chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Computerised tomogram, Electrocardiogram, Erythema
Clinical narrative: Arm swelling reaction, painful, itching, redness put compresses on, started with warm and alternated with cold and elevated it. Then 3 days later I started having bilateral leg stinging and burning from the knees to my ankles, that would last for 1-2 mins then again a couple of days later but didn't last as long. I haven't had it since. But now I have swelling and pain on both legs, they felt tight, started at the feet then turned to my  ankles and legs. They hurt to walk and the pain radiate to my hip. I rub my legs with a natural remedy and the next day it was fine. But a couple days later it started again and still today it is both feet hurt, sting, and swollen but have been elevating them.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pruritus, Skin tightness
Clinical narrative: Arm swelling reaction, painful, itching, redness put compresses on, started with warm and alternated with cold and elevated it. Then 3 days later I started having bilateral leg stinging and burning from the knees to my ankles, that would last for 1-2 mins then again a couple of days later but didn't last as long. I haven't had it since. But now I have swelling and pain on both legs, they felt tight, started at the feet then turned to my  ankles and legs. They hurt to walk and the pain radiate to my hip. I rub my legs with a natural remedy and the next day it was fine. But a couple days later it started again and still today it is both feet hurt, sting, and swollen but have been elevating them.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, X-ray
Clinical narrative: Arm swelling reaction, painful, itching, redness put compresses on, started with warm and alternated with cold and elevated it. Then 3 days later I started having bilateral leg stinging and burning from the knees to my ankles, that would last for 1-2 mins then again a couple of days later but didn't last as long. I haven't had it since. But now I have swelling and pain on both legs, they felt tight, started at the feet then turned to my  ankles and legs. They hurt to walk and the pain radiate to my hip. I rub my legs with a natural remedy and the next day it was fine. But a couple days later it started again and still today it is both feet hurt, sting, and swollen but have been elevating them.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Pain, SARS-CoV-2 test positive
Clinical narrative: After receiving the vaccine, I had body aches all over and just didn't feel good. Tested 07/24 I tested negative for COVID-19. On Tuesday, July 26 I tested positive for COVID-19. On 07/27 I had a car (parking lot) visit with my doctor. I was given a prescription for PAXLOVID, benzonatate and to use MUCINEX D.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Asthenia, COVID-19, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: I woke up with a sore throat, headache and sneezing. My husband had already tested positive. I was losing my voice and was very tired so I tested on July 1st and was positive. I was sick for about 5 days with the sore throat and headache coming and going. I had virtual healthcare visit with my doctor and they recommended mixing TYLENOL and MOTRIN. I declined taking PAXLOVID as I was not compromised and my case was relatively mild. I tested negative on the 13th. The fatigue lasted for a while but I would say I am completely recovered from myself. For 2 weeks I felt not myself and I didn't have much energy. The other symptoms started to wain after the first week.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I woke up with a sore throat, headache and sneezing. My husband had already tested positive. I was losing my voice and was very tired so I tested on July 1st and was positive. I was sick for about 5 days with the sore throat and headache coming and going. I had virtual healthcare visit with my doctor and they recommended mixing TYLENOL and MOTRIN. I declined taking PAXLOVID as I was not compromised and my case was relatively mild. I tested negative on the 13th. The fatigue lasted for a while but I would say I am completely recovered from myself. For 2 weeks I felt not myself and I didn't have much energy. The other symptoms started to wain after the first week.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Dizziness, Headache, Palpitations
Clinical narrative: Pt received pfizer booster dose. during observation period 5 mins after vaccination, pt felt palpitations and dizziness. Pain 10/10 in upper/mid chest region, and in the back of her head. Pt's BP elevated 178/104 other vitals WDL. EMS called and pt was taken to ED for further evaluation.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Product administered to patient of inappropriate age
Clinical narrative: Parent wrote the wrong birthday year down on the Vaccination Consent Form, making her 12 years old, instead of her actual age of 11 years old.  Not discovered by provider until 5 days later.  No treatment required.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Covid 19- I tested positive on May 30th. I experienced runny nose, mild headache, sore throat, fatigue, & cough symptoms lasted for about 5 days. I wasn't taking any medication at all.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Covid 19- I tested positive on May 30th. I experienced runny nose, mild headache, sore throat, fatigue, & cough symptoms lasted for about 5 days. I wasn't taking any medication at all.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Haemodialysis, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: patient tested positive for COVID 19 on 7/1/2022, hemodialysis patient admitted on 6/28/2022 on 4 l NC, over the course of the first few days oxygen needs increased from NC to non-rebreather to bipap to high flow nasal cannula. patient was a DNR and expired on 7/24/2022.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Cough, Headache, Human rhinovirus test positive, Mouth breathing
