chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: Atypical Chest pain Pleuritic Chest pain Pt presents with pleuritic chest pain in context of recent RT treatment CTA negative, initial trop neg, initial EKG w/out signs of acute ischemia Repeat EKG (11/14) showing diffuse ST elevations D/W on call cardiology (see significant event note)  Lexiscan without signs of ischemia> current concern for Pericarditis  No viral prodrome, did receive COVID booster a couple days ago (unsure if re;ated at this point) Will start course of NSAID/PPI + prednisone taper, (drug interaction between colchicine and coreg) Cycle trop> neg, recent TTE performed no sig WMA, CTA with trace pericardial effusion Cardiology/ PCP follow up consults placed
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest discomfort, Chest pain, Decreased appetite
Clinical narrative: Breakthrough COVID first vaccine 1/14  93 y/o M with pmh of IDDMII, HTN who presents with chest pain x3 days pressure like across the chest not associated with exertion. States the pain is up to 8/10 and has associated dizziness, gen weakness and anorexia. States associated pain in arms and neck with  increased tenderness  States that rest improves it.  came in today d/t progressively worsening pain denies any orthopnea, PND, LE edema Denies any cough fever chills.  Denies any N/V/D denies any similar pain events in the past and never had any cardiac work up or testing
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Neck pain, Pain in extremity, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID first vaccine 1/14  93 y/o M with pmh of IDDMII, HTN who presents with chest pain x3 days pressure like across the chest not associated with exertion. States the pain is up to 8/10 and has associated dizziness, gen weakness and anorexia. States associated pain in arms and neck with  increased tenderness  States that rest improves it.  came in today d/t progressively worsening pain denies any orthopnea, PND, LE edema Denies any cough fever chills.  Denies any N/V/D denies any similar pain events in the past and never had any cardiac work up or testing
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tenderness, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID first vaccine 1/14  93 y/o M with pmh of IDDMII, HTN who presents with chest pain x3 days pressure like across the chest not associated with exertion. States the pain is up to 8/10 and has associated dizziness, gen weakness and anorexia. States associated pain in arms and neck with  increased tenderness  States that rest improves it.  came in today d/t progressively worsening pain denies any orthopnea, PND, LE edema Denies any cough fever chills.  Denies any N/V/D denies any similar pain events in the past and never had any cardiac work up or testing
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient reports after receiving COVID booster on 11/19/2021 she developed left arm pain, swelling, warmth, and erythema over injection site.  Reports knot under injection site.  Reports with range of motion of right upper extremity causes discomfort.  reports she cannot apply pressure to the injection site due to pain.  Patient has been taking Tylenol and Motrin for her symptoms.  Patient states the erythema has somewhat improved.    Upon examination right deltoid injection site with erythematous area measuring 7 cm (L) X 8 cm (W), firm nodule under injection site, tender upon palpation.  Warmth upon palpation.  No lymphatic streaking,  No fluctuance or induration.   Range of motion, sensation intact.  + radial and brachial pulses.  Will continue to follow up employee health clinic.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Patient reports after receiving COVID booster on 11/19/2021 she developed left arm pain, swelling, warmth, and erythema over injection site.  Reports knot under injection site.  Reports with range of motion of right upper extremity causes discomfort.  reports she cannot apply pressure to the injection site due to pain.  Patient has been taking Tylenol and Motrin for her symptoms.  Patient states the erythema has somewhat improved.    Upon examination right deltoid injection site with erythematous area measuring 7 cm (L) X 8 cm (W), firm nodule under injection site, tender upon palpation.  Warmth upon palpation.  No lymphatic streaking,  No fluctuance or induration.   Range of motion, sensation intact.  + radial and brachial pulses.  Will continue to follow up employee health clinic.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Arthralgia, Blood creatine phosphokinase, Blood lactic acid, Blood test
Clinical narrative: My joints, knees, hips, shoulders, and neck were all hurting. When I tried to sit it would hurt. I couldn't barely get out of bed because of the pain. I took a bath one night and couldn't get out of it because of the pain. I went to my doctor, and she prescribed pain and anti-inflammatory medicine.  I see a rheumatologist. I had inflammation of 186 when the normal range is 15 to 30. I was very inflamed, so the doctor started me on prednisone 80mg, and then she added in a methotrexate medication. She was trying to reduce the prednisone dosage but when she does my symptoms would come back so she would have to bring it back up. I was diagnosed with polymyalgia rheumatica. I'm still having pain in my hips and knees while still on medication. I will be on medication as long as I have it because if I stop it comes right back.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Inflammation, Mobility decreased, Neck pain, Pain
