chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 6.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Fatigue, Full blood count, Headache
Clinical narrative: Having more stomach pain than normal.  Decreased appetite Having chest pains, feels like fluttering. Fatigue more than normal Headaches worsening, more common now to be daily.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Swelling face
Clinical narrative: At approximately 1719 the patient in question alerted the nurse that she was having facial swelling, difficulty swallowing and problems breathing. At 1723 patient administered her own EpiPen into her right lateral thigh, almost immediately patient reported ease with breathing and swallowing. Nurse noted facial swelling had resolved. At 1728 vitals were taken: BP 130/86, O2 sat 100%, pulse 90 temp 99.4F. EMS called at 1724 and arrived at 1734, patient was able to ambulate to ambulance without assistance.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test positive, Allergy to animal, Cockroach allergy, Condition aggravated, Full blood count normal
Clinical narrative: Exacerbation and recurrence of allergic urticaria requiring repeat prednisone taper lasting 3 weeks, subsequently started on daily cyclosporine and multiple topical steroid creams and medicated lotion
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Metabolic function test normal, Mite allergy, Respiratory viral panel, Urticaria
Clinical narrative: Exacerbation and recurrence of allergic urticaria requiring repeat prednisone taper lasting 3 weeks, subsequently started on daily cyclosporine and multiple topical steroid creams and medicated lotion
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: arm hurt
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lip swelling, Pain, Urticaria
Clinical narrative: Approximately 42 hours after getting the vaccine I woke up in the morning covered in deep painful hives, within an hour my top lip started swelling. I went to urgent care and got a steroid shot (decadron 10mg) intramuscular in my right buttocks/hip and was given 50mg of benadryl.  Was discharged and followed up with my primary. I was given instructions to continue benadryl every 4-6 hours as needed and start a steroid (prednisone) 20mg twice a day for 5 days. I took my first dose of steroids Monday evening. I have been using steroids and benadryl since with small improvements. I am now trying Pepcid 20mg twice a day and will continue to taper off of the steroids for a week due to guidance of my primary care.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypersensitivity, Lip swelling, Urticaria
Clinical narrative: Approximately 42 hours after getting the vaccine I woke up in the morning covered in deep painful hives, within an hour my top lip started swelling. I went to urgent care and got a steroid shot (decadron 10mg) intramuscular in my right buttocks/hip and was given 50mg of benadryl.  Was discharged and followed up with my primary. I was given instructions to continue benadryl every 4-6 hours as needed and start a steroid (prednisone) 20mg twice a day for 5 days. I took my first dose of steroids Monday evening. I have been using steroids and benadryl since with small improvements. I am now trying Pepcid 20mg twice a day and will continue to taper off of the steroids for a week due to guidance of my primary care.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lip swelling, Urticaria
Clinical narrative: Approximately 42 hours after getting the vaccine I woke up in the morning covered in deep painful hives, within an hour my top lip started swelling. I went to urgent care and got a steroid shot (decadron 10mg) intramuscular in my right buttocks/hip and was given 50mg of benadryl.  Was discharged and followed up with my primary. I was given instructions to continue benadryl every 4-6 hours as needed and start a steroid (prednisone) 20mg twice a day for 5 days. I took my first dose of steroids Monday evening. I have been using steroids and benadryl since with small improvements. I am now trying Pepcid 20mg twice a day and will continue to taper off of the steroids for a week due to guidance of my primary care.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Injection site rash, Magnetic resonance imaging, Vertigo
Clinical narrative: Started getting a rash around the injection site. After the first few minutes of taking the vaccine he started feeling dizzy and lightheaded. Vertigo had started getting real.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received Booster dose at 4 months instead of 5 months. When making the appt, the parent marked patient was immunocompromised.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: arm hurts
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 1 week after both 2nd shot and after this booster dose 1/14/22, full body pruritus. First episode spontaneously resolved (pt did get mono at the same time it resolved). This episode ongoing- treating with pred and zyrtec
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: breaking out in hives.  It started at my scalp, than my neck, and continues on my back, chest, ankles, and rear end
