chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Blood oestrogen decreased, Blood testosterone decreased, Fatigue, Sleep disorder
Clinical narrative: Testosterone levels went to 700 prior to the vaccine to 353 after the vaccine.  I feel tired, can't get enough rest regardless of how much I'm sleeping.   My estrogen levels are practically ZERO
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hives and rash effecting head, face, neck, armpits, and trunk
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital with covid PNA
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Vaccine positive rechallenge
Clinical narrative: Same as previous. No treatment yet. This the day after the shot.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT RECEIVED PFIZER DOSE AS 2ND DOSE WHEN THEY RECEIVED MODERNA AS THEIR 1ST ON 9/6/21. NO SIDE EFFECTS SO FAR. PATIENT WAS WITH YOUNGER SIBLING WHO HAD PFIZER GIVEN. PHARMACY TECH TRAINED TO VACCINATE DID NOT CLARIFY AND GAVE INCORRECT VACCINE. PATIENT WAS CONTACTED IMMEDIATELY AFTER AND INFORMED OF SITUATION AND BEST KNOWN INFORMATION AT THE TIME (THAT VACCINE COMPLETES THE SERIES)
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Computerised tomogram thorax, Cough, Dizziness
Clinical narrative: Immediately, less in than 30 mins I felt something in. Y chest. A stuck or lump feeling. With this feeling was pain. A sense of pressure. Also lightheaded and out of sorts.  The stuck, lump feeling went away and returned on Sunday Sept 30 2021. Today is October 5 and I?m still having this feeling.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Feeling abnormal, Immediate post-injection reaction
Clinical narrative: Immediately, less in than 30 mins I felt something in. Y chest. A stuck or lump feeling. With this feeling was pain. A sense of pressure. Also lightheaded and out of sorts.  The stuck, lump feeling went away and returned on Sunday Sept 30 2021. Today is October 5 and I?m still having this feeling.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Dyspnoea, Fatigue
Clinical narrative: Patient reported having increased SOB requiring O2 all day rather than just at night, feeling ill, fatigued, generalized weakness for 1 week. Was fully vaccinated with Moderna COVID-19 vaccination in  02/26 and 03/26/2021. Today 10/05/2021 diagnosed with breakthrough COVID-19 infection.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Malaise, Metabolic function test abnormal, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient reported having increased SOB requiring O2 all day rather than just at night, feeling ill, fatigued, generalized weakness for 1 week. Was fully vaccinated with Moderna COVID-19 vaccination in  02/26 and 03/26/2021. Today 10/05/2021 diagnosed with breakthrough COVID-19 infection.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Constipation, Dysmenorrhoea, Feeling abnormal, Gastrointestinal bacterial overgrowth
Clinical narrative: I had the worst menstrual cramps of my life and chalked it up to PMS. I also had nausea.  The cramps lasted for six hours, nausea for an entire day. I didn't think anything of it except that my body has been "off' since. The cramps returned the next two months, and I've never had cramps that bad in my entire life. In early June, I experience my first bout of constipation which I didn't learn until July resulted in the development of SIBO in my small intestines. It took two rounds of AMOX/CLAV to clear the SIBO, but we've yet to identify the cause of my seemingly new gastrointestinal issues. I have been tested for Celiac's and sucrose deficiency (which came back positive). We'd do more tests, but I can't afford them right now. I get bloated after eating. I still have some issues passing stool. My stomach always feels like its churning.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Laboratory test abnormal, Nausea
Clinical narrative: I had the worst menstrual cramps of my life and chalked it up to PMS. I also had nausea.  The cramps lasted for six hours, nausea for an entire day. I didn't think anything of it except that my body has been "off' since. The cramps returned the next two months, and I've never had cramps that bad in my entire life. In early June, I experience my first bout of constipation which I didn't learn until July resulted in the development of SIBO in my small intestines. It took two rounds of AMOX/CLAV to clear the SIBO, but we've yet to identify the cause of my seemingly new gastrointestinal issues. I have been tested for Celiac's and sucrose deficiency (which came back positive). We'd do more tests, but I can't afford them right now. I get bloated after eating. I still have some issues passing stool. My stomach always feels like its churning.