chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Antinuclear antibody positive, Antiphospholipid antibodies positive, Blood loss anaemia, Full blood count normal
Clinical narrative: A few weeks after my second Pfizer dose I began experiencing menstrual irregularities. At first, my period would come a week early which is notable given I was on birth control pills. Then, during the summer, my periods started becoming longer in duration, lasting 8-12 days. In September, I got my period/had breakthrough bleeding 3 times in the month for a total of 16 days that month. In October I got my period once, but it lasted for 12 days. In November, I got my period twice: 11/3-11/7 and then 11/9. I have not stopped bleeding since the 11/9 and today, 12/15 my bleeding has become heavier. I have been seen by an OB/Gyn, had a CBC (normal), my thyroid values checked (normal), and also had an ultrasound which found no polyps, cysts or fibroids. I have also seen a rheumatologist and had a complete autoimmune panel run which shows I am positive for ANA and Lupus Anticoagulant. I am a nationally ranked distance runner and am becoming anemic due to the blood loss which has an extreme negative impact on my performance and caused me to faint at my cross country meet.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Immunology test abnormal, Intermenstrual bleeding, Loss of personal independence in daily activities, Menstruation irregular
Clinical narrative: A few weeks after my second Pfizer dose I began experiencing menstrual irregularities. At first, my period would come a week early which is notable given I was on birth control pills. Then, during the summer, my periods started becoming longer in duration, lasting 8-12 days. In September, I got my period/had breakthrough bleeding 3 times in the month for a total of 16 days that month. In October I got my period once, but it lasted for 12 days. In November, I got my period twice: 11/3-11/7 and then 11/9. I have not stopped bleeding since the 11/9 and today, 12/15 my bleeding has become heavier. I have been seen by an OB/Gyn, had a CBC (normal), my thyroid values checked (normal), and also had an ultrasound which found no polyps, cysts or fibroids. I have also seen a rheumatologist and had a complete autoimmune panel run which shows I am positive for ANA and Lupus Anticoagulant. I am a nationally ranked distance runner and am becoming anemic due to the blood loss which has an extreme negative impact on my performance and caused me to faint at my cross country meet.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Performance status decreased, Syncope, Thyroid function test normal, Ultrasound scan normal
Clinical narrative: A few weeks after my second Pfizer dose I began experiencing menstrual irregularities. At first, my period would come a week early which is notable given I was on birth control pills. Then, during the summer, my periods started becoming longer in duration, lasting 8-12 days. In September, I got my period/had breakthrough bleeding 3 times in the month for a total of 16 days that month. In October I got my period once, but it lasted for 12 days. In November, I got my period twice: 11/3-11/7 and then 11/9. I have not stopped bleeding since the 11/9 and today, 12/15 my bleeding has become heavier. I have been seen by an OB/Gyn, had a CBC (normal), my thyroid values checked (normal), and also had an ultrasound which found no polyps, cysts or fibroids. I have also seen a rheumatologist and had a complete autoimmune panel run which shows I am positive for ANA and Lupus Anticoagulant. I am a nationally ranked distance runner and am becoming anemic due to the blood loss which has an extreme negative impact on my performance and caused me to faint at my cross country meet.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Joint range of motion decreased, Needle issue, Pain, Pain in extremity
Clinical narrative: Patient is describing difficulty with range of motion of left arm and experiences pain that radiates when lifting There is also sensitivity/pain at the site of injection  Patient was given booster dose on 11/20/21, but there was a needle/syringe malfunction where the full dose was not administered - most of the vaccine had spilled from the syringe during administration. Patient was then given another dose to ensure that she had gotten the entire recommended dosage for the booster. After receiving the doses patient described above reactions.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Patient is describing difficulty with range of motion of left arm and experiences pain that radiates when lifting There is also sensitivity/pain at the site of injection  Patient was given booster dose on 11/20/21, but there was a needle/syringe malfunction where the full dose was not administered - most of the vaccine had spilled from the syringe during administration. Patient was then given another dose to ensure that she had gotten the entire recommended dosage for the booster. After receiving the doses patient described above reactions.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac failure congestive, Chest pain, Condition aggravated, Dyspnoea
Clinical narrative: Patient sent to ER on 10/27 r/t SOB and CP, admitted 10/27-11/2 with Dx: Sepsis, hypoxia, pneumonia. Sent back to ER for CP, SOB, and tachycardia and hospitalized 11/3-11/15 r/t pneumonia, hypoxia, CHF, A-Fib. ER visit on 11/19/21 r/t unresponsiveness. Sent to ER for hypertension and SOB and Hospitalized 11/21-12/2. Sent to ER for SOB and CP and hospitalized 12/7- present.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Hypoxia, Pneumonia, Sepsis, Tachycardia
