chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site mass, Injection site pain, Injection site warmth, Pain in extremity
Clinical narrative: 12/16/21  Facility RN called to report left deltoid has 5.0 x 5.0 cm hard, warm, indurated lump. No signs of a severe allergic reaction. 12/17/21  was seen by RN  at her memory care facility see below for report: S: PRT has areas of mild redness, swelling, firmness left upper arm with pain to touch. Affected area measures approx 7 cm x 5.5 cm.  See media for photo. Left upper arm circumference approx 13 cm; right approx 12.5 cm. No difference in temperature. PRT also c/o pain in right upper arm. B: PRT received 1st dose Shingrix vaccine 12/15/2021. CG reported redness, induration, pain at site and left upper arm 12/16/2021. A: PRT appears to have localized reaction to vaccine. P: CG to place warm compress to left upper arm 3-4 times per day, up to 20 minutes at a time as PRT tolerates as previously directed. Give PRN Tylenol between scheduled doses if indications of pain present. Notify EP if redness, swelling, firmness, pain increase. PCRN for follow up on Monday; Called 12/22/21 facility med tech reports redness is resolving.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin reaction
Clinical narrative: 12/16/21  Facility RN called to report left deltoid has 5.0 x 5.0 cm hard, warm, indurated lump. No signs of a severe allergic reaction. 12/17/21  was seen by RN  at her memory care facility see below for report: S: PRT has areas of mild redness, swelling, firmness left upper arm with pain to touch. Affected area measures approx 7 cm x 5.5 cm.  See media for photo. Left upper arm circumference approx 13 cm; right approx 12.5 cm. No difference in temperature. PRT also c/o pain in right upper arm. B: PRT received 1st dose Shingrix vaccine 12/15/2021. CG reported redness, induration, pain at site and left upper arm 12/16/2021. A: PRT appears to have localized reaction to vaccine. P: CG to place warm compress to left upper arm 3-4 times per day, up to 20 minutes at a time as PRT tolerates as previously directed. Give PRN Tylenol between scheduled doses if indications of pain present. Notify EP if redness, swelling, firmness, pain increase. PCRN for follow up on Monday; Called 12/22/21 facility med tech reports redness is resolving.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site induration, Vaccination site pain, Vaccination site swelling
Clinical narrative: hard swell about the size of a baseball around the vaccination site on the right arm. No discoloration, painful to the touch
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Mydriasis, Pallor, Visual impairment
Clinical narrative: As patient  walking over to observation LPN noted patient run into floor sign patient complained of difficulty seeing, pupil dilated approx.  4-5mm unsteady gait.  Patient assisted to EMS room per w/c  provided water and peanut butter crackers.  Patient skin tone to face returning as color was pale at time of reaction.  After lying on cot for approx. 30 minutes patient reports feeling much better.  Per father with patient patient didn't eat much for breakfast before coming in for vaccine. Left with parent.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Nausea.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Spontaneous itchy rashes all over body including face, feet, palm of hands, and neck. Topical corticosteroids provide short and temporary relief as well as antihistamines.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt reported hives to the COVID vaccine.  Unknown time course or which dose pt had hives.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pallor, Unresponsive to stimuli
Clinical narrative: Patient was given Covid 19 booster shot. A few minutes later, patient father came to pharmacy counter saying son not feeling well. Pharmacist went and checked on patient her was pale and not responding. Moved patient with fathers help to the ground. Patient was then awake. 911 was called and paramedics performed vital check. Patient father said he had experienced syncope before after flu vaccines.  Paramedics cleared patient to go after about 15 minutes.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: on site, she had seizure
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Dyspnoea, Electrocardiogram QRS complex abnormal, Electrocardiogram abnormal
Clinical narrative: Hives within an hour after administration of vaccine.  5 days post vaccine began having chest discomfort, shortness of breath, 7 day post vaccine went to the ER with elevated BP and tachycardia. BP normalized & tachycardia resolved within 4-5days post ER visit.  EKG completed and ECHO. 15 weeks pregnant at the time of vaccination,  G4P2, DUE May 2022 fetal HR detected at the ER. 2 normal uncomplicated pregnancies & deliveries, 1 ectopic.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Fibrin D dimer, Sinus tachycardia, Tachycardia, Troponin
Clinical narrative: Hives within an hour after administration of vaccine.  5 days post vaccine began having chest discomfort, shortness of breath, 7 day post vaccine went to the ER with elevated BP and tachycardia. BP normalized & tachycardia resolved within 4-5days post ER visit.  EKG completed and ECHO. 15 weeks pregnant at the time of vaccination,  G4P2, DUE May 2022 fetal HR detected at the ER. 2 normal uncomplicated pregnancies & deliveries, 1 ectopic.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives within an hour after administration of vaccine.  5 days post vaccine began having chest discomfort, shortness of breath, 7 day post vaccine went to the ER with elevated BP and tachycardia. BP normalized & tachycardia resolved within 4-5days post ER visit.  EKG completed and ECHO. 15 weeks pregnant at the time of vaccination,  G4P2, DUE May 2022 fetal HR detected at the ER. 2 normal uncomplicated pregnancies & deliveries, 1 ectopic.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: Chest pains and shortness of breath