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood gases abnormal, Blood lactic acid normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Hospitalized (9.23.21);  COVID-19 positive (9.23.21);  fully vaccinated (per report - no documentation available in EHR)  Admission Date: 9/23/2021 Discharge Date: Sep 30, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 y.o. male with h/o COPD, type 2 DM, CAD, CVA, HLD, HTN, PVD, BPH and PTSD, presenting to ER on 9/23 with c/o 2-week h/o worsening dyspnea and fatigue.  He has been fully vaccinated against COVID earlier this year, but reports that his daughter has recently been ill with similar symptoms.  Dyspnea is worsened by exertion, improved marginally with rest.  He has felt warm but measured no objective fevers.  He has a cough occasionally-productive of whitish sputum.  He is a former heavy smoker but quit over 20 years ago.  In the ER, he was afebrile, normotensive to moderately hypertensive, with normal heart rate, tachypneic and saturating in the 80s on baseline room air.  Initial labs were notable for respiratory alkalosis on venous gas, elevated proBNP, normal lactate, normal WBC count, normocytic anemia, and positive COVID screen.  CXR shows extensive bilateral mixed interstitial and airspace opacities, c/w COVID-19 pneumonia. Decadron was given. He began to feel better the day after starting this med, he weaned to room air at rest. Son/POA and patient expressed concern for safety living with his daughter so MSW looked into this. DGMS assisted with insulin management. Pulmonary rehab was consulted and arranged home oxygen: 2L NC with activity. He will complete decadron course as an outpatient. He was enrolled in the COVID at Home monitoring program. He should also follow up with his PCP. He was discharged home in stable condition on 9/30/2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fatigue, Hypertension, Hypoxia
Clinical narrative: Hospitalized (9.23.21);  COVID-19 positive (9.23.21);  fully vaccinated (per report - no documentation available in EHR)  Admission Date: 9/23/2021 Discharge Date: Sep 30, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 y.o. male with h/o COPD, type 2 DM, CAD, CVA, HLD, HTN, PVD, BPH and PTSD, presenting to ER on 9/23 with c/o 2-week h/o worsening dyspnea and fatigue.  He has been fully vaccinated against COVID earlier this year, but reports that his daughter has recently been ill with similar symptoms.  Dyspnea is worsened by exertion, improved marginally with rest.  He has felt warm but measured no objective fevers.  He has a cough occasionally-productive of whitish sputum.  He is a former heavy smoker but quit over 20 years ago.  In the ER, he was afebrile, normotensive to moderately hypertensive, with normal heart rate, tachypneic and saturating in the 80s on baseline room air.  Initial labs were notable for respiratory alkalosis on venous gas, elevated proBNP, normal lactate, normal WBC count, normocytic anemia, and positive COVID screen.  CXR shows extensive bilateral mixed interstitial and airspace opacities, c/w COVID-19 pneumonia. Decadron was given. He began to feel better the day after starting this med, he weaned to room air at rest. Son/POA and patient expressed concern for safety living with his daughter so MSW looked into this. DGMS assisted with insulin management. Pulmonary rehab was consulted and arranged home oxygen: 2L NC with activity. He will complete decadron course as an outpatient. He was enrolled in the COVID at Home monitoring program. He should also follow up with his PCP. He was discharged home in stable condition on 9/30/2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, N-terminal prohormone brain natriuretic peptide increased, Normocytic anaemia, Productive cough, Respiratory alkalosis
Clinical narrative: Hospitalized (9.23.21);  COVID-19 positive (9.23.21);  fully vaccinated (per report - no documentation available in EHR)  Admission Date: 9/23/2021 Discharge Date: Sep 30, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 y.o. male with h/o COPD, type 2 DM, CAD, CVA, HLD, HTN, PVD, BPH and PTSD, presenting to ER on 9/23 with c/o 2-week h/o worsening dyspnea and fatigue.  He has been fully vaccinated against COVID earlier this year, but reports that his daughter has recently been ill with similar symptoms.  Dyspnea is worsened by exertion, improved marginally with rest.  He has felt warm but measured no objective fevers.  He has a cough occasionally-productive of whitish sputum.  He is a former heavy smoker but quit over 20 years ago.  In the ER, he was afebrile, normotensive to moderately hypertensive, with normal heart rate, tachypneic and saturating in the 80s on baseline room air.  Initial labs were notable for respiratory alkalosis on venous gas, elevated proBNP, normal lactate, normal WBC count, normocytic anemia, and positive COVID screen.  CXR shows extensive bilateral mixed interstitial and airspace opacities, c/w COVID-19 pneumonia. Decadron was given. He began to feel better the day after starting this med, he weaned to room air at rest. Son/POA and patient expressed concern for safety living with his daughter so MSW looked into this. DGMS assisted with insulin management. Pulmonary rehab was consulted and arranged home oxygen: 2L NC with activity. He will complete decadron course as an outpatient. He was enrolled in the COVID at Home monitoring program. He should also follow up with his PCP. He was discharged home in stable condition on 9/30/2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Skin warm, Sputum discoloured, Tachypnoea, White blood cell count normal
