chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cellulitis, Laboratory test abnormal
Clinical narrative: Cellulitis
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient came in for his 1st COVID Pfizer vaccine, he was 12 at the time of the vaccine and the Pediatric 5-11 year dose was given, 0.2ml. He should have receievd the Pfizer 12 and older dose, 0.3ml. I emailed department to ask what the next step is. They informed that the patient will receive his 2nd dose at the 0.3ml dose for 12 and older. I notified dad of error and he had no questions or concerns.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Blister rupture, Extra dose administered, Furuncle, Incorrect route of product administration
Clinical narrative: Individual received booster dose of Moderna on Monday 11/8/21 at around 10 am.  When the Moderna dose was administered, she immediately noticed it was given high in the shoulder near the back and it was painful.  She also describes that it was "too much over bone"  by her shoulder blade.  2 days later, she noticed a bump in the injection site which was filled with fluid, like a boil.  after she removed her bandaid, she rubbed her hand over the blister which burst and clear fluid oozed out.  A dry scab developed subsequently.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Scab
Clinical narrative: Individual received booster dose of Moderna on Monday 11/8/21 at around 10 am.  When the Moderna dose was administered, she immediately noticed it was given high in the shoulder near the back and it was painful.  She also describes that it was "too much over bone"  by her shoulder blade.  2 days later, she noticed a bump in the injection site which was filled with fluid, like a boil.  after she removed her bandaid, she rubbed her hand over the blister which burst and clear fluid oozed out.  A dry scab developed subsequently.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS IN THE FRIDGE MORE THAN 30 DAYS AS  RECOMMENDED BY THE MANUFACTURER.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED WAS IN THE FRIDGE MORE THAN 30 DAYS AS  RECOMMENDED BY THE MANUFACTURER.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Electric shock sensation, Extra dose administered, Swelling, X-ray normal
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 10/25/2021, started experiencing symptoms 10/30/2021 of swollen bump in the left leg (thigh), electrical "shocks" throughout the left leg around the knee area. Orthotics Primary visit 11/20/2021 evaluated Knee was normal, Primary visit 11/09/2021 evaluated with no recommendations. Blood Work = Normal X-Rays = Normal
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Slight swelling, tenderness, and warmth at injection site.  Chills. Slight fever. Breathing issues
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Slight swelling, tenderness, and warmth at injection site.  Chills. Slight fever. Breathing issues
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Peripheral swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA" Sx: Tenderness, Swelling, Erythema, elevated temperature at injection site (Right Deltoid). Swelling spread down right extremity to the hands/fingers.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Acute myocardial infarction, Chest X-ray, Chest pain, Electrocardiogram
Clinical narrative: Patient presented to the ED on 10/31 with midsternal chest pain. She was diagnosed with a NSTEMI and subsequently had to be transferred to another facility. Patient reported her J&J vaccine was on the thursday prior to presentation.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test
Clinical narrative: Patient presented to the ED on 10/31 with midsternal chest pain. She was diagnosed with a NSTEMI and subsequently had to be transferred to another facility. Patient reported her J&J vaccine was on the thursday prior to presentation.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Anaphylactic reaction, Crying, Refusal of examination, Tremor
Clinical narrative: Patient came in to pick up prescription and requested third Covid Pfizer dose. Stated he has not previous reaction to any vaccine, nor does he have seizure disorder. He originally requested that vaccine be given on stomach or thigh. Immunizing technician refused and reiterated vaccine should be given in arm muscle. Vaccine was given to the patient, who said he was fine. Patient stood up, then leaned against the wall, then laid down on the floor, saying he was shaking. Immunizing technician asked me for Epi-pen. I went to the patient, noticed patient was shaking and licking his lips. I asked if he had a seizure disorder, he stated no. I asked if his throat was closing up, he hesitated, then said it's anaphylaxis. Ambulance was called, and Epipen was administered in left thigh. Patient was becoming increasingly agitated. He began crying and stating he wanted to leave the pharmacy. Both myself and the store manager insisted he wait until ambulance arrived to be checked over, patient refused, and ran out the door. As ambulance arrived, patient was across the parking lot, and apparently ducked into the bushed to hide.   EMS stated since patient left property, there was nothing else that could be done for him.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Head discomfort, Hyperhidrosis, Pyrexia, Vertigo
