chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Leukocytosis, Lung disorder, Metabolic function test normal, Prohormone brain natriuretic peptide increased, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider:  PA-C Attending Physician:  MD Primary Care Provider at Discharge: None Physician, DO  Admission Date: 9/10/2022 Discharge Date: 09/15/2022  PRESENTING PROBLEM: Hypoxia  COVID-19    HOSPITAL COURSE: Patient is an 80 year old male with past medical history of CAD, HLD, HTN, hx of left preauricular squamous cell carcinoma with mets to lymph nodes s/p resection, chemo and radiation, memory impairment, and chronic back pain with history of compression fractures s/p vertebroplasty. He presented to ED following recurrent falls. In the ED, he was found to be hypoxic and placed on 3 L NC. COVID positive. CBC showed mild leukocytosis. CMP unremarkable, ProBNP found to be elevated. CXR clear with mild coarsening of lung markings. He was admitted for further treatment. He was given one dose of IV lasix and admitted for further care. He was started on remdesivir and decadron. Supplemental oxygen was weaned to room air at rest but did require supplemental O2 with activity. He was seen by pulmonary rehab who recommended 2 L NC with activity. He completed 5 days of remdesivir. He will be discharged with decadron to complete 10 day course.    He underwent echo with showed preserved EF without significant valvular disease. Orthostatics notable for elevated BP when lying flat, however patient reported worsening back pain when flat. No significant change in standing BPs. He was seen by PT/OT who recommended return home to his independent living facility where he resides with his wife. He was felt stable for discharge home on 9/15 and his son/DPOA was also informed and in agreement with this plan. He was advised to arrange follow up appointment with his PCP within 1 week. PCP to determine duration of supplemental oxygen use as it is expected he will continue to improve and may not need this permanently.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Audiogram abnormal, Balance disorder, Chills, Deafness, Ear infection
Clinical narrative: On the day after the vaccine approximately 24 to 36 hours later I started to feel the typical side effects that people report with these vaccines such as chills slight elevation and temperature although not greater than 100.4 so not a fever and the symptoms including body ache or the worse that I had had since my first AstraZeneca vaccine it back in November 2020 which I received as part of the trial I got two Astro Zeneca?s two regular Pfizer?s two regular Moderna's and then this bivalent moderna  approximately 2 1/2 months after my only infection with Covid.   I do not have any true immunocompromised conditions but decided to get the second booster of Moderna due to high risk occupational.  Also bmi 25+. In addition to those usual symptoms I also had a mild sore throat which I thought was strange and test it once for Covid negative on an antigen test although my children were all tested routinely several times around this time and they were all negative. I?ve been developed in severe pain in my left ear approximately four days after the vaccine which as a physician I thought could only be an ear infection acute otitis media given my lack of exposure to water and no prior year history or concerns in the setting of a possible viral URI. I took one dose of Augmentin and then went to urgent care and saw somebody a physician not a mid-level the next day who agreed that it was an ear infection and said they would prescribe a course of Augmentin for me to complete. They wrote otitis externa in the discharge paperwork however so unclear if that was a clerical error or if there?s a misunderstanding of the diagnosis and treatment plan for the condition. Over the next week during which I was taking the Augmentin I started to notice that there was a persistent hearing loss despite an improvement of the pain symptoms and improvement of the slight dysequilibruum. Approximately three days after finishing the antibiotic on Monday the 19th I went to see an ENT about the persistent hearing loss in light of the possible misdiagnosis given at urgent care. I did indeed have some mild hearing loss at the 6000 and 8000 frequencies decibels were 30 or 35. Ent did not see fluid behind tm as possible  cause of persisting loss. Suggestion for possible ssnhl led to rx steroids. Pending mri. Given some studies showing associated with ssnhl in vaccines for covid decided to report.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ear pain, Extra dose administered, Oropharyngeal pain, Otitis externa, Otitis media acute
Clinical narrative: On the day after the vaccine approximately 24 to 36 hours later I started to feel the typical side effects that people report with these vaccines such as chills slight elevation and temperature although not greater than 100.4 so not a fever and the symptoms including body ache or the worse that I had had since my first AstraZeneca vaccine it back in November 2020 which I received as part of the trial I got two Astro Zeneca?s two regular Pfizer?s two regular Moderna's and then this bivalent moderna  approximately 2 1/2 months after my only infection with Covid.   I do not have any true immunocompromised conditions but decided to get the second booster of Moderna due to high risk occupational.  