chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: 5ml syringes that had been provided by Health Authority were used to draw up diluent for mixing the 5-11 year old Pfizer COVID-19 vaccine vial on 12/16/21.  Diluent drawn up and injected into the vaccine vial was 1.6ml rather than 1.3ml.  Diluent was measured on the 5ml syringes incorrectly:  Counting each mark as 0.1 rather than 0.2ml.  This resulted in the vial being mixed with 0.3ml extra diluent.  Vial had a bonus dose (so 11 doses total).  Patient was given a vaccine dose at 90% of the correct concentration.  Error has been reported to Pfizer.  Families are currently being contacted by letter and by phone to be alerted of the error and offered a re-dose if they would like this.  No adverse effects to patients have been reported.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody positive, Arthralgia, Borrelia test negative, C-reactive protein increased, Laboratory test abnormal
Clinical narrative: low back pain, b/l jaw muscle pain, right wrist/hand pain, and left foot/ankle/heel pain.  pain in his b/l hips, upper back/neck, and left hand, sore throat, as well as subjective fevers with an episode of night sweats. Pt with vague syndrome of nonspecific unilateral joint pain (R wrist, L foot, L ankle, L great toe pain) as well as low back and neck pain. Symptoms described as feeling muscle soreness as though he had conducted strenuous exercise, though he denies any such exercise. Events lasted for roughly three months with roving pains and symptoms.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Night sweats, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: low back pain, b/l jaw muscle pain, right wrist/hand pain, and left foot/ankle/heel pain.  pain in his b/l hips, upper back/neck, and left hand, sore throat, as well as subjective fevers with an episode of night sweats. Pt with vague syndrome of nonspecific unilateral joint pain (R wrist, L foot, L ankle, L great toe pain) as well as low back and neck pain. Symptoms described as feeling muscle soreness as though he had conducted strenuous exercise, though he denies any such exercise. Events lasted for roughly three months with roving pains and symptoms.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: low back pain, b/l jaw muscle pain, right wrist/hand pain, and left foot/ankle/heel pain.  pain in his b/l hips, upper back/neck, and left hand, sore throat, as well as subjective fevers with an episode of night sweats. Pt with vague syndrome of nonspecific unilateral joint pain (R wrist, L foot, L ankle, L great toe pain) as well as low back and neck pain. Symptoms described as feeling muscle soreness as though he had conducted strenuous exercise, though he denies any such exercise. Events lasted for roughly three months with roving pains and symptoms.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: 5ml syringes that had been provided by Health Authority were used to draw up diluent for mixing the 5-11 year old Pfizer COVID-19 vaccine vial on 12/16/21.  Diluent drawn up and injected into the vaccine vial was 1.6ml rather than 1.3ml.  Diluent was measured on the 5ml syringes incorrectly:  Counting each mark as 0.1 rather than 0.2ml.  This resulted in the vial being mixed with 0.3ml extra diluent.  Vial had a bonus dose (so 11 doses total).  Patient was given a vaccine dose at 90% of the correct concentration.  Error has been reported to Pfizer.  Families are currently being contacted by letter and by phone to be alerted of the error and offered a re-dose if they would like this.  No adverse effects to patients have been reported.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the local Health Dept. internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: 01/03/2022 Began to feel unwell 01/04/2022 Positive rapid home test  01/05/2022 Positive rapid test and awaiting PCR test results
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Feeling abnormal, Heart rate abnormal
Clinical narrative: Approximately 9 hours following administration of the vaccine (about 4:50 am), the patient reports that a few minutes after getting out of bed to use the restroom, she experienced a sudden wave of nausea, ringing in her ears, head feeling like it was under water and vision blacked out. She reports that she felt she would pass out so she laid down where after a few minutes, her vision, hearing and orientation returned. By 11:30 the next morning, her resting heart rate read 91 bpm and continued to fluctuate between 90 to 103 until 4:15 where her heart rate remained between 107 to 114 bpm for about an hour before going back down to the 90s. The patient also reports that during the afternoon, she experienced labored breathing and upwards of 30 breaths per minute at one point. Her breathing resolved to between 13-17 breaths per minute by the 4:15 pm. Blood pressure was somewhat elevated from her normal to 128 over 65. By the next morning, her heart rate returned to 68 to 73 bpm which is her baseline heart rate. Doctors over the phone advised that these reactions were outside expected reactions and should seek medical attention from her primary care to evaluate if there is an underlying issue r/t the symptoms. Otherwise, the patient reports rest and hydration were the primary treatment.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tinnitus, Visual impairment
