chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Neck pain, Pain in jaw
Clinical narrative: I had a ache in my left jaw and my neck, aches in my left chest after taking deep breathes.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Cold sweat, Decreased appetite, Dry throat, Gastrointestinal inflammation
Clinical narrative: itching at injection site, dry throat, vomiting, sweating, stomach cramps,  muscle pain/ stiffness in arm and chest, muscle twitching, no appetite, frequent urination, kidney pain, menstrual bleeding, cold sweating, trouble sleeping, inflamed intestines, nausea
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Injection site pruritus, Insomnia, Muscle twitching, Myalgia
Clinical narrative: itching at injection site, dry throat, vomiting, sweating, stomach cramps,  muscle pain/ stiffness in arm and chest, muscle twitching, no appetite, frequent urination, kidney pain, menstrual bleeding, cold sweating, trouble sleeping, inflamed intestines, nausea
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pollakiuria, Renal pain, Vaginal haemorrhage, Vomiting
Clinical narrative: itching at injection site, dry throat, vomiting, sweating, stomach cramps,  muscle pain/ stiffness in arm and chest, muscle twitching, no appetite, frequent urination, kidney pain, menstrual bleeding, cold sweating, trouble sleeping, inflamed intestines, nausea
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Symphony ECF sent patient to hospital as they were COVID positive and stated they could not care for him.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram, Deafness unilateral, Physical examination, Tinnitus
Clinical narrative: Acute ringing and hearing loss left ear
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Cough, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Patient contracted COVID after being fully vaccinated Runny nose, cough, congestion, loss of taste
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID after being fully vaccinated Runny nose, cough, congestion, loss of taste
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysphagia, Feeling hot, Heart rate increased, Immediate post-injection reaction
Clinical narrative: The immediate effect was rapid heartbeat and felt extremely hot.  Then almost passed out.    During the next two weeks after the 2nd dose I continued to have where the heart had extreme rates.   Then also I could not swallow for days upon days.  It would come and with extreme heart rate.   I would get very what felt like warm sensations throughout the whole body.     This has continue where evon 9/24/2021 three weeks after the second dose the heart rate and heat sensation occurred.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Pain, Pyrexia, Rash
Clinical narrative: Injection was received Monday afternoon. Monday evening I noticed a red patch about 1" x 2" below the injection site. Tuesday morning I woke with a splitting headache, fever and achy all over. I woke up feeling fine on Wednesday but that evening when getting ready for bed I noticed a rash on my upper chest and neck and then a larger red patch under my right ear, about 1 1/2" square. I called the pharmacist who recommended hydrocortisone cream and benadryl. I had the rash and patch for about 2 days but this morning it is almost gone
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Endotracheal intubation, Mechanical ventilation, SARS-CoV-2 test positive
Clinical narrative: Patient is a 47 year old female with a multiple co morbidties including asthma, bipolar disorder, primary hypothyroidism, oxygen dependent possible chronic obstructive lung disease ( 3 liters  nasal cannula), liver cirrhosis(Non alcoholic serohepatitis), depression, history of tobacco use, diabetes mellitus type 2, gastroesophageal reflux and obesity (BMI 60). Tested COVID positive 8/31. Patient required intubated. Patient completed 10 days of Decadron and 5 days of Remdesivir. Patient was not able to be weaned from the vent and was made comfort care 9/23 and expired shortly after.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Arthropathy, Hypothermia, Mobility decreased, Pain, Pain of skin
Clinical narrative: I got extremely hypothermic & my joints froze up to where I could not move or be touched. I was in extreme amounts of pain lasting for about 48 hours after the Johnson & Johnson shot was administered.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none at this time
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia
Clinical narrative: This is a  29 Years  old  Male  presenting with numbness to the left arm that occurred 5 days ago after receiving the 2nd dose of the Pfizer vaccine. Day of vaccine, patient had pain to left shoulder, then, later that day, he had numbness to his left arm.  now, patient noted that the numbness spread to his face on the S all aturday. Symptoms occurred gradually and are still present. Symptoms are described as moderate in nature.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Condition aggravated, Dehydration, Fatigue