Clinical narrative: Woke up on July 26th with a mild headache and mild sore throat. Ate and felt a bit better but hours later the sore throat got worse. Gave him a rapid test and it was negative. Woke up next morning still woke up with same sore throat. Gave him another rapid test and was negative. Called pediatrician office to make sure he didn't have strep. They ran a respiratory panel. My son by this point started to get congestion, was sneezing, headache was back, and as the evening the progressed he got stuffier and the sneezing continuing. He took MOTRIN and felt fine and the sore throat went away and did not come back. But the congestion is really bad, he can't breathe through the nose. He used inhaler and slept well. Had no temperature but woke up the next day with a slight cough, runny nose with mucus and a temperature of 100.4. The doctor office called back this morning and said that he was positive for rhino virus but negative for everything else. His temperature as of right now is really mild and his symptoms are mild except for the mucus.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, Respiratory viral panel, Rhinorrhoea
Clinical narrative: Woke up on July 26th with a mild headache and mild sore throat. Ate and felt a bit better but hours later the sore throat got worse. Gave him a rapid test and it was negative. Woke up next morning still woke up with same sore throat. Gave him another rapid test and was negative. Called pediatrician office to make sure he didn't have strep. They ran a respiratory panel. My son by this point started to get congestion, was sneezing, headache was back, and as the evening the progressed he got stuffier and the sneezing continuing. He took MOTRIN and felt fine and the sore throat went away and did not come back. But the congestion is really bad, he can't breathe through the nose. He used inhaler and slept well. Had no temperature but woke up the next day with a slight cough, runny nose with mucus and a temperature of 100.4. The doctor office called back this morning and said that he was positive for rhino virus but negative for everything else. His temperature as of right now is really mild and his symptoms are mild except for the mucus.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: Woke up on July 26th with a mild headache and mild sore throat. Ate and felt a bit better but hours later the sore throat got worse. Gave him a rapid test and it was negative. Woke up next morning still woke up with same sore throat. Gave him another rapid test and was negative. Called pediatrician office to make sure he didn't have strep. They ran a respiratory panel. My son by this point started to get congestion, was sneezing, headache was back, and as the evening the progressed he got stuffier and the sneezing continuing. He took MOTRIN and felt fine and the sore throat went away and did not come back. But the congestion is really bad, he can't breathe through the nose. He used inhaler and slept well. Had no temperature but woke up the next day with a slight cough, runny nose with mucus and a temperature of 100.4. The doctor office called back this morning and said that he was positive for rhino virus but negative for everything else. His temperature as of right now is really mild and his symptoms are mild except for the mucus.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was vaccinated with 5-11 year old pfizer instead of  pfizer 12+
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Malaise, Mobility decreased, Nausea
Clinical narrative: On Saturday, my first day of having COVID-19, I was really sick. I had no energy. I didn't do anything all day. I took over the counter medication. The next day on Sunday I felt better and did some housework. Then I started feeling nauseas. On Monday July 18, 2022 I went to a clinic. They said I had COVID-19. I received the COVID-19 antibody infusion that same day. In about 2 or 3 days I was a lot better. The doctor told me to take MUCINEX, and they gave me a prescription for cough medicine. In a few days I was feeling much better. I also had a sinus pressure headache that lasted the longest.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, SARS-CoV-2 test positive, Sinus headache
Clinical narrative: On Saturday, my first day of having COVID-19, I was really sick. I had no energy. I didn't do anything all day. I took over the counter medication. The next day on Sunday I felt better and did some housework. Then I started feeling nauseas. On Monday July 18, 2022 I went to a clinic. They said I had COVID-19. I received the COVID-19 antibody infusion that same day. In about 2 or 3 days I was a lot better. The doctor told me to take MUCINEX, and they gave me a prescription for cough medicine. In a few days I was feeling much better. I also had a sinus pressure headache that lasted the longest.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. On 06/17, I tested positive for COVID-19 with a home test and my doctor confirmed the diagnosis. I was given a prescription for benzonatate and it did not help. I was given a prescription for Z-PAK and a steroid but it didn't work either. I still have the cough and it is causing trouble with my breathing.
