatigue worsened. I drank plenty of water, though I didn't eat much, as I had lost my appetite. I also had a bad taste in my mouth, which was caused by the Paxlovid. On 7/25/2022, I started to feel relief. The symptoms became manageable. I still had fatigue, but it was less intense, so I was able to move around and get food. On 7/26/2022, the symptoms were 95% gone. I took another home test for COVID-19 on 7/26/2022, and the result was positive, though the line was faint. On 7/27/2022 and 7/28/2022, I took more home tests, both of which yielded a negative result. On 7/28/2022, I called the doctor's office and told them that I thought I had recovered. They advised me to wear a mask for the following 5 days and to let them know if the symptoms returned. I did as I was instructed, and the symptoms did not return. For a couple of days during my illness, I lost more hair than usual, and other people noticed it. Also, my sense of taste was altered. Not only did the Paxlovid leave a bad taste in my mouth, but chocolate and other sweets tasted different. My sense of taste finally returned to normal about 8/1/2022.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Lacrimation increased, Pyrexia, Rhinorrhoea
Clinical narrative: I received my second Moderna booster for COVID-19 on 5/19/2022. On the morning of 7/22/2022, I had a severe headache and severe fatigue. I also had a bit of brain fog and a slight fever. I had runny eyes and a runny nose with sinus congestion and pain. I took 2 home tests for COVID-19 that day, and they both yielded positive results. I called the doctor's office and requested a prescription for Paxlovid, which I got and started taking that evening. The fever reached 103 on 7/23/2022, and I took an OTC medicine for migraines to treat it, and the medicine seemed to treat about 10-20% of the pain. The fever lasted only 24 hours, though. I was really tired that day, so I spent most of the day sleeping. On 7/24/2022, the temperature and the headache began to abate. I had a low-grade fever, and the fatigue worsened. I drank plenty of water, though I didn't eat much, as I had lost my appetite. I also had a bad taste in my mouth, which was caused by the Paxlovid. On 7/25/2022, I started to feel relief. The symptoms became manageable. I still had fatigue, but it was less intense, so I was able to move around and get food. On 7/26/2022, the symptoms were 95% gone. I took another home test for COVID-19 on 7/26/2022, and the result was positive, though the line was faint. On 7/27/2022 and 7/28/2022, I took more home tests, both of which yielded a negative result. On 7/28/2022, I called the doctor's office and told them that I thought I had recovered. They advised me to wear a mask for the following 5 days and to let them know if the symptoms returned. I did as I was instructed, and the symptoms did not return. For a couple of days during my illness, I lost more hair than usual, and other people noticed it. Also, my sense of taste was altered. Not only did the Paxlovid leave a bad taste in my mouth, but chocolate and other sweets tasted different. My sense of taste finally returned to normal about 8/1/2022.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion, Sinus pain, Taste disorder
Clinical narrative: I received my second Moderna booster for COVID-19 on 5/19/2022. On the morning of 7/22/2022, I had a severe headache and severe fatigue. I also had a bit of brain fog and a slight fever. I had runny eyes and a runny nose with sinus congestion and pain. I took 2 home tests for COVID-19 that day, and they both yielded positive results. I called the doctor's office and requested a prescription for Paxlovid, which I got and started taking that evening. The fever reached 103 on 7/23/2022, and I took an OTC medicine for migraines to treat it, and the medicine seemed to treat about 10-20% of the pain. The fever lasted only 24 hours, though. I was really tired that day, so I spent most of the day sleeping. On 7/24/2022, the temperature and the headache began to abate. I had a low-grade fever, and the fatigue worsened. I drank plenty of water, though I didn't eat much, as I had lost my appetite. I also had a bad taste in my mouth, which was caused by the Paxlovid. On 7/25/2022, I started to feel relief. The symptoms became manageable. I still had fatigue, but it was less intense, so I was able to move around and get food. On 7/26/2022, the symptoms were 95% gone. I took another home test for COVID-19 on 7/26/2022, and the result was positive, though the line was faint. On 7/27/2022 and 7/28/2022, I took more home tests, both of which yielded a negative result. On 7/28/2022, I called the doctor's office and told them that I thought I had recovered. They advised me to wear a mask for the following 5 days and to let them know if the symptoms returned. I did as I was instructed, and the symptoms did not return. For a couple of days during my illness, I lost more hair than usual, and other people noticed it. Also, my sense of taste was altered. Not only did the Paxlovid leave a bad taste in my mouth, but chocolate and other sweets tasted different. My sense of taste finally returned to normal about 8/1/2022.