chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Thrombosis, Ultrasound scan
Clinical narrative: On June 11th I began having pain in my left calve.  June 18th I went to the doctor.  I had an ultrasound and a bloot clot was found. I have developed a blood clot in my left calve.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax, Respiratory failure
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for pneumothorax and respiratory failure within 6 weeks of receiving COVID vaccination.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Drug ineffective, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contact and recommended repeat dose.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin abrasion
Clinical narrative: 2 days after immunization started to have itching all over her legs, chest, arms and back.  No visible rash no other signs/symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer Vaccine administered after being stored at regular freezer temps longer than recommended.  Dose determined invalid, client contacted, and recommended dose repeated.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Disturbance in attention, Loss of personal independence in daily activities, Memory impairment
Clinical narrative: On Thursday, June 17th, I had a very difficult time remembering the day of the week, and specific tasks that I was working on  that I do daily on a regular basis.  I also had to think additionally for the simple tasks that I perform at work, and noticed that I also had some recall issues with remembering server names and people's names.  I couldn't keep my concentration on a single task.  I am a multitasker by profession.  Loosing my concentration ability, or my inability to focus on my assignments, cause stress-induced panic attacks throughout the day on June 17, and June 18th.  On June 17th in the morning, I noticed that both of my leg muscles immediate behind my knees started to tense up as I stretched my legs, bent my legs to sitting position, and also when I walked the stretch in my calves was painful. Starting June 17th evening, I noticed that getting into bed and out of bed resulted in the stretching in both of my legs starting to prevent me from being able to move freely as I did before June 16th at 12:45pm.   Since June 17th both of my arms when stretched wide are feeling the same tension pain as my leg muscles.  The arms are also tender to touch in the front muscle areas (both arms, FYI), in the crevis, and in my lower arms when I ball my fists.  I am using a topical pain relief ointment -- Pain-a-Trate -- daily on both arms and both legs in the adverse event sites three times a day.  My last treatment was June 21st at 7am.  Additionally, I have been monitoring my blood pressure and am noticing slightly lower numbers (on 6/19/2021, my AM reading was 131/85).  I will continue to monitor my blood pressure daily and will report any increase or decrease to the VAERS.   My anxiety is another event that started to surface on Saturday, June 19th along with the stiffness in my muscles in both legs (back of knee and calf areas) and both arms.  This caused me to have some panic attacks and I informed my children of my symptoms in the event I died or had a stroke or heart attack from the COVID-19 vaccine dose 1 of Pfizer.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Muscle tightness, Myalgia, Pain in extremity, Panic attack
Clinical narrative: On Thursday, June 17th, I had a very difficult time remembering the day of the week, and specific tasks that I was working on  that I do daily on a regular basis.  I also had to think additionally for the simple tasks that I perform at work, and noticed that I also had some recall issues with remembering server names and people's names.  I couldn't keep my concentration on a single task.  I am a multitasker by profession.  Loosing my concentration ability, or my inability to focus on my assignments, cause stress-induced panic attacks throughout the day on June 17, and June 18th.  On June 17th in the morning, I noticed that both of my leg muscles immediate behind my knees started to tense up as I stretched my legs, bent my legs to sitting position, and also when I walked the stretch in my calves was painful. Starting June 17th evening, I noticed that getting into bed and out of bed resulted in the stretching in both of my legs starting to prevent me from being able to move freely as I did before June 16th at 12:45pm.   Since June 17th both of my arms when stretched wide are feeling the same tension pain as my leg muscles.  The arms are also tender to touch in the front muscle areas (both arms, FYI), in the crevis, and in my lower arms when I ball my fists.  I am using a topical pain relief ointment -- Pain-a-Trate -- daily on both arms and both legs in the adverse event sites three times a day.  My last treatment was June 21st at 7am.  Additionally, I have been monitoring my blood pressure and am noticing slightly lower numbers (on 6/19/2021, my AM reading was 131/85).  I will continue to monitor my blood pressure daily and will report any increase or decrease to the VAERS.   My anxiety is another event that started to surface on Saturday, June 19th along with the stiffness in my muscles in both legs (back of knee and calf areas) and both arms.  This caused me to have some panic attacks and I informed my children of my symptoms in the event I died or had a stroke or heart attack from the COVID-19 vaccine dose 1 of Pfizer.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-neutrophil cytoplasmic antibody positive vasculitis, Biopsy kidney abnormal, Blood test abnormal, Chemotherapy, Death