Clinical narrative: head rush, room spinning, early morning vomiting followed by fever, sweats, chest pain
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: head rush, room spinning, early morning vomiting followed by fever, sweats, chest pain
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt. reported to me via telephone on 11/12/21, that she had severe swelling, redness, warmth, and pain at injection site (Right deltoid).  Pain and swelling spread into armpit.  Employee also reported a persistent fever.  She had already scheduled an appointment with her PCP.  I advised her to keep the appointment and to call me with an update.  At approximately, 1500, pt. notified me that she had been diagnosed with cellulitis and prescribed an antibiotic.  At that time, I informed her we also needed to get her to see a work comp provider.  3 other employees who received the same vaccine, same lot, had milder reactions but more than a normal response to vaccine.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Oedema peripheral, Pyrexia
Clinical narrative: Pt. reported to me via telephone on 11/12/21, that she had severe swelling, redness, warmth, and pain at injection site (Right deltoid).  Pain and swelling spread into armpit.  Employee also reported a persistent fever.  She had already scheduled an appointment with her PCP.  I advised her to keep the appointment and to call me with an update.  At approximately, 1500, pt. notified me that she had been diagnosed with cellulitis and prescribed an antibiotic.  At that time, I informed her we also needed to get her to see a work comp provider.  3 other employees who received the same vaccine, same lot, had milder reactions but more than a normal response to vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Mobility decreased, Muscle disorder, Pyrexia
Clinical narrative: Loss of muscles below shoulders. Severe diarrhea. Unable to move limbs, thighs, legs, arms. could move only by pushing for ward by elbow  Severe dehydration, fever over 101F. Same day I was admitted to Emergency room. Discharged soon after. Then the same day a few hours later I lost muscle usage again and was admitted to Emergency room hospital. released about 4 hours later  This is the second time with the exact same reactions. The first time was on 02/26/2021 after my second Moderna vaccine 24 hours before.. I went to emergency room and was admitted to hospital for 2 nights. Emergency room and hospital.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyskinesia, Headache
Clinical narrative: Uncontrollable movements/ spasmodic movements bilateral upper extremities, headache, dizziness
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arteriosclerosis, Asthenia, Atrial fibrillation, Biliary dilatation, Bladder dilatation
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bicarbonate increased, Blood creatinine increased, Blood gases, Blood lactic acid, Blood pH normal
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea increased, Bronchial secretion retention, COVID-19
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram abdomen normal, Computerised tomogram thorax abnormal, Confusional state, Coronary artery bypass
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Electrocardiogram abnormal, Emphysema, Exposure to SARS-CoV-2
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer increased, Gastrointestinal wall thickening, Haemoglobin decreased, Hypoacusis, Hypoxia
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intervertebral disc degeneration, Laboratory test, Left ventricular hypertrophy, Lung opacity, Lymphopenia
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: N-terminal prohormone brain natriuretic peptide increased, Neutrophilia, PCO2 increased, Penetrating aortic ulcer, Platelet count increased
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia bacterial, SARS-CoV-2 test positive, Spinal muscular atrophy, Spinal stenosis, Tachypnoea
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, White blood cell count increased
Clinical narrative: Pfizer vaccine 3/25/21, 4/20/21    CHIEF COMPLAINT Patient unsure but shortness of breath, cough and chest pain per ED   HISTORY OF PRESENT ILLNESS Pt is a 88 y.o. female with complex medical comorbidities who presented to ED in city via EMS for 1-2 days duration of weakness, shortness of breath, and chest pain by report. She was reportedly tachypneic and hypoxic in the 80s % on room air, and SpO2 was 100% on 3L of supplemental oxygen by nasal canula.    Evaluation at local ED included positive SARS-CoV-2 PCR on 11/10. Labs were otherwise significant for WBC 17.4 with neutrophilia and lymphopenia, hemoglobin 8.2 (10.1 on 10/31), platelet count 418, creatinine 1.06 (comparing to 0.8 at baseli
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Muscle atrophy, Muscular weakness
Clinical narrative: Noticed weakness in hands a week after I got my second shot. I'm losing more and more muscle daily.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pyrexia
