chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram normal, Magnetic resonance imaging normal, Nausea
Clinical narrative: It happened on Saturday 10/9. I had just eaten lunch and I have a sensor for my blood sugar in my arm. I was looking at the TV and my vision turned into kaleidoscope vision for 2 minutes. I tested my blood sugar, and it was 140 which is normal for me. I called my PCP, and we went to the hospital - Hospital. Evaluated for detached retina. They did a verbal stroke test and checked to see if it was going to be a stroke. They put dye in my eye, but they didn't have the equipment to check my eye but checked for scratches. Nothing was found and we went home after. 10/12 went to the ophthalmologist and did a bunch of tests and determined that my eyes were fine. PCP said that if it happened again to go to the hospital. I went home, and the next time I had it, it was just one eye. It seemed like a lightning bolt in one eye. We went to Hospital 10/23, and they gave me a CAT scan and MRI. They couldn't find anything in my brain that would be causing it. The doctor there thought that it could have been an ocular migraine. We went to Dr. 10/22021 where he said it was confirmed an ocular migraine. It happened about 2 to 3 more times. It switches back and forth between eyes. I've never gotten headaches with it. The time I went to the doctor, I was nauseous, but that could have been due to other factors.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmic migraine, Ophthalmological examination normal, Ultrasound scan normal, Visual impairment
Clinical narrative: It happened on Saturday 10/9. I had just eaten lunch and I have a sensor for my blood sugar in my arm. I was looking at the TV and my vision turned into kaleidoscope vision for 2 minutes. I tested my blood sugar, and it was 140 which is normal for me. I called my PCP, and we went to the hospital - Hospital. Evaluated for detached retina. They did a verbal stroke test and checked to see if it was going to be a stroke. They put dye in my eye, but they didn't have the equipment to check my eye but checked for scratches. Nothing was found and we went home after. 10/12 went to the ophthalmologist and did a bunch of tests and determined that my eyes were fine. PCP said that if it happened again to go to the hospital. I went home, and the next time I had it, it was just one eye. It seemed like a lightning bolt in one eye. We went to Hospital 10/23, and they gave me a CAT scan and MRI. They couldn't find anything in my brain that would be causing it. The doctor there thought that it could have been an ocular migraine. We went to Dr. 10/22021 where he said it was confirmed an ocular migraine. It happened about 2 to 3 more times. It switches back and forth between eyes. I've never gotten headaches with it. The time I went to the doctor, I was nauseous, but that could have been due to other factors.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated, Injection site urticaria, Neck pain, Spinal pain
Clinical narrative: Hives all over body, other immune responses that are typical for me (joint inflammation, pain around spine and neck) Started Prednisone on day 3 and added Benadryl as needed and Pepcid as needed. Symptoms were manageable until steroid ran out after 5 days. Contacted dr again on day 9, received another round of steroids. Saw dr on day 13 and she switched my 24 hour allergy to Zyrtec and prescribed it 2x per day.  Today is day 16 (36 hours post last dose of steroid) and symptoms are almost gone. Still taking allergy pill twice daily, Pepcid twice daily, Benadryl as needed
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives all over body, other immune responses that are typical for me (joint inflammation, pain around spine and neck) Started Prednisone on day 3 and added Benadryl as needed and Pepcid as needed. Symptoms were manageable until steroid ran out after 5 days. Contacted dr again on day 9, received another round of steroids. Saw dr on day 13 and she switched my 24 hour allergy to Zyrtec and prescribed it 2x per day.  Today is day 16 (36 hours post last dose of steroid) and symptoms are almost gone. Still taking allergy pill twice daily, Pepcid twice daily, Benadryl as needed
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient's parent brought patient in to receive a COVID-19 Pfizer vaccine on 08/26/2021.  The patient?s parent filled out a consent form on behalf of the patient and listed the date of birth as 05/16/2009 and signed and consented on the official Pfizer-BioNTech consent form.  The nurse verified the name and date of birth with the patient and the patient?s mother.guidelines were followed, and the parent received the up-to-date Pfizer-BioNTech EUA and the vaccine was administered.  In the patient?s 15-minute wait there were no adverse reactions. Upon entering the vaccine into the it was discovered that the patient's true DOB was 05/16/2010  and therefore this was an unauthorized vaccination.  The date of birth was then confirmed and verified. In addition, the patient's parents were notified per protocol.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Rash, Swollen tongue
Clinical narrative: Starting 10 hours after vaccination, chills to the bone (never had with previous 2 doses).  The next morning, chills were gone, but her tongue was swollen.  Tongue continues to be swollen 3 days later.  Rash from neck to groin.  Reached out to PCP.  Not able to take anything for symptoms as she is severely susceptible to reaction to meds.  Advised to reach out to 911 if tongue swells further.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Incorrect dose administered, Pain in extremity