Clinical narrative: A few seconds after vaccine administration the patient had a series of short convulsions that caused loss of consciousness for a few seconds. The patient regained awareness seconds after the convulsions, but complained of headache, weakness, and tiredness. The patient was alert and oriented after initially fainting. The parents stated he had travelled for 12 hours straight, and had not adequately hydrated or eaten well. The patient appeared pale in appearance and vomited after drinking water and soda pop. The vomitus was clear and only a small amount, after which the patient felt better. The patient was observed for 45 minutes prior to leaving  for their departing flight. The parents stated that vaccination anxiety, hunger, and dehydration may have played a role in this episode.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hunger, Loss of consciousness, Pallor, Seizure
Clinical narrative: A few seconds after vaccine administration the patient had a series of short convulsions that caused loss of consciousness for a few seconds. The patient regained awareness seconds after the convulsions, but complained of headache, weakness, and tiredness. The patient was alert and oriented after initially fainting. The parents stated he had travelled for 12 hours straight, and had not adequately hydrated or eaten well. The patient appeared pale in appearance and vomited after drinking water and soda pop. The vomitus was clear and only a small amount, after which the patient felt better. The patient was observed for 45 minutes prior to leaving  for their departing flight. The parents stated that vaccination anxiety, hunger, and dehydration may have played a role in this episode.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: A few seconds after vaccine administration the patient had a series of short convulsions that caused loss of consciousness for a few seconds. The patient regained awareness seconds after the convulsions, but complained of headache, weakness, and tiredness. The patient was alert and oriented after initially fainting. The parents stated he had travelled for 12 hours straight, and had not adequately hydrated or eaten well. The patient appeared pale in appearance and vomited after drinking water and soda pop. The vomitus was clear and only a small amount, after which the patient felt better. The patient was observed for 45 minutes prior to leaving  for their departing flight. The parents stated that vaccination anxiety, hunger, and dehydration may have played a role in this episode.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Impaired work ability
Clinical narrative: At approximately 0845 the employee was vaccinated in the left arm with their 2nd Moderna vaccination. At approximately 0905 the employee began complaining of feeling slightly lightheaded. Denies any nausea, shortness of breath, no apparent rash, or itching. Called supervisor at approximately 0905 unable to reach. Approximately 0905 vital signs 98% O2, 97 pulse, 142/98 BP. Employee reports history of high blood pressure that is controlled with medication. At approximately 0910 called supervisor was able to report possible reaction to vaccine. Ordered to observe the employee. At approximately 0923 supervisor calls back and orders postural blood pressure check and to encourage employee to go home and consult with primary care physician. At approximately 0924. Employee denies any symptoms, reports feeling fine. Unable to perform laying check due to no bed, at approximately 0930 sitting 110/90, 97% O2, 98 pulse, 0935 standing 112/90, 100 pulse, 98% O2. At approximately 0938 employee departed clinic for home after reporting feeling fine. Employee was asked if he was ok to drive and they reported they were fine.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Furuncle, Pain, Pustule, Thrombosis
Clinical narrative: I experienced boils under my left arm filled with puss and they are very painful. I also got a blood clot in my left leg.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test, Pyrexia, SARS-CoV-2 test
Clinical narrative: Fever above 100.4(Sunday, 9/19)
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired by one day, dose given was expired
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Fatigue, Pain, Swelling
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 04/06/2021, started experiencing symptoms 05/06/2021 of intense pain throughout the body, fatigue, shortness of breath, swelling throughout the body, and loss of appetite. Primary communications (Unknown) with recommendations for follow-up with no treatment. Self-treating with Anti-Inflammatory medication. Still continuing to experience symptoms.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, No adverse event
Clinical narrative: No adverse reaction to medication.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Facility sent patient to hospital due to the patient being COVID positive unable to care for patient.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: J&J vaccine expired on 9/21/2021 at midnight. Patient was vaccinated with expired J&J  12 hours past expiration date on 9/22/2021. J&J was contacted and patients were notified or attempted to be notified of the situation.
