chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Patient seen to receive the Pfizer BioNTech booster vaccine. Patient denied complications with the first and second dose of Pfizer vaccine. Denied allergic reactions to vaccines in the past. Patient received vaccine around 1425. At approximately 1435 patient reported a tightness in throat and stated, "her tongue felt too wide for her mouth". Patient said she took 25 mg of benadryl that she brought from home right after receiving vaccine. Vitals were stable with a blood pressure of 123/76, pulse 69 and pulse oximeter read 98%. Reported no shortness of breath or difficulty breathing. Denied itching and injection site did not appear swollen or red. Patient did not appear stressed or anxious. Writer examined tongue and mouth and it did not appear swollen. Vitals remained stable. At 2:45 patient's tongue and throat were reassessed. Patient's tongue appeared more swollen, speech was slightly impaired and voice more hoarse sounding. A rapid response was called. Epinephrine injection of 0.15 mg was administered. Epi pen expiration date was 06/2022. At 1447, blood pressure was 141/85, pulse 70 and pulse oximeter 97%. A clinic doctor arrived at the scene to assess patient and 911 was called. MD assessed patient's lungs, examined throat and tongue. EMS arrived at 1505. Upon EMS arrival patient's tongue had slightly improved but still appeared swollen. Patient also reported some numbness and tingling in her cheeks. Triage RN called patient's husband as requested by patient. Report given to EMS. EMS transported patient to hospital per protocol.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Headache, Myalgia
Clinical narrative: Headache, muscle pain, joint pain, chills, nausea, stomach cramps. For 28 hours Treatment: rest, fluids, ibuprofen
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Headache, muscle pain, joint pain, chills, nausea, stomach cramps. For 28 hours Treatment: rest, fluids, ibuprofen
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Oropharyngeal pain, Pharyngeal swelling, Pruritus, Urticaria
Clinical narrative: 2 days after injection started itching from head to toe, by that evening was breaking out in huge gives all over my body, by 4th day eyes were starting to swell and throat was a little swollen and sore
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: MY PHARMACY STUDENT INTERN ADMINISTERED MODERNA BOOSTER 0.25ML TO A 9 YR OLD CHILD INSTEAD OF THE PFIZER 0.2ML (5-11YR) WHICH WAS ALREADY DRAWN UP AND SITTING ON TOP OF THE CHILDS CONSENT FORM.  THE CHILD MOM AND DAD WERE IN THE ROOM ALSO GETTING THEIR MODERNA BOOSTER VACCINES AND THE WRONG SYRINGE WAS GRABBED AND ADMINISTERED.  WE MONITORED THE CHILD FOR 20 MINUTES, SHE WAS ANXIOUS, BUT DOING FINE.  WILL CONTACT THE CHILDS PEDIATRICIAN TO INFORM THEM OF THE INCIDENT AND CONTACT THE PARENTS IN THE MORNING TO CHECK IN ON THE CHILD.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia
Clinical narrative: Case completed Covid vaccine series 4/11/21 then was hospitalized for Covid 6 months later.   Acute respiratory failure due to COVID-19  Assessment & Plan Acute respiratory failure secondary to COVID-19 infection, pneumonia. Patient with hypoxia admission requiring up to 2 L to maintain oxygen saturation above 90%. Patient with underlying COPD but no oxygen dependency at home. We will continue with oxygen for support to maintain oxygen saturation 88 to 92% in the setting of COPD. RT to evaluate and treat as needed. Treat underlying COVID-19 pneumonia.  Pneumonia due to COVID-19 virus Assessment & Plan Patient with 5-day history of mild upper respiratory congestion and one-time episode of hemoptysis on the day of admission which prompted her visit to the emergency room. Medical history includes both cardiac and pulmonary disease. Patient not on any oxygen at home and in emergency required up to 2 L of oxygen to maintain oxygen saturation above 90%. Found to be COVID-19 positive. CTA done and negative for pulmonary embolism but consistent with inflammatory or infectious pneumonia.   Patient initiated remdesivir for 5 days to complete therapy 10/28/2021 or sooner on the day of discharge. Initiate dexamethasone 6 mg p.o. daily. CMP daily while on remdesivir. Oxygen for support with goal of oxygen saturation between 88 and 92% in setting of COPD.   Patient recently on prednisone taper at home and per her report taking 20 mg of prednisone daily. Did not alter dexamethasone dosing.   Told patient not to continue prednisone on discharge and take dexamethasone instead.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiogenic shock, Haemoptysis, Pneumothorax, SARS-CoV-2 test positive, Upper respiratory tract congestion