Clinical narrative: Hospitalized (9.23.21);  COVID-19 positive (9.23.21);  fully vaccinated (per report - no documentation available in EHR)  Admission Date: 9/23/2021 Discharge Date: Sep 30, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 y.o. male with h/o COPD, type 2 DM, CAD, CVA, HLD, HTN, PVD, BPH and PTSD, presenting to ER on 9/23 with c/o 2-week h/o worsening dyspnea and fatigue.  He has been fully vaccinated against COVID earlier this year, but reports that his daughter has recently been ill with similar symptoms.  Dyspnea is worsened by exertion, improved marginally with rest.  He has felt warm but measured no objective fevers.  He has a cough occasionally-productive of whitish sputum.  He is a former heavy smoker but quit over 20 years ago.  In the ER, he was afebrile, normotensive to moderately hypertensive, with normal heart rate, tachypneic and saturating in the 80s on baseline room air.  Initial labs were notable for respiratory alkalosis on venous gas, elevated proBNP, normal lactate, normal WBC count, normocytic anemia, and positive COVID screen.  CXR shows extensive bilateral mixed interstitial and airspace opacities, c/w COVID-19 pneumonia. Decadron was given. He began to feel better the day after starting this med, he weaned to room air at rest. Son/POA and patient expressed concern for safety living with his daughter so MSW looked into this. DGMS assisted with insulin management. Pulmonary rehab was consulted and arranged home oxygen: 2L NC with activity. He will complete decadron course as an outpatient. He was enrolled in the COVID at Home monitoring program. He should also follow up with his PCP. He was discharged home in stable condition on 9/30/2021.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Severe Continuous Tinnitus.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Blood creatinine decreased, Differential white blood cell count, Full blood count
Clinical narrative: I had fever and whole body ache on 9/16/2021, fever & body aches were gone on 9/18. but I started having slight hip& Knee pain and stiffness. on 9/20, both side of my leg muscle started feeling tight and achy, it also feel like swollen(but visually and by physical exam no swelling), the symptoms get worse and worse during 9/22-9/27. In those days, I can't stand or sit with my feet on the ground for more than 30 minutes in total per day, I was sitting on the couch or in bed to extend my legs to reduce my symptoms. on 9/28, I saw my doctor and got some labs done and the doctor did an urgent neurologist referral. I got prescription--dicolfenac 50 MG EC tablets, twice a day for a month. My symptoms didn't improved a
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint stiffness, Limb discomfort, Mean platelet volume decreased, Metabolic function test, Monocyte percentage decreased
Clinical narrative: I had fever and whole body ache on 9/16/2021, fever & body aches were gone on 9/18. but I started having slight hip& Knee pain and stiffness. on 9/20, both side of my leg muscle started feeling tight and achy, it also feel like swollen(but visually and by physical exam no swelling), the symptoms get worse and worse during 9/22-9/27. In those days, I can't stand or sit with my feet on the ground for more than 30 minutes in total per day, I was sitting on the couch or in bed to extend my legs to reduce my symptoms. on 9/28, I saw my doctor and got some labs done and the doctor did an urgent neurologist referral. I got prescription--dicolfenac 50 MG EC tablets, twice a day for a month. My symptoms didn't improved a
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle tightness, Musculoskeletal pain, Myalgia, Pain, Pyrexia
Clinical narrative: I had fever and whole body ache on 9/16/2021, fever & body aches were gone on 9/18. but I started having slight hip& Knee pain and stiffness. on 9/20, both side of my leg muscle started feeling tight and achy, it also feel like swollen(but visually and by physical exam no swelling), the symptoms get worse and worse during 9/22-9/27. In those days, I can't stand or sit with my feet on the ground for more than 30 minutes in total per day, I was sitting on the couch or in bed to extend my legs to reduce my symptoms. on 9/28, I saw my doctor and got some labs done and the doctor did an urgent neurologist referral. I got prescription--dicolfenac 50 MG EC tablets, twice a day for a month. My symptoms didn't improved a
