chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: *Very sore at injection site and when I move my right arm *Headache *Exhausted/Wore out feeling *Stomach Ache with Gas
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Numbness and tingling in left arm and foot within 10 minutes of receiving the vaccine. Symptoms resolved after 15 minutes. At approximately 6 pm, symptoms returned. However, I felt numbness and tingling in my whole left-side. I took a Tylenol 3 hours later, which decreased the pain but did not relieve it completely. I went to bed. The next morning, I felt better. The numbness in the foot returned the evening of 8/26/2021. Two weeks after the second dose of 9/22/2021, numbness of the left foot returned and lasted about 5 days. I saw my new PCP for the first time for these symptoms. EMG scheduled for January 2022. Numbness of left foot returns off and on.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Head discomfort, Malaise, Pain, SARS-CoV-2 test negative
Clinical narrative: I had real covid in sept 2020 and was pretty sick for 2 weeks. The first shot in October  made me sick, worse than covid for another 2 weeks.  Then this 2nd shot woke me up at 5am freezing, body aches and intense head pressure. I still had strong antibodies before I ever took these shots but due to mandates and risk of losing my job I decided to get the shot. Worse decision ever. There should be exemptions for people that have antibodies because now I?ve been sick both times with horrible side effects and bottom lines is that I should have never had to take this.
Age: 33.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Arthralgia, Chills, Dysgeusia, Pain in extremity, Peripheral swelling
Clinical narrative: pain and swelling under arm that received injection, chills, joint ache, metallic taste in mouth
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt came in to get their Flu shot but was administered a Covid vaccine. They were given the pediatric strength and dose. They had already been given their 1st dose a week or so ago.  I spoke to the patient's MD and she said that there are no signs/symptoms of any kind and she is not worried about it. SHe told the parents that they would be fine and to let her know if anything else happened or was needed.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypertension, Hypoaesthesia, Tongue discolouration
Clinical narrative: Patient reported numbing on the left face and ear and blue tongue that started the next day. Numbing resolved after one day and blue tongue resolved itself after 3 days. Patient went to urgent care and ER. Patient also reported higher than normal blood pressure (156/80). Normally has low blood pressure (100/70).
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: left sided muscle pain Fatigue headache
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein, Chest pain, Electrocardiogram abnormal, Myocarditis, Troponin
Clinical narrative: Myocarditis diagnosed. Presented symptoms of chest pain.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest pain, Dyspepsia, Hypoaesthesia oral
Clinical narrative: Myocarditis diagnosed. Presented symptoms of chest pain.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein, Chest pain, Electrocardiogram abnormal, Myocarditis, Troponin
Clinical narrative: Constant numbing/dull chest pain. occasional sharp pains in all areas of chest, occasional heart burn feelings as well as sharp pain in the heart.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest pain, Dyspepsia, Hypoaesthesia oral
Clinical narrative: Constant numbing/dull chest pain. occasional sharp pains in all areas of chest, occasional heart burn feelings as well as sharp pain in the heart.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fall, Feeling abnormal, Headache
Clinical narrative: pain all over body, chills, head ache, head swimming, falling, high blood pressure, cough, congestion
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Pain, Respiratory tract congestion
Clinical narrative: pain all over body, chills, head ache, head swimming, falling, high blood pressure, cough, congestion
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: PT DESCRIBED PRURITIC RASH OVER CHEST, LEGS ~1.5 TO 2 HOURS FOLLOWING VACCINATION
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Pt was accidentally administered a pediatric Covid vaccine instead of the Flu vaccine that they wanted.  I have spoken to their MD and she said she had already spoken to them and told then not to worry, that they would be just fine. They were not experiencing any signs/symptoms and she told them they probably wouldn't and that all would be fine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Feeling cold, Headache, Oropharyngeal pain
Clinical narrative: Patient received booster dose( moderna) on 11/18/2021.  Symptoms of headache, feeling  being cold, stabbing pain of needles  in throat and difficulty of swallowing
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Vertigo
