chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Feeling abnormal, Swollen tongue
Clinical narrative: Patient reported to front desk staff that she was "feeling funny". Nursing staff overheard this conversation and immediately  brought patient into an exam room for evaluation.  Patient has many allergies and history of anaphylaxis. Patient carries her own Benadryl and EpiPen. Patient reported tongue swelling, slurred speech and dizziness. Dr. was asked to evaluate patient and instructed her to take the Benadryl. Patient took the Benadryl that she had brought along to the appointment. There was a nurse in the room to observe the patient and the patient was not left alone at any point in the visit. EMS was called and patient was transported to the emergency department for further evaluation. Patient reported that her symptoms were improving prior to going with EMS to the ED.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Fatigue, muscle pain, headache, shivering, fever and stomach pain
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Fatigue, muscle pain, headache, shivering, fever and stomach pain
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Heart rate increased
Clinical narrative: 12:17 PM  Patient started feeling lightheaded and felt heart rate up.  Feeling pressure behind ears.  Vitals were taken:  BP 152/102, Pulse 115, O2 98%, Respiration 18, Temp 97.9 12:22PM Patient started feeling better, stated episode had passed.  High blood pressure runs in his family.  Offered to retake vitals, patient refused.  Advised to monitor blood pressure and see his primary care doctor.  Monitored for additional 15 minutes, patient stated he  felt better.  Patient was cleared.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 14.0
Sex: M
Vaccine: HEPA, HPV9, MMRV, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Pt received vaccine at 2:10pm. Patient was receiving HPV9 for the first time, so patient was told to wait 15 minutes to make sure he felt OK. At 2:18pm patient fainted. Elevated patients leg while lying on the ground. BP obtained 88/60 O2 sat 99 HR 64. Patient started to come to approx 2 minutes after fainting. He began to talk and drank a sprite. BP obtained again at 2:30pm 100/60. Patient stated that he felt much better. Patient left facility at 2:40pm. Notified pt's mother the following day to check on patient. She stated that patient was totally fine.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache everday!!! I've had a headache for a whole week
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through a vaccine administrator, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Biopsy kidney abnormal, Blood albumin decreased, Blood creatinine increased, Blood urea increased
Clinical narrative: Approximately a few weeks after the second Pfizer COVID vaccination, I noted foamy urine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerulonephritis membranous, Haematocrit decreased, Haemoglobin decreased, Metabolic function test, Protein total decreased
Clinical narrative: Approximately a few weeks after the second Pfizer COVID vaccination, I noted foamy urine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Protein urine present, Proteinuria, Urine abnormality, Urine analysis abnormal
Clinical narrative: Approximately a few weeks after the second Pfizer COVID vaccination, I noted foamy urine.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, HCF, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia, Tinnitus
Clinical narrative: Soreness in arm at injection sight, fever, ringing in ears
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Pulmonary embolism
Clinical narrative: multiple pulmonary embolus diagnosed after pt came into the emergency room  4/5/2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthovirus test positive, Colposcopy, Fatigue, Hand-foot-and-mouth disease, Hyperhidrosis
Clinical narrative: Day of shot, arm was sore, I got sweats and fever, racing heart, did not sleep much, body fatigue, next day sore throat, fever persisted, maintained the fever for a couple of weeks. On 02/17/2021 I got my first hand mouth and foot disease bumps, they first came in my right and, within a few hours fever was 99.9, bumps spread to both hands, then on 2/23/2021 it spread to my feet then 02/28/2021 it finally hit my mouth, it spread to my cervix as well, some time in April. I have had foot hand and mouth disease before so I knew what it was. It took four to six weeks for it to go away.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, Palpitations, Pyrexia, Rash
Clinical narrative: Day of shot, arm was sore, I got sweats and fever, racing heart, did not sleep much, body fatigue, next day sore throat, fever persisted, maintained the fever for a couple of weeks. On 02/17/2021 I got my first hand mouth and foot disease bumps, they first came in my right and, within a few hours fever was 99.9, bumps spread to both hands, then on 2/23/2021 it spread to my feet then 02/28/2021 it finally hit my mouth, it spread to my cervix as well, some time in April. I have had foot hand and mouth disease before so I knew what it was. It took four to six weeks for it to go away.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A. It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790). Please refer to this case number if you would like to contact Moderna directly. Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus. Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date. No adverse reactions were identified.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood immunoglobulin A, Haematuria, IgA nephropathy, Influenza like illness, Rhinorrhoea
