chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Generalised tonic-clonic seizure, Head titubation, Hypotonia
Clinical narrative: After administration of IM shot to Right Arm, the Patient became faint after seeing blood dripping down arm from injection site. While I was applying a cotton ball and pressure to site, the patient stated being light headed and passed out (head fell back while still in chair) for 10 seconds or so. Patient became aware and immediately Grand Mal Seized (head rolled back and bobbed, body stiffened and whole body shook while she was seated in the chair. The Seizure lasted 10-15 seconds. Patient became awake and asked what just happened. Emergency Response was activated (911 was called). Patient remained lighted headed and dizzy (but did not pass out or seize) up until Emergency Squad arrived at scene (within 10 - 15 minutes). To prevent patient from passing out again, I had her lie on the floor with her feet up during the time we waited on the Emergency Squad. She was taken by ambulance to the local hospital.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site haemorrhage, Loss of consciousness, Musculoskeletal stiffness, Syncope, Tremor
Clinical narrative: After administration of IM shot to Right Arm, the Patient became faint after seeing blood dripping down arm from injection site. While I was applying a cotton ball and pressure to site, the patient stated being light headed and passed out (head fell back while still in chair) for 10 seconds or so. Patient became aware and immediately Grand Mal Seized (head rolled back and bobbed, body stiffened and whole body shook while she was seated in the chair. The Seizure lasted 10-15 seconds. Patient became awake and asked what just happened. Emergency Response was activated (911 was called). Patient remained lighted headed and dizzy (but did not pass out or seize) up until Emergency Squad arrived at scene (within 10 - 15 minutes). To prevent patient from passing out again, I had her lie on the floor with her feet up during the time we waited on the Emergency Squad. She was taken by ambulance to the local hospital.
Age: 26.0
Sex: M
Vaccine: FLU4
Symptoms: Bursitis
Clinical narrative: Pt. developed left shoulder subacromial bursitis after influenza vaccination. He was referred to orthopedics for evaluation as symptoms were persistent after 3 weeks.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Vertigo
Clinical narrative: VERTIGO ONSET ABOUT 7PM.  ROOM WAS SPINNING AND I LOST MY BALANCE WHEN WALKING.  SYMPTOMS WORSENED WHEN LYING ON MY BACK OR RIGHT SIDE.  TOOK A BENEDRYL 10MG AND WENT TO BED.  SYMPTOMS LASTED THROUGHOUT THE NIGHT WHENEVER I MOVED AROUND.  A LITTLE BETTER IN THE MORING BUT STILL SPINNING SO TOOK DRAMAMINE.  SYMPTOMS IMPROVED THROUGHOUT THE DAY WITH JUST A LITTLE DIZZINESS BY 8:30 PM
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Extreme body aches, fever, headache, fatigue, nausea, vomiting.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Extreme body aches, fever, headache, fatigue, nausea, vomiting.
Age: 63.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Blood glucose normal, Chest pain, Dyspnoea
Clinical narrative: Patient complained of chest pain within 15 minutes of vaccination, pain level 3/10.  Heavy breathing.  Called mgr/charge nurse.  Advised to call paramedics.  Pt did not appear to be in distress.  Paramedics arrived within 10 minutes.  Were not able to get BP because pt reportedly has low BP and difficult to measure.  HR=97  Bloodsugar=163 Paramedics took over.  Pt refused transport to ER.  (Pt is not alone, has 2 people living with her)
Age: 29.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond-use-date. No adverse event associated.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse reactions reported after receiving inadvertently the adult formulation as the second dose, as patient had received the pediatric formulation as the first dose.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Groin pain
Clinical narrative: Pain in groin  on 10/13/13 then death on 10/14/21 days later.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Pulmonary embolism, Sudden death
Clinical narrative: On July 20, 2021 I found my mother deceased in her home. She was not sick and died suddenly and unexpectedly of a cardiopulmonary embolism.
Age: 20.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Eye swelling
Clinical narrative: Bilateral eye swelling
Age: 40.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Fatigue, Mood altered
Clinical narrative: Received the Pfizer shot first at clinic. After this shot (his booster), he became very tired. His moods were immediately different, too. He became more moody and temperament/demeanor was different, overall. Everything seemed to get worse over a 24 hour timeframe- from the time he received this injection.  * When he had past injections of the same Pfizer COVID 19 shot, his moods were like this, too. However, we did not think to report the events.  He also tried to get the Flu shot, and they said no (due to no appointments). So he went to another facility, and received his Flu shot, the same day, too (I didn?t know how to document that on the previous page).
