chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asymptomatic COVID-19, Blood loss anaemia, COVID-19, Duodenal ulcer
Clinical narrative: PROVIDER PROGRESS NOTE 2/8/2022 ASSESSMENT/PLAN:  Patient. is a 57 y.o. male with past medical history of GERD, hypertension, depression, chronic pain syndrome and migraine presented to ED for evaluation of coffee-ground emesis/melena. S/P EGD which showed visible non-bleeding vessel but likely source of bleed (injected and cauterized). Remains on full barrier precautions due to asymptomatic COVID infection seen on screening. Medically ready for discharge, awaiting TCU.    Coffee-ground emesis/melena Severe symptomatic, acute blodd loss anemia Presented with epigastric pain x 1 week, coffee-ground emesis and dark stools. Hemoglobin 6.8 MCV 66. BP 90s/60s, heart rate low 100s. Received 2 unit of PRBC. S/P EGD on 2/2 showed 3 ulcerations, non-bleeding (1. gastric ulcer with a nonbleeding visible vessel (Forrest Class IIa), which is likely source of GI bleeding. Injected. Treated with bipolar cautery; 2. non-bleeding gastric ulcer with a clean ulcer base (Forrest Class III); and 3. one non-bleeding duodenal ulcer with a clean ulcer base (Forrest Class III). - Hgb qAM - follow up gastric biopsies for H. Pylori. - avoid NSAIDs - continue PPI  - repeat EGD in 2 months to check ulcer healing   Hypokalemia  - replace prn   Depression/insomnia Hypertension/hyperlipidemia Chronic pain syndrome GERD - resume PTA meds   Anemia due to acute blood loss  - Transfuse prn. On iron supplement   Asymptomatic COVID-19 Infection -  Full barrier protection.  The patient is vaccinated but not received 3rd dose.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Faeces discoloured, Gastric ulcer, Gastrointestinal haemorrhage, Haematemesis, Haemoglobin decreased
Clinical narrative: PROVIDER PROGRESS NOTE 2/8/2022 ASSESSMENT/PLAN:  Patient. is a 57 y.o. male with past medical history of GERD, hypertension, depression, chronic pain syndrome and migraine presented to ED for evaluation of coffee-ground emesis/melena. S/P EGD which showed visible non-bleeding vessel but likely source of bleed (injected and cauterized). Remains on full barrier precautions due to asymptomatic COVID infection seen on screening. Medically ready for discharge, awaiting TCU.    Coffee-ground emesis/melena Severe symptomatic, acute blodd loss anemia Presented with epigastric pain x 1 week, coffee-ground emesis and dark stools. Hemoglobin 6.8 MCV 66. BP 90s/60s, heart rate low 100s. Received 2 unit of PRBC. S/P EGD on 2/2 showed 3 ulcerations, non-bleeding (1. gastric ulcer with a nonbleeding visible vessel (Forrest Class IIa), which is likely source of GI bleeding. Injected. Treated with bipolar cautery; 2. non-bleeding gastric ulcer with a clean ulcer base (Forrest Class III); and 3. one non-bleeding duodenal ulcer with a clean ulcer base (Forrest Class III). - Hgb qAM - follow up gastric biopsies for H. Pylori. - avoid NSAIDs - continue PPI  - repeat EGD in 2 months to check ulcer healing   Hypokalemia  - replace prn   Depression/insomnia Hypertension/hyperlipidemia Chronic pain syndrome GERD - resume PTA meds   Anemia due to acute blood loss  - Transfuse prn. On iron supplement   Asymptomatic COVID-19 Infection -  Full barrier protection.  The patient is vaccinated but not received 3rd dose.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate decreased, Hypokalaemia, Mean cell volume decreased, Melaena, Oesophagogastroduodenoscopy abnormal
Clinical narrative: PROVIDER PROGRESS NOTE 2/8/2022 ASSESSMENT/PLAN:  Patient. is a 57 y.o. male with past medical history of GERD, hypertension, depression, chronic pain syndrome and migraine presented to ED for evaluation of coffee-ground emesis/melena. S/P EGD which showed visible non-bleeding vessel but likely source of bleed (injected and cauterized). Remains on full barrier precautions due to asymptomatic COVID infection seen on screening. Medically ready for discharge, awaiting TCU.    Coffee-ground emesis/melena Severe symptomatic, acute blodd loss anemia Presented with epigastric pain x 1 week, coffee-ground emesis and dark stools. Hemoglobin 6.8 MCV 66. BP 90s/60s, heart rate low 100s. Received 2 unit of PRBC. S/P EGD on 2/2 showed 3 ulcerations, non-bleeding (1. gastric ulcer with a nonbleeding visible vessel (Forrest Class IIa), which is likely source of GI bleeding. Injected. Treated with bipolar cautery; 2. non-bleeding gastric ulcer with a clean ulcer base (Forrest Class III); and 3. one non-bleeding duodenal ulcer with a clean ulcer base (Forrest Class III). - Hgb qAM - follow up gastric biopsies for H. Pylori. - avoid NSAIDs - continue PPI  - repeat EGD in 2 months to check ulcer healing   Hypokalemia  - replace prn   Depression/insomnia Hypertension/hyperlipidemia Chronic pain syndrome GERD - resume PTA meds   Anemia due to acute blood loss  - Transfuse prn. On iron supplement   Asymptomatic COVID-19 Infection -  Full barrier protection.  The patient is vaccinated but not received 3rd dose.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Packed red blood cell transfusion, SARS-CoV-2 test positive, Vascular cauterisation
