chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Hyperhidrosis, Impaired work ability, Injection site erythema
Clinical narrative: 07Dec2021, received injection at 1700. By 1900, arm pain, by 2100 chills and headache. Chills continued overnight, hardly slept. Severe headache, blurred vision and myalgia set in by morning of 08Dec2021. 0600, nausea started. Couldn't get warm. Fever peaked at 102.5 F. Activities of daily living were impaired, so I consider the side effects as disabling. Dizziness upon standing and I would fall back down. Missed work even though I work from home.  Fever broke with heart palpitations/pounding heart at 1700 on 08Dec2021 with a heavy sweat. Dizziness and blurred vision stopped that night. Myalgia , nausea and mild headache continue to today, 10Dec2021. Lymph nodes in my neck are swollen today, more on the left, and my throat is sore, slight cough, and those are new today. Arm pain continues and also today, there is a 3 inch round pruritic red spot 2 inches below the injection site. I returned to working today. I previously received the Pfizer series. After the second Pfizer injection, I had myalgia and fatigue for a day, nothing like what I suffered from receiving this Moderna booster. This was truly a scary experience and I don't think there is enough in the listed side effects to truly understand how messed up your life can be after receiving boosters. Consider that I am a nurse and I was scared!
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Interchange of vaccine products, Loss of personal independence in daily activities, Lymphadenopathy, Myalgia
Clinical narrative: 07Dec2021, received injection at 1700. By 1900, arm pain, by 2100 chills and headache. Chills continued overnight, hardly slept. Severe headache, blurred vision and myalgia set in by morning of 08Dec2021. 0600, nausea started. Couldn't get warm. Fever peaked at 102.5 F. Activities of daily living were impaired, so I consider the side effects as disabling. Dizziness upon standing and I would fall back down. Missed work even though I work from home.  Fever broke with heart palpitations/pounding heart at 1700 on 08Dec2021 with a heavy sweat. Dizziness and blurred vision stopped that night. Myalgia , nausea and mild headache continue to today, 10Dec2021. Lymph nodes in my neck are swollen today, more on the left, and my throat is sore, slight cough, and those are new today. Arm pain continues and also today, there is a 3 inch round pruritic red spot 2 inches below the injection site. I returned to working today. I previously received the Pfizer series. After the second Pfizer injection, I had myalgia and fatigue for a day, nothing like what I suffered from receiving this Moderna booster. This was truly a scary experience and I don't think there is enough in the listed side effects to truly understand how messed up your life can be after receiving boosters. Consider that I am a nurse and I was scared!
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain in extremity, Palpitations, Pyrexia
Clinical narrative: 07Dec2021, received injection at 1700. By 1900, arm pain, by 2100 chills and headache. Chills continued overnight, hardly slept. Severe headache, blurred vision and myalgia set in by morning of 08Dec2021. 0600, nausea started. Couldn't get warm. Fever peaked at 102.5 F. Activities of daily living were impaired, so I consider the side effects as disabling. Dizziness upon standing and I would fall back down. Missed work even though I work from home.  Fever broke with heart palpitations/pounding heart at 1700 on 08Dec2021 with a heavy sweat. Dizziness and blurred vision stopped that night. Myalgia , nausea and mild headache continue to today, 10Dec2021. Lymph nodes in my neck are swollen today, more on the left, and my throat is sore, slight cough, and those are new today. Arm pain continues and also today, there is a 3 inch round pruritic red spot 2 inches below the injection site. I returned to working today. I previously received the Pfizer series. After the second Pfizer injection, I had myalgia and fatigue for a day, nothing like what I suffered from receiving this Moderna booster. This was truly a scary experience and I don't think there is enough in the listed side effects to truly understand how messed up your life can be after receiving boosters. Consider that I am a nurse and I was scared!
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Vision blurred
Clinical narrative: 07Dec2021, received injection at 1700. By 1900, arm pain, by 2100 chills and headache. Chills continued overnight, hardly slept. Severe headache, blurred vision and myalgia set in by morning of 08Dec2021. 0600, nausea started. Couldn't get warm. Fever peaked at 102.5 F. Activities of daily living were impaired, so I consider the side effects as disabling. Dizziness upon standing and I would fall back down. Missed work even though I work from home.  Fever broke with heart palpitations/pounding heart at 1700 on 08Dec2021 with a heavy sweat. Dizziness and blurred vision stopped that night. Myalgia , nausea and mild headache continue to today, 10Dec2021. Lymph nodes in my neck are swollen today, more on the left, and my throat is sore, slight cough, and those are new today. Arm pain continues and also today, there is a 3 inch round pruritic red spot 2 inches below the injection site. I returned to working today. I previously received the Pfizer series. After the second Pfizer injection, I had myalgia and fatigue for a day, nothing like what I suffered from receiving this Moderna booster. This was truly a scary experience and I don't think there is enough in the listed side effects to truly understand how messed up your life can be after receiving boosters. Consider that I am a nurse and I was scared!
