chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urine leukocyte esterase positive, Urobilinogen urine decreased, White blood cell count decreased, White blood cells urine positive, pH urine normal
Clinical narrative: Patient is a 87-year-old female with history of lung cancer status post radiation 5 years ago, chronic obstructive pulmonary disease on oxygen 2 L during the day, Waldenstrom's macrglobulinemia, who present to the hospital with difficulty breathing and cough that started on Saturday.  She was found to be COVID positive, with acute on chronic hypoxic respiratory failure and chronic obstructive pulmonary disease exacerbation.  She was started on breathing treatment, Decadron, remdesivir and azithromycin.     11/15/2022 She removed her own IV and does not want it replaced. Discussed that she only received one dose of remdesivir, but she is not interested in having another IV placed. She has been on room air again since 11/14/2022 at 1500. She "required" oxygen less than 24 hours. She is willing to take prednisone for a few days for COPD. Her only complaint is a cough and inability to bring up the sputum. She has a history of MAI? Also a history of Waldenstrom's macroglobulinemia with anemia and thrombocytopenia. She follows with Hematology. The leukopenia is newer, but likely related to Covid infection. She is eager to go home, without further intervention. I explained that if she goes home and worsens, she may be out of the window for remdesivir, but is still not interested in another IV and treatment. Her greatest concern is getting home soon enough to avoid the worsening weather.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia
Clinical narrative: Patient presented to the ED complaining of shortness of breath and cough.  Patient was admitted to the hospital with Covid and hypoxia requiring oxygen.  Patient was treated with remdesivir.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Bone pain, COVID-19, Computerised tomogram normal, Magnetic resonance imaging normal
Clinical narrative: I had my vaccination on 11/11/2021. I tested COVID-19 positive on 01/01/2022. I started to experience leg and bone pain 3 weeks after. I had variety of tests to include MRI CT Scan and blood work. On 03/10/2022 the results came back normal. The bone pain comes and goes presently.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 11/11/2021. I tested COVID-19 positive on 01/01/2022. I started to experience leg and bone pain 3 weeks after. I had variety of tests to include MRI CT Scan and blood work. On 03/10/2022 the results came back normal. The bone pain comes and goes presently.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Fatigue, Headache, Impaired work ability
Clinical narrative: Severe headache, stomach cramping/pain and fatigue 11/14/20/22. Severe stomach cramping/pain and fatigue-missed work today. Slept ten hours last night. Still feeling tired this afternoon.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient came in for the 1st Moderna vaccine but instead he received bi-valent Moderna booster.  After we realized our mistake we gave him 1st Moderna vaccination. Customer had to have it because he needed that to be admitted to rehab.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Dyspnoea, Exercise tolerance decreased
Clinical narrative: In August of 2022 I began having symptoms of low-fever and sore throat. I tested positive with PCR test at the doctor for COVID-19. Two days after that I began having difficulty breathing and a cough that moved into my chest. I was prescribed PAXLOVID, albuterol and benzonatate. My fever lasted about three or four days after I began taking medication. I continued testing positive for about two and half weeks. I had a continued cough for another three to four weeks. I am still experiencing decreased lung compacity. I notice this when I am exercising because I am not able to go as far in my cardio work as before. I have a shortness of breath and tightness in my chest.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Total lung capacity decreased
Clinical narrative: In August of 2022 I began having symptoms of low-fever and sore throat. I tested positive with PCR test at the doctor for COVID-19. Two days after that I began having difficulty breathing and a cough that moved into my chest. I was prescribed PAXLOVID, albuterol and benzonatate. My fever lasted about three or four days after I began taking medication. I continued testing positive for about two and half weeks. I had a continued cough for another three to four weeks. I am still experiencing decreased lung compacity. I notice this when I am exercising because I am not able to go as far in my cardio work as before. I have a shortness of breath and tightness in my chest.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Headache, Pyrexia
Clinical narrative: Breakthrough case of COVID. My symptoms are really mild. I had a deep cough, runny nose, headache, fatigue, slight fever, 99-100, today is the 4th day of experiencing these symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID. My symptoms are really mild. I had a deep cough, runny nose, headache, fatigue, slight fever, 99-100, today is the 4th day of experiencing these symptoms.
Age: 46.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Musculoskeletal stiffness, Pain, Periarthritis
Clinical narrative: Pt seen for sick visit 11/15/22, reports developing L lateral shoulder pain 6 days after flu shot with mild stiffness, pain with movement. Pain with ROM on exam, mild lateral tenderness. Some improvement w/ NSAID. ? Frozen shoulder.
