chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site rash, Rash, Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: Rash with many bumps broke out on my upper chest and upper back and on shoulder near (but not on) injection site.  Rash was mildly itchy so I called my doctor and got a prescription for Triamcinoone Acetonide on Wed. 12/14/2022 to put on bumps.  I called my doctor about the rash but did not remember to tell my doctor that I had had a Bivalent Shot a week earlier.  Some of the bumps in the rash are larger than others but smaller than a penny size.  It looks like smaller bumps that are on top of the largest red rash blotches.  I still have the rash today and it doesn't seem to be getting worse, but will continue to monitor it.  I have never experienced this type of rash before but I have always ha very sensitive skin.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood creatinine increased, Blood test abnormal, Condition aggravated, Glomerulonephritis minimal lesion, Protein urine present
Clinical narrative: About 3-4 weeks after receiving my 4th  Covid shot I had a relapse of Minimal Change Disease which had been in remission for 11 1/2 years.  I can't pinpoint the exact date the symptoms first appeared, since the symptoms are subtle at first.  My MCD was confirmed through a blood test at my doctor's office the first week of November.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syncope
Clinical narrative: Pt fainted after the vaccine was administered while pt is sitting down .
Age: 49.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: General symptom, Injection site pain
Clinical narrative: oFirst Covid-19 Vaccination (J & J / Janssen) received on 4/4/2021 @ 8:44 am. Lot: 1808980 oFirst Covid-19 Booster (Pfizer) received on 11/10/2021 @ 3:43 pm Lot: 330268D - No side-effects. All was well after the shot except for some soreness at the site of the injection.  oSecond Covid-19 Booster (Pfizer, updated version) received on 9/9/2022 @ 12:45 pm Lot: GH9694 - Started experiencing strange things happening a little over a week after receiving the booster shot. Went to Dr. for annual physical and notified him of all the symptoms.   See attached pages Patient - New Symptoms Occurring After Pfizer (updated) Covid-19 Booster (second booster)'
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Headache, Impaired work ability
Clinical narrative: I had fever, chills, body aches, headache, nasal congestion, sore throat, coughing, and wheezing. I was off work for around four days. I was treated with TYLENOL, BREO inhaler and prednisone.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had fever, chills, body aches, headache, nasal congestion, sore throat, coughing, and wheezing. I was off work for around four days. I was treated with TYLENOL, BREO inhaler and prednisone.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: I had fever, chills, body aches, headache, nasal congestion, sore throat, coughing, and wheezing. I was off work for around four days. I was treated with TYLENOL, BREO inhaler and prednisone.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Amenorrhoea, Blood testosterone increased, Cellulitis, Cheilitis, Female sex hormone level
Clinical narrative: On March 7, 2020 patient received her first HPV vaccine, she continued to be regular until January 2021 where her period started skipping every 3 month. Between the first HPV vaccine and January 1, 2021 she had a few inflammatory issues. She had a cellulitis on her finger 2 months after the vaccine, followed by in inflammation response on her lips and tongue. Patient received her second dose of the vaccine on March 13, 2021, at that point I mentioned to the doctor her periods were skipping and was told not to worry, it was normal at her age and we would only worry if it continued to skip or if she didn?t have her period for 6 months. She continued to skip her period having it every 3 months until January 2022, she skipped her period from January until October where it was induced by the endocrinologist.  During this period patient has had to seek treatment for a therapist due to panic attacks and self-harm. She has seen a cardiologist for heat palpations, a neurologist for Migraines, an endocrinologist for missed periods, an allergist to rule out the inflation was caused by an allergic reaction, an ophthalmologist for blurred and peripheral vision issues an OB/GYN to check her reproductive system and an adolescent doctor to try to piece it all together.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Glossitis, Inflammation, Intentional self-injury, Medical procedure, Menstruation irregular
