chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Myelodysplastic syndrome, Pancytopenia, Platelet count normal
Clinical narrative: Patient is a 61 year old man, known to Dr., treating for MDS with venetaclax and dacogen, C9 on 12/13-12/17.  He is currently holding for evaluation for cholecystectomy.  He was found to have acute cholecystitis in December, but was determined to not be a surgical candidate at that time due to pancytopenia.  Surgery recommended fu in 6-8wks for OP cholecystectomy.    He has been transfusion dependent.  He was recently admitted overnight to medical center after presenting to facility with hypotension, profound anemia, and hypoxia on 1/25.  He was admitted overnight for stabilization, blood transfusion, and monitoring.   He was d/c on 1/26 after being monitored overnight.  BC on 1/25/22 1/2 bottles positive for staph hemolyticus.  Patient was started on Levaquin 750mg daily and give 2G of vanc x1 on 1/27.  He does not have a port or a PICC line.  Patient presented to the ER on 2/2 w/ weakness and lightheadedness.  ER included CBC that revealed pancytopenia: WBC 2.8; hgb 8.3; plt 22k-- this is about his baseline. LA 3.6, down to 3.0 and PCT 0.5. Blood pressures initially 60s over 40s, HR/O2/respirations have all looked good though. He is on RA.  He is currently off all bp meds since December.  His BPs improved to 90s over 70s with MAPS in the 80s after 2L of LR.  He complains of DOE, weakness, and dizziness when standing or exertion.  Denies abdominal pain, n/v, diarrhea, constipation.  Blood cultures, UA/urine culture, CT CAP are all pending.  Will admit for infectious work up.      DISCHARGE SUMMARY IS PENDING IN MEDICAL RECORDS.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin increased, Staphylococcus test positive, Transfusion, White blood cell count decreased
Clinical narrative: Patient is a 61 year old man, known to Dr., treating for MDS with venetaclax and dacogen, C9 on 12/13-12/17.  He is currently holding for evaluation for cholecystectomy.  He was found to have acute cholecystitis in December, but was determined to not be a surgical candidate at that time due to pancytopenia.  Surgery recommended fu in 6-8wks for OP cholecystectomy.    He has been transfusion dependent.  He was recently admitted overnight to medical center after presenting to facility with hypotension, profound anemia, and hypoxia on 1/25.  He was admitted overnight for stabilization, blood transfusion, and monitoring.   He was d/c on 1/26 after being monitored overnight.  BC on 1/25/22 1/2 bottles positive for staph hemolyticus.  Patient was started on Levaquin 750mg daily and give 2G of vanc x1 on 1/27.  He does not have a port or a PICC line.  Patient presented to the ER on 2/2 w/ weakness and lightheadedness.  ER included CBC that revealed pancytopenia: WBC 2.8; hgb 8.3; plt 22k-- this is about his baseline. LA 3.6, down to 3.0 and PCT 0.5. Blood pressures initially 60s over 40s, HR/O2/respirations have all looked good though. He is on RA.  He is currently off all bp meds since December.  His BPs improved to 90s over 70s with MAPS in the 80s after 2L of LR.  He complains of DOE, weakness, and dizziness when standing or exertion.  Denies abdominal pain, n/v, diarrhea, constipation.  Blood cultures, UA/urine culture, CT CAP are all pending.  Will admit for infectious work up.      DISCHARGE SUMMARY IS PENDING IN MEDICAL RECORDS.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Injection site pain
Clinical narrative: Patient received an expired dose of Pfizer Covid-19 vaccine. It was out of the refrigerator at 1700 on 2/8/22 at 1700, expired at 2300, then administered 2/9/22 at 0915-0930. Patient so far does not c/o of any adverse symptoms other than expected pain at injection site.
Age: 10.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 9.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WRITTEN Incorrectly AND AGE WRITTEN AS 12 ON CONSENT SIGNED BY INDIVIDUAL IDENTIFYING AS MOTHER.  CHILD IDENTIFIED IN database WITH correct date of birth. CHILD TOO YOUNG FOR VACCINE ON 8/18/2021.
Age: 6.0
Sex: U
Vaccine: PPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt was given prevnar when should have been influenza......