Clinical narrative: PROVIDER PROGRESS NOTE 2/8/2022 ASSESSMENT/PLAN:  Patient. is a 57 y.o. male with past medical history of GERD, hypertension, depression, chronic pain syndrome and migraine presented to ED for evaluation of coffee-ground emesis/melena. S/P EGD which showed visible non-bleeding vessel but likely source of bleed (injected and cauterized). Remains on full barrier precautions due to asymptomatic COVID infection seen on screening. Medically ready for discharge, awaiting TCU.    Coffee-ground emesis/melena Severe symptomatic, acute blodd loss anemia Presented with epigastric pain x 1 week, coffee-ground emesis and dark stools. Hemoglobin 6.8 MCV 66. BP 90s/60s, heart rate low 100s. Received 2 unit of PRBC. S/P EGD on 2/2 showed 3 ulcerations, non-bleeding (1. gastric ulcer with a nonbleeding visible vessel (Forrest Class IIa), which is likely source of GI bleeding. Injected. Treated with bipolar cautery; 2. non-bleeding gastric ulcer with a clean ulcer base (Forrest Class III); and 3. one non-bleeding duodenal ulcer with a clean ulcer base (Forrest Class III). - Hgb qAM - follow up gastric biopsies for H. Pylori. - avoid NSAIDs - continue PPI  - repeat EGD in 2 months to check ulcer healing   Hypokalemia  - replace prn   Depression/insomnia Hypertension/hyperlipidemia Chronic pain syndrome GERD - resume PTA meds   Anemia due to acute blood loss  - Transfuse prn. On iron supplement   Asymptomatic COVID-19 Infection -  Full barrier protection.  The patient is vaccinated but not received 3rd dose.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Epistaxis, Fatigue, Injection site pain, Oropharyngeal pain
Clinical narrative: Pain at site injection, vomitting, diarrhea, sore throat, body pain, fever, fatigue, and NOSE BLEED with no nose bleed history.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Pain at site injection, vomitting, diarrhea, sore throat, body pain, fever, fatigue, and NOSE BLEED with no nose bleed history.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5ml on 4th booster shot (immunocompromised) when should have received 0.25ml
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Chills, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: The ringing in ears still today. Other symptoms after 2nd dose: fever, headache, body ache, chills, fatigue, sore throat that lasted 2-4 days for all symptoms besides ear ringing to go away.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Tinnitus
Clinical narrative: The ringing in ears still today. Other symptoms after 2nd dose: fever, headache, body ache, chills, fatigue, sore throat that lasted 2-4 days for all symptoms besides ear ringing to go away.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no symptoms or adverse effects noted, Dr spoke to mom and assessed child
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Lymphadenopathy, Nervousness, Pyrexia, Tenderness
Clinical narrative: Patient received booster dose on 2/1/22.  Caregiver called in to hospital call center reporting side effects - swelling and tenderness in  arm pit of the vaccinated arm. Had rapid heart beat and fevers 2/2/22. Pt was avised to be reevaluated by urgent care 2/3/22.  During Urgent care visit, pt does report feeling nervous due to axillary swelling.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Product was NOT diluted before adminstering
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Product preparation issue
Clinical narrative: Patient in for first dose. Staff became aware of undiluted vial of pediatric Pfizer.  The mother of the patient immediately notified of the error, educated on emergency precautions and when to take child to ER. Patient observed for 15 minutes. No AE immediately identified. No difficulty breathing. Circulation remained stable. Patient active and released from observation in stable condition. 2/8/2022, at 3:30, the mother was contacted to check on the patient. He remains stable. No report of difficulties; but has some fatigue and a "little bit of a sore arm." The mother was reminded of when to seek emergency care and encouraged to see provider if she had any concerns. Will continue to follow-up.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.2ml of the Adult formulation instead of the pediatric vaccine. Vial stored in the incorrect location.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered BUD
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, Blood culture, COVID-19, Chest pain, Cough
Clinical narrative: DISCHARGE DIAGNOSES: COVID 19 Recurrent malignant pleural effusions   HOSPITAL COURSE: 31 y.o. female with with history of metastatic breast cancer s/p chemo/surgery. She was found to have right pleural effusion earlier 01/2022.  She presented to our ED 1/30/2021 for evaluation of shortness of breath. She was seen by pulmonary medicine, underwent diagnostic/therapeutic thoracentesis and discharged home.  She had 1.7 L taken out and further thoracentesis was halted due to pleuritic chest pain.  Now presenting with worsening shortness of breath and increased heart rate on 2/1/22.    Cytology was positive for malignancy.  She was seen by IR and underwent U/S guided R thoracentesis and had 870 cc pleural fluid removed on 2/1/2022.  D/w CTS, Dr. regarding pleurodesis or drain placement.  He advised outpatient follow-up with her outpatient oncology team so that she does not get fragmented care. She was also seen by pulmonary service given recurrent effusions.  Pulmonary recommended at the treatment of the effusion is chemo/cancer treatment.  She was also advised to control the effusion, she will need either periodic thoracentesis, pleurodesis or an indwelling Pleurx catheter for home drainages.   Per Pulm, this will largely depend on her prognosis, goals of care and degree of which effusion is symptomatic.  She was advised to follow-up for this closely with her oncologist.     She was started on low-dose Toprol 25 mg due to symptomatic tachycardia.  