Clinical narrative: Case completed Covid vaccine series 4/11/21 then was hospitalized for Covid 6 months later.   Acute respiratory failure due to COVID-19  Assessment & Plan Acute respiratory failure secondary to COVID-19 infection, pneumonia. Patient with hypoxia admission requiring up to 2 L to maintain oxygen saturation above 90%. Patient with underlying COPD but no oxygen dependency at home. We will continue with oxygen for support to maintain oxygen saturation 88 to 92% in the setting of COPD. RT to evaluate and treat as needed. Treat underlying COVID-19 pneumonia.  Pneumonia due to COVID-19 virus Assessment & Plan Patient with 5-day history of mild upper respiratory congestion and one-time episode of hemoptysis on the day of admission which prompted her visit to the emergency room. Medical history includes both cardiac and pulmonary disease. Patient not on any oxygen at home and in emergency required up to 2 L of oxygen to maintain oxygen saturation above 90%. Found to be COVID-19 positive. CTA done and negative for pulmonary embolism but consistent with inflammatory or infectious pneumonia.   Patient initiated remdesivir for 5 days to complete therapy 10/28/2021 or sooner on the day of discharge. Initiate dexamethasone 6 mg p.o. daily. CMP daily while on remdesivir. Oxygen for support with goal of oxygen saturation between 88 and 92% in setting of COPD.   Patient recently on prednisone taper at home and per her report taking 20 mg of prednisone daily. Did not alter dexamethasone dosing.   Told patient not to continue prednisone on discharge and take dexamethasone instead.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient's mother inadvertently gave both son's consent forms to pediatric vaccinator. Brother is 11y/o, pt in this report is 13y/o and should've received an adult dose. The RN then inadvertently gave the 5-11y/o pediatric Pfizer vaccine 0.2mL to the 13y/o for their second dose in series instead of giving the Pfizer adult dose at 0.3mL. Mother was made aware of the error and was educated on s/s to report, follow-up. that report with VAERS was being filed, and encouraged to contact clinic or EMS services if s/s or medical concerns arrive. Writer spoke with mom approx 5hrs after pt administration and mom said pt was "doing fine" stated she would monitor pt through the night and update clinic with any questions or concerns. Mom stated she felt "guilty" "I knew he was supposed to get an adult dose I just wasn't thinking" and was assured this was not her error or fault and clinic would address error with staff. Mom was educated that no additional dosing is needed and clinic would continue to follow-up.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pallor, Syncope
Clinical narrative: syncopal episode occurred after pediatric COVID vaccination. patient lying down on floor, pallor noted. chest rising  noted. no difficulty breathing.  raised his legs for some time, he open his eyes. He was nauseated but no emesis . Vital signs stable and  O2 was normal 100%.. Pt back to base line. No SOB noticed. No pallor noted. A &O x 3.  Verbally responsive and able to ambulate.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: 4mins post vaccination pt reported that w/ previous Pfizer vaccinations he had elevated BP lasting ~30mins.  Pt was otherwise asymptomatic. Vitals: 16:19 173/84, 94, 20, 99% -- > 16:22 172/91, 93, 20, 100% -- > 16:25 154/78 -- > 16:29 152/67, 90, 20, 100% -- > 16:38 171/68 -- > 16:50 143/64, 94, 20, 100% Pt released at 16:50 in stable condition.  Pt walked to exit w/ slow steady gait.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: 2 minute seizure in early morning, self resolving after 2 minutes. Now back to normal self. Normal exam.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Insomnia, Migraine, Pain in extremity, Paraesthesia
Clinical narrative: Soreness in the arm for over a week. Bothers so much during the night causing me to have sleepless nights. I get a tingling sensation starting on my elbow that runs down to my arm and causes some of my fingers to fall asleep. I was really groggy for a couple days almost as if I have a cold. I now get these terrible migranes that come and go.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Soreness in the arm for over a week. Bothers so much during the night causing me to have sleepless nights. I get a tingling sensation starting on my elbow that runs down to my arm and causes some of my fingers to fall asleep. I was really groggy for a couple days almost as if I have a cold. I now get these terrible migranes that come and go.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Oropharyngeal discomfort, Paraesthesia, Throat irritation
Clinical narrative: Patient came to vaccine clinic for Moderna booster (half dose), post receiving booster jab, patient complained of right hand tingling and right leg/foot tingling, patient also complained of light-headed feeling. patient then verbalized "throat feeling strange".   Pt assessed, vital signs performed and Rapid Response called and patient taken to emergency Department. Patient received dose in left arm and then had numbness and tingling to right arm and right leg. Pt. feeling light-headed, with a  Scratchy throat and chills. VSS.  Pt eval'd in ED and discharged a few hours later. Epi 0.3 mg IV and oral diphenhydramine 50 mg both given x1