Clinical narrative: Low grade fever, lethargy
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: 10mins post vaccination, pt states "my throat feels swollen, like I have a bubble" Vitals: @18:42 BP 104/64, HR 75, RR 20, 100% O2 sat -- > @18:52 90/51 -- > @18:54 90/50 Pt discharged @19:10, accompanied by mother in wheelchair and 2 RNs.  Pt walked to car from wheelchair in stable condition.  Mother educated on S&S to watch for and advised to seek medical attention for any medical needs.  Mother verbalized understanding.  Pt stable and released from vaccination site.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Peripheral coldness
Clinical narrative: Patient in observation are refers to feeling dizzy patient was evaluated 39 dxt. Patient was move to unit for continuous evaluation. He was given 2 glucose tablets of 15 grams. we finished evaluating patient he was cold to the touch. It was evaluated by staff and patient was reevaluated 9:58 patient refers to feeling well and wishes to go home to eat. Patient reevaluated dext 93 patient refers to want to go home and eat.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Given Fluzone High Dose - parent stated case had a sore arm
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Confusional state, Dyspnoea, Gait disturbance
Clinical narrative: After she left she had a splitting headache and by time she got home she could hardly breathe. She is having bad joint pains all over. It hurts when she tries to move and have a fever of 100.9 and have chills. She is also having mental confusion. She can barely walk
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: After she left she had a splitting headache and by time she got home she could hardly breathe. She is having bad joint pains all over. It hurts when she tries to move and have a fever of 100.9 and have chills. She is also having mental confusion. She can barely walk
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Rash erythematous, Rash pruritic, Rhinorrhoea, Sneezing
Clinical narrative: For the first several days from the date that the adverse event started, it began with stuffy nose, clear nasal discharge, and occasional sneezing. This was thought to be just seasonal allergies. As time went on, same symptoms continued, but skin around eyes and on neck under the chin developed puffy, itchy, dry and slightly red rash.  The rash in these areas got bad enough for me to report to a local urgent care facility, and the doctor that saw me prescribed Clobetasol cream, 0.05%, to treat the rash areas. Currently on the third day of applying the cream, the rash appears to be almost completely gone, however, the stuffy nose, sneezing, and clear nasal discharge still persist.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: For the first several days from the date that the adverse event started, it began with stuffy nose, clear nasal discharge, and occasional sneezing. This was thought to be just seasonal allergies. As time went on, same symptoms continued, but skin around eyes and on neck under the chin developed puffy, itchy, dry and slightly red rash.  The rash in these areas got bad enough for me to report to a local urgent care facility, and the doctor that saw me prescribed Clobetasol cream, 0.05%, to treat the rash areas. Currently on the third day of applying the cream, the rash appears to be almost completely gone, however, the stuffy nose, sneezing, and clear nasal discharge still persist.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cystitis, Laboratory test, Renal transplant
Clinical narrative: acute cystitis in kidney transplant recipient
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given Fluzone high dose - parent reported child had no adverse effects
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Coronary arterial stent insertion, Coronary artery stenosis, Myocardial infarction
Clinical narrative: Patient, with no previous heart issues, suffered a massive heart attack on 10/22/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient was vaccinated at approximately 1130 AM;  at 1650 PM she reported diffuse rash on both arms, neck and trunk with itching.   She reported to the Emergency Room.  She was released with prednisone, Benadryl,  epi-pen and instructed not to receive any further COVID vaccination.  As of today (12 Nov 2021) patient reports no further issues and is completing her prednisone taper as instructed
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: THe wrong amount of diluent was used when drawing up this vaccine. 0.8ml was used rather than 1.8ml resulting in a more concentrated dose administered to this child.   Vaccine protocols were in place but the nurse who was drawing up the vaccine did not use the correct diluent amount.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: THe wrong amount of diluent was used when drawing up this vaccine. 0.8ml was used rather than 1.8ml resulting in a more concentrated dose administered to this child.   Vaccine protocols were in place but the nurse who was drawing up the vaccine did not use the correct diluent amount.