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Heart rate increased, Insomnia, Magnetic resonance imaging
Clinical narrative: Constant strong panic attacks for no reason. I've had panic in the past but never as frequently and seemingly out of the blue. I get headaches as well. When they started I would go for a week when I would recover and feel like "normal" and after a week I would get a rapid heart rate out of nowhere, a burning headache and panic. This has been happening for over a year. I also had 3 months of insomnia in the beginning which I've never experienced either. I've been trying different medications, outpatient hospital therapy and counseling, but the recurring panic is not subsiding. Also, I am not in menopause according to bloodwork, but have constant light periods.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Panic attack
Clinical narrative: Constant strong panic attacks for no reason. I've had panic in the past but never as frequently and seemingly out of the blue. I get headaches as well. When they started I would go for a week when I would recover and feel like "normal" and after a week I would get a rapid heart rate out of nowhere, a burning headache and panic. This has been happening for over a year. I also had 3 months of insomnia in the beginning which I've never experienced either. I've been trying different medications, outpatient hospital therapy and counseling, but the recurring panic is not subsiding. Also, I am not in menopause according to bloodwork, but have constant light periods.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Urticaria
Clinical narrative: worsening of ongoing allergic urticaria resulting from previous immunization treated with immunotherapy (cyclosporine) needing additional antihistamines to manage symptoms
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Decreased appetite, Discomfort, Fatigue
Clinical narrative: Severe discomfort globally and extreme fatigue.  I could barely hold my head up and was very unsteady due to a sense of fatigue & weakness, when getting up from the bed to use the restroom.  It felt as though my skin was being pulled apart from the inside of my body starting at each hair follicle. Tight swaddling in a flannel sheet and bedrest x 36 hours was the only way I could get comfortable and find any relief. I did not take my normal medications x 48 hours after the vaccination and drank only water and herbal tea. I had no appetite x 36 hours. About 48 hours after the vaccination all symptoms cleared and I felt normal.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Mobility decreased, Pain of skin
Clinical narrative: Severe discomfort globally and extreme fatigue.  I could barely hold my head up and was very unsteady due to a sense of fatigue & weakness, when getting up from the bed to use the restroom.  It felt as though my skin was being pulled apart from the inside of my body starting at each hair follicle. Tight swaddling in a flannel sheet and bedrest x 36 hours was the only way I could get comfortable and find any relief. I did not take my normal medications x 48 hours after the vaccination and drank only water and herbal tea. I had no appetite x 36 hours. About 48 hours after the vaccination all symptoms cleared and I felt normal.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site bruising, Injection site erythema
Clinical narrative: Since first day of adverse events:   Injection site is hot to the touch, even through a shirt or other piece of clothing; Golf-ball sized lump under skin at injection sight; injection site is visibly red and bruised; aches and pains in both shoulders and neck; consistent headache; fatigue
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Neck pain
Clinical narrative: Since first day of adverse events:   Injection site is hot to the touch, even through a shirt or other piece of clothing; Golf-ball sized lump under skin at injection sight; injection site is visibly red and bruised; aches and pains in both shoulders and neck; consistent headache; fatigue
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Feeling abnormal
Clinical narrative: I contracted Covid-19. My symptoms included coughing, fever, diarrhea, sore throat, brain fog, shortness of breath, reduced blood oxygen levels. I received the monoclonal antibodies treatment. I also received two different inhalers, Prednisone, aspirin, and an anti-inflammatory drug.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I contracted Covid-19. My symptoms included coughing, fever, diarrhea, sore throat, brain fog, shortness of breath, reduced blood oxygen levels. I received the monoclonal antibodies treatment. I also received two different inhalers, Prednisone, aspirin, and an anti-inflammatory drug.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received her booster dose after 4 months instead of 5 months
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood albumin, Blood calcium, Blood creatinine, Blood magnesium