Clinical narrative: Extreme hearing loss and vertigo, for 4 months.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue
Clinical narrative: Light Headed, Chills, Tiredness
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: skin reaction on chest, upper stomach, looks like rosacea, not painful, not itchy.   Other reactions after the Modern booster were light fever, chills, headache, nausea, fatigue, feeling better now. Rosacea still there.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Rosacea, Skin reaction
Clinical narrative: skin reaction on chest, upper stomach, looks like rosacea, not painful, not itchy.   Other reactions after the Modern booster were light fever, chills, headache, nausea, fatigue, feeling better now. Rosacea still there.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysstasia, Gait inability, Insomnia, Muscle spasms
Clinical narrative: Excruciating pain in lower back, spasms and pressure. Unable to stand, walk, sit or sleep normally before second shot.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Angiogram pulmonary abnormal, Anion gap, Anticoagulant therapy, Aspartate aminotransferase normal
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil count normal, Basophil percentage decreased, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin decreased
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride increased, Blood cholesterol normal, Blood creatinine increased, Blood glucose normal
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood triglycerides normal, Blood urea normal, Brain natriuretic peptide normal
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray normal, Coagulation test, Dyspnoea, Eosinophil count normal
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Eosinophil percentage, Fibrin D dimer, Glomerular filtration rate decreased, Glycosylated haemoglobin increased, Granulocyte percentage
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, High density lipoprotein normal, Illness, Immature granulocyte count
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Monocyte count, Monocyte percentage increased, Neutrophil count, Neutrophil percentage increased
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Nucleated red cells, Platelet count normal, Protein total normal, Pulmonary embolism, Red blood cell count decreased
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Red cell distribution width normal, Troponin I increased, Very low density lipoprotein, White blood cell count normal
Clinical narrative: Pt had some typical viral symptoms for 2-3 days after vaccination and on day 7 starting having shortness of breath this worsenened until day on presentation to ED D Dimer was 5 and then multiple segmental pulmonary emboli were identified. Pt was started on therapeutic lovenox and transitioned to apixaban on discharge a hypercoaguable work-up is pending, but there is no family or personal history of clotting no trauma, infection, or other cause for PE.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Musculoskeletal stiffness, Nodule, Tenderness
Clinical narrative: Pt presents with tender to touch knots on left side of head and right hand (between 4th and 5th digit) and has noticed her neck being stiff but able to have decreased ROM to both sides when turning head to right and left.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Immunisation, Swelling face
Clinical narrative: Pt presents with tender to touch knots on left side of head and right hand (between 4th and 5th digit) and has noticed her neck being stiff but able to have decreased ROM to both sides when turning head to right and left.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Since receiving COVID-19 vaccination Moderna dose #2, constant pain (pulling in nature) in left upper arm and shoulder. Limited mobility and decreased strength in affected extremity. Denies numbness or tingling or other symptoms. Visual assessment of affected extremity unremarkable.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Approximately 15-20 mins following covid J&J vaccine, patient endorsed symptoms of chest tightness and shortness of breath. Patient said she had similar symptoms with past covid vaccine, which at the time she was given Benadryl. About 4 days following her last covid vaccine, she presented to ED with symptoms of shortness of breath.  patient was given 25 mg PO of Benadryl. Following administration, patient reported worsening chest pain.  her vital signs were stable 126/85 pulse 104, O2 99. On exam lungs were CTAB, heart sounds were normal regular rhythm no murmurs no gallops.   Given worsening symptoms, 911 was called and patient was transported to ED for further work up and management.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure decreased, Dyskinesia, Enuresis, Gaze palsy
Clinical narrative: Child experienced syncope for 5 seconds and/or seizure. Eyes rolled back, had some jerking movements, became sweaty and wet his pants. Blood pressure dropped to 70s/30s. Blood sugar was 79. Transported to hospital via ambulance.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Seizure, Syncope
