chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Pain, Rotator cuff syndrome, Synovial fluid analysis, Synovial fluid cell count, Synovial fluid red blood cells positive
Clinical narrative: Septic Arthritis:   This is an 81 yo female who initially presented to the hospital 11/9/22 not feeling well with generalized weakness.  Over the course of the next several days, pt began complaining of worsening L shoulder pain with restricted ROM.  She was give one dose of steroids but this only helped minimally.  Ortho was consulted and arthrocentesis performed; cell count was c/w infection.  Pt subsequently went to OR 11/13 for washout.  Was found to ave L subdeltoid abscess that tracked to joint.  +rotator cuff tear.     Notably, pt with worsening pain since Covid bivalent vaccine administered in L deltoid 10/26/22
Age: 81.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Synovial fluid white blood cells positive
Clinical narrative: Septic Arthritis:   This is an 81 yo female who initially presented to the hospital 11/9/22 not feeling well with generalized weakness.  Over the course of the next several days, pt began complaining of worsening L shoulder pain with restricted ROM.  She was give one dose of steroids but this only helped minimally.  Ortho was consulted and arthrocentesis performed; cell count was c/w infection.  Pt subsequently went to OR 11/13 for washout.  Was found to ave L subdeltoid abscess that tracked to joint.  +rotator cuff tear.     Notably, pt with worsening pain since Covid bivalent vaccine administered in L deltoid 10/26/22
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose decreased, COVID-19, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: I had a sore throat which I treated with RICOLA throat lozenges. I also had a cough which I took benzonatate. I tested positive for COVID-19 on November 01, 2022. We had a telephone conference call, and the doctor prescribed the benzonatate. The cough got worse, but the sore throat got better but the cough got worse. It took about 4 days. I am still tired, and it seems like my blood sugar is lower since having COVID-19. I am shaky in between meals so I am going to speak with my doctor about this symptom. I still have sinus congestion and a little cough but for the most part I have recovered from him.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinus congestion, Tremor
Clinical narrative: I had a sore throat which I treated with RICOLA throat lozenges. I also had a cough which I took benzonatate. I tested positive for COVID-19 on November 01, 2022. We had a telephone conference call, and the doctor prescribed the benzonatate. The cough got worse, but the sore throat got better but the cough got worse. It took about 4 days. I am still tired, and it seems like my blood sugar is lower since having COVID-19. I am shaky in between meals so I am going to speak with my doctor about this symptom. I still have sinus congestion and a little cough but for the most part I have recovered from him.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: no adverse response.  was given the primary dose vaccine by pharmacist by accident when was supposed to get the bivalent booster
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Syncope
Clinical narrative: Fainted the next morning after my first Pfizer covid booster.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Palpitations
Clinical narrative: numbness, starting from day 1 getting worse on day 5. Woke up day 6 with racing heart. Went to ER, heart rate was 170. It calmed down after 20 min. I am still experiencing numbness and it is getting worse.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated with booster
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past manufacture expiration date.   Lot # FL8095 manufacture expiration date 8/31/2022   Response from Pfizer: ?Currently available stability data demonstrate product quality  is maintained for 12 months plus and additional week after  the date of manufacture. Lot number FL8095 was  manufactured on 28-Sep-2021. Based on the actual date of  manufacture, product quality should be maintained through  24-Sep-22, provided that the vaccine has been stored  according to labeled storage conditions.?
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bronchitis, Degenerative bone disease, Headache, Impaired driving ability
Clinical narrative: I am not a sick person, in June I started to experience pain in my head, neck and shoulder are on my right side. It got to be so severe I had to go to the urgent care. They took x-rays and some other test. They gave me ibuprofen 600mg and told me I had degrative bone disease. Two weeks later the pain had radiated to my left side. It made it hard for me to drive. I was diagnoses with polymyalgia. Once I started to feel better, I went in to get my influenza vaccine. I started experiencing malaise and pain, I went back to urgent care where I was told I had bronchitis. I was sent home with medication, but I am not comfortable taking it.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Malaise, Myalgia, Neck pain, Pain
Clinical narrative: I am not a sick person, in June I started to experience pain in my head, neck and shoulder are on my right side. It got to be so severe I had to go to the urgent care. They took x-rays and some other test. They gave me ibuprofen 600mg and told me I had degrative bone disease. Two weeks later the pain had radiated to my left side. It made it hard for me to drive. I was diagnoses with polymyalgia. Once I started to feel better, I went in to get my influenza vaccine. I started experiencing malaise and pain, I went back to urgent care where I was told I had bronchitis. I was sent home with medication, but I am not comfortable taking it.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: I am not a sick person, in June I started to experience pain in my head, neck and shoulder are on my right side. It got to be so severe I had to go to the urgent care. They took x-rays and some other test. They gave me ibuprofen 600mg and told me I had degrative bone disease. Two weeks later the pain had radiated to my left side. It made it hard for me to drive. I was diagnoses with polymyalgia. Once I started to feel better, I went in to get my influenza vaccine. I started experiencing malaise and pain, I went back to urgent care where I was told I had bronchitis. I was sent home with medication, but I am not comfortable taking it.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past manufacture expiration date.   Lot # FL8095 manufacture expiration date 8/31/2022   Response from Pfizer: ?Currently available stability data demonstrate product quality  is maintained for 12 months plus and additional week after  the date of manufacture. Lot number FL8095 was  manufactured on 28-Sep-2021. Based on the actual date of  manufacture, product quality should be maintained through  24-Sep-22, provided that the vaccine has been stored  according to labeled storage conditions.?