Age: 49.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: expired vaccine
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: numbness and tingling in both feet
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: expired vaccine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Lung opacity
Clinical narrative: Ongoing hospitalization began 9/23 with cough, weakness, treated with oxygen, remdesivir, dexamethasone for pneumonia due to COVID-19 virus
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Condition aggravated, Limb discomfort, Malaise, Peripheral swelling
Clinical narrative: Leg swelling prior to the vaccination at work. Began to feel unwell 03/16/2021  Leg was to the point that the swelling was not going down after 72 hours, did not subside, right leg was swelled to uncomfortable.  Emergency room on 03/17/2021 Left leg lower leg. Blood clots in left lower leg and new health condition occurred after your vaccination 4 blood clots. Ultrasound of the leg and the technician stated that it was in two regions that the found two clots in the lower leg.  e-thrombosis and two regions and four clots.  Prescribed blood thinner Xarelto 15mg twice a day.  Took three week off was recommended by doctor with bed rest and limited  Physical activity. herbal remedies being taken.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound scan abnormal
Clinical narrative: Leg swelling prior to the vaccination at work. Began to feel unwell 03/16/2021  Leg was to the point that the swelling was not going down after 72 hours, did not subside, right leg was swelled to uncomfortable.  Emergency room on 03/17/2021 Left leg lower leg. Blood clots in left lower leg and new health condition occurred after your vaccination 4 blood clots. Ultrasound of the leg and the technician stated that it was in two regions that the found two clots in the lower leg.  e-thrombosis and two regions and four clots.  Prescribed blood thinner Xarelto 15mg twice a day.  Took three week off was recommended by doctor with bed rest and limited  Physical activity. herbal remedies being taken.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Discomfort, Dry mouth, Hypoacusis, Somnolence
Clinical narrative: Blurry vision, muffled hearing, body feels heavy and weak, dry mouth, drowsy
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Blurry vision, muffled hearing, body feels heavy and weak, dry mouth, drowsy
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood glucose abnormal, Diarrhoea, Headache, Hepatic enzyme abnormal
Clinical narrative: When contacted mom about pt getting  second dose in Covid series, she stated that pt started having stomach pain, diarrhea and vomiting on 9/16/21 which has continued to date (9/24/21). She says he had a headache in the days prior to 9/16/21. Mom has consulted primary care and is pending  gastroenterology consult next week.  She states his liver enzymes and blood sugar levels have been elevated.  He has had a liver US.  His symptoms continue. His Primary Care Provider has advised for him not to receive 2nd dose.  Mom declines 2nd dose of Covid mRNA Pfizer vaccine at this time.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: When contacted mom about pt getting  second dose in Covid series, she stated that pt started having stomach pain, diarrhea and vomiting on 9/16/21 which has continued to date (9/24/21). She says he had a headache in the days prior to 9/16/21. Mom has consulted primary care and is pending  gastroenterology consult next week.  She states his liver enzymes and blood sugar levels have been elevated.  He has had a liver US.  His symptoms continue. His Primary Care Provider has advised for him not to receive 2nd dose.  Mom declines 2nd dose of Covid mRNA Pfizer vaccine at this time.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: J&J vaccine expired on 9/21/2021 at midnight. Patient was vaccinated with expired J&J  11 hours past expiration date on 9/22/2021. J&J was contacted and patients were notified or attempted to be notified of the situation.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Error: Patient Too Young for Vaccine Administered-
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a very sore throat and next day runny nose and the 3rd day extreme fatigue, I couldn't get out of bed and couldn't function. Did not test for Covid. Spoke to insurance company on 5 or 6 Aug2021 and they they concluded that it was Covid. The extreme fatigue was the same feeling as I had on my 2nd dose.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Improper Storage (temperature)-
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Depression, Headache, Migraine
Clinical narrative: After both vaccines, within a couple of days, I started having headaches/migraines that would not go away.  Dr. put me on steroids after both vaccines to help.  Prior to this time, they had been under control with preventative treatment, only having migraine 1x month, at most.  Since the vaccine, I have almost daily headaches and migraines still.  Also, have noticed depression where I do not want to leave the house or care about things in life.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Crying, Syncope, Vomiting