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Activated partial thromboplastin time normal, Anxiety, Blood creatine phosphokinase normal, Blood glucose increased, Brain natriuretic peptide normal
Clinical narrative: Chest pain/tightness, shortness of breath, light headedness, tingling at the extremities, fatigue, anxiety. Treatment and outcome still ongoing
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Differential white blood cell count normal, Dizziness
Clinical narrative: Chest pain/tightness, shortness of breath, light headedness, tingling at the extremities, fatigue, anxiety. Treatment and outcome still ongoing
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea, Electrocardiogram normal, Fatigue, Full blood count normal, Metabolic function test abnormal
Clinical narrative: Chest pain/tightness, shortness of breath, light headedness, tingling at the extremities, fatigue, anxiety. Treatment and outcome still ongoing
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Paraesthesia, Prothrombin time normal, Troponin I normal
Clinical narrative: Chest pain/tightness, shortness of breath, light headedness, tingling at the extremities, fatigue, anxiety. Treatment and outcome still ongoing
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Laboratory test abnormal, Oropharyngeal pain, Polymerase chain reaction positive, Pyrexia
Clinical narrative: Started with sore throat Sun. night, Nov. 6, 2022. Progressed to 100.3 fever, dry cough, congestion over next three days.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Started with sore throat Sun. night, Nov. 6, 2022. Progressed to 100.3 fever, dry cough, congestion over next three days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza virus test negative, Pain, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: Headache, body aches, congestion began at night on 06/01/2022 and continued.  Went to clinic on 06/03/2022
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Aphasia, Blood test normal, Cellulitis, Computerised tomogram abnormal, Cough
Clinical narrative: A week later, I had a bad headache, sore throat, and coughed all night long. The next day, I woke up and I couldn't talk. I did a rapid COVID-19 test and it was negative. I went to urgent care and took a PCR test, and it was negative. When the results came back, they told me I had a staph infection. They prescribed a steroid and an antibiotic, but I don't recall the names of them. Friday afternoon my left eye got really swollen. I went to the emergency room and was diagnosed with Cellulitis. I followed up with my doctor on Monday and she verified that I had Cellulitis and a Staph infection. I am doing better now, but I am still coughing.
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Eye swelling, Headache, Influenza virus test negative, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: A week later, I had a bad headache, sore throat, and coughed all night long. The next day, I woke up and I couldn't talk. I did a rapid COVID-19 test and it was negative. I went to urgent care and took a PCR test, and it was negative. When the results came back, they told me I had a staph infection. They prescribed a steroid and an antibiotic, but I don't recall the names of them. Friday afternoon my left eye got really swollen. I went to the emergency room and was diagnosed with Cellulitis. I followed up with my doctor on Monday and she verified that I had Cellulitis and a Staph infection. I am doing better now, but I am still coughing.
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Staphylococcal infection, Streptococcus test negative
Clinical narrative: A week later, I had a bad headache, sore throat, and coughed all night long. The next day, I woke up and I couldn't talk. I did a rapid COVID-19 test and it was negative. I went to urgent care and took a PCR test, and it was negative. When the results came back, they told me I had a staph infection. They prescribed a steroid and an antibiotic, but I don't recall the names of them. Friday afternoon my left eye got really swollen. I went to the emergency room and was diagnosed with Cellulitis. I followed up with my doctor on Monday and she verified that I had Cellulitis and a Staph infection. I am doing better now, but I am still coughing.
Age: 1.92
Sex: M
Vaccine: COVID19
Symptoms: Device connection issue, No adverse event
Clinical narrative: Administered vaccine in right thigh. When removing the needle, the needle and syringe separated. No vaccine was noted on thigh skin or in syringe. Discussed with parents and MD on call. No additional vaccination needed/given. No signs of adverse effect/injury.
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Contusion, Lymph node pain, Lymphadenopathy, Ultrasound scan abnormal
Clinical narrative: swollen supraclavicular lymph nodes. very painful and tender to touch with apparent bruise on neck
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Patient was given undiluted vaccine
Age: 35.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site vesicles
Clinical narrative: Patient reported having a fluid filled bubble under skin at injection site. Bubble was noticed following day after removing bandaid placed over vaccination site. There was some blood on the bandaid after removal so patient did have some bleeding after vaccination. Bubble was about 1 centimeter and filled with clear fluid. Vaccine administered on 11/9 and patient reported adverse event to pharmacy on 11/11. Patient sent pictures to their doctor and they were unconcerned. Doctor told patient they believe the vaccine may have been administered too shallow and not deep enough into the muscle. Patient did not report any irritation, bruising or soreness at injection site. Did not have any systemic effects associated with normal immune response post-vaccination.  Pharmacist (myself) followed up again with patient on Monday 11/14 and he reported no change in size or appearance of bubble other than some slight redness. Counseled to follow up with doctor if bubble does not disappear on its own or gets worse.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea
Clinical narrative: Patient came to the ED with complaints of weakness, cough, and shortness of breath.  Patient was admitted to the hospital with Covid and treated with remdesivir.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer-Biontech (monovalent) NDC # 59267-1025- 04  instead of the intend bivalent (NDC #59267-0304-02)
Age: 33.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Ageusia, COVID-19, Cough, Feeling abnormal, Headache
Clinical narrative: I received the Pfizer Bivalent booster and a flu shot on 10/3/2022. I was abroad from 11/2/2022 until 11/12/2022. During my trip, I developed a light chest cough, which lasted for a few days. I took an antigen test and got a negative result. As the time progressed, the cough persisted and became dryer and more localized in the head area. On my flight home on 11/12/2022, I had a really bad cough, sinus pressure, sinus and chest congestion, body aches, a headache, and a loss of taste. I thought that I probably had a sinus infection. When I got home, I just took paracetamol and went to bed and expected to feel better the next morning. I woke up on 11/13/2022 still feeling terrible. I took another antigen test and got a positive result and called my doctor. She prescribed me benzonatate for my cough, FLONASE, and azelastine HCl solution. She also advised me to get an OTC saline nasal solution to help with the congestion, which I did. Today is the first time that I have not taken the medicine since being prescribed it. The only thing I took this morning was ibuprofen, which was also recommended to me by my doctor to keep the body aches and headaches at bay and has been very helpful. My cough is about 85% better now. Also, my congestion is about 90% better now. And thankfully, most of my sense of taste has returned.