Clinical narrative: Approximately 9 hours following administration of the vaccine (about 4:50 am), the patient reports that a few minutes after getting out of bed to use the restroom, she experienced a sudden wave of nausea, ringing in her ears, head feeling like it was under water and vision blacked out. She reports that she felt she would pass out so she laid down where after a few minutes, her vision, hearing and orientation returned. By 11:30 the next morning, her resting heart rate read 91 bpm and continued to fluctuate between 90 to 103 until 4:15 where her heart rate remained between 107 to 114 bpm for about an hour before going back down to the 90s. The patient also reports that during the afternoon, she experienced labored breathing and upwards of 30 breaths per minute at one point. Her breathing resolved to between 13-17 breaths per minute by the 4:15 pm. Blood pressure was somewhat elevated from her normal to 128 over 65. By the next morning, her heart rate returned to 68 to 73 bpm which is her baseline heart rate. Doctors over the phone advised that these reactions were outside expected reactions and should seek medical attention from her primary care to evaluate if there is an underlying issue r/t the symptoms. Otherwise, the patient reports rest and hydration were the primary treatment.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives treated with 1 dose of benadryl 5ml and symptom disappeared.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chest X-ray normal, Productive cough, Pyrexia
Clinical narrative: COVID positive on 11/7/2021.  66-year-old female who presents to the emergency department secondary to productive cough.  She states she is due for chemotherapy on October 27, however October 28 had a fever, therefore did not undergo chemotherapy.  She has been having productive cough over the past week-and-half. She is currently not on any O2 and has not had any shortness of breath or chest pain. CXR negative for any consolidations, No indications for Decadron, Azithromycin given productive Cough, Albuterol Breathing RX, Lovenox 40mg Q 24hr. Discharged home.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID positive on 11/7/2021.  66-year-old female who presents to the emergency department secondary to productive cough.  She states she is due for chemotherapy on October 27, however October 28 had a fever, therefore did not undergo chemotherapy.  She has been having productive cough over the past week-and-half. She is currently not on any O2 and has not had any shortness of breath or chest pain. CXR negative for any consolidations, No indications for Decadron, Azithromycin given productive Cough, Albuterol Breathing RX, Lovenox 40mg Q 24hr. Discharged home.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Foetal death, Hypertension, Stillbirth
Clinical narrative: After taking the second vaccine she had the typical reactions for 24 hrs, then she was fine. At her last OB appt on the Nov 19th her baby heartbeat was strong and fine and mom blood pressure became a little high. A few days later she didn't feel her baby move anymore. She went to the OB and they couldn't feel the baby heartbeat and the dr confirm fetal death. On Nov. 20th she was in her 39th week of pregnancy and she delivered a stillborn male. The baby was due on Nov 24th 2021 and had no prior complications before taking the 2nd vaccine, she had a completely normal healthy pregnancy.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: patient broke out in a rash entire body
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Patient called clinic with c/o persistent L shoulder pain following vaccination. Pt states that her shoulder only hurts when she moves it and was not able to quantify the pain. Patient declined self-inspection for lumps, discoloration, or changes in temperature or skin texture. Pt also denies fever/chills. Nurse recommended that patient be seen in clinic by a provider. Patient has a history of shoulder pain and already has a PT and massage/chiropractic referral in place.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Ear infection
Clinical narrative: I had congestion, sore throat, diarrhea, and high fever. I had a little bit of SOB, cough and headache. These symptoms are still ongoing. I went to urgent care on Jan 2nd. They did strep throat test and a Covid-19 test, positive result.  I also had an ear infection.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had congestion, sore throat, diarrhea, and high fever. I had a little bit of SOB, cough and headache. These symptoms are still ongoing. I went to urgent care on Jan 2nd. They did strep throat test and a Covid-19 test, positive result.  I also had an ear infection.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcal infection, Streptococcus test positive
Clinical narrative: I had congestion, sore throat, diarrhea, and high fever. I had a little bit of SOB, cough and headache. These symptoms are still ongoing. I went to urgent care on Jan 2nd. They did strep throat test and a Covid-19 test, positive result.  I also had an ear infection.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after 12 hours. (Vial was first punctured on 1/4/22 at 8:18am. Vaccine was given at 1:09pm on 1/5/22.) No adverse reaction.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Premature menarche
Clinical narrative: daughter had 1/2 day of menstrual bleeding.  A normal period in my family starts at age 11- she is only 10 and 4 months. this person has not actually started her period yet. I realize her age would appear to be a normal time to start and periods at start can be irregular however, she had no premenstrual symptoms, only bled for 1/2 a day and it stopped.  Would anything in the vaccine cause her uterine lining to shed?