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: Fatigue, Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Given Fluzone high dose - parent reports case has sore arm and is tired
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Palpitations, Vomiting
Clinical narrative: Patient received Johnson and Johnson COVID vaccine, patient began having lightheadedness and vomiting, famotidine 20mg provided, short period after patient began vomiting again so loratadine and famotidine were both given. A short period after patient began feeling lightheaded and nauseous again so Epi-pen was given. patient was monitored for another hour and a half and began feeling lightheaded and like her heart was racing. at this time the provider called report to the ED and patient was taken to ED via wheelchair for further monitoring.
Age: 17.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given Fluzone High Dose - parent states that case is "feeling fine".
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Chest X-ray, Chest discomfort, Computerised tomogram thorax
Clinical narrative: It started in my left arm with nerve, pain and weakness. Along with chest tightness on both sides, heart palpitations, tiredness and fatigued. Prior to the vaccine, I feel like a million dollars for about 6 hours. I thought maybe my PACS had went away because I had taken my dose 2 but Later on that day, all my symptoms return. I continue to have Long COVID-19 I can't work full time anymore. I can only work 20 a week due to my illness. My doctor referred me to a Cardiologists, Neurologists, Physical Therapy, Chronic Fatigue Specialist and Acupuncture and Dietician which helped me a lot.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Echocardiogram, Electrocardiogram, Fatigue, Illness
Clinical narrative: It started in my left arm with nerve, pain and weakness. Along with chest tightness on both sides, heart palpitations, tiredness and fatigued. Prior to the vaccine, I feel like a million dollars for about 6 hours. I thought maybe my PACS had went away because I had taken my dose 2 but Later on that day, all my symptoms return. I continue to have Long COVID-19 I can't work full time anymore. I can only work 20 a week due to my illness. My doctor referred me to a Cardiologists, Neurologists, Physical Therapy, Chronic Fatigue Specialist and Acupuncture and Dietician which helped me a lot.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Immunology test, Impaired work ability, Laboratory test, Magnetic resonance imaging head, Magnetic resonance imaging spinal
Clinical narrative: It started in my left arm with nerve, pain and weakness. Along with chest tightness on both sides, heart palpitations, tiredness and fatigued. Prior to the vaccine, I feel like a million dollars for about 6 hours. I thought maybe my PACS had went away because I had taken my dose 2 but Later on that day, all my symptoms return. I continue to have Long COVID-19 I can't work full time anymore. I can only work 20 a week due to my illness. My doctor referred me to a Cardiologists, Neurologists, Physical Therapy, Chronic Fatigue Specialist and Acupuncture and Dietician which helped me a lot.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Neuralgia, Pain in extremity, Palpitations, Post-acute COVID-19 syndrome
Clinical narrative: It started in my left arm with nerve, pain and weakness. Along with chest tightness on both sides, heart palpitations, tiredness and fatigued. Prior to the vaccine, I feel like a million dollars for about 6 hours. I thought maybe my PACS had went away because I had taken my dose 2 but Later on that day, all my symptoms return. I continue to have Long COVID-19 I can't work full time anymore. I can only work 20 a week due to my illness. My doctor referred me to a Cardiologists, Neurologists, Physical Therapy, Chronic Fatigue Specialist and Acupuncture and Dietician which helped me a lot.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: It started in my left arm with nerve, pain and weakness. Along with chest tightness on both sides, heart palpitations, tiredness and fatigued. Prior to the vaccine, I feel like a million dollars for about 6 hours. I thought maybe my PACS had went away because I had taken my dose 2 but Later on that day, all my symptoms return. I continue to have Long COVID-19 I can't work full time anymore. I can only work 20 a week due to my illness. My doctor referred me to a Cardiologists, Neurologists, Physical Therapy, Chronic Fatigue Specialist and Acupuncture and Dietician which helped me a lot.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Lethargy, Pyrexia
Clinical narrative: 102 fever, sweats, chills, lethargic 24 hours
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arterial catheterisation, COVID-19, Chest X-ray normal, Computerised tomogram head normal, Condition aggravated