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Magnetic resonance imaging
Clinical narrative: Bells Palsy
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills, Fatigue, Impaired work ability, Myalgia
Clinical narrative: It started about 24 hours after the injection. I got bone pain and muscle pain and fatigue. I felt like I was coming down with the flu. I had chills. I checked my temperature, I had a fever that was 101 F. which increased to 104 degrees. I had nausea, no vomiting and I was unable to go to work for two days. Took Tylenol 650mg for the fever. I called the doctor the next morning after the first 24hours and they told me to stay hydrated and take Tylenol, take clear fluid and rest. They said if it does not get better in the morning they wanted me to come in.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: It started about 24 hours after the injection. I got bone pain and muscle pain and fatigue. I felt like I was coming down with the flu. I had chills. I checked my temperature, I had a fever that was 101 F. which increased to 104 degrees. I had nausea, no vomiting and I was unable to go to work for two days. Took Tylenol 650mg for the fever. I called the doctor the next morning after the first 24hours and they told me to stay hydrated and take Tylenol, take clear fluid and rest. They said if it does not get better in the morning they wanted me to come in.
Age: 47.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Mobility decreased, Pain, Swelling, Vaccination site discolouration
Clinical narrative: Swelling, painful,  limited arm movement, Purplish color where vaccine was placed.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Skin warm
Clinical narrative: Pain, red, swollen, "rash" keeps growing.  Doctor at URGENT CARE  prescribed cephalexin 500 mg capsule. (2 caps for 7 days).  Monday night it hurt, I took Tylenol and iced it.  Tuesday and Wednesday same thing and  it was pink. Thursday it was spreading down my arm and it was hot to the touch and red. Went to urgent care.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Chills, Dehydration, Hyperhidrosis
Clinical narrative: At 2100 on the date of my vaccination, I started to feel body aches, chills, feverish, weak, and skin sensitivity. I was very shaky and weak all night into the next day and night. I also experienced abdominal cramping at certain times and dehydration from sweating profusely (showed by a fast heart rate and dark urine). I treated my symptoms with rest, water/hydration, and regular doses of ibuprofen.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Sensitive skin, Tremor
Clinical narrative: At 2100 on the date of my vaccination, I started to feel body aches, chills, feverish, weak, and skin sensitivity. I was very shaky and weak all night into the next day and night. I also experienced abdominal cramping at certain times and dehydration from sweating profusely (showed by a fast heart rate and dark urine). I treated my symptoms with rest, water/hydration, and regular doses of ibuprofen.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pfizer pediatric (PEDS) 0.2ml dose administered as first dose to 14yo female. No reports of any adverse events in retrospective review.  Dose should have been Pfizer 12+ 0.3ml.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test normal, COVID-19, Chest X-ray normal, Chest pain, Dyspnoea
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 01/24/2022, started experiencing symptoms 02/01/2022 of irregular heartbeat, chest pains, and shortness of breath. Emergency Room transport Hospital/ Admitted for Observation. EKG preformed = Normal/Blood Panel = Normal/Chest X-Ray =Normal/High Sensitivity Troponint = Normal. Symptoms have subsided. No noted Primary visit/communications. (Treating Physician) (Covid+ 01/04/2022)
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram normal, Full blood count, Heart rate irregular, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 01/24/2022, started experiencing symptoms 02/01/2022 of irregular heartbeat, chest pains, and shortness of breath. Emergency Room transport Hospital/ Admitted for Observation. EKG preformed = Normal/Blood Panel = Normal/Chest X-Ray =Normal/High Sensitivity Troponint = Normal. Symptoms have subsided. No noted Primary visit/communications. (Treating Physician) (Covid+ 01/04/2022)
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Balance disorder, Chest pain, Dysarthria, Dyspnoea exertional
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 01/24/2022, started experiencing symptoms 02/01/2022 of irregular heartbeat, chest pains, and shortness of breath. Emergency Room transport Hospital/ Admitted for Observation. EKG preformed = Normal/Blood Panel = Normal/Chest X-Ray =Normal/High Sensitivity Troponint = Normal. Symptoms have subsided. No noted Primary visit/communications. (Treating Physician) (Covid+ 01/04/2022)
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Gait disturbance, Heart rate increased, Mobility decreased, Palpitations
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 01/24/2022, started experiencing symptoms 02/01/2022 of irregular heartbeat, chest pains, and shortness of breath. Emergency Room transport Hospital/ Admitted for Observation. EKG preformed = Normal/Blood Panel = Normal/Chest X-Ray =Normal/High Sensitivity Troponint = Normal. Symptoms have subsided. No noted Primary visit/communications. (Treating Physician) (Covid+ 01/04/2022)