This is likely multifactorial given acute viral illness, underlying malignancy, pleural effusions, dyspnea, cough.   On day of DC, patient is eager to be discharged home.  She is feeling much better.  She reported some sore throat and had an low-grade fever 100.4 on 2/1 late evening.  Given fever, her blood cultures were repeated.  UA negative.  No leukocytosis.  Procalcitonin negative x2.  She tested positive for COVID-19 on 2/2/2022 and I suspect that her cough, sore throat, fever are likely related to acute COVID-19.  She is not hypoxic and does not meet criteria for steroids.  She is requesting be discharged home, which is reasonable.  She was strongly urged to follow-up with her oncologist this week so that long-term management of her effusions can be arranged.  She was also advised to follow-up with her PCP to discuss for outpatient treatment of COVID-19.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Cytology abnormal, Dyspnoea, Heart rate increased, Malignant pleural effusion, Oropharyngeal pain
Clinical narrative: DISCHARGE DIAGNOSES: COVID 19 Recurrent malignant pleural effusions   HOSPITAL COURSE: 31 y.o. female with with history of metastatic breast cancer s/p chemo/surgery. She was found to have right pleural effusion earlier 01/2022.  She presented to our ED 1/30/2021 for evaluation of shortness of breath. She was seen by pulmonary medicine, underwent diagnostic/therapeutic thoracentesis and discharged home.  She had 1.7 L taken out and further thoracentesis was halted due to pleuritic chest pain.  Now presenting with worsening shortness of breath and increased heart rate on 2/1/22.    Cytology was positive for malignancy.  She was seen by IR and underwent U/S guided R thoracentesis and had 870 cc pleural fluid removed on 2/1/2022.  D/w CTS, Dr. regarding pleurodesis or drain placement.  He advised outpatient follow-up with her outpatient oncology team so that she does not get fragmented care. She was also seen by pulmonary service given recurrent effusions.  Pulmonary recommended at the treatment of the effusion is chemo/cancer treatment.  She was also advised to control the effusion, she will need either periodic thoracentesis, pleurodesis or an indwelling Pleurx catheter for home drainages.   Per Pulm, this will largely depend on her prognosis, goals of care and degree of which effusion is symptomatic.  She was advised to follow-up for this closely with her oncologist.     She was started on low-dose Toprol 25 mg due to symptomatic tachycardia.  This is likely multifactorial given acute viral illness, underlying malignancy, pleural effusions, dyspnea, cough.   On day of DC, patient is eager to be discharged home.  She is feeling much better.  She reported some sore throat and had an low-grade fever 100.4 on 2/1 late evening.  Given fever, her blood cultures were repeated.  UA negative.  No leukocytosis.  Procalcitonin negative x2.  She tested positive for COVID-19 on 2/2/2022 and I suspect that her cough, sore throat, fever are likely related to acute COVID-19.  She is not hypoxic and does not meet criteria for steroids.  She is requesting be discharged home, which is reasonable.  She was strongly urged to follow-up with her oncologist this week so that long-term management of her effusions can be arranged.  She was also advised to follow-up with her PCP to discuss for outpatient treatment of COVID-19.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Pleuritic pain, Procalcitonin normal, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: DISCHARGE DIAGNOSES: COVID 19 Recurrent malignant pleural effusions   HOSPITAL COURSE: 31 y.o. female with with history of metastatic breast cancer s/p chemo/surgery. She was found to have right pleural effusion earlier 01/2022.  She presented to our ED 1/30/2021 for evaluation of shortness of breath. She was seen by pulmonary medicine, underwent diagnostic/therapeutic thoracentesis and discharged home.  She had 1.7 L taken out and further thoracentesis was halted due to pleuritic chest pain.  Now presenting with worsening shortness of breath and increased heart rate on 2/1/22.    Cytology was positive for malignancy.  She was seen by IR and underwent U/S guided R thoracentesis and had 870 cc pleural fluid removed on 2/1/2022.  D/w CTS, Dr. regarding pleurodesis or drain placement.  He advised outpatient follow-up with her outpatient oncology team so that she does not get fragmented care. She was also seen by pulmonary service given recurrent effusions.  Pulmonary recommended at the treatment of the effusion is chemo/cancer treatment.  She was also advised to control the effusion, she will need either periodic thoracentesis, pleurodesis or an indwelling Pleurx catheter for home drainages.   Per Pulm, this will largely depend on her prognosis, goals of care and degree of which effusion is symptomatic.  She was advised to follow-up for this closely with her oncologist.     She was started on low-dose Toprol 25 mg due to symptomatic tachycardia.  This is likely multifactorial given acute viral illness, underlying malignancy, pleural effusions, dyspnea, cough.   On day of DC, patient is eager to be discharged home.  She is feeling much better.  She reported some sore throat and had an low-grade fever 100.4 on 2/1 late evening.  Given fever, her blood cultures were repeated.  UA negative.  No leukocytosis.  Procalcitonin negative x2.  She tested positive for COVID-19 on 2/2/2022 and I suspect that her cough, sore throat, fever are likely related to acute COVID-19.  She is not hypoxic and does not meet criteria for steroids.  She is requesting be discharged home, which is reasonable.  She was strongly urged to follow-up with her oncologist this week so that long-term management of her effusions can be arranged.  She was also advised to follow-up with her PCP to discuss for outpatient treatment of COVID-19.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Urine analysis normal
