chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Vitamin B12 increased, White blood cell count increased
Clinical narrative: History of present illness: patientt is a 73 y.o. year old female with a history of hypothyroidism, hypertension, history of breast cancer status post bilateral mastectomies who presented with complaints of bruising, petechial rash and gum bleeds.  She noticed that when she was brushing her teeth this morning, her gums were bleeding and found a pea size hematoma in the bottom of her lip.  Denies recent injury or trauma.  Denies fevers chills nausea vomiting chest pain shortness of breath cough weakness dizziness lightheadedness.  Denies hematuria or blood in stools or dark stools.  Patient reports she received her first dose of Covid vaccine on March 2.  She noticed a large bruise in her injection site this morning.  Denies pain.  She reports that her lower extremity started itching last week and she began scratching and knows it is small red dots diffusely distributed in her bilateral lower extremities.  Denies starting any new medications.  Denies history of HIV or hep C.  She reports starting a new topical medication given to her by a dermatologist for dry skin but does not know the name.  Denies history of blood disorders. 3/18: Patient diagnosed with idiopathic thrombocytopenia and admitted to medical floor. History of present illness as above. Plt <2; WBC 9.2; Hgb/Hct 13.2/38 3/19: Oncology provider consulted and recommended oral prednisone 100 mg daily, transfusing for any evidence of significant bleeding and considering IVIG if no improvement in platelets after 2 days. After further discussion plan was changed to dexamethasone 40 mg dailys x 4 days and rechecking CBC, transfusing platelets if <2 with a goal of >10. Labs showed plt <2, transfused 1 units, plt increased to 9, transfused additional unit. Plt <2, <2, transfused 1 unit plt, increased to 9, transfused additional unit of plt. WBC 94.6, 10.1, 13.4 (no s/s infection, monitored); Hgb/Hct 13.1/38, 12.8/37, 11.7/33 (decreased throughout day). 3/20: Provider consulted hematology who recommended rechecking platelets in 24 hours and considering IVIG on 3/21. Continued dexamethasone. Platelets increased to 11 after additional plt transfusion on 3/19. WBC 15 (no s/s infection, monitored); Hgb/Hct 11.3/32. 3/21: Platelets found to be <2 with morning labs. Transfused 1 unit of platelets, IVIG ordered by hematologist, and dexamethasone was continued. Plt <2, transfused 1 unit plt, plt increased to 21. WBC 14.2, 17.5 (no s/s infection, monitored); Hgb/Hct 11.3/34, 13.2/38 3/22: Patient feels more comfortable this morning denying any new bleeding symptoms. ITP refractory to treatment with prenisone, high-dose dexamethasone and is status post 1 dose of IVIG. Patient to receive her last dose of dexamethasone today and reassess tomorrow. Additional dose of IVIG planned for 3/22. Plt 2 in the am, increased to 43 in the afternoon. WBC 11.5, 13.7 (no s/s infection, monitored); Hgb/Hct 11.2/33, 12.8/37  Patient is still currently admitted.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Chills, Diarrhoea, Fatigue
Clinical narrative: Chills: Onset 19 March 2021 Fatigue: Onset 19 March 2021 Sore Throat: Onset 21 March 2021 Diarrhea w/Fecal Incontinence: Onset 20 March 2021
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Rash, Urticaria
Clinical narrative: Rash started on my neck and chest.  Hives spread over entire body for the next two weeks.  Dermatologist prescribed cream.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: I woke up the morning after the first shot and noticed my entire torso, back and inner arms had a red rash. It proceeded to get worse by becoming more red, raised and itchy as well as spread down my legs to my knees within 2 days. It did cover most of my body from my neck to my knees. I treated with OTC antihistamines - Claritin in the morning which didn't really have any effect it seemed but I took Benadryl before going to sleep at night beginning on Sunday through Thursday which did give me relief from the itching and by Tuesday the rash was fading and continued to lessen throughout the rest of the week. The rash began to fade in the order it appeared with my legs last.  I did not experience other symptoms besides the severe external rash and itching.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Glassy eyes, Lacrimation increased, Ocular hyperaemia
Clinical narrative: That night while watching television, right eye started tearing up, watery, glazed, eyeball felt sore. On Sunday morning had redness like hemorrhage, in the eye.  She had no swelling or pain. The eye looks unsymmetrical.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: 11:15 Post vaccination reports feeling dizzy and tired, denies any additional symptoms; medical monitoring x 30 min, remains oriented w/coherent verbal responses; post rest reports "feeling better"/ noted symptoms improved. Released from facility w/ known site volunteer.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Lacrimation increased, Nausea, Pain
Clinical narrative: experienced body aches, skin sensation to touch, nasal drainage, injection site tenderness, eyes watering, headache, vomiting x6 over period of 10 hrs. Spent all day March 18 in bed due to vomiting , and above symptons. Continued with low grade nausea and HA on March  19. Felt fine on March 20.     Treated self with Tylenol and restarted routine meds March 19 PM. Unable to take any meds on March 18 due to vomiting.  Did not require seeing healthcare.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Sinus operation, Vomiting