Age: 33.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Pain, Paranasal sinus discomfort, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I received the Pfizer Bivalent booster and a flu shot on 10/3/2022. I was abroad from 11/2/2022 until 11/12/2022. During my trip, I developed a light chest cough, which lasted for a few days. I took an antigen test and got a negative result. As the time progressed, the cough persisted and became dryer and more localized in the head area. On my flight home on 11/12/2022, I had a really bad cough, sinus pressure, sinus and chest congestion, body aches, a headache, and a loss of taste. I thought that I probably had a sinus infection. When I got home, I just took paracetamol and went to bed and expected to feel better the next morning. I woke up on 11/13/2022 still feeling terrible. I took another antigen test and got a positive result and called my doctor. She prescribed me benzonatate for my cough, FLONASE, and azelastine HCl solution. She also advised me to get an OTC saline nasal solution to help with the congestion, which I did. Today is the first time that I have not taken the medicine since being prescribed it. The only thing I took this morning was ibuprofen, which was also recommended to me by my doctor to keep the body aches and headaches at bay and has been very helpful. My cough is about 85% better now. Also, my congestion is about 90% better now. And thankfully, most of my sense of taste has returned.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Antinuclear antibody increased, Immune thrombocytopenia, Platelet count decreased, Thrombocytopenia
Clinical narrative: Pt admitted to hospital 11/8 for thrombocytopenia with plt count of 12k.  Pt notes receiving COVID-19 booster and flu shot 2 weeks prior to admission (flu shot documented as given 10/27 and COVID-19 booster 10/31).  Underwent extensive workup, which noted elevated ANA levels.  Pt noted previously high ANA levels 8/2022 during autoimmune workup.  Pt presumed to have vaccine induced ITP and was treated with dexamethasone.  Plt count recovered and pt was discharged from hospital in stable condition on 11/11.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctivitis, Cough, Influenza virus test negative, Respiratory syncytial virus test negative, Respiratory tract congestion
Clinical narrative: Rhinorrhea, conjunctivitis, coughing, congestion
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Rhinorrhea, conjunctivitis, coughing, congestion
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Headache, Neck pain, Pain
Clinical narrative: Severe headache: forehead, top of head, back of head, neck, upper back; achiness all over. Began exactly 48 hrs after vaccine was given.  Temp 99.8 F. So far day 2 feeling same.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product preparation error
Clinical narrative: Patient was given undiluted vaccine
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Patient was administered a vaccine that was withdrawn from a vial outside of the 12 hour window from first puncture. Also reported to manufacturer (spoke with representative), case #MOD22-029369.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: PT RECEIVED PFIZER-BIONTECH (NDC 59267-1025-04) INSTEAD OF INTENDED BIVALENT (59267-0304-02)
Age: 53.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Anticoagulant therapy, Blood test, Dyspnoea, Electrocardiogram, Pulmonary thrombosis
Clinical narrative: After a couple of week of being short of breath, I started monitoring my heart rate and my blood oxygen levels, on 11/11/2022 my oxygen level was staying between 82-96 and my pulse rate I could not get under 100 beats per minute. So I went tot he nearest emergency room, I had extensive blood work done, EKG, and the Dr. came in and advised that I had multiple blood clots in both of my lungs. I was admitted in the hospital where I underwent heparin therapy. I stopped the therapy on Sunday 11/13/2022 and they put me ELIQUIS, and I was discharged from the hospital at that time. I am now home recovering, my heart rate has come down, but I am still short of breath.
