chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, Urinary retention, Urine analysis normal
Clinical narrative: The following is the HPI from her admission to Hospital, admitted on 9/9/2021:  12 yo female who presents to the ED due to painful genital ulcers and inability to urinate because of pain. Parents report patient received a second dose of her COVID vaccine last Friday, 6 days ago. Over the weekend patient had a fever T-max 104 and decreased appetite. Patient also began complaining of vaginal pain and swelling. Her mother states she took a look and noticed an ulcer on her labia.. They were seen by her PCP who obtained an HSV swab and recommended topical benzocaine but there was no improvement of her symptoms. Patient was seen by an OB/GYN  today where the patient had a debridement and was prescribed cephalexin, triamcinolone, and lidocaine. However, later today she began complaining of severe pain with urination due to this ulcer and voluntary urinary retention, which led her to present here.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Varicella virus test negative, Vulvovaginal pain, Vulvovaginal swelling
Clinical narrative: The following is the HPI from her admission to Hospital, admitted on 9/9/2021:  12 yo female who presents to the ED due to painful genital ulcers and inability to urinate because of pain. Parents report patient received a second dose of her COVID vaccine last Friday, 6 days ago. Over the weekend patient had a fever T-max 104 and decreased appetite. Patient also began complaining of vaginal pain and swelling. Her mother states she took a look and noticed an ulcer on her labia.. They were seen by her PCP who obtained an HSV swab and recommended topical benzocaine but there was no improvement of her symptoms. Patient was seen by an OB/GYN  today where the patient had a debridement and was prescribed cephalexin, triamcinolone, and lidocaine. However, later today she began complaining of severe pain with urination due to this ulcer and voluntary urinary retention, which led her to present here.
Age: 53.0
Sex: M
Vaccine: VARCEL
Symptoms: Guillain-Barre syndrome
Clinical narrative: I developed Guillain-Barre Syndrome
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, No adverse event, Wrong technique in product usage process
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 3rd dose of Moderna (booster) given early. Patient received dose #1 on 9/8/21, dose #2 on 10/7/21, and dose #3 (booster) on 11/11/21 (~5 months early)
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeling abnormal, Headache, Pain
Clinical narrative: Headache, body ache, fever, chills, brain fog, lack of energy
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, body ache, fever, chills, brain fog, lack of energy
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Polymerase chain reaction
Clinical narrative: Hospitalization due to COVID-19 Reported per Moderna COVID-19 Vaccine EUA
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthritis, Condition aggravated, Diarrhoea, Haemorrhoids
Clinical narrative: 3 days post vaccine- extreme muscular and nerve pain in my left arm predominantly. Also noticed an extreme flare up in current RA active joints in various places in my body.  I developed severe limp in my left foot and a limp in addition to what I read the usual vaccine side effects. The diarrhea continued to get outrageously bad after the vaccine until now. Extreme abdominal pain round the clock, random explosive that is extremely painful.  I had nausea for at least 4 months, I was experiencing nausea in September.  I had a fever.  I still have a fever. My temperature reading is 99.8. I normally have low readings. By September,  I was having rectal pain and discomfort. I am in excruciating pain were I have to lie down and get off my feet. I developed a rectal fissure again beginning of October.  The hemorrhoids have been getting steadily worse. (I had surgery in 2002 that corrected the rectal surgery ). Treatment- hydrocortisone, I have had to add ibuprofen into the mix. I am going to require surgery. The earlies appoint I could get is 01/19/2022 with the gastroenterologist. The RA in the finger joint has continued to stay very hot and very red where I cannot make a fist.  This is 6 months later with all kinds of treatments. I have trouble doing personal grooming. The pain is severe and is impairing. The next step is to talk to a neurologist. 10/29/2021- I don't have the colon pain or nausea, so maybe the diarrhea will resolve and the pain is better and it is not waking me up in the middle of the night.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Myalgia, Nausea, Neuralgia, Proctalgia