Clinical narrative: Following vaccination for MCV4 and HPV, patient fainted and MA reports convlusions as well. Came to quickly within seconds and expressed not feeling well. Breathing normally and crying.Then patient vomited.   Mom reports he has had a prior, similar reaction to getting an injection when he's had surgery in the past.  Advised Urgent Care for observation and possible labs. Mom prefers not to wait at this time as 2 of her other kids are also with her and she needs to take them to school.   Vitals retaken with normal 02 sat and BP unchanged from reading prior to the episode. Patient feels very tired and somewhat disoriented.   Upon further reflection mom would like further evaluation/observation at Urgent Care today.   Report called to Urgent Care and patient taken down by wheelchair.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Electrocardiogram, Electrocardiogram ambulatory, Palpitations, Sinus arrhythmia
Clinical narrative: Sinus arrhythmia, heart palpitations, light-headed/dizzy
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: Sinus arrhythmia, heart palpitations, light-headed/dizzy
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Tenderness
Clinical narrative: I noticed a lump the size of a big marble on my collar bone on my right side. I noticed this the day 9/10 after receiving my 2nd dose of Covid Vacccine the day after my vaccine. I only noticed it because it hurt when I touched it. It felt like when you touch a bruise. When touching it the ball(lump) moved and hurt. The next day the ball 9/11 became smaller like the size of a bean and did not hurt anymore. Present day 9/24 two weeks and I still feel it but now it is the size of a pinto bean and does not hurt.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Ear, nose and throat examination, Physical examination, Tinnitus
Clinical narrative: Sudden onset Tinnitus
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Lymphadenopathy, Pyrexia, Thrombosis
Clinical narrative: Fever of 102 first day, second and third day went down to 100.8. Had menses during time of vaccine and passed a large piece of tissue that was approximately 1.5 inch x 1.5 inch. Appeared to be tissue/clot, was firm to the touch. Also developed enlarged lymph under armpit, that has not subsided on arm that received Injection.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood cholesterol increased, Blood glucose normal, Blood triglycerides increased, Deep vein thrombosis
Clinical narrative: Administration error:  On 8/19/21, the patient received a dose of Moderna during his office visit.  The syringe was removed from the refrigerator and administered.  After administration, it was discovered that the syringe had been prepared the day before and was after the 12 hour beyond-use-date.  The dose was Moderna, lot #035C21A, left arm,  the vial beyond use date was 8/19/21 (end of day), however the syringe beyond use date was 8/18/21.  The patient reported no adverse effects from the vaccine.  Moderna was contacted and unable to advise if dose should be counted as valid.  Generally recommends revaccination if expired product is administered, so the offer was made to the patient for revaccination (understanding there was no data to guide).  Patient received 2nd vaccination on 8/24/21 (Moderna, lot# 026C21A, left arm).  No immediate adverse effects reported.  Adverse Reaction:  On 9/1/21, the patient contacted his provider to complain of ankle swelling, calf tightness and pain.  The patient was referred to the urgent care since he was out of town.  The note documented unilateral RLE non-pitting edema and mild erythema.  Patient was hemodynamically stable, vitals normal.  On 9/2/21, the ultrasound confirmed bilateral DVTs.  Right occlusive with extension to femoral; left distal non-occlusive.  Pt was started on apixaban and referred to hematology for consult.  The patient does have a history of DVTs 15 years ago and increased risk due to 'long-sitting.'  No other information available in chart at this time.  Pharmacy was consulted regarding 2nd dose of vaccine.  Since there are no listed contraindications for DVTs, the patient will be scheduled for 2nd dose per usual process.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Full blood count abnormal, Glycosylated haemoglobin increased, Haematocrit normal, Haemoglobin normal