Age: 37.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site bruising, Injection site discomfort, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Itching, redness, enlarged swelling at injection site; 4 days out from injection continuing w/bruising, discomfort and at time of injection did take Benadryl 25mg tablet d/t concern of possible ongoing adverse s/s but no respiratory or cardiovascular arose
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Three weeks after second booster I developed a cough that grew gradually worse.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: RECEIVED PFIZER-BIONTECH (NDC 59267-1025-04) INSTEAD OF INTENDED BIVALENT (NDC 59267-0304-02)
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: patient was given undiluted dose
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site pain, Muscle spasms, Pain in extremity
Clinical narrative: Immediate pain at injection site.  Then subsequent pain down arm that extended to fingers.  There was also a cramping sensation in her shoulder.  She treated with ice/heat/tylenol/ibuprofen/tramadol.  She started PT on 11.9.22.
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose, Wrong product administered
Clinical narrative: Patient was given Pfizer COVID-19 Bivalent booster ages 5-11yo. Vaccine order was for Pfizer COVID-19 Bivalent booster 12+. Wrong vaccine given.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: On 6/27/22 6m-4 yr Pfizer first dose given.  On 7/25/22  6m- 4 yr moderna given. Parent notified, VAERS completed. On 8/22/22 second dose of 6m- 4 yr moderna given. No harm to patient noted. Second dose of moderna was given before the eight week time frame.  Second dose of moderna not vaild and will need to be repeated. Child will need to receive third dose of moderna.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthma, Erythema, Headache, Pain in extremity
Clinical narrative: Asthma, itching in the body especially in the hands and feet, I turned very red, pain in the joints, head and arm. My head felt hot.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Skin warm
Clinical narrative: Asthma, itching in the body especially in the hands and feet, I turned very red, pain in the joints, head and arm. My head felt hot.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: RECEIVED PFIZER-BIONTECH MONOVALENT (NDC 59267-1025-04) INSTEAD OF INTENDED BIVALENT (NDC 59267-0304-02)
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis contact, Erythema, Rash, Rash pruritic, Rash vesicular
Clinical narrative: Rashes: 1.) One rash on right arm was likely poison ivy -- blistery, oozy rash that itched like crazy (about October 21/22); 2.) The second rash appeared (Oct 23) was on right calf -- red spots that a couple days later developed into one red area about 3-5 inches wide/tall. Red skin was itchy and had a firmness to it. The leg rash developed on the opposite, left calf in the identical location. It progressed exactly like the right leg rash: first spots, then a big red area about the same size. 3.) the third rash looked like bites. They all appeared around the knee area and upper thigh on both legs (Oct 23) Some had an odd horseshoe shape with a "satellite" bite on the side; others just looked like regular spots/bites. All these oozed yellow-clear fluid, too like the rash #1. 4.) THE first rash on the right arm seemed to have turned into a classic case of contact dermatitis AFTER a six day Medrol Dosepack (4mg) course. The right arm rash worsen -- itchy welts and redness. The LEFT arm started looking the same: itchy welts and redness.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Skin weeping, Urticaria
Clinical narrative: Rashes: 1.) One rash on right arm was likely poison ivy -- blistery, oozy rash that itched like crazy (about October 21/22); 2.) The second rash appeared (Oct 23) was on right calf -- red spots that a couple days later developed into one red area about 3-5 inches wide/tall. Red skin was itchy and had a firmness to it. The leg rash developed on the opposite, left calf in the identical location. It progressed exactly like the right leg rash: first spots, then a big red area about the same size. 3.) the third rash looked like bites. They all appeared around the knee area and upper thigh on both legs (Oct 23) Some had an odd horseshoe shape with a "satellite" bite on the side; others just looked like regular spots/bites. All these oozed yellow-clear fluid, too like the rash #1. 4.) THE first rash on the right arm seemed to have turned into a classic case of contact dermatitis AFTER a six day Medrol Dosepack (4mg) course. The right arm rash worsen -- itchy welts and redness. The LEFT arm started looking the same: itchy welts and redness.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electric shock sensation, Laboratory test, Paraesthesia
Clinical narrative: Evening after receiving vaccine, developed electric shocks to left knee and calf region periodically (2-3 per day). As days/weeks have passed has progressed into electric shock down full length of left leg, needling sensation to left great toe lasting 3-5 seconds at a time, 3-4 times per day. Also have intermittent tingling sensation to right leg, both arms and hands. Electric shock sensation to left leg only lasts 3-5 seconds but it is startling and severe when it does occur.
Age: 76.0
Sex: F
Vaccine: COVID19-2, FLUA4, PNC20
Symptoms: Hallucination, Headache
Clinical narrative: patient stated had headache and hallucinations a few hours later
Age: 10.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Pt passed out when leaving facility. Was assisted back to exam room, given water and sugar source. MD discussed with mom vasovagal syncope process. Pt left facility walking with mom and sibling.