Clinical narrative: My joints, knees, hips, shoulders, and neck were all hurting. When I tried to sit it would hurt. I couldn't barely get out of bed because of the pain. I took a bath one night and couldn't get out of it because of the pain. I went to my doctor, and she prescribed pain and anti-inflammatory medicine.  I see a rheumatologist. I had inflammation of 186 when the normal range is 15 to 30. I was very inflamed, so the doctor started me on prednisone 80mg, and then she added in a methotrexate medication. She was trying to reduce the prednisone dosage but when she does my symptoms would come back so she would have to bring it back up. I was diagnosed with polymyalgia rheumatica. I'm still having pain in my hips and knees while still on medication. I will be on medication as long as I have it because if I stop it comes right back.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica, Red blood cell sedimentation rate, Rheumatoid factor, Vitamin B12, Vitamin D
Clinical narrative: My joints, knees, hips, shoulders, and neck were all hurting. When I tried to sit it would hurt. I couldn't barely get out of bed because of the pain. I took a bath one night and couldn't get out of it because of the pain. I went to my doctor, and she prescribed pain and anti-inflammatory medicine.  I see a rheumatologist. I had inflammation of 186 when the normal range is 15 to 30. I was very inflamed, so the doctor started me on prednisone 80mg, and then she added in a methotrexate medication. She was trying to reduce the prednisone dosage but when she does my symptoms would come back so she would have to bring it back up. I was diagnosed with polymyalgia rheumatica. I'm still having pain in my hips and knees while still on medication. I will be on medication as long as I have it because if I stop it comes right back.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine past 12 hours expiration. MD contacted pt. No adverse event. Pt. declined revaccination.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Skin odour abnormal
Clinical narrative: A repugnant, putrid body odor reminiscent of garlic and onions emanating from all parts of my body, predominantly the under arm area. Symptoms began only hours after vaccine administration. Showered excessively with hypoallergenic fragrance free sensitive skin soap.  Odor returns within 2 hours after shower for first three days. I continued my excessive showering and now the smell has begun to fade and is only present once I begin to perspire. I still have the putrid smell on the daily basis. I am very concerned about receiving dose 2.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Dyspnoea, Headache, Influenza like illness, Nausea
Clinical narrative: Normal flu like symptoms 12 hours after vaccination.  24 hours after vaccination severe headache, severe nausea, dizziness and shortness of breath.  Redness and swelling and itching at vaccination site. Rescue was called and vital were normal by the time they arrived. 50 mg Benadryl given.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: Normal flu like symptoms 12 hours after vaccination.  24 hours after vaccination severe headache, severe nausea, dizziness and shortness of breath.  Redness and swelling and itching at vaccination site. Rescue was called and vital were normal by the time they arrived. 50 mg Benadryl given.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: The Pfizer vaccine was mixed incorrectly (too much diluent used), so the patient received an invalid dose.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: the patient was accidentally given the adolescent dose of the COVID vaccine rather than the pediatric dose
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: admitted to the hospital with s/s of COVID, tested positive
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: tiny itchy red bumps on BOTH arms /   appearing approximately 24 hrs after injection   /   still visible 48 hrs after injection    / treated with OTC antihistamine   /    No similar reaction to 2 previous doses
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Feeling hot, Presyncope
Clinical narrative: DIZZY, OVERHEATED, AND THE POPLE AT THE POST OFFICE HELPED ME BECAUSE I ALMOST FAINTED.  THE POST OFFICE IS RIGHT DOWN THE STREET- CLOSE ENOUGH TO WALK, IF NEEDED.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND AGENCY REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Pain, Pruritus, Rash erythematous, Skin warm
Clinical narrative: Pt has localized rash that is red and warm to touch on her left arm where she received her Moderna Covid 19 booster shot on Thursday, 11/18/21 . Rash is itching with mild pain. Ppt is reporting that rash came up on Saturday morning.   Size of rash is 14 X 8 cm.   Pt had Pfizer 2 shot COVID 19 series and did not have this kind of reaction when she took that vaccine.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine past 12 hours expiration. MD contacted pt. No adverse event. Pt. declined revaccination