Clinical narrative: DISCHARGE DIAGNOSES: COVID 19 Recurrent malignant pleural effusions   HOSPITAL COURSE: 31 y.o. female with with history of metastatic breast cancer s/p chemo/surgery. She was found to have right pleural effusion earlier 01/2022.  She presented to our ED 1/30/2021 for evaluation of shortness of breath. She was seen by pulmonary medicine, underwent diagnostic/therapeutic thoracentesis and discharged home.  She had 1.7 L taken out and further thoracentesis was halted due to pleuritic chest pain.  Now presenting with worsening shortness of breath and increased heart rate on 2/1/22.    Cytology was positive for malignancy.  She was seen by IR and underwent U/S guided R thoracentesis and had 870 cc pleural fluid removed on 2/1/2022.  D/w CTS, Dr. regarding pleurodesis or drain placement.  He advised outpatient follow-up with her outpatient oncology team so that she does not get fragmented care. She was also seen by pulmonary service given recurrent effusions.  Pulmonary recommended at the treatment of the effusion is chemo/cancer treatment.  She was also advised to control the effusion, she will need either periodic thoracentesis, pleurodesis or an indwelling Pleurx catheter for home drainages.   Per Pulm, this will largely depend on her prognosis, goals of care and degree of which effusion is symptomatic.  She was advised to follow-up for this closely with her oncologist.     She was started on low-dose Toprol 25 mg due to symptomatic tachycardia.  This is likely multifactorial given acute viral illness, underlying malignancy, pleural effusions, dyspnea, cough.   On day of DC, patient is eager to be discharged home.  She is feeling much better.  She reported some sore throat and had an low-grade fever 100.4 on 2/1 late evening.  Given fever, her blood cultures were repeated.  UA negative.  No leukocytosis.  Procalcitonin negative x2.  She tested positive for COVID-19 on 2/2/2022 and I suspect that her cough, sore throat, fever are likely related to acute COVID-19.  She is not hypoxic and does not meet criteria for steroids.  She is requesting be discharged home, which is reasonable.  She was strongly urged to follow-up with her oncologist this week so that long-term management of her effusions can be arranged.  She was also advised to follow-up with her PCP to discuss for outpatient treatment of COVID-19.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy endometrium normal, Menstruation irregular
Clinical narrative: After my 2nd dose I got a period. After my 3rd dose I got another period.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Chest discomfort, Discomfort, Injection site swelling, Pain
Clinical narrative: Under her right arm and side of breast is swollen. She stated that the pain is very intense and she has to take Motrin to relieve it some. She is having pressure in her chest, shoulder, back, and neck.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Gait disturbance, Hypotension, Impaired work ability, Ischaemia
Clinical narrative: Muscle Fatigue, Joint Ache, and Muscle Spasms, shortly after getting the first dose. Went to see my General Practitioner about one muscle spasm that I felt may have broke a Rib, because of it's intensity and duration.  X-Rays done.  No broken Rib. My muscle fatigue has affected my Heart.  It now has low Blood Pressure with an accompanying lack (about 5% drop, from before) of Blood/Oxygen Level. The joint pains and muscle fatigue, especially are affecting my ability to work, do daily tasks or recreate. It also affects my ability to climb up to my Second Story Apartment.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Muscle fatigue, Muscle spasms
Clinical narrative: Muscle Fatigue, Joint Ache, and Muscle Spasms, shortly after getting the first dose. Went to see my General Practitioner about one muscle spasm that I felt may have broke a Rib, because of it's intensity and duration.  X-Rays done.  No broken Rib. My muscle fatigue has affected my Heart.  It now has low Blood Pressure with an accompanying lack (about 5% drop, from before) of Blood/Oxygen Level. The joint pains and muscle fatigue, especially are affecting my ability to work, do daily tasks or recreate. It also affects my ability to climb up to my Second Story Apartment.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dysphagia, Dysphonia, Laryngoscopy, Vocal cord paralysis
Clinical narrative: Vocal Cord Paralysis ,Dysphonia and Dysphagia
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pediatric Pfizer product not diluted before administration.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Hot flush, Mobility decreased
Clinical narrative: Could not use my arm for 4 days, had cold sweats, and ultimately, after reaching menopause at age 45, began with hot flashes in my 65 degree bedroom since the second vaccine.  Unsure if this is a life long thing now.  Item 21 does not allow collaboration or explanation of a "question" of a life long result.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Did not notice on VIS form that patient had answered YES to receiving Monoclonal Antibodies in last 90 days before administering vaccine.  Confirmed that patient had received Remdesivir during hospital stay in December 2021.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Fatigue, Feeling cold, Headache, Hot flush