Clinical narrative: 2 months after last dose, a routine bloodwork revealed high kidney numbers. Voice became hoarse and difficulty in swallowing ease was noted. Repeat blood work confirmed kidney numbers still high after hydration, IV fluids given at home. Fatigue increased and I took my mother to the ER.  She was admitted and she spent 3 weeks in the hospital, 1 week in ICU. She was eventually diagnosed with the autoimmune disease ANCA Vasculitis. Biopsy confirmed. No previous kidney disease or abnormal blood work. She was treated with high dose steroids and  chemotherapy.  There was no positive response to treatment. Condition worsened and she was moved to Hospice care. My mother died on 05/16/2021
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dysphonia, Fatigue, Intensive care
Clinical narrative: 2 months after last dose, a routine bloodwork revealed high kidney numbers. Voice became hoarse and difficulty in swallowing ease was noted. Repeat blood work confirmed kidney numbers still high after hydration, IV fluids given at home. Fatigue increased and I took my mother to the ER.  She was admitted and she spent 3 weeks in the hospital, 1 week in ICU. She was eventually diagnosed with the autoimmune disease ANCA Vasculitis. Biopsy confirmed. No previous kidney disease or abnormal blood work. She was treated with high dose steroids and  chemotherapy.  There was no positive response to treatment. Condition worsened and she was moved to Hospice care. My mother died on 05/16/2021
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Dull chronic headache - started 15 hrs after vaccination, ongoing for > 4 months  Bilateral tinnitus - started several days after vaccination, ongoing for > 4 months
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Ecchymosis, Full blood count, Rash, Red blood cell sedimentation rate
Clinical narrative: Pt comes in with concerns about possible Pfizer vaccine reaction. Initially had hives- which resolved now with some mild tenderness and prominence of existing varicosity.  Sx c/w mild thrombophlebitis- which is unlikely to be a SE of the vaccine will get US to r/o DVT, advise elevation, compression and NSAIDS  rash of LLE looks ecchymotic, she denies fall. Has had bruising in the past which she states was associated with trauma Again- difficult to say whether this is a vaccine-related event will get labs - including CBC VWF, ESR and CRP the rash has already begun to improve .
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness, Thrombophlebitis, Urticaria, Vasodilatation
Clinical narrative: Pt comes in with concerns about possible Pfizer vaccine reaction. Initially had hives- which resolved now with some mild tenderness and prominence of existing varicosity.  Sx c/w mild thrombophlebitis- which is unlikely to be a SE of the vaccine will get US to r/o DVT, advise elevation, compression and NSAIDS  rash of LLE looks ecchymotic, she denies fall. Has had bruising in the past which she states was associated with trauma Again- difficult to say whether this is a vaccine-related event will get labs - including CBC VWF, ESR and CRP the rash has already begun to improve .
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Influenza like illness, Ocular hyperaemia, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: flu like symptoms x 2 days. Patient states that he got his first covid vaccine 3 days ago. States that since yesterday he has had bilateral eye redness, congestion, sneezing, sore throat, and diarrhea.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: flu like symptoms x 2 days. Patient states that he got his first covid vaccine 3 days ago. States that since yesterday he has had bilateral eye redness, congestion, sneezing, sore throat, and diarrhea.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vital functions abnormal
Clinical narrative: Unstable vital signs.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer Vaccine administered after being stored at regular freezer temps longer than recommended.  Dose determined invalid, client contacted, and recommended dose repeated.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Headache
Clinical narrative: Headache and dizzy
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness unilateral
Clinical narrative: Months later I noticed hearing loss in right ear.  Currently being treated with the Dr. for help with loss.  Had a hearing test.  Met with specialist at a healthcare facility.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Septic shock
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for Severe sepsis with septic shock within 6 weeks of receiving COVID vaccination.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Foetal hypokinesia
Clinical narrative: Decreased fetal movement
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: 2 weeks after the 1st vaccination, 01/18/2021, on February 1st, 2021, I went to my PCP to get a routine diabetic check up and the doctor notice my Blood Pressure level was elevated. I have never had high blood pressure before.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Periarthritis
Clinical narrative: Adhesive Capsulitis let shoulder
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Electrocardiogram normal, Fatigue, Troponin normal
Clinical narrative: Chest heaviness, fatigue
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation
Clinical narrative: Patient presented to the ED on 5/10/2021 for weakness. Patient presented to the ED on 5/17/2021 and was subsequently hospitalized for atrial fibrillation with RVR. These visits are within  weeks of receiving COVID vaccination.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthritis, Blood test, Gastrointestinal disorder
Clinical narrative: Inflammation in right hip, knee and ankle. Also bowel/intestinal inflammation
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Ultrasound scan normal
Clinical narrative: 13 days after my 2nd Pfizer dose, my period started on May 14, 2021. Today is June 21, 2021 and my period has continued this entire time (38 days), with either heavy bleeding (bleeding with clots, using more than one Super tampon every two hours) or at least spotting on every day except for two days (not bleeding on June 12 and 13).