Clinical narrative: Administration error:  On 8/19/21, the patient received a dose of Moderna during his office visit.  The syringe was removed from the refrigerator and administered.  After administration, it was discovered that the syringe had been prepared the day before and was after the 12 hour beyond-use-date.  The dose was Moderna, lot #035C21A, left arm,  the vial beyond use date was 8/19/21 (end of day), however the syringe beyond use date was 8/18/21.  The patient reported no adverse effects from the vaccine.  Moderna was contacted and unable to advise if dose should be counted as valid.  Generally recommends revaccination if expired product is administered, so the offer was made to the patient for revaccination (understanding there was no data to guide).  Patient received 2nd vaccination on 8/24/21 (Moderna, lot# 026C21A, left arm).  No immediate adverse effects reported.  Adverse Reaction:  On 9/1/21, the patient contacted his provider to complain of ankle swelling, calf tightness and pain.  The patient was referred to the urgent care since he was out of town.  The note documented unilateral RLE non-pitting edema and mild erythema.  Patient was hemodynamically stable, vitals normal.  On 9/2/21, the ultrasound confirmed bilateral DVTs.  Right occlusive with extension to femoral; left distal non-occlusive.  Pt was started on apixaban and referred to hematology for consult.  The patient does have a history of DVTs 15 years ago and increased risk due to 'long-sitting.'  No other information available in chart at this time.  Pharmacy was consulted regarding 2nd dose of vaccine.  Since there are no listed contraindications for DVTs, the patient will be scheduled for 2nd dose per usual process.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: High density lipoprotein normal, Joint swelling, Limb discomfort, Low density lipoprotein increased, Metabolic function test abnormal
Clinical narrative: Administration error:  On 8/19/21, the patient received a dose of Moderna during his office visit.  The syringe was removed from the refrigerator and administered.  After administration, it was discovered that the syringe had been prepared the day before and was after the 12 hour beyond-use-date.  The dose was Moderna, lot #035C21A, left arm,  the vial beyond use date was 8/19/21 (end of day), however the syringe beyond use date was 8/18/21.  The patient reported no adverse effects from the vaccine.  Moderna was contacted and unable to advise if dose should be counted as valid.  Generally recommends revaccination if expired product is administered, so the offer was made to the patient for revaccination (understanding there was no data to guide).  Patient received 2nd vaccination on 8/24/21 (Moderna, lot# 026C21A, left arm).  No immediate adverse effects reported.  Adverse Reaction:  On 9/1/21, the patient contacted his provider to complain of ankle swelling, calf tightness and pain.  The patient was referred to the urgent care since he was out of town.  The note documented unilateral RLE non-pitting edema and mild erythema.  Patient was hemodynamically stable, vitals normal.  On 9/2/21, the ultrasound confirmed bilateral DVTs.  Right occlusive with extension to femoral; left distal non-occlusive.  Pt was started on apixaban and referred to hematology for consult.  The patient does have a history of DVTs 15 years ago and increased risk due to 'long-sitting.'  No other information available in chart at this time.  Pharmacy was consulted regarding 2nd dose of vaccine.  Since there are no listed contraindications for DVTs, the patient will be scheduled for 2nd dose per usual process.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Non-pitting oedema, Pain in extremity, Peripheral vein occlusion, Platelet count normal, Product storage error
Clinical narrative: Administration error:  On 8/19/21, the patient received a dose of Moderna during his office visit.  The syringe was removed from the refrigerator and administered.  After administration, it was discovered that the syringe had been prepared the day before and was after the 12 hour beyond-use-date.  The dose was Moderna, lot #035C21A, left arm,  the vial beyond use date was 8/19/21 (end of day), however the syringe beyond use date was 8/18/21.  The patient reported no adverse effects from the vaccine.  Moderna was contacted and unable to advise if dose should be counted as valid.  Generally recommends revaccination if expired product is administered, so the offer was made to the patient for revaccination (understanding there was no data to guide).  Patient received 2nd vaccination on 8/24/21 (Moderna, lot# 026C21A, left arm).  No immediate adverse effects reported.  Adverse Reaction:  On 9/1/21, the patient contacted his provider to complain of ankle swelling, calf tightness and pain.  The patient was referred to the urgent care since he was out of town.  The note documented unilateral RLE non-pitting edema and mild erythema.  Patient was hemodynamically stable, vitals normal.  On 9/2/21, the ultrasound confirmed bilateral DVTs.  Right occlusive with extension to femoral; left distal non-occlusive.  Pt was started on apixaban and referred to hematology for consult.  The patient does have a history of DVTs 15 years ago and increased risk due to 'long-sitting.'  No other information available in chart at this time.  Pharmacy was consulted regarding 2nd dose of vaccine.  Since there are no listed contraindications for DVTs, the patient will be scheduled for 2nd dose per usual process.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count normal, Ultrasound Doppler abnormal