Also bmi 25+. In addition to those usual symptoms I also had a mild sore throat which I thought was strange and test it once for Covid negative on an antigen test although my children were all tested routinely several times around this time and they were all negative. I?ve been developed in severe pain in my left ear approximately four days after the vaccine which as a physician I thought could only be an ear infection acute otitis media given my lack of exposure to water and no prior year history or concerns in the setting of a possible viral URI. I took one dose of Augmentin and then went to urgent care and saw somebody a physician not a mid-level the next day who agreed that it was an ear infection and said they would prescribe a course of Augmentin for me to complete. They wrote otitis externa in the discharge paperwork however so unclear if that was a clerical error or if there?s a misunderstanding of the diagnosis and treatment plan for the condition. Over the next week during which I was taking the Augmentin I started to notice that there was a persistent hearing loss despite an improvement of the pain symptoms and improvement of the slight dysequilibruum. Approximately three days after finishing the antibiotic on Monday the 19th I went to see an ENT about the persistent hearing loss in light of the possible misdiagnosis given at urgent care. I did indeed have some mild hearing loss at the 6000 and 8000 frequencies decibels were 30 or 35. Ent did not see fluid behind tm as possible  cause of persisting loss. Suggestion for possible ssnhl led to rx steroids. Pending mri. Given some studies showing associated with ssnhl in vaccines for covid decided to report.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: On the day after the vaccine approximately 24 to 36 hours later I started to feel the typical side effects that people report with these vaccines such as chills slight elevation and temperature although not greater than 100.4 so not a fever and the symptoms including body ache or the worse that I had had since my first AstraZeneca vaccine it back in November 2020 which I received as part of the trial I got two Astro Zeneca?s two regular Pfizer?s two regular Moderna's and then this bivalent moderna  approximately 2 1/2 months after my only infection with Covid.   I do not have any true immunocompromised conditions but decided to get the second booster of Moderna due to high risk occupational.  Also bmi 25+. In addition to those usual symptoms I also had a mild sore throat which I thought was strange and test it once for Covid negative on an antigen test although my children were all tested routinely several times around this time and they were all negative. I?ve been developed in severe pain in my left ear approximately four days after the vaccine which as a physician I thought could only be an ear infection acute otitis media given my lack of exposure to water and no prior year history or concerns in the setting of a possible viral URI. I took one dose of Augmentin and then went to urgent care and saw somebody a physician not a mid-level the next day who agreed that it was an ear infection and said they would prescribe a course of Augmentin for me to complete. They wrote otitis externa in the discharge paperwork however so unclear if that was a clerical error or if there?s a misunderstanding of the diagnosis and treatment plan for the condition. Over the next week during which I was taking the Augmentin I started to notice that there was a persistent hearing loss despite an improvement of the pain symptoms and improvement of the slight dysequilibruum. Approximately three days after finishing the antibiotic on Monday the 19th I went to see an ENT about the persistent hearing loss in light of the possible misdiagnosis given at urgent care. I did indeed have some mild hearing loss at the 6000 and 8000 frequencies decibels were 30 or 35. Ent did not see fluid behind tm as possible  cause of persisting loss. Suggestion for possible ssnhl led to rx steroids. Pending mri. Given some studies showing associated with ssnhl in vaccines for covid decided to report.
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Aphasia, Dizziness, Fall, Headache, Hyperhidrosis
Clinical narrative: Patient and his mother were sitting down in the waiting area post-vaccination. Patient reports feeling pain in his head and blurry vision. Mother reports patient stopped talking and fell over in chair. She caught patient before he hit the floor and called for help. I (pharmacist and Immunizer) helped support the patient for several minutes. He was dizzy and not talking. He was visibly sweating and shaky. After about 3-5 minutes the patient felt better. In a few more minutes his vision returned to normal.
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nervousness, Vision blurred
Clinical narrative: Patient and his mother were sitting down in the waiting area post-vaccination. Patient reports feeling pain in his head and blurry vision. Mother reports patient stopped talking and fell over in chair. She caught patient before he hit the floor and called for help. I (pharmacist and Immunizer) helped support the patient for several minutes. He was dizzy and not talking. He was visibly sweating and shaky. After about 3-5 minutes the patient felt better. In a few more minutes his vision returned to normal.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and Swollen area next to the injection site
Age: 54.0
Sex: M
Vaccine: FLUR4, VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Fever, injection site soreness/redness (right arm only) and fatigue. Side effects resolved after 2 days, patient came to pharmacy on 9/16/2022 to report side effects - took his temperature during visit twice, had no fever (96.7F both times).