Clinical narrative: experienced body aches, skin sensation to touch, nasal drainage, injection site tenderness, eyes watering, headache, vomiting x6 over period of 10 hrs. Spent all day March 18 in bed due to vomiting , and above symptons. Continued with low grade nausea and HA on March  19. Felt fine on March 20.     Treated self with Tylenol and restarted routine meds March 19 PM. Unable to take any meds on March 18 due to vomiting.  Did not require seeing healthcare.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Brain natriuretic peptide normal, Cardiac electrophysiologic study normal, Chest X-ray normal, Chest discomfort
Clinical narrative: Within 10 minutes of receiving injection in right arm I felt a BOOM flush all over my body like I just had an IV Contrast.  Then I became dizzy, my heart started racing, I started cold sweats and felt tightness in my mid upper chest to the base of my throat.  The ED RN on site took my BP and HR and had me lie down because I felt that I couldn't breath.  She called paramedics who took my BP and HR, then did a 12 lead EKG.  They transported me to the ED.  I was worked up for cardiac, lung, chemistry.  My troponin-HS was slightly elevated and a cardiologist was called.  He did an echo on my heart, liver and right kidney -- normal.  Chest X-ray was normal.  A second 12 lead EKG was done, normal sinus.  Hematology, Chemistry was normal.  Was in the ED from 11:30 to 4:00 p.m.  Advised by ED Doctor, and Cardiologist, that it seems the stress of the anaphylaxis reaction stressed the heart which caused the spill of troponin.  Advised to see my cardiologist and get a stress test.  I have already informed my Primary Care Doctor and he has prescribed me an EPI-PEN to carry.  I have no history of allergic reactions/anaphylaxis reactions to vaccines.  I am up to date with all other vaccines and just had my yearly flu shot in November 2020.  This was my first allergic reaction/anaphylaxis reaction to a vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Dyspnoea, Flushing, Haematology test normal
Clinical narrative: Within 10 minutes of receiving injection in right arm I felt a BOOM flush all over my body like I just had an IV Contrast.  Then I became dizzy, my heart started racing, I started cold sweats and felt tightness in my mid upper chest to the base of my throat.  The ED RN on site took my BP and HR and had me lie down because I felt that I couldn't breath.  She called paramedics who took my BP and HR, then did a 12 lead EKG.  They transported me to the ED.  I was worked up for cardiac, lung, chemistry.  My troponin-HS was slightly elevated and a cardiologist was called.  He did an echo on my heart, liver and right kidney -- normal.  Chest X-ray was normal.  A second 12 lead EKG was done, normal sinus.  Hematology, Chemistry was normal.  Was in the ED from 11:30 to 4:00 p.m.  Advised by ED Doctor, and Cardiologist, that it seems the stress of the anaphylaxis reaction stressed the heart which caused the spill of troponin.  Advised to see my cardiologist and get a stress test.  I have already informed my Primary Care Doctor and he has prescribed me an EPI-PEN to carry.  I have no history of allergic reactions/anaphylaxis reactions to vaccines.  I am up to date with all other vaccines and just had my yearly flu shot in November 2020.  This was my first allergic reaction/anaphylaxis reaction to a vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Human chorionic gonadotropin normal, Laboratory test normal, Palpitations, Throat tightness, Troponin increased
Clinical narrative: Within 10 minutes of receiving injection in right arm I felt a BOOM flush all over my body like I just had an IV Contrast.  Then I became dizzy, my heart started racing, I started cold sweats and felt tightness in my mid upper chest to the base of my throat.  The ED RN on site took my BP and HR and had me lie down because I felt that I couldn't breath.  She called paramedics who took my BP and HR, then did a 12 lead EKG.  They transported me to the ED.  I was worked up for cardiac, lung, chemistry.  My troponin-HS was slightly elevated and a cardiologist was called.  He did an echo on my heart, liver and right kidney -- normal.  Chest X-ray was normal.  A second 12 lead EKG was done, normal sinus.  Hematology, Chemistry was normal.  Was in the ED from 11:30 to 4:00 p.m.  Advised by ED Doctor, and Cardiologist, that it seems the stress of the anaphylaxis reaction stressed the heart which caused the spill of troponin.  Advised to see my cardiologist and get a stress test.  I have already informed my Primary Care Doctor and he has prescribed me an EPI-PEN to carry.  I have no history of allergic reactions/anaphylaxis reactions to vaccines.  I am up to date with all other vaccines and just had my yearly flu shot in November 2020.  This was my first allergic reaction/anaphylaxis reaction to a vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: Within 10 minutes of receiving injection in right arm I felt a BOOM flush all over my body like I just had an IV Contrast.  Then I became dizzy, my heart started racing, I started cold sweats and felt tightness in my mid upper chest to the base of my throat.  The ED RN on site took my BP and HR and had me lie down because I felt that I couldn't breath.  She called paramedics who took my BP and HR, then did a 12 lead EKG.  They transported me to the ED.  I was worked up for cardiac, lung, chemistry.  My troponin-HS was slightly elevated and a cardiologist was called.  He did an echo on my heart, liver and right kidney -- normal.  Chest X-ray was normal.  A second 12 lead EKG was done, normal sinus.  Hematology, Chemistry was normal.  Was in the ED from 11:30 to 4:00 p.m.  Advised by ED Doctor, and Cardiologist, that it seems the stress of the anaphylaxis reaction stressed the heart which caused the spill of troponin.  Advised to see my cardiologist and get a stress test.  I have already informed my Primary Care Doctor and he has prescribed me an EPI-PEN to carry.  I have no history of allergic reactions/anaphylaxis reactions to vaccines.  I am up to date with all other vaccines and just had my yearly flu shot in November 2020.  This was my first allergic reaction/anaphylaxis reaction to a vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Haematuria