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Patient developed Polymyalgia rheumatica in July of 2021. There is good chance it isn't related to the vaccine, but wanted to document it. She is currently under treatment on steroids and actually just started the  steroid regimen on December 21st, 2021. The diagnosis was delayed for a few months. She is currently doing well, but in treatment.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema multiforme, Joint swelling, Lip swelling, Oedema peripheral
Clinical narrative: Patient develops mild transient edema of left wrist on day of vaccine, the next day she developed mild edema in left ankle, 3 days after she develops slight swelling of left knee and lips as well as erythema multiforme rash on abdomen, arms, legs, and buttocks. Patient seen in doctors office 3 days following vaccine and still had slight swelling of left knee, other edema had resolved. Also had the rash still present on exam.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Condition aggravated, Cough, Dry eye
Clinical narrative: Patient reports exacerbating of lupus symptoms and dry eye since getting vaccination on december 17th, starting on december 20th and continuing until visit today on 1/6/2022. Patient reports worsened joint pain, kidney pain, low back pain, fatigue, cough, fever, mental fatigue, breathing, and dry eye.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mental fatigue, Pyrexia, Renal pain, Systemic lupus erythematosus
Clinical narrative: Patient reports exacerbating of lupus symptoms and dry eye since getting vaccination on december 17th, starting on december 20th and continuing until visit today on 1/6/2022. Patient reports worsened joint pain, kidney pain, low back pain, fatigue, cough, fever, mental fatigue, breathing, and dry eye.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Condition aggravated, Death, Dyspnoea
Clinical narrative: patient presented to emergency department on 10/26/21 with shortness of breath patient was admitted for further management of acute respiratory failure with hypoxia patient was found to be covid-19 positive on 11/21/21 patient did require treatment for symptoms associated with covid-19 infection. treatment included: dexamethasone and remdesivir patient condition worsened requiring transfer to the intensive care unit on 11/27/21 until 12/19/21 patient required intubation on 11/27/21 patient expired on 12/19/21 due to acute respiratory failure with hypoxia
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Intensive care, SARS-CoV-2 test positive
Clinical narrative: patient presented to emergency department on 10/26/21 with shortness of breath patient was admitted for further management of acute respiratory failure with hypoxia patient was found to be covid-19 positive on 11/21/21 patient did require treatment for symptoms associated with covid-19 infection. treatment included: dexamethasone and remdesivir patient condition worsened requiring transfer to the intensive care unit on 11/27/21 until 12/19/21 patient required intubation on 11/27/21 patient expired on 12/19/21 due to acute respiratory failure with hypoxia
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, FLU4
Symptoms: Abdominal distension, COVID-19, Confusional state, Death, Gastrointestinal sounds abnormal
Clinical narrative: 12/22/2021Per nurses note this resident had nausea and  dark brown emesis. Zofran 4mg administered. Then on 12/23/2021 Resident had increased dark brown emesis, zofran was not effective. Abdomen was distended, RUQ hyperactive and there was increased confusion. Resident was sent to Hospital ER. She was tested there for COVID and had positive results. She was admitted to Hospital and per information from the hospital she expired on 01/03/2022.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, FLU4
Symptoms: Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 12/22/2021Per nurses note this resident had nausea and  dark brown emesis. Zofran 4mg administered. Then on 12/23/2021 Resident had increased dark brown emesis, zofran was not effective. Abdomen was distended, RUQ hyperactive and there was increased confusion. Resident was sent to Hospital ER. She was tested there for COVID and had positive results. She was admitted to Hospital and per information from the hospital she expired on 01/03/2022.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash vesicular
Clinical narrative: About 1 week after 2nd shot I had a shingles like rash on my chest and neck. I had the rash for about 2 weeks. I had a smaller reaction after the first shot in March but thought I had a poison oak infection. After the second shot I realized the shot caused the rash.
Age: 43.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Erythema, Fatigue, Headache, Heart rate increased
Clinical narrative: redness, swelling, pain, tenderness, fever, fatigue, headache chills, throat issues, fast heartbeat
Age: 43.0
Sex: F
Vaccine: PNC13
Symptoms: Oropharyngeal discomfort, Pain, Pyrexia, Swelling, Tenderness
Clinical narrative: redness, swelling, pain, tenderness, fever, fatigue, headache chills, throat issues, fast heartbeat
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dizziness, Headache, Hepatic enzyme increased, Laboratory test normal
Clinical narrative: Dizziness and severe headaches. Headache intensified continuously; has no history of migraines. Elevated liver enzymes.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal
Clinical narrative: Dizziness and severe headaches. Headache intensified continuously; has no history of migraines. Elevated liver enzymes.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Chills, Diarrhoea, Fatigue