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received .25ml instead of .5 ml dose - I have a call out to her to return to receive .25ml more to complete
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Diarrhoea, Headache, Pain, Pain in extremity
Clinical narrative: I had rash and pain on my right arm and the whole upper body was in pain and mild headaches. I went to the doctor and they took chest x-ray and gave me a medication. It went away after 10 days. I also had diarrhea.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I had rash and pain on my right arm and the whole upper body was in pain and mild headaches. I went to the doctor and they took chest x-ray and gave me a medication. It went away after 10 days. I also had diarrhea.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Chest X-ray, Electrocardiogram
Clinical narrative: 12 hours after the vaccination blood pressure started rising and kept rising everyday. I went to the emergency room 02/28 and was told to follow up with my primary and changed medical dosage for blood pressure.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bacterial test negative, Chlamydia test negative, Dehydration, Feeding disorder, Fluid intake reduced
Clinical narrative: Aphthous ulcers vaginal and mouth - appeared 2 days after vaccination. All infectious work-up, including HIV, HSV, chlamydia, gonorrhea, syphilis, has been negative during first hospitalization, which was 6 days from 12/7-12/12/21 .  She had an outpatient follow-up on 12/17 with outpatient provider and noted to be only doing ice chips and sips of water. Patient was hospitalized again within 3-week margin (12/19-12/22) due to inability to eat and drink and was dehydrated. Autoimmune work-up progressed during 2nd hospitalization. She responded to prednisone 15 mg PO daily and triamcinolone cream applied to oral and vaginal lesions. She did require IV fluids and electrolyte replacement during hospitalization. She was seen by rheumatology with low suspicion for Bechet disease, pathergy test was negative. Recovery in process at time of this report.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: HIV test negative, Herpes simplex test negative, Laboratory test normal, Mouth ulceration, Oral disorder
Clinical narrative: Aphthous ulcers vaginal and mouth - appeared 2 days after vaccination. All infectious work-up, including HIV, HSV, chlamydia, gonorrhea, syphilis, has been negative during first hospitalization, which was 6 days from 12/7-12/12/21 .  She had an outpatient follow-up on 12/17 with outpatient provider and noted to be only doing ice chips and sips of water. Patient was hospitalized again within 3-week margin (12/19-12/22) due to inability to eat and drink and was dehydrated. Autoimmune work-up progressed during 2nd hospitalization. She responded to prednisone 15 mg PO daily and triamcinolone cream applied to oral and vaginal lesions. She did require IV fluids and electrolyte replacement during hospitalization. She was seen by rheumatology with low suspicion for Bechet disease, pathergy test was negative. Recovery in process at time of this report.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Treponema test negative, Vaginal ulceration
Clinical narrative: Aphthous ulcers vaginal and mouth - appeared 2 days after vaccination. All infectious work-up, including HIV, HSV, chlamydia, gonorrhea, syphilis, has been negative during first hospitalization, which was 6 days from 12/7-12/12/21 .  She had an outpatient follow-up on 12/17 with outpatient provider and noted to be only doing ice chips and sips of water. Patient was hospitalized again within 3-week margin (12/19-12/22) due to inability to eat and drink and was dehydrated. Autoimmune work-up progressed during 2nd hospitalization. She responded to prednisone 15 mg PO daily and triamcinolone cream applied to oral and vaginal lesions. She did require IV fluids and electrolyte replacement during hospitalization. She was seen by rheumatology with low suspicion for Bechet disease, pathergy test was negative. Recovery in process at time of this report.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Fully vaccinated with Moderna: 2/17/21, 3/1921.  Hospitalized 12/20/21
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dyspnoea, Wheezing
Clinical narrative: Ten days after vaccination, started having audible wheezing/squeaking sounds when breathing.  Short of breath.  Doctor prescribed Abuterol inhaler.  No effect.  Doctor ordered chest X-Ray which did not show anything.  Referred to Pulmonologist, which I haven't seen yet.  7 months later still having breathing issues with audible wheezing.  Have never had any type of breathing issues or sounds like this in my life until I received the J&J vaccine.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 59.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Mobility decreased, Nausea, Pain, Pain in extremity
Clinical narrative: Patient reporting nausea, pain in left arm, body aches, hard to move.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Magnetic resonance imaging head, Tinnitus, Vertigo
