chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error, Streptococcus test negative, Viral infection
Clinical narrative: Patient given invalid dose of COVID-19 vaccine. This was caught after being administered but prior to the patient leaving. Staff member drew-up 2.2mL of diluent in syringe with 0.2mL of vaccine and administered to the patient. Patient asked to wait 20 mins before leaving the office. Doctor spoke with the patient's mother and advised of precautions. Spoke with Pfizer. They recommended redoing series since it was invalid, but mom and office wanted to hold-off at this time. Office visit 7/19/2022: Episode onset: 2 days ago. Maximum temperature: Temperature yesterday of 101ºF - 102ºF. Associated symptoms include abdominal pain and a sore throat. Pertinent negatives include no congestion, coughing, ear pain or rhinorrhea. Associated symptoms comments: Voice sounds hoarse. She tried NSAIDs for the symptoms of sore throat. Suspect viral illness or due to recent COVID-19 vaccine, though that is less likely as other family members have been ill recently.
Age: 93.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, Diarrhoea, Diverticulitis, Nausea, Vomiting
Clinical narrative: Discharge Date: 7/18/2022  PRESENTING PROBLEM: Intractable nausea and vomiting [R11.2] Non-intractable vomiting with nausea, unspecified vomiting type [R11.2] COVID-19 virus infection [U07.1]   HOSPITAL COURSE:    very pleasant 94 year old gentleman with past medical history reviewed and noted who presented with intractable n/v/d and was found to have covid 19 and mild diverticulitis with possible aspiration. Patient did not require supplemental oxygen and did not need additional treatment for COVID 19.  His n/v/d improved however he found to be possibly aspirating . Speech pathology recommended dysphagia three diet but patient declined.  Patient and family aware of risks of aspiration with a general diet and understand risk of aspiration pneumonia leading to sepsis leading to death.  Patient was discharged home in stable condition.
Age: 1.08
Sex: F
Vaccine: COVID19
Symptoms: Hand-foot-and-mouth disease
Clinical narrative: Contracted hand foot and mouth disease. Diagnosed Jul 18 2022
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Hypotension
Clinical narrative: Patient experienced lightheadedness and low BP following administration of TDAP vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dysphonia
Clinical narrative: My first 2 doses of the vaccine were Moderna. Starting 07/15/2022, I had simple cold symptoms: cough, sneezing and nasal congestion. By that evening, I started feeling really tired and it felt different than a normal cold. I noticed that something more was the matter. The cough started getting worse and felt like acid was in my throat, almost like strep throat. The next day, I started running a low grade fever. That day, I called my doctor (07/16/2022) and was prescribed a steroid pack and Doxycycline and Hydrochloroquine. That Sunday (07/17/2022), I was very fatigued, couldn't stay awake and couldn't sleep well due to coughing and my throat was very sore. My temp went up to about 101.5. The next day, Monday 07/18/2022, my temperature returned to normal. I started feeling a lot better but my throat still hurt, my voice was hoarse and I had an intermittent headache. Yesterday, my temp came back and I was still very tired, my voice was hoarse and throat was still sore. Today, I have lost my sense of smell and things taste bland (no real taste to things). The fever is gone and I think I am well enough to go back to work tomorrow. I have been coughing up phlegm today.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Impaired work ability, Nasal congestion
Clinical narrative: My first 2 doses of the vaccine were Moderna. Starting 07/15/2022, I had simple cold symptoms: cough, sneezing and nasal congestion. By that evening, I started feeling really tired and it felt different than a normal cold. I noticed that something more was the matter. The cough started getting worse and felt like acid was in my throat, almost like strep throat. The next day, I started running a low grade fever. That day, I called my doctor (07/16/2022) and was prescribed a steroid pack and Doxycycline and Hydrochloroquine. That Sunday (07/17/2022), I was very fatigued, couldn't stay awake and couldn't sleep well due to coughing and my throat was very sore. My temp went up to about 101.5. The next day, Monday 07/18/2022, my temperature returned to normal. I started feeling a lot better but my throat still hurt, my voice was hoarse and I had an intermittent headache. Yesterday, my temp came back and I was still very tired, my voice was hoarse and throat was still sore. Today, I have lost my sense of smell and things taste bland (no real taste to things). The fever is gone and I think I am well enough to go back to work tomorrow. I have been coughing up phlegm today.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Productive cough, Pyrexia, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: My first 2 doses of the vaccine were Moderna. Starting 07/15/2022, I had simple cold symptoms: cough, sneezing and nasal congestion. By that evening, I started feeling really tired and it felt different than a normal cold. I noticed that something more was the matter. The cough started getting worse and felt like acid was in my throat, almost like strep throat. The next day, I started running a low grade fever. That day, I called my doctor (07/16/2022) and was prescribed a steroid pack and Doxycycline and Hydrochloroquine. That Sunday (07/17/2022), I was very fatigued, couldn't stay awake and couldn't sleep well due to coughing and my throat was very sore. My temp went up to about 101.5. The next day, Monday 07/18/2022, my temperature returned to normal. I started feeling a lot better but my throat still hurt, my voice was hoarse and I had an intermittent headache. Yesterday, my temp came back and I was still very tired, my voice was hoarse and throat was still sore. Today, I have lost my sense of smell and things taste bland (no real taste to things). The fever is gone and I think I am well enough to go back to work tomorrow. I have been coughing up phlegm today.