Clinical narrative: I didn't get in until October 19 before I got an appointment. Fatigue, extremely dry skin and hair loss. Family had thyroid problems and thought it was that and went to my endocrinologist. He did an ultrasound and he found nodules on my thyroid. Went back 3 days later and had a needle biopsy and was diagnosed with Thyroid Cancer. Had surgery for total thyroidectomy on 12/22/2021. Had bronchoscopy with needle on 01/20/2022. Radioactive iodine treatment starting next Thursday. Full body scan February 16, 2022. Also started on new medications since this has started. HCTZ 0.25 mg daily for high calcium on my 24-hour urine test. Kidneys leaking calcium. Starting Synthroid after my iodine therapy next week Sunday. They did the bronchoscopy because they found abnormal tissue on the trachea on the outside, so the cancer is there as well, so they checked to make sure it was not also on the inside of the trachea. Diagnosis: Stage 2 Papillary Carcinoma of the Trachea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood parathyroid hormone, Blood thyroid stimulating hormone, Bronchoscopy, Bronchoscopy abnormal, Diagnostic aspiration
Clinical narrative: I didn't get in until October 19 before I got an appointment. Fatigue, extremely dry skin and hair loss. Family had thyroid problems and thought it was that and went to my endocrinologist. He did an ultrasound and he found nodules on my thyroid. Went back 3 days later and had a needle biopsy and was diagnosed with Thyroid Cancer. Had surgery for total thyroidectomy on 12/22/2021. Had bronchoscopy with needle on 01/20/2022. Radioactive iodine treatment starting next Thursday. Full body scan February 16, 2022. Also started on new medications since this has started. HCTZ 0.25 mg daily for high calcium on my 24-hour urine test. Kidneys leaking calcium. Starting Synthroid after my iodine therapy next week Sunday. They did the bronchoscopy because they found abnormal tissue on the trachea on the outside, so the cancer is there as well, so they checked to make sure it was not also on the inside of the trachea. Diagnosis: Stage 2 Papillary Carcinoma of the Trachea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Fatigue, Full blood count, Metabolic function test, Pulmonary function test
Clinical narrative: I didn't get in until October 19 before I got an appointment. Fatigue, extremely dry skin and hair loss. Family had thyroid problems and thought it was that and went to my endocrinologist. He did an ultrasound and he found nodules on my thyroid. Went back 3 days later and had a needle biopsy and was diagnosed with Thyroid Cancer. Had surgery for total thyroidectomy on 12/22/2021. Had bronchoscopy with needle on 01/20/2022. Radioactive iodine treatment starting next Thursday. Full body scan February 16, 2022. Also started on new medications since this has started. HCTZ 0.25 mg daily for high calcium on my 24-hour urine test. Kidneys leaking calcium. Starting Synthroid after my iodine therapy next week Sunday. They did the bronchoscopy because they found abnormal tissue on the trachea on the outside, so the cancer is there as well, so they checked to make sure it was not also on the inside of the trachea. Diagnosis: Stage 2 Papillary Carcinoma of the Trachea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Radioactive iodine therapy, Renal disorder, SARS-CoV-2 test negative, Serum ferritin, Thyroid cancer
Clinical narrative: I didn't get in until October 19 before I got an appointment. Fatigue, extremely dry skin and hair loss. Family had thyroid problems and thought it was that and went to my endocrinologist. He did an ultrasound and he found nodules on my thyroid. Went back 3 days later and had a needle biopsy and was diagnosed with Thyroid Cancer. Had surgery for total thyroidectomy on 12/22/2021. Had bronchoscopy with needle on 01/20/2022. Radioactive iodine treatment starting next Thursday. Full body scan February 16, 2022. Also started on new medications since this has started. HCTZ 0.25 mg daily for high calcium on my 24-hour urine test. Kidneys leaking calcium. Starting Synthroid after my iodine therapy next week Sunday. They did the bronchoscopy because they found abnormal tissue on the trachea on the outside, so the cancer is there as well, so they checked to make sure it was not also on the inside of the trachea. Diagnosis: Stage 2 Papillary Carcinoma of the Trachea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid mass, Thyroidectomy, Thyroxine, Tracheal cancer, Tri-iodothyronine
Clinical narrative: I didn't get in until October 19 before I got an appointment. Fatigue, extremely dry skin and hair loss. Family had thyroid problems and thought it was that and went to my endocrinologist. He did an ultrasound and he found nodules on my thyroid. Went back 3 days later and had a needle biopsy and was diagnosed with Thyroid Cancer. Had surgery for total thyroidectomy on 12/22/2021. Had bronchoscopy with needle on 01/20/2022. Radioactive iodine treatment starting next Thursday. Full body scan February 16, 2022. Also started on new medications since this has started. HCTZ 0.25 mg daily for high calcium on my 24-hour urine test. Kidneys leaking calcium. Starting Synthroid after my iodine therapy next week Sunday. They did the bronchoscopy because they found abnormal tissue on the trachea on the outside, so the cancer is there as well, so they checked to make sure it was not also on the inside of the trachea. Diagnosis: Stage 2 Papillary Carcinoma of the Trachea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vitamin A, Vitamin D