Clinical narrative: Severe ringing in left ear and hearing loss resulting in Vertigo.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Hyperhidrosis
Clinical narrative: Client obtained her first dose COVID vaccine (Janssen COVID vaccine on 05/16/2021 lot: 20621A). Client reported that she no chronic medical conditions, currently not taking any medications and has no known allergies. Client is requesting to obtained a Pfizer Booster COVID vaccine. Client did report that 10 minutes after her Janssen COVID vaccine that she felt dizzy, hot, sweating in both arms and neck and that it lasted for 5 minutes. No other reactions reported. RN submitted a medical consult via text to Vaccine Operation Lead and approval from Dr. was obtained for client to receive Pfizer Booster COVID vaccine. RN educated client to have client stay 30 minutes after her Pfizer Booster COVID vaccine and educated on ER precautions and when to follow up her Primary Care Provider. Client's mother verbalized understanding. Client received Pfizer Booster COVID vaccine lot: FL3189. Client completed 30 minutes observation and no adverse reaction reported. Client left facility at 6:14PM.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Erythema, Hypotension, Pallor, Rash
Clinical narrative: 12:15 Client became hypotensive while having blood drawn in the Lab and approximately 1 hour after her Pfizer booster. Bandaid called, provider RT present, unable to obtain BP for about 15 minutes, then obtained BP of 76/40 Rt arm sitting. Client initially was unresponsive with eyes open X 30 seconds, then regained full consciousness. Color pale. Blood sugar 134, pulse 54, SpO2 SAT 98%. Client placed in a second chair and reclined to 180 degrees. Facial color returned to pink, rash appeared on client's arms chest and abdomen. Red non-raised, client states this happens when she gets hot, describes as "heat rash". 911 called and EMS here by 12:20, EMS placed client on a heart monitor, V/S taken, BP remains low at 78/4
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: 12:15 Client became hypotensive while having blood drawn in the Lab and approximately 1 hour after her Pfizer booster. Bandaid called, provider RT present, unable to obtain BP for about 15 minutes, then obtained BP of 76/40 Rt arm sitting. Client initially was unresponsive with eyes open X 30 seconds, then regained full consciousness. Color pale. Blood sugar 134, pulse 54, SpO2 SAT 98%. Client placed in a second chair and reclined to 180 degrees. Facial color returned to pink, rash appeared on client's arms chest and abdomen. Red non-raised, client states this happens when she gets hot, describes as "heat rash". 911 called and EMS here by 12:20, EMS placed client on a heart monitor, V/S taken, BP remains low at 78/4
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pruritus
Clinical narrative: Pt. states that after receiving the 1st dose of Shingrix 11/29/2021, started experiencing symptoms 12/03/2021 of headache and itchiness throughout the body. Primary communications with no recommendations. Still experiencing symptoms.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: I felt light headed and I felt like I was going to pass out. I experienced headache, body ache, joint aches, swollen injection like the size of a gulf ball that lasted for a week, chills, fatigue lasted for a couple of weeks. My face began to swell and it also threw off my period cycle.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Menstrual disorder, Pain, Pyrexia, Swelling face
Clinical narrative: I felt light headed and I felt like I was going to pass out. I experienced headache, body ache, joint aches, swollen injection like the size of a gulf ball that lasted for a week, chills, fatigue lasted for a couple of weeks. My face began to swell and it also threw off my period cycle.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Pfizer Covid-19 Orange Top vials (Pediatric age 5-11) were diluted and administered following the Pfizer COVID-19 Purple Top vial (Adolescent age 12 and older) preparation and administration instructions. 1.8 ml was used to dilute the 1.3 ML vial instead of 1.3 ml. This would change the concentration to 130 mcg/3.1 ml = 41.9 mcg/ml The dose given out of this vial was 0.3 ml. The children (age 5-11) received 0.3 ml x 41.9 mcg/ml = 12.6 mcg. Pfizer Case #:ID
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia
Clinical narrative: Both of his shoulders he started having pain in the muscles. He is having problems with putting on his jacket without being in pain.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Angiogram pulmonary abnormal, Anticoagulant therapy, Arthralgia, Flank pain
Clinical narrative: Presented to ED 12/18/21 with RUQ discomfort for ~1 day prior; R shoulder and flank pain. CTA shows right sided pulmonary embolism. Not on oral contraceptives, does not smoke, no family history of DVT/PE and no recent hospitalizations. Started on enoxaparin in the hospital. Discharged 12/20 with apixaban prescription. Followed up with PCP on 12/21/21; PE thought to be related to COVID vaccine. Refered to hematologist.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Presented to ED 12/18/21 with RUQ discomfort for ~1 day prior; R shoulder and flank pain. CTA shows right sided pulmonary embolism. Not on oral contraceptives, does not smoke, no family history of DVT/PE and no recent hospitalizations. Started on enoxaparin in the hospital. Discharged 12/20 with apixaban prescription. Followed up with PCP on 12/21/21; PE thought to be related to COVID vaccine. Refered to hematologist.