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Prenatal care, Staphylococcal infection, Staphylococcus test positive
Clinical narrative: Patient is a 14 year old and 18 weeks 1 day of gestation at the time of event was erroneously counseled and given the Moderna Covid vaccine on 11/12/21 at 9:58 am on left arm. This was done during her initial prenatal intake where she presented as a new arrival, late to care and counseled by Certified Nurse Midwife who also administered the vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Flank pain, Headache, Laboratory test, Pain in extremity
Clinical narrative: started with Left arm pain  and mild headache for several days, day 3 post vaccine pain to flank area (both sides) non resolved. continued  for several days increasing went to an urgent care on 12/7/21 for assessment.  the flank pain has not resolved and the headaches continue with intensity and duration and returned to a doctors office on 12/14/21.
Age: 67.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Sex: U
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I broke out in hives, was especially bad on August 14. Had never had hives previously. It covered my entire torso, much of my face and some of my legs.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph node in left arm pit severely swollen. Swelling remained for 6 days (same swelling after the 2nd dose, swelling remained for 3days then) very sore to the touch for the first 2 days then slowly less tender until swelling was gone.
Age: 59.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incomplete course of vaccination
Clinical narrative: Patient did not receive second covid vaccine. Admitted to hospital; Dexamethasone; supplemental oxygen
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: came for her first 1st dose pfizer. unfortuantely she was vaccinated with a pediatric 5-11 year old dose even though she recently turned 12 year.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Pain in extremity
Clinical narrative: (11/5/2021-ongoing) Sudden onset sharp pain in upper right arm with movement, rotation, daily activities,  etc. Unable to keep arm elevated for more than a few seconds as the pain does not go away.  When movement/activity is  discontinued, residual pain is still  present.  Pain has disrupted daily life, unable to perform some activities due to fear of pain. No new or strenuous activities were started before or after onset, and  no injuries. Pain scale ranges between 7-9 out of 10. PCP was contacted 11/15/2021, I was told to monitor pain and take ibuprofen As needed and make appointment after one month if pain persists. PCP was seen on 12/7/2021. Ibuprofen 600mg 3/day with meals for 5 days and flexeril 10mg at night. This did not help with pain and pain is still ongoing with no improvements.
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Urticaria
Clinical narrative: hives on entire body
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood potassium increased, Blood pressure fluctuation, Blood test, Depression
Clinical narrative: ANXIETY, DEPRESSION, DIARRHEA, HEAD ACHE, DISSINESS, BLOOD PRESSURE EXTREMELY INCREASES AND DECREASES, HIGH POTTASSIUM LEVELS, NO BENEFITS FROM TREATMENTS. STARTED WEEK AFTER SECOND SHOT AND CONTINUES CURRENTLY.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dizziness, Headache
Clinical narrative: ANXIETY, DEPRESSION, DIARRHEA, HEAD ACHE, DISSINESS, BLOOD PRESSURE EXTREMELY INCREASES AND DECREASES, HIGH POTTASSIUM LEVELS, NO BENEFITS FROM TREATMENTS. STARTED WEEK AFTER SECOND SHOT AND CONTINUES CURRENTLY.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: NONE - parents wanted vaccine for their new 12 year old even though it was age 5-11
Age: 76.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt was given booster dose with moderna instead of pfizer.  pt reporting to symptoms or health problems.
Age: 67.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swelling face, Urticaria
Clinical narrative: Hives and swollen lips and face
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, Full blood count normal, Joint effusion, Red blood cell sedimentation rate normal, Synovitis
Clinical narrative: Transient Synovitis diagnosed 12/15/21
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray of pelvis and hip abnormal
Clinical narrative: Transient Synovitis diagnosed 12/15/21
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Feeling hot, Inflammation, Mechanical urticaria
