chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiomyopathy, Dyspnoea exertional, Echocardiogram abnormal, Ejection fraction decreased, Myocarditis
Clinical narrative: Cardiomyopathy, dyspnea on exertion 8/10/2021 PT is a 36 YO M with PMH of HTN who presented to the ER after being seen in clinic and ECHO showed an EF of 25-30%.  The patient was admitted for management.  The patients cardiomyopathy was felt to be from either a viral myocarditis or a vaccination induced myocarditis.  The patient was diuresed with Lasix, started on Lisinopril and spironolactone.  The patient was stable with this regimen and DC home with close follow up with cardiology.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: On 5/28/21 patient received a dose of the J&J Covid-19 vaccine incorrectly. The patient had asked for the Moderna Covid-19 vaccine, signed a consent form for a Moderna Covid-29 vaccine, and received a card that stated she received a Moderna shot. However in her chart it was entered that she received a J&J Covid-19 vaccine with a J&J lot number of 202A21A. Thinking she had received Moderna, the patient came back on 6/30/21 and received an actual dose of the Moderna Covid-19 vaccine. She thought that this was her second shot. We realized on  7/9/21 while looking through our records that there was an error. We spoke to all staff involved to understand what happened. Once we were able to piece together what happened the patient was informed on  8/2/21. Our Medical Director, spoke with her and reported the following: Reviewed that J and J is a solitary dose and did not require a booster.    Advised that I would not anticipate any harm from receiving both especially as we are now 5-6 weeks past the administration, but since the vaccines are under EUA and this would be a rare circumstance, there is not data about such.  Patient received information well.  Stated that the J and J was a "doozy" and she had side effects for 3 days.  Stated she did not have any side effects after the Moderna vaccine.  Stated she has been feeling good - went out of state and quarantined for 2 weeks after given the high rate of CoVID there.  She actually stated " I feel even better having had 2 shots now with this variant."  She told me she would be ready for her third shot whenever booster are advised.  She is requesting appointments for her oldest 2 children to receive the vaccine.  I will send that information to the vaccine scheduler.  She also needed an appt for her oldest to have a sports physical - I made that appointment.  She expressed concerns about her younger children being in school and unvaccinated and I empathized with her on the subject.    She did not have any questions or questions at the end of the conversation
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cortisol normal, Depression, Insomnia, Premenstrual dysphoric disorder
Clinical narrative: Experienced insomnia for one day before the first period after the first vaccination dose.  Symptoms developed into premenstrual dysphoric disorder (insomnia, anxiety and depression) before the first period after the second vaccination dose.  Since then, I have been experiencing PMDD till report day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test normal
Clinical narrative: Experienced insomnia for one day before the first period after the first vaccination dose.  Symptoms developed into premenstrual dysphoric disorder (insomnia, anxiety and depression) before the first period after the second vaccination dose.  Since then, I have been experiencing PMDD till report day.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Feeling abnormal, Headache, Pain
Clinical narrative: I never got a fever but I did have body and joint aches. That started the first day. I went to Emergent Center August 25th. I had headache and congestion and just felt punky. No treatment - I just treated it like a flu bug - I drank a lot of liquids and rested.  On 9/2/2021 - I had a monoclonal infusion and that was day # 9 and that really turned me around. By day 11, Saturday, I was feeling much better.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I never got a fever but I did have body and joint aches. That started the first day. I went to Emergent Center August 25th. I had headache and congestion and just felt punky. No treatment - I just treated it like a flu bug - I drank a lot of liquids and rested.  On 9/2/2021 - I had a monoclonal infusion and that was day # 9 and that really turned me around. By day 11, Saturday, I was feeling much better.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive unknown contact
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Moderna vaccine administered after one dose of Johnson and Johnson was given at another facility
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had a positive COVID test on 9/1
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was under the age of 18 and received JJ by accident. Both patient and provider were informed.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium, Chest X-ray, Electrocardiogram, Feeling hot, Full blood count
Clinical narrative: 11:30pm on day of dose 9/4, I felt nauseous. I got up from my desk to walk about 15 steps to the bathroom and lost consciousness. In coming to, I was hot and sweaty. When EMTs arrived my bp was 80/a number I don?t remember but low. Bs was 114
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypotension, Loss of consciousness, Metabolic function test, Nausea