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling
Clinical narrative: I had fever and whole body ache on 9/16/2021, fever & body aches were gone on 9/18. but I started having slight hip& Knee pain and stiffness. on 9/20, both side of my leg muscle started feeling tight and achy, it also feel like swollen(but visually and by physical exam no swelling), the symptoms get worse and worse during 9/22-9/27. In those days, I can't stand or sit with my feet on the ground for more than 30 minutes in total per day, I was sitting on the couch or in bed to extend my legs to reduce my symptoms. on 9/28, I saw my doctor and got some labs done and the doctor did an urgent neurologist referral. I got prescription--dicolfenac 50 MG EC tablets, twice a day for a month. My symptoms didn't improved a
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death within 7 days of receiving vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Catheterisation cardiac, Chest pain, Computerised tomogram, Echocardiogram
Clinical narrative: CHRONIC PALPITATIONS PRIOR TO CHEST PAIN/CARDIAC EVENT LEADING TO TAKOSUBO CARDIOMYPATHY DIAGNOSIS/ HOSPITALIZED FOR 4 DAYS/ CARDIAC CATHETERIZATION. MEDICATION AND FOLLOW UP SPECIALISTS APPOINTMENTS.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Palpitations, Stress cardiomyopathy
Clinical narrative: CHRONIC PALPITATIONS PRIOR TO CHEST PAIN/CARDIAC EVENT LEADING TO TAKOSUBO CARDIOMYPATHY DIAGNOSIS/ HOSPITALIZED FOR 4 DAYS/ CARDIAC CATHETERIZATION. MEDICATION AND FOLLOW UP SPECIALISTS APPOINTMENTS.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Off label use
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: My heart raced several times. First time noticed was on date provided.
Age: 1.0
Sex: F
Vaccine: FLU4, HEPA, HIBV
Symptoms: Allergy test negative, Barium swallow abnormal, Impaired gastric emptying, Malaise, Pyrexia
Clinical narrative: The day following her vaccine slight fever and malaise was noted. Within 2 days of receiving  the vaccine the child broke out in hives and a red itchy rash  that did not resolve for 6 months. The child also experience daily vomiting. Allergy testing was completed, no allergies found. Multiple OTC and prescription ointments and lotions where used with little change. Barium sallow showed slight delayed gastric emptying. In May of 2019 skin rash and symptoms began to resolve with no correlation with any particular cream/ointment/or lotion.
Age: 1.0
Sex: F
Vaccine: FLU4, HEPA, HIBV
Symptoms: Rash, Rash erythematous, Rash pruritic, Urticaria, Vomiting
Clinical narrative: The day following her vaccine slight fever and malaise was noted. Within 2 days of receiving  the vaccine the child broke out in hives and a red itchy rash  that did not resolve for 6 months. The child also experience daily vomiting. Allergy testing was completed, no allergies found. Multiple OTC and prescription ointments and lotions where used with little change. Barium sallow showed slight delayed gastric emptying. In May of 2019 skin rash and symptoms began to resolve with no correlation with any particular cream/ointment/or lotion.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Hypertension, Neurological symptom
Clinical narrative: I received the J&J COVID vaccine and started having chest pain about 90 minutes later, which lasted for 2 days.  I almost went to the ER because I thought I may be having a heart attack.  Since then, I have been to the ER multiple times for chest pain, extremely high blood pressure, and EKG changes.  I even had stroke symptoms once.  Not I am being referred to a cardiologist and my primary doctor said it may be possible that I had a heart attack.  I have never had these issues until I took this vaccine.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, itching, urticaria
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Pregnancy, Vaginal haemorrhage
Clinical narrative: (there is limited documentation in the electronic health record since seen at an outside facility)  Patient reported that she had a miscarriage after vaccination.   Vaccinated on 5.21.21 (2nd dose)  Had office visit with outside organization provider - PCP on 5.21.21 - perhaps regarding irregular menstrual cycle.  I do not see mention of positive pregnancy in this visit.  Notes:  "Here to get referral to ob due to history of c-sect and trying to get preg and wouold like trial vbac c-sect due to anencephaly.  Now on folate.  Discussed pregnancy and prev pregnancies.  Ref to ob"  There appears to be a call reporting Vaginal bleeding in pregnancy, first trimester - on 6.1.21 to MD.  No notes in chart.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Audiogram abnormal, Deafness bilateral, Sleep disorder, Tinnitus