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal
Clinical narrative: abnormal EKG
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Culture, Folliculitis, Rash, Rash pruritic
Clinical narrative: I noticed that I had itchy bumps which I thought were possibly bug bites around mid May. I kept getting them on my right forearm. I was applying bug spray etc. I kept getting more. I also was getting them on my left forearm and my right thigh. SO I made an appnt with my PCD on May 27th 2021 and she referred me to a dermatologist which I went to see on June 8th 2021 and had a follow up on June 27th 2021. The dermatologist said it looks like folliculitis and has me using a prescribed skin cleanser and Clindamycin Phosphate Solution to all of the areas affected.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Skin disorder, Skin exfoliation
Clinical narrative: ITCHY SCALP, BOILS OR SORES AND BOILS THROUGHOUT SCALP, FLAKING.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest X-ray, Chest pain, Colonoscopy, Endoscopy
Clinical narrative: Upper left Chest Pain with pain radiating to left arm
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Enzyme level test, Exercise tolerance decreased, Pain, Pain in extremity
Clinical narrative: Upper left Chest Pain with pain radiating to left arm
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, Chest pain
Clinical narrative: Patient reported having periodic chest pain after receiving the vaccine. His father took him to the pediatrician and he is being treated for bronchitis
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Oligomenorrhoea
Clinical narrative: Shot affected menstruation cycle, period was extra heavy and longer than ever.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient already received Flu shot for season and received another one.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Influenza like illness, Pain
Clinical narrative: It was just a 101 temp, flu like symptoms, achy, and tired. It lasted 12 hours.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: Itching and burning at infection site.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Electrocardiogram, Fatigue
Clinical narrative: 9 hours after receiving my first dose I had severe chest pains. tremors, insomnia, migraine headaches.  The symptoms lessened after the first 3 days but still come back randomly and are now becoming constant again- constant chest pains, dizziness, shortness of breath and fatigue. Pain is radiating down my left arm and legs as well. I have notified my cardiologist and will be requesting further evaluation of side effects.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Migraine, Pain, Pain in extremity, Tremor
Clinical narrative: 9 hours after receiving my first dose I had severe chest pains. tremors, insomnia, migraine headaches.  The symptoms lessened after the first 3 days but still come back randomly and are now becoming constant again- constant chest pains, dizziness, shortness of breath and fatigue. Pain is radiating down my left arm and legs as well. I have notified my cardiologist and will be requesting further evaluation of side effects.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Cough, Eye pain, Headache, Hypoaesthesia
Clinical narrative: I had headaches and eye ball pain. My arm was hurting very badly and I had a dry cough. My eyes were bright red. My finger would go numb and useless.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: I had headaches and eye ball pain. My arm was hurting very badly and I had a dry cough. My eyes were bright red. My finger would go numb and useless.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Chills, Electrocardiogram ST-T change, Electrocardiogram T wave abnormal, Fatigue
Clinical narrative: Came to ED due to progressively worsening intermittent pleuritic chest pain, fatigue, subjective fevers and chills of x6 days duration.  At ED patient found to have elevated troponins and non-specific ST and T wave changes on ECG.  cardiology consulted who recommended continuing colchicine + ibuprofen therapy.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pleuritic pain, Pyrexia, Troponin increased
Clinical narrative: Came to ED due to progressively worsening intermittent pleuritic chest pain, fatigue, subjective fevers and chills of x6 days duration.  At ED patient found to have elevated troponins and non-specific ST and T wave changes on ECG.  cardiology consulted who recommended continuing colchicine + ibuprofen therapy.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer Vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted, and recommended dose repeated.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Foetal heart rate abnormal, Ultrasound scan abnormal, Uterine dilation and curettage