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac stress test, Chest pain, Dyspnoea, Exercise test, Fatigue
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 01/24/2022, started experiencing symptoms 02/01/2022 of irregular heartbeat, chest pains, and shortness of breath. Emergency Room transport Hospital/ Admitted for Observation. EKG preformed = Normal/Blood Panel = Normal/Chest X-Ray =Normal/High Sensitivity Troponint = Normal. Symptoms have subsided. No noted Primary visit/communications. (Treating Physician) (Covid+ 01/04/2022)
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Palpitations, Post-acute COVID-19 syndrome
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 01/24/2022, started experiencing symptoms 02/01/2022 of irregular heartbeat, chest pains, and shortness of breath. Emergency Room transport Hospital/ Admitted for Observation. EKG preformed = Normal/Blood Panel = Normal/Chest X-Ray =Normal/High Sensitivity Troponint = Normal. Symptoms have subsided. No noted Primary visit/communications. (Treating Physician) (Covid+ 01/04/2022)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Hallucination, Headache, Lethargy
Clinical narrative: Hallucination, chills, fever, lethargic, headache, foggy vision.  Patient still feels foggy as at 02/11/2022
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vision blurred
Clinical narrative: Hallucination, chills, fever, lethargic, headache, foggy vision.  Patient still feels foggy as at 02/11/2022
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Annuloplasty, Atrial enlargement, C-reactive protein increased, Cardiac imaging procedure abnormal
Clinical narrative: Patient received Covid-19 Pfizer vaccine on 3/26 and 4/16/21 and the Covid-19 Moderna booster dose on 11/4/21.  Patient presented to BWH on 1/24/22 after OP echo revealed interval worsening of pericardial effusion with tamponade physiology on formal TTE. Patient had an episode of positional abdominal discomfort and was diagnosed with pericarditis on 1/20/21 based on EKG and labs. Patient began on colchicine and ibuprofen for medical management with improvement in symptoms. Patient found to have diffuse ST changes consistent with pericarditis. Patient completed a course of ibuprofen with plan for outpatient cardiology re assessment.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac tamponade, Echocardiogram, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram ST segment abnormal
Clinical narrative: Patient received Covid-19 Pfizer vaccine on 3/26 and 4/16/21 and the Covid-19 Moderna booster dose on 11/4/21.  Patient presented to BWH on 1/24/22 after OP echo revealed interval worsening of pericardial effusion with tamponade physiology on formal TTE. Patient had an episode of positional abdominal discomfort and was diagnosed with pericarditis on 1/20/21 based on EKG and labs. Patient began on colchicine and ibuprofen for medical management with improvement in symptoms. Patient found to have diffuse ST changes consistent with pericarditis. Patient completed a course of ibuprofen with plan for outpatient cardiology re assessment.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Inferior vena cava dilatation, Laboratory test abnormal, Left ventricular dysfunction, Pericardial effusion, Pericardial fibrosis
Clinical narrative: Patient received Covid-19 Pfizer vaccine on 3/26 and 4/16/21 and the Covid-19 Moderna booster dose on 11/4/21.  Patient presented to BWH on 1/24/22 after OP echo revealed interval worsening of pericardial effusion with tamponade physiology on formal TTE. Patient had an episode of positional abdominal discomfort and was diagnosed with pericarditis on 1/20/21 based on EKG and labs. Patient began on colchicine and ibuprofen for medical management with improvement in symptoms. Patient found to have diffuse ST changes consistent with pericarditis. Patient completed a course of ibuprofen with plan for outpatient cardiology re assessment.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Red blood cell sedimentation rate increased, Right ventricular dysfunction, Right ventricular ejection fraction decreased, Tricuspid valve incompetence
Clinical narrative: Patient received Covid-19 Pfizer vaccine on 3/26 and 4/16/21 and the Covid-19 Moderna booster dose on 11/4/21.  Patient presented to BWH on 1/24/22 after OP echo revealed interval worsening of pericardial effusion with tamponade physiology on formal TTE. Patient had an episode of positional abdominal discomfort and was diagnosed with pericarditis on 1/20/21 based on EKG and labs. Patient began on colchicine and ibuprofen for medical management with improvement in symptoms. Patient found to have diffuse ST changes consistent with pericarditis. Patient completed a course of ibuprofen with plan for outpatient cardiology re assessment.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin T increased, Ventricular hypokinesia
Clinical narrative: Patient received Covid-19 Pfizer vaccine on 3/26 and 4/16/21 and the Covid-19 Moderna booster dose on 11/4/21.  Patient presented to BWH on 1/24/22 after OP echo revealed interval worsening of pericardial effusion with tamponade physiology on formal TTE. Patient had an episode of positional abdominal discomfort and was diagnosed with pericarditis on 1/20/21 based on EKG and labs. Patient began on colchicine and ibuprofen for medical management with improvement in symptoms. Patient found to have diffuse ST changes consistent with pericarditis. Patient completed a course of ibuprofen with plan for outpatient cardiology re assessment.