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Chest pain, Death, Dyspnoea
Clinical narrative: pt to hospital with increasing SOB and CP; somnolent; required intubation; morbidly obese; COVID positive, sepsis, shock, ARDS; ABX; vasopressors; pt's condition declined and she passed away in the hospital
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Obesity, SARS-CoV-2 test positive, Sepsis
Clinical narrative: pt to hospital with increasing SOB and CP; somnolent; required intubation; morbidly obese; COVID positive, sepsis, shock, ARDS; ABX; vasopressors; pt's condition declined and she passed away in the hospital
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Shock, Somnolence
Clinical narrative: pt to hospital with increasing SOB and CP; somnolent; required intubation; morbidly obese; COVID positive, sepsis, shock, ARDS; ABX; vasopressors; pt's condition declined and she passed away in the hospital
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dehydration, Dyspnoea, Fatigue
Clinical narrative: VACCINE BREAKTHROUGH INFECTION - Symptoms lasted for several days, required consultation with physicians and extra care at home, but did not necessitate in-person medical care.  (Prior to receiving vaccine, patient was high risk for severe disease due to neurological disease and history of complications with colds) 9/29/2022 (Day of positive test): Congestion, fatigue 9/29 - 10/2/2022: Vomiting increased from baseline, a bit dehydrated, a 100.2 fever, elevated heart rate (at one point it was 170s/180s but got better in time for us to avoid the ER), upper and lower congestion, slightly more labored than usual breathing, and coughing a fair amount, especially at night.  Parents kept in touch with child's pulmonologist for recommendations, and so he was able to be cared for at home.  He was mostly recovered by 10/2/22.  At-home care slightly more than typically needed for colds (history of emergent care needed during colds for respiratory issues, dehydration, etc).  At-home care included: monitoring of oxygen and heart rate via medical-grade Covidien pulse oximeter, increased chest physiotherapy, medical-grade nasal suction, substitute pedialyte for 1/2 of g-tube feeds, acetaminophen/ibuprofen, saline nasal spray, saline mist inhaler, mucinex at night, albuterol inhaler every 4 hours.
Sex: U
Vaccine: COVID19
Symptoms: Feeding tube user, Heart rate increased, Lower respiratory tract congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: VACCINE BREAKTHROUGH INFECTION - Symptoms lasted for several days, required consultation with physicians and extra care at home, but did not necessitate in-person medical care.  (Prior to receiving vaccine, patient was high risk for severe disease due to neurological disease and history of complications with colds) 9/29/2022 (Day of positive test): Congestion, fatigue 9/29 - 10/2/2022: Vomiting increased from baseline, a bit dehydrated, a 100.2 fever, elevated heart rate (at one point it was 170s/180s but got better in time for us to avoid the ER), upper and lower congestion, slightly more labored than usual breathing, and coughing a fair amount, especially at night.  Parents kept in touch with child's pulmonologist for recommendations, and so he was able to be cared for at home.  He was mostly recovered by 10/2/22.  At-home care slightly more than typically needed for colds (history of emergent care needed during colds for respiratory issues, dehydration, etc).  At-home care included: monitoring of oxygen and heart rate via medical-grade Covidien pulse oximeter, increased chest physiotherapy, medical-grade nasal suction, substitute pedialyte for 1/2 of g-tube feeds, acetaminophen/ibuprofen, saline nasal spray, saline mist inhaler, mucinex at night, albuterol inhaler every 4 hours.
Sex: U
Vaccine: COVID19
Symptoms: Upper respiratory tract congestion, Vaccine breakthrough infection, Vomiting
Clinical narrative: VACCINE BREAKTHROUGH INFECTION - Symptoms lasted for several days, required consultation with physicians and extra care at home, but did not necessitate in-person medical care.  (Prior to receiving vaccine, patient was high risk for severe disease due to neurological disease and history of complications with colds) 9/29/2022 (Day of positive test): Congestion, fatigue 9/29 - 10/2/2022: Vomiting increased from baseline, a bit dehydrated, a 100.2 fever, elevated heart rate (at one point it was 170s/180s but got better in time for us to avoid the ER), upper and lower congestion, slightly more labored than usual breathing, and coughing a fair amount, especially at night.  Parents kept in touch with child's pulmonologist for recommendations, and so he was able to be cared for at home.  He was mostly recovered by 10/2/22.  At-home care slightly more than typically needed for colds (history of emergent care needed during colds for respiratory issues, dehydration, etc).  At-home care included: monitoring of oxygen and heart rate via medical-grade Covidien pulse oximeter, increased chest physiotherapy, medical-grade nasal suction, substitute pedialyte for 1/2 of g-tube feeds, acetaminophen/ibuprofen, saline nasal spray, saline mist inhaler, mucinex at night, albuterol inhaler every 4 hours.