Clinical narrative: Administration error:  On 8/19/21, the patient received a dose of Moderna during his office visit.  The syringe was removed from the refrigerator and administered.  After administration, it was discovered that the syringe had been prepared the day before and was after the 12 hour beyond-use-date.  The dose was Moderna, lot #035C21A, left arm,  the vial beyond use date was 8/19/21 (end of day), however the syringe beyond use date was 8/18/21.  The patient reported no adverse effects from the vaccine.  Moderna was contacted and unable to advise if dose should be counted as valid.  Generally recommends revaccination if expired product is administered, so the offer was made to the patient for revaccination (understanding there was no data to guide).  Patient received 2nd vaccination on 8/24/21 (Moderna, lot# 026C21A, left arm).  No immediate adverse effects reported.  Adverse Reaction:  On 9/1/21, the patient contacted his provider to complain of ankle swelling, calf tightness and pain.  The patient was referred to the urgent care since he was out of town.  The note documented unilateral RLE non-pitting edema and mild erythema.  Patient was hemodynamically stable, vitals normal.  On 9/2/21, the ultrasound confirmed bilateral DVTs.  Right occlusive with extension to femoral; left distal non-occlusive.  Pt was started on apixaban and referred to hematology for consult.  The patient does have a history of DVTs 15 years ago and increased risk due to 'long-sitting.'  No other information available in chart at this time.  Pharmacy was consulted regarding 2nd dose of vaccine.  Since there are no listed contraindications for DVTs, the patient will be scheduled for 2nd dose per usual process.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure decreased, Cardiac disorder, Chest pain, Cold sweat
Clinical narrative: CHEST PAIN, LOW BLOOD PRESSURE, COLD SWEATS, DIZZINESS, BLURRY VISION, SEIZURE
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Hypotension, Seizure, Vision blurred
Clinical narrative: CHEST PAIN, LOW BLOOD PRESSURE, COLD SWEATS, DIZZINESS, BLURRY VISION, SEIZURE
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Asymptomatic COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient presented to emergency department on 9/20/2021 with abdominal pain, nausea, and vomiting. He was admitted previously from 9/15/2021 to 9/18/2021 for diverticulitis. He was found to be COVID-19 positive during screening for admission to hospital. He remained asymptomatic for COVID-19 infection during admission. He was discharged home on 9/23/2021.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Oedema peripheral, Pain in extremity
Clinical narrative: Pt is a 60 y.o. female presenting to clinic with L arm pain. She states Tuesday was her booster shot- Moderna. Yesterday and today she is having L shoulder and under arm swelling. Pt did not call and report reaction. Pt states she has not had any reactions to the other injections. Pt states Wednesday night she had fatigue and fever (100F). Pt denies taking OTC medications. She is currently taking blood thinners and cannot take NSAIDs and she is allergic to Tylenol. Pt has pending appt with PCP on 10/8/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: J&J  vaccine expired on 9/21/2021 at midnight. Patient received J&J vaccine 9 hours after expiration of lot due to a date mix-up. Vaccine was stored properly, but the lot had expired.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Presyncope, Syncope
Clinical narrative: Pt experienced vasovagal syncope a couple minutes post-vaccination. Pt only lost consciousness for a few brief seconds. Vitals were immediately taken. Pt was monitored for approximately 45 minutes until he felt well again. Vitals stayed stable throughout monitoring. BP: 122/76 HR: 52 (pt's baseline heartrate is low, this is normal for him) RR: 14 O2: 97% Temp: 97.6. Pt reports he has experienced syncope in the past with blood draws-- last occurrence approximately 2 years ago.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Suffered a stroke, hospitalized for 2 weeks.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Neuropathy peripheral, Pyrexia
Clinical narrative: high fever joint pain hives foot neuropathy like symptoms ( am not a diabetic) all symptoms gone except feet neuropathy now 5 months later
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase, Chest X-ray, Computerised tomogram, Differential white blood cell count, Electrocardiogram
Clinical narrative: HANDS/ARMS/LEGS TREMORS, UNSTEADY GAIT, SPEECH IMPEDIMENT, FLATTENED AFFECT
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flat affect, Full blood count, Gait disturbance, Imaging procedure, Metabolic function test
Clinical narrative: HANDS/ARMS/LEGS TREMORS, UNSTEADY GAIT, SPEECH IMPEDIMENT, FLATTENED AFFECT
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Speech disorder, Tremor, Troponin, Urine analysis
Clinical narrative: HANDS/ARMS/LEGS TREMORS, UNSTEADY GAIT, SPEECH IMPEDIMENT, FLATTENED AFFECT
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Deep vein thrombosis, Pulmonary embolism
Clinical narrative: Was taken to pharmacy for Janssen Covid-19 shot, she passed away after hospitalization for bilateral blood clots in lungs and blood clout in leg. Date of death July 31, 2021.  (Cause of death per death certificate:  pulmonary thromboembolism and deep venous thrombosis.)