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pericarditis
Clinical narrative: 2 days post vaccine began to have chest pain, presented to emergency department and diagnosed with pericarditis, treated with steroids and symptoms resolved over several days, made full recovery
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough. Patient became hypoxic on 11/22/21 and was brought to the ED by EMS. She was tested positive for COVID and put on 15L of Oxygen.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Incorrect route of product administration, Malaise
Clinical narrative: Patient states the vaccinator placed the injection (Pfizer booster) ?lower than my deltoid, and not into the deltoid muscle. I know where my deltoid is?. Patient states she had the expected side effects, ?twenty four hours of fatigue, malaise, and chills similar to my second dose of Pfizer? which leads her to believe ?it (vaccine) got into my bloodstream?. Patient verbalized no severe side effects or adverse events at this time. Patient denies neurologic deficits in the arm.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: VACCINE WAS MIXED USING DILUENT THAT WAS IN A 10ML VIAL THAT HAD BEEN PUNCTURED AND USED ON  A PREVIOUS DAY.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Lymphadenopathy, Rash pruritic, Swelling
Clinical narrative: verty swollen lymph node on injection arm side with swelling reachig up to the collarbone. Also have the 'moderna arm' itchy rash at injection site less than 24 hours after the booster shot
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Hypoaesthesia, Middle ear effusion, Tinnitus
Clinical narrative: Hearing loss, long term, near complete loss of hearing in right ear, with numbness, tinnitus, loud roar, and subjectively sensed water in the inner ear.  Symptoms began 9 months after 2nd COVID-19 Maderna vaccine.  Duration of hearing loss is, approximately 5 weeks and has been experienced from approximately October 20-21/ 2021 until today with hearing near normal with some tinnitus.  I am one of three other adults who have hearing loss after a number of months after both Maderna and Pfizer COVID-19 vaccine/s.  Two of them have total hearing loss, one is my brother, and was accompanied with vertigo.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Fall, Gait disturbance, Guillain-Barre syndrome, Hyporeflexia
Clinical narrative: I was recovering from back surgery on 1/27/2021. By July I was able to walk up to three miles without problem.  I noticed weakening in my legs in early August and was barely able to walk at all by mid-August.  I began using a walker and saw my back surgeon, Dr.  mid-September.  By then I had fallen several times and was using a wheelchair to get around.  Dr. suspected Guillain-Barré syndrome and referred me to MD, a neurologist.  After about a month, I went back to using my walker and by the beginning of November, I was able to walk unassisted, though with weakness persisting in my legs.  I began Physical Therapy 11/11/2021.  I continue to improve slowly, though still have quite a bit of weakness in my legs.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Muscular weakness, Nerve conduction studies, Reflex test abnormal, Walking aid user
Clinical narrative: I was recovering from back surgery on 1/27/2021. By July I was able to walk up to three miles without problem.  I noticed weakening in my legs in early August and was barely able to walk at all by mid-August.  I began using a walker and saw my back surgeon, Dr.  mid-September.  By then I had fallen several times and was using a wheelchair to get around.  Dr. suspected Guillain-Barré syndrome and referred me to MD, a neurologist.  After about a month, I went back to using my walker and by the beginning of November, I was able to walk unassisted, though with weakness persisting in my legs.  I began Physical Therapy 11/11/2021.  I continue to improve slowly, though still have quite a bit of weakness in my legs.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Wheelchair user
Clinical narrative: I was recovering from back surgery on 1/27/2021. By July I was able to walk up to three miles without problem.  I noticed weakening in my legs in early August and was barely able to walk at all by mid-August.  I began using a walker and saw my back surgeon, Dr.  mid-September.  By then I had fallen several times and was using a wheelchair to get around.  Dr. suspected Guillain-Barré syndrome and referred me to MD, a neurologist.  After about a month, I went back to using my walker and by the beginning of November, I was able to walk unassisted, though with weakness persisting in my legs.  I began Physical Therapy 11/11/2021.  I continue to improve slowly, though still have quite a bit of weakness in my legs.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: I was diagnosed with Belles Palsy. My left side of my face went numb and I was unable to shut left eye for about 3 mths.My right eye sagged or drooped and felt much heavier than left eye. Almost felt like I had 2 faces.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt. recieved vaccine 12 hours past expiration. unable to contact pt.