Age: 75.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Pain, Pruritus, Swelling, Symptom recurrence
Clinical narrative: Patient called today to report a red itchy painful bump. Patient states that bump and swelling went away after the injection, but came back and is worse today
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syncope
Clinical narrative: Fainted the next morning (9/10/2022) after my 2nd covid booster (9/9/2022.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was scheduled for a Pfizer Primary dose but was instead given Pfizer Booster Adult dose her left deltiod.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past manufacture expiration date.   Lot # FL8095 manufacture expiration date 8/31/2022   Response from Pfizer: ?Currently available stability data demonstrate product quality  is maintained for 12 months plus and additional week after  the date of manufacture. Lot number FL8095 was  manufactured on 28-Sep-2021. Based on the actual date of  manufacture, product quality should be maintained through  24-Sep-22, provided that the vaccine has been stored  according to labeled storage conditions.?
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Pneumonia
Clinical narrative: Patient came to ED with worsening shortness of breath.  Patient was admitted to the hospital with acute exacerbation of COPD, pneumonia, and Covid.  Patient treated with remdesivir.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Constipation, Dyschezia, Fatigue
Clinical narrative: On the second day, I experienced nausea, felt tired, general aches and pains, a headache, shivering, fever, stomach pain and constipation. That went on all day on the second and third days. On the fourth day, today as I write, the symptoms were reduced to stomach pain and difficult bowel movement. Some shivering and fever but much less than prior two days.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: On the second day, I experienced nausea, felt tired, general aches and pains, a headache, shivering, fever, stomach pain and constipation. That went on all day on the second and third days. On the fourth day, today as I write, the symptoms were reduced to stomach pain and difficult bowel movement. Some shivering and fever but much less than prior two days.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Dose error Administered high dose and person under 65 years
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Influenza, Pain, Pyrexia
Clinical narrative: Flu symtoms, high fever (103F), aches and pains, brain fog for 2-3 weeks.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Pericarditis
Clinical narrative: chest pain,  shortness of breath
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dyspnoea
Clinical narrative: Patient came to ED with shortness of breath, generalized weakness, and cough.  Patient admitted to hospital with Covid and treated with remdesivir.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syncope
Clinical narrative: Patient fainted after COVID Bivalent Booster administration.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse outcome after 15 minute wait
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Full blood count, Laboratory test, Night sweats, Pruritus
Clinical narrative: October 5th(1 day post immunization), developed a rash on the neck that looked like  hives at approximately 4pm, then at 11pm developed shaking chills for approximately 20 minutes, went to sleep and had night sweats. On Saturday, October 8,22, developed widespread  itching with NO rash which has not stopped since. The itching ranges from mild to severe every day all day. Received a decadron shot and steroid pack which helped, but the itching never went away. Antihistamines help.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Red blood cell sedimentation rate, Tremor, Urticaria
Clinical narrative: October 5th(1 day post immunization), developed a rash on the neck that looked like  hives at approximately 4pm, then at 11pm developed shaking chills for approximately 20 minutes, went to sleep and had night sweats. On Saturday, October 8,22, developed widespread  itching with NO rash which has not stopped since. The itching ranges from mild to severe every day all day. Received a decadron shot and steroid pack which helped, but the itching never went away. Antihistamines help.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye irritation, Lacrimation increased
Clinical narrative: Patient came to the Pharmacy to get her second dose of shingles vaccine. She had gotten the first dose on 03/14/22. Upon questioning patient on how her first dose went, she mentioned that She had shingles at the age of 17 and affected her left eye. She stated that after receiving her first does of Shangrix in march within the first week she felt burning sensation in the left eye and her eye was watery for 4-5 days. She was advised to follow up with md for further evaluation, and suggestion if she should get her second dose.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac stress test normal, Computerised tomogram thorax normal, Cough, Dyspnoea exertional, Echocardiogram normal
Clinical narrative: The Pfizer 5-11 bivalent and the Pfizer 12 and up bivalent were in the same container. Internal Medicine staff were not aware that these boosters were kept together in the same container. There is a label on the container indicating that the Pfizer 5-11 bivalent has a pink package label and that the Pfizer 12 and up bivalent has a blue package label. Inside the container, there are 2 clear ziplocks, each housing the vials, separately. Staff member (On soft independence orientation with a phone RN backing up clinic) mistakenly grabbed the Pfizer 5-11 bivalent and drew up 0.3 ml which was administered to the patient. The medication was not diluted as it normally would have been if prepared by a pediatric RN. Undiluted, at this dose, the patient received 42.857 mcg rather than the typical 30 mcg dose. The patient was notified that she received her vaccine from the incorrect vial. Pharmacy was notified and they communicated with the state. They recommended monitoring the patient for 30 minutes post vaccine administration as opposed to the normal 15 minute monitoring period. They also recommended not repeating any doses and watching for local and systemic adverse events such as hypersensitivity, increased fatigue/drowsiness, chills, nausea, vomiting, diarrhea, headache, myalgia, and fever. Patient was contacted and notified of dose received as it was in excess of recommended 30 mcg dose. Immediately notified the clinic staff via high priority email and phone call that the container houses both the 12 and up and 5-11 pfizer bivalent doses and to pay careful attention when giving this medication. Spoke with Director of Primary Care who has already sent out communication that we are working on getting a separate, pink container for the 5-11 pfizer bivalent doses. Spoke with clinic staff RN regarding the importance of checking the five rights of medication administration prior to giving medication(s). The RN was receptive and acknowledged his error. He will use this as a learning opportunity.  