chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Lung infiltration
Clinical narrative: Patient with "not detected" PCR test upon admission to hospital, however, patient reported a positive antigen test for COVID at home that same day and was symptomatic for COVID infection, hypoxic, and received supportive care for COVID.  Provider d/c note:  "presented to ED on 9/28 with complaint of cough and SOB. Evaluation found her to have RLL infiltrate. She had a positive covid test at home on 9/26, but respiratory viral panel was negative for covid as well as other viruses. She required more than nasal cannula support and was transferred to progressive care for treatment inpatient. Treated with iv azithromycin and ceftriaxone for RLL infiltrate. As clinically behaved like acute covid and was hypoxic, she was treated with iv remdesivir and dexamethasone. She required 100 % fio2 for first day then was able to wean down FiO2 and from nonrebreather to nasal cannula at time of discharge. Eupoxic at rest on room air day of discharge. Home oxygen will be prescribed if walk test causes desats. Stable for discharge to home. Switched to oral ceftin for remainder of treatment for RLL pneumonia."
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Pneumonia, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: Patient with "not detected" PCR test upon admission to hospital, however, patient reported a positive antigen test for COVID at home that same day and was symptomatic for COVID infection, hypoxic, and received supportive care for COVID.  Provider d/c note:  "presented to ED on 9/28 with complaint of cough and SOB. Evaluation found her to have RLL infiltrate. She had a positive covid test at home on 9/26, but respiratory viral panel was negative for covid as well as other viruses. She required more than nasal cannula support and was transferred to progressive care for treatment inpatient. Treated with iv azithromycin and ceftriaxone for RLL infiltrate. As clinically behaved like acute covid and was hypoxic, she was treated with iv remdesivir and dexamethasone. She required 100 % fio2 for first day then was able to wean down FiO2 and from nonrebreather to nasal cannula at time of discharge. Eupoxic at rest on room air day of discharge. Home oxygen will be prescribed if walk test causes desats. Stable for discharge to home. Switched to oral ceftin for remainder of treatment for RLL pneumonia."
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Musculoskeletal stiffness, Neck pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: 9/19/2022 received Moderna bilvalent vaccine in I arm. The young man who administered it seemed hesitant. I normally get my injections in my right arm because I will be moving that arm more but he wanted to put it in my left because that is the way the room was set up. I agreed. I am an RN who just retired from Public Health and have given hundreds of shots. I felt like the place was not correct.  It was high and proximal  rather than centered on my arm.  I developed a stiff neck and sore arm within 12 hours and it has continued for almost 3 weeks now. The pain is more in my should neck area when standing and when laying down it is in my shoulder joint only. I have gone from Advil every 12 hours to every 6 hours along with ice and heat. I contacted my primary care doctor 10/3 and she said to wait an other week.  The pain is severe enough that I now have an appointment with a musculoskeletal Dr tomorrow.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ophthalmological examination abnormal, Photopsia, Retinal haemorrhage, Vitreous floaters
Clinical narrative: I received my Covid 19- Vaccine on 09/22/2022. On the evening of the 09/29/2022 I saw flashes in the right eye.  The next day around 10:00 am I noticed a new floater in right eye. I went to the eye doctor the same day and was confirmed there was a new tiny spot of blood in front of retina in right eye.   Floater have not resolved.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine was given on 9/19/2022 and had an expiration date of 9/10/2022. The vaccine was kept in the refrigerator for over 30 days prior to administration
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear pain, Feeling abnormal, Neck pain
Clinical narrative: I felt terrible. I was achy, coughing and my sinuses were running. My coughing was so severe that I could hardly get a word out. My teeth were hurting, my left side of my neck and my ear were hurting. The doctor prescribed Benzonatate to help with the cough. She also advised me to go get the infusion which I did. The next day I felt much better than I was in the beginning. By day 2, I felt almost back to normal. I waited for about a week to test and it was negative.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test positive, Speech disorder, Toothache
Clinical narrative: I felt terrible. I was achy, coughing and my sinuses were running. My coughing was so severe that I could hardly get a word out. My teeth were hurting, my left side of my neck and my ear were hurting. The doctor prescribed Benzonatate to help with the cough. She also advised me to go get the infusion which I did. The next day I felt much better than I was in the beginning. By day 2, I felt almost back to normal. I waited for about a week to test and it was negative.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Ear swelling, Eye swelling, Urticaria
Clinical narrative: Hives, swollen eyes and swollen ears
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: On 09/30/22 at approximately 3:30pm the provider ordered 0.25 ml Moderna Bivalent Vaccine to be administered instead of 0.5 ml. The nurse carried out the order as ordered and administered 0.25 ml to the patient.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated, Electrocardiogram normal, Hypertension
Clinical narrative: On 10/2/22, my blood pressure went up about 10 points. I waited until Tuesday, and took it again, and it was still high. That is when I decided to go to the doctor, and they prescribed HCTZ along with raising my Metoprolol. If it doesn't get lower, they are going to double my mediation. My doctor is going to check up with me in about 10 days.