Clinical narrative: Patient became pregnant in April 2021.  At 8 week ultrasound on May 21, 2021, displaying signs of early miscarriage.  Repeat ultrasound June 9, 2021 displayed no fetal cardiac activity.  D&C procedure completed June 14, 2021.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Arterial occlusive disease, Chest pain, Hypoaesthesia, Pain
Clinical narrative: Patient presented to  emergency department with complaint of left-sided arm pain/numbness that began 6/17/2021, approximately 11 PM.  She reports sleeping on her right side and woke up with new onset of left arm pain.  Patient also noted feeling as though she could not feel her pulse on left arm as much as her right.  This is what prompted her to follow-up to the emergency department for further evaluation.  Upon arrival she noted that left-sided arm tingling/pain had improved. Upon assessment patient states left-sided arm pain has returned and is now radiating towards mid chest region.  Diagnosed with an occlusion in the distal brachial artery and proximal ulnar artery and she was started on heparin and went to surgery for a thrombectomy.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Peripheral artery occlusion, Pulse abnormal, Thrombectomy
Clinical narrative: Patient presented to  emergency department with complaint of left-sided arm pain/numbness that began 6/17/2021, approximately 11 PM.  She reports sleeping on her right side and woke up with new onset of left arm pain.  Patient also noted feeling as though she could not feel her pulse on left arm as much as her right.  This is what prompted her to follow-up to the emergency department for further evaluation.  Upon arrival she noted that left-sided arm tingling/pain had improved. Upon assessment patient states left-sided arm pain has returned and is now radiating towards mid chest region.  Diagnosed with an occlusion in the distal brachial artery and proximal ulnar artery and she was started on heparin and went to surgery for a thrombectomy.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Patient presented to  emergency department with complaint of left-sided arm pain/numbness that began 6/17/2021, approximately 11 PM.  She reports sleeping on her right side and woke up with new onset of left arm pain.  Patient also noted feeling as though she could not feel her pulse on left arm as much as her right.  This is what prompted her to follow-up to the emergency department for further evaluation.  Upon arrival she noted that left-sided arm tingling/pain had improved. Upon assessment patient states left-sided arm pain has returned and is now radiating towards mid chest region.  Diagnosed with an occlusion in the distal brachial artery and proximal ulnar artery and she was started on heparin and went to surgery for a thrombectomy.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: severe bruising over both thighs
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Blood test abnormal, Lymphadenopathy, Pain in extremity
Clinical narrative: recent COVID vaccination on 06/12, who presents for arm pain.  He had received his vaccination on 06/12 in the left arm, and states that the next day he noticed a lump in his axillary region, and significant pain.  acetaminophen (TYLENOL) tablet 975 mg (975 mg Oral Given 6/16/21 2052) ibuprofen (MOTRIN) tablet 800 mg (800 mg Oral Given 6/16/21 2053)
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chronic respiratory failure
Clinical narrative: Pt w/hx significant for B-cell lymphoma & interstitial lung dx (on 4L O2 at baseline) p/w 5 day hx of SOB, cough, congestion, and diarrhea. COVID test was positive (6/15) despite receiving Pfizer vaccines (1/15 & 2/6). Was admitted for acute on chronic hypoxic respiratory failure secondary to COVID-19 pneumonia.  Received dexamethasone, plasma, and tocilizumab during admission with improvement, however, pt is still hospitalized and feels SOB w/any exertion and desaturates w/cough.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Diarrhoea, Dyspnoea, Dyspnoea exertional
Clinical narrative: Pt w/hx significant for B-cell lymphoma & interstitial lung dx (on 4L O2 at baseline) p/w 5 day hx of SOB, cough, congestion, and diarrhea. COVID test was positive (6/15) despite receiving Pfizer vaccines (1/15 & 2/6). Was admitted for acute on chronic hypoxic respiratory failure secondary to COVID-19 pneumonia.  Received dexamethasone, plasma, and tocilizumab during admission with improvement, however, pt is still hospitalized and feels SOB w/any exertion and desaturates w/cough.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema, Pulmonary fibrosis, Respiratory tract congestion, SARS-CoV-2 test positive, Transfusion
Clinical narrative: Pt w/hx significant for B-cell lymphoma & interstitial lung dx (on 4L O2 at baseline) p/w 5 day hx of SOB, cough, congestion, and diarrhea. COVID test was positive (6/15) despite receiving Pfizer vaccines (1/15 & 2/6). Was admitted for acute on chronic hypoxic respiratory failure secondary to COVID-19 pneumonia.  Received dexamethasone, plasma, and tocilizumab during admission with improvement, however, pt is still hospitalized and feels SOB w/any exertion and desaturates w/cough.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Chills, Feeling hot, Flank pain