Age: 6.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: Quadracel is authorized as the 5th Dtap and 4th IPV and it was inadvertently given as the 4th DTaP and 4th IPV
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Injection site induration, Injection site pain, Massage, Peripheral swelling
Clinical narrative: Patient's mother reports the morning after receiving the Tdap vaccine, patient's arm began to swell. Reports redness, swelling, hard, and tender. Redness and swelling is approximately the size of an adult hand. Provider recommending Motrin, ice, and massage.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Impaired work ability, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I started getting getting symptoms of fatigue. The next day, I had a lot of sinus congestion and coughing. The fatigue was stronger. I took an at home COVID-19 test that was positive. I called my PCP and I had a telehealth visit. We discussed taking PAXLOVID but since I was not high risk, I did not get that prescribed. I tried to work remote but could not on Monday. I still have mild symptoms.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue
Clinical narrative: I firmly believe that I was exposed while at physical therapy because I had noticed that they do not properly clean their machines between use. I attended physical therapy 06/30/2022, then on the morning of 07/04/2022, I woke up at 3AM with a sore throat and was very cold. I got up at 6AM to care for a relative. I was still feeling badly though, so I went to an urgent care clinic. My temperature was 102.1. They tested for flu and COVID-19. I was positive for COVID-19 and they prescribed PAXLOVID. I began my first dose that morning. My fever ended up reaching 104 but by Tuesday, I was only experiencing a sore throat and some coughing. I did lose my taste and smell at some point. By the third day, I felt much better and was just experiencing some fatigue and coughing. After taking the 5 days of PAXLOVID, I tested negative for COVID-19 on the 6th day. It has been weeks since I have tested negative for COVID-19 but I am still coughing.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling cold, Influenza virus test negative, Oropharyngeal pain, Pyrexia
Clinical narrative: I firmly believe that I was exposed while at physical therapy because I had noticed that they do not properly clean their machines between use. I attended physical therapy 06/30/2022, then on the morning of 07/04/2022, I woke up at 3AM with a sore throat and was very cold. I got up at 6AM to care for a relative. I was still feeling badly though, so I went to an urgent care clinic. My temperature was 102.1. They tested for flu and COVID-19. I was positive for COVID-19 and they prescribed PAXLOVID. I began my first dose that morning. My fever ended up reaching 104 but by Tuesday, I was only experiencing a sore throat and some coughing. I did lose my taste and smell at some point. By the third day, I felt much better and was just experiencing some fatigue and coughing. After taking the 5 days of PAXLOVID, I tested negative for COVID-19 on the 6th day. It has been weeks since I have tested negative for COVID-19 but I am still coughing.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I firmly believe that I was exposed while at physical therapy because I had noticed that they do not properly clean their machines between use. I attended physical therapy 06/30/2022, then on the morning of 07/04/2022, I woke up at 3AM with a sore throat and was very cold. I got up at 6AM to care for a relative. I was still feeling badly though, so I went to an urgent care clinic. My temperature was 102.1. They tested for flu and COVID-19. I was positive for COVID-19 and they prescribed PAXLOVID. I began my first dose that morning. My fever ended up reaching 104 but by Tuesday, I was only experiencing a sore throat and some coughing. I did lose my taste and smell at some point. By the third day, I felt much better and was just experiencing some fatigue and coughing. After taking the 5 days of PAXLOVID, I tested negative for COVID-19 on the 6th day. It has been weeks since I have tested negative for COVID-19 but I am still coughing.
Age: 36.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Exposure during pregnancy, Wrong product administered
Clinical narrative: The patient was given a Gardasil-9 shot instead of the Tdap shot.
Age: 36.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The patient was given a Gardasil-9 shot instead of the Tdap shot.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration
Clinical narrative: No observed or reported adverse event. This is an administration error related to interval timing of a second booster dose. The second booster dose administered prior to the minimum interval after first booster dose. The first booster dose was given on 5/20/2022. A follow up phone call was made on same day at approximately 04:52 PM to patients assisted residential care home where RN spoke to patients Nurse Practitioner on their patients health status. Nurse Practitioner communicated that patient presented with no adverse ill effects after receiving Covid vaccination. Nurse practitioner stated patient is currently eating dinner in the dining room and is without incident or complaints.   Prior to administration the patient stated she was advised by their Nurse Practitioner to recieve their next Covid vaccine booster dose. Patient communicated to RN that she contracted Covid one week after reciving her first booster dose on 5/20/2022 The patient completed their primary covid vaccination series on 03/03/2021   During the time RN administered the Covid booster, he did not register the time between booster doses until it came time for charting. The Covid Immunization record was printed and provided before administration but RN was fixated at this time at providing the patient with their booster shot at the advisement of their NP.   In the future, RN is to follow through on the recommended dose interval schedule per the CDC guidelines regardless of personal provider advisements. These guidelines are to be kept and reviewed by all staff administering all Covid vaccinations.   The Nurse practitioner was also advised during the patient follow up call on timing of all second booster vaccine administration times for future patients, as four months after their first booster dose and three months after their first booster if immunocomprised.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Hallucination, Memory impairment, Psychotic disorder