Clinical narrative: Mom took son with her to a Pfizer clinic.  PT went through screening process and was administered an adult Pfizer as this was a booster clinic.  Mom made aware of med error while waiting to be discharged from the clinic.  Clinic educated parents to follow up with PCP, PCP encouraged parents to follow up with DOH.  Dad called into DOH to inquire what to do next with dosing.  Dad reports that patients experienced typical side effects of fatigue, HA, and sore arm.  Dad asking questions of what to look and what to be concerned about because child was administered the wrong formulation.  DOH physician followed up with education with family.  11/22/2021: Spoke with clinic, Recommended that they complete a VAERS form and educated on how to do that, verbalized understanding.   She reported that patient's mom signed him up for the clinic and he was administered the dose by a new nurse who asked his age after administration.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Mom took son with her to a Pfizer clinic.  PT went through screening process and was administered an adult Pfizer as this was a booster clinic.  Mom made aware of med error while waiting to be discharged from the clinic.  Clinic educated parents to follow up with PCP, PCP encouraged parents to follow up with DOH.  Dad called into DOH to inquire what to do next with dosing.  Dad reports that patients experienced typical side effects of fatigue, HA, and sore arm.  Dad asking questions of what to look and what to be concerned about because child was administered the wrong formulation.  DOH physician followed up with education with family.  11/22/2021: Spoke with clinic, Recommended that they complete a VAERS form and educated on how to do that, verbalized understanding.   She reported that patient's mom signed him up for the clinic and he was administered the dose by a new nurse who asked his age after administration.
Age: 75.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Pain, Shoulder injury related to vaccine administration
Clinical narrative: shoulder pain that has not improved. worse with movement/ cannot lay down on right arm. MD diagnosed vaccine related shoulder injury
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Drooling, Dysarthria, Facial pain, Headache
Clinical narrative: 10/1/2021- slurring his speech, not able to drink without spilling down self, face sore and drooling, pain in the back of head and could hear heart beat in left ear
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Discomfort
Clinical narrative: Patient was received a dose of IM Benadryl 50mg/ml at 1110. At 1125 the pt received a dose of Moderna vaccine IM right deltoid and began showing s/sx of distress. BP 99/70 pulse 106. At 1128 BP 61/46 pulse 106. IV fluids attempted but unable to gain IV access. EMS arrived on the scene and the pt V/S were WNL. Pt was discharged to home.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. PATIENT REPORTED SORE ARM "LIKE ANY OTHER SHOT"
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This patient was under the approved age (16 years old) for a Moderna vaccine. The patient had previously received two doses of Pfizer vaccine and the patient and his mother both signed up online to get the Moderna booster instead of Pfizer. The Moderna vaccine was administered to both individuals. The patient has not reported any adverse effects or outcomes thus far.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Fever, headache, extreme fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Musculoskeletal stiffness, Pyrexia
Clinical narrative: The next morning after I received my vaccine 02/12/2021, I woke up and I could not turn my head and the entire left side of my body was stiff. I had mild fever, 99.5. I was more concerned because I could not move my head and the entire side of my body was stiff. The same side I got my injection on. That lasted about 24 hours and then I was fine. I contacted the clinic, telephone conference, and they told me to stay home then went over my signs and symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: Both Legs and bottom of feet pain. A lot of headaches.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was scheduled for 2nd Moderna vaccine. Given vaccine. I then realized it was given at 3wks instead of the recommended 4 weeks. I did contact Moderna and they stated they only have trial information. During the trail they gave the 2nd dose of Moderna between 21 and 42 days. Referred to PCP. I spoke with two PCP's and they both agreed patient should be covered. Patient was monitored and left in good condition. Patient was called after speaking with Moderna representatives and PCP's on 11/15/21. Patient states no adverse effects. Patient voiced understanding and was offered phone number and case number to Moderna if further questions. Patient did decline.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccines given less than 12 hours past expiration date. No adverse events noted.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Hyperhidrosis, Hyperpyrexia
Clinical narrative: Chills; high fever; dripping wet; clammy white skin; nausea; extremely fatigued. Symptoms have improved.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pallor
Clinical narrative: Chills; high fever; dripping wet; clammy white skin; nausea; extremely fatigued. Symptoms have improved.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear discomfort, Electrocardiogram, Headache, Palpitations, Peripheral swelling