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: My first 2 doses of the vaccine were Moderna. Starting 07/15/2022, I had simple cold symptoms: cough, sneezing and nasal congestion. By that evening, I started feeling really tired and it felt different than a normal cold. I noticed that something more was the matter. The cough started getting worse and felt like acid was in my throat, almost like strep throat. The next day, I started running a low grade fever. That day, I called my doctor (07/16/2022) and was prescribed a steroid pack and Doxycycline and Hydrochloroquine. That Sunday (07/17/2022), I was very fatigued, couldn't stay awake and couldn't sleep well due to coughing and my throat was very sore. My temp went up to about 101.5. The next day, Monday 07/18/2022, my temperature returned to normal. I started feeling a lot better but my throat still hurt, my voice was hoarse and I had an intermittent headache. Yesterday, my temp came back and I was still very tired, my voice was hoarse and throat was still sore. Today, I have lost my sense of smell and things taste bland (no real taste to things). The fever is gone and I think I am well enough to go back to work tomorrow. I have been coughing up phlegm today.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood lactic acid normal, COVID-19, Chest X-ray normal, Chills
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: Admission Date: 7/16/2022 Discharge Date: 7/17/2022  PRESENTING PROBLEM: Hypokalemia  Microcytic anemia  Septic shock  Hypotension, unspecified hypotension type   HOSPITAL COURSE: Patient is a 65 y.o. female who presents today with complaints of awakening at 0330 with sudden onset of shakiness with chills which continued for a couple of hours. She contacted her PCP after 8am and was instructed to go to ER for further evaluation. She states prior to presentation she developed a headache which was typical of her chronic known migraines associated with nausea. She took her home med of Nurtec and headache improved. Upon arrival to the ER she states that her headache continued but resolved completely shortly after receiving toradol in the ED. Regarding her rigors, she states that it has been intermittently occurring over the past few weeks and has been seeing her PCP regarding this. She is also awaiting referral to hematologist for iron deficiency anemia. She reports that yesterday she was at her baseline health, without any complaints of nausea, shortness of breath, cough, fever, diarrhea, dysuria. Today she denies any neck pain, light sensitivity.    In the ED her vital signs showed a low blood pressure which upon review of office visit VS her SBP typically runs 110-120s. She was given 2L of NS but continued to be hypotensive; therefore, Levophed was started. Labs revealed an elevated WBC with intermediate procalcitonin levels and normal lactic acid. Hemoglobin was 7.9 ( she denies any bloody or black colored stools). UA was normal and chest xray did not show any sign of infiltrate. COVID 19 was positive. Due to no meningeal signs LP was deferred. Per ED provider her exam was benign including no abdominal pain and clear lung sounds.  Patient was admitted on IV antibiotics and given 1 unit of packed red blood cells for her symptomatic anemia.  We were able to wean her off Levophed readily.  Her hemoglobin improved to 9.0.  She had no further headaches or other signs or symptoms of SIRS.  She was anxious to go home and after a dose of Venofer 200 mg IV she was discharged home to follow-up with her primary care provider.  She was to resume her regular medications as previously ordered.  She could return to diet and activity as tolerated.  She understood these instructions and was discharged home in stable condition.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Headache, Hypokalaemia, Hypotension, Microcytic anaemia
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: Admission Date: 7/16/2022 Discharge Date: 7/17/2022  PRESENTING PROBLEM: Hypokalemia  Microcytic anemia  Septic shock  Hypotension, unspecified hypotension type   HOSPITAL COURSE: Patient is a 65 y.o. female who presents today with complaints of awakening at 0330 with sudden onset of shakiness with chills which continued for a couple of hours. She contacted her PCP after 8am and was instructed to go to ER for further evaluation. She states prior to presentation she developed a headache which was typical of her chronic known migraines associated with nausea. She took her home med of Nurtec and headache improved. Upon arrival to the ER she states that her headache continued but resolved completely shortly after receiving toradol in the ED. Regarding her rigors, she states that it has been intermittently occurring over the past few weeks and has been seeing her PCP regarding this. She is also awaiting referral to hematologist for iron deficiency anemia. She reports that yesterday she was at her baseline health, without any complaints of nausea, shortness of breath, cough, fever, diarrhea, dysuria. Today she denies any neck pain, light sensitivity.    In the ED her vital signs showed a low blood pressure which upon review of office visit VS her SBP typically runs 110-120s. She was given 2L of NS but continued to be hypotensive; therefore, Levophed was started. Labs revealed an elevated WBC with intermediate procalcitonin levels and normal lactic acid. Hemoglobin was 7.9 ( she denies any bloody or black colored stools). UA was normal and chest xray did not show any sign of infiltrate. COVID 19 was positive. Due to no meningeal signs LP was deferred. Per ED provider her exam was benign including no abdominal pain and clear lung sounds.  Patient was admitted on IV antibiotics and given 1 unit of packed red blood cells for her symptomatic anemia.  We were able to wean her off Levophed readily.  Her hemoglobin improved to 9.0.  She had no further headaches or other signs or symptoms of SIRS.  She was anxious to go home and after a dose of Venofer 200 mg IV she was discharged home to follow-up with her primary care provider.  She was to resume her regular medications as previously ordered.  She could return to diet and activity as tolerated.  She understood these instructions and was discharged home in stable condition.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Procalcitonin, Red blood cell transfusion, SARS-CoV-2 test positive, Septic shock
