chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient has a history of lymphoma and presented requesting an "additional dose" COVID vaccine. She was under the belief she could receive this at this time and her doctor recommended it as well.  She received Pfizer vaccines on each of the following dates: 1/27/2021 EL9264 2/17/2021  EN6200 9/28/2021  FF2588  Staff including myself believed booster and additional doses could be interchangeable for timing dependent upon the patient's medical history. I also believed that multiple additional doses could be administered given the additional dose time spacing. Both of these beliefs were incorrect.  This 4th dose was administered two weeks short of the recommended administration date.  I have been re-educated on the proper timing for additional and booster doses. Additional training is being distributed to staff this week to ensure clarity.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The Moderna vaccine with lot # 003C21A that was sent out on 11/24/21 to your clinic should have the absolute expiration date of 12/17/21 and not 12/24/2021.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case, Pfizer Primary Series
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Inflammation, Mechanical urticaria, Pain, Pruritus, Urticaria
Clinical narrative: 10 days after my Moderna booster my body began to itch throughout the day and by 6pm I started to break out in hives along my right side under my armpit and down along my rib cage. This continued for six days along with serious body pains from inflammation, I am currently on day 33 and still super itching and hives at night time but dermatographia throughout the day. I?ve been treating with Zyrtec and Benadryl as recommended from a doctor on a  call where he confirmed the hives but did not want to refer me to an allergist unless I began to go into anaphylaxis.
Age: 41.0
Sex: U
Vaccine: COVID19
Symptoms: Myalgia, Pain
Clinical narrative: Muscle pain on all muscles on the same side as the vaccination. Really pain, not regular pain after the shot. I went twice to a doctor.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood grouping, Breast feeding, COVID-19, Cervical dilatation, Complication of pregnancy
Clinical narrative: 33 yo G2P1001 with IUP @ 39+6 WGA by LMP with EDC 2/11/2022 c/w 9+4 WGA US who presented to triage with c/o CTX. Pt was 4cm in clinic yesterday and is 5/90/-1 today. Pt does not want any intervention, but would like to stay for admission. Prenatal care with me since first trimester. PNC complicated by and admission for PTL @ 30 WGA. Pt received Celestine x 2 doses during that admission. Pt has received COVID vaccine series. Pt tested positive for COVID 2/2/2022. Subjective Normal lochia. Breast feeding. Pt requesting blood transfusion. Discussed with patient that her post delv H&H are good at 11/35 therefore not meeting criteria for blood transfusion. Pt reassured. Pt desires to stay today in the hospital. On 2/11/2022. Impression and Plan Diagnosis: Spontaneous vaginal delivery, PPD#1. Course: Progressing as expected. Plan: Pt doing well: MBT: A+, H&H stable, Routine PP care. Anticipate d/c home tomorrow. Discharged from hospital on 2/11/2022.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Haematocrit normal, Haemoglobin normal, Pregnancy, Premature labour
Clinical narrative: 33 yo G2P1001 with IUP @ 39+6 WGA by LMP with EDC 2/11/2022 c/w 9+4 WGA US who presented to triage with c/o CTX. Pt was 4cm in clinic yesterday and is 5/90/-1 today. Pt does not want any intervention, but would like to stay for admission. Prenatal care with me since first trimester. PNC complicated by and admission for PTL @ 30 WGA. Pt received Celestine x 2 doses during that admission. Pt has received COVID vaccine series. Pt tested positive for COVID 2/2/2022. Subjective Normal lochia. Breast feeding. Pt requesting blood transfusion. Discussed with patient that her post delv H&H are good at 11/35 therefore not meeting criteria for blood transfusion. Pt reassured. Pt desires to stay today in the hospital. On 2/11/2022. Impression and Plan Diagnosis: Spontaneous vaginal delivery, PPD#1. Course: Progressing as expected. Plan: Pt doing well: MBT: A+, H&H stable, Routine PP care. Anticipate d/c home tomorrow. Discharged from hospital on 2/11/2022.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Uterine contractions during pregnancy
Clinical narrative: 33 yo G2P1001 with IUP @ 39+6 WGA by LMP with EDC 2/11/2022 c/w 9+4 WGA US who presented to triage with c/o CTX. Pt was 4cm in clinic yesterday and is 5/90/-1 today. Pt does not want any intervention, but would like to stay for admission. Prenatal care with me since first trimester. PNC complicated by and admission for PTL @ 30 WGA. Pt received Celestine x 2 doses during that admission. Pt has received COVID vaccine series. Pt tested positive for COVID 2/2/2022. Subjective Normal lochia. Breast feeding. Pt requesting blood transfusion. Discussed with patient that her post delv H&H are good at 11/35 therefore not meeting criteria for blood transfusion. Pt reassured. Pt desires to stay today in the hospital. On 2/11/2022. Impression and Plan Diagnosis: Spontaneous vaginal delivery, PPD#1. Course: Progressing as expected. Plan: Pt doing well: MBT: A+, H&H stable, Routine PP care. Anticipate d/c home tomorrow. Discharged from hospital on 2/11/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine, Blood thyroid stimulating hormone, C-reactive protein, Gait disturbance, Heavy metal test