Clinical narrative: I didn't get in until October 19 before I got an appointment. Fatigue, extremely dry skin and hair loss. Family had thyroid problems and thought it was that and went to my endocrinologist. He did an ultrasound and he found nodules on my thyroid. Went back 3 days later and had a needle biopsy and was diagnosed with Thyroid Cancer. Had surgery for total thyroidectomy on 12/22/2021. Had bronchoscopy with needle on 01/20/2022. Radioactive iodine treatment starting next Thursday. Full body scan February 16, 2022. Also started on new medications since this has started. HCTZ 0.25 mg daily for high calcium on my 24-hour urine test. Kidneys leaking calcium. Starting Synthroid after my iodine therapy next week Sunday. They did the bronchoscopy because they found abnormal tissue on the trachea on the outside, so the cancer is there as well, so they checked to make sure it was not also on the inside of the trachea. Diagnosis: Stage 2 Papillary Carcinoma of the Trachea.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Head discomfort, Headache, Nausea, Vomiting
Clinical narrative: She received her 2nd dose of COVID vaccines yesterday afternoon. This morning when she woke up she had a terrible headache, it felt like pressure her it was 10 out of 10.  Mom gave her 200 mg ibuprofen and it did not help her headache.  Mom also gave her 360 mg of Tylenol.  That did not help either.  She felt some nausea so mom gave her some Zofran, shortly after this she felt tired and threw up.  She has been drinking some chicken broth and water and sips of earl grey tea. These things came out with her vomiting. She did not have any head injury.  No fever, no neck pain, no sore throat.  Urine was clear this morning.  No problem with vision.  Headache is little bit better but still there.  Took Maxalt which has helped.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patients were given non diluted Pfizer doses totaling .3 concentrated purple top Pfizer. Patients have been notified that they were given incorrect doses. Official Pfizer guidance states that patients no longer need any vaccine doses going forward, and that it is not harmful to patients. They may experience increased systemic or local reaction. Draw Lead was responsible for drawing the doses administered, and has been informed of the situation. Patients experienced no reactions within the 15 minute observation window and have been notified of incorrect dosage given to them.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Injection site urticaria
Clinical narrative: On the 22nd, I experienced shortness of breathe and elevated heartrate, it became worse on the 23rd. That evening, I noticed a large hand size hive at the injection site. I went to the doctor on the 24th and was evaluated by the doctor and was told to come back on the morning on the 25th. My shortness of breathe went away on the 24th, on the 25th the hive  receded in size and the doctor state I was clear.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dysphonia, Feeling abnormal, Pharyngeal swelling, Pruritus
Clinical narrative: Sitting in office, ear starting itch and feel funny changed my my throat started to swell which changed my voice.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given past expiration date of 9/21/2021.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: pt inadvertently received 3 total doses of janssen. 4/10/21 - 1st dose 11/5/21 - booster dose 1/27/21 - non-indicated additional dose
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient's mother falsified her daughter's birthday so she could receive the adult dose of Pfizer vaccine. The patient received her first and second dose from a pharmacy where the mother indicated she was born in 2009 which made her appear 12 at the time. The pharmacy vaccinated the child and issue a CDC card with the DOB of 2009. The child was actually born in 2010 so she received her first dose  of Pfizer for age 12+ on 7/26/2021 at age 11 and her second dose for Pfizer 12+ on 8/16/2021 at age 11. The mother registered her child under the DOB of 2009 at a county vaccine clinic for her booster. Clinic staff and the vaccinator confirmed the DOB with both the mother and child and they both falsely stated she was born in 2009. Once the vaccine had been given and the child was in the monitoring area, the mother confided to the nurse that the child was actually age 11 and born in 2010. She received her booster of Pfizer 12+ vaccine 5 months after her primary series at the age of 11 meaning that she received 3 full adult doses of Pfizer vaccine at age 11 in a span of 6 months total.
Age: 44.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: COVID-19, Cough, Fatigue, Malaise, Respiratory tract congestion
Clinical narrative: Positive Covid test after a few days of symptoms: fatigue, congestion, cough/post nasal drip. Sick for about 5 or 6 days.  Used albuterol to help with cough.