Clinical narrative: Child experienced syncope for 5 seconds and/or seizure. Eyes rolled back, had some jerking movements, became sweaty and wet his pants. Blood pressure dropped to 70s/30s. Blood sugar was 79. Transported to hospital via ambulance.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Severe nausea, resolved completely
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PATIENT IS A 16 YEAR OLD FEMALE WHO RECEIVED A COVID PFIZER BOOSTER BY MISTAKE. PT WAS NO AWARE THAT BOOSTER WAS APPROVED ONLY FOR 18 YEARS AND OVER AND FILLED OUT THE FORM WITH THE REST OF HER FAMILY.  PARENTS WILL CONTACTED AND THEY WILL CONTACT HER PRIMARY CARE DOCTOR. PATIENT IS DOING WELL WITH NO SIDE EFFECTS
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Nausea
Clinical narrative: Extreme fatigue for 3 days, nausea for 3 days, fever/chills for 2 days, headache/body aches, swollen lymph nodes under arm and at the left clavicle.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Extreme fatigue for 3 days, nausea for 3 days, fever/chills for 2 days, headache/body aches, swollen lymph nodes under arm and at the left clavicle.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchiolitis, Chest X-ray abnormal, Cough, Decreased appetite, Fatigue
Clinical narrative: Persistent cough was reported to pediatrician on 11/01/2021. Pediatrician saw no issue with the cough. Flu shot was administered this day.  Day of 11/18/2021 patient complained of sore throat. Persistent cough is assumed to be the reason. Patient also had a runny nose. Night of 11/18/2021 patient developed a slight fever (100.6) and had a poor night's rest.  Day of 11/19/2021 child complains of a sore throat and begins to wheeze while simultaneously breathing faster. Patient has a loss of appetite and is fatigued. An at-home COVID-19 rapid test (BinaxNOW) come back with a negative result but due to the problem being a respiratory issue, the patient is taken to the ER at Medical Center in the area.  Nasal swab shows the patient has a rhinovirus and chest x-rays show signs of bronchiolitis.  Oxygen is given to the patient. 3 doses of a respiratory treatment and 1 steroid treatment. Patient is discharged with a prescription for ALBUTEROL 90 mcg/puff inhaler + spacer (monaghan, medium-sized mask spacer) and DEXAMETHASONE (DECADRON) 1mg/mL solution.  Day of 11/20/2021, patient is breathing much easier but still has some wheezing. Coughing has brought up clear phlegm. Pediatrician is called for consultation and no additional notes given. Throat is still sore.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Oropharyngeal pain, Pyrexia, Respiration abnormal, Rhinorrhoea
Clinical narrative: Persistent cough was reported to pediatrician on 11/01/2021. Pediatrician saw no issue with the cough. Flu shot was administered this day.  Day of 11/18/2021 patient complained of sore throat. Persistent cough is assumed to be the reason. Patient also had a runny nose. Night of 11/18/2021 patient developed a slight fever (100.6) and had a poor night's rest.  Day of 11/19/2021 child complains of a sore throat and begins to wheeze while simultaneously breathing faster. Patient has a loss of appetite and is fatigued. An at-home COVID-19 rapid test (BinaxNOW) come back with a negative result but due to the problem being a respiratory issue, the patient is taken to the ER at Medical Center in the area.  Nasal swab shows the patient has a rhinovirus and chest x-rays show signs of bronchiolitis.  Oxygen is given to the patient. 3 doses of a respiratory treatment and 1 steroid treatment. Patient is discharged with a prescription for ALBUTEROL 90 mcg/puff inhaler + spacer (monaghan, medium-sized mask spacer) and DEXAMETHASONE (DECADRON) 1mg/mL solution.  Day of 11/20/2021, patient is breathing much easier but still has some wheezing. Coughing has brought up clear phlegm. Pediatrician is called for consultation and no additional notes given. Throat is still sore.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinovirus infection, SARS-CoV-2 test negative, Wheezing
Clinical narrative: Persistent cough was reported to pediatrician on 11/01/2021. Pediatrician saw no issue with the cough. Flu shot was administered this day.  Day of 11/18/2021 patient complained of sore throat. Persistent cough is assumed to be the reason. Patient also had a runny nose. Night of 11/18/2021 patient developed a slight fever (100.6) and had a poor night's rest.  Day of 11/19/2021 child complains of a sore throat and begins to wheeze while simultaneously breathing faster. Patient has a loss of appetite and is fatigued. An at-home COVID-19 rapid test (BinaxNOW) come back with a negative result but due to the problem being a respiratory issue, the patient is taken to the ER at Medical Center in the area.  Nasal swab shows the patient has a rhinovirus and chest x-rays show signs of bronchiolitis.  Oxygen is given to the patient. 3 doses of a respiratory treatment and 1 steroid treatment. Patient is discharged with a prescription for ALBUTEROL 90 mcg/puff inhaler + spacer (monaghan, medium-sized mask spacer) and DEXAMETHASONE (DECADRON) 1mg/mL solution.  Day of 11/20/2021, patient is breathing much easier but still has some wheezing. Coughing has brought up clear phlegm. Pediatrician is called for consultation and no additional notes given. Throat is still sore.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Body aches, chills, fever, headache