Age: 97.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse effects thus far Bivalent administered to soon after the last booster Last booster was 9/1/22  Has not been two months
Age: 40.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Burning sensation, Confusional state, Inflammation, Rash, Urticaria
Clinical narrative: The day after receiving my vaccine, we noticed a rash that looked like hives or welts around my neck. That was the first thing that appeared. I was confused as to why I had a rash and thought it might be stress related. It started to spread to my arms, and I noticed a burning sensation. I treated it with some hydrocortisone cream and took some Benadryl that night. At that point it had spread to my stomach as well and I was noticing more on my arms and neck. Everything was worse when I woke up on Saturday. My neck was very inflamed, and I had more rash on my arms and stomach as well as my legs, feet, fingers, and all over. I realized that the Benadryl I took was expired and thought it might not have been effective. I went to an urgent care clinic on Sunday 10/2/2022 because things were still just getting worse. They prescribed me something, but the prescription wasn't ready until Monday and I was unable to take it until Monday evening after work. Today, it is a lot better. It is definitely going away.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immunisation reaction, Injection site pain, Urticaria
Clinical narrative: Covid Arm - 2 1/2 inch round welt ( sore to the touch)  right under the injection site
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Laboratory test, Lumbar puncture, Magnetic resonance imaging, Meningitis aseptic
Clinical narrative: Altered mental status    -  severe headache  -  fever
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Mental status changes, Pyrexia, Scan with contrast
Clinical narrative: Altered mental status    -  severe headache  -  fever
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The orange cap pfizer bottle was diluted twice, injection was given to patient before this was realized. Parent of patient was informed while still in office and patient had  no further symptoms.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphagia, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: She got her vaccine, she didn't feel bad that day, through the night she felt congested.  She woke up the next morning with a really bad sore throat, could hardly swallow.  She then got stuffed up later in the morning.  She has been taking the Coricidin HPB flu tablets and this has helped.  She did not call her doctor for this.  She is feeling quite a bit better and she has also been taking cough drops for her sore throat.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching and urticaria on back about one hour after vaccination. Mother of Patient gave Benadryl, providing relief. Symptoms lasted 3 days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin A decreased, Selective IgA immunodeficiency
Clinical narrative: I was diagnosed with IgA deficiency (which is likely unrelated to the vaccine but was told it was recommended to report just to see if others had the same thing occur).
Age: 63.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect dose administered, Syringe issue
Clinical narrative: While administering the second dose of the Jynneos vaccine to the patient the needle disconnected from the barrel which cause the patient to not receive the complete dose. The dose was immediately repeated in a different location.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram retina, Herpes zoster, Rash
Clinical narrative: On 2/27/22 I developed a rash in my V-1 nerve in my face and I visited the ER and they provided the Liothyronine and steroids.  I saw doctor later that week.  The shingles symptoms reappeared in June 2022 and I've been seeing Dr.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Immunisation reaction, Pruritus
Clinical narrative: 1. Covid toe on left foot, second toe. Hydrocortisone cream for itching. Not yet resolved. 2. Sore left shoulder joint. Improving today, 10/5/22.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Both hand cramping up. Right hand is worse and I am right handed
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Amnesia, Dizziness, Syncope
Clinical narrative: About 21 hours after vaccination, I woke up extremely lightheaded and fainted twice with no memory of what happened after waking up on the floor.
Age: 70.0
Sex: F
Vaccine: FLUA4, PNC20
Symptoms: Erythema, Skin discolouration, Skin warm
Clinical narrative: pt called the pharmacy 10/5/2022 complaining of black and blue marks on both arms and now turning red and warm to the touch.  Since it has been one week since she received the vaccines, we recommended that she schedule a visit with primary care for analysis/follow-up.
Age: 0.5
Sex: M
Vaccine: RV5
Symptoms: Expired product administered, No adverse event
Clinical narrative: RotaTeq given on 9/30/22 and had expiration date of 9/20/22.  No adverse reaction
Age: 25.0
Sex: M
Vaccine: YF
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Per patient, he has had a rash at the injection site since 9/26 and complains of it itching. Denies any fever, night sweats, chills, loss of appetite, diarrhea, or nausea and vomiting.