I spoke to patient on 10/28/22 at 12:38p. She reports having a headache that she cannot seem to get rid of. The headache was better on 10/28/22 than it was when she woke up on 10/27/22. The patient took tylenol twice on 10/27/22 and once on 10/28/22. She reported some itching at the injection site that had resolved by the time of the call on 10/28/22 at 12:38p. Reviewed maximum tylenol and ibuprofen dosing with patient (Tylenol 1000 mg PO Q6H if no hx of liver impairment or contraindications, Ibuprofen 800 mg PO TID if no hx of kidney impairment or contraindications). If itching returns, pt. will apply OTC hydrocortisone cream and/or consider taking an OTC antihistamine according to package directions. I asked the patient to notify our office if questions or concerns arise or if she failed to improve. Patient verbalized understanding.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pruritus, Product preparation issue
Clinical narrative: The Pfizer 5-11 bivalent and the Pfizer 12 and up bivalent were in the same container. Internal Medicine staff were not aware that these boosters were kept together in the same container. There is a label on the container indicating that the Pfizer 5-11 bivalent has a pink package label and that the Pfizer 12 and up bivalent has a blue package label. Inside the container, there are 2 clear ziplocks, each housing the vials, separately. Staff member (On soft independence orientation with a phone RN backing up clinic) mistakenly grabbed the Pfizer 5-11 bivalent and drew up 0.3 ml which was administered to the patient. The medication was not diluted as it normally would have been if prepared by a pediatric RN. Undiluted, at this dose, the patient received 42.857 mcg rather than the typical 30 mcg dose. The patient was notified that she received her vaccine from the incorrect vial. Pharmacy was notified and they communicated with the state. They recommended monitoring the patient for 30 minutes post vaccine administration as opposed to the normal 15 minute monitoring period. They also recommended not repeating any doses and watching for local and systemic adverse events such as hypersensitivity, increased fatigue/drowsiness, chills, nausea, vomiting, diarrhea, headache, myalgia, and fever. Patient was contacted and notified of dose received as it was in excess of recommended 30 mcg dose. Immediately notified the clinic staff via high priority email and phone call that the container houses both the 12 and up and 5-11 pfizer bivalent doses and to pay careful attention when giving this medication. Spoke with Director of Primary Care who has already sent out communication that we are working on getting a separate, pink container for the 5-11 pfizer bivalent doses. Spoke with clinic staff RN regarding the importance of checking the five rights of medication administration prior to giving medication(s). The RN was receptive and acknowledged his error. He will use this as a learning opportunity.  I spoke to patient on 10/28/22 at 12:38p. She reports having a headache that she cannot seem to get rid of. The headache was better on 10/28/22 than it was when she woke up on 10/27/22. The patient took tylenol twice on 10/27/22 and once on 10/28/22. She reported some itching at the injection site that had resolved by the time of the call on 10/28/22 at 12:38p. Reviewed maximum tylenol and ibuprofen dosing with patient (Tylenol 1000 mg PO Q6H if no hx of liver impairment or contraindications, Ibuprofen 800 mg PO TID if no hx of kidney impairment or contraindications). If itching returns, pt. will apply OTC hydrocortisone cream and/or consider taking an OTC antihistamine according to package directions. I asked the patient to notify our office if questions or concerns arise or if she failed to improve. Patient verbalized understanding.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Covid bivalent booster administered out of vial that had been opened more than 24 hours. NO adverse events noted at this time. Following up with CDC and manufacturer for further dosing guidelines.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, Headache, Rash, Rash pruritic
Clinical narrative: Patchy rash with wheal and flare hive reactions in several places appeared on the torso bilaterally. Other areas appeared the same itchy rash on the inner biceps, forearms, waist band and inner thighs.  Antihistamine of Chlorpheniramine maleate 4mg resolved the rash in 30 minutes. This re-occured weekly side July 23, 1 day after testing positive for COVID-19. 5-7 days later, the rash would re-appear in smaller areas but on the torso, inner bicep, waist band but would resolve within 1-2 hours without an antihistamine.  Rash now re-appears in smaller patches but still on the inner bicep and torso.   No other symptoms were associated other than (during COVID-19) headache and fatigue. Treatment was only self-treatment with antihistamine and hydrocortisone 1% cream
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urticaria
Clinical narrative: Patchy rash with wheal and flare hive reactions in several places appeared on the torso bilaterally. Other areas appeared the same itchy rash on the inner biceps, forearms, waist band and inner thighs.  Antihistamine of Chlorpheniramine maleate 4mg resolved the rash in 30 minutes. This re-occured weekly side July 23, 1 day after testing positive for COVID-19. 5-7 days later, the rash would re-appear in smaller areas but on the torso, inner bicep, waist band but would resolve within 1-2 hours without an antihistamine.  Rash now re-appears in smaller patches but still on the inner bicep and torso.   No other symptoms were associated other than (during COVID-19) headache and fatigue. Treatment was only self-treatment with antihistamine and hydrocortisone 1% cream
Age: 19.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: pt was given the Omicron booster instead of the 1st does of the Pfizer series.  No side effects at time.