Age: 44.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: Positive Covid test after a few days of symptoms: fatigue, congestion, cough/post nasal drip. Sick for about 5 or 6 days.  Used albuterol to help with cough.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after expiration date of 09/21/2021
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Tremor
Clinical narrative: Patient states pfizer first dose caused joint pain, tremors and is under the care of a Physician. He requested J&J vaccine for second dose.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Initial Pfizer vaccine given within the 90 day period after monoclonal antibody infusion.  Nov 1,  2021 infusion given.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna and is under the age of 18. Patient is not experiencing any problems  and mom is monitoring patient.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site discolouration, Injection site erythema, Injection site haemorrhage, Injection site swelling
Clinical narrative: Immediately after injection, the injection site started profusely bleeding. The area of the injection immediately swelled and became hard and turned a purplish color. The patient said they were not experiencing pain. It is assumed that a vein was hit when injecting the vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: Patients were given non diluted Pfizer doses totaling .3 concentrated purple top Pfizer. Patients have been notified that they were given incorrect doses. Official Pfizer guidance states that patients no longer need any vaccine doses going forward, and that it is not harmful to patients. They may experience increased systemic or local reaction. Draw Lead was responsible for drawing the doses administered, and has been informed of the situation. Patients experienced no reactions within the 15 minute observation window and have been notified of incorrect dosage given to them.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after expiration date of 09/21/2021
Age: 2.0
Sex: F
Vaccine: HEP, IPV
Symptoms: Rash, Urticaria
Clinical narrative: Rash developed the night of the vaccinations.  Developed widespread urticaria over entire body for the next two days.  Seen at the office for the urticaria on 1/28/2022.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to 5 months post 2nd vaccine in primary series. 2nd vaccine Sept 4th 2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patients were given non diluted Pfizer doses totaling .3 concentrated purple top Pfizer. Patients have been notified that they were given incorrect doses. Official Pfizer guidance states that patients no longer need any vaccine doses going forward, and that it is not harmful to patients. They may experience increased systemic or local reaction. Draw Lead was responsible for drawing the doses administered, and has been informed of the situation. Patients experienced no reactions within the 15 minute observation window and have been notified of incorrect dosage given to them.
Age: 55.0
Sex: M
Vaccine: FLU4
Symptoms: Needle issue, No adverse event
Clinical narrative: Pt. was administered the flu- shot with a 5/8 inch needle instead of 1 inch. No adverse effect
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Angiocardiogram, Blood test, Cardiac arrest, Cardiac assistance device user, Echocardiogram
Clinical narrative: On 4/5/2021 at 11:00 hrs, patient went into sudden cardiac arrest, went unconscious and was revived with an AED. After transport to Medical Center's Emergency, patient went through many medical tests over a 5-day period and was fitted with an implanted cardioverter-defibrillator on 4/8/21. The cardiologists were not able to determine causation of the cardiac arrest.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Implantable defibrillator insertion, Loss of consciousness, Magnetic resonance imaging heart
Clinical narrative: On 4/5/2021 at 11:00 hrs, patient went into sudden cardiac arrest, went unconscious and was revived with an AED. After transport to Medical Center's Emergency, patient went through many medical tests over a 5-day period and was fitted with an implanted cardioverter-defibrillator on 4/8/21. The cardiologists were not able to determine causation of the cardiac arrest.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration date of 09/21/2021.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm
Clinical narrative: After administering pediatric vaccine, patient reported itchiness in whole arm that vaccine was given in. Patient's skin felt warm to the touch upon examination, but not red and no hives were observed. After examining patient, patient reported that she now felt itchy around her neck. Pharmacist gave patient 12.5mg of generic children's benadryl according to patient's weight and age with verbal consent of patient's mother. Pharmacist continued to observe patient's symptoms. Patient's symptoms subsided over the next 15 minutes. Pharmacist advised patient's mother on how and when to treat symptoms with benadryl at home if itchiness continued. Also counseled patient's mother on signs and symptoms of more severe/emergent allergic reactions such as hives and anaphylaxis if they occurred at a later time, and instructed her to call 911 if occurred. Gave patient's mother my card so she can call pharmacy with any other questions or concerns. Will call patient's mother tomorrow to follow up and check up on patient.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Tachycardia
Clinical narrative: Patient received dose 1 of the Pfizer COVID vaccine on 1/7/2022. The patient arrived at the vaccine POD on 1/28/2022 for his 2nd dose reporting that, 2 days post-injection, he started experiencing frequent migraines and intermittent sensation of tachycardia while at rest. Patient reports he followed up with his provider who did not make a recommendation for the 2nd dose. The patient reported no allergies, no medical conditions, he takes Aleve as needed for migraines. RN notified PHN who followed up with the clinical project coordinators at 1442. At 1451, PHN received approval for patient to received 2nd dose of Pfizer COVID vaccine per Dr  and to follow up with provider regarding migraines. PHN relayed information to patient. The patient received dose2 of the Pfizer COVID vaccine at approximately 1510 (lot FK9729).
