chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Headache, Pain
Clinical narrative: 12/9/21  57-year-old female presents today for Covid testing.  Patient states that she has been having cough, low-grade fever, headache and body aches x1 day.  Patient states that she was exposed to coworker who tested positive today for Covid.  No prior history of Covid.  She is fully vaccinated against Covid.  Has been taking Tylenol over-the-counter and nasal saline sprays for her symptoms at home.  No chest pain or difficulty breathing
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/9/21  57-year-old female presents today for Covid testing.  Patient states that she has been having cough, low-grade fever, headache and body aches x1 day.  Patient states that she was exposed to coworker who tested positive today for Covid.  No prior history of Covid.  She is fully vaccinated against Covid.  Has been taking Tylenol over-the-counter and nasal saline sprays for her symptoms at home.  No chest pain or difficulty breathing
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, C-reactive protein, Echocardiogram, Magnetic resonance imaging heart, Myocarditis
Clinical narrative: NSTEMI -> myocarditis
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin T
Clinical narrative: NSTEMI -> myocarditis
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Cerebrovascular accident, Computerised tomogram, Electrocardiogram, Magnetic resonance imaging
Clinical narrative: Stroke Hospital ER - admitted 12/1 - 12/4 Bilateral field of vision loss right 50% of both eyes
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Visual field tests abnormal
Clinical narrative: Stroke Hospital ER - admitted 12/1 - 12/4 Bilateral field of vision loss right 50% of both eyes
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Product administered to patient of inappropriate age
Clinical narrative: Dose was administered to an unapproved age group. 0.25mL was dosed inadvertently for a 2nd dose. Also discovered pt had received the 1st dose of Moderna as well 3 weeks prior.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Inflammation, Injected limb mobility decreased, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: On Feb. 9th I got my 2nd shot. After that my left arm was sore. I didn't think anything of it at first. This pain went on for about 3 weeks. I was having shooting and radiating pain down my arm. I am a nurse I do patient care and lift people. I could not lift people up, and now I can't lift my keys, put my hair up. It is very difficult. I scheduled a video interview with my primary care doctor who referred me to the orthopedic doctor. Dr. would not give a MRI, but gave me a X-ray instead and it showed I did not show any broken bones. The ortho doctor referred me to a physical therapist. After not being able to get in with the therapist my arm pain eased a bit. But now the pain has come back. I can't take my shirts off without pain. I do have a little range of motion. I can't put my seat belt on. And at work I have to modify what I do. It has not gotten better it is just kind of here now. Lately the cold has really been bothering me. When I saw Doctor, he gave me a hydrocortisone shot, because it was so inflamed. This was before I started seeing the physical therapist. It helped a lot but, my arm is nowhere near back to normal. I have taken off of work, because at times I cannot function.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Temperature intolerance, X-ray normal
Clinical narrative: On Feb. 9th I got my 2nd shot. After that my left arm was sore. I didn't think anything of it at first. This pain went on for about 3 weeks. I was having shooting and radiating pain down my arm. I am a nurse I do patient care and lift people. I could not lift people up, and now I can't lift my keys, put my hair up. It is very difficult. I scheduled a video interview with my primary care doctor who referred me to the orthopedic doctor. Dr. would not give a MRI, but gave me a X-ray instead and it showed I did not show any broken bones. The ortho doctor referred me to a physical therapist. After not being able to get in with the therapist my arm pain eased a bit. But now the pain has come back. I can't take my shirts off without pain. I do have a little range of motion. I can't put my seat belt on. And at work I have to modify what I do. It has not gotten better it is just kind of here now. Lately the cold has really been bothering me. When I saw Doctor, he gave me a hydrocortisone shot, because it was so inflamed. This was before I started seeing the physical therapist. It helped a lot but, my arm is nowhere near back to normal. I have taken off of work, because at times I cannot function.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Lethargy, Nausea, Vertigo
Clinical narrative: Dizziness with 24 hours of taking vaccine. Currently day 7 and  still experiencing vertigo, nausea, lethargy, and cold chills.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell's Palsy