Clinical narrative: 3 days post vaccine- extreme muscular and nerve pain in my left arm predominantly. Also noticed an extreme flare up in current RA active joints in various places in my body.  I developed severe limp in my left foot and a limp in addition to what I read the usual vaccine side effects. The diarrhea continued to get outrageously bad after the vaccine until now. Extreme abdominal pain round the clock, random explosive that is extremely painful.  I had nausea for at least 4 months, I was experiencing nausea in September.  I had a fever.  I still have a fever. My temperature reading is 99.8. I normally have low readings. By September,  I was having rectal pain and discomfort. I am in excruciating pain were I have to lie down and get off my feet. I developed a rectal fissure again beginning of October.  The hemorrhoids have been getting steadily worse. (I had surgery in 2002 that corrected the rectal surgery ). Treatment- hydrocortisone, I have had to add ibuprofen into the mix. I am going to require surgery. The earlies appoint I could get is 01/19/2022 with the gastroenterologist. The RA in the finger joint has continued to stay very hot and very red where I cannot make a fist.  This is 6 months later with all kinds of treatments. I have trouble doing personal grooming. The pain is severe and is impairing. The next step is to talk to a neurologist. 10/29/2021- I don't have the colon pain or nausea, so maybe the diarrhea will resolve and the pain is better and it is not waking me up in the middle of the night.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, X-ray
Clinical narrative: 3 days post vaccine- extreme muscular and nerve pain in my left arm predominantly. Also noticed an extreme flare up in current RA active joints in various places in my body.  I developed severe limp in my left foot and a limp in addition to what I read the usual vaccine side effects. The diarrhea continued to get outrageously bad after the vaccine until now. Extreme abdominal pain round the clock, random explosive that is extremely painful.  I had nausea for at least 4 months, I was experiencing nausea in September.  I had a fever.  I still have a fever. My temperature reading is 99.8. I normally have low readings. By September,  I was having rectal pain and discomfort. I am in excruciating pain were I have to lie down and get off my feet. I developed a rectal fissure again beginning of October.  The hemorrhoids have been getting steadily worse. (I had surgery in 2002 that corrected the rectal surgery ). Treatment- hydrocortisone, I have had to add ibuprofen into the mix. I am going to require surgery. The earlies appoint I could get is 01/19/2022 with the gastroenterologist. The RA in the finger joint has continued to stay very hot and very red where I cannot make a fist.  This is 6 months later with all kinds of treatments. I have trouble doing personal grooming. The pain is severe and is impairing. The next step is to talk to a neurologist. 10/29/2021- I don't have the colon pain or nausea, so maybe the diarrhea will resolve and the pain is better and it is not waking me up in the middle of the night.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia
Clinical narrative: Severe hip pain
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Face injury, Fall, Loss of consciousness
Clinical narrative: Around 2pm I blacked out and hit my face on the concrete and went to ER at Hospital.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given wrong (too little) dose for age, 0.2mL.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram, Extra dose administered, Nausea, Palpitations
Clinical narrative: Booster Dose following Jannsen vaccine. Patient said immediately after being vaccinated, she felt as if she was going through AFib. Heart was racing and she felt nauseous. Blood pressure was checked and was within normal range. Heart Rate was checked and was within normal range.  Called the patient's cardiologist and she will follow up with them today for an EKG. After 20 minutes at rest, patient felt okay to drive herself.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, No adverse event, Wrong technique in product usage process
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Erythema, Headache, Nausea
Clinical narrative: pain, redness, swelling of right arm from shoulder to elbow to axilla; fever greater than 101  x 4 days, severe nausea, chills/rigors, body aches, headache x 4 days.  All unrelieved with tylenol and ibuprofen and nausea unrelieved with zofran.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: pain, redness, swelling of right arm from shoulder to elbow to axilla; fever greater than 101  x 4 days, severe nausea, chills/rigors, body aches, headache x 4 days.  All unrelieved with tylenol and ibuprofen and nausea unrelieved with zofran.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Hospitalization due to COVID-19 Reported per Moderna COVID-19 Vaccine,
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Tremor
Clinical narrative: THAT NIGHT AFTER TAKING THE SHOT, WENT TO SLEEP.  WOKE UP SHAKING UNCONTROLABLY. WEAK TODAY 12/7/2021