Age: 27.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Client received a booster dose of Pfizer even though they are only 17 years old.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Vaccine positive rechallenge
Clinical narrative: Shot 1 (Booster) above - severe illness, high fever, severe headache to migraine, body aches, nausea, dizziness, lymph node swelling and soreness - this is Day 5 for all symptoms;     Shot 2 above in May 2021 - same reactions as above except that lymph node swelling continued for 60 days;     Shot 3 above in April 2021 - less severe reactions, however, lymph nodes swollen until next shot.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Headache, Illness, Immunisation, Lymph node pain, Lymphadenopathy
Clinical narrative: Shot 1 (Booster) above - severe illness, high fever, severe headache to migraine, body aches, nausea, dizziness, lymph node swelling and soreness - this is Day 5 for all symptoms;     Shot 2 above in May 2021 - same reactions as above except that lymph node swelling continued for 60 days;     Shot 3 above in April 2021 - less severe reactions, however, lymph nodes swollen until next shot.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Migraine, Pain, Pyrexia
Clinical narrative: Shot 1 (Booster) above - severe illness, high fever, severe headache to migraine, body aches, nausea, dizziness, lymph node swelling and soreness - this is Day 5 for all symptoms;     Shot 2 above in May 2021 - same reactions as above except that lymph node swelling continued for 60 days;     Shot 3 above in April 2021 - less severe reactions, however, lymph nodes swollen until next shot.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was given Pfizer as a second dose on 11/22/21. First dose of Moderna, received outside of the facility, was done on 4/27/21. Patient did not refuse or explain to nurse that he received Moderna as a first vaccine. Per nurse, the first dose of Moderna wasn't documented in database. Patient was monitored after administration. No adverse reaction noted.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Palpitations
Clinical narrative: dizziness, weakness, palpitaitons   Treated with rest, lying supine  and oral fluids
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: pt. recieved vaccine 12 hours past expiration. MD contacted pt. No adverse event. Pt. declined revaccination.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Muscle spasms, Pain, Pain in extremity
Clinical narrative: At first both legs had cramps all over and hurt even while liking down. This overall subsided by the end of day 3, but a terrible pain continued in my left hip area ( milder on my right side)  so that I can no longer walk normally and I cannot walk up & down stairs normally. Very painful! Going down I have to lead with my left and bring my right to that same  step. Going up it?s the reverse. I have to lead with my right as my left will not support my weight.  I cannot also lie on that side in bed without a lot of pain. I wake up during the night. I have no pain if I lie still on my back or sit in a chair. It is only when I am moving .  I had my left hip  x-rayed  a little over a month ago ( when my back hurt,  just as a precaution) and the x-ray shows no damage or anything to raise any concern.  I now have waited the week hoping these symptoms would go away but they have not. I have an appointment next Wed (12/1) with my doctor
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: At first both legs had cramps all over and hurt even while liking down. This overall subsided by the end of day 3, but a terrible pain continued in my left hip area ( milder on my right side)  so that I can no longer walk normally and I cannot walk up & down stairs normally. Very painful! Going down I have to lead with my left and bring my right to that same  step. Going up it?s the reverse. I have to lead with my right as my left will not support my weight.  I cannot also lie on that side in bed without a lot of pain. I wake up during the night. I have no pain if I lie still on my back or sit in a chair. It is only when I am moving .  I had my left hip  x-rayed  a little over a month ago ( when my back hurt,  just as a precaution) and the x-ray shows no damage or anything to raise any concern.  I now have waited the week hoping these symptoms would go away but they have not. I have an appointment next Wed (12/1) with my doctor
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hemiparesis, Intensive care, Thrombectomy
Clinical narrative: Significant CVA landing patient in ICU (hemiparesis).  tPA and and thrombectomy required.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Product administration error
Clinical narrative: Guardian of 16 yof called and scheduled client a Moderna COVID Vaccine. Nurse administered client a 1st dose Moderna vaccine and then quickly realized client was only 16 years of age. Nurse that made error notified myself, RN and Coordinating Nurse, of the issue. I, spoke with client and guardian regarding the vaccine error. Client and guardian were not upset and stated they had requested Moderna and wanted client to have Moderna. I informed them that regardless of their desire it was still a vaccine error on our part seeing that client does not qualify for Moderna vaccine due to age. Client and Guardian were not upset and were understanding. Client waited 30 minutes after shot and denied any issues. No treatment required, no signs or symptoms to report.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient/guardian wrote 12yrs old under age, although patient was still 11yrs and 11 months old. recieved pfizer dose for 12yrs or older
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Poor peripheral circulation, Raynaud's phenomenon, Skin discolouration
Clinical narrative: I received my 1st dose of Covid 19 Pfizer vaccine 2/27/2021 at approx. 12:30. The next day 2/28/21 approx. 10:30 I had lost circulation to my fingers an toes where they turned white and numb. Later When visiting my doctor I had confirmation that it was Raynaud's which I had never experienced before the vaccination.
