chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus (whiring / grinding sound in the inner ear) is persistent in my left ear.  This started about an hour after I got home from the vaccine appointment.  It has been at a consistent level.  Basic attempts to solve it (ear cleaning, ear equalization via Valsalva maneuver, and messaging of the ear) have been ineffective.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Fatigue, Lymphadenopathy, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: I had the vaccine at 5PM on the 17th and went home, made dinner, and relaxed when I noticed stiffness in my arm which is pretty normal around 7/8 PM. I then began to feel tired and went to bed at 9:30 PM and woke up at 3 AM 11/18 with excruciating under arm pain and full body pain that was unlike anything I've ever experienced. I have had the flu viruses in the past with body aches and it was nothing like that. I got up and took Aleve to try and alleviate the pain, and that's when I noticed I had severe swelling on underside of my arm on the opposite side of where I had been injected with the vaccine, and I had swelling up into armpit and around the side of my chest and into my breast and up into my collar bone around my neck to the point you couldn't see my collar bone through the skin anymore. It still is somewhat puffy, and we are a week into having the vaccine. I then proceeded to get ready for work and try to go to work because I could with 2nd dose, but by the time I got to work the Aleve had worn off around 8:30 AM and my body just hurt so bad that I had to go home. I called my doctor and asked if I needed to come in but because we're overflowed with COVID-19 patients right now I was told to go home and rest and that is what I did. The body aches didn't pass until morning on the 19th. The best way that I could describe the body pain that I felt was that if needles pushed into my joints all the way back up my neck, back, fingers, toes, and had them be pulled out and pushed back in and set on fire. It was even in my jaw, and I could feel all my teeth and the swelling in my underarm especially in my armpit felt like a water balloon in it because there was so much fluid built up from the swelling. My chest was bruised from the swelling. It's finally starting to go down and I'm able to see my collar bone through my skin again. The fever and everything else were pretty typical with the first two. The 2 days in recovery on the 19th and 20th, I was experienced muscle spasms following the body pain, specifically in my back and abdomen. Today is the best I've felt since last Wednesday.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: I had the vaccine at 5PM on the 17th and went home, made dinner, and relaxed when I noticed stiffness in my arm which is pretty normal around 7/8 PM. I then began to feel tired and went to bed at 9:30 PM and woke up at 3 AM 11/18 with excruciating under arm pain and full body pain that was unlike anything I've ever experienced. I have had the flu viruses in the past with body aches and it was nothing like that. I got up and took Aleve to try and alleviate the pain, and that's when I noticed I had severe swelling on underside of my arm on the opposite side of where I had been injected with the vaccine, and I had swelling up into armpit and around the side of my chest and into my breast and up into my collar bone around my neck to the point you couldn't see my collar bone through the skin anymore. It still is somewhat puffy, and we are a week into having the vaccine. I then proceeded to get ready for work and try to go to work because I could with 2nd dose, but by the time I got to work the Aleve had worn off around 8:30 AM and my body just hurt so bad that I had to go home. I called my doctor and asked if I needed to come in but because we're overflowed with COVID-19 patients right now I was told to go home and rest and that is what I did. The body aches didn't pass until morning on the 19th. The best way that I could describe the body pain that I felt was that if needles pushed into my joints all the way back up my neck, back, fingers, toes, and had them be pulled out and pushed back in and set on fire. It was even in my jaw, and I could feel all my teeth and the swelling in my underarm especially in my armpit felt like a water balloon in it because there was so much fluid built up from the swelling. My chest was bruised from the swelling. It's finally starting to go down and I'm able to see my collar bone through my skin again. The fever and everything else were pretty typical with the first two. The 2 days in recovery on the 19th and 20th, I was experienced muscle spasms following the body pain, specifically in my back and abdomen. Today is the best I've felt since last Wednesday.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was accidently given 0.2 mL of adult Prizer 30 MCG/0.3 mL instead of Pfizer 10 MCG/0.2 mL. There have been no known adverse events reported, or treatments needed that facility is aware of.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood chloride, Brain natriuretic peptide, Computerised tomogram head, Differential white blood cell count
Clinical narrative: Weakness. Dizziness. Nausea. Sinusitis
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Full blood count, Metabolic function test, Nausea
Clinical narrative: Weakness. Dizziness. Nausea. Sinusitis
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Sinusitis, Troponin I
Clinical narrative: Weakness. Dizziness. Nausea. Sinusitis
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, SARS-CoV-2 test negative
