chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Skin warm, Sleep disorder
Clinical narrative: At about 2am the morning after vaccine, I woke up and was having chills. Arm was extremely sore, hot, and swollen. I had a headache, nauseous, and just not feeling well at all. The next morning when I got up for the day I was dizzy and was running slightly over 100 fever. Head was killing me and aching all over. Tired and lethargic went back to bed for the rest of the day. Maintained 100 fever through out the day. Arm pain continued to hurt and get worse. The following day my fever stay around 99. Still achy, fatigued, and had flu like symptoms. Symptoms are improving but still experiencing fatigue on 04/13/2022.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Headache, Injection site pain, Myalgia
Clinical narrative: Extreme chills, nausea, headache, muscle aches throughout body, sore arm (injection site, dizzyness
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea
Clinical narrative: Extreme chills, nausea, headache, muscle aches throughout body, sore arm (injection site, dizzyness
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Nodule, Pruritus, Scab, Skin irritation
Clinical narrative: Knot on arm that turned into blister looking growth that has now scabbed over. Itches and has some irritation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Exercise tolerance decreased, Heart rate increased, Laboratory test abnormal, Nail bed disorder
Clinical narrative: Heart palpitations, difficulty regaining endurance with exercise, dizziness with strenuous exercise for 2 months
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Splinter haemorrhages
Clinical narrative: Heart palpitations, difficulty regaining endurance with exercise, dizziness with strenuous exercise for 2 months
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Motor dysfunction, Nausea, X-ray
Clinical narrative: I experience nausea within 2-3 after my Dose 3 Moderna 01/12/2022. I self medicated and had to go to the hospital on 03/25/2022 because the nausea was to the point that I was not able to function. I went to the Hospital for observation and they took Blood samples, x-ray and provided nausea medication. I was only there for few hours observation, evaluation and treatment. I am still scheduled for additional treatment and follow-up with my primary provider.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Malaise
Clinical narrative: Spoke to employee on telephone on 03/11/22 and she reported to me that approximately 2 hours after vaccine administration she began feeling weak, dizzy & general malaise. She reported that she was taken to ATU (Assessment & Triage Unit @ a facility), seen by MD, then transferred to outside facility for further testing & treatment.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Lymphadenopathy, Musculoskeletal discomfort, Pain, Ultrasound scan
Clinical narrative: Prolonger on going neck/should discomfort and dull pain.  Prolonged swollen lymph nodes in neck.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation reaction, Rash, Rash erythematous, Rash papular, Skin warm
Clinical narrative: Patient has an elevated red rash on the arm she received her injection.  The rash is raised 1/4 to 1/2 inch and is warm to the touch. Likely COVID arm. Patient reports having no reaction to previous doses. Patient advised to monitor and contact primary care doctor if the rash continues to spread or does not resolve in a couple of days.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest discomfort, Dizziness, Gait disturbance
Clinical narrative: Patient with 2 Pfizer vaccinations, last dose 02/23/2, who admitted to hospital with complications partially attributed to COVID and a positive COVID PCR.  Provider d/c note below:  "88 YO female who presented to the hospital for evaluation of progressive weakness, nausea and vomiting.  The patient is accompanied by her daughter.  The patient lives with her daughter.  She apparently is very healthy.  Has not seen any physician in a long while and is only on Claritin and multivitamin.  She ambulates without any assistive device.  She was in her usual state of health until about 2 days ago when she started experiencing some chest discomfort on the right side radiating to the right arm, cough, productive of clear sputum without any blood.  No hemoptysis.  She also notes that the cough seems to be worse at night.  In fact, the patient recalls that she probably has been coughing for more than 2 days.  She then started becoming weak, feeling lightheaded and according to the daughter, looks wobbly with her gait.  She has not had a falls.  She has not had any syncope.  The daughter tried her on over-the-counter medications including Alka-Seltzer for what she thought was possibly an upper respiratory cold but with her progressive weakness, she ended "
