chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Chest X-ray normal, Cough, Echocardiogram abnormal, Hypoxia
Clinical narrative: admitted 2/15 with cough, leukocytosis, chest x-ray unremarkable, CT angiogram without consolidation, ongoing desaturations hypoxia noted, findings of severe sepsis secondary to to this from presumed pulmonary origin. We initiated IV antibiotic therapy, pulmonary consulted, respiratory viral pathogen negative, echo showed mild pulmonary pretension, nocturnal hypoxia noted suspicious for OSA in setting of obesity.  Will discharge on 2 L nocturnal, with upcoming OSA evaluation ordered. Patient improved through hospital course, was discharged home with nocturnal oxygen support given to find hypoxia on overnight oximetry study. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Leukocytosis, Obesity, Oxygen saturation abnormal, Oxygen saturation decreased, Pulmonary hypertension
Clinical narrative: admitted 2/15 with cough, leukocytosis, chest x-ray unremarkable, CT angiogram without consolidation, ongoing desaturations hypoxia noted, findings of severe sepsis secondary to to this from presumed pulmonary origin. We initiated IV antibiotic therapy, pulmonary consulted, respiratory viral pathogen negative, echo showed mild pulmonary pretension, nocturnal hypoxia noted suspicious for OSA in setting of obesity.  Will discharge on 2 L nocturnal, with upcoming OSA evaluation ordered. Patient improved through hospital course, was discharged home with nocturnal oxygen support given to find hypoxia on overnight oximetry study. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary sepsis, Respiratory viral panel
Clinical narrative: admitted 2/15 with cough, leukocytosis, chest x-ray unremarkable, CT angiogram without consolidation, ongoing desaturations hypoxia noted, findings of severe sepsis secondary to to this from presumed pulmonary origin. We initiated IV antibiotic therapy, pulmonary consulted, respiratory viral pathogen negative, echo showed mild pulmonary pretension, nocturnal hypoxia noted suspicious for OSA in setting of obesity.  Will discharge on 2 L nocturnal, with upcoming OSA evaluation ordered. Patient improved through hospital course, was discharged home with nocturnal oxygen support given to find hypoxia on overnight oximetry study. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Malaise, Oropharyngeal pain
Clinical narrative: I seemed to have a breakthrough case of Covid-19. I was exposed to a (vaccinated) person on 12/28-29/21 for about 24 hours in my home who learned that she was exposed on 12/26/21. She was having mild symptoms but tested negative with a BInexNOW at-home test on the evening of 12/28/21.  She tested positive on 12/30/21 after returning home (test type unknown).  My husband and I began having mild symptoms on 12/31/21 and tested with the BinexNOW at-home tests that evening. I tested negative all four times (12/31/21, 1/3/22. 1/5/22, and 1/9/22). My mild symptoms were sore throat, some aches, fatigue, one day of constant runny nose, no fever.  I took zinc and vitamin C, plus drank lots of hot tea.  My first two vaccines were Moderna, 2/3/21 and 3/3/21. Both my husband and the person that exposed us had low-grade temps, sniffles, aches, a sore throat over the next few days and a cough that was hard to get rid of.  He had Pfizer shots all three times.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, Vaccine breakthrough infection
Clinical narrative: I seemed to have a breakthrough case of Covid-19. I was exposed to a (vaccinated) person on 12/28-29/21 for about 24 hours in my home who learned that she was exposed on 12/26/21. She was having mild symptoms but tested negative with a BInexNOW at-home test on the evening of 12/28/21.  She tested positive on 12/30/21 after returning home (test type unknown).  My husband and I began having mild symptoms on 12/31/21 and tested with the BinexNOW at-home tests that evening. I tested negative all four times (12/31/21, 1/3/22. 1/5/22, and 1/9/22). My mild symptoms were sore throat, some aches, fatigue, one day of constant runny nose, no fever.  I took zinc and vitamin C, plus drank lots of hot tea.  My first two vaccines were Moderna, 2/3/21 and 3/3/21. Both my husband and the person that exposed us had low-grade temps, sniffles, aches, a sore throat over the next few days and a cough that was hard to get rid of.  He had Pfizer shots all three times.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The nurse mixed 1.3 instead of 1.8 of 0.9 % NaCl diluent with COVID vaccine
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to vaccine, Anaphylactic reaction
Clinical narrative: Reported allergy to COVID-19 mRNA vaccine. High severity - anaphylaxis.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Fatigue
