chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Trigger finger
Clinical narrative: My symptoms started with waking up in the morning with left arm middle finger that would not straighten and was in a bent position. It was very painful to try to straighten. I went to an orthopedic doctor and was diagnosis with trigger finger and was treated like arthritis. I was given some exercises to do. 2 months later, this happened again on my right arm ring finger. I am going to an occupational therapist. I now wear a splint. I am trying occupational therapy before going on steroids. Also, had COVID-19 in January, 2022 with positive test. Symptoms included runny nose, fever, cough. That lasted for 1 week.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient up to date on COVID vaccinations who admitted to inpatient behavioral health unit with incidental COVID found upon admission testing.  No s/s of COVID during stay.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Colonoscopy abnormal, Gastrointestinal haemorrhage, Gastrointestinal polyp haemorrhage, Haemoglobin decreased, Large intestine polyp
Clinical narrative: Gastrointestinal hemorrhage - He was transfused 1 units PRBCs and hemoglobin remained stable around 8.5. He was made NPO, gastroenterology was consulted. He required 10L of Golytely prep and he went for EGD/Colonoscopy that showed two 2-4mm non-bleeding polyps in descending colon and transverse colon, but was otherwise normal throughout entire colon. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Oesophagogastroduodenoscopy abnormal, Red blood cell transfusion
Clinical narrative: Gastrointestinal hemorrhage - He was transfused 1 units PRBCs and hemoglobin remained stable around 8.5. He was made NPO, gastroenterology was consulted. He required 10L of Golytely prep and he went for EGD/Colonoscopy that showed two 2-4mm non-bleeding polyps in descending colon and transverse colon, but was otherwise normal throughout entire colon. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia
Clinical narrative: Two to three months after my vaccination I could not sleep. I am not sure if it was two or three months, but I still have insomnia and I still cannot sleep normally. I did see the doctor, but I am not sure when she prescribed a medication, and I am not sure what it was but it didn't help. I contacted the doctor again and she suggested medication and some natural approaches to sleep, but I am not on medications and didn't want to be because my sleep was fine prior. It is getting a little better, but I am getting maybe 4-5 hours of sleep when I would typically get 7-8hrs.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Colon cancer, Oophorectomy, Proctectomy, Robotic surgery
Clinical narrative: Patient hospitalized for Robotic low anterior resection, right oopherectomy for malignant neoplasm of sigmoid colon within 6 weeks of receiving covid vaccination.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pelvic floor dysfunction
Clinical narrative: High-tone pelvic floor dysfunction - office visit; within 6 weeks of receiving the COVID vaccine.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 9/5/21; admitted to hospital on 9/13/21 with worsening respiratory distress; O2 supplementation; grim prognosis; admitted to GIP and made comfort care; pt died in the hospital
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Intentional self-injury, SARS-CoV-2 test positive
Clinical narrative: Patient with Moderna vaccinations, last dose 03/26/21, who admitted with COVID detected test for self harm behavioral concerns.  Asymptomatic for COVID during stay.
Age: 94.0
Sex: M
Vaccine: PNC13
Symptoms: Wrong product administered
Clinical narrative: Prevnar 13 was administered when Prevnar 20 was transitioning to be the prefered pneumonia vaccine
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral thrombosis, Cerebrovascular accident, Computerised tomogram head abnormal
Clinical narrative: Patient develop an acute CVA with thrombosis of posterior circulation.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Gait disturbance, Impaired work ability, Laboratory test, Lipids
Clinical narrative: I had lower extremity pain from the hips to my toes. I experienced pain and swelling where I wasn't able to walk. I didn't take any medication for the symptoms. I wasn't able to work because my feet were so swollen. I tried to elevate my legs to reduce swelling but there was no change. I spoke to my doctor on 03/29/2021. I was scheduled for a appointment where I was referred for further testing for bilateral blood clots, autoimmune disease, Sed Rate, d-dimer, Thyroid, and Lipids. All test came back negative. Severe symptoms persisted for several few months and thereafter the symptoms started to subside and then approximately in September 80% of my symptoms subside. From September to current the symptoms have continued to slowly improve. Currently at 90-95% recovery. Still have some remaining residual leg lower leg swelling.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Red blood cell sedimentation rate, Swelling
Clinical narrative: I had lower extremity pain from the hips to my toes. I experienced pain and swelling where I wasn't able to walk. I didn't take any medication for the symptoms. I wasn't able to work because my feet were so swollen. I tried to elevate my legs to reduce swelling but there was no change. I spoke to my doctor on 03/29/2021. I was scheduled for a appointment where I was referred for further testing for bilateral blood clots, autoimmune disease, Sed Rate, d-dimer, Thyroid, and Lipids. All test came back negative. Severe symptoms persisted for several few months and thereafter the symptoms started to subside and then approximately in September 80% of my symptoms subside. From September to current the symptoms have continued to slowly improve. Currently at 90-95% recovery. Still have some remaining residual leg lower leg swelling.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, COVID-19, Cardiac monitoring, Chest X-ray