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Nausea, Productive cough, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient with 2 Pfizer vaccinations, last dose 02/23/2, who admitted to hospital with complications partially attributed to COVID and a positive COVID PCR.  Provider d/c note below:  "88 YO female who presented to the hospital for evaluation of progressive weakness, nausea and vomiting.  The patient is accompanied by her daughter.  The patient lives with her daughter.  She apparently is very healthy.  Has not seen any physician in a long while and is only on Claritin and multivitamin.  She ambulates without any assistive device.  She was in her usual state of health until about 2 days ago when she started experiencing some chest discomfort on the right side radiating to the right arm, cough, productive of clear sputum without any blood.  No hemoptysis.  She also notes that the cough seems to be worse at night.  In fact, the patient recalls that she probably has been coughing for more than 2 days.  She then started becoming weak, feeling lightheaded and according to the daughter, looks wobbly with her gait.  She has not had a falls.  She has not had any syncope.  The daughter tried her on over-the-counter medications including Alka-Seltzer for what she thought was possibly an upper respiratory cold but with her progressive weakness, she ended "
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Death
Clinical narrative: Death secondary to  COVID-19 pneumonia
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: UNKNOWN. THE PATIENT WENT TO TWO DIFFERENT CLINICS THE SAME DAY. AND ADMINISTERED COVID 19 VACCINE IN DOSE PLACES. ONE OF THE VACCINE WAS EXPIRED. THE PATIENT WAS CALLED A NUMBER OF TIMES AND HE DIDN'T ANSWER.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anovulatory cycle, Blood test abnormal, Infertility, Laboratory test, Menstruation irregular
Clinical narrative: Infertility, specifically irregularity of cycle and/or absence of ovulation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Chills, Injection site erythema, Pain
Clinical narrative: He got his vaccine, had no initial reaction other than chills that went away within a day.  He had soreness and pain, but thought that was normal.  He had redness around vaccine area, probably about circumference of about 3".  He marked it to see if it was growing. He saw his cardiologist who diagnosed him with cellulitis and was prescribed antibiotics, which he has not started yet.  He then notified his PCP which told him to continue on that regimen.  He was instructed to keep an eye on it, he marked the area with a pen to see if it gets larger and worsens.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: Change to sense of smell. A smoke-like smell freuently occurs. For about 36 hours now.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram
Clinical narrative: I woke with chest pain and shortness of breath on the morning of the 13th. I decided to call my doctor and they suggested I come in for an EKG (1/13). EKG showed strain to the right ventricle but not alarming amounts. My doctor ordered a D Dimer test (1/13) which was very high and I was admitted to the emergency room. I was given a CAT scan (1/13) and it was discovered I have several large blood clots in my lungs and was started on anticoagulation that evening.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer increased, International normalised ratio, Pulmonary thrombosis, Right ventricular dysfunction
Clinical narrative: I woke with chest pain and shortness of breath on the morning of the 13th. I decided to call my doctor and they suggested I come in for an EKG (1/13). EKG showed strain to the right ventricle but not alarming amounts. My doctor ordered a D Dimer test (1/13) which was very high and I was admitted to the emergency room. I was given a CAT scan (1/13) and it was discovered I have several large blood clots in my lungs and was started on anticoagulation that evening.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Fatigue, Headache, Vertigo
Clinical narrative: I had some normal side effects at first like headache and fatigue and then about a week later, I got the 9 positional vertigo. If I was sitting down, upon standing up the room would start spinning or if I was laying down and sat up into the sitting position, I would literally fall over and back into bed because I was so dizzy.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo positional
Clinical narrative: I had some normal side effects at first like headache and fatigue and then about a week later, I got the 9 positional vertigo. If I was sitting down, upon standing up the room would start spinning or if I was laying down and sat up into the sitting position, I would literally fall over and back into bed because I was so dizzy.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient was scheduled for her 2nd Pfizer vaccine today at 8:10 am. I administered the vaccine in the patients left deltoid. After I asked the patient to wait 15 minutes in our waiting area in case of any adverse reaction. I went to talk to the patient to document the lot number and todays date on her COVID card. When I read the documentation of the first vaccination I noticed the date read 3/30/2022. Then did I realize I had administered the 2nd vaccine earlier than the recommended 28 days in between vaccinations.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Cardiac stress test, Condition aggravated, Echocardiogram, Palpitations