Age: 24.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Magnetic resonance imaging, Pain, Ultrasound scan
Clinical narrative: Left side abdominal pain. Increased pain with recoil. Started in early evening and continued to progress. Went to ED approx. 2 hours following beginning of symptoms
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Significant worsening of tinnitus in right ear starting 5 days after shot....still present.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 12/21/2021-MOderna 0.25 booster dose was given to a 5 year old.  no reaction noted. 12/22/21-Dr spoke to parent today and parent reported no reaction.  Child has been fine. no side effects.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Pain
Clinical narrative: Body aches, chest pain, and fatigue all for 1 day
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood testosterone, Erectile dysfunction, Pain in extremity, Peripheral swelling
Clinical narrative: After 2nd dose of Pfizer left arm became extremely swollen and painful and developed inability to obtain an erection.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough. Patient tested positive at an urgent care on 12/7/21. Patient presented to the hospital on 12/20/21 with ongoing/worsening symptoms.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Flushing, Pain, Pyrexia
Clinical narrative: feverish symptoms with no fever (chills, flushing), body aches, fatigue for 48 hours
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: This was a medication error.  The patient needed a 2nd dose of Moderna.  The nurse administered a booster dose of Moderna (1/2 dose or 0.25 mL) rather than the full dose (0.5 mL).  The mistake was noted and the nurse gave the patient an additional 1/2 dose of Moderna.  No known adverse outcome, other than patient had to get 2 shots to get the full dose.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chills, Injection site pain, Interchange of vaccine products
Clinical narrative: Sore arm at injection site Swollen, sore armpit (left) Low fever, chills Soreness in hips and legs
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Sore arm at injection site Swollen, sore armpit (left) Low fever, chills Soreness in hips and legs
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Bacteraemia, Chest X-ray abnormal, Cough
Clinical narrative: 83 y/o female, PMHx of arthritis, COPD, CAD, DM, GAD, HTN, hypercholestermia, and a pacemaker, admitted for weakness on 10/1/21. Pt does also have dementia. Pt presented with O2 sat of 87% and with an associated cough. Chest x-ray shows bilateral, patchy infiltrates. Pt treated with Decadron, aspirin, Lovenox, and breathing treatments. Also treated with Vancomycin and Zosyn for bacteremia. Pt was discharged with Home Health on 10/4/21.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration
Clinical narrative: 83 y/o female, PMHx of arthritis, COPD, CAD, DM, GAD, HTN, hypercholestermia, and a pacemaker, admitted for weakness on 10/1/21. Pt does also have dementia. Pt presented with O2 sat of 87% and with an associated cough. Chest x-ray shows bilateral, patchy infiltrates. Pt treated with Decadron, aspirin, Lovenox, and breathing treatments. Also treated with Vancomycin and Zosyn for bacteremia. Pt was discharged with Home Health on 10/4/21.
