chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Insomnia, Pain in extremity
Clinical narrative: On 12/13/2021 patient awoke with pain in left arm which progressively worsened.  By the evening of 12/13/2021,  patient could not lie down flat due to inability to breathe/shortness of breath and could not sleep all night.  On 12/14/2021, patient presented to reporter's medical office where symptoms were verified (unable to lie at 45 degree angle without immediate inability to breathe/shortness of breath) and patient then sent to Emergency Department.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dizziness, Tinnitus
Clinical narrative: The patient (let's call him me/I) had previously existing mild tinnitus for many years. (Too many punk-rock shows when I was a teenager,  I think.) It presented as an annoying high-pitched sound, though generally I would only notice it if I was in a very quiet room. On occasions where I had an illness like a cold or fever, the tinnitus would become noticeably worse and recede again when I returned to feeling well.  In the weeks after my first covid vaccine I noted the tinnitus became significantly worse -- now it is moderate/severe and I can hear it at all times. More or less it became the same level all the time as when I had a fever before.  In addition to the high-pitched ringing it is now accompanied by occasional light popping sounds and occasional mild dizziness.  I had not heard that tinnitus was a symptom of covid or the vaccines. It took me some time to put together that the more severe tinnitus had begun around the time I got the first covid vaccine. At that point I searched whether tinnitus was a symptom of the vaccine and that is when I discovered that it does seem to happen, though rarely.  The second vaccine dose did not make the tinnitus noticeably worse.  The condition has not improved or changed from it's moderate/severe form in the eight months since I got the first vaccine dose.
Age: 50.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Chills; Nausea; Fever of 101; Body aches; Headache.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Fatigue, Pain in extremity, Rash, Rash erythematous
Clinical narrative: Temperature 99.6 F by ear thermometer; experienced mild fatigue, red rash on left arm; arm still sore to touch. Took 500mg acetaminophen, temp dropped to 98.4F, still some fatigue, rash still present.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was seen in Covid vaccine clinic, December 13, 2021. She is 7 years old. Patient received a Pfizer (adult) vaccine dose (0.3ml/30meq). She should have received Pfizer (pediatric) vaccine dose (0.2ml/10meq).  At the time of departure, Patient did not have any sign/symptoms.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Bedridden, COVID-19, Confusional state, Death, Dyspnoea
Clinical narrative: pt admitted to hosp 10 dys after being diagnosed positive for COVID with worsening SOB x 4 days; c/o wet productive cough, fever; states has been bed bound for a while due to progressive peripheral neuropathy; started on steroids, antibiotis, dexamethasone; DNR/DNI; became confused and septic; condition worsened; pt was made comfort care and died in the hospital
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Productive cough, Pyrexia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: pt admitted to hosp 10 dys after being diagnosed positive for COVID with worsening SOB x 4 days; c/o wet productive cough, fever; states has been bed bound for a while due to progressive peripheral neuropathy; started on steroids, antibiotis, dexamethasone; DNR/DNI; became confused and septic; condition worsened; pt was made comfort care and died in the hospital
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Lymphadenopathy, Mammogram, Ultrasound scan
Clinical narrative: Reactive Unilateral Axillary Adenopathy. 18 days post-vaccine, a mass was found in left breast. During a diagnostic mammogram and ultrasound on March 25, 2021, 3 masses were found and noted to be "probably benign". At a follow up diagnostic mammogram and ultrasound on December 3, 2021, an additional mass was detected and also labeled "probably benign". A routine screening mammogram on August 11, 2020  noted "There are no suspicious masses, areas of architectural distortion or calcifications in either breast. Breast parenchymal pattern is stable dating back to 2014".