Clinical narrative: Very ill flu like symptoms with out the runny nose or cough.  Hematuria 2 days later
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Feeling hot
Clinical narrative: Light-headedness, metallic taste in mouth, felt like fainting and felt hot.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt received the Janssen (Johnson & Johnson) vaccine at age 17.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Myalgia, Pain in extremity
Clinical narrative: Pt received the Janssen (Johnson & Johnson) vaccine at age 17.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, HCF, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Headache, Hot flush, Malaise
Clinical narrative: Severe headache, chills, hot flashes, nausea, sleepiness, dizziness and malaise (cannot focus/function),
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea, Somnolence
Clinical narrative: Severe headache, chills, hot flashes, nausea, sleepiness, dizziness and malaise (cannot focus/function),
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Musculoskeletal stiffness, Pain
Clinical narrative: I have got a prolonged shoulder pain and stiffness after the 2nd dose. It started in about one week and last until now or about 3 months. I cannot move my left arm and shoulder as wide as normal, otherwise it would cause a pain. It is slowly improving but not back to normal yet in over 3 months.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through Catalent's vaccine administrator between June 25 and July 30 came from the lot number 039K20A. It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Pain in extremity, Paraesthesia, Tremor
Clinical narrative: Shortly after vaccine was administered patient complained of Tingling in arms and shakiness in hands. He stated his head felt warm (99.4) and had a slight headache. After sitting in store for a while (20-30 minutes) patient felt better and went home with a slightly sore arm.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A. It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790). Please refer to this case number if you would like to contact Moderna directly. Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus. Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date. No adverse reactions were identified.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, HCF, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Muscle spasms, Myalgia, Pyrexia
Clinical narrative: Experienced chills/fever, painful muscle spasms afterwards and during the night (they have improved the next day), emesis occurred at 3 am, headache
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Experienced chills/fever, painful muscle spasms afterwards and during the night (they have improved the next day), emesis occurred at 3 am, headache
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, COVID-19, Malaise, SARS-CoV-2 test positive, Syncope
Clinical narrative: Fully Covid-19 vaccinated with Covid-19 positive test and Covid-19 symptoms.  Syncope and Angioedema
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The COVID-19 vaccine administered through Catalent's vaccine administrator between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: Stay there 20 minutes after vaccine. Right after I left started to feel strange stopped at the store down the street went inside for 40 minutes until it passed.  Was like doing 4  shots of tequila in 2 minutes.  Leaned up against shelf and my shopping cart for about 5 minutes at one point.  Walked around the store for a while and then drove home, now 2 hours later and I am fine.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Adrenal adenoma, Blood creatine increased, Blood glucose increased, COVID-19
Clinical narrative: This is a 53y.o. male with past medical history for TIIDM, HTN, OSA on CPAP, arthritis, presents to ED with complaints of lower abdominal discomfort with assocaited nausea/vomiting x4 days. Patient states that he has not been able to tolerate any PO intake with minimal solid or liquids consumed over the past 4 days. Denies any chest pain, shortness of breath, productive cough, fever/chills. Patient denies prior CV 19 viral infection and reports completion of his COVID-19 vaccine series, however believes he was exposed at his current job. Of note, patient currently is on no diabetes regimen, despite A1c being 9.7% on most recent labs in June. Patient is also on a multidrug, anti-hypertensive regimen with previous echocardiogram in 2019 demonstrating changes consistent with hypertensive heart disease LVEF 60% with indeterminant left ventricular diastolic function. Patient does not follow with cardiology, states that his PCP currently manages his anti-hypertensive regimen.    In the ED, Vitals on arrival of T 97.8°F, BP 137/88, HR 84, RR 20, SpO2 100% on room air. Labs remarkable for Plt 405 on CBC, Cr 2.36, Glucose 187 on BMP. UA contaminated. Ultrasound kidney and bladder to evaluate for hydronephrosis and obstruction without significant change from CT abdomen and pelvis showed no acute intra-abdominal or pelvic process with noted hepatic steatosis, prostatomegaly and a stable left adrenal adenoma. Patient received IV Zofran ×1 along with a 1 L 0.9 and a bolus. At time of exam patient's nausea and vomiting resolved and no further episodes of nonbloody nonbilious emesis since admission, continued bilateral lower abdominal pressure was noted. For allergy consulted for further evaluation.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram abdomen abnormal, Computerised tomogram abnormal, Computerised tomogram pelvis abnormal, Exposure to SARS-CoV-2