Clinical narrative: A few weeks I started to have heart palpitation Went to cardiologist. They ran stress test and sonogram (echo) 14 day heart monitor. Magnesium was given. This lasted till beginning of March. Always had small amount of palpitations but nothing like this.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Pt received her second booster of Pfizer at 3:15pm on 4/12, she started experiencing  rash like symptoms and itching on her hands, arms and trunk area  around 9am on 4/13.  She took Claritin and used Cortisone but not much relief.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: None.  High dose vaccine given to 63 year old.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeling cold, Headache, Pain
Clinical narrative: I woke up at 02:00AM, I woke up shaking violently with chills and with a 102.2 fever. I took an acetaminophen and drank ice water and got under the covers so I wasn't shaking anymore, I slept fitfully alternating between being cold and feverish. I got up about 7:30 with a terrible headache and feeling achy my temperature had risen to 102.3. I took more acetaminophen during the day and drank ice water. I took my temperature and it was 101. The rest of the day I felt weak, then at dinner time my headache started to regulate.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: I woke up at 02:00AM, I woke up shaking violently with chills and with a 102.2 fever. I took an acetaminophen and drank ice water and got under the covers so I wasn't shaking anymore, I slept fitfully alternating between being cold and feverish. I got up about 7:30 with a terrible headache and feeling achy my temperature had risen to 102.3. I took more acetaminophen during the day and drank ice water. I took my temperature and it was 101. The rest of the day I felt weak, then at dinner time my headache started to regulate.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Weight bearing difficulty
Clinical narrative: Patient had a mechanical fall at home and unable to bare weight.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site pain, Vaccination site warmth
Clinical narrative: Patient Received vaccines on 4/11/22 beginning 4/12/22 patient had quarter size redness, pain,  hot to touch  and itching around area surrounding vaccine sites, seen by pediatrician 04/13/22 area marked, and given steroid cream to be applied to site
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram coronary artery normal, Computerised tomogram thorax abnormal, Dyspnoea, Exercise tolerance decreased
Clinical narrative: 11/17/2021 - Moderna booster 11/21/2021 - Rapid antigen test - Negative 11/23/2021 - PCR Covid test - Negative 12/02/2021 - ER visit  - Shortness of breath. Dr: maybe Covid/vaccine related? 12/07/2021 - Dr - Covid capsid antibody test negative. Still slightly elevated protein in urine. 12/12/2021 - continued low SpO2, weight loss, shortness of breath, tired 12/14/2021 - Dr - CT-angiography scheduled 1/4/2022 02/22/2022 - SpO2 up a couple percent to 95%. Poor exercise tolerance. 02/23/2022 - Dr - CT coronary arteries ok, but overread shows scarring in lungs and fibrosis. 03/01/2022 - Dr - Pulmonology consult. Orders lung CT. Scheduled for 3/16 03/26/2022 - Dr - Lung CT confirms Pulmonary Fibrosis. Blood work ordered. Pending results
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Oxygen saturation decreased, Protein urine present, Pulmonary fibrosis, SARS-CoV-2 antibody test negative
Clinical narrative: 11/17/2021 - Moderna booster 11/21/2021 - Rapid antigen test - Negative 11/23/2021 - PCR Covid test - Negative 12/02/2021 - ER visit  - Shortness of breath. Dr: maybe Covid/vaccine related? 12/07/2021 - Dr - Covid capsid antibody test negative. Still slightly elevated protein in urine. 12/12/2021 - continued low SpO2, weight loss, shortness of breath, tired 12/14/2021 - Dr - CT-angiography scheduled 1/4/2022 02/22/2022 - SpO2 up a couple percent to 95%. Poor exercise tolerance. 02/23/2022 - Dr - CT coronary arteries ok, but overread shows scarring in lungs and fibrosis. 03/01/2022 - Dr - Pulmonology consult. Orders lung CT. Scheduled for 3/16 03/26/2022 - Dr - Lung CT confirms Pulmonary Fibrosis. Blood work ordered. Pending results
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Weight decreased
Clinical narrative: 11/17/2021 - Moderna booster 11/21/2021 - Rapid antigen test - Negative 11/23/2021 - PCR Covid test - Negative 12/02/2021 - ER visit  - Shortness of breath. Dr: maybe Covid/vaccine related? 12/07/2021 - Dr - Covid capsid antibody test negative. Still slightly elevated protein in urine. 12/12/2021 - continued low SpO2, weight loss, shortness of breath, tired 12/14/2021 - Dr - CT-angiography scheduled 1/4/2022 02/22/2022 - SpO2 up a couple percent to 95%. Poor exercise tolerance. 02/23/2022 - Dr - CT coronary arteries ok, but overread shows scarring in lungs and fibrosis. 03/01/2022 - Dr - Pulmonology consult. Orders lung CT. Scheduled for 3/16 03/26/2022 - Dr - Lung CT confirms Pulmonary Fibrosis. Blood work ordered. Pending results
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Cough, Decreased appetite, Pyrexia, Vomiting
Clinical narrative: Patient development cough, vomiting with meals, fever and low appetite that started the day after receiving vaccines.  Symptomatic care. The fever had resolved at time of visit of 04/12/2022.  Patient's mother was advised to follow up within 1 week of seeing provider.