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Petechiae
Clinical narrative: severe petechiae on both legs
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Developed a rash on face and neck from the Pfizer booster shot within 15 hours of the vaccination. The rash started out on the right side of my face and neck, and moved to the left side throughout the day.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Rash morbilliform
Clinical narrative: morbilliform rash to arms, legs, chest, torso 10 days after Moderna booster
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, X-ray
Clinical narrative: extreme joint pain, should and back
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus
Clinical narrative: Mild rash at injection site followed by itchy spots on back of left and right shoulders. a few days after the booster injection.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, Injection site cellulitis, Lymphadenopathy
Clinical narrative: Bursitis, cellulitis at site, involving lymph nodes.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Headache
Clinical narrative: After the vaccine at 1PM I had a headache and then 4PM, Blood sugar was 300 and before was 100. Its still high and ongoing. It took a week after insulin that it came back to the normal. Did a phone visit with the doctor. The doctor said that its normal and it would be that way for 3 month.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Loss of consciousness, Panic reaction
Clinical narrative: Pt reports she passed out at home for about 10 seconds (witnessed by boyfriend). Upon awakening, pt felt panic, scared, but was hot. After recovering from passing out, pt reports headache.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Client was scheduled at the Covid clinic, December 13, 2021. She is 11 years old. Client received Pfizer (adult) vaccine dose, 0.3ml/30meq. She should have received Pfizer (peds) vaccine dose, 0.2ml/10meq. At the time of her departure, there were no signs/symptoms noted.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Incorrect route of product administration, Underdose
Clinical narrative: Patient received COVID booster however vaccine appears to be administered at a 30 degree angle or less on the skin resulting in the needle entering the skin at one point and exiting the skin at another point. Patient concerned vaccine administered incorrectly resulting in both harm as well as vaccine not being administered into the shoulder. The patient reported no expected side effects to the vaccine, which worried the patient that the dose was not effective. Repeat dose administered on 11/12/21.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: PATIENT EXPERIENCED SYNCOPE AND DIAPHORESIS
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Muscle spasms, Neck pain, Pain in extremity
Clinical narrative: Janssen COVID-19 Vaccine EUA Immediate severe pain during injection, within a few minutes it was down my arm into my hand and also up into my neck.   General feeling of exhaustion set in a few hours later and lasted a day.  Also during the night I had severe cramps in the leg on that right side (the side I had the injection on).  The cramps kept coming all night long all through the right foot and leg.  Foot, ankle , upper and lower leg and knee cramps.  The cramps were severe.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Ocular hyperaemia, Pruritus, Throat irritation, Urticaria
Clinical narrative: Patient reported throat feeling scratchy, eyes red itchy, hives on neck, and itchiness all over body  within 5 minutes of receiving vaccine..  Patient reported feeling the same after first 2 vaccines but did not report it because it resolved quickly.  After 15 minutes,  patient reported symptoms to EMT because they were not resolving.  EMT notified RN.  RN assessed patient and administered 25mg of Benadryl. Within 5-10 minutes, symptoms began to subside.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Malaise, Pyrexia
Clinical narrative: Patient received adult dose (purple cap) of Pfizer when he was only 11, only approved for 12+.  Mother reported fever and overall feeling of being unwell night after shot. Is okay now.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Significant amount of vaccine leaked out .
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Computerised tomogram thorax, Differential white blood cell count, Electrocardiogram
Clinical narrative: Nine days after receiving the Moderna COVID-19 booster, I began experiencing hives, itchiness, and red coloration throughout my skin.  They started in the back of my head and around my waist but spread over the course of the next 24 hours.  I also experienced muscle pain in my limbs, slight and intermitted chest pain, and intermittent fever between 100-101ºF.  Because of the fever and chest pain, I went to the Emergency Department on November 30 (11 days post-vaccine).  The ED ruled out myocarditis, infection with COVID-19 or influenza, and other more serious causes of chest pain (such as pulmonary embolism).  They prescribed a 5-day course of prednisone (20 mg/day, 1x daily) and advised to also use over-the-counter anti-histamines (Benadryl, Zyrtec, Pepcid) and pain/fever relievers (Tylenol, ibuprofen) as needed.   Symptoms improved somewhat in the morning of each of the next two days, but by each afternoon/evening, I experienced muscle pain in limbs, painful swelling in hands and feet, and occasional low-grade fever (99-100ºF).  By Friday (14 days post vaccination) symptoms began to improve, though slight itchiness and red coloration of skin after contact remained.  I finished the prednisone course 15 days post-vaccination and felt fine on the 16th day, but on the 17th day I woke up and experienced nausea, vomiting and fatigue throughout the day.  These symptoms were gone by the next day and might have been caused by the withdrawal of the prednisone.  Currently, itchiness has gone away, but my skin still stays red for several minutes after it is scratched or rubbed.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Fibrin D dimer, Full blood count, Metabolic function test