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Received call from the health department this 12/7/2021.  There is a patient who received two FULL series of the Moderna vaccine.  She had come to our store on 8/7/21 asking to receive her first dose and stated she had not been vaccinated prior.  Filled out the form and received a card with follow up date for second vaccine.  She then came back on 9/19/21 to get second dose.  Today she presented to the health department to get her booster in which they verified on system that she had received a full series from both them and us.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: After 15 minutes of receiving vaccine client complained of itching all over body. 25 mg of Benadryl administered. Patient stayed extra 15 minutes  in observation.  No complaints of symptoms.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was supoosed to receive his first Moderna vaccine but instead administered half the dose. The error was brought to me  and as per CDC guidelines patient was given one more half dose (0.25ml) of Moderna to complete the full dose.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Altered state of consciousness, Condition aggravated, Confusional state, Dissociative disorder, Dissociative identity disorder
Clinical narrative: This worsened the dissociative symptoms of my OSDD/DID.  It's not clear if this was the result of a high fever from the vaccine or something else, but it was like taking my normal dissociative symptoms and magnifying them by 100.  It's a very difficult experience to describe because I wasn't fully aware of everything.  For those that understand DID, we were switching constantly and also not knowing who we were and Littles were out and not understanding what was happening and were mixing currently pain and confusing with past trauma.  I'm not certain how you would investigate this and I don't think this would be a common reaction either, but it could be a common reaction for people with dissociative disorders.  I haven't experienced that intense of a reaction from any other vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: This worsened the dissociative symptoms of my OSDD/DID.  It's not clear if this was the result of a high fever from the vaccine or something else, but it was like taking my normal dissociative symptoms and magnifying them by 100.  It's a very difficult experience to describe because I wasn't fully aware of everything.  For those that understand DID, we were switching constantly and also not knowing who we were and Littles were out and not understanding what was happening and were mixing currently pain and confusing with past trauma.  I'm not certain how you would investigate this and I don't think this would be a common reaction either, but it could be a common reaction for people with dissociative disorders.  I haven't experienced that intense of a reaction from any other vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Alcoholism, Arteriosclerosis, Autopsy, Death, Deep vein thrombosis
Clinical narrative: Per the County Medical Examiner's Office, "This 60-year-old male with chronic ethanolism and recent 1st dose COVID-19 vaccination was witnessed to collapse on the commode at home. Cause of death is pulmonary thromboembolism due to deep vein thrombosis. Hypertensive and atherosclerotic cardiovascular disease, ethanolism and recent COVID-19 vaccination are contributory conditions. The manner of death is natural."
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Pulmonary embolism, Syncope
Clinical narrative: Per the County Medical Examiner's Office, "This 60-year-old male with chronic ethanolism and recent 1st dose COVID-19 vaccination was witnessed to collapse on the commode at home. Cause of death is pulmonary thromboembolism due to deep vein thrombosis. Hypertensive and atherosclerotic cardiovascular disease, ethanolism and recent COVID-19 vaccination are contributory conditions. The manner of death is natural."
Age: 28.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Family came to received flu shots in clinic - father requested "vaccine"  MA asked Flu or Covid?  Father - twice confirmed Covid - did not have the Covid card to present as mother had cards with other child at another visit.  After father signed consent and child was given 3rd dose of 5-11 Pfizer  - mother presented the cards after and proved that was indeed the 3rd dose.  MD was made aware and spoke with family.  Child was given the requested Flu Vaccine.  I (Clinic Manager)  spoke with family to explain dosages, offer things to look for any side effects and gave my direct number for follow-up.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Headache, Memory impairment, Pain
Clinical narrative: Patient states that patient was experiencing body aches and headaches the evening after vaccine administration of second dose of the Pfizer series. Three days later, patient still experiencing headaches, but body aches had resolved.  Patient took Advil on 10/6/2021, but he was not sure if he had memory loss prior to taking Advil. In the first 3 weeks after vaccine administration, patient states that short term memory is being impacted the most, but it is now affecting long term memory. Patient is having a difficult time recalling things. Patient is seen for memory issues on 12/8/2021 and awaiting test results.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging spinal normal, Pain, Pain in extremity
Clinical narrative: I sat for 15 minutes in the pharmacy as they usually ask, after I left with in 20 minutes both  of my legs went numb and so because I have central nervous system disorder my left side was very painful so I started pounding my legs to make sure I can feel them, I was afraid I wasn't going to make it home because we live 35 Minutes away so when I got home I called MD and he advised me to monitor. The numbness didn't go away until June 5th, at around April on right thigh I also was having numbness and pain and that has nothing to due with my illness, the pain on my leg was really bad that I couldn't walk around my dog. I used CBD ointments and it did seem to help me some but that's when I had 3 MRI's because my neurologist wanted to make sure my  Lesion on my spine just to make sure it wasn't getting worse. He had increased my prednisone up to 10MG. when I got the MRI showed that there wasn't nothing bad showing on my spine.  He decided diagnoses was autoimmune response to the vaccine. so it really wasn't my NMO.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted about 1 minute after administration, came around a minute or 2 later, and left feeling fine about 15 minutes after that