Clinical narrative: Neurological symtpoms. Diffuse whole-body paresthesias  that started approximately 3 to 4 weeks after getting second dose of Pfizer Covid vaccine. Numbness and tingling all over her body. " From the top of my head down to my toes". Feeling like pins and needles. Feels like she was going to trip and fall, stumbles sometimes when walking. Tongue and lips numbness.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Magnetic resonance imaging head, Magnetic resonance imaging neck, Metabolic function test
Clinical narrative: Neurological symtpoms. Diffuse whole-body paresthesias  that started approximately 3 to 4 weeks after getting second dose of Pfizer Covid vaccine. Numbness and tingling all over her body. " From the top of my head down to my toes". Feeling like pins and needles. Feels like she was going to trip and fall, stumbles sometimes when walking. Tongue and lips numbness.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Monoclonal gammopathy, Nerve conduction studies, Paraesthesia, Red blood cell sedimentation rate, Vitamin B12
Clinical narrative: Neurological symtpoms. Diffuse whole-body paresthesias  that started approximately 3 to 4 weeks after getting second dose of Pfizer Covid vaccine. Numbness and tingling all over her body. " From the top of my head down to my toes". Feeling like pins and needles. Feels like she was going to trip and fall, stumbles sometimes when walking. Tongue and lips numbness.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 01/11/2021.  94 y/o with PMHx of DM type 2, HTN, HLD, CAD s/p CABGx4, GERD, BPH with LUTS presents to ED via EMS for c/o SOB and generalized weakness.  EMS found pt with O2 sats in the 80's, placed on 4L NC.  CXR with possible atypical viral PNA. Afebrile.  Pt started on Steroids and then Remdesivir added.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 01/11/2021.  94 y/o with PMHx of DM type 2, HTN, HLD, CAD s/p CABGx4, GERD, BPH with LUTS presents to ED via EMS for c/o SOB and generalized weakness.  EMS found pt with O2 sats in the 80's, placed on 4L NC.  CXR with possible atypical viral PNA. Afebrile.  Pt started on Steroids and then Remdesivir added.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Ultrasound scan
Clinical narrative: Increased swelling and slight pain in left underarm lymph node about 2 days after 3rd dose. Pain subsided about 1 week after; however, swelling has stayed.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Electromyogram normal, Magnetic resonance imaging, Magnetic resonance imaging neck, Paraesthesia
Clinical narrative: after receiving booster , 2 days later  developed severe burning and  tingling sensation in both legs/ including thighs and feet/ had neurology evaluation,  mri lumbal and cervical spine, and EMG study all tests came back normal symptoms start to subside 3 weeks after
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Neck pain
Clinical narrative: Right shoulder/arm has extreme pain and lack of strength goes down to the right hand.  Neck and right shoulder blade are extremely painful.  Cannot lift right arm higher than straight out from body.  Impossible to lift overhead.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Right shoulder/arm has extreme pain and lack of strength goes down to the right hand.  Neck and right shoulder blade are extremely painful.  Cannot lift right arm higher than straight out from body.  Impossible to lift overhead.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest pain, Electrocardiogram normal
Clinical narrative: About 24 hours after the first dose, I started feeling pain in my chest. This pain has never been preset before. It went away after about 3 days. About 36 hours after the second dose, the pain returned and was worse than the first time. I assumed it would go away on its own, but it did not. On 9/21/2021 I went to the urgent care. They performed an EKG, told me it was normal, and then told me to go to the nearest ER if the pain got worse. I did not go to the ER as I did not feel as though the pain was bad enough. On 11/17/2021 I went to the cardiovascular medicine provider. They also performed an EKG, gave the same results as the urgent care, but also instructed me to get a blood test to check for inflammation. On 12/1/2021 I got a blood test. The results show an average "risk for future cardiovascular event" according to the data sheet. These results were sent to the medical center. I called them to find out their interpretation of the results. They informed me that there is no risk and to go to the ER if the pain continues. I did not go to the ER due to the high expense. The pain is continuing.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Pyrexia
Clinical narrative: Patient admitted to hospital with fever and shortness of breath caused by Covid.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Interchanging vaccine second dose Pfizer
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus, ringing in the ears/head.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Depression
Clinical narrative: Severe depression and completed memory loss.