Clinical narrative: Severe bilateral tinnitus 72 hrs after booster. I am an MD perfect hearing and documented on prior job testing and lost hearing all above 4000 hertz bilateral.  I am now on steroids oral and steroid middle ear injections with ENT weekly.  I have never had an ear issue or wringing and it?s debilitating especially on left ear.  Right ear took more damage on audiogram but left is much louder so loud it?s hard to even sleep.  Now I have hearing loss and loud wringing it if keep progressing may have to go on disability as a Pulmonary and Critical Care Physician.  I wish I had never had this shot now after being a strong supporter of the vaccine. Will give it time but if doesn?t improve will have to end career as MD a and go disabled.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Urticaria
Clinical narrative: Patient developed hives (uticaria) after her second dose of the Pfizer vaccine about 53 hours post vaccine.  The hives started as small, flesh -colored bumps and developed into itchy, raised pink bumps.  She was seen by the pediatrician, about 14 hours after first noticing the bumps.  The hives increased in number in the same area over the course of 5 days and subsided into large, raised rash areas.  On day 7, they are flat rashes that are fading.  An antihistamine was given twice daily with Triamcinolone applied twice daily as well.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: None stated.
Age: 30.0
Sex: F
Vaccine: UNK
Symptoms: Amnesia, Dyspnoea, Fatigue, Hyperhidrosis, Loss of consciousness
Clinical narrative: About 10 minutes after injections, client stated she did not feel well. This RN instructed the client to remain seated, however she stood up and walked to the kitchen to get a drink. On her way out of the kitchen, she again stated she did not feel well. This RN noticed that the client was pale and diaphoretic and proceeded to assist the client. The client lost consciousness, but was caught by the nurse during descent and eased onto the couch in a semi-fowler position. Loss of consciousness lasted about 5-10 seconds. Client awoke pale, diaphoretic, with loss of memory of syncope, but oriented to person, place and time. Client continued to display heavy diaphoresis and complaints of shortness of breath, but no complaints or physical evidence of itching/tingling/edema of oral mucosa or local rash/hives. Vital signs were obtained and ice packs were applied to brow and neck. Dr. was consulted via telephone at 1332. Client began to complain of abdominal cramping and EMS was called at 1338. Epinephrine 0.5 mg was drawn up by this RN while on the phone with EMS, but was instructed by EMS to hold medication unless patient's level of consciousness deteriorated. After EMS arrival, assessment, and education, client declined transfer to hospital. This RN remained with client after EMS departure. At time of RN departure, client's vital signs were within normal limits and client denied any further complaints other than "feeling tired."
Age: 30.0
Sex: F
Vaccine: UNK
Symptoms: Malaise, Pallor, Syncope
Clinical narrative: About 10 minutes after injections, client stated she did not feel well. This RN instructed the client to remain seated, however she stood up and walked to the kitchen to get a drink. On her way out of the kitchen, she again stated she did not feel well. This RN noticed that the client was pale and diaphoretic and proceeded to assist the client. The client lost consciousness, but was caught by the nurse during descent and eased onto the couch in a semi-fowler position. Loss of consciousness lasted about 5-10 seconds. Client awoke pale, diaphoretic, with loss of memory of syncope, but oriented to person, place and time. Client continued to display heavy diaphoresis and complaints of shortness of breath, but no complaints or physical evidence of itching/tingling/edema of oral mucosa or local rash/hives. Vital signs were obtained and ice packs were applied to brow and neck. Dr. was consulted via telephone at 1332. Client began to complain of abdominal cramping and EMS was called at 1338. Epinephrine 0.5 mg was drawn up by this RN while on the phone with EMS, but was instructed by EMS to hold medication unless patient's level of consciousness deteriorated. After EMS arrival, assessment, and education, client declined transfer to hospital. This RN remained with client after EMS departure. At time of RN departure, client's vital signs were within normal limits and client denied any further complaints other than "feeling tired."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Decreased appetite, Disturbance in attention, Lethargy
Clinical narrative: Confusion, unable to concentrate, lethargic, no appetite, loopiness all started suddenly 2 days post COVID booster shot.