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Body temperature increased, Fatigue, Feeling cold, Heart rate increased
Clinical narrative: At ~9:30 p.m. that night, my right arm became increasingly sore.  By the time I got to bed at around 1:30 a.m., it was so sore I could not put pressure on it and avoided sleeping on it.  By the next morning, my arm was so sore that I couldn?t raise my right arm without significant pain.  I took my BP at 11:48 a.m. and it was 109 over 76 (although I think that this BP machine reads too low), and my heart rate was 100 BPM which is high for me.  By around 1:30 p.m. I began feeling tired, feverish, and achy, particularly in my lower back.  By 2:30 p.m. I knew I was feverish.  I finished lunch and sat in my rocker/recliner for awhile.  I had planned to go for a 1-mile walk, but was feeling so rundown, that I decided not to do that.  I laid down in the recliner instead for awhile.  By about 4:45 p.m. I decided to go out to the field by my house and stand and do bird photography. I didn?t think that it would cause me any problems since it is rather sedentary and the temperature was ~77ºF.  I still felt chilly, so I wore a light sweatshirt over the long sleeve shirt and t-shirt that I was already wearing.  I did feel though that it was all a little taxing.  At 5:17 p.m. as I decided that I should go in and lie down, my smart Watch gave me a warning that for the prior 10 minutes my heart rate had been over 100 BPM, and it knew that I wasn?t exercising.  I went inside and tried lying in the recliner.  I checked my heart rate and it was 109 BPM.  I decided to try some calming guided meditation to bring my heart rate down.  After 15 minutes of meditation, my heart rate was down to 96 BPM.  By around 5:50 p.m. I decided to go upstairs and take a nap.  I got up at 6:30 p.m. and decided to take my temperature.  It was 99.8ºF.  (My basal temperature is usually ~97.6ºF  Spoke with Dr. (my Primary) at 7:26 p.m.  He suggested hydrating, taking tylenol, and making an appt. with the Nurse Practitioner at 8:00 a.m. if I wasn't feeling better by the next morning.  Took my pulse at ~8:00 a.m. 10/22/2021 using my smart Watch.  It was back to normal at 78 BPM.  Soreness in arm was almost gone, and I didn't feel feverish anymore.  Friday afternoon (10/22/2021) noticed an itchiness on my right arm 4?-5? below the deltoid muscle where the shot was administered.  No apparent rash, but the itching persisted through Sunday (10/24/2021).
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Pain, Pain in extremity, Pyrexia, Sleep disorder
Clinical narrative: At ~9:30 p.m. that night, my right arm became increasingly sore.  By the time I got to bed at around 1:30 a.m., it was so sore I could not put pressure on it and avoided sleeping on it.  By the next morning, my arm was so sore that I couldn?t raise my right arm without significant pain.  I took my BP at 11:48 a.m. and it was 109 over 76 (although I think that this BP machine reads too low), and my heart rate was 100 BPM which is high for me.  By around 1:30 p.m. I began feeling tired, feverish, and achy, particularly in my lower back.  By 2:30 p.m. I knew I was feverish.  I finished lunch and sat in my rocker/recliner for awhile.  I had planned to go for a 1-mile walk, but was feeling so rundown, that I decided not to do that.  I laid down in the recliner instead for awhile.  By about 4:45 p.m. I decided to go out to the field by my house and stand and do bird photography. I didn?t think that it would cause me any problems since it is rather sedentary and the temperature was ~77ºF.  I still felt chilly, so I wore a light sweatshirt over the long sleeve shirt and t-shirt that I was already wearing.  I did feel though that it was all a little taxing.  At 5:17 p.m. as I decided that I should go in and lie down, my smart Watch gave me a warning that for the prior 10 minutes my heart rate had been over 100 BPM, and it knew that I wasn?t exercising.  I went inside and tried lying in the recliner.  I checked my heart rate and it was 109 BPM.  I decided to try some calming guided meditation to bring my heart rate down.  After 15 minutes of meditation, my heart rate was down to 96 BPM.  By around 5:50 p.m. I decided to go upstairs and take a nap.  I got up at 6:30 p.m. and decided to take my temperature.  It was 99.8ºF.  (My basal temperature is usually ~97.6ºF  Spoke with Dr. (my Primary) at 7:26 p.m.  He suggested hydrating, taking tylenol, and making an appt. with the Nurse Practitioner at 8:00 a.m. if I wasn't feeling better by the next morning.  Took my pulse at ~8:00 a.m. 10/22/2021 using my smart Watch.  It was back to normal at 78 BPM.  Soreness in arm was almost gone, and I didn't feel feverish anymore.  Friday afternoon (10/22/2021) noticed an itchiness on my right arm 4?-5? below the deltoid muscle where the shot was administered.  No apparent rash, but the itching persisted through Sunday (10/24/2021).