Clinical narrative: I had serve joint pains.  It was mainly in my knees, ankle, and elbows. These lasted for about 6 weeks.  I also have fatigue for 6 to 8 weeks. I went to my doctor about it. They did blood work, normal results.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine was not stored at correct temperature.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dyspnoea, Muscle spasms
Clinical narrative: epigastric pain, leg cramping and sob
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Extremely sore
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal cavity drainage, Feeling hot, Incision site complication, Incision site erythema, Laboratory test normal
Clinical narrative: Patient who is status post Whipple procedure in February who presents to the emergency department due to increased abdominal distention and redness and warmth to an area around his incision. At this point the labs are ok-will attempt to treat with oral antibiotics. Pt instructed to return to ER for increased redness, fever, or chills etc. Hospitalization for a procedure- paracentesis. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Post procedural complication
Clinical narrative: Patient who is status post Whipple procedure in February who presents to the emergency department due to increased abdominal distention and redness and warmth to an area around his incision. At this point the labs are ok-will attempt to treat with oral antibiotics. Pt instructed to return to ER for increased redness, fever, or chills etc. Hospitalization for a procedure- paracentesis. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Second Moderna booster was administered .  Pt is under the age of 50 and  did not indicate that she was immunocompromised.  She reported that her physician had suggested that she get the 2nd booster because she is a severe asthmatic.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Cardio-respiratory arrest, Central venous catheterisation, Cough
Clinical narrative: pt brought to ED with c/o SOB, cough, and wheezing x 2 days; port surgically placed 6 days ago; found to be positive for COVID; given dexamethasone, remdesivir, ABX, Vitamin C and zinc; pt worsened; coded; intubated; transferred to ICU; made a DNR; went into asystole and expired in the hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, General physical health deterioration, Intensive care
Clinical narrative: pt brought to ED with c/o SOB, cough, and wheezing x 2 days; port surgically placed 6 days ago; found to be positive for COVID; given dexamethasone, remdesivir, ABX, Vitamin C and zinc; pt worsened; coded; intubated; transferred to ICU; made a DNR; went into asystole and expired in the hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: pt brought to ED with c/o SOB, cough, and wheezing x 2 days; port surgically placed 6 days ago; found to be positive for COVID; given dexamethasone, remdesivir, ABX, Vitamin C and zinc; pt worsened; coded; intubated; transferred to ICU; made a DNR; went into asystole and expired in the hospital
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest pain, Echocardiogram normal, Electrocardiogram abnormal, Immunisation reaction
Clinical narrative: 12-year-old boy with post-COVID-vaccine-associated myocarditis who had presented with chest pain x1 day and recent fever (2 days prior to admission) after dose #2 of Pfizer vaccine. Of note, history of acute COVID infection on 12/29/2021, but negative COVID during admission. COVID-vaccine-induced myocarditis was suspected with low clinical suspicion for MIS-C given time course, no recent fever, and mildly elevated CRP, with no other concerning symptoms.   Troponins peaked at 1.66 and downtrended until 0.21 at time of discharge with recommendation for troponin recheck at 1 week while outpatient. Cardiology were consulted by the team, who recommended echo, which was unremarkable. EKG showed sinus rhythm. For chest pain, ibuprofen PRN was first-line, but patient denied chest pain and specific complaints for most of the hospital course. Patient was discharged in stable condition to home with appointment placed with cardiology and repeat troponin scheduled for 1 week post-discharge. Recommendation was to avoid strenuous activity and competitive sports for 3 months until clearance with treadmill.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Multisystem inflammatory syndrome in children, Myocarditis, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 12-year-old boy with post-COVID-vaccine-associated myocarditis who had presented with chest pain x1 day and recent fever (2 days prior to admission) after dose #2 of Pfizer vaccine. Of note, history of acute COVID infection on 12/29/2021, but negative COVID during admission. COVID-vaccine-induced myocarditis was suspected with low clinical suspicion for MIS-C given time course, no recent fever, and mildly elevated CRP, with no other concerning symptoms.   Troponins peaked at 1.66 and downtrended until 0.21 at time of discharge with recommendation for troponin recheck at 1 week while outpatient. Cardiology were consulted by the team, who recommended echo, which was unremarkable. EKG showed sinus rhythm. For chest pain, ibuprofen PRN was first-line, but patient denied chest pain and specific complaints for most of the hospital course. Patient was discharged in stable condition to home with appointment placed with cardiology and repeat troponin scheduled for 1 week post-discharge. Recommendation was to avoid strenuous activity and competitive sports for 3 months until clearance with treadmill.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus rhythm, Troponin increased