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: fever, chills, headache, muscle aches, fatigue, sweating, joint pain lasted about 30 hours started around 6-8 hours after injection. No residual effects. As soon as 30 hours all symptoms resolved almost instantly. The fever, chills, and sweating only remained for about 20 hours.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: fever, chills, headache, muscle aches, fatigue, sweating, joint pain lasted about 30 hours started around 6-8 hours after injection. No residual effects. As soon as 30 hours all symptoms resolved almost instantly. The fever, chills, and sweating only remained for about 20 hours.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Cough, Dyspnoea, Dyspnoea exertional, Fall
Clinical narrative: This is a 62y.o. male who is a current smoker with a 20 pack-year history with medical history significant for hypertension, hyperlipidemia, type 2 diabetes mellitus ("borderline" per patient), coronary artery disease with myocardial infarction in 2005 with stents, and obstructive sleep apnea who presents with shortness of breath and cough. His dyspnea was initially worse with exertion and now occurring at rest and associated with wheezing. His cough is productive of yellow/brown sputum and he admits to sinus congestion and nasal drainage. The patient states his symptoms began last week on Wednesday. He says he knows to get in to see his primary care physician as soon as possible, so he was seen in his office the following day and provided with a prescription for a Z-pak and Symbicort. He was using these medications as prescribed, but wasn't getting any relief. In fact, he states he stood up from his bed yesterday and woke up on the floor. He denies any obvious head trauma or other pain. He states a co-worker was on antibiotics last week for a cough. He denies any other known exposures, such as influenza. He did receive his influenza vaccination this year.    He denies any fevers, chills, sweats, chest pain or pressure, lower extremity swelling, calf pain, or recent travel. No history of congestive heart failure or blood clots. He reports that he was hospitalized several years ago for pneumonia and referred to see pulmonology as an outpatient upon discharge. He says he went through formal lung function testing at that time and was told he did not have chronic obstructive pulmonary disease or asthma. He does admit to 3 weeks of direct exposure to asbestos dust 30 years ago.   Upon arrival to the emergency department, he has labored respirations and conversational dyspnea and is hypoxic requiring 3 liters of supplemental oxygen. He is afebrile. Chest x-ray is negative for any acute infectious process. He has diffuse coarse wheezes and was started on IV Solu-Medrol. He reports he has been getting significant relief from nebulizer treatments, as well.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Productive cough, Sinus congestion, Sinus operation, Sputum discoloured
Clinical narrative: This is a 62y.o. male who is a current smoker with a 20 pack-year history with medical history significant for hypertension, hyperlipidemia, type 2 diabetes mellitus ("borderline" per patient), coronary artery disease with myocardial infarction in 2005 with stents, and obstructive sleep apnea who presents with shortness of breath and cough. His dyspnea was initially worse with exertion and now occurring at rest and associated with wheezing. His cough is productive of yellow/brown sputum and he admits to sinus congestion and nasal drainage. The patient states his symptoms began last week on Wednesday. He says he knows to get in to see his primary care physician as soon as possible, so he was seen in his office the following day and provided with a prescription for a Z-pak and Symbicort. He was using these medications as prescribed, but wasn't getting any relief. In fact, he states he stood up from his bed yesterday and woke up on the floor. He denies any obvious head trauma or other pain. He states a co-worker was on antibiotics last week for a cough. He denies any other known exposures, such as influenza. He did receive his influenza vaccination this year.    He denies any fevers, chills, sweats, chest pain or pressure, lower extremity swelling, calf pain, or recent travel. No history of congestive heart failure or blood clots. He reports that he was hospitalized several years ago for pneumonia and referred to see pulmonology as an outpatient upon discharge. He says he went through formal lung function testing at that time and was told he did not have chronic obstructive pulmonary disease or asthma. He does admit to 3 weeks of direct exposure to asbestos dust 30 years ago.   Upon arrival to the emergency department, he has labored respirations and conversational dyspnea and is hypoxic requiring 3 liters of supplemental oxygen. He is afebrile. Chest x-ray is negative for any acute infectious process. He has diffuse coarse wheezes and was started on IV Solu-Medrol. He reports he has been getting significant relief from nebulizer treatments, as well.