Age: 29.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: 24 hours after administration patient noticed redness, swelling and warmth. Large bump "half-dollar size", lasted for 1 week.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Lung infiltration
Clinical narrative: Waxing and waning bilateral pulmonary infiltrates COVID infection December 2021.   concerned that he could have still some smoldering COVID infection.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Preop screening
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given the booster dose of Moderna on 04/13/2022, the vaccine expired on 04/06/2022. No adverse reactions during the  required 15 minute waiting period after the immunization was given.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Deafness, Deafness unilateral, Feeling abnormal, Hypoacusis
Clinical narrative: On February 26, 2022 at waking around 07:00AM I felt something wasn't right. I had complete and total loss of hearing of my left ear. I tried something OTL called Dry Box, I am not sure what it's called but I was thinking maybe it was build-up of ear wax. It did not clear up in a few days so I called my doctors and set up a hearing test in early March. I was prescribed a course of Prednisone. I did that course of Prednisone and had an MRI before the next follow-up and second hearing test on March 24, 2022. MRI of the brain and It came back normal. I did do a little better but I maybe got about 30% hearing back. But at that time they wanted to do injections into my eardrum of steroids but I did some research and did not feel I wanted to do that. I had a test done on my eardrum which was part of the Audiology hearing test which was normal. Both of my eardrums were functioning fine. I still have just 30% hearing and my doctors are suggesting a hearing aid or implant but I am waiting to see if it will improve over time. I feel that if I have to have anything I prefer hearing aid. This has been pretty disruptive to my life. I can no longer do a proper job being an Umpire for the softball that I have been doing for the last ten years.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Loss of personal independence in daily activities, Magnetic resonance imaging head normal, Tympanometry normal
Clinical narrative: On February 26, 2022 at waking around 07:00AM I felt something wasn't right. I had complete and total loss of hearing of my left ear. I tried something OTL called Dry Box, I am not sure what it's called but I was thinking maybe it was build-up of ear wax. It did not clear up in a few days so I called my doctors and set up a hearing test in early March. I was prescribed a course of Prednisone. I did that course of Prednisone and had an MRI before the next follow-up and second hearing test on March 24, 2022. MRI of the brain and It came back normal. I did do a little better but I maybe got about 30% hearing back. But at that time they wanted to do injections into my eardrum of steroids but I did some research and did not feel I wanted to do that. I had a test done on my eardrum which was part of the Audiology hearing test which was normal. Both of my eardrums were functioning fine. I still have just 30% hearing and my doctors are suggesting a hearing aid or implant but I am waiting to see if it will improve over time. I feel that if I have to have anything I prefer hearing aid. This has been pretty disruptive to my life. I can no longer do a proper job being an Umpire for the softball that I have been doing for the last ten years.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Computerised tomogram, Electroencephalogram, Intensive care, Laboratory test
Clinical narrative: Had a mini stroke  tPA via IV, ICU for 2 days Msicu for 2 nights Acute aphasia
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Scan with contrast, Transient ischaemic attack
Clinical narrative: Had a mini stroke  tPA via IV, ICU for 2 days Msicu for 2 nights Acute aphasia
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Magnetic resonance imaging, Pain, X-ray
Clinical narrative: After a week after the vaccine, I had pain lifting my arm. It was within the arm vaccinated above the elbow. January 10th, I went to the doctor they did an MRI and X-ray to figure out what was going on. He said I might I have SIRVA.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Joint swelling, Pain in extremity, Swelling, Tenderness
Clinical narrative: pt states after getting the booster her arm was sore and she had a really bad headache.  The next day her left arm pit was swollen.  She states she has a third nipple and it was swollen around that are under the arm pit.  She  also had a swollen left wrist.  She iced it and wrapped it.  The headache and swelling of the wrist subsided after a couple of days but she still has some tenderness and slight swelling under the left arm pit.  She had an already scheduled appt w/ Oncologist so she had them check her armpit.  She was told it was probably from her booster shot  but to come back if the swelling does not go down and they would run test.   She has a FU visit in a couple of months with her Oncologist so she will have it checked then if it still swollen.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abscess, C-reactive protein, Colonoscopy abnormal, Computerised tomogram abdomen normal
Clinical narrative: He received his first dose of Pfizer on 2-Nov-21. Per review of available records, he has been experiencing ongoing constipation (severe), as well as internal and external hemorrhoids and bloating which began several days following the COVID-19 vaccine. No prior history of this or any GI issues. He is currently undergoing specialty evaluation (GI).  Colonoscopy revealed internal hemorrhoids, but was otherwise normal. He presented to the ED the same day (1-31) for rectal pain and bleeding and underwent an I&D for a simple abscess of thrombosed hemorrhoid. Abd CT normal. Thyroid panel, CBC, CMP normal. Pending CRP and celiac panel. Currently on Linzess and Motegrity with minimal change.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Constipation, Full blood count normal, Haemorrhoids, Haemorrhoids thrombosed, Incisional drainage