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: Admission Date: 7/16/2022 Discharge Date: 7/17/2022  PRESENTING PROBLEM: Hypokalemia  Microcytic anemia  Septic shock  Hypotension, unspecified hypotension type   HOSPITAL COURSE: Patient is a 65 y.o. female who presents today with complaints of awakening at 0330 with sudden onset of shakiness with chills which continued for a couple of hours. She contacted her PCP after 8am and was instructed to go to ER for further evaluation. She states prior to presentation she developed a headache which was typical of her chronic known migraines associated with nausea. She took her home med of Nurtec and headache improved. Upon arrival to the ER she states that her headache continued but resolved completely shortly after receiving toradol in the ED. Regarding her rigors, she states that it has been intermittently occurring over the past few weeks and has been seeing her PCP regarding this. She is also awaiting referral to hematologist for iron deficiency anemia. She reports that yesterday she was at her baseline health, without any complaints of nausea, shortness of breath, cough, fever, diarrhea, dysuria. Today she denies any neck pain, light sensitivity.    In the ED her vital signs showed a low blood pressure which upon review of office visit VS her SBP typically runs 110-120s. She was given 2L of NS but continued to be hypotensive; therefore, Levophed was started. Labs revealed an elevated WBC with intermediate procalcitonin levels and normal lactic acid. Hemoglobin was 7.9 ( she denies any bloody or black colored stools). UA was normal and chest xray did not show any sign of infiltrate. COVID 19 was positive. Due to no meningeal signs LP was deferred. Per ED provider her exam was benign including no abdominal pain and clear lung sounds.  Patient was admitted on IV antibiotics and given 1 unit of packed red blood cells for her symptomatic anemia.  We were able to wean her off Levophed readily.  Her hemoglobin improved to 9.0.  She had no further headaches or other signs or symptoms of SIRS.  She was anxious to go home and after a dose of Venofer 200 mg IV she was discharged home to follow-up with her primary care provider.  She was to resume her regular medications as previously ordered.  She could return to diet and activity as tolerated.  She understood these instructions and was discharged home in stable condition.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Urine analysis normal, White blood cell count increased
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: Admission Date: 7/16/2022 Discharge Date: 7/17/2022  PRESENTING PROBLEM: Hypokalemia  Microcytic anemia  Septic shock  Hypotension, unspecified hypotension type   HOSPITAL COURSE: Patient is a 65 y.o. female who presents today with complaints of awakening at 0330 with sudden onset of shakiness with chills which continued for a couple of hours. She contacted her PCP after 8am and was instructed to go to ER for further evaluation. She states prior to presentation she developed a headache which was typical of her chronic known migraines associated with nausea. She took her home med of Nurtec and headache improved. Upon arrival to the ER she states that her headache continued but resolved completely shortly after receiving toradol in the ED. Regarding her rigors, she states that it has been intermittently occurring over the past few weeks and has been seeing her PCP regarding this. She is also awaiting referral to hematologist for iron deficiency anemia. She reports that yesterday she was at her baseline health, without any complaints of nausea, shortness of breath, cough, fever, diarrhea, dysuria. Today she denies any neck pain, light sensitivity.    In the ED her vital signs showed a low blood pressure which upon review of office visit VS her SBP typically runs 110-120s. She was given 2L of NS but continued to be hypotensive; therefore, Levophed was started. Labs revealed an elevated WBC with intermediate procalcitonin levels and normal lactic acid. Hemoglobin was 7.9 ( she denies any bloody or black colored stools). UA was normal and chest xray did not show any sign of infiltrate. COVID 19 was positive. Due to no meningeal signs LP was deferred. Per ED provider her exam was benign including no abdominal pain and clear lung sounds.  Patient was admitted on IV antibiotics and given 1 unit of packed red blood cells for her symptomatic anemia.  We were able to wean her off Levophed readily.  Her hemoglobin improved to 9.0.  She had no further headaches or other signs or symptoms of SIRS.  She was anxious to go home and after a dose of Venofer 200 mg IV she was discharged home to follow-up with her primary care provider.  She was to resume her regular medications as previously ordered.  She could return to diet and activity as tolerated.  She understood these instructions and was discharged home in stable condition.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse events. Dose given was Maroon cap mixed with 1.3ml instead of 2.2ml
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Nausea, Pain, Pain in extremity, Vomiting
Clinical narrative: patient complained of severe left arm pain the evening of the vaccine administration date.  The next day, which is today, she has pain in her left arm, total body pain which she describes as "bone" pain, nausea and vomiting with inability to keep any fluids down.  It is a hot day today and there is concern for dehydration.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse events. Dose given: Maroon cap mixed with 1.3mL instead of 2.2mL.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Depression, Impaired work ability, Muscle spasms, Surgery, Walking aid user
Clinical narrative: months  after second shot  started feeling calf cramps after some days went to emergency  hospital exactly oct 25 2021 needed emergency surgery to save my leg  after that so far I had 3 big surgeries at different times oct 2021  to april 2022  9 months out of work now dealing with anxiety depression so many medications  now have to use a walker to move around.