Clinical narrative: Nine days after receiving the Moderna COVID-19 booster, I began experiencing hives, itchiness, and red coloration throughout my skin.  They started in the back of my head and around my waist but spread over the course of the next 24 hours.  I also experienced muscle pain in my limbs, slight and intermitted chest pain, and intermittent fever between 100-101ºF.  Because of the fever and chest pain, I went to the Emergency Department on November 30 (11 days post-vaccine).  The ED ruled out myocarditis, infection with COVID-19 or influenza, and other more serious causes of chest pain (such as pulmonary embolism).  They prescribed a 5-day course of prednisone (20 mg/day, 1x daily) and advised to also use over-the-counter anti-histamines (Benadryl, Zyrtec, Pepcid) and pain/fever relievers (Tylenol, ibuprofen) as needed.   Symptoms improved somewhat in the morning of each of the next two days, but by each afternoon/evening, I experienced muscle pain in limbs, painful swelling in hands and feet, and occasional low-grade fever (99-100ºF).  By Friday (14 days post vaccination) symptoms began to improve, though slight itchiness and red coloration of skin after contact remained.  I finished the prednisone course 15 days post-vaccination and felt fine on the 16th day, but on the 17th day I woke up and experienced nausea, vomiting and fatigue throughout the day.  These symptoms were gone by the next day and might have been caused by the withdrawal of the prednisone.  Currently, itchiness has gone away, but my skin still stays red for several minutes after it is scratched or rubbed.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Nucleic acid test, Pain in extremity, Peripheral swelling
Clinical narrative: Nine days after receiving the Moderna COVID-19 booster, I began experiencing hives, itchiness, and red coloration throughout my skin.  They started in the back of my head and around my waist but spread over the course of the next 24 hours.  I also experienced muscle pain in my limbs, slight and intermitted chest pain, and intermittent fever between 100-101ºF.  Because of the fever and chest pain, I went to the Emergency Department on November 30 (11 days post-vaccine).  The ED ruled out myocarditis, infection with COVID-19 or influenza, and other more serious causes of chest pain (such as pulmonary embolism).  They prescribed a 5-day course of prednisone (20 mg/day, 1x daily) and advised to also use over-the-counter anti-histamines (Benadryl, Zyrtec, Pepcid) and pain/fever relievers (Tylenol, ibuprofen) as needed.   Symptoms improved somewhat in the morning of each of the next two days, but by each afternoon/evening, I experienced muscle pain in limbs, painful swelling in hands and feet, and occasional low-grade fever (99-100ºF).  By Friday (14 days post vaccination) symptoms began to improve, though slight itchiness and red coloration of skin after contact remained.  I finished the prednisone course 15 days post-vaccination and felt fine on the 16th day, but on the 17th day I woke up and experienced nausea, vomiting and fatigue throughout the day.  These symptoms were gone by the next day and might have been caused by the withdrawal of the prednisone.  Currently, itchiness has gone away, but my skin still stays red for several minutes after it is scratched or rubbed.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Troponin, Urticaria, Vomiting
Clinical narrative: Nine days after receiving the Moderna COVID-19 booster, I began experiencing hives, itchiness, and red coloration throughout my skin.  They started in the back of my head and around my waist but spread over the course of the next 24 hours.  I also experienced muscle pain in my limbs, slight and intermitted chest pain, and intermittent fever between 100-101ºF.  Because of the fever and chest pain, I went to the Emergency Department on November 30 (11 days post-vaccine).  The ED ruled out myocarditis, infection with COVID-19 or influenza, and other more serious causes of chest pain (such as pulmonary embolism).  They prescribed a 5-day course of prednisone (20 mg/day, 1x daily) and advised to also use over-the-counter anti-histamines (Benadryl, Zyrtec, Pepcid) and pain/fever relievers (Tylenol, ibuprofen) as needed.   Symptoms improved somewhat in the morning of each of the next two days, but by each afternoon/evening, I experienced muscle pain in limbs, painful swelling in hands and feet, and occasional low-grade fever (99-100ºF).  By Friday (14 days post vaccination) symptoms began to improve, though slight itchiness and red coloration of skin after contact remained.  I finished the prednisone course 15 days post-vaccination and felt fine on the 16th day, but on the 17th day I woke up and experienced nausea, vomiting and fatigue throughout the day.  These symptoms were gone by the next day and might have been caused by the withdrawal of the prednisone.  Currently, itchiness has gone away, but my skin still stays red for several minutes after it is scratched or rubbed.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Client is 6 years old. He received Pfizer (adult) vaccine dose, 0.3ml/30meq. Client should have received Pfizer (peds) vaccine dose, 0.2ml/10meq. At the time of departure, there were no signs/symptoms noted.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given pediatric dose instead of adult dose. 0.2 mL were administered instead of 0.3 mL.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pyrexia
Clinical narrative: Fever, body aches, extreme shoulder soreness
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Shoulder injury related to vaccine administration
Clinical narrative: Per email from Customer Care, patient stated -  ?I received my COVID booster shot at the Pharmacy on Sat, Nov 13. I've just returned from the doctor and have been told that I have SIRVA (Shoulder Injury Related to Vaccine Administration) due to the vaccine being given improperly. I don't know the full extent of the damage yet but will be seeing an orthopedist for a prognosis and course of treatment. Some action needs to be taken with the Pharmacist at the this Cub. At the very least, she needs to be retrained on how to properly give a vaccine shot in the arm. Mine was given too far up on the shoulder. I'm sure I can't be the only one who received the shot incorrectly.?