Clinical narrative: Took the vaccine 2:30pm and at 11:00pm I developed a high fever, strong chills and severe shaking. Fell into some sort of psychosis with hallucinations. Felt I was being called over the "the other side". It lasted for the duration of that night. It took me a long time to feel normal again. My brain is working slower than normal. I was forgetting things. It is now almost 7 months ago and I still have moments I just don't feel 100% there.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Thinking abnormal, Tremor
Clinical narrative: Took the vaccine 2:30pm and at 11:00pm I developed a high fever, strong chills and severe shaking. Fell into some sort of psychosis with hallucinations. Felt I was being called over the "the other side". It lasted for the duration of that night. It took me a long time to feel normal again. My brain is working slower than normal. I was forgetting things. It is now almost 7 months ago and I still have moments I just don't feel 100% there.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Extra dose administered, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a really bad sinus headache and cough. My fever went up to 101 on June 13 Tuesday morning, by 4pm that afternoon it was 99.1. I was having sinus issues prior to my 4th dose and my doctor put me on OTC medications; I go through this every Fall. It got worse after the 4th dose and that Sunday is when it got really bad. When it got really bad with coughing I took the COVID-19 test and it was positive on June 12th. I found out on Monday that my coworkers were positive due to attending a mandatory promotion ceremony 4 days prior. They gave me a Z-PAK on June 22nd.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus headache
Clinical narrative: I had a really bad sinus headache and cough. My fever went up to 101 on June 13 Tuesday morning, by 4pm that afternoon it was 99.1. I was having sinus issues prior to my 4th dose and my doctor put me on OTC medications; I go through this every Fall. It got worse after the 4th dose and that Sunday is when it got really bad. When it got really bad with coughing I took the COVID-19 test and it was positive on June 12th. I found out on Monday that my coworkers were positive due to attending a mandatory promotion ceremony 4 days prior. They gave me a Z-PAK on June 22nd.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Needle issue, Product administration error
Clinical narrative: Client was seated on mother's lap - mother was pregnant and unable to bind legs of child between her own legs.  Child lunged away when needle was inserted causing needle to be removed.  No vaccine administered.  Vanishpoint was being used.  A new dose of vaccine with a new Vanishpoint was successfully administered with 2nd attempt.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Extra dose administered
Clinical narrative: I received my vaccine on 04/27/2022. Next morning I started feeling chill and flu like symptoms with muscle soreness and loss of appetite. Feelings lasted 3-4 days with soreness from the injection site. Felt fine until 06/11/2022. Woke up from nap with a minor cough and sore throat. On the 06/12/2022 I started to get a horrible persistent cough that was a cloudy phlegm. I tested positive for COVID-19 on 06/12/2022. I reached out to my doctor and was prescribed TESSALON PERLES. By 06/16/2022 the cough was starting to subside and was clear and 06/17/2022 the cough had improved with occasional cough with phlegm.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site pain, Myalgia, Oropharyngeal pain, Productive cough
Clinical narrative: I received my vaccine on 04/27/2022. Next morning I started feeling chill and flu like symptoms with muscle soreness and loss of appetite. Feelings lasted 3-4 days with soreness from the injection site. Felt fine until 06/11/2022. Woke up from nap with a minor cough and sore throat. On the 06/12/2022 I started to get a horrible persistent cough that was a cloudy phlegm. I tested positive for COVID-19 on 06/12/2022. I reached out to my doctor and was prescribed TESSALON PERLES. By 06/16/2022 the cough was starting to subside and was clear and 06/17/2022 the cough had improved with occasional cough with phlegm.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I received my vaccine on 04/27/2022. Next morning I started feeling chill and flu like symptoms with muscle soreness and loss of appetite. Feelings lasted 3-4 days with soreness from the injection site. Felt fine until 06/11/2022. Woke up from nap with a minor cough and sore throat. On the 06/12/2022 I started to get a horrible persistent cough that was a cloudy phlegm. I tested positive for COVID-19 on 06/12/2022. I reached out to my doctor and was prescribed TESSALON PERLES. By 06/16/2022 the cough was starting to subside and was clear and 06/17/2022 the cough had improved with occasional cough with phlegm.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Computerised tomogram, Dyspnoea, Laboratory test, Malaise
Clinical narrative: Within one day he had fever and became very ill, within 7 days he was admitted to the hospital with difficulty breathing. He ended up having acute pulmonary embolisms, hemopneumothorax, Acute respiratory distress syndrome.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Pyrexia, Traumatic haemothorax, X-ray
Clinical narrative: Within one day he had fever and became very ill, within 7 days he was admitted to the hospital with difficulty breathing. He ended up having acute pulmonary embolisms, hemopneumothorax, Acute respiratory distress syndrome.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The patient has not reported any adverse reactions. On 6/1/2022 a vial was used for COVID clinic. After use, the vial was placed in the refrigerator (this should have been wasted after 12 hours). On 07/27/2022, the vial was taken out of the fridge and used for this patient.