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: This is a 62y.o. male who is a current smoker with a 20 pack-year history with medical history significant for hypertension, hyperlipidemia, type 2 diabetes mellitus ("borderline" per patient), coronary artery disease with myocardial infarction in 2005 with stents, and obstructive sleep apnea who presents with shortness of breath and cough. His dyspnea was initially worse with exertion and now occurring at rest and associated with wheezing. His cough is productive of yellow/brown sputum and he admits to sinus congestion and nasal drainage. The patient states his symptoms began last week on Wednesday. He says he knows to get in to see his primary care physician as soon as possible, so he was seen in his office the following day and provided with a prescription for a Z-pak and Symbicort. He was using these medications as prescribed, but wasn't getting any relief. In fact, he states he stood up from his bed yesterday and woke up on the floor. He denies any obvious head trauma or other pain. He states a co-worker was on antibiotics last week for a cough. He denies any other known exposures, such as influenza. He did receive his influenza vaccination this year.    He denies any fevers, chills, sweats, chest pain or pressure, lower extremity swelling, calf pain, or recent travel. No history of congestive heart failure or blood clots. He reports that he was hospitalized several years ago for pneumonia and referred to see pulmonology as an outpatient upon discharge. He says he went through formal lung function testing at that time and was told he did not have chronic obstructive pulmonary disease or asthma. He does admit to 3 weeks of direct exposure to asbestos dust 30 years ago.   Upon arrival to the emergency department, he has labored respirations and conversational dyspnea and is hypoxic requiring 3 liters of supplemental oxygen. He is afebrile. Chest x-ray is negative for any acute infectious process. He has diffuse coarse wheezes and was started on IV Solu-Medrol. He reports he has been getting significant relief from nebulizer treatments, as well.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Ear discomfort, Ear swelling, Fatigue, Vision blurred
Clinical narrative: First couple of days felt tired but no other systems, woke up Saturday 12/4 and had no hearing in my left ear and my shoulder had a large knot.  Had some blurred vision while at work that day and hearing was like a loud vibration. I thought it was ear wax but nothing relieved the pressure. Got appointment at nearest clinic since the store that gave the shot did not have one.  Nurse told me I had severe swelling in my left year and some irritation in my right ear.  My right ear hasn't lost earing but I do hear a lot of popping.  My left ear is still without sound after 2 days of MethyIPREDNISolone Tablets, USP 4mg.  Nurse told me to contact my family doctor after steroids are done if still can't hear.  I am waiting for a call back from family doctor to get an appointment.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: "Moderna COVID-19 Vaccine" Patient received 0.5ml instead of 0.25ml as COVID booster.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Injection site mass, Injection site rash, Rash erythematous, Sensitive skin
Clinical narrative: Rash and Lump on inj site staring after the vaccine was given , per mom pt had a red rash and is sensitive to touch.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Product administration error
Clinical narrative: Patient was to receive Pfizer due to age.  pt was given Moderna in error.  No side effects or adverse outcome
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Upper-airway cough syndrome, Vertigo
Clinical narrative: A little while after I received the vaccine when I would lay down and then sit up, the room would spin and when I would try to get up I would feel l like I was going to fall over. The other times during the day when I was sitting the same thing would happen. It would come in waves. I don't remember how long it lasted. It could have been a month or moth and a half. Eventually I didn't notice it anymore. I think it went away. A week and a half to 2 weeks after my symptoms began I called the my Dr. office and made an appt. They said it probably wasn't related, but I think it was. She also said I had post nasal drip. I was to have a follow- up a week later but made it late to the office and they couldn't see me. I didn't reschedule.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Bradykinesia, Gait disturbance, Magnetic resonance imaging, Nervous system disorder
Clinical narrative: Started having neurological issues involving abnormal gait, excessive anxiety, slowness of movement
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological examination
Clinical narrative: Started having neurological issues involving abnormal gait, excessive anxiety, slowness of movement
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID 19 INFECTION. REGEN OFFERED BUT NOT GIVEN AT TIME OF ENTRY HAS MILD SX
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: SORE THROAT
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysuria, Haematuria, Pyrexia
Clinical narrative: 69-year-old female presents to ED with fever for the past 5 days. MAXIMUM TEMPERATURE 101, alleviated with Tylenol at home. Denies any exacerbating factors. Associated symptoms including hematuria, dysuria. Patient also states she has a cough which is chronic as she is a smoker. Denies any nausea, vomiting, abdominal pain, flank pain, other symptoms at this time.  Is fully vaccinated against covid.  No known sick contacts.   Review of Systems  Constitutional: Positive for fever. Negative for chills.  HENT: Negative for congestion and sore throat.   Eyes: Negative for discharge and visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Positive for dysuria and hematuria. Negative for flank pain.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash and wound.  Neurological: Negative for light-headedness and headaches
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Cognitive disorder, Electroencephalogram abnormal, Encephalopathy, Fall