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Hypotension, Unresponsive to stimuli, Vomiting
Clinical narrative: patient had lightheadedness and vomiting, diarrhea, low BP, and was unresponsive/staring at the wall immediately after the vaccine. 911 was called and she was taken to the hospital, patient was feeling a little better and was responsive when taken
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Formication, Insomnia, Neuralgia, Pain
Clinical narrative: Next day body pain and joint pain;  3rd day joint pain more localized to my injured knee; but severe; that night insomnia with nerve pain in legs and feeling insect bites over my body (no insects)
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: HIVES ON FOREHEAD AND BACK OF EAR. ITCHING.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: infected with Covid 19
Age: 89.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Lip exfoliation, Lip swelling, Pruritus, Swelling face
Clinical narrative: Client stated that she had swelling of her face and lips and her lips peeled, she stated she couldn't move her R arm. She said it started a couple days after her flu shot. She also stated that her chest was itchy and that it lasted a couple of days. She denied any breathing issues. Client stated that she did not go in but waited for her son to get home
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: infected with covid 19
Age: 8.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product preparation issue
Clinical narrative: The pfizer vaccine was not diluted prior to administration. 0.2ml of the undiluted vaccine was administered in the left deltoid at 9:12am. This was caught by a coworker in less than an hour and reported to the lead provider. The patient, pfizer manufacturing and poison control were all contacted promptly.
Age: 8.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Product administration error
Clinical narrative: The pfizer vaccine was not diluted prior to administration. 0.2ml of the undiluted vaccine was administered in the left deltoid at 9:12am. This was caught by a coworker in less than an hour and reported to the lead provider. The patient, pfizer manufacturing and poison control were all contacted promptly.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product preparation issue
Clinical narrative: The pfizer vaccine was not diluted prior to administration. 0.2ml of the undiluted vaccine was administered in the left deltoid at 9:14am. This was caught by a coworker in less than an hour and reported to the lead provider. The patient, pfizer manufacturing and poison control were all contacted promptly.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 YEAR OLD RECEIVED MODERNA
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient here with parent. patient's parent provides consent for patient to receive COVID vaccine today.  Pt given Pfizer vaccine ped dose 0.2 ml/10mcg , Left deltoid, in error, pt should have rec'd Pfizer 0.3ml/30 mcg instead based on his age of 12 yrs. health officer notified and she  recommended that pt be offered full dose of vaccine in 3 wks with  parent's consent. If parent declines additional dose pt should have adequate immune response. Attempted to reach parent x 2, left VM w/ PHN cell phone w/ call back to discuss options.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: infected with covid 19
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: None- but he had previously gotten two doses of pfizer and lied and said he had never had a covid shot so he could get the full moderna dose instead of the booster dose
Age: 73.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Patient started with erythematous papular dry rash to face, neck and chest about 12 hours after receiving COVID pfizer booster and HD Flu vaccine. Rash has persisted x 15 days
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Oropharyngeal pain, Patient isolation, SARS-CoV-2 antibody test positive
Clinical narrative: sore throat - rapid pos for covid 19 , in isolation duration following recommended guidelines
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: infected with covid 19
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: infected with covid 19