Clinical narrative: Dr. did a blood test and the result was that I had NO Covid antibodies.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Syncope
Clinical narrative: Patient fainted about ten minutes after vaccine administration.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Dose of 0.2ml administered to patient who was only 4 years old at the time the dose was administered.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Burning sensation, Chills, Fatigue
Clinical narrative: I got the vaccine at 10 AM, at 5 AM I had a stiff neck. At 8 PM I had chills and fever. At 12 AM my upper body was throbbing, and my temperature was 99.6, it should be noted my temperature is 97.4. At 4 AM my wrists were burning. At 5 my shoulders, hips and knees were sore. At 8 AM the fever broke, and at 1 PM my left arm was still in pain. I have continued limiting movement in my shoulders. My shoulders, hips and knees. I have continuing flushes every 2-3 hours every night. My fever continues to go up to 99.8 and I have fatigue. I have also lost weight. On 11/17 I saw my doctor and they prescribed me prednisone. My symptoms are still continuing.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Mobility decreased, Musculoskeletal stiffness, Pain in extremity, Pyrexia
Clinical narrative: I got the vaccine at 10 AM, at 5 AM I had a stiff neck. At 8 PM I had chills and fever. At 12 AM my upper body was throbbing, and my temperature was 99.6, it should be noted my temperature is 97.4. At 4 AM my wrists were burning. At 5 my shoulders, hips and knees were sore. At 8 AM the fever broke, and at 1 PM my left arm was still in pain. I have continued limiting movement in my shoulders. My shoulders, hips and knees. I have continuing flushes every 2-3 hours every night. My fever continues to go up to 99.8 and I have fatigue. I have also lost weight. On 11/17 I saw my doctor and they prescribed me prednisone. My symptoms are still continuing.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance, Weight decreased
Clinical narrative: I got the vaccine at 10 AM, at 5 AM I had a stiff neck. At 8 PM I had chills and fever. At 12 AM my upper body was throbbing, and my temperature was 99.6, it should be noted my temperature is 97.4. At 4 AM my wrists were burning. At 5 my shoulders, hips and knees were sore. At 8 AM the fever broke, and at 1 PM my left arm was still in pain. I have continued limiting movement in my shoulders. My shoulders, hips and knees. I have continuing flushes every 2-3 hours every night. My fever continues to go up to 99.8 and I have fatigue. I have also lost weight. On 11/17 I saw my doctor and they prescribed me prednisone. My symptoms are still continuing.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Arm soreness for a couple days  Joint pain in knees and arms for 3 weeks
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was accidently given 0.2 mL of adult Pfizer 30 MCG/0.3 mL instead of peds Pfizer 10 MCG/0.2 mL. There have been no known adverse events reported, or treatments needed that facility is aware of.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Neck pain, Pain in extremity
Clinical narrative: I want to report mild side effects for my COVID booster. The evening after my booster I started feeling very tired. The next day my arm, arm pit and neck are sore on the side i had my shot. I am also very tired.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient experienced no adverse effects due to this vaccine administration
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus, Skin discolouration
Clinical narrative: The following day my left arm felt so hot, really red and started to swell.  It started off like a patch it was becoming bigger and bigger. The part of my left arm that I do have feeling in it could feel pressure and was really inflamed. I took pictures of my left arm and went to the clinic it was infected. I was told of my arm was ok it would go away give antibiotic three times a day and cortisone cream. My arm is discolored in the area slowly clearing up and the part that I do have feeling is still hot, itchy and pain is going away.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: The following day my left arm felt so hot, really red and started to swell.  It started off like a patch it was becoming bigger and bigger. The part of my left arm that I do have feeling in it could feel pressure and was really inflamed. I took pictures of my left arm and went to the clinic it was infected. I was told of my arm was ok it would go away give antibiotic three times a day and cortisone cream. My arm is discolored in the area slowly clearing up and the part that I do have feeling is still hot, itchy and pain is going away.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was accidently given 0.2 mL of adult Pfizer 30 MCG/0.3 mL instead of peds Pfizer 10 MCG/0.2 mL. There have been no known adverse events reported, or treatments needed that facility is aware of.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chills, Dizziness, Headache, Laboratory test
Clinical narrative: After vaccine - normal body aches, headache. 14 hours after vaccine had a syncopal event. Dizziness afterwards, Feeling unwell afterwards with subjective fever and chills.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia, Syncope
Clinical narrative: After vaccine - normal body aches, headache. 14 hours after vaccine had a syncopal event. Dizziness afterwards, Feeling unwell afterwards with subjective fever and chills.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: patient presented to emergency department on 11/5/21 with shortness of breath, cough and fever. covid-19 specimen taken and came back positive patient was admitted for further management of covid-19 patient did require treatment for symptoms associated with covid-19 infection. treatment with dexamethasone patient was intubated on 11/9/21 and extubated on 11/13/21 patient's condition worsened requiring transfer to the intensive care unit on 11/7/21 patient expired on 11/13/21