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Pfizer vaccine was stored outside of manufacturer's recommendation. Specifically, the vaccine was frozen longer than recommended. Patient did not have any adverse events.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Can only verify that the patient has had their 1st dose of Moderna on 2/8/21, and then received only a half dose/booster for their 2nd dose.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19
Clinical narrative: Pt has a history of paroxysmal atrial fibrillation and breast cancer.  Pt was admitted due to atrial fibrillation and COVID-19.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Heart rate increased, Influenza like illness
Clinical narrative: About 12 hours after receiving my second dose, I woke up with an intense fever and chills. I then had shortness of breath and a rapid heart beat. I then went to the bathroom and fainted. I was still dizzy after my wife found me on the bathroom floor. The flu like symptoms remained for another 12 hours but I did not faint again. I also had a rash at the site of injection for many days.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Pyrexia, Syncope
Clinical narrative: About 12 hours after receiving my second dose, I woke up with an intense fever and chills. I then had shortness of breath and a rapid heart beat. I then went to the bathroom and fainted. I was still dizzy after my wife found me on the bathroom floor. The flu like symptoms remained for another 12 hours but I did not faint again. I also had a rash at the site of injection for many days.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine given as a first dose for a 15 year old female. Pharmacy was notified by facility to send over Moderna vaccine to nursing facility for first dose, but was not informed the employee was for someone under the age of 18. Nursing facility had nurse administer the vaccine to the patient on the day of vaccine delivery by pharmacy.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Brain natriuretic peptide normal, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Hospitalized 12/6/2021; COVID-19 positive 12/6/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: PA-C Admission Date: 12/6/2021 Discharge Date: Dec 9, 2021  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 62 yo male with PMHx of CHF, dilated NICM, PE/DVT in March 2020 and LV apical thrombus (on Xarelto), COPD, essential tremor and OSA who presented to the ED on 12/6 with 2-4 days of n/v and diarrhea. Had associated cough, SOB and fever. In the ED, spO2 was 88% on RA. COVID PCR positive. BNP and troponins normal. He was given albuterol and started on Remdesivir. Patient was vaccinated with J&J vaccine.  Patient was started on decadron following admission due to spO2 89%. He was able to be weaned off O2 the following morning. He had no further episodes of diarrhea or emesis while admitted. Reports a normal BM the day prior to discharge. PT/OT evaluated and recommended HHPT/OT.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 12/6/2021; COVID-19 positive 12/6/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: PA-C Admission Date: 12/6/2021 Discharge Date: Dec 9, 2021  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 62 yo male with PMHx of CHF, dilated NICM, PE/DVT in March 2020 and LV apical thrombus (on Xarelto), COPD, essential tremor and OSA who presented to the ED on 12/6 with 2-4 days of n/v and diarrhea. Had associated cough, SOB and fever. In the ED, spO2 was 88% on RA. COVID PCR positive. BNP and troponins normal. He was given albuterol and started on Remdesivir. Patient was vaccinated with J&J vaccine.  Patient was started on decadron following admission due to spO2 89%. He was able to be weaned off O2 the following morning. He had no further episodes of diarrhea or emesis while admitted. Reports a normal BM the day prior to discharge. PT/OT evaluated and recommended HHPT/OT.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin normal, Vomiting
Clinical narrative: Hospitalized 12/6/2021; COVID-19 positive 12/6/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: PA-C Admission Date: 12/6/2021 Discharge Date: Dec 9, 2021  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 62 yo male with PMHx of CHF, dilated NICM, PE/DVT in March 2020 and LV apical thrombus (on Xarelto), COPD, essential tremor and OSA who presented to the ED on 12/6 with 2-4 days of n/v and diarrhea. Had associated cough, SOB and fever. In the ED, spO2 was 88% on RA. COVID PCR positive. BNP and troponins normal. He was given albuterol and started on Remdesivir. Patient was vaccinated with J&J vaccine.  Patient was started on decadron following admission due to spO2 89%. He was able to be weaned off O2 the following morning. He had no further episodes of diarrhea or emesis while admitted. Reports a normal BM the day prior to discharge. PT/OT evaluated and recommended HHPT/OT.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: the reaction is unknown, however the patient received multiple doses of a COVID vaccine in a short time. When we called the patient to schedule on 12/10/21, she only mentioned she received two doses of Moderna in Jan and Feb 2021. We scheduled her for a dose of Pfizer on 12/13/21.   