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dermatitis, Fatigue, Nasal congestion, Pruritus
Clinical narrative: In the evening of 11/15, I became itchy. By the early morning of 11/16, I had broken out in hives across my abdomen, the side of my body, my arms, and legs. I had a health appointment with an NP at who diagnosed hives/dermatitis (cause unknown) and prescribed a course of prednisone and OTC antihistamines and anti-inflammatory medication. Serious adverse symptoms persisted for two or three days, including hives, itching, swelling and joint pain (maybe due to the steroids?), and fatigue. I was tired and not able to focus on work or do other activities, so I rested. Overall, it took about two weeks before I started feeling better.  During the second week of illness, I became congested and began taking Sudafed. I continue to experience very mild symptoms that seem related to the histamine reaction, e.g., I will develop red splotches on my hands, body, and face from time to time, including after washing my hands or taking a shower or exerting myself or experiencing some friction. But there is no longer any pain or itching associated with these reactions.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Rash erythematous, Swelling, Urticaria
Clinical narrative: In the evening of 11/15, I became itchy. By the early morning of 11/16, I had broken out in hives across my abdomen, the side of my body, my arms, and legs. I had a health appointment with an NP at who diagnosed hives/dermatitis (cause unknown) and prescribed a course of prednisone and OTC antihistamines and anti-inflammatory medication. Serious adverse symptoms persisted for two or three days, including hives, itching, swelling and joint pain (maybe due to the steroids?), and fatigue. I was tired and not able to focus on work or do other activities, so I rested. Overall, it took about two weeks before I started feeling better.  During the second week of illness, I became congested and began taking Sudafed. I continue to experience very mild symptoms that seem related to the histamine reaction, e.g., I will develop red splotches on my hands, body, and face from time to time, including after washing my hands or taking a shower or exerting myself or experiencing some friction. But there is no longer any pain or itching associated with these reactions.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Dyspnoea, Electroencephalogram normal, Respiratory disorder
Clinical narrative: Since 09/2021 I have been having breathing issues. It is hard to get a full breath in. I went to my doctor in September and was prescribed an inhaler and steroids that have not helped so now I have to go see a pulmonary specialist 12/13/2021. I also went to Urgent car in the beginning of November because I was struggling to get more than 4 words out at a time and I was wheezing. This lasted for a couple of days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Since 09/2021 I have been having breathing issues. It is hard to get a full breath in. I went to my doctor in September and was prescribed an inhaler and steroids that have not helped so now I have to go see a pulmonary specialist 12/13/2021. I also went to Urgent car in the beginning of November because I was struggling to get more than 4 words out at a time and I was wheezing. This lasted for a couple of days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Catheterisation cardiac normal, Chest pain, Cold sweat, Dizziness
Clinical narrative: On 3/30/2021, I received the second dose of Moderna. On 4/5/2021, I underwent an echocardiogram. No abnormalities were detected. On 10/4/2021, while I was washing floors, I began to feel winded, dizzy, and like I was about to pass out. I broke out into a cold sweat and had chest pains. I called my cardiologist's office, and I was advised to go to the ER. I went to the ER. An EKG was done, and then I underwent a heart catheterization, as they thought at the time I was having a heart attack. When they saw that there were no blockages, they determined I had a case of Takotsubo cardiomyopathy. I was kept in the ICU for a day and a half, and then I was transferred to the cardiac care unit. Bloodwork, EKGs, and echocardiograms were done daily. I was hospitalized for 5 days and then released on 10/9/2021. I was told that it could take a couple of months for me to fully recover and that I should take things easy. I was prescribed metoprolol, which I took for 2 weeks; however, it gave me such a terrible headache that my cardiologist advised me to stop taking it. He then told me I could take low-dose "aspirin." My lisinopril dosage was also cut in half.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram, Intensive care, Stress cardiomyopathy