Age: 56.0
Sex: M
Vaccine: UNK
Symptoms: Muscle spasms, Pain in extremity
Clinical narrative: extreme sore arm one week following injection. Uncontrollable muscle spasms for a duration of 12 days 2 weeks post injection.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Meningococcal conjugate vaccine (Menactra) given (dose #3), instead of Bexsero (Meningococcal Group B Vaccine-dose #2) by another Nurse.  No adverse reactions noted or reported.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Runny nose, sore throat, sinus pressure, slight cough, headache, no temperature, fatigue. Lasted 2-3 days,  although still feel sinus pressure, runny nose occasionally - not consistently as before. Treatment - only Robitussin DM cough syrup for diabetics.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Runny nose, sore throat, sinus pressure, slight cough, headache, no temperature, fatigue. Lasted 2-3 days,  although still feel sinus pressure, runny nose occasionally - not consistently as before. Treatment - only Robitussin DM cough syrup for diabetics.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: fever, very fatigued, pain and redness spreading in the arm.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Headache, SARS-CoV-2 test positive
Clinical narrative: 04/14/2022 Vaccination 06/28/2022-07/14/2022 Traveled on vacation. 07/15/2022 I woke up feeling crummy. It was typical symptoms to body immune response. Headache, fatigue. At home antigen test POSITIVE. I called my doctor who prescribed Plaxovid.  07/20/2022 Feeling fine presently.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Fatigue, Malaise, Oropharyngeal pain
Clinical narrative: My symptoms were like hay fever.  I had sneezing, runny nose sore throat, fatigue. I thought because it was pollen season that was the cause. I was scheduled for a procedure at clinic and the did a routine COVID-19 screening. I had symptoms for that entire week before but they were mild.  I was prescribed Paxlovid. I lost my sense of smell right before I started the Paxlovid.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Seasonal allergy, Sneezing
Clinical narrative: My symptoms were like hay fever.  I had sneezing, runny nose sore throat, fatigue. I thought because it was pollen season that was the cause. I was scheduled for a procedure at clinic and the did a routine COVID-19 screening. I had symptoms for that entire week before but they were mild.  I was prescribed Paxlovid. I lost my sense of smell right before I started the Paxlovid.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site rash, Rash papular, Urticaria
Clinical narrative: Patient with a rash under the site of injection that is fine and papular and also noted on the opposite thigh and calf as well, some on the abdomen.  The one on the calf is slightly urticarial.  Advised them to give patient a bath as she was outdoors and to also give 6.25mg of Benadryl every 6 hours and if the rash fades would most likely be due to exposure to seasonal allergens by contact versus the vaccine.  Mother to update me tomorrow.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasal congestion, Pain in jaw, Pyrexia, Rhinorrhoea
Clinical narrative: I had a runny nose and sneezing for twenty four hours and a low grade fever. I used my home COVID-19 test that came back positive, I called and had a telehealth visit. I was advised to treat it like a cold. They only residual symptom that I had that lingered is congestion that in my left nostril. Around June 15, 2022 I had extreme pain  in my teeth and jaw. I went to the dentist who said I have TMJ and he did prescribe an antibiotic that helped with some of the pain but it is still there. I went to see my PCP, she advised I do Ibuprofen but at day five it started hurting so bad I went to Urgent Care and got a steroid shot and steroid pills. The pain has eased up but is still there. The doctor at Urgent Care said the salivary gland may be blocked up.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing, Temporomandibular joint syndrome, Toothache
Clinical narrative: I had a runny nose and sneezing for twenty four hours and a low grade fever. I used my home COVID-19 test that came back positive, I called and had a telehealth visit. I was advised to treat it like a cold. They only residual symptom that I had that lingered is congestion that in my left nostril. Around June 15, 2022 I had extreme pain  in my teeth and jaw. I went to the dentist who said I have TMJ and he did prescribe an antibiotic that helped with some of the pain but it is still there. I went to see my PCP, she advised I do Ibuprofen but at day five it started hurting so bad I went to Urgent Care and got a steroid shot and steroid pills. The pain has eased up but is still there. The doctor at Urgent Care said the salivary gland may be blocked up.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Influenza virus test negative, Pyrexia
Clinical narrative: This is too report that the VSafe info was NOT an AE.  My son seemed fine the day of his second vaccine dose.  Had a cough that evening.  He woke up around 3am with a really bad croup-y cough, so we took him to the ER where he got a rapid PCR covid test that was positive.  So all the VSafe follow-up info (fever, tired, etc) was because he had covid, and most likely not an AE to the vaccine.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: This is too report that the VSafe info was NOT an AE.  My son seemed fine the day of his second vaccine dose.  Had a cough that evening.  He woke up around 3am with a really bad croup-y cough, so we took him to the ER where he got a rapid PCR covid test that was positive.  So all the VSafe follow-up info (fever, tired, etc) was because he had covid, and most likely not an AE to the vaccine.