Clinical narrative: - 2:00 pm on 3-13-21; fatigue, chills; felt better after taking two hour nap - 8:00 pm on 3-13-21; stomach cramps, diarrhea, extreme weakness, loss of consciousness (fainted); gradually got better over next seven days
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: - 2:00 pm on 3-13-21; fatigue, chills; felt better after taking two hour nap - 8:00 pm on 3-13-21; stomach cramps, diarrhea, extreme weakness, loss of consciousness (fainted); gradually got better over next seven days
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Discomfort, Dysstasia, Electrocardiogram, Gait disturbance
Clinical narrative: Inability to stand or walk without falling.  After calling 911 I was taken by ambulance to the hospital after firefighters carried me down the stairs from my bedroom.  I was in the emergency department in a room for 24 hours receiving every neurological and cardiovascular test available,  including MRI, CT Scan, MRA, ECG, and some I cannot recall.  I was given IV medications, fluids, etc for the duration of this 24 hour period.  Finally, I was discharged with a diagnosis of "Vertigo" which I had never experienced before in my lifetime.  It was a horrible, uncomfortable, scary ordeal I would never want to live through again.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Vertigo
Clinical narrative: Inability to stand or walk without falling.  After calling 911 I was taken by ambulance to the hospital after firefighters carried me down the stairs from my bedroom.  I was in the emergency department in a room for 24 hours receiving every neurological and cardiovascular test available,  including MRI, CT Scan, MRA, ECG, and some I cannot recall.  I was given IV medications, fluids, etc for the duration of this 24 hour period.  Finally, I was discharged with a diagnosis of "Vertigo" which I had never experienced before in my lifetime.  It was a horrible, uncomfortable, scary ordeal I would never want to live through again.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Acute sinusitis, Diarrhoea, Ear discomfort, Ear pain
Clinical narrative: Day after vaccination awoke with: 1) pain at injection site - lasted 6 days, 2) projectile diarrhea - lasted 5 days, 3) severe headache- lasted 7 days (OTC headache remedies did not relieve), 4) severely swollen face, severely swollen glands front/back/sides of neck.  Pain, pressure and ringing in both ears.  Left side of throat painful when swallowing - lasted approx 9 weeks.  Ringing in left ear permanent.  Medical:  1) Called Dr's office to report severe swelling of face and neck glands on 7/29/21.  The office had no appts for several weeks.  They advised swollen glands were normal reaction to vaccine and should go away in approx 2 weeks, if symptoms got worse to go to urgent care. 2) Contacted my doctor's office on 8/12/21 no appts available for several weeks.  I advised Dr's assistant that swelling in face and throat had only gone down about 50%, still had pressure, pain and ringing in ears.  Dr's assistant advised that some vaccine symptoms last longer and to go to urgent care if symptoms persisted or got worse.  3) Contacted Dr office on 8/27/21 to advise still had swelling and pressure/pain/ringing in ears and I was due for second dose of vaccine.  Dr office had no appts available.  Dr's assistant advised to delay getting second does of vaccine until symptoms completely gone.  4)  8/31/21 went to Urgent Care and was diagnosed with acute non-recurrent sinusitis with fluid in ears.  I was prescribed doxycycline for 10 days and prednisone for 5 days.  I tested negative for Covid-19.  The swelling in face and throat finally went away, but the pain, pressure and ringing in ears remained (left ear worse than right ear).   5) On 9/14/21 I went to Urgent Care due to the continuing pressure and ringing in my ears. The NP stated there was no fluid in my ears and prescribed Clindamycin 300 for 10 days. I again tested negative for Covid-19.   The pressure and ringing in my ears (worse in left ear) did not go away after second treatment with antibiotics.  6) On 9/23/21, I was finally able to get an appointment with my doctor's office. The NP provided me with a referral to an ENT due to continuing pressure/ringing in ears.  7)  ENT appointment on 11/11/21.  The doctor advised my ear drums were healthy and my hearing was within the normal range.  I was diagnosed with tinnitus.  Doctor advised there is no treatment or cure for tinnitus.  He also advised that I should not get any additional Covid-19 vaccine shots due to my severe reaction to the first vaccine dose.  He said that swollen glands and pressure/ringing (tinnitus) in the ears were not normal reactions to the vaccine.  I am reporting this information to VAERS because I do not think the doctor would have reported it because I was not seen by that office until almost eight weeks after the initial reaction to the vaccine. I am not sure if either urgent care facility or the ENT would have reported the reaction to the vaccine as they are not my primary physician.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Lymphadenopathy, Middle ear effusion, Odynophagia
