chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Instead of receiving the Pfizer 12+ Bivalent booster like they were supposed to, they received the Pfizer 12+ Monovalent vaccine. The medical assistant accidentally pulled the wrong type of Pfizer Covid vaccine. Patient's PCP is aware of the situation.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Medication error, No adverse event
Clinical narrative: This is not an adverse event, this was a med error that occurred in which the patient received the monovalent vaccine when it was the bivalent vaccine that was intended.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Medication error, No adverse event
Clinical narrative: This is not an adverse event, this was a med error that occurred in which the patient received the monovalent vaccine when it was the bivalent vaccine that was intended.
Age: 73.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Urticaria
Clinical narrative: 11/2/22 Patient started with hives on arm and chest. She took Allegra and Benadryl.  Was prescribed prednisone 20 mg take 40 mg daily for 5 days.
Age: 73.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Rash erythematous, Urticaria
Clinical narrative: 11/2/22 Patient started with hives on arm and chest. She took Allegra and Benadryl.  Was prescribed prednisone 20 mg take 40 mg daily for 5 days.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV9, IPV, MMRV
Symptoms: Immediate post-injection reaction, Unresponsive to stimuli
Clinical narrative: Right after the last vaccine was administered, the patient layed her head down on the desk. At first, she was replying to the father and the nurse talking to her, then became unresponsive. The initial vital signs were taken. The patient was lowered to the ground, and her feet were elevated. The vital signs were taken again, and then every 2-3 minutes until the ambulance arrived. Last set of vitals were taken at 9:18 am: BP 86/65, RR 22, HR 84, O2 99%.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 8/30/21, LOT # FC3182; pt had a positive COVID test on 2/10/22, ordering physician was at Medical Center; PCP unknown; pt passed away at home
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria, Paraesthesia, Temperature intolerance
Clinical narrative: After much research I believe I have Chronic Spontaneous Urticaria Following Pfizer-BioNTech Coronavirus Disease 2019 Messenger RNA Vaccination.   Not exactly sure when it started because I didn't record the exact date, but I had the first shot on 3-29-21 and the second on 4-19-21 and the booster on 12-22-21.   When my body warms up, I get waves of pins and needles all over my body.   There is no area that does not get it.   I never had this before.  I have always exercised and been an avid walker for 30 years.   I am now 56 and every time I exercise or get hot for some other reason it always hits me.   I do not get hives, just the overwhelming pins and needles.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: pfizer monovalent covid vaccine given as bivlaent booster in error.  Patient notified, recommended bivlaent booster in >= 2 months after erroneous injection
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was supposed to receive a dose of Pfizer 12+ Bivalent vaccine, but received a dose of Pfizer 12+ Monovalent vaccine instead. Medical assistant accidentally pulled the wrong vial of Pfizer Covid. Patient's PCP is aware of the situation. No harm to patient.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Angiogram pulmonary normal, Haematology test, Ultrasound abdomen abnormal, Vena cava thrombosis
Clinical narrative: Abdominal pain starting on 8/25/2022. Abdominal ultrasound demonstrates inferior vena cava thrombus.  The patient was scheduled for a venogram and possible thrombectomy. Caval venography and pulmonary artery angiography demonstrates no thrombus, indicating interval resolution of the previously seen thrombus.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Venogram normal
Clinical narrative: Abdominal pain starting on 8/25/2022. Abdominal ultrasound demonstrates inferior vena cava thrombus.  The patient was scheduled for a venogram and possible thrombectomy. Caval venography and pulmonary artery angiography demonstrates no thrombus, indicating interval resolution of the previously seen thrombus.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Chills, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Chills, fever, nausea and general weakness, Arm is still quite sore.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test normal, Chest X-ray normal, Chest pain, Electrocardiogram normal
Clinical narrative: A few days later experienced pain in my lower back and strange pains in my head. Those subsided and I started feeling a pain in my upper back on the right side. By the beginning of October(7th) I started with very strong chest pains and went to the cardiologist. Everything was normal. On October 11th my husband took me to the ER with the same chest pains.  All normal.  By October 13 I developed the shingles rash and extreme pain.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Herpes zoster, Pain
Clinical narrative: A few days later experienced pain in my lower back and strange pains in my head. Those subsided and I started feeling a pain in my upper back on the right side. By the beginning of October(7th) I started with very strong chest pains and went to the cardiologist. Everything was normal. On October 11th my husband took me to the ER with the same chest pains.  All normal.  By October 13 I developed the shingles rash and extreme pain.