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Extra dose administered, Headache, Pain in extremity, Reading disorder
Clinical narrative: After 3rd dose of the vaccine lot 012H21B, the following adverse event happened. After 23 hours of vaccination, I lost the ability to read. All letters was in the wrong order, however all capital case was on the first letter. All numbers was in correct order, but not letters. I even open document written in my native language but the same story. I couldn't read anything. Feels like everything is presented in foreign language. When I open calendar, Month, Days was not readable, but day numbers was ok. I look on the clocks digital and analog to compare time and numbers on digital clock was equal to the time on analog clock. Two hours later the adverse event gone like it never happened to me. I feel lightheaded a while after the adverse effect gone, however the headache was following to end of the day. Today arm still hurt, but physically and mentally I am back to normal.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: BROKE OUT IN HIVES ON ELBOWS, WAIST, GROIN, KNEES, BACK AND CHEST. ITCHING ALL OVER.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Headache, Hypertension, Nausea, Pyrexia
Clinical narrative: Pt reported this information to vaccine providers when he presented for his COVID booster vaccine on 12/7/2021: Pt reported visiting emergency department the day following his 2nd COVID vaccine dose with severe headache and dry heaves. Received IV hydration and discharged home, NO hospital admission. No residual issues reported since that time. Following his first dose on 3/30/2021, pt also presented to the emergency department with sx of fever, nausea, vomiting, hypertension and some chest pain. He was kept for observation in the ER but released the next day. Pt was positive for COVID in Dec 2020 and received monoclonal antibody therapy on Dec 27.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Retching, Vomiting
Clinical narrative: Pt reported this information to vaccine providers when he presented for his COVID booster vaccine on 12/7/2021: Pt reported visiting emergency department the day following his 2nd COVID vaccine dose with severe headache and dry heaves. Received IV hydration and discharged home, NO hospital admission. No residual issues reported since that time. Following his first dose on 3/30/2021, pt also presented to the emergency department with sx of fever, nausea, vomiting, hypertension and some chest pain. He was kept for observation in the ER but released the next day. Pt was positive for COVID in Dec 2020 and received monoclonal antibody therapy on Dec 27.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Arthritis, Clostridium test, Diarrhoea, Endoscopy gastrointestinal normal
Clinical narrative: Immediately after 2nd shot, total exhaustion. Every time I sat down I fell asleep. This went on about 3 weeks. Then the diarrhea started. I used bottles and bottles of Imodium, pepto, kaopectate  to no avail. Saw dr in July she ordered Questran. It worked from day one for 3 weeks and started again. Dioxicam was order prn....up to 4 day. stool test perform and GI consult suggested and see in July but nothing could be done until Nov. Muscle and joint pain increased all chalked up to osteopenia  but insufficient so Rhematologist seen now with diagnosis of osteoporosis arthritis......more pain meds should have meant constipation...it didn't
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Immediate post-injection reaction, Myalgia, Osteoporosis, Pancreatic enzymes normal
Clinical narrative: Immediately after 2nd shot, total exhaustion. Every time I sat down I fell asleep. This went on about 3 weeks. Then the diarrhea started. I used bottles and bottles of Imodium, pepto, kaopectate  to no avail. Saw dr in July she ordered Questran. It worked from day one for 3 weeks and started again. Dioxicam was order prn....up to 4 day. stool test perform and GI consult suggested and see in July but nothing could be done until Nov. Muscle and joint pain increased all chalked up to osteopenia  but insufficient so Rhematologist seen now with diagnosis of osteoporosis arthritis......more pain meds should have meant constipation...it didn't
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Parasite stool test negative, Stool analysis
Clinical narrative: Immediately after 2nd shot, total exhaustion. Every time I sat down I fell asleep. This went on about 3 weeks. Then the diarrhea started. I used bottles and bottles of Imodium, pepto, kaopectate  to no avail. Saw dr in July she ordered Questran. It worked from day one for 3 weeks and started again. Dioxicam was order prn....up to 4 day. stool test perform and GI consult suggested and see in July but nothing could be done until Nov. Muscle and joint pain increased all chalked up to osteopenia  but insufficient so Rhematologist seen now with diagnosis of osteoporosis arthritis......more pain meds should have meant constipation...it didn't