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: pediatric pfizer covid vaccine administered to 16 year old patient
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Headache, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: 12/9/21 23-year-old female here with new problem.  Patient states 2 days ago she developed congestion sore throat mild headache.  She does have a dry cough but no shortness of breath.  Patient does not know Covid exposure but desires testing.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 12/9/21 23-year-old female here with new problem.  Patient states 2 days ago she developed congestion sore throat mild headache.  She does have a dry cough but no shortness of breath.  Patient does not know Covid exposure but desires testing.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt did not bring her vaccination card with her to clinic, looked her up in medical database and was found to have 2 different ID accounts. LVN given prior vaccination history. Patient sent to vaccination able with LVN.  Patient given booster dose of Pfizer lot # FJ1620 to left deltoid by LVN.  Patient then came into clinic with husband on 12/9/21 for his booster dose and he was noted to be too early for booster. She then said that she got her booster a week or so ago on 11/30/21.  Reviewed chart and found pt to have received booster dose early and 1st and 2nd doses not charted.  Reviewed info and educated LVNs  about reviewing prior vaccination status.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases abnormal, COVID-19, Cardio-respiratory arrest, Death, Endotracheal intubation
Clinical narrative: Patient exposed to COVID-19 from roommate. Diagnosis confirmed 12/2/2021. On O2 NC. 12/4 placed on bipap. 12/6 intubated and placed on assist control vent. 12/8 during hemodialysis patient coded. She responded to ACLS protocols; however, family elected to remove her from life support and she expired with family present.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Haemodialysis, Life support, Mechanical ventilation, Positive airway pressure therapy
Clinical narrative: Patient exposed to COVID-19 from roommate. Diagnosis confirmed 12/2/2021. On O2 NC. 12/4 placed on bipap. 12/6 intubated and placed on assist control vent. 12/8 during hemodialysis patient coded. She responded to ACLS protocols; however, family elected to remove her from life support and she expired with family present.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Renal function test abnormal, Respiratory alkalosis
Clinical narrative: Patient exposed to COVID-19 from roommate. Diagnosis confirmed 12/2/2021. On O2 NC. 12/4 placed on bipap. 12/6 intubated and placed on assist control vent. 12/8 during hemodialysis patient coded. She responded to ACLS protocols; however, family elected to remove her from life support and she expired with family present.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Glomerular filtration rate decreased, Urine analysis
Clinical narrative: Before receiving the first shot my GFR was 53. After receiving the first shot my GFR was 43.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Impaired driving ability, Injected limb mobility decreased, Injection site pain, Muscle injury
Clinical narrative: Within days of getting the second dose of the vaccine, I started to have problems with my left shoulder. I got the injection in my left arm and it felt like a sore muscle. The pain started at the injection site and then it spread to the top of my shoulder. It kept getting worse and the pain My doctor thought I had damaged my Bicep muscle. It is very sore to touch and I can't raise my arm or lift things. It is hard to reach for anything and I can't turn my arm. It even hurts to drive.  It is the top of my shoulder at the head of the Bicep. It has been nine months and my left shoulder has improved a little but it is still painful and does not function correctly. I tried Physical Therapy and it did not help. I got the third dose in the other arm and I experienced the same pain in my right arm. That is when I realized that the problems with my left shoulder might be related to my vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal disorder, Myalgia, Pain, Pain in extremity
Clinical narrative: Within days of getting the second dose of the vaccine, I started to have problems with my left shoulder. I got the injection in my left arm and it felt like a sore muscle. The pain started at the injection site and then it spread to the top of my shoulder. It kept getting worse and the pain My doctor thought I had damaged my Bicep muscle. It is very sore to touch and I can't raise my arm or lift things. It is hard to reach for anything and I can't turn my arm. It even hurts to drive.  It is the top of my shoulder at the head of the Bicep. It has been nine months and my left shoulder has improved a little but it is still painful and does not function correctly. I tried Physical Therapy and it did not help. I got the third dose in the other arm and I experienced the same pain in my right arm. That is when I realized that the problems with my left shoulder might be related to my vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: CSF oligoclonal band present, CSF test abnormal, Central nervous system lesion, Colour blindness, Echocardiogram