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness postural, Hyperhidrosis, Hypoaesthesia, Pallor, Paraesthesia
Clinical narrative: AFTER PRELIMARY QUESTIONS, PATIENT RECEIVED MODERNA BIVALENT BOOSTER AND FLUARIX. UPON STANDING , HE FELT DIZZY. WAS TOLD TO SIT. FACE COLOR TURN PALE & HAND FELT COLD WHEN TOUCH. HE WAS SWEATING PROFUSELY AND HANDS WERE TINGLING/NUMB. CALL 911 & CALL IN-HOUSE MDs/RNs FOR HELP. RNS APPLIED ICE PACK ON NECK & GAVE WATER. HE FELT FINE. COLOR SLOWLY COME BACK. EMT ARRIVED & ACCESS PATIENT. OXY LEVEL WAS NORMAL. EMT SAYS IT'S VASOVAGAL SYNCOPE. AFTERWARD, PATIENT TOLD EMT THAT HE HASN'T EAT OT DRINK THAT MORNING AND ONLY ATE SOME CHIPS PRIOR TO COMING IN TO GET VACCINES. AFTER DRINKING 2 BOTTLES OF WATER HE FELT BETTER. HE REFUSE ER SERVICE OR MEDICAL ATTN. HE CONTINUES TO SIT IN PHARMACY FOR ABOUT 1HR AND WAS BACK TO NORMAL SELF. HE WANT TO LEAVE AND SAYS HE'LL TAKE A TAXI INSTEAD.
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Peripheral coldness, Refusal of treatment by patient, Syncope
Clinical narrative: AFTER PRELIMARY QUESTIONS, PATIENT RECEIVED MODERNA BIVALENT BOOSTER AND FLUARIX. UPON STANDING , HE FELT DIZZY. WAS TOLD TO SIT. FACE COLOR TURN PALE & HAND FELT COLD WHEN TOUCH. HE WAS SWEATING PROFUSELY AND HANDS WERE TINGLING/NUMB. CALL 911 & CALL IN-HOUSE MDs/RNs FOR HELP. RNS APPLIED ICE PACK ON NECK & GAVE WATER. HE FELT FINE. COLOR SLOWLY COME BACK. EMT ARRIVED & ACCESS PATIENT. OXY LEVEL WAS NORMAL. EMT SAYS IT'S VASOVAGAL SYNCOPE. AFTERWARD, PATIENT TOLD EMT THAT HE HASN'T EAT OT DRINK THAT MORNING AND ONLY ATE SOME CHIPS PRIOR TO COMING IN TO GET VACCINES. AFTER DRINKING 2 BOTTLES OF WATER HE FELT BETTER. HE REFUSE ER SERVICE OR MEDICAL ATTN. HE CONTINUES TO SIT IN PHARMACY FOR ABOUT 1HR AND WAS BACK TO NORMAL SELF. HE WANT TO LEAVE AND SAYS HE'LL TAKE A TAXI INSTEAD.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Hyperaesthesia, Injection site erythema, Injection site hypersensitivity, Injection site pain
Clinical narrative: Lymph node in armpit grew to size of a baseball and was VERY sore, deltoid was VERY sore when moving arm or touching it, not solely at injection site, red rash directly below deltoid and VERY sensitive to touch, including rash and surrounding area in entire upper arm, symptoms lasted an entire 7 days. It was miserable.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Lymph node pain, Lymphadenopathy, Pain
Clinical narrative: Lymph node in armpit grew to size of a baseball and was VERY sore, deltoid was VERY sore when moving arm or touching it, not solely at injection site, red rash directly below deltoid and VERY sensitive to touch, including rash and surrounding area in entire upper arm, symptoms lasted an entire 7 days. It was miserable.
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Patient called stating he had a red raised pinpoint rash on his arms and legs since getting his flu shot.  He stated it was itchy.  No rash on trunk.  Instructed to take Benadryl and contact provider if it did not improve.