Clinical narrative: Patient sent to ER on 10/27 r/t SOB and CP, admitted 10/27-11/2 with Dx: Sepsis, hypoxia, pneumonia. Sent back to ER for CP, SOB, and tachycardia and hospitalized 11/3-11/15 r/t pneumonia, hypoxia, CHF, A-Fib. ER visit on 11/19/21 r/t unresponsiveness. Sent to ER for hypertension and SOB and Hospitalized 11/21-12/2. Sent to ER for SOB and CP and hospitalized 12/7- present.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient sent to ER on 10/27 r/t SOB and CP, admitted 10/27-11/2 with Dx: Sepsis, hypoxia, pneumonia. Sent back to ER for CP, SOB, and tachycardia and hospitalized 11/3-11/15 r/t pneumonia, hypoxia, CHF, A-Fib. ER visit on 11/19/21 r/t unresponsiveness. Sent to ER for hypertension and SOB and Hospitalized 11/21-12/2. Sent to ER for SOB and CP and hospitalized 12/7- present.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Client presented for 2nd dose in primary series. Client received 2nd dose 23days post 1st dose instead of recommended 28days.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Insomnia
Clinical narrative: 1. Ten hours after injection, intense muscle pain and soreness. 2. Ten hours after injection, strong headache.  3. Ten hours after injection, fever and chills.  4. Ten hours after injection, inability to sleep.  5. 18 hours after injection, terrible joint pain in upper body. 6. 18 hours after injection and ongoing, sore deltoid muscle at injection site.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 1. Ten hours after injection, intense muscle pain and soreness. 2. Ten hours after injection, strong headache.  3. Ten hours after injection, fever and chills.  4. Ten hours after injection, inability to sleep.  5. 18 hours after injection, terrible joint pain in upper body. 6. 18 hours after injection and ongoing, sore deltoid muscle at injection site.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient went to both primary doctor and ER with the outcome of Bell's Palsy.  Patient reported tingling/numbness/droping of one side of face following vaccination starting the following day.  Patient was put on a treatment of acyclovir and prednisone.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder
Clinical narrative: MANUSTRIAL CYCLE HAS BEEN AFFECTED AND MANSTRATION IS HAPPENING IN TWO WEEKS AND THTEE WEEKS INSTEAD OF THE USUAL MONTHLY
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: patient should have received moderna for their booster vaccine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Dyspnoea, Oxygen saturation decreased
Clinical narrative: Symptoms started 3 weeks after 2nd dose. Symptoms included shortness of breath, cough, loss of taste and smell, drop in pulse ox. When you have asthma and get something like that and it goes into the lungs it's really hard. Symptoms lasted 2 weeks.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Symptoms started 3 weeks after 2nd dose. Symptoms included shortness of breath, cough, loss of taste and smell, drop in pulse ox. When you have asthma and get something like that and it goes into the lungs it's really hard. Symptoms lasted 2 weeks.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Myelitis transverse
Clinical narrative: Developed lower back pain at L5S1 within 2 days of the vaccine.  Developed urinary incontinence 5 days after Vaccine.  Diagnosed with TRANVERSE MYELITIS.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: Developed lower back pain at L5S1 within 2 days of the vaccine.  Developed urinary incontinence 5 days after Vaccine.  Diagnosed with TRANVERSE MYELITIS.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Alopecia, Anxiety, Disturbance in attention, Insomnia
Clinical narrative: Patient states symptoms such as anxiety and panic attacks started day after receiving dose #2 of Covid-19 vaccine. She also states that insomnia, agitation, lack of focus, mood swings , and increased hair loss. Patient states that symptoms are similar to previous autoimmune "flares" she has experienced and adds that symptoms have not yet subsided completely.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Mood swings, Panic attack
Clinical narrative: Patient states symptoms such as anxiety and panic attacks started day after receiving dose #2 of Covid-19 vaccine. She also states that insomnia, agitation, lack of focus, mood swings , and increased hair loss. Patient states that symptoms are similar to previous autoimmune "flares" she has experienced and adds that symptoms have not yet subsided completely.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given vaccine and dose for 12 year old or older, a full 7 months before 12th birthday.  Vaccinator thought patient was 13, despite  documentation otherwise.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient wanted the moderna vaccine.  Before giving the shot I confirmed with the patient that she is getting maderna as requested.  In the process of completing the paperwork I found out the patient is less that 18 and this shot is not approved for children under 18 yet.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received 3 doses of pfizer. Patient should have only recieved 2 doses. Patient stated on 3/1/2021 that she had not had a previous covid vaccine, however her employer shows she had one on 12/16/2020.  Patient was given a pfizer at the health dept  on 3/1/2021 and 3/23/2021.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pfizer-BioNTech Formulation: 5 through 11 years vaccine given to patient who is 12 years of age.