Clinical narrative: One day after receiving the vaccine, patient noted lower back pains, diffuse joint pains, fatigue, and gross hematuria. Symptoms persisted for 3 days but then resolved. Of note, Pt received first dose of Pfizer vaccine without incident.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Blood urine present, Pain, Urine analysis
Clinical narrative: Blood in urine, pain, unresolved
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Headache, Nausea, Neck pain
Clinical narrative: By 8pm I had a fever and felt very tired. I took Temp at 830, it was 99.8, I took tylenol and went to bed,I got my shot in the left arm, it was very sore. I woke around 2am, still had fever and my left side was sore, my neck,hip and leg, but only left side.  took more tylenol went back to bed. I woke at 930am,  still fever, still sore down left side, and a headache.  I went back to sleep around 1230 and didn't wake up till 430 pm. I was still with fever, 99.4, my face, though not red, felt like it was on fire most the day. I was very tired, fatigued, headache, and starting to feel slightly nausous. I dozed off and on for a few hours. drinking often and taking tylenol every 4 hours. I was up around 1:30 am on the 21, took more tylenol, the soreness from my left side was now also across the back of my neck. When i woke on march 21 around 8 my temp was down to 98.4 {my normal temp is 97.4}. my face no longer felt like it was on fire, most of the soreness gone from left side, but still headache and sore across the back of my neck., still very tired. I dozed most of the early day. When i woke around 1pm , my temp was back to normal 97.4. and the headache was all but  gone.  by 7 pm the headache was gone and most of the soreness across the back of my neck, still felt slightly nausous all day, never puked,  Waking march 22, headache was gone, temp normal, soreness all but gone. still slightly nausous.   by 330 pm the nausous was gone.  And symptom free.   I had positive tested covid in Dec of 2019.  I do not have a doctor,
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: By 8pm I had a fever and felt very tired. I took Temp at 830, it was 99.8, I took tylenol and went to bed,I got my shot in the left arm, it was very sore. I woke around 2am, still had fever and my left side was sore, my neck,hip and leg, but only left side.  took more tylenol went back to bed. I woke at 930am,  still fever, still sore down left side, and a headache.  I went back to sleep around 1230 and didn't wake up till 430 pm. I was still with fever, 99.4, my face, though not red, felt like it was on fire most the day. I was very tired, fatigued, headache, and starting to feel slightly nausous. I dozed off and on for a few hours. drinking often and taking tylenol every 4 hours. I was up around 1:30 am on the 21, took more tylenol, the soreness from my left side was now also across the back of my neck. When i woke on march 21 around 8 my temp was down to 98.4 {my normal temp is 97.4}. my face no longer felt like it was on fire, most of the soreness gone from left side, but still headache and sore across the back of my neck., still very tired. I dozed most of the early day. When i woke around 1pm , my temp was back to normal 97.4. and the headache was all but  gone.  by 7 pm the headache was gone and most of the soreness across the back of my neck, still felt slightly nausous all day, never puked,  Waking march 22, headache was gone, temp normal, soreness all but gone. still slightly nausous.   by 330 pm the nausous was gone.  And symptom free.   I had positive tested covid in Dec of 2019.  I do not have a doctor,
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: Immunizer administered vaccine too low. Patient reported administration site in tricep instead of deltoid as usual for IM immunizations.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Fatigue, Nausea, Pyrexia
Clinical narrative: Bloating,, nausea, temperature, fatigue.  1 day
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Cytogenetic analysis, Exposure during pregnancy, Foetal death, Immunology test
Clinical narrative: Received 2nd dose of covid vaccine at 11 weeks, 6 days. Had follow up normal ultrasound at 12 weeks, 2 days. Missed miscarriage noted at 15 weeks, 1 day. Last measurement of baby noted to be 12 weeks, 6 days. Closely monitored during first trimester with no abnormalities noted. Normal ultrasound at 12 weeks, several days after baby stopped growing with fetal demise at some point there after
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine dilation and evacuation
Clinical narrative: Received 2nd dose of covid vaccine at 11 weeks, 6 days. Had follow up normal ultrasound at 12 weeks, 2 days. Missed miscarriage noted at 15 weeks, 1 day. Last measurement of baby noted to be 12 weeks, 6 days. Closely monitored during first trimester with no abnormalities noted. Normal ultrasound at 12 weeks, several days after baby stopped growing with fetal demise at some point there after
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Pfizer-BioNTech Covid-19 Vaccine EUA