Clinical narrative: On 1/24/2022 I developed symptoms and the next day tested positive for a breakthrough COVID case.  Symptoms included sinus congestion and drainage, sore throat, cough, headache, felt weak.  On 1/28/22 I received monoclonal antibody infusion.  I was also prescribed antibiotics.  I took over the counter decongestant, Tylenol, and advil.  I did not have a fever, I did not lose sense of taste or smell, and I did not have breathing difficulty.  I did go to the ER on on day 10 for a battery of tests and all turned out fine.  As of 2/5/22 I tested negative for COVID with my home test.  In addition, in mid March, I began experiencing a low heart rate (as low as 35 few a few seconds).  I have never had any heart issues in the past, and I wonder if this is an after affect of COVID.  I am currently undergoing tests and am wearing a monitor to determine how to resolve this.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Headache, Heart rate decreased, Laboratory test
Clinical narrative: On 1/24/2022 I developed symptoms and the next day tested positive for a breakthrough COVID case.  Symptoms included sinus congestion and drainage, sore throat, cough, headache, felt weak.  On 1/28/22 I received monoclonal antibody infusion.  I was also prescribed antibiotics.  I took over the counter decongestant, Tylenol, and advil.  I did not have a fever, I did not lose sense of taste or smell, and I did not have breathing difficulty.  I did go to the ER on on day 10 for a battery of tests and all turned out fine.  As of 2/5/22 I tested negative for COVID with my home test.  In addition, in mid March, I began experiencing a low heart rate (as low as 35 few a few seconds).  I have never had any heart issues in the past, and I wonder if this is an after affect of COVID.  I am currently undergoing tests and am wearing a monitor to determine how to resolve this.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test negative, Sinus congestion
Clinical narrative: On 1/24/2022 I developed symptoms and the next day tested positive for a breakthrough COVID case.  Symptoms included sinus congestion and drainage, sore throat, cough, headache, felt weak.  On 1/28/22 I received monoclonal antibody infusion.  I was also prescribed antibiotics.  I took over the counter decongestant, Tylenol, and advil.  I did not have a fever, I did not lose sense of taste or smell, and I did not have breathing difficulty.  I did go to the ER on on day 10 for a battery of tests and all turned out fine.  As of 2/5/22 I tested negative for COVID with my home test.  In addition, in mid March, I began experiencing a low heart rate (as low as 35 few a few seconds).  I have never had any heart issues in the past, and I wonder if this is an after affect of COVID.  I am currently undergoing tests and am wearing a monitor to determine how to resolve this.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Acute kidney injury, Back pain, Blood sodium decreased
Clinical narrative: Patient with two Moderna COVID vaccinations, last dose 02/12/21, who admitted to hospital with GI distress who tested detected for COVID upon admission.  Provider discharge note below:  "patient presented with n/v/abdominal pain/diarrhea as well as low back pain found to have covid, hyponatremia, AKI and pyuria. Started on rocephin, fluids with slow improvement of kidney function and improvement of flank/back pain. GI symptoms resolved. Sodium stayed low, testing supported poor solute intake, this improved with salt tablets. Unclear if truly had UTI but was treated for such x5 days total (in and outpatient). Bmp in a week. No respiratory issues from covid."
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diarrhoea, Flank pain, Hyponatraemia, Nausea
Clinical narrative: Patient with two Moderna COVID vaccinations, last dose 02/12/21, who admitted to hospital with GI distress who tested detected for COVID upon admission.  Provider discharge note below:  "patient presented with n/v/abdominal pain/diarrhea as well as low back pain found to have covid, hyponatremia, AKI and pyuria. Started on rocephin, fluids with slow improvement of kidney function and improvement of flank/back pain. GI symptoms resolved. Sodium stayed low, testing supported poor solute intake, this improved with salt tablets. Unclear if truly had UTI but was treated for such x5 days total (in and outpatient). Bmp in a week. No respiratory issues from covid."
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyuria, SARS-CoV-2 test positive, Urinary tract infection, Vomiting
Clinical narrative: Patient with two Moderna COVID vaccinations, last dose 02/12/21, who admitted to hospital with GI distress who tested detected for COVID upon admission.  Provider discharge note below:  "patient presented with n/v/abdominal pain/diarrhea as well as low back pain found to have covid, hyponatremia, AKI and pyuria. Started on rocephin, fluids with slow improvement of kidney function and improvement of flank/back pain. GI symptoms resolved. Sodium stayed low, testing supported poor solute intake, this improved with salt tablets. Unclear if truly had UTI but was treated for such x5 days total (in and outpatient). Bmp in a week. No respiratory issues from covid."