Clinical narrative: On March 7, 2020 patient received her first HPV vaccine, she continued to be regular until January 2021 where her period started skipping every 3 month. Between the first HPV vaccine and January 1, 2021 she had a few inflammatory issues. She had a cellulitis on her finger 2 months after the vaccine, followed by in inflammation response on her lips and tongue. Patient received her second dose of the vaccine on March 13, 2021, at that point I mentioned to the doctor her periods were skipping and was told not to worry, it was normal at her age and we would only worry if it continued to skip or if she didn?t have her period for 6 months. She continued to skip her period having it every 3 months until January 2022, she skipped her period from January until October where it was induced by the endocrinologist.  During this period patient has had to seek treatment for a therapist due to panic attacks and self-harm. She has seen a cardiologist for heat palpations, a neurologist for Migraines, an endocrinologist for missed periods, an allergist to rule out the inflation was caused by an allergic reaction, an ophthalmologist for blurred and peripheral vision issues an OB/GYN to check her reproductive system and an adolescent doctor to try to piece it all together.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Migraine, Oligomenorrhoea, Palpitations, Panic attack, Vision blurred
Clinical narrative: On March 7, 2020 patient received her first HPV vaccine, she continued to be regular until January 2021 where her period started skipping every 3 month. Between the first HPV vaccine and January 1, 2021 she had a few inflammatory issues. She had a cellulitis on her finger 2 months after the vaccine, followed by in inflammation response on her lips and tongue. Patient received her second dose of the vaccine on March 13, 2021, at that point I mentioned to the doctor her periods were skipping and was told not to worry, it was normal at her age and we would only worry if it continued to skip or if she didn?t have her period for 6 months. She continued to skip her period having it every 3 months until January 2022, she skipped her period from January until October where it was induced by the endocrinologist.  During this period patient has had to seek treatment for a therapist due to panic attacks and self-harm. She has seen a cardiologist for heat palpations, a neurologist for Migraines, an endocrinologist for missed periods, an allergist to rule out the inflation was caused by an allergic reaction, an ophthalmologist for blurred and peripheral vision issues an OB/GYN to check her reproductive system and an adolescent doctor to try to piece it all together.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Visual field defect
Clinical narrative: On March 7, 2020 patient received her first HPV vaccine, she continued to be regular until January 2021 where her period started skipping every 3 month. Between the first HPV vaccine and January 1, 2021 she had a few inflammatory issues. She had a cellulitis on her finger 2 months after the vaccine, followed by in inflammation response on her lips and tongue. Patient received her second dose of the vaccine on March 13, 2021, at that point I mentioned to the doctor her periods were skipping and was told not to worry, it was normal at her age and we would only worry if it continued to skip or if she didn?t have her period for 6 months. She continued to skip her period having it every 3 months until January 2022, she skipped her period from January until October where it was induced by the endocrinologist.  During this period patient has had to seek treatment for a therapist due to panic attacks and self-harm. She has seen a cardiologist for heat palpations, a neurologist for Migraines, an endocrinologist for missed periods, an allergist to rule out the inflation was caused by an allergic reaction, an ophthalmologist for blurred and peripheral vision issues an OB/GYN to check her reproductive system and an adolescent doctor to try to piece it all together.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac monitoring, Electrocardiogram, Heart rate increased, Tachycardia
Clinical narrative: I had gone to the doctor for a diabetic check-in and the doctor was concerned that my heart rate was too high, she said it was tachycardia. The lowest it got was 118. I thought it was just stress. She advised I cut back on caffeine and follow up in a month. I cut back on my coffee and soda. I had a pulse oximeter that I would check myself periodically and did not notice anything unusual but at the follow up she gave me a Zio heart monitor for a week. During that week I had 38 Tachycardia episodes with the highest over 200. She is currently getting me a referral for an electrophysiologists for follow up.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Dyspnoea, Dyspnoea exertional, SARS-CoV-2 test negative
Clinical narrative: I received my 1st dose on 01/15/2021. After 1 and half hour later I started experiencing shortness of breath. As of today 12/16/2022 I am still experiencing shortness of breath. I contacted my doctor 2 weeks ago regarding this problem. He referred me to see a Cardiologist. They did a stress test on 12/14/2022. I did receive the result yet. When I try to walk or do something I ran out of breath. It happens suddenly. It comes and goes. If I try to for a longer period of time I ran out of breath. It never happened to me like this before but after getting the dose 1 It started happening. When I was getting my 2nd dose since I've experienced shortness of breath after my 1st dose they made me wait at least 2 hours to see If I have any reactions which I didn't had any except for the shortness of breath. At the time of my dose 1 I didn't see my doctor because I was in a different state. I just contacted my doctor recently.