Clinical narrative: Pfizer vaccine received on 4/15/21, 5/6/21    #1 Diabetes Mellitus Type 1 With Ketoacidosis Without Coma (HCC)   19 year old type 1 diabetic here with acute, severe DKA along with being COVID positive (on Nov 1).   He became a bit sleepy in the ED and a head CT was performed.  This showed no evidence of acute cerebral edema.  An arterial line was placed due to difficulty with blood draws.  He received a total of 1500 cc's in bolus saline in the ED.  Will follow DKA protocol and consult endocrinology.  Isolation precautions due to previous COVID diagnosis.  CXR done in ED is reassuringly clear.  He is on room air.     I have seen and examined the patient, reviewed events and record, and directed care on multidiscip    #1 Diabetes Mellitus Type 1 With Ketoacidosis Without Coma (HCC)   19 year old type 1 diabetic here with acute, severe DKA along with being COVID positive (on Nov 1).   He became a bit sleepy in the ED and a head CT was performed.  This showed no evidence of acute cerebral edema.  An arterial line was placed due to difficulty with blood draws.  He received a total of 1500 cc's in bolus saline in the ED.  Will follow DKA protocol and consult endocrinology.  Isolation precautions due to previous COVID diagnosis.  CXR done in ED is reassuringly clear.  He is on room air.     I have seen and examined the patient, reviewed events and record, and directed care on multidisciplinary team rounds.  I was involved in all high-complexity critical decision making to assess, manipulate, and support vital system functions to prevent deterioration. This required interpretation of multiple physiologic parameters or application of advanced technology. Removal of current cardiorespiratory support would result in high probability of imminent or life-threatening deterioration of the patient's condition.   This is a supervisory note.  I have seen and examined the patient, reviewed events and record, and have directed care.  I have discussed the findings and plan with the multidisciplinary care team as documented in the resident's electronic note from today.   Additional information for Item 12:  Hospital Diabetes Mellitus Type 1 With Ketoacidosis Without Coma (HCC)    Non-Hospital Diabetes Mellitus Type 1 Hyperglycemia (HCC)  Attention Deficit With Hyperactivity Disorder  Depressed Mood  Eye Examination Normal  Diabetes Mellitus Type 1 (HCC)
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diabetic ketoacidosis, SARS-CoV-2 test positive, Somnolence
Clinical narrative: Pfizer vaccine received on 4/15/21, 5/6/21    #1 Diabetes Mellitus Type 1 With Ketoacidosis Without Coma (HCC)   19 year old type 1 diabetic here with acute, severe DKA along with being COVID positive (on Nov 1).   He became a bit sleepy in the ED and a head CT was performed.  This showed no evidence of acute cerebral edema.  An arterial line was placed due to difficulty with blood draws.  He received a total of 1500 cc's in bolus saline in the ED.  Will follow DKA protocol and consult endocrinology.  Isolation precautions due to previous COVID diagnosis.  CXR done in ED is reassuringly clear.  He is on room air.     I have seen and examined the patient, reviewed events and record, and directed care on multidiscip    #1 Diabetes Mellitus Type 1 With Ketoacidosis Without Coma (HCC)   19 year old type 1 diabetic here with acute, severe DKA along with being COVID positive (on Nov 1).   He became a bit sleepy in the ED and a head CT was performed.  This showed no evidence of acute cerebral edema.  An arterial line was placed due to difficulty with blood draws.  He received a total of 1500 cc's in bolus saline in the ED.  Will follow DKA protocol and consult endocrinology.  Isolation precautions due to previous COVID diagnosis.  CXR done in ED is reassuringly clear.  He is on room air.     I have seen and examined the patient, reviewed events and record, and directed care on multidisciplinary team rounds.  I was involved in all high-complexity critical decision making to assess, manipulate, and support vital system functions to prevent deterioration. This required interpretation of multiple physiologic parameters or application of advanced technology. Removal of current cardiorespiratory support would result in high probability of imminent or life-threatening deterioration of the patient's condition.   This is a supervisory note.  I have seen and examined the patient, reviewed events and record, and have directed care.  I have discussed the findings and plan with the multidisciplinary care team as documented in the resident's electronic note from today.   Additional information for Item 12:  Hospital Diabetes Mellitus Type 1 With Ketoacidosis Without Coma (HCC)    Non-Hospital Diabetes Mellitus Type 1 Hyperglycemia (HCC)  Attention Deficit With Hyperactivity Disorder  Depressed Mood  Eye Examination Normal  Diabetes Mellitus Type 1 (HCC)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeding disorder, Haematemesis, Heart rate increased