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Nausea, Pain, Pyrexia
Clinical narrative: 3/31/2022 at 1021 Employee called the Nurse Vaccine Support line to report symptoms post COVID-19 booster vaccine. Vaccine Name - Moderna Vaccine Date - 3/28/2022 Booster Dose - Yes Location - Left Deltoid Date of Symptom Onset - 3/29/2022 (~0300) Symptoms - Body Aches, Fatigue, Nausea, Fever (100.4F - Last Fever on 03/30/22 in the Morning). Last Day of Work and Shift ? Monday, 3/28/22, (7a -3:30p) / Missed work on Tuesday, 3/29/22, & Wednesday, 3/30/22. Home Remedies ? Zinc, Emergen-C, Ibuprofen Any Improvement ? No
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Injection site pain, Menstruation irregular, Paraesthesia
Clinical narrative: After all 3 vaccines I did experience increased menstrual flow and decrease between menstruation, as well as paresthesia in fingers, feet, legs, abdomen, and back. After the 1st I had vaccine site soreness that last months in my left arm.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Injection site discolouration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Employee stated that 2 days after the injection she noticed some redness, itching, and small raised area around the injection site. On day 3 she reported to medical informing them of a possible reaction. The area is warm and light red in color approximately 1.5 inches in diameter. Employee has had no treatment measures at this time instructed to take a benadryl and apply some hydrocortisone to site.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus
Clinical narrative: Employee stated that 2 days after the injection she noticed some redness, itching, and small raised area around the injection site. On day 3 she reported to medical informing them of a possible reaction. The area is warm and light red in color approximately 1.5 inches in diameter. Employee has had no treatment measures at this time instructed to take a benadryl and apply some hydrocortisone to site.
Age: 14.0
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out in the Lobby approximately 10 minutes after being vaccinated, the patients mother stated earlier during the visit that the patient has never passed out during or after vaccinations when asked by the Medical Assistant.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Cardioversion, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Patient up to date on Pfizer COVID vaccinations who admitted to the hospital with positive COVID test and complications likely related to COVID.  Provider discharge note below:  "Patient developed increased shortness of breath, admitted with hypoxia though it should be noted that he was recently started on home oxygen @ 2 L/m and the hypoxia was noted on room air.  The hypoxia may be due   to several factors.  He may have had some mild Pneumonia due to COVID-19 virus as he was found to be positive for COVID infection but with diuresis he was saturating well on room air. He had been started on steroids but since he was not truly hypoxic related to the COVID infection and was risk for fluid retention and exacerbation of his heart he was continued on steroids at discharge.    He also has a history of Ischemic dilated cardiomyopathy (EF 20% Echo 12/2021) with AICD (automatic cardioverter/defibrillator) present and may have Acute on chronic systolic (congestive) heart failure though just recently had his diuretic dose increased at last hospitalization.  He was started on intravenous FUROSEMIDE while monitoring  CKD (chronic kidney disease) stage 4, GFR 15-29 ml/min with solitary kidney.  At admission patient noted to have a decreased GFR (21 to 13) likely due to recent increase in TORSEMIDE dose.  Discussed with Dr of cardiology and at discharge his dose was reduced to previous regimen of 10 mg twice daily.      Paroxysmal atrial fibrillation on APIXABAN, AMIODARONE and had cardioversion prior to admission. Note that the patient is nearly eighty and has renal dysfunction and likely should be on the lower dose of 2.5 mg twice daily.     Elevated troponin values with negative delta, no acute findings on electrocardiogram.  No chest pain.  Likely demand phenomena.    Hypertension  Controlled.   Pure hypercholesterolemia ROSUVUSTATIN  Gout ALLOPURINOL  Issues Requiring Follow Up: Recommend follow up basic metabolic panel to monitor renal function.  "
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram normal, Glomerular filtration rate decreased, Hypoxia, Pneumonia, Polyuria
Clinical narrative: Patient up to date on Pfizer COVID vaccinations who admitted to the hospital with positive COVID test and complications likely related to COVID.  Provider discharge note below:  "Patient developed increased shortness of breath, admitted with hypoxia though it should be noted that he was recently started on home oxygen @ 2 L/m and the hypoxia was noted on room air.  The hypoxia may be due   to several factors.  He may have had some mild Pneumonia due to COVID-19 virus as he was found to be positive for COVID infection but with diuresis he was saturating well on room air. He had been started on steroids but since he was not truly hypoxic related to the COVID infection and was risk for fluid retention and exacerbation of his heart he was continued on steroids at discharge.    He also has a history of Ischemic dilated cardiomyopathy (EF 20% Echo 12/2021) with AICD (automatic cardioverter/defibrillator) present and may have Acute on chronic systolic (congestive) heart failure though just recently had his diuretic dose increased at last hospitalization.  He was started on intravenous FUROSEMIDE while monitoring  CKD (chronic kidney disease) stage 4, GFR 15-29 ml/min with solitary kidney.  At admission patient noted to have a decreased GFR (21 to 13) likely due to recent increase in TORSEMIDE dose.  Discussed with Dr of cardiology and at discharge his dose was reduced to previous regimen of 10 mg twice daily.      Paroxysmal atrial fibrillation on APIXABAN, AMIODARONE and had cardioversion prior to admission. Note that the patient is nearly eighty and has renal dysfunction and likely should be on the lower dose of 2.5 mg twice daily.     Elevated troponin values with negative delta, no acute findings on electrocardiogram.  No chest pain.  Likely demand phenomena.    Hypertension  Controlled.   Pure hypercholesterolemia ROSUVUSTATIN  Gout ALLOPURINOL  Issues Requiring Follow Up: Recommend follow up basic metabolic panel to monitor renal function.  "