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Asthenia, Biopsy, Blood test, Clostridium difficile colitis
Clinical narrative: Immediately after 2nd shot, total exhaustion. Every time I sat down I fell asleep. This went on about 3 weeks. Then the diarrhea started. I used bottles and bottles of Imodium, pepto, kaopectate  to no avail. Saw dr in July she ordered Questran. It worked from day one for 3 weeks and started again. Dioxicam was order prn....up to 4 day. stool test perform and GI consult suggested and see in July but nothing could be done until Nov. Muscle and joint pain increased all chalked up to osteopenia  but insufficient so Rhematologist seen now with diagnosis of osteoporosis arthritis......more pain meds should have meant constipation...it didn't
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Colonoscopy, Constipation, Diarrhoea, Dysentery, Emotional disorder
Clinical narrative: Immediately after 2nd shot, total exhaustion. Every time I sat down I fell asleep. This went on about 3 weeks. Then the diarrhea started. I used bottles and bottles of Imodium, pepto, kaopectate  to no avail. Saw dr in July she ordered Questran. It worked from day one for 3 weeks and started again. Dioxicam was order prn....up to 4 day. stool test perform and GI consult suggested and see in July but nothing could be done until Nov. Muscle and joint pain increased all chalked up to osteopenia  but insufficient so Rhematologist seen now with diagnosis of osteoporosis arthritis......more pain meds should have meant constipation...it didn't
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeding disorder, Irritable bowel syndrome, Malabsorption, Peripheral swelling
Clinical narrative: Immediately after 2nd shot, total exhaustion. Every time I sat down I fell asleep. This went on about 3 weeks. Then the diarrhea started. I used bottles and bottles of Imodium, pepto, kaopectate  to no avail. Saw dr in July she ordered Questran. It worked from day one for 3 weeks and started again. Dioxicam was order prn....up to 4 day. stool test perform and GI consult suggested and see in July but nothing could be done until Nov. Muscle and joint pain increased all chalked up to osteopenia  but insufficient so Rhematologist seen now with diagnosis of osteoporosis arthritis......more pain meds should have meant constipation...it didn't
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Somnolence, Stool analysis, Weight, Weight decreased
Clinical narrative: Immediately after 2nd shot, total exhaustion. Every time I sat down I fell asleep. This went on about 3 weeks. Then the diarrhea started. I used bottles and bottles of Imodium, pepto, kaopectate  to no avail. Saw dr in July she ordered Questran. It worked from day one for 3 weeks and started again. Dioxicam was order prn....up to 4 day. stool test perform and GI consult suggested and see in July but nothing could be done until Nov. Muscle and joint pain increased all chalked up to osteopenia  but insufficient so Rhematologist seen now with diagnosis of osteoporosis arthritis......more pain meds should have meant constipation...it didn't
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received Pediatric dose (5-11 year) on his 12th birthday.  Wrong vaccine given.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Lymphadenopathy
Clinical narrative: The reaction started the morning after the shot. My armpit was swollen to the size of an orange. Before the vaccination I took Benadryl and drank lots of water.  The swelling in my armpit lasted for several days and has not gotten better. I also have had back pain that is achy and sore. I have sought care from my doctor. I was not prescribed any medication.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered 1 hour past the expiration time. Vial was reconstituted at 9:13am on 12/6/2021 and expiration time was set as 3:13pm. Vaccine was administered to patient at 4:30pm.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Heart rate increased
Clinical narrative: This was the booster / received Jansen 5/8/21 - experienced rapid heart rate
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Bladder perforation, COVID-19, Imaging procedure abnormal, SARS-CoV-2 test positive
Clinical narrative: An 81-year-old  male with history of metastatic prostate cancer, HTN, HLD and a-fib (not on anticoagulation) presented with abdominal pain. He was found to have a bladder perforation and possible bowel obstruction on imaging.  He tested positive on 11/29/2021 while admitted. Daughter visited and later tested positive.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: None stated.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Pain, Vaccine positive rechallenge