Clinical narrative: 11:30pm on day of dose 9/4, I felt nauseous. I got up from my desk to walk about 15 steps to the bathroom and lost consciousness. In coming to, I was hot and sweaty. When EMTs arrived my bp was 80/a number I don?t remember but low. Bs was 114
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy test urine, Troponin, Urine analysis
Clinical narrative: 11:30pm on day of dose 9/4, I felt nauseous. I got up from my desk to walk about 15 steps to the bathroom and lost consciousness. In coming to, I was hot and sweaty. When EMTs arrived my bp was 80/a number I don?t remember but low. Bs was 114
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Duodenal ulcer, Urinary tract infection
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for UTI, and started on a PPI for likely  duodenal ulcer within 6 weeks of receiving COVID vaccination.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Erythema, Feeling hot, Oedema, Swelling
Clinical narrative: Pt began experiencing warmth and hives at around 3pm on Saturday. She took a Benadryl and felt better. By Monday, it became more hot and swollen, felt weak/non-functional. She went to ER in which she works and got an ultrasound revealing edema. They gave her a Rocephin shot and it has improved but still a little red.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal, Urticaria
Clinical narrative: Pt began experiencing warmth and hives at around 3pm on Saturday. She took a Benadryl and felt better. By Monday, it became more hot and swollen, felt weak/non-functional. She went to ER in which she works and got an ultrasound revealing edema. They gave her a Rocephin shot and it has improved but still a little red.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incomplete course of vaccination, Interchange of vaccine products
Clinical narrative: Patient was administered Moderna vaccine on 8/11/2021. Patient was then administered Pfizer vaccine on 9/8/2021.  Reporting that patient did not complete a series of Moderna (dose 1), because Pfizer was given as dose 2.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: red itchy rash to right upper arm approximately 6cm wide x 3 cm long at site of 2nd COVID injection.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under 18 yo
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abscess, COVID-19, Chest X-ray normal, Condition aggravated, Dysphagia
Clinical narrative: Patient complained of constant pain in his throat as well as right ear has been going on for past 2 days.  Patient also states he has some dysphagia.  He describes the pain as stabbing in nature.  Rates it a 10/10.  States it is constant.  States begins at the right ear and radiates down the right side of his neck.  The swelling is no aggravating factor with no relieving factors.  Patient was recently admitted and discharged after being treated for an abscess on the right side of his neck.  However was noted the patient had a new tremor as scheduled for additional radiation chemotherapy.  Patient denies any headache, vision changes, fever, chills, shortness of breath, increased cough, chest pain, heart palpitations, nausea vomiting diarrhea, constipation, abdominal pain, difficulty urinating, increased urinary frequency, blood in his urine, painful urination, patient denies any new numbness or tingling in his extremities.  Patient denies any new edema in his extremities.  Patient denies any recent sick contacts.  Patient denies any recent travel.  Patient has a significant medical history of squamous cell cancer of the tongue.  HIV.  Opioid addiction.  CPAP.  Diagnosed with COVID-19 on 04/04/2021. Received dexamethasone IV, 1L normal saline, fentanyl and ketorolac. Placed on ertapenem for neck. Discharged on 4/9/21. Then re-admitted on 4/11 for dysphagia. PEG tube placed 4/13/21. Discharged 4/16/21.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ear pain, Gastrostomy, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: Patient complained of constant pain in his throat as well as right ear has been going on for past 2 days.  Patient also states he has some dysphagia.  He describes the pain as stabbing in nature.  Rates it a 10/10.  States it is constant.  States begins at the right ear and radiates down the right side of his neck.  The swelling is no aggravating factor with no relieving factors.  Patient was recently admitted and discharged after being treated for an abscess on the right side of his neck.  However was noted the patient had a new tremor as scheduled for additional radiation chemotherapy.  Patient denies any headache, vision changes, fever, chills, shortness of breath, increased cough, chest pain, heart palpitations, nausea vomiting diarrhea, constipation, abdominal pain, difficulty urinating, increased urinary frequency, blood in his urine, painful urination, patient denies any new numbness or tingling in his extremities.  Patient denies any new edema in his extremities.  Patient denies any recent sick contacts.  Patient denies any recent travel.  Patient has a significant medical history of squamous cell cancer of the tongue.  HIV.  Opioid addiction.  CPAP.  Diagnosed with COVID-19 on 04/04/2021. Received dexamethasone IV, 1L normal saline, fentanyl and ketorolac. Placed on ertapenem for neck. Discharged on 4/9/21. Then re-admitted on 4/11 for dysphagia. PEG tube placed 4/13/21. Discharged 4/16/21.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Swelling, Tremor