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: I gave patient his pediatric dose around 5pm and when he was sitting in the waiting area, around 5:20pm, my technician ran over to me and told me she had an emergency and the patient is passing out. I went and assessed the situation to see if he was having a reaction or fainting and noticed he was having syncope. I raised his legs and ran to grab cold backs for his wrists, neck, and face, we gave him something to drink while I directed another technician to call 911. We stayed with the patient, he was reactive and doing okay until paramedics arrived and then we let them take over the rest.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Extreme pain in calf right leg lasted for approximately six hours. I took one Tylenol 500mg for the pain the night of the event. Next morning the pain was mostly gone. Had residual minor pain all day.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: Extreme pain in calf right leg lasted for approximately six hours. I took one Tylenol 500mg for the pain the night of the event. Next morning the pain was mostly gone. Had residual minor pain all day.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Rash, Rash erythematous
Clinical narrative: Rash on neck, chest, under breast and arm pits. Red, but not raised or itchy. Had same rash in same location after my 2nd dose. Lasted about 24-36 hours.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: On Saturday, November 20, 2021 client received her Pfizer Covid-19 vaccine booster (LOT #: FF8841) at 1:33 PM in her left deltoid. During assessment questions, client stated she had no know allergies and takes no medications. Client to be observed for 15 minutes after vaccination. At approximately 1:46 PM, while in Observation Area, client stated to EMT she was experiencing "tingliness or tickleness" in her left palmar surface for less than 5 minutes only with no pain or any other symptoms. Client denied SOB. Client was brought to sit in anti-gravity chair, offered water and vitals started. Lead RN offered 50 mg oral solution Benadryl and EMS to which the patient denied. At 1:45 PM: BP 124/88, HR 69, O2 sat 98%, RR 20, skin warm and dry. At 1:52 PM, client states she was a bit anxious to get the vaccine. EMT educated client to seek medical treatment if symptoms persist and signs and symptoms of adverse reactions. At 1:57 PM, client stated the tickleness sensation was "better" and "less." No further interventions needed. At 1:58 PM, client left vaccination site with a steady gait and her husband drove her home.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: Terrible headache, body aches, nausea, fatigue.  This is my first day with symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Term baby
Clinical narrative: I had a full term baby who was only 5.5lbs at delivery.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed-out after vaccinated.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site bruising, Injection site discomfort, Injection site erythema, Injection site oedema
Clinical narrative: Upon assessment the deltoid region (approx size of an orange in diameter) is with edema, erythema, and is feverish to touch.  There is a small dime size bruise in the center of the erythema and Veteran reports slight left upper extremity discomfort with ROM. Cool compress applied, PRN medication management as ordered
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Pain
Clinical narrative: Upon assessment the deltoid region (approx size of an orange in diameter) is with edema, erythema, and is feverish to touch.  There is a small dime size bruise in the center of the erythema and Veteran reports slight left upper extremity discomfort with ROM. Cool compress applied, PRN medication management as ordered
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia
Clinical narrative: TINGLING IN HER ENITRE ARM INCLUDING FINGERS
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling hot, Nausea, Syncope
Clinical narrative: Patient immediately felt nauseous, clammy, faint, lightheaded, hot.  Symptoms lasted for about 15 minutes.  EMT came to access patient and she was able to call her husband and he came to pick her up from the store
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Nervousness, Pain
Clinical narrative: About 5 minutes post vaccine patient began complaining of feeling shaky and a little light headed.  Breathing, color, and mentation appeared fine.  Patient given water and crackers (had not had breakfast) and told to lie down with feet up if he became more lightheaded.  Patient was observed for 20 minutes, during which time he developed chills and became sleepy.    He also had what appeared to be impetigo on nose near left nostril, which the father was advised to seek medical care since it would likely require an oral antibiotic.    Patient appeared stable and was allowed to leave and again father was advised to seek additional care if symptoms worsened and also for evaluation for likely impetigo.     Spoke to father at 12:16 pm, they had gone home since patient was tired and wanted to lie down.   AT home he developed additional chills, body aches and was given tylenol.   