Age: 13.0
Sex: M
Vaccine: PNC20
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Not aware of any
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Arrhythmia, Body temperature increased, Burning sensation, Headache
Clinical narrative: Temp 101; loss of taste; severe muscle pain; severe headache; throat closing; heart arrhythmias; severe congestion; injection site pain; burning in hands and feet. Saw general practitioner the following week.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Respiratory tract congestion, Throat tightness
Clinical narrative: Temp 101; loss of taste; severe muscle pain; severe headache; throat closing; heart arrhythmias; severe congestion; injection site pain; burning in hands and feet. Saw general practitioner the following week.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Fever, chills, nausea, diarrhea, headache, bone pain, sleeplessness and fatigue.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Nausea, Pyrexia
Clinical narrative: Fever, chills, nausea, diarrhea, headache, bone pain, sleeplessness and fatigue.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: Patient diagnosed by his physician with SIRVA (reported minimal detail).
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Menstrual disorder, Palpitations, Vaccination site erythema, Vaccination site pain
Clinical narrative: I developed "Covid-Arm" after vaccine #2 and #3- a painful raised, red, warm area underneath my vaccination site. It stayed this way for several days after vaccination.  I had palpitations, and a resting heart rate in the 90's for 24 hours after vaccine #3.  My normal resting heart rate is in the low 70's per my Watch.  I also have an IUD and do not normally menstruate. My first cycle after the vaccine #3 lasted for 2 weeks.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site warmth
Clinical narrative: I developed "Covid-Arm" after vaccine #2 and #3- a painful raised, red, warm area underneath my vaccination site. It stayed this way for several days after vaccination.  I had palpitations, and a resting heart rate in the 90's for 24 hours after vaccine #3.  My normal resting heart rate is in the low 70's per my Watch.  I also have an IUD and do not normally menstruate. My first cycle after the vaccine #3 lasted for 2 weeks.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal faeces, Fluid retention, Musculoskeletal pain, Pain in extremity
Clinical narrative: Arm still sore after a year of taking the vaccine. Went to the dr and they don't know what to do. She is swelling up with fluid. Having pain in her buttocks and stool is like mud.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Computerised tomogram normal, Cyst, Enzyme activity normal, Intensive care
Clinical narrative: It started earlier in day I started to have pain in upper abdomen, I felt feverish, got worse. Felt swollen pain unbearable to the point where I had to go to emergency room. They checked to make sure not gallbladder, appendicitis, pregnancy realized I had sepsis and admitted me to ICU. Found I had pancreatitis, and did a bunch of test to find that I had acute pancreatitis that caused sepsis. There for a week until cleared up and they released me. They still don't know what happened. I went for a follow up at local hospital, CT scan and bloodwork. They said it's mostly resolved nothing they can see. The cyst has shrunk.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pancreatitis, Pregnancy test negative, Pyrexia, Sepsis
Clinical narrative: It started earlier in day I started to have pain in upper abdomen, I felt feverish, got worse. Felt swollen pain unbearable to the point where I had to go to emergency room. They checked to make sure not gallbladder, appendicitis, pregnancy realized I had sepsis and admitted me to ICU. Found I had pancreatitis, and did a bunch of test to find that I had acute pancreatitis that caused sepsis. There for a week until cleared up and they released me. They still don't know what happened. I went for a follow up at local hospital, CT scan and bloodwork. They said it's mostly resolved nothing they can see. The cyst has shrunk.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: It started earlier in day I started to have pain in upper abdomen, I felt feverish, got worse. Felt swollen pain unbearable to the point where I had to go to emergency room. They checked to make sure not gallbladder, appendicitis, pregnancy realized I had sepsis and admitted me to ICU. Found I had pancreatitis, and did a bunch of test to find that I had acute pancreatitis that caused sepsis. There for a week until cleared up and they released me. They still don't know what happened. I went for a follow up at local hospital, CT scan and bloodwork. They said it's mostly resolved nothing they can see. The cyst has shrunk.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Pain
Clinical narrative: Pain in left shoulder starting a couple hours after the dose.  Patient has been in constant dull pain subjectively at a 5 on the pain scale per patient on 02/11/2022.  Massaging the arm makes it feel better for about an hour then the pain returns.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Pfizer vaccine at 11 years old. Vaccine not approved for children as of 9/2021.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper storage (temperature).