Clinical narrative: Day after vaccination awoke with: 1) pain at injection site - lasted 6 days, 2) projectile diarrhea - lasted 5 days, 3) severe headache- lasted 7 days (OTC headache remedies did not relieve), 4) severely swollen face, severely swollen glands front/back/sides of neck.  Pain, pressure and ringing in both ears.  Left side of throat painful when swallowing - lasted approx 9 weeks.  Ringing in left ear permanent.  Medical:  1) Called Dr's office to report severe swelling of face and neck glands on 7/29/21.  The office had no appts for several weeks.  They advised swollen glands were normal reaction to vaccine and should go away in approx 2 weeks, if symptoms got worse to go to urgent care. 2) Contacted my doctor's office on 8/12/21 no appts available for several weeks.  I advised Dr's assistant that swelling in face and throat had only gone down about 50%, still had pressure, pain and ringing in ears.  Dr's assistant advised that some vaccine symptoms last longer and to go to urgent care if symptoms persisted or got worse.  3) Contacted Dr office on 8/27/21 to advise still had swelling and pressure/pain/ringing in ears and I was due for second dose of vaccine.  Dr office had no appts available.  Dr's assistant advised to delay getting second does of vaccine until symptoms completely gone.  4)  8/31/21 went to Urgent Care and was diagnosed with acute non-recurrent sinusitis with fluid in ears.  I was prescribed doxycycline for 10 days and prednisone for 5 days.  I tested negative for Covid-19.  The swelling in face and throat finally went away, but the pain, pressure and ringing in ears remained (left ear worse than right ear).   5) On 9/14/21 I went to Urgent Care due to the continuing pressure and ringing in my ears. The NP stated there was no fluid in my ears and prescribed Clindamycin 300 for 10 days. I again tested negative for Covid-19.   The pressure and ringing in my ears (worse in left ear) did not go away after second treatment with antibiotics.  6) On 9/23/21, I was finally able to get an appointment with my doctor's office. The NP provided me with a referral to an ENT due to continuing pressure/ringing in ears.  7)  ENT appointment on 11/11/21.  The doctor advised my ear drums were healthy and my hearing was within the normal range.  I was diagnosed with tinnitus.  Doctor advised there is no treatment or cure for tinnitus.  He also advised that I should not get any additional Covid-19 vaccine shots due to my severe reaction to the first vaccine dose.  He said that swollen glands and pressure/ringing (tinnitus) in the ears were not normal reactions to the vaccine.  I am reporting this information to VAERS because I do not think the doctor would have reported it because I was not seen by that office until almost eight weeks after the initial reaction to the vaccine. I am not sure if either urgent care facility or the ENT would have reported the reaction to the vaccine as they are not my primary physician.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pharyngeal swelling, SARS-CoV-2 test negative, Swelling face, Tinnitus
Clinical narrative: Day after vaccination awoke with: 1) pain at injection site - lasted 6 days, 2) projectile diarrhea - lasted 5 days, 3) severe headache- lasted 7 days (OTC headache remedies did not relieve), 4) severely swollen face, severely swollen glands front/back/sides of neck.  Pain, pressure and ringing in both ears.  Left side of throat painful when swallowing - lasted approx 9 weeks.  Ringing in left ear permanent.  Medical:  1) Called Dr's office to report severe swelling of face and neck glands on 7/29/21.  The office had no appts for several weeks.  They advised swollen glands were normal reaction to vaccine and should go away in approx 2 weeks, if symptoms got worse to go to urgent care. 2) Contacted my doctor's office on 8/12/21 no appts available for several weeks.  I advised Dr's assistant that swelling in face and throat had only gone down about 50%, still had pressure, pain and ringing in ears.  Dr's assistant advised that some vaccine symptoms last longer and to go to urgent care if symptoms persisted or got worse.  3) Contacted Dr office on 8/27/21 to advise still had swelling and pressure/pain/ringing in ears and I was due for second dose of vaccine.  Dr office had no appts available.  Dr's assistant advised to delay getting second does of vaccine until symptoms completely gone.  4)  8/31/21 went to Urgent Care and was diagnosed with acute non-recurrent sinusitis with fluid in ears.  I was prescribed doxycycline for 10 days and prednisone for 5 days.  I tested negative for Covid-19.  The swelling in face and throat finally went away, but the pain, pressure and ringing in ears remained (left ear worse than right ear).   5) On 9/14/21 I went to Urgent Care due to the continuing pressure and ringing in my ears. The NP stated there was no fluid in my ears and prescribed Clindamycin 300 for 10 days. I again tested negative for Covid-19.   The pressure and ringing in my ears (worse in left ear) did not go away after second treatment with antibiotics.  6) On 9/23/21, I was finally able to get an appointment with my doctor's office. The NP provided me with a referral to an ENT due to continuing pressure/ringing in ears.  7)  ENT appointment on 11/11/21.  The doctor advised my ear drums were healthy and my hearing was within the normal range.  I was diagnosed with tinnitus.  Doctor advised there is no treatment or cure for tinnitus.  He also advised that I should not get any additional Covid-19 vaccine shots due to my severe reaction to the first vaccine dose.  He said that swollen glands and pressure/ringing (tinnitus) in the ears were not normal reactions to the vaccine.  I am reporting this information to VAERS because I do not think the doctor would have reported it because I was not seen by that office until almost eight weeks after the initial reaction to the vaccine. I am not sure if either urgent care facility or the ENT would have reported the reaction to the vaccine as they are not my primary physician.