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Per review patient's caregiver request for pt to receive pedi dose instead of adult dose.  vaccinator proceeded and administered pedi dose to patient before follow-up with clinical coordinator.  Event was discovered after the fact dose was given.  No side effects reported to the writer at the time of this report.  Pt's guardian was talked to and 2nd dose appt was canceled as pt and pt's guardian were deferred to follow-up with doctor for any special dose requests for future doses.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient immunocompromised, so received a full dose for her extra dose.  However, patient started with Janssen, so should have received a half dose.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rashes and hives began on the eleventh day following my Moderna booster. This is the third moderna shot I had received. Hives are all over - face, scalp, arms, groin, chest and arms. It is itchy. The hives are long and thin, like slashes. So far I've had hives for 7 days and steroids for a total of 6 days.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 13 year old patient incorrectly received Pfizer 5-11 year old formulation on 11/20/2021 for his first dose. Guardian was counseled and patient received Pfizer 12+ formulation for his second dose on 12/11/2021.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: patient received pediatric dose of 0.2ml.  should have been given adult dose of 0.3ml
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Dose
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Client received Booster of Moderna to early, no signs or symptoms reported
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chest pain, Chills, Fatigue
Clinical narrative: 1st dose pfizer 5/15/21 2nd dose 6/5/21 Booster 12/9/21. Received Covid booster on Thursday afternoon at 11am within 2 hrs started to feel ill with generalized body aches/fatigue/ That evening had severe weakness and developed temp 103, was unable to sleep and body aches were so severe she couldn't even open a bottle of water. ON Friday felt worse with same symptoms, had to stay in bed, continued with fevers/chills/body aches and fatigue. Did not take mpap or ibuprofen. On Saturday when moved in bed felt sharp pain in chest but did not radiate and had no SOB/n/v, pain came and went. On Sunday felt chest discomfort once or twice but it came and went, was a dull ache. Monday had same problem a couple of times, Tues had a couple of episodes. Today has had no episodes of chest pain but continues with upper back pain and lymph node swelling along with severe fatigue. Last time she had a fever was Sunday. On Sunday noticed swelling under left armpit. Chest pain episodes from SUN/MON/TUEs were more of a dull ache that is on the left side of chest and also has pain between both shoulder blades. Has not had any dyspnea. Temperature:  96.6. Pulse (sitting):  94. Blood Pressure (sitting): 145/82. Respirations: 18
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Lymphadenopathy, Malaise, Musculoskeletal pain, Pain
Clinical narrative: 1st dose pfizer 5/15/21 2nd dose 6/5/21 Booster 12/9/21. Received Covid booster on Thursday afternoon at 11am within 2 hrs started to feel ill with generalized body aches/fatigue/ That evening had severe weakness and developed temp 103, was unable to sleep and body aches were so severe she couldn't even open a bottle of water. ON Friday felt worse with same symptoms, had to stay in bed, continued with fevers/chills/body aches and fatigue. Did not take mpap or ibuprofen. On Saturday when moved in bed felt sharp pain in chest but did not radiate and had no SOB/n/v, pain came and went. On Sunday felt chest discomfort once or twice but it came and went, was a dull ache. Monday had same problem a couple of times, Tues had a couple of episodes. Today has had no episodes of chest pain but continues with upper back pain and lymph node swelling along with severe fatigue. Last time she had a fever was Sunday. On Sunday noticed swelling under left armpit. Chest pain episodes from SUN/MON/TUEs were more of a dull ache that is on the left side of chest and also has pain between both shoulder blades. Has not had any dyspnea. Temperature:  96.6. Pulse (sitting):  94. Blood Pressure (sitting): 145/82. Respirations: 18
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test negative
Clinical narrative: 1st dose pfizer 5/15/21 2nd dose 6/5/21 Booster 12/9/21. Received Covid booster on Thursday afternoon at 11am within 2 hrs started to feel ill with generalized body aches/fatigue/ That evening had severe weakness and developed temp 103, was unable to sleep and body aches were so severe she couldn't even open a bottle of water. ON Friday felt worse with same symptoms, had to stay in bed, continued with fevers/chills/body aches and fatigue. Did not take mpap or ibuprofen. On Saturday when moved in bed felt sharp pain in chest but did not radiate and had no SOB/n/v, pain came and went. On Sunday felt chest discomfort once or twice but it came and went, was a dull ache. Monday had same problem a couple of times, Tues had a couple of episodes. Today has had no episodes of chest pain but continues with upper back pain and lymph node swelling along with severe fatigue. Last time she had a fever was Sunday. On Sunday noticed swelling under left armpit. Chest pain episodes from SUN/MON/TUEs were more of a dull ache that is on the left side of chest and also has pain between both shoulder blades. Has not had any dyspnea. Temperature:  96.6. Pulse (sitting):  94. Blood Pressure (sitting): 145/82. Respirations: 18