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Headache, Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Swelling at the injection site with fever in the skin, raised red hives. Severe headache lasting 48 hours. Nausea and desire to throw up, although I did not.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Nausea
Clinical narrative: Swelling at the injection site with fever in the skin, raised red hives. Severe headache lasting 48 hours. Nausea and desire to throw up, although I did not.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT WHO IS 10 YRS AND 4 MONTHS RECEIVED THE COVID VACCINE FOR 12YRS AND OLDER. THE PATIENT RESPONDED WELL TO THE VACCINE, WAITED 15 MINS PRIORTO LEAVING AND  PATIENT WAS FINE.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Burning mouth syndrome, Oral discomfort, Oral pain, SARS-CoV-2 test negative
Clinical narrative: After 1 week of my vaccine in the morning I've noticed that when I try to used toothpaste  my mouth was burning from the minty flavor. I  feel  burning sensation in my mouth  every day in the morning and through out the day. I can't even put anything in my mouth it burns.  I can't have any kind of flavors in my mouth at all so, I decided to visit my ENT doctor's  office when I told him about my issue he told me that I was experiencing   burning  mouth and tongue syndrome. He ordered mouth wash and  prescribed gabapentin. I am still using the medication and the mouth was as of now. I  feel that the medication is helping. Am feeling better than before. It has improved but hasn't gone yet completely.
Age: 26.0
Sex: M
Vaccine: MMRV
Symptoms: Wrong product administered
Clinical narrative: Nurse inadvertently administered proquad to 26 y/o pt instead of MMRII vaccine. Patient observed following incident. Patient did not display any side effects and was instructed to call PCP or report to ER if any concerns or reactions occur.
Age: 12.0
Sex: M
Vaccine: HPV9, MENB, TDAP
Symptoms: Wrong product administered
Clinical narrative: Meningococcal B vaccine given in error. Patient was due for Meningococcal Conjugate.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Polymerase chain reaction, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID 19 case
Age: 0.58
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Product administered at inappropriate site
Clinical narrative: IM vaccine given in the deltoid muscle rather than vastus lateralis, which is the recommended site for a 7 month old. The next day, caregiver reported infant had tender right deltoid area that was slightly swollen. She required one dose of Tylenol since administration of vaccine. Otherwise, according to caregiver patient was acting normally. The patient was reaching, picking up items and moving arm per her usual activity.
Age: 0.17
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Covid vaccine dose for 6 mos to 4 yr child given to a 2 month old child.
Age: 13.0
Sex: F
Vaccine: COVID19, HPV9, TDAP
Symptoms: Expired product administered, Product administered to patient of inappropriate age
Clinical narrative: 5-11year orange top vaccine given to 13 year old. Also was beyond use. Drawn up on 8/18 at 8 am and given on 8/19 at 9:30am. Patient family notified of invalid dose and error. Will return for repeat vaccination.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Bell's palsy, Computerised tomogram head normal, Metabolic function test normal
Clinical narrative: Bell's Palsy.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Pt came in with swollen lymph node under Lt armpit the following day
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient recieved dose #3 (1st booster) of Pfizer on 8/19/2022. Primary dose series was given on 3/23/2022 and 4/13/2022. There were only 4 months between completion of primary series and the booster shot which is sooner than the guidelines of 5 months. Patient reported no adverse events to receiving this vaccine earlier than the recommended 5 month interval.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Administered undiluted Pfizer Ped 10mcg/0.2ml shot to patient that was 9 years old. Tried to reach patient, but they are from another country and are using a prepaid phone that was inactivated. Was not able to reach the parents. No local PCP information was provided since this patient is from another country.