Age: 85.0
Sex: F
Vaccine: UNK
Symptoms: Heart rate increased
Clinical narrative: sever and rapid heart beat.  treated at home, (not a smart move)  lasted approx 3 hrs. at severe rate, another 4 hrs at lower rate that was still too high. treated by holding ice pack on face.  next time I will go to er.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test normal, Chest X-ray normal, Imaging procedure, Positive airway pressure therapy, Positron emission tomogram normal
Clinical narrative: Starting 05/03/2022, I woke up at about 3 in the am and I use a c-pap machine. I noticed I wasn't breathing properly. I went to Urgent Care and they did imaging and didn't find anything. They didn't treat anything. It continued over time and I saw my pulmonologist and he gave me an inhaler but told me not to use it until I saw a cardiologist. By 06/06/2022, it was so bad that I did not know what to do, so I used the inhaler (Stiolto Respimat) which helped. I continued to use it. I saw the cardiologist on 07/12/2022, who ordered imaging that will be done next week. I stopped the inhaler after seeing him and the symptoms have resolved.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Respiration abnormal, Sleep disorder
Clinical narrative: Starting 05/03/2022, I woke up at about 3 in the am and I use a c-pap machine. I noticed I wasn't breathing properly. I went to Urgent Care and they did imaging and didn't find anything. They didn't treat anything. It continued over time and I saw my pulmonologist and he gave me an inhaler but told me not to use it until I saw a cardiologist. By 06/06/2022, it was so bad that I did not know what to do, so I used the inhaler (Stiolto Respimat) which helped. I continued to use it. I saw the cardiologist on 07/12/2022, who ordered imaging that will be done next week. I stopped the inhaler after seeing him and the symptoms have resolved.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Condition aggravated, Epstein-Barr virus infection, Extra dose administered, Fatigue
Clinical narrative: All 4 doses triggered EBV rash and fatigue.  With this 4th dose, the symptoms are lingering.  Enhanced vertigo, left side of body nerve pain, occasional burning headaches on the left side of head/brain, increased stiffness and crackling noise and feeling on left side of head, only.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Musculoskeletal stiffness, Neuralgia, Rash
Clinical narrative: All 4 doses triggered EBV rash and fatigue.  With this 4th dose, the symptoms are lingering.  Enhanced vertigo, left side of body nerve pain, occasional burning headaches on the left side of head/brain, increased stiffness and crackling noise and feeling on left side of head, only.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo
Clinical narrative: All 4 doses triggered EBV rash and fatigue.  With this 4th dose, the symptoms are lingering.  Enhanced vertigo, left side of body nerve pain, occasional burning headaches on the left side of head/brain, increased stiffness and crackling noise and feeling on left side of head, only.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Dyspnoea, Paraesthesia, Syncope
Clinical narrative: fainted, shortness of breath, stomach pain, weakness.tingling, hives. 911 called
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: fainted, shortness of breath, stomach pain, weakness.tingling, hives. 911 called
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered 4 days after beyond-use-date.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Feeling hot, Flushing, Tremor
Clinical narrative: I was vaccinated with 1 primary dose of J&J Covid vaccine on 4/8/2021, 1st primary dose of Pfizer Covid vaccine on 6/28/2021, and 2nd primary dose of Pfizer Covid vaccine on 7/19/2021. No noticeable issues with my body in 2021.  Slight tremor in my hand in early 2022 which I saw Dr.  on 3/25/2022 by virtual visit. Also experienced dizziness, face easily overheating/feeling flushed/red, resting heart rate at 100 bpm with onset in March 2022 as well. My weight as this time was 135 lb when I had been 145 lb in January 2022. I also mentioned I had what I believed to be hyperhidrosis or oversweating from my palms, armpits, and feet since I was 10, possibly even earlier. These were originally explained as due to a lack of sleep and stopping exercise and eating enough to maintain muscle weight.   I saw Dr.  for an annual physical on 6/17/2022. The dizziness and the tremor in my hand was gone by then. My weight was now 125 lb. We did blood tests for my thyroid along with other tests, and a few days later discovered that I had hyperthyroidism.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: I was vaccinated with 1 primary dose of J&J Covid vaccine on 4/8/2021, 1st primary dose of Pfizer Covid vaccine on 6/28/2021, and 2nd primary dose of Pfizer Covid vaccine on 7/19/2021. No noticeable issues with my body in 2021.  Slight tremor in my hand in early 2022 which I saw Dr.  on 3/25/2022 by virtual visit. Also experienced dizziness, face easily overheating/feeling flushed/red, resting heart rate at 100 bpm with onset in March 2022 as well. My weight as this time was 135 lb when I had been 145 lb in January 2022. I also mentioned I had what I believed to be hyperhidrosis or oversweating from my palms, armpits, and feet since I was 10, possibly even earlier. These were originally explained as due to a lack of sleep and stopping exercise and eating enough to maintain muscle weight.   