Clinical narrative: After first dose, experience chest pain,  discomfort from left side of neck on top of shoulder into arm, sore arm for 4 days, red and swelling. High Heart rate for a day, chest pain/discomfort for two days.  After second dose,  same reaction as first with pain on left side, even though administered in right arm this time. Sudden fullness in ears as if I was on a plane. Increase heart rate and resting pulse-current. Headache, swelling of right foot, chest pain intermittingly.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan normal, Vaccine positive rechallenge
Clinical narrative: After first dose, experience chest pain,  discomfort from left side of neck on top of shoulder into arm, sore arm for 4 days, red and swelling. High Heart rate for a day, chest pain/discomfort for two days.  After second dose,  same reaction as first with pain on left side, even though administered in right arm this time. Sudden fullness in ears as if I was on a plane. Increase heart rate and resting pulse-current. Headache, swelling of right foot, chest pain intermittingly.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dyspnoea, Head discomfort, Headache
Clinical narrative: Left sided weakness and heaviness, macular rash on bilateral ankles, neck pain, headache, chest pain, shortness of breath, throbbing in her head, head fullness started the day after vaccination.  Headache at the base of occipital area remains today.  Weakness is better, rash almost resolved.  Patient advised to see her Health Care Provider.  Has appointment to see today.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Rash macular
Clinical narrative: Left sided weakness and heaviness, macular rash on bilateral ankles, neck pain, headache, chest pain, shortness of breath, throbbing in her head, head fullness started the day after vaccination.  Headache at the base of occipital area remains today.  Weakness is better, rash almost resolved.  Patient advised to see her Health Care Provider.  Has appointment to see today.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: diffuse joint pain that started after getting booster dose Moderna COVID vaccine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Cardiac murmur, Cardiac stress test, Chest X-ray normal
Clinical narrative: Had a positive PCR test for Covid on 8/25/21.  Symptoms felt mainly like sinus headache and post nasal drip,   ( (Never any  chest congestion)  that lasted for 4 days.  Extreme fatigue at first that waned over one month.   At 3 weeks , had s/s of intermittent tachycardia, and when lying supine had chest pain.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram, Fatigue, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Had a positive PCR test for Covid on 8/25/21.  Symptoms felt mainly like sinus headache and post nasal drip,   ( (Never any  chest congestion)  that lasted for 4 days.  Extreme fatigue at first that waned over one month.   At 3 weeks , had s/s of intermittent tachycardia, and when lying supine had chest pain.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus headache, Tachycardia, Upper-airway cough syndrome, Vaccine breakthrough infection
Clinical narrative: Had a positive PCR test for Covid on 8/25/21.  Symptoms felt mainly like sinus headache and post nasal drip,   ( (Never any  chest congestion)  that lasted for 4 days.  Extreme fatigue at first that waned over one month.   At 3 weeks , had s/s of intermittent tachycardia, and when lying supine had chest pain.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, Chest X-ray
Clinical narrative: Bronchitis
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chills, Dizziness, Dyspnoea
Clinical narrative: I had a fever, chills, body aches, and fatigue. I also had weakness, shortness of breath, and serve dizziness. They symptoms lasted about 36 hours. They were so severe that I could not leave the house. I even had to call off work. I did follow up a few months later for fatigue, weakness and joint. They did test blood work. I had severed arm pain that I could not lay on my arm for 3 weeks.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Pain, Pain in extremity, Pyrexia
Clinical narrative: I had a fever, chills, body aches, and fatigue. I also had weakness, shortness of breath, and serve dizziness. They symptoms lasted about 36 hours. They were so severe that I could not leave the house. I even had to call off work. I did follow up a few months later for fatigue, weakness and joint. They did test blood work. I had severed arm pain that I could not lay on my arm for 3 weeks.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: I had a fever, chills, body aches, and fatigue. I also had weakness, shortness of breath, and serve dizziness. They symptoms lasted about 36 hours. They were so severe that I could not leave the house. I even had to call off work. I did follow up a few months later for fatigue, weakness and joint. They did test blood work. I had severed arm pain that I could not lay on my arm for 3 weeks.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Headache
Clinical narrative: severe headache, starting several hours after vaccination and lasting  3 wks
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Facial pain, Facial paralysis, Feeling abnormal, Hemiplegia
Clinical narrative: Treated in the emergency room on Friday 11/19/2021 with left sided facial paralysis, left temple pain, tremors, and nausea.  Given IV fluids.  Continues to feel poorly and having difficulty concentrating at work, feels as if she's "in a fog and like I can't get my brain to tell the rest of my body what to do".