Clinical narrative: This is a 53y.o. male with past medical history for TIIDM, HTN, OSA on CPAP, arthritis, presents to ED with complaints of lower abdominal discomfort with assocaited nausea/vomiting x4 days. Patient states that he has not been able to tolerate any PO intake with minimal solid or liquids consumed over the past 4 days. Denies any chest pain, shortness of breath, productive cough, fever/chills. Patient denies prior CV 19 viral infection and reports completion of his COVID-19 vaccine series, however believes he was exposed at his current job. Of note, patient currently is on no diabetes regimen, despite A1c being 9.7% on most recent labs in June. Patient is also on a multidrug, anti-hypertensive regimen with previous echocardiogram in 2019 demonstrating changes consistent with hypertensive heart disease LVEF 60% with indeterminant left ventricular diastolic function. Patient does not follow with cardiology, states that his PCP currently manages his anti-hypertensive regimen.    In the ED, Vitals on arrival of T 97.8°F, BP 137/88, HR 84, RR 20, SpO2 100% on room air. Labs remarkable for Plt 405 on CBC, Cr 2.36, Glucose 187 on BMP. UA contaminated. Ultrasound kidney and bladder to evaluate for hydronephrosis and obstruction without significant change from CT abdomen and pelvis showed no acute intra-abdominal or pelvic process with noted hepatic steatosis, prostatomegaly and a stable left adrenal adenoma. Patient received IV Zofran ×1 along with a 1 L 0.9 and a bolus. At time of exam patient's nausea and vomiting resolved and no further episodes of nonbloody nonbilious emesis since admission, continued bilateral lower abdominal pressure was noted. For allergy consulted for further evaluation.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased, Hepatic steatosis, Hypertension, Nausea, Occupational exposure to SARS-CoV-2
Clinical narrative: This is a 53y.o. male with past medical history for TIIDM, HTN, OSA on CPAP, arthritis, presents to ED with complaints of lower abdominal discomfort with assocaited nausea/vomiting x4 days. Patient states that he has not been able to tolerate any PO intake with minimal solid or liquids consumed over the past 4 days. Denies any chest pain, shortness of breath, productive cough, fever/chills. Patient denies prior CV 19 viral infection and reports completion of his COVID-19 vaccine series, however believes he was exposed at his current job. Of note, patient currently is on no diabetes regimen, despite A1c being 9.7% on most recent labs in June. Patient is also on a multidrug, anti-hypertensive regimen with previous echocardiogram in 2019 demonstrating changes consistent with hypertensive heart disease LVEF 60% with indeterminant left ventricular diastolic function. Patient does not follow with cardiology, states that his PCP currently manages his anti-hypertensive regimen.    In the ED, Vitals on arrival of T 97.8°F, BP 137/88, HR 84, RR 20, SpO2 100% on room air. Labs remarkable for Plt 405 on CBC, Cr 2.36, Glucose 187 on BMP. UA contaminated. Ultrasound kidney and bladder to evaluate for hydronephrosis and obstruction without significant change from CT abdomen and pelvis showed no acute intra-abdominal or pelvic process with noted hepatic steatosis, prostatomegaly and a stable left adrenal adenoma. Patient received IV Zofran ×1 along with a 1 L 0.9 and a bolus. At time of exam patient's nausea and vomiting resolved and no further episodes of nonbloody nonbilious emesis since admission, continued bilateral lower abdominal pressure was noted. For allergy consulted for further evaluation.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count increased, Prostatomegaly, SARS-CoV-2 test positive, Ultrasound bladder, Ultrasound kidney
Clinical narrative: This is a 53y.o. male with past medical history for TIIDM, HTN, OSA on CPAP, arthritis, presents to ED with complaints of lower abdominal discomfort with assocaited nausea/vomiting x4 days. Patient states that he has not been able to tolerate any PO intake with minimal solid or liquids consumed over the past 4 days. Denies any chest pain, shortness of breath, productive cough, fever/chills. Patient denies prior CV 19 viral infection and reports completion of his COVID-19 vaccine series, however believes he was exposed at his current job. Of note, patient currently is on no diabetes regimen, despite A1c being 9.7% on most recent labs in June. Patient is also on a multidrug, anti-hypertensive regimen with previous echocardiogram in 2019 demonstrating changes consistent with hypertensive heart disease LVEF 60% with indeterminant left ventricular diastolic function. Patient does not follow with cardiology, states that his PCP currently manages his anti-hypertensive regimen.    