Clinical narrative: Sat 11/20/21: Developed 1 large hive/wheal below the right buttock around 9 pm. was gone upon awakening next day. Sunday 11/21/21: at night (around8-9pm)- felt itchy & had minimal small hives scattered on mostly my back, neck, & occipital area of head itchy- took Zyrtec 10mg with improvement. Monday 11/22/21: woke up without symptoms. developed same symptoms, as previous night, around 8pm, slightly worse than 11/21/21. Again took zyrtec 10mg. Tues 11/23: woke up 8am with slight improvement in symptoms. Throughout the day had small hives & tiny bumps appearing, disappearing, and re-appearing on random places (i.e. forehead, stomach, arms, back, legs, knees, elbows) - also appeared to have scratch like marks and some linear type wheals. got worse in evening 6pm. improved w/ Benadryl then worse 2 hrs later. also felt burning, warm, reddened ears and behind ears. Wed 11/24: woke up 8am and again felt same feeling behind ears & had 1 or 2 tiny hive-like bumps outside each eye. Took Zyrtec 10 mg &  famotidine 20 mg with improvement in symptoms.  Thurs 11/25: symptoms improved. had intermittent red marks on varied locations of body, occasionally itchy, and upon scratching got worse and more inflamed and left red slightly raised scratch marks lasting <2 hours. symptoms improved slightly with Zyrtec 10 mg &  famotidine 20 mg . Fri 11/26: again had intermittent red marks on varied locations of body, occasionally itchy, and upon scratching got worse and left red scratch marks lasting <2 hours. symptoms improved with Xyzal 5 mg &  famotidine 20 mg . Between 11/27 to present: have continued to have intermittent red marks on varied locations of body (arms, legs, palms, top of feet, back, stomach), itchy, and upon scratching gets worse, feels warm & burning. red scratch marks vary in size, are slightly raised, and last <2 hours at a time.  diagnosed w/ dermatographia 12/2/21 by an allergist. taking  Xyzal 5 mg every night &  famotidine 20 mg every afternoon with slight improvement in symptoms each day. symptoms are always worse at night.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Rash papular, Urticaria
Clinical narrative: Sat 11/20/21: Developed 1 large hive/wheal below the right buttock around 9 pm. was gone upon awakening next day. Sunday 11/21/21: at night (around8-9pm)- felt itchy & had minimal small hives scattered on mostly my back, neck, & occipital area of head itchy- took Zyrtec 10mg with improvement. Monday 11/22/21: woke up without symptoms. developed same symptoms, as previous night, around 8pm, slightly worse than 11/21/21. Again took zyrtec 10mg. Tues 11/23: woke up 8am with slight improvement in symptoms. Throughout the day had small hives & tiny bumps appearing, disappearing, and re-appearing on random places (i.e. forehead, stomach, arms, back, legs, knees, elbows) - also appeared to have scratch like marks and some linear type wheals. got worse in evening 6pm. improved w/ Benadryl then worse 2 hrs later. also felt burning, warm, reddened ears and behind ears. Wed 11/24: woke up 8am and again felt same feeling behind ears & had 1 or 2 tiny hive-like bumps outside each eye. Took Zyrtec 10 mg &  famotidine 20 mg with improvement in symptoms.  Thurs 11/25: symptoms improved. had intermittent red marks on varied locations of body, occasionally itchy, and upon scratching got worse and more inflamed and left red slightly raised scratch marks lasting <2 hours. symptoms improved slightly with Zyrtec 10 mg &  famotidine 20 mg . Fri 11/26: again had intermittent red marks on varied locations of body, occasionally itchy, and upon scratching got worse and left red scratch marks lasting <2 hours. symptoms improved with Xyzal 5 mg &  famotidine 20 mg . Between 11/27 to present: have continued to have intermittent red marks on varied locations of body (arms, legs, palms, top of feet, back, stomach), itchy, and upon scratching gets worse, feels warm & burning. red scratch marks vary in size, are slightly raised, and last <2 hours at a time.  diagnosed w/ dermatographia 12/2/21 by an allergist. taking  Xyzal 5 mg every night &  famotidine 20 mg every afternoon with slight improvement in symptoms each day. symptoms are always worse at night.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: PT IS 12 YEARS OLD AND RECEIVED ADULT PFIZER COVID-19, 0.3 ML AS THE FIRST DOSE BUT RECEIVED THE "PED PFIZER 5-11 YO, 0.2ML" BY ERROR FOR THE SECOND DOSE. NO ADVERSE REACTION WAS REPORTED AND NO ADDITIONAL DOSE WAS GIVEN TO PT FOLLOWING CDC GUIDELINES
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Electrocardiogram, Full blood count, Metabolic function test, Seizure like phenomena
Clinical narrative: possible seizure
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Lymphadenopathy, Mass, Pain in extremity, Peripheral swelling
Clinical narrative: Bright red rash, swelling, and pain from elbow to top of shoulder.  Lump near shoulder blade (enlarged lymph node).
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Rash, Rash erythematous
Clinical narrative: Bright red rash, swelling, and pain from elbow to top of shoulder.  Lump near shoulder blade (enlarged lymph node).