Age: 72.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Dry skin, Injection site erythema, Injection site reaction
Clinical narrative: Client received the COVID Pfizer Booster vaccine (lot# EL3197) in the L arm at approximately 1540. At 1555 the client reported to EMT that he noticed redness on his arm near the site of injection.  Lead RN assessed the client. The client denied pain, itchiness, and numbness of the arm. RN observed  redness at the site of injection and a small patch of  dry skin below the site of injection. The client's mother explained that the client has keratosis dermatitis on his upper arms. The client also stated he used a new lotion for the first time today, but did not notice the dryness and redness until after receiving the vaccine. At 1355 the clients vitals were BP 130/60, HR 70, SPO2 99%, and RR 16. The client was A&O x4 and denied shortness of breath. At 1358 the client stated he was feeling a little light headed and stated "that might be because I haven't had very much water today." RN offered client water and client finished the bottle. Client has controlled type 1 diabetes and blood sugar on his monitor was 197. Client explained that he will take his insulin when he gets home.  Client's mother verbalized understanding how to manage client's diabetes and how to control blood sugar. At 1603 clients vitals were BP 124/60, HR 67, SPO2 99%, and RR 16. At 1608 EMT provided client chips and client ate the chips. RN observed client's arm returning back to color appropriate to ethnicity. RN advised client to follow up with PCP and educated on ER precautions. At 1610 the client left the site with his mother who drove him and RN observed a steady and symmetrical gait.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Headache, Malaise
Clinical narrative: The day after my Pfizer booster for COVID I lost my taste. I got tested for Covid at the airport community testing location and it came back negative along with a bimax rapid test that I took as soon as I noticed. I had a headache and didn't feel great but those were side effects from the shot as that is how I felt with the other two vaccinations. I had Covid last year at then end of September and I lost my taste then. And then a month later I experienced distorted taste which affected what I was able to eat. I still have distorted taste and smell from that. But now I have lost my taste partially again after receiving the booster.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Pallor
Clinical narrative: After first dose of covid vaccine administration, patient was in the clinical services room while her brother and cousin were receiving their immunizations.  She told her mom that her arm felt a little heavy and then she fell into her arms.  The technician sat her down and called for the pharmacist.  Upon entering the room, I noticed she was a little pale so I got paper towels and soaked them in cold water and applied them to her forehead.  I asked my partner to grab glucose tablets for me.  We gave her two glucose tablets and water.  I asked her mother if she felt like I needed to call emergency services.  Her mother stated that she hadn't eaten in 4.5 hours and has a history of feeling a little dizzy or faint if she over exerts herself if she hasn't eaten.  I sat with the patient for about 15 minutes.  Her mother gave her apple juice and after another 5 minutes she felt fine and wanted to go.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Malaise, Pain, SARS-CoV-2 test positive
Clinical narrative: COVID Breakthrough. Symptoms since 12/7/21, Tested positive as outpatient on 12/15/21, came to ED on 12/21/21 with SOB, body aches.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough. Symptoms since 12/7/21, Tested positive as outpatient on 12/15/21, came to ED on 12/21/21 with SOB, body aches.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: worsening SOB, non productive cough and chest tightness + COVID 19 test
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: She developed a runny nose and mild headache. No fevers, vomiting, diarrhea, or sore throat. No body aches
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: fainting
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope, Vomiting
Clinical narrative: Syncope, pt. passed out while standing. Unsure if struck head. Loss of consciousness, vomit x1.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Pfizer Covid-19 Orange Top vials (Pediatric age 5-11) were diluted and administered following the Pfizer COVID-19 Purple Top vial (Adolescent age 12 and older) preparation and administration instructions. 1.8 ml was used to dilute the 1.3 ML vial instead of 1.3 ml. This would change the concentration to 130 mcg/3.1 ml = 41.9 mcg/ml The dose given out of this vial was 0.3 ml. The children (age 5-11) received 0.3 ml x 41.9 mcg/ml = 12.6 mcg. Pfizer Case #: int00506363
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient is 16 years old and received the 0.3mg dose instead of the 0.5mg dose.
Age: 31.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injury, Limb injury, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Searing pain in my right shoulder and arm.  Could not lift my arm at all for two days.  My left arm had to lift right arm.  After that I could only use my arm from elbow down.    As my fibula is fractured, I used my arms to get up and down my stairs   My right arm was in pain and useless.   I could not turn on shower, wash my hair.  Had excruciating pain shifting gears and turning on heat and radio in car.   5 days later it felt like I was getting constant injections in my arm.   It took 11 days before I could lift my arm half way with pain.  Probably another week after that until I could lift my arm over my head.  Pain still lingers to some extent a month later.    I felt shot was administered too far up on my arm (on my shoulder).   How can I prevent this from happening again.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Product administration error