In the ED, Vitals on arrival of T 97.8°F, BP 137/88, HR 84, RR 20, SpO2 100% on room air. Labs remarkable for Plt 405 on CBC, Cr 2.36, Glucose 187 on BMP. UA contaminated. Ultrasound kidney and bladder to evaluate for hydronephrosis and obstruction without significant change from CT abdomen and pelvis showed no acute intra-abdominal or pelvic process with noted hepatic steatosis, prostatomegaly and a stable left adrenal adenoma. Patient received IV Zofran ×1 along with a 1 L 0.9 and a bolus. At time of exam patient's nausea and vomiting resolved and no further episodes of nonbloody nonbilious emesis since admission, continued bilateral lower abdominal pressure was noted. For allergy consulted for further evaluation.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: This is a 53y.o. male with past medical history for TIIDM, HTN, OSA on CPAP, arthritis, presents to ED with complaints of lower abdominal discomfort with assocaited nausea/vomiting x4 days. Patient states that he has not been able to tolerate any PO intake with minimal solid or liquids consumed over the past 4 days. Denies any chest pain, shortness of breath, productive cough, fever/chills. Patient denies prior CV 19 viral infection and reports completion of his COVID-19 vaccine series, however believes he was exposed at his current job. Of note, patient currently is on no diabetes regimen, despite A1c being 9.7% on most recent labs in June. Patient is also on a multidrug, anti-hypertensive regimen with previous echocardiogram in 2019 demonstrating changes consistent with hypertensive heart disease LVEF 60% with indeterminant left ventricular diastolic function. Patient does not follow with cardiology, states that his PCP currently manages his anti-hypertensive regimen.    In the ED, Vitals on arrival of T 97.8°F, BP 137/88, HR 84, RR 20, SpO2 100% on room air. Labs remarkable for Plt 405 on CBC, Cr 2.36, Glucose 187 on BMP. UA contaminated. Ultrasound kidney and bladder to evaluate for hydronephrosis and obstruction without significant change from CT abdomen and pelvis showed no acute intra-abdominal or pelvic process with noted hepatic steatosis, prostatomegaly and a stable left adrenal adenoma. Patient received IV Zofran ×1 along with a 1 L 0.9 and a bolus. At time of exam patient's nausea and vomiting resolved and no further episodes of nonbloody nonbilious emesis since admission, continued bilateral lower abdominal pressure was noted. For allergy consulted for further evaluation.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Immediate post-injection reaction, Joint contracture, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Additional Details: Immediately after pt received vaccine, he stated he needed to lay down. His head/eyes rolled back, clinched hands in a fist and crossed hands then passed out/fainted. He came to and even though he said he was fine, still needed to lay down. Entire episode lasted 10-15 seconds. 911 called and paramedics took over.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Additional Details: Immediately after pt received vaccine, he stated he needed to lay down. His head/eyes rolled back, clinched hands in a fist and crossed hands then passed out/fainted. He came to and even though he said he was fine, still needed to lay down. Entire episode lasted 10-15 seconds. 911 called and paramedics took over.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Mood altered, Neurological examination normal, Staring, Unresponsive to stimuli
Clinical narrative: Patient's teacher observed that he was staring and unresponsive for around 5 minutes, was altered and not himself for 25 minutes, no memory of the event.  Mom felt he was sleepy and "out of it" until dinner time that night.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The COVID-19 vaccine administered June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremities)-Medium, Systemic: Allergic: Rash (specify: facial area, extremities)-Medium, Additional Details: rash and itching on arm from injection and leg below knee to tip of toes.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Respiratory syncytial virus test negative
Clinical narrative: 8.16.2021 runny nose and sinus congestion since 8/14/21
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: 8.16.2021 runny nose and sinus congestion since 8/14/21
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Muscle spasms, Nausea, SARS-CoV-2 test negative
Clinical narrative: headache, nausea, real tired all the time, leg cramps, all for almost a month
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Fatigue, Feeling abnormal, Headache
Clinical narrative: headache, nausea, real tired all the time, leg cramps, all for almost a month
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: headache, nausea, real tired all the time, leg cramps, all for almost a month
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Rash vesicular, Skin burning sensation
Clinical narrative: Per patient wife ; Rash with blisters associated with burning and itching on butt, arm , back
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dysphagia, Dyspnoea, Injection site erythema, Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pruritus, Throat tightness
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus. Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date. No adverse reactions were identified.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Nodule, Pain in extremity