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Nausea, Tremor
Clinical narrative: Treated in the emergency room on Friday 11/19/2021 with left sided facial paralysis, left temple pain, tremors, and nausea.  Given IV fluids.  Continues to feel poorly and having difficulty concentrating at work, feels as if she's "in a fog and like I can't get my brain to tell the rest of my body what to do".
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Pt vaccinated via drive through site at 1105. At 1108 the patient was unconscious in her vehicle. Per the patient's spouse, this is a typical response and the pt regains consciousness within 5 minutes. EMS was called and the onsite provider was notified. Upon evaluation, the patient had regained consciousness and was discharged to home.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Malaise, Neuralgia, Paraesthesia oral
Clinical narrative: Thursday soon after booster: Tingling above lip and then around left side of face where have residual shingles nerve irritation (from 10 years ago).  Saturday felt generally unwell with upset stomach.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. NO ADVERSE REACTION REPORTED
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient reported sensation of tingling in tongue @ 10 min after admin; history of food and environmental allergies; parent requested Benadryl. Patient assessment; orally admin 25 mg benadryl @10:22; assess & monitor every 5 min; symptoms trended down to zero; assess and release with no symptoms @ 10:43
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated
Clinical narrative: I am having often and sometimes intense asthma symptoms. I had mild random asthma as a child (maybe 5-10 times total in my life) and haven?t had any symptoms until this vaccine was taken. I can?t think of any other thing I have done that might have caused these asthma breathing issues
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dental paraesthesia, Flushing, Lip oedema
Clinical narrative: at 9:50, patient reported upper lip edema, tingling to teeth and inside of mouth, tightness of chest, blurred vision, and facial flushing. BP 163-92, P 75, R 22, Pulse Ox 98% on room air, lungs clear, patient anxious. Water and 25mg of po Benadryl administered. No dyspnea noted. 1003  BP 122/78; 1015 patient feeling better, no dyspnea, alert, oriented, stated she lives close and is going to drive straight home. 1102 Called patient at home, she stated she was doing well, her brother is going to sit with her for the afternoon. I advised patient to inform her PCP of today's reaction, patient voiced understanding.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Vision blurred
Clinical narrative: at 9:50, patient reported upper lip edema, tingling to teeth and inside of mouth, tightness of chest, blurred vision, and facial flushing. BP 163-92, P 75, R 22, Pulse Ox 98% on room air, lungs clear, patient anxious. Water and 25mg of po Benadryl administered. No dyspnea noted. 1003  BP 122/78; 1015 patient feeling better, no dyspnea, alert, oriented, stated she lives close and is going to drive straight home. 1102 Called patient at home, she stated she was doing well, her brother is going to sit with her for the afternoon. I advised patient to inform her PCP of today's reaction, patient voiced understanding.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Gait inability, Groin pain, Hypoaesthesia, Muscular weakness
Clinical narrative: Nausea, arm pain, throbbing in my right femoral artery in groin area. I was sitting at my desk looking at my computer and when I got up from my groin to my toes of my right leg were completely numb and weak, I could not walk on it, so I went to the Emergency room.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Ultrasound Doppler
Clinical narrative: Nausea, arm pain, throbbing in my right femoral artery in groin area. I was sitting at my desk looking at my computer and when I got up from my groin to my toes of my right leg were completely numb and weak, I could not walk on it, so I went to the Emergency room.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Chest pain, Hypoaesthesia, Injection site pain, Lymph node pain
Clinical narrative: 11/19/21 woke up and was running a low grade fever, pain at injection site and felt a softball size lump under left axilla.   throughout the day fever increased to 102.8 F.  Also experiencing numbness down to left hand into fingers.  Experiencing chest pain radiating to left shoulder  and breast as well.    She took Motrin and Tylenol - did help fever and did not help the pain.  Came to the  on 11/22/21 to see physician.  Physical exam completed.  Did see blisters in throat and did a strep test today.  Still a lot of pain in the axilla area, but much better than it was.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Oropharyngeal blistering, Pain, Pyrexia, Streptococcus test
Clinical narrative: 11/19/21 woke up and was running a low grade fever, pain at injection site and felt a softball size lump under left axilla.   throughout the day fever increased to 102.8 F.  Also experiencing numbness down to left hand into fingers.  Experiencing chest pain radiating to left shoulder  and breast as well.    She took Motrin and Tylenol - did help fever and did not help the pain.  Came to the  on 11/22/21 to see physician.  Physical exam completed.  Did see blisters in throat and did a strep test today.  Still a lot of pain in the axilla area, but much better than it was.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Blister, Discharge, Injection site erythema, Injection site pruritus