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Amnesia, Feeling abnormal, Inappropriate affect, Mental status changes
Clinical narrative: Patient received one dose of Pfizer biotech vaccine on  10/12/21 .Morning on 10/15/21 at approximately 6:00 a.m. patient complained and told parents stated"I feel different can't explain it feels weird"within an hour the patient began to act very bizarre ticking  his  hands head and facial gestures. repetitive speech and loss of short term memory.Pyschotic like behavior laughing whispering to self  but no delusions or hallucinations .He has good personal insight but is unaware of his current mental status.Patient is currently still the same no changes treating with Risperdal 0.5mg
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Psychotic behaviour, Repetitive speech, Soliloquy, Tic
Clinical narrative: Patient received one dose of Pfizer biotech vaccine on  10/12/21 .Morning on 10/15/21 at approximately 6:00 a.m. patient complained and told parents stated"I feel different can't explain it feels weird"within an hour the patient began to act very bizarre ticking  his  hands head and facial gestures. repetitive speech and loss of short term memory.Pyschotic like behavior laughing whispering to self  but no delusions or hallucinations .He has good personal insight but is unaware of his current mental status.Patient is currently still the same no changes treating with Risperdal 0.5mg
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Behaviour disorder, Disturbance in attention, Facial discomfort, Facial spasm, Mental status changes
Clinical narrative: Patient received one dose of Pfizer biotech vaccine on  10/12/21 .Morning on 10/15/21 at approximately 6:00 a.m. patient complained and told parents stated"I feel different can't explain it feels weird"within an hour the patient began to act very bizarre ticking  his  hands head and facial gestures. repetitive speech and loss of short term memory.Pyschotic like behavior laughing whispering to self  but no delusions or hallucinations .He has good personal insight but is unaware of his current mental status.Patient is currently still the same no changes treating with Risperdal 0.5mg
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching, Repetitive speech, Soliloquy
Clinical narrative: Patient received one dose of Pfizer biotech vaccine on  10/12/21 .Morning on 10/15/21 at approximately 6:00 a.m. patient complained and told parents stated"I feel different can't explain it feels weird"within an hour the patient began to act very bizarre ticking  his  hands head and facial gestures. repetitive speech and loss of short term memory.Pyschotic like behavior laughing whispering to self  but no delusions or hallucinations .He has good personal insight but is unaware of his current mental status.Patient is currently still the same no changes treating with Risperdal 0.5mg
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Inadvertently administered the Pfizer vaccine after being in refrigerator for 33 days. Manufacturer label suggests the product should be in the refrigerator for no longer than a month.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient received a booster dose though not yet approved for this age group
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received .1ml of purple cap NOT orange cap therefore patient was under dosed with 1st dose. Health Department contacted along with local state immunization registry to report the error
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: fully vaccinated, covid related death
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Hypoxia
Clinical narrative: SOB, COUGH, WEAKNESS,HYPOXIA
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: SOB, COUGH, WEAKNESS,HYPOXIA
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Foetal cardiac disorder, Foetal disorder, Foetal growth restriction, Maternal exposure before pregnancy, Pregnancy
Clinical narrative: Patient became pregnant within a couple of weeks after receiving the first Moderna COVID vaccine, and as her pregnancy progressed, infant has been found to have multiple congenital birth defects- see info below from Medicine consult and echocardiogram.  11/9/21 Perinatology notes- 27w2d, US showing severe IUGR, complex congenital heart defect with single AV valve, large ASD, VSD, dilation of RV consistent with unbalanced AV canal defect, additionally persistent left SVC, suspected right sided aortic arch and vascular ring. Feet suboptimally imaged. NIPT sent (this returned normal), referred to Pediatric Cardiology and Fetal Care.  Fetal echocardiogram 11/22/21- abnormal cardiac axis of 94.8 degrees, cardiomegaly, Moderate dilation and mild hypertrophy of right ventricle with normal systolic function. Mild hypoplasia of left ventricle, apex forming with qualitatively normal systolic function, small to moderate membranous septal defect, mild-moderate hypoplasia of mitral valve annulus which has appears parachute and has abnormal chordal attachments crowding the left ventricular outflow tract. Mild-moderate dilated tricuspid annulus with mild TR, trivially hypoplastic aortic valve annulus with no anterograde stenosis. Mild hypoplastic ascending aorta, transverse arch and isthmus. Right aortic arch with suspected aberrant left subclavian artery and large left PDA- vascular ring. Right juxtaposition of left atrial appendage. Persistent left superior vena cava to a dilated coronary sinus with no bridging vein.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Prenatal screening test, Ultrasound antenatal screen abnormal