Clinical narrative: 12-year-old boy with post-COVID-vaccine-associated myocarditis who had presented with chest pain x1 day and recent fever (2 days prior to admission) after dose #2 of Pfizer vaccine. Of note, history of acute COVID infection on 12/29/2021, but negative COVID during admission. COVID-vaccine-induced myocarditis was suspected with low clinical suspicion for MIS-C given time course, no recent fever, and mildly elevated CRP, with no other concerning symptoms.   Troponins peaked at 1.66 and downtrended until 0.21 at time of discharge with recommendation for troponin recheck at 1 week while outpatient. Cardiology were consulted by the team, who recommended echo, which was unremarkable. EKG showed sinus rhythm. For chest pain, ibuprofen PRN was first-line, but patient denied chest pain and specific complaints for most of the hospital course. Patient was discharged in stable condition to home with appointment placed with cardiology and repeat troponin scheduled for 1 week post-discharge. Recommendation was to avoid strenuous activity and competitive sports for 3 months until clearance with treadmill.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Pain in extremity, Product administered at inappropriate site, Sleep disorder
Clinical narrative: The pharmacist did not put the shot in the muscle - it was very high on his shoulder and the pain immediately went down his arm.  It was apparently injected into the tendon.  Six months later he is still using painkillers, physical therapy sessions 1-2x week, icing every day.  He still can't sleep flat on his back and does not have full range of motion in that arm.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Discomfort, Heart rate increased, Malaise
Clinical narrative: 15 MINUTES POST VACCINATION BY THE DOCTOR, PATIENT STARTED NOT FEELING WELL.  HE SAID HIS HEART WAS BEATING FAST.  CHECK BP (113/73 PULSE 79)  PATIENT THEN STARTED HAVING PRESSURE/PAIN IN CHEST AND NECK (PRESSURE MOVED FROM LEFT SIDE TO RIDE SIDE) FOR ABOUT 15 MINUTES.  VITAL SIGNS WERE NORMAL BEFORE AND AFTER  PATIENT RELEASED TO GO HOME, ADVISED TO CALL 911 IF ANY SYMPTOMS REOCCURRED.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: 15 MINUTES POST VACCINATION BY THE DOCTOR, PATIENT STARTED NOT FEELING WELL.  HE SAID HIS HEART WAS BEATING FAST.  CHECK BP (113/73 PULSE 79)  PATIENT THEN STARTED HAVING PRESSURE/PAIN IN CHEST AND NECK (PRESSURE MOVED FROM LEFT SIDE TO RIDE SIDE) FOR ABOUT 15 MINUTES.  VITAL SIGNS WERE NORMAL BEFORE AND AFTER  PATIENT RELEASED TO GO HOME, ADVISED TO CALL 911 IF ANY SYMPTOMS REOCCURRED.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 7/21/2021  Patient showed up at vaccine clinic wanting a 2nd dose of J & J vaccine .  Patients vaccine card shows 1st dose J & J at mobile transit  clinic 3/26/2021 vaccine  card has written medical error on it on that date .. This person writing report unsure if received a  full dose 3/26/2021 or or any  dose or any part of a dose.  Covid Vaccine Branch Manager and Clinic Site Manager ok'd patient to receive an full dose J & J  7/23/2021.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient administered a 2nd Moderna booster despite being under the age of 50 and not being immunocompromised. He received the booster to protect his wife, who is a severe asthmatic.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Interstitial lung disease, Pneumonia, Respiratory failure
Clinical narrative: ILD (interstitial lung disease) - He was treated for acute on chronic hypoxic respiratory failure secondary to interstitial lung disease also for pneumonia.  He was evaluated by pulmonary specialist also was treated with oxygen and antibiotics. Patient was treated adequately and to stay discharged home with follow-up with the primary care physician as well as cardiology.  Patient needs to continue oxygen at home this was explained to the patient. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticarial rash starting roughly 15 hours after vaccination.  Improved with PO benadryl at home.  Parents declined clinic appointment and felt comfortable managing rash at home, as he had no other associated symptoms.