Age: 44.0
Sex: F
Vaccine: FLUC4, MMR, TD, TD, VARCEL
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Patient given expired vaccine in LD.  No S/S of adverse reaction.  Unexpired vaccine repeated in RD.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site pain, Supportive care
Clinical narrative: VACCINE WAS GIVEN BY THE WRONG ROUTE, SUBCUTANEOUS, TO THE LEFT ARM.  PATIENT WITH PAIN, REDNESS, AND  ERYTHEMA AT INJECTION SITE. TREAT WITH IBUPROFEN AND SUPPORTIVE CARE.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess, Erythema, Pain of skin
Clinical narrative: I had had a small, stable, closed boil in my armpit for years. On 11/12/21 or 11/13/21, a red, tender area developed next to that boil. It grew in size and become more inflamed over that weekend so I called the doctor's office and I saw the doctor on 11/15/20221. She diagnosed axillary boil/furuncle in my left armpit. She prescribed Cephalexin 500 mg oral capsule 4x/day for 10 days, which I took. I also used warm, moist compresses so that the abscess would drain. There was a small amount of drainage for a few days beyond the end of the treatment with antibiotics. After that, it appeared to be completely healed.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Limb injury, Pain, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: After receiving my booster I had a very sore arm and it lasted for 2 ½ mo. During an outing I met my NP and she said it should be able to go down on its own but need to put ice on it. It took another 2 weeks to go away after applying ice. This had resolved and am now feeling fine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling jittery, Hypertension, Nausea, Palpitations
Clinical narrative: 2/14/22 @ 11:00 pm-while relaxing watching TV-Sudden onset of racing Heart rate(127) & high blood pressure( 165/95 Light headed, nauseous, jittery 2/15/22-8:30am- BP 141/77 HR 89 2/15/22-4:40pm-BP 121/59 HR 79 2/16/22-8:30am-BP 126/66 HR 65 Called PCP 2/14 -9:30 am- waited til 4:40 pm for return call, they advised me since stats were back to normal there was nothing more to do, said they would follow-up 2/16 am but never heard from them
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood culture negative, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Respiratory Acute respiratory failure (CMS/HCC) Assessment & Plan Acute respiratory failure 1/23, etiology unclear.  Note radiographic findings. In conjunction with fever and elevated procalcitonin, the possibility of pneumonia is a concern, with onset of shortness of breath and non-productive cough on 1/23 per chart review, with accompanying drop in 02 sat (which appears to have actually begun the evening prior). Initial findings on CXR appeared to primarily involve the right lung, with subsequent rapid progression throughout 1/23 to involve the bilat lung fields. His coverage has been broadened to include cefepime and azithromycin with continuation of vancomycin. The possibility of aspiration has also been raised, although he doesn't appear to have any obvious risk factors of aspiration, and none was witnessed. Could the radiographic findings be due to non-cardiogenic pulm edema? But if so, why? Could there be a relationship to the MRSA bacteremia? Endovascular infection? Possible, although initial TTE on 1/4 was negative for vegetation (recognizing limited sensitivity of this test), and repeat BC 12/30 were negative.    For now, will continue empiric antibiotic coverage and monitor his clinical course. Obtain resp culture, and repeat NAA for SARS CoV2 (specimen collected personally). Await blood cultures. Await results of repeat TTE - if non-diagnostic, TEE? Will discuss.  Discussed at bedside with his wife, and questions addressed.  She thanked us for our care.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Influenza A virus test negative, Influenza B virus test, Lung disorder
Clinical narrative: Respiratory Acute respiratory failure (CMS/HCC) Assessment & Plan Acute respiratory failure 1/23, etiology unclear.  Note radiographic findings. In conjunction with fever and elevated procalcitonin, the possibility of pneumonia is a concern, with onset of shortness of breath and non-productive cough on 1/23 per chart review, with accompanying drop in 02 sat (which appears to have actually begun the evening prior). Initial findings on CXR appeared to primarily involve the right lung, with subsequent rapid progression throughout 1/23 to involve the bilat lung fields. His coverage has been broadened to include cefepime and azithromycin with continuation of vancomycin. The possibility of aspiration has also been raised, although he doesn't appear to have any obvious risk factors of aspiration, and none was witnessed. Could the radiographic findings be due to non-cardiogenic pulm edema? But if so, why? Could there be a relationship to the MRSA bacteremia? Endovascular infection? Possible, although initial TTE on 1/4 was negative for vegetation (recognizing limited sensitivity of this test), and repeat BC 12/30 were negative.    For now, will continue empiric antibiotic coverage and monitor his clinical course. Obtain resp culture, and repeat NAA for SARS CoV2 (specimen collected personally). Await blood cultures. Await results of repeat TTE - if non-diagnostic, TEE? Will discuss.  Discussed at bedside with his wife, and questions addressed.  She thanked us for our care.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Procalcitonin increased, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Respiratory Acute respiratory failure (CMS/HCC) Assessment & Plan Acute respiratory failure 1/23, etiology unclear.  