Age: 43.0
Sex: M
Vaccine: UNK
Symptoms: Anticoagulant therapy, Computerised tomogram abnormal, Deep vein thrombosis, Heart rate abnormal, Pain in extremity
Clinical narrative: Initial symptoms of pain behind the thigh, calf  and foot swelling, area warm to the touch, racing and abnormal heart beat.
Age: 43.0
Sex: M
Vaccine: UNK
Symptoms: Palpitations, Peripheral swelling, Skin warm, Ultrasound Doppler abnormal
Clinical narrative: Initial symptoms of pain behind the thigh, calf  and foot swelling, area warm to the touch, racing and abnormal heart beat.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Fall, Heart rate increased, Loss of consciousness
Clinical narrative: Heart rate double my normal rate even while sleeping, blacked out and fell when I got up. Heart rate persistently above 110 when at rest for 7+ hours, didn?t come down until an ER doctor massaged the vagal nerve, then it dropped to near normal and stayed down.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Inappropriate schedule of product administration, Inflammation
Clinical narrative: 1. Vaccine reaction, initial encounter      Discharge Instructions    As we discussed, I do think that this is a localized reaction and immune response to the vaccines that you received on Wednesday.  This does appear to be resolving.  I have outlined the area of inflammation today please look at this once per day.  If you have redness that is spreading outside the marked area especially if you have any red streaking running up or down your arm, or if your symptoms worsen again such you have return of fevers body aches, chills etc. this may indicate a developing infection and antibiotics may be needed.   You may take acetaminophen and/or ibuprofen if needed.  I do recommend trying to keep your arm elevated at least at heart level when at rest.   Please advise your primary care provider of the reaction.     Differential diagnosis considered include local reaction to vaccine, cellulitis.   Patient notes that he was experiencing symptoms of body aches, malaise fatigue and fever the symptoms have all resolved.  He states initially he did not notice the redness and first noticed this yesterday.  He states that it did seem to be more swollen yesterday but has improved today.   Patient does have an erythematous area with well-defined edges, this area is warm to palpation not hot and swelling is very mild at this point.  As patient describes symptoms of improvement I do think that this is a local immune response to either the shingles vaccine or the pneumonia vaccine both of which she received in the same arm.   At this time I do not think that this is a cellulitis and did not recommend for antibiotics.  The area was outlined with date and time.  Patient is to monitor to the area and return if he has worsening redness including red streaked or worsening symptoms such as fevers, chills or body aches returning.   I did recommend that he contact his primary care provider and advised them of the reaction.  Aftercare follow-up and return precautions reviewed he verbalized understanding is agree with this plan.   This document was made with voice recognition software.  Although every effort was made to edit the content, transcription errors may occur.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia, Skin warm, Swelling
Clinical narrative: 1. Vaccine reaction, initial encounter      Discharge Instructions    As we discussed, I do think that this is a localized reaction and immune response to the vaccines that you received on Wednesday.  This does appear to be resolving.  I have outlined the area of inflammation today please look at this once per day.  If you have redness that is spreading outside the marked area especially if you have any red streaking running up or down your arm, or if your symptoms worsen again such you have return of fevers body aches, chills etc. this may indicate a developing infection and antibiotics may be needed.   You may take acetaminophen and/or ibuprofen if needed.  I do recommend trying to keep your arm elevated at least at heart level when at rest.   Please advise your primary care provider of the reaction.     Differential diagnosis considered include local reaction to vaccine, cellulitis.   Patient notes that he was experiencing symptoms of body aches, malaise fatigue and fever the symptoms have all resolved.  He states initially he did not notice the redness and first noticed this yesterday.  He states that it did seem to be more swollen yesterday but has improved today.   Patient does have an erythematous area with well-defined edges, this area is warm to palpation not hot and swelling is very mild at this point.  As patient describes symptoms of improvement I do think that this is a local immune response to either the shingles vaccine or the pneumonia vaccine both of which she received in the same arm.   At this time I do not think that this is a cellulitis and did not recommend for antibiotics.  The area was outlined with date and time.  Patient is to monitor to the area and return if he has worsening redness including red streaked or worsening symptoms such as fevers, chills or body aches returning.   I did recommend that he contact his primary care provider and advised them of the reaction.  Aftercare follow-up and return precautions reviewed he verbalized understanding is agree with this plan.   