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 12 adults were inadvertently given the Moderna monovalent when they should have received the Moderna Bivalent vaccine. All Patients were notified, no one has reported an adverse event and all said they would just come back in 2 months to receive the Moderna Bivalent vaccine.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Death
Clinical narrative: Death
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test negative
Clinical narrative: I received my Covid- 19 vaccine on 04/04/2022. On 07/22/2022 I was diagnosed with covid. I was fatigued for three days in a row. I was   prescribed Paxlovid. On the 5th day I tested negative for Covid-19.
Age: 20.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Expired product administered
Clinical narrative: no adverse effects, But I was notified by Dept of health that vaccine had expired on 9/30/2022, as it was transferred to me by them from another facility,.At time of transfer, i have in writing and was told verbally that the doses expired on 11/08/2022, so this was not an oversight on my part as i trusted what was written on the  envelope and what I was told verbally. I contacted pfizer, who have sent me a letter saying that stability data DOES support the use of that product on that date. I am also contacting patient to inform him of what happened.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: HE WAS GIVEN BIVALENT DOSE INSTEAD OF A PRIMARY SERIES DOSE.  NO ADVERSE EVENTS NOTED.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Cough, Dysphonia, Fatigue
Clinical narrative: Cough, congestion, night sweats, sore throat, 101 temp, it was really bad. I was out of work for a few weeks. Cough and congestion was persistent and last 2-3 weeks. I received Plaxovid prescribed by the ER and the zpack. I'm still tired than normally and my voice is still not the same. I am back to work now.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Night sweats, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Cough, congestion, night sweats, sore throat, 101 temp, it was really bad. I was out of work for a few weeks. Cough and congestion was persistent and last 2-3 weeks. I received Plaxovid prescribed by the ER and the zpack. I'm still tired than normally and my voice is still not the same. I am back to work now.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Endotracheal intubation, Generalised tonic-clonic seizure
Clinical narrative: child had the vaccines in the morning before 12 noon , and had generalised tonic clonis seizure lasted for more than 20 minutes   EMS was called by the parent   child was taken to the ER where  intubated to secure the airways in ER , Hospital course was 2 days ,
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came into clinic for bivalent booster, patient received monovalent dose
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Decreased appetite, Fatigue, Post-acute COVID-19 syndrome, SARS-CoV-2 antibody test positive
Clinical narrative: I started experiencing long COVID. I went to my doctor in August with internal medicine. She ran blood work and it showed I had had COVID-19 because I had antigens. She did a chest x-ray and that came back completely normal. That's what we expect is long-COVID. Some symptoms include fatigue, weight loss, and no appetite. I am still experiencing these symptoms.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: I started experiencing long COVID. I went to my doctor in August with internal medicine. She ran blood work and it showed I had had COVID-19 because I had antigens. She did a chest x-ray and that came back completely normal. That's what we expect is long-COVID. Some symptoms include fatigue, weight loss, and no appetite. I am still experiencing these symptoms.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given due to pharmacy labeling BUD incorrectly
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient received the wrong vaccination resulting in her having 2 Moderna bivalent vaccinations 10 days apart.  Patient said she is feeling fine and actually felt better than when she had the first dose.  I have been checking in with the patient every couple days, and she is doing fine.
Age: 74.0
Sex: M
Vaccine: FLUA4
Symptoms: Chills, Feeling cold, Feeling hot, Feeling jittery, Influenza like illness
Clinical narrative: He got his vaccine, didn't really feel bad, went to bed.  In the middle of the night all of a sudden he woke up shivering, which would come and go.  He also noticed that he the ringing in the ear that he has is more prominent this morning.  He also seemed like he was feeling more feverish and he turned on some fans close to him to try and cool him down, which seemed to ease his feeling of fever that he might have been having.    He did have to watch his step as he was still having chilled feeling, he has prostate issues and has a urinal and felt a littler jittery while holding the container.    He has had the flu vaccine before and has had no reaction to it.   He seemed to be having the feeling of the flu.
Age: 74.0
Sex: M
Vaccine: FLUA4
Symptoms: Pyrexia, Sleep disorder, Tinnitus
Clinical narrative: He got his vaccine, didn't really feel bad, went to bed.  In the middle of the night all of a sudden he woke up shivering, which would come and go.  He also noticed that he the ringing in the ear that he has is more prominent this morning.  He also seemed like he was feeling more feverish and he turned on some fans close to him to try and cool him down, which seemed to ease his feeling of fever that he might have been having.    He did have to watch his step as he was still having chilled feeling, he has prostate issues and has a urinal and felt a littler jittery while holding the container.    He has had the flu vaccine before and has had no reaction to it.   He seemed to be having the feeling of the flu.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized after fall. COVID positive 10/4/22. Vaccines: COVID-19  01/08/2021  1 of 3  Spikevax-MOD 100mcg  Full  COVID-19  02/04/2021  2 of 3  Spikevax-MOD 100mcg  Full    COVID-19  04/19/2022  3 of 3  Spikevax-MOD 100mcg  Full
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia
Clinical narrative: I started getting numb on my face towards down the face. Felt like sinus infection.