After the patient received the dose of Pfizer and left, a staff member brought to my attention that she had an orange banner under immunization that showed she recently had two doses of Moderna on 12/2/21 and 12/9/21. She was scheduled on 12/10/21, by a Program assistant and her note states patient received 2 doses of Moderna on 1/19/2021 and 2/18/21. There is no note mentioning the patient just received a dose on Moderna the day before on 12/9/21! I pulled in the same two doses during chart review on 12/10/21 at 4:45pm. The recent doses in December were not shown in her chart yet possibly do to a lag in information.  I also don?t believe these doses were present on her COVID vaccine card either.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Patient signed up for a COVID vaccine on our online scheduler and it was accidentally run through as a flu vaccine. When patient arrived at the pharmacy, the technician verified that she was here for her flu vaccine at this point she replied yes. Once she got home, she looked at her leaflet and saw that she received the flu vaccine instead of the COVID vaccine. She did not experience an adverse event from the flu vaccine (patient received each year prior), but she was given the wrong vaccine. She had not received a flu vaccine yet this year, so it was not a duplicate but patient was pretty upset because she wanted the first COVID vaccine, which she did end up receiving as well later that day.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Blood test abnormal, Condition aggravated, Penile exfoliation, Tuberculosis
Clinical narrative: I have inflammatory arthritis and went on prednisone for a flare up, with the plan to get on Humira.  I had a blood test and found out I had tuberculosis so I got on Isonaizid and promethazine for and priftin and got on Humira after and had another flare up.  The skin is falling off my penis and I've got urethritis.  My doctor said there is a chance it was the vaccine and nothing else except prednisone has worked.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Urethritis
Clinical narrative: I have inflammatory arthritis and went on prednisone for a flare up, with the plan to get on Humira.  I had a blood test and found out I had tuberculosis so I got on Isonaizid and promethazine for and priftin and got on Humira after and had another flare up.  The skin is falling off my penis and I've got urethritis.  My doctor said there is a chance it was the vaccine and nothing else except prednisone has worked.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Impaired work ability, Malaise
Clinical narrative: 8 hours after receiving my booster shot, I began to feel unwell, no appetite, slight temperature of 99 and extremely sore left arm. My temperature continued to rise until it reached 102.6 two hours laters. I had chills and shaking. My entire body ached. I had a temperature, chills, and body aches for several days and was unable to work. I took Tylenol every 6 hours to reduce my temperature. I was also very fatigued. One week later the symptoms subsided completely and I have felt well since.  FYI: My 92 year old father received his booster shot at the same time and had no adverse reaction.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: 8 hours after receiving my booster shot, I began to feel unwell, no appetite, slight temperature of 99 and extremely sore left arm. My temperature continued to rise until it reached 102.6 two hours laters. I had chills and shaking. My entire body ached. I had a temperature, chills, and body aches for several days and was unable to work. I took Tylenol every 6 hours to reduce my temperature. I was also very fatigued. One week later the symptoms subsided completely and I have felt well since.  FYI: My 92 year old father received his booster shot at the same time and had no adverse reaction.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Full body hives that appeared to go dormant every hour or so and then show up in another place. The last two days they have stayed along hair line, on palms, elbows, top of the hands and bikini line.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest pain, Death, Fall
Clinical narrative: PMH:  asthma, MS; states fell 2 wks ago @ home and has had pain in chest area since; tested positive for COVID; COVID pneumonia; hypoxic; on 6 L O2 via NC saturating @ 92%; treated with decadron, antibiotics, remdesivir; placed on BIPAP; DNR; condition continued to decline; comfort measures; BIPAP was dc'd and pt died in the hospital
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: PMH:  asthma, MS; states fell 2 wks ago @ home and has had pain in chest area since; tested positive for COVID; COVID pneumonia; hypoxic; on 6 L O2 via NC saturating @ 92%; treated with decadron, antibiotics, remdesivir; placed on BIPAP; DNR; condition continued to decline; comfort measures; BIPAP was dc'd and pt died in the hospital
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Disturbance in attention, Dry mouth, Fatigue, Listless