The father was calling urgent care to get an appt for son to be evaluated.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: About 5 minutes post vaccine patient began complaining of feeling shaky and a little light headed.  Breathing, color, and mentation appeared fine.  Patient given water and crackers (had not had breakfast) and told to lie down with feet up if he became more lightheaded.  Patient was observed for 20 minutes, during which time he developed chills and became sleepy.    He also had what appeared to be impetigo on nose near left nostril, which the father was advised to seek medical care since it would likely require an oral antibiotic.    Patient appeared stable and was allowed to leave and again father was advised to seek additional care if symptoms worsened and also for evaluation for likely impetigo.     Spoke to father at 12:16 pm, they had gone home since patient was tired and wanted to lie down.   AT home he developed additional chills, body aches and was given tylenol.   The father was calling urgent care to get an appt for son to be evaluated.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Child had 2 fainting episodes and 2 vomiting episodes about 15 minutes apart, EMS arrived at around 12:45p.m , took vitals and transported child to the hospital.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Eye oedema, Eye swelling, Pyrexia, Scan with contrast
Clinical narrative: Edema to right orbital socket, swelling above right eye. Fever, warm to touch. Dry skin.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Edema to right orbital socket, swelling above right eye. Fever, warm to touch. Dry skin.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial tachycardia, Atrioventricular block first degree, Atrioventricular block second degree, Brain natriuretic peptide normal, Electrocardiogram PR prolongation
Clinical narrative: 12yr PH male referred to ED by MD for tachycardia up to 160s found on routine physical 2 days after receiving first dose Pfizer vaccination. Fount to have ectopic atrial tachycardia that has not responded by beta blocker therapy. Transferred to CTICU for amiodarone initiation.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Intensive care, Respiratory viral panel, Tachycardia
Clinical narrative: 12yr PH male referred to ED by MD for tachycardia up to 160s found on routine physical 2 days after receiving first dose Pfizer vaccination. Fount to have ectopic atrial tachycardia that has not responded by beta blocker therapy. Transferred to CTICU for amiodarone initiation.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I normal
Clinical narrative: 12yr PH male referred to ED by MD for tachycardia up to 160s found on routine physical 2 days after receiving first dose Pfizer vaccination. Fount to have ectopic atrial tachycardia that has not responded by beta blocker therapy. Transferred to CTICU for amiodarone initiation.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Headache, Pallor
Clinical narrative: 20 MINUTES AFTER INJECTION CLIENT C/O HEADACHE,  DIZZINESS, SHORTNESS OF BREATH, AND CHEST PAIN.  HE APPEARED PALE.  NO DIAPOHORESIS.  HE STATED THAT HE HAS A HISTORY OF ANXIETY AND DEPRESSION THAT IS NOT CURRENTLY TREATED.  HE WAS PLACED IN A SUPINE POSTION AND STATED THAT HE FELT BETTER AFTER LYING DOWN.  VS WNL 3:30 PM HR 94, RR 20, BP 118/70, 3:40 HR 74, RR 18, BP 110/70.  3;48 HR 70, RR 16, BP 110/68.  4:02 HR 86, RR 16 BP 108/66.  REMAINED WNL.  NO FURTHER CP @ 3:48, NO SOB, SKIN WARM AND DRY.  HYDRATED WITH WATER AND GIVEN A LOLLIPOP.  4:00 ALL SYMPTOMS RESOLVED, VSS THROUGHOUT.  PATIENTS FRIEND DROVE HIM HOME. PATIENT REFUSED/EMERGENCY HELP.  INSTRUCTED TO GO TO ER IF CP OR ANY SX'S RETURN.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal, Exposure during pregnancy, Fibrin D dimer normal
Clinical narrative: 18 weeks pregnant, due date 4/22/22.  Intermittent left sided chest pain for about 10 min. Stabbing/burning. Then had blood tinged sputum and spit up a dime sized clot.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoptysis, Troponin normal, Urine analysis normal
Clinical narrative: 18 weeks pregnant, due date 4/22/22.  Intermittent left sided chest pain for about 10 min. Stabbing/burning. Then had blood tinged sputum and spit up a dime sized clot.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Computerised tomogram, Electrocardiogram, Hypoaesthesia
Clinical narrative: Fever, vertigo, chest pain and in  arm. My hands fall asleep at night in bed. Tachycardia remained until November but increasingly isolated.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Pyrexia, Tachycardia, Vertigo
Clinical narrative: Fever, vertigo, chest pain and in  arm. My hands fall asleep at night in bed. Tachycardia remained until November but increasingly isolated.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Eczema