Clinical narrative: Patient became pregnant within a couple of weeks after receiving the first Moderna COVID vaccine, and as her pregnancy progressed, infant has been found to have multiple congenital birth defects- see info below from Medicine consult and echocardiogram.  11/9/21 Perinatology notes- 27w2d, US showing severe IUGR, complex congenital heart defect with single AV valve, large ASD, VSD, dilation of RV consistent with unbalanced AV canal defect, additionally persistent left SVC, suspected right sided aortic arch and vascular ring. Feet suboptimally imaged. NIPT sent (this returned normal), referred to Pediatric Cardiology and Fetal Care.  Fetal echocardiogram 11/22/21- abnormal cardiac axis of 94.8 degrees, cardiomegaly, Moderate dilation and mild hypertrophy of right ventricle with normal systolic function. Mild hypoplasia of left ventricle, apex forming with qualitatively normal systolic function, small to moderate membranous septal defect, mild-moderate hypoplasia of mitral valve annulus which has appears parachute and has abnormal chordal attachments crowding the left ventricular outflow tract. Mild-moderate dilated tricuspid annulus with mild TR, trivially hypoplastic aortic valve annulus with no anterograde stenosis. Mild hypoplastic ascending aorta, transverse arch and isthmus. Right aortic arch with suspected aberrant left subclavian artery and large left PDA- vascular ring. Right juxtaposition of left atrial appendage. Persistent left superior vena cava to a dilated coronary sinus with no bridging vein.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: client received booster dose at age 14, no signs or symptoms reported
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles left side of back
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: NO ADVERSE EVENT  (Vaccine Storage Excursion)
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: Inadvertently administered the Pfizer vaccine after being in refrigerator for 33 days. Manufacturers label suggests that the product should be in the refrigerator for no longer than a month.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 14 year old patient incorrectly received Pfizer 5-11 year old formulation on 11/20/2021 for her first dose. Guardian was counseled and patient received Pfizer 12+ formulation for her second dose on 12/11/2021.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient received booster dose though not yet approved for his age group
Age: 5.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Inappropriate schedule of product administration, Rash
Clinical narrative: Patient began having a small red bumps appear on the face shortly after receiving the flu and covid vaccine. Dr. and other staff members attained to the patient immediately with Epi-Pens on hand for possible administration. Patient was looked over, and examined by Dr.  Dr. then decided to have Benadryl 10 mL's administered for the possible adverse reaction. No hives or other rashes on trunk, arms, or back were noted. No difficulty breathing, elevated heartrate, or pharyngeal erythema present.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain Bare syndrom
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEPA, RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Hepatitis B vaccine (Recombivax HB) was ordered and signed for patient. Verbally communicated with MA the vaccines to be given: Pentacel, Hepatitis B, and Rotavirus vaccines. After MA gave vaccines, another MA was entering them into the system and noted that patient had been incorrectly given Vaqta (Hepatitis A) vaccine instead of Recombivax (Hepatitis B) vaccine as ordered. Supervising physician Dr.  was immediately notified, and mother of patient was notified subsequently. Reviewed adverse symptoms to watch for with plan to follow-up via telephone tomorrow. No immediate adverse events or symptoms were noted with the patient in office. He was breastfeeding at time of re-assessment.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient received 0.5ml instead of 0.3ml dose
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest discomfort, Chest pain, Computerised tomogram normal, Electrocardiogram normal
Clinical narrative: Chest pain and tightness between my heart and left armpit.  Sporadic, elevated flushes of heart rate, high blood pressure, and several sharp episodes of pain going from my chest through my left arm to my left elbow.    I have a normal EGK and my CT scan was fine with no calcium deposits.  I still have pain and tightness with occasional flushes of my heart rate, felt specifically in my neck when I'm resting (sleeping). Blood pressure is still elevated.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hypertension, Laboratory test
Clinical narrative: Chest pain and tightness between my heart and left armpit.  Sporadic, elevated flushes of heart rate, high blood pressure, and several sharp episodes of pain going from my chest through my left arm to my left elbow.    I have a normal EGK and my CT scan was fine with no calcium deposits.  I still have pain and tightness with occasional flushes of my heart rate, felt specifically in my neck when I'm resting (sleeping). Blood pressure is still elevated.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Laboratory test normal, Pruritus, Rash, Rash pruritic