Clinical narrative: Beginning early March I first noticed irregular and then rapid heartbeats and tracked them on my watch. Contacted cardiology who diagnosed me with inappropriate sinus tachycardia. Then April 1 I developed loss of color vision and acuity diminished in my right eye. Spent 4 days in the hospital diagnosed with optic neuritis. Then followed up with neurologist who ordered a spinal tap which revealed 5 OCB bands. My brain mri confirmed brain lesions, optic neuritis and now my CSF shows Multiple Sclerosis. Which i didn?t have prior to the vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram ambulatory, Heart rate increased, Heart rate irregular, Lumbar puncture, Magnetic resonance imaging head abnormal
Clinical narrative: Beginning early March I first noticed irregular and then rapid heartbeats and tracked them on my watch. Contacted cardiology who diagnosed me with inappropriate sinus tachycardia. Then April 1 I developed loss of color vision and acuity diminished in my right eye. Spent 4 days in the hospital diagnosed with optic neuritis. Then followed up with neurologist who ordered a spinal tap which revealed 5 OCB bands. My brain mri confirmed brain lesions, optic neuritis and now my CSF shows Multiple Sclerosis. Which i didn?t have prior to the vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Multiple sclerosis, Optic neuritis, Sinus tachycardia, Visual acuity reduced
Clinical narrative: Beginning early March I first noticed irregular and then rapid heartbeats and tracked them on my watch. Contacted cardiology who diagnosed me with inappropriate sinus tachycardia. Then April 1 I developed loss of color vision and acuity diminished in my right eye. Spent 4 days in the hospital diagnosed with optic neuritis. Then followed up with neurologist who ordered a spinal tap which revealed 5 OCB bands. My brain mri confirmed brain lesions, optic neuritis and now my CSF shows Multiple Sclerosis. Which i didn?t have prior to the vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is a 17 year old male presenting for his 1st dose of COVID vaccine. Patient elected Moderna (not currently approved for his age range). Vaccine was administered by medical assistant and the error was not recognized until after the fact. Medical interpreter  was used to express error and reassure safety of said error. Patient instructed to return in 4 weeks for his 2nd dose of a COVID vaccine (Pfizer).
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination. Patient had TDap on 9/21/2021, also in vaccine refrigerator when out of range. Patient also had no adverse event or outcome from that immunization. Also notified and offered re-vaccination.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pediatric dose of Pfizer administered to 12 year old patient.  Vaccine administration error.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was retrieved from pharmacy on the morning of 12/9/2021.  It was mistakenly grabbed from the area of the refrigerator that had been partitioned off for recently expired vaccine that is separate from the active vaccine refrigerator area.  Vaccine was brought to clinic in a temperature-controlled cooler that stored the vaccine at refrigerated temperatures (36F to 46F).  Vaccine was reconstituted and drawn up to administer.  Pharmacist gave vaccine and documented for CDC and state data.  It was discovered that vaccine was expired at this time.  Any additional vaccine from expired vials planned to give was postponed and remaining vaccine wasted.  No adverse effects noted post administration. Called pharmacy who ensured expired vaccine was removed completely to prevent any further errors.  Notified facility administration and patient of error.  Followed up again in less than 3 hours with patient who had no adverse effects noted and felt fine.  Patient questioned if additional vaccine would be needed.  Followed CDC guidance to contact manufacturer regarding error and gain additional information.  Will follow-up with facility and patient tomorrow to make sure there have been no adverse effects/events post administration.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Ear discomfort, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: 12/6/21 presenting today for Cough (congestion, ear pressure x 4-5 days) and Covid-19 Positive Review of Symptoms:   Review of Systems  Constitutional: Negative for chills and fever.  HENT: Positive for congestion, rhinorrhea and sore throat. Negative for ear pain, sinus pressure and sinus pain.   Respiratory: Positive for cough. Negative for shortness of breath and wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for nausea and vomiting.  Musculoskeletal: Negative for myalgias.  Neurological: Negative for headaches.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 12/6/21 presenting today for Cough (congestion, ear pressure x 4-5 days) and Covid-19 Positive Review of Symptoms:   Review of Systems  Constitutional: Negative for chills and fever.  HENT: Positive for congestion, rhinorrhea and sore throat. Negative for ear pain, sinus pressure and sinus pain.   Respiratory: Positive for cough. Negative for shortness of breath and wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for nausea and vomiting.  Musculoskeletal: Negative for myalgias.  Neurological: Negative for headaches.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Visual impairment
Clinical narrative: visual disturbance 2 days following the vaccine, SOB starting the day after the vaccine
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth, Pruritus