Clinical narrative: Pt had sudden onset urinary incontinence beginning the day after vaccination followed a few hours later by a fall and tonic-clonic seizure.  Unclear to wife if he fell first then had sz or starting seizing first and thus fell.  Wife started CPR but had return of spontaneous respirations by the time EMS arrived.  Inpatient for 6 days thereafter recovering from  hypoxia, etc.  DC 6 days later to acute rehab. Does have residual mild decrease in cognition relative to prior baseline.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Foreign body, Generalised tonic-clonic seizure, Hypoxia, Imaging procedure, Imaging procedure abnormal
Clinical narrative: Pt had sudden onset urinary incontinence beginning the day after vaccination followed a few hours later by a fall and tonic-clonic seizure.  Unclear to wife if he fell first then had sz or starting seizing first and thus fell.  Wife started CPR but had return of spontaneous respirations by the time EMS arrived.  Inpatient for 6 days thereafter recovering from  hypoxia, etc.  DC 6 days later to acute rehab. Does have residual mild decrease in cognition relative to prior baseline.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Oesophagogastroduodenoscopy abnormal, Resuscitation, Urinary incontinence
Clinical narrative: Pt had sudden onset urinary incontinence beginning the day after vaccination followed a few hours later by a fall and tonic-clonic seizure.  Unclear to wife if he fell first then had sz or starting seizing first and thus fell.  Wife started CPR but had return of spontaneous respirations by the time EMS arrived.  Inpatient for 6 days thereafter recovering from  hypoxia, etc.  DC 6 days later to acute rehab. Does have residual mild decrease in cognition relative to prior baseline.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Lymphadenopathy, Pruritus, Rash, Urticaria
Clinical narrative: Bad rash on arm, itching and burning. Swollen lymph nodes even today (12/10/21) in throat and at elbows. Rash with itchy hives appeared on chest, spreading.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: "Moderna COVID-19 Vaccine EUA" Patient received 0.5ml instead of 0.25ml COVID booster dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node under right arm pit swelled up to 2-3 times its normal size and lasted for 6 days.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect dose administered
Clinical narrative: gave moderna .5ml instead of .25ml (as a booster)
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Chest pain, Cough, Dyspnoea, Musculoskeletal chest pain
Clinical narrative: Sore arm within first day. By next evening coughing and complaining of shortness of breath when coughing. Around bed time, complained of thumb width pain around center of each breast and one at bottom of rib cage.  Daughter insisted on going to bed instead of emergency room showing whatever she was experiencing was mild. By morning coughing and shortness of breath were gone but she still had pain over heart and lower rib cage. Once again she insisted on going to school over the doctors.  By 3:30 pm the pain was gone.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm within first day. By next evening coughing and complaining of shortness of breath when coughing. Around bed time, complained of thumb width pain around center of each breast and one at bottom of rib cage.  Daughter insisted on going to bed instead of emergency room showing whatever she was experiencing was mild. By morning coughing and shortness of breath were gone but she still had pain over heart and lower rib cage. Once again she insisted on going to school over the doctors.  By 3:30 pm the pain was gone.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient received his Pfizer booster dose in 3.5 month of his last primary series.  Patient got his 1st dose Pfizer on 8/3/2021, 2nd dose on 8/25/2021. As per CDC guideline patient was supposed to receive his booster dose on 2/25/2022. After patient received the vaccine, patient was asked to be on the observation for 15 min , during his observation patient didn't reflect any adverse effect to the vaccine received
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received Pfizer vaccine as second dose on 12/09/21  after having received Moderna vaccine as first dose on 11/08/21. No issues noted or reported by patient at time of vaccination or after observation period. Provider spoke to patient who was okay with situation. He did not voice any questions or concerns.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphagia, Pyrexia, Respiratory tract congestion
Clinical narrative: Hospitalization following COVID-19 vaccination - admitted on 12/7/2021 with fever, cough, and congestion with trouble swallowing secretions
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalization following COVID-19 vaccination - admitted on 12/7/2021 with fever, cough, and congestion with trouble swallowing secretions
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: After  first dose of Vaccine she is having hives every morning but later in the morning if  I give her cetirizine 10mg the hives go away but it is happing every day. I am not sure the sudden allergies in her body. Also not sure why this thing happen not sure what is the cause. Certainly, this issue comes after vaccination. I am consulting with her allergy specialist and her PCP as well.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Palpitations, Stress echocardiogram
Clinical narrative: Developed heart significant heart palpitations. Hypersensitivity to stimulants (caffeine). Palpitations frequency diminished with removal of stimulants. Hypersensitivity persisted for approximately 6 weeks. Currently no hypersensitivity, and no palpitation events for approximately 90 days.