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: After vaccine was administered, patient experienced an allergic reaction to the  covid-19 vaccine (Modern) boost lot number 026A21A. The patient complained of  red itchy skin which was warm to touch and radiate heat around 13:50.   Pharmacist  gave 2 capsules of diphenhydramine 25 mg, one capsule was given  immediately, and the second capsule was given to the patient to take home. Dr.  educate the patient on how to take diphenhydramine capsule and what to  expect from the medication. Dr personally checked on the patient every 5  minutes, and kept the patient for 30 minutes for observation. Dr explained  to the patient about angioedema symptoms and the need to come back to the  emergency department right away if symptoms worsen. Dr gave patient a call  around 16:40 and left a message to the patient to call back if she need anything  else.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Pyrexia
Clinical narrative: RN administered Pentacel (Dtap/IPV component) in addition to fully reconstituted Pentacel (Dtap-IPV-HIB) vaccine. Provider and family were informed, no treatment indicated. Family reported low grade temp within 24 hours, no additional symptoms.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Back pain, Electromyogram, Hypoaesthesia
Clinical narrative: Severe pain in upper arm/shoulder/back  following with weakness, numbness, tingling in the shoulder, arm, forearm , hand, and fingers . Diagnosed as Parsonage-Turner Syndrome.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Neuralgic amyotrophy, Pain in extremity, Paraesthesia
Clinical narrative: Severe pain in upper arm/shoulder/back  following with weakness, numbness, tingling in the shoulder, arm, forearm , hand, and fingers . Diagnosed as Parsonage-Turner Syndrome.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Urticaria
Clinical narrative: About 45 minutes after the injection two large spots on the face had hives, moderate swelling beneath right side of lip, minor swelling beneath left side of lip.  Took Zyrtec and symptoms went away.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Erythema, Headache, Myalgia, Peripheral swelling
Clinical narrative: Fever headache chills muscle aches redness on left arm and swelling took about 40 hours to get over it
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever headache chills muscle aches redness on left arm and swelling took about 40 hours to get over it
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Nausea, throwing up, Headache, fever, body aches, exhaustion
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nausea, throwing up, Headache, fever, body aches, exhaustion
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: none
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 3 inch in diameter swelling  at site of injection; firm mass/welt at injection site; warm to touch that appeared about 24 hours after vaccination.  I thought it resolved after 48 hours of swelling, but then returned 9 days after vaccination.  The swelling is 3 inches in diameter, warm to touch & itchy, now 10 days after the vaccination.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Physical examination, X-ray
Clinical narrative: MD believes that the bursa was hit during vaccination.  The patient has been complaining for several weeks of severe pain.  She now is attending physical therapy.  If that does not improve after 2 weeks, then the doctor wants an MRI to see if the rotator cuff was damaged.  Doctor is afraid that she will end up with a frozen shoulder.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure like phenomena
Clinical narrative: Person had a seizure-like episode requiring intervention from others to help her lie down. Fiance had sublingual Clonazepam available which was administered. EMTs called, arrived and evaluated. VS stable and pt up and walking, declined transport to hospital with EMT. Left for home with fiancé.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: From report provided by event staff: "At 2:35pm a second dose vaccine for COVID-19 (Moderna) was attempted to be given to the recipient, , but the syringe came apart when the person who was injecting, student nurse, , pushed on the plunger of the syringe. It appeared that probably most of the dose was lost, not injected. The dose splattered down the recipient's arm and sprayed on the facial visor of the student nurse giving the injection.  Time of Evaluation of incident by MD on-site for clinic: At approximately 2:37pm  was brought to  the MD on-site. At 2:42 pm  administered the 2nd dose of the Moderna vaccine for COVID-19 to  in the deltoid area of her left arm. She was observed for 15 minutes and did not have any signs or symptoms of reaction"
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Death, Disorientation, Fall, Head injury
Clinical narrative: 3 days after vaccination, person was somewhat disoriented. 4th day after vaccination, patient fell, hit head and developed subdural hematoma from which he subsequently died.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Subdural haematoma
Clinical narrative: 3 days after vaccination, person was somewhat disoriented. 4th day after vaccination, patient fell, hit head and developed subdural hematoma from which he subsequently died.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Myalgia
Clinical narrative: Around 11 hours after injection - muscle aches/pain that lasted for multiple days with chills/cold sweats.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Eyelid disorder, Facial paralysis, Neurological symptom
Clinical narrative: Patient went to ER on Saturday, March 20, 2021 complaining of stroke-like symptoms. Medical staff determined that patient was suffering from symptoms similar to Bells Palsy. Presently he still suffers from being unable to close left eye without also closing right eye and the right corner of his mouth droops downward.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Abdominal crampy and diarrhea
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Lymph node pain