I saw Dr.  for an annual physical on 6/17/2022. The dizziness and the tremor in my hand was gone by then. My weight was now 125 lb. We did blood tests for my thyroid along with other tests, and a few days later discovered that I had hyperthyroidism.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient self- scheduled for COVID vaccination. Patient completed consent for booster dose Pfizer covid vaccine form and attested that he meets the vaccine eligibility criteria to receive booster. Author confirmed his full name and birthday. Also confirmed if this was a 2nd booster dose and patient verbalized "yes, it is 2nd booster" Author verified with patient for any previous side effects. Patient denied any side effects. Patient did not bring vaccination card. Second booster was administered. Patient tolerated well, waited for 15 minutes observation. No side effects noted. Upon reviewing the immunization record, author found that patient had 4th dose of Pfizer vaccine on April 27, 2022 which is less than 4 months of recommended time frame.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered 4 days after beyond-use-date.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Aggression, Anger, Decreased appetite, Fatigue, Irritability
Clinical narrative: He was complaining about fatigue shortly after his vaccine.  He hadn't eaten in several days and gets very angry when he is hungry.  We tried to feed him and he became irritable and violent.  The doctor's appointment was already scheduled for the following Monday.  Doctor suggested it might be from the vaccine.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Soreness at injection site
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered 4 days after best used date
Age: 1.83
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 101.4
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event. Audit of records shows this patient was 16 at the time of vaccine and received a vaccine approved for 18 years and older.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, HIV test positive, Malaise
Clinical narrative: 42- year female was screened on 13 Jul 2022 and enrolled on 14 Jul 2022 receiving Moderna vaccine at 17:54. The participant is a HIV positive on HAART (Abacavir/Lamivudine/Dolutegravir) . Her vital sign at screening were: BMI 49.6.  On 14 Jul 2022, after vaccination, she was assessed for 15-min past immunization and found to have no immediate reaction to report.  On 17 July 2022, the surveillance nurse for the study received a call from the participant's care taker reporting that the participant was admitted unwell. The care taker reported that the participant travelled on 16 Jul 2022 to an area about 265 km away from study site.   The surveillance nurse advised for the participant to be taken to the facility which would have more options to review and provide care. The participant was taken to Hospital. Upon arrival to the hospital, the participant was assessed to be in need of oxygen support by facemask. Most of the information was from the  participants caretaker.  Late today we were able to establish contact with a medical doctor on the team who briefly reported that the participant came in with difficulty in breathing, and they were still investigating the possible cause. He reported though that the participant is much better and was switched from oxygen by facemask to Nasal prongs. We requested he provides more information on the illness, investigations done, working diagnosis and treatment, which he promised to provide on Thursday 21 July 2022. However he noted that the wanted to do a chest CT but the participant could not afford. We are working on supporting the investigation.  We shall submit more details as soon as we have.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Biopsy lymph gland abnormal, Endoscopy abnormal, Hodgkin's disease
Clinical narrative: Only symptom I had was under my arm was sore. And at the time I was getting V-Safe test message and I did mention it. I had an routine endoscopy with my gastrologist and incidentally ran across something suspicious and the biopsy was taken with results returning with Hopkins Lymphoma.  Gastrologist. Results given 4/14/2022 Treatment NOT YET. Still waiting with further taste with the oncologist and insurance approval for radiation.
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: there was no adverse event.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site discharge, Injection site pain, Injection site vesicles
Clinical narrative: After 1 week of administration , the patient called us to say that she had pain at the site -We told her that this could happen . HOWEVER , the site of injection started to bruise and it turned purple and black . A blister started to form in that area and it grew bigger to where it popped and a yellow discharge oozed out .The patient came back around 7.13.22  to show the pharmacist  who told her to see a doctor immediately .