Clinical narrative: On 3/30/2021, I received the second dose of Moderna. On 4/5/2021, I underwent an echocardiogram. No abnormalities were detected. On 10/4/2021, while I was washing floors, I began to feel winded, dizzy, and like I was about to pass out. I broke out into a cold sweat and had chest pains. I called my cardiologist's office, and I was advised to go to the ER. I went to the ER. An EKG was done, and then I underwent a heart catheterization, as they thought at the time I was having a heart attack. When they saw that there were no blockages, they determined I had a case of Takotsubo cardiomyopathy. I was kept in the ICU for a day and a half, and then I was transferred to the cardiac care unit. Bloodwork, EKGs, and echocardiograms were done daily. I was hospitalized for 5 days and then released on 10/9/2021. I was told that it could take a couple of months for me to fully recover and that I should take things easy. I was prescribed metoprolol, which I took for 2 weeks; however, it gave me such a terrible headache that my cardiologist advised me to stop taking it. He then told me I could take low-dose "aspirin." My lisinopril dosage was also cut in half.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Fall, Mobility decreased, X-ray
Clinical narrative: In general, ability to lift legs when stepping up ltd to 3". That day, was unable to lift when attempting to step into be using a smaller singular step.  Foot caught underneath and slid downwards onto lower legs (from knees down to both ankles -- including shins); no strike of hip joints incurred. Unable to rise to standing position; transported by EMS to Hospital ER.   Final ER diagnoses listed: [W19.XXXA] Fall, initial encounter [M79.604] Right leg pain  Later at home that evening, bruising noted on both knees, extending down both shins noted.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated, Gaze palsy, Musculoskeletal stiffness, Posture abnormal
Clinical narrative: The patient was waiting in the waiting room for her 15 minute reaction time.  Her father gave her a bottled water to drink and she drank a few sips of water, then she bent over to start vomiting.  I ran to her with a garbage can.  Then, she started to faint with her eyes rolled back and all of her limbs became stiff.  We immediately called 911.  We gently placed her on the ground from her chair and raised her legs.  Her body began to have tremors like a seizure and her neck bent backwards, then we offered an epi pen injection, but her father refused.  She started talking again and we took her blood pressure.  It was elevated.  Then, the paramedics arrived and they started to treat her and monitor her vitals.  After their assessment and cleared her to go home, they offered to take her to the ER, but she refused to go to the hospital.  Her father told me that she fainted with her first dose of Janssen back in April at a different pharmacy and along with other vaccines; however, the patient lied on the pre-screening questions about reactions to vaccines and did not inform the immunizer.  She only stated that she is afraid of needles.  The patient decided to go home and the paramedics released her as their patient.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Syncope, Tremor, Vomiting
Clinical narrative: The patient was waiting in the waiting room for her 15 minute reaction time.  Her father gave her a bottled water to drink and she drank a few sips of water, then she bent over to start vomiting.  I ran to her with a garbage can.  Then, she started to faint with her eyes rolled back and all of her limbs became stiff.  We immediately called 911.  We gently placed her on the ground from her chair and raised her legs.  Her body began to have tremors like a seizure and her neck bent backwards, then we offered an epi pen injection, but her father refused.  She started talking again and we took her blood pressure.  It was elevated.  Then, the paramedics arrived and they started to treat her and monitor her vitals.  After their assessment and cleared her to go home, they offered to take her to the ER, but she refused to go to the hospital.  Her father told me that she fainted with her first dose of Janssen back in April at a different pharmacy and along with other vaccines; however, the patient lied on the pre-screening questions about reactions to vaccines and did not inform the immunizer.  She only stated that she is afraid of needles.  The patient decided to go home and the paramedics released her as their patient.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine, Vaccine positive rechallenge
Clinical narrative: Status migranous. Migraines lasting 3 weeks so far Had same reaction to shot number 2
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PATIENT RECEIVED 0.2ML DOSE. SHE WAS SUPPOSED TO RECEIVE 0.3ML DOSE.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccine.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES.