Clinical narrative: Severe pain in the injection side shoulder. Not the injection site but rather the whole shoulder. The pain is constant but more severe at night in bed. It is very painful for me to roll over in bed. It is difficult to raise my arm.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Dizziness, Headache, Hiccups
Clinical narrative: Onset of muscle aches 24h after vaccine. All other symptoms started 48h later and have now lasted for an additional 48h. Zofran ODT for N/V (3 doses taken over 2 days). Joint/muscle aches Nausea Hiccups Vomiting Abdominal Pain Fever Headache Dizziness
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Onset of muscle aches 24h after vaccine. All other symptoms started 48h later and have now lasted for an additional 48h. Zofran ODT for N/V (3 doses taken over 2 days). Joint/muscle aches Nausea Hiccups Vomiting Abdominal Pain Fever Headache Dizziness
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Polymerase chain reaction
Clinical narrative: Hospitalization due to COVID-19  Reported per Moderna COVID-19 Vaccine
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Influenza virus test negative
Clinical narrative: 11-24-21 (next day) cough,  chills,  body aches; 11-25-21, Chills and cough; 11-26-21 felt a little better; 11-27-21, evening, significant decline in health, used rescue inhaler (seldom uses normally), O sats dropped to 84; 11-28-21, went to local  Urgent Care and had negative flu/COVID, prescribed Zpak and prednisone and steroid shot, continued decline, went to a second Hospital at 11pm; 11-29-21 4:30am sent home from ER with AirDuo, returned to same hospital in the evening because he felt as though he was continuing to decline and did not get admitted but sent home.  As of 12-7-21,  resting heartrate varies between 100-120, still coughing, still shortness of breath, exhausted but slowly improving
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pain, SARS-CoV-2 test negative
Clinical narrative: 11-24-21 (next day) cough,  chills,  body aches; 11-25-21, Chills and cough; 11-26-21 felt a little better; 11-27-21, evening, significant decline in health, used rescue inhaler (seldom uses normally), O sats dropped to 84; 11-28-21, went to local  Urgent Care and had negative flu/COVID, prescribed Zpak and prednisone and steroid shot, continued decline, went to a second Hospital at 11pm; 11-29-21 4:30am sent home from ER with AirDuo, returned to same hospital in the evening because he felt as though he was continuing to decline and did not get admitted but sent home.  As of 12-7-21,  resting heartrate varies between 100-120, still coughing, still shortness of breath, exhausted but slowly improving
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Sleep disorder
Clinical narrative: Pt woke up in the middle of the night uncomfortable, and she had a slight fever (highest read was 100.0 F). This was about 14-15 hours after her second dose of the vaccine. It was extremely minor, and she went back to sleep after taking some Tylenol.  This is pretty minor and not really worth mentioning, but someone from the CDC called and asked me to submit this report.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia
Clinical narrative: PATIENT VACINATED ON 11MAR2021. PATIENT WENT TO THE ER ON 01APR2021.  PATIENT WENT TO THE ER DUE TO INABILITY TO SPEAK. CONCERNED FOR TIA VS SEIZURE VS MIGRAINE WITH AURA
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Pyrexia
Clinical narrative: With my previous two Pfizer vaccines, the only side effect I had was fatigue. With this third shot, I had the fatigue the same night as the shot, but then, around 1 a.m., I started getting severe chills which lasted several hours. At 6:30 a.m., once the chills subsided, I developed a fever. I've been lightheaded and continue to experience chills and fever.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Experienced lymph node swelling in the right armpit morning after receiving the vaccine.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 11.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Inappropriate schedule of product administration, Loss of consciousness, Syncope
Clinical narrative: Patient received Pediatric Pfizer dose in left  deltoid.  She then received Flucelvax in right deltoid.  Upon receipt of 2nd vaccine, patient fainted and lost consciousness for a few seconds.  She quickly woke up, had a snack, and recovered.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Headache, Nephrolithiasis, Pain in extremity, Urine analysis
Clinical narrative: After the shot i had the normal headache and sore arms. The kidney stones came about 2-3 weeks ago. I went to the ER and they sent me to the urologist. i have a urologist appointment this monday.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Face and mouth X-ray, Fall, Nausea
Clinical narrative: Episode of syncope with subsequent fall.  Dizziness, nausea
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal X-ray, Syncope
Clinical narrative: Episode of syncope with subsequent fall.  Dizziness, nausea