Note radiographic findings. In conjunction with fever and elevated procalcitonin, the possibility of pneumonia is a concern, with onset of shortness of breath and non-productive cough on 1/23 per chart review, with accompanying drop in 02 sat (which appears to have actually begun the evening prior). Initial findings on CXR appeared to primarily involve the right lung, with subsequent rapid progression throughout 1/23 to involve the bilat lung fields. His coverage has been broadened to include cefepime and azithromycin with continuation of vancomycin. The possibility of aspiration has also been raised, although he doesn't appear to have any obvious risk factors of aspiration, and none was witnessed. Could the radiographic findings be due to non-cardiogenic pulm edema? But if so, why? Could there be a relationship to the MRSA bacteremia? Endovascular infection? Possible, although initial TTE on 1/4 was negative for vegetation (recognizing limited sensitivity of this test), and repeat BC 12/30 were negative.    For now, will continue empiric antibiotic coverage and monitor his clinical course. Obtain resp culture, and repeat NAA for SARS CoV2 (specimen collected personally). Await blood cultures. Await results of repeat TTE - if non-diagnostic, TEE? Will discuss.  Discussed at bedside with his wife, and questions addressed.  She thanked us for our care.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Influenza like illness, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Patient reported experiencing flu like symptoms - fever, body aches, nausea, vomiting - for 3-4 days following Men B vaccination.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood creatinine normal, Chromaturia
Clinical narrative: rhabdomyolysis 10 days after inj but also complicated by new meloxicam and weight lifting
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Laboratory test abnormal, Myalgia, Rhabdomyolysis
Clinical narrative: rhabdomyolysis 10 days after inj but also complicated by new meloxicam and weight lifting
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Limb discomfort, Sleep disorder
Clinical narrative: On April 1, 2021, in the middle of the night, it started with a pulsing sensation in my right calf. It was not painful but it woke me up and got my attention. As I laid there the sensation turned into something not painful but it was a warm sensation which traveled systematically up my leg into my groin area. Then it spread to my pelvis area and then up through my back. Then it went through my chest area and then down both my arms. Then it went up through my esophagus to the very top of my head at the crown. It lasted for 10 minutes.  It migrated from each place then it went away. That was something I've never experienced before. I told the doctor, but he wasn't concerned. A few days later it happened again. The odd sensation came back and it was shorter this time. It may of have happened a few more times as well.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Extra dose administered, Vaccine positive rechallenge
Clinical narrative: About 24-48 hours after the shot, my blood glucose elevated to 60-75 points above normal. It's still been running high. After elevation, I consulted my doctor and we increased glipizide. I've had trouble controlling it in the last 2 weeks but today has been a little better. This has happened with all 4 shots and my body reacts to like there is an illness and my blood sugar shoots up. This has also happened with a flu shot previously. I don't think it's an adverse event, but something diabetics should at least be aware of.   Not fully recovered, but getting there. Doctor's visit was telehealth.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Patient was given refrigerated Moderna that was expired beyond it's 'Beyond Use Label' date of 01/27/2022.  Vial was placed into fridge on 12/28/2021.  Vial was not removed from fridge in time for 'Beyond Use' expiry date and inadvertently administered.  Manufacturer's expiry date is March 25, 2022.  Provider informed.  Moderna informed and stated that 'the vaccine administered on January 28 to February 7, 2022 from lot number 033H21A maintained the activity necessary to protect against the SARS-CoV-2 (covid 19) virus at time of administration'.   Patient called to inform, but unable to speak with patient.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema of eyelid, Mouth swelling, Oral discomfort, Oral pruritus
Clinical narrative: Swelling & redness to right eyelid, swelling, burning & itching to the inside of mouth, scalp & palms of both hands
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Skin burning sensation, Skin swelling, Swelling of eyelid
Clinical narrative: Swelling & redness to right eyelid, swelling, burning & itching to the inside of mouth, scalp & palms of both hands
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Antinuclear antibody positive, Aspartate aminotransferase increased, Blood bilirubin normal, Blood iron normal
Clinical narrative: Patient had routine labs for annual wellness check. Had elevated LFTs, ALT+ AST both over 1500 and bilirubin of >2. Only symptoms were some fatigue. ER visit that same day had normal CT/ abd/pelvis, normal right upper quadrant ultrasound, negative viral hepatitis labs, normal iron stores, patient reported 2 glasses of wine 6 weeks prior. Positive ANA/anti smooth muscle antibody. Pending evaluation for auto immune hepatitis. She had mild LFT elevations in april 2021 a few weeks after 1st dose of pfizer vaccine (less than 3x upper limit normal.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen normal, Fatigue, Hepatitis viral test negative, Laboratory test abnormal, Liver function test increased