Age: 35.0
Sex: F
Vaccine: HPV9
Symptoms: Petechiae
Clinical narrative: Patient developed petechiae on skin of lower abdomen
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Nausea
Clinical narrative: Nausea. Fatigue.
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Polymerase chain reaction, Pyrexia
Clinical narrative: Sore throat, malaise and low grade fever.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Wrong technique in product usage process
Clinical narrative: The patient has not reported any adverse reactions. On 6/1/2022 a vial was used for COVID clinic. After use, the vial was placed in the refrigerator (this should have been wasted after 12 hours). On 07/27/2022, the vial was taken out of the fridge and used for this patient.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Culture urine negative, Drug level, Drug screen
Clinical narrative: Resident received vaccine on 7/26 with no s/s of adverse reaction noted. On 7/27 in morning, resident was drowsy, with altered mental status and slurred speech.  Redness and pain noted to L arm. Resident was sent to hospital for evaluation and returned with new antibiotic order for dx of UTI.  On 7/28 resident is more alert and oriented, states she feels better but remains tired. L arm near injection site in red, swollen and warm. Left arm noted with hard area 2 inches beneath injection site. Red area extends from injection site down arm approx 4 inches. Resident states it feels itchy, but is otherwise able to move arm to her previous extents.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Electrocardiogram, Erythema, Full blood count, Injection site erythema
Clinical narrative: Resident received vaccine on 7/26 with no s/s of adverse reaction noted. On 7/27 in morning, resident was drowsy, with altered mental status and slurred speech.  Redness and pain noted to L arm. Resident was sent to hospital for evaluation and returned with new antibiotic order for dx of UTI.  On 7/28 resident is more alert and oriented, states she feels better but remains tired. L arm near injection site in red, swollen and warm. Left arm noted with hard area 2 inches beneath injection site. Red area extends from injection site down arm approx 4 inches. Resident states it feels itchy, but is otherwise able to move arm to her previous extents.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth, Mental status changes
Clinical narrative: Resident received vaccine on 7/26 with no s/s of adverse reaction noted. On 7/27 in morning, resident was drowsy, with altered mental status and slurred speech.  Redness and pain noted to L arm. Resident was sent to hospital for evaluation and returned with new antibiotic order for dx of UTI.  On 7/28 resident is more alert and oriented, states she feels better but remains tired. L arm near injection site in red, swollen and warm. Left arm noted with hard area 2 inches beneath injection site. Red area extends from injection site down arm approx 4 inches. Resident states it feels itchy, but is otherwise able to move arm to her previous extents.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pain in extremity, Somnolence, Urinary tract infection, Urine analysis
Clinical narrative: Resident received vaccine on 7/26 with no s/s of adverse reaction noted. On 7/27 in morning, resident was drowsy, with altered mental status and slurred speech.  Redness and pain noted to L arm. Resident was sent to hospital for evaluation and returned with new antibiotic order for dx of UTI.  On 7/28 resident is more alert and oriented, states she feels better but remains tired. L arm near injection site in red, swollen and warm. Left arm noted with hard area 2 inches beneath injection site. Red area extends from injection site down arm approx 4 inches. Resident states it feels itchy, but is otherwise able to move arm to her previous extents.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Blood thyroid stimulating hormone, Chest X-ray, Chest discomfort, Differential white blood cell count, Echocardiogram
Clinical narrative: Day 1 (day of vaccine) - sore, tight jaw Day 2 - pain, redness and slight swelling Day 3 - sharp pain, redness and increased swelling (on call doctor advise Ibuprofen and Benadryl) Day 4- sharp pain, redness, severe swelling under arm, cannot lift arm swelling in neck and head, chest tightness  Day 5 - saw doctor, increased pain, redness swelling up neck and head under arm, Chest tightness and itchy. prescribed steroid  Day 6 - swelling decreased but then by afternoon increasing, tightness of chest and tachycardia - admitted to hospital
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Electrocardiogram, Erythema, Fibrin D dimer, Full blood count, Human chorionic gonadotropin
Clinical narrative: Day 1 (day of vaccine) - sore, tight jaw Day 2 - pain, redness and slight swelling Day 3 - sharp pain, redness and increased swelling (on call doctor advise Ibuprofen and Benadryl) Day 4- sharp pain, redness, severe swelling under arm, cannot lift arm swelling in neck and head, chest tightness  Day 5 - saw doctor, increased pain, redness swelling up neck and head under arm, Chest tightness and itchy. prescribed steroid  Day 6 - swelling decreased but then by afternoon increasing, tightness of chest and tachycardia - admitted to hospital
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Metabolic function test, Mobility decreased, Muscle tightness, Pain, Pain in jaw