Age: 59.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: I screened patient, with mother in the room, mother verbally confirmed all questions and patients DOB, when confirming patient was here for second dose of Pfizer (5-11yrs old) mom verbally stated it was patients second dose, mother had forgotten the vaccination card, before vaccinating patient, I checked the patients chart for the date in previous dose had met the 21 days,  the first dose I seen was administered on 03/15/2022,  I failed to see that under that the series number it was reading as a second dose, it was mislabeled in the chart, the patients card was written with this date as his first and proceeded to administer the vaccine thought to be a second dose on  4/6/2022 at 3:45pm. he had received his first true dose  on 1/04/2022. The error was not caught until the patient had left  after the 15 min observation time was up with no observable signs of allergic reaction. The error was caught when  entering the vaccine into the patient's chart, the series was reading as third. I called mother after the flow of vaccine clinic was over at 4:52pm to explain the situation, mother was informed of the error and was given information on possible side effects as well as offered her to speak to a provider if she had any further concerns or questions about the incident, mother refused, mother stated she was aware this was a third time receiving the vaccine as provider had verbally told her they would be restarting the series as they had missed the appointment for the appointment for the second dose. Mother confirmed the patient had no compromised immune system that would make him eligible for the 3rd dose. Mother was informed that it wasn?t necessary  to restart the series. Mother had no concerns when I spoke to her on the phone, stated she would monitor patient for any symptoms.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase normal, Blood lactic acid normal, Blood magnesium normal, Drug screen negative, Full blood count normal
Clinical narrative: Unresponsiveness, possible seizure. Mother is a nurse and noted patient to be rigid and unresponsive. Patient noted she felt nauseous before she became unresponsive.  No loss of bowel or bladder. She now has a headache and is wearing sunglasses which she normally does not have to do.  We will continue to observe and absolutely no driving per seizure procautions.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired driving ability, Metabolic function test, Metabolic function test normal, Muscle rigidity
Clinical narrative: Unresponsiveness, possible seizure. Mother is a nurse and noted patient to be rigid and unresponsive. Patient noted she felt nauseous before she became unresponsive.  No loss of bowel or bladder. She now has a headache and is wearing sunglasses which she normally does not have to do.  We will continue to observe and absolutely no driving per seizure procautions.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Photophobia, Seizure like phenomena, Unresponsive to stimuli
Clinical narrative: Unresponsiveness, possible seizure. Mother is a nurse and noted patient to be rigid and unresponsive. Patient noted she felt nauseous before she became unresponsive.  No loss of bowel or bladder. She now has a headache and is wearing sunglasses which she normally does not have to do.  We will continue to observe and absolutely no driving per seizure procautions.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Diarrhoea, Fatigue, Feeling abnormal
Clinical narrative: All symptoms started about 5:00 pm 04.07.2022, HA, diarrhea, joint pain, fatigue, weakness, sore arm, weak, "fog" feeling
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: All symptoms started about 5:00 pm 04.07.2022, HA, diarrhea, joint pain, fatigue, weakness, sore arm, weak, "fog" feeling
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine not stored correctly.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Heart rate increased, Muscle strain
Clinical narrative: Started feeling really floaty and dizzy and felt like I'm going to pass out. The clinic checked my vitals and my BP was over 150, my heartrate also surged a little. I also felt a straining in my neck, sort of under my tongue. I didn't have any problem breathing though. Because my HR was increased they called an ambulance to take me to the hospital, I refused to go because my problem didn't seem severe enough. They finally released me with the understanding that if I started to feel bad in any way to go to the hospital.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mass, Skin warm, Wrong technique in product usage process
Clinical narrative: The first dose when the shot felt weird. It was very cold through my veins and I felt it in my pinky. I experienced numbness in my pinky and ring finger. The numbing went away in two weeks. I believe the shot went in too deep. I went to the doctor but, was not taken seriously. The 2nd shot, I told them not to do it deep. They pinched my arm and injected it. A giant red, hot to the touch lump appeared hours later. It was the size of an egg. I lasted maybe a week and a half, maybe two weeks.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, COVID-19, Ear infection, Ear pain
Clinical narrative: 05/14/2021 after the vaccination in the after noon I started to experience a bad headache and a fever of 104-105 right after, and felt generally awful, I had everything that is listed on vaccine symptoms, I was sick to my stomach, sinus congestion that came 48 hours afterwards, and the symptoms did not go away for 72 hours approximately. These symptoms included sinus drainage and I also extreme pain in my ears that felt like a double ear infection. I never lost my sense of taste or smell and these symptoms continued even after my doctors visit. I then sought out care from my primary care who set me up with an antibiotic, azithromycin. 24 hours after starting the azithromycin my symptoms began to lessen dramatically. I did stop taking my Adderall during this time since I was not in need of doing anything. I was also prescribed Allegra in case it was allergy related and it only was taken once. Symptoms had been completely gone slowly afterwards. I did come down with in May a terrible stomach pain/bug very unexplainable. My family and I came down with Omicron this past February, and we have all been fine since.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Gastroenteritis viral, Headache, Pyrexia, Rhinorrhoea