Clinical narrative: Patient developed an itchy, erythematous, bullous rash at the site where her second Pfizer covid vaccine was administered.  The symptoms started within a few hours of the vaccine, time unknown.  Over the course of the next 7-8 months, she developed other eruptions with severe itching and blistering at the same site, as well as other sites on the same (left) arm as well as the opposite (right) arm.  Patient reports clear fluid from the eruptions, no purulence.  Patient was started on triamcinolone 0.5% on 10-27-2021 with significant improvement.  No new lesions have erupted, and existing lesions have started to recede.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site vesicles, Neurodermatitis, Pruritus, Rash
Clinical narrative: Patient developed an itchy, erythematous, bullous rash at the site where her second Pfizer covid vaccine was administered.  The symptoms started within a few hours of the vaccine, time unknown.  Over the course of the next 7-8 months, she developed other eruptions with severe itching and blistering at the same site, as well as other sites on the same (left) arm as well as the opposite (right) arm.  Patient reports clear fluid from the eruptions, no purulence.  Patient was started on triamcinolone 0.5% on 10-27-2021 with significant improvement.  No new lesions have erupted, and existing lesions have started to recede.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Skin lesion
Clinical narrative: Patient developed an itchy, erythematous, bullous rash at the site where her second Pfizer covid vaccine was administered.  The symptoms started within a few hours of the vaccine, time unknown.  Over the course of the next 7-8 months, she developed other eruptions with severe itching and blistering at the same site, as well as other sites on the same (left) arm as well as the opposite (right) arm.  Patient reports clear fluid from the eruptions, no purulence.  Patient was started on triamcinolone 0.5% on 10-27-2021 with significant improvement.  No new lesions have erupted, and existing lesions have started to recede.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. NO ADVERSE REACTION REPORTED
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature).
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: entire arm and hand swelling and turning red and itching. Started about 12 hours after receiving the vaccine and continued 48-72 hours after.  Did not seek medical care as had the same type of reaction after the second covid vaccine and the doctor told her to take Benadryl around the clock.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Chronic Fatigue since the first vaccination for Covid.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the best-used-date but before expiration date.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block, Cardiac pacemaker insertion, Laboratory test, Syncope
Clinical narrative: Recieved Covid-19 booster dose Moderna on 11/4/2021. Presented to ED on 11/5/201: Patient is a 89 Years Old Male who presents today for follow up hospitalization for complete heart block. Patient initially presented to ED on 11/5/21 with syncopal episode x 2, workup in ED was negative but after workup completed patient had recurrence of symptoms, cardiac monitor showed intermittent complete heart block. Transcutaneous pacer pads applied and patient transferred and had temporary and then permanent pacemaker placement performed, and was discharged the following day.   Since discharge, is feeling much better. Patient's wife reports he sleeps more than usual but otherwise seems to be doing well.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Laboratory test, Pyrexia
Clinical narrative: 104 F TEMP FOR 24 HOURS. WAS SENT OUT TO HOSPITAL WITH HIGH TEMP AND CHILLS. WAS REPORTED BY LN THAT FEVER STARTED WITHIN 10 MINUTES OF RESIDENT RECIEVING HIS BOOSTER VACCINE. (#3)
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Auscultation, Chest X-ray, Cough, Full blood count, Hypophagia
Clinical narrative: Pt received booster vaccine from DPH on 11/16/21. Next day pt is coughing and running a fever of  100. Having episodes of vomiting'.  11/18/21 Lethargic, not eating very productive cough noted /lung clear to auscultations with increased fever of 100.8. Chest x-ray ordered. Evening with decreased 02 sats requiring breathing treatments and 02.  Started on Levaquin daily.  11/19/21 Continued issue with fever and coughing requiring O2.  Coughing event during mealtime that required non-breather mask and transfer by EMS to outside hospital. Now on ventilator at other Hospital
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Mechanical ventilation, Oxygen saturation decreased, Productive cough, Pyrexia
Clinical narrative: Pt received booster vaccine from DPH on 11/16/21. Next day pt is coughing and running a fever of  100. Having episodes of vomiting'.  11/18/21 Lethargic, not eating very productive cough noted /lung clear to auscultations with increased fever of 100.8. Chest x-ray ordered. Evening with decreased 02 sats requiring breathing treatments and 02.  Started on Levaquin daily.  11/19/21 Continued issue with fever and coughing requiring O2.  Coughing event during mealtime that required non-breather mask and transfer by EMS to outside hospital. Now on ventilator at other Hospital