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after expiration date of 09/21/2021
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Retching
Clinical narrative: With 1 or 2  minutes of getting vaccine patient started dry heaving. Patient had no signs of allergic reaction, no swelling or difficulty breathing. After giving a patient to feel better and not feeling better ambulance was called. EMS stated all vitals and breathing were good. Patient wanted to go to hospital and EMS took patient to the hospital.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after expiration date of 09/21/2021
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Itchy and swollen at injection site; hot to the touch; red circle, approximately 2" in diameter. I sought a virtual appointment and NP stated to take Tylenol, Zyrtec in the morning (10mg) and Benedryl at night (25mg). If symptoms did not improve in 48 hours, to make a new appointment for antibiotics and steroids.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site discomfort, Pain
Clinical narrative: Originally, I felt only the normal post-injection discomfort which only lasted a few days. Just about the time I thought I was over the discomfort, it started coming back and radiated down towards my elbow. The pain is not there all the time but is always there when I raise my left arm. I can't even open my car door without pain.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: There was no actual adverse event, this was an accidental 4th dose given.  When adding this dose into the patient's online immunization registry, it was found that patient had previously received 3 doses of Pfizer - 01/04/21, 01/25/21, & 08/27/21.  Which makes the Moderna vaccine from today her FOURTH dose which is not a current recommendation at this time (since she is not immunocompromised).  I tried to reach out to the patient, but she did not answer her phone or return my call.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after expiration date
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Pain in extremity, Seizure like phenomena, Staring
Clinical narrative: Patient here for Pfizer Booster and given booster in left deltoid. Patient started having seizure activity after 2 minutes of monitoring for reaction. Patient continued for seizure activity for 5 minutes at this time. Then continues with blank stare for another 10 minutes afterward and then started reponding and asked where she was and informed at doctor's office and started complaining of legs hurting.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil count increased, Erythema, Laboratory test normal, Mechanical urticaria, Pruritus
Clinical narrative: Full body itchiness and dermatographia starting 12 days after the booster. No changes to diet, new soaps, lotions, detergents, etc.  Given 40mg of prednisone for 5 days and xyzal. This drastically reduced symptoms. After course of prednisone itchiness and redness is back
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: A mild rash appeared on the right arm where I was given my flu shot a week before. A week later I got my COVID booster and after the booster the rash on the right arm resurrected after being gone and the rash on my left arm spread down my elbow and around  to my chest. I went to the urgent care on the base and was prescribed prednisone.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Antinuclear antibody, Arthralgia, C-reactive protein increased, Computerised tomogram thorax normal
Clinical narrative: migrating myalgias and arthralgias, belching and abdominal pain, vomiting
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine negative, Eructation, Fibrin D dimer, Full blood count, Helicobacter test negative
Clinical narrative: migrating myalgias and arthralgias, belching and abdominal pain, vomiting
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Rheumatoid factor negative, Vomiting, White blood cell count increased
Clinical narrative: migrating myalgias and arthralgias, belching and abdominal pain, vomiting
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No physical adverse events reported at this time.  10 year old patient given adult COVID-19 Vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Needle issue
Clinical narrative: Flu vaccine was administered with 5/8 inch needle instead of 1 inch needle.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Mother attended the vaccine clinic to get her daughter vaccinated.  She intentionally recorded her daughter's birthday when it is actually.  Which means her daughter was vaccinated 3.5-4 months too early for Pfizer 30 mcg dose.  The error was caught so late due due to internal reconciliation of all vaccinated community patrons since the inception of our mobile community pop-up clinics.  I did call the mother today (1/28/21) and she admitted that she new her daughter at the time was too young to receive the vaccine however, she consented and wanted her daughter vaccinated.  I did advise mom and she confirmed knowingly vaccinating her daughter 3 months too early.  The mother did state that her daughter did fine with both doses and has not had any adverse outcomes from receiving the vaccine at an early age.  The patient received a two 30 mcg doses of Pfizer to complete her vaccine initial dose series too early.  The second dose was administered 06/09/2021 Lot # EW0186.