Clinical narrative: Moderna COVID-19 Vaccine EUA  Starting about 7 days after injection: Itchy, swollen, red, warm area surrounding injection site, on left arm. Also, swollen & slightly painful lymph nodes in left arm pit.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Moderna COVID-19 Vaccine EUA  Starting about 7 days after injection: Itchy, swollen, red, warm area surrounding injection site, on left arm. Also, swollen & slightly painful lymph nodes in left arm pit.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: severe chills from 8pm to 1 am
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Swelling
Clinical narrative: Very sore throat, swollen neck. No fever or other symptoms. Started 2 days ago and has not improved.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is only 16 years of age and received a second COVID vaccination at our store. After talking to patient, he states he received his first dose at a drive through clinic on 02/22/2021 out of the lot 022M20A. Informed patient after the fact that one must be 18 years old to receive this vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Blood test, Cerebrovascular accident, Computerised tomogram, Intensive care
Clinical narrative: Stroke - globus pallidus area  Lost ability to speak and recognize objects.  Immediately taken to ER and evaluated and TPA given.  Results good following drug administration sent home after two days.  Some mental affects still.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Memory impairment
Clinical narrative: Stroke - globus pallidus area  Lost ability to speak and recognize objects.  Immediately taken to ER and evaluated and TPA given.  Results good following drug administration sent home after two days.  Some mental affects still.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass
Clinical narrative: HARD LUMP AT SITE OF INJECTION, APPROXIMATELY 5 INCHES IN DIAMETER. NO REDNESS, WARMTH, FEVER, SWELLING OF THROAT, NOR ITCHING. RECOMMENDED TO WATCH SITE EVERYDAY; THE LUMP WAS GOING AWAY
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Angiogram normal, Computerised tomogram normal
Clinical narrative: Sudden onset of memory loss while paying for gasoline. Had been driving and stopped for gas. Paid and then couldn't recall where he was or what he was doing. EMS responded and transported to Hospital.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride decreased, Blood sodium decreased, Blood test normal, Chest X-ray normal, Chest discomfort
Clinical narrative: No pain or adverse event for the first 4 hours after vaccination. Starting at 2pm, which was 4 hours after my vaccine, , my chest began to tighten. It was not severe; I took a normal walk and was just mildly uncomfortable. It escalated hourly for about 10- 12 hours. At 8pm, the pain, pressure, and tightness around the chest went from mild to moderate, from a pain level of 2 to about 3 or 4. The sensation was one of a stack of books on my chest. There was pressure and mild pain (again, not severe), about 8-10 inches horizontally across my chest, from about the bottom of my sternum to the collarbone. I also felt some pressure in my lower throat, perhaps the bottom third of my neck. I did not have any shortness or breath, swelling, or difficulty swallowing. At about 9 pm, I became itchy on my neck, ankles, and flank. I developed some red spots, which were not large enough to be hives, They mostly became red from my itching, though they were more moderately itchy than seriously itchy. I have had hives before, and they did not appear to be hives, more just isolated red spots. Once I became itchy, I went to the ER. They worked me up for cardiac issues and a blot clot, but all tests were negative. I did not take any medication other than my standard Oxcarbazepine 8pm dose of 300 mg. The itchiness went away at about 11pm (two hours after onset), and the chest pain did not worsen. The following morning, it was significantly better, and about 36 hours after I first received the vaccine, it was gone entirely.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Oropharyngeal discomfort, Pruritus, Rash macular
Clinical narrative: No pain or adverse event for the first 4 hours after vaccination. Starting at 2pm, which was 4 hours after my vaccine, , my chest began to tighten. It was not severe; I took a normal walk and was just mildly uncomfortable. It escalated hourly for about 10- 12 hours. At 8pm, the pain, pressure, and tightness around the chest went from mild to moderate, from a pain level of 2 to about 3 or 4. The sensation was one of a stack of books on my chest. There was pressure and mild pain (again, not severe), about 8-10 inches horizontally across my chest, from about the bottom of my sternum to the collarbone. I also felt some pressure in my lower throat, perhaps the bottom third of my neck. I did not have any shortness or breath, swelling, or difficulty swallowing. At about 9 pm, I became itchy on my neck, ankles, and flank. I developed some red spots, which were not large enough to be hives, They mostly became red from my itching, though they were more moderately itchy than seriously itchy. I have had hives before, and they did not appear to be hives, more just isolated red spots. Once I became itchy, I went to the ER. They worked me up for cardiac issues and a blot clot, but all tests were negative. I did not take any medication other than my standard Oxcarbazepine 8pm dose of 300 mg. The itchiness went away at about 11pm (two hours after onset), and the chest pain did not worsen. The following morning, it was significantly better, and about 36 hours after I first received the vaccine, it was gone entirely.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash, "covid arm"
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Nasopharyngitis, Nausea