Age: 66.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Rash
Clinical narrative: Rash all over arms, neck, and torso.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiovascular function test normal, Dizziness, Electrocardiogram abnormal, Heart rate decreased
Clinical narrative: I was at a tournament sitting down and felt dizzy for 2 seconds. When I woke up I was lying on the floor. The paramedics told me my heart rate was down to 44. At the ER it was still down to 44. The DR didn't know what caused it, I didn't have a stroke or heart attack.  I have a follow up with my Cardiologist tomorrow.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Biopsy skin, Herpes zoster, Rash
Clinical narrative: I noticed a rash on my face on 9/15 it got progressively got worse and on 9/16 I saw my doctor and he dx Shingles I was prescribed valacyclovir and topical hydrocortisone and steroids I also noticed a rash on my leg for which I went to see a Dermatologist on 9/22 and he prescribed another round of steroids. I am immunosuppressed prescribed steroids on the 9/22/2022. It is slowly improving but the rash on my leg continues to bother me. I again saw a Dermatologist to confirm that it was Shingles and not another skin condition. Saw a dermatologist on 10/03 again and he currently paused valacyclovir.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Condition aggravated, Diverticulitis
Clinical narrative: I have diverticulitis. It's a condition that I've had since before the vaccines were available. I occasionally have flare ups and I just recently had a flare up after receiving my Moderna vaccine. My symptoms of lower abdominal issues began on 10/01/2022. The next day they got significantly worse. I had a doctor appointment on 10/03/2022 for other reasons anyway, so I went in and it was confirmed that I was having a diverticulitis flare up. I have been treated for flare ups in the past with antibiotics, but this time we decided to go with just dietary changes and my recovery has been progressing well.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Incorrect route of product administration
Clinical narrative: MMRV administered IM, by  nursing staff, instead of subcutaneous.    Patient tolerated vaccine well at visit.    Family aware of error in administration.  Told that there should be no difference in immunogenicity, and that no repeat vaccines doses or other intervention would be needed.  Clarification: This was his only dose of MMRV, but he has received MMR vaccine and Varicella vaccine in the past, June 11, 2019
Age: 26.0
Sex: M
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Patient was given pediatric energix dose
Age: 54.0
Sex: M
Vaccine: SMALLMNK
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: wheel was missed first attempt left arm and was re administered two inches away on L arm. No adverse reaction noted
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Blood test abnormal, Hepatitis, Swollen tongue, Tinnitus
Clinical narrative: Two hours after vaccine started having loud ringing in ears and swelling in my tongue, continued to the next day. Called Dr. and was given a prescription of prednisone that night. Next day went to Dr. and had blood work drawn. It showed inflammation in Liver, and Cholesterol was high. Prednisone helped as I started to feel better.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Biopsy uterus normal, Vaginal discharge
Clinical narrative: Later in the day I saw a brownish discharge in my underwear. The next day it was the same thing. The next day I wore a pad, and it was much more of the discharge. I am post-menopausal, so I knew I was not supposed to have a discharge.  That Friday, I called my doctor because the discharge was worse. I went in and had Uterine Biopsy on 09/19/2022- which was Negative. The doctor told me to get a trans abdominal and transvaginal ultrasound which is scheduled for tomorrow. He asked me to restart the Premarin Vaginal Suppository. The discharge has stopped but I am still experiencing abdominal pain. I also have to have a Metabolic Panel drawn next week.