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Renal impairment, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient up to date on Pfizer COVID vaccinations who admitted to the hospital with positive COVID test and complications likely related to COVID.  Provider discharge note below:  "Patient developed increased shortness of breath, admitted with hypoxia though it should be noted that he was recently started on home oxygen @ 2 L/m and the hypoxia was noted on room air.  The hypoxia may be due   to several factors.  He may have had some mild Pneumonia due to COVID-19 virus as he was found to be positive for COVID infection but with diuresis he was saturating well on room air. He had been started on steroids but since he was not truly hypoxic related to the COVID infection and was risk for fluid retention and exacerbation of his heart he was continued on steroids at discharge.    He also has a history of Ischemic dilated cardiomyopathy (EF 20% Echo 12/2021) with AICD (automatic cardioverter/defibrillator) present and may have Acute on chronic systolic (congestive) heart failure though just recently had his diuretic dose increased at last hospitalization.  He was started on intravenous FUROSEMIDE while monitoring  CKD (chronic kidney disease) stage 4, GFR 15-29 ml/min with solitary kidney.  At admission patient noted to have a decreased GFR (21 to 13) likely due to recent increase in TORSEMIDE dose.  Discussed with Dr of cardiology and at discharge his dose was reduced to previous regimen of 10 mg twice daily.      Paroxysmal atrial fibrillation on APIXABAN, AMIODARONE and had cardioversion prior to admission. Note that the patient is nearly eighty and has renal dysfunction and likely should be on the lower dose of 2.5 mg twice daily.     Elevated troponin values with negative delta, no acute findings on electrocardiogram.  No chest pain.  Likely demand phenomena.    Hypertension  Controlled.   Pure hypercholesterolemia ROSUVUSTATIN  Gout ALLOPURINOL  Issues Requiring Follow Up: Recommend follow up basic metabolic panel to monitor renal function.  "
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Schizoaffective disorder bipolar type
Clinical narrative: Patient hospitalized for Schizoaffective disorder, bipolar type within 6 weeks of receiving covid vaccination.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Pain
Clinical narrative: - Diagnosed with COVID-19  - extremely tired, achy, severe cough, sinus and chest congestion - over the course of 10 days, had very bad and very good days - Treated with OTC DayQuil, NyQuil, and Motrin; lots of fluids and rest
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: - Diagnosed with COVID-19  - extremely tired, achy, severe cough, sinus and chest congestion - over the course of 10 days, had very bad and very good days - Treated with OTC DayQuil, NyQuil, and Motrin; lots of fluids and rest
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion
Clinical narrative: Severe Nasal congestion since day after Covid vaccine. Will not go away. Can?t breathe from my nose, only by mouth. It won?t go away and no congestion medicine relieves it.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Gait disturbance, Nausea, Pyrexia
Clinical narrative: She got her vaccine with the flu vaccine, she had high fever and chills that lasted about 12 hours.  Started about 12 hours after getting the vaccine, lasted over night, still slight fever the next day.  By the end of that day was feeling better.   12 hours after it started she had a temp of 102.5, and was higher than that during the night.  She had same reactions with the 1st vaccine with lethargy, not as high fever and could not get up off the sofa.  Then the 2nd vaccine with fevers of 102-103 and bone shaking chills.   She also got her first shingles vaccine between the 1st and 2nd COVID vaccine and had worsening symptoms with that.  Then got the last shingles vaccine in January/February of 2022, and got worse symptoms from the COVID vaccine.    The last Shingrix shot was the worst reaction that she had.  The fever was higher than the previous COVID vaccine.  She also had the feeling of nausea.  At one point she was not able to stand up by herself to go to the bathroom and her husband had to assist her.  With each vaccine the symptoms worsened.    These symptoms started 12 hours after receiving the vaccines, and lasted for about 24-48 hours with progression after each vaccine.   The fevers stopped after 12 hours but the chills continued for about 24 hours, then subsided.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyschromatopsia, Feeling abnormal, Lethargy
Clinical narrative: About two to three days after my booster, I started feeling lethargic and it felt like I had taken a Xanax, everything was in slow motion and the colors were weird. It persisted for a week to 8 days, then went away. I told my general practitioner and she told me she had two cases that had that experience. I don't want to give her name.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization with covid; fully vaccinated
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Atypical pneumonia