Clinical narrative: Patient complained of constant pain in his throat as well as right ear has been going on for past 2 days.  Patient also states he has some dysphagia.  He describes the pain as stabbing in nature.  Rates it a 10/10.  States it is constant.  States begins at the right ear and radiates down the right side of his neck.  The swelling is no aggravating factor with no relieving factors.  Patient was recently admitted and discharged after being treated for an abscess on the right side of his neck.  However was noted the patient had a new tremor as scheduled for additional radiation chemotherapy.  Patient denies any headache, vision changes, fever, chills, shortness of breath, increased cough, chest pain, heart palpitations, nausea vomiting diarrhea, constipation, abdominal pain, difficulty urinating, increased urinary frequency, blood in his urine, painful urination, patient denies any new numbness or tingling in his extremities.  Patient denies any new edema in his extremities.  Patient denies any recent sick contacts.  Patient denies any recent travel.  Patient has a significant medical history of squamous cell cancer of the tongue.  HIV.  Opioid addiction.  CPAP.  Diagnosed with COVID-19 on 04/04/2021. Received dexamethasone IV, 1L normal saline, fentanyl and ketorolac. Placed on ertapenem for neck. Discharged on 4/9/21. Then re-admitted on 4/11 for dysphagia. PEG tube placed 4/13/21. Discharged 4/16/21.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiac failure congestive, Cardiomyopathy, Chest pain, Dyspnoea
Clinical narrative: Chest pain, shortness of breathing and fatigue.  decompensation of previously well managed cardiomyopathy, CHF
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Full blood count, Metabolic function test
Clinical narrative: Chest pain, shortness of breathing and fatigue.  decompensation of previously well managed cardiomyopathy, CHF
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Vaccine given after Johnson and Johnson vaccine given at another facility
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood lactic acid, COVID-19 pneumonia, Chest X-ray abnormal, Chest pain
Clinical narrative: Ongoing Hospitalization: Transferred from Medical Center for COVID pneumonia and hypoxia. Began having symptoms 9/2. Tested positive 9/3, continued having shortness of breath. 9/7 worsening chills, fever and shortness of breath with some pain when breathing in his upper chest. Given Rocephin, azithromycin, dexamethasone, lovenox, high flow oxygen.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Hypoxia, Leukocytosis, Lung opacity
Clinical narrative: Ongoing Hospitalization: Transferred from Medical Center for COVID pneumonia and hypoxia. Began having symptoms 9/2. Tested positive 9/3, continued having shortness of breath. 9/7 worsening chills, fever and shortness of breath with some pain when breathing in his upper chest. Given Rocephin, azithromycin, dexamethasone, lovenox, high flow oxygen.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Painful respiration, Pyrexia, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Ongoing Hospitalization: Transferred from Medical Center for COVID pneumonia and hypoxia. Began having symptoms 9/2. Tested positive 9/3, continued having shortness of breath. 9/7 worsening chills, fever and shortness of breath with some pain when breathing in his upper chest. Given Rocephin, azithromycin, dexamethasone, lovenox, high flow oxygen.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had positive COVID test on 9/2
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Condition aggravated, Glomerular filtration rate decreased, Herpes zoster
Clinical narrative: activation of shingles, left leg within 4 hours of receiving 1st dose of moderna.  7 days later I was hospitalized with acute kidney failure
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pain in extremity
Clinical narrative: Intense Pain from hips to toes for 2 days . Now continue to ache . Also had dizziness that comes and goes .
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 8/29/21 - Dry Cough; 8/30/21 Deeper cough, low grade fever, fatigue.  Outpatient visit with Dr. Performed Covid test and prescribed isolation and bed rest. Fully recovered by 10/3/21.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil count decreased, Basophil percentage increased, Eosinophil percentage, Extra dose administered, Haematocrit decreased
Clinical narrative: sought and received third dose Moderna August 2 because he read "cancer patients should get it" He had diffuse B cell lymphoma treated with R-CHOP with CR in 2016, no recurrence, but platelets 100-120, 000 and stable since 2017 follow up labs as noted showed platelets to 60,000 less than a week later and 11, 000 by September. Completely asymptomatic and no other new meds or diseases. Awaits bone marrow biopsy and PET imaging, but nothing else to suggest lymphoma recurrence (highly symptomatic presentation in 2016) no thromboembolic signs or symptoms now
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Immature granulocyte count, Lymphocyte count, Lymphocyte percentage increased, Mean cell haemoglobin concentration normal
Clinical narrative: sought and received third dose Moderna August 2 because he read "cancer patients should get it" He had diffuse B cell lymphoma treated with R-CHOP with CR in 2016, no recurrence, but platelets 100-120, 000 and stable since 2017 follow up labs as noted showed platelets to 60,000 less than a week later and 11, 000 by September. Completely asymptomatic and no other new meds or diseases. Awaits bone marrow biopsy and PET imaging, but nothing else to suggest lymphoma recurrence (highly symptomatic presentation in 2016) no thromboembolic signs or symptoms now