Clinical narrative: Day 1 (day of vaccine) - sore, tight jaw Day 2 - pain, redness and slight swelling Day 3 - sharp pain, redness and increased swelling (on call doctor advise Ibuprofen and Benadryl) Day 4- sharp pain, redness, severe swelling under arm, cannot lift arm swelling in neck and head, chest tightness  Day 5 - saw doctor, increased pain, redness swelling up neck and head under arm, Chest tightness and itchy. prescribed steroid  Day 6 - swelling decreased but then by afternoon increasing, tightness of chest and tachycardia - admitted to hospital
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Peripheral swelling, Pruritus, Swelling, Tachycardia, Troponin
Clinical narrative: Day 1 (day of vaccine) - sore, tight jaw Day 2 - pain, redness and slight swelling Day 3 - sharp pain, redness and increased swelling (on call doctor advise Ibuprofen and Benadryl) Day 4- sharp pain, redness, severe swelling under arm, cannot lift arm swelling in neck and head, chest tightness  Day 5 - saw doctor, increased pain, redness swelling up neck and head under arm, Chest tightness and itchy. prescribed steroid  Day 6 - swelling decreased but then by afternoon increasing, tightness of chest and tachycardia - admitted to hospital
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: I started out with a scratchy throat and then it quickly developed into upper respiratory symptoms. I had a cough, felt tired, sat down and fell asleep easily. I had a headache and had a fever from 99 to 101 and keeps fluctuating. It's been hard to tell since I've been taking a fever reducer. I've been feeling very tired and sluggish. I've had a cough that sometimes becomes dry and sometimes productive. I've had headaches and felt like I've been hit by a truck with the body aches. My sore throat became extremely bad last night. I've also had a runny nose and some sneezing. I've just been taking Aspirin, and switched to Tylenol, resting, taking Emergen-C and lots of liquids. The health care professional noted that I shouldn't take Paxlovid due to my blood pressure medication, so we ruled against that.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Productive cough, Pyrexia, Respiratory symptom, Rhinorrhoea
Clinical narrative: I started out with a scratchy throat and then it quickly developed into upper respiratory symptoms. I had a cough, felt tired, sat down and fell asleep easily. I had a headache and had a fever from 99 to 101 and keeps fluctuating. It's been hard to tell since I've been taking a fever reducer. I've been feeling very tired and sluggish. I've had a cough that sometimes becomes dry and sometimes productive. I've had headaches and felt like I've been hit by a truck with the body aches. My sore throat became extremely bad last night. I've also had a runny nose and some sneezing. I've just been taking Aspirin, and switched to Tylenol, resting, taking Emergen-C and lots of liquids. The health care professional noted that I shouldn't take Paxlovid due to my blood pressure medication, so we ruled against that.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sluggishness, Sneezing, Throat irritation
Clinical narrative: I started out with a scratchy throat and then it quickly developed into upper respiratory symptoms. I had a cough, felt tired, sat down and fell asleep easily. I had a headache and had a fever from 99 to 101 and keeps fluctuating. It's been hard to tell since I've been taking a fever reducer. I've been feeling very tired and sluggish. I've had a cough that sometimes becomes dry and sometimes productive. I've had headaches and felt like I've been hit by a truck with the body aches. My sore throat became extremely bad last night. I've also had a runny nose and some sneezing. I've just been taking Aspirin, and switched to Tylenol, resting, taking Emergen-C and lots of liquids. The health care professional noted that I shouldn't take Paxlovid due to my blood pressure medication, so we ruled against that.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after third dose;   Moderna 3/7/21 Lot# 023M20A;  Moderna 4/8/21 Lot# 018V21A;  Moderna 11/4/21 Lot# 077C21B
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a runny nose and had been in traveling for two weeks. I choose to use my home COVID-19 test that came positive. I decided not to call my Primary Care Physician since the only symptom I had was the runny nose. I chose to quarantine and do not feel that I need to get the PAXLOVID.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient has not reported any adverse reactions. On 6/1/2022 a vial was used for COVID clinic. After use, the vial was placed in the refrigerator (this should have been wasted after 12 hours). On 07/27/2022, the vial was taken out of the fridge and used for this patient.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three doses Moderna 2/6/21 Lot# 013M20A;  Moderna 3/6/21 Lot# 030A21A;  Moderna 11/2/21 Lot# 939905
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash, Rash pruritic
Clinical narrative: Patient describes her arm after shot to be very sore and also patient had a red large rash on the side of her arm that is very itchy
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Exercise tolerance decreased, Fatigue, Influenza virus test negative