Age: 80.0
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling abnormal, Influenza like illness, Injection site reaction, Lymphadenopathy
Clinical narrative: local injection site reaction, ipsilateral lymphadenopathy, fever/chills, flu-like illness, brain fog. All symptoms except brain fog resolved in 3 days - brain fog persisted for several more. Pt now asymptomatic.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: local injection site reaction, ipsilateral lymphadenopathy, fever/chills, flu-like illness, brain fog. All symptoms except brain fog resolved in 3 days - brain fog persisted for several more. Pt now asymptomatic.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myocarditis, Ultrasound scan
Clinical narrative: She got the vaccine, there was nothing at first, lazy feeling, dragging feeling.  Then 1 week later, she felt tired, and was going to her doctor for routine physical and was doing an US and then it came back that she had an enlarged heart, myocarditis.  She was not given anything for it, told to watch it and to FU with him.  This was her PCP.   She went to the cardiologist 9/22/21, was in a hurry and didn't give her anything specific to do, told her to exercise.    She feels OK.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Rash, Urticaria
Clinical narrative: Had flu shot at 1145, continued work. Around 1345  to develop hives and diarrhea. Hives primarily head/neck/upper back but also in groin, back of legs and arm pits. Was sent to walk in care by supervisors. Was seen at walk in care and given Benadryl/famotidine and DC. Rash and other symptoms dissipated by 6 PM.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: The patient notified nurse staff she was lightheaded and shortness of breath. Patient vitals were taken by nurse:  Respiratory: 24 Pulse: 60 Temperature: 96.9 BP: 108/60 Alter orient x1 -EMS was called to respond. They provided the patient with additional fluids and was cleared to go without transport to the hospital.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Vaccinated patient hospitalized with COVID-19.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Fever-Mild
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Erythema, Fatigue, Nausea, Pain
Clinical narrative: Red swollen arm for 2 days. Fever, severe arthritis pain in fingers, nausea, insomnia, body aches, fatigue for 24 hourd
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Red swollen arm for 2 days. Fever, severe arthritis pain in fingers, nausea, insomnia, body aches, fatigue for 24 hourd
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram, Diarrhoea, Dizziness, Laboratory test
Clinical narrative: Abdominal pain and diarrhea for 3 weeks. Dizziness for first 2 weeks
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen, Ultrasound biliary tract, Ultrasound kidney, X-ray
Clinical narrative: Abdominal pain and diarrhea for 3 weeks. Dizziness for first 2 weeks
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufacture. initial and booster)-
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Decreased appetite, Dizziness, Ear discomfort
Clinical narrative: Light headed, fever, shaking on the inside, cold chills, no apatite, ears feel like on fire, increase in anxiety, fear.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fear, Nasopharyngitis, Nervousness, Pyrexia
Clinical narrative: Light headed, fever, shaking on the inside, cold chills, no apatite, ears feel like on fire, increase in anxiety, fear.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Body temperature increased, Hypoaesthesia, Myocardial infarction
Clinical narrative: Severe Anaphylaxis Reaction/Myocardial Infarction/Temperature 103/Left arm Numbness to fingers
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: expired vaccine
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufacture. initial and booster)-
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufacture. initial and booster)-
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Arthralgia, Blood test, Burning sensation, Decreased appetite
Clinical narrative: Complete loss of use to both hands, fire and ice sensations in extremities, tremors, temporary paralysis in hands and arms, swollen lymph nodes on neck, itching burning rash on back of neck and head, loss of appetite, chronic headache, chronic hot flashes, swollen joints in hands, feet, ankles, knees, hips, persistent painful arthritis like symptoms in hands to this day, visibly swollen joints in hands and wrist that came out of nowhere and severely limit mobility and use of my hands today, persistent and chronic infections treated with antibiotics of various kinds without much luck and categorized viruses and infections remain,persistent intermittent nausea to this day, Disturbed sleep patterns, irritability, inability to focus, severe short-term memory loss that persists. My life has not been the same. Healthcare professionals tried to be helpful but not sympathetic and never actually believed me; listed almost identical reactions.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Feeling cold, Feeling hot, Headache, Hot flush
Clinical narrative: Complete loss of use to both hands, fire and ice sensations in extremities, tremors, temporary paralysis in hands and arms, swollen lymph nodes on neck, itching burning rash on back of neck and head, loss of appetite, chronic headache, chronic hot flashes, swollen joints in hands, feet, ankles, knees, hips, persistent painful arthritis like symptoms in hands to this day, visibly swollen joints in hands and wrist that came out of nowhere and severely limit mobility and use of my hands today, persistent and chronic infections treated with antibiotics of various kinds without much luck and categorized viruses and infections remain,persistent intermittent nausea to this day, Disturbed sleep patterns, irritability, inability to focus, severe short-term memory loss that persists. My life has not been the same. Healthcare professionals tried to be helpful but not sympathetic and never actually believed me; listed almost identical reactions.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Infection, Irritability, Joint swelling, Lymphadenopathy, Mobility decreased