Age: 9.0
Sex: M
Vaccine: COVID19, HPV9
Symptoms: Unevaluable event
Clinical narrative: There was no adverse event that took place at the time of vaccination.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given. BUD label by pharmacy incorrect
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in for bivalent booster. Patient received a monovalent dose by mistake
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Gait disturbance, Injection site discomfort, Injection site pain, Injection site swelling, Periorbital swelling
Clinical narrative: Pt. is a 3 y.o. male who comes into the clinic today with his mother with complaints of a possible reaction to his influenza vaccine which he received yesterday (10/3/2022) when he was there for an ENT visit. He got this about 12 PM yesterday and was limping most of the afternoon complain does some discomfort in this left leg but parents thought it was just because of the pain after administration.  He is receive this vaccine 3 times in the past without issues. After his bath at around 6 PM they noticed his left leg was double the size of his right. They called and they advised to apply warm compresses and continue to monitor.  He went to bed fine but then when he woke up his swelling in his leg was down a little bit but they noticed that he had swelling around both of his eyes.  He did not really have any rash at that point but by the time he got picked up from school at around 11:30 a.m. mother gave him a dose of Benadryl for the 1st time in noticed some red blotches kind of all over.  She does not feel like those have gotten worse but they have not gotten better since the Benadryl was given.  He has been eating and drinking okay.  No troubles breathing.  He has never had an allergic reaction to anything in the past.  He does not have a history of skin sensitivity.  No allergy issues.  Mother just wants to be sure that they are doing everything they need to be doing to help improve his symptoms.  Mother denies any new lotions, detergents, medications or anything else new in his life that could of causes the symptoms to start.  All other ROS is negative.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Rash macular
Clinical narrative: Pt. is a 3 y.o. male who comes into the clinic today with his mother with complaints of a possible reaction to his influenza vaccine which he received yesterday (10/3/2022) when he was there for an ENT visit. He got this about 12 PM yesterday and was limping most of the afternoon complain does some discomfort in this left leg but parents thought it was just because of the pain after administration.  He is receive this vaccine 3 times in the past without issues. After his bath at around 6 PM they noticed his left leg was double the size of his right. They called and they advised to apply warm compresses and continue to monitor.  He went to bed fine but then when he woke up his swelling in his leg was down a little bit but they noticed that he had swelling around both of his eyes.  He did not really have any rash at that point but by the time he got picked up from school at around 11:30 a.m. mother gave him a dose of Benadryl for the 1st time in noticed some red blotches kind of all over.  She does not feel like those have gotten worse but they have not gotten better since the Benadryl was given.  He has been eating and drinking okay.  No troubles breathing.  He has never had an allergic reaction to anything in the past.  He does not have a history of skin sensitivity.  No allergy issues.  Mother just wants to be sure that they are doing everything they need to be doing to help improve his symptoms.  Mother denies any new lotions, detergents, medications or anything else new in his life that could of causes the symptoms to start.  All other ROS is negative.
Age: 24.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site bruising, Injection site discolouration, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: The day following my vaccination the site of injection was incredibly red, sore, hot to the touch, and very itchy. This inflammation and itchiness lasted for two weeks. When it finally subsided, I was left with a dark purple mark over a large patch of the area that looked like a bruise. The skin began to flake and peel over the next few days. It has now been over a month since vaccination, and I still have a purple mark over this area that does not appear to be going away.
Age: 24.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site pruritus, Injection site warmth, Skin exfoliation
Clinical narrative: The day following my vaccination the site of injection was incredibly red, sore, hot to the touch, and very itchy. This inflammation and itchiness lasted for two weeks. When it finally subsided, I was left with a dark purple mark over a large patch of the area that looked like a bruise. The skin began to flake and peel over the next few days. It has now been over a month since vaccination, and I still have a purple mark over this area that does not appear to be going away.
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness
Clinical narrative: Pt reported dizziness Vitals: 101/60,72,18, O2 Sat 94% -- > @1824 111/70,75,18, 98% -- > 18:25 101/63,83,18 -- > 18:35 113/77, 70-83,18, 99% Pt given fluids an stated asymptomatic @ 18:25.  Pt stable and released from vaccination site @16:36
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product preparation issue
Clinical narrative: No Dilution and Expired Product. Injection of 0.2 mL was given with first diluting the vial.  NDC 59267-1055-04.  Exp:  09/30/2022.
Age: 68.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site rash, Rash
Clinical narrative: The patient reported a severe rash that developed near the injection site and travelled down her arm.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was inadvertently given expired dose of Pfizer (5 to < 12 y/o). The vaccine lot had expired on 9/30/2022. The expired vaccine was administered on 10/3/2022. A nurse technician had diluted/prepared the vaccine vial without checking the expiration date. A medical assistant then administered the expired vaccine without checking the expiration date. No treatment was required, patient's family did not report any signs of side effects or symptoms. Patient's father was called to notify family of the error on 10/4/2022 and the patient's father reported that the patient is doing well, no concerns noted. Relayed pediatrician's recommendation to revaccinate the patient, no waiting period required. Patient's family declined at this time but will reach out when they plan to do so.