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases normal, Blood test, Carpal tunnel syndrome, Chest X-ray normal, Computerised tomogram normal
Clinical narrative: On July 23, 2022, I woke up with a blood shot eye and numbness in my arm as well.  My arm was numb from the top of my shoulder to my fingertips.   I went to the ER and the intake nurse asked some neurological questions to ensure I was not having a stroke.  I was told that my eye would selfheal in a few weeks.  I was referred to a neurologist and was diagnosed with carpal tunnel syndrome on August 22, 2022.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Influenza A virus test negative, Influenza B virus test, Ocular hyperaemia, SARS-CoV-2 test negative
Clinical narrative: On July 23, 2022, I woke up with a blood shot eye and numbness in my arm as well.  My arm was numb from the top of my shoulder to my fingertips.   I went to the ER and the intake nurse asked some neurological questions to ensure I was not having a stroke.  I was told that my eye would selfheal in a few weeks.  I was referred to a neurologist and was diagnosed with carpal tunnel syndrome on August 22, 2022.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: None. Recommendation is to give bivalent not monovalent.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Feeling abnormal, Impaired work ability, Migraine, Muscle twitching
Clinical narrative: I continue to be extremely exhausted, with migraine, frequent muscle twitching. Extreme brain fog. I haven't been able to work or function normally for 2 weeks now.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test
Clinical narrative: I continue to be extremely exhausted, with migraine, frequent muscle twitching. Extreme brain fog. I haven't been able to work or function normally for 2 weeks now.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient is 11 years old
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Dyspnoea, Feeling abnormal, Tremor
Clinical narrative: Patient woke up in middle of the night about 12 hours after receiving the vaccine with severe shaking and chills. He also noted slight difficulty in breathing. His shaking was so bad he could barely hold a glass of water. Patient states it lasted about 2 hours and has since resolved and just feels the normal "under the weather" feeling after a vaccine like the past vaccines.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: positive covid test in fully vaccinated symptomatic pt
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Pt started COVID Vaccine series with Moderna on 6/15/22.  Pt never went and received a second Moderna dose.  When pt was in the office for a physical, we gave a Pfizer dose as the second dose.
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: Disorientation, Nausea, Pneumonia, Respiratory distress, Vomiting
Clinical narrative: Tenant developed nausea and vomiting overnight following vaccine administration. Tenant was then sent to ER on 9/18 due to disorientation and respiratory distress. He was admitted to the hospital for pneumonia.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Fatigue, Impaired work ability, Injection site erythema
Clinical narrative: Received Moderna Bivalent Vaccine (Covid Vax #5 for me), on Friday, September 9.  On Sunday, September 11, I I experienced a large red spot on my arm, located below the injection site which lasted up to 4 days until it started to fade.    From Sunday, September 11 to Friday September 16,  I experienced unexplained dizziness, light-headed feeling and fatigue to which I was unable to work.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Fatigue, Mobility decreased
Clinical narrative: Admitted to hospital with increasing weakness and inability to get out of a chair. Also reports increased cough and fatigue. Treatment includes supplemental oxygen, remdesivir, and therapy.
Age: 19.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: COVID BIVALENT GIVEN INSTEAD OF COVID REGULAR FOR PRIMARY SERIES. ATTEMPTED TO CONTACT BUT UNABLE TO LEFT MESSAGE.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt was given the vaccine after the expiration date. Exp date 8/31/2022. Vaccine given on 9/9/2022
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: COVID-19  Vaccine was given to a patient that did not meet the age requirement at that specific time in 2021.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Pt was administered Moderna vaccine second dose that was 13 hours past the BUD date.  The Moderna vaccine was removed from the freezer and placed into the fridge with an assigned BUD date of 9/18/2022.  The pharmacist administering the vaccine administered the vaccine on 9/19/2022 around 1 pm. The administration error was not noted until processing around 5 pm.  The manufacturer has been contacted and is doing a test on that lot for stability. So far no adverse reactions have been reported and results of the stability testing will determine the next steps to take.
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Painful lymph node swelling under left armpit. Started the day after the vaccine and remained for 4 days.
Age: 0.58
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine was administered.   Contacted Moderna. Waiting for Lot analysis from Moderna.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Full blood count, Laboratory test, Malaise
Clinical narrative: I received the shot at 08:30 AM by 02:00 PM the same day my arm was sore twenty-four hours later I was feeling exhausted with body aches low grade fever chills with it fluctuating and generally unwell for seven days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pain, Pain in extremity, Pyrexia, Urine analysis
Clinical narrative: I received the shot at 08:30 AM by 02:00 PM the same day my arm was sore twenty-four hours later I was feeling exhausted with body aches low grade fever chills with it fluctuating and generally unwell for seven days.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On 09/03/2022 I had my vaccination. I woke up on 09/13/2022 with a cough congestion and some general fatigue. I took a at home COVID-19 test and it was negative. On 09/14/2022 I went to urgent care and tested COVID-19 Positive. I started Plaxovid on 09/14/2022. I am still having some chest congestion and cough on 09/20/2022.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Admitted to hospital 8/16/22 Death 9/13/22
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer monovalent vaccine instead of bivalent.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Lymphadenopathy, Pain
Clinical narrative: SWELLING, REDDNESS, HOT TO TOUCH TO INJECTION SITE, SWOLLEN LYMPH NODES TO LEFT SIDE OF ARM AND GROIN, PAINFUL
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Headache, Malaise, Pain
Clinical narrative: I had a mild drainage runny nose situation. I also had sinus pressure which led to headache. I also had body aches for 2 days but no fever. I had a general feeling of malaise. I took a COVID-19 Home test  on August 24, 2022 and it was negative. I still had symptoms on the 25th and it was positive. I contacted my physician and he indicated that I should take Tylenol. He prescribed Paxlovid but I did not take it due to the interaction with my other medication. It took about 3 days to recover and it took another week to get a negative. I went to the office on September 1st and had a blood panel drawn and it was normal.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a mild drainage runny nose situation. I also had sinus pressure which led to headache. I also had body aches for 2 days but no fever. I had a general feeling of malaise. I took a COVID-19 Home test  on August 24, 2022 and it was negative. I still had symptoms on the 25th and it was positive. I contacted my physician and he indicated that I should take Tylenol. He prescribed Paxlovid but I did not take it due to the interaction with my other medication. It took about 3 days to recover and it took another week to get a negative. I went to the office on September 1st and had a blood panel drawn and it was normal.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt was given vaccine past the expiration date. Vaccine given on 9/6/2022. Vaccines expired 8/31/2022.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Severe headache  High fever 101 Severe aches   All lasting approximately 24 hours.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Rash
Clinical narrative: 2nd booster june 7th, rash on both forearms and low BP 77/35 noticed june 9th
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Inadvertent administration of monovalent Pfizer instead of bivalent.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt received first Moderna COVID vaccine on 1/14/22 and never received the second.  When in the office for a WCC on 8/19/22, we administered Pfizer COVID vaccine for what was the second vaccine in the primary series.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Injection site vesicles, Injection site warmth, Migraine, Pain
Clinical narrative: Severe migraine, fever, aches and vomiting on Day 2. Blistering at the injection site on Day 3. Blisters remain and are sensitive to heat and touch.  Previous vaccines were Moderna (experienced very high fever, aches, migraine and nausea but no vomiting or blisters).
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Vomiting
Clinical narrative: Severe migraine, fever, aches and vomiting on Day 2. Blistering at the injection site on Day 3. Blisters remain and are sensitive to heat and touch.  Previous vaccines were Moderna (experienced very high fever, aches, migraine and nausea but no vomiting or blisters).
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: None. Pt was given a monovalent vs bivalent  vaccine
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Inadvertent administration of Pfizer monovalent instead of bivalent.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Inadvertent administration of monovalent Pfizer instead of bivalent.
Age: 32.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: COVID-19, Fatigue, Myalgia, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I received my first Pfizer booster for COVID-19 on 9/15/2021. Early in the morning on 4/11/2022, I developed a sore throat and runny nose. I then developed fatigue and muscle aches. On that day, I took a rapid test at work and got a positive result. I then went home and did a telehealth visit with my PCP, who prescribed me PAXLOVID. After the second day of taking the PAXLOVID, my symptoms improved. By 4/15/2022, my symptoms were gone. I was then able to return to work on 4/18/2022.
Age: 32.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I received my first Pfizer booster for COVID-19 on 9/15/2021. Early in the morning on 4/11/2022, I developed a sore throat and runny nose. I then developed fatigue and muscle aches. On that day, I took a rapid test at work and got a positive result. I then went home and did a telehealth visit with my PCP, who prescribed me PAXLOVID. After the second day of taking the PAXLOVID, my symptoms improved. By 4/15/2022, my symptoms were gone. I was then able to return to work on 4/18/2022.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Headache, Injection site erythema, Injection site pain, Insomnia
Clinical narrative: Sleeplessness the night of vaccination, following day not able to get out of bed, slight headache, total ?brain fog?, trouble putting sentences together, memory impaired, redness and pain at injection site. Lasting approx 48 hours and improving slowly after.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Language disorder, Memory impairment, Mobility decreased
Clinical narrative: Sleeplessness the night of vaccination, following day not able to get out of bed, slight headache, total ?brain fog?, trouble putting sentences together, memory impaired, redness and pain at injection site. Lasting approx 48 hours and improving slowly after.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Inadvertent administration of Pfizer monovalent instead of bivalent.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 3/6/21 Lot# 029A21A;  Moderna 4/3/21 Lot# 016B21A;  Moderna 11/4/21 Lot# 017F1A;  Moderna 4/26/22 Lot# 057M21A
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: I had my vaccine (left arm) at around 10:30 am on sept 16 , 2022. After two hours of  my vaccine I had a headache that start with the left side of my head. Then around 4 pm I started to feel feverish, terrible headache, body aches and soreness on my left arm.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Inadvertent administration of Pfizer monovalent instead of bivalent.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer monovalent given as booster AFTER FDA/CDC removal of EUA for monovalent boosters. Bivalent booster was unavailable at time of administration.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 1 Janssen vaccine Janssen 5/8/21 Lot# 042A21A
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Inadvertent administration of Pfizer monovalent instead of bivalent.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given Monovalent Pfizer vaccine instead of bivalent
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Syncope, Vomiting
Clinical narrative: Patient got dizzy and fainted a few minutes after receiving shot, once she came to she then proceeded to vomit. The immunizer is a RN and attended to the patient until paramedics arrived. Paramedics monitored symptoms and blood pressure until all levels were normal
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Inadvertent administration of Pfizer monovalent instead of bivalent.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines: Pfizer 3/11/21 Lot# EN6207; Pfizer 4/1/21 Lot# ER8732.
Age: 15.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Gaze palsy, Seizure like phenomena, Thirst, Tremor
Clinical narrative: Patient was given covid vaccine asked if he was okay and then given flu shot.  After getting flu shot patient's eyes rolled back and began to flutter his head fell back and he began to shake as if having a seizure.  This lasted less than 30 seconds.  When patient regained awareness he stated that he was really thirsty.  His mom gave him water and then he took one of the suckers we keep for kids.  He remained sitting for at least 30 minutes  After this his mom called his pediatrician who then referred them to the urgent care center.  tried to call parent to follow up but their mailbox is full.
Age: 44.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Blood lactic acid, Blood potassium decreased, Dizziness, Heart rate increased, Injection site erythema
Clinical narrative: Employee reports rapid heart rate, feeling like she was going to pass out, vomiting.  She also has redness at the injection site with swelling
Age: 44.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site swelling, Vomiting
Clinical narrative: Employee reports rapid heart rate, feeling like she was going to pass out, vomiting.  She also has redness at the injection site with swelling
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines Pfizer 12/16/21 Lot# FJ8757;  Pfizer 1/7/22 Lot# FJ6369
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immunisation reaction
Clinical narrative: I had "covid arm" for the second time. I also had covid arm after my 2nd dose of Moderna to make me be considered fully vaccinated. I am using triamcinolone acetonide ointment that was prescribed to me when I first had covid arm after my 2nd dose.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Headache, Nasopharyngitis, Pain
Clinical narrative: At 8:45 PM Suddenly cold, shivers, headache, slight fever, and stomach ache which lasted all night and headache and slight fever and body aches continue the following day to present.  I took a Covid test this morning and it was negative.  This is the worse reaction I have ever had to a vaccine and wouldn't recommend this vaccine to anyone.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: At 8:45 PM Suddenly cold, shivers, headache, slight fever, and stomach ache which lasted all night and headache and slight fever and body aches continue the following day to present.  I took a Covid test this morning and it was negative.  This is the worse reaction I have ever had to a vaccine and wouldn't recommend this vaccine to anyone.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25 ml was administered instead of 0.5 ml
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 86.0
Sex: F
Vaccine: FLUA4
Symptoms: Peripheral swelling
Clinical narrative: Developed swelling down upper arm. Approximately 2.5 inch by 6 inch area.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood creatine phosphokinase, Burning sensation, Chills, Electromyogram, Fatigue
Clinical narrative: For several days, experienced chills, headache, body aches, sweats, extreme fatigue, fever, extremely pain in hands and feet and sensitivity in lower legs. All symptoms resolved except pain in hands, feet and legs, which include continuing sensitivity, tingling, numbness, prickling, and burning sensations, as well as intermittent shooting pain in hands and feet.  Hands and feet also experience stiffness.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Hyperhidrosis, Hypersensitivity, Hypoaesthesia, Intervertebral disc compression
Clinical narrative: For several days, experienced chills, headache, body aches, sweats, extreme fatigue, fever, extremely pain in hands and feet and sensitivity in lower legs. All symptoms resolved except pain in hands, feet and legs, which include continuing sensitivity, tingling, numbness, prickling, and burning sensations, as well as intermittent shooting pain in hands and feet.  Hands and feet also experience stiffness.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal stiffness, Nerve conduction studies normal, Pain, Pain in extremity, Paraesthesia
Clinical narrative: For several days, experienced chills, headache, body aches, sweats, extreme fatigue, fever, extremely pain in hands and feet and sensitivity in lower legs. All symptoms resolved except pain in hands, feet and legs, which include continuing sensitivity, tingling, numbness, prickling, and burning sensations, as well as intermittent shooting pain in hands and feet.  Hands and feet also experience stiffness.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Red blood cell sedimentation rate normal, Rheumatoid factor, Spinal X-ray abnormal
Clinical narrative: For several days, experienced chills, headache, body aches, sweats, extreme fatigue, fever, extremely pain in hands and feet and sensitivity in lower legs. All symptoms resolved except pain in hands, feet and legs, which include continuing sensitivity, tingling, numbness, prickling, and burning sensations, as well as intermittent shooting pain in hands and feet.  Hands and feet also experience stiffness.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: This patient was given a booster dose of 0.25 mL out of the original Moderna vial that was no longer under the Emergency Use Authorization. I hadn't read my e-mail received the day before that it was discontinued and to wait until the bivalent vaccines arrived so I helped a co-worker administer this vaccine. I attempted to call this patient on 9/2/2022 to let them know that they are eligible for a bivalent Booster dose in two months but the patient did not answer and I was unable to leave a voicemail. I e-mailed all of the Primary Care and EMS workers at facility to let them know not to give any boosters until the Bivalent booster vials arrive. I e-mailed facility that I had helped a co-worker administer a booster and they let me know that I needed to fill out a VAERS report on 9/8/2022. I haven't had time to do it but I have time today.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 0.25 ml was administered instead of 0.5 ml. No adverse reactions.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Bundle branch block left, Chest pain, Dyskinesia, Echocardiogram abnormal
Clinical narrative: Episode of exertional substernal chest pain radiating to jaw and left arm accompanied by tachycardia to 150s, all resolving with rest and returning with exertion lasting for 20 minutes.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Pain, Pain in extremity, Pain in jaw, Scan myocardial perfusion normal
Clinical narrative: Episode of exertional substernal chest pain radiating to jaw and left arm accompanied by tachycardia to 150s, all resolving with rest and returning with exertion lasting for 20 minutes.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin normal
Clinical narrative: Episode of exertional substernal chest pain radiating to jaw and left arm accompanied by tachycardia to 150s, all resolving with rest and returning with exertion lasting for 20 minutes.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Mild, Additional Details: redness localized on injection site
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: I was notified of vaccines administered outside age range. Report showed 6yr old given 12+covid vaccine on 12/18/2021.
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Nausea, Pain, Pain in extremity
Clinical narrative: Headache, body aches, severe pain left arm, nausea
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: I was notified of vaccines administered outside age range. Report showed 6yr old given dose #2 of 12yr+covid vaccine on 1/8/2022.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Inflammation, Musculoskeletal discomfort
Clinical narrative: I woke up at 3:00 a.m., approximately 10 hours after receiving the bivalent vaccine, with the worst pain in my left hip.  I had to get up and take a generic Motrin because I could not stand the pain.  I also heated up a rice bag to put on my left hip and was able to fall back to sleep.  I do experience some discomfort in that hip occasionally possibly from some mild arthritis, but it seemed as though the reaction from the shot settled in the inflammation of that hip.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV, PNC13, VARCEL
Symptoms: Underdose
Clinical narrative: Administered a proquad in addition to a varicella vaccine.  Due to patient moving a partial dose of varicella was given.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: The patient was expecting to receive Pfizer Bivalent and instead received Pfizer monovalent. There are no reported ADRs as a result. The patient has been consulted on the regulatory authority recommendation for this error (still covered, able to get Bivalent after 2 months).
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Bright red rash several inches below injections site that lightened over five days
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: 0.25 ml instead of 0.5 ml. No adverse reactions
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Amenorrhoea, Dysmenorrhoea, Menstruation irregular, Pain
Clinical narrative: Within 24-hours I experienced stabbing pain in the Uterus/Abdominal area. It lasted approximately several hours. Dull pain lasted 24 hours. I then missed my period for 2 months. Since then I have been experiencing cramps when I get my period. I have never, in the history of my 34 years gotten cramps and my period is very regular. Missing a period is not normal for me and cramping is not normal. There was my menstrual cycle for the 34 years prior to my second shot and my menstrual cycle now. It has returned in regularity but I now have low grade cramping.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine pain
Clinical narrative: Within 24-hours I experienced stabbing pain in the Uterus/Abdominal area. It lasted approximately several hours. Dull pain lasted 24 hours. I then missed my period for 2 months. Since then I have been experiencing cramps when I get my period. I have never, in the history of my 34 years gotten cramps and my period is very regular. Missing a period is not normal for me and cramping is not normal. There was my menstrual cycle for the 34 years prior to my second shot and my menstrual cycle now. It has returned in regularity but I now have low grade cramping.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was expecting to receive the Pfizer Bivalent vaccine and instead received the Pfizer monovalent. There have been no ADRs as a result. The patient was consulted on the proper process for this error via recommendations ( fully vaccinated, may get bivalent in 2 months).
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: reports that she developed a sore throat and tested positive for covid on home antigen test 9/20/22- has had 1 dose of Janssen and 1 pfizer booster- due now for bivalent booster
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 0.25 ml was administered instead of 0.5 ml No adverse reactions reported
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Computerised tomogram head normal, Fall
Clinical narrative: Discharge Provider:  Primary Care Provider :  Admission Date: 9/10/2022 Discharge Date: 09/13/2022  PRESENTING PROBLEM: COVID-19 virus infection   HOSPITAL COURSE: 81 y.o. male presents after fall with head injury complaining of weakness and noted to be covid positive. CT head obtained in the ER showed no acute intracranial abnormalities. Pt reports that he believes his sx started 3 days ago. He is otherwise a poor historian and reports that he does not remember much about his past medical history. He has not been to see his PCP in awhile. He denies taking any medications at home for the past two years but daughter states he was taking when she visited in June 2022. Of note he lives by himself at home and reports being able to walk around on his own and up and down flights of stairs without assistance.   Hypoxic with ambulation; initiated on Decadron as well as remdesivir for management of COVID infection to prevent severe illness.  Chest x-ray is clear. Improved and patient requested discharged on 9/13. Will complete 10 total days of decadron currently on day 4 of 10 today; completed 3 days of Remdesivir. Per nursing no longer hypoxic with ambulation.    Of note spoke with patient and daughter regarding indication of Eliquis for stroke prevention in a.fib with elevated chads2vasc score of 3; explained risks benefits of Eliquis including stroke rest and benefits; patient and daughter expressed understanding; patient refusing to resume Eliquis at this time and states that he "stopped taking 4-5 years ago given bloody urine"; he also stated that he will "talk to his primary care provider regarding restarting Eliquis." Daughter also aware of this plan.    Patient in agreement with HHC (nursing, PT/OT) as advised by PT/OT; care manager arranged HHC prior to discharge.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider:  Primary Care Provider :  Admission Date: 9/10/2022 Discharge Date: 09/13/2022  PRESENTING PROBLEM: COVID-19 virus infection   HOSPITAL COURSE: 81 y.o. male presents after fall with head injury complaining of weakness and noted to be covid positive. CT head obtained in the ER showed no acute intracranial abnormalities. Pt reports that he believes his sx started 3 days ago. He is otherwise a poor historian and reports that he does not remember much about his past medical history. He has not been to see his PCP in awhile. He denies taking any medications at home for the past two years but daughter states he was taking when she visited in June 2022. Of note he lives by himself at home and reports being able to walk around on his own and up and down flights of stairs without assistance.   Hypoxic with ambulation; initiated on Decadron as well as remdesivir for management of COVID infection to prevent severe illness.  Chest x-ray is clear. Improved and patient requested discharged on 9/13. Will complete 10 total days of decadron currently on day 4 of 10 today; completed 3 days of Remdesivir. Per nursing no longer hypoxic with ambulation.    Of note spoke with patient and daughter regarding indication of Eliquis for stroke prevention in a.fib with elevated chads2vasc score of 3; explained risks benefits of Eliquis including stroke rest and benefits; patient and daughter expressed understanding; patient refusing to resume Eliquis at this time and states that he "stopped taking 4-5 years ago given bloody urine"; he also stated that he will "talk to his primary care provider regarding restarting Eliquis." Daughter also aware of this plan.    Patient in agreement with HHC (nursing, PT/OT) as advised by PT/OT; care manager arranged HHC prior to discharge.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Erythema, Rash pruritic, Urticaria
Clinical narrative: Two days after injection, itchy rash and red hives developed over the whole body, both arms, both legs, waistline, chest, back, both shoulders, neck. I went to Urgent Care on 9/18 Sunday. prescribed Zyrtec and 50mg Hydroxyzine (Atarax) daily dose.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Musculoskeletal stiffness, Pain
Clinical narrative: In April 2022 I noticed that I had stiffness in my right arm.  I do yoga regularly.  Now I am unable to stretch and do poses as normal due to this stiffness.  It doesn?t feel like muscle or joint pain.  It feels more like fascia.  The pain itself is very jarring.  It is not constant but happens intermittent when I move certain ways.  I start physical therapy soon.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pharyngitis, Pyrexia, Respiratory viral panel
Clinical narrative: fever 104 x 3 days, chills, myalgias and sterile exudative pharyngitis
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test
Clinical narrative: fever 104 x 3 days, chills, myalgias and sterile exudative pharyngitis
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was expecting to receive the Pfizer Bivalent vaccine and instead received the Pfizer monovalent. There have been no ADRs as a result. The patient was consulted on the proper process for this error via CDC recommendations ( fully vaccinated, may get bivalent in 2 months).
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 0.25 ml was administered instead of 0.5 ml. No adverse reactions reported
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: monovalent given instead of Bivalent
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Enterovirus infection, Pyrexia, Rhinovirus infection
Clinical narrative: Discharge Provider: Dr.  Primary Care Physician at Discharge: MD Admission Date: 9/9/2022  Discharge Date: 9/10/2022  Seizure disorder (HCC) [G40.909] COVID-19 [U07.1]   HOSPITAL COURSE:   The patient is a 18 y.o. male with PMH glutaric aciduria type 1 and focal epilepsy who is admitted for breakthrough seizure in the setting of covid and rhino/enterovirus infection.   Patient was brought to ED with a left sided seizure. He was found to be febrile and tachypnic upon arrival. He was placed on a valium 10 mg TID bridge while awaiting approval for Onfi per neurology recommendations. Pediatric metabolism was also consulted and did not have any further recommendations about the patients glutaric aciduria. He continued to improve while inpatient. Patient was discharged to home in stable condition on 9/10/2022.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Tachypnoea
Clinical narrative: Discharge Provider: Dr.  Primary Care Physician at Discharge: MD Admission Date: 9/9/2022  Discharge Date: 9/10/2022  Seizure disorder (HCC) [G40.909] COVID-19 [U07.1]   HOSPITAL COURSE:   The patient is a 18 y.o. male with PMH glutaric aciduria type 1 and focal epilepsy who is admitted for breakthrough seizure in the setting of covid and rhino/enterovirus infection.   Patient was brought to ED with a left sided seizure. He was found to be febrile and tachypnic upon arrival. He was placed on a valium 10 mg TID bridge while awaiting approval for Onfi per neurology recommendations. Pediatric metabolism was also consulted and did not have any further recommendations about the patients glutaric aciduria. He continued to improve while inpatient. Patient was discharged to home in stable condition on 9/10/2022.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was expecting to receive the Pfizer Bivalent vaccine and instead received the Pfizer monovalent. There have been no ADRs as a result. The patient was consulted on the proper process for this error via CDC recommendations ( fully vaccinated, may get bivalent in 2 months).
Age: 18.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Lymphadenopathy, Mass, Muscular weakness, Pain, Peripheral swelling
Clinical narrative: swelling of lymph nodes and underarm day after booster, progressively got worse over the course of 5 days. currently it is swollen, painful both dull and sharp, entire left arm is weak, but it?s a normal skin tone. lump looks to be around 3in diameter.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was expecting to receive the Pfizer Bivalent vaccine and instead received the Pfizer monovalent. There have been no ADRs as a result. The patient was consulted on the proper process for this error via CDC recommendations ( fully vaccinated, may get bivalent in 2 months).
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Gait inability, Mobility decreased, Muscular weakness
Clinical narrative: Weakness to lower extremities. Unable to ambulate, sit or stand  on his will