Clinical narrative: Searing pain in my right shoulder and arm.  Could not lift my arm at all for two days.  My left arm had to lift right arm.  After that I could only use my arm from elbow down.    As my fibula is fractured, I used my arms to get up and down my stairs   My right arm was in pain and useless.   I could not turn on shower, wash my hair.  Had excruciating pain shifting gears and turning on heat and radio in car.   5 days later it felt like I was getting constant injections in my arm.   It took 11 days before I could lift my arm half way with pain.  Probably another week after that until I could lift my arm over my head.  Pain still lingers to some extent a month later.    I felt shot was administered too far up on my arm (on my shoulder).   How can I prevent this from happening again.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient had been sitting in observation around 5 minutes , vomited large amount emesis.  Denies feeling nauseated prior, stated  it just came up , taken to EMS room cleaned up , tolerated 1/2 cup water , no further issues.  Left clinic no issues feeling fine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: COVID-19 pneumonia  + COVID 19 test
Age: 23.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 50.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Fully vaccinated-Covid-19 related death.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: cough, chest tightness and shortness of breath.  + COVID 19 test
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Irritability
Clinical narrative: I developed Shingles. It was a mild case, but it was irritating for a couple of weeks. I was prescribed a topical cream for it.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy lung abnormal, Bronchoscopy abnormal, Flank pain, Granuloma, Nausea
Clinical narrative: Patient developed high fevers, nausea, vomiting, and left flank pain found to have obstructing nephrolithiasis requiring ureteral stent.  Further work-up revealed a 3 cm lung mass that was biopsied and found to have non-caveating granulomata consistent with sarcoidosis.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Nephrolithiasis, Pulmonary granuloma, Pulmonary mass, Pyrexia, Sarcoidosis
Clinical narrative: Patient developed high fevers, nausea, vomiting, and left flank pain found to have obstructing nephrolithiasis requiring ureteral stent.  Further work-up revealed a 3 cm lung mass that was biopsied and found to have non-caveating granulomata consistent with sarcoidosis.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Ureteral stent insertion, Vomiting
Clinical narrative: Patient developed high fevers, nausea, vomiting, and left flank pain found to have obstructing nephrolithiasis requiring ureteral stent.  Further work-up revealed a 3 cm lung mass that was biopsied and found to have non-caveating granulomata consistent with sarcoidosis.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Rheumatoid arthritis
Clinical narrative: I developed rheumatoid arthritis 2 weeks after second dose
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Myalgia, SARS-CoV-2 test positive
Clinical narrative: symptoms cough and muscle aches starting on 12/20/21, covid positive on 12/21/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Atrial fibrillation, Chest X-ray abnormal, Chest pain, Hypervolaemia
Clinical narrative: 88 y/o male, PMHx of quadruple bypass and CKD, admitted for chest pain and afib with RVR on 9/24/21. Pt was previously hospitalized for possible non-STEMI and heart problems. Pt had slightly elevated troponin of 0.217 and chest x-ray showed fluid overload. Pt was found to be COVID positive, but was asymptomatic. Pt was discharged back to skilled nursing facility on 9/25/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: 88 y/o male, PMHx of quadruple bypass and CKD, admitted for chest pain and afib with RVR on 9/24/21. Pt was previously hospitalized for possible non-STEMI and heart problems. Pt had slightly elevated troponin of 0.217 and chest x-ray showed fluid overload. Pt was found to be COVID positive, but was asymptomatic. Pt was discharged back to skilled nursing facility on 9/25/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: I woke up in the middle of the night about 8 hours after receiving the second shot. I got up to go the bathroom and passed out. When I came to, I felt an intense wave of heat and nausea move through my body from feet to head. I then tried to get up but couldn't stand or sit as I kept passing out. I crawled back to my bed which was on the floor at the time and went back to sleep. The next day I was able to sit and stand, but had extreme fatigue and muscle weakness and pain w/ even the slightest exertion. Also experienced severe shortness of breath with any sort of exertion (moderate walking, one flight of stairs, slow walking up an incline, etc.). I saw a doctor on 5/14/21, who ran a bunch of tests that call came back within normal results. The fatigue, weakness and pain lasted for a couple of weeks and then improved slightly.  There were a few more weeks of fatigue and muscle weakness & pain. And then a gradual improvement that took months to get close to back to where I was before the shot. The shortness of breath w/ exertion remains as of this VAERS report on 12/22/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone, Blood urea normal, Carbon dioxide normal