Clinical narrative: 1st Dosage:  Same day, received headaches, tiredness, fatigue, weakness whole body, coldness in body, hot flashes.                              Next morning-have slept for around 12 hours.                              Following few days:  Same symptoms for the first 4 days, the 5th day finally feeling better                              Did not take any other medications over the counter or prescriptive medications.                              Naturally recovered from sickness side effects of the medications.  2nd Dosage:  Same as above.  3rd Dosage:  1st Day immediately, fatigue, tired, weakness.                               2nd Day:  could not drive at all.                               3rd Day:  could not drive at all.                               Did not drive for 5 days from 12/29/2021 Booster Shot Moderna Vaccine   Terrible feeling of fatgiue, tiredness, weakness and coldness at times. Muscular function could not allow me to do daily activities such as basic local driving or even any type of driving at all. I was basically bedridden every time I had these vaccines. I hope your future Covid-19 vaccines, especially Moderna will improve with time without adverse side effects at all.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Impaired driving ability, Loss of personal independence in daily activities
Clinical narrative: 1st Dosage:  Same day, received headaches, tiredness, fatigue, weakness whole body, coldness in body, hot flashes.                              Next morning-have slept for around 12 hours.                              Following few days:  Same symptoms for the first 4 days, the 5th day finally feeling better                              Did not take any other medications over the counter or prescriptive medications.                              Naturally recovered from sickness side effects of the medications.  2nd Dosage:  Same as above.  3rd Dosage:  1st Day immediately, fatigue, tired, weakness.                               2nd Day:  could not drive at all.                               3rd Day:  could not drive at all.                               Did not drive for 5 days from 12/29/2021 Booster Shot Moderna Vaccine   Terrible feeling of fatgiue, tiredness, weakness and coldness at times. Muscular function could not allow me to do daily activities such as basic local driving or even any type of driving at all. I was basically bedridden every time I had these vaccines. I hope your future Covid-19 vaccines, especially Moderna will improve with time without adverse side effects at all.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea exertional, Echocardiogram normal, Electrocardiogram normal, Myocarditis
Clinical narrative: Patient given second dose at another location.  3 days later developed chest pain and shortness of breath with exertion.  Increased troponin and clinical presentation consistent with myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient given second dose at another location.  3 days later developed chest pain and shortness of breath with exertion.  Increased troponin and clinical presentation consistent with myocarditis.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Pfizer 0.2mL child dose administered to patient on 2/8/2022, at 14:00, when adult Pfizer 0.3mL was needed. Director notified and advised to have patient return to clinic to be given correct dosage. Patient returned to clinic and given correct adult dose of Pfizer 0.3mL batch/lot# 33130BA on 2/8/2022 at 14:45. Provider also notified.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Dizziness, Fatigue, Haemorrhage urinary tract
Clinical narrative: Around 5 days after vaccine, patient developed bright red blood in urine, including blood clots.  Patient describes that it was difficult to pass the urine at times because of the clots.  He also felt extremely dizzy and fatigued.  All side effects lasted 3 days where he was unable to perform normal work functions.  He was very concerned about what was going on.  Then the symptoms went away and he felt better after the 3 days.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Feeding disorder, Lymphadenopathy, Migraine, Myalgia, Pain
Clinical narrative: My two infected molars forwich I had been on antibiotics for several days and was in no pain with, began hurting me excruciatingly to the point that I could only eat with my front teeth for the next five days.  I felt like I had swollen glands, migraines of my whole head that came and went, extreme upper torso soreness. My neck muscles were so sore and I was rubbing them all the time.  I was in my pajamas for five days.  On the 6th day I woke up pain free and able to eat anything I wanted.  What a journey.. ihad had no problems with the vaccines.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Toothache
Clinical narrative: My two infected molars forwich I had been on antibiotics for several days and was in no pain with, began hurting me excruciatingly to the point that I could only eat with my front teeth for the next five days.  I felt like I had swollen glands, migraines of my whole head that came and went, extreme upper torso soreness. My neck muscles were so sore and I was rubbing them all the time.  I was in my pajamas for five days.  On the 6th day I woke up pain free and able to eat anything I wanted.  What a journey.. ihad had no problems with the vaccines.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted. COVID-19 infection breakthrough.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Product preparation issue