Sex: F
Vaccine: FLUR4
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Neuralgia, SARS-CoV-2 test negative, Streptococcus test positive
Clinical narrative: 11/15/21 neuropathic pain noted to feet 11/19/21 neuropathic pain has spread to both upper and lower extremities. 11/22/21 provider appt - EMG ordered gabapentin initiated 11/26/21 neuropatic pain increased severly and an ER visit indicated negative COVID test, positive Strep test.  neurology consulted and 1gm Rocpehon Iv x 4 days initiated 11/30/21 neurology evalution with EMG & nerve conduction study revealed Acute Demylinating Polyradiculoneuropathy 12/1/21 Gammaguard infusions initiated X 5 doses.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: 5mL syringes were used to draw up diluent for mixing the 5-11 year old Pfizer COVID-19 vaccine vial on 12/16/2021. Diluent drawn up and injected into the vaccine vial was 1.6mL (rather than 1.3mL). Diluent was measured on the 5mL syringes incorrectly (counting each mark as 0.1mL rather than 0.2mL). This resulted in the vial being mixed with 0.3mL extra diluent. Vial had a bonus dose (so 11 doses total). Patient given a vaccine dose at 90% of the correct concentration. Error has been reported to Pfizer. Families are currently being contacted by letter and by phone to be alerted of the error and offered a re-dose if they would like this. No adverse effects to patients have been reported.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Cardioversion, Electrocardiogram
Clinical narrative: I had Atrial Fibrillation. I went to the ER but they could not control it with meds, so I had a cardioversion.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cholesterol increased, COVID-19, Cerebrovascular accident, Pain in extremity
Clinical narrative: Sore arm at time of shot
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: 12/23: Sore throat, Persistent productive cough, nasal congestion. 12/24-27: Sore throat, productive cough, nasal congestion, headaches, fatigue, muscle aches, chills 12/28-1/1: Improving symptoms, occasional cough/congestion.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nasal congestion, Oropharyngeal pain, Productive cough, SARS-CoV-2 test positive
Clinical narrative: 12/23: Sore throat, Persistent productive cough, nasal congestion. 12/24-27: Sore throat, productive cough, nasal congestion, headaches, fatigue, muscle aches, chills 12/28-1/1: Improving symptoms, occasional cough/congestion.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Patient is a known case of hypertension and sarcoidosis who presented to the hospital with COPD exacerbation and also with COVID pneumonia with acute on chronic respiratory failure.Patient's COPD improved with IV Decadron. Treated with oxygen, albuterol nebulizer, spiriva, breo.  Patient will continue Lovenox sub Q daily  Patient completed 5 days course of IV remdesivir and plan for the patient have home O2 eval before discharge.    Discharged home.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Nov 20- Started as a few small bumps but on his torso, back and neck. Nov 24-  The size of the bumps are small but has spread all over his body including inside his ears. They itch and get red and inflamed if the shower is too warm. Nov 30 - The bumpy rash is transitioning into brown spots. My sons torso, back and neck are spotted while the remainder of his body still has bumps. Dec 1- Now his entire body is marked with brown spots and small bumps.  Dec 8 - We see where the rash has changed from bumps to  mixed brown spots and is now starting to look dry scaly. Dec 15- Most of the rash is gone but he is still very scaly Dec 25- Brown spots of the rash are reappearing.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Skin discolouration, Skin exfoliation
Clinical narrative: Nov 20- Started as a few small bumps but on his torso, back and neck. Nov 24-  The size of the bumps are small but has spread all over his body including inside his ears. They itch and get red and inflamed if the shower is too warm. Nov 30 - The bumpy rash is transitioning into brown spots. My sons torso, back and neck are spotted while the remainder of his body still has bumps. Dec 1- Now his entire body is marked with brown spots and small bumps.  Dec 8 - We see where the rash has changed from bumps to  mixed brown spots and is now starting to look dry scaly. Dec 15- Most of the rash is gone but he is still very scaly Dec 25- Brown spots of the rash are reappearing.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: No reported adverse events.  Reporting the utilization of Sterile Water for Injection as diluent for Pfizer BioNTech COVID-19 vaccination recognized on 12/29/2021.  It was discovered that SWFI was used for reconsitution of vaccine for the date range 12/6/2021 through 12/28/2021.  These vaccines were utilized for vaccination of a total of 219 patients.  There have been no reported adverse events from any vaccinated patient.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea
Clinical narrative: Menstrual cycle became shorter by 5 days (higher menstruation frequency with shorter periods in between them).