Age: 44.0
Sex: M
Vaccine: FLU4
Symptoms: Dyspnoea, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Hard to breath after 4 hours, runny nose, aches and pain over the body, slight fever
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Abdominal distension, Abdominal symptom, Anxiety, Chest discomfort, Condition aggravated
Clinical narrative: 3rd HPV vaccine on Thursday 9/23/2021. Injection site was itchy; pt felt dizzy, sweaty, lightheaded, anxious, rash on cheecks,  and headache and abdominal symptoms and a rash on upper chest wall ("flushing and inverse hives" as she calls it).  Pt spoke to a triage nurse over the weekend and was told to use benedryl & zyrtec.  She was eventually seen in walk in care on 9/27/2021 for continued symptoms including some wheezing. She was told to use her epi pen and symptoms improved while she was there.  Symptoms recurred on 9/28/21 so she was seen in the urgent care: included a posterior headache, lightheadedness, abdominal distension, nausea, chest tightness and a rash involving her throat and upper chest. She took another EpiPen around 8:10 PM and presents to the ED for evaluation and discharged with a repeat dose of Decadron to take in a couple days if symptoms persisted.  She has continued to have symptoms come and go generally as the zyrtec and steroids are wearing off in the afternoons: rash, fatigue, headaches.
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Fatigue, Flushing, Headache, Hyperhidrosis
Clinical narrative: 3rd HPV vaccine on Thursday 9/23/2021. Injection site was itchy; pt felt dizzy, sweaty, lightheaded, anxious, rash on cheecks,  and headache and abdominal symptoms and a rash on upper chest wall ("flushing and inverse hives" as she calls it).  Pt spoke to a triage nurse over the weekend and was told to use benedryl & zyrtec.  She was eventually seen in walk in care on 9/27/2021 for continued symptoms including some wheezing. She was told to use her epi pen and symptoms improved while she was there.  Symptoms recurred on 9/28/21 so she was seen in the urgent care: included a posterior headache, lightheadedness, abdominal distension, nausea, chest tightness and a rash involving her throat and upper chest. She took another EpiPen around 8:10 PM and presents to the ED for evaluation and discharged with a repeat dose of Decadron to take in a couple days if symptoms persisted.  She has continued to have symptoms come and go generally as the zyrtec and steroids are wearing off in the afternoons: rash, fatigue, headaches.
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site pruritus, Nausea, Rash, Urticaria, Wheezing
Clinical narrative: 3rd HPV vaccine on Thursday 9/23/2021. Injection site was itchy; pt felt dizzy, sweaty, lightheaded, anxious, rash on cheecks,  and headache and abdominal symptoms and a rash on upper chest wall ("flushing and inverse hives" as she calls it).  Pt spoke to a triage nurse over the weekend and was told to use benedryl & zyrtec.  She was eventually seen in walk in care on 9/27/2021 for continued symptoms including some wheezing. She was told to use her epi pen and symptoms improved while she was there.  Symptoms recurred on 9/28/21 so she was seen in the urgent care: included a posterior headache, lightheadedness, abdominal distension, nausea, chest tightness and a rash involving her throat and upper chest. She took another EpiPen around 8:10 PM and presents to the ED for evaluation and discharged with a repeat dose of Decadron to take in a couple days if symptoms persisted.  She has continued to have symptoms come and go generally as the zyrtec and steroids are wearing off in the afternoons: rash, fatigue, headaches.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Nail discolouration, Nail ridging
Clinical narrative: Fingernail discoloration and odd ridge developing on fingernails similar to ?covid nails?. Due to latent growth, this is just now being observed
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red, warm, swollen, painful upper arm where injection done.  Still red and warm four days later.  Sore to the touch.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood folate, Blood test, Burning sensation, C-reactive protein, Full blood count
Clinical narrative: 1 shot within 30 minutes I had intense burning sensation on brain. Lasted for about 2 hours and went away 2nd shot about 25 minutes after shot face went numb. Hoped it would just pass about three months my tounge went numb. Contacted Dr and had blood work done.  After daystar arms and legs went numb. Had a MRI last Friday October 1.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin, Hypoaesthesia, Hypoaesthesia oral, Magnetic resonance imaging, Metabolic function test
Clinical narrative: 1 shot within 30 minutes I had intense burning sensation on brain. Lasted for about 2 hours and went away 2nd shot about 25 minutes after shot face went numb. Hoped it would just pass about three months my tounge went numb. Contacted Dr and had blood work done.  After daystar arms and legs went numb. Had a MRI last Friday October 1.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thyroid function test, Vitamin B12