Clinical narrative: Hard, red, hot and itchy skin at injection site, sensitive and painful to the touch
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Tenderness
Clinical narrative: Hard, red, hot and itchy skin at injection site, sensitive and painful to the touch
Age: 23.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immune-mediated adverse reaction, Injected limb mobility decreased, Lymphatic duct injury, Muscle spasms, Pain in extremity
Clinical narrative: When patient presented for second dose of COVID Pfizer vaccine in her RIGHT arm she stated that the night of her first dose her LEFT arm began hurting and had continued to hurt ever since.  She demonstrated limited mobility of LEFT arm.  We gave 2nd dose in RIGHT arm and advised her to see her primary physician if the problem continued.   Patient visited pharmacy on 12/6/21 with update.  Pain & limited mobility remains in LEFT arm.  Patient has seen doctor about this problem.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination complication
Clinical narrative: When patient presented for second dose of COVID Pfizer vaccine in her RIGHT arm she stated that the night of her first dose her LEFT arm began hurting and had continued to hurt ever since.  She demonstrated limited mobility of LEFT arm.  We gave 2nd dose in RIGHT arm and advised her to see her primary physician if the problem continued.   Patient visited pharmacy on 12/6/21 with update.  Pain & limited mobility remains in LEFT arm.  Patient has seen doctor about this problem.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness
Clinical narrative: She immediately felt chills and was dizzy. Patient had no problem breathing. Patient had no rash. Patient did not experience her throat closing. Patient did not faint.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest pain, Echocardiogram normal, Electrocardiogram normal, Red blood cell sedimentation rate increased
Clinical narrative: pt presented to ED with mild chest pain.  EKG normal. Mild troponin leak. Echocardiogram wnl. Discharged in ambulatory condition
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: pt presented to ED with mild chest pain.  EKG normal. Mild troponin leak. Echocardiogram wnl. Discharged in ambulatory condition
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Impaired driving ability, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: I had had problems with pain and mobility in my left shoulder since getting the second dose of my vaccine. I got the third dose in the other arm and I experienced the same pain in my right arm. The pain started at the injection site and then it spread to the top of my shoulder I went to Urgent care and they told me it was a soft tissue reaction to the shot. I was prescribed Prednisone for four days and it did improve a little. It is very sore to touch and I can't raise my arm or lift things. It is hard to reach for anything and I can't turn my arm. It even hurts to drive.  It is the top of my shoulder at the head of the Bicep. It is extremely tender to touch.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Soft tissue injury
Clinical narrative: I had had problems with pain and mobility in my left shoulder since getting the second dose of my vaccine. I got the third dose in the other arm and I experienced the same pain in my right arm. The pain started at the injection site and then it spread to the top of my shoulder I went to Urgent care and they told me it was a soft tissue reaction to the shot. I was prescribed Prednisone for four days and it did improve a little. It is very sore to touch and I can't raise my arm or lift things. It is hard to reach for anything and I can't turn my arm. It even hurts to drive.  It is the top of my shoulder at the head of the Bicep. It is extremely tender to touch.
Age: 25.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Injection site movement impairment, Injection site pain, Micturition urgency
Clinical narrative: Painful injection site (hard to move) Fever & chills (100.5F) around the clock  Muscle aches & weakness  Urinary urgency/frequent urination even when bladder just emptied
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pollakiuria, Pyrexia
Clinical narrative: Painful injection site (hard to move) Fever & chills (100.5F) around the clock  Muscle aches & weakness  Urinary urgency/frequent urination even when bladder just emptied
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypotension, Unresponsive to stimuli
Clinical narrative: Patient had an episode of 1 minute  unreponsiveness days after receiving COVID vaccine. Was hospitalized and admitted. More than likey due to hyponatremia which led to hypotension.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Urticaria, Vaccination site erythema
Clinical narrative: Patient had an onset of (non-itchy) flatten red rash /erythema around the vaccination arm, right side of shoulder, and back, and a raised hive on left cheek 5 minutes after the administration. Patient took a chewable Benadryl tab to alleviate the onset of rash / hives. Patient was reassessed after 10 minutes: hives were less apparent, slowly resolving, rash was not as red, and patient did not exhibit any other symptoms.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination. Patient got Tdap on 9/3/2021 that was also discovered to be in vaccine refrigerator that was out of temperature range. Also no adverse event or outcome. Patient also notified of this and offered re-vaccination.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT GOT PFIZER 1 ST DOSE THEN REQUESTED MODERNA FOR 2 ND DOSE