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Monocyte percentage increased, Neutrophil count decreased, Neutrophil percentage decreased
Clinical narrative: sought and received third dose Moderna August 2 because he read "cancer patients should get it" He had diffuse B cell lymphoma treated with R-CHOP with CR in 2016, no recurrence, but platelets 100-120, 000 and stable since 2017 follow up labs as noted showed platelets to 60,000 less than a week later and 11, 000 by September. Completely asymptomatic and no other new meds or diseases. Awaits bone marrow biopsy and PET imaging, but nothing else to suggest lymphoma recurrence (highly symptomatic presentation in 2016) no thromboembolic signs or symptoms now
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Red blood cell count increased, White blood cell count normal
Clinical narrative: sought and received third dose Moderna August 2 because he read "cancer patients should get it" He had diffuse B cell lymphoma treated with R-CHOP with CR in 2016, no recurrence, but platelets 100-120, 000 and stable since 2017 follow up labs as noted showed platelets to 60,000 less than a week later and 11, 000 by September. Completely asymptomatic and no other new meds or diseases. Awaits bone marrow biopsy and PET imaging, but nothing else to suggest lymphoma recurrence (highly symptomatic presentation in 2016) no thromboembolic signs or symptoms now
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt received first and only dose to be fully vaccinated with the J&J Janssen vaccine on 4/7/2021.  Pt began to have symptoms of COVID and tested positive on 9/6/2021 at a local ED.  He was then transferred later that day for inpatient care.  He is still currently inpatient being treated for covid on our general med unit.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Mental disorder, SARS-CoV-2 test positive
Clinical narrative: No covid symptoms, was here for psychiatric issue and found to be Covid +
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Pyrexia, Sputum discoloured
Clinical narrative: productive cough of yellow-green sputum and low grade fevers. starting 9/4/21
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Resident was end of life care, tested positive for COVID-19 8/26/21 and expired
Age: 20.0
Sex: M
Vaccine: MNQ
Symptoms: Hypoaesthesia, Loss of personal independence in daily activities
Clinical narrative: Patient called the clinic on 9/8 to report that 2 hours following his meningitis vaccine that was administered on 8/30 that he developed numbness in his left foot. Vaccine was administered in the left deltoid. States the numbness has since spread to his left arm and right side over his face, also had difficulty eating. Denies SOB or chest pain. Also stated he spoke to his PCP. Informed by both myself and his PCP to proceed to the nearest ER today- patient verbalized an understanding.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully Vaccinated employee developed symptoms and tested positive for Covid-19
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Demyelination, Facial paralysis, Lumbar puncture, Magnetic resonance imaging head abnormal
Clinical narrative: 2.5 months later I experienced partial right facial paralysis, tingling into the right upper and lower extremity as well as weakness with flexion of the right lower extremity. I was placed on prednisone  immediately for possible Bells Palsy without much immediate relief of symptoms. MRI of the brain did demonstrate demylenating condition, on the same side of the brain where the vaccination was given, which was later determined to be Multiple Sclerosis.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck, Magnetic resonance imaging spinal, Multiple sclerosis, Muscular weakness, Paraesthesia
Clinical narrative: 2.5 months later I experienced partial right facial paralysis, tingling into the right upper and lower extremity as well as weakness with flexion of the right lower extremity. I was placed on prednisone  immediately for possible Bells Palsy without much immediate relief of symptoms. MRI of the brain did demonstrate demylenating condition, on the same side of the brain where the vaccination was given, which was later determined to be Multiple Sclerosis.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast
Clinical narrative: 2.5 months later I experienced partial right facial paralysis, tingling into the right upper and lower extremity as well as weakness with flexion of the right lower extremity. I was placed on prednisone  immediately for possible Bells Palsy without much immediate relief of symptoms. MRI of the brain did demonstrate demylenating condition, on the same side of the brain where the vaccination was given, which was later determined to be Multiple Sclerosis.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rash, Tachycardia
Clinical narrative: Rash on face, sore throat, and tachycardic
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Pyrexia, Tremor
Clinical narrative: Fever 104 degrees, chills, sweating, shaking uncontrollably symptoms  lasted approximately 24 hours. I treated myself with tylenol.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was charted on incorrectly for first dose. It stated she got Pfizer but really received Moderna. Upon arrival for her second vaccine she did not have her CDC card so the nurse wrote her a new chart based on the Pfizer vaccine in chart and then gave her a second Pfizer vaccine.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was charted on incorrectly for first dose. It stated she got Pfizer but really received Moderna. Upon arrival for her second vaccine she did not have her CDC card so the nurse wrote her a new chart based on the Pfizer vaccine in chart and then gave her a second Pfizer vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had a positive COVID test on 9/2/2021