Clinical narrative: Approximately 4 hours after the vaccine, I left chilled and had diarrhea. This continued and worsened over the course of the day. By evening, I was very cold, had horrible stomach pains and was very achy. I never experienced a fever but felt extremely chilled. Approximately 12 hours after the vaccine (10p), I began to experience a sore throat and tingly in my mouth, tongue and lips. I began to feel pins and needles across my body, like a skin tingly feeling. I took advil to help with the pain and chills, which helped. And then I took Benadryl when the tingling began and that helped as well.  Today, I am still experiencing stomach pain and nausea.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Paraesthesia, Paraesthesia oral
Clinical narrative: Approximately 4 hours after the vaccine, I left chilled and had diarrhea. This continued and worsened over the course of the day. By evening, I was very cold, had horrible stomach pains and was very achy. I never experienced a fever but felt extremely chilled. Approximately 12 hours after the vaccine (10p), I began to experience a sore throat and tingly in my mouth, tongue and lips. I began to feel pins and needles across my body, like a skin tingly feeling. I took advil to help with the pain and chills, which helped. And then I took Benadryl when the tingling began and that helped as well.  Today, I am still experiencing stomach pain and nausea.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: extreme headache, extreme muscle aches, chills, low grade fever, nausea
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Rash erythematous
Clinical narrative: Patient came back 2 days after the vaccine with red patchy area (not itchy), tender and swollen. The reaction was an inch below the injection site.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site pruritus, Lymphadenopathy, Musculoskeletal discomfort, Rash
Clinical narrative: 8 days after the vaccine, my left upper arm at the site of the injection began to feel itchy and uncomfortable. On day 9, a red circular, itchy rash appeared. This expanded on day 10 (today). It is sore, itchy, red, has bumps, and my lymph node under my left armpit may be enlarged. Shoulder is slightly uncomfortable.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: 8 days after the vaccine, my left upper arm at the site of the injection began to feel itchy and uncomfortable. On day 9, a red circular, itchy rash appeared. This expanded on day 10 (today). It is sore, itchy, red, has bumps, and my lymph node under my left armpit may be enlarged. Shoulder is slightly uncomfortable.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Sudden death
Clinical narrative: Sudden death March 20, 2021
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Pain, Pain in extremity, Pyrexia
Clinical narrative: Started with a bad headache and very sore arm the first night. The morning of the day after I was vaccinated, I took my temperature and it was up to 101, which is high for me. I ached everywhere and my neck was so stiff, I could hardly stand to turn my head. My left arm, where I was vaccinated felt sore and tight in my shirt, but I couldn?t turn my head far enough to look at it to see if it was red or not. My temp went up to 102, the highest it?s been since I had osteomyelitis after my accident- no kidding! I slept most of the day both Thursday and Friday.  I woke up Saturday at 2 pm and felt fine again- like nothing happened. But, I thought it was Friday. I was sick enough & sleeping enough that I acted lost a day completely! I never got nauseous- just terrible headache, stiff neck, joint & muscle pain , fatigue and 102 fever.  There is a question of whether I have had Covid. I was very sick for 4 weeks- the whole month of February, 2020. My daughter had been in (Country) on business and met with collegues from all over the (Country), including (Country), in January, 2020. My brother died unexpectedly while she was gone. She flew back to (State) on a Thursday night and then got right back on a flight to (city) to stay with me for a week. She missed the wake, but was a comfort to me. I get very sick about a week after she left.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Tinnitus
Clinical narrative: Awakened by very loud roaring , tinnitus, in right ear only.  Approximate time 0300.  Loud noise, roaring subsided at approximately 0600. No other side effects other than pain at the site of injection,, left arm. Pain in left arm eased up after two days. FYI:: Patient had contacted COVID-19 in November and had recovered.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Oxygen saturation decreased, Pallor
Clinical narrative: Patient complained of feeling nausea and lightheaded around 3:54 pm. The patient was assisted to patient room and sat in chair. Patient began to sweat and skin was pale. The patient verbalized he felt like he was "going down". EMS called. Vital signs at 3:56 pm were blood pressure 82/50, pulse 58, oxygen saturation 95%. 0.3 mg of epi administered intramuscularly to right arm at 3:58 pm. Patient verbalized improvement in symptoms around 4:03 pm. Oxygen dropped to about 88% and back up to 96% and heart rate 88. EMS arrived around 4:10 pm and took blood pressure of 133/86. Patient transported to ER for further evaluation. Patient alert and oriented x4 at time of transfer.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia
Clinical narrative: Loss of memory of recent events of morning. Occurred when planting flowers.  Lasted 3-4 hrs. Regained memory little at a time by 6:00 pm same day.   No headache, dizziness, or pain.  No signs of physical distress.  I knew who and where I was. Recognized the people I was with.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Fall, Hepatic enzyme abnormal
Clinical narrative: 3 days after vaccination, patient fell and needed to be taken to ER for potential leg and/or head injury