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 13 days post moderna booster got random hives all over my body. they have been happening daily in random spots ever since. went to urgent care on 12/3 put me on prednisone zyrtec pepcid and benadryl for a week. that seemed to help but the symptoms returned once prednisone was stopped and are still ongoing
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Breast swelling
Clinical narrative: Swelling /lump on right upper chest near Breast bone.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Client came to the facility to receive her 1st dose of the Covid19 Moderna vaccine. RN vaccinated the client in the left arm at 13:38 with the Covid19 Moderna vaccine (Lot# 069H21A). However, RN inadvertently administered the incorrect dosage to the client. She administered a booster dose of 0.25 mL instead of a full dose of 0.5 mL. The error was discovered by Co-Lead RN's while performing a reconciliation of the available vaccine on the floor. Co-Lead RN's notified Lead RN immediately. Lead RN spoke with RN and determined the client had only received 50% of the full dose required for dose 1 of the Covid19 Moderna series. After consulting with Clinical Nurse Lead it was determined the client would need to return to the facility to receive another 0.25 mL injection of the Covid19 Moderna vaccine. Lead RN called the client at 14:09 and explained what happened. The client was very understanding, stating she would return to the facility to be re-vaccinated. By 14:340 the client had returned to the RN?s vaccination station, and the RN administered 0.25 mL of the Covid19 Moderna vaccine (Lot# 069H21A) into the client's left arm, an inch away from the initial 0.25 mL vaccination. Afterward, the client was directed to the observation area to sit for 15 minutes. No issues were noted.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient's mother states that 1 hour after the vaccine, child had itchy rash on face that self-resolved quickly. No medications were given. Parent informed me during a telephone call with me the day following the vaccine.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: ADMINISTERED FROM THE VIAL OF 5-11 DOSE 0.2ML INSTEAD OF THE ADOLESCENT/ADULT DOSE 0.3 ML. NO ADVERSE REACTION AFTER 30 MINUTE OBSERVATION.
Age: 57.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Extra dose administered, Feeling abnormal, Mobility decreased, Nausea
Clinical narrative: The patient was accidentally given the Pfizer 12+ dose of the vaccine instead of the smaller Dose of the Pfizer vaccine.  When I contacted the patient's parent on Monday, December 13, 2021 @ 0834, parent stated she was feeling pretty rough all weekend and literally just laid in bed all weekend wrapped in blankets  with a puke bucket nearby.  She was given a few doses of Tylenol and Ibuprofen and Zofran once for nausea (she never vomited).  She asked for her albuterol inhaler a couple of times for coughing on Sunday (12/12/21).  On Monday morning she seemed better and was bouncing her basketball through the house.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: The patient was accidentally given the Pfizer 12+ dose of the vaccine instead of the smaller Dose of the Pfizer vaccine.  When I contacted the patient's parent on Monday, December 13, 2021 @ 0834, parent stated she was feeling pretty rough all weekend and literally just laid in bed all weekend wrapped in blankets  with a puke bucket nearby.  She was given a few doses of Tylenol and Ibuprofen and Zofran once for nausea (she never vomited).  She asked for her albuterol inhaler a couple of times for coughing on Sunday (12/12/21).  On Monday morning she seemed better and was bouncing her basketball through the house.
Age: 1.67
Sex: F
Vaccine: HIBV, IPV, MMR
Symptoms: Wrong product administered
Clinical narrative: No adverse effect reported yet.  I had intended to administer varicella vaccine, but gave IPV instead. Polio was not due yet:  recommended 4th dose 3/19/24, but minimum valid date is 4/6/21, so unlikely that this will significantly interfere with child's immunization schedule. We are working to obtain varicella vaccine as child is overdue (has not had any varicella vaccine). Challenge in this remote location is the short shelf life of the vaccine.
Age: 64.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered the 0.25 mL booster dose of Moderna vaccine instead of 0.5 mL.
Age: 33.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: 1st dose of Covid series was Pfizer and gave Moderna as the 2nd dose. At final check before giving the patient the vaccine, asked if Moderna was correct and they agreed. After vaccinating patient reported first one was Pfizer. Outcome patient was notified and had no concerns or side effects at this time.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Individual reported symptoms of cough, congestion, HA, sore throat, and fever since 12/13/21.  Tested positive on 12/14/21. Isolation continued until 12/23/21. She will get antibody testing done after isolation period is completed.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Individual reported symptoms of cough, congestion, HA, sore throat, and fever since 12/13/21.  Tested positive on 12/14/21. Isolation continued until 12/23/21. She will get antibody testing done after isolation period is completed.
Age: 53.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus daily since day after shot
Age: 74.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond-use-date. No adverse event associated.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: After my first dose I started my period earlier than expected. After the second dose, I started my period earlier than expected again but this time I had huge blood clots that went on for over 24 hours every few minutes. I went to the emergency room and they could not pin point what caused it. I have a fibroid that has never caused issues and that?s the only thing they could think of. Since my second dose, my periods have been unbearable heavy and life altering. I just received my booster last week and was on my period. I finished my period on Sunday the 12th but then began to have big clots on the 13th. It stopped after a few hours and yesterday the 14th I had severe cramping. Today (the 15th) I am not clotting so far but am heavily bleeding again.
Age: 24.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site vesicles
Clinical narrative: blisters at the site of injection
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: Fever, chills, headache,  body ache, sore arm.  Worse symptoms than shots 1 or 2.  Lingering symptoms of nausea and lightheadedness from the first 2 shots.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Fever, chills, headache,  body ache, sore arm.  Worse symptoms than shots 1 or 2.  Lingering symptoms of nausea and lightheadedness from the first 2 shots.