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for atypical pneumonia within 6 weeks of receiving covid vaccination.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Cerebral haemorrhage, Computerised tomogram head abnormal, Ischaemic stroke, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 Pfizer COVID vaccinations, last dose 05/05/21, who admitted with ischemic stroke who incidentally tested detected for COVID during admission testing.  No s/s of COVID per provider d/c note during stay.  Provider d/c note below:  "Patient is a 61 YO female who was admitted for ischemic stroke of anterior right parietal associated with L occipital subacute intraparenchymal hemorrhage. Patient was also found to have COVID 19, asymptomatic. Neurosurgery and neurology were consulted. Her repeat CT scan to monitor hemorrhage was stable and per neurosurgery no need to hold DAPT so they were resumed. She was started on high dose statin. Ordered cardiac event monitor to monitor for any cardiac arrhythmias leading to stroke. Patient will referred to vascular neurology."
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Pain in extremity, Product preparation issue
Clinical narrative: No adverse reaction.  Patient was administered a new vial of 0.2ml of pedi pfizer undiluted. At approximately noon, a mom brought her 5 y/o son in to our clinic for his second Pfizer pedi vaccination.  Around 6PM, it was realized that a pedi dose was administered, as he was the only one given.  It was noticed that the vial was nearly empty, which alerted the lead that the vial could not have been diluted.   Clinic Lead, was notified, who in turn notified Manager.  Immediately notified leadership.  Attempted to contact Pfizer without successful connection.  Turned to CDC website for information, and also contacted the Health Nurse.  Spoke with staff who also looked up the information on the CDC site.  Spoke with MD VP of Medical Directors.    At approximately 8PM,  spoke with mom.  She was very calm and listened.  She did not appear upset, yet very concerned.  Alerted her to the error, offered sincere apology, and advised her to connect with her pediatrician, and watch her son for heightened immune response such as fever, pain in the arm, and other flu like symptoms.  Asked how he did during the afternoon.  She said he seemed a bit out of sorts, but otherwise he was fine.  He was in bed.  Also asked how he did with his first shot.  She said he had no reaction.  Followed up with her this morning to see how he was.  She said he is fine.  He slept all night.  She connected with the pediatrician who did not seem overly concerned.  Advised to continue to watch him.  She did state the boy?s arm was sore.    A follow up email was sent to our VP of Medical Directors who will be following up with the appropriate management to conduct remediation and interview with the PA who administered the vaccine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint noise
Clinical narrative: Bilateral knee pain with associated onset of crepitus.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram, Tinnitus
Clinical narrative: Tinnitus
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient with J+J COVID vaccination 04/12/21 who admitted with complications from COVID.  Provider discharge note below:  "Vaccinated elderly woman with COPD presents with dyspnea and found to have COVID.  Patient admitted and treated with oxygen and steroids; did very well, improved to her baseline oxygen needs and requested discharge to home.  She was discharged on oxygen, nebs, and decadron for one week."
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Influenza virus test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: I had break through COVID infection.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, General physical health deterioration, Influenza like illness, Positive airway pressure therapy
Clinical narrative: pt admitted to hospital after 2 wks at home with SOB (which is increasing) and flu-like sx; poor prognosis; DNR/DNI/limited interventions; O2 supplementation; decadron, ABX, O2 need increased requiring BiPAP; pt's condition worsened and he passed away in the hospital
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 3 weeks after the 3rd vax I developed hives on my back which lasted for about a month. I went to the doctor and they thought it was an autoimmune reaction to the vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Cough, Dyspnoea, Haemorrhage
Clinical narrative: I had a very bad cough, to the point I wanted to throw up. I received and infusion on the next day of my diagnosis. After I was diagnosed and received an infusion, the evening of my infusion I had a fever. I knew right after the infusion I was getting better. I still have some long COVID in my breathing effects. In October, I knew I was having shortness of breath. Since then, I was diagnosed as being anemic, and had a procedure that found a bleeding polyp. I am under the care of a GI doctor. It could be my anemia has contributed to my breathing issues.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Polyp, Pyrexia, Respiratory disorder
Clinical narrative: I had a very bad cough, to the point I wanted to throw up. I received and infusion on the next day of my diagnosis. After I was diagnosed and received an infusion, the evening of my infusion I had a fever. I knew right after the infusion I was getting better. I still have some long COVID in my breathing effects. In October, I knew I was having shortness of breath. Since then, I was diagnosed as being anemic, and had a procedure that found a bleeding polyp. I am under the care of a GI doctor. It could be my anemia has contributed to my breathing issues.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Test positive on 12/29/2021, .  First dose 1/5/2022, Second dose 2/2/2022, booster shot 9/21/2021 at local Pharmacy lot number not readable
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nightmare, Pyrexia, Tinnitus
Clinical narrative: Acute symptomatic fever, chills, terrifying lucid dreams, tinnitus, and fatigue (lasting 3 days).