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: hospitalized with covid pna
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Electrocardiogram, Fall, Inappropriate schedule of product administration
Clinical narrative: Patient came in at 1400hrs to get second Pfizer vaccination.  She had her 1st vaccine on 04/28/2021 without any complication. She reported history of Seizure and had follow-up with PCP yesterday, as outpatient.  She reported taking Keppra and confirmed taking her daily dosage today.  She reported having a snack approximately 45 minutes prior to this visit, including fluid.   Patient drove here on her own with no problems. Her 2nd dosage was administered at 1405hrs.  She was directed to sit across the main floor in direct view of the providers to facilitate monitoring.  A full bottle of water was also given to patient. A few minutes later, Client developed a seizure.  This was witness by pharmacists, R/N (volunteer nurse today) and myself. Patient fell on the floor from the sitting position.  Immediate assistance was provided to keep her from any sharp objects or walls.  Her head and body was stabilized to prevent further injuries.  Patient had a good pulse throughout her seizure that lasted for about 8 minutes. Her breathing was also monitored and she vomited scant amount of sputum on carpet floor.  Good chest rise was observed and her color was normal.  Her skin felt very warm and so her sweater was removed to assist with body temperature.  No cyanosis was observed during the event.   ED was already alerted and they arrived at vaccination center at approximately 1415hrs.  After a few minutes, patient regained consciousness and was taken by EMS personnel to ER.  She was stable at the time of her transfer to EMS.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Seizure, Urine analysis, Vomiting, X-ray
Clinical narrative: Patient came in at 1400hrs to get second Pfizer vaccination.  She had her 1st vaccine on 04/28/2021 without any complication. She reported history of Seizure and had follow-up with PCP yesterday, as outpatient.  She reported taking Keppra and confirmed taking her daily dosage today.  She reported having a snack approximately 45 minutes prior to this visit, including fluid.   Patient drove here on her own with no problems. Her 2nd dosage was administered at 1405hrs.  She was directed to sit across the main floor in direct view of the providers to facilitate monitoring.  A full bottle of water was also given to patient. A few minutes later, Client developed a seizure.  This was witness by pharmacists, R/N (volunteer nurse today) and myself. Patient fell on the floor from the sitting position.  Immediate assistance was provided to keep her from any sharp objects or walls.  Her head and body was stabilized to prevent further injuries.  Patient had a good pulse throughout her seizure that lasted for about 8 minutes. Her breathing was also monitored and she vomited scant amount of sputum on carpet floor.  Good chest rise was observed and her color was normal.  Her skin felt very warm and so her sweater was removed to assist with body temperature.  No cyanosis was observed during the event.   ED was already alerted and they arrived at vaccination center at approximately 1415hrs.  After a few minutes, patient regained consciousness and was taken by EMS personnel to ER.  She was stable at the time of her transfer to EMS.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging
Clinical narrative: After the vaccine, I developed a terrible headache, which was initially deemed to be a temporary side effect of the vaccination. This headache never subsided and has persisted for 6 months straight, with no alleviation. It is not alleviated by OTC  pain killers or prescriptions from neurologists. This headache can be felt in various places around my head, as well as in my ear canals and often behind the eyes. I have tried countless remedies to no avail.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anger, Frustration tolerance decreased, Product preparation issue
Clinical narrative: The Pfizer Covid-19 vaccine was diluted incorrectly. 2.0 mL was used instead of 1.8 mL.  We were notified  by the nurse who administered in 8/16/21. We called Pfizer before calling the patients to see what they recommended. They said they did not recommend giving the dose and that the CDC says that the dose should not be reported.  Our Medical Director called the patient on 9/7/21 and reported the following:  Advised her of the vaccine error around the CoVID shot.  2mL of saline used for diultion vs. 1.8mL.  Explained what that meant in terms of "extra salt water" being given.  Advised it was not a matter for an unknown substance being given.  Patient expressed concern and being upset. "I don't understand how this happened." "You're injecting people with things, how could you do this."  I apologized for the mistake and assured her that we were taking actions to correct our process in the future.   She expressed frustration that she is only finding out about the error now.  I again apologized.    She stated that the error made her not want to get the second dose.  I strongly advised that she get the second dose.  I explained that I've known her for several years and her kids.  I  would want her and the kids to be as protected as possible.  