Clinical narrative: On 7-18, 5 days after vaccination, I started noticing shortness of breath. On 7-19 I started having a cough and sneezing. On 7-20, I went to the PA and they tested me for flu, RSV, Covid19. He also ordered albuterol inhaler and dexamethasone. 7-21, I noticed significantly less endurance. On 7-23, the flu and rsv tests came back negative. I went back to see the PA on 7-26 and he had me retested for Covid19 due to the first one not being done correctly and he also had to re-presribe the medications because they did not go thru for some reason. I found out thru my health portal at the PAs office that my Covid19 test was negative. I am starting the dexamethasone today, 7-28-2022. I am feeling fair today with still a lingering cough, slight chest congestion and fatigue.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing
Clinical narrative: On 7-18, 5 days after vaccination, I started noticing shortness of breath. On 7-19 I started having a cough and sneezing. On 7-20, I went to the PA and they tested me for flu, RSV, Covid19. He also ordered albuterol inhaler and dexamethasone. 7-21, I noticed significantly less endurance. On 7-23, the flu and rsv tests came back negative. I went back to see the PA on 7-26 and he had me retested for Covid19 due to the first one not being done correctly and he also had to re-presribe the medications because they did not go thru for some reason. I found out thru my health portal at the PAs office that my Covid19 test was negative. I am starting the dexamethasone today, 7-28-2022. I am feeling fair today with still a lingering cough, slight chest congestion and fatigue.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines  Moderna 4/22/21 Lot# 030A21A;  Moderna 05/20/21 Lot# 005C21A; Moderna 3/8/22 Lot# 033K21-2A
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Wrong technique in product usage process
Clinical narrative: The patient has not reported any adverse reactions. On 6/1/2022 a vial was used for COVID clinic. After use, the vial was placed in the refrigerator (this should have been wasted after 12 hours). On 07/27/2022, the vial was taken out of the fridge and used for this patient.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Patient has large  red circular rash  on side of the arm that received vaccination
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: patient said the day of vaccine she had redness/tenderness/and heat at the injection site. patient went to the doctor and was given cephalexin as the prescriber thought she could have cellulitus at the injection site. patient said she was ok and still wanted to get the second dose when due. patient was told to contact us if something changes
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, COVID-19, Chest discomfort, Cough, Fatigue
Clinical narrative: I woke up with intense headache several times. I also had upset stomach, mental fogginess, and fatigue. The very next day I started having nasal congestion and sneezing. So, I took an at home test which came back positive. I started isolating for 5 days and got plenty of rest. I had a virtual doctor's appointment. My doctor told me to take EXCEDRIN after giving her all my symptoms and drink plenty of fluid. I ask were there any downside to taking PAXLOVID and she said that most people have returning symptoms, so I just took over the counter. By the 3rd day I started coughing bad and had chest tightening. The next day I started having a sore throat which I took HALLS for and all the other symptoms (headache, upset stomach, and body aches) had started to resolve. By Friday I only had congestion, fatigue, and some couching at night until maybe Tuesday. On July 7th was the day I tested negative.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: I woke up with intense headache several times. I also had upset stomach, mental fogginess, and fatigue. The very next day I started having nasal congestion and sneezing. So, I took an at home test which came back positive. I started isolating for 5 days and got plenty of rest. I had a virtual doctor's appointment. My doctor told me to take EXCEDRIN after giving her all my symptoms and drink plenty of fluid. I ask were there any downside to taking PAXLOVID and she said that most people have returning symptoms, so I just took over the counter. By the 3rd day I started coughing bad and had chest tightening. The next day I started having a sore throat which I took HALLS for and all the other symptoms (headache, upset stomach, and body aches) had started to resolve. By Friday I only had congestion, fatigue, and some couching at night until maybe Tuesday. On July 7th was the day I tested negative.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I woke up with intense headache several times. I also had upset stomach, mental fogginess, and fatigue. The very next day I started having nasal congestion and sneezing. So, I took an at home test which came back positive. I started isolating for 5 days and got plenty of rest. I had a virtual doctor's appointment. My doctor told me to take EXCEDRIN after giving her all my symptoms and drink plenty of fluid. I ask were there any downside to taking PAXLOVID and she said that most people have returning symptoms, so I just took over the counter. By the 3rd day I started coughing bad and had chest tightening. The next day I started having a sore throat which I took HALLS for and all the other symptoms (headache, upset stomach, and body aches) had started to resolve. By Friday I only had congestion, fatigue, and some couching at night until maybe Tuesday. On July 7th was the day I tested negative.