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Nurse administered Moderna bivalent booster to patient, after confirming from the (record) that her last vaccination was 05/06/2022. She was monitored, no adverese reaction or distress noted.  Minutes after vaccination, pt.'s  daughter called the clinic stated that patient already received her Bivalent booster 2 weeks ago.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Paranasal sinus discomfort, SARS-CoV-2 test positive
Clinical narrative: I had a pretty bad cough with a little bit of sinus pressure. I had a sore throat for the first couple of days. It wasn't too bad.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Incorrect product formulation administered
Clinical narrative: Patient was supposed to receive the Pfizer 12+ Bivalent Booster, but received a dose of the Pfizer 12+ monovalent vaccine instead. Medical assistant accidentally pulled the wrong vial of Pfizer covid. Patient's PCP aware of the situation. No harm to patient.
Age: 17.0
Sex: M
Vaccine: COVID19, MENB
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was receiving his #2 Pfizer for completion of primary series.  Patient should have received a monovalent Pfizer but was given a bivalent Pfizer instead.  No adverse reactions.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Feeling abnormal, Influenza like illness, Nausea
Clinical narrative: Broke out in hives - abdomen/trunk; circumferential to back 4-6 inch wide band on 11/9. Also, had flu-like symptoms from evening of injection through hives. On 11/9 have note saying joints hurt, head felt spacey, body achy, chills. Took motrin & Tylenol with some relief. Spoke with allergist, prescribed prednisone 20mg daily x 2 days. Also took dose of Allergra. Hives lasted roughly 36 hours, but resolved with prednisone dosing. Also, had nausea for several days & had to take Zofran the morning of 11/8 to avoid vomiting.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Urticaria
Clinical narrative: Broke out in hives - abdomen/trunk; circumferential to back 4-6 inch wide band on 11/9. Also, had flu-like symptoms from evening of injection through hives. On 11/9 have note saying joints hurt, head felt spacey, body achy, chills. Took motrin & Tylenol with some relief. Spoke with allergist, prescribed prednisone 20mg daily x 2 days. Also took dose of Allergra. Hives lasted roughly 36 hours, but resolved with prednisone dosing. Also, had nausea for several days & had to take Zofran the morning of 11/8 to avoid vomiting.
Age: 74.0
Sex: F
Vaccine: FLUA4
Symptoms: Myalgia
Clinical narrative: Severe muscle pain 12 hours after administration lasting all next day.
Age: 66.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Asthenia, COVID-19, Cough, Exposure to SARS-CoV-2, Malaise
Clinical narrative: We were exposed to friends 2 days earlier. On 11/7/2022, my friend tested positive. On 11/8/2022, I felt sore throat it worsened overnight. On 11/9, I had low energy, malaise, that evening my sore throat worsened. I developed a slight intermittent cough. On 11/9 in the evening a little bit of coughing. On 11/10 did not feel better. on Friday, the 11/11, I contacted my doctor's office. I went in for a test and tested positive. The doctor recommended PAXLOVID, I started taking that and took the last dosage this morning. By 11/12/2022, I would say I had recovered.
Age: 66.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: We were exposed to friends 2 days earlier. On 11/7/2022, my friend tested positive. On 11/8/2022, I felt sore throat it worsened overnight. On 11/9, I had low energy, malaise, that evening my sore throat worsened. I developed a slight intermittent cough. On 11/9 in the evening a little bit of coughing. On 11/10 did not feel better. on Friday, the 11/11, I contacted my doctor's office. I went in for a test and tested positive. The doctor recommended PAXLOVID, I started taking that and took the last dosage this morning. By 11/12/2022, I would say I had recovered.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was supposed to receive the Pfizer 12+ Bivalent booster today, but received the Pfizer 12+ monovalent vaccine instead. Medical assistant accidentally pulled the wrong Pfizer vial. Patient's PCP, is aware of the situation. No harm to patient for receiving this vaccine.
Age: 18.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Influenza vaccine given  in error on 11/15/22.   Had already received influenza vaccine on 10/13/22.   Monitored and no reaction occurred .