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: patient presented to emergency department on 11/5/21 with shortness of breath, cough and fever. covid-19 specimen taken and came back positive patient was admitted for further management of covid-19 patient did require treatment for symptoms associated with covid-19 infection. treatment with dexamethasone patient was intubated on 11/9/21 and extubated on 11/13/21 patient's condition worsened requiring transfer to the intensive care unit on 11/7/21 patient expired on 11/13/21
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Eye infection
Clinical narrative: Eye infection
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received an expired dose of peds Pfizer vaccine. The vaccine had been drawn up on 11/18/21 at approximately 1554. It was administered on 11/19/21 at 1521.  Pfizer was contacted on 11/22/21 for recommendations but they were unable to provide any additional stability data outside of the 12 hrs. CDC guidance recommends revaccination as soon as possible. Patient's PCP was consulted and she also recommended revaccination as soon as possible. Patient's guardian was notified that the vaccine received on 11/19/21 is considered invalid and options were reviewed. Guardian decides to bring patient back in to restart the series on 12/3/21.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: patient passed away and was found dead over a day after receiving the vaccine; expiration date of vaccine 11/25/21; patient received this as a booster dose he had first and second dose in the Spring
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: The patient came to the counter and complained that her "throat is tighter than normal."  I instructed her to remain an additional 15 minutes (30 min. total).  I provided her with water and 25mg diphenhydramine.  At the end of her 30 minute wait, she stated her throat was still feeling tight, but there was no additional swelling or difficulty breathing.  She stated she was going to the Urgent Care across the street to get checked out.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Joint swelling, Peripheral swelling, Thyroid mass
Clinical narrative: Hives starting on right elbow, progressing to scalp, left arm and face/neck. 12 hours later: swelling of joints in hands wrists and elbows. Joint pain, stiffness in joints in arm.  Lump in throat near thyroid.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives starting on right elbow, progressing to scalp, left arm and face/neck. 12 hours later: swelling of joints in hands wrists and elbows. Joint pain, stiffness in joints in arm.  Lump in throat near thyroid.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient and wife were at vaccine clinic to receive both flu and covid vaccines. Nurse had four vaccine's in front of her, two flu and two covid. When administering vaccine, patient accidently received two covid vaccines, instead of one covid and one flu. Patient is aware two pfizer covid vaccines were administered to him and will watch for symptoms.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: A booster dose was administered instead of 2nd dose on 11/22/2021. Pt was made aware of error and dose was repeated on 11/24 according to cdc guidelines
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoxia
Clinical narrative: presents to the ED due to and oriented and hypoxia. *Together by EMS who states that patient had elevated heart rate, hypoxic requiring 4 L nasal cannula, not on oxygen at home
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Respiratory rate increased
Clinical narrative: pt got vaccine at 12pm and woke up at 12am after sleeping on his stomach with liquid in throat and rapid breathing 2-3 times normal rate. lasted for 3 hours and then resolved without intervention.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Pyrexia
Clinical narrative: Fever, chills and increased heart rate for approximately 5 hours.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Bursal fluid accumulation, Injection site pain, Product administered at inappropriate site, Rotator cuff syndrome, Tendon disorder
Clinical narrative: Nurse administered Influenza vaccine too high in her left arm. When the nurse went to push the vaccine after the poke, she felt a zing to her elbow and it was painful right away. Employee was seen by PT/PCP and was diagnosed with tendonapathy of the rotator cuff muscle and has fluid in her bursa.  She has been receiving steroid injections in her left shoulder as a result and is continuing to see PT and practicing her exercises to aid with mobility. This employee has family medicine appointments  and PT sessions. She also continues to take anti-inflammatory medication to assist in her recovery.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was accidently given 0.2 mL of adult Pfizer 30 MCG/0.3 mL instead of peds Pfizer 10 MCG/0.2 mL. There have been no known adverse events reported, or treatments needed that facility is aware of.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium abnormal, Death
Clinical narrative: Patient passed away 2/2/2021
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Urticaria
Clinical narrative: hives on torso, arms, and legs. Soreness to injection site
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Pain