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: On 1/5/2022, at 10:20 am, patient came into the clinic for the 2nd COVID-19 shot. Patient given a double dose of the Moderna COVID-19 vaccine. Patient waited a full 15 minutes after shot before leaving. Investigation revealed no treatment needed. Patient had no adverse reaction to this vaccination.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Patient stated she has been having arm pain/shooting pains at injection site since vaccine. She uses topical creams, but just now mentioning this to the pharmacy. She said the pain hurts most at night when sleeping on arm. Recommended doctor visit and gave recommendations on some OTC products that may work better than current regimen.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles (herpes zoster) thoracoabdominal dermatome onset 1 week post Moderna booster
Age: 32.0
Sex: F
Vaccine: FLUC4
Symptoms: Muscle spasms, Muscle twitching, Tenderness
Clinical narrative: Muscle cramping throughout extremities; arms, hands, legs. Involuntary nerve twitching in elbow and hands/fingers. More pronounced in right arm/hand. Started around 1 pm and did not resolve until the following day.  Residual nerve tenderness in right elbow and wrist.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Dysstasia, Pain in extremity, Ultrasound scan
Clinical narrative: Began experiencing pain in my right leg on 1/10/2022. Symptoms increased over the next few days. On 1/21/2022 experienced severe pain and was unable to stand on right leg. Office visit on 1/24/2022 led to diagnosis of DVT in right leg. Began taking Xarelto 1/24/2022. Started wearing compression stocking. Status: Continuing discomfort in leg but became fully ambulatory after 10 days.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper storage (temperature).
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Pregnancy test negative
Clinical narrative: Missing period.  I have not had my period, which was supposed to start on 1/30.  I took a pregnancy test yesterday, which was negative.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received Pfizer COVID-19 vaccine beyond the manufacturer recommended 31 days at refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range, which is supported by the above data. No known adverse outcome.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, Narcolepsy, Somnolence, Syncope
Clinical narrative: total exasperation of narcolepsy . passing out. hallucinations. excessive daytime sleepiness
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Hypoaesthesia, Lip swelling
Clinical narrative: Within approx 5 minutes of receiving the vaccine, I first noticed what might be described as a wave of a metallic taste from the back of my mouth, immediately feeling numb in my right cheek, followed by numbness in my right arm and hand, numbness down to my right foot. Lips felt slightly swollen, no problems breathing or dizziness. As there was no improvement after a couple of hours, I called my health care provider, and they recommended that I go to their clinic as soon as possible, which I did.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: For the patient's second dose, she received undiluted pediatric Pfizer vaccine (0.2mL of undiluted vaccine). Patient's father contacted on the morning of 2/11/2022, when the incident was discovered. Inquired how the patient was feeling, he reported she "felt good" and she was "fine" after receiving her vaccination. He disclosed no concerns at this time. Patient's father was instructed to contact pharmacy with any future questions or concerns related to systemic side effects.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lethargy, Tinnitus
Clinical narrative: Very lethargic for a few days, had some dizziness and then tinnitus settled in the left ear. Constant 24/7; have been to my personal doctor, had an audiology hearing assessment. I have an appt with an ENT and am pursuing acupuncture. Oddly enough, I now know 5 people who have had this same side affect.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Feeling abnormal, Headache
Clinical narrative: I had COVID-19 within a month before being vaccinated. I had a very mild case and did not believe I was sick until I tested positive. I felt fine after COVID-19 and returned to work. The vaccine was mandated and I did not want to loose my job so I took the 1st vaccine. Now, I am exhausted all the time, it's hard for me to concentrate, I have headaches every day and my left arm feels weird. I believe all this is from the vaccine because I was fine even after having COVID-19.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration date.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Injection site pain, Myalgia, Pain in extremity
Clinical narrative: Approximately (5 1/2) hours at 3:35 pm after injection my arm became extremely sore at the injection site and extended outward. At about 6 pm I started having chills, muscle, and joint aches. At 6:30 pm I took 1 600mg ibuprofen, after about 30 mins I began to feel some relief from the chills. At about 12:00 am I started having an extreme experience of chills. I started shivering at an extreme level. I had a high fever the second day. Arm is still sore and swelling at my left collar bone area.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling
Clinical narrative: Approximately (5 1/2) hours at 3:35 pm after injection my arm became extremely sore at the injection site and extended outward. At about 6 pm I started having chills, muscle, and joint aches. At 6:30 pm I took 1 600mg ibuprofen, after about 30 mins I began to feel some relief from the chills. At about 12:00 am I started having an extreme experience of chills. I started shivering at an extreme level. I had a high fever the second day. Arm is still sore and swelling at my left collar bone area.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Vaccine positive rechallenge
Clinical narrative: Patient seen by PCP on 2/11/22 and reported the PCP that he as been experiencing PIPO and MCPO joint aching starting 3 months after 2nd Moderna shot and then recurring 1 week after Moderna booster and now persisting.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pruritus, Skin warm
Clinical narrative: Started with pain in the back of his head and started to itch approximately 25 minutes after vaccination. Tylenol administered per individual and his employer. Health facility administered Benadryl at 5:30pm when itching started. At 5:40pm stated he was feeling better, but warm and his pain was gone. At 5:43pm stated he was feeling better and went back to work on his own.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Same evening had fever of 100.6 F. and chills for 5-6 hours.