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Asthma, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Parents reporting that after patient received COVID vaccine #1 that she then developed an asthma flare with cough, shortness of breath, wheezing  on 01/07/2022 that was not manageable with prescribed at home medications. She required being seen in walk-in 01/10/2022 with report of treated with oral steroids with continued asthma/allergy management with her Flovent, albuterol, cetirizine, and singulair. Parents report concerns that COVID vaccine may have induced asthma flare as adverse event. Event was not witnessed by this writing provider, but reported to me as primary care provider with vaccine completed at alternative clinic listed above. Parents chose to still complete COVID vaccine #2 on 01/26/2022 before reporting their concern for adverse event to vaccine #1, and patient has tolerated it thus far without reported concern.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Wheezing
Clinical narrative: Parents reporting that after patient received COVID vaccine #1 that she then developed an asthma flare with cough, shortness of breath, wheezing  on 01/07/2022 that was not manageable with prescribed at home medications. She required being seen in walk-in 01/10/2022 with report of treated with oral steroids with continued asthma/allergy management with her Flovent, albuterol, cetirizine, and singulair. Parents report concerns that COVID vaccine may have induced asthma flare as adverse event. Event was not witnessed by this writing provider, but reported to me as primary care provider with vaccine completed at alternative clinic listed above. Parents chose to still complete COVID vaccine #2 on 01/26/2022 before reporting their concern for adverse event to vaccine #1, and patient has tolerated it thus far without reported concern.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was given after expiration of 09/21/2021
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: Breakthrough bleeding after not having a period for over a year.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Malaise, Somnolence
Clinical narrative: groggy, sick, shingles
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after expiration of 09/21/2021
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Nausea, Urine analysis
Clinical narrative: On January 22nd 2022. I started getting pretty bad nausea. I took Dramamine and tums thinking I had bad acid reflux. As the days went on my nausea became worse and it became clear something was very wrong. On January 26, 2022 my nausea and dizziness became worse and I felt overwhelmed. The ER at local Hospital ran a blood test and urine test and both came back normal. The doctor said it may be a reaction from the vaccine but was unsure and informed me to follow up with a primary doctor. I was given a prescription of Ondansetron 8mg. With this medication I was able to function again and I felt normal. When the medication wore off the extreme nausea would come back and it's very debilitating. I almost went back to the emergency room twice after that. Today January 28th at 9am I spoke to a doctor from local Primary medial care over a zoom appointment. He asked me several questions and concluded this was most likely because of Covid. He went on to say people who recovered from Covid experienced stomach issues and nausea/ vomiting. He believes the booster shot may have caused my body to think it was re-infected with Covid because of the booster. He said I received the booster shot too early and that I should have waited a month after my Covid symptoms went away before getting a booster shot. He gave me a prescription for more Ondansetron 8mg, 3 times a day every 8 hours. He said to continue the Prilosec and will check on me in 3 weeks. As of right now I cannot function without the Ondansetron. Without this medication I would not be able to eat or attend work.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itchy axillary fold.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered pediatric Pfizer dose to adult patient
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Condition aggravated, Dyspnoea, Palpitations
Clinical narrative: Occasional shortness of breath combined with a flutter, thump in center of chest.  Probably one "episode" every 30+ minutes.   I can feel it coming on and then resolving after a thump.   Sleeping has helped some.  Today I feel better than yesterday.    I have had this before in my life, triggered by stress.  Never diagnosed with heart condition.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swelling 3 inches in diameter
Sex: U
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: NOT reporting adverse drug reactions.  ** It was vaccine error that did not reach the patient  Normal saline was added to the gray cap Pfizer COVID vaccine when it shouldn't have been.  Pharmacist caught the mistake prior to leaving the pharmacy - vaccine did not reach the patient.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin normal, White blood cell count increased