Clinical narrative: Sore painful arm. Fatigue, drymouth, sick stomach feeling, listless, cannot concentrate.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore painful arm. Fatigue, drymouth, sick stomach feeling, listless, cannot concentrate.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Resident inadvertently received a 4th dose of the Pfizer vaccine. 3rd dose was administered on 9/30/21. No adverse reactions were noted. Resident remains in the skilled nursing facility and family and MD were notified.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Lymph node pain, Lymphadenopathy, Palatal swelling, Pyrexia
Clinical narrative: Day 3 after shot (Sunday) lymph node in left armpit became swollen and very painful.  Later that same day, roof of mouth started swelling (the entire roof including the upper gums on the inside of mouth).  I also ran a 100.8 fever starting on Day 2 (Saturday) which climbed to 101.8 on Sunday.  Fever was brought to 99.9 with 1000mg of Tylenol.  Dosage would wear off in 4 hours and temp would climb again.  Mouth started swelling during the fever battle.  Today, Day 5 (Tuesday) only symptom I still have is the Roof of Mouth "rash" w/ extreme sensitivity to anything passing by it (hot or cold).
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer covid vaccine was stored outside of manufacturer's recommendation. Specifically, the vaccine was frozen longer than recommended.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Heart rate increased
Clinical narrative: He felt pain in left side of chest and pointed to heart area about 3 hours after getting 2nd covid shot.  Heart beat felt fast on chest.  Lasted about 40 min to an hour.  Then felt better/ok after this.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Injected patient with a Moderna Covid 19 3 rd dose that was prepared +12 hrs prior to administration
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Arthralgia, Back pain, Blood pressure increased, Blood test
Clinical narrative: A couple of days after the vaccine I started experiencing warmness and a "tickle/numb" feeling on the left side of my face (this happened w/ the first and second vaccine). As time progressed, began feeling increased pain in my neck and shoulder, within a few weeks the pain had traveled down the entire left side of my body and was starting to affect normal activities.  Started experiencing excruciating pain in my lower back and left leg. Also some minor pain in lower left abdomen Numbness and weakness in left limbs with pin and needle feeling in arm/leg/hand and foot on the left side. Started dropping things when holding on my left side. Started also having odd sensations in my brain like brain zaps. Where I start feeling warm in my face and then lose focus, have to concentrate really hard to process information and my eyes began to try to focus again.  Left foot has random itching spells, which are worse at night, and have noticed that I can not empty fully empty bladder like before or feel the sensation of when I have to go until it is full.  Have also experienced an elevation in BP/HR with some chest pain and shortness of breath.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Electric shock sensation, Feeling hot, Heart rate increased, Hypoaesthesia
Clinical narrative: A couple of days after the vaccine I started experiencing warmness and a "tickle/numb" feeling on the left side of my face (this happened w/ the first and second vaccine). As time progressed, began feeling increased pain in my neck and shoulder, within a few weeks the pain had traveled down the entire left side of my body and was starting to affect normal activities.  Started experiencing excruciating pain in my lower back and left leg. Also some minor pain in lower left abdomen Numbness and weakness in left limbs with pin and needle feeling in arm/leg/hand and foot on the left side. Started dropping things when holding on my left side. Started also having odd sensations in my brain like brain zaps. Where I start feeling warm in my face and then lose focus, have to concentrate really hard to process information and my eyes began to try to focus again.  Left foot has random itching spells, which are worse at night, and have noticed that I can not empty fully empty bladder like before or feel the sensation of when I have to go until it is full.  Have also experienced an elevation in BP/HR with some chest pain and shortness of breath.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging, Magnetic resonance imaging head, Muscular weakness, Neck pain
Clinical narrative: A couple of days after the vaccine I started experiencing warmness and a "tickle/numb" feeling on the left side of my face (this happened w/ the first and second vaccine). As time progressed, began feeling increased pain in my neck and shoulder, within a few weeks the pain had traveled down the entire left side of my body and was starting to affect normal activities.  Started experiencing excruciating pain in my lower back and left leg. Also some minor pain in lower left abdomen Numbness and weakness in left limbs with pin and needle feeling in arm/leg/hand and foot on the left side. Started dropping things when holding on my left side. Started also having odd sensations in my brain like brain zaps. Where I start feeling warm in my face and then lose focus, have to concentrate really hard to process information and my eyes began to try to focus again.  Left foot has random itching spells, which are worse at night, and have noticed that I can not empty fully empty bladder like before or feel the sensation of when I have to go until it is full.  Have also experienced an elevation in BP/HR with some chest pain and shortness of breath.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Pruritus, Urinary retention