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood bilirubin increased, Blood culture positive, COVID-19, COVID-19 pneumonia
Clinical narrative: MODERNA COVID VACCINE # 3 GIVEN 12/7/21, LOT # 027H21B; pt had been seen at Healthcare for A. Fib with RVR and positive for COVID; pt was in CCU trying to get A Fib under control and treatment for COVID pneumonia (specific tx not in medical record); pt transferred to Hospital to see transplant hepatology; pt with encephalopathy, UTI, total bilirubin elevated, blood culture with gram positive cocci; given ABX; A Fib tx with medications; acute on chronic kidney disease; pt worsened clinically; DNR/DNI; transitioned to comfort care and sent home with hospice where he passed away
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Condition aggravated, Death, Encephalopathy, General physical health deterioration
Clinical narrative: MODERNA COVID VACCINE # 3 GIVEN 12/7/21, LOT # 027H21B; pt had been seen at Healthcare for A. Fib with RVR and positive for COVID; pt was in CCU trying to get A Fib under control and treatment for COVID pneumonia (specific tx not in medical record); pt transferred to Hospital to see transplant hepatology; pt with encephalopathy, UTI, total bilirubin elevated, blood culture with gram positive cocci; given ABX; A Fib tx with medications; acute on chronic kidney disease; pt worsened clinically; DNR/DNI; transitioned to comfort care and sent home with hospice where he passed away
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Gram stain positive, Intensive care, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: MODERNA COVID VACCINE # 3 GIVEN 12/7/21, LOT # 027H21B; pt had been seen at Healthcare for A. Fib with RVR and positive for COVID; pt was in CCU trying to get A Fib under control and treatment for COVID pneumonia (specific tx not in medical record); pt transferred to Hospital to see transplant hepatology; pt with encephalopathy, UTI, total bilirubin elevated, blood culture with gram positive cocci; given ABX; A Fib tx with medications; acute on chronic kidney disease; pt worsened clinically; DNR/DNI; transitioned to comfort care and sent home with hospice where he passed away
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Device connection issue, Exposure via skin contact, Needle issue
Clinical narrative: DURING ADMINISTRATION, NEEDLE WASNT SECURELY SCREWED ONTO THE NEEDLE AND WHEN THE PLUNGER PRESSED, MAJORITY OF THE VACCINE WENT DOWN THE PATIENTS ARM, ON THE FLOOR, AND ONTO HIS FACE.  HE NEVER FELT ANY VACCINE GO INTO HIS ARM.  WE ADMINISTERED THE VACCINE AGAIN (FULL DOSE).  PATIENT VERY UNDERSTANDING ABOUT THE ERROR.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Oedema peripheral, Rash pruritic, Urticaria
Clinical narrative: Patient contacted office on 11/16/2022 and reported that in the afternoon of 11/14/2022 after receiving her Influenza vaccine she developed a hive like rash to bilateral hands/wrist area. Noted with small bumps, itching to areas. Moderate edema noted to right hand and mild edema noted to left hand. No issues at injection site. No fever or difficulty breathing. Patient has taken Benadryl without success at alleviating symptoms. Medrol dose pack has been prescribed that physician of vaccine clinic.
Age: 0.25
Sex: M
Vaccine: RV5
Symptoms: Intestinal resection, Intussusception, Laparotomy
Clinical narrative: Intussusception
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Balance disorder, Tinnitus
Clinical narrative: Profound "tinnitus", but really was more than that.  In addition to the overbearing sound of rushing of water and non-pulsatile static, there was/is loss of hearing unilaterally in the low decibel range.  The sound/static was not constant. Seen by ENT, had hearing eval and exam.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial flutter, Atrioventricular block, Cardioversion, Electrocardiogram ST segment abnormal, Hyperhidrosis
Clinical narrative: Started on November 9th 2022, sweating, heartrate 148, Went to ER and put on Cardizem IV from morning to next morning as admitted to hospital.  Did Defibrillation next morning and able to be discharged that afternoon on Cardizem oral
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Prothrombin time shortened, Troponin
Clinical narrative: Started on November 9th 2022, sweating, heartrate 148, Went to ER and put on Cardizem IV from morning to next morning as admitted to hospital.  Did Defibrillation next morning and able to be discharged that afternoon on Cardizem oral
Age: 24.0
Sex: M
Vaccine: COVID19-2
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: 2-3 weeks later severe pruritis, urticaria and dermatographia lasting almost 2 months later worse in the evening relieved by antihistamines
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, Dermatitis contact, Rash, Sinusitis