I advised that she does NOT have to receive the second dose here and I could understand if she makes that decision, but I advised strongly that she consider getting it elsewhere.  I also advised that we spoke with Pfizer and based on their recommendations and the CDC, they would not recommend that she needs any extra dosing and to just complete the second dose as previously planned.  Patient again expressed being upset at the error and at the delay in notification.  I again apologized and offered to help her in any way I could or answer any further questions.  She denied any and the conversation ended.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Pt hospitalized with COVID19 on 9/5/21.  Transferred to another Hospital. She initially presented with SOB on 9/2, and was found to be COVID-positive. Currently hospitalized on BiPap.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Approximately 8 hrs. after injection began to have severe chills, bundled up, took sleeping pill and went to sleep. Woke multiple times during night with aching muscles and joints. Early AM awoke with chills gone but increased body ache, temp 99.8, headache. Symptoms persisted during that day and evening  with feeling of total fatigue which kept me in bed all day.  Tylenol 500mg. gave some relief. Slept better that night and were improved enough to return home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sleep disorder
Clinical narrative: Approximately 8 hrs. after injection began to have severe chills, bundled up, took sleeping pill and went to sleep. Woke multiple times during night with aching muscles and joints. Early AM awoke with chills gone but increased body ache, temp 99.8, headache. Symptoms persisted during that day and evening  with feeling of total fatigue which kept me in bed all day.  Tylenol 500mg. gave some relief. Slept better that night and were improved enough to return home.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, X-ray limb
Clinical narrative: Patient reports left shoulder pain that possibly started after receiving second dose of the  Moderna vaccine.  She reports left shoulder pain started several months ago and believes possibly around the time after receiving vaccine to left arm.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had a positive COVID test on 9/2/2021
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Mom brought patient in for Pfizer vaccine at local outreach vaccine clinic. She lied about the patient's DOB. I asked mom and patient "you are 12, right?" and they both said yes. Vaccine was given. Patient doesn't turn 12, until 2021. Health Care will call mom and notify her.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient developed a rash on his face Tuesday morning. Rash isn't spreading and is not itching. Recommended Benadryl to help with the rash. Advised to see a doctor if it spreads/gets worse or if it had not gone away by next week.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Malaise
Clinical narrative: 15 minutes post vaccine she stated that s h e felt unwell and anxious.  Vitals were taken at 12:25pm .  At 12:45pm she was given a bottle of water and vitals taken and alerted supervisor and took Pt. to ED and handed off for further evaluation.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Echocardiogram, Joint stiffness, Pain, Pain in extremity
Clinical narrative: I recieved the shot around 12pm and after a couple hours my arm felt really sore I got achy and felt stiff in my joints. Then my legs and feet were extremely swollen around 9pm that same night and it was painful it felt like my legs were being squeezed tightly. It continued for 3 days and after the three days it went away.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound scan normal
Clinical narrative: I recieved the shot around 12pm and after a couple hours my arm felt really sore I got achy and felt stiff in my joints. Then my legs and feet were extremely swollen around 9pm that same night and it was painful it felt like my legs were being squeezed tightly. It continued for 3 days and after the three days it went away.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Limb mass, Skin warm
Clinical narrative: Patient stated that the next day she noticed a lump on  her arm, The lump went  away and came back on 9/6/2021 about the size of a half dollar. The next day it was the size of a  lemon sized and hot to the touch. The next day it was the size of a half orange. Patient experienced a high level of fatigue
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Tachycardia, White blood cell count increased
Clinical narrative: Chest pain, tachycardia
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID on 9/2/2021
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received his first and second dose in Jan and Feb. He scheduled this app as a "first dose" so was given a third dose in error.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Underdose