Clinical narrative: He received his first dose of Pfizer on 2-Nov-21. Per review of available records, he has been experiencing ongoing constipation (severe), as well as internal and external hemorrhoids and bloating which began several days following the COVID-19 vaccine. No prior history of this or any GI issues. He is currently undergoing specialty evaluation (GI).  Colonoscopy revealed internal hemorrhoids, but was otherwise normal. He presented to the ED the same day (1-31) for rectal pain and bleeding and underwent an I&D for a simple abscess of thrombosed hemorrhoid. Abd CT normal. Thyroid panel, CBC, CMP normal. Pending CRP and celiac panel. Currently on Linzess and Motegrity with minimal change.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Metabolic function test normal, Proctalgia, Rectal haemorrhage, Thyroid function test normal
Clinical narrative: He received his first dose of Pfizer on 2-Nov-21. Per review of available records, he has been experiencing ongoing constipation (severe), as well as internal and external hemorrhoids and bloating which began several days following the COVID-19 vaccine. No prior history of this or any GI issues. He is currently undergoing specialty evaluation (GI).  Colonoscopy revealed internal hemorrhoids, but was otherwise normal. He presented to the ED the same day (1-31) for rectal pain and bleeding and underwent an I&D for a simple abscess of thrombosed hemorrhoid. Abd CT normal. Thyroid panel, CBC, CMP normal. Pending CRP and celiac panel. Currently on Linzess and Motegrity with minimal change.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted.  Asymptomatic COVID breakthrough infection
Age: 60.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: The patient was at the clinic for her 2nd Hep A immunization on 04/11/22.  On 04/13/22, during a spot check it was identified that she was given the pediatric dose instead of the adult dose.  The patient has not had any adverse effects.  Notified the Health Department on 04/13/22 and telephoned the patient to return to clinic for re-administration of 2nd Adult dose.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given Moderna Booster vaccine on 04/13/22. Lot # 069H21A went out of date on 04/06/22. Temp was in range per CDC guidelines. Patient had no adverse reaction after required 15 minute waiting period. Moderna was called.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment, Vitreous detachment, Vitreous floaters
Clinical narrative: I have floaters in both eyes, but more in my right eye, that is causing vision problem. They said it was Posterior Vitreous Detachment.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Blood test abnormal, Computerised tomogram head normal, Dizziness
Clinical narrative: Started working at 07:00 with my patients in the hospital, I became very diaphoretic, and my pulse rate  as 110 - 160's, became short of breath, and dizzy., I went to the emergency room where they did STAT EKG, CT of head, echocardiogram, and bloodwork. the radiology tests were negative. My blood work was unremarkable except for an elevated D-dimer. Because of a previously reported DVT last March (by the way was 2 months after my 2nd COVID vaccine) the ER docs ordered a CT of chest with angiography. That result was a pulmonary embolism in the right lower lobe. I am currently on ELIQUIS.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Fibrin D dimer increased, Hyperhidrosis
Clinical narrative: Started working at 07:00 with my patients in the hospital, I became very diaphoretic, and my pulse rate  as 110 - 160's, became short of breath, and dizzy., I went to the emergency room where they did STAT EKG, CT of head, echocardiogram, and bloodwork. the radiology tests were negative. My blood work was unremarkable except for an elevated D-dimer. Because of a previously reported DVT last March (by the way was 2 months after my 2nd COVID vaccine) the ER docs ordered a CT of chest with angiography. That result was a pulmonary embolism in the right lower lobe. I am currently on ELIQUIS.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Started working at 07:00 with my patients in the hospital, I became very diaphoretic, and my pulse rate  as 110 - 160's, became short of breath, and dizzy., I went to the emergency room where they did STAT EKG, CT of head, echocardiogram, and bloodwork. the radiology tests were negative. My blood work was unremarkable except for an elevated D-dimer. Because of a previously reported DVT last March (by the way was 2 months after my 2nd COVID vaccine) the ER docs ordered a CT of chest with angiography. That result was a pulmonary embolism in the right lower lobe. I am currently on ELIQUIS.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Expired product administered
Clinical narrative: no adverse event Expired dose of MMRV given. Called ,mother and will make repeat appointment to revaccinate. Merck stated considered vaccination viable, Doctor directed to repeat dose of obtain a MMR V titer
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccination not stored at appropriate temperature
Age: 60.0
Sex: F
Vaccine: PNC13
Symptoms: Feeling abnormal, Throat irritation
Clinical narrative: Approximately 2-3 minutes after injection patient stated, "I don't feel right." Throat then became "itchy and scratchy" Patient was given water to drink and waited in exam room. Patient was given Benadryl 25 mg IM @ 1202 and Kenalog 40 mg IM @ 1159 by nurse
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Feeling abnormal, Hypersensitivity, Injection site erythema, Pruritus
Clinical narrative: I stated on the last page everything I took and did for my reactions
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Psychomotor hyperactivity, Pyrexia, Somnolence