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Red, swollen, pain, itching at injection site-still, more than 72 hours after shot
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Blood electrolytes normal, Chest X-ray, Chills
Clinical narrative: Janssen COVID-19 Vaccine EUA: patient received vaccine in the morning then later that afternoon developed fever, chill, backache, upper abdominal pain, malaise.  Presents to emergency department (ED) with vital signs within normal ranges. Temperature 37.7 degrees Celsius. Patient received ondansetron and intravenous fluids. Discharged home medically stable with symptom improvement.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Malaise, Pyrexia, Vital signs measurement
Clinical narrative: Janssen COVID-19 Vaccine EUA: patient received vaccine in the morning then later that afternoon developed fever, chill, backache, upper abdominal pain, malaise.  Presents to emergency department (ED) with vital signs within normal ranges. Temperature 37.7 degrees Celsius. Patient received ondansetron and intravenous fluids. Discharged home medically stable with symptom improvement.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Throat tightness
Clinical narrative: Patient expericed slight tightening of throat/tingling. But was able to swallow. He was asked to take Benadryl but he refused and was given loratadine 10mg tab (1) by mouth. He was observed for 30 minutes and a was driven home. A follow up was conducted 4 hours later he was fine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Headache, Impaired work ability
Clinical narrative: After receiving second does injection I went to bed at my normal time (10:00pm.  I woke up during the night about 1:00 AM with soreness in arm, dizziness, low grade fever and chills.  Felt lethargic all through the next two days.  Saturday and Sunday my arm was still tender but I had no energy however I was experiencing headaches.  Monday went back to work for 5 hours and returned home with low grade fever, chills, headaches and lethargic.  Not coughing , I have an appetite and have not lost my since of smell.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain in extremity, Pyrexia, Tenderness
Clinical narrative: After receiving second does injection I went to bed at my normal time (10:00pm.  I woke up during the night about 1:00 AM with soreness in arm, dizziness, low grade fever and chills.  Felt lethargic all through the next two days.  Saturday and Sunday my arm was still tender but I had no energy however I was experiencing headaches.  Monday went back to work for 5 hours and returned home with low grade fever, chills, headaches and lethargic.  Not coughing , I have an appetite and have not lost my since of smell.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: High amount of pain as well as burning sensation at site of injection immediately upon being vaccinated.  Pain and Burning continued for 4-5 hours following vaccine.  Tired and low energy 5-6 hours after receiving and extreme arm soreness for 2-3 days following.  Noticed small, swollen/raised red patch underneath vaccine location one day following vaccine. Sore to the tough but went away soon after.  Arm had been slightly itchy since vaccine and continues 6 days later.  Finally, woke up 3/18 late night/early morning 3/19 with extreme arm tingling (initially thought this was caused by my sleeping position).  Woke up 3/20 late night/early morning 3/21 with arm tingling.  Arm tingling occurred again today, 3/22, all afternoon.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash erythematous, Rash papular
Clinical narrative: High amount of pain as well as burning sensation at site of injection immediately upon being vaccinated.  Pain and Burning continued for 4-5 hours following vaccine.  Tired and low energy 5-6 hours after receiving and extreme arm soreness for 2-3 days following.  Noticed small, swollen/raised red patch underneath vaccine location one day following vaccine. Sore to the tough but went away soon after.  Arm had been slightly itchy since vaccine and continues 6 days later.  Finally, woke up 3/18 late night/early morning 3/19 with extreme arm tingling (initially thought this was caused by my sleeping position).  Woke up 3/20 late night/early morning 3/21 with arm tingling.  Arm tingling occurred again today, 3/22, all afternoon.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia
Clinical narrative: Extreme exacerbation of inflammation related nerve pain secondary to slipped discs. More extreme on the right side, excruciating right thigh and hip  nerve pain
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: administered Moderna Covid Vaccination earlier than 24 days
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient had tingling of the mouth
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chronic obstructive pulmonary disease, Dependence on oxygen therapy, Dyspnoea, Emphysema
Clinical narrative: 350pm pt with a history of COPD/emphysema uncontrolled, on oxygen and nebs at home.  about 15 minutes after recieving covid vaccine #1 pt began c/o sob and chest tightness.  stated was having a hard time breathing.pt appeared to be having a hard time breathing and catching breath.    RNs asisting pt. BP 110/88 P 110 SA O2 95% Called for Dr. per Dr-pt was tight with decreased air exchange.  pt with increased work of breathing 353pm V.O Dr  epi 1mg IM now Solumedrol 125mg/2ml IM now Albuterol neb 2.5mg/ml now  354pm  gave Epi 1mg IM R arm. ................................................................... RN  March 22, 2021 5:10 PM 355pm started Albuterol neb 2.5mg/3ml PO ................................................................... RN  March 22, 2021 5:10 PM 358pm gave Solumedrol 125mg/2ml IM R arm ................................................................... RN  March 22, 2021 5:11 PM pt states she is starting to feel better.  