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bursitis, Impaired work ability, Rotator cuff syndrome, X-ray
Clinical narrative: AFTER EACH INJECTION IT TOOK OVER A WEEK FOR MY TO GO SOMEWHAT BACK TO ITS NATURAL STATE.  10/6, I WAS PLACED ON LIGHT DUTY AT WORK . 10/15 LIGHT DUTY ENDED. 10/12, SAW ORTHO DR, SHE DIAGNOSED ME WITH  BURSITIS AND TOLD ME MY ROTATOR CUFF WAS SPRUNG.  I PLACED ON LIGHT DUTY  10/19. I HAD TO GO ON SHORT TERM DISABILITY 10/19  FOR 6 WEEKS BECAUSE MY JOB COULDN'T ACCOMMODATE ME. 11/30, I SAW MY ORTHO DR AND SHE EXTENDED MY LEAVE FOR 8 MORE WEEKS AND I STARTED PHYSCIAL THERAPY LATE BECAUSE THE LOCATION I  GOTO PUSHED APPTS FAR OUT.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Oropharyngeal discomfort, Vision blurred
Clinical narrative: Pt re-evaluated 30 min s/p COVID vaccine administration, pt noted to be working on her cell phone looking down during entire observation period.    Upon discharge when pt asked how she was feeling reported that she was feeling dizzy and about 10 minutes prior had blurry vision while looking at her phone but didn't report to RN. Employee called to bedside.  Pt reports she did eat around 0900 this am.    RN checked pt VS and B/P: 108/58, P: 63, SPO2: 97% on room air, RR: 16. After Vitals were checked, pt reports her throat felt strange and was gesturing under her mandible. Pt was drinking water without issue. No swelling noted to pt nose, mouth, lips, tongue, no rash, redness, itching noted to body or injections site. Pt awake, alert, conversation is appropriate and speech is clear. NP called to bedside and advised to call 911 and pt in agreement.    While awaiting for the ambulance to arrive pt RR: remained between 16 - 18, SPO2: 98 - 100% on room air, P: remained in the 70's and regular. Throughout pt denied chest pain, shortness of breath, difficulty breathing, A&0 x person, place, time, situation, no respiratory distress noted. Pt did report felt like she drank 2 beers, dizziness, and feeling she really couldn't explained remained to the back of her throat/mandible.    EMS arrived and assumed care, report called to RN, pt transported to Emergency Department
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Cough, Dyspnoea paroxysmal nocturnal, Ear pain, Fatigue
Clinical narrative: Started with just flu-like symptoms and then 4 days after developed sinusitis and Pharyngitis. Also had yellowish gray phlegm and nasal discharge, periorbital pain, ear aches (right worse than left) Sore throat was worse in the morning, PND cough,  inspiratory wheezing  and  cold sores at corners of my mouth. 4-7 days after I had increasing worse fatigue and body pain. Talked to Nurse about my symptoms and was continue to use albuterol. Also, drink plenty of water and get CoVid test. 2 weeks later went to see Dr. on 07/30  and after a physical (no test or labs) was put on Prednisone and Doxycycline 5 days but it was not going well. On 8/9 went for a check up  and second opinion. After chest X-ray(normal) was put back on prednisone and doxycycline for 5 days. My status improve but still had not yet recovered.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Oral herpes, Oropharyngeal pain, Pain, Periorbital pain
Clinical narrative: Started with just flu-like symptoms and then 4 days after developed sinusitis and Pharyngitis. Also had yellowish gray phlegm and nasal discharge, periorbital pain, ear aches (right worse than left) Sore throat was worse in the morning, PND cough,  inspiratory wheezing  and  cold sores at corners of my mouth. 4-7 days after I had increasing worse fatigue and body pain. Talked to Nurse about my symptoms and was continue to use albuterol. Also, drink plenty of water and get CoVid test. 2 weeks later went to see Dr. on 07/30  and after a physical (no test or labs) was put on Prednisone and Doxycycline 5 days but it was not going well. On 8/9 went for a check up  and second opinion. After chest X-ray(normal) was put back on prednisone and doxycycline for 5 days. My status improve but still had not yet recovered.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Sinusitis, Sputum discoloured
Clinical narrative: Started with just flu-like symptoms and then 4 days after developed sinusitis and Pharyngitis. Also had yellowish gray phlegm and nasal discharge, periorbital pain, ear aches (right worse than left) Sore throat was worse in the morning, PND cough,  inspiratory wheezing  and  cold sores at corners of my mouth. 4-7 days after I had increasing worse fatigue and body pain. Talked to Nurse about my symptoms and was continue to use albuterol. Also, drink plenty of water and get CoVid test. 2 weeks later went to see Dr. on 07/30  and after a physical (no test or labs) was put on Prednisone and Doxycycline 5 days but it was not going well. On 8/9 went for a check up  and second opinion. After chest X-ray(normal) was put back on prednisone and doxycycline for 5 days. My status improve but still had not yet recovered.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Started with just flu-like symptoms and then 4 days after developed sinusitis and Pharyngitis. Also had yellowish gray phlegm and nasal discharge, periorbital pain, ear aches (right worse than left) Sore throat was worse in the morning, PND cough,  inspiratory wheezing  and  cold sores at corners of my mouth. 