Age: 1.25
Sex: M
Vaccine: FLUN4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Flumist was administered to patient under the age of 2.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Rash
Clinical narrative: PATIENT DEVELOPED RASHES, MYALGIAS, AND MALAISE
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Oedema peripheral, Pain, Screaming
Clinical narrative: Pt was seen not at a pharmacy clinic, but at at pharmacy inside store and was administered the vaccine and she stated she screamed because of the pain of injection. She denied any pain like this receiving her other 4 covid vaccines. She reports the pharmacist apologized and she left, but the pain did not go away. She has since developed right shoulder edema, pain with ROM that is still there 7 days later.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dysphagia, Oropharyngeal pain, Pain, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Severe sore throat, primarily tonsils and especially on the left side. Hard to swallow, very painful. No other symptoms such as fever, chills, aches, runny nose, cough, nausea, loss of appetite or smell, etc. -- just the sore throat
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tonsillar disorder, Viral test
Clinical narrative: Severe sore throat, primarily tonsils and especially on the left side. Hard to swallow, very painful. No other symptoms such as fever, chills, aches, runny nose, cough, nausea, loss of appetite or smell, etc. -- just the sore throat
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Flushing, Hyperhidrosis
Clinical narrative: Vaccinated: 14:55 Reaction: 15:00  Pt repoted flushing/sweating Vitals: 129/77, 87, 10, 100% -- > 15:10 115/68,86, 18,98% asymptomatic Pt taken to medical bay w/ feet elevated Pt stable and released from the vaccination site @1520
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient presented for first Pfizer vaccine and received Pfizer Bivalent booster mistakenly, Patient was observed for 20 minutes and verified he was stable to no adverse outcome and released
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Life support, Pulseless electrical activity, Supraventricular tachycardia
Clinical narrative: Patient begin treated for CoVID 19 with Paxlovid  ,  on day 5. suffered cardiac arrest  at home
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Syphilis
Clinical narrative: Patient begin treated for CoVID 19 with Paxlovid  ,  on day 5. suffered cardiac arrest  at home
Age: 42.0
Sex: F
Vaccine: FLU4, HEP, TDAP
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient reports pain and limited mobility due to pain in Left arm.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Troponin increased
Clinical narrative: NSTEMI symptoms / elevated trops no prev cardiac history of note
Age: 83.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received 2 doses of influenza vaccine this year. Patient chart was not checked prior to administration. No adverse events have occurred.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Dizziness, Headache, Hypoaesthesia, Imaging procedure
Clinical narrative: dizziness  facial numbness and tingling and headache lead to ER visit stroke - cardio concerned for posterior circulation ischemia despite negative imaging
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: dizziness  facial numbness and tingling and headache lead to ER visit stroke - cardio concerned for posterior circulation ischemia despite negative imaging
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Biopsy kidney abnormal, Blood creatinine increased, Cutaneous vasculitis, IgA nephropathy
Clinical narrative: Patient was seen initially at the end of April for evaluation of a recurrent rash on the abdomen and legs. Rash first appeared 4/15/22. Within several days, it improved.  Received his scheduled infliximab dose on Wednesday, 4/20/2022 and on the next day, 4/21/2022, developed worsening rash on his lower extremities which spread to his lower anterior abdomen.  Biopsy was consistent with Leukocytoclastic Vasculitis. There were several factors that could have contributed including recent COVID vaccine, possible active IBD, drug reaction from Infliximab, and prior GI infection. His rash improved however he developed worsening proteinuria and elevated creatinine. Renal biopsy showed IgA nephropathy.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Proteinuria, Rash
Clinical narrative: Patient was seen initially at the end of April for evaluation of a recurrent rash on the abdomen and legs. Rash first appeared 4/15/22. Within several days, it improved.  Received his scheduled infliximab dose on Wednesday, 4/20/2022 and on the next day, 4/21/2022, developed worsening rash on his lower extremities which spread to his lower anterior abdomen.  Biopsy was consistent with Leukocytoclastic Vasculitis. There were several factors that could have contributed including recent COVID vaccine, possible active IBD, drug reaction from Infliximab, and prior GI infection. His rash improved however he developed worsening proteinuria and elevated creatinine. Renal biopsy showed IgA nephropathy.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Myalgia, Nausea
Clinical narrative: Shaking chills, muscle pain, nausea, fatigue.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 0.5 mL of Moderna (6 months to 5-year-old) IM given to an 81 year old expecting the bivalent vaccine.  No adverse reaction noted while patient being monitored.  Patient to be notified.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Resident was admitted for rehab post right shoulder replacement.  The facility was not made aware of that the resident had already received her bivalent vaccine on 9/9/2022.  We had that her last vaccine was given on 10/27/2021.  Resident was given a second Bivalent dose on 10/5/2022.  No adverse reactions noted.  Medical Director was notified of incident.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Auditory disorder
Clinical narrative: The pt had bilateral auditory changes approximately one hour after vaccination. The pt reported that sounds and patient/employee voices sounded like they were coming out of a synthesizer. This lasted for approximately two and a half hours before completely resolving.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebrovascular accident, Confusional state, Dysarthria, Metabolic encephalopathy, Seizure
Clinical narrative: confused and slurred speech symptoms lead to ER  to rule out stroke vs. metabolic enchephlopathy vs seizures
Age: 23.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Pt reported sweating, lightheadedness, slight pallor Vitals: 129/77, 88, 18, 96% An ammonia inhalant was used Pt was assisted to wheelchair.  Remained A&O x3.  Pt given fluids (juice and water).  Pt appeared to have recovered, skin color improved and appeared pink/warm.   Pt stable and released from the vaccination site @14:30 accompanied by mother