Clinical narrative: I stated on the last page everything I took and did for my reactions
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: My menstrual periods had changed since the vaccine, I didn't fill up a form until my 3 period came to make sure it was not just a single event, principal changes involve menorrhagia and dysmenorrhea which I have never had before.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient came in one week early for 1st booster as she is traveling out of country and is needing booster 2 weeks before able to travel. Booster dose was due 4/18/2022 but states leaving on 4/28/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Cyanosis, Dizziness
Clinical narrative: Tested positive for COVID 02/21/22. Headache and congestion, coughing. The symptoms weren't bad. It's hard to tell how long they lasted because I've been sick since I got COVID. Mostly has been chronic nausea which can't get over. Now there is a constant bitter taste in my mouth, and everything tastes like poison, I've had light-headiness, my finger and patch on my face on a scar I had surgery on turned blue whenever I'm cold. I've had chills for a long while.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Feeling cold, Headache, Malaise, Nausea
Clinical narrative: Tested positive for COVID 02/21/22. Headache and congestion, coughing. The symptoms weren't bad. It's hard to tell how long they lasted because I've been sick since I got COVID. Mostly has been chronic nausea which can't get over. Now there is a constant bitter taste in my mouth, and everything tastes like poison, I've had light-headiness, my finger and patch on my face on a scar I had surgery on turned blue whenever I'm cold. I've had chills for a long while.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Taste disorder
Clinical narrative: Tested positive for COVID 02/21/22. Headache and congestion, coughing. The symptoms weren't bad. It's hard to tell how long they lasted because I've been sick since I got COVID. Mostly has been chronic nausea which can't get over. Now there is a constant bitter taste in my mouth, and everything tastes like poison, I've had light-headiness, my finger and patch on my face on a scar I had surgery on turned blue whenever I'm cold. I've had chills for a long while.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccination not stored at appropriate temperature.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Lethargy, Mobility decreased
Clinical narrative: I had a severe headache & I was very lethargic and weak I had no strength I just laid in bed for over 3 or 4 days.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Asthma, Blood pressure increased, Blood test, Condition aggravated
Clinical narrative: I was having trouble breathing. My asthma got very severe. My heart rate and blood pressure went up. I ended up in the ER to have breathing treatments to help me breath. I had inconclusive EKG from my watch. I have an enlarged right ventricle. I also have double heart beat sometimes. They got horrible in December and have persisted since. I had to start taking Metoprolol to even out my arrhythmia.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Extrasystoles, Heart rate increased, Right ventricular hypertrophy
Clinical narrative: I was having trouble breathing. My asthma got very severe. My heart rate and blood pressure went up. I ended up in the ER to have breathing treatments to help me breath. I had inconclusive EKG from my watch. I have an enlarged right ventricle. I also have double heart beat sometimes. They got horrible in December and have persisted since. I had to start taking Metoprolol to even out my arrhythmia.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Patient developed swelling without pain in left axilla after vaccine.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine not refrigerated at appropriate temperature.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Skin discolouration
Clinical narrative: 15 month old infant presented to office on 12/29/21 for well-visit.  MD ordered Pneumococcal conjugate vaccine 13-valent IM (PREVNAR 13), HiB PRP-OMP conjugate vaccine 3 dose IM (PedvaxHIB), and DTaP vaccine less than 7yo IM (INFANRIX) to be given during visit. CMA prepared and administered the following immunizations:  Pneumococcal conjugate vaccine 13-valent IM (PREVNAR 13) IM to patient's left thigh (LOT # EM2364) ,HiB PRP-OMP conjugate vaccine 3 dose IM (PedvaxHIB) IM to patient's right thigh (LOT # U013278), and DTaP vaccine less than 7yo IM (INFANRIX) IM to patient's left thigh (LOT # 7EC55). No issues documented.  Patient returned on 4/12/22 for 18month well-visit.  At this visit, parent endorsed patient had15 month old infant presented to office on 12/29/21 for well-visit.  MD ordered Pneumococcal conjugate vaccine 13-valent IM (PREVNAR 13), HiB PRP-OMP conjugate vaccine 3 dose IM (PedvaxHIB), and DTaP vaccine less than 7yo IM (INFANRIX) to be given during visit. CMA prepared and administered the following immunizations:  Pneumococcal conjugate vaccine 13-valent IM (PREVNAR 13) IM to patient's left thigh (LOT # EM2364) ,HiB PRP-OMP conjugate vaccine 3 dose IM (PedvaxHIB) IM to patient's right thigh (LOT # U013278), and DTaP vaccine less than 7yo IM (INFANRIX) IM to patient's left thigh (LOT # 7EC55). No issues documented.  Patient returned on 4/12/22 for 18month well-visit.  At this visit, parent endorsed patient had "knot" on leg where last received vaccines.  Knot recently went away with only massaging area.  MD noted "slight hyperpigmented skin discoloration on outer left leg".  Patient was administered Hepatitis A vaccine on 4/12/22 IM via patient's right thigh with no issues noted.  System lists local injections site reaction including "Pain at injection site (41% to 57%), erythema at injection site (?32%), swelling at injection site (?22%), tenderness at injection site (children: ?20%)".