Age: 44.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Blood urine present, Burning sensation, Culture urine negative, Cystoscopy, Dysuria
Clinical narrative: 44yr old patient with history of HTN (on amlodipine-omesartan), prediabetes, obesity and other comorbidities presented for office visit on 9/27/2021.  During visit, MD ordered Tdap vaccine greater than or equal to 7yo IM (BOOSTRIX/ADACEL).  CMA administered Boostrix Tdap (LOT # 59TH3) IM in patient's left deltoid.  On 9/28, patient contacted RN triage line noting blood in urine that morning with painful/burning with urination.  Patient presented to urgent care.  Urine analysis showed + blood, urine culture mixed flora (likely contamination).  UC PA prescribed ciprofloxacin.  Per notes, patient denied hematuria during follow up call on 9/29.  Appointment with Urology (scheduled for 10/8/21) canceled.  Reporter n .  Reporter notes undergoing cystoscopy and MRI (unable to verify).  Patient sent message 1/31/22 requesting information regarding lot and drug company of Tdap vaccine administered.  Information provided by office staff.  No indication that vaccine administration causes hematuria.
Age: 44.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Magnetic resonance imaging, Product administered to patient of inappropriate age, Urine analysis abnormal
Clinical narrative: 44yr old patient with history of HTN (on amlodipine-omesartan), prediabetes, obesity and other comorbidities presented for office visit on 9/27/2021.  During visit, MD ordered Tdap vaccine greater than or equal to 7yo IM (BOOSTRIX/ADACEL).  CMA administered Boostrix Tdap (LOT # 59TH3) IM in patient's left deltoid.  On 9/28, patient contacted RN triage line noting blood in urine that morning with painful/burning with urination.  Patient presented to urgent care.  Urine analysis showed + blood, urine culture mixed flora (likely contamination).  UC PA prescribed ciprofloxacin.  Per notes, patient denied hematuria during follow up call on 9/29.  Appointment with Urology (scheduled for 10/8/21) canceled.  Reporter n .  Reporter notes undergoing cystoscopy and MRI (unable to verify).  Patient sent message 1/31/22 requesting information regarding lot and drug company of Tdap vaccine administered.  Information provided by office staff.  No indication that vaccine administration causes hematuria.
Age: 44.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Blood urine present, Burning sensation, Culture urine negative, Cystoscopy, Penile discomfort
Clinical narrative: 44yr old patient with history of HTN (on amlodipine-omesartan), prediabetes, obesity and other comorbidities presented for office visit on 9/27/2021.  During visit, MD ordered Tdap vaccine greater than or equal to 7yo IM (BOOSTRIX/ADACEL).  CMA administered Boostrix Tdap (LOT # 59TH3) IM in patient's left deltoid.  On 9/28, patient contacted RN triage line noting blood in urine that morning with painful/burning with urination.  Patient presented to urgent care.  Urine analysis showed + blood, urine culture mixed flora (likely contamination).  UC PA prescribed ciprofloxacin.  Per notes, patient denied hematuria during follow up call on 9/29.  Appointment with Urology (scheduled for 10/8/21) canceled.  Reporter n .  Reporter notes undergoing cystoscopy and MRI (unable to verify).  Patient sent message 1/31/22 requesting information regarding lot and drug company of Tdap vaccine administered.  Information provided by office staff.  No indication that vaccine administration causes hematuria.
Age: 44.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Penile pain, Urinary hesitation, Urine analysis normal, Urogram normal
Clinical narrative: 44yr old patient with history of HTN (on amlodipine-omesartan), prediabetes, obesity and other comorbidities presented for office visit on 9/27/2021.  During visit, MD ordered Tdap vaccine greater than or equal to 7yo IM (BOOSTRIX/ADACEL).  CMA administered Boostrix Tdap (LOT # 59TH3) IM in patient's left deltoid.  On 9/28, patient contacted RN triage line noting blood in urine that morning with painful/burning with urination.  Patient presented to urgent care.  Urine analysis showed + blood, urine culture mixed flora (likely contamination).  UC PA prescribed ciprofloxacin.  Per notes, patient denied hematuria during follow up call on 9/29.  Appointment with Urology (scheduled for 10/8/21) canceled.  Reporter n .  Reporter notes undergoing cystoscopy and MRI (unable to verify).  Patient sent message 1/31/22 requesting information regarding lot and drug company of Tdap vaccine administered.  Information provided by office staff.  No indication that vaccine administration causes hematuria.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: None at this time
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site induration, Injection site swelling
Clinical narrative: Caregiver has reported symptoms of arm swelling/hardness at injection site that began on 1/14/22 post Covid-19 vaccine booster on 1/14/22 and worsened by 1/16/22. CG saw provider via Telehealth appointment, prescribed ABX for DX of Cellulitis and advised to apply warm compress to site.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Moderna vaccine held at lower temp than recommended by Moderna (-90 to -60 degrees Celsius). Moderna deemed vaccine viable for use.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient came County Health Dept. for Pfizer CV-19 vaccine accompanied by his mother. Additional family members in attendance. Looked at birth year, 2017, and mistakenly calculated that patient was five. Patient is 4 years, 10 months old. Gave 0.2 ml of properly diluted Pfizer-BioNTech Peds COVID-19 Vaccine in child?s left deltoid. Patient waited for 15 minutes in the lobby with family members without any adverse reactions. No signs or symptoms of acute distress. Patient left with family. Mother made aware County Health Dept. supervisor that the patient should not have received the vaccine. Mom reports no reactions at time of call.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Moderna vaccine held at lower temp than recommended by Moderna (-90 to -60 degrees Celsius). Moderna deemed vaccine viable for use.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Hot flush, Nausea, Taste disorder
Clinical narrative: Hot flushing and strong medicinal taste. Few days later nausea and diarrhea.