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The patient has not reported any adverse reactions. On 6/1/2022 a vial was used for COVID clinic. After use, the vial was placed in the refrigerator (this should have been wasted after 12 hours). On 07/27/2022, the vial was taken out of the fridge and used for this patient.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient presented to COVID vaccine clinic with CDC card. On the CDC card it had dates of Moderna 2/19/21 and Moderna 3/24/21, making them eligible for first booster. Patient stated she did not receive these doses so registration noted them to be entered as historical in database. When I went to enter them, there was multiple COVID vaccine administrations in there - even without entering these so said historicals I reached out to the local DOH and was told to submit VAERS report.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines Pfizer x2; Pfizer 8/23/21 Lot# FC3181;  Pfizer 10/21/21 Lot# FF2593
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient presented to COVID-19 vaccine clinic with CDC card. On the card it had dates of Moderna 2/19/2021 and Moderna 3/24/2021, making them eligible for first booster. Patient stated she did not receive these doses so registration noted them to be entered. When I went to enter them, multiple COVID-19 vaccine administrations appeared.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Rash, Urticaria
Clinical narrative: uticarial rash broke out all over body.  Fist Pfizer shot (all  3 previous doses had been Moderna)
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, COVID-19, Cardiac function test normal, Dysstasia
Clinical narrative: I received my second dose of the Pfizer vaccine for COVID-19 on 7/23/2021. On 7/6/2022, I began to get very weak and nauseous. I was tested for COVID-19, and the result was positive. They then gave me an experimental intravenous drug, bebtelovimab, I was then sent home. On 7/7/2022, my symptoms got progressively worse. I was so weak that I couldn't even stand up, and the nausea worsened to the point in which I had dry heaves. I was unable to eat at this time, so I had nothing to throw up. I spent most of the day sleeping. On 7/8/2022, my symptoms were so severe that my family insisted that I go to the hospital. I still felt weak and experienced nausea whenever I moved. I then went back to the ER, and I was admitted to the hospital. I was told that my heartrate was slightly irregular, and they wanted to keep me, so they could keep an eye on my situation and provide relief for my nausea. I slept most of the time while I was in the hospital. They experimented with different medication combinations to help me with my nausea, and I finally had relief from the nausea on about 7/12/2022. During this time, I was unable to eat, because the thought of eating just made me sick. I underwent various tests, and my heart function was normal. While I was in the hospital, it was also discovered that I had a urinary tract infection. I was finally released from the hospital on or about 7/13/2022. They prescribed me hydralazine to take at home and a scopolamine patch to wear behind the ear. When I got home, I slept most of the day. On 7/14/2022, I felt much better. I was no longer nauseous, and I had more strength. I was now also able to eat again.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Heart rate irregular, Laboratory test, Malaise, Nausea
Clinical narrative: I received my second dose of the Pfizer vaccine for COVID-19 on 7/23/2021. On 7/6/2022, I began to get very weak and nauseous. I was tested for COVID-19, and the result was positive. They then gave me an experimental intravenous drug, bebtelovimab, I was then sent home. On 7/7/2022, my symptoms got progressively worse. I was so weak that I couldn't even stand up, and the nausea worsened to the point in which I had dry heaves. I was unable to eat at this time, so I had nothing to throw up. I spent most of the day sleeping. On 7/8/2022, my symptoms were so severe that my family insisted that I go to the hospital. I still felt weak and experienced nausea whenever I moved. I then went back to the ER, and I was admitted to the hospital. I was told that my heartrate was slightly irregular, and they wanted to keep me, so they could keep an eye on my situation and provide relief for my nausea. I slept most of the time while I was in the hospital. They experimented with different medication combinations to help me with my nausea, and I finally had relief from the nausea on about 7/12/2022. During this time, I was unable to eat, because the thought of eating just made me sick. I underwent various tests, and my heart function was normal. While I was in the hospital, it was also discovered that I had a urinary tract infection. I was finally released from the hospital on or about 7/13/2022. They prescribed me hydralazine to take at home and a scopolamine patch to wear behind the ear. When I got home, I slept most of the day. On 7/14/2022, I felt much better. I was no longer nauseous, and I had more strength. I was now also able to eat again.