This document was made with voice recognition software.  Although every effort was made to edit the content, transcription errors may occur.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: 1. Vaccine reaction, initial encounter      Discharge Instructions    As we discussed, I do think that this is a localized reaction and immune response to the vaccines that you received on Wednesday.  This does appear to be resolving.  I have outlined the area of inflammation today please look at this once per day.  If you have redness that is spreading outside the marked area especially if you have any red streaking running up or down your arm, or if your symptoms worsen again such you have return of fevers body aches, chills etc. this may indicate a developing infection and antibiotics may be needed.   You may take acetaminophen and/or ibuprofen if needed.  I do recommend trying to keep your arm elevated at least at heart level when at rest.   Please advise your primary care provider of the reaction.     Differential diagnosis considered include local reaction to vaccine, cellulitis.   Patient notes that he was experiencing symptoms of body aches, malaise fatigue and fever the symptoms have all resolved.  He states initially he did not notice the redness and first noticed this yesterday.  He states that it did seem to be more swollen yesterday but has improved today.   Patient does have an erythematous area with well-defined edges, this area is warm to palpation not hot and swelling is very mild at this point.  As patient describes symptoms of improvement I do think that this is a local immune response to either the shingles vaccine or the pneumonia vaccine both of which she received in the same arm.   At this time I do not think that this is a cellulitis and did not recommend for antibiotics.  The area was outlined with date and time.  Patient is to monitor to the area and return if he has worsening redness including red streaked or worsening symptoms such as fevers, chills or body aches returning.   I did recommend that he contact his primary care provider and advised them of the reaction.  Aftercare follow-up and return precautions reviewed he verbalized understanding is agree with this plan.   This document was made with voice recognition software.  Although every effort was made to edit the content, transcription errors may occur.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bell's palsy, C-reactive protein, Discomfort, Eyelid ptosis
Clinical narrative: Pins and needles in both arms, very uncomfortable, hard to complete daily tasks, loss of strength in left side, eye droopy, vision blurry, left side of the face went droopy.  All started 9/4.  Started meds around 9/13, diagnosed with Bells Palsey. Followed up 10/1...improving slightly...still some discomfort.  Everything back in full force 11/10.  Followed up again 11/19, was sent to ER for MRI.  Vision is getting worse than it ever has been, arms are very discomfortable,
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Full blood count, Limb discomfort, Loss of personal independence in daily activities, Magnetic resonance imaging head
Clinical narrative: Pins and needles in both arms, very uncomfortable, hard to complete daily tasks, loss of strength in left side, eye droopy, vision blurry, left side of the face went droopy.  All started 9/4.  Started meds around 9/13, diagnosed with Bells Palsey. Followed up 10/1...improving slightly...still some discomfort.  Everything back in full force 11/10.  Followed up again 11/19, was sent to ER for MRI.  Vision is getting worse than it ever has been, arms are very discomfortable,
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck, Metabolic function test, Paraesthesia, Vision blurred
Clinical narrative: Pins and needles in both arms, very uncomfortable, hard to complete daily tasks, loss of strength in left side, eye droopy, vision blurry, left side of the face went droopy.  All started 9/4.  Started meds around 9/13, diagnosed with Bells Palsey. Followed up 10/1...improving slightly...still some discomfort.  Everything back in full force 11/10.  Followed up again 11/19, was sent to ER for MRI.  Vision is getting worse than it ever has been, arms are very discomfortable,
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Diarrhoea haemorrhagic, Fatigue, Nausea
Clinical narrative: nausea, vomiting, bloody diarrhea, abdominal cramping, chills, fatigue started about 24 hours after vaccination. Lasted approx 48 hours.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: nausea, vomiting, bloody diarrhea, abdominal cramping, chills, fatigue started about 24 hours after vaccination. Lasted approx 48 hours.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site indentation
Clinical narrative: Approximately 1 month after my second dose of Moderna I noted a noticeable indentation in the skin and fatty tissue on my left deltoid area at the site of dose 1 and dose 2 of my Moderna vaccines. No pain or redness at the site.  I received by booster dose in my right deltoid. No indentation noted in the right deltoid area to date.  I discussed with my PCP at my annual PE on 9/3/21 and she believed it could be lipolysis related to the Moderna vaccine. This indentation remains to this day (11/23/21). Just reporting for information purposes only. Thank you!