Clinical narrative: mild eczema on left hand that persists - first dose caused same reaction that lasted until the second dose, but was almost gone by then, second dose caused slightly more intense eczema that lasted two months - booster has caused milder eczema which has lasted over a month to date  eczema abated after second dose
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal discomfort, Cough, Loss of consciousness, Malaise, Pallor
Clinical narrative: Within minutes of receiving the vaccine, patient reported not feeling well. Upset stomach, coughing and color going from face. Patient sat down and proceeded to lose consciousness briefly and possible have a seizure. Patient came back to consciousness in seconds and was able to converse as pharmacist was on call with 911/EMS. Patient improved in condition to the point of conversating with parents and reported feeling much better. EMS came and assessed the patient reported to believe it was a syncope episode, offered ambulance to ER but declined by parents. Will call patient tomorrow Sunday to see if anything else progressed/treatment was performed.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Within minutes of receiving the vaccine, patient reported not feeling well. Upset stomach, coughing and color going from face. Patient sat down and proceeded to lose consciousness briefly and possible have a seizure. Patient came back to consciousness in seconds and was able to converse as pharmacist was on call with 911/EMS. Patient improved in condition to the point of conversating with parents and reported feeling much better. EMS came and assessed the patient reported to believe it was a syncope episode, offered ambulance to ER but declined by parents. Will call patient tomorrow Sunday to see if anything else progressed/treatment was performed.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Full blood count, Haematocrit, Haemoglobin, Metabolic function test
Clinical narrative: Acute deep vein thrombosis (DVT) of popliteal vein of right lower extremity. Likely started 7/6/2021. Diagnosed via ultrasound in hospital ER on 7/12/2021. Treatment is to take apixaban. Note that patient had a PE in November 2017, but any source DVT was not diagnosed at that time.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test abnormal, Ultrasound Doppler abnormal
Clinical narrative: Acute deep vein thrombosis (DVT) of popliteal vein of right lower extremity. Likely started 7/6/2021. Diagnosed via ultrasound in hospital ER on 7/12/2021. Treatment is to take apixaban. Note that patient had a PE in November 2017, but any source DVT was not diagnosed at that time.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: fainted
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain
Clinical narrative: Received the Pfizer booster on October 21, 2021. Shingles blisters first appeared on Monday morning, November 8, 2021. Diagnosed with shingles on Monday, November 15, 2021, after visiting PCP and enduring terrible pain November 13-14, 2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Vaccine positive rechallenge
Clinical narrative: Pfizer-BioN Tech COVID-19 Vaccine EUA Headache - less than 1 hour Diarrhea - 4 days
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nasal congestion, Odynophagia, Throat irritation
Clinical narrative: about 4:30pm pt noticed nose felt like it was closing a bit, throat was a little scratchy and it felt sore to swallow and slight dizziness. onset of symptoms were about 1/2 hour after vaccination. patient did not want to take diphenhydramine as it makes her heart race, so we offered her cetirazine 10mg which she took around 5:30pm. Patient and companion decided to go to car to wait, but I asked her to call back by 6pm or I would call her before we closed. Patient reported during that time period that her symptoms were improving and then again at 6pm that she was feeling better. I instructed her to call 911 if symptoms deteriorated again in the evening or it felt like she was having more trouble breathing later on.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Pallor
Clinical narrative: After a child received the Pfizer pediatric vaccine, they became pale, light headed, and weak. The pharmacist had them lie on the floor and applied a cold compress. Another child who also received the same vaccine saw what occurred to their sibling and became nauseous and vomited. After 30 minutes of the pharmacist observing them, both children felt better and left with their family.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: Headache fatigue muscle pain
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Induration, Lymphadenopathy, Swelling
Clinical narrative: My 7y/o son had a hard large moveable lump alongside his jawline. It was 1cm x .5 cm. I took him to the pediatricians office the day after we noticed it. The doctor said it felt like a large lymph node, which was a reaction to the COVID-19 vaccine and it should go down with time. I had never felt a lymph node like that - that size and firmness.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Insomnia, Nausea, Vomiting