Clinical narrative: The patient received a dose that was diluted with 2.0mL dilutant instead of 1.8mL. We were notified by the nurse who administered it on 8/16/2021. We first called Pfizer to see what their recommended actions were. They recommended not administering the dose and said the CDC recommends not repeating the dose. Our Medical Director spoke to the patient's mother on 9/7/21 which is also when the child received their second dose of the Pfizer Covid-19 vaccine. She reported: Spoke with mother Provided more detail of the error She is frustrated because this is the second vaccine error that occured for this child in 2 months Was given an expired vaccine in June I apologized and advised that we are working hard to identify system errors and correct them.  I advised that we will be retraining everyone on vaccines She stated that her husband wants to pull kids out of the office.  She wants to keep them here as she likes the doctors but is frustrated on the mistakes.    I advised that I share in her frustration and again apologize.  We discussed that we checked with Pfizer and the CDC and no further action is needed at this time.  She is requesting that from now on, I visually oversee all vaccine administration for her family
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy right side of face
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bell's palsy, SARS-CoV-2 test
Clinical narrative: Bells Palsy right side of face
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea exertional, Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: The patient is a 23 year old female, PMHx , presents to the ER c/o intermittent L sided chest pain and arm pain/paresthesias x 3 weeks. States to become more short of breath with exertion with gradual increased swelling of extremities, and gradual weight gain.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Weight increased
Clinical narrative: The patient is a 23 year old female, PMHx , presents to the ER c/o intermittent L sided chest pain and arm pain/paresthesias x 3 weeks. States to become more short of breath with exertion with gradual increased swelling of extremities, and gradual weight gain.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Electrocardiogram, Fatigue, Feeling hot
Clinical narrative: On June 15, I started feeling heated, tired, and numbness to my left arm. On the 16th, I noticed my left arm, left leg, and the left side of my face was numb, and I went to the ER. I was diagnosed as having a stroke and admitted for 2 days. Then I was transferred to a rehab facility. I still receive outpatient therapy from the rehab center.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Magnetic resonance imaging
Clinical narrative: On June 15, I started feeling heated, tired, and numbness to my left arm. On the 16th, I noticed my left arm, left leg, and the left side of my face was numb, and I went to the ER. I was diagnosed as having a stroke and admitted for 2 days. Then I was transferred to a rehab facility. I still receive outpatient therapy from the rehab center.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness
Clinical narrative: pt blood pressure dropped and pt felt faint.  Had pt lie on floor and took blood pressure at 1:20 was 112/73 and pulse of 49.  monitored pt and rechecked blood pressure at 1:25 was 117/86 and pulse of 61, at 1:30 was 91/53 pulse of 52.  gave pt salty potato chips and pt was drinking a dr pepper.  blood pressure at 1:35 was 126/82 and pulse of 58.  pt felt fine and sat in break room for another couple minutes then said he was fine.
Age: 1.75
Sex: M
Vaccine: IPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO KNOWN ADVERSE EFFECTS. PT WAS GIVEN EXPIRED VACCINE
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient death.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cardiac arrest, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient death.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Hypotension, Hypoxia, Mechanical ventilation, Oxygen saturation decreased
Clinical narrative: Patient death.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: The night after receiving my first shot my ears have rang a very loud high pitch all the time there is never a break from this. I also reported this everytime I was phoned..
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Dizziness, Headache, Hypertension
Clinical narrative: Severe headache and dizziness and told that to my doctor and she gave me an additional blood pressure medicine but my blood pressure was still high and i went to the ER. The ER doctors sent me home without medicine but my blood pressure was still high. After three or four weeks later it became normal
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, COVID-19, Carbon dioxide decreased, Cough, Dyspnoea
Clinical narrative: Patient came in through ED 9/7/2021 with cough for 2 days, fever, body aches, mild shortness of breath, burning in throat Sent home on 9/7/2021 given asprin, amlodipine, lisinopril, nitroglycerine, omeprozole, benzonatate
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte count decreased, Pain, Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Patient came in through ED 9/7/2021 with cough for 2 days, fever, body aches, mild shortness of breath, burning in throat Sent home on 9/7/2021 given asprin, amlodipine, lisinopril, nitroglycerine, omeprozole, benzonatate
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID on 9/2/2021
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pustular
Clinical narrative: Vesicular/pustular rash on rt lower trunk onset one day post vaccination with Pfizer #2.   Symptoms: RASH&OTH NONSPEC SKIN ERUPTION(R21).
Age: 60.0
Sex: F
Vaccine: COVID19, FLUA3
Symptoms: Extra dose administered, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Left upper arm started out just sore. About 36 hours later on Sunday, it was still sore, bright red, swollen, hot to the touch. Slightly itchy, but no raised bumps. The redness and swelling was worse on Monday. The affected area was well defined, never got larger. Symptoms decreased on Tuesday and Wednesday, completely gone by Thursday.