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Wrong dosage given to patient. Patient received Pfizer age 5-11 dosage, when he should have received Pfizer age 6 month-4 year dosage.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Burning sensation, Eye irritation, Laboratory test normal, Rash
Clinical narrative: Painful burning rash on neck and face feels like its cooking my eyes. I went back to pharmacy where I got shot they said just side effect it will go away but neve did. First time to see doctor was on 10-25-2021
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Death
Clinical narrative: Patient admitted to Medical Center 1/6/2022. Per Death abstracted submitted by the state Patient Died 1/16/2022 at 14:04 of Covid pneumonia  acute hypoxic respiratory failure.  public health has no further information.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: 04/18/2022 Vaccination 07/10/2022 Believe where I became infected at a banquet dinner.  07/14/2022 I had a dry cough 07/15/2022 I tested COVID-19 POSITIVE on a rapid test. PCR test at the doctor office. Started the Plaxovid in the evening.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, Chest X-ray, Death, Laboratory test, Pneumonia
Clinical narrative: Patient dx with pneumonia and had positive blood cutures.  Died while in the hospital sometime around 7/14/22.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated x4 (Pfizer: 3/8/21, 4/5/21, 12/13/21, 7/12/22)  Patient admitted to hospital and found to be COVID positive on 7/19/22
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient came into the clinic for his booster. He had just gotten the 4th dose on 7/1/22. He told the provider it was his 2nd booster and she placed the order. The MA double checked the order was right, obtained consent, and gave patient the Pfizer vaccine in his left arm. When she started charting she realized it was his 5th dose, told the provider and notified the patient. No adverse events reported, patient was monitored for 20 minutes and then discharged.
Age: 0.83
Sex: F
Vaccine: DTPPVHBHPB, PNC13
Symptoms: Swelling face
Clinical narrative: Patients mother called clinic and notified us that patient woke this morning, 7/20/2022, with swelling  of the face, mother stated that she was acting fine and had no signs of dyspnea
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Oropharyngeal discomfort
Clinical narrative: redness and swelling at the site of injection, fatigue, tickle in the throat
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Oropharyngeal pain
Clinical narrative: hospitalization with weakness and severe sore throat from COVID
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: This patient received a COVID-19  vaccine that was a day past it's refrigeration time. Refrigeration time was up on the 17th of July.  But was not removed from the fridge and it was used on the 18th of July to vaccinate this patient.  Patient as of now has not reported an adverse event due to this vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient came in on 6/8 for her 4th dose of the covid vaccine. Peds Pfizer dose for ages 5-11 was given instead. Patient was notified right away and instructed to return to the facility right away for an adult dose per CDC guidelines. Patient returned on 6/10 for a repeat dose of the adult Pfizer vaccine. It was given in her right arm - lot # FK9893. No adverse effects reported and patient remained for 20 minutes before discharge.
Age: 36.0
Sex: M
Vaccine: JEV1, RAB
Symptoms: Angiogram pulmonary abnormal, Arteriosclerosis coronary artery, Atelectasis, Back pain, Chest X-ray abnormal
Clinical narrative: Patient received 2 vaccines at the same time on 11/29/2021; prior to this patient received 5 vaccines on 10/28/2021 (Anthrax #10, Typhoid #6,  meningcoccal #3, JEV #1, Rabies #1) and 1 vaccine on 11/05/2021 (Rabies #2)  Patient reported 7 days post vaccination that he had left sided chest pain, pain under left side of ribs and into back, left quadricep pain, and pain with breathing and coughing.  Patient reports that symptoms started on 12/05/2021. Patient presented to ER on 12/06/2021.
Age: 36.0
Sex: M
Vaccine: JEV1, RAB
Symptoms: Chest pain, Coagulation factor V level normal, Cough, Electrocardiogram abnormal, Fibrin D dimer
Clinical narrative: Patient received 2 vaccines at the same time on 11/29/2021; prior to this patient received 5 vaccines on 10/28/2021 (Anthrax #10, Typhoid #6,  meningcoccal #3, JEV #1, Rabies #1) and 1 vaccine on 11/05/2021 (Rabies #2)  Patient reported 7 days post vaccination that he had left sided chest pain, pain under left side of ribs and into back, left quadricep pain, and pain with breathing and coughing.  Patient reports that symptoms started on 12/05/2021. Patient presented to ER on 12/06/2021.
Age: 36.0
Sex: M
Vaccine: JEV1, RAB
Symptoms: Full blood count normal, Imaging procedure artifact, Musculoskeletal chest pain, Myalgia, Pain in extremity
Clinical narrative: Patient received 2 vaccines at the same time on 11/29/2021; prior to this patient received 5 vaccines on 10/28/2021 (Anthrax #10, Typhoid #6,  meningcoccal #3, JEV #1, Rabies #1) and 1 vaccine on 11/05/2021 (Rabies #2)  Patient reported 7 days post vaccination that he had left sided chest pain, pain under left side of ribs and into back, left quadricep pain, and pain with breathing and coughing.  Patient reports that symptoms started on 12/05/2021. Patient presented to ER on 12/06/2021.
Age: 36.0
Sex: M
Vaccine: JEV1, RAB
Symptoms: Painful respiration, Pleural effusion, Prothrombin level normal, Pulmonary embolism, Pulmonary infarction
Clinical narrative: Patient received 2 vaccines at the same time on 11/29/2021; prior to this patient received 5 vaccines on 10/28/2021 (Anthrax #10, Typhoid #6,  meningcoccal #3, JEV #1, Rabies #1) and 1 vaccine on 11/05/2021 (Rabies #2)  Patient reported 7 days post vaccination that he had left sided chest pain, pain under left side of ribs and into back, left quadricep pain, and pain with breathing and coughing.  Patient reports that symptoms started on 12/05/2021. Patient presented to ER on 12/06/2021.