Clinical narrative: Pt experienced nausea and vomiting after  the vaccine but she also did not eat all day and did not sleep well the night before per her statements
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site paraesthesia, Paraesthesia
Clinical narrative: Patient received a covid booster on 11/10/21.  Patient came in today complaining of numbness and tingling that began one day after receiving the vaccine and has not subsided for the last 10 days. she explains the tingling starts at the injection site and radiates down into her palm and all fingers.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient (12 y.o.) was given a pediatric dosage of Pfizer by mistake instead of the recommended adult dosage. No other adverse reactions to report
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Caesarean section, Computerised tomogram thorax abnormal, Exposure during pregnancy, Herpes virus infection, Oligohydramnios
Clinical narrative: The patient was 5 days post cesarean section when she presented  to the ER with a pulmonary embolism.  She delivered preterm at 36 weeks and 6 days due to oligohydramnios and had a c-section due to an active herpes outbreak.  Her post-op course was unremarkable and was discharged home post op day #3.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Premature labour, Pulmonary embolism
Clinical narrative: The patient was 5 days post cesarean section when she presented  to the ER with a pulmonary embolism.  She delivered preterm at 36 weeks and 6 days due to oligohydramnios and had a c-section due to an active herpes outbreak.  Her post-op course was unremarkable and was discharged home post op day #3.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 13.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Immediate post-injection reaction, Injection site rash
Clinical narrative: Immediately after administration of both vaccines, patient developed a local rash at the injection site.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Extra dose administered
Clinical narrative: Pt reported feeling SOB during post vaccination waiting period.  Pt declined epi pen and believed it was her asthma flaring up, and wanted to use her inhaler instead.  Pt felt fine after 5 minutes, then left.  She came back after 10 minutes again complaining of tightness in the chest.  Pt still declined epi-pen but agreed to benadryl.  Pt did not report any AE with first two doses of moderna.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a booster dose of the Pfizer vaccine when she is outside the approved age group (18+). No symptoms or adverse events are observed currently.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Erythema, Malaise, Myalgia, Pain in extremity
Clinical narrative: 1. Chills, myalgia, soreness in arm, swelling in arm, by 4 hours after injection. 2. Continued as above plus acute severe vomiting epidodes at 2:30 am. Empty stomach, one time event occurance. 3. Contiued malaise, chills next 36 hours, afebrile. Stayed in bed throughout. 4. Swelling and redness in left arm, descending some, afebrile. Reported to pharmacy. Took 200 mg ibuprofen 5. Unresoved at this time 6. Seasonal flu vaccine administered at same time.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Peripheral swelling, Vomiting
Clinical narrative: 1. Chills, myalgia, soreness in arm, swelling in arm, by 4 hours after injection. 2. Continued as above plus acute severe vomiting epidodes at 2:30 am. Empty stomach, one time event occurance. 3. Contiued malaise, chills next 36 hours, afebrile. Stayed in bed throughout. 4. Swelling and redness in left arm, descending some, afebrile. Reported to pharmacy. Took 200 mg ibuprofen 5. Unresoved at this time 6. Seasonal flu vaccine administered at same time.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pruritus
Clinical narrative: Itchy at vaccination site.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 10 minutes after receiving vaccine patient fainted.  patient was doing better but then appeared to possibly have a seizure and faint again about 15 minutes after initial event.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Extreme vaginal bleeding
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pain, Pain in extremity, Pyrexia
Clinical narrative: 102.1 fever, body aches, head aches, swollen lymph nodes, arm pain
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy
Clinical narrative: Pregnant patient miscarried at 17.5 weeks gestation with an otherwise uncomplicated pregnancy and no other current illnesses or conditions.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Diarrhoea, Ear pain, Ear pruritus, Hypophagia
Clinical narrative: Fever chills diarreah pain several days later ears itching pain in ears mouth ulcerations can?t drink or eat
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mouth ulceration, Pain, Pyrexia
Clinical narrative: Fever chills diarreah pain several days later ears itching pain in ears mouth ulcerations can?t drink or eat