Age: 80.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Headache, Inappropriate schedule of product administration, Malaise
Clinical narrative: Client had Moderna vaccines for Covid on Jan 20 and Feb 20 2021.  Developed symptoms of Covid 11/18 - nasal congestion, cough, headache.  PCR + for Covid 11/22.
Age: 80.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: Client had Moderna vaccines for Covid on Jan 20 and Feb 20 2021.  Developed symptoms of Covid 11/18 - nasal congestion, cough, headache.  PCR + for Covid 11/22.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching, Tremor
Clinical narrative: Left arm/hand tremors, and some left facial twitching.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Wrong product administered
Clinical narrative: client signed up for Pfizer vaccine. At Vaccine station she was asked if she was getting Janssen, She said yes. Janssen administered. When vaccinator looked at label says she received Pfizer.  At this instance she was asked again what dose she was looking for and she say Pfizer.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Cough, Dizziness
Clinical narrative: Pt called hospital call center on 10/5/21 401pm reporting dizziness, chills, cough, vomiting and SOB  in AM but she feels better now. Pt also complains of chest pressure and pain but also states feeling better. Onset of symptoms started on 10/5/21. Advised pt to go to ED immediately or call 911, pt verbalized understanding but states she wants to monitor herself a little more but understands the importance of going to ED.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Vomiting
Clinical narrative: Pt called hospital call center on 10/5/21 401pm reporting dizziness, chills, cough, vomiting and SOB  in AM but she feels better now. Pt also complains of chest pressure and pain but also states feeling better. Onset of symptoms started on 10/5/21. Advised pt to go to ED immediately or call 911, pt verbalized understanding but states she wants to monitor herself a little more but understands the importance of going to ED.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient inadvertently received a third dose of Moderna. First dose received on 07/08/2021. Second dose received on 08/03/2021. A third dose was received on 12/01/2021. Client denies respiratory and cardiovascular distress. AAOx4, ambulatory. BP 132/81, T 97.0, HR 73, SpO2 99% room air. Client was observed for 30 minutes
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: Fever of 101.7 at 730pm on 11/29/21 up to 102.7 by 9pm with arm pain and headaches and lots of shivering, and treated with Tylenol.  Fever returned to 102.5 on 11/30/21 by 3pm and treated again with Tylenol, she also had another headache then.  Low grade fever of 100.8 at 6am on 12/1/21 but acting like normal self.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Nasopharyngitis
Clinical narrative: It first started as a cold a week after the vaccination, I get yearly allergies so I though it was my allergies or maybe a cold, I did not get fever or any other symptom.  I was seen by my provided a few weeks later and she said I had bronchitis. I was given medication to treat the bronchitis, I was also given the albuterol treatment to help with my breathing. I have been feeling a bit better after the medicine. I have a recheck appointment on January 17 and  on  February 21 I see a pneumologist.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dizziness, Tinnitus
Clinical narrative: She is dizzy at times it's worse than others but pretty constant, she had ringing in her ear and her stomach as been upset off and on.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Death, Oropharyngeal pain
Clinical narrative: This is a case of breakthrough COVID-19 disease that resulted in death.   The individual was vaccinated with the Moderna product on 01/28/2021 and 02/25/2021.   The individual then developed symptoms including fever, chills, cough, and sore throat on 11/08/2021.   The individual had a positive COVID-19 PCR panel from a specimen collected on 11/12/2021.   The individual was hospitalized 11/21/2021 until their death on 11/22/2021.   I do not have death certificate details or underlying medical conditions immediately available to me at this time.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is a case of breakthrough COVID-19 disease that resulted in death.   The individual was vaccinated with the Moderna product on 01/28/2021 and 02/25/2021.   The individual then developed symptoms including fever, chills, cough, and sore throat on 11/08/2021.   The individual had a positive COVID-19 PCR panel from a specimen collected on 11/12/2021.   The individual was hospitalized 11/21/2021 until their death on 11/22/2021.   I do not have death certificate details or underlying medical conditions immediately available to me at this time.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac murmur, Chest pain, Dizziness, EGFR status assay, Echocardiogram