Age: 74.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received 2nd Bivalent booster within 3 months of original bivalent booster
Age: 56.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Injection site swelling, Muscular weakness
Clinical narrative: Swollen at injection site, weakness of left arm
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Asthenia, Nausea, Pallor, Syncope
Clinical narrative: Student received Hep A and Varicella Immunizations and upon standing up after receiving immunizations c/o weakness, syncope, and nausea. Student was assisted to sitting position, allowed to rest, given alcohol wipe to smell (per student request). Student denied respiratory, cardiac, or anaphylaxis Sx per Triage of RN. Student was observed for 30 minutes after event and did not exhibit additional Sx after initial event. Student regained facial color and stated he felt better.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Fatigue, Headache, Hypersomnia, Oropharyngeal pain
Clinical narrative: 12/9/2022 I started having what felt like a sinus infection. I had a headache, congestion, weakness, sore throat and a little bit of fever. I was fatigued and slept a lot. It continued to get worse. I tested negative for COVID with an at home test three times. I called the doctor and had an appointment on 12/13/22. She diagnosed me with sinusitis and gave me a prescription for azithromycin for 5 days. This is the fourth day, and I am finally feeling better and starting to feel like myself again.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: 12/9/2022 I started having what felt like a sinus infection. I had a headache, congestion, weakness, sore throat and a little bit of fever. I was fatigued and slept a lot. It continued to get worse. I tested negative for COVID with an at home test three times. I called the doctor and had an appointment on 12/13/22. She diagnosed me with sinusitis and gave me a prescription for azithromycin for 5 days. This is the fourth day, and I am finally feeling better and starting to feel like myself again.
Age: 3.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cough, Malaise, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: She started getting a runny nose that caused her to cough while she was sleeping. On Monday the fifth her Dad took her to the doctor as she was still not feeling well. We had given her a home COVID-19 test that came back negative. They did not run any test and sent her home. Later that day she did start running a fever, we gave her some ibuprofen/TYLENOL to bring the fever down. She woke up on Tuesday with no fever, by that evening she was more like herself. By Wednesday she was feeling much better and went back to daycare.
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Product storage error
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored, and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: 11/05/22 presents to ED for "altered mental status, and corona virus concern". PMHx of "HTN and anxiety"
Age: 87.0
Sex: M
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored, and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Rash
Clinical narrative: Rash, itching, treated by patient with Benadryl and hydrocortisone cream on day after immunization. Rash and itching improved on second day after immunization
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient requested Hepatitis A vaccination; Hepatitis B vaccine was given. No adverse effects after vaccination while patient was still in clinic for 15 minutes. Patient had received full Hepatitis B vaccine series already, so this dose was not necessary.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash erythematous, Urticaria
Clinical narrative: Hives, red itchy bumps all over body lasts 2 weeks
Age: 68.0
Sex: M
Vaccine: COVID19-2, VARZOS
Symptoms: No adverse event, Product administration error, Product storage error
Clinical narrative: The Moderna Bivalent Booster given on 12/16/22 was administered 9:42AM after being punctured at 2pm on 12/15/22 and stored at ambient temperature. This exceeds the 12 hour recommended range to store this vaccine at ambient temperature. The CDC and manufacturer was contacted and information gathered from both. This vaccine is considered safe to administer for up to 24 hours after puncture though there is a minute increase in risk for microbial infection, repeat dosage is not recommended.
Age: 57.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Blood test, Chest X-ray, Chest pain, Dizziness, Electrocardiogram
Clinical narrative: High pulse rate; symptoms of atrial fibrillation; light headedness and pain in chest
Age: 57.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Heart rate increased
Clinical narrative: High pulse rate; symptoms of atrial fibrillation; light headedness and pain in chest
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Immediate post-injection reaction, Inflammation, Joint range of motion decreased
Clinical narrative: pt states that she felt dizzy and nauseated immediately after getting the vax.  Within 24 hours her left arm became sore and she experienced weakness.  She lost range of motion and had to see her PCP.  She was referred to have physical therapy.  After several months of physical therapy with no improvement was then referred to an orthopedic Dr.  She was given a cortisone injection.  She was told this was from having inflammation from the vaccine.  She states she has had improvement after having this injection but still some achiness and some limitations. Her arm is about 80-90% better at this time.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Pain in extremity
Clinical narrative: pt states that she felt dizzy and nauseated immediately after getting the vax.  Within 24 hours her left arm became sore and she experienced weakness.  She lost range of motion and had to see her PCP.  She was referred to have physical therapy.  After several months of physical therapy with no improvement was then referred to an orthopedic Dr.  She was given a cortisone injection.  She was told this was from having inflammation from the vaccine.  She states she has had improvement after having this injection but still some achiness and some limitations. Her arm is about 80-90% better at this time.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Balance disorder, Dysstasia, Gait disturbance, Gait inability, Photopsia
Clinical narrative: Having balance issues walking and standing. Bright white lights flashing.  Woke up  one morning prior to this booster and could not walk. Ten weeks ago I had spine surgery for degenerative stenosis and lumbar decompression and disectomy (sp).