Clinical narrative: First day upon taking the vaccine, I had a elevated heart rate. Pharmacy got worried and gave me yogurt to drink. She wanted to call 911, but I insisted I was fine. I went home. I was sweating heavily as I got home. Severe sore arm for weeks and I couldn?t move my arm without pain, which I heard was normal. I didn?t want to act like a baby. During second shot, I started sweating and having elevated heart rate with sore arm too. However, after a day, I had the intense chills and shakes. Everything was spinning, and I couldn?t get out from under the cover because I felt deathly frozen. Next day the chills went away, but I kept throwing up like an exorcist, without control. I couldn?t eat, I had the worse experience than covid-19 from back in January. The vomiting was so intense I was throwing up for days so I had to request days off to recover. After third day I was vomiting blood. My kids saw the side effects, so they are too scared to take the shot, especially since my daughter is on humira, and cancer medications to help with her condition. It was the most craziest experience of my life. I coudn?t eat for days, and at the end, I was vomiting heavy blood. After a week, I started getting better because I was forcing myself to eat rice. But even then, vomiting rice was more painful than just drinking water. After a week and a half I stopped vomiting because I kept forcing myself to eat rice. I did continue having dizzy spells. It took two weeks for me to feel 100% normal. My kids refuse to take the shot after seeing what I went through, and I don?t blame them.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain in extremity, Tremor, Vertigo, Vomiting
Clinical narrative: First day upon taking the vaccine, I had a elevated heart rate. Pharmacy got worried and gave me yogurt to drink. She wanted to call 911, but I insisted I was fine. I went home. I was sweating heavily as I got home. Severe sore arm for weeks and I couldn?t move my arm without pain, which I heard was normal. I didn?t want to act like a baby. During second shot, I started sweating and having elevated heart rate with sore arm too. However, after a day, I had the intense chills and shakes. Everything was spinning, and I couldn?t get out from under the cover because I felt deathly frozen. Next day the chills went away, but I kept throwing up like an exorcist, without control. I couldn?t eat, I had the worse experience than covid-19 from back in January. The vomiting was so intense I was throwing up for days so I had to request days off to recover. After third day I was vomiting blood. My kids saw the side effects, so they are too scared to take the shot, especially since my daughter is on humira, and cancer medications to help with her condition. It was the most craziest experience of my life. I coudn?t eat for days, and at the end, I was vomiting heavy blood. After a week, I started getting better because I was forcing myself to eat rice. But even then, vomiting rice was more painful than just drinking water. After a week and a half I stopped vomiting because I kept forcing myself to eat rice. I did continue having dizzy spells. It took two weeks for me to feel 100% normal. My kids refuse to take the shot after seeing what I went through, and I don?t blame them.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Chills, Cough, Laboratory test abnormal
Clinical narrative: abdominal pain and chills and cough,
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Contusion, Headache, Injection site rash, Muscle tightness
Clinical narrative: Large Bruise (still visible), arm and finger tingling lasted 6 days, circular rash below injection site, Headache for 5 days, Fever 101 - 103.9 for 24 hours, Chest and neck tightness, felt like sharp glass in neck Rash on stomach and waist area for 5 days
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Paraesthesia, Pyrexia, Rash
Clinical narrative: Large Bruise (still visible), arm and finger tingling lasted 6 days, circular rash below injection site, Headache for 5 days, Fever 101 - 103.9 for 24 hours, Chest and neck tightness, felt like sharp glass in neck Rash on stomach and waist area for 5 days
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given Fluzone High dose - parent did not report any symptoms
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Musculoskeletal stiffness, Myalgia
Clinical narrative: Have had significant muscle/joint pain amd stiffness for last 8-9 months.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse event
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE GIVEN BEYOUND USED DATE.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN BEYOUND USED DATE.