Age: 10.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID-19
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cyst, Computerised tomogram, Lymphadenopathy, Magnetic resonance imaging abnormal, Ultrasound scan
Clinical narrative: Noticed swollen lymph nodes. Contacted healthcare provider a couple weeks later. Provider also noticed cysts in breasts then ran imaging.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No reaction, wrong vaccine was given
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Autopsy, Death, Sudden infant death syndrome
Clinical narrative: Patient passed away a few days later.   at the time of the 2 mo wcc patient was well and no concerns noted, patient had been ill with cold sx on 11/04/2021 and at that time flu, rsv and covid negative
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer-BioNTech was mixed with too little diluent
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Anticoagulant therapy, Blood creatinine increased, Blood glucose increased, Blood lactic acid
Clinical narrative: This is a 76y.o. female with type 2 diabetes mellitus, obesity, dyslipidemia, and history of lung cancer in 2005 who presents with fatigue and shortness of breath. She also complains of decreased appetite and oral intake. She says she's been feeling progressively worse over the past week. She denies known fever, productive cough, nausea, vomiting, abdominal pain, or diarrhea. She has had a known COVID-19 exposure to her son who tested positive. She is fully vaccinated, but no booster yet.    On arrival to the ED, the patient was tachypneic, tachycardic, and diaphoretic. SpO2 55% on room air and she was placed on non-rebreather mask at 15 L/min. She was afebrile, hypotensive. She did test positive for COVID-19. Chest x-ray shows bilateral patchy airspace opacities concerning for multifocal pneumonia. Random glucose 508, lactic acid 4.0, anion gap 18, creatinine 2.39, sodium 133, magnesium 1.5, WBC 11.4, D-dimer > 10,000. Procalcitonin 0.25. The patient was given insulin, IV fluids, started on empiric heparin drip and admitted for further management.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood sodium decreased, COVID-19, Chest X-ray abnormal, Decreased appetite
Clinical narrative: This is a 76y.o. female with type 2 diabetes mellitus, obesity, dyslipidemia, and history of lung cancer in 2005 who presents with fatigue and shortness of breath. She also complains of decreased appetite and oral intake. She says she's been feeling progressively worse over the past week. She denies known fever, productive cough, nausea, vomiting, abdominal pain, or diarrhea. She has had a known COVID-19 exposure to her son who tested positive. She is fully vaccinated, but no booster yet.    On arrival to the ED, the patient was tachypneic, tachycardic, and diaphoretic. SpO2 55% on room air and she was placed on non-rebreather mask at 15 L/min. She was afebrile, hypotensive. She did test positive for COVID-19. Chest x-ray shows bilateral patchy airspace opacities concerning for multifocal pneumonia. Random glucose 508, lactic acid 4.0, anion gap 18, creatinine 2.39, sodium 133, magnesium 1.5, WBC 11.4, D-dimer > 10,000. Procalcitonin 0.25. The patient was given insulin, IV fluids, started on empiric heparin drip and admitted for further management.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Fibrin D dimer increased, Hyperhidrosis
Clinical narrative: This is a 76y.o. female with type 2 diabetes mellitus, obesity, dyslipidemia, and history of lung cancer in 2005 who presents with fatigue and shortness of breath. She also complains of decreased appetite and oral intake. She says she's been feeling progressively worse over the past week. She denies known fever, productive cough, nausea, vomiting, abdominal pain, or diarrhea. She has had a known COVID-19 exposure to her son who tested positive. She is fully vaccinated, but no booster yet.    On arrival to the ED, the patient was tachypneic, tachycardic, and diaphoretic. SpO2 55% on room air and she was placed on non-rebreather mask at 15 L/min. She was afebrile, hypotensive. She did test positive for COVID-19. Chest x-ray shows bilateral patchy airspace opacities concerning for multifocal pneumonia. Random glucose 508, lactic acid 4.0, anion gap 18, creatinine 2.39, sodium 133, magnesium 1.5, WBC 11.4, D-dimer > 10,000. Procalcitonin 0.25. The patient was given insulin, IV fluids, started on empiric heparin drip and admitted for further management.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Hypotension, Lung opacity, Procalcitonin, SARS-CoV-2 test positive