Clinical narrative: I woke up in the middle of the night about 8 hours after receiving the second shot. I got up to go the bathroom and passed out. When I came to, I felt an intense wave of heat and nausea move through my body from feet to head. I then tried to get up but couldn't stand or sit as I kept passing out. I crawled back to my bed which was on the floor at the time and went back to sleep. The next day I was able to sit and stand, but had extreme fatigue and muscle weakness and pain w/ even the slightest exertion. Also experienced severe shortness of breath with any sort of exertion (moderate walking, one flight of stairs, slow walking up an incline, etc.). I saw a doctor on 5/14/21, who ran a bunch of tests that call came back within normal results. The fatigue, weakness and pain lasted for a couple of weeks and then improved slightly.  There were a few more weeks of fatigue and muscle weakness & pain. And then a gradual improvement that took months to get close to back to where I was before the shot. The shortness of breath w/ exertion remains as of this VAERS report on 12/22/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Dysstasia, Fatigue, Feeling hot, Glomerular filtration rate normal
Clinical narrative: I woke up in the middle of the night about 8 hours after receiving the second shot. I got up to go the bathroom and passed out. When I came to, I felt an intense wave of heat and nausea move through my body from feet to head. I then tried to get up but couldn't stand or sit as I kept passing out. I crawled back to my bed which was on the floor at the time and went back to sleep. The next day I was able to sit and stand, but had extreme fatigue and muscle weakness and pain w/ even the slightest exertion. Also experienced severe shortness of breath with any sort of exertion (moderate walking, one flight of stairs, slow walking up an incline, etc.). I saw a doctor on 5/14/21, who ran a bunch of tests that call came back within normal results. The fatigue, weakness and pain lasted for a couple of weeks and then improved slightly.  There were a few more weeks of fatigue and muscle weakness & pain. And then a gradual improvement that took months to get close to back to where I was before the shot. The shortness of breath w/ exertion remains as of this VAERS report on 12/22/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Loss of consciousness, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: I woke up in the middle of the night about 8 hours after receiving the second shot. I got up to go the bathroom and passed out. When I came to, I felt an intense wave of heat and nausea move through my body from feet to head. I then tried to get up but couldn't stand or sit as I kept passing out. I crawled back to my bed which was on the floor at the time and went back to sleep. The next day I was able to sit and stand, but had extreme fatigue and muscle weakness and pain w/ even the slightest exertion. Also experienced severe shortness of breath with any sort of exertion (moderate walking, one flight of stairs, slow walking up an incline, etc.). I saw a doctor on 5/14/21, who ran a bunch of tests that call came back within normal results. The fatigue, weakness and pain lasted for a couple of weeks and then improved slightly.  There were a few more weeks of fatigue and muscle weakness & pain. And then a gradual improvement that took months to get close to back to where I was before the shot. The shortness of breath w/ exertion remains as of this VAERS report on 12/22/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Muscular weakness, Myalgia, Nausea, Pain
Clinical narrative: I woke up in the middle of the night about 8 hours after receiving the second shot. I got up to go the bathroom and passed out. When I came to, I felt an intense wave of heat and nausea move through my body from feet to head. I then tried to get up but couldn't stand or sit as I kept passing out. I crawled back to my bed which was on the floor at the time and went back to sleep. The next day I was able to sit and stand, but had extreme fatigue and muscle weakness and pain w/ even the slightest exertion. Also experienced severe shortness of breath with any sort of exertion (moderate walking, one flight of stairs, slow walking up an incline, etc.). I saw a doctor on 5/14/21, who ran a bunch of tests that call came back within normal results. The fatigue, weakness and pain lasted for a couple of weeks and then improved slightly.  There were a few more weeks of fatigue and muscle weakness & pain. And then a gradual improvement that took months to get close to back to where I was before the shot. The shortness of breath w/ exertion remains as of this VAERS report on 12/22/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Red blood cell count normal, Red blood cell sedimentation rate normal, Red cell distribution width normal, Sitting disability
Clinical narrative: I woke up in the middle of the night about 8 hours after receiving the second shot. I got up to go the bathroom and passed out. When I came to, I felt an intense wave of heat and nausea move through my body from feet to head. I then tried to get up but couldn't stand or sit as I kept passing out. I crawled back to my bed which was on the floor at the time and went back to sleep. The next day I was able to sit and stand, but had extreme fatigue and muscle weakness and pain w/ even the slightest exertion. Also experienced severe shortness of breath with any sort of exertion (moderate walking, one flight of stairs, slow walking up an incline, etc.). I saw a doctor on 5/14/21, who ran a bunch of tests that call came back within normal results. The fatigue, weakness and pain lasted for a couple of weeks and then improved slightly.  There were a few more weeks of fatigue and muscle weakness & pain. And then a gradual improvement that took months to get close to back to where I was before the shot. The shortness of breath w/ exertion remains as of this VAERS report on 12/22/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, White blood cell count normal