Age: 52.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given Fluzone High Dose - case reported no symptoms/adverse effects
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Rash papular, Rash pruritic
Clinical narrative: 1st bumps that itch. Took 6 days of steroids.  Help somewhat then after 3 days off steroids patches of raised red splotches appeared that itched 2 days later Dr. Placed on cetirizine. Still itching but splotches have disappeared .
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given Moderna vaccine past the best use by date
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Poor quality product administered
Clinical narrative: Patient was given Moderna vaccine past the best use by date
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema, Eye discharge, Eye swelling, Pruritus
Clinical narrative: Pt received the first pfizer dose 11/10/2021. This reaction happened 2-3 hours later. Her eye was swollen with yellow discharge, and her chin was swollen/red/itchy. She has a history of this happening after receiving allergy shots (12years ago) She experienced the same symptoms, but did not have any throat swelling like she had with the allergy shots.    Today: Eye swelling is down, still having discharge. Chin swelling down. Redness/itchiness is gone.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Pt received the first pfizer dose 11/10/2021. This reaction happened 2-3 hours later. Her eye was swollen with yellow discharge, and her chin was swollen/red/itchy. She has a history of this happening after receiving allergy shots (12years ago) She experienced the same symptoms, but did not have any throat swelling like she had with the allergy shots.    Today: Eye swelling is down, still having discharge. Chin swelling down. Redness/itchiness is gone.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given Fluzone High dose - case reported no symptoms/adverse effects.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 101.3. 650mg Tylenol given and was effective.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: Covid, AKI
Age: 79.0
Sex: M
Vaccine: UNK
Symptoms: Asthenia, Electromyogram abnormal, Guillain-Barre syndrome, Immunoglobulin therapy, Nerve conduction studies abnormal
Clinical narrative: Guilliain Barre Syndrome diagnosed  Hospital, 11/2/2021.  He received Influenza vaccine at Health Services on 10/2/2021.  I don't have access to which Influenza vaccine or lot number.   EMG/NCV was consistent with GBS as was clinical picture.  Treated with steroids and IVG.  Myasthenia gravis considered but ruled out.  Now back at Health Services.    He has NOT yet received Covid booster.   (note item #17, I started to enter the influenza vaccine but didn't notice you are asking for vaccine same day as Covid vaccine.  He DID not receive another vaccine on 3/4/2021.  I could not remove my error on #17.  )
Age: 79.0
Sex: M
Vaccine: UNK
Symptoms: Tremor
Clinical narrative: Guilliain Barre Syndrome diagnosed  Hospital, 11/2/2021.  He received Influenza vaccine at Health Services on 10/2/2021.  I don't have access to which Influenza vaccine or lot number.   EMG/NCV was consistent with GBS as was clinical picture.  Treated with steroids and IVG.  Myasthenia gravis considered but ruled out.  Now back at Health Services.    He has NOT yet received Covid booster.   (note item #17, I started to enter the influenza vaccine but didn't notice you are asking for vaccine same day as Covid vaccine.  He DID not receive another vaccine on 3/4/2021.  I could not remove my error on #17.  )
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Dizziness, Echocardiogram, Magnetic resonance imaging head
Clinical narrative: I had a stroke on November 8th. I began having PVC heart palpitations on Aug 1. They lasted about a week. They came back for several days at a time in the weeks after. I began having dizzy or lightheaded spells in October. I then had a stroke on November 8th. I am 34 years old and was healthy.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Ultrasound Doppler, Ventricular extrasystoles
Clinical narrative: I had a stroke on November 8th. I began having PVC heart palpitations on Aug 1. They lasted about a week. They came back for several days at a time in the weeks after. I began having dizzy or lightheaded spells in October. I then had a stroke on November 8th. I am 34 years old and was healthy.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carditis