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Computerised tomogram, Computerised tomogram thorax abnormal, Haemoptysis
Clinical narrative: a couple of days after the vaccine i started to spit up blood and had a cough. at this time i did not go to a doctor. this continued untill early august when my feet started swelling. i then went to urgent care and they immediatly sent me to  hospital . i stayed in the hospital for three days . upon discharge i was sent to a pulmanary doctor and under went ct scans etc showing i had serious leisons in my lungs and an infection. for the infection i was sent to doctor. he gave me strong antibiotics which caused me not to eat for a few months. i then started having problems with vertigo and my balance. i went to see a nurologist dr . he said i had a spot on my brain which is causing my tremors , vertigo and loss of balance.   i have not been able to work since i was hospitalized on Aug 13,2021 and i am not getting better.    i had not had any symptoms or health issues untill i recieved the vaccine.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Impaired work ability, Laboratory test, Lung disorder, Magnetic resonance imaging
Clinical narrative: a couple of days after the vaccine i started to spit up blood and had a cough. at this time i did not go to a doctor. this continued untill early august when my feet started swelling. i then went to urgent care and they immediatly sent me to  hospital . i stayed in the hospital for three days . upon discharge i was sent to a pulmanary doctor and under went ct scans etc showing i had serious leisons in my lungs and an infection. for the infection i was sent to doctor. he gave me strong antibiotics which caused me not to eat for a few months. i then started having problems with vertigo and my balance. i went to see a nurologist dr . he said i had a spot on my brain which is causing my tremors , vertigo and loss of balance.   i have not been able to work since i was hospitalized on Aug 13,2021 and i am not getting better.    i had not had any symptoms or health issues untill i recieved the vaccine.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pneumonia, Positron emission tomogram, Tremor, Vertigo
Clinical narrative: a couple of days after the vaccine i started to spit up blood and had a cough. at this time i did not go to a doctor. this continued untill early august when my feet started swelling. i then went to urgent care and they immediatly sent me to  hospital . i stayed in the hospital for three days . upon discharge i was sent to a pulmanary doctor and under went ct scans etc showing i had serious leisons in my lungs and an infection. for the infection i was sent to doctor. he gave me strong antibiotics which caused me not to eat for a few months. i then started having problems with vertigo and my balance. i went to see a nurologist dr . he said i had a spot on my brain which is causing my tremors , vertigo and loss of balance.   i have not been able to work since i was hospitalized on Aug 13,2021 and i am not getting better.    i had not had any symptoms or health issues untill i recieved the vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: This report is regarding the Pfizer COVID-19 vaccination you received on the above date, which was lot number FD0809. The Regulatory Authority, per guidance from the Centers for Disease Control and Prevention (CDC), and Pfizer have determined that the dose of vaccine that you received is valid.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Chills, Feeling abnormal, Oropharyngeal pain
Clinical narrative: Symptoms: Experienced fever(100.9 degrees max), chills, sore throat, generally feeling bad - symptoms passed within 48 hours - experienced loss of taste about 7 days later for about 3 days Treatment: antibiotic - oral steroids - zinc - vitamin C - vitamin D3 Quarantine at home for 10 days
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Quarantine, SARS-CoV-2 test positive
Clinical narrative: Symptoms: Experienced fever(100.9 degrees max), chills, sore throat, generally feeling bad - symptoms passed within 48 hours - experienced loss of taste about 7 days later for about 3 days Treatment: antibiotic - oral steroids - zinc - vitamin C - vitamin D3 Quarantine at home for 10 days
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dyspnoea, Immunisation reaction, Influenza like illness, Pain in extremity
Clinical narrative: The morning of the 10th I woke up with flu like symptom and COVID arm. Swelling and very painful. Shortness of breath persistent to the point that I constantly trying to catch my breath. I went to the doctor five days later. Doctor confirmed it was a reaction to vaccine. They prescribed nebulizer and prednisone. Five days after treatment it completely subsided.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: The morning of the 10th I woke up with flu like symptom and COVID arm. Swelling and very painful. Shortness of breath persistent to the point that I constantly trying to catch my breath. I went to the doctor five days later. Doctor confirmed it was a reaction to vaccine. They prescribed nebulizer and prednisone. Five days after treatment it completely subsided.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Aortic stenosis, Atrial fibrillation, Blood creatine phosphokinase increased, COVID-19
Clinical narrative: Patient up to date of COVID pfizer vaccinations who tested detected for COVID during hospital admission during routine testing after admission for a fall.  No respiratory symptoms during stay.  Provider discharge note below:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) the patient presented after unwitnessed syncopal episode at home, falling suspended by pressure placed under both arms for a few hours. R arm was weak after so came to the ED. CPK elevated significantly, improved some after gentle IVF given CHF/AS. Weakness/pain in R upper extremity improved significantly during admission.   stroke pathway in ED showed CT perfusion which initially had occlusion then re-canulized during procedure, likely representing TIA with thrombolysis. MRI brain negative. Neurology saw and stated no need for aspirin.    She had new onset atrial fibrillation rapid ventricular response treated with increased metoprolol and addition of digoxin. Eliquis was started after risk v benefit discussion.    Syncope probably from severe aortic stenosis. Cardiology consulted, will plan on initiating outpatient TAVR planning once improved from current illness. Patient/family wished to discharge and consider proceeding with TAVR as outpatient, but wanted to go home today.   covid without hypoxia."