Age: 88.0
Sex: M
Vaccine: FLUA4
Symptoms: Unevaluable event
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored, and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: This person was given a second bivalent booster dose.  The patient didn't remember getting the first one, did not bring her card with and the nursing home where she lives signed her up to have this shot and didn't realize she already had a bivalent booster dose.  The person has had no side effects and has not had any problems since receiving this vaccine.  This is being reported as an administration error.  There are NO adverse side effects.  The other bivalent booster dose was given on 10-13-2022.
Age: 39.0
Sex: F
Vaccine: HEPA
Symptoms: Extra dose administered
Clinical narrative: RN erroneously gave Hep A dose after patient had already completed 2 dose series
Age: 41.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: The Moderna Bivalent Booster given on 12/16/22 was administered 9:42AM after being punctured at 2pm on 12/15/22 and stored at ambient temperature. This exceeds the 12 hour recommended range to store this vaccine at ambient temperature. The CDC and manufacturer was contacted and information gathered from both. This vaccine is considered safe to administer for up to 24 hours after puncture though there is a minute increase in risk for microbial infection, repeat dosage is not recommended.
Age: 100.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored, and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Heart rate irregular
Clinical narrative: First Covid shot received 01/20/21 caused hospitalization within 14 days for extreme A-Fib heartbeat. Fifth booster shot listed above caused similar irregular heartbeat problems that persist today.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardiac arrest, Hypoxia, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: 11/05/22 presents for "cardiac arrest" "hypoxia in the setting of preceding respiratory distress/recent COVID". PMHx of "ESRD on HD MWF, T2DM, HTN"
Age: 74.0
Sex: M
Vaccine: COVID19-2, FLU4, VARZOS
Symptoms: COVID-19, Cough, Dysphonia, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: It started with mild coughing and sneezing. It got progressively worse. The coughing was severe. The sneezing was intense. I took an COVID-19 test on Monday. It was a weak positive, but it was positive. On Wednesday, I took another COVID-19 test. The line was intensely pink. At that point, I called the doctor and had a telehealth visit. She prescribed PAXLOVID. I started taking it Wednesday evening. Yesterday afternoon, the symptoms were mild, but I had a severe sore throat. I took MOTRIN. Today, I'm hoarse and the sore throat is almost gone. My coughing and sneezing stopped. My blood oxygen and pulse look good.
Age: 74.0
Sex: M
Vaccine: COVID19-2, FLU4, VARZOS
Symptoms: Sneezing
Clinical narrative: It started with mild coughing and sneezing. It got progressively worse. The coughing was severe. The sneezing was intense. I took an COVID-19 test on Monday. It was a weak positive, but it was positive. On Wednesday, I took another COVID-19 test. The line was intensely pink. At that point, I called the doctor and had a telehealth visit. She prescribed PAXLOVID. I started taking it Wednesday evening. Yesterday afternoon, the symptoms were mild, but I had a severe sore throat. I took MOTRIN. Today, I'm hoarse and the sore throat is almost gone. My coughing and sneezing stopped. My blood oxygen and pulse look good.
Age: 95.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored, and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Necrotising fasciitis
Clinical narrative: Necrotizing Fasciitis. Left arm and chest.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Echocardiogram, Electrocardiogram PR shortened, Insomnia, Muscle twitching
Clinical narrative: palpitations and postural tachycardia syndrome Feb 2021.  now with short PR interval  as of May 2022 involuntary muscle twitching  developed May 2022 30 pound weight loss from January 2022-December 2022 insomnia - severe from May 2022, lessening since starting medication in September 2022
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Postural orthostatic tachycardia syndrome, Weight decreased
Clinical narrative: palpitations and postural tachycardia syndrome Feb 2021.  now with short PR interval  as of May 2022 involuntary muscle twitching  developed May 2022 30 pound weight loss from January 2022-December 2022 insomnia - severe from May 2022, lessening since starting medication in September 2022
Age: 54.0
Sex: M
Vaccine: FLU4
Symptoms: Diarrhoea, Injection site erythema, Injection site swelling, Musculoskeletal stiffness, Swelling
Clinical narrative: Patient developed swelling and redness on left arm from shoulder to elbow. He also complained of stiff and swollen neck. Also reported diarrhea. Some symptoms continued till this writing.
Age: 85.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored, and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 11/05/22 presents to ED for "SOB and chest pain". PMHx of "COPD, DM type 2, hypertension" "DVT/PE"
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cerebrovascular accident, Dizziness, Mobility decreased
Clinical narrative: ER visit and hospital, then rehab (2 weeks) couldn't move left side of body (stroke) patient has improved but still has dizziness and experiences sudden weakness.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent was given instead of original dose for the patients second dose.