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asymptomatic COVID-19, Dysarthria, Hypophagia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 92y.o. female who presented to the emergency department at hospital from senior living. At bedside, history taking from the patient is somewhat limited. I did contact senior living, and spoke with LPN for further information. LPN states that patient began to exhibit slurring of the speech, which began at approximately 7:30 AM on 11/7/21. She further states that her speech appeared somewhat slower than normal. LPN further states that patient administers her own medications, and doubts compliance. As well, it is noted that patient was found to have alcohol in her room. In addition, it appears that patient has oxycodone on her medication list.    The patient was noted to test positive for COVID-19 on 11/3/21, during routine testing. The patient was noted to be asymptomatic at the time. However, it is noted that patient frequently leaves the living facility, without utilization of mask. Patient COVID-19 vaccinated (Moderna - 2/29/21 and 1/22/21). The patient herself reports poor oral intake. She denies chest pain or shortness of breath, no addition to fevers or chills. Further denies diarrhea or abdominal pain. She does report right hip pain, however denies recent falls.    Her past medical history includes osteoarthritis of the right hip, aortic stenosis status post TAVR in 2018, sinus node dysfunction status post dual-chamber permanent pacemaker implantation, history of DVT in 2012, uterine carcinoma status post total abdominal hysterectomy with bilateral salpingo-oophorectomy in 2011 with subsequent completion of chemotherapy and XRT, impaired glucose tolerance, chronic bilateral lower extremity edema, essential hypertension, hypercholesterolemia, and a remote history of TIA. She is her own decision maker, as verified with LPN. The patient is not on home oxygen therapy.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Slow speech
Clinical narrative: Patient is a 92y.o. female who presented to the emergency department at hospital from senior living. At bedside, history taking from the patient is somewhat limited. I did contact senior living, and spoke with LPN for further information. LPN states that patient began to exhibit slurring of the speech, which began at approximately 7:30 AM on 11/7/21. She further states that her speech appeared somewhat slower than normal. LPN further states that patient administers her own medications, and doubts compliance. As well, it is noted that patient was found to have alcohol in her room. In addition, it appears that patient has oxycodone on her medication list.    The patient was noted to test positive for COVID-19 on 11/3/21, during routine testing. The patient was noted to be asymptomatic at the time. However, it is noted that patient frequently leaves the living facility, without utilization of mask. Patient COVID-19 vaccinated (Moderna - 2/29/21 and 1/22/21). The patient herself reports poor oral intake. She denies chest pain or shortness of breath, no addition to fevers or chills. Further denies diarrhea or abdominal pain. She does report right hip pain, however denies recent falls.    Her past medical history includes osteoarthritis of the right hip, aortic stenosis status post TAVR in 2018, sinus node dysfunction status post dual-chamber permanent pacemaker implantation, history of DVT in 2012, uterine carcinoma status post total abdominal hysterectomy with bilateral salpingo-oophorectomy in 2011 with subsequent completion of chemotherapy and XRT, impaired glucose tolerance, chronic bilateral lower extremity edema, essential hypertension, hypercholesterolemia, and a remote history of TIA. She is her own decision maker, as verified with LPN. The patient is not on home oxygen therapy.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Blood magnesium, Blood thyroid stimulating hormone, Chest pain
Clinical narrative: Patient received his second Covid vaccination.  A few minutes later, patient state that "the shot felt different in my arm" and felt dizziness, nausea, and was pale in color.  At 1100, blood pressure was 141/82 P 58.  Offered a snack and water.  Patient sipped on cold water and refused offer of candy, peanut butter crackers, juice, and crackers.  Patient's mother states that he had a Propel drink this morning.  Patient transferred to cot with 2 assist and patient noted to have warm, clammy skin.  Cold cloth applied. Continued to observe patient.  At 1120, patient states that he feels weak and states that he has upper abdominal pain near his ribs.  BP, 121/74 P 53. Offered patient saltines and patient accepted.  Patient took bites of saltine when prompted by nurse.  At 1125, patient states that he feels slightly better and color pink. Mother states that he ate mozzarella sticks and chicken strips for supper last night after work but has not had anything else to eat since.  