Clinical narrative: Day 9 after my booster I experienced major itching across entire body.  Next day I had hives erupting in various parts of my body and continued itching.  Day 11 following my booster vaccine I went to care.  They prescribed steroids which I took only two days.  I have been continually been taking antihistamies (benadryl, claritin, zyrtec).   The hives are not as agreesive, but rashes continue to appear and disappear with discomfort and itching 24 hours a day.   Antihistamines provide some relief.   I had no skin reactions to first two Moderna shots.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Day 9 after my booster I experienced major itching across entire body.  Next day I had hives erupting in various parts of my body and continued itching.  Day 11 following my booster vaccine I went to care.  They prescribed steroids which I took only two days.  I have been continually been taking antihistamies (benadryl, claritin, zyrtec).   The hives are not as agreesive, but rashes continue to appear and disappear with discomfort and itching 24 hours a day.   Antihistamines provide some relief.   I had no skin reactions to first two Moderna shots.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymphadenopathy, Pain, Visual impairment
Clinical narrative: Pt c/o left axilla swelling/bump that gradually worsened a day after injection. Also c/o visual changes.  Had chills, body aches 3 hours after vaccine, but has resolved. Seen in urgent care 3 days after injection.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, Chest discomfort, Dizziness, Echocardiogram, Electrocardiogram abnormal
Clinical narrative: Pt received Pfizer mRNA COVID vaccine on 21Sept21 and noted that he felt very tired after the vaccine. About 8 hours after receiving the COVID vaccine, he felt like 'he had a rock sitting on his chest that was pressing in and sitting on his chest'. He also started feeling lightheaded and losing feeling in his hands. He called his mom who recommended he go to the ED. At the ED, he had an EKG that was concerning for pericarditis and received ASA in the ED which improved his symptoms. He was monitored in the hospital for about 1.5 days with serial EKG, troponin, and had an echo which was unremarkable for pericaridal effusion; troponin, ESR and CRP reported normal. He was discharged home in stable condition and his symptoms gradually improved over the next week without further medications.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Red blood cell sedimentation rate normal, Troponin normal
Clinical narrative: Pt received Pfizer mRNA COVID vaccine on 21Sept21 and noted that he felt very tired after the vaccine. About 8 hours after receiving the COVID vaccine, he felt like 'he had a rock sitting on his chest that was pressing in and sitting on his chest'. He also started feeling lightheaded and losing feeling in his hands. He called his mom who recommended he go to the ED. At the ED, he had an EKG that was concerning for pericarditis and received ASA in the ED which improved his symptoms. He was monitored in the hospital for about 1.5 days with serial EKG, troponin, and had an echo which was unremarkable for pericaridal effusion; troponin, ESR and CRP reported normal. He was discharged home in stable condition and his symptoms gradually improved over the next week without further medications.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PT WAS GIVEN 0.2 ML OF PFIZER ADULT DOSE INSTEAD OF PFIZER 0.2 ML PEDIATRIC DOSE
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 12-year-old patient incorrectly received pediatric Pfizer dose for dose 1 and dose 2.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Impaired work ability, Iodine uptake decreased, Night sweats
Clinical narrative: I developed excessive fatigue, weakness, palpitations, weight loss, night sweats among other symptoms starting towards the end of October 2021 and lasting until the beginning of December 2021.  This was secondary to acute thyroiditis/thyrotoxicosis.  I was unable to work during this time.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Thyroid function test abnormal, Thyroxine increased, Tri-iodothyronine increased, Weight decreased
Clinical narrative: I developed excessive fatigue, weakness, palpitations, weight loss, night sweats among other symptoms starting towards the end of October 2021 and lasting until the beginning of December 2021.  This was secondary to acute thyroiditis/thyrotoxicosis.  I was unable to work during this time.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Gave patient Moderna Covid 19 vaccine which is only approved for 18 yrs and older.  No adverse reaction reported at this time
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient did not experience any adverse events post-vaccine.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Sensation of foreign body, Throat tightness
Clinical narrative: Patient started experiencing chest tightness within 15 minutes of receiving the Pfizer vaccine. He was brought to a private room where he was allowed to remove his mask and drink some water. His BP was taken and was 140/91 and he was given an aspirin 81. Patient was watched for several more minutes and then his BP was taken again at 136/84. He said his throat was feeling tight like "a lump is in my throat." He was asked if he felt like it was closing and he said no and did not want an epipen. The staff offered to call an ambulance, but the patient denied and wanted to drive himself to the ER. He was informed that we wanted him to stay so we could call, but he said no and that he would call us when he got there. Patient called about 15 minutes later and told the staff that he got to the hospital and will  call and update us once he has been seen by a doctor.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Peripheral swelling