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Antinuclear antibody negative, Antinuclear antibody positive, Blood test, DNA antibody negative
Clinical narrative: I have symptoms of stiffness in my left thumb and swelling and it was a rheumatoid arthritis perhaps. So my doctor did some blood tests at the time and the ANA came up positive. I'm not sure if it was positive last year either just because I haven't had any blood work done. I didn't have any treatments done for it and I did have an x-ray done for my hand. I do have an appointment in February to follow up with a rheumatologist. I did have an ANA test done in 2017 that was negative, so this is new for me.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Double stranded DNA antibody, Musculoskeletal stiffness, Rheumatoid factor negative, Swelling, X-ray limb
Clinical narrative: I have symptoms of stiffness in my left thumb and swelling and it was a rheumatoid arthritis perhaps. So my doctor did some blood tests at the time and the ANA came up positive. I'm not sure if it was positive last year either just because I haven't had any blood work done. I didn't have any treatments done for it and I did have an x-ray done for my hand. I do have an appointment in February to follow up with a rheumatologist. I did have an ANA test done in 2017 that was negative, so this is new for me.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Platelet count decreased
Clinical narrative: rapid heart beat
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Headache, Insomnia, Loss of consciousness, Syncope
Clinical narrative: insomnia and headache throughout the night, then passed out/fainted  multiple times the next morning falling on the bathroom floor after getting up.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: 5mL syringes were used to draw up diluent for mixing the 5-11 year old Pfizer COVID-19 vaccine vial on 12/16/2021. Diluent drawn up and injected into the vaccine vial was 1.6mL (rather than 1.3mL). Diluent was measured on the 5mL syringes incorrectly (counting each mark as 0.1mL rather than 0.2mL). This resulted in the vial being mixed with 0.3mL extra diluent. Vial had a bonus dose (so 11 doses total). Patient given a vaccine dose at 90% of the correct concentration. Error has been reported to Pfizer. Families are currently being contacted by letter and by phone to be alerted of the error and offered a re-dose if they would like this. No adverse effects to patients have been reported.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Amyloidosis, Anaemia, Biopsy bone, Biopsy skin, Blood test
Clinical narrative: CLL condition exacerbated with rapid health decline. Patient misdiagnosed after vaccines for B-cell marginal lymphoma with iron infusion and then regular bi-weekly blood transfusions. Patient was very anemic and seemed as if he was dying of amyloidosis (most of the symptoms). Rapid decline in health. After a few months of testing (bone biopsy, skin biopsy, blood panels, etc.), a proper diagnosis at local medical center was given: lymphoplasmacytic lymphoma with a MYD88 mutation. The diagnosis is so rare (less than 2% of reported lymphoma) that patient was misdiagnosed previously, which one could argue partly contributed to decline. Symptoms occurred within weeks of receiving vaccine #2 on 03/04/21. Average reported flu like symptoms after injection(s). Unknown if vaccine caused this condition for the CLL to become exacerbated. Previous to 2nd vaccine, patient was stable without the need for iron or blood transfusions or treatment of MYD88 mutation.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chronic lymphocytic leukaemia, Condition aggravated, General physical health deterioration, Influenza like illness, Infusion
Clinical narrative: CLL condition exacerbated with rapid health decline. Patient misdiagnosed after vaccines for B-cell marginal lymphoma with iron infusion and then regular bi-weekly blood transfusions. Patient was very anemic and seemed as if he was dying of amyloidosis (most of the symptoms). Rapid decline in health. After a few months of testing (bone biopsy, skin biopsy, blood panels, etc.), a proper diagnosis at local medical center was given: lymphoplasmacytic lymphoma with a MYD88 mutation. The diagnosis is so rare (less than 2% of reported lymphoma) that patient was misdiagnosed previously, which one could argue partly contributed to decline. Symptoms occurred within weeks of receiving vaccine #2 on 03/04/21. Average reported flu like symptoms after injection(s). Unknown if vaccine caused this condition for the CLL to become exacerbated. Previous to 2nd vaccine, patient was stable without the need for iron or blood transfusions or treatment of MYD88 mutation.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lymphoplasmacytoid lymphoma/immunocytoma, Transfusion
Clinical narrative: CLL condition exacerbated with rapid health decline. Patient misdiagnosed after vaccines for B-cell marginal lymphoma with iron infusion and then regular bi-weekly blood transfusions. Patient was very anemic and seemed as if he was dying of amyloidosis (most of the symptoms). Rapid decline in health. After a few months of testing (bone biopsy, skin biopsy, blood panels, etc.), a proper diagnosis at local medical center was given: lymphoplasmacytic lymphoma with a MYD88 mutation. The diagnosis is so rare (less than 2% of reported lymphoma) that patient was misdiagnosed previously, which one could argue partly contributed to decline. Symptoms occurred within weeks of receiving vaccine #2 on 03/04/21. Average reported flu like symptoms after injection(s). Unknown if vaccine caused this condition for the CLL to become exacerbated. Previous to 2nd vaccine, patient was stable without the need for iron or blood transfusions or treatment of MYD88 mutation.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Atypical pneumonia, COVID-19, COVID-19 pneumonia