Clinical narrative: Suspected heart inflammation
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Disorientation, Fatigue, Headache, Malaise
Clinical narrative: Within 12 hrs of getting the booster i had fever as high as 102.3. Body aches. Chills. Headache. Vomiting. Diarrhea. Disorented. Extremely tired.  Lasted for 3days. On 4th day symptoms started to lessen. Still do not feel well today. I did not know i could report this to anyone or I would have reported that i  was even sicker with the 2nd does of this  vaccine. It was EP7534 and i took it on 3-25-21. Symptoms much the same but i was sick for a full 5 days and lost 7 lbs during that time.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Within 12 hrs of getting the booster i had fever as high as 102.3. Body aches. Chills. Headache. Vomiting. Diarrhea. Disorented. Extremely tired.  Lasted for 3days. On 4th day symptoms started to lessen. Still do not feel well today. I did not know i could report this to anyone or I would have reported that i  was even sicker with the 2nd does of this  vaccine. It was EP7534 and i took it on 3-25-21. Symptoms much the same but i was sick for a full 5 days and lost 7 lbs during that time.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the best used date.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Paraesthesia, Pyrexia, Rash, Urticaria
Clinical narrative: I have a rash and hives on my chest, back, arms, and neck. The rash feels prickly like needles. With the first dose I experienced the rash on my sternum, diarrhea, and slight fever. The second dose I got the rash from waist up. It started on my sternum and spread out from there. The rash lasted 3 days and felt like sunburn. I also had a mild fever and diarrhea the first day.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: An empty syringe, not filled vaccine, was utilized to "vaccinate" this patient.  This error was identified within 10 minutes and the patient was vaccinated appropriately without incident.  The parent was informed of the error at the time and a full investigation was completed.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Blood test, Low density lipoprotein increased
Clinical narrative: I have no idea if this is related to taking the vaccine, but I thought I would report it in case. Patient took the vaccine on Monday Nov 8. On Wed Nov 10 he had a routine check-up with the pediatrician. The doctor today called me and told me his LDL cholesterol level is 167 which is high. He had not fasted for the test and will be retested end of Nov. He is skinny, active, and eats well so a high cholesterol reading is surprising. Since it was so close to the vaccine (he also took a flu vaccine one week prior) I thought I would report it.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN BEYOUND USED DATE.
Age: 29.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Chest pain, Paraesthesia
Clinical narrative: I felt chest pain for 24 hours and pain full tingling  in my arm and palm of mu hand for 48 hours and it's continuing
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Tinnitus
Clinical narrative: Client states that after first dose, she began having a hight pitched noise in her ears that pulsed along with her heartbeat. States she postponed 2nd dose d/t sx. Received 2nd dose on 7-30-21 and states symptoms worsened and have remained present since then.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Headache, Pain in jaw, Palpitations
Clinical narrative: Headache on left side of head from jaw to top of head started 2 hours after injection. Continued on and off for a week. Heart fluttering and racing started next afternoon after injection.  Still happening randomly throughout the day and night.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Extrasystoles, Palpitations
Clinical narrative: Heart skipped a beat, then fluttered, then was beating extremely hard for over 24 hours.  I went to the ER, they were unable to find anything wrong.  I did not feel better for several days
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Gynaecological examination, Smear cervix, Ultrasound abdomen, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding/spotting for four days beginning 11/07/2021 - 11/10/2021