Age: 8.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness postural, Fall, Feeling hot, Immediate post-injection reaction, Nausea
Clinical narrative: Patient started feeling dizzy within 30 seconds after vaccine, shortly after standing up. Before she could be seated again, she fell to floor without losing consciousness. She caught herself with her hands and did not sustain any injuries from the fall. Parent was in the vaccination room at the time of event and both pharmacist and parent sat on floor with patient for several minutes until she felt better. Patient reported feeling hot, dizzy and nauseous. She briefly felt like she needed to vomit, but never did. Once feeling well enough to move had parent remain seated with the child in our waiting area for roughly 30 minutes until all of her symptoms disappeared. Both parent and child felt reaction was due to a panic attack, which she has experience before, but never previously after receiving a vaccination. Called parent later that same day to follow up and make sure child was still feeling ok. Reported child did not experience any additional side effects since leaving pharmacy.
Age: 8.0
Sex: F
Vaccine: FLUC4
Symptoms: Panic attack
Clinical narrative: Patient started feeling dizzy within 30 seconds after vaccine, shortly after standing up. Before she could be seated again, she fell to floor without losing consciousness. She caught herself with her hands and did not sustain any injuries from the fall. Parent was in the vaccination room at the time of event and both pharmacist and parent sat on floor with patient for several minutes until she felt better. Patient reported feeling hot, dizzy and nauseous. She briefly felt like she needed to vomit, but never did. Once feeling well enough to move had parent remain seated with the child in our waiting area for roughly 30 minutes until all of her symptoms disappeared. Both parent and child felt reaction was due to a panic attack, which she has experience before, but never previously after receiving a vaccination. Called parent later that same day to follow up and make sure child was still feeling ok. Reported child did not experience any additional side effects since leaving pharmacy.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fungal skin infection, Rash
Clinical narrative: Developed a rash underneath both arms. Applied cortisone cream on it and it inflamed the area. Went to the Dr. and was told it was a Yeast infection under my arms, he prescribed cephalexin, fluconazole, and clotrimazole cream.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphoedema
Clinical narrative: Moderna vax caused incurable lymphedema.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was due for the COVID bivalent booster vaccine.  Instead he received the COVID Pfizer monovalent vaccine.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: RECEIVED PFIZER-BIONTECH MONOVALENT INSTEAD OF INTENDED BIVALENT.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness
Clinical narrative: patient is having the signs of flu like symptoms this is his second dose and the pharmacist failed to tell him what to expect
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Bell's palsy
Clinical narrative: Developed Bell's Palsy on the left side of my face.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Client returned to clinic approximately 5-10 min. after the vaccine was given, with a rash/itching/mild welts on chest and very few on abdomen. 25mg of Benadryl given po. Repeated Benadryl about 15 min. later, as itching was increased and rash on to back. About 10 min. later, symptoms improved and client was released.
Age: 97.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Mobility decreased
Clinical narrative: She says as the evening went on she got weaker and weaker and could hardly get out of the chair. She said when she went to the bed she had to hold onto the walls to get to the bed. she slept all night and she was weak in the am but a lot better and a lot better as the day went on. by the evening of the next day she was back to normal.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient completed primary series and was indicated to receive Bivalent booster dose.  MD ordered bivalent booster dose but monovalent formulation administered
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: RECEIVED PFIZER-BIONTECH MONOVALENT (NDC 59267-1025-04) INSTEAD OF INTENDED BIVALENT (NDC 59267-0304-02)
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Paranasal sinus discomfort, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had COVID-19 vaccination on 10/08/2022. I woke up on 11/14/2022 with sinus pressure, fever and runny nose. I contacted my doctor on 11/14/2022 and I was given monoclonal antibodies on 11/15/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Insomnia, Loss of personal independence in daily activities, Migraine
Clinical narrative: Initially had a lot of sleepiness starting about 8 hours after the vaccine.  This was followed by a moderate to severe headache starting 24 hours after the vaccine which then progressed to a migraine (unclear exactly when) which lasted at least 4-5 days.  Was unable to perform any usual activities for at least 3 days after the vaccine.  Of note, I had similar symptoms after each of the covid vaccines - all Moderna - this was my third Moderna dose.  Symptoms got progressively worse with each shot.  Recently had the Pfizer covalent booster with minimal adverse effects - felt like a normal vaccine. Will also be filing a VAERS report for 2nd Moderna shot.  Only realized that my response was abnormal in retrospect after taking to lots of people about the vaccine
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Dysuria, Headache, Pelvic pain, Pyrexia, Urinary tract infection
Clinical narrative: I had a urinary tract infection that started on Wednesday November 9, 2022. I had burning and inability to void and pelvic pain. I also had a low-grade fever of about 101.0. I called my doctor who put me on amoxicillin and the symptoms dissolved. However, the headache kicked in on Friday November 11, 2022, and has continued to date. I have been using naproxen which really is not doing anything much for, but it slowly seems like its getting better. I have an appointment scheduled for additional treatment. I do have a history of UTI infections.