Age: 11.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper storage (temperature).
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID-19 infection.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration date.
Age: 9.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper storage (temperature).
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Body temperature fluctuation, Bone pain, Dizziness, Dysstasia
Clinical narrative: I got my shot on Friday at 4 PM and that night I felt kind of OK but on Saturday I felt super sick with a bad headache, exhaustion, dizziness, body aches, and I was just super tired, and all of the places my bones were broken were hurting, and my entire left arm seized up and it was immobilized but I expected that. The next day I had some care and friends came and helped with the baby and I also still felt very bad, almost as bad as Saturday. Monday I woke up and had been having severe abdominal cramps and I felt terrible. I had to sleep a lot and I felt like my milk production had dropped and my baby wasn't seeming super satisfied and it was taking 2 boobs rather that 1 to keep her calm. Tuesday morning I woke up and I felt like I was menstruating and I wasn't expecting it and my period came gushing and when I squatted to pee a whole pool of blood would come out. I contacted my obgyn who delivered my baby and she had encouraged me to get the booster and I wanted to ask if she had any other patients that experienced it but she said not to worry about it and I don't think she realized how severe the bleeding was. Wednesday I was having extreme bleeding and I was using baby diapers instead of pads and was bleeding through them that day and I thought maybe it was because it was my first period after my baby. I had my baby via C-section on September 26. Thursday my bleeding was still bad and I was bleeding through my pad. I also became very dizzy and by the end of the day I was having trouble getting up from standing and I felt nauseous while turning, sort of like vertigo symptoms. I was walking my daughter around in a stroller because I was afraid of dropping her. Today (02/11/2022) I'm still bleeding through my pad after 3-4 hours and I'm still feeling dizzy but not as exhausted anymore. My milk production seemed to drop and I'm taking supplements for that. Throughout this whole thing, since Tuesday, I've also been having hot flashes/fever waves and extreme shifts of temperature in my body.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Heavy menstrual bleeding, Hot flush
Clinical narrative: I got my shot on Friday at 4 PM and that night I felt kind of OK but on Saturday I felt super sick with a bad headache, exhaustion, dizziness, body aches, and I was just super tired, and all of the places my bones were broken were hurting, and my entire left arm seized up and it was immobilized but I expected that. The next day I had some care and friends came and helped with the baby and I also still felt very bad, almost as bad as Saturday. Monday I woke up and had been having severe abdominal cramps and I felt terrible. I had to sleep a lot and I felt like my milk production had dropped and my baby wasn't seeming super satisfied and it was taking 2 boobs rather that 1 to keep her calm. Tuesday morning I woke up and I felt like I was menstruating and I wasn't expecting it and my period came gushing and when I squatted to pee a whole pool of blood would come out. I contacted my obgyn who delivered my baby and she had encouraged me to get the booster and I wanted to ask if she had any other patients that experienced it but she said not to worry about it and I don't think she realized how severe the bleeding was. Wednesday I was having extreme bleeding and I was using baby diapers instead of pads and was bleeding through them that day and I thought maybe it was because it was my first period after my baby. I had my baby via C-section on September 26. Thursday my bleeding was still bad and I was bleeding through my pad. I also became very dizzy and by the end of the day I was having trouble getting up from standing and I felt nauseous while turning, sort of like vertigo symptoms. I was walking my daughter around in a stroller because I was afraid of dropping her. Today (02/11/2022) I'm still bleeding through my pad after 3-4 hours and I'm still feeling dizzy but not as exhausted anymore. My milk production seemed to drop and I'm taking supplements for that. Throughout this whole thing, since Tuesday, I've also been having hot flashes/fever waves and extreme shifts of temperature in my body.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Maternal exposure during breast feeding, Mobility decreased, Nausea, Pain