Clinical narrative: The day after receiving the bivalent Pfizer vaccine, I noticed a rash on my right inside forearm. It looked like contact dermatitis. It didn't look like poison ivy. A few days later, it turned into poison ivy. I went to my NP and she prescribed prednisone. I took that for three weeks. After completing the prednisone I was diagnosed with a sinus infection. I was taking OTC medications, but it turned into bronchitis. I was given doxycycline, yesterday, for the bronchitis.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Chest X-ray normal, Cytokine storm, Dehydration, Dyspnoea, Electrocardiogram normal
Clinical narrative: Approximately 38 hours after receipt of a booster dose of bivalent COVID-19 vaccine (the fourth vaccine dose received over a span 18 months), this 50 year-old female presented to the hospital emergency department with complaints of shortness of breath, fatigue, and body aches.  On admission her heart rate was 134 bpm, increasing to 140 with ambulation.  A chest X-ray revealed no acute cardiopulmonary abnormality.  Urinalysis, complete blood count, basic metabolic panel, high-sensitivity troponins, d-dimer, and electrocardiogram were all within normal limits.  Following administration of 2L of IV fluids she improved symptomatically with resolution of tachycardia.  Her presumptive diagnosis was post-vaccine cytokine response leading to dehydration due to poor oral intake.   She was monitored overnight and subsequently discharged in medically stable condition with anticipatory guidance and follow-up plans in place.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Fatigue, Fibrin D dimer normal, Full blood count normal, Heart rate increased, Hypophagia
Clinical narrative: Approximately 38 hours after receipt of a booster dose of bivalent COVID-19 vaccine (the fourth vaccine dose received over a span 18 months), this 50 year-old female presented to the hospital emergency department with complaints of shortness of breath, fatigue, and body aches.  On admission her heart rate was 134 bpm, increasing to 140 with ambulation.  A chest X-ray revealed no acute cardiopulmonary abnormality.  Urinalysis, complete blood count, basic metabolic panel, high-sensitivity troponins, d-dimer, and electrocardiogram were all within normal limits.  Following administration of 2L of IV fluids she improved symptomatically with resolution of tachycardia.  Her presumptive diagnosis was post-vaccine cytokine response leading to dehydration due to poor oral intake.   She was monitored overnight and subsequently discharged in medically stable condition with anticipatory guidance and follow-up plans in place.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Metabolic function test normal, Pain, Tachycardia, Troponin normal, Urine analysis normal
Clinical narrative: Approximately 38 hours after receipt of a booster dose of bivalent COVID-19 vaccine (the fourth vaccine dose received over a span 18 months), this 50 year-old female presented to the hospital emergency department with complaints of shortness of breath, fatigue, and body aches.  On admission her heart rate was 134 bpm, increasing to 140 with ambulation.  A chest X-ray revealed no acute cardiopulmonary abnormality.  Urinalysis, complete blood count, basic metabolic panel, high-sensitivity troponins, d-dimer, and electrocardiogram were all within normal limits.  Following administration of 2L of IV fluids she improved symptomatically with resolution of tachycardia.  Her presumptive diagnosis was post-vaccine cytokine response leading to dehydration due to poor oral intake.   She was monitored overnight and subsequently discharged in medically stable condition with anticipatory guidance and follow-up plans in place.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event, Wrong product administered
Clinical narrative: Patient received wrong Moderna vaccine.  She is a bone marrow transplant patient.  She was due for the 3 dose original Moderna.  She had no adverse events.   I have left a message to speak with her cancer doctor.   Based on the guidelines, patient needs the original Moderna now and would then follow up in two months with the bivalent booster.  I discussed this with the patient.  I am waiting to speak with her doctor to discuss the action plan
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Patient presented in employee Bivalent vaccine COVID clinic. Patient may have received a dose of monovalent COVID vaccine during clinic. Unable to determine if patient received monovalent or bivalent vaccine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent pfizer covid vaccine given in error, intended to give bivalent booster.  Patient notified, advised to receive booster >= 2 months after this dose
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Patient presented in employee Bivalent vaccine COVID clinic. Patient may have received a dose of monovalent COVID vaccine during clinic. Unable to determine if patient received monovalent or bivalent vaccine.
Age: 15.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Face injury, Syncope
Clinical narrative: PT FAINTED THE NEXT MORNING AFTER VACCINATION. REQUIRED GLUE ON FACIAL LACERTAION.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adr, patient recieved monovalent when she was supposed to get bivalent. Patietn was informed on 11/14/22 and asked to come back in 2 months for correct booster.