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the Bivalent dose of the Covid vaccine instead of the first dose of her primary series
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Increased heart rate (even at rest) >100 bpm. This included one time during rest of ~170bpm. This occurred for longer than 24 hours from Thursday to Friday. It began to return to baseline around Saturday.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent vaccine was given in error when Bivalent vaccine should have been given.
Age: 21.0
Sex: F
Vaccine: COVID19-2, FLUR4
Symptoms: Head injury, Syncope
Clinical narrative: PATIENT WAS SCREENED FOR ILLNESS, AE, ALLERGIES,  15-20 minutes after vaccination I was alerted that Patient fainted and hit her head against a shelf, no injuries noticeable.  she was helped up on a bench given orange juice and she mentioned she did not eat anything all day.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Condition aggravated, Eye pain, Eye pruritus, Ophthalmic herpes simplex, Optical coherence tomography abnormal
Clinical narrative: The middle of October, the vision in my right eye became blurry and itchy. At the end of October my right eye started hurting. I saw my ophthalmologist on 11/3/2022. She diagnosed as light herpes simplex dendric keratitis. It was a flare up. I had it before. The doctor mentioned that she seen other patients that had flare up. She was wondering if the COVID-19 vaccine caused viral infections to flare up. She gave me erythromycin in my right eye and valacyclovir to take instead of my acyclovir. She had me discontinue 2 of my eyedrops for now. I have a follow up with her on 11/17/2022. My right eye has improved, but it is not fully healed.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vision blurred
Clinical narrative: The middle of October, the vision in my right eye became blurry and itchy. At the end of October my right eye started hurting. I saw my ophthalmologist on 11/3/2022. She diagnosed as light herpes simplex dendric keratitis. It was a flare up. I had it before. The doctor mentioned that she seen other patients that had flare up. She was wondering if the COVID-19 vaccine caused viral infections to flare up. She gave me erythromycin in my right eye and valacyclovir to take instead of my acyclovir. She had me discontinue 2 of my eyedrops for now. I have a follow up with her on 11/17/2022. My right eye has improved, but it is not fully healed.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Headache
Clinical narrative: He started having a cough, headache, fatigue. When he started having respiratory issues, I called his PCP.  He put him on PAXLOVID immediately. He had traveled with his group the week prior to his testing positive for COVID-19. He does have migraines and I was not sure if he was experiencing the migraines from the stress of all the excitement or others coming down with COVID-19. After starting the PAXLOVID his symptoms lessened. He had to stay quarantined until 09/25/2022.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Quarantine, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: He started having a cough, headache, fatigue. When he started having respiratory issues, I called his PCP.  He put him on PAXLOVID immediately. He had traveled with his group the week prior to his testing positive for COVID-19. He does have migraines and I was not sure if he was experiencing the migraines from the stress of all the excitement or others coming down with COVID-19. After starting the PAXLOVID his symptoms lessened. He had to stay quarantined until 09/25/2022.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Condition aggravated, Feeling abnormal
Clinical narrative: Blood pressure went up. Was in a fog, daze for about a week.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure fluctuation, Fatigue, Immediate post-injection reaction, Nasopharyngitis
Clinical narrative: Blood pressure went up. Was in a fog, daze for about a week.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Lip swelling, Swelling face, Urticaria
Clinical narrative: Patient states she woke up on 11/08/2022 at 2am with hives on her abdomen and left arm and lower facial and lip swelling. Patient states she took benadryl and fell asleep about 15 minutes later. When the patient woke up at 8am her mother noticed facial swelling and told her to go straight to urgent care. Patient was seen at Urgent Care at 8:40 am. Patient states she was given a prescription for a 24 hour antihistamine called cetirizine and was told to start premedicate with benadryl 24 hours before her 2nd rabies vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red, raised at injection site.  No soreness.  Pt concerned about event.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: I thought I had a cold, but I tested for COVID-19 test at home and the line was really fate. I went to the clinic the same day to get tested again to make sure and I test positive for COVID-19. I had a slight sore throat and cough, stuffy nose, and body aches. I took NYQUIL and ibuprofen for my symptoms. I still have a bit of a cough.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: I thought I had a cold, but I tested for COVID-19 test at home and the line was really fate. I went to the clinic the same day to get tested again to make sure and I test positive for COVID-19. I had a slight sore throat and cough, stuffy nose, and body aches. I took NYQUIL and ibuprofen for my symptoms. I still have a bit of a cough.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: asymptomatic
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Coronary artery thrombosis, Dizziness, Leukaemia
Clinical narrative: Light headed, severe anemia, leukemia, blood clot in heart
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angiogram abnormal, Discomfort, Dizziness, Electrocardiogram abnormal, Eye inflammation