Clinical narrative: Patient had routine labs for annual wellness check. Had elevated LFTs, ALT+ AST both over 1500 and bilirubin of >2. Only symptoms were some fatigue. ER visit that same day had normal CT/ abd/pelvis, normal right upper quadrant ultrasound, negative viral hepatitis labs, normal iron stores, patient reported 2 glasses of wine 6 weeks prior. Positive ANA/anti smooth muscle antibody. Pending evaluation for auto immune hepatitis. She had mild LFT elevations in april 2021 a few weeks after 1st dose of pfizer vaccine (less than 3x upper limit normal.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Smooth muscle antibody positive, Ultrasound abdomen normal
Clinical narrative: Patient had routine labs for annual wellness check. Had elevated LFTs, ALT+ AST both over 1500 and bilirubin of >2. Only symptoms were some fatigue. ER visit that same day had normal CT/ abd/pelvis, normal right upper quadrant ultrasound, negative viral hepatitis labs, normal iron stores, patient reported 2 glasses of wine 6 weeks prior. Positive ANA/anti smooth muscle antibody. Pending evaluation for auto immune hepatitis. She had mild LFT elevations in april 2021 a few weeks after 1st dose of pfizer vaccine (less than 3x upper limit normal.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Loss of personal independence in daily activities, Myalgia, Pain
Clinical narrative: The day following my Pfizer booster injection I developed extreme paint in my joints, and muscles widespread.  I also felt extreme fatigue.  I have struggled with pain and symptoms from osteoarthritis and fibromyalsia but it was managed with light medications.  The joints with issues were the hardest hit.  At night I am kept awake by shooting pains up my shins and widespread pain.  I tried managing with additional prescribed medicine and extra strength Tylenol.  Nothing seems to give me relief.  This reaction has been life changing.  I have been told by a Pharmacist this could be weeks or longer and even permanent.  I am really disturbed by this and want people to know.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: The day following my Pfizer booster injection I developed extreme paint in my joints, and muscles widespread.  I also felt extreme fatigue.  I have struggled with pain and symptoms from osteoarthritis and fibromyalsia but it was managed with light medications.  The joints with issues were the hardest hit.  At night I am kept awake by shooting pains up my shins and widespread pain.  I tried managing with additional prescribed medicine and extra strength Tylenol.  Nothing seems to give me relief.  This reaction has been life changing.  I have been told by a Pharmacist this could be weeks or longer and even permanent.  I am really disturbed by this and want people to know.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Impaired work ability, Nausea, Vomiting
Clinical narrative: Headache and nausea starting day one and continues today. I have called out sick from work on 3 occasions where the headache was so severe it caused me to vomit.  Painful at top or back of head and/or temples. I have rarely experienced headaches throughout my life. I am fairly healthy and very active.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Heart rate increased, Hypertension
Clinical narrative: In May I started noticing my blood pressure was really high. My normal 130/85 and since Feb it kept going up. March wasn't so bad but in May I notice I had to take deep breaths and my heart rate was really high.  The resting heart rate was above 90 which is abnormal. I had to really take deeper breaths. I had to tightening in my chest or chest pain. Went to the doctor in may and all test came back normal.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Renal function test normal
Clinical narrative: In May I started noticing my blood pressure was really high. My normal 130/85 and since Feb it kept going up. March wasn't so bad but in May I notice I had to take deep breaths and my heart rate was really high.  The resting heart rate was above 90 which is abnormal. I had to really take deeper breaths. I had to tightening in my chest or chest pain. Went to the doctor in may and all test came back normal.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest discomfort, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperventilation, Injection site pain, Syncope, Tachycardia, Tremor
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Feeling abnormal, Influenza, Malaise
Clinical narrative: Within 4 hours of vaccine I started having chills and achiness and just generally feeling unwell. By 10 PM I had a fever and just felt horrible. I couldn't get comfy and my temperature was 103.4 and I waited 4 hours before taking Tylenol and it came down to 100.1. As soon as the Tylenol worse off the fever would spike again. This lasted around 36 hours with the achiness and felt like the worse flu I ever had.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Within 4 hours of vaccine I started having chills and achiness and just generally feeling unwell. By 10 PM I had a fever and just felt horrible. I couldn't get comfy and my temperature was 103.4 and I waited 4 hours before taking Tylenol and it came down to 100.1. As soon as the Tylenol worse off the fever would spike again. This lasted around 36 hours with the achiness and felt like the worse flu I ever had.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea, Erythema, Malaise, Pruritus