Clinical narrative: A couple of days after the vaccine I started experiencing warmness and a "tickle/numb" feeling on the left side of my face (this happened w/ the first and second vaccine). As time progressed, began feeling increased pain in my neck and shoulder, within a few weeks the pain had traveled down the entire left side of my body and was starting to affect normal activities.  Started experiencing excruciating pain in my lower back and left leg. Also some minor pain in lower left abdomen Numbness and weakness in left limbs with pin and needle feeling in arm/leg/hand and foot on the left side. Started dropping things when holding on my left side. Started also having odd sensations in my brain like brain zaps. Where I start feeling warm in my face and then lose focus, have to concentrate really hard to process information and my eyes began to try to focus again.  Left foot has random itching spells, which are worse at night, and have noticed that I can not empty fully empty bladder like before or feel the sensation of when I have to go until it is full.  Have also experienced an elevation in BP/HR with some chest pain and shortness of breath.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Dysstasia, Electrocardiogram, Incorrect dose administered
Clinical narrative: I was injected at a City Facility. I was to be given the Moderna Booster. I have lingering side effects from being given too much of the dosage. I have a normal immune system and this injection gave me adverse symptoms. I have shortness of breath and heart palpitations. I was considered the energizer Bunny at work and now I can hardly stand (Stand up desk-only ) up at work for 8 hours. I am used to walking at least 1 hour a day and I can barely make it 1/2 hour. This immunization was too much on my system.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: I was injected at a City Facility. I was to be given the Moderna Booster. I have lingering side effects from being given too much of the dosage. I have a normal immune system and this injection gave me adverse symptoms. I have shortness of breath and heart palpitations. I was considered the energizer Bunny at work and now I can hardly stand (Stand up desk-only ) up at work for 8 hours. I am used to walking at least 1 hour a day and I can barely make it 1/2 hour. This immunization was too much on my system.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Computerised tomogram, Dyspnoea, Incorrect route of product administration
Clinical narrative: 2 days after gettin first shot, I experienced fever, swelling, itchy, rash at injection site, chest pain over my heart, and could not lift my arm very high. The chest pain caused difficulty taking in deep breaths. I was advised by my dr to head to minor emergency asap. I went in, they ran a few lab tests and a catscan on me and determined that when I had been injected, the sciatic nerve in my left arm had been impacted and was causing all the pain I was experiencing. The rash itchy and swelling was from the covid vaccine. A urine sample determined that I also had the beginnings of a UTI but the dr was unsure if that had any relation to the covid vaccine. I was prescribed antibiotics for the UTI
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Mobility decreased, Pain
Clinical narrative: 2 days after gettin first shot, I experienced fever, swelling, itchy, rash at injection site, chest pain over my heart, and could not lift my arm very high. The chest pain caused difficulty taking in deep breaths. I was advised by my dr to head to minor emergency asap. I went in, they ran a few lab tests and a catscan on me and determined that when I had been injected, the sciatic nerve in my left arm had been impacted and was causing all the pain I was experiencing. The rash itchy and swelling was from the covid vaccine. A urine sample determined that I also had the beginnings of a UTI but the dr was unsure if that had any relation to the covid vaccine. I was prescribed antibiotics for the UTI
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urinary tract infection, Urine analysis
Clinical narrative: 2 days after gettin first shot, I experienced fever, swelling, itchy, rash at injection site, chest pain over my heart, and could not lift my arm very high. The chest pain caused difficulty taking in deep breaths. I was advised by my dr to head to minor emergency asap. I went in, they ran a few lab tests and a catscan on me and determined that when I had been injected, the sciatic nerve in my left arm had been impacted and was causing all the pain I was experiencing. The rash itchy and swelling was from the covid vaccine. A urine sample determined that I also had the beginnings of a UTI but the dr was unsure if that had any relation to the covid vaccine. I was prescribed antibiotics for the UTI