Age: 60.0
Sex: F
Vaccine: COVID19, FLUA3
Symptoms: Injection site warmth
Clinical narrative: Left upper arm started out just sore. About 36 hours later on Sunday, it was still sore, bright red, swollen, hot to the touch. Slightly itchy, but no raised bumps. The redness and swelling was worse on Monday. The affected area was well defined, never got larger. Symptoms decreased on Tuesday and Wednesday, completely gone by Thursday.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Headache
Clinical narrative: 9/ 7 weakness, dizziness, headaches, fever 100.9, chills, nauseous                                                                                                                                                                                                                                    9/8  weakness, dizziness, headaches, fever in the morning 100.3, nauseous, diarrhea
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pyrexia
Clinical narrative: 9/ 7 weakness, dizziness, headaches, fever 100.9, chills, nauseous                                                                                                                                                                                                                                    9/8  weakness, dizziness, headaches, fever in the morning 100.3, nauseous, diarrhea
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Hives at injection site noticed at 9pm, Claritin given, 9:30pm hives spread to neck and back, Benadryl given. Symptoms resolved 11pm.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No sign or symptoms at this time
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Anger, Back pain, Extra dose administered, Headache, Interchange of vaccine products
Clinical narrative: Patient was here for a third dose booster. They previously received 2 doses of Pfizer. This third dose they accidentally received a  dose of Moderna. This error was noticed the next day. Our Medical Director called them on 9/7/21 to make sure that they were aware of what happened and to let them know that per the CDC they should be fine and should not repeat the dose. She reported: When I asked how he was today he responded "terrible."  He explained that he's had significant back pain.  He stated that he was advised to have surgery but he's heard bad things about that & is hesitant to do that.  He has an appt tomorrow for a shot at a pain clinic.  A pack with pills they gave prior helped only a little bit.  He also intends to see a chiropracter.  I extended my concern for his pain & encouraged him to keep his appt tomorrow with the pain clinic.  I then advised him of the reason for my call He had previously received 2 pfizer vaccines.  When he came in for the booster, he was given Moderna. Patient became very upset & began yelling & using profanity. He advised that since he & his brother had the shot that they've not felt right with headaches & arm soreness. "You messed us up." Was repeated several times He expressed concerns that we could have killed them.  I apologized for the error and assured him that we were reviewing what happened in order to make a corrective action plan to prevent it from happening again. He advised it was already too late as it happened to him & his brother.  I advised that per CDC guidance, it is not ideal to receive Moderna after receiving Pfizer, but it is possible & does not have to be re-boostered with Pfizer. Harm would also not be expected. He advised that he will be in contact with other groups for their opinion including his lawyer.  I advised that headache & arm soreness is typical after the immunizations - both Pfizer & Moderna - & that after several shots, the reactions may be intensified since the immune system is already primed to fight the disease.  He reiterated the above phrase with profanity.  He then asked if I had another else to say because he had several phone calls to make. I offered to answer any questions he may have & again apologized that the mistake happened.  He stated he did not have further questions & we would hear from his lawyer ...........
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient was here for a third dose booster. They previously received 2 doses of Pfizer. This third dose they accidentally received a  dose of Moderna. This error was noticed the next day. Our Medical Director called them on 9/7/21 to make sure that they were aware of what happened and to let them know that per the CDC they should be fine and should not repeat the dose. She reported: When I asked how he was today he responded "terrible."  He explained that he's had significant back pain.  He stated that he was advised to have surgery but he's heard bad things about that & is hesitant to do that.  He has an appt tomorrow for a shot at a pain clinic.  A pack with pills they gave prior helped only a little bit.  He also intends to see a chiropracter.  I extended my concern for his pain & encouraged him to keep his appt tomorrow with the pain clinic.  I then advised him of the reason for my call He had previously received 2 pfizer vaccines.  When he came in for the booster, he was given Moderna. Patient became very upset & began yelling & using profanity. He advised that since he & his brother had the shot that they've not felt right with headaches & arm soreness. "You messed us up." Was repeated several times He expressed concerns that we could have killed them.  I apologized for the error and assured him that we were reviewing what happened in order to make a corrective action plan to prevent it from happening again. He advised it was already too late as it happened to him & his brother.  I advised that per CDC guidance, it is not ideal to receive Moderna after receiving Pfizer, but it is possible & does not have to be re-boostered with Pfizer. Harm would also not be expected. He advised that he will be in contact with other groups for their opinion including his lawyer.  I advised that headache & arm soreness is typical after the immunizations - both Pfizer & Moderna - & that after several shots, the reactions may be intensified since the immune system is already primed to fight the disease.  He reiterated the above phrase with profanity.  He then asked if I had another else to say because he had several phone calls to make. I offered to answer any questions he may have & again apologized that the mistake happened.  He stated he did not have further questions & we would hear from his lawyer ...........
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Angiogram pulmonary, Blood magnesium, Brain natriuretic peptide, Chest X-ray
Clinical narrative: Pulmonary embolus, shortness of breath, chest pain, D-Dimer
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Differential white blood cell count, Dyspnoea, Electrocardiogram, Fibrin D dimer
Clinical narrative: Pulmonary embolus, shortness of breath, chest pain, D-Dimer