Age: 36.0
Sex: M
Vaccine: JEV1, RAB
Symptoms: Pulmonary mass, Troponin normal, Ultrasound Doppler normal, Urine analysis normal
Clinical narrative: Patient received 2 vaccines at the same time on 11/29/2021; prior to this patient received 5 vaccines on 10/28/2021 (Anthrax #10, Typhoid #6,  meningcoccal #3, JEV #1, Rabies #1) and 1 vaccine on 11/05/2021 (Rabies #2)  Patient reported 7 days post vaccination that he had left sided chest pain, pain under left side of ribs and into back, left quadricep pain, and pain with breathing and coughing.  Patient reports that symptoms started on 12/05/2021. Patient presented to ER on 12/06/2021.
Age: 0.83
Sex: F
Vaccine: DTPPVHBHPB, PNC13
Symptoms: Swelling face
Clinical narrative: Patients mother called clinic this morning, 07/20/2022 and stated that patient had swelling on the facial area. Patients mother stated that it just began when she woke this morning. Mother stated that patient was acting normal and had no signs of dyspnea.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: 04/18/2022 Vaccination 07/10/2022 Husband started to have COVID symptoms but tested negative.  07/12/2022 I started to experience some symptoms to include sinus congestion, sore throat.  07/13/2022 My husband and I tested COVID-19 POSITIVE.  Contacted our doctor; No underlying health condition. We did not get on Plaxovid.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse effects reported or known.  Child was up to date with vaccination at the time of administration. Dtap was given 1 month too soon. HIB and Prevnar series where completed per investigative findings.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Fatigue, Giardiasis, Headache
Clinical narrative: Fever, aches, headache, fatigue on first night after vaccine (day 1) which continued into next day. Symptoms eased a bit. On Thursday (day 4) serious fatigue returned and intestinal distress began.  Severe diahrrea began Friday (day 5) morning and lasted until Monday (day 8) before easing. Provided stool sample to clinic on day 7 and on day 8 received diagnosis of giardia. No treatment and symptoms entirely by Tuesday (day 9).
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Stool analysis abnormal
Clinical narrative: Fever, aches, headache, fatigue on first night after vaccine (day 1) which continued into next day. Symptoms eased a bit. On Thursday (day 4) serious fatigue returned and intestinal distress began.  Severe diahrrea began Friday (day 5) morning and lasted until Monday (day 8) before easing. Provided stool sample to clinic on day 7 and on day 8 received diagnosis of giardia. No treatment and symptoms entirely by Tuesday (day 9).
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspepsia, Electrocardiogram, Feeding disorder, Gastrointestinal pain
Clinical narrative: Woke up on the morning of 6/24/2022 with sharp chest pain, head pain rated a 10/10, and uncontrollable shaking with fever. This pain was constant and continued throughout the day.  Unable to eat because of extreme pain upon eating and high production of stomach acid.  On 6/25/2022, contacted Pharmacy, PCP, and nurse at medical school, was diagnosed with functional dyspepsia. Unable to eat for four days and feeling of extreme chest pain. Lost 6 lb body weight. On 6/27/2022, visited Urgent Care and was given an EKG and directed to take 20mg famotidine. Chest pain and disgestive pain persist, and patient has been in contact with PCP about this.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Reflux gastritis, Tremor, Weight decreased
Clinical narrative: Woke up on the morning of 6/24/2022 with sharp chest pain, head pain rated a 10/10, and uncontrollable shaking with fever. This pain was constant and continued throughout the day.  Unable to eat because of extreme pain upon eating and high production of stomach acid.  On 6/25/2022, contacted Pharmacy, PCP, and nurse at medical school, was diagnosed with functional dyspepsia. Unable to eat for four days and feeling of extreme chest pain. Lost 6 lb body weight. On 6/27/2022, visited Urgent Care and was given an EKG and directed to take 20mg famotidine. Chest pain and disgestive pain persist, and patient has been in contact with PCP about this.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Moaning, Pallor, Syncope
Clinical narrative: Mom stated that patient had " passed out with her last vaccine" Mom states this vaccines was an HPV . Prior to vaccine  had patient to lay down on exam table for shot. Vaccine given in right deltoid per  protocol pt tol well. Recommended patient lay for few minutes before sitting, pt  stated felt ok. Patient sat on exam table for approxmiate 5-10 minutes. Mother at  side. After approx 5-10 minutes pt moaned and had  syncopal episode with patient  lying back on table with color turning pale. Pt awake and talking within a few  seconds of episode. Pt's feet elevated, patient able to answer questions, b/p  106/78 heart rate 68 and regular. Notified Dr, she stated to check another  blood pressure before patient released. B/P rechecked approx 10 minutes later with  bp 106/72 hr 57. Patient's color back to normal , patient stated she felt better.  Patient sat in exam room in upright approx 20 minutes beforing leaving with  mother. Patient stated she felt better. Encouraged if any more issues patient  should see a health care provider.