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Mobility decreased, Pyrexia
Clinical narrative: The evening of the vaccine I got fever and chills. The next morning, I woke up with the worse headache ever. I took Tylenol which didn't help. I laid in a dark room and couldn't do anything. I called my doctor that morning to see if I could take anything other than Tylenol and they said no. By that evening the headache lessened and was gone by the next day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccination not stored at appropriate temperature.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Oropharyngeal pain, Productive cough, Respiratory tract congestion
Clinical narrative: I began to have a sore throat 02/13/2022 and went to my primary physician and tested COVID positive on 02/18/2022. I had congestion, breathing and coughing up mucus. I wake-up and gasps for air. Vitamin C, Zinc, and Vitamin D.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I began to have a sore throat 02/13/2022 and went to my primary physician and tested COVID positive on 02/18/2022. I had congestion, breathing and coughing up mucus. I wake-up and gasps for air. Vitamin C, Zinc, and Vitamin D.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Anxiety, Asthma, Condition aggravated, Depression
Clinical narrative: A month later, I started to feel increased anxiety and depression. I started to have general uncharacteristic behavior. I sought care from a counselor and have been prescribed anti-anxiety and anti-depressant medication. Also, random instances of pain in the arm where I received the 'shot'. It also messed with my asthma.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: A month later, I started to feel increased anxiety and depression. I started to have general uncharacteristic behavior. I sought care from a counselor and have been prescribed anti-anxiety and anti-depressant medication. Also, random instances of pain in the arm where I received the 'shot'. It also messed with my asthma.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: 11/20/2021 upper area of left arm started hurting and pain wrapped around arm continuous for 62 days, then continues to hurt occasionally throughout the day almost every day.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccination not stored at appropriate temperature.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Injection site mass
Clinical narrative: 15 month old infant presented to office on 1/4/22 for well-visit.  MD ordered Pneumococcal conjugate vaccine 13-valent IM (PREVNAR 13), HiB PRP-OMP conjugate vaccine 3 dose IM (PedvaxHIB), and DTaP vaccine less than 7yo IM (INFANRIX) to be given during visit. CMA prepared and administered the following immunizations:  Pneumococcal conjugate vaccine 13-valent IM (PREVNAR 13) IM to patient's LVL (LOT # EM2364), HiB PRP-OMP conjugate vaccine 3 dose IM (PedvaxHIB) IM to patient's RVL (LOT # U013278), and DTaP vaccine less than 7yo IM (INFANRIX) IM to patient's LVL (LOT # 7EC55). On 1/8, parent sent message to office noting "huge lump on patient's left thigh".  Lump was non-tender and didn't seem to bother patient. Patient returned to office on 1/11 for fluoride treatment.  MD noted "1 cm diameter nodule in right thigh from vaccine injection site, no redness, overlying swelling, no drainage" on 1/11.  Patient had been afebrile. System lists local injections site reaction including "Pain at injection site, erythema at injection site, swelling at injection site, tenderness at injection site".
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Decreased appetite, Fatigue
Clinical narrative: I experienced an adverse reaction beginning at 12pm 4/11/21 with nausea, loss of appetite, full body fatigue, body aches, complete lack of energy, sore throat, cough, chills, injection site redness. These symptoms lasted for about 36 hours, I missed a day of work, and was unable to do normal daily activities until that point.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site erythema, Loss of personal independence in daily activities, Nausea, Oropharyngeal pain
Clinical narrative: I experienced an adverse reaction beginning at 12pm 4/11/21 with nausea, loss of appetite, full body fatigue, body aches, complete lack of energy, sore throat, cough, chills, injection site redness. These symptoms lasted for about 36 hours, I missed a day of work, and was unable to do normal daily activities until that point.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: I experienced an adverse reaction beginning at 12pm 4/11/21 with nausea, loss of appetite, full body fatigue, body aches, complete lack of energy, sore throat, cough, chills, injection site redness. These symptoms lasted for about 36 hours, I missed a day of work, and was unable to do normal daily activities until that point.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccination not stored at appropriate temperature.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn't noticed and sent to clinic who administered expired vaccine to patient on 4/5.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccination not stored at appropriate temperature.