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, Magnetic resonance imaging head normal, Muscular weakness, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Patient up to date of COVID pfizer vaccinations who tested detected for COVID during hospital admission during routine testing after admission for a fall.  No respiratory symptoms during stay.  Provider discharge note below:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) the patient presented after unwitnessed syncopal episode at home, falling suspended by pressure placed under both arms for a few hours. R arm was weak after so came to the ED. CPK elevated significantly, improved some after gentle IVF given CHF/AS. Weakness/pain in R upper extremity improved significantly during admission.   stroke pathway in ED showed CT perfusion which initially had occlusion then re-canulized during procedure, likely representing TIA with thrombolysis. MRI brain negative. Neurology saw and stated no need for aspirin.    She had new onset atrial fibrillation rapid ventricular response treated with increased metoprolol and addition of digoxin. Eliquis was started after risk v benefit discussion.    Syncope probably from severe aortic stenosis. Cardiology consulted, will plan on initiating outpatient TAVR planning once improved from current illness. Patient/family wished to discharge and consider proceeding with TAVR as outpatient, but wanted to go home today.   covid without hypoxia."
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Syncope, Thrombolysis, Transient ischaemic attack, Ventilation/perfusion scan abnormal
Clinical narrative: Patient up to date of COVID pfizer vaccinations who tested detected for COVID during hospital admission during routine testing after admission for a fall.  No respiratory symptoms during stay.  Provider discharge note below:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) the patient presented after unwitnessed syncopal episode at home, falling suspended by pressure placed under both arms for a few hours. R arm was weak after so came to the ED. CPK elevated significantly, improved some after gentle IVF given CHF/AS. Weakness/pain in R upper extremity improved significantly during admission.   stroke pathway in ED showed CT perfusion which initially had occlusion then re-canulized during procedure, likely representing TIA with thrombolysis. MRI brain negative. Neurology saw and stated no need for aspirin.    She had new onset atrial fibrillation rapid ventricular response treated with increased metoprolol and addition of digoxin. Eliquis was started after risk v benefit discussion.    Syncope probably from severe aortic stenosis. Cardiology consulted, will plan on initiating outpatient TAVR planning once improved from current illness. Patient/family wished to discharge and consider proceeding with TAVR as outpatient, but wanted to go home today.   covid without hypoxia."