Clinical narrative: 1305: Patient returned to clinic accompanied by his wife for possible allergic reaction. He had taken amoxicillin around 1245 and patient states no problems with amoxicillin usage in the past. At around 1300 when patient and his wife were leaving store parking lot, patient stated he did not feel right, began having all over skin itching, skin felt like it was "on fire", skin on neck and arms started to turn red, and patient started shaking. Patient was ambulatory to the exam room. Provider immediately assessed patient at 1305. He was alert and oriented, full body shaking, skin erythema on lower portion of face, neck, bilateral arms, chest, and abdomen without urticaria, and patient vigorously scratching his arms. Patient was assisted to supine position on exam table with vital signs completed. No stridor or wheezing noted, lungs clear to auscultation, tachypneic, and anxious appearing. Orders given for Benadryl 50 mg IM and dexamethasone 4 mg IM stat; Depo-Medrol not available in clinic. Erythema worsened in color with deep red all over body, sclera injected, full body shaking continued, and breathing became labored therefore order given for EpiPen administration. 2L NC applied with SPO2 99%. Hospital ambulance dispatched for ED transfer. 18-gauge PIV inserted right upper arm by this provider with NS 0.9% 1L bag initiated to run wide open. Patient reassessed multiple times with lungs remaining clear to auscultation, no stridor or wheezing, S1 S2. Patient denies shortness of breath and chest pain. Bedside report given to, Ambulance Paramedic at 1335. Patient left clinic at 1338 accompanied by Ambulance personnel x2 in stable condition including improvement in skin erythema, itching, body shaking, and respirations normalized; patient to be transported to hospital per patient request. 1308 vital signs: temperature 97.7 degrees F, HR 120, BP 156/88, RR 30, SPO2 98% on room air 1330 discharge vital signs: Temperature 97.9, HR 125, BP 152/90, RR 24, SPO2 99% on 2L NC
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Skin burning sensation, Tachypnoea, Tremor
Clinical narrative: 1305: Patient returned to clinic accompanied by his wife for possible allergic reaction. He had taken amoxicillin around 1245 and patient states no problems with amoxicillin usage in the past. At around 1300 when patient and his wife were leaving store parking lot, patient stated he did not feel right, began having all over skin itching, skin felt like it was "on fire", skin on neck and arms started to turn red, and patient started shaking. Patient was ambulatory to the exam room. Provider immediately assessed patient at 1305. He was alert and oriented, full body shaking, skin erythema on lower portion of face, neck, bilateral arms, chest, and abdomen without urticaria, and patient vigorously scratching his arms. Patient was assisted to supine position on exam table with vital signs completed. No stridor or wheezing noted, lungs clear to auscultation, tachypneic, and anxious appearing. Orders given for Benadryl 50 mg IM and dexamethasone 4 mg IM stat; Depo-Medrol not available in clinic. Erythema worsened in color with deep red all over body, sclera injected, full body shaking continued, and breathing became labored therefore order given for EpiPen administration. 2L NC applied with SPO2 99%. Hospital ambulance dispatched for ED transfer. 18-gauge PIV inserted right upper arm by this provider with NS 0.9% 1L bag initiated to run wide open. Patient reassessed multiple times with lungs remaining clear to auscultation, no stridor or wheezing, S1 S2. Patient denies shortness of breath and chest pain. Bedside report given to, Ambulance Paramedic at 1335. Patient left clinic at 1338 accompanied by Ambulance personnel x2 in stable condition including improvement in skin erythema, itching, body shaking, and respirations normalized; patient to be transported to hospital per patient request. 1308 vital signs: temperature 97.7 degrees F, HR 120, BP 156/88, RR 30, SPO2 98% on room air 1330 discharge vital signs: Temperature 97.9, HR 125, BP 152/90, RR 24, SPO2 99% on 2L NC
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Combined tibia-fibula fracture, Cough, Exposure to SARS-CoV-2, External fixation of fracture
Clinical narrative: Fall     Fall on ice , came in with EMS. Rght leg/ankle injury.   Denies LOC, not on blood thinner.      Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 50y.o. female woman with history of end-stage renal disease on hemodialysis Monday Wednesday Friday, diabetes as well as hypertension was there to attend a funeral service for her niece slipped on ice and had a injury to the right ankle. She was identified to have right tib-fib fracture and what bedside reduction and then underwent external fixation last night. Incidentally the patient was infected to have COVID 19 positive result yesterday. She did report having some increased cough over the course of the last 3-4 days and reports that one of her dialysis nurses had tested positive last week. She is not complaining of any shortness of breath no diarrhea or any other respiratory symptoms. She has been vaccinated and booster. Currently she reports no pain and just recently received her pain medication earlier. She does report taking Norco at home for pain control   Past Medical History:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fracture reduction, Influenza A virus test negative, Influenza B virus test, Joint injury