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain, Pain in extremity
Clinical narrative: ON 11/16/2022 PATIENT CALLED PHARMACY REPORTING A VERY SORE, DULL ACHE IN HER LEFT ARM AFTER RECEIVING THE FLU VACCINE. SHE FOLLOWED UP WITH HER DOCTOR AND WAS GIVEN AN ANTI INFLAMMATORY AND ANTIBIOTIC. SHE CONTINUES TO HAVE PAIN. I RECOMMENDED CONTINUING HER ANTI INFLAMMATORY AND ROTATE HER ARM. TOLD HER TO FOLLOW UP WITH DOCTOR IF PAIN PERSISTS.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given pfizer monovalent in error, bivalent ordered.  Patient notified, advised to get bivalent >= 2 months after erroneous monovalent administration
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Given monovalent instead of bivalent.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic shock, Blister, Cellulitis, Haemoglobin, Haemorrhage
Clinical narrative: Nipples starting itching after vaccine-3 inch circumference, dry blisters on leg, liquid blisters all over, blister burst after shaving-producing excessiuve blood, seen by 3 different allergists, anaphalactic shock, blisters on right hand and swollen hand, cellulitis on right hand-right hand unuseable, back covered in blisters, left hand, legs, right breast,
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Peripheral swelling, Pruritus, Skin test, X-ray limb
Clinical narrative: Nipples starting itching after vaccine-3 inch circumference, dry blisters on leg, liquid blisters all over, blister burst after shaving-producing excessiuve blood, seen by 3 different allergists, anaphalactic shock, blisters on right hand and swollen hand, cellulitis on right hand-right hand unuseable, back covered in blisters, left hand, legs, right breast,
Age: 26.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Patient presented in employee Bivalent vaccine COVID clinic. Patient may have received a dose of monovalent COVID vaccine during clinic. Unable to determine if patient received monovalent or bivalent vaccine.
Age: 68.0
Sex: U
Vaccine: COVID19-2
Symptoms: Arthralgia
Clinical narrative: Moderate to severe joint pain in both hands, without history of arthritis.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given pfizer monovalent in error, bivalent ordered.  Patient notified, advised to get bivalent >= 2 months after erroneous monovalent administration
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given pfizer monovalent in error, bivalent ordered.  Patient notified, advised to get bivalent >= 2 months after erroneous monovalent administration
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Given monovalent instead of bivalent
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Back pain, Body temperature abnormal, Chills, Myalgia
Clinical narrative: Patient had intense joint and muscle pain, chills, unknown temp for a couple of days after vaccine, which she knew was not abnormal. However, now a week and a half later, still having intense lower back pain that had previously almost resolved prior to obtaining the vaccine. She reports she is still having a lot of joint and lumbar pain.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given pfizer monovalent in error, bivalent ordered.  Patient notified, advised to get bivalent >= 2 months after erroneous monovalent administration
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Patient presented in employee Bivalent vaccine COVID clinic. Patient may have received a dose of monovalent COVID vaccine during clinic. Unable to determine if patient received monovalent or bivalent vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Limb discomfort, Pain, X-ray limb
Clinical narrative: agonizing pain in shoulder that started 4 days after Moderna monovalent booster injection; pain has improved over time per patient however patient states she continues to have discomfort when trying to move arm/shoulder up
Age: 53.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Erythema, Mass, Nodule, Swelling, Tenderness
Clinical narrative: Patient reports he 1st noted this ?lump? in his chest yesterday when he took off his sure to take a shower in the morning and saw swelling in the mirror.  He felt around the area and noticed a small area of swelling superior and lateral to his nipple.  He notes the swelling went up throughout the day and the area became tender.  When he woke up this morning he noted swelling had diminished.  There is also some mild erythema over the area, but he is uncertain if this is secondary to him poking and prodding at the area frequently over the past 36 hours.  Of note he did get his COVID booster 11/06/2021 in the shoulder on the same side (Left), and his influenza on the right.  Patient notes as above, the area has reduced in size overnight and throughout the day today, but still feels there is a ?lump? present.  He denies any systemic signs such as fever, chills, nausea vomiting.  Denies any nipple discharge, or recent irritation to the nipple site.  He is a never smoker, denies any environmental exposures, he works as a psychology professor locally.  Family history includes a mother diagnosed with breast cancer 25 years ago and a father with prostate cancer.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Blood magnesium normal, Blood test normal, Blood thyroid stimulating hormone normal, Brain natriuretic peptide normal, Chest X-ray normal
Clinical narrative: I had an irregular heartbeat and I not only felt them, but I had shortness of breath. I had them for about 15 minutes before I decided to go to the hospital. By the time I was in the ER, the shortness of breath went away, and I was just occasionally noticing the irregular heartbeat. They ran several tests, and all the tests came up negative for PVC's. They did not prescribe any medications. I have a follow up with my primary care doctor tomorrow, 11/17/22.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Differential white blood cell count normal, Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer normal, Full blood count normal