Clinical narrative: Patient has headache and pain at injection site for 3 days after injection. Those resolved on the 3rd day, but then patient noticed pain in the elbow joint of the right arm (opposite from her injection site). This pain has persevered for 2 weeks. The pain is only when patient extends her arm. It does not occur at rest. The area is not warm to the touch and no redness is apparent at the site.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received an expired dose of peds Pfizer vaccine. The vaccine had been drawn up on 11/18/21 at approximately 1554. It was administered on 11/19/21 at 1521.  Pfizer was contacted on 11/22/21 for recommendations but they were unable to provide any additional stability data outside of the 12 hrs. CDC guidance recommends revaccination as soon as possible. Patient's PCP was consulted and she also recommended revaccination as soon as possible. Patient's guardian was notified that the vaccine received on 11/19/21 is considered invalid and options were reviewed. Guardian decides to bring patient back in to restart the series on 12/3/21.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: This client was given a 4th dose of Moderna Vaccine
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Extra dose administered, Herpes simplex
Clinical narrative: HSV1 outbreak 2 days after receiving Covid booster shot. Diagnosed/initial outbreak in 08/2021 with no recurrence until receipt of the booster shot
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Induration, Pain, Skin warm
Clinical narrative: Redness, pain, warmth, swelling, induration; clinically consistent with cellulitis and treated as such
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Redness, pain, warmth, swelling, induration; clinically consistent with cellulitis and treated as such
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin, Blood immunoglobulin G normal, CSF glucose normal, CSF protein normal, Enterovirus test negative
Clinical narrative: Mom reports he was otherwise in his normal state of health on 11/11 when he got his first COVID-19 vaccine in his left deltoid. He had some pain there the first day and then this resolved--he did well for a week. On the night of 11/18 he began complaining of a little pain in the left upper arm again and went to sleep. On 11/19 AM, he noticed and showed mom that he had difficulty extending his wrist and fingers on that hand. He also has some pain in his lateral arm just above the elbow and some itching of the dorsal surface of the hand, both which started in the previous 24 hours. He was evaluated for acute left wrist drop at Hospital ED, exam notable for "left wrist drop, very weak left finger extensors and weak thumb abduction." He underwent work up there including lab work and MRI (below). He was ultimately discharged with suspected peripheral radial nerve neuropathy of the left hand.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Epstein-Barr virus antibody negative, Full blood count, Haemoglobin normal, Injection site pain, Lumbar puncture
Clinical narrative: Mom reports he was otherwise in his normal state of health on 11/11 when he got his first COVID-19 vaccine in his left deltoid. He had some pain there the first day and then this resolved--he did well for a week. On the night of 11/18 he began complaining of a little pain in the left upper arm again and went to sleep. On 11/19 AM, he noticed and showed mom that he had difficulty extending his wrist and fingers on that hand. He also has some pain in his lateral arm just above the elbow and some itching of the dorsal surface of the hand, both which started in the previous 24 hours. He was evaluated for acute left wrist drop at Hospital ED, exam notable for "left wrist drop, very weak left finger extensors and weak thumb abduction." He underwent work up there including lab work and MRI (below). He was ultimately discharged with suspected peripheral radial nerve neuropathy of the left hand.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck, Muscular weakness, Neisseria test, Neuropathy peripheral, Neutrophil count
Clinical narrative: Mom reports he was otherwise in his normal state of health on 11/11 when he got his first COVID-19 vaccine in his left deltoid. He had some pain there the first day and then this resolved--he did well for a week. On the night of 11/18 he began complaining of a little pain in the left upper arm again and went to sleep. On 11/19 AM, he noticed and showed mom that he had difficulty extending his wrist and fingers on that hand. He also has some pain in his lateral arm just above the elbow and some itching of the dorsal surface of the hand, both which started in the previous 24 hours. He was evaluated for acute left wrist drop at Hospital ED, exam notable for "left wrist drop, very weak left finger extensors and weak thumb abduction." He underwent work up there including lab work and MRI (below). He was ultimately discharged with suspected peripheral radial nerve neuropathy of the left hand.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Posture abnormal, Pruritus, Radial nerve palsy, Red blood cell count normal
Clinical narrative: Mom reports he was otherwise in his normal state of health on 11/11 when he got his first COVID-19 vaccine in his left deltoid. He had some pain there the first day and then this resolved--he did well for a week. On the night of 11/18 he began complaining of a little pain in the left upper arm again and went to sleep. On 11/19 AM, he noticed and showed mom that he had difficulty extending his wrist and fingers on that hand. He also has some pain in his lateral arm just above the elbow and some itching of the dorsal surface of the hand, both which started in the previous 24 hours. He was evaluated for acute left wrist drop at Hospital ED, exam notable for "left wrist drop, very weak left finger extensors and weak thumb abduction." He underwent work up there including lab work and MRI (below). He was ultimately discharged with suspected peripheral radial nerve neuropathy of the left hand.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test negative, White blood cell count decreased