Age: 19.0
Sex: F
Vaccine: COVID19-2
Symptoms: Exposure during pregnancy, Incorrect product formulation administered
Clinical narrative: Patient received initial covid vaccine (Pfizer) on 10/5/2022.  MD ordered Pfizer monovalent vaccine for 2nd dose but bivalent booster dose administered.  Pt is pregnant, EGA=32 weeks, 3 days
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Novavax as a booster but was too young. She was only 14 and needs to be 18.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: RECEIVED PFIZER-BIONTECH MONOVALENT (NDC 59267-1025-04) INSTEAD OF INTENDED BIVALENT (NDC 592-0304-02)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Colonoscopy, Computerised tomogram abdomen, Computerised tomogram head, Decreased appetite
Clinical narrative: Nausea, loss of appetite, fatigue, headache, dizziness, weight loss.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Endoscopy upper gastrointestinal tract, Fatigue, Headache, Nausea
Clinical narrative: Nausea, loss of appetite, fatigue, headache, dizziness, weight loss.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Nausea, loss of appetite, fatigue, headache, dizziness, weight loss.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: RECEIVED PFIZER-BIONTECH MONOVALENT (NDC 592-1025-04) INSTEAD OF INTENDED BIVALENT (NDC 59267-0304-02)
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had very mild nasal congestion, a cough for a day, and slight fever no higher than 101. I tested positive for COVID-19 at home. I started to feel better after 3 days but, I was still tested positive for COVID-19.
Age: 15.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Erythema, Feeling hot
Clinical narrative: The patient reported her face started to get red and hot about 5 to 10 minutes after the vaccine was administered. She also stated she felt slightly dizzy. I had the patient seated for about 5 minutes and gave her water. The mom stated the patient gets anxious while getting vaccines and this could've been from that. After 5 minutes, I checked on the patient again and the redness on her face had gone down, and she also stated she felt a little better. I had the patient seated for another 10 minutes just in case. The redness on her face did decrease while she was seated, and she stated her face no longer felt hot. I gave the patient Benadryl and she stayed for another 5 minutes before her mom stated she was feeling better. I counseled the mom on which symptoms to monitor for and to seek medical attention if symptoms return and worsen. I followed up with the parent the next couple days via phone and did not hear anything back.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: RECEIVED PFIZER-BIONTECH MONVALENT (NDC 59267-1025-04) INSTEAD OF INTENDED BIVALENT (NDC 59267-0304-02)
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was administered on 11/14/2022 which is after the beyond use date of 11/2/2022Patient did not report adverse event nor symptoms.
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: NO adverse event, report of vaccination error. Bivalent booster given as first dose.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: student pharmacist gave undiluted Pfizer Bivalent Kids 5-11 orange cap vaccine 0.3mL to adult patient. Contacted Pfizer medical information where attendant said that undiluted kids bivalent 5-11 orange cap vial is at a concentration of 130mcg/1.3mL and 0.3mL would essentially be the adult dose so patient is ok but has caused us to install extra safety measures for our student pharmacists moving forward to ensure this does not happen again
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was administered on 11/10/2022 after the 30 day window beyond use date. no adverse event.
Age: 77.0
Sex: F
Vaccine: PPV, UNK
Symptoms: Injection site induration, Injection site pruritus
Clinical narrative: Pruritus, induration at injection site
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was administered on 11/7/22 after the beyond use date of 11/2/22. no adverse event.
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Fear, Feeling abnormal, Impaired work ability, Laboratory test, Visual field defect
Clinical narrative: Patient received vaccine on a Thursday. By Monday she said she was going upstairs and felt very foggy or something obstructing her visual field.  She felt very run down and ended up taking of the rest of the week from work as she didn't feel good. She spoke to her doctor who referred her to neurologists for scans. Patient was afraid of a stroke.  She is still doing follow ups due to this. She believes it is from the vaccine as she looked online and found ocular issues a problem  so decided to come in today (11/15/22) to ask what she should be doing to get it reported.
Age: 41.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Dermatitis allergic, Urticaria
Clinical narrative: 11 days after COVID-19 vaccine, broke out in hives all over body. Went to urgent care and was told it was Allergic Dermatitis. Given dexamethasone and was prescribed ATARAX hydrochloride. Hives went away within a couple of days.