Clinical narrative: I had an irregular heartbeat and I not only felt them, but I had shortness of breath. I had them for about 15 minutes before I decided to go to the hospital. By the time I was in the ER, the shortness of breath went away, and I was just occasionally noticing the irregular heartbeat. They ran several tests, and all the tests came up negative for PVC's. They did not prescribe any medications. I have a follow up with my primary care doctor tomorrow, 11/17/22.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Heart rate irregular, SARS-CoV-2 test negative, Troponin I normal, Ventilation/perfusion scan normal, Ventricular extrasystoles
Clinical narrative: I had an irregular heartbeat and I not only felt them, but I had shortness of breath. I had them for about 15 minutes before I decided to go to the hospital. By the time I was in the ER, the shortness of breath went away, and I was just occasionally noticing the irregular heartbeat. They ran several tests, and all the tests came up negative for PVC's. They did not prescribe any medications. I have a follow up with my primary care doctor tomorrow, 11/17/22.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Joint swelling, Peripheral swelling
Clinical narrative: Please, report  that pt had   swelling of her  forearm, for months  , MOderna , unusual swelling  over   left  forearm and wrist , wrist lasted  for few days ,a nd forearm of the arm where she got vaccine  last time lasted  for months, and now she got it again, recently, few months ago, has swelling of  soft  tissue  over  elbow area,
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Herpes zoster
Clinical narrative: Out break of Shingles
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Haemodialysis, Hypervolaemia, SARS-CoV-2 test positive
Clinical narrative: Pt was arrived due to missing dialysis and having volume overload and uremia secondary to noncompliance and hemodialysis. The pt was tested for COVID despite being asymptomatic and was positive.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Treatment noncompliance
Clinical narrative: Pt was arrived due to missing dialysis and having volume overload and uremia secondary to noncompliance and hemodialysis. The pt was tested for COVID despite being asymptomatic and was positive.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Loss of consciousness, Seizure like phenomena
Clinical narrative: Patient's eyes rolled back. It looked like he was having a seizure for about 1 -2 minutes. but regained consciousness afterwards with no idea of what happened. We called 911 and they came and picked up the patient
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Wrong Moderna administered for Booster
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Fever at night, followed by positive COID test 3 days later
Age: 55.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: First began with headache and sore throat a week after receiving vaccine woke with fever congestion, runny nose and body ache, I'm also suffering from extreme fatigue. Was prescribed Paxlovid through telehealth visit.
Age: 55.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: First began with headache and sore throat a week after receiving vaccine woke with fever congestion, runny nose and body ache, I'm also suffering from extreme fatigue. Was prescribed Paxlovid through telehealth visit.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heart rate increased, Metabolic disorder, Middle insomnia, Pain, Palpitations
Clinical narrative: On Nov. 16th at around 1:00 a.m. I awakened out of a sound sleep. My metabolism was reeved up. I have an oximeter and my reading was 120 and had escelated to 151. My heart was pounding and I felt achie and had a fever of 100.3 I tried to calm down did breathing exercises to calm me down but nothing was working.  I had an orange for it lowers cortisol levels. Five years ago I had a heart rate of 154 and had to go to the hospital. They had labelled it as a panic attack. I rarely take hydroxyzine 25 mg I cut the pill in half 12 mg. At 1:16 a.m. I had a half of hydroxyzine 12 mg and within 1 hour my heart rate came back and was around 112 and then 106.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: On Nov. 16th at around 1:00 a.m. I awakened out of a sound sleep. My metabolism was reeved up. I have an oximeter and my reading was 120 and had escelated to 151. My heart was pounding and I felt achie and had a fever of 100.3 I tried to calm down did breathing exercises to calm me down but nothing was working.  I had an orange for it lowers cortisol levels. Five years ago I had a heart rate of 154 and had to go to the hospital. They had labelled it as a panic attack. I rarely take hydroxyzine 25 mg I cut the pill in half 12 mg. At 1:16 a.m. I had a half of hydroxyzine 12 mg and within 1 hour my heart rate came back and was around 112 and then 106.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for covid prior to transfer from hospice
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Woke up next morning with low-grade fever, headache, upset stomach, body ache all over.  Seemed to get worse as the day progressed.  Took sleeping aid Sunday night and was able to sleep through the night.  Monday morning, felt much better, but symptoms began to return around noon and by night fall they were worse than ever.  Took sleeping aid again and was able to sleep through the night.  Tuesday morning, felt much better and continued to feel much better, except very fatigued.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Diarrhoea, Headache, Pyrexia, Tremor
Clinical narrative: bad headache,fever 101.3, vomiting & diarrhea along with bodyshakes. But two days later my daughter wiped & something that she said looked like a grape skin & blood came from vagina.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Vaginal discharge, Vaginal haemorrhage, Vomiting
Clinical narrative: bad headache,fever 101.3, vomiting & diarrhea along with bodyshakes. But two days later my daughter wiped & something that she said looked like a grape skin & blood came from vagina.