Clinical narrative: 05/14/2021 after the vaccination in the after noon I started to experience a bad headache and a fever of 104-105 right after, and felt generally awful, I had everything that is listed on vaccine symptoms, I was sick to my stomach, sinus congestion that came 48 hours afterwards, and the symptoms did not go away for 72 hours approximately. These symptoms included sinus drainage and I also extreme pain in my ears that felt like a double ear infection. I never lost my sense of taste or smell and these symptoms continued even after my doctors visit. I then sought out care from my primary care who set me up with an antibiotic, azithromycin. 24 hours after starting the azithromycin my symptoms began to lessen dramatically. I did stop taking my Adderall during this time since I was not in need of doing anything. I was also prescribed Allegra in case it was allergy related and it only was taken once. Symptoms had been completely gone slowly afterwards. I did come down with in May a terrible stomach pain/bug very unexplainable. My family and I came down with Omicron this past February, and we have all been fine since.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: 05/14/2021 after the vaccination in the after noon I started to experience a bad headache and a fever of 104-105 right after, and felt generally awful, I had everything that is listed on vaccine symptoms, I was sick to my stomach, sinus congestion that came 48 hours afterwards, and the symptoms did not go away for 72 hours approximately. These symptoms included sinus drainage and I also extreme pain in my ears that felt like a double ear infection. I never lost my sense of taste or smell and these symptoms continued even after my doctors visit. I then sought out care from my primary care who set me up with an antibiotic, azithromycin. 24 hours after starting the azithromycin my symptoms began to lessen dramatically. I did stop taking my Adderall during this time since I was not in need of doing anything. I was also prescribed Allegra in case it was allergy related and it only was taken once. Symptoms had been completely gone slowly afterwards. I did come down with in May a terrible stomach pain/bug very unexplainable. My family and I came down with Omicron this past February, and we have all been fine since.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever for 7-10 days, highest point about 104° F
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Dry throat, Nausea
Clinical narrative: Patient reported adverse reaction to Hep B vaccine.   After receiving Hep B vaccine and leaving the health department, patient was brought back to the health department by his supervisor at work stating he thought he was allergic to the vaccine. Reports 45 minutes after receiving vaccine he started to feel dizzy, lightheaded, and nauseous. Initial VS were: B/P 102-62 HR 79 Pulse Ox 98% ORA. Injection site to Left Deltoid free of redness and swelling. No rash noted. Patient reports throat is dry, gave patient water and crackers. Patient began to feel better after water and crackers. Patient reports he has been on Phenteremine x 1 month and had not eaten since 530am today. I then called Dr. for further guidance. Dr. instructed to recheck VS and if normal patient may leave clinic. Patient to seek medical treatment via nearest ER or PCP if needed. VS upon discharge: B/P 112/80 HR 74 Pulse Ox: 98% ORA. Provided patient with Dr. instructions. Patient was able to ambulate out of the clinic without assistance.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: back pain
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus in left ear
Age: 46.0
Sex: M
Vaccine: COVID19, FLU4, PNC13
Symptoms: Colon cancer, Laparoscopic surgery, Sigmoidectomy
Clinical narrative: Patient hospitalized for Malignant neoplasm of colon, laparoscopic sigmoidectomy within 6 weeks of receiving Covid-19 vaccination.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Tremor
Clinical narrative: Consent form was reviewed with patient. Patient stated that he was receiving his first Janssen vaccine. Patient was seated in the chair. I went over the possible side effects he might experienced and handed a VIS form to the patient. Patient was given the immunization in the left arm. Patient felt lightheaded and lost consciousness for a brief moment (15-30 seconds). I asked him if he had trouble breathing and he shook his head "no". Patient demonstrated tremor, with possible seizure. EMS was called per protocol and emergency kit was available if necessary. I asked the mother regarding prior episodes. She stated that the patient has passed out when blood was drawn. This is possible vasovagal response. EMS arrived to take over the situation. I gave my statement to EMS. I assessed the patient and he stated he was fine. I made him wait for additional 15 minutes to monitor any reaction. I referred them to the nearest hospital if any complications should arise.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for sepsis within 6 weeks of receiving covid vaccination.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered on 4/08/2022 expired on 04/06/2022
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Forceps delivery, Postpartum disorder
Clinical narrative: Patient hospitalized for  forceps-assisted vaginal delivery. Following delivery, the patient had an uncomplicated postpartum course. No information given on baby. This was within 6 weeks of receiving covid vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered on 4/08/2022 expired on 4/06/2022