not havign as much sob breath.  is not having to work as much to breathe.   407pm P 107 SA O2 95% pt states she is feeling alot better.  feels a little shaky however denies sob and states can breath alot easier now.  albuterol neb is still running. Pt appears to be more comfortable. 410pm albuterol neb is complete BP136/84 P 106 SA O2- 95% PT states feels alot bettter.  denies sob, dizziness, swelling of throat or tongue, itchiness or rash, dizziness, hand/fett tinglling or numbness.  pt states that she is much more comfortable now and her breathing is alot more easire now.  pt appears to be more comfortable now.  per Dr- pt has better air exchange now with no wheezing. pt advised to use rescure inhaler and nebs at home.  given ER precautions.  Pt verbalized understanding.  Walked out of clinic on own will to dial a ride. ...................................................................RN  March 22, 2021 5:17 PM
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness
Clinical narrative: 350pm pt with a history of COPD/emphysema uncontrolled, on oxygen and nebs at home.  about 15 minutes after recieving covid vaccine #1 pt began c/o sob and chest tightness.  stated was having a hard time breathing.pt appeared to be having a hard time breathing and catching breath.    RNs asisting pt. BP 110/88 P 110 SA O2 95% Called for Dr. per Dr-pt was tight with decreased air exchange.  pt with increased work of breathing 353pm V.O Dr  epi 1mg IM now Solumedrol 125mg/2ml IM now Albuterol neb 2.5mg/ml now  354pm  gave Epi 1mg IM R arm. ................................................................... RN  March 22, 2021 5:10 PM 355pm started Albuterol neb 2.5mg/3ml PO ................................................................... RN  March 22, 2021 5:10 PM 358pm gave Solumedrol 125mg/2ml IM R arm ................................................................... RN  March 22, 2021 5:11 PM pt states she is starting to feel better.  not havign as much sob breath.  is not having to work as much to breathe.   407pm P 107 SA O2 95% pt states she is feeling alot better.  feels a little shaky however denies sob and states can breath alot easier now.  albuterol neb is still running. Pt appears to be more comfortable. 410pm albuterol neb is complete BP136/84 P 106 SA O2- 95% PT states feels alot bettter.  denies sob, dizziness, swelling of throat or tongue, itchiness or rash, dizziness, hand/fett tinglling or numbness.  pt states that she is much more comfortable now and her breathing is alot more easire now.  pt appears to be more comfortable now.  per Dr- pt has better air exchange now with no wheezing. pt advised to use rescure inhaler and nebs at home.  given ER precautions.  Pt verbalized understanding.  Walked out of clinic on own will to dial a ride. ...................................................................RN  March 22, 2021 5:17 PM
Age: 19.0
Sex: M
Vaccine: ANTH, HEPAB, TYP
Symptoms: Presyncope
Clinical narrative: Patient had vasovagal after receiving vaccinations.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Body aches Chills Fatigue
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain in extremity
Clinical narrative: Muscle and joint soreness in left shoulder and arm from base of neck to elbow; treated with 600 mg qid. Resolved in 48 hours.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Arm pain from shoulder to elbow
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, Diarrhoea, Fatigue, Headache
Clinical narrative: passed out, vomiting, diarrhea, high blood sugars, generalized weakness, rash at injection site, head ache....did not seek treatment.   vomiting, diarrhea, fatigue continued for 2-3 days days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Loss of consciousness, Vomiting
Clinical narrative: passed out, vomiting, diarrhea, high blood sugars, generalized weakness, rash at injection site, head ache....did not seek treatment.   vomiting, diarrhea, fatigue continued for 2-3 days days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chest pain, Cough, Headache
Clinical narrative: Severe burning in chest immediately after injection, sudden severe weakness, severe headache onset within 5 minutes, with some queasiness, subsequent chest congestion, cough, pain in chest area, sore throat.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Oropharyngeal pain
Clinical narrative: Severe burning in chest immediately after injection, sudden severe weakness, severe headache onset within 5 minutes, with some queasiness, subsequent chest congestion, cough, pain in chest area, sore throat.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Protrusion tongue, Swollen tongue
Clinical narrative: Tongue swelling and protruding. Benadryl 50mg IM given. Also, Epi pen administered. 911 called. Patient transported to ER.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Diarrhoea, Headache, Heart rate increased
Clinical narrative: Apprx. 6 hrs after the shots (both my girlfriend and I experience almost identical symptoms) Severe chills, Fever, severe headache, severe muscle pain throughout the body, chest pains, diarrhea, nausea, vertigo, increase heart rate! Two days later and I am still experiencing vertigo, diarrhea, nausea!
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vertigo
Clinical narrative: Apprx. 6 hrs after the shots (both my girlfriend and I experience almost identical symptoms) Severe chills, Fever, severe headache, severe muscle pain throughout the body, chest pains, diarrhea, nausea, vertigo, increase heart rate! Two days later and I am still experiencing vertigo, diarrhea, nausea!
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: temperature and chilling in the middle of the night.  fatigue for a couple of days