Age: 54.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Arthralgia, COVID-19, Chills, Cough, Fatigue
Clinical narrative: Positive for COVID on Nov 10.  Symptoms began on Nov 9 and included a fever of up to 100.1 with chills.  Also experience dry cough, fatigue, and muscles/joint aches.    Experienced brief tingling/fizzing inside mouth and brief painful scalp on right side of head.  Fever ended on Nov 10 and slow recovery since then.  Mostly recovered today (Nov 16).
Age: 54.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Malaise, Myalgia, Pain of skin, Paraesthesia oral, SARS-CoV-2 test positive
Clinical narrative: Positive for COVID on Nov 10.  Symptoms began on Nov 9 and included a fever of up to 100.1 with chills.  Also experience dry cough, fatigue, and muscles/joint aches.    Experienced brief tingling/fizzing inside mouth and brief painful scalp on right side of head.  Fever ended on Nov 10 and slow recovery since then.  Mostly recovered today (Nov 16).
Age: 54.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Sensory disturbance
Clinical narrative: Positive for COVID on Nov 10.  Symptoms began on Nov 9 and included a fever of up to 100.1 with chills.  Also experience dry cough, fatigue, and muscles/joint aches.    Experienced brief tingling/fizzing inside mouth and brief painful scalp on right side of head.  Fever ended on Nov 10 and slow recovery since then.  Mostly recovered today (Nov 16).
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Treatment includes Paxlovid and admission for assessment.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: patient was not eligible at the time of vaccine for the Pfizer bivalent (12 yo+). Patient reports no other symptoms.
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Dysstasia, Hypoaesthesia, Limb discomfort, Muscular weakness, Paraesthesia
Clinical narrative: Legs will go numb and tingle. They throb as well. Standing for too long will cause the patient to feel they are going to fall over and need to sit down. The numb and tingle creeps up his back as well. This has been a daily occurrence.  About 11/3 patient described a numb feeling and throb in his arms similar to the feeling in his legs. this went down to his fingers. This only happened the one time. Patient stated he wasn't sure if it was just because of the cold.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Given monovalent instead of bivalent
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Screaming
Clinical narrative: Inconsolable high pitched screaming for an hour & half. None of the typical things that soothed him helped.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Mobility decreased, Pain in extremity
Clinical narrative: patient stated his arm immediately hurt after receiving vaccine and has hurt since, moderate pain, cant lift arm very high
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Head discomfort
Clinical narrative: The symptoms lasted for about 4 days. My head felt like I had a hat on, I had a chest cough, and I was very tired. The cough didn't go away and I had it for about a week. I felt crappy for a day and a half. I didn't take any antivirals. I took vitamin C, zinc and vitamin D.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The symptoms lasted for about 4 days. My head felt like I had a hat on, I had a chest cough, and I was very tired. The cough didn't go away and I had it for about a week. I felt crappy for a day and a half. I didn't take any antivirals. I took vitamin C, zinc and vitamin D.
Age: 32.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Given monovalent instead of bivalent
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Given monovalent instead of bivalent
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Resident received an extra dose of Pfizer Bivalent-she received a dose on 11/4/2022 and then recieved another dose on 11/11/2022-no adverse reactions were noted
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Pain
Clinical narrative: Site: Pain at Injection Site-Mild, Additional Details: I selected wrong reasoning on previous report  as route but it was an event of she felt radiating pain day after shot
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Dyspnoea, Fatigue, Nasal congestion, Pain
Clinical narrative: I started having shortness of breath, my chest got congested, really bad nose congestion, extremely tired with body ache, I had trouble tasting and smelling, and started running a fever. I called the DR and was prescribed the antiviral drug and other medication. I took the antiviral and probably within 48 hours I started feeling much better. And by Thursday of that week I started feeling like I was over that hill and much better.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Parosmia, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Taste disorder
Clinical narrative: I started having shortness of breath, my chest got congested, really bad nose congestion, extremely tired with body ache, I had trouble tasting and smelling, and started running a fever. I called the DR and was prescribed the antiviral drug and other medication. I took the antiviral and probably within 48 hours I started feeling much better. And by Thursday of that week I started feeling like I was over that hill and much better.