Clinical narrative: Mom reports he was otherwise in his normal state of health on 11/11 when he got his first COVID-19 vaccine in his left deltoid. He had some pain there the first day and then this resolved--he did well for a week. On the night of 11/18 he began complaining of a little pain in the left upper arm again and went to sleep. On 11/19 AM, he noticed and showed mom that he had difficulty extending his wrist and fingers on that hand. He also has some pain in his lateral arm just above the elbow and some itching of the dorsal surface of the hand, both which started in the previous 24 hours. He was evaluated for acute left wrist drop at Hospital ED, exam notable for "left wrist drop, very weak left finger extensors and weak thumb abduction." He underwent work up there including lab work and MRI (below). He was ultimately discharged with suspected peripheral radial nerve neuropathy of the left hand.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Infection, Skin warm
Clinical narrative: I got a large red hot to touch on Saturday morning. I went to a Urgent Care told me it was a secondary infection cellulitis I was prescribed antibiotic. I'm better today.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Anti-thyroid antibody, Autoimmune thyroiditis, Blood thyroid stimulating hormone decreased, Discomfort
Clinical narrative: 2 weeks post-vaccination experienced severe headache and neck stiffness/heaviness with lower extremity paresthesias that required emergency department visit. COVID testing negative, lab tests showed significantly elevated d dimer. MRI/MRV was negative for clot, DVT study negative.  Repeat d dimer trending down 1 week later.   2 months after this occurrence significant hair shedding started. Lab tests done by doctor revealed elevated TSH. Previous labs earlier in the year BEFORE vaccination showed a normal TSH and NO history of thyroid issues in family or self.  Thyroid antibodies now also positive suggesting acute onset of Hashimotos.   Now currently seeing an endocrinologist who believes the vaccine may have triggered this condition. Currently on synthroid. Still experiencing hair los and severe fatigue.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Headache, Magnetic resonance imaging normal, Musculoskeletal stiffness
Clinical narrative: 2 weeks post-vaccination experienced severe headache and neck stiffness/heaviness with lower extremity paresthesias that required emergency department visit. COVID testing negative, lab tests showed significantly elevated d dimer. MRI/MRV was negative for clot, DVT study negative.  Repeat d dimer trending down 1 week later.   2 months after this occurrence significant hair shedding started. Lab tests done by doctor revealed elevated TSH. Previous labs earlier in the year BEFORE vaccination showed a normal TSH and NO history of thyroid issues in family or self.  Thyroid antibodies now also positive suggesting acute onset of Hashimotos.   Now currently seeing an endocrinologist who believes the vaccine may have triggered this condition. Currently on synthroid. Still experiencing hair los and severe fatigue.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, SARS-CoV-2 test negative, Thyroxine, Ultrasound Doppler normal, Vaccination complication
Clinical narrative: 2 weeks post-vaccination experienced severe headache and neck stiffness/heaviness with lower extremity paresthesias that required emergency department visit. COVID testing negative, lab tests showed significantly elevated d dimer. MRI/MRV was negative for clot, DVT study negative.  Repeat d dimer trending down 1 week later.   2 months after this occurrence significant hair shedding started. Lab tests done by doctor revealed elevated TSH. Previous labs earlier in the year BEFORE vaccination showed a normal TSH and NO history of thyroid issues in family or self.  Thyroid antibodies now also positive suggesting acute onset of Hashimotos.   Now currently seeing an endocrinologist who believes the vaccine may have triggered this condition. Currently on synthroid. Still experiencing hair los and severe fatigue.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Venogram
Clinical narrative: 2 weeks post-vaccination experienced severe headache and neck stiffness/heaviness with lower extremity paresthesias that required emergency department visit. COVID testing negative, lab tests showed significantly elevated d dimer. MRI/MRV was negative for clot, DVT study negative.  Repeat d dimer trending down 1 week later.   2 months after this occurrence significant hair shedding started. Lab tests done by doctor revealed elevated TSH. Previous labs earlier in the year BEFORE vaccination showed a normal TSH and NO history of thyroid issues in family or self.  Thyroid antibodies now also positive suggesting acute onset of Hashimotos.   Now currently seeing an endocrinologist who believes the vaccine may have triggered this condition. Currently on synthroid. Still experiencing hair los and severe fatigue.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Patient experienced a fever (101.3 F), substantial nausea and vomiting.  Starting approximately 10 hours post vaccination.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mean platelet volume normal