Mother states that he developed flu like symptoms after getting a flu shot when he was in kindergarten but no other problems with injections or vaccinations. Mother states that he does not take any medications and does not have any health issues.  At 1130, patient states that he feels about the same.  At 1136, patient states that "pain in striking my body" in different areas, including his left arm, stomach and stabbing pains in the left side of his chest. Patient pale.  At 1137, text sent to system. BP 117/74 P 59.  Patient states that he feels weak and left sided chest pain.  ANP responded with cardiology team for assessment. At 1140, BP 121/83 P 57.  Discussed transport to ED for further evaluation.  Patient states that he still feels weak.  Patient and mother okay for ambulance transport to ED.  911 contacted for ambulance transport at 1143.    IV of NS started in Left AC with 20 gauge angiocath on first attempt by cardiology nurse.  Patient left by EMS via stretcher.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Full blood count, Metabolic function test, Nausea
Clinical narrative: Patient received his second Covid vaccination.  A few minutes later, patient state that "the shot felt different in my arm" and felt dizziness, nausea, and was pale in color.  At 1100, blood pressure was 141/82 P 58.  Offered a snack and water.  Patient sipped on cold water and refused offer of candy, peanut butter crackers, juice, and crackers.  Patient's mother states that he had a Propel drink this morning.  Patient transferred to cot with 2 assist and patient noted to have warm, clammy skin.  Cold cloth applied. Continued to observe patient.  At 1120, patient states that he feels weak and states that he has upper abdominal pain near his ribs.  BP, 121/74 P 53. Offered patient saltines and patient accepted.  Patient took bites of saltine when prompted by nurse.  At 1125, patient states that he feels slightly better and color pink. Mother states that he ate mozzarella sticks and chicken strips for supper last night after work but has not had anything else to eat since.  Mother states that he developed flu like symptoms after getting a flu shot when he was in kindergarten but no other problems with injections or vaccinations. Mother states that he does not take any medications and does not have any health issues.  At 1130, patient states that he feels about the same.  At 1136, patient states that "pain in striking my body" in different areas, including his left arm, stomach and stabbing pains in the left side of his chest. Patient pale.  At 1137, text sent to system. BP 117/74 P 59.  Patient states that he feels weak and left sided chest pain.  ANP responded with cardiology team for assessment. At 1140, BP 121/83 P 57.  Discussed transport to ED for further evaluation.  Patient states that he still feels weak.  Patient and mother okay for ambulance transport to ED.  911 contacted for ambulance transport at 1143.    IV of NS started in Left AC with 20 gauge angiocath on first attempt by cardiology nurse.  Patient left by EMS via stretcher.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pallor, Skin warm
Clinical narrative: Patient received his second Covid vaccination.  A few minutes later, patient state that "the shot felt different in my arm" and felt dizziness, nausea, and was pale in color.  At 1100, blood pressure was 141/82 P 58.  Offered a snack and water.  Patient sipped on cold water and refused offer of candy, peanut butter crackers, juice, and crackers.  Patient's mother states that he had a Propel drink this morning.  Patient transferred to cot with 2 assist and patient noted to have warm, clammy skin.  Cold cloth applied. Continued to observe patient.  At 1120, patient states that he feels weak and states that he has upper abdominal pain near his ribs.  BP, 121/74 P 53. Offered patient saltines and patient accepted.  Patient took bites of saltine when prompted by nurse.  At 1125, patient states that he feels slightly better and color pink. Mother states that he ate mozzarella sticks and chicken strips for supper last night after work but has not had anything else to eat since.  Mother states that he developed flu like symptoms after getting a flu shot when he was in kindergarten but no other problems with injections or vaccinations. Mother states that he does not take any medications and does not have any health issues.  At 1130, patient states that he feels about the same.  At 1136, patient states that "pain in striking my body" in different areas, including his left arm, stomach and stabbing pains in the left side of his chest. Patient pale.  At 1137, text sent to system. BP 117/74 P 59.  Patient states that he feels weak and left sided chest pain.  ANP responded with cardiology team for assessment. At 1140, BP 121/83 P 57.  Discussed transport to ED for further evaluation.  Patient states that he still feels weak.  Patient and mother okay for ambulance transport to ED.  911 contacted for ambulance transport at 1143.    IV of NS started in Left AC with 20 gauge angiocath on first attempt by cardiology nurse.  Patient left by EMS via stretcher.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT WAS GIVEN A BOOSTER DOSE WHEN SHE WAS NOT ELIGIBLE FOR A BOOSTER AS PATIENT IS ONLY 17 YEARS OLD WITHOUT ANY NOTATION TO BEING IMMUNOCOMPROMISED.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization due to COVID-19 Reported per Moderna COVID-19 Vaccine EUA