Clinical narrative: I got my shot on Friday at 4 PM and that night I felt kind of OK but on Saturday I felt super sick with a bad headache, exhaustion, dizziness, body aches, and I was just super tired, and all of the places my bones were broken were hurting, and my entire left arm seized up and it was immobilized but I expected that. The next day I had some care and friends came and helped with the baby and I also still felt very bad, almost as bad as Saturday. Monday I woke up and had been having severe abdominal cramps and I felt terrible. I had to sleep a lot and I felt like my milk production had dropped and my baby wasn't seeming super satisfied and it was taking 2 boobs rather that 1 to keep her calm. Tuesday morning I woke up and I felt like I was menstruating and I wasn't expecting it and my period came gushing and when I squatted to pee a whole pool of blood would come out. I contacted my obgyn who delivered my baby and she had encouraged me to get the booster and I wanted to ask if she had any other patients that experienced it but she said not to worry about it and I don't think she realized how severe the bleeding was. Wednesday I was having extreme bleeding and I was using baby diapers instead of pads and was bleeding through them that day and I thought maybe it was because it was my first period after my baby. I had my baby via C-section on September 26. Thursday my bleeding was still bad and I was bleeding through my pad. I also became very dizzy and by the end of the day I was having trouble getting up from standing and I felt nauseous while turning, sort of like vertigo symptoms. I was walking my daughter around in a stroller because I was afraid of dropping her. Today (02/11/2022) I'm still bleeding through my pad after 3-4 hours and I'm still feeling dizzy but not as exhausted anymore. My milk production seemed to drop and I'm taking supplements for that. Throughout this whole thing, since Tuesday, I've also been having hot flashes/fever waves and extreme shifts of temperature in my body.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Suppressed lactation
Clinical narrative: I got my shot on Friday at 4 PM and that night I felt kind of OK but on Saturday I felt super sick with a bad headache, exhaustion, dizziness, body aches, and I was just super tired, and all of the places my bones were broken were hurting, and my entire left arm seized up and it was immobilized but I expected that. The next day I had some care and friends came and helped with the baby and I also still felt very bad, almost as bad as Saturday. Monday I woke up and had been having severe abdominal cramps and I felt terrible. I had to sleep a lot and I felt like my milk production had dropped and my baby wasn't seeming super satisfied and it was taking 2 boobs rather that 1 to keep her calm. Tuesday morning I woke up and I felt like I was menstruating and I wasn't expecting it and my period came gushing and when I squatted to pee a whole pool of blood would come out. I contacted my obgyn who delivered my baby and she had encouraged me to get the booster and I wanted to ask if she had any other patients that experienced it but she said not to worry about it and I don't think she realized how severe the bleeding was. Wednesday I was having extreme bleeding and I was using baby diapers instead of pads and was bleeding through them that day and I thought maybe it was because it was my first period after my baby. I had my baby via C-section on September 26. Thursday my bleeding was still bad and I was bleeding through my pad. I also became very dizzy and by the end of the day I was having trouble getting up from standing and I felt nauseous while turning, sort of like vertigo symptoms. I was walking my daughter around in a stroller because I was afraid of dropping her. Today (02/11/2022) I'm still bleeding through my pad after 3-4 hours and I'm still feeling dizzy but not as exhausted anymore. My milk production seemed to drop and I'm taking supplements for that. Throughout this whole thing, since Tuesday, I've also been having hot flashes/fever waves and extreme shifts of temperature in my body.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy
Clinical narrative: Daily headaches for 45 days. Right neck lymph node swelling for 1 week.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: No adverse event, Underdose
Clinical narrative: This report is for a vaccine error only (no adverse event). After diluting the vaccine and drawing up in the syringe, I removed the air bubbles and there was only 0.4ml left in the syringe. I ended up giving the vaccine to the patient at 0.4ml and later found out anything under 0.45ml doesn't count and has to be re-administered 4 weeks later. I have left a voicemail for the patient and will continue following up with him to correct this error.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Patient complained of ringing in both of her ears within a minute or two of receiving the vaccine. It lasted several hours.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Haemorrhage, Polycystic ovaries, Thrombosis, Ultrasound scan
Clinical narrative: Was on my period when I got the first vaccine and within a couple of days I started to clot, which I never do. My bleeding never stopped and when I got the second shot a month later it caused the bleeding o get so bad I ended up in the ER. I have always had regular periods and have never had clotting issues until I was vaccinated. I had to be on birth control which I was never on to stop the bleeding because I was anemic at this point. I then was diignosed with PCOS which I never had any symptoms of prior,