Clinical narrative: Extreme fatigue
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Blood test, Deep vein thrombosis, Exposure during pregnancy
Clinical narrative: I received my second dose of the pfizer covid vaccine on 14Oct2021 at 18weeks pregnant. This is my first pregnancy and up until my adverse event it had been textbook. I have no significant medical history either personally or family.  On November 1st I started to develop left hip pain that gradually got worse with weight bearing and movement. I spoke with my PCM about this as I was concerned with flying on November 8th. After speaking with my PCM and agreeing it was more than likely a muscle strain I just scratched and used heat to try and lessen the pain. I looked up DVT symptoms and pregnancy recommendations while flying and with the good to go from my doctor i went on my 4 hour flight being sure to get up and walk every hour. By November 9th my left leg had started to swell and on the 10th I went to the ER. I was admitted to a local hospital and was diagnosed with a blood clot that extended from my external iliac vein to my popliteal segment of femoral vein I was put on blood thinners and was taken by ambulance from that hospital to another HCF. I was there for roughly 24 hour on blood thinners and was discharged with a status of high risk and am on blood thinners for at least 6 weeks after my delivery.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pelvic venous thrombosis, Peripheral swelling, Weight bearing difficulty
Clinical narrative: I received my second dose of the pfizer covid vaccine on 14Oct2021 at 18weeks pregnant. This is my first pregnancy and up until my adverse event it had been textbook. I have no significant medical history either personally or family.  On November 1st I started to develop left hip pain that gradually got worse with weight bearing and movement. I spoke with my PCM about this as I was concerned with flying on November 8th. After speaking with my PCM and agreeing it was more than likely a muscle strain I just scratched and used heat to try and lessen the pain. I looked up DVT symptoms and pregnancy recommendations while flying and with the good to go from my doctor i went on my 4 hour flight being sure to get up and walk every hour. By November 9th my left leg had started to swell and on the 10th I went to the ER. I was admitted to a local hospital and was diagnosed with a blood clot that extended from my external iliac vein to my popliteal segment of femoral vein I was put on blood thinners and was taken by ambulance from that hospital to another HCF. I was there for roughly 24 hour on blood thinners and was discharged with a status of high risk and am on blood thinners for at least 6 weeks after my delivery.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gingival swelling, Pain, Swelling face
Clinical narrative: Patient's mother relates that patient got her 1st COVID vaccine on Thursday, 11/18/2021, along with her other siblings. On Friday, 11/19/2021, she was feeling tired and achy and she gave her a dose of Ibuprofen. Then on Saturday, 11/20/2021, patient woke up with swelling to the right side of her face and her upper gums. Patient's mother called and spoke with a provider at a prompt care and was encouraged to bring patient to an ER. Patient was brought to the ED on 11/20/21 after giving her a dose of Benadryl at home. Patient's mother relates that patient was discharged from the ED with instructions to continue Benadryl and cool compresses. The ED notes state that patient had minimal swelling to the right eyelid and the upper gums and had no swelling to the tongue, lips, or pharynx and was  not having any difficulty with breathing. Patient's mother relates that patient is doing better and has not had to have any Benadryl since Sunday, 11/21/2021.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received an expired dose of peds Pfizer vaccine. The vaccine had been drawn up on 11/18/21 at approximately 1554. It was administered on 11/19/21 at 1521.  Pfizer was contacted on 11/22/21 for recommendations but they were unable to provide any additional stability data outside of the 12 hrs. CDC guidance recommends revaccination as soon as possible. Patient's PCP was consulted and he also recommended revaccination. Parent notified on 11/24/21.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Hyperhidrosis, Loss of consciousness, Pallor, Syncope
Clinical narrative: Patient fainted in the waiting room approximately 5 to 7 minutes after receiving Janssen COVID-19  vaccine. He was caught by his father and a bystander (preventing fall). Upon regaining consciousness, he began to experience loss of color, sweating and disorientation. I removed his hat and jacket and kept him upright with support to keep him from falling. He fainted/loss consciousness an additional 2 times (time between unknown). I was unable to get a BP reading on an automatic BP machine. I administered 0.3mg of epinephrine. Patient reported approximately 30-45 seconds later he was beginning to feel better. Diaphoresis improved and he began to regain color. EMTs arrived and took over care.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Incomplete course of vaccination, SARS-CoV-2 test positive
Clinical narrative: Received only 1 Pfizer vaccine in April. Pt tested positive for covid on November 2, 2021, pt had cough, SOB was admitted on 11/16 and was discharged on 11/20
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The patient was administered Pfizer vaccine for age 12 and older (0.3 ml) Pt did not report any reactions after vaccination. 11/24/21 Per mother patient doing well .