Clinical narrative: Fall     Fall on ice , came in with EMS. Rght leg/ankle injury.   Denies LOC, not on blood thinner.      Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 50y.o. female woman with history of end-stage renal disease on hemodialysis Monday Wednesday Friday, diabetes as well as hypertension was there to attend a funeral service for her niece slipped on ice and had a injury to the right ankle. She was identified to have right tib-fib fracture and what bedside reduction and then underwent external fixation last night. Incidentally the patient was infected to have COVID 19 positive result yesterday. She did report having some increased cough over the course of the last 3-4 days and reports that one of her dialysis nurses had tested positive last week. She is not complaining of any shortness of breath no diarrhea or any other respiratory symptoms. She has been vaccinated and booster. Currently she reports no pain and just recently received her pain medication earlier. She does report taking Norco at home for pain control   Past Medical History:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Fall     Fall on ice , came in with EMS. Rght leg/ankle injury.   Denies LOC, not on blood thinner.      Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 50y.o. female woman with history of end-stage renal disease on hemodialysis Monday Wednesday Friday, diabetes as well as hypertension was there to attend a funeral service for her niece slipped on ice and had a injury to the right ankle. She was identified to have right tib-fib fracture and what bedside reduction and then underwent external fixation last night. Incidentally the patient was infected to have COVID 19 positive result yesterday. She did report having some increased cough over the course of the last 3-4 days and reports that one of her dialysis nurses had tested positive last week. She is not complaining of any shortness of breath no diarrhea or any other respiratory symptoms. She has been vaccinated and booster. Currently she reports no pain and just recently received her pain medication earlier. She does report taking Norco at home for pain control   Past Medical History:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dysphagia, Erythema, Lip pruritus, Rash macular
Clinical narrative: Received 2nd vaccine on 2/3/2022 at 1100, at 1108 started to have itchy lips and throat. Throat felt full and was difficult to swallow and talk. having mild chest pain too. Skin on chest blotchy/red areas
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder, Throat irritation
Clinical narrative: Received 2nd vaccine on 2/3/2022 at 1100, at 1108 started to have itchy lips and throat. Throat felt full and was difficult to swallow and talk. having mild chest pain too. Skin on chest blotchy/red areas
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given refrigerated Moderna that was expired beyond it's 'Beyond Use Label' date of 01/27/2022.  Vial was placed into fridge on 12/28/2021.  Vial was not removed from fridge in time for 'Beyond Use' expiry date and inadvertently administered.  Manufacturer's expiry date is March 25, 2022.  Provider informed.  Moderna informed and stated that 'the vaccine administered on January 28 to February 7, 2022 from lot number 033H21A maintained the activity necessary to protect against the SARS-CoV-2 (covid 19) virus at time of administration'.   Contacted patient x 2 to informed of adverse event, but unable to speak with patient.
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: The doctor ordered Pneumovax-23 and the patient was, inadvertently,  given Tdap. Patient thought he may have been allergic to tetanus as he had a" flushing" reaction years ago-this was because he had been given 7 tetanus vaccines  0in a very short time. Patient was kept in the office and monitored for about 15 minutes, vital signs okay, no reaction at all. Patient left the office.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Product administration error, Wrong product administered
Clinical narrative: Patient was given Moderna 0.5ml IM in error. The vaccination was given by an MA in the clinic without a visit. The MA is Patient's mother, and the dose was administered in the care. CDC was called for guidance.  To complete the series she would need to receive the age appropriate Pfizer dose 28 days after the Moderna was given. NO adverse effects noted from receiving this vaccination in error.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Covid-19 breakthrough. 1st vaccine received on 01/16/2021. 89 y/o with PMHx CVA, HTN, HLD, arthritis, Hypothyroid, cardiac arrhythmias, melanoma, and smoking presents to ED with c/o Covid-19 symptoms that started 9 days ago. Patient tested positive on 02/07/2022, had monoclonal tx with Sotrovimab on 02/09/2022. Patient c/o SOB, decreased appetite, decreased sleep, diarrhea and extreme fatigue. Room air sat 90%, placed on O2 2L NC with sat 100%.  Afebrile and CXR with no acute infiltrates. Treated with IV steroids and Remdesivir.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Insomnia, Malaise, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid-19 breakthrough. 1st vaccine received on 01/16/2021. 89 y/o with PMHx CVA, HTN, HLD, arthritis, Hypothyroid, cardiac arrhythmias, melanoma, and smoking presents to ED with c/o Covid-19 symptoms that started 9 days ago. Patient tested positive on 02/07/2022, had monoclonal tx with Sotrovimab on 02/09/2022. Patient c/o SOB, decreased appetite, decreased sleep, diarrhea and extreme fatigue. Room air sat 90%, placed on O2 2L NC with sat 100%.  Afebrile and CXR with no acute infiltrates. Treated with IV steroids and Remdesivir.