Clinical narrative: The patient received 0.2ml of undiluted pediatric covid vaccine on 2/7/22 at 6:20pm. The mistake was found at 9pm that evening. The patient's father was call on 2/8/22 at 10am. The mistake was explained, the father said the patient did not have any side effects besides the normal sore arm where the injection was given.  I told the father to monitor her for the next few days for any kind of other side effects. I did not find a pediatrician listed on the patient's file to contact.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypertension, Pain, Vision blurred
Clinical narrative: After pt waited the required 15 minutes after vaccination (around 11:35am), pt left with husband (and child) to car, after about a minute or two, pt's husband came back to the pharmacy and notified us that the pt was experiencing a severe headache and asked what to do. We advised the husband to have the pt come back inside (from the parking lot) so we can further assess the pt. As the pt came back to the pharmacy area, she informed us she was beginning to have blurry vision (note: pt had us read out the questions on the vaccine form because she did not have her glasses and was unable to see). The RPH on duty proceeded to check the pt's blood pressure at around 11:50am and recorded the reading at 178/87, the RPH then advised the pt to continue to sit and rest for a few moments more and will check blood pressure again. At about 11:52am the pt's blood pressure lowered slightly to 160/80, however this is still a high reading so the RPH told the pt to visit an urgent care or get immediate medical attention. The pt agreed to go to an urgent care and left with husband; At around 2pm, the RPH on duty called the pt to follow up on how they were doing. The pt told the RPH that she did not go to an urgent care nor seek medical assistance, but rather went home. Pt said she still had a headache, but no blurry vision and her blood pressure was now at 134/80 which was her "normal", however, was now tired and with aches. The RPH told the pt to continue resting and and if any new or worsening symptoms appear to call us back and/or seek immediate medical assistance. Again, at around 4:00pm, the RPH tried to reach out to the pt to follow up, however pt did not answer and a voicemail was left. We have not heard back from the pt since the date of occurrence 02/04/2022. Today 02/08/2022.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Groin pain, Heavy menstrual bleeding, Menstruation irregular, Muscle spasms
Clinical narrative: Shortly after receiving my Covid shot,  my menstrual cycle returned early which is unusual.  Since then every period has been longer, changed in consistency and amount. I now experience menstrual cycle side affects I have never had before from cramps, inner pain in my groin area and longer cycles. I experience severe menstrual cycle cramps before, during and after my menstrual cycle has dissolve in which I never had an issue before.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Polycystic ovaries, Ultrasound scan abnormal, Uterine leiomyoma
Clinical narrative: Shortly after receiving my Covid shot,  my menstrual cycle returned early which is unusual.  Since then every period has been longer, changed in consistency and amount. I now experience menstrual cycle side affects I have never had before from cramps, inner pain in my groin area and longer cycles. I experience severe menstrual cycle cramps before, during and after my menstrual cycle has dissolve in which I never had an issue before.
Age: 11.0
Sex: F
Vaccine: COVID19, FLU4, HPV9
Symptoms: Dizziness, Pallor, Presyncope
Clinical narrative: near fainting pale lips dizziness
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Magnetic resonance imaging head, Scan with contrast
Clinical narrative: Bell's palsy
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: before administering forgot to add dilute. So gave patient Pfizer vaccine with out diluten. Patient did not experience any symptoms and did not have signs of any other reactions. Informed our primary Doctor in the office and she told me to just make sure patient is feeling ok.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Grip strength decreased, Influenza like illness, Pain, Pain in extremity, Pyrexia
Clinical narrative: Later that evening I began to have a fever and flu-like body aches, mainly pulsating through my hands and feet. After the aches went away 48 hrs later, I have still experienced piercing pain in my hand, mainly through my index finger. It feels like it should look very swollen, but it doesn?t. I can?t grip things like dishes or the steering wheel without pain or sometimes at all. I?ve never had arthritis but I would guess this is what severe arthritis feels like.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 80.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Paraesthesia, Syncope
Clinical narrative: Pain and tingling on the left side extending to toes, tingling continued for over a week, a lot of pain in shoulder has been continuous until now. Arm feels "dead." Missed work for several days, fainted at work 3 days after. Pain has felt to decrease over time, but came back last night.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Parapsoriasis
Clinical narrative: Developed pityriasis lichenoides after Moderna booster. Biopsy was performed, resulting in the diagnosis.