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Lymphadenopathy, Ultrasound scan
Clinical narrative: On Aug 10 I had completed a mammogram/exam and all was good. On Sept 11 I had my first shot in my left arm and had no reaction. On Oct 3 I had my second shot in my right arm. Within 24 hours the lymph nodes in my neck near my collarbone (right side) swelled to the point that it was uncomfortable (maybe the size of a small egg). After reading up on this I waited 14 days. After that period of time, the swelling had gone down but did not fully go away (now the size of a marble). After consulting with my DR, an ultra sound was done (I had a lumpectomy done on my left side 5 years ago). The lymph node was measured on November 1 and I was told to return in three mo (Feb 2022) for another measurement.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Incorrect dose administered, Incorrect route of product administration, No adverse event, Syringe issue
Clinical narrative: An IM injection was administered in the patient's right arm. When the plunger on the syringe was pushed liquid leaker out around the needle. The vaccinator was unable to determine how much of the dose was injected into the patient, and how much leaked out. Pt has a contraindication to receiving injection in left arm due to hx of breast cancer. Full dose of vaccine was then administer in patient's right thigh. No adverse effects to vaccination reported.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Low- grade fever of 99.8 in the morning of 11/23, then nausea followed by vomiting once, took Tylenol and ibuprofen with cold compresses and drank lots of water. It worked slowly and fever went down but spiked again after medicine wore off to 101.2, I did the same thing, it worked well again and it stayed off for a while even through sleep, but I got another fever at 4am 11/24 at 102.2 I took ibuprofen and cold compresses and kept drinking fluids, and it went down and back to normal when I woke up at 10:30am at 97.5.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Influenza, Nausea, Pain
Clinical narrative: When woke up felt real nausea. She had fever and chills more like flu symptoms. She had body aches and tiredness.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: When woke up felt real nausea. She had fever and chills more like flu symptoms. She had body aches and tiredness.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: The patient passed away on 11/22/21. There is no clinical evidence to support that the death was caused by the vaccine, but since it meets the definition of reportable we are doing so as required.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Bone pain, Bursa disorder, Immediate post-injection reaction, Injected limb mobility decreased
Clinical narrative: Nurse administered the vaccine right where my upper arm meets my shoulder. No pinch, but  much, much higher than I have ever been injected in my 67 years. It was far more painful than previous shots I have ever received. She asked me to massage the area of the injection, which I had never experienced before. I couldn't do it because of the immediate soreness around the beginning of my shoulder bone. The pain wore off within 24-hours. But two days later, I began to feel sharp pain in my entire shoulder and lost my range of motion.  Right after the injection, I spoke with, emailed and texted some of my co-workers. I told them about how unusually high on my shoulder the vaccine was administered, and that I was concerned. Those dialogues continued when my shoulder pain lingered and then got worse. It's been 10 months and my shoulder is more painful than ever. My range of motion is as slight as ever.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Joint injection, Magnetic resonance imaging abnormal, Product administered at inappropriate site
Clinical narrative: Nurse administered the vaccine right where my upper arm meets my shoulder. No pinch, but  much, much higher than I have ever been injected in my 67 years. It was far more painful than previous shots I have ever received. She asked me to massage the area of the injection, which I had never experienced before. I couldn't do it because of the immediate soreness around the beginning of my shoulder bone. The pain wore off within 24-hours. But two days later, I began to feel sharp pain in my entire shoulder and lost my range of motion.  Right after the injection, I spoke with, emailed and texted some of my co-workers. I told them about how unusually high on my shoulder the vaccine was administered, and that I was concerned. Those dialogues continued when my shoulder pain lingered and then got worse. It's been 10 months and my shoulder is more painful than ever. My range of motion is as slight as ever.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Bursitis, Magnetic resonance imaging abnormal
Clinical narrative: Nurse administered the vaccine right where my upper arm meets my shoulder. No pinch, but  much, much higher than I have ever been injected in my 67 years. It was far more painful than previous shots I have ever received. She asked me to massage the area of the injection, which I had never experienced before. I couldn't do it because of the immediate soreness around the beginning of my shoulder bone. The pain wore off within 24-hours. But two days later, I began to feel sharp pain in my entire shoulder and lost my range of motion.  Right after the injection, I spoke with, emailed and texted some of my co-workers. I told them about how unusually high on my shoulder the vaccine was administered, and that I was concerned. Those dialogues continued when my shoulder pain lingered and then got worse. It's been 10 months and my shoulder is more painful than ever. My range of motion is as slight as ever.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient filled out VAR to receive Flu and Covid booster, Verified vaccines with patient, she said yes. When documenting both vaccines, a hard stop popped up stating she had already received her flu vaccine in October of 2021. No adverse reactions, but patient received an extra dose of the flu vaccine.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: Client had received Moderna primary series in January 20 21 and February 2021. At the time client was 16 years old. Client presented today for Moderna booster and it was identified the patient was not eligible for Moderna due to being under 18. However Pfizer is approved for under 18 Pfizer was administered as a booster and patient is still not eligible for a booster due to age under 18 .