4-7 days after I had increasing worse fatigue and body pain. Talked to Nurse about my symptoms and was continue to use albuterol. Also, drink plenty of water and get CoVid test. 2 weeks later went to see Dr. on 07/30  and after a physical (no test or labs) was put on Prednisone and Doxycycline 5 days but it was not going well. On 8/9 went for a check up  and second opinion. After chest X-ray(normal) was put back on prednisone and doxycycline for 5 days. My status improve but still had not yet recovered.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was retrieved from pharmacy on the morning of 12/9/2021.  It was mistakenly grabbed from the area of the refrigerator that had been partitioned off for recently expired vaccine that is separate from the active vaccine refrigerator area.  Vaccine was brought to clinic in a temperature-controlled cooler that stored the vaccine at refrigerated temperatures (36F to 46F).  Vaccine was reconstituted and drawn up to administer.  Pharmacist gave vaccine and documented data.  It was discovered that vaccine was expired at this time.  Any additional vaccine from expired vials planned to give was postponed and remaining vaccine wasted.  No adverse effects noted post administration.  Called pharmacy who ensured expired vaccine was removed completely to prevent any further errors.  Notified facility administration to notify staff member affected for follow-up.  Followed guidance to contact manufacturer regarding error and gain additional information.  Will follow-up with facility and patient tomorrow to make sure there have been no adverse effects/events post administration.
Age: 22.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Nausea
Clinical narrative: Upset stomach, stomach cramping and nausea.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was retrieved from pharmacy on the morning of 12/9/2021.  It was mistakenly grabbed from the area of the refrigerator that had been partitioned off for recently expired vaccine that is separate from the active vaccine refrigerator area.  Vaccine was brought to clinic in a temperature-controlled cooler that stored the vaccine at refrigerated temperatures (36F to 46F).  Vaccine was reconstituted and drawn up to administer.  Pharmacist gave vaccine and documented for CDC and Immunization Information Systems data.  It was discovered that vaccine was expired at this time.  Any additional vaccine from expired vials planned to give was postponed and remaining vaccine wasted.  No adverse effects noted post administration. Called pharmacy who ensured expired vaccine was removed completely to prevent any further errors.  Notified facility administration and patient of error.  Followed up again in less than 3 hours with patient who had no adverse effects noted and felt fine.  Patient questioned if additional vaccine would be needed.  Followed CDC guidance to contact manufacturer regarding error and gain additional information (Form CS-321629-AS).  Will follow-up with facility and patient tomorrow to make sure there have been no adverse effects/events post administration.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Myalgia, Nasal congestion, Oropharyngeal pain
Clinical narrative: Client vaccinated with Pfizer vaccines on 3/21 and 4/8/2021 for Covid.  Symptoms started on 12/6 - nasal congestion, cough, myalgia, sore throat.  PCR + on 12/8.  Case of breakthrough Covid.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Client vaccinated with Pfizer vaccines on 3/21 and 4/8/2021 for Covid.  Symptoms started on 12/6 - nasal congestion, cough, myalgia, sore throat.  PCR + on 12/8.  Case of breakthrough Covid.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Supraclavicular swelling on the same side of where vaccine was administered.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was retrieved from pharmacy on the morning of 12/9/2021.  It was mistakenly grabbed from the area of the refrigerator that had been partitioned off for recently expired vaccine that is separate from the active vaccine refrigerator area.  Vaccine was brought to clinic in a temperature-controlled cooler that stored the vaccine at refrigerated temperatures (36F to 46F).  Vaccine was reconstituted and drawn up to administer.  Pharmacist gave vaccine and documented for CDC and Immunization Information Systems data.  It was discovered that vaccine was expired at this time.  Any additional vaccine from expired vials planned to give was postponed and remaining vaccine wasted.  No adverse effects noted post administration.  Called pharmacy who ensured expired vaccine was removed completely to prevent any further errors.  Notified facility administration to notify staff member affected for follow-up.  Followed CDC guidance to contact manufacturer regarding error and gain additional information (Form CS-321629-AS).  Will follow-up with facility and patient tomorrow to make sure there have been no adverse effects/events post administration.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Laboratory test
Clinical narrative: Severe joint pain, multiple parts of my body. Hx of joint pain. Recent flare up required prescription treatment by dr.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Supraventricular tachycardia
Clinical narrative: Patient received the vaccine around 6:30 pm and went to the hospital around 11 pm the same day. Patient called our pharmacy the next day to let us know what happened.