Clinical narrative: Principal Problem: COVID-19      Assessment & Plan Note:     63y.o. year old female with diabetes, hypertension and obesity  presents to BFH due to Shortness of breath. She has tested positive for COVID. She was vaccinated with Pfizer 4-5/2021. She was planning on getting her booster. Currently not requiring supplemental O2.  Patient was counseled regarding COVID infection. I have counseled her and provided criteria for Monoclonal antibody. She is agreeable with proceeding. Monoclonal Antibody (MAB) Emergency Use Authorization for COVID-19 : TREATMENT
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Condition aggravated, Dyspnoea, Echocardiogram abnormal, Ejection fraction
Clinical narrative: Principal Problem: COVID-19      Assessment & Plan Note:     63y.o. year old female with diabetes, hypertension and obesity  presents to BFH due to Shortness of breath. She has tested positive for COVID. She was vaccinated with Pfizer 4-5/2021. She was planning on getting her booster. Currently not requiring supplemental O2.  Patient was counseled regarding COVID infection. I have counseled her and provided criteria for Monoclonal antibody. She is agreeable with proceeding. Monoclonal Antibody (MAB) Emergency Use Authorization for COVID-19 : TREATMENT
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial ischaemia, Polyuria, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Principal Problem: COVID-19      Assessment & Plan Note:     63y.o. year old female with diabetes, hypertension and obesity  presents to BFH due to Shortness of breath. She has tested positive for COVID. She was vaccinated with Pfizer 4-5/2021. She was planning on getting her booster. Currently not requiring supplemental O2.  Patient was counseled regarding COVID infection. I have counseled her and provided criteria for Monoclonal antibody. She is agreeable with proceeding. Monoclonal Antibody (MAB) Emergency Use Authorization for COVID-19 : TREATMENT
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was accidentally given pediatric dose instead of adult dose. Patient mom decided to not have us redose in 21 days.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 13 year old patient  was brought  to adult booster clinic.  Patient received Pfizer booster.  Patient's mother notified.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Developed Covid on 12/19/2021. Wants to note this.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: I had headache, vertigo, fatigue, and body ache that evening of the shot. These lasted for about 2 days. Then on Dec 28th, I started having headache, body ache, diarrhea, congestive, running nose, fatigue, sore throat and coughing.  I went on the Dec 29th and got tested for Covid-19, positive result.  Most of my symptoms are gone since Jan 4th but the others are still ongoing.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had headache, vertigo, fatigue, and body ache that evening of the shot. These lasted for about 2 days. Then on Dec 28th, I started having headache, body ache, diarrhea, congestive, running nose, fatigue, sore throat and coughing.  I went on the Dec 29th and got tested for Covid-19, positive result.  Most of my symptoms are gone since Jan 4th but the others are still ongoing.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: I had headache, vertigo, fatigue, and body ache that evening of the shot. These lasted for about 2 days. Then on Dec 28th, I started having headache, body ache, diarrhea, congestive, running nose, fatigue, sore throat and coughing.  I went on the Dec 29th and got tested for Covid-19, positive result.  Most of my symptoms are gone since Jan 4th but the others are still ongoing.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Cerebral thrombosis, Cerebrovascular accident, Chest X-ray abnormal
Clinical narrative: 12/28/2021: Event occurred after 2nd vaccine. 86-year-old female who comes emergency department today as a possible code stroke.  Patient is unable to provide any medical information or history.  EMS who brought him to the emergency department daughter states that up until this episode this morning the patient was completely fine and at baseline. CT perfusion showed a large left MCA stroke with a significant penumbra.  I spoke to the neuro interventionalists at hospital who stated that the clot was too large and she was not a neuro interventional candidate.  She tested positive for Covid during her work-up and will be admitted to pulmonology critical care.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Inspiratory capacity decreased, Intensive care, Lung opacity, Perfusion brain scan abnormal, SARS-CoV-2 test positive
Clinical narrative: 12/28/2021: Event occurred after 2nd vaccine. 86-year-old female who comes emergency department today as a possible code stroke.  Patient is unable to provide any medical information or history.  EMS who brought him to the emergency department daughter states that up until this episode this morning the patient was completely fine and at baseline. CT perfusion showed a large left MCA stroke with a significant penumbra.  I spoke to the neuro interventionalists at hospital who stated that the clot was too large and she was not a neuro interventional candidate.  She tested positive for Covid during her work-up and will be admitted to pulmonology critical care.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pt COVID positive on 11/8/2021. PT SOB. DX on admission: NSTEMI (non-ST elevated myocardial infarction) and COVID 19 pneumonitis.    81-year-old female, who presented to hosptial with elevated troponins.  The patient was put on heparin drip and was seen by Cardiology.  She was also found to have COVID-19 pneumonitis. On chest X ray there were multifocal groundglass opacities in each lobe of the lungs. There is developing consolidation at the left lower lobe. There is no pleural effusion.   She was rather asymptomatic on discharge and on room air.  She is feeling well and wanted to go home.  She was cleared by specialists and she was sent home in a stable condition. Discharged to home.