Clinical narrative: When he got the shot he felt hot and sweaty and it cleared and a few day later he had a bad reaction having  chills, chest pains, pains in left arm and on left side,  and nausea and lower back pain
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pain in extremity
Clinical narrative: When he got the shot he felt hot and sweaty and it cleared and a few day later he had a bad reaction having  chills, chest pains, pains in left arm and on left side,  and nausea and lower back pain
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Cerebral infarction, Chest X-ray abnormal, Chronic disease
Clinical narrative: 71-year-old female with history of chronic obstructive pulmonary disease, CVA, type 2 diabetes hypertension who presented with hypoxia and altered mental status. At baseline she is alert and oriented to self, she has a guardian. It appears she was noted to be more somnolent than usual at her facility and found to be hypoxemic so was sent to ER for further evaluation. She required 4L oxygen via nasal cannula to maintain saturation. On arrival to ER, her labs were notable for mild AKI, troponin elevation, leukocytosis and positive COVID19 PCR. Chest xray was consistent with patchy bilateral lower lobe airspace disease. CT Head showed a chronic large right MCA infarct without acute hemorrhagic changes
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Hypoxia, Laboratory test abnormal, Leukocytosis, Lung opacity
Clinical narrative: 71-year-old female with history of chronic obstructive pulmonary disease, CVA, type 2 diabetes hypertension who presented with hypoxia and altered mental status. At baseline she is alert and oriented to self, she has a guardian. It appears she was noted to be more somnolent than usual at her facility and found to be hypoxemic so was sent to ER for further evaluation. She required 4L oxygen via nasal cannula to maintain saturation. On arrival to ER, her labs were notable for mild AKI, troponin elevation, leukocytosis and positive COVID19 PCR. Chest xray was consistent with patchy bilateral lower lobe airspace disease. CT Head showed a chronic large right MCA infarct without acute hemorrhagic changes
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, SARS-CoV-2 test positive, Somnolence, Troponin increased
Clinical narrative: 71-year-old female with history of chronic obstructive pulmonary disease, CVA, type 2 diabetes hypertension who presented with hypoxia and altered mental status. At baseline she is alert and oriented to self, she has a guardian. It appears she was noted to be more somnolent than usual at her facility and found to be hypoxemic so was sent to ER for further evaluation. She required 4L oxygen via nasal cannula to maintain saturation. On arrival to ER, her labs were notable for mild AKI, troponin elevation, leukocytosis and positive COVID19 PCR. Chest xray was consistent with patchy bilateral lower lobe airspace disease. CT Head showed a chronic large right MCA infarct without acute hemorrhagic changes
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Since the vaccination my periods have gone from 4-5 day average to 7-8 days in length.  In addition my cycle has gone from 28-29 days between each one to 20-21 days the last 3 months.  Nothing else in my life has changed, I am not taking hormonal replacement, birth control, or any other medications.  I am not trying to be nor have I been pregnant within the last 20 months.  I noticed the changes because I track my cycles and recognized first the extended length and then the shortening of time between cycles.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Condition aggravated, Dyspnoea, Electrocardiogram, Exposure during pregnancy
Clinical narrative: high risk pregnancy due to maternal age, 36, but otherwise normal healthy pregnancy without any complications-  8/4/2021 history of tachycardia and palpitations that had been well controlled on bystolic since at least 2016 1 day post pfizer vaccination began to experience frequent episodes of palpitations throughout the day, sometimes accompanied by chest tightness and SOB, which has persisted intermittently since
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Troponin
Clinical narrative: high risk pregnancy due to maternal age, 36, but otherwise normal healthy pregnancy without any complications-  8/4/2021 history of tachycardia and palpitations that had been well controlled on bystolic since at least 2016 1 day post pfizer vaccination began to experience frequent episodes of palpitations throughout the day, sometimes accompanied by chest tightness and SOB, which has persisted intermittently since
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Axillary pain, Injection site erythema, Ultrasound scan normal, Vaccination site streaking