Clinical narrative: I had severe swelling under my left armpit and it was very painful. I was given antibiotic.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever over 24 hours that climbed to 105.8.  Fever started about 2 hours after injection but remained between 102-103 until 4:00PM Thursday, May 20, 2021 at which point it began to climb.  It finally peaked around midnight and then fell very fast over the course of about two hours to between 100 and 102 where it remained until Saturday evening, May 22, 2021 around 6:00 at which point it began to slowly drop back down to the 99-100 range where it stayed for an additional two days before dropping again to below 99.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: Shortness of breath that began after receiving COVID vaccination 12/10/2021. Noted HR elevates with mild exertion. Denies any chest pain at this time, but states she did have chest discomfort both times after receiving her COVID vaccination (1st time she was very anxious, 2nd time she was not). She states both episodes of discomfort was about 20 minutes after administration. Feeling extremely thirsty lately.   shortness of breath and a butterfly sensation in her chest. She's had two episodes both associated with the COVID injection. Symptoms started approximately 20 minutes after the injection. The first episode lasted about 20 minutes. The most recently epidsode comes and goes and symptoms are worse. She developed shortness of breath with mild exertion. She takes 10 minutes or more to recover after just brief exercise. She had an epiosde today where pulse went to 124 with ambulation on a flat surface and up to 150+ after walking just two stairs. She feels pressure on her chest and as if she cannot take a deep breath. She feels she is breathing faster than usual. She denies fevers and chills. She has a chronic cough. She's noticed wheezing.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Heart rate increased, Thirst, Wheezing
Clinical narrative: Shortness of breath that began after receiving COVID vaccination 12/10/2021. Noted HR elevates with mild exertion. Denies any chest pain at this time, but states she did have chest discomfort both times after receiving her COVID vaccination (1st time she was very anxious, 2nd time she was not). She states both episodes of discomfort was about 20 minutes after administration. Feeling extremely thirsty lately.   shortness of breath and a butterfly sensation in her chest. She's had two episodes both associated with the COVID injection. Symptoms started approximately 20 minutes after the injection. The first episode lasted about 20 minutes. The most recently epidsode comes and goes and symptoms are worse. She developed shortness of breath with mild exertion. She takes 10 minutes or more to recover after just brief exercise. She had an epiosde today where pulse went to 124 with ambulation on a flat surface and up to 150+ after walking just two stairs. She feels pressure on her chest and as if she cannot take a deep breath. She feels she is breathing faster than usual. She denies fevers and chills. She has a chronic cough. She's noticed wheezing.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Pain, Productive cough
Clinical narrative: SOB, WHEEZING, COUGH W/ MILD PRODUCTION, AND ASSOCIATED CHEST PAIN, FEVER, BODY ACHES
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Wheezing
Clinical narrative: SOB, WHEEZING, COUGH W/ MILD PRODUCTION, AND ASSOCIATED CHEST PAIN, FEVER, BODY ACHES
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Ear pain, Headache, Malaise, Myalgia
Clinical narrative: In addition to side effects of myalgias, headache and malaise lasting about 48 hours, I developed right ear pain, which persisted for the next several weeks. On my exam of 12/13/2021, the pain was located more at the insertion of the right sternocleidomastoid muscle.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal
Clinical narrative: In addition to side effects of myalgias, headache and malaise lasting about 48 hours, I developed right ear pain, which persisted for the next several weeks. On my exam of 12/13/2021, the pain was located more at the insertion of the right sternocleidomastoid muscle.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Inadvertently administered the Pfizer vaccine after being in refrigerator for 33 days. Manufacturers label suggests that the product should be in the refrigerator for no longer than a month.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccinator mistaken they were providing Moderna booster doses but she was administering primary series Moderna.  Pt was incorrectly given 2 full doses of Moderna for dose 2.  No ADRs reports to writer at time of this report.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: administered 0.3 mL of Moderna Booster instead of 0.25 mL
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Chills, Condition aggravated, Decreased appetite, Dizziness
Clinical narrative: Pt. states that after receiving the Booster dose of Janssen 12/12/2021 ( Previous Moderna 1st and 2nd) , started experiencing symptoms of fatigue, numbness in the Left arm, vision blurred, chills, body aches, fever, sweating, headache, loss of appetite, nausea, high blood pressure, light headedness, heart rate low, and lump developed under the arm (Left) with swelling. Urgent Care visit 12/15/2021, Covid Test = (Waiting for Results), Flu Test = Negative. Confirmed Lymphnoid swelling under Left arm.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Heart rate decreased, Hyperhidrosis, Hypertension