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 63.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt was given a second dose of pneumovax23, she received first dose 08/23/2020 then received a dose of prevnar13 08/10/21 so she  has completed the series
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.2 ml given  12 and up pfizer vaccine ...patient received vaccine 2/8/2022 will f/u tomorrow on patients status
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Myalgia
Clinical narrative: Patient had pain in shoulder and bicep. She had numbness below the elbow and her two last fingers on the same arm.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Decreased appetite, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: Dizzy. Short of breathe, muscle soreness, weakness, diarrhea, muscle pain and decreased appetite
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia
Clinical narrative: Dizzy. Short of breathe, muscle soreness, weakness, diarrhea, muscle pain and decreased appetite
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Diarrhoea, Dizziness
Clinical narrative: Dizzy. Short of breathe, muscle soreness, weakness, diarrhea, muscle pain and decreased appetite
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Insomnia, Malaise, Myalgia, Pain in extremity
Clinical narrative: Dizzy. Short of breathe, muscle soreness, weakness, diarrhea, muscle pain and decreased appetite
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient received 0.2ml of 12 and up pfizer on 2/8/20222 will f/u 2-9-2022 for patients status
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mechanical urticaria, Pruritus, Skin swelling, Urticaria
Clinical narrative: Developed dermatographia. Physical hives that itch when  the skin is rubbed or scratched. The scratch line will become puffy and red and will go away after a few minutes if not touched or scratched further.  Symptoms are finally subsiding after about 2 months.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure abnormal, Bone pain, Chest pain, Fatigue
Clinical narrative: Tight neck. Tiredness, pain, numbness, irregular blood pressure, chest pain, persistent pain in the extremities, joints and bones. Metabolic changes, weight gain, memory problems. Symptoms persist after 4 months.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Memory impairment, Metabolic disorder, Muscle tightness, Pain
Clinical narrative: Tight neck. Tiredness, pain, numbness, irregular blood pressure, chest pain, persistent pain in the extremities, joints and bones. Metabolic changes, weight gain, memory problems. Symptoms persist after 4 months.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Weight increased
Clinical narrative: Tight neck. Tiredness, pain, numbness, irregular blood pressure, chest pain, persistent pain in the extremities, joints and bones. Metabolic changes, weight gain, memory problems. Symptoms persist after 4 months.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: CELLULITIS ON ARM - RED AND SWOLLEN
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Chest pain, Echocardiogram
Clinical narrative: Suspected Myocarditis - chest pains, heart palpitations, chest tightness Skin hives/rashes
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Myocarditis, Palpitations, Rash, Stress echocardiogram
Clinical narrative: Suspected Myocarditis - chest pains, heart palpitations, chest tightness Skin hives/rashes
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Suspected Myocarditis - chest pains, heart palpitations, chest tightness Skin hives/rashes
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Pain, Rhinitis allergic
Clinical narrative: Shingles rash, first episode started with pain 2/4/2022 then rash appeared 2/6/2022. Pt is otherwise health male. No medications. Allergic Rhinitis only. Left low back, Flank and pelvic area. T2 dermatome.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Injection site pain, Pyrexia
Clinical narrative: A 9-year-old girl came to the pharmacy on 2/4/2022 for 1st dose of the COVID-19 vaccine. We accidentally gave her COVID-19 vaccine for 12-year-old and above, instead of pediatric COVID-19 vaccine for 5 to 11-year-old. We notified the parent and MD, we gave the wrong vaccine. We will also follow-up with patient in a couple of days. Patient's parent claim she had soreness at injection site and low-grade fever.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac failure congestive, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Patient received Pfizer COVID vaccine on 1/21/21 (lot # EL3302), 2/10/21 (lot # EN6201), and 9/27/21 (unknown lot #, data from pharmacy per file).  On 2/1/22, patient admitted to our inpatient facility with acute hypoxic respiratory failure secondary to possible community acquired pneumonia, COPD exacerbation, and CHF exacerbation. She also tested positive for COVID on 2/4/22 during admission.  As of today (2/8/22), patient is still admitted in our med/surg unit.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 1/21/21 (lot # EL3302), 2/10/21 (lot # EN6201), and 9/27/21 (unknown lot #, data from pharmacy per file).  On 2/1/22, patient admitted to our inpatient facility with acute hypoxic respiratory failure secondary to possible community acquired pneumonia, COPD exacerbation, and CHF exacerbation. She also tested positive for COVID on 2/4/22 during admission.  As of today (2/8/22), patient is still admitted in our med/surg unit.