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Pt received booster vaccine from DPH on 11/16/21. Next day pt is coughing and running a fever of  100. Having episodes of vomiting'.  11/18/21 Lethargic, not eating very productive cough noted /lung clear to auscultations with increased fever of 100.8. Chest x-ray ordered. Evening with decreased 02 sats requiring breathing treatments and 02.  Started on Levaquin daily.  11/19/21 Continued issue with fever and coughing requiring O2.  Coughing event during mealtime that required non-breather mask and transfer by EMS to outside hospital. Now on ventilator at other Hospital
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menometrorrhagia
Clinical narrative: breakthrough bleeding, irregular menstrual bleeding
Age: 22.0
Sex: F
Vaccine: FLUC4
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Donor received her Annual Flu shot @ 13:00 went on lunch and started having itching, rash, and hives noted @ 13:15 and was given a Benadryl @ 13:17 by another CMS. @ 13:18 came to my office and I took her vital signs b/p-120/80, pulse-76, and respirations of 18. No Shortness of breathe noted. She continued to itch, with multiple areas of hives after 30 mins of CMS monitoring. She was instructed to call the HMS @ 13:48 since symptoms were not improving.  She was instructed to go to the nearest Urgent Care for evaluation@ 14:00.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Administration error: Patient received his Moderna Booster, on November 14, 2021 when according to the established guidelines his booster is to be administered on December 14, 2021 six months after the second and third dose.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Disturbance in attention, Fatigue, Head discomfort, Headache
Clinical narrative: As with prior two doses of Moderna: instant mild headache, pressure in head, mild chest discomfort, fatigue/malaise, difficulty focusing
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Malaise
Clinical narrative: As with prior two doses of Moderna: instant mild headache, pressure in head, mild chest discomfort, fatigue/malaise, difficulty focusing
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: developed shingles, mild case in one dermatome 3-5 days after the vaccine
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Interchange of vaccine products, Vertigo
Clinical narrative: Prior vaccination with Moderna Covid  on 2/9/21 and 3/9/21. Had onset of vertigo after her initial vaccinations which resolved over 1 month. No prior issue with balance or vertigo. The day after she had her Covid booster with Pfizer, she again had onset of vertigo.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmological examination, Photopsia, Retinal detachment, Vitreous floaters
Clinical narrative: Flashing lights, arcs, in left eye, with blood/floaters, from Sat. (11/13/2021) 6PM until Sat. 111/20/2021. Gradual subsiding after four days of tears to retina. Emergency visit on Sun. 11/14/2021, 3 pm, and Ophthalmologist follow up 10 am Mon. Vitreorenital surgeon to see patient on Wed.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Patient received x 2 Pfizer doses 1st dose 3/9/2021 and 2nd dose 03/30/2021 . No booster dose yet. On 11/21/21 arrived to ED with shortness of breath, cough and fever  Patient is a 73-year-old man who presents to the ED via EMS for evaluation of fever with associated cough and shortness of breath.   Patient reports the symptoms began approximately week ago.   Patient states he spoke with his primary physician about his symptoms and was prescribed unspecified antibiotic which patient reports he used as directed.  Additionally patient reports he had outpatient COVID testing which was negative.  Patient reports over the course the last week he feels his symptoms have progressively worsened.  He reports that he feels very generally weak and that he becomes very short of breath with only minimal exertion.  EMS reports that during transport to the ED patient was noted to have a room air pulse oximetry of 93% and so they started him on oxygen by nasal cannula, at baseline patient is not on oxygen.  Patient denies having any recent chest pain, leg pain or edema, abdominal pain, nausea vomiting, diarrhea, flank pain, dysuria frequency urgency, skin rash, or any other complaints at this time.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Lung infiltration, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient received x 2 Pfizer doses 1st dose 3/9/2021 and 2nd dose 03/30/2021 . No booster dose yet. On 11/21/21 arrived to ED with shortness of breath, cough and fever  Patient is a 73-year-old man who presents to the ED via EMS for evaluation of fever with associated cough and shortness of breath.   Patient reports the symptoms began approximately week ago.   Patient states he spoke with his primary physician about his symptoms and was prescribed unspecified antibiotic which patient reports he used as directed.  Additionally patient reports he had outpatient COVID testing which was negative.  Patient reports over the course the last week he feels his symptoms have progressively worsened.  He reports that he feels very generally weak and that he becomes very short of breath with only minimal exertion.  EMS reports that during transport to the ED patient was noted to have a room air pulse oximetry of 93% and so they started him on oxygen by nasal cannula, at baseline patient is not on oxygen.  Patient denies having any recent chest pain, leg pain or edema, abdominal pain, nausea vomiting, diarrhea, flank pain, dysuria frequency urgency, skin rash, or any other complaints at this time.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: Vertigo and vomiting