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nausea, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I received my Moderna booster for COVID-19 on 4/25/2022. On 7/3/2022, I had a sore throat, a cough, and mild nausea. I took a home test for COVID-19 and got a positive result. I contacted my doctor on 7/5/2022 and told her about my COVID-positive status. She then prescribed me Paxlovid. Within 45 minutes of taking Paxlovid, I stopped feeling nauseous. On7/6/2022, the sore throat went away and the cough became much milder. My condition continued to improve, and I felt fine by 7/7/2022. However, I continued to test positive until about 7/13/2022. After that, everything was back to normal and there were no more symptoms.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Blood test abnormal, Glucose tolerance impaired
Clinical narrative: It was a arthritis episode in my left hip. It started aching so I went to the hospital and they ran blood tests and informed me that I was prediabetic. They are waiting a year until retesting.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Fibrin D dimer increased
Clinical narrative: pt symptoms presented as possible PE with SOB and elevated Ddimer.    MD sent her to the ER due to d dimer labs  no chf present no evidence of PE
Age: 11.0
Sex: F
Vaccine: COVID19-2, FLU4, MNQ, TDAP
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: On 9/29/22 Health Dept. called to clarify which vaccine was given. it was at that point I realized the Pfizer bivalent vaccine was given and the patient is not 12 years old yet. MD was notified. Department manager, RN was notified. Father was notified on 9/29/22. Dad stated she had sore arms the day after her 4 vaccines, but has not had any adverse effects other than that.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Fever- low grade 100.4, muscle aches, chills, fatigue, headache lasting about 8 hours
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Pt was administered wrong Covid 19 booster vaccine, Bivalent booster 12 years +.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropod bite, Rash erythematous, Swelling
Clinical narrative: swelling in armpits bilaterally. Reports started about the 26th of October in the right and a couple days later in the left. Denies fevers, chills, unusual sweats, n/v/d.  Reports 3 small red bumps near swelling on right side. Red bumps are insect bites, not related.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Premature delivery
Clinical narrative: patient delivered at 36 weeks
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Burning mouth syndrome
Clinical narrative: Burning Mouth Syndrome
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Blister, Glossodynia, Pain, Tongue blistering
Clinical narrative: Associate notified this nurse that after receiving the influenza vaccine on 09/28/2022, associate woke up with a painful blister on her tongue and on her chin.
Age: 65.0
Sex: M
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Reports he went to pharmacy, reports having a "senior flu vaccine" reports hives began that day.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Death, Toxicologic test normal
Clinical narrative: Unwitnessed death approximately 3 weeks later (estimated by date of last communication).  Decedent discovered 6/1/21.  Postmortem done 6/2/21 at Facility .  Vaccination history 4/22/21 was not known at the time of partial autopsy or before cremation.  Report lists negative toxicology, no microscopic exam done.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Rhinorrhoea, Sneezing, Throat irritation
Clinical narrative: Itch in the throat, sneezing, coughing, runny nose.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: After vaccine was entered in system, it stated vaccine "NOT VALID" due to age. Patient was 17 years old when she received JJ vaccine which is only for 18 yrs. old and up.  It is unknown if patient had any symptoms or adverse events due to this, but I was told to file a report.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID19
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Rhinorrhoea, Sneezing, Throat irritation
Clinical narrative: Coughing, sneezing, runny nose, itchy throat
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired vaccine
Age: 37.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: Pt vaccinated intradermally.  No wheal formation.  Pt successfully revaccinated
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was scheduled to receive the BiValent booster however received the Monovalent in error
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test normal, Mechanical urticaria, Pruritus, Skin swelling, Urticaria
Clinical narrative: urticaria/dermatographia, prednisone, zyrtec, pepcid, benadryl, still healing (itchings, raised skin)
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lethargy, Pain, Pain in extremity
Clinical narrative: The patient called on 10-4-22 to state that she is still having side effects post vaccine.  She states she is lethargic and has body aches, especially in her legs.  She indicated that is has been going on for 9 days now.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Insomnia
Clinical narrative: Patient called and stated that she had a reddened injection site with a rash that was hot to the touch. She claimed that she was unable to sleep and had to sleep with an ice pack. She said that she reported it to an MD and saw a few of them for consult.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The patient was scheduled to receive the Bivalent booster however received the Monovalent booster in error.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Headache
Clinical narrative: He develops headaches around noon starting the day after receiving his vaccine with some relief from Tylenol. This has persisted since his vaccination and on Sunday (2 days after) he was feeling so bad he did not even leave his home and just laid around
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Balance disorder, Dizziness, Feeling drunk, Gait disturbance, Gait inability
Clinical narrative: I woke up in the morning and felt extremely dizzy and lost my balance. It felt as if I had been drinking but I had not. I called and made an appointment to see my doctor. I had to use a wheelchair to get into the doctor's office I could not use my legs. She diagnosed me with vertigo and prescribed Antivert 25mg to take three times a day and some exercises to do to help realign the crystals in my inner ears. I am currently patiently waiting for the vertigo to go away. I have propped up the head of my bed to help me sleep, the nausea has subsided, I am able to read and I can "chair walk".