Clinical narrative: This is a 76y.o. female with type 2 diabetes mellitus, obesity, dyslipidemia, and history of lung cancer in 2005 who presents with fatigue and shortness of breath. She also complains of decreased appetite and oral intake. She says she's been feeling progressively worse over the past week. She denies known fever, productive cough, nausea, vomiting, abdominal pain, or diarrhea. She has had a known COVID-19 exposure to her son who tested positive. She is fully vaccinated, but no booster yet.    On arrival to the ED, the patient was tachypneic, tachycardic, and diaphoretic. SpO2 55% on room air and she was placed on non-rebreather mask at 15 L/min. She was afebrile, hypotensive. She did test positive for COVID-19. Chest x-ray shows bilateral patchy airspace opacities concerning for multifocal pneumonia. Random glucose 508, lactic acid 4.0, anion gap 18, creatinine 2.39, sodium 133, magnesium 1.5, WBC 11.4, D-dimer > 10,000. Procalcitonin 0.25. The patient was given insulin, IV fluids, started on empiric heparin drip and admitted for further management.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tachypnoea, Ultrasound Doppler normal, Ventilation/perfusion scan, White blood cell count increased
Clinical narrative: This is a 76y.o. female with type 2 diabetes mellitus, obesity, dyslipidemia, and history of lung cancer in 2005 who presents with fatigue and shortness of breath. She also complains of decreased appetite and oral intake. She says she's been feeling progressively worse over the past week. She denies known fever, productive cough, nausea, vomiting, abdominal pain, or diarrhea. She has had a known COVID-19 exposure to her son who tested positive. She is fully vaccinated, but no booster yet.    On arrival to the ED, the patient was tachypneic, tachycardic, and diaphoretic. SpO2 55% on room air and she was placed on non-rebreather mask at 15 L/min. She was afebrile, hypotensive. She did test positive for COVID-19. Chest x-ray shows bilateral patchy airspace opacities concerning for multifocal pneumonia. Random glucose 508, lactic acid 4.0, anion gap 18, creatinine 2.39, sodium 133, magnesium 1.5, WBC 11.4, D-dimer > 10,000. Procalcitonin 0.25. The patient was given insulin, IV fluids, started on empiric heparin drip and admitted for further management.
Age: 56.0
Sex: F
Vaccine: FLUC4
Symptoms: Asthenia, Bursitis, Impaired driving ability, Injected limb mobility decreased, Loss of personal independence in daily activities
Clinical narrative: Severe pain in left  arm a couple of days after vaccine, it didn't go away after a couple of days, severe pain in doing normal activity, limited mobility, weakness-getting dressed, undressed, doing house work, laundry, unloading dishwasher, washer, dryer, putting dishes away, turning the steering wheel in my car, styling my hair.  Emailed  Dr. on 11/22/21 to notify her that the pain has intensified, scheduled appt for 11/30/21, she said it was probably bursitis following vaccine, recommended cortisone injection-I declined due to family history of diabetes, Type 2, and having history of 2 cataracts. She also recommended orthopedic care and Physical Therapy- postponed until insurance.
Age: 56.0
Sex: F
Vaccine: FLUC4
Symptoms: Muscular weakness, Neurological examination, Pain, Pain in extremity
Clinical narrative: Severe pain in left  arm a couple of days after vaccine, it didn't go away after a couple of days, severe pain in doing normal activity, limited mobility, weakness-getting dressed, undressed, doing house work, laundry, unloading dishwasher, washer, dryer, putting dishes away, turning the steering wheel in my car, styling my hair.  Emailed  Dr. on 11/22/21 to notify her that the pain has intensified, scheduled appt for 11/30/21, she said it was probably bursitis following vaccine, recommended cortisone injection-I declined due to family history of diabetes, Type 2, and having history of 2 cataracts. She also recommended orthopedic care and Physical Therapy- postponed until insurance.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: "Modera COVID-19 vaccine EUA" Patient received 0.5 ml instead of 0.25ml COVID booster vaccine.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Product preparation issue
Clinical narrative: PFIZER purple top vial reconstituted with 0.18 ml of diluent instead of 1.8 ml. Patient received only dose from this vial. Next morning reports mild body aches and moderately sore arm. Reports arm of injection site is more sore than with first two doses.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Bowel movement irregularity, Chills, Chromaturia, Pain in extremity
Clinical narrative: It's been on going since the dose 3. I have had problems with my bowel movements. It much less then my prior movements. It be in little pieces and hard to move. I don't go as regular as I did before getting the vaccine. Also, my urine has been dark in color, maybe a little orange in color. Not every time I go. I had a sore arm and some chills and a low grade fever.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urine analysis normal
Clinical narrative: It's been on going since the dose 3. I have had problems with my bowel movements. It much less then my prior movements. It be in little pieces and hard to move. I don't go as regular as I did before getting the vaccine. Also, my urine has been dark in color, maybe a little orange in color. Not every time I go. I had a sore arm and some chills and a low grade fever.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: "Moderna COVID-19 vaccine" Patient received 0.5ml instead 0.25ml COVID booster vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Menstrual disorder, Pregnancy test