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: After receiving the 3rd fizer vaccine booster on April 1st 1st, at 4 PM I was fine the remainder of the night. The next day April 2nd at 11am I noticed my breathing felt shallow, then I noticed other flu like symptoms chills,fever (100.4), muscle soreness,  joint pain, headache. The following day 4/3/22 my flu like symptoms subsided though the shortness of breath was still present. The shortness of breath has continued and is still current at of 4/8/22 5:00pm. Though I at times have also had labored breathing, feeling of exhaustion from very little work, chest pressure and pain, along with mild palpitations. I was prescribed an Albuterol inhalor to be used 2 puffs evey six hours on 4/7 which I started talking and have used 4 times now without any changes outside of the 1st 15 minutes after dosing. I then went to urgent care on 4/8 and received an EKG, chest xray, covid test, influenza test. All within normal range and appearance. My blood pressure was elevated 160/106, temp and oxygen normal. Diagnosis was "possibly bronchitis", I refused medication and aggreednto deeper breathing exercises. I still feel a pressure in the left of my chest, difficulty to breath and labored breathing which impacts my daily living and work lifestyle.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Electrocardiogram normal, Fatigue, Headache
Clinical narrative: After receiving the 3rd fizer vaccine booster on April 1st 1st, at 4 PM I was fine the remainder of the night. The next day April 2nd at 11am I noticed my breathing felt shallow, then I noticed other flu like symptoms chills,fever (100.4), muscle soreness,  joint pain, headache. The following day 4/3/22 my flu like symptoms subsided though the shortness of breath was still present. The shortness of breath has continued and is still current at of 4/8/22 5:00pm. Though I at times have also had labored breathing, feeling of exhaustion from very little work, chest pressure and pain, along with mild palpitations. I was prescribed an Albuterol inhalor to be used 2 puffs evey six hours on 4/7 which I started talking and have used 4 times now without any changes outside of the 1st 15 minutes after dosing. I then went to urgent care on 4/8 and received an EKG, chest xray, covid test, influenza test. All within normal range and appearance. My blood pressure was elevated 160/106, temp and oxygen normal. Diagnosis was "possibly bronchitis", I refused medication and aggreednto deeper breathing exercises. I still feel a pressure in the left of my chest, difficulty to breath and labored breathing which impacts my daily living and work lifestyle.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypopnoea, Impaired work ability, Influenza like illness, Influenza virus test negative, Loss of personal independence in daily activities
Clinical narrative: After receiving the 3rd fizer vaccine booster on April 1st 1st, at 4 PM I was fine the remainder of the night. The next day April 2nd at 11am I noticed my breathing felt shallow, then I noticed other flu like symptoms chills,fever (100.4), muscle soreness,  joint pain, headache. The following day 4/3/22 my flu like symptoms subsided though the shortness of breath was still present. The shortness of breath has continued and is still current at of 4/8/22 5:00pm. Though I at times have also had labored breathing, feeling of exhaustion from very little work, chest pressure and pain, along with mild palpitations. I was prescribed an Albuterol inhalor to be used 2 puffs evey six hours on 4/7 which I started talking and have used 4 times now without any changes outside of the 1st 15 minutes after dosing. I then went to urgent care on 4/8 and received an EKG, chest xray, covid test, influenza test. All within normal range and appearance. My blood pressure was elevated 160/106, temp and oxygen normal. Diagnosis was "possibly bronchitis", I refused medication and aggreednto deeper breathing exercises. I still feel a pressure in the left of my chest, difficulty to breath and labored breathing which impacts my daily living and work lifestyle.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Palpitations, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: After receiving the 3rd fizer vaccine booster on April 1st 1st, at 4 PM I was fine the remainder of the night. The next day April 2nd at 11am I noticed my breathing felt shallow, then I noticed other flu like symptoms chills,fever (100.4), muscle soreness,  joint pain, headache. The following day 4/3/22 my flu like symptoms subsided though the shortness of breath was still present. The shortness of breath has continued and is still current at of 4/8/22 5:00pm. Though I at times have also had labored breathing, feeling of exhaustion from very little work, chest pressure and pain, along with mild palpitations. I was prescribed an Albuterol inhalor to be used 2 puffs evey six hours on 4/7 which I started talking and have used 4 times now without any changes outside of the 1st 15 minutes after dosing. I then went to urgent care on 4/8 and received an EKG, chest xray, covid test, influenza test. All within normal range and appearance. My blood pressure was elevated 160/106, temp and oxygen normal. Diagnosis was "possibly bronchitis", I refused medication and aggreednto deeper breathing exercises. I still feel a pressure in the left of my chest, difficulty to breath and labored breathing which impacts my daily living and work lifestyle.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo, Vision blurred, Visual impairment
Clinical narrative: Severe vertigo and loss of visual focus that lasted 4 months (Aug 21 - Dec 21).  Mild to medium vertigo as well as visual problems still occur daily.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Musculoskeletal discomfort, Vaccine positive rechallenge
Clinical narrative: Since I had a reaction to my first Vx where my BP climbed to 150, the center was concerned about my well being, so they had an EMT sit with me to watch my vitals. I ended up going through the exact same thing as before. I felt dizzy and lightheaded and my BP climbed to 150. I felt a straining in my neck, but I could breathe just fine. They recommended that I go to the ER in an ambulance, but I refused and promised that I would go to the hospital myself if I started feeling worse.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered on 4/08/22 expired on 4/06/22