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given bivalent booster dose for 1st covid vaccine series dose.
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Influenza virus test, Pain
Clinical narrative: I was around my son and we did not know he had COVID-19. A couple days later, I started showing symptoms of a cough. The next day, I started to feel stuffy, congested, had body aches and continued to cough. Later that night, I developed a fever. I took a rapid COVID-19 test and it came back negative. My physician contacted me and told me the PCR came back positive. He prescribed PAXLOVID for me. I have been taking PAXLOVID since 12/14/2022. I have not noticed any positive change so I was thinking that I may discontinue taking it. I had a tele-health appointment this morning and my physician told me to continue taking PAXLOVID because it is the only medication available for me to take.
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pyrexia, Respiratory syncytial virus test, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I was around my son and we did not know he had COVID-19. A couple days later, I started showing symptoms of a cough. The next day, I started to feel stuffy, congested, had body aches and continued to cough. Later that night, I developed a fever. I took a rapid COVID-19 test and it came back negative. My physician contacted me and told me the PCR came back positive. He prescribed PAXLOVID for me. I have been taking PAXLOVID since 12/14/2022. I have not noticed any positive change so I was thinking that I may discontinue taking it. I had a tele-health appointment this morning and my physician told me to continue taking PAXLOVID because it is the only medication available for me to take.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Circumstance or information capable of leading to medication error, Incorrect product formulation administered, Product expiration date issue
Clinical narrative: When I arrived at the clinic, they were well behind on rooming and discharging patients.  Before I was settled in I had the patient sheets and forms for ARNP, schedule for the day, and told the five year old in room 16 needed vaccines.  I was also told by one MA that another MA had pulled what I needed, had it warming on the counter, would be ready at 10:37 am, and it?d be drawn up.  Not having the training and time to fully learn vaccines for pediatrics and not having a MA I could find, I reached out to my clinic for help with the vaccines other than Covid.  Once I was finally ready, I went to the lab and gathered everything but the Covid vaccine.  The Covid vaccine was not drawn so I checked what was on the counter.  They had a Moderna Bivalent booster for adults on one storage box, and a Pfizer.  Knowing the Modern, having prepped it, drawn it, and administered it multiple times a day at my own clinic, was not the correct one.  I grabbed the Pfizer and read the bottle, I saw Pfizer, 5-11 years old and since drawing myself the 10 doses of 0.2 mls, completely missing the very small Bivalent.  I finally found another MA who showed me where the correct syringes were, and I mentioned it was a 0.2 ml does instead of the 0.25 ml dose.  I didn?t have the Covid vaccine sheet explaining Pfizer and Moderna rules and descriptions of bottes, for me to double check myself.  Trusting what I read in the rush and the MAs who set me up, I drew up the 0.2 ml dose and went to MA and appeared to be MA in charge while the Medical Support Supervisor was out, to verify all the vaccines since she was the one to pull the Pfizer out of the fridge.  At that time none of the Mas had prepped the charts to see what is needed and what vaccine the child was to receive or has had.  MA signed my double check vaccine forms, and I went and administered them.  When I got back and started documenting the vaccines and locations, I noticed they didn?t have the expiration written on the box or bottle, so I went to MA and asked about it.  I asked what the expiration date was as the bottle stated 8/22.  She grabbed her spiral notebook with dates and pointed to the Pfizer booster expiration date.  I corrected her stating this was a Primary dose.  She got up and took me to the lab an pulled the box from the freezer and showing me the expiration date.  I again repeated Primary dose.  At that point she told me she failed me due to pulling the wrong thing and then signing it off.  I asked what we were supposed to do, and she told me the patient needed to be contacted.  She told me she would take care of things, but when I contacted her a day and a half later, neither the patient nor the provider was notified.  I am reporting at my soonest availability.  I did communicate with my MSS and was given the workflow to report the error.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Arthritis, COVID-19, Condition aggravated, Cough