Clinical narrative: severe chest pains starting around dinner time the day of shot and fatigue,  Dizziness and light headedness Muscle soreness throughout the body
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Full blood count abnormal, Metabolic function test, Myalgia
Clinical narrative: severe chest pains starting around dinner time the day of shot and fatigue,  Dizziness and light headedness Muscle soreness throughout the body
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer increased, Tachycardia
Clinical narrative: Elevated ddimer, tachycardia, shortness of breath, hospitalization
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: 1.8ml of diluten was not administered to the vial of Covid  19 Pfizer vaccine, it was not capped.  The medical assistant giving the vaccine did not notice that it had not been diluted and gave the entire vial to the patient.  She did not file the process of giving the vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Migraine, Neck pain, Neuralgia
Clinical narrative: Patient developed ongoing chronic migraine, dizziness, neuropathic scalp and neck pain since the time of vaccination April 2021.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin
Clinical narrative: Patient developed ongoing chronic migraine, dizziness, neuropathic scalp and neck pain since the time of vaccination April 2021.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Case completed Covid vaccine in March 2021, then was hospitalized for Covid in October 2021 * Pneumonia due to COVID-19 virus Assessment & Plan Presents with cough, sob, weakness present 7-9 days. Covid + on admission. H/o pfizer vaccination in Feb 2020. Poor oral intake and too weak to care for at home. Due to advanced dementia, mostly comfort measures at home, but wife would like to see if he would improve with some treatment. He had modest hypoxia on arrival with 88% oxygen saturation on room air, required oxygen supplement of 1 to 2 L, and progressed to normal oxygenation on room air. He denied cough or shortness of breath and early in stay he was lethargic with poor mobility with progression to ambulating independently in the room, standby assist in transfers, able to get on the off the toilet independently. He was treated with dexamethasone 6 mg daily and remdesivir, both x5 days. His oral intake improved needed part of meal prior to discharge. He appears near his baseline is going to return home with care of family.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Hypoxia, Influenza A virus test, Influenza B virus test, Lethargy
Clinical narrative: Case completed Covid vaccine in March 2021, then was hospitalized for Covid in October 2021 * Pneumonia due to COVID-19 virus Assessment & Plan Presents with cough, sob, weakness present 7-9 days. Covid + on admission. H/o pfizer vaccination in Feb 2020. Poor oral intake and too weak to care for at home. Due to advanced dementia, mostly comfort measures at home, but wife would like to see if he would improve with some treatment. He had modest hypoxia on arrival with 88% oxygen saturation on room air, required oxygen supplement of 1 to 2 L, and progressed to normal oxygenation on room air. He denied cough or shortness of breath and early in stay he was lethargic with poor mobility with progression to ambulating independently in the room, standby assist in transfers, able to get on the off the toilet independently. He was treated with dexamethasone 6 mg daily and remdesivir, both x5 days. His oral intake improved needed part of meal prior to discharge. He appears near his baseline is going to return home with care of family.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: Case completed Covid vaccine in March 2021, then was hospitalized for Covid in October 2021 * Pneumonia due to COVID-19 virus Assessment & Plan Presents with cough, sob, weakness present 7-9 days. Covid + on admission. H/o pfizer vaccination in Feb 2020. Poor oral intake and too weak to care for at home. Due to advanced dementia, mostly comfort measures at home, but wife would like to see if he would improve with some treatment. He had modest hypoxia on arrival with 88% oxygen saturation on room air, required oxygen supplement of 1 to 2 L, and progressed to normal oxygenation on room air. He denied cough or shortness of breath and early in stay he was lethargic with poor mobility with progression to ambulating independently in the room, standby assist in transfers, able to get on the off the toilet independently. He was treated with dexamethasone 6 mg daily and remdesivir, both x5 days. His oral intake improved needed part of meal prior to discharge. He appears near his baseline is going to return home with care of family.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dizziness, Fatigue, Haematochezia, Headache
Clinical narrative: I had a headache on the 24th, blood in his stools 11/27/2021, dizziness, vomiting, fatigue, sore arms.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Vomiting
Clinical narrative: I had a headache on the 24th, blood in his stools 11/27/2021, dizziness, vomiting, fatigue, sore arms.