Age: 53.0
Sex: M
Vaccine: FLUC4
Symptoms: Bursitis
Clinical narrative: PATIENT STATED THAT THEY GOT BURSITIS AND HAD TO GET STEROID INJECTIONS/MASSAGE THERAPY
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: vaccine was administered on 11/4/22 after the beyond use date of 11/02/2022
Age: 55.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chills, Cough, Dysgeusia, Feeling cold
Clinical narrative: I received the Moderna Bivalent booster and the FluZone Quad 2022-2023 vaccine on 9/30/2022. On 11/8/2022, I began getting chills at work at about 8:30 AM. I asked my office manager to turn the heat up, because I thought it was cold. She told me that I was the only person who felt cold, so I put on a jacket and a mask. I had a low-grade fever of 99.9. I also developed a persistent headache, a scratchy throat, and a bitter taste in my mouth. I didn't have much of a cough, but whenever I did cough, it hurt in the area by my lower ribs. I left work early that day and went home. When I got home, I took two antigen tests and got positive results on both. I notified my doctor's office of the situation through a phone app the same day. They scheduled a telehealth appointment for 11/9/2022. When we had the telehealth visit, I was prescribed a 5-day supply of PAXLOVID. I began taking the PAXLOVID that day. I had the aforementioned symptoms for about 3 or4 days. The more water I drank, the less severe my headache became. About 3 or 4 days after taking the PAXLOVID, the pain in my ribs went away. By the late evening of 11/11/2022, I actually felt well enough to drive out of town on a trip that lasted 1.5 hours. I took another antigen test on the night of 11/13/2022. I got another positive result. However, the line on the stick was much fainter than the ones I had when I took the tests on 11/8/2022, when both of the tests had very bold black lines.
Age: 55.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Impaired work ability, Musculoskeletal chest pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I received the Moderna Bivalent booster and the FluZone Quad 2022-2023 vaccine on 9/30/2022. On 11/8/2022, I began getting chills at work at about 8:30 AM. I asked my office manager to turn the heat up, because I thought it was cold. She told me that I was the only person who felt cold, so I put on a jacket and a mask. I had a low-grade fever of 99.9. I also developed a persistent headache, a scratchy throat, and a bitter taste in my mouth. I didn't have much of a cough, but whenever I did cough, it hurt in the area by my lower ribs. I left work early that day and went home. When I got home, I took two antigen tests and got positive results on both. I notified my doctor's office of the situation through a phone app the same day. They scheduled a telehealth appointment for 11/9/2022. When we had the telehealth visit, I was prescribed a 5-day supply of PAXLOVID. I began taking the PAXLOVID that day. I had the aforementioned symptoms for about 3 or4 days. The more water I drank, the less severe my headache became. About 3 or 4 days after taking the PAXLOVID, the pain in my ribs went away. By the late evening of 11/11/2022, I actually felt well enough to drive out of town on a trip that lasted 1.5 hours. I took another antigen test on the night of 11/13/2022. I got another positive result. However, the line on the stick was much fainter than the ones I had when I took the tests on 11/8/2022, when both of the tests had very bold black lines.
Age: 55.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Throat irritation
Clinical narrative: I received the Moderna Bivalent booster and the FluZone Quad 2022-2023 vaccine on 9/30/2022. On 11/8/2022, I began getting chills at work at about 8:30 AM. I asked my office manager to turn the heat up, because I thought it was cold. She told me that I was the only person who felt cold, so I put on a jacket and a mask. I had a low-grade fever of 99.9. I also developed a persistent headache, a scratchy throat, and a bitter taste in my mouth. I didn't have much of a cough, but whenever I did cough, it hurt in the area by my lower ribs. I left work early that day and went home. When I got home, I took two antigen tests and got positive results on both. I notified my doctor's office of the situation through a phone app the same day. They scheduled a telehealth appointment for 11/9/2022. When we had the telehealth visit, I was prescribed a 5-day supply of PAXLOVID. I began taking the PAXLOVID that day. I had the aforementioned symptoms for about 3 or4 days. The more water I drank, the less severe my headache became. About 3 or 4 days after taking the PAXLOVID, the pain in my ribs went away. By the late evening of 11/11/2022, I actually felt well enough to drive out of town on a trip that lasted 1.5 hours. I took another antigen test on the night of 11/13/2022. I got another positive result. However, the line on the stick was much fainter than the ones I had when I took the tests on 11/8/2022, when both of the tests had very bold black lines.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Adverse reaction, Eye pain, Rash
Clinical narrative: Patient got 1st dose in Shingrix series on 10/10/22.  On 11/15/22 patient came in and talked to me about the adverse reactions she had.  The next day the patient had a rash down her arm but also had stinging in her eyes.  She saw her eye doctor and they recommended to skip dose number two or to follow up with their primary care provider.  The PCP also said to bypass dose number two.  The patient came here and just wanted to let us know what had happened.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Arthralgia, Arthritis, Aspiration pleural cavity