Clinical narrative: Patient is an otherwise healthy 17-year-old male who is presenting with recurrent symptoms of pericarditis in the setting of receiving the Pfizer vaccine 2 days ago.  He has uncomfortable substernal pain here, but is otherwise well-appearing with normal vital signs and a normal exam.  Bedside ultrasound showed what seem to be a trace effusion but grossly normal function.  EKG appears normal to me.  Inflammatory markers and troponin negative.  I reached out to cardiology given that he continues to have the symptoms and with his history.  They looked at his EKG and are questioning whether or not there is some interval PR depression.  They would like to get a formal echocardiogram. Tylenol and ibuprofen for pain.  Echocardiogram with trivial effusion, good function.  Patient was signed out to me as noted above.  Patient remained stable with good control of his pain.  Cardiology plans to follow-up with him as an outpatient on Monday or Tuesday at the beginning of next week.  They also advised that he have outpatient follow-up with rheumatology which they will help arrange.  The patient knows to return if he has increasing pain, shortness of breath or other change in symptoms.  Patient is discharged home with a prescription for naproxen to be taken twice daily over the next week.    Final Diagnosis  1. Pericarditis I31.9  Follow up January 2022: January 25.  He is being seen in follow-up for possible pericarditis.     Patient's medical history has been outlined in previous notes to your office.  He was last evaluated in our clinic on December 21 at which time an echocardiogram showed no pericardial effusion.  At that time the CRP was 0.06 and ESR 38.  Naprosyn and famotidine were discontinued at that time and colchicine 0.6 mg once a day was continued.     In the intervening time period Patient has remained symptom-free.  He reports no fever, chest pain, palpitations dizziness or syncope.     On physical examination patient appeared well.  His weight was 64.1 kg, height 175.5 cm, pulse rate 51, respiratory rate 18 and blood pressure 116/71 in the right arm.  The transcutaneous oxygen saturation was 100%.  Examination of his heart demonstrated a normal precordial activity single S1 and physiologically split S2.  There was no S3, S4 or ejection click.  There was no pericardial friction rub.  There was no murmur.  The breath sounds were clear.  There was no organomegaly.     An electrocardiogram demonstrated normal sinus rhythm and was within normal limits.  An echocardiogram showed normal cardiac anatomy and function.  Biventricular size and systolic function were normal.  The 4 cardiac valves had normal function.  There was no pericardial effusion.     Laboratory studies included CRP <0.06 and ESR 8.     Patient was judged to have a normal cardiac status.  I recommended that colchicine be discontinued at this time.  Followup was left to an as-needed basis.  Because of his brother's medical diagnosis I recommended that patient be evaluated by our Rheumatology Service.  The parents informed me that an appointment has been arranged.
Age: 71.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: Flu vaccine was administered with a 5/8  inch needle instead of a 1 inch needle.
Age: 17.0
Sex: F
Vaccine: MMRV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Proquad given to 17 year old for needed vaccination of Measles, Mumps, Rubella and Varicella.  Patient presented with no previous immunizations and was starting all vaccinations from the start.  Proquad was given by mistake, age requirement  for proquad was missed.  No adverse reaction, so no treatment was needed, patient did not show any signs or symptoms of distress or any kind of reaction.  Patient left clinic without issue or concern.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Exposure during pregnancy, Mechanical urticaria, Pruritus, Ultrasound scan normal
Clinical narrative: Approximately 2 weeks after booster vaccination, developed intense pruritus on stomach which sporadically traveled throughout entire body (including legs, arms, feet, palms, back, neck, face, scalp) Especially around creases of skin or where clothing is tight (elbows, wrists, bra straps, pants line, sock lines). No rash with pruritus until after scratched, dermatographia in appearance, disappears after 30 minutes and alternative spot starts to itch. 1 full week has passed and pruritus has continued to persist throughout entire day. Utilize topical steroids, topical antihistamines and ice packs to relieve symptoms. Currently pregnant, due date 5/16/22.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Immediately after injection, patient fainted. She came to within a minute. Gave her a beverage and she seemed fine.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: The orange cap Pfizer vaccine for 5-11 years old was administered to an 11 year patient undiluted. The patient has been contacted and is currently experiencing now adverse effects.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Burns second degree, Injection site erythema, Injection site reaction, Injection site warmth, Skin exfoliation
Clinical narrative: Top layer of skin has peeled off and underneath the skin is red and swollen and warm. Has been diagnosed as a 2nd degree burn at the sight of injection.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Skin exfoliation, Skin weeping
Clinical narrative: Top layer of skin has peeled off and underneath the skin is red and swollen and warm. Has been diagnosed as a 2nd degree burn at the sight of injection.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given booster shot about 30 mins after expiration time. No adverse reactions while patient was in clinic