Age: 10.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccine.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Purpura, Rash erythematous, Rash pruritic
Clinical narrative: ITCHY RED RASH THAT BLEEDS EASILY ON DAILY BASIS
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomyopathy, Hypokalaemia, Laboratory test, Metanephrine urine increased, Type V hyperlipidaemia
Clinical narrative: NICM, Mixed hyperlipidemia, hypokalemia, Elevated Metanephrines, mayocardia.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: flu-like symptoms began about 24 hours later, achy, feverish, headache, fatigue. Lasted about 24 hours.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPRELY STORED VACCINES
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dyspnoea, Hyperhidrosis, Vomiting
Clinical narrative: Abdominal cramping, SOB, vomiting, sweating.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Debilitating fatigue lasting several weeks
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Interchange of vaccine products
Clinical narrative: Pt previously received Janssen COVID vaccine 5mins post vaccination pt reported dizziness. Vitals: 119/74, 82, 18 Pt stable and released from the vaccination site.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Axillary pain, Breast pain, Erythema, Extra dose administered
Clinical narrative: Pt called hospital call ceneter on 10/11/21. Pt is A/Ox4 and in no acute distress. Per pt, she received 3rd dose Pfizer on 10/7/2021 and for the first couple of days after the shot, felt generally ill (fatigue, IM site pain, some redness and swelling). Pt began to feel better but states IM site pain continues today and extends to the underarm and near the breast, with some limited arm movement. Pt feeling some anxiety. Pt denies treating the symptoms, states she wanted to observe her body naturally.  Pt prefers to go to private PCP. Pt educated on ED precautions.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injected limb mobility decreased, Injection site pain, Malaise, Swelling
Clinical narrative: Pt called hospital call ceneter on 10/11/21. Pt is A/Ox4 and in no acute distress. Per pt, she received 3rd dose Pfizer on 10/7/2021 and for the first couple of days after the shot, felt generally ill (fatigue, IM site pain, some redness and swelling). Pt began to feel better but states IM site pain continues today and extends to the underarm and near the breast, with some limited arm movement. Pt feeling some anxiety. Pt denies treating the symptoms, states she wanted to observe her body naturally.  Pt prefers to go to private PCP. Pt educated on ED precautions.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing
Clinical narrative: after giving injection patient was told to sit in waiting area for 30 minutes.within minutes he complained of dizziness,felt flush.i called EMS.While waiting patient said he felt better and no need to call EMS.I  told him i did not want to cancel call.EMS  came and took vitalss(bp,sugar,oxygen,,) said all was fine.Patient said he felt well and went home.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient was given a Pfizer booster third dose, which is not eligible for the age of 15 years old (patient's age) under the current CDC guidelines. Patient reports no adverse reactions upon administration during observation periods of 15 minutes. In addition, the patient was not eligible for the booster at the time of visit.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was vaccinated with pfizer booster 1 month early due to misread dates on cdc card. Card and dates written in different format (day/month/year)
Age: 31.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dehydration, Electrocardiogram normal, Fatigue, Full blood count normal, Headache
Clinical narrative: The day after the vaccine I had high heart rate even after being inactive or 10 minutes. I went to the hospital where everything came back normal but they gave me fluids for dehydration. I have also been experiencing fatigue, headaches and pain/swelling in the lymph nodes in my armpits. I am also still experiencing high heart rate while inactive after leaving the hospital. I have a follow up with my PCP scheduled for Saturday 12/4/2021.