Age: 1.42
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: 17 month old infant presented on 3/17/22 to office for well-visit. MD ordered Pneumococcal conjugate vaccine 13-valent IM (PREVNAR 13), HiB PRP-OMP conjugate vaccine 3 dose IM (PedvaxHIB), and DTaP vaccine less than 7yo IM (INFANRIX) to be given during visit. CMA prepared and administered the following immunizations: Pneumococcal conjugate vaccine 13-valent IM (PREVNAR 13) IM to patient's right thigh (LOT #ER7046), HiB PRP-OMP conjugate vaccine 3 dose IM (PedvaxHIB) IM to patient's left thigh (LOT #U024091), and DTaP vaccine less than 7yo IM (INFANRIX) IM to patient's right thigh (LOT #23T73). On 1/11, parent sent message to office noting "pea-sized lump on patient's left thigh". Lump was non-tender and didn't seem to bother patient. Parent noted patient was afebrile, and no red streaks or marks noted.  Parent encouraged to massage the area and to return to office if did not improve in 2 more weeks.  Patient had received Hib vaccine in left thigh. Local injections site reaction including "Pain at injection site, erythema at injection site, swelling at injection site, tenderness at injection site".
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: I went the hospital and had my first vaccine waited my 30 minutes. After that I went on my daily business. I was several days feeling the normal symptoms of feeling not well, After a couple of weeks I started noticing a huge ring on my arm. The itchiness was not stop and the pain is horrible. I went to the hospital and was seen my the ER and they recommended some medicine over the counter. Till today the ring has left but the pain in my arm is constant.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Headache, Pain in extremity, Pyrexia
Clinical narrative: My right arm is sore, head ache and slight fever.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccination not stored at appropriate temperature.
Age: 60.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: PAIN, REDNESS AND SORENESS THAT IS SPREADING AND GETTING WORSE. AREA IS RED AND SWOLLEN AND TENDER TO THE TOUCH AND WARM
Age: 60.0
Sex: F
Vaccine: PNC20
Symptoms: Pain
Clinical narrative: PAIN, REDNESS AND SORENESS THAT IS SPREADING AND GETTING WORSE. AREA IS RED AND SWOLLEN AND TENDER TO THE TOUCH AND WARM
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccination not stored at appropriate temperature.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Impaired work ability, Loss of personal independence in daily activities, Pain
Clinical narrative: I had extremely high temperature of 103 and aches and pains that lasted about 12 to 18 hours that were so severe I couldn't work the next day or do normal daily activities. All of that last for 12 to 18 hours. Was advised to rest and took Advil and Tylenol for the aches.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Stress
Clinical narrative: Shortly after my blood pressure rose up to 100/100 and higher, up to 190/110. It is not uncommon during stressful situations. Vaccination just made it sky rocket. Saw Dr and started protocol and back on Lisinopril. Both of these helped keep blood pressure normal. Started me on some natural antiviral to help before my next booster.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Breast swelling, Breast tenderness, Chills
Clinical narrative: 52yr old patient with history of sensory peripheral neuropathy, HTN, pre-diabetes, and other comorbidities presented on 4/8 for annual well-visit.  MD ordered patient to receive Pfizer SARS-CoV-2 (COVID-19) Vaccine booster during visit.  CMA prepared COVID-19 Pfizer vaccine (LOT # FK9895) IM in patient's left deltoid.  Patient monitored 15minutes.  On 4/12, patient called complaining of mild swelling to right axillary post injection.  Swelling had progressed to L axillary and feels it in breast.  Pain 6/10, with bilateral axillary and breast tender and constantly sore.  Patient endorsed taking ibuprofen without relief.  Patient noted redness and itching at injection site of right arm.  Patient denied fever, numbness Patient denied fever, numbness, tingling, confusion, rash, shortness of breath.  Unclear as Immunization documentation shows booster given in Left deltoid, but patient's symptoms in right arm.  During follow up office visit on 4/12, patient positive for chills, fever, myalgias, itching, and rash and headaches.  MD instructed patient to continue ibuprofen 800mg TID, add acetaminophen 1000mg Q8H, and use cool compress 20min at a time, and diphenhydramine 25-50mg QHS PRN for swelling/itching.