Clinical narrative: At first dime sized knot and redness, then the redness spread and arm got very soar. Went to hospital and doctor was worried, he?d never seen that before. Redness is continuing to grow and soreness still happening. Just got a steroid cream hope that helps
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790). Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, Asthenia, Back pain, COVID-19
Clinical narrative: 8/4/2021: symptoms of COVID started 8/5/2021: test pos for COVID 19 8/13/2021: present to ED with worsening SOB, cough, weakness, and muscle/back/rib pain - acue resp failure with hypoxemia (4L O2 on admission) 8/15/2021: progress to ARDS 8/17/2021: severe sepsis secondary to COVID - transferred to the ICU
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Intensive care, Musculoskeletal chest pain
Clinical narrative: 8/4/2021: symptoms of COVID started 8/5/2021: test pos for COVID 19 8/13/2021: present to ED with worsening SOB, cough, weakness, and muscle/back/rib pain - acue resp failure with hypoxemia (4L O2 on admission) 8/15/2021: progress to ARDS 8/17/2021: severe sepsis secondary to COVID - transferred to the ICU
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: 8/4/2021: symptoms of COVID started 8/5/2021: test pos for COVID 19 8/13/2021: present to ED with worsening SOB, cough, weakness, and muscle/back/rib pain - acue resp failure with hypoxemia (4L O2 on admission) 8/15/2021: progress to ARDS 8/17/2021: severe sepsis secondary to COVID - transferred to the ICU
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Cough, Dyspnoea, Headache
Clinical narrative: Patient presented with fever, cough, body aches, chills, weakness, headaches, SOB.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient presented with fever, cough, body aches, chills, weakness, headaches, SOB.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, HCF, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Symptoms like described with Parsonage Aldren Turner Syndrome.  Severe arm pain in brachialis.  Happened over night.  Intense.  Trouble straightening arm.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The COVID-19 vaccine administered through the vaccine administrator, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dizziness, Dyspnoea, Feeling cold
Clinical narrative: about 15-20 minutes after receiving the vaccine started experiencing  a ( mild) shortness of breath, chest tightness/pressure and dizziness and about 10 minutes after these symptoms started i got very cold and started shivering a lot ( had to use 3 blankets to warm myself up) and I wasn't running any fever, these symptoms lasted for about 3 hours or so
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, HCF, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Catheterisation cardiac, Coronary arterial stent insertion, Dyspnoea, Electrocardiogram
Clinical narrative: I started having a hard time breathing that got progressively worse and in March I went to the DR,  I had two cardiac stents put in and was given medication, at some point they said I had a heart attack but they do not know if it was after or before the shot.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction
Clinical narrative: I started having a hard time breathing that got progressively worse and in March I went to the DR,  I had two cardiac stents put in and was given medication, at some point they said I had a heart attack but they do not know if it was after or before the shot.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Vaccine adverse event report completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/23/2o Lot#EK9231 2nd dose01/13/21 ,lot#EL3248 Diagnosed covid positive:08/13/21 Symptom onset:08/13/21 Exposure:Community Symptoms:Fatigue, runny nose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A.  It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790).  Please refer to this case number if you would like to contact Moderna directly.  Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus.  Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date.  No adverse reactions were identified.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nausea, Oropharyngeal pain
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/12/21Lot#EL3248 2nd dose 02/03/21,lot#EN5318 Diagnosed covid positive:08/13/21 Symptom onset:08/12/21 Exposure:Home Symptoms:Cough, fatigue, head ache,sore throat, nausea, congestion.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/12/21Lot#EL3248 2nd dose 02/03/21,lot#EN5318 Diagnosed covid positive:08/13/21 Symptom onset:08/12/21 Exposure:Home Symptoms:Cough, fatigue, head ache,sore throat, nausea, congestion.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Exposure to SARS-CoV-2, Feeling abnormal, Homeless