Age: 68.0
Sex: U
Vaccine: COVID19
Symptoms: Catheter directed thrombolysis, Cor pulmonale, Pulmonary embolism
Clinical narrative: PE, cor-pulomonale requiring catheter directed thrombolysis and remains critically ill.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Breast tenderness, Fatigue, Insomnia, Lymphadenopathy
Clinical narrative: The day after my shot.  I notice tenderness around my arm pit and left breast area.  Tenderness in neck and some tiredness.  Around day 10, I had swollen left side of my neck where my lymph nodes.  It was keeping up at night.  I went to my doctor on the 16th of November and reported my symptoms.  She told me that swollen lymph nodes are common with COVID-19 vaccines.  It has mostly gone away.  I still can feel that my side lymph nodes of my neck are still a little swollen.  I had earing in my rings in ear for a few days.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Tinnitus
Clinical narrative: The day after my shot.  I notice tenderness around my arm pit and left breast area.  Tenderness in neck and some tiredness.  Around day 10, I had swollen left side of my neck where my lymph nodes.  It was keeping up at night.  I went to my doctor on the 16th of November and reported my symptoms.  She told me that swollen lymph nodes are common with COVID-19 vaccines.  It has mostly gone away.  I still can feel that my side lymph nodes of my neck are still a little swollen.  I had earing in my rings in ear for a few days.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC, REVACCINATION WAS RECOMMENDED TO ENSURE PROPER EFFECTIVENESS.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest X-ray normal, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Adverse effects: chest pain (pressure in center of chest - 5/10 severity), palpitations, shortness of breath, anxiety, numbness/tingling in hands & face.  Treatment: Benadryl 25 mg oral administered.  Outcome: Symptoms improved with treatment. Patient discharged home from ER to follow up with PCP.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: Adverse effects: chest pain (pressure in center of chest - 5/10 severity), palpitations, shortness of breath, anxiety, numbness/tingling in hands & face.  Treatment: Benadryl 25 mg oral administered.  Outcome: Symptoms improved with treatment. Patient discharged home from ER to follow up with PCP.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Impaired work ability, Pharyngitis streptococcal
Clinical narrative: On 9/1/2021 at about 5:30PM, I started feeling congested and had a runny nose and a scratchy throat. I went to bed early. The runny nose continued to 9/2/2021, on which day I also woke up with a mild headache. When I got up, I took some Tylenol and then read my temperature, which was about 99 degrees. I then called my employer, told them I thought I had a cold, and told them that I wouldn't be at work that day. I slept most of the day that day, and I gradually realized that it might not be a cold, but COVID19. I then called Dr. and arranged a drive thru COVID19 test on 9/3/2021. On 9/3/2021, I was tested for both COVID19 and strep throat, and I tested positive for both. Dr. phoned in a prescription for antibiotics. I also received a call from Dr. at Urgent Care, and she informed me that I qualified to receive an infusion of monoclonal antibodies and asked me to come in straight away, which I did. After getting the antibody infusion, I came home and stayed there 10-12 days. I began working from home 9/16/2021 or 9/17/2021. By then, all of my symptoms had subsided, except I had a persistent cough. I did not want to return to my workplace while I had the cough. I was finally able to return to my workplace on 9/20/2021.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Streptococcus test positive, Throat irritation