Clinical narrative: Received COVID-19 "booster" shot on 11/11/2021. Received original doses in December 2020 and January 2021 respectively. When had the first two doses nothing out of the ordinary occurred other than short typical side effects within 24-48 hours of receiving the vaccination.    After the booster dose, however, there was a change in my menstrual cycle, I did not get a period for the month of November, the expected start date was 11/20/2021. I do not have irregular periods so this is very odd. Had all the normal symptoms of a menstrual cycle (moodiness, cramps, etc.) but no blood. Took multiple urine pregnancy tests and all were negative. Also took urine ovulation tests around the time I was predicted to ovulate which did show ovulation during the predicted window after a menstrual cycle.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased
Clinical narrative: Blood sugar spike  day after booster. Appointment with my endocrinologist resulting in a substantial increase in daily insulin injection (Lantus) from 12 units to 60 units. Today, 50 days after booster, is first normal reading.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lethargy, Pain, Pyrexia
Clinical narrative: 103+ degree fever Chills Body aches Lethargy  Lasted about 12 hours Took 925 mg Tylenol
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt received 5-11yr (0.20 ML) ,second dose in the series, should have receive adult dose 0.30 ML. Mother of child notified within 30 minutes of the incident. CDC recommend NOT to repeat/administer the appropriate dose.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction. Vaccine expired 11/4/2021
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Band neutrophil percentage increased, Biliary dyskinesia, Biliary obstruction, Blood alkaline phosphatase
Clinical narrative: Breakthrough COVID / History of COVID in August 2021 72-year-old female with PMH of diabetes, HTN, hypothyroidism and COVID-19. recently admitted to the hospital on Septr 30, 2021 due to constipation and  found to have  cholecystitis vs common bile duct obstruction, severe gallbladder dyskinesia and renal dysfunction. She was evaluated by general surgery and gastroenterologist. Gen Surg recommended elective cholecystectomy. she returned to the hospital due to generalized weakness, cold extremities and inability to urinate. VS includes tachycardia 120s, tachypnea RR 37, hypertension, fever 102.  Her WBC was 7.54, hemoglobin 10.7, 24% bands, platelet 111,000, creatinine 1.8, increased from 1.3 2 months ago, alk-phos 1
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, COVID-19, Cholecystitis, Constipation, Haemoglobin decreased
Clinical narrative: Breakthrough COVID / History of COVID in August 2021 72-year-old female with PMH of diabetes, HTN, hypothyroidism and COVID-19. recently admitted to the hospital on Septr 30, 2021 due to constipation and  found to have  cholecystitis vs common bile duct obstruction, severe gallbladder dyskinesia and renal dysfunction. She was evaluated by general surgery and gastroenterologist. Gen Surg recommended elective cholecystectomy. she returned to the hospital due to generalized weakness, cold extremities and inability to urinate. VS includes tachycardia 120s, tachypnea RR 37, hypertension, fever 102.  Her WBC was 7.54, hemoglobin 10.7, 24% bands, platelet 111,000, creatinine 1.8, increased from 1.3 2 months ago, alk-phos 1
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypertension, Peripheral coldness, Platelet count decreased, Pyrexia, Renal impairment
Clinical narrative: Breakthrough COVID / History of COVID in August 2021 72-year-old female with PMH of diabetes, HTN, hypothyroidism and COVID-19. recently admitted to the hospital on Septr 30, 2021 due to constipation and  found to have  cholecystitis vs common bile duct obstruction, severe gallbladder dyskinesia and renal dysfunction. She was evaluated by general surgery and gastroenterologist. Gen Surg recommended elective cholecystectomy. she returned to the hospital due to generalized weakness, cold extremities and inability to urinate. VS includes tachycardia 120s, tachypnea RR 37, hypertension, fever 102.  Her WBC was 7.54, hemoglobin 10.7, 24% bands, platelet 111,000, creatinine 1.8, increased from 1.3 2 months ago, alk-phos 1
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia, Tachypnoea, Urinary retention, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID / History of COVID in August 2021 72-year-old female with PMH of diabetes, HTN, hypothyroidism and COVID-19. recently admitted to the hospital on Septr 30, 2021 due to constipation and  found to have  cholecystitis vs common bile duct obstruction, severe gallbladder dyskinesia and renal dysfunction. She was evaluated by general surgery and gastroenterologist. Gen Surg recommended elective cholecystectomy. she returned to the hospital due to generalized weakness, cold extremities and inability to urinate. VS includes tachycardia 120s, tachypnea RR 37, hypertension, fever 102.  Her WBC was 7.54, hemoglobin 10.7, 24% bands, platelet 111,000, creatinine 1.8, increased from 1.3 2 months ago, alk-phos 1