Clinical narrative: I woke up in the middle of the night about 8 hours after receiving the second shot. I got up to go the bathroom and passed out. When I came to, I felt an intense wave of heat and nausea move through my body from feet to head. I then tried to get up but couldn't stand or sit as I kept passing out. I crawled back to my bed which was on the floor at the time and went back to sleep. The next day I was able to sit and stand, but had extreme fatigue and muscle weakness and pain w/ even the slightest exertion. Also experienced severe shortness of breath with any sort of exertion (moderate walking, one flight of stairs, slow walking up an incline, etc.). I saw a doctor on 5/14/21, who ran a bunch of tests that call came back within normal results. The fatigue, weakness and pain lasted for a couple of weeks and then improved slightly.  There were a few more weeks of fatigue and muscle weakness & pain. And then a gradual improvement that took months to get close to back to where I was before the shot. The shortness of breath w/ exertion remains as of this VAERS report on 12/22/21.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: Pharmacy held an immunization clinic for employees of a large local business at their office location. The patient, a 15-year-old, attended with her parents. We were offering COVID-19 boosters to employees and had both Pfizer and Moderna options for them. We were not expecting any pediatric patients to attend this event. The patient's DOB was overlooked, and she was given 0.25ml of the Moderna COVID-19 vaccine. She had previously been vaccinated with Pfizer COVID-19 vaccine; her last dose had been June 5, 2021.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Hypoxia
Clinical narrative: 91 Y/O male, PMHx of CKD, HTN, Multiple myeloma, and macular degeneration, admitted for weakness on 11/7/21. Pt tested positive for Covid19 in mid-October. Hypoxic at 87% on room air when EMS arrived. Chest x-ray shows patchy bilateral infiltrates consistent with Covid19 pneumonia.  Pt treated with abx for possible superimposed bacterial infection and supportive measures. Discharged to skilled nursing facility on 11/14/21.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, SARS-CoV-2 test positive
Clinical narrative: 91 Y/O male, PMHx of CKD, HTN, Multiple myeloma, and macular degeneration, admitted for weakness on 11/7/21. Pt tested positive for Covid19 in mid-October. Hypoxic at 87% on room air when EMS arrived. Chest x-ray shows patchy bilateral infiltrates consistent with Covid19 pneumonia.  Pt treated with abx for possible superimposed bacterial infection and supportive measures. Discharged to skilled nursing facility on 11/14/21.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt developed s/s causing him to be taken to the ED and admitted to the hospital, COVID positive on admission
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Cough, Dysarthria, Facial paralysis
Clinical narrative: Pt is 68 y/o female, PMHx of CAD, COPD, DM, MI, PVD, HTN, AFib, and hiatal hernia, admitted for reaction to Regeneron. Pt was receiving Regeneron infusion when she had an acute onset of confusion, slurred, speech, left-sided facial droop, left upper and lower extremity weakness. Pt began to have chest congestion, runny nose, cough, HA, etc on 9/28/21 and tested positive on 9/29/21. Pt was placed on observation status and discharged on 10/5/21.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscular weakness, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Pt is 68 y/o female, PMHx of CAD, COPD, DM, MI, PVD, HTN, AFib, and hiatal hernia, admitted for reaction to Regeneron. Pt was receiving Regeneron infusion when she had an acute onset of confusion, slurred, speech, left-sided facial droop, left upper and lower extremity weakness. Pt began to have chest congestion, runny nose, cough, HA, etc on 9/28/21 and tested positive on 9/29/21. Pt was placed on observation status and discharged on 10/5/21.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Pneumonia viral, SARS-CoV-2 test positive
Clinical narrative: Acute coronavirus disease-19 viral pneumonia with acute hypoxemic respiratory failure + COVID 19 test
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood sodium decreased, COVID-19, Cough, Hyponatraemia
Clinical narrative: 78 y/o female, PMHx of DM, anemia, cancer, presented to ER due to cough and weakness on 11/8/21. Pt received booster shot on 11/4/21 and felt generalized malaise and mild cough approximately 24 hours after. Pt was hyponatremic at 123 (possible SIADH) and clinically dry.  Pt tested positive for Covid. Covid19 was treated with Regeneron, hyponatremia with hypertonic saline. Pt discharged home on 11/11/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: 78 y/o female, PMHx of DM, anemia, cancer, presented to ER due to cough and weakness on 11/8/21. Pt received booster shot on 11/4/21 and felt generalized malaise and mild cough approximately 24 hours after. Pt was hyponatremic at 123 (possible SIADH) and clinically dry.  Pt tested positive for Covid. Covid19 was treated with Regeneron, hyponatremia with hypertonic saline. Pt discharged home on 11/11/21.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Thirst
Clinical narrative: Side effects have all been mild. Original vaccination was Pfizer (two injections) in April 2021. No symptoms for first injection, but second injection resulted in abnormal thirst and sleepiness (fatigue) for ~1 day. Six months later in late October2021 had positive test and symptomatic Covid.  On 20 December 2021 I chose to receive the Moderna booster. I do not know if it was full or half dose - I assume half dose. Five hours later, I was very thirsty just like the second original Pfizer vaccination. I slept soundly for 12 hours, was tired the rest of the day and slept soundly again the next night. I am fine now (42 hours post booster). All three times there was upper arm pain at injection site but was worst for second Pfizer vaccination, which was very painful during the injection with subsequent pain that lasted a week or more. I ascribe the pain of the second Pfizer injection to the technique of the technician who administered the injection and not to the vaccine itself.