Age: 3.0
Sex: F
Vaccine: DTAPIPV, PNC13
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse effect, will monitor. The patient was given  Quadracel  5 months earlier, she is 3 years old and 7 months.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness, Respiratory rate increased, Tremor
Clinical narrative: Vaccine administered with pt. lying down on exam table at HCF with Dr. present and as well as office nurse.  and pt. spouse.  Dr and nurse familiar with pt. previous reactions to vaccines.  Pt lost consciousness immediately with visible shaking and rapid breathing.  Dr. and staff nurse provided verbal and physical support.  Pt regained consciousness after approx. 2-3 minutes.  Patient stated she took 3 Ativan prior to appointment.  Pt. observed for 30 minutes and return to baseline.  Pt verbalized well being.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted,  COVID infection breakthrough
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dissociation, Feeling abnormal, Impaired self-care, Laboratory test normal
Clinical narrative: Severe Brain Fog and dissociation to the point where I could not go to the bathroom or feed myself at its worst. I was hospitalized for 3 days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cerebral mass effect, Imaging procedure abnormal, Influenza A virus test negative
Clinical narrative: Date of Admission:  1/15/2022   Chief Complaint:  Acute hypoxic respiratory failure   Source of Information:  Available medical record   History of Present Illness:  Patient is a 72-year-old female with a past medical history of asthma, hyperlipidemia, hypertension, presented to the hospital on 1/15/2022 for altered mental status.  Patient is accompanied by her husband and daughter.  Entirety of history is obtained from chart review as well as conversation with the daughter and husband as the patient is currently sedated and on the ventilator.  Patient was noted to arrive to the ED with an SPO2 of 77% on room air.  She was noted to be alert and oriented x0, nonverbal.  Husband tells me that in the last 2 months the patient has had intermittent episodes where she "stares off into space".  The daughter states that the patient also starting 2 months ago has had lapses in memory.  This morning at approximately 4 AM, the husband woke up and noted that the patient was nonverbal. Family denies any head trauma or recent falls with the patient.  She does not have a history of strokes or seizures.   In the ED the patient presented with a blood pressure 200/105, HR 102, temp 98, RR 17, SPO2 77% on room air.  She was noted to be positive for COVID 19.  Imaging was obtained showing a new left lateral ventricle effacement with 9 mm rightward midline shift.  Was admitted to ICU for further evaluation with consults made to neurology and neurosurgery.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Intensive care, Mechanical ventilation, Memory impairment, Mental status changes
Clinical narrative: Date of Admission:  1/15/2022   Chief Complaint:  Acute hypoxic respiratory failure   Source of Information:  Available medical record   History of Present Illness:  Patient is a 72-year-old female with a past medical history of asthma, hyperlipidemia, hypertension, presented to the hospital on 1/15/2022 for altered mental status.  Patient is accompanied by her husband and daughter.  Entirety of history is obtained from chart review as well as conversation with the daughter and husband as the patient is currently sedated and on the ventilator.  Patient was noted to arrive to the ED with an SPO2 of 77% on room air.  She was noted to be alert and oriented x0, nonverbal.  Husband tells me that in the last 2 months the patient has had intermittent episodes where she "stares off into space".  The daughter states that the patient also starting 2 months ago has had lapses in memory.  This morning at approximately 4 AM, the husband woke up and noted that the patient was nonverbal. Family denies any head trauma or recent falls with the patient.  She does not have a history of strokes or seizures.   In the ED the patient presented with a blood pressure 200/105, HR 102, temp 98, RR 17, SPO2 77% on room air.  She was noted to be positive for COVID 19.  Imaging was obtained showing a new left lateral ventricle effacement with 9 mm rightward midline shift.  Was admitted to ICU for further evaluation with consults made to neurology and neurosurgery.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nucleic acid test, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Speech disorder, Staring
Clinical narrative: Date of Admission:  1/15/2022   Chief Complaint:  Acute hypoxic respiratory failure   Source of Information:  Available medical record   History of Present Illness:  Patient is a 72-year-old female with a past medical history of asthma, hyperlipidemia, hypertension, presented to the hospital on 1/15/2022 for altered mental status.  Patient is accompanied by her husband and daughter.  Entirety of history is obtained from chart review as well as conversation with the daughter and husband as the patient is currently sedated and on the ventilator.  Patient was noted to arrive to the ED with an SPO2 of 77% on room air.  She was noted to be alert and oriented x0, nonverbal.  Husband tells me that in the last 2 months the patient has had intermittent episodes where she "stares off into space".  The daughter states that the patient also starting 2 months ago has had lapses in memory.  This morning at approximately 4 AM, the husband woke up and noted that the patient was nonverbal. Family denies any head trauma or recent falls with the patient.  She does not have a history of strokes or seizures.   In the ED the patient presented with a blood pressure 200/105, HR 102, temp 98, RR 17, SPO2 77% on room air.  She was noted to be positive for COVID 19.  Imaging was obtained showing a new left lateral ventricle effacement with 9 mm rightward midline shift.  Was admitted to ICU for further evaluation with consults made to neurology and neurosurgery.
Age: 46.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Magnetic resonance imaging normal, Viral infection
Clinical narrative: Ear drops/MRI and flonase
Age: 46.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Deafness, Magnetic resonance imaging, Tinnitus
Clinical narrative: Ear drops/MRI and flonase