Clinical narrative: 1 shot within 30 minutes I had intense burning sensation on brain. Lasted for about 2 hours and went away 2nd shot about 25 minutes after shot face went numb. Hoped it would just pass about three months my tounge went numb. Contacted Dr and had blood work done.  After daystar arms and legs went numb. Had a MRI last Friday October 1.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient is fully vaccinated and later hospitalized and died a day later
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Blood test, Exposure during pregnancy, Ultrasound antenatal screen
Clinical narrative: Received 1st dose when approximately 6.5 weeks pregnant. Had a miscarriage 11 days post vaccine. Estimated due date was 4/22/2022
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Neck pain, Pain in jaw
Clinical narrative: Swollen lymph node above clavicle, headache, neck and jaw pain, extreme fatigue. all symptoms for 2 days and ongoing.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Bone pain, Headache, Myalgia
Clinical narrative: she suffered High Tempeature (106°F), Headache, Pain in wrists, knees, clavicles, Muscle pain, bones pain, Joints, and in both jaws
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death within 48 hours of vaccine
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Bed rest, Fatigue, Myalgia, Pyrexia
Clinical narrative: Fever, muscle aches and extreme fatigue. Bed rest the next day. Fever and muscle aches subsided in about 24 hours, fatigue persisted for four days getting progressively less each day.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Hospitalized (9.27.21) and ED visits;  COVID-19 positive (9.17.21);  fully vaccinated    Admission Date: 9/27/2021 Discharge Date: 10/2/2021 DISCHARGE DISPOSITION: Discharge to home DISCHARGE CONDITION: Stable HOSPITAL COURSE: a 65 y.o. male admitted to the hospitalist service on 9/27/2021 with COVID-19 infection and related symptoms including progressive SOB, fatigue, diarrhea, body aches.    PMhx significant for bipolar disorder, psychotic behaviors, depression, OSA, obesity, DM II, essential HTN, seizure disorder.    Pt with suicidal ideation on presentation. He required video monitoring given suicidal ideation during stay, but this was discontinued after formal social work evaluation.    Pt was seen by PT/OT during stay and SAR was recommended.  He was felt stable for discharge to subacute rehabilitation on 10/02/2021.  He has continued cough, but was breathing comfortably on room air.  Will continue with antitussive therapy at discharge, including Tessalon Perles and Robitussin DM, as well as 3 more days of oral Decadron.  He should follow up with his PCP in 1 week.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Pain, SARS-CoV-2 test positive, Suicidal ideation
Clinical narrative: Hospitalized (9.27.21) and ED visits;  COVID-19 positive (9.17.21);  fully vaccinated    Admission Date: 9/27/2021 Discharge Date: 10/2/2021 DISCHARGE DISPOSITION: Discharge to home DISCHARGE CONDITION: Stable HOSPITAL COURSE: a 65 y.o. male admitted to the hospitalist service on 9/27/2021 with COVID-19 infection and related symptoms including progressive SOB, fatigue, diarrhea, body aches.    PMhx significant for bipolar disorder, psychotic behaviors, depression, OSA, obesity, DM II, essential HTN, seizure disorder.    Pt with suicidal ideation on presentation. He required video monitoring given suicidal ideation during stay, but this was discontinued after formal social work evaluation.    Pt was seen by PT/OT during stay and SAR was recommended.  He was felt stable for discharge to subacute rehabilitation on 10/02/2021.  He has continued cough, but was breathing comfortably on room air.  Will continue with antitussive therapy at discharge, including Tessalon Perles and Robitussin DM, as well as 3 more days of oral Decadron.  He should follow up with his PCP in 1 week.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death within 7 days of vaccine
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Hypoaesthesia, Injection site pain, Muscular weakness, Paraesthesia
Clinical narrative: My first two doses, I didn't feel the injection.  My booster 3rd dose I did feel it.  Shortly afterward I felt tingling and a little numbness on the left side, including my face.  I woke up with pain in my left arm at 2:00 a.m. and had difficulty going back to sleep.  It was very sore for the first 3 days and hurt when I tried to raise it up high. Day 2 I noticed the injection site was higher than previous injections on my arm.  I looked up proper injection site and it looks like it was too high up.  I am on day 6 and still feel  some soreness and weakness in my arm and some tingling in my face and lips.  I can perform every day tasks and my face is not lopsided.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Product administered at inappropriate site, Sleep disorder