Age: 34.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Lot number not reported - route listed as IM but which arm not listed
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received an adult pfizer vaccine 0.3ml, instead of getting pediatric pfizer vaccine 0.2ml
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dizziness, Nausea, Palpitations
Clinical narrative: Fever 103.9,, sever chills, nausea, dizziness, palpitations, and chest pain
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 103.9,, sever chills, nausea, dizziness, palpitations, and chest pain
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus, Urticaria
Clinical narrative: About 9-10 days after receiving my Moderna booster, I started experiencing intense scalp itchiness, my ears itched and my nose did too. By Thursday, Nov 25 I developed hives all around my neck and on the lower part of my body (mainly upper thighs and around underwear lines). I went to urgent care and was told I must have had some allergic reaction to something. I was told to take Zyrtec and prednisone. After two days of this hives only intensified and were worse, all over my body. I was then told to start a new course of prednisone and take Benadryl and pepcid. After two days, the hives improved, the intense itchiness went down, but the hives have continued. Sometimes they are all over, sometimes they are just on my hands or my neck, they are sometimes intensely itching and other times not. I am no longer on prednisone but continue taking pepcid and Allegra now twice a day to try and keep the hives down.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Muscle spasms, Pyrexia
Clinical narrative: 2 hours after injection I began to develop uncontrollable shivering and chills. Within three hours of injections I was feverish and had muscle spasms at injection point. At 4 hours post injection I had a fever of 101 degrees Fahrenheit. 8 hour after injection I had a fever of 103 degrees Fahrenheit. All symptoms including fever ranging from 101 to 103 degrees persisted until afternoon of the third day post injection. Following the break of the fever and persisting up through current day I have trouble taking full breaths, especially under strenuous activity and consistently have a tight feeling in my chest.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Mechanical urticaria, Pruritus, Rash erythematous, Rash macular
Clinical narrative: 11 days after getting booster, my palms started itching. Itching got worse and red patches appeared every place I touched or scratched. Saw dermatologist on Nov. 11; prescribed 8 day course of prednisone; the prednisone did nothing to stop the itching or redness. Started taking Zyrtec 5mg 2x daily; itching stopped 1 hour after taking first tablet. Zyrtec seems to relieve itching but redness continues... blotches and streaks, randomly on abdomen, feet, hands. Second appointment with dermatologist about symptoms and she agrees probably allergic reaction to Moderna booster. I was diagnosed with dermatograhism. Advised to continue Zyrtec for 3 months and follow up at that time, unless symptoms get worse.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Infection, Nausea, Oral mucosal eruption, Streptococcal infection
Clinical narrative: Immediately following shot I was fine, next day felt nauseous and extremely exhausted. Lasted for several days. Never felt quite ?normal? until several weeks later. Then end of September my tooth was throbbing. When I finally got in to dentist, end of October, had infection in tooth and needed a root canal. Dentist put me on penicillin for infection. Started the penicillin and got in to endodontist on November 4th. Prior to appointment I noticed rash in my mouth and thought I was having reaction to penicillin but it was not, it was strep throat (while I was on penicillin). Went on Z-pac for strep, got a little better but never fully and went back to walk in and was tested positive again for strep. Put on cefzil. A week later, not feeling well and once again tested and positive again for strep. All measures were taken (never re-used tooth brush, got rid of lipsticks, etc?) Now put on Cefdinir. Just got off 2 days ago and not sure if it?s done what it should be doing. Only time will tell, but what seems to be the case is, once I?m done with prescription, I get tested again because I?m having symptoms and then I have strep once again. Why can I not get this out of me? I had my tonsils removed when I was 20 years old, never had strep since then. Why at 57 am I getting this and can?t seem to get rid of it? Only coincidence is that I had this vaccine. Can you tell me if there could be some correlation?
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tooth infection, Toothache
Clinical narrative: Immediately following shot I was fine, next day felt nauseous and extremely exhausted. Lasted for several days. Never felt quite ?normal? until several weeks later. Then end of September my tooth was throbbing. When I finally got in to dentist, end of October, had infection in tooth and needed a root canal. Dentist put me on penicillin for infection. Started the penicillin and got in to endodontist on November 4th. Prior to appointment I noticed rash in my mouth and thought I was having reaction to penicillin but it was not, it was strep throat (while I was on penicillin). Went on Z-pac for strep, got a little better but never fully and went back to walk in and was tested positive again for strep. Put on cefzil. A week later, not feeling well and once again tested and positive again for strep. All measures were taken (never re-used tooth brush, got rid of lipsticks, etc?) Now put on Cefdinir. Just got off 2 days ago and not sure if it?s done what it should be doing. Only time will tell, but what seems to be the case is, once I?m done with prescription, I get tested again because I?m having symptoms and then I have strep once again. Why can I not get this out of me? I had my tonsils removed when I was 20 years old, never had strep since then. Why at 57 am I getting this and can?t seem to get rid of it? Only coincidence is that I had this vaccine. Can you tell me if there could be some correlation?