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered on 4/08/22 expired on 4/06/2022
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Swelling, Urticaria, Vomiting
Clinical narrative: Patient had hives, nausea, vomiting resulting in checking into the ER. Patient has had symptoms for 6 days now and is still having some swelling.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered on 4/08/22 expired on 4/06/2022
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: Headache, body aches, abdominal discomfort/mild nausea, fatigue, mild chills/shivering, moderate pain and redness/hard swelling at injection site (@4 inch diameter welt), 100ºF fever.  All side effects resolved within @40 hours of injection except painful welt, which is still slowly shrinking and less painful.  I felt no need to contact doctor over these symptoms as they dissipated within  48 hours.  I had similar but less pronounced side effects after the first injection in the series, so I knew to expect some discomfort.  I am filing this report because the Shingrix site suggested doing so.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site pain, Injection site reaction, Injection site swelling, Nausea
Clinical narrative: Headache, body aches, abdominal discomfort/mild nausea, fatigue, mild chills/shivering, moderate pain and redness/hard swelling at injection site (@4 inch diameter welt), 100ºF fever.  All side effects resolved within @40 hours of injection except painful welt, which is still slowly shrinking and less painful.  I felt no need to contact doctor over these symptoms as they dissipated within  48 hours.  I had similar but less pronounced side effects after the first injection in the series, so I knew to expect some discomfort.  I am filing this report because the Shingrix site suggested doing so.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Urticaria
Clinical narrative: Headache, body aches, abdominal discomfort/mild nausea, fatigue, mild chills/shivering, moderate pain and redness/hard swelling at injection site (@4 inch diameter welt), 100ºF fever.  All side effects resolved within @40 hours of injection except painful welt, which is still slowly shrinking and less painful.  I felt no need to contact doctor over these symptoms as they dissipated within  48 hours.  I had similar but less pronounced side effects after the first injection in the series, so I knew to expect some discomfort.  I am filing this report because the Shingrix site suggested doing so.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Constipation, Malaise
Clinical narrative: Mid May, I was extremely constipated. I went to an urgent care and the employee suggested that I take some Magnesium citrate. It did not work. My Gastroenterologist friend suggested fiber capsules, that worked. It lasted about three weeks long. This was extremely painful, I am not used to that happening. It took months for me to get back to normal. I awake and still feel ill in the stomach from time to time.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Lethargy, Pyrexia, Renal pain
Clinical narrative: Extreme kidney pain for two days, chills and fever, lethargy, weakness
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: A third Shingrix dose was accidentally administered to the patient. She completed a two-dose series on 05/2018. At the time of this writing, no adverse reactions have been reported. I informed patient about the extra dose and then I contacted the manufacturer, GSK and spoke with their medical information team. They provided me with some literature about the safety of 3 doses of Shingrix, specifically in immunocompromised individuals and that no serious complications from third doses were reported. I contacted patient and informed her of this information.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site vesicles
Clinical narrative: Pt developed pain and erythema in the Right  leg. Mother called to report on 6 days after administration.  Pictures that mother provided showed 3-4 vesicles around the injection site.  Pt came to the office the day after mother contacted us and the vesicles had crusted over less than 24 hours after the picture.  Per Mother patient reported pain in both legs starting the day after she received vaccinations, to the point it was difficult to put on pants, for over a week.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Urticaria
Clinical narrative: Hives, eczema on entire body
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: This patient is a 12yo male, I advised pharmacy on 4/7/2022 (late clinic) of  this patients age, chart number, name and DOB. I was given a peds COVID  injection from pharmacy and pharmacy noticed after the fact.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dental paraesthesia, Hypoaesthesia oral
Clinical narrative: 04/08/2022: client premedicated with 25 mg of Benadryl due to history of throat and tongue numbness and blood pressure drops. Clients provider is okay with her receiving 2nd booster.  Vaccine administer in special care room @1500, client lying down. 1505: client reports mild numbness to the tip of her tongue and tingling to her teeth. Client also drinking water intermittently helpful. Blood pressure check, 122/82, pulse was 62, respirations were 14. Client administered her own 25mg Benadryl at that time. Client reports Benadryl relieved side effects. Client was observed for 30 minutes without any further incident.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Injection site rash, Pruritus
Clinical narrative: The rash began April 24, 2021 at the injection site of my left upper arm after receiving the 1st dose of the vaccine on  April 17, 2021. I received a first dose of Benadryl for the rash but there was no change. The rash and site kept growing. I continued with Benadryl, but there was still no change. I had mild itching, but there wasn't any pain. I was able to move my arm with no pain. I had no fever, chills, or lethargy. I have never had any allergic reactions to vaccines in the past. I didn't have any throat or facial swelling. I was prescribed a cream called triamcinolone that was applied twice daily as needed for my rash. It helped, and it cleared up the rash within 10 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Syncope, Urticaria