Clinical narrative: I received the Pfizer Bivalent booster on 9/15/2022. On 11/26/2022, I developed a severe headache and had a feeling of general malaise all over. I had a low-grade fever, also, so I took a home antigen test, which quickly yielded a positive result. I had body aches, and my joints were especially painful. By the time the morning of 11/27/2022 came, I couldn't even use my hands, because they were both stiff; I have arthritis in my hands, and the COVID-19 seemed to exacerbate it. My doctor prescribed me PAXLOVID. I began taking PAXLOVID at about 4 PM on 11/27/2022. By the time 11/28/2022 rolled around, I felt significantly better. The symptoms weren't all gone, but I was able to move my hands, and my body aches subsided. I still had a headache, though it was less severe than before. I also still had extreme fatigue. I continued to get better every day afterwards. By 11/30/2022, which was the last day to take the PAXLOVID, I felt much better. The headache had subsided, but I still had residual fatigue. When I took another home antigen test on 12/1/2022, I still had a positive result. When 12/3/2022 came, I felt better, but I got sick later that evening. I had a headache, a runny nose, a low-grade fever, and a slight cough. However, I didn't have any body aches. It felt more like a cold than anything. I tested again that evening and got a very positive result. I tested every 2 days afterwards, and I tested positive each time. I finally got a negative result when I tested again on 12/13/2022. At the time of this writing, I feel fine and like I'm back to normal. I don't even have any residual fatigue now.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Malaise, Musculoskeletal stiffness, Pain
Clinical narrative: I received the Pfizer Bivalent booster on 9/15/2022. On 11/26/2022, I developed a severe headache and had a feeling of general malaise all over. I had a low-grade fever, also, so I took a home antigen test, which quickly yielded a positive result. I had body aches, and my joints were especially painful. By the time the morning of 11/27/2022 came, I couldn't even use my hands, because they were both stiff; I have arthritis in my hands, and the COVID-19 seemed to exacerbate it. My doctor prescribed me PAXLOVID. I began taking PAXLOVID at about 4 PM on 11/27/2022. By the time 11/28/2022 rolled around, I felt significantly better. The symptoms weren't all gone, but I was able to move my hands, and my body aches subsided. I still had a headache, though it was less severe than before. I also still had extreme fatigue. I continued to get better every day afterwards. By 11/30/2022, which was the last day to take the PAXLOVID, I felt much better. The headache had subsided, but I still had residual fatigue. When I took another home antigen test on 12/1/2022, I still had a positive result. When 12/3/2022 came, I felt better, but I got sick later that evening. I had a headache, a runny nose, a low-grade fever, and a slight cough. However, I didn't have any body aches. It felt more like a cold than anything. I tested again that evening and got a very positive result. I tested every 2 days afterwards, and I tested positive each time. I finally got a negative result when I tested again on 12/13/2022. At the time of this writing, I feel fine and like I'm back to normal. I don't even have any residual fatigue now.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received the Pfizer Bivalent booster on 9/15/2022. On 11/26/2022, I developed a severe headache and had a feeling of general malaise all over. I had a low-grade fever, also, so I took a home antigen test, which quickly yielded a positive result. I had body aches, and my joints were especially painful. By the time the morning of 11/27/2022 came, I couldn't even use my hands, because they were both stiff; I have arthritis in my hands, and the COVID-19 seemed to exacerbate it. My doctor prescribed me PAXLOVID. I began taking PAXLOVID at about 4 PM on 11/27/2022. By the time 11/28/2022 rolled around, I felt significantly better. The symptoms weren't all gone, but I was able to move my hands, and my body aches subsided. I still had a headache, though it was less severe than before. I also still had extreme fatigue. I continued to get better every day afterwards. By 11/30/2022, which was the last day to take the PAXLOVID, I felt much better. The headache had subsided, but I still had residual fatigue. When I took another home antigen test on 12/1/2022, I still had a positive result. When 12/3/2022 came, I felt better, but I got sick later that evening. I had a headache, a runny nose, a low-grade fever, and a slight cough. However, I didn't have any body aches. It felt more like a cold than anything. I tested again that evening and got a very positive result. I tested every 2 days afterwards, and I tested positive each time. I finally got a negative result when I tested again on 12/13/2022. At the time of this writing, I feel fine and like I'm back to normal. I don't even have any residual fatigue now.
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Vaccine was over diluted when reconstituted. No adverse reaction reported by mother. Patient to be boosted per CDC guidelines.
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Balance disorder, Dizziness, Fatigue, Headache, Pain
Clinical narrative: I had deep chest congestion. Strong body aches with a mild headache. Weakness and very fatigue. Still experiencing fatigue and some dizziness lately, balance issues. I got tendinous really bad.