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy bone marrow, Full blood count, Neutropenia, Neutrophil count decreased, White blood cell count decreased
Clinical narrative: No signs or symptoms.  I had a baseline CBC in November of 2019 with WBCs within normal range prior to a scheduled tonsillectomy. I have no medical history. Surgical history only includes the tonsillectomy in December of 2019. I have no history of abnormal lab counts. My white blood cells continue to be less than 3, currently 2.2 with a hematologist from Cancer Center now following. I've had a bone marrow biopsy as well to rule out leukemia and lymphoma. Because my WBCs and neutrophils (now 1.1) have been low since March, I am now considered to be diagnosed with Neutropenia as a chronic case.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Muscle swelling, Myalgia, Oedema peripheral
Clinical narrative: Painful swelling in left axilla and pectoral muscle. Onset 22 hours from vaccination and ongoing at 54 hours. No treatment.
Age: 21.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle rigidity, Pain
Clinical narrative: Four weeks after I was BOOSTED with the Pfizer Vavination I wokeup in the morning at 08:00 am and found my right arm was frozen. It was painful to move it at all. My first thought was " could I have had a mild STROKE while I was asleep?" At 09:00 I called the Surgery and reported my condition to the Doctor. I was told to contact the Vacine Inquiry Line straight away. There, I was told to go on line. So I did but I didn't know how to report my situation. It will soon be a month andmy life has been turned upside down.
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Chills, Confusional state, Diarrhoea
Clinical narrative: Fever over 101 for 2 days,  Cold Chills,  hallucinations, Muscle and Joint pain. Vomiting and Diarrhea (6 weeks and counting), Suicidal and Homicidal ( thoughts(4 weeks), Extreme fatigue (6 weeks and counting), Confusion  and runny nose (6 weeks and counting)
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Hallucination, Homicidal ideation, Myalgia
Clinical narrative: Fever over 101 for 2 days,  Cold Chills,  hallucinations, Muscle and Joint pain. Vomiting and Diarrhea (6 weeks and counting), Suicidal and Homicidal ( thoughts(4 weeks), Extreme fatigue (6 weeks and counting), Confusion  and runny nose (6 weeks and counting)
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Psychiatric investigation, Pyrexia, Rhinorrhoea, Suicidal ideation, Vomiting
Clinical narrative: Fever over 101 for 2 days,  Cold Chills,  hallucinations, Muscle and Joint pain. Vomiting and Diarrhea (6 weeks and counting), Suicidal and Homicidal ( thoughts(4 weeks), Extreme fatigue (6 weeks and counting), Confusion  and runny nose (6 weeks and counting)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccine was drawn up without being properly mixed with diluent and the concentrated vaccine dose was administered
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pyrexia, Sleep disorder
Clinical narrative: fever and shivering from 8 PM until about 4:30 AM. Finally went to sleep and awoke at 10 AM. Other than being tired today, I feel normal with no side effect symptoms lingering.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cutaneous symptom, Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Hives. Spontaneous.  Onset approximately 10 days after 3rd dose.  No skin symptoms after 1st dose (3/2/2021, LouVax, Lot # 001A21A) nor 2nd dose (3/30/2021, LouVax, Lot # 003A21A).  Has continued on a daily basis since onset and still occurring today.  Only occurred in the evenings at first, then progressively, symptoms started occurring earlier in the day (worse in the evenings) and ultimately/currently symptoms occur throughout the day.  Dermatographia-like.  Worse in areas under pressure or with rubbing.  Also, itching (without rash) on palms of the hands and soles of the feet.  Skin symptoms respond to antihistamines but returns as medications wear off.  Have used diphenhydramine 25mg-50mg at bedtime, fexofenadine 180mg daily, famotidine 20mg BID, hydrocortisone topical cream.
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vomiting
Clinical narrative: Awoke with severe vertigo, nausea, vomiting on Sunday morning. Went to MD on Wednesday. Given instructions on maneuver to recalibrate equilibrium + Rx for meclazine
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fear, Flushing, Immediate post-injection reaction
Clinical narrative: Almost immediately after injection, the patient stated she was dizzy. I had her sit down. She turned a bright shade of red, said she felt faint, tachycardic, short of breath, and was shaking. She was frightened. We called EMS and they came to the pharmacy.  She did not leave with them and elected to drive herself home. The episode passed after about 10 to 12 minutes.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tremor
Clinical narrative: Almost immediately after injection, the patient stated she was dizzy. I had her sit down. She turned a bright shade of red, said she felt faint, tachycardic, short of breath, and was shaking. She was frightened. We called EMS and they came to the pharmacy.  She did not leave with them and elected to drive herself home. The episode passed after about 10 to 12 minutes.