Clinical narrative: On the morning of October 21, 2022, I had body aches, a low-grade fever, muscle aches and extreme fatigue. These symptoms for about a day. I started feeling better but remained very sleepy. On November 4th I had a full-blown vertigo attack. I had severe dizziness, neck pain, nausea and throwing up. That lasted until November 5th. My dizziness has remained a symptom but has gotten slightly better each day. I also started feeling leg pain on November 1st. It was below the knee and inner calf area. I did not swell or have heat to the touch. Previously, Venus Insufficiency diagnosis in 2018 but had already resolved itself. The pain is bad enough when I lay down to wake me up and it is very uncomfortable to sit down unless I raise my legs. I had an eye angiogram on my right eye on October 26th because of repeated inflammation. My blood pressure has been higher than normal. I had LAG laser surgery on my eyes in October.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Hypertension, Myalgia, Nausea, Neck pain
Clinical narrative: On the morning of October 21, 2022, I had body aches, a low-grade fever, muscle aches and extreme fatigue. These symptoms for about a day. I started feeling better but remained very sleepy. On November 4th I had a full-blown vertigo attack. I had severe dizziness, neck pain, nausea and throwing up. That lasted until November 5th. My dizziness has remained a symptom but has gotten slightly better each day. I also started feeling leg pain on November 1st. It was below the knee and inner calf area. I did not swell or have heat to the touch. Previously, Venus Insufficiency diagnosis in 2018 but had already resolved itself. The pain is bad enough when I lay down to wake me up and it is very uncomfortable to sit down unless I raise my legs. I had an eye angiogram on my right eye on October 26th because of repeated inflammation. My blood pressure has been higher than normal. I had LAG laser surgery on my eyes in October.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in extremity, Pyrexia, Sleep disorder, Somnolence
Clinical narrative: On the morning of October 21, 2022, I had body aches, a low-grade fever, muscle aches and extreme fatigue. These symptoms for about a day. I started feeling better but remained very sleepy. On November 4th I had a full-blown vertigo attack. I had severe dizziness, neck pain, nausea and throwing up. That lasted until November 5th. My dizziness has remained a symptom but has gotten slightly better each day. I also started feeling leg pain on November 1st. It was below the knee and inner calf area. I did not swell or have heat to the touch. Previously, Venus Insufficiency diagnosis in 2018 but had already resolved itself. The pain is bad enough when I lay down to wake me up and it is very uncomfortable to sit down unless I raise my legs. I had an eye angiogram on my right eye on October 26th because of repeated inflammation. My blood pressure has been higher than normal. I had LAG laser surgery on my eyes in October.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo, Vomiting
Clinical narrative: On the morning of October 21, 2022, I had body aches, a low-grade fever, muscle aches and extreme fatigue. These symptoms for about a day. I started feeling better but remained very sleepy. On November 4th I had a full-blown vertigo attack. I had severe dizziness, neck pain, nausea and throwing up. That lasted until November 5th. My dizziness has remained a symptom but has gotten slightly better each day. I also started feeling leg pain on November 1st. It was below the knee and inner calf area. I did not swell or have heat to the touch. Previously, Venus Insufficiency diagnosis in 2018 but had already resolved itself. The pain is bad enough when I lay down to wake me up and it is very uncomfortable to sit down unless I raise my legs. I had an eye angiogram on my right eye on October 26th because of repeated inflammation. My blood pressure has been higher than normal. I had LAG laser surgery on my eyes in October.
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Dysstasia, Immunisation reaction, Pain, Pain in extremity
Clinical narrative: This was patients 4th Moderna IMZ, 1st Bivalent Patient either hurt herself standing up from IMZ chair or had adverse reaction. Within 5 minutes of receiving vaccination she reported pain in spine, hips and legs. Pain started when standing up but became severe a few minutes later. We called 911 and when EMT arrived pain had subsided some.
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Spinal pain
Clinical narrative: This was patients 4th Moderna IMZ, 1st Bivalent Patient either hurt herself standing up from IMZ chair or had adverse reaction. Within 5 minutes of receiving vaccination she reported pain in spine, hips and legs. Pain started when standing up but became severe a few minutes later. We called 911 and when EMT arrived pain had subsided some.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Dizziness, Fall, Head injury, Pallor
Clinical narrative: About 5 - 10 minutes after vaccination patient walked up to the front of the store to the registers and while he was in line he fell side ways hitting the top left side of his head. After this he did open his eyes and was conscious however he looked pale and his lips were slightly blue. We tried getting him to sit in a chair however when he sat up he felt dizzy again so we adjusted him back to the floor while we waited for the ambulance.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I contracted Covid a year after getting vaccination.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient was given a second flu shot during the same flu season. She received a Flulaval Vaccine on 10/22/2022 from her doctor's office and then received a Fluzone High Dose vaccine on 11/10/2022 from the health department. Nurse received verbal consent from client to do the flu shot on 11/10, but patient must have forgotten that she received the flu shot already. It was discovered during data entry that client had already gotten the flu shot. Nursing facility where patient resides was notified.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Incorrect dose administered, Pyrexia