Clinical narrative: On 9/1/2021 at about 5:30PM, I started feeling congested and had a runny nose and a scratchy throat. I went to bed early. The runny nose continued to 9/2/2021, on which day I also woke up with a mild headache. When I got up, I took some Tylenol and then read my temperature, which was about 99 degrees. I then called my employer, told them I thought I had a cold, and told them that I wouldn't be at work that day. I slept most of the day that day, and I gradually realized that it might not be a cold, but COVID19. I then called Dr. and arranged a drive thru COVID19 test on 9/3/2021. On 9/3/2021, I was tested for both COVID19 and strep throat, and I tested positive for both. Dr. phoned in a prescription for antibiotics. I also received a call from Dr. at Urgent Care, and she informed me that I qualified to receive an infusion of monoclonal antibodies and asked me to come in straight away, which I did. After getting the antibody infusion, I came home and stayed there 10-12 days. I began working from home 9/16/2021 or 9/17/2021. By then, all of my symptoms had subsided, except I had a persistent cough. I did not want to return to my workplace while I had the cough. I was finally able to return to my workplace on 9/20/2021.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 11/20/21-COVID-19 RESULT Detected Abnormal    Nothing else listed.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was unknowingly given 4th COVID vaccination as it was not known that she had already received a booster dose one month prior. No adverse reactions were seen at the time time, nor were any reported in the time since administration of the extra dose.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Chills, Ear discomfort, Headache
Clinical narrative: sore throat, headache, chills, loss of taste, loss of smell, , post nasal drainage, sinus congestion, nasal congestion, sneezing, ear fullness starting 11/18/21
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Sinus congestion, Sneezing, Upper-airway cough syndrome
Clinical narrative: sore throat, headache, chills, loss of taste, loss of smell, , post nasal drainage, sinus congestion, nasal congestion, sneezing, ear fullness starting 11/18/21
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt administered expired medication. Pt Notified. No adverse effect.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test
Clinical narrative: The evening after I received the second shot there was no problem at all. But later that night when I went to bed, I had trouble breathing. It was so bad I had to go to an emergency room. I never thought that the shot had anything to do with that feeling but the medical people in the ER said it was the shot. I must say it did not resolve in anything very serious. They did several tests, but I do not remember which ones. After the tests they told me everything was fine. They gave me medicine at the hospital, but I was not prescribed anything.  I never had a trouble with breathing after that.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Antinuclear antibody, Full blood count, Myalgia, Rheumatoid factor
Clinical narrative: myalgias starting after vaccination and persisting one month later
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE REMAINED IN FREEZER BEYOND MANUFACTURER RECOMMENDATION. AFTER CONSULTATION WITH PFIZER AND CDC REVACCINATION WAS RECOMMENDED  TO ENSURE PROPER EFFECTIVENESS.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Gait inability, Hypoaesthesia, Lumbar puncture
Clinical narrative: Inability to walk and lost of feeling throughout body. Was hospitalized for 3 days and given steroids + Physical therapy which helped.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, X-ray
Clinical narrative: Inability to walk and lost of feeling throughout body. Was hospitalized for 3 days and given steroids + Physical therapy which helped.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Headache, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 on 11/20/2021.  Patient was exposed to someone with COVID-19 on 11/13/2021. Patient had headache on 11/20/2021. At the time of this report, patient has been asymptomatic since 11/21/2021..
Age: 78.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Condition aggravated, Dyspnoea, Fatigue, Headache, Respiratory tract congestion
Clinical narrative: Patient received flu vaccine 11/12/21 and started to feel fatigued right before covid vaccine on 11/19/21. He reports shortness of breath that finally resolved today. He is still fatigued, congested and has a headache that improves with tylenol
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Injection site pain, Nausea, Pain in extremity
Clinical narrative: Metallic taste in mouth, mild fatigue, mild nausea, injection site tenderness, sore left arm.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain in extremity, Thirst
Clinical narrative: Headache, sore arm, chills, fatigue, very thirsty
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: None listed
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Fully vaccinated with breakthrough infection.   Inpatient stay