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: Breakthrough COVID / History of COVID in August 2021 72-year-old female with PMH of diabetes, HTN, hypothyroidism and COVID-19. recently admitted to the hospital on Septr 30, 2021 due to constipation and  found to have  cholecystitis vs common bile duct obstruction, severe gallbladder dyskinesia and renal dysfunction. She was evaluated by general surgery and gastroenterologist. Gen Surg recommended elective cholecystectomy. she returned to the hospital due to generalized weakness, cold extremities and inability to urinate. VS includes tachycardia 120s, tachypnea RR 37, hypertension, fever 102.  Her WBC was 7.54, hemoglobin 10.7, 24% bands, platelet 111,000, creatinine 1.8, increased from 1.3 2 months ago, alk-phos 1
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Dysgeusia, Fatigue, Hyperhidrosis, Limb discomfort
Clinical narrative: Heavy legs(walking thru quick sand), sudden onset sweating, metallic mouth, extreme fatigue, migraine headaches, loss of concentration
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Heavy legs(walking thru quick sand), sudden onset sweating, metallic mouth, extreme fatigue, migraine headaches, loss of concentration
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Chest pain, Fall, Head injury, Joint injury
Clinical narrative: The patient and her spouse report that the vaccination went fine and they left the pharmacy after the 15 minute waiting period and drove home.  Somewhere between about 45 to 60 minutes after the vaccine, the patient reports that she fell at home.  She reports hitting her head and her chest and hurting her knee during the fall.  Her spouse reports patient then went to lay in bed "for a while".  Patient does not remember putting herself to bed.  She has not sought treatment and says she is improving as far as her chest and knee injuries go.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Brain oedema, Electroencephalogram abnormal, Generalised tonic-clonic seizure, Hyperintensity in brain deep nuclei, Magnetic resonance imaging head abnormal
Clinical narrative: on 11/26/21 (8 days following Pfizer Covid booster vaccine) patient had witnessed GTC seizure and was brought to hospital.  Patient underwent MRI brain and EEG which showed T2 hyperintensity and edema in L temporal lobe concerning for HSV encephalitis. Was treated with IV Valacyclovir and returned to baseline within 48 hours.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast abnormal
Clinical narrative: on 11/26/21 (8 days following Pfizer Covid booster vaccine) patient had witnessed GTC seizure and was brought to hospital.  Patient underwent MRI brain and EEG which showed T2 hyperintensity and edema in L temporal lobe concerning for HSV encephalitis. Was treated with IV Valacyclovir and returned to baseline within 48 hours.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event noted, vaccine administration error. Patient came in for COVID-19 vaccine on 12/09/21 @ 16:30. Patient received a dose of the Pfizer, 5-11 year-old dose, but patient was 12 yr 11mo at time of vaccine administration. Patient waited for 15 minutes in waiting room after receiving vaccine, no adverse events/reactions.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Influenza like illness, Injection site erythema
Clinical narrative: Flu-like symptoms (expected), but then developed erythema at injection site all the way down to the elbow, happening 3 days after injection.  Improving with levocetirizine.  Determined she may have allergy to polyethylene glycol as she does not tolerate certain colonoscopy preps.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Cough      "I have a very bad cough, I'm coughing up my insides."       History provided by:  Patient Language interpreter used: No   Cough Cough characteristics:  Dry and non-productive Severity:  Mild Onset quality:  Gradual Duration:  2 days Timing:  Constant Progression:  Unchanged Chronicity:  New Smoker: no   Context: sick contacts   Relieved by:  Nothing Worsened by:  Nothing Ineffective treatments:  None tried Associated symptoms: fever, myalgias and sore throat   Associated symptoms: no chest pain, no chills, no eye discharge, no headaches, no rash and no shortness of breath       Review of Systems  Constitutional: Positive for fever. Negative for chills.  HENT: Positive for sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough. Negative for shortness of breath and stridor.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Endocrine: Negative for polydipsia.  Genitourinary: Negative for flank pain and hematuria.  Musculoskeletal: Positive for myalgias.  Skin: Negative for rash.  Neurological: Negative for seizures and headaches.  Psychiatric/Behavioral: Negative for suicidal ideas.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Emotional distress, Pyrexia, Respiratory tract congestion
Clinical narrative: Developed low grade fever, congestion and significant emotional lability that lasted 4.5 days post vaccination.  Improved on day 5.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: "Moderna COVID-19 vaccine EUA" Patient received 0.5ml instead of 0.25ml COVID booster.