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Hypotension, Loss of consciousness, Muscle twitching, Seizure, Syncope
Clinical narrative: Patient was seated when she received flu shot in left arm and within 30 seconds fainted and then shortly twitched/convulsed upper body for less than 5 seconds. She came back to consciousness slowly within another 30 seconds. EMS was called and arrived at the scene within 5-7 minutes of the adverse event. EMS checked blood pressure which was low and then rechecked in 10 minutes which was still low. EMS filled out report and discussed with mom stating they could admit patient to hospital for more observation/care, but mom was comfortable enough and declined admitting patient to hospital.
Age: 51.0
Sex: F
Vaccine: FLUR4
Symptoms: Pharyngeal swelling, Pruritus
Clinical narrative: Pt. states that after receiving the 1st dose of Influenza (Blok) 11/23/2021, started experiencing symptoms of itchiness throughout the facial area and neck area with swelling of the throat (was able to breath sufficiently). Self-treated with Benadryl and Ice Pack applied. Symptoms lasting 36hrs. Primary communications recommendation of Emergency Room visit (N/A). No noted Primary/Emergency Room visit.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Dyspnoea, Fall, Grunting
Clinical narrative: A staff member reported there was a client "on the floor" in the observation area. This PHN asked NP to assist with possible emergency. Both providers to patient side, this PHN went to grab cot as patient reported feeling "lightheaded." Patient initially refused treatment, but was then willing to move to cot from floor. After about a minute on the cot, Patient became more pale and lost consciousness. Patient's pupils dilated fully, RR was  6 with wheezes, gasps, and grunts, and his body went rigid with tonic clonic, seizure-like movements. His wife, was present and this PHN asked her to call 911, Patient came to several seconds later and was able to respond to his name. VS: 110/60, HR: 68. RR even and increased, skin: color returning but pale, diaphoretic. EMTs arrived shortly after Patient regained consciousness and we transferred care to them. They eventually cleared Patient, as he declined transportation to the ED, and he left the site.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Muscle rigidity, Mydriasis, Pallor
Clinical narrative: A staff member reported there was a client "on the floor" in the observation area. This PHN asked NP to assist with possible emergency. Both providers to patient side, this PHN went to grab cot as patient reported feeling "lightheaded." Patient initially refused treatment, but was then willing to move to cot from floor. After about a minute on the cot, Patient became more pale and lost consciousness. Patient's pupils dilated fully, RR was  6 with wheezes, gasps, and grunts, and his body went rigid with tonic clonic, seizure-like movements. His wife, was present and this PHN asked her to call 911, Patient came to several seconds later and was able to respond to his name. VS: 110/60, HR: 68. RR even and increased, skin: color returning but pale, diaphoretic. EMTs arrived shortly after Patient regained consciousness and we transferred care to them. They eventually cleared Patient, as he declined transportation to the ED, and he left the site.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure like phenomena, Wheezing
Clinical narrative: A staff member reported there was a client "on the floor" in the observation area. This PHN asked NP to assist with possible emergency. Both providers to patient side, this PHN went to grab cot as patient reported feeling "lightheaded." Patient initially refused treatment, but was then willing to move to cot from floor. After about a minute on the cot, Patient became more pale and lost consciousness. Patient's pupils dilated fully, RR was  6 with wheezes, gasps, and grunts, and his body went rigid with tonic clonic, seizure-like movements. His wife, was present and this PHN asked her to call 911, Patient came to several seconds later and was able to respond to his name. VS: 110/60, HR: 68. RR even and increased, skin: color returning but pale, diaphoretic. EMTs arrived shortly after Patient regained consciousness and we transferred care to them. They eventually cleared Patient, as he declined transportation to the ED, and he left the site.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: COVID arm. Rash around injection site, warm to the touch, itchy, hard to the touch (but not painful).
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Pain, Swollen tongue, Throat irritation, Throat tightness
Clinical narrative: About 2 minutes after vaccine, my throat started feeling tight and itchy and so I flagged down one of the nurses and they took me behind this curtain and went over my symptoms. They gave me Benadryl and after my tongue and throat was swelling, they hit me with that and kept me for about an hour for observation. I was able to breathe the whole time, it was just a strong allergic reaction and not anaphylactic. They observed me for 45 minutes and I went home and slept through the night and felt achy and kind of sick. I would say the achiness lasted about 24 hours.