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills
Clinical narrative: Chills for 1 week starting around a week after receiving booster followed by hip joint pain
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event. Age outside of EUA for Booster dose. Booster dose given to 14 year old who already received 2 doses of Pfizer > 6 months ago.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Fatigue, Feeding disorder, Feeling cold
Clinical narrative: Dec 1 - vaccination at 3:30pm. Slight headache starting at 4pm Dec 2 -7am upon waking felt generally achy, but not terrible. By 10:30am symptoms had increased such that I was freezing cold, unable to get warm, shaking, headache, tired. Took Tylenol PM at 1pm hoping to sleep through the reaction as this is similar to what I experienced with the 2nd dose of Moderna. Continued with chills, aches, headache, sleepiness, added dizziness throughout the day, sleeping off and on, not able to eat any food. At 6pm ate some saltine crackers, had nausea upon standing, chills began to lessen.  Dec 3 - 7am upon waking felt much better, no chills, mild body aches, resolved pretty by 11am aside from pain at injection site.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Nausea, Pain, Somnolence
Clinical narrative: Dec 1 - vaccination at 3:30pm. Slight headache starting at 4pm Dec 2 -7am upon waking felt generally achy, but not terrible. By 10:30am symptoms had increased such that I was freezing cold, unable to get warm, shaking, headache, tired. Took Tylenol PM at 1pm hoping to sleep through the reaction as this is similar to what I experienced with the 2nd dose of Moderna. Continued with chills, aches, headache, sleepiness, added dizziness throughout the day, sleeping off and on, not able to eat any food. At 6pm ate some saltine crackers, had nausea upon standing, chills began to lessen.  Dec 3 - 7am upon waking felt much better, no chills, mild body aches, resolved pretty by 11am aside from pain at injection site.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Dec 1 - vaccination at 3:30pm. Slight headache starting at 4pm Dec 2 -7am upon waking felt generally achy, but not terrible. By 10:30am symptoms had increased such that I was freezing cold, unable to get warm, shaking, headache, tired. Took Tylenol PM at 1pm hoping to sleep through the reaction as this is similar to what I experienced with the 2nd dose of Moderna. Continued with chills, aches, headache, sleepiness, added dizziness throughout the day, sleeping off and on, not able to eat any food. At 6pm ate some saltine crackers, had nausea upon standing, chills began to lessen.  Dec 3 - 7am upon waking felt much better, no chills, mild body aches, resolved pretty by 11am aside from pain at injection site.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: 79 y/o male with history of COPD, Myasthenia Gravis who p/w cough. Patient began to have some sinus symptoms a few days ago. He apparently has had increased cough and has been weak, unable to control his secretions. He came to the ER today, tested positive for covid-19. He is not  hypoxic, he is fully vaccinated and boosted. He notes that he has had a couple of fevers at home. He was started on Augmentin by PCP, has not had a covid test outpatient. CXR clear. Admission requested for treatment with increased weakness of Myasthenia Gravis, neurology has been consulted, patient started on high dose solumedrol.                                             79 y/o male with history of COPD, Myasthenia Gravis who p
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Corneal transplant, Cough, Hyperlipidaemia, Hypertension, Immunoglobulin therapy
Clinical narrative: 79 y/o male with history of COPD, Myasthenia Gravis who p/w cough. Patient began to have some sinus symptoms a few days ago. He apparently has had increased cough and has been weak, unable to control his secretions. He came to the ER today, tested positive for covid-19. He is not  hypoxic, he is fully vaccinated and boosted. He notes that he has had a couple of fevers at home. He was started on Augmentin by PCP, has not had a covid test outpatient. CXR clear. Admission requested for treatment with increased weakness of Myasthenia Gravis, neurology has been consulted, patient started on high dose solumedrol.                                             79 y/o male with history of COPD, Myasthenia Gravis who p