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Respiratory tract congestion, SARS-CoV-2 test, Tendonitis
Clinical narrative: I had deep chest congestion. Strong body aches with a mild headache. Weakness and very fatigue. Still experiencing fatigue and some dizziness lately, balance issues. I got tendinous really bad.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Adverse event information provided in this submission, is per a report received by the local County Public Health Department from a submitting facility. Covid-19 vaccination information is from the Immunization Registry. Pfizer 9/10/2021 Lot # FC3183  Pfizer 2/28/2022 Lot # FK9894  Pfizer Comirnaty 8/25/2022 Lot # FW1330   Patient seen in ED at the local Medical Center,  and transferred to another Medical Center. Patient was positive for COVID-19 11/14/2022. Last vaccinated Pfizer Comirnaty 8/25/2022 Lot#FW1330. No further information is known or has been received on the outcome of this patient. For any further or additional information, please contact the reported medical centers.
Age: 0.17
Sex: M
Vaccine: PNC15
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient had localized redness, swelling and warmth to touch on the left thigh where the injection was given. Mother was instructed to do cool compresses and give Tylenol and to return to our office tomorrow for a follow up.
Age: 37.0
Sex: F
Vaccine: COVID19, MMR
Symptoms: Blood test normal, Menstruation irregular, Smear cervix normal
Clinical narrative: Birth weight 8 pounds 11ounces full term (9days late)  After I had my child, I anticipated having crazy cycles due to birth as well as breast feeding. Sometimes I would have a period every other month and sometimes I would go two months without a cycle. The cycle was very unpredictable. Before getting the vaccine, my cycle was within 2-3 days to the date. Now I just don't know when or if I am going to have a cycle at all.  I did get the booster and after that I did have regular cycles June, July, and August was early and no cycle in September. The doctors feel that my cycles could've been affected yet again.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On 11/13/2022  I started feeling mild symptoms. I had a  sore throat and  fatigue for 2 days. On the 11/15 I had a telehealth visit and was prescribed a 5 day course of Paxlovid.  After 5 days I had no symptoms and tested negative after 7 days.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Bell's palsy
Clinical narrative: patient received High dose influenza vaccine on 10/13/2022 and on 10/29/2022 she developed bells palsy .
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Feeling cold, Headache
Clinical narrative: My adverse event started on 12/05/2022. I had diarrhea, fever, chills, body aches, headaches, fatigue, and  shortness of breath. I had Influenza A. I took over the counter medications. I took TYLENOL. My son tested first positive for Influenza and I had the same symptoms. I didn't see any doctor for it. My symptoms lasted 4-5 days. I am still experiencing shortness of breath.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza, Influenza A virus test positive, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: My adverse event started on 12/05/2022. I had diarrhea, fever, chills, body aches, headaches, fatigue, and  shortness of breath. I had Influenza A. I took over the counter medications. I took TYLENOL. My son tested first positive for Influenza and I had the same symptoms. I didn't see any doctor for it. My symptoms lasted 4-5 days. I am still experiencing shortness of breath.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Adenocarcinoma, Pelvic pain
Clinical narrative: Patient had a miscarriage in February.  Then in July '22 had pelvic pain.  Work up discovered mucinous adenocarcinoma
Age: 89.0
Sex: M
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored, and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Vaccine was over diluted when reconstituted. No adverse reaction reported by mother. Patient to be boosted per CDC guidelines.
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Blood bilirubin increased, Blood creatinine increased, Conjunctival hyperaemia, Diarrhoea
Clinical narrative: About 24 hrs after vaccine, woke from nap with itchy nose and congestion.  Throughout the night, patient was progressively more pruritic. She started to sneeze often with conjunctival injection. When she woke up in the morning, she noted her face was covered in red dots. She went to school and at that time she felt feverish with associated joint pain and shortness of breath. Her face was blotchy. Due to the constellation of symptoms, she was excused from school and went to Urgent Care. At UC she had diarrhea and episode of emesis. They gave her BENADRYL with strict return precautions. Then soon after leaving, at 1400 she fainted with associated lip swelling and so went to ED. They gave epinephrine right away and a dose of prednisone. All symptoms went away, then 2 hours later all the symptoms started to return. She again had nausea and severe vomiting with shortness of breath and body aches and so another epinephrine injection was administered
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Erythema, Full blood count normal, Lip swelling, Loss of personal independence in daily activities
Clinical narrative: About 24 hrs after vaccine, woke from nap with itchy nose and congestion.  Throughout the night, patient was progressively more pruritic. She started to sneeze often with conjunctival injection. When she woke up in the morning, she noted her face was covered in red dots. She went to school and at that time she felt feverish with associated joint pain and shortness of breath. Her face was blotchy. Due to the constellation of symptoms, she was excused from school and went to Urgent Care. At UC she had diarrhea and episode of emesis. They gave her BENADRYL with strict return precautions. Then soon after leaving, at 1400 she fainted with associated lip swelling and so went to ED. They gave epinephrine right away and a dose of prednisone. All symptoms went away, then 2 hours later all the symptoms started to return. She again had nausea and severe vomiting with shortness of breath and body aches and so another epinephrine injection was administered