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hx of hives with flu vaccine- recommended 30 minutes wait - approximately 22 minutes in client alerted nurse to hive to left elbow. Cold pack applied to affected area. Client denies sob, difficulty breathing etc. Client refuses administration of epinephrine. Agreed to diphenhydramine 50mg PO. Administered medications as ordered Diphenhydramine HCl 50mg Lot- P122481  Exp: 07/22. at 1101am by RN per Emergency Medical Protocol got Management of Anaphylactic Reaction in Adults. Client advised not to operate heavy machinery or drive after taking this medications. Client states "I can make it to the high school". Client ate crackers and drank a bottle of apple juice during visit.  Assessed for signs/ symptoms of anaphylaxis through out 30 minute observation period. Client denies concerns Client reports only symptoms of localized reaction- hive to left posterior elbow. Client authorized nurse to contact Dr. to inform of this encounter. RN contacted medical Director for further instructions. RN informed client per Dr. instructions to repeat bendryl 50mg PO in 6 hours. Directed to seek emergency medical attention with s/ s of anaphylaxis. Educations of s/ s provided. Client agreed. Departed clinic at 1138. This nurse to file a VEARS report. Assessment and Plan
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I started getting a ringing noise in my ears and I still have it. It comes and goes. It gets louder at times. This symptom has been going on since my second dose. I went to my primary care doctor about this. He checked my ear and said that they looked fine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine lot 048C21A expired on 11/9/21, but was administered on 11/10/21. As per Moderna, "The vaccine administered on November 10, 2021 from lot number 048C21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Face oedema, Rash
Clinical narrative: The MA assistant call me because the patient started after the Pfizer vaccine first dose with dizziness. The patient has had a history of Asthma and epilepsy. He takes Depakote 8 ml at bedtime, and Lithium 150 mg daily. The vital was normal range. After that, the patient started with facial edema. Denies swelling problems, respiratory problems, or wheezing. I called the doctor for evaluation. I administered 10 ml of Benadryl. Also, the patient started with a rash in his body. After 30 hours the patient starts to feel better. I explained to her mother the side and vaccine reaction. Although, I explained if the symptoms are worse the patient needs to ER ASAP. The provider suggests no administration of the second dose
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Blood pressure increased, Chest X-ray, Electrocardiogram, Headache, Laboratory test
Clinical narrative: Elevated BP, requiring ER visit Headache,  Jaw pain
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pain in jaw
Clinical narrative: Elevated BP, requiring ER visit Headache,  Jaw pain
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest pain, Cough, Flank pain, Pulmonary thrombosis
Clinical narrative: 11/20 - had pain down right side, then across chest and was coughing.  Called first nurse and was instructed to go to ER
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Headache, Heavy menstrual bleeding, Impaired work ability, Menstrual disorder
Clinical narrative: The morning of 11/17/2021, the day after vaccine, I had a light headache and abdominal cramping. The cramping kind of progressed. The period started abnormal and throughout the day it became excessively heavy. I had to use multiple sanitary pads throughout the day. I do have fibroids, and I read, if you have fibroids the vaccine can make your menstrual heavy. I bled all over my brand-new car seats and I had excessive bleeding all over my bed sheet. The puddle was like a 1-foot puddle on my side the following morning. I did not go to work the next day because I was constantly changing. I had a headache for a total of 4 days, and I tried to take everything I can before I take Imitrex. I finally had to take Imitrex and slept the following day and my headache was finally gone. Today, 11/22/2021 I finally woke up with no headache. I contacted my clinic and had a telephone conference regarding my symptoms. They told me to stay home because it was a side effect of the vaccine.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine lot 048C21A expired on 11/9/21, but was administered on 11/10/21. As per Moderna, "The vaccine administered on November 10, 2021 from lot number 048C21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient is 12 years and 7 months of age and was administered the pediatric Pfizer vaccine. No signs or symtoms
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19 after receiving both doses of  Pfizer vaccine. Breakthrough case.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, joint pain
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Auditory disorder, Dizziness, Hyperhidrosis, Pallor, Visual impairment