Clinical narrative: Complete loss of use to both hands, fire and ice sensations in extremities, tremors, temporary paralysis in hands and arms, swollen lymph nodes on neck, itching burning rash on back of neck and head, loss of appetite, chronic headache, chronic hot flashes, swollen joints in hands, feet, ankles, knees, hips, persistent painful arthritis like symptoms in hands to this day, visibly swollen joints in hands and wrist that came out of nowhere and severely limit mobility and use of my hands today, persistent and chronic infections treated with antibiotics of various kinds without much luck and categorized viruses and infections remain,persistent intermittent nausea to this day, Disturbed sleep patterns, irritability, inability to focus, severe short-term memory loss that persists. My life has not been the same. Healthcare professionals tried to be helpful but not sympathetic and never actually believed me; listed almost identical reactions.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Monoplegia, Nausea, Paralysis, Rash, Rash pruritic
Clinical narrative: Complete loss of use to both hands, fire and ice sensations in extremities, tremors, temporary paralysis in hands and arms, swollen lymph nodes on neck, itching burning rash on back of neck and head, loss of appetite, chronic headache, chronic hot flashes, swollen joints in hands, feet, ankles, knees, hips, persistent painful arthritis like symptoms in hands to this day, visibly swollen joints in hands and wrist that came out of nowhere and severely limit mobility and use of my hands today, persistent and chronic infections treated with antibiotics of various kinds without much luck and categorized viruses and infections remain,persistent intermittent nausea to this day, Disturbed sleep patterns, irritability, inability to focus, severe short-term memory loss that persists. My life has not been the same. Healthcare professionals tried to be helpful but not sympathetic and never actually believed me; listed almost identical reactions.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tremor
Clinical narrative: Complete loss of use to both hands, fire and ice sensations in extremities, tremors, temporary paralysis in hands and arms, swollen lymph nodes on neck, itching burning rash on back of neck and head, loss of appetite, chronic headache, chronic hot flashes, swollen joints in hands, feet, ankles, knees, hips, persistent painful arthritis like symptoms in hands to this day, visibly swollen joints in hands and wrist that came out of nowhere and severely limit mobility and use of my hands today, persistent and chronic infections treated with antibiotics of various kinds without much luck and categorized viruses and infections remain,persistent intermittent nausea to this day, Disturbed sleep patterns, irritability, inability to focus, severe short-term memory loss that persists. My life has not been the same. Healthcare professionals tried to be helpful but not sympathetic and never actually believed me; listed almost identical reactions.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufacture. initial and booster)-
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Dizziness, Fatigue, Muscular weakness, Nausea
Clinical narrative: My left arm so sore could not use it .. the lower arm muscle was swollen and enlarged and felt sprained.. I could not straighten arm without incredible pain hurting.. got very nauseous could not eat and very very tired.. unable to sleep through the night pain in body resulted in fetal position crying. Leg muscles very weak and I was light headed. Cannot touch left arm.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Sleep disorder, Tenderness
Clinical narrative: My left arm so sore could not use it .. the lower arm muscle was swollen and enlarged and felt sprained.. I could not straighten arm without incredible pain hurting.. got very nauseous could not eat and very very tired.. unable to sleep through the night pain in body resulted in fetal position crying. Leg muscles very weak and I was light headed. Cannot touch left arm.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Employee given expired flu vaccination.  Expiration date of 06/30/21.  No signs or symptoms reported thus far.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Fall, Loss of consciousness, Pyrexia
Clinical narrative: On night of 9/23 she had a 103 fever, chills, dizzy and weakness  On 9/24 she fell down unconscious  and threw up on the floor, rushed to hospital via ambulance  on 9/23 she also received the flu vax but the parent didnt know which vax she got   Hospital is guessing it was seizures
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seizure, Vomiting
Clinical narrative: On night of 9/23 she had a 103 fever, chills, dizzy and weakness  On 9/24 she fell down unconscious  and threw up on the floor, rushed to hospital via ambulance  on 9/23 she also received the flu vax but the parent didnt know which vax she got   Hospital is guessing it was seizures
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: On night of 9/23 she had a 103 fever, chills, dizzy and weakness  On 9/24 she fell down unconscious  and threw up on the floor, rushed to hospital via ambulance  on 9/23 she also received the flu vax but the parent didnt know which vax she got   Hospital is guessing it was seizures