Clinical narrative: Hives, chills,  fainted
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chest discomfort, Chest pain
Clinical narrative: I contracted COVID 19 12/4/21 with symptoms of severe headache, shortness of breath, chest pain/tightness, cough, sore throat, muted senses of taste and smell, low grade temp, and fatigue for 7 days before symptoms began to resolve.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: I contracted COVID 19 12/4/21 with symptoms of severe headache, shortness of breath, chest pain/tightness, cough, sore throat, muted senses of taste and smell, low grade temp, and fatigue for 7 days before symptoms began to resolve.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID 19 12/4/21 with symptoms of severe headache, shortness of breath, chest pain/tightness, cough, sore throat, muted senses of taste and smell, low grade temp, and fatigue for 7 days before symptoms began to resolve.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose. 0.3ml given instead of 0.25ml
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The patient was here to recieve the 2nd booster and got 0.5mL or 100mcg of vaccine.  No symptoms or additional treatment required.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot
Clinical narrative: Client felt hot from arm where injection was on right side going up shoulder neck and face approximately 10 min after injection. Gave 25 mg benadryl orally with water vital signs obtained every 15 min. Provider on call notified at 1342 she requested we give 25 mg benadryl again which we did. Had client call family to drive her home. Discharged to plant manager at 1410 pm
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dosage given. 0.3ml given instead of 0.25ml.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Diluent was inadvertently not added to vial. Vaccine dose was 0.2 ml of undiluted vaccine   Reporting incorrect administered dose as adverse event No clinical effects at this time
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dosage given. 0.3 ml given instead of 0.25ml
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, COVID-19, Chest pain, Cough
Clinical narrative: After approximately the next day after injection I noticed congestion but not bad. It progressed to needing medical attention. I was concerned if it was the injection or if I had upper respiratory infection or bronchitis. Caregiver said she was certain it was a reaction to the vaccine shot. Symptoms included congestion, coughing phlegm, nasal congestion, chest soreness due to cough. Prescribed Prednisone. My symptoms lasted 2-3 weeks. After my booster shot in December of 2021, I had a breakthrough infection of COVID in January of 2022. My symptoms included fever, body and very intense joint aches that were debilitating. Nausea and cough. A lot of phlegm. Fatigue. Unable to work because I was a caregiver. It took about 6 weeks before I was well enough to work. I continue to have moderate fatigue. Able to work now, but still fatigued.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Nausea, Pain, Productive cough
Clinical narrative: After approximately the next day after injection I noticed congestion but not bad. It progressed to needing medical attention. I was concerned if it was the injection or if I had upper respiratory infection or bronchitis. Caregiver said she was certain it was a reaction to the vaccine shot. Symptoms included congestion, coughing phlegm, nasal congestion, chest soreness due to cough. Prescribed Prednisone. My symptoms lasted 2-3 weeks. After my booster shot in December of 2021, I had a breakthrough infection of COVID in January of 2022. My symptoms included fever, body and very intense joint aches that were debilitating. Nausea and cough. A lot of phlegm. Fatigue. Unable to work because I was a caregiver. It took about 6 weeks before I was well enough to work. I continue to have moderate fatigue. Able to work now, but still fatigued.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Vaccine breakthrough infection
Clinical narrative: After approximately the next day after injection I noticed congestion but not bad. It progressed to needing medical attention. I was concerned if it was the injection or if I had upper respiratory infection or bronchitis. Caregiver said she was certain it was a reaction to the vaccine shot. Symptoms included congestion, coughing phlegm, nasal congestion, chest soreness due to cough. Prescribed Prednisone. My symptoms lasted 2-3 weeks. After my booster shot in December of 2021, I had a breakthrough infection of COVID in January of 2022. My symptoms included fever, body and very intense joint aches that were debilitating. Nausea and cough. A lot of phlegm. Fatigue. Unable to work because I was a caregiver. It took about 6 weeks before I was well enough to work. I continue to have moderate fatigue. Able to work now, but still fatigued.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse reaction. 2nd booster dose administered 2 weeks early. Patient did not have actual CDC vaccination card, presented Docket app, with three dates of Moderna vaccines, 1/6/2021, 2/2/2021, and 8/18/2021. With the information presented the patient received a booster dose of Moderna 0,25 mL. Later when documenting the dose it was noted that the patient had received a dose of Pfizer vaccine on 12/21/2021 and the three  full doses noted for a primary series of three and the Pfizer being her first booster. In a follow-up call to patient she stated "I forgot I received a booster in December".
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Nausea
Clinical narrative: Stomach cramps, diarrhea, nausea
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Diluent was inadvertently not added to vial. Vaccine dose was 0.2 ml of undiluted vaccine   Reporting incorrect administered dose as adverse event No clinical effects at this time
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient was here to recieve the 2nd booster and got 0.5mL or 100mcg of vaccine.  No symptoms or additional treatment required.