Clinical narrative: Pain in armpit, red streak at vaccination site, L arm. Started early morning on 6/18/21, went to ED late 6/18/21 into 6/19/21.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Incorrect dose administered, Product storage error
Clinical narrative: Pfizer Vaccine administered after being stored at regular freezer temps longer than recommended.  Dose determined invalid, client contacted, and recommended dose repeated.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Polymenorrhoea
Clinical narrative: Menstrual cycle started 2 weeks early, lots of bad cramps
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin, Blood test, Rash, Rash pruritic
Clinical narrative: Full body rash (everywhere but face, palms of hands and feet).  Severely itchy.  Presented itself on February 21, 2021 and by February 23, 2021 had spread to entire body.   Still remains as of 6/21/21 though somewhat more manageable.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Patient came in to receive her second COVID vaccine and reported that she has bruising in her left arm that lasted several weeks. Upon questioning she said that after she received her vaccine she decided to workout that day. She did not report any rashes/swelling/ or any other adverse event. When she came to the pharmacy she did not have any noticeable bruises on her arm.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Fatigue, Fever.  Erythema at injection site, Injection site pain, Swelling at injection site. Requires emergency room visit or hospitalization. Dizziness, headache, shortness of breath, myalgia. Diarrhea, nausea. Requires ER visit or hospitalization. ED visit. Needs further determination of action for next dose. Patient states she had her first dose of the Pfizer vaccine yesterday afternoon around 12:30 PM.  She states initially she felt okay and about an hour after getting home she started feeling nauseous and dizzy with standing and walking around.  She states later in the evening she started feeling increasingly short of breath with minimal activities and at times feeling like it is hard to get a deep breath then.  She denies any feelings of throat swelling or tongue swelling.  She was always able to handle her secretions.  She has been feeling nauseous but denies any vomiting.  She had 3 episodes of watery diarrhea yesterday and decreased appetite.  She does not believe she ever had COVID-19 and denies any recent ill contacts or known exposure.  She denies any complaints of chest pain but does admit to feelings of palpitations at times yesterday.  She has a pulse oximeter that she was able to check her heart rate at home and states that her pulse ox was always okay and heart rate was around 80s at home.  She does currently admit to mild nausea and aching in her right arm.  She denies dizziness while lying in bed but states she feels like it would be harder for her to get up and walk around. She has had previous allergic reactions to antibiotics but denies any history of throat swelling or anaphylaxis.  States her right arm looked red and has a burning sensation around the injection site but never noticed any rash or hives otherwise.  She took Tylenol and Motrin over-the-counter yesterday with some temporary improvement in the arm pain and headache that she was experiencing yesterday but has not yet taken any Tylenol or Motrin today.  She denies current headache.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site swelling, Myalgia, Nausea
Clinical narrative: Fatigue, Fever.  Erythema at injection site, Injection site pain, Swelling at injection site. Requires emergency room visit or hospitalization. Dizziness, headache, shortness of breath, myalgia. Diarrhea, nausea. Requires ER visit or hospitalization. ED visit. Needs further determination of action for next dose. Patient states she had her first dose of the Pfizer vaccine yesterday afternoon around 12:30 PM.  She states initially she felt okay and about an hour after getting home she started feeling nauseous and dizzy with standing and walking around.  She states later in the evening she started feeling increasingly short of breath with minimal activities and at times feeling like it is hard to get a deep breath then.  She denies any feelings of throat swelling or tongue swelling.  She was always able to handle her secretions.  She has been feeling nauseous but denies any vomiting.  She had 3 episodes of watery diarrhea yesterday and decreased appetite.  She does not believe she ever had COVID-19 and denies any recent ill contacts or known exposure.  She denies any complaints of chest pain but does admit to feelings of palpitations at times yesterday.  She has a pulse oximeter that she was able to check her heart rate at home and states that her pulse ox was always okay and heart rate was around 80s at home.  She does currently admit to mild nausea and aching in her right arm.  