Clinical narrative: The amount drawn up and given was 0.5ml instead of the approved dose of 0.25ml.  Parent was contacted shortly after and a follow up call was made 2 days later. Patient experienced slight fever and fatigue on 11/13/22. Symptoms have resolved on 11/14/22 and no other symptoms have developed.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Gait disturbance, Laboratory test, Peripheral swelling, Rash, Swelling
Clinical narrative: Vaccines were given on Wed, Nov 3, 2022. The child had a mild rash all over body begging on Nov 5. On November 8, pts feet and leg became swollen to the point where she could not fit into her shoes and could not tolerate walking. Pt. taken to ER where she received a single dose of Steroids. On Tuesday Nov 9, pt taken back to ER for widespread large, swollen hives. Pt. prescribed a full taper dose of Steroids. Pt. did not experience any respiratory distress during this series of events.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Urticaria
Clinical narrative: Vaccines were given on Wed, Nov 3, 2022. The child had a mild rash all over body begging on Nov 5. On November 8, pts feet and leg became swollen to the point where she could not fit into her shoes and could not tolerate walking. Pt. taken to ER where she received a single dose of Steroids. On Tuesday Nov 9, pt taken back to ER for widespread large, swollen hives. Pt. prescribed a full taper dose of Steroids. Pt. did not experience any respiratory distress during this series of events.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Head discomfort, Influenza like illness, Nasopharyngitis, Pain
Clinical narrative: I received my Moderna booster on 11/11/2021. On the evening of 9/11/2022, I began having flulike symptoms. I felt achy and had head congestion. I decided to take a home test for COVID-19, because I help care for my elderly mother, and I didn't want to jeopardize her health. The result was positive. I texted my doctor to inform him of the situation, and he instructed me to self-isolate for 10 days. I wasn't prescribed anything and I didn't develop any other symptoms besides the ones I just mentioned. It felt more like a light cold than anything, and by the time 9/15/2022 rolled around, I felt fine. I took some extra strength TYLENOL the first day for relief, and that was pretty much the only time I ever needed medication. On 9/21/2022, I took another home test, and the result was positive. I texted my doctor to let him know, but he told me that since 10 days had passed, it was still safe for me to end my isolation, though he did recommend that I wear a mask if I was going to be around others.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I received my Moderna booster on 11/11/2021. On the evening of 9/11/2022, I began having flulike symptoms. I felt achy and had head congestion. I decided to take a home test for COVID-19, because I help care for my elderly mother, and I didn't want to jeopardize her health. The result was positive. I texted my doctor to inform him of the situation, and he instructed me to self-isolate for 10 days. I wasn't prescribed anything and I didn't develop any other symptoms besides the ones I just mentioned. It felt more like a light cold than anything, and by the time 9/15/2022 rolled around, I felt fine. I took some extra strength TYLENOL the first day for relief, and that was pretty much the only time I ever needed medication. On 9/21/2022, I took another home test, and the result was positive. I texted my doctor to let him know, but he told me that since 10 days had passed, it was still safe for me to end my isolation, though he did recommend that I wear a mask if I was going to be around others.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Haematuria
Clinical narrative: gross hematuria relapse in possible IgA nephropathy patient - pending biopsy confirmation of diagnosis
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: We had a pediatric Pfizer clinic. Gave a 5 year old Pfizer Bi-valent for their 1st dose
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: We had a pediatric clinic. Gave patient Pfizer Bi-valent for patient 2nd dose
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Pt expired in hospital after very lengthy stay on 11/10/22
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Lymphadenopathy
Clinical narrative: Swollen armpit lymph in arm that got the covid shot.
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test abnormal, Chest X-ray normal, Chest discomfort, Dyspnoea, Echocardiogram
Clinical narrative: I had the vaccination on 10/21/2022. On 10/26/2022 at 2AM I woke up with short of breath and chest tightness. My O2 state was at 92%. I could not lie flat and could only breath standing up. I waited until 10/29/2022 to go to urgent care. I had a chest x-ray and prescribed albuterol. I went to my doctor on 10/31/2022 and ordered blood panel. My D-dimer was high. It showed fluid on lungs and around my heart. On 11/04/2022 I had and Echo and EKG and it came back as trivial. I didn't have any more issues until 11/09/2022 in which I had another episode of shortness of breath. At 430AM on 11/12/2022 I went to the emergency room and diagnosed with Pericarditis. Sent home with ibuprofen high dose for 3 weeks. I have a follow up appointment with my doctor on 11/15/2022.
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Electrocardiogram, Fibrin D dimer increased, Middle insomnia, Pericardial effusion, Pericarditis
Clinical narrative: I had the vaccination on 10/21/2022. On 10/26/2022 at 2AM I woke up with short of breath and chest tightness. My O2 state was at 92%. I could not lie flat and could only breath standing up. I waited until 10/29/2022 to go to urgent care. I had a chest x-ray and prescribed albuterol. I went to my doctor on 10/31/2022 and ordered blood panel. My D-dimer was high. It showed fluid on lungs and around my heart. On 11/04/2022 I had and Echo and EKG and it came back as trivial. I didn't have any more issues until 11/09/2022 in which I had another episode of shortness of breath. At 430AM on 11/12/2022 I went to the emergency room and diagnosed with Pericarditis. Sent home with ibuprofen high dose for 3 weeks. I have a follow up appointment with my doctor on 11/15/2022.