Age: 81.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 76.0
Sex: U
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Hospitalization and Death
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Bruising on his arm to the elbow a few days after the booster shot was administered.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: during patient's 15 minute observation period after 2nd moderna dose, patient lost consciousness and fainted.  Eyes remained open, she did not fall out of her chair because he fiance was with her and she has a known history of fainting, from after first moderna dose, as well as during her menstrual cycles.  We were able to arouse her through stern shoulder shaking and chest tapping.  She was given water to drink, 2 glucose tablets to take, but patient confirmed that she had eaten breakfast and hydrated that morning.  911 was called, and paramedics came to check on the patient, and patient was taken out with the paramedics to further check on her to confirm that everything was ok outside.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error, Vaccination error
Clinical narrative: The vaccine that was given was past its beyond use date of 31 days after placing into the fridge (it was given on day 32 ). After calling the manufacturer (pfizer), the medical team explained that there was off label data supporting the stability of the vaccine for an additional 15 days after. However, they told me it was still considered a vaccine error and needed to be reported. There are no reported adverse effects from giving the vaccine this way.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, Inappropriate schedule of product administration, Leukocytosis
Clinical narrative: Patient received Moderna COVID-19 vaccine on 2/5/2021 (batch/lot# 013M20A), 3/6/2021 (batch/lot# 029A21A) and 10/27/2021 (batch/lot# 045C21A). On 1/24/2022, patient had an external positive result for COVID-19. On 2/7/2022, patient admitted to our inpatient facility with acute respiratory failure with hypoxia, acute pulmonary embolism, leukocytosis, acute kidney injury and COVID-19 positive result. As of today (2/8/2022), patient still admitted in the med/surgery unit.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Patient received Moderna COVID-19 vaccine on 2/5/2021 (batch/lot# 013M20A), 3/6/2021 (batch/lot# 029A21A) and 10/27/2021 (batch/lot# 045C21A). On 1/24/2022, patient had an external positive result for COVID-19. On 2/7/2022, patient admitted to our inpatient facility with acute respiratory failure with hypoxia, acute pulmonary embolism, leukocytosis, acute kidney injury and COVID-19 positive result. As of today (2/8/2022), patient still admitted in the med/surgery unit.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine that was given was past its beyond use date of 31 days after placing into the fridge (it was given on day 32 ). After calling the manufacturer (pfizer), the medical team explained that there was off label data supporting the stability of the vaccine for an additional 15 days after. However, they told me it was still considered a vaccine error and needed to be reported. There are no reported adverse effects from giving the vaccine this way.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pruritus, Injection site rash, Pruritus, Pyrexia
Clinical narrative: fever and headache 24 to 48 hours after,  72 hours after rash and itch at vaccine site,   5 days later no rash - itchy on and off - for over 2 weeks now - every day
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Vaccination error
Clinical narrative: The vaccine that was given was past its beyond use date of 31 days after placing into the fridge (it was given on day 32 ). After calling the manufacturer (pfizer), the medical team explained that there was off label data supporting the stability of the vaccine for an additional 15 days after. However, they told me it was still considered a vaccine error and needed to be reported. Have not been  able to reach out to the patient yet, but we will continue to call. We have only been able to leave a voicemail for patient to call us back.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site induration, Injection site nodule, Injection site warmth, Nodule
Clinical narrative: Following Moderna covid booster- experienced pain in the arm that received the injection. injection site became warm to touch with hard nodule under the skin, then spread from injection site almost to elbow of arm and around the side of the arm. pain and headache. Pain continues, nodule appears to be spreading, it is day 4 and has not gone away.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Following Moderna covid booster- experienced pain in the arm that received the injection. injection site became warm to touch with hard nodule under the skin, then spread from injection site almost to elbow of arm and around the side of the arm. pain and headache. Pain continues, nodule appears to be spreading, it is day 4 and has not gone away.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Dehydration, Dizziness, Dizziness postural
Clinical narrative: Within 10 hrs.: sore arm, chills, abdominal pain (left and right). Within 24 hrs.: fever, muscle ache, and headache. Within 48-72 hrs.: pulsating headache, nausea, occasional heart pounding, dizziness when standing or moving, and feeling dehydrated even when drinking fluids. Within 96 hrs.: dizziness when standing or sitting, right abdominal pain, and heart pounding.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pain in extremity, Palpitations
Clinical narrative: Within 10 hrs.: sore arm, chills, abdominal pain (left and right). Within 24 hrs.: fever, muscle ache, and headache. Within 48-72 hrs.: pulsating headache, nausea, occasional heart pounding, dizziness when standing or moving, and feeling dehydrated even when drinking fluids. Within 96 hrs.: dizziness when standing or sitting, right abdominal pain, and heart pounding.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Within 10 hrs.: sore arm, chills, abdominal pain (left and right). Within 24 hrs.: fever, muscle ache, and headache. Within 48-72 hrs.: pulsating headache, nausea, occasional heart pounding, dizziness when standing or moving, and feeling dehydrated even when drinking fluids. Within 96 hrs.: dizziness when standing or sitting, right abdominal pain, and heart pounding.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injection site pain, Mobility decreased, Neck pain, Nervousness
Clinical narrative: My injection site sore started to go away on the forth day (12/19/21)...then, all of a sudden I woke up in the morning  (12/19/21) with the whole body being sore, my lower back and my neck are especially painful.  I can't bend forward to pick up things from the floor.  For the whole day, I was very nervous about it since I have had continual herniated discs problem with my lower back ad my neck.  Then, the pain is getting unbearable, I had to take tylenol  to relief my pain.  I had to take it for a few days.  Then, slowly the pain died down which took another 3 to 4 days by the end of the week on 12/24/21.  However, the remnant of the pain persist for a few days longer.