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inner ear disorder, Nausea, Sleep disorder, Vertigo, Wheelchair user
Clinical narrative: I woke up in the morning and felt extremely dizzy and lost my balance. It felt as if I had been drinking but I had not. I called and made an appointment to see my doctor. I had to use a wheelchair to get into the doctor's office I could not use my legs. She diagnosed me with vertigo and prescribed Antivert 25mg to take three times a day and some exercises to do to help realign the crystals in my inner ears. I am currently patiently waiting for the vertigo to go away. I have propped up the head of my bed to help me sleep, the nausea has subsided, I am able to read and I can "chair walk".
Age: 59.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Syringe issue
Clinical narrative: Pt initially given ID vaccine by  vacine leaked out.  Pt revaccinated subcutaneously as per policy
Age: 66.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site induration, Injection site pain, Pain in extremity, Rash erythematous, Rash papular
Clinical narrative: pain in arm after injection, red raised rash 4x4 inches 2 days later,  3 days later the redness had improved but the area was tender with a hardened area at injection site.  patient called her doctor about this  but  never made an office visit that was noted.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Body temperature abnormal, COVID-19, Computerised tomogram thorax normal, Cough
Clinical narrative: On 09/18/2022, It started off with a sore throat and a cough. I also had a temperature and a really bad headache. My wife had the same symptoms. She called her doctor who suggested that she take Paxlovid. However, they couldn't prescribe that for me because I have COPD and they wanted me to be checked first. I went to an urgent care, and they couldn't do an Xray on my lungs, so they sent me to another location. At the second location, they took my vitals and called for an ambulance who took me to the hospital. I spent the night in the hospital where they did a lot of tests but didn't give me any information other than that I was COVID-19 positive. They discharged me around noon the next day, on 09/21/2022 with a prescription for Paxlovid, a blood thinner, and an antibiotic. Things have been good since then. I did test positive again 10 days later, but I will retest again this Friday.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On 09/18/2022, It started off with a sore throat and a cough. I also had a temperature and a really bad headache. My wife had the same symptoms. She called her doctor who suggested that she take Paxlovid. However, they couldn't prescribe that for me because I have COPD and they wanted me to be checked first. I went to an urgent care, and they couldn't do an Xray on my lungs, so they sent me to another location. At the second location, they took my vitals and called for an ambulance who took me to the hospital. I spent the night in the hospital where they did a lot of tests but didn't give me any information other than that I was COVID-19 positive. They discharged me around noon the next day, on 09/21/2022 with a prescription for Paxlovid, a blood thinner, and an antibiotic. Things have been good since then. I did test positive again 10 days later, but I will retest again this Friday.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was scheduled to receive the Bivalent booster, however received the Monovalent booster in error.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Behcet's syndrome, Biopsy skin abnormal, Blood test abnormal
Clinical narrative: I had a severe joint pain and swallow in my joints (October 1st) and severe fatigue syndrome, going and off since the time of the vaccine about one month ago when I develop a new problem, in August similar issues of my 2nd dose started,  with severe inflammation, ulcer in the entire goat and mouth, that makes me severe diarrhea and weight loss and abdominal pain and the doctor did an endoscopy and biopsy in the small and large valve, and started me on medication. In the last month I had severe joint pain again.