Clinical narrative: 15 min post vaccination, patient was pale, diaphoretic, reported vision and auditory changes. Felt he was going to pass out. BP 79/52. Transferred.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine lot 048C21A expired on 11/9/21, but was administered on 11/10/21. As per Moderna, "The vaccine administered on November 10, 2021 from lot number 048C21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vial punctured at 12 pm 11/17/2021, and left overnight in the refrigerator. Staff member administered a dose from the punctured vial at around 10 am on 11/18/2021.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event occurred.  Patient received a booster dose of the covid-19 vaccine in an off-site clinic provided by a local pharmacy. Patient was 17 at the time of vaccination and not eligible per CDC guidelines
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anaemia, Angiogram pulmonary abnormal, Anion gap decreased, Aspartate aminotransferase increased
Clinical narrative: Hospitalized (11.16.21 -discharged 11/20/21; COVID-19 positive (11.16.21); Fully vaccinated   HOSPITAL COURSE: Patient is a 69M  with a history of pulmonary fibrosis and right prosthetic knee infection with MSSA status post right total knee replacement in July.  He completed 6 weeks IV cefazolin then transition to cephalexin.  He had relapse infection with additional OR on October 20th.  Intraoperative cultures grew Serratia and patient currently is on cefepime through December 7th.  He follows with Dr. from pulmonary and currently is not on home oxygen or steroids due to underlying knee infection.     He presented to Emergency Department with 2 days of acute worsening in his shortness of breath.  Minimal exertion makes the symptoms worse.  He has productive cough with chills but no fever.  Patient has received full vaccinations for COVID-19 (J and J).  On arrival to emergency department he was found to be hypoxic with oxygen saturation 70% room air.  Supplemental oxygen was placed with improvement to mid 90s.  He did undergo CT angiogram thorax which was negative for pulmonary embolism but had new superimposed mosaic attenuation throughout both lung fields question developing pulmonary edema or infectious etiology.  His BNP was normal, COVID-19 was not detected, procalcitonin was normal.   He was given 20 mg IV Lasix and transferred to another facility for ongoing care.   Film array was ordered which eventually showed positive for COVID-19.  He was started on Decadron 6 mg daily with plan to complete a 10 day treatment course.  He also received Remdesivir for 5 days.  He was seen by infectious disease who recommended continuing cefepime through 12/07/2021.   Pulmonary medicine recommended to continue Symbicort inpatient and albuterol p.r.n..  He is scheduled for outpatient follow-up with the Pulmonary office on 12/28   He continues to remain stable and required 3 L of oxygen with rest and 4 L of O2 with ambulation.  He will be out of COVID isolation on 11/24/2021   He was discharged home in stable condition on 11/20/2020 CONSULTS / RECOMMENDATION:   Consult Orders (From admission, onward)    IP CONSULT TO INFECTIOUS DISEASES      Provider:  MD   IP CONSULT TO PULMONOLOGY      Provider:  MD
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil count normal, Basophil percentage, Blood albumin decreased, Blood alkaline phosphatase increased, Blood bicarbonate decreased
Clinical narrative: Hospitalized (11.16.21 -discharged 11/20/21; COVID-19 positive (11.16.21); Fully vaccinated   HOSPITAL COURSE: Patient is a 69M  with a history of pulmonary fibrosis and right prosthetic knee infection with MSSA status post right total knee replacement in July.  He completed 6 weeks IV cefazolin then transition to cephalexin.  He had relapse infection with additional OR on October 20th.  Intraoperative cultures grew Serratia and patient currently is on cefepime through December 7th.  He follows with Dr. from pulmonary and currently is not on home oxygen or steroids due to underlying knee infection.     He presented to Emergency Department with 2 days of acute worsening in his shortness of breath.  Minimal exertion makes the symptoms worse.  He has productive cough with chills but no fever.  Patient has received full vaccinations for COVID-19 (J and J).  On arrival to emergency department he was found to be hypoxic with oxygen saturation 70% room air.  Supplemental oxygen was placed with improvement to mid 90s.  He did undergo CT angiogram thorax which was negative for pulmonary embolism but had new superimposed mosaic attenuation throughout both lung fields question developing pulmonary edema or infectious etiology.  His BNP was normal, COVID-19 was not detected, procalcitonin was normal.   He was given 20 mg IV Lasix and transferred to another facility for ongoing care.   Film array was ordered which eventually showed positive for COVID-19.  He was started on Decadron 6 mg daily with plan to complete a 10 day treatment course.  He also received Remdesivir for 5 days.  He was seen by infectious disease who recommended continuing cefepime through 12/07/2021.   Pulmonary medicine recommended to continue Symbicort inpatient and albuterol p.r.n..  He is scheduled for outpatient follow-up with the Pulmonary office on 12/28   He continues to remain stable and required 3 L of oxygen with rest and 4 L of O2 with ambulation.  He will be out of COVID isolation on 11/24/2021   He was discharged home in stable condition on 11/20/2020 CONSULTS / RECOMMENDATION:   Consult Orders (From admission, onward)    IP CONSULT TO INFECTIOUS DISEASES      Provider:  MD   IP CONSULT TO PULMONOLOGY      Provider:  MD