Clinical narrative: My first two doses, I didn't feel the injection.  My booster 3rd dose I did feel it.  Shortly afterward I felt tingling and a little numbness on the left side, including my face.  I woke up with pain in my left arm at 2:00 a.m. and had difficulty going back to sleep.  It was very sore for the first 3 days and hurt when I tried to raise it up high. Day 2 I noticed the injection site was higher than previous injections on my arm.  I looked up proper injection site and it looks like it was too high up.  I am on day 6 and still feel  some soreness and weakness in my arm and some tingling in my face and lips.  I can perform every day tasks and my face is not lopsided.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient fully vaccinated and died of Covid related causes.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Blood test, Dyspnoea, Fatigue
Clinical narrative: Headache. Extreme muscular and joint pain in entire body. The pain was incredible.  Burning skin. Chronic tiredness. Difficulty breathing. Abdominal pain. It was very bad. Now 6 weeks post still joint pain and muscle pain. Have new thing that started on 10/02/2021
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Skin burning sensation
Clinical narrative: Headache. Extreme muscular and joint pain in entire body. The pain was incredible.  Burning skin. Chronic tiredness. Difficulty breathing. Abdominal pain. It was very bad. Now 6 weeks post still joint pain and muscle pain. Have new thing that started on 10/02/2021
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted for few minutes
Age: 72.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The patient (after making an appointment for and filling out all of the information for the appointment), told me that he already had gotten his Flu shot at a different store after I gave him the flu shot. I then gave him the covid shot, which he was also getting.  The patient did not experience any adverse events as far as I can tell and did not seem concerned at all by this
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Cold sweat, Headache, Hyperhidrosis
Clinical narrative: Nauseous, vomiting, body aches, cold and hot sweats, fever, headache, weakness, abdominal pain, can?t keep any food down, just keep vomiting.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Nauseous, vomiting, body aches, cold and hot sweats, fever, headache, weakness, abdominal pain, can?t keep any food down, just keep vomiting.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in refrigerator on 9/25/2021. Vaccine administered on 9/26/2021 (vaccine stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/2021 would have been the 31st day). Vaccine was not pulled from the refrigerator the day it expired on 9/25/2021, hence accidental continued use by another pharmacist on 9/26/2021. Pfizer reported, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: patient knowingly received two doses of moderna after already receiving J&J vaccine
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Hyperacusis, Photophobia
Clinical narrative: Day after booster dose (3rd) had fever and fatigue and major headache. I?ve had a nighttime severe headache every night since. Headache is severe and painful, sensitivity to light and sound and dizziness are present. It?s been ever single day after my vaccine, i do not usually suffer from these headaches.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Pain
Clinical narrative: Sore arm at injection site. Joint pain 3rd day after shot which created imbalance (I think) leading to more chronic, and new ankle pain
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: 1 st vaccine soreness in my arm lasted a day 2nd vaccine weak no appetite could not get out of the bed left leg swollen (size of both calls together)for 9 days. Skin continues to break out since second injection in hives swelling itching.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin swelling
Clinical narrative: 1 st vaccine soreness in my arm lasted a day 2nd vaccine weak no appetite could not get out of the bed left leg swollen (size of both calls together)for 9 days. Skin continues to break out since second injection in hives swelling itching.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Off label use, Product storage error
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death within 7 days of receiving vaccine
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris
Clinical narrative: pain around heart
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient fully vaccinated and died due to Covid related causes.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthropathy, Condition aggravated, Cough, Injection site pain
Clinical narrative: Pain at injection site, sore arm -- 10/4 and beyond Difficulty managing secretions while sleeping, a lot of coughing on first 10/5 while in bed Flare in joint symptoms. Persisitent neck nerve pain. Hand stiffness. Flare in wrist pain.