Age: 56.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond-use-date. No adverse event associated.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Bordetella test, Brain natriuretic peptide normal, C-reactive protein normal, Chest pain
Clinical narrative: 16 y.o admitted on 12/14 to the hospital due to chest after receiving 3rd dose of pfizer vaccine on 12/11 - chest pain started on 12/12, vomiting x1 on 12/11, right arm numbness on 12/13, worsening chest pain and palpitation on 12/13. no preceding URI symptoms, no fevers, no shortness of breath.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Coronavirus test, Differential white blood cell count normal, Enterovirus test, Haematocrit normal, Haemoglobin normal
Clinical narrative: 16 y.o admitted on 12/14 to the hospital due to chest after receiving 3rd dose of pfizer vaccine on 12/11 - chest pain started on 12/12, vomiting x1 on 12/11, right arm numbness on 12/13, worsening chest pain and palpitation on 12/13. no preceding URI symptoms, no fevers, no shortness of breath.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Human rhinovirus test, Hypoaesthesia, Influenza A virus test, Influenza B virus test
Clinical narrative: 16 y.o admitted on 12/14 to the hospital due to chest after receiving 3rd dose of pfizer vaccine on 12/11 - chest pain started on 12/12, vomiting x1 on 12/11, right arm numbness on 12/13, worsening chest pain and palpitation on 12/13. no preceding URI symptoms, no fevers, no shortness of breath.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Palpitations, Platelet count normal, Red blood cell sedimentation rate normal, Respiratory syncytial virus test
Clinical narrative: 16 y.o admitted on 12/14 to the hospital due to chest after receiving 3rd dose of pfizer vaccine on 12/11 - chest pain started on 12/12, vomiting x1 on 12/11, right arm numbness on 12/13, worsening chest pain and palpitation on 12/13. no preceding URI symptoms, no fevers, no shortness of breath.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory viral panel, Respirovirus test, SARS-CoV-2 test negative, Troponin increased, Vomiting
Clinical narrative: 16 y.o admitted on 12/14 to the hospital due to chest after receiving 3rd dose of pfizer vaccine on 12/11 - chest pain started on 12/12, vomiting x1 on 12/11, right arm numbness on 12/13, worsening chest pain and palpitation on 12/13. no preceding URI symptoms, no fevers, no shortness of breath.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: 16 y.o admitted on 12/14 to the hospital due to chest after receiving 3rd dose of pfizer vaccine on 12/11 - chest pain started on 12/12, vomiting x1 on 12/11, right arm numbness on 12/13, worsening chest pain and palpitation on 12/13. no preceding URI symptoms, no fevers, no shortness of breath.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Lymphadenopathy, Swelling
Clinical narrative: Local swelling and burning + lymphadenopathy of anterior/posterior cervical LNs as well as supraclavicular LNs all on left side (same side of vaccine)
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Palpitations, Pyrexia
Clinical narrative: Fever, chills, body aches and heart racing.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, Hypersensitivity, Pulmonary congestion, Pyrexia
Clinical narrative: Approximately 3-4 hours after injection: 1. all knuckles on both hands and fingernails turned blue (discoloration would come and go) and as of this date it is still occurring but rarely 2.  Fever from 99.9 to 100.9 would come and go, fevers stopped on 12/13/2021. 3.  Severe head/chest congestion, as of today's date still have slight head/chest congestion. 4. Severe exhaustion through 12/13/2021, still more tired than normal as of today's date For all of the above, I went to Urgent Care on 12/8/2021 and doctor advised that it was an allergic reaction to the vaccine.  I was prescribed Prednisone and symptoms began to get better after 2nd day. On 12/12/2021, I began having discomfort in the middle of my chest, between and slightly under my breasts - uncomfortable pressure.  If persists, I will seek medical attention
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Skin discolouration
Clinical narrative: Approximately 3-4 hours after injection: 1. all knuckles on both hands and fingernails turned blue (discoloration would come and go) and as of this date it is still occurring but rarely 2.  Fever from 99.9 to 100.9 would come and go, fevers stopped on 12/13/2021. 3.  Severe head/chest congestion, as of today's date still have slight head/chest congestion. 4. Severe exhaustion through 12/13/2021, still more tired than normal as of today's date For all of the above, I went to Urgent Care on 12/8/2021 and doctor advised that it was an allergic reaction to the vaccine.  I was prescribed Prednisone and symptoms began to get better after 2nd day. On 12/12/2021, I began having discomfort in the middle of my chest, between and slightly under my breasts - uncomfortable pressure.  If persists, I will seek medical attention
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: 11 days after the 3rd Moderns booster, Patient began experiencing severe whole body itching and hives. They have since lasted for 3 more days and is ongoing. Allegra helps reduce itching but wears off the next day. Visited a dermatologist who prescribed antihistamines for 2 weeks.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, C-reactive protein, Haematocrit normal, Haemoglobin, Petechiae
Clinical narrative: Developed lower leg petechiae vs mild purpura approximately 48 hours after the vaccination. She had no other signs illness, specifically no fever, malaise, abdominal pain or headache. There was no other bruising or bleeding noted. Seen in clinic 12/9, normal exam other than skin findings. Blood tests ordered.  Skin lesions self-resolved over the following 5 days.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Prothrombin time prolonged, Red blood cell sedimentation rate normal, Skin lesion
Clinical narrative: Developed lower leg petechiae vs mild purpura approximately 48 hours after the vaccination. She had no other signs illness, specifically no fever, malaise, abdominal pain or headache. There was no other bruising or bleeding noted. Seen in clinic 12/9, normal exam other than skin findings. Blood tests ordered.  Skin lesions self-resolved over the following 5 days.