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Urticaria
Clinical narrative: 2 hours after receiving vaccine, he developed hives around his eyes, face which spread to arms and chest wall which was accompanied by chest tightness and difficulty breathing.  He went to a local CITY MD where he received IM dexamethasone and started on prednisone 20mg for 5 days.   He was seen by myself on 12/14 for follow up and his symptoms have resolved
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Immediate post-injection reaction, Syncope
Clinical narrative: The patient presents with a vasovagal syncope immediately after receiving the Moderna vaccine booster dose.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized from until discharge on 12/13/2021.  Symptoms started 11/27.  Patient reported a positive test but hospital was unable to locate the result and retested the patient on 12/9/2021 with a positive result.  Admitted with hypoxia.  Discharged home with home O2 and home care.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received an adult Pfizer COVID-19 vaccine of 0.2ml intramuscularly instead of pediatric Pfizer vaccine. Error was discovered when reviewing LOT numbers after administering second dose . Patient and primary care physician were contacted about the error. No reported adverse effects by the patient or guardian from the first dose. Vaccination dose series is complete for this patient.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Retching, Vaccine positive rechallenge
Clinical narrative: I experienced severe headache for 10 hours which made me dry heave. There was no let up in severity for the full 10 hours. Then for a week I would wake up in the morning with a bad headache. I had the same reaction to the first 2 Pfizer vaccines.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Chills, Ear pain
Clinical narrative: Sever headache, earache, left brainache , sore throat, neck pain, upper teeth pain, shoulder pain, back pain, extreme chills, extreme fatigue. Chest pain both second shot and booster.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Neck pain, Oropharyngeal pain, Toothache
Clinical narrative: Sever headache, earache, left brainache , sore throat, neck pain, upper teeth pain, shoulder pain, back pain, extreme chills, extreme fatigue. Chest pain both second shot and booster.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral
Clinical narrative: Hearing loss in right ear, the side that the vaccine was administered
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Expired product administered
Clinical narrative: The patient was given an expired dose of Tdap (Adacel) .  I spoke to RN the immunization nurse she stated patient should be re-vaccinate.  Dr. was notified of error.  Dr. recommended patient come back in one month to be re-vaccinated.   RN  spoke to (Mom) notified of expired vaccine and patient is scheduled to be re-vaccinated in 1 month per Dr. .
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Resident inadvertently received a 4th dose of the Pfizer vaccine. 3rd dose was administered on 9/30/21. No adverse reactions were noted. Resident remains in the skilled nursing facility and family and MD were notified.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pt received 2 covid vaccines, 3/11/21 and 4/1/21 and was later hospitalized on  12/5-12/13 and pt died,
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Vaccine positive rechallenge
Clinical narrative: Prolonged menstrual bleeding - beginning 11/17/21 (day following vaccination) and ongoing as of 12/04/21
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WRITTEN AND AGE WRITTEN AS 12 ON CONSENT SIGNED BY PERSON IDENTIFYING AS FATHER. CHILD IDENTIFIED IN INFORMATION SYSTEM  WITH DATE OF BIRTH. CHILD IS TOO YOUNG FOR VACCINE ON 8/5/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Blood creatine increased, Confusional state, Cough, Dizziness
Clinical narrative: About a week after the vaccine I developed extreme fatigue and a sense of dizziness causing me to have more of an awake fainting type feeling where I cant sit up or do anything when this occurs. If I am walking when this occurs I have to hurry and sit or grab onto something because I loose the ability to stand. This issue has gotten worse over time and now I have an Echocardiogram that has to be scheduled. About a month after the vaccine I begin getting heart palpations and SOB on exertion. Brain fog has gotten really bad and is getting progressively worse resulting in me forgetting words in the middle of conversations sometimes I cant even engage in conversation because I am so confused and boggled. My O2 level drops in the low 80's periodically throughout the day with no explanation and I am loosing weight for no apparent reason. My weight over the past month shows I am loosing about 6-8oz/ day. I have the feeling of a constant cold but no cold, but the mucus just wont go away and when I lay down I have a cough that comes and goes periodically.  My BP has been running in the low 80/60's but CBCs has come back pretty good with the exception of my creatine level has increased a little but again with no explanation associated.