Clinical narrative: Pt. states that after receiving the Booster dose of Janssen 12/12/2021 ( Previous Moderna 1st and 2nd) , started experiencing symptoms of fatigue, numbness in the Left arm, vision blurred, chills, body aches, fever, sweating, headache, loss of appetite, nausea, high blood pressure, light headedness, heart rate low, and lump developed under the arm (Left) with swelling. Urgent Care visit 12/15/2021, Covid Test = (Waiting for Results), Flu Test = Negative. Confirmed Lymphnoid swelling under Left arm.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Influenza virus test negative, Lymphadenopathy, Nausea, Oedema peripheral
Clinical narrative: Pt. states that after receiving the Booster dose of Janssen 12/12/2021 ( Previous Moderna 1st and 2nd) , started experiencing symptoms of fatigue, numbness in the Left arm, vision blurred, chills, body aches, fever, sweating, headache, loss of appetite, nausea, high blood pressure, light headedness, heart rate low, and lump developed under the arm (Left) with swelling. Urgent Care visit 12/15/2021, Covid Test = (Waiting for Results), Flu Test = Negative. Confirmed Lymphnoid swelling under Left arm.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test, Vision blurred
Clinical narrative: Pt. states that after receiving the Booster dose of Janssen 12/12/2021 ( Previous Moderna 1st and 2nd) , started experiencing symptoms of fatigue, numbness in the Left arm, vision blurred, chills, body aches, fever, sweating, headache, loss of appetite, nausea, high blood pressure, light headedness, heart rate low, and lump developed under the arm (Left) with swelling. Urgent Care visit 12/15/2021, Covid Test = (Waiting for Results), Flu Test = Negative. Confirmed Lymphnoid swelling under Left arm.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Peripheral swelling
Clinical narrative: Significant swelling to left bottom lip, left foot, and left arm. Swelling began around 5pm on Dec. 14th, and lasted approx. 8 hours.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Rash pruritic, Sleep disorder
Clinical narrative: Approximately 4 days after receiving the booster, the soles of my feet became intensely itchy, so intense that I was awakened from sleep. There was no rash or anything visible at the time, and the itchiness subsided. The following days, I would have intense itchiness at random places on my body, but again there was no rash or anything visible. 9 days after receiving the booster, my back broke out in a rash which was unbearably itchy. I took Xyxal and applied Benedryl cream to the rash which helped somewhat. The following day, I began getting hives on my ribs and armpit area, in addition to the rash that was on my back, which spread to my neck. Every day since then, I have had hives and the rash appearing in different places on my body - mainly on my truck (back, neck, ribs, abdomen, and around my bra line). Today I had the itchy rash appear on the backs of my hands. Taking Xyxal daily in addition to applying Benedryl cream to the rash and hives relieves most of the itchiness and fades the rash and hives somewhat, but as soon as the medication wears off, the rash, hives, and itchiness return. I have also noticed the rash and hives are the most red/angry following my shower.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Approximately 4 days after receiving the booster, the soles of my feet became intensely itchy, so intense that I was awakened from sleep. There was no rash or anything visible at the time, and the itchiness subsided. The following days, I would have intense itchiness at random places on my body, but again there was no rash or anything visible. 9 days after receiving the booster, my back broke out in a rash which was unbearably itchy. I took Xyxal and applied Benedryl cream to the rash which helped somewhat. The following day, I began getting hives on my ribs and armpit area, in addition to the rash that was on my back, which spread to my neck. Every day since then, I have had hives and the rash appearing in different places on my body - mainly on my truck (back, neck, ribs, abdomen, and around my bra line). Today I had the itchy rash appear on the backs of my hands. Taking Xyxal daily in addition to applying Benedryl cream to the rash and hives relieves most of the itchiness and fades the rash and hives somewhat, but as soon as the medication wears off, the rash, hives, and itchiness return. I have also noticed the rash and hives are the most red/angry following my shower.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Heart rate irregular, Hyperhidrosis, Nausea
Clinical narrative: While hiking, which I do all the time, I suddenly couldn't catch my breath.  It was very scary.  My heart was beating weird and occasionally felt like it was clutching.  I was soaked in sweat and slightly nauseous.  I thought I was having a heart attack.  It went away 98% two miles from the bottom.  The next Saturday, hiking was difficult, my heart was not shifting to the next gear as I pushed it.  Sunday, the next day, I took it easy and went walking.  Two blocks from my home, my heart clutched, and I nearly lost consciousness.  Really thought I was having a heart attack.  Never had any problem like this before.  Terrifying.  I've now met 6 others who had a similar incident after vaccination.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Inadvertently administered the Pfizer vaccine after being in refrigerator for 33 days. Manufacturers label suggests that the product should be in the refrigerator for no longer than a month.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Pericarditis
Clinical narrative: Chest pain developed 3.5 weeks after vaccination and EKG shows pericarditis