She denies dizziness while lying in bed but states she feels like it would be harder for her to get up and walk around. She has had previous allergic reactions to antibiotics but denies any history of throat swelling or anaphylaxis.  States her right arm looked red and has a burning sensation around the injection site but never noticed any rash or hives otherwise.  She took Tylenol and Motrin over-the-counter yesterday with some temporary improvement in the arm pain and headache that she was experiencing yesterday but has not yet taken any Tylenol or Motrin today.  She denies current headache.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Fatigue, Fever.  Erythema at injection site, Injection site pain, Swelling at injection site. Requires emergency room visit or hospitalization. Dizziness, headache, shortness of breath, myalgia. Diarrhea, nausea. Requires ER visit or hospitalization. ED visit. Needs further determination of action for next dose. Patient states she had her first dose of the Pfizer vaccine yesterday afternoon around 12:30 PM.  She states initially she felt okay and about an hour after getting home she started feeling nauseous and dizzy with standing and walking around.  She states later in the evening she started feeling increasingly short of breath with minimal activities and at times feeling like it is hard to get a deep breath then.  She denies any feelings of throat swelling or tongue swelling.  She was always able to handle her secretions.  She has been feeling nauseous but denies any vomiting.  She had 3 episodes of watery diarrhea yesterday and decreased appetite.  She does not believe she ever had COVID-19 and denies any recent ill contacts or known exposure.  She denies any complaints of chest pain but does admit to feelings of palpitations at times yesterday.  She has a pulse oximeter that she was able to check her heart rate at home and states that her pulse ox was always okay and heart rate was around 80s at home.  She does currently admit to mild nausea and aching in her right arm.  She denies dizziness while lying in bed but states she feels like it would be harder for her to get up and walk around. She has had previous allergic reactions to antibiotics but denies any history of throat swelling or anaphylaxis.  States her right arm looked red and has a burning sensation around the injection site but never noticed any rash or hives otherwise.  She took Tylenol and Motrin over-the-counter yesterday with some temporary improvement in the arm pain and headache that she was experiencing yesterday but has not yet taken any Tylenol or Motrin today.  She denies current headache.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer Vaccine administered after being stored at regular freezer temps longer than recommended.  Dose determined invalid, client contacted, and recommended dose repeated.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Chest pain, Dyspnoea, Myositis, Pain
Clinical narrative: Experienced shortness of breath and sharp pain around heart area the night after receiving dose.  Was bedridden the following day.  I had to travel back on Saturday so I was trying to rest and get better.  Pain subsided a little, but the pain started back up again the weekend before Memorial Day holiday.  This time the pain was the worst.  The pain was a sharp pain around my heart area.  My left SCN muscle was also inflamed.  I was bedridden the entire weekend.  In bed, when I turned left or right when lying down I would feel pain.  I was not able to lift my head up to adjust my pillow without feeling sharp pain.  I took Ibuprofen at 800 mg every 6 hours based on doctor recommendation.  This pain lasted about 3 weeks with it gradually subsiding and now I am feeling better.  However, I still feel a little something going on in the region around my heart.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Inappropriate schedule of product administration, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Drug ineffective, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid,client contact and recommended repeat dose.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Product storage error, Product use issue
Clinical narrative: Per DH: Regarding The VSIR on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Vaccine was administered approx 2pm, and pt reported feeling "dizzy" approx 5 mins after. Pt was assisted and observed for the next 15 minutes. Pt was alert and ambulated to vehicle with family at side. No other concerns reported.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Regarding  Health on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Drug ineffective, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored regular freezer temps longer than recommended.  Dose determined invalid, client  contacted and recommended repeat dose.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PT TESTED POSITIVE FOR COVID 19 AFTER BEING FULLY VACCINATED.