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Nausea, Pain, Pruritus, Pyrexia, Rash macular
Clinical narrative: About 24 hrs after vaccine, woke from nap with itchy nose and congestion.  Throughout the night, patient was progressively more pruritic. She started to sneeze often with conjunctival injection. When she woke up in the morning, she noted her face was covered in red dots. She went to school and at that time she felt feverish with associated joint pain and shortness of breath. Her face was blotchy. Due to the constellation of symptoms, she was excused from school and went to Urgent Care. At UC she had diarrhea and episode of emesis. They gave her BENADRYL with strict return precautions. Then soon after leaving, at 1400 she fainted with associated lip swelling and so went to ED. They gave epinephrine right away and a dose of prednisone. All symptoms went away, then 2 hours later all the symptoms started to return. She again had nausea and severe vomiting with shortness of breath and body aches and so another epinephrine injection was administered
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Respiratory tract congestion, Sneezing, Symptom recurrence, Syncope, Vomiting
Clinical narrative: About 24 hrs after vaccine, woke from nap with itchy nose and congestion.  Throughout the night, patient was progressively more pruritic. She started to sneeze often with conjunctival injection. When she woke up in the morning, she noted her face was covered in red dots. She went to school and at that time she felt feverish with associated joint pain and shortness of breath. Her face was blotchy. Due to the constellation of symptoms, she was excused from school and went to Urgent Care. At UC she had diarrhea and episode of emesis. They gave her BENADRYL with strict return precautions. Then soon after leaving, at 1400 she fainted with associated lip swelling and so went to ED. They gave epinephrine right away and a dose of prednisone. All symptoms went away, then 2 hours later all the symptoms started to return. She again had nausea and severe vomiting with shortness of breath and body aches and so another epinephrine injection was administered
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue
Clinical narrative: I started with a mild scratchy throat. I tested for COVID-19 only because I had just returned from an international trip. My symptoms were mild, I developed a mild cough that would occur at night. I had some fatigue but mild. No fever. I lost my sense of taste and smell, and since has not fully recovered my smell like I used to be able to.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Foreign travel, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I started with a mild scratchy throat. I tested for COVID-19 only because I had just returned from an international trip. My symptoms were mild, I developed a mild cough that would occur at night. I had some fatigue but mild. No fever. I lost my sense of taste and smell, and since has not fully recovered my smell like I used to be able to.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I contracted Covid on Nov 14, exactly 2 months after getting the booster vaccination.
Age: 72.0
Sex: M
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored, and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pruritus, Paraesthesia
Clinical narrative: Pt. reported upper lip itching, tingling in both cheeks.  Pt. refused benadryl and stated that sypmtoms are improving.  ER precautions given and pt. released.
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: I had a fever for a couple of days, followed with congestion high in my chest. I had some fatigue, the fever lasted for three days. I took a home COVID-19 test that came back positive, it was on the weekend, and I called the on-call group. I did not get a call back until Monday so I was not able to get a prescription for PAXLOVID. I was advised to use over the counter medication. It has been three weeks and I still have a lingering cough.
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had a fever for a couple of days, followed with congestion high in my chest. I had some fatigue, the fever lasted for three days. I took a home COVID-19 test that came back positive, it was on the weekend, and I called the on-call group. I did not get a call back until Monday so I was not able to get a prescription for PAXLOVID. I was advised to use over the counter medication. It has been three weeks and I still have a lingering cough.
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: COVID-19, Cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I was sneezing, nose running, little cough, tired, and small fever. I tested positive for COVID-19 at home. I had a telehealth visit and was prescribed PAXLOVID. I was feeling better by the 24th. I was testing positive for about 2 weeks.
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Sneezing
Clinical narrative: I was sneezing, nose running, little cough, tired, and small fever. I tested positive for COVID-19 at home. I had a telehealth visit and was prescribed PAXLOVID. I was feeling better by the 24th. I was testing positive for about 2 weeks.
Age: 30.0
Sex: F
Vaccine: VARZOS
Symptoms: Product communication issue, Wrong product administered
Clinical narrative: Given the wrong vaccine. Went in for my bivalent Covid booster, was given the shingles shot. I did not sign off on a shingles vaccine nor was I given paperwork, informed of side effects. Just an ?oops I gave you the wrong one? and then was given my Covid booster instead.