Age: 31.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Heart rate increased, Lymph node pain, Lymphadenopathy
Clinical narrative: The day after the vaccine I had high heart rate even after being inactive or 10 minutes. I went to the hospital where everything came back normal but they gave me fluids for dehydration. I have also been experiencing fatigue, headaches and pain/swelling in the lymph nodes in my armpits. I am also still experiencing high heart rate while inactive after leaving the hospital. I have a follow up with my PCP scheduled for Saturday 12/4/2021.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Injury, Loss of consciousness
Clinical narrative: PATIENT PASSED OUT AND INJURIED HIMSELF DUE TO FALL DURING MANDATORY WAITING PERIOD. HE REGAINED CONSCIOUSNESS RIGHT AWAY. PARAMEDICS CAME AND CHECKED HIS VITAL. HE DID NOT GO TO HOSPITAL AND LEFT THE PHARMACY.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated with COVID breakthrough infection and inpatient hospital stay
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO SIGNS AND SYMPTOMS OBSERVED DURING THE 15 MINUTES OBSERVATION  PERIOD.   IN ORDER TO REDUCE  REOCCURRENCE OF THIS TYPE OF INCIDENCE, WE PLAN TO EDUCATE OUR STAFF ON THE STRONG PATIENT IDENTIFIERS ( I.E, NAME, DOB, AND CORRECT AGE OF PATIENT). THEREBY, REINFORCING THE CORRECT VACCINE ADMINISTRATION.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Menstrual disorder, Muscle spasms, Pain, Polymenorrhoea
Clinical narrative: headaches, body aches, changes in menstrual  cycle( severe cramping, headaches, multiple periods in one cycle) asprin
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Urticaria
Clinical narrative: received second covid vaccine at 1710, patient upset and crying prior to vaccine, dad noticed red rash/hives on belly five minutes after vaccine given, no resp distress. Seen by CRNP, Benadryl given at 1725, hives resolving by 1745.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Cardiac stress test, Chest pain, Dizziness, Dyspnoea
Clinical narrative: With my regular exerting exercise (biking uphill): left chest pain radiates to back, shortness of breath, light-headedness, fatigue last few minutes. Requires immediate rest. Started this week 11/29/21 on Metropolol 25mg and baby Aspirin 81mg after having a Cardiac Stress test with same effects.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: With my regular exerting exercise (biking uphill): left chest pain radiates to back, shortness of breath, light-headedness, fatigue last few minutes. Requires immediate rest. Started this week 11/29/21 on Metropolol 25mg and baby Aspirin 81mg after having a Cardiac Stress test with same effects.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Headache, Hemiplegic migraine, Respiratory rate increased, Visual impairment
Clinical narrative: At 9:00 am on 11/29/2021, patient began to notice a partial loss of vision and a severe headache.  This progressed to inability to speak, rapid breathing, and some loss of motor function.  She was at school and went to the school nurse.  As the symptoms progressed, the nurse called 911 at approximately 11:00 am.  Symptoms began to clear in transit to the ER.  By approximately 12:30 pm symptoms were mostly gone except for headache.  Her headache subsided over the next 24 hours.  The ER doctors, patient, diagnosed patient with a hemiplegic migraine.  patient had never experienced any of these symptoms previously. patient is scheduled to follow up with a neurologist on 12/15/2021.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for patients Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Death, Dyspnoea, Mental status changes
Clinical narrative: This is an instance of breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Moderna product on 12/30/2020 and 01/27/2021.   The individual became symptomatic on 04/17/2021 and tested positive for COVID-19 on 04/17/2021.   The individual was hospitalized 05/01/2021-05/04/2021 with a chief complaint of altered mental status; they were found to be septic and have a UTI and also to have developed pneumonia.  The individual responded well to antibiotics, and was therefore discharged to the long-term care facility at which they were a resident. The individual  continued to be monitored for prolonged shortness of breath,  and ultimately passed away on 05/10/2021.   Death Certificate details are as follows:  Part I Cause of Death    A: Pneumonia    B: COPD Part II Other Significant Conditions    COVID 19, Diabetes Mellitus, Schizophrenia