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood glucose increased, Blood sodium decreased, Cardiac arrest, Cardio-respiratory arrest, Computerised tomogram normal
Clinical narrative: Initially patient's blood sugars went high despite insulin administration. He became lethargic worsening at one week post vaccine and was hospitalized.  discharge summary as follows:  Hospital Course: 56 y.o. morbidly obese male with history of T2DM, HTN, CVA with left-sided deficits, follicular lymphoma, psychogenic polydipsia and prior episode of hyponatremia who was brought in by ambulance from home, presented in a somnolent, lethargic state, with family concern of multiple falls around the home this past week.  Patient denied any specific complaints other than his chronic pain.  He was mostly somnolent and difficult to arouse but did answer questions when he awoke.  He was found to be profoundly hyponatremic (serum sodium 97) and with marked leukocytosis of 33,000.  No other SIRS criteria met and no source or site of infection identified.  Head CT scan showed no acute intracranial abnormalities.  Patient was admitted to the ICU to manage his profound hyponatremia. With saline hydration and fluid restriction, serum sodium level started to go down slowly.  4 hours into admission, serum sodium was up to 100 and10 hours into admission, it was up to 102.  His mental status improved to the point that he was conversant towards the end of the second hospital day. Rounds at 12 midnight on 11/12/2022 revealed that patient had vomited and soiled his bed.  Staff then changed his gown and bedding and while repositioning the patient, he became unconscious and unarousable, diuretic, hypotensive.  No pulse was noted so CPR was started and CODE was called.  Patient had ACLS resuscitation including intubation and placement on mechanical ventilatory support  After the initial revival, patient continued to have tachycardia and PEA.  Chest compressions were the whole code process was done for more than 190 minutes.   With a rhythm of asystole, patient was pronounced dead at 3:02 AM 11/12/2022..
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Death, Depressed level of consciousness, Endotracheal intubation, Fall, Hyponatraemia
Clinical narrative: Initially patient's blood sugars went high despite insulin administration. He became lethargic worsening at one week post vaccine and was hospitalized.  discharge summary as follows:  Hospital Course: 56 y.o. morbidly obese male with history of T2DM, HTN, CVA with left-sided deficits, follicular lymphoma, psychogenic polydipsia and prior episode of hyponatremia who was brought in by ambulance from home, presented in a somnolent, lethargic state, with family concern of multiple falls around the home this past week.  Patient denied any specific complaints other than his chronic pain.  He was mostly somnolent and difficult to arouse but did answer questions when he awoke.  He was found to be profoundly hyponatremic (serum sodium 97) and with marked leukocytosis of 33,000.  No other SIRS criteria met and no source or site of infection identified.  Head CT scan showed no acute intracranial abnormalities.  Patient was admitted to the ICU to manage his profound hyponatremia. With saline hydration and fluid restriction, serum sodium level started to go down slowly.  4 hours into admission, serum sodium was up to 100 and10 hours into admission, it was up to 102.  His mental status improved to the point that he was conversant towards the end of the second hospital day. Rounds at 12 midnight on 11/12/2022 revealed that patient had vomited and soiled his bed.  Staff then changed his gown and bedding and while repositioning the patient, he became unconscious and unarousable, diuretic, hypotensive.  No pulse was noted so CPR was started and CODE was called.  Patient had ACLS resuscitation including intubation and placement on mechanical ventilatory support  After the initial revival, patient continued to have tachycardia and PEA.  Chest compressions were the whole code process was done for more than 190 minutes.   With a rhythm of asystole, patient was pronounced dead at 3:02 AM 11/12/2022..
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Incontinence, Intensive care, Lethargy, Leukocytosis
Clinical narrative: Initially patient's blood sugars went high despite insulin administration. He became lethargic worsening at one week post vaccine and was hospitalized.  discharge summary as follows:  Hospital Course: 56 y.o. morbidly obese male with history of T2DM, HTN, CVA with left-sided deficits, follicular lymphoma, psychogenic polydipsia and prior episode of hyponatremia who was brought in by ambulance from home, presented in a somnolent, lethargic state, with family concern of multiple falls around the home this past week.  Patient denied any specific complaints other than his chronic pain.  He was mostly somnolent and difficult to arouse but did answer questions when he awoke.  He was found to be profoundly hyponatremic (serum sodium 97) and with marked leukocytosis of 33,000.  No other SIRS criteria met and no source or site of infection identified.  Head CT scan showed no acute intracranial abnormalities.  Patient was admitted to the ICU to manage his profound hyponatremia. With saline hydration and fluid restriction, serum sodium level started to go down slowly.  4 hours into admission, serum sodium was up to 100 and10 hours into admission, it was up to 102.  His mental status improved to the point that he was conversant towards the end of the second hospital day. Rounds at 12 midnight on 11/12/2022 revealed that patient had vomited and soiled his bed.  Staff then changed his gown and bedding and while repositioning the patient, he became unconscious and unarousable, diuretic, hypotensive.  No pulse was noted so CPR was started and CODE was called.  Patient had ACLS resuscitation including intubation and placement on mechanical ventilatory support  After the initial revival, patient continued to have tachycardia and PEA.  Chest compressions were the whole code process was done for more than 190 minutes.   With a rhythm of asystole, patient was pronounced dead at 3:02 AM 11/12/2022..