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Death, Dyspnoea
Clinical narrative: pt brought from RA Care facility via EMS to hospital; O2 sats 78% on RA; O2 supplementation; dx 3 days prior to hospitalization  with COVID; non-productive cough; COVID pneumonia; given remdesivir, dexamethasone, ABX; DNR; respiratory status worsened requiring BiPAP; pt did not improve; worsened; family opted for comfort measures and to remove BiPAP; pt passed away in the hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Positive airway pressure therapy, Respiratory disorder
Clinical narrative: pt brought from RA Care facility via EMS to hospital; O2 sats 78% on RA; O2 supplementation; dx 3 days prior to hospitalization  with COVID; non-productive cough; COVID pneumonia; given remdesivir, dexamethasone, ABX; DNR; respiratory status worsened requiring BiPAP; pt did not improve; worsened; family opted for comfort measures and to remove BiPAP; pt passed away in the hospital
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Periarthritis, X-ray limb, X-ray limb abnormal
Clinical narrative: Joint pain in left shoulder, hips, left hand and fingers, left knee, lower back  Steroid injection in hand and shoulder  Physical therapy for left shoulder  Pain medication given
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is regarding the Pfizer COVID-19 vaccination you received on the above date, which was lot number FD0809. The Health District, per guidance from the Department of Health (DH), Centers for Disease Control and Preventio (CDC), and Pfizer have determined that the dose of vaccine that you received is valid.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Headache, fever, sore arm, tired
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is regarding the Pfizer COVID-19 vaccination you received on the above date, which was lot number FD0809. The Public Health District, per guidance from the Centers for Disease Control and Prevention (CDC), and Pfizer have determined that the dose of vaccine that you received is valid.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Dyspnoea exertional, Exercise tolerance decreased, Headache
Clinical narrative: Persistent mild headaches for over two weeks. Have not experienced a headache in the last 10 days. Dizzy spells that are mild and occur two or three times a week since the injection. Last time I felt dizzy for a brief moment was 4 days ago. Shortness of breath when exercising and I still feel it a month later. Prior to the injection I could go 5 to 7 miles of jogging and power walking on trails. The shortness of breath is the most noticeable and is what is somewhat concerning.  I have not been able to complete my normal workout since I took the vacine.
Age: 51.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Patient was given vaccine that expired 1/26/2022.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Gave 5th dose of moderna 1 month after receiving 4th dose. No symptoms noted
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, SARS-CoV-2 test positive
Clinical narrative: Starting around the end of January of 2022, I developed a heavy chest. I called my doc, who told me to get a COVID test, and then put me on zinc and prednisone and Vitamin C (as if I had COVID). I was tested and ended up being positive for COVID. I got pills once I let my doctor know I was positive, and within 5 days I was completely over it.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Pruritus, Stool analysis, Urticaria
Clinical narrative: Approximately around 10 days after my booster shot I experienced the following symptoms: Hives (Different parts of my body), Itchiness. I have taken some Benadryl to try ease the symptoms but it did not do anything to improve the situation. I called my doctor and had a Telehealth appointment and was prescribed with Prednisone and some other medication and it did help ease the itchiness. When I stopped taking the medications I would start to have some small flare up from different parts of my body even up to this day (03/31/2022). I saw a dermatologist and prescribed me with Montelukast, Allegra and Zyrtec.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody, Blood thyroid stimulating hormone, C-reactive protein, Computerised tomogram head, Dizziness postural
Clinical narrative: Approximately 3 hours after vaccination I experienced fatigue, soreness, headache, and sound sensitivity. The next morning as my headache subsided I began to experience ringing in the ears (tinnitus). For the following 2 months (to this day) I have been experiencing a low grade headache, racing heart rate and dizziness upon standing, persistent tinnitus, and intermittent hyperacusis.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Headache, Hyperacusis, Metabolic function test
Clinical narrative: Approximately 3 hours after vaccination I experienced fatigue, soreness, headache, and sound sensitivity. The next morning as my headache subsided I began to experience ringing in the ears (tinnitus). For the following 2 months (to this day) I have been experiencing a low grade headache, racing heart rate and dizziness upon standing, persistent tinnitus, and intermittent hyperacusis.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Palpitations, Platelet count, Tinnitus
Clinical narrative: Approximately 3 hours after vaccination I experienced fatigue, soreness, headache, and sound sensitivity. The next morning as my headache subsided I began to experience ringing in the ears (tinnitus). For the following 2 months (to this day) I have been experiencing a low grade headache, racing heart rate and dizziness upon standing, persistent tinnitus, and intermittent hyperacusis.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough. I never really had any symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fall, Hip fracture, Open reduction of fracture, Pain
Clinical narrative: Patient with 2 COVID Moderna vaccinations who admitted after a fall who incidentally tested detected for COVID during routine admission testing.  No hypoxia during stay per provider.  D/C summary note below:  "the patient had ground level fall resulting in left hip fracture had orif, uneventful. Pain controlled, ambulated well, able to dc home with home care and family support. Incidentally covid positive without hypoxia"
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with 2 COVID Moderna vaccinations who admitted after a fall who incidentally tested detected for COVID during routine admission testing.  No hypoxia during stay per provider.  D/C summary note below:  "the patient had ground level fall resulting in left hip fracture had orif, uneventful. Pain controlled, ambulated well, able to dc home with home care and family support. Incidentally covid positive without hypoxia"
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: tinnitus in both ears. occurs all day every day.  some days louder than others.  Does not subside.  Louder now than in December.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is regarding the Pfizer COVID-19 vaccination you received on the above date, which was lot number FD0809. The Public Health District, per guidance from the Department of Health (DH), Centers for Disease Control and Preventio (CDC), and Pfizer have determined that the dose of vaccine that you received is valid.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given full dose for 2nd booster instead of half dose.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Got COVID and did home test. No need to go to see a doctor.