Clinical narrative: Patient called Sunday 8/15/21 to ask about some side effects he thought may be a result of the Pfizer 2nd dose (lot fa7485 exp 10/31/21) he received on Tuesday 8/10/21 (he received his first dose in April). He stated a few days after the shot, he had no energy, was nauseas, vomited once (Friday 8/13/21), was sleepy all the time, had no appetite, and felt bad overall (malaise). What prompted his call on Sunday was that he noticed "red freckles" all over his arm of the arm he was given the vaccine in. They were not raised, not itchy, and stayed red with pressure (non-blanching, although I'm not sure if this was accurate as he may not have understood what I was describing exactly). He stated his fingertips and fingers hurt, and that his arm overall felt somewhat tingly.   I explained that while some of these symptoms sound vaccine-related, several seem very atypical from my understanding. I recommended he call his doctor or seek urgent care that day so that he could be evaluated. He understood.   He did have a recent COVID exposure from his adult child's family that he was living with. In addition, while he was living with them temporarily, his child has told us in the past that he is homeless. He did say on the phone with me that he is currently living in his truck. That being said, he did not act like access to healthcare would be a barrier to getting this looked at and said he would do so right away.   I called him today, Thursday 8/19/21 to follow up to make sure he was doing okay and to see what the doctor said, but I could not reach him and he did not have a voicemail that had been set up. I will attempt to reach out again tomorrow.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain in extremity, Paraesthesia, Rash
Clinical narrative: Patient called Sunday 8/15/21 to ask about some side effects he thought may be a result of the Pfizer 2nd dose (lot fa7485 exp 10/31/21) he received on Tuesday 8/10/21 (he received his first dose in April). He stated a few days after the shot, he had no energy, was nauseas, vomited once (Friday 8/13/21), was sleepy all the time, had no appetite, and felt bad overall (malaise). What prompted his call on Sunday was that he noticed "red freckles" all over his arm of the arm he was given the vaccine in. They were not raised, not itchy, and stayed red with pressure (non-blanching, although I'm not sure if this was accurate as he may not have understood what I was describing exactly). He stated his fingertips and fingers hurt, and that his arm overall felt somewhat tingly.   I explained that while some of these symptoms sound vaccine-related, several seem very atypical from my understanding. I recommended he call his doctor or seek urgent care that day so that he could be evaluated. He understood.   He did have a recent COVID exposure from his adult child's family that he was living with. In addition, while he was living with them temporarily, his child has told us in the past that he is homeless. He did say on the phone with me that he is currently living in his truck. That being said, he did not act like access to healthcare would be a barrier to getting this looked at and said he would do so right away.   I called him today, Thursday 8/19/21 to follow up to make sure he was doing okay and to see what the doctor said, but I could not reach him and he did not have a voicemail that had been set up. I will attempt to reach out again tomorrow.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Rash erythematous, Somnolence, Vomiting
Clinical narrative: Patient called Sunday 8/15/21 to ask about some side effects he thought may be a result of the Pfizer 2nd dose (lot fa7485 exp 10/31/21) he received on Tuesday 8/10/21 (he received his first dose in April). He stated a few days after the shot, he had no energy, was nauseas, vomited once (Friday 8/13/21), was sleepy all the time, had no appetite, and felt bad overall (malaise). What prompted his call on Sunday was that he noticed "red freckles" all over his arm of the arm he was given the vaccine in. They were not raised, not itchy, and stayed red with pressure (non-blanching, although I'm not sure if this was accurate as he may not have understood what I was describing exactly). He stated his fingertips and fingers hurt, and that his arm overall felt somewhat tingly.   I explained that while some of these symptoms sound vaccine-related, several seem very atypical from my understanding. I recommended he call his doctor or seek urgent care that day so that he could be evaluated. He understood.   He did have a recent COVID exposure from his adult child's family that he was living with. In addition, while he was living with them temporarily, his child has told us in the past that he is homeless. He did say on the phone with me that he is currently living in his truck. That being said, he did not act like access to healthcare would be a barrier to getting this looked at and said he would do so right away.   I called him today, Thursday 8/19/21 to follow up to make sure he was doing okay and to see what the doctor said, but I could not reach him and he did not have a voicemail that had been set up. I will attempt to reach out again tomorrow.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose of vaccine was given 3 days to early.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Myalgia, Pyrexia
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 12/30/21Lot#EL0142 2nd dose01/22/21 ,lot#EL3247 Diagnosed covid positive:08/13/21 Symptom onset:08/12/21 Exposure:Home Symptoms:fever, fatigue,muscle aches,congestion.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 12/30/21Lot#EL0142 2nd dose01/22/21 ,lot#EL3247 Diagnosed covid positive:08/13/21 Symptom onset:08/12/21 Exposure:Home Symptoms:fever, fatigue,muscle aches,congestion.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Was given a pfizer vaccination in April 2020, came to our office last week and told us they needed their 2nd dose and that it was Moderna. After leaving the office we discovered she had one of both vaccines. No side effects reported.