Clinical narrative: Hospitalized twice (1/4/2022-1/12/2022 and 1/26/2022-2/2/2022) with the following symptoms: multisystem inflammatory syndrome, pericardial errusion, bilateral pleural effusions, tachycardia, transaminitis, leukocytosis, fever, shortness of breath, tachypnea, abdominal pain, bloating, shoulder pain, arthritis, joint swelling, skin rash, fatigue.  Treatments: ceftriaxone/azithromycin, fluconazole, levofloxacin, lidocaine, prednisone, ursodiol.  The elevated liver enzymes remain unresolved. Possible case of primary biliary cirrhosis with possible additional case of autoimmune hepatitis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy liver, Blood test, Computerised tomogram, Dyspnoea, Echocardiogram
Clinical narrative: Hospitalized twice (1/4/2022-1/12/2022 and 1/26/2022-2/2/2022) with the following symptoms: multisystem inflammatory syndrome, pericardial errusion, bilateral pleural effusions, tachycardia, transaminitis, leukocytosis, fever, shortness of breath, tachypnea, abdominal pain, bloating, shoulder pain, arthritis, joint swelling, skin rash, fatigue.  Treatments: ceftriaxone/azithromycin, fluconazole, levofloxacin, lidocaine, prednisone, ursodiol.  The elevated liver enzymes remain unresolved. Possible case of primary biliary cirrhosis with possible additional case of autoimmune hepatitis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hepatic enzyme increased, Hypertransaminasaemia, Joint swelling, Leukocytosis
Clinical narrative: Hospitalized twice (1/4/2022-1/12/2022 and 1/26/2022-2/2/2022) with the following symptoms: multisystem inflammatory syndrome, pericardial errusion, bilateral pleural effusions, tachycardia, transaminitis, leukocytosis, fever, shortness of breath, tachypnea, abdominal pain, bloating, shoulder pain, arthritis, joint swelling, skin rash, fatigue.  Treatments: ceftriaxone/azithromycin, fluconazole, levofloxacin, lidocaine, prednisone, ursodiol.  The elevated liver enzymes remain unresolved. Possible case of primary biliary cirrhosis with possible additional case of autoimmune hepatitis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Multisystem inflammatory syndrome, Pericardial effusion, Pleural effusion, Pyrexia
Clinical narrative: Hospitalized twice (1/4/2022-1/12/2022 and 1/26/2022-2/2/2022) with the following symptoms: multisystem inflammatory syndrome, pericardial errusion, bilateral pleural effusions, tachycardia, transaminitis, leukocytosis, fever, shortness of breath, tachypnea, abdominal pain, bloating, shoulder pain, arthritis, joint swelling, skin rash, fatigue.  Treatments: ceftriaxone/azithromycin, fluconazole, levofloxacin, lidocaine, prednisone, ursodiol.  The elevated liver enzymes remain unresolved. Possible case of primary biliary cirrhosis with possible additional case of autoimmune hepatitis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Tachycardia, Tachypnoea
Clinical narrative: Hospitalized twice (1/4/2022-1/12/2022 and 1/26/2022-2/2/2022) with the following symptoms: multisystem inflammatory syndrome, pericardial errusion, bilateral pleural effusions, tachycardia, transaminitis, leukocytosis, fever, shortness of breath, tachypnea, abdominal pain, bloating, shoulder pain, arthritis, joint swelling, skin rash, fatigue.  Treatments: ceftriaxone/azithromycin, fluconazole, levofloxacin, lidocaine, prednisone, ursodiol.  The elevated liver enzymes remain unresolved. Possible case of primary biliary cirrhosis with possible additional case of autoimmune hepatitis.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient did not receive complete dose of bivalent booster.  Patients' son declined second dose at this time
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Medication error, No adverse event
Clinical narrative: This was a medication error.  Patient requested Novavax as a booster dose, and one of our nurses administered the dose.  The patient's vaccine history was Dose 1 (Primary series):  Janssen COVID-19 vaccine 6/10/2021; Dose 2 (Booster dose): Janssen COVID-19 vaccine 12/15/2021.  Novavax is only approved for use as a booster for individuals who have completed a COVID-19 primary series and have not received any previous booster dose.  There was no adverse event at the time of vaccination.
Age: 38.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspepsia, Impaired work ability, Mechanical urticaria, Pruritus, Rash erythematous
Clinical narrative: Dermatographic urticaria and heartburn. I began to get terribly itchy the night of November 14, 2022, and awoke this morning to find that I had red welts all over my right neck. Eating breakfast, I developed terrible heartburn. I found more welts on the left side of my neck at work and had to come home early.
Age: 38.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Dermatographic urticaria and heartburn. I began to get terribly itchy the night of November 14, 2022, and awoke this morning to find that I had red welts all over my right neck. Eating breakfast, I developed terrible heartburn. I found more welts on the left side of my neck at work and had to come home early.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Death, Fall
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual received the Moderna product on 11/05/2021 and the Pfizer product on 02/06/2021 and 02/27/2021. They tested positive for COVID-19 via antigen test on 08/20/2022. They presented to emergency department on 08/21/2022  with general weakness and unwitnessed fall.  They were admitted to hospital on 08/21/2022. They were diagnosed with COVID-19 pneumonia and found to have an acute subarachnoid hemorrhage. Due to poor prognosis, they were transitioned to comfort care and remained hospitalized until their death on 08/26/2022.