Age: 48.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond-use-date. No adverse event associated.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Diarrhoea, Headache
Clinical narrative: Neck and back aches, stomach cramps, joint pain, injection site soreness, severe headache, diarrhea.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Neck pain
Clinical narrative: Neck and back aches, stomach cramps, joint pain, injection site soreness, severe headache, diarrhea.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Rash
Clinical narrative: After 3rd shot (booster) I developed a rash on my entire body 2 days after getting the shot.
Age: 40.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond-use-date. No adverse event associated.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and sore lymph nodes in left armpit; moderate-severe breast pain.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Mechanical urticaria, Oropharyngeal pain, Pruritus
Clinical narrative: 12/9 - Developed dermatographic urticaria - whole body. Benadryl every four hours - no relief. 12/11 - Urgent care visit due to continued presence of urticaria and severe pruritus. Prescribed cyproheptadine 4mg/3x daily.  12/11-12/14 - Sore throat began,  urticaria persisted (slight relief), mild chest discomfort. Very drowsy/dizzy from medication.  12/14 - Appointment with primary care physician. Stopped cyproheptadine. Started prednisone 40 mg/1x daily, Zyrtec 20 mg/1x daily (morning),  Fomatidine 1x daily, Benadryl 1x daily (night). 12/15 - Dermatographic urticaria persists, however pruritus has somewhat  lessened. No sore throat or chest pain.
Age: 77.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Retinal haemorrhage, Visual impairment
Clinical narrative: Retinal hemorrhage morning of 11/30/2021, followed by persistent and constant visual disturbance (flashing scotoma) from 12/8/2021 and continuing to present (12/15/2021). Concurrent pain behind the same eye from a few days after the vaccine booster until two weeks later.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast malformation, Breast pain, Extra dose administered, Lymphadenopathy
Clinical narrative: The morning after my booster shot, my right armpit had a tennis ball sized swollen area that hurt. While that shrunk over the course of the first week, a lumpy rope seemed to extend into my right breast. My breast hurt along the rope and it looked like a scar, with the breast misshapen from the rope. The pain increased and I went to urgent care at the two week mark. The provider prescribed an urgent ultrasound and consultation with the breast care clinic. The pain persists, especially when braless, and the ultrasound is tomorrow.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: The morning after my booster shot, my right armpit had a tennis ball sized swollen area that hurt. While that shrunk over the course of the first week, a lumpy rope seemed to extend into my right breast. My breast hurt along the rope and it looked like a scar, with the breast misshapen from the rope. The pain increased and I went to urgent care at the two week mark. The provider prescribed an urgent ultrasound and consultation with the breast care clinic. The pain persists, especially when braless, and the ultrasound is tomorrow.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Back pain, Chills, Fatigue, Mobility decreased
Clinical narrative: Fatigue, Muscle pain, Fever and chills, Stomach pain, Nausea. Normal for Shingrix and resolved by rest in about 10 hours. Severe back pain has so far lasted, including Sunday, 4 days, but getting better every day. Probably should resolve itself in another 1-2 days. Treated with heating pad and limiting movement as much as possible. Sunday, movement was nearly impossible due to pain levels.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Fatigue, Muscle pain, Fever and chills, Stomach pain, Nausea. Normal for Shingrix and resolved by rest in about 10 hours. Severe back pain has so far lasted, including Sunday, 4 days, but getting better every day. Probably should resolve itself in another 1-2 days. Treated with heating pad and limiting movement as much as possible. Sunday, movement was nearly impossible due to pain levels.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: A booster shot of 2.5ml was given to patient. This was the fourth vaccination of Moderna she was given. Max amount of vaccinations for Moderna is currently only three. No adverse effect reported.
Age: 39.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated