chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphonia, Mobility decreased, Muscular weakness, Visual impairment
Clinical narrative: He got his vaccine, had a minor reaction to the 2nd vaccine but after 2 days it disappeared.  With this one (4), he was intensely weak muscular movement, could hardly get out of bed.   He could not climb stairs, had some suspected visual issues due to this.  He needed a change in his glasses prescription.  (Eye doctor).  He saw his doctor for his reaction, and he felt that it was related to a tooth extraction, but now continues with the muscle weakness which has not gotten any better since the vaccine.  He was not given any medicine to help with his symptoms. He has been just dealing with his symptoms, and not taking any medicine for it.  He was in perfect health prior to the vaccine.  He has a hoarseness to his speech that was not present prior to the vaccine    When he was a child he had hives and he was given a series of pinpricks (allergy testing), there were 2 items that were discovered to be allergic to was egg yolks and Kapok, which he feels may somehow be related to this.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac disorder, Cough, Dyspnoea, Fatigue
Clinical narrative: I did not have an adverse event after receiving the vaccine. I started having symptoms of a sore throat and runny nose on 10/19/2021. I tested for COVID-19 on the week of 10/19/2021 each day and it was negative. On 10/27/2021 I tested positive with a home test for COVID-19. I contacted my doctor and was given two prescriptions for inhalers. One month later, I tested positive for COVID-19 again on 11/27/2021. As of today, I do not consider myself recovered. I continue to have a cough, shortness of breath, heart issues, palpitations, body aches and severe fatigue.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Palpitations, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: I did not have an adverse event after receiving the vaccine. I started having symptoms of a sore throat and runny nose on 10/19/2021. I tested for COVID-19 on the week of 10/19/2021 each day and it was negative. On 10/27/2021 I tested positive with a home test for COVID-19. I contacted my doctor and was given two prescriptions for inhalers. One month later, I tested positive for COVID-19 again on 11/27/2021. As of today, I do not consider myself recovered. I continue to have a cough, shortness of breath, heart issues, palpitations, body aches and severe fatigue.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse event after receiving the vaccine. I started having symptoms of a sore throat and runny nose on 10/19/2021. I tested for COVID-19 on the week of 10/19/2021 each day and it was negative. On 10/27/2021 I tested positive with a home test for COVID-19. I contacted my doctor and was given two prescriptions for inhalers. One month later, I tested positive for COVID-19 again on 11/27/2021. As of today, I do not consider myself recovered. I continue to have a cough, shortness of breath, heart issues, palpitations, body aches and severe fatigue.
Age: 36.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: No adverse event
Clinical narrative: Patient tolerated injection well with no adverse reaction noted.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Mobility decreased, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: September 6th I came down with COVID-19 I was extremely tired and stayed in bed for a few days. I went to a local urgent care to get PAXLOVID and after utilizing it I did start to improve, however, after completing the PAXLOVID, approximately four days later, my symptoms came back. My symptoms were worse and I had a new symptom of congestion the post PAXLOVID. Two weeks after symptoms improved the second time I noticed that I would get tired more easily and more frequently. I am feeling much more normal and back to my usual self.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough COVID infection
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Exostosis, Inflammation, Injected limb mobility decreased, Injection site pain, Magnetic resonance imaging
Clinical narrative: My arm was in extreme pain for many months after first injection. I had a hard time using it and lifting. I kept thinking that the pain would go away but after it did not subside, I eventually went and saw an orthopedist who did X-rays and eventually an mri. His findings were that the vaccine had triggered inflammation in my arm and the inflammation was rubbing on bone spurs. He injected me with the steroid injection which helped the inflammation. I still have pain in my left arm from where I was vaccinated the first time but at least my arm is usable.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in extremity, X-ray
Clinical narrative: My arm was in extreme pain for many months after first injection. I had a hard time using it and lifting. I kept thinking that the pain would go away but after it did not subside, I eventually went and saw an orthopedist who did X-rays and eventually an mri. His findings were that the vaccine had triggered inflammation in my arm and the inflammation was rubbing on bone spurs. He injected me with the steroid injection which helped the inflammation. I still have pain in my left arm from where I was vaccinated the first time but at least my arm is usable.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Chills, Dyspepsia, Headache, Immunisation reaction
Clinical narrative: pt states she developed a severe headache.  Her heart start burning and could feel this down her left arm. She felt so hot she felt like she was burning.  She developed chills which continued during the night.  The next morning she felt better but it took at least 2 days before feeling good again.  She contacted her PCP to let them know her symptoms. She was told she had a reaction to the vaccine.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Discomfort, Injection site pain
Clinical narrative: Pt. complains of R arm pain post injection, pain located in deltoid muscle. No other symptoms, discomfort is consistent.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose beyond usage date
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Urticaria
Clinical narrative: Rash, whelps over abdomen, neck and eyebrows. symptoms started 10/17/2022 around 9am.  Went to urgent care clinic that evening and received steroid injection and instructed to take benadryl otc for 48hrs.  Wednesday 10/19/2022 same symptoms appeared and was seen by primary. Methylprednisolone 4mg for 5 days, loratadine 10mg and hydrocortisone cr 1% 30gm given for this and appointment was made with an allergist.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Mobility decreased, Muscle spasms, Skin burning sensation
Clinical narrative: Debilitating headache, burning skin, and muscle spasms in the legs, arms and torso.  Lasted for 3 days and she could not get out of bed.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Nasopharyngitis, Product preparation issue
Clinical narrative: It was discovered that the pharmacist administering the vaccine on 10/21/22 had improperly diluted the vaccine resulting in a higher than recommended dose due to improper dilution. The patient and primary care physician were contacted. The patient's mom has said no adverse event has occurred so far to her knowledge. The patient seems like she has a cold today if anything.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Immune system disorder, Pain in extremity, Weight increased
Clinical narrative: PATIENT REPORTS WEIGHT GAIN (30 + LBS) PAIN AND BURNING IN FEET "WIPED OUT IMMUNE SYSTEM
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fluid retention, Intestinal barrier dysfunction, Nervous system disorder
Clinical narrative: PATIENT REPORTS WEIGHT GAIN (30 + LBS) PAIN AND BURNING IN FEET "WIPED OUT IMMUNE SYSTEM
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: NO ADVERSE.  Reporting administration error only.  Patient received Pfizer Bivalent 12+ as a primary dose.  No adverse effect during standard 15-minute observation period.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood test, Blood thyroid stimulating hormone increased, Electrocardiogram normal, Full blood count normal
Clinical narrative: I started having palpitations in my chest a lot like 6 times an hour. I didn't think much of it, but I did decrease my thyroid medicine and saw the doctor who did an EKG and blood work on October 18, 2022. She also checked magnesium, CBC, and thyroid levels and everything was normal expect thyroid TSH was elevated to 4.68. The doctor told me to resume my normal dose of the thyroid medicine and is placing me on a heart monitor on October 26, 2022. I will need to wear it for 2 weeks.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Thyroid function test normal
Clinical narrative: I started having palpitations in my chest a lot like 6 times an hour. I didn't think much of it, but I did decrease my thyroid medicine and saw the doctor who did an EKG and blood work on October 18, 2022. She also checked magnesium, CBC, and thyroid levels and everything was normal expect thyroid TSH was elevated to 4.68. The doctor told me to resume my normal dose of the thyroid medicine and is placing me on a heart monitor on October 26, 2022. I will need to wear it for 2 weeks.
Age: 56.0
Sex: M
Vaccine: UNK
Symptoms: Hyperhidrosis, Nervousness
Clinical narrative: Client presented to the vaccination site to receive first dose of Jynneos vaccine lot# FDP00014 on left forearm. Client had also received Covid 19 booster and flu vaccine earlier in the morning at another location(not specified).   While sitting in observation area, client notified RN that he was feeling, ?shaky and sweaty? because he stated, ?I forgot to take my Blood Pressure medication this morning?. RN proceeded to take his vital signs,  PHN, asked client if he had breakfast, client responded, ?No.? A granola bar and water bottle were provided to client. Client was able to move to the gravity chair without assistance. Client denied chest pain, shortness of breath, denied dizziness, and denied itchiness on any part of his body. Client reported a history of high blood pressure and diabetes type 2, and no known allergies. He also stated he had not taken his diabetes medication. Vitals were taken every 5mins. Client was offered to have EMS activated if he didn't feel well due to his blood pressure, Client declined.  Client reported shakiness had subsided and ?Felt better?. client stayed for ten more minutes and finished his water bottle and granola bar provided. Client reported feeling ?better.? Client was no longer shaky. Client reported that last blood pressure reading is normal for when he doesn't take his BP medication. , PHN educated client to seek emergency care if symptoms worsened and to follow- up with his primary care provider. Client verbalized understanding. Client was able to stand up without assistance from gravity chair. Client left vaccination area in a steady gait.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood urine present, Discomfort, Urinary tract infection, Urine analysis abnormal
Clinical narrative: A couple of days after the vaccine, I experienced urinary infection. On Sept 20, I went to the doctor and they took urinary sample, came back positive, They gave me medicine an antibiotic, I took the medication, but  I still felt uncomfortable so on the Sept 25 I went to another Urgent Care and they  took another urinary sample and shows traces of blood, I did not have any infection, but on the 28 I saw my primary  doctor and gave me another test and it was no infection  and referred me to an Urologist, I have an appointment to see him for November 9th.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nasopharyngitis, Product preparation issue
Clinical narrative: It was discovered that the pharmacist administering the vaccine on 10/21/22 had improperly diluted the vaccine resulting in a higher than recommended dose due to improper dilution. The patient and primary care physician were contacted. The patient's mom has said no adverse event has occurred so far to her knowledge. The patient seems like he has a cold today if anything.
Age: 29.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Livedo reticularis, Rash, Ultrasound Doppler normal
Clinical narrative: Developed painless "rash" on right calf approximately one day after vaccination- after 3 weeks sought telehealth care on October 17, 2022 to determine why it wasn't going away. Telehealth doctor suspected DVT and was sent to ER. ER completed a "Doppler ultrasound deep veins unilateral lower extremity" which was negative for a DVT.  The tentative diagnosis was livedo reticularis. Was referred to a GP and dermatology for follow-up.  I saw GP 10/21/2022 with no further clarification provided, monitoring for now with potential for follow-up ultrasound or additional testing based on resolution and symptoms. Dermatology appointment set for 10/27/22.
Age: 76.0
Sex: M
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Client received an unnecessary Tdap vaccination today. RN did not see he had received a Td booster 02/25/2022 and was not due to receive another tetanus-containing vaccination today.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: medication for cough - mucinex
Age: 80.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Impaired driving ability, Reading disorder
Clinical narrative: When I was reading my emails for work the next day I realized the letters were wiggly. I couldn't make out what it was saying. I can't tell if it is getting better or worse. It also impacts my driving. I have an appointment in December.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The nurse did not add enough diluent.  Max dose drawn was 5 doses.  The children received the vaccine and this error was noticed approximately 1 1/2 hours later.  The parents have reported no adverse reaction as of today 10/24/2022
Age: 61.0
Sex: F
Vaccine: TYP
Symptoms: Dizziness
Clinical narrative: Vaccine was administered at around noon on 10/24/22, and then patient started to feel dizziness 2 minutes later, denied any other symptoms. Patient spoke with neurologist over the phone as symptoms were happening. Patient was provided water. Dizziness started to worsen around 12:45pm, so I elevated patient's legs. Patient reported symptoms started improving within next few minutes. Patient reports concussion a few months ago and is working with neurologist and will proceed to follow up with neurologist regarding this reaction today. Has reported similar effects from COVID vaccine. Patient left at around 1:00pm without checking in with pharmacy staff.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: THE PEDIATRIC VACCINE ADMINISTERED WAS EXPIRED AS PER THE MANUFACTURER GUIDELINES. THE VACCINE WAS SUPPOSED TO BE VALID UNTIL 10/31/2022 HOWEVER THE MANUFACTURER STATED THAT THE EXPIRATION SHOULD BE 1 YEAR FROM THE MANUFACTURE DATE ON THE CARTON WHICH IS 9/2021-9/2022. THE VACCINE WAS ADMINISTERED ON 10/22. PATIENT HAD HAD NO SIDE EFFECTS OR ADVERSE EVENTS.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: It was discovered that the pharmacist administering the vaccine on 10/21/22 had improperly diluted the vaccine resulting in a higher than recommended dose due to improper dilution. Tried contacting the patient on 10/24/22 but no answer. Contacted the primary care physician to let them aware.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cellulitis, Inflammation, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Pain at injection site, which turned into swelling, redness, and hardness that wrapped around my entire arm from my shoulder to just past my elbow. First urgent care doctor told me that it was Cellulitis and prescribed antibiotic (cephalexin), while it continued to spread and be painful. The next day at urgent care, doctor told me it was inflammatory response. Redness and swelling continued to expand for about a week, then became itchy. I'm 10 days out and can see some redness still near where I got my shot, but the swelling has gone down and things seem to be back to normal.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site swelling, Pruritus
Clinical narrative: Pain at injection site, which turned into swelling, redness, and hardness that wrapped around my entire arm from my shoulder to just past my elbow. First urgent care doctor told me that it was Cellulitis and prescribed antibiotic (cephalexin), while it continued to spread and be painful. The next day at urgent care, doctor told me it was inflammatory response. Redness and swelling continued to expand for about a week, then became itchy. I'm 10 days out and can see some redness still near where I got my shot, but the swelling has gone down and things seem to be back to normal.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium abnormal, Blood pressure increased, Blood test abnormal, Enzyme level abnormal, Exposure during pregnancy
Clinical narrative: I received the second booster on September 16, 2022.  On the 27th my blood pressure was slightly elevated and on the 28th it was 181/99 I went to the ER and was given Labetalol.  I was almost 36 weeks pregnant.  I was sent home and told to contact OBGYN.  I was not prescribed anything else.  My blood pressure spiked again and it 175/90 (about) and I went to the emergency room again.  They monitored me and was not given any prescription and did not stay overnight.  I was diagnosed with gestational hypertension.  I was set up for labor induction on October 7th.  On October 7th during labor my pressure spiked again, and I was given magnesium and Labetalol again.  After delivery, I was monitored, and my pressure went down.  But on October 17th it spiked again to 190/70?s and I went back to the emergency room.  I was admitted to the hospital and upon discharge prescribed Labetalol.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Gestational diabetes, Gestational hypertension, Labour induction
Clinical narrative: I received the second booster on September 16, 2022.  On the 27th my blood pressure was slightly elevated and on the 28th it was 181/99 I went to the ER and was given Labetalol.  I was almost 36 weeks pregnant.  I was sent home and told to contact OBGYN.  I was not prescribed anything else.  My blood pressure spiked again and it 175/90 (about) and I went to the emergency room again.  They monitored me and was not given any prescription and did not stay overnight.  I was diagnosed with gestational hypertension.  I was set up for labor induction on October 7th.  On October 7th during labor my pressure spiked again, and I was given magnesium and Labetalol again.  After delivery, I was monitored, and my pressure went down.  But on October 17th it spiked again to 190/70?s and I went back to the emergency room.  I was admitted to the hospital and upon discharge prescribed Labetalol.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Nurse did not add enough diluent.  Max dose drawn was 5 doses.  Parents told to observe child and as of today there have been no report adverse reaction.
Age: 0.42
Sex: F
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: Kinrix  was given in error as it should have been a Pediarix.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: There was no  adverse reactions- he was given the Bivalent booster instead of the second primary dose of Pfzier.
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Arthralgia, Asthenia, Back pain, COVID-19, Cough
Clinical narrative: He got his vaccine, he didn't have any reactions when he first got the vaccine.  Later that evening his shoulders were sore from the shots.   The next day he had two sore shoulders as he had gotten 2 vaccines, one flu in one arm and the COVID in the other.  He did feel a little weak, but felt like he was under the weather.  The next day 10/7/22 he had an irregular heart beat, he felt tired and weak, had shortness of breath and felt sick, nausea.  He started having body aches, hips, shoulders and lower back.  On 10/8/22 he had the same symptoms with headache when he woke up and restless/jittery at night.  He still had the other symptoms continuing from the 7th as well.  On 10/9/22 he had the same symptoms including the previous ones continuing.  He was sleeping poorly.  Then on 10/10/22 he still felt bad.  On 10/11/22 when he woke up that morning he did not have the irregular heart beat which was intermittent and then started having it in the afternoon and then started coughing a lot.  He went to his doctor and said that he was having a reaction to the vaccine.  He asked for an EKG and this was done and normal earlier and had no irregular heart beat when he saw the doctor.  His condition got worse that afternoon. irregular heart beat started again and as the day went on in the evening with the coughing, still coughing and feeling sicker, but feeling a little better.  He called back the doctor, and saw the medical assistant and they did a COVID test which was positive, and he did have a fever on 10/12/22 of 101.7.  They prescribed Paxlovid tablets which he took for 5 days, and also told him to take Tylenol and Coricidin HBP for cough.   He is feeling better than he did, but still not feeling great, feels still short of breath, coughing, nose issues.  Cough medicine is helping.   He has no history of irregular heart beat in the past.
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Dyspnoea, Electrocardiogram normal, Fatigue, Feeling abnormal, Feeling jittery
Clinical narrative: He got his vaccine, he didn't have any reactions when he first got the vaccine.  Later that evening his shoulders were sore from the shots.   The next day he had two sore shoulders as he had gotten 2 vaccines, one flu in one arm and the COVID in the other.  He did feel a little weak, but felt like he was under the weather.  The next day 10/7/22 he had an irregular heart beat, he felt tired and weak, had shortness of breath and felt sick, nausea.  He started having body aches, hips, shoulders and lower back.  On 10/8/22 he had the same symptoms with headache when he woke up and restless/jittery at night.  He still had the other symptoms continuing from the 7th as well.  On 10/9/22 he had the same symptoms including the previous ones continuing.  He was sleeping poorly.  Then on 10/10/22 he still felt bad.  On 10/11/22 when he woke up that morning he did not have the irregular heart beat which was intermittent and then started having it in the afternoon and then started coughing a lot.  He went to his doctor and said that he was having a reaction to the vaccine.  He asked for an EKG and this was done and normal earlier and had no irregular heart beat when he saw the doctor.  His condition got worse that afternoon. irregular heart beat started again and as the day went on in the evening with the coughing, still coughing and feeling sicker, but feeling a little better.  He called back the doctor, and saw the medical assistant and they did a COVID test which was positive, and he did have a fever on 10/12/22 of 101.7.  They prescribed Paxlovid tablets which he took for 5 days, and also told him to take Tylenol and Coricidin HBP for cough.   He is feeling better than he did, but still not feeling great, feels still short of breath, coughing, nose issues.  Cough medicine is helping.   He has no history of irregular heart beat in the past.
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Heart rate irregular, Malaise, Nasal disorder, Nausea
Clinical narrative: He got his vaccine, he didn't have any reactions when he first got the vaccine.  Later that evening his shoulders were sore from the shots.   The next day he had two sore shoulders as he had gotten 2 vaccines, one flu in one arm and the COVID in the other.  He did feel a little weak, but felt like he was under the weather.  The next day 10/7/22 he had an irregular heart beat, he felt tired and weak, had shortness of breath and felt sick, nausea.  He started having body aches, hips, shoulders and lower back.  On 10/8/22 he had the same symptoms with headache when he woke up and restless/jittery at night.  He still had the other symptoms continuing from the 7th as well.  On 10/9/22 he had the same symptoms including the previous ones continuing.  He was sleeping poorly.  Then on 10/10/22 he still felt bad.  On 10/11/22 when he woke up that morning he did not have the irregular heart beat which was intermittent and then started having it in the afternoon and then started coughing a lot.  He went to his doctor and said that he was having a reaction to the vaccine.  He asked for an EKG and this was done and normal earlier and had no irregular heart beat when he saw the doctor.  His condition got worse that afternoon. irregular heart beat started again and as the day went on in the evening with the coughing, still coughing and feeling sicker, but feeling a little better.  He called back the doctor, and saw the medical assistant and they did a COVID test which was positive, and he did have a fever on 10/12/22 of 101.7.  They prescribed Paxlovid tablets which he took for 5 days, and also told him to take Tylenol and Coricidin HBP for cough.   He is feeling better than he did, but still not feeling great, feels still short of breath, coughing, nose issues.  Cough medicine is helping.   He has no history of irregular heart beat in the past.
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Pain, Poor quality sleep, Pyrexia, Restlessness, SARS-CoV-2 test positive
Clinical narrative: He got his vaccine, he didn't have any reactions when he first got the vaccine.  Later that evening his shoulders were sore from the shots.   The next day he had two sore shoulders as he had gotten 2 vaccines, one flu in one arm and the COVID in the other.  He did feel a little weak, but felt like he was under the weather.  The next day 10/7/22 he had an irregular heart beat, he felt tired and weak, had shortness of breath and felt sick, nausea.  He started having body aches, hips, shoulders and lower back.  On 10/8/22 he had the same symptoms with headache when he woke up and restless/jittery at night.  He still had the other symptoms continuing from the 7th as well.  On 10/9/22 he had the same symptoms including the previous ones continuing.  He was sleeping poorly.  Then on 10/10/22 he still felt bad.  On 10/11/22 when he woke up that morning he did not have the irregular heart beat which was intermittent and then started having it in the afternoon and then started coughing a lot.  He went to his doctor and said that he was having a reaction to the vaccine.  He asked for an EKG and this was done and normal earlier and had no irregular heart beat when he saw the doctor.  His condition got worse that afternoon. irregular heart beat started again and as the day went on in the evening with the coughing, still coughing and feeling sicker, but feeling a little better.  He called back the doctor, and saw the medical assistant and they did a COVID test which was positive, and he did have a fever on 10/12/22 of 101.7.  They prescribed Paxlovid tablets which he took for 5 days, and also told him to take Tylenol and Coricidin HBP for cough.   He is feeling better than he did, but still not feeling great, feels still short of breath, coughing, nose issues.  Cough medicine is helping.   He has no history of irregular heart beat in the past.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Pain in extremity
Clinical narrative: Gave expired vaccine.  Sore arm, no other issues.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer monovalent instead of Pfizer bivalent as a Covid-19 booster dose.
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No reaction, incorrect order of vaccination given to patient.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: THE PEDIATRIC VACCINE ADMINISTERED WAS EXPIRED AS PER THE MANUFACTURER GUIDELINES. THE VACCINE WAS SUPPOSED TO BE VALID UNTIL 10/31/2022 HOWEVER THE MANUFACTURER STATED THAT THE EXPIRATION SHOULD BE 1 YEAR FROM THE MANUFACTURE DATE ON THE CARTON WHICH IS 9/2021-9/2022. THE VACCINE WAS ADMINISTERED ON 10/22. PATIENT HAD HAD NO SIDE EFFECTS OR ADVERSE EVENTS.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient was scheduled to receive her 2nd primary COVID vaccine of Pfizer 5-11-year-old but received the 6-month-4-year-old vaccine, 0.2ml.  The pediatrician was notified.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: THE PEDIATRIC VACCINE ADMINISTERED WAS EXPIRED AS PER THE MANUFACTURER GUIDELINES. THE VACCINE WAS SUPPOSED TO BE VALID UNTIL 10/31/2022 HOWEVER THE MANUFACTURER STATED THAT THE EXPIRATION SHOULD BE 1 YEAR FROM THE MANUFACTURE DATE ON THE CARTON WHICH IS 9/2021-9/2022. THE VACCINE WAS ADMINISTERED ON 10/22. PATIENT HAD HAD NO SIDE EFFECTS OR ADVERSE EVENTS.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities, Motor dysfunction
Clinical narrative: Staff member took the the following statement from Patient (10/24/2022 at 3:25pm): Patient receives a flu vaccine yearly. At the time of injection, and on the day of injection, nothing seemed abnormal. The process seemed normal. Of note, Patient does experience some localized pain each year with the vaccine. The morning after vaccination, the pain was worse and Patient didn't think anything of it. However, after time, the pain became worse to the point she can't move her arm in certain directions and must use her right arm to help with left hand's tasks. Patient's mom (RN) encouraged Patient to see her PCP, who suspects nerve damage secondary to the injection site selected. Currently, Patient has trapezoid, neck, arm and back pain, which her PCP feels is secondary to muscle compensation after nerve damage. Currently prescribed Ibuprofen 600mg po tid, Prednisone QAM and a muscle relaxer at bedtime. PCP made a referral to PT, and Patient is waiting to be scheduled for her first physical therapy appointment.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Nerve injury, Pain
Clinical narrative: Staff member took the the following statement from Patient (10/24/2022 at 3:25pm): Patient receives a flu vaccine yearly. At the time of injection, and on the day of injection, nothing seemed abnormal. The process seemed normal. Of note, Patient does experience some localized pain each year with the vaccine. The morning after vaccination, the pain was worse and Patient didn't think anything of it. However, after time, the pain became worse to the point she can't move her arm in certain directions and must use her right arm to help with left hand's tasks. Patient's mom (RN) encouraged Patient to see her PCP, who suspects nerve damage secondary to the injection site selected. Currently, Patient has trapezoid, neck, arm and back pain, which her PCP feels is secondary to muscle compensation after nerve damage. Currently prescribed Ibuprofen 600mg po tid, Prednisone QAM and a muscle relaxer at bedtime. PCP made a referral to PT, and Patient is waiting to be scheduled for her first physical therapy appointment.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac murmur, Echocardiogram
Clinical narrative: Per my Doctor; I can hear a murmur when I listen to your heart. I have no record of hearing this previously. I suggest scheduling an ultrasound of your heart (echocardiogram).
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Pain in extremity
Clinical narrative: Gave expired vaccine.  Patient had sore arm that went away.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Wrong dosage given.  No adverse reaction noted
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: THE PEDIATRIC VACCINE ADMINISTERED WAS EXPIRED AS PER THE MANUFACTURER GUIDELINES. THE VACCINE WAS SUPPOSED TO BE VALID UNTIL 10/31/2022 HOWEVER THE MANUFACTURER STATED THAT THE EXPIRATION SHOULD BE 1 YEAR FROM THE MANUFACTURE DATE ON THE CARTON WHICH IS 9/2021-9/2022. THE VACCINE WAS ADMINISTERED ON 10/22. PATIENT HAD HAD NO SIDE EFFECTS OR ADVERSE EVENTS.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anion gap, Blood culture negative, Blood glucose increased, Blood lactic acid, Blood potassium increased
Clinical narrative: Patient presented with altered mental status within 24 hours after receiving COVID booster. Found to have SIRS vs sepsis and to be in DKA. Found to have obstructing nephrolithiasis on imaging but infectious workup was negative (negative urine, blood cultures, COVID PCR and normal chest X-ray). SIRS on presentation ultimately felt to be due to DKA rather than infection. Trigger for DKA remains unclear; diabetes is not well-controlled on oral meds at baseline (HbA1c 9.3%), and possible the nephrolithiasis contributed to the DKA.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Carbon dioxide decreased, Chest X-ray normal, Condition aggravated, Diabetic ketoacidosis, Glucose urine present
Clinical narrative: Patient presented with altered mental status within 24 hours after receiving COVID booster. Found to have SIRS vs sepsis and to be in DKA. Found to have obstructing nephrolithiasis on imaging but infectious workup was negative (negative urine, blood cultures, COVID PCR and normal chest X-ray). SIRS on presentation ultimately felt to be due to DKA rather than infection. Trigger for DKA remains unclear; diabetes is not well-controlled on oral meds at baseline (HbA1c 9.3%), and possible the nephrolithiasis contributed to the DKA.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Glycosylated haemoglobin increased, Imaging procedure abnormal, Mental status changes, Metabolic function test, Nephrolithiasis
Clinical narrative: Patient presented with altered mental status within 24 hours after receiving COVID booster. Found to have SIRS vs sepsis and to be in DKA. Found to have obstructing nephrolithiasis on imaging but infectious workup was negative (negative urine, blood cultures, COVID PCR and normal chest X-ray). SIRS on presentation ultimately felt to be due to DKA rather than infection. Trigger for DKA remains unclear; diabetes is not well-controlled on oral meds at baseline (HbA1c 9.3%), and possible the nephrolithiasis contributed to the DKA.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Sepsis, Systemic inflammatory response syndrome, Urine analysis, Urine analysis normal
Clinical narrative: Patient presented with altered mental status within 24 hours after receiving COVID booster. Found to have SIRS vs sepsis and to be in DKA. Found to have obstructing nephrolithiasis on imaging but infectious workup was negative (negative urine, blood cultures, COVID PCR and normal chest X-ray). SIRS on presentation ultimately felt to be due to DKA rather than infection. Trigger for DKA remains unclear; diabetes is not well-controlled on oral meds at baseline (HbA1c 9.3%), and possible the nephrolithiasis contributed to the DKA.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urine ketone body present
Clinical narrative: Patient presented with altered mental status within 24 hours after receiving COVID booster. Found to have SIRS vs sepsis and to be in DKA. Found to have obstructing nephrolithiasis on imaging but infectious workup was negative (negative urine, blood cultures, COVID PCR and normal chest X-ray). SIRS on presentation ultimately felt to be due to DKA rather than infection. Trigger for DKA remains unclear; diabetes is not well-controlled on oral meds at baseline (HbA1c 9.3%), and possible the nephrolithiasis contributed to the DKA.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer monovalent instead of Pfizer bivalent as a Covid-19 booster dose.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation delayed, Menstruation irregular, Migraine
Clinical narrative: Since receiving the vaccine, I've noticed a significant change in my menstruation. For all of my life prior to the vaccine, the timing of my cycles was always exact as to the date it would occur. Now I experience unpredictable delays of 1-5 days. The flow has become much heavier, the pain I usually experience from cramps has markedly intensified, and I have been getting migraines in conjunction with the start of my period. I read that these symptoms resolve themselves after several months, but for me, there appears to be no improvement after more than a year since the second dose.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was accidently given the "old" covid booster instead of the new bivalent booster,
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Pain with vaccination and has continued x4 weeks with decreased ROM
Age: 51.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: Started having a sore throat, congestion, fatigue and cough. Took home COVID-19 test and it was positive. Currently taking PAXLOVID.
Age: 51.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Started having a sore throat, congestion, fatigue and cough. Took home COVID-19 test and it was positive. Currently taking PAXLOVID.
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient came in for physical appointment, meningcoccal B was administered instead of MCV4.  Provider and mother were notified , child had no side effect with vaccine.  Medical assistant called parent to check on patient and he was doing  fine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On 09/17/2022 I was feeling tired and thought it was due to an overactive weekend. The next day I woke up feeling much worse and slept most of the day. I felt like I was running a fever off and on. The worst symptoms were fatigue, off/on fever. 09/22/2022 I began having trouble breathing. Made appointment with PCP. On Monday symptoms were still worsening and I was instructed to go to urgent care. Urgent care ordered x-rays which were negative. I was put on prednisone for 5 days and nebulizer which both made my symptoms. Fatigue persisted another week and then I felt better.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, X-ray normal
Clinical narrative: On 09/17/2022 I was feeling tired and thought it was due to an overactive weekend. The next day I woke up feeling much worse and slept most of the day. I felt like I was running a fever off and on. The worst symptoms were fatigue, off/on fever. 09/22/2022 I began having trouble breathing. Made appointment with PCP. On Monday symptoms were still worsening and I was instructed to go to urgent care. Urgent care ordered x-rays which were negative. I was put on prednisone for 5 days and nebulizer which both made my symptoms. Fatigue persisted another week and then I felt better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Myalgia, Oropharyngeal pain
Clinical narrative: Covid 19 Infection diagnosed with positive home test on 9/26/2022, symptoms included fever, myalgias, sore throat, extreme fatigue, rhinorrhea, cough x 3 days, started Paxlovid on 9/26/2022 which improved symptoms slowly but fatigue, rhinorrhea and cough are persistent and still present today 10/24/2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Covid 19 Infection diagnosed with positive home test on 9/26/2022, symptoms included fever, myalgias, sore throat, extreme fatigue, rhinorrhea, cough x 3 days, started Paxlovid on 9/26/2022 which improved symptoms slowly but fatigue, rhinorrhea and cough are persistent and still present today 10/24/2022.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: The patient was scheduled to receive the 2nd dose of her primary COVID monovalent vaccine series of Pfizer but erroneously received the bivalent booster, 0.3ml. The MD was notified.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Urticaria
Clinical narrative: 17 Days after receiving vaccine patient experience similar to hives but smaller and not as raised on torso. Extremely itchy for 20-30 minutes and comes and go. Patient has tried Allegra and its getting better.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Drainage, Dysphagia, Pharyngeal swelling, Pyrexia
Clinical narrative: I had bad and swollen sore throat, sinus drainage, difficulty swallowing, and fever. I tested positive for COVID-19 at home. My doctor sent me to the ER for an infusion which they did not do anymore. So, they sent me home without doing anything. My doctor sent in a prescription for Paxlovid and my symptoms went away almost immediately.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had bad and swollen sore throat, sinus drainage, difficulty swallowing, and fever. I tested positive for COVID-19 at home. My doctor sent me to the ER for an infusion which they did not do anymore. So, they sent me home without doing anything. My doctor sent in a prescription for Paxlovid and my symptoms went away almost immediately.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Extrasystoles, Palpitations
Clinical narrative: I had my vaccination on 04/20/2022. On 10/01/2022 I started to have heart palpitations and my heart would skip beats. I went to my doctor on 10/10/2022 and performed an EKG. I was not notified of the results. They referred to cardiologist and I am waiting for a call back.
Age: 3.0
Sex: U
Vaccine: FLU4
Symptoms: Peripheral swelling, Urticaria
Clinical narrative: 1 hour after vaccine administered, swelling and hives of left hand
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 10-21-2022 Pt was administered Moderna bivalent vaccine in the right deltoid. Patient was monitored for 15 min with no signs of adverse reaction.  10-24-22 15:18 Patient called and reported redness and warmth to the right deltoid injection site. She also reported firmness under the injection site on the right deltoid.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: NO SYMPTOMS - GIVEN WRONG BIVALENT DOSE. WRONG DOB WAS PROVIDED AND PHARMACIST WAS NOT NOTIFIED UNTIL AFTER SHOT WAS GIVEN. PT SHOULD HAVE GOTTEN PEDIATRIC BIVALENT BOOSTER (ORANGE CAP)
Age: 50.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Computerised tomogram head normal, Deafness bilateral, Gait disturbance
Clinical narrative: 10/22/2022 sudden onset left sided hearing loss hearing loss and unsteady gait. 10/23 sudden onset of right sided hearing loss, no improvement in left hearing.  10/23 presented to ED and admitted to hospital and started on IV solumedrol with improvement in right sided hearing to near baseline by 10/24.   10/24 left sided hearing loss and unsteady gait remain.  also treating hypertensive emergency- previously not needing any medications for several years.
Age: 50.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Hypertensive emergency, Magnetic resonance imaging head normal, Sudden hearing loss
Clinical narrative: 10/22/2022 sudden onset left sided hearing loss hearing loss and unsteady gait. 10/23 sudden onset of right sided hearing loss, no improvement in left hearing.  10/23 presented to ED and admitted to hospital and started on IV solumedrol with improvement in right sided hearing to near baseline by 10/24.   10/24 left sided hearing loss and unsteady gait remain.  also treating hypertensive emergency- previously not needing any medications for several years.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Incorrect route of product administration, Mobility decreased
Clinical narrative: On 10/24/22 the patient returned to the pharmacy for another immunization and wanted to let us know that her shoulder was still in pain from the updated Covid booster she had a month ago. She has difficulty raising her arm above her head. She will be having an appointment with her doctor and will bring this to his attention. She also noted that the vaccine was given higher than other vaccines she has received.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angiogram normal, Echocardiogram normal, Fatigue, Feeling abnormal, Heart rate increased
Clinical narrative: Four days after the booster I took my dog on a walk.  I began to have fast heart rate.  The next several days I had the same feeling even without exercise.  I started to not feel good and very tired over the next few days.  On October 14, 2022, my sons called the ambulance because I was unable to speak.  I was also struggling with my words and recognition.  I went to the hospital and was diagnosed with ischemic stroke.   Although the tests did not indicate a stroke, they treated me as if I had one.  They gave me Tenecteplase and then I was able to speak after that.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ischaemic stroke, Magnetic resonance imaging head normal, Speech disorder
Clinical narrative: Four days after the booster I took my dog on a walk.  I began to have fast heart rate.  The next several days I had the same feeling even without exercise.  I started to not feel good and very tired over the next few days.  On October 14, 2022, my sons called the ambulance because I was unable to speak.  I was also struggling with my words and recognition.  I went to the hospital and was diagnosed with ischemic stroke.   Although the tests did not indicate a stroke, they treated me as if I had one.  They gave me Tenecteplase and then I was able to speak after that.
Age: 1.0
Sex: M
Vaccine: MMR, PNC20, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pneumo Conjugate (Prevnar 20) given in error. No known events.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given "old" covid booster instead of new updated bivalent booster
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Tinnitus re-aggravated after the booster.  I suspected Tinnitus previously arose after early COVID-19 vaccines (including original J&J shot back in April 2021).  It came back this afternoon and reminded me of the whole thing.  I also had a Moderna booster in December 2021, which elevated the Tinnitus again.  Before it lasted for months.  We'll see what happens this time.  When it happened before, I went to various Drs. for assessment to make sure I had no ear damage, etc.  All findings were negative.  When I asked about possible cause being COVID-19 vaccine, there was no definitive answer.  I feel pretty strongly about cause and effect evidence at this point.  I have to simply trust it will go away with time.  It is distracting.