chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Feeling cold, Headache
Clinical narrative: Office Visit  10/19/2021 Urgent Care   CRNP  Family Medicine Cough +3 more  Dx Cough  ? Fever ? Sinusitis  Reason for Visit  MDM See HPI and physical exam to review pertinent information regarding visit. Patient meet criteria to test for COVID-19, Doubt sepsis ort her serious bacterial infections. Is other wise appearing with acceptable vitals and reassuring physical exam. Pt was informed that we will call with test results once received. Pt directed on return precautions and instructions on self-isolation/quarantine and anticipatory guidance. Supportive care recommendations were reviewed in light of the patient's age, past medical history and comorbidities. Plan of care agreed with patient/parent.      Patient tested positive for COVID-19.  Spoke to Covid navigator and unfortunately the patient does not meet qualifications to receive the Mab infusion at this time.  Notify the patient of these results.   Patient Education    There are no Patient Instructions on file for this visit.     History Chief Complaint Patient presents with ? Cough     symptoms started on Sunday  ? Fever ? Sinusitis     Patient is a 61 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 2 days ago. Sinus pain and pressure Yes Fever/ chills Yes Headache Yes Body aches Yes Cough Yes Sob Yes Sore throat No Nausea/ vomiting/ diarrhea. No Loss of taste or smell No Medications used:Yes Nyquil liquid Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: No History of asthma, bronchitis, pneumonia. No Pt received COVID vaccination.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: Office Visit  10/19/2021 Urgent Care   CRNP  Family Medicine Cough +3 more  Dx Cough  ? Fever ? Sinusitis  Reason for Visit  MDM See HPI and physical exam to review pertinent information regarding visit. Patient meet criteria to test for COVID-19, Doubt sepsis ort her serious bacterial infections. Is other wise appearing with acceptable vitals and reassuring physical exam. Pt was informed that we will call with test results once received. Pt directed on return precautions and instructions on self-isolation/quarantine and anticipatory guidance. Supportive care recommendations were reviewed in light of the patient's age, past medical history and comorbidities. Plan of care agreed with patient/parent.      Patient tested positive for COVID-19.  Spoke to Covid navigator and unfortunately the patient does not meet qualifications to receive the Mab infusion at this time.  Notify the patient of these results.   Patient Education    There are no Patient Instructions on file for this visit.     History Chief Complaint Patient presents with ? Cough     symptoms started on Sunday  ? Fever ? Sinusitis     Patient is a 61 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 2 days ago. Sinus pain and pressure Yes Fever/ chills Yes Headache Yes Body aches Yes Cough Yes Sob Yes Sore throat No Nausea/ vomiting/ diarrhea. No Loss of taste or smell No Medications used:Yes Nyquil liquid Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: No History of asthma, bronchitis, pneumonia. No Pt received COVID vaccination.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Office Visit  10/19/2021 Urgent Care   CRNP  Family Medicine Cough +3 more  Dx Cough  ? Fever ? Sinusitis  Reason for Visit  MDM See HPI and physical exam to review pertinent information regarding visit. Patient meet criteria to test for COVID-19, Doubt sepsis ort her serious bacterial infections. Is other wise appearing with acceptable vitals and reassuring physical exam. Pt was informed that we will call with test results once received. Pt directed on return precautions and instructions on self-isolation/quarantine and anticipatory guidance. Supportive care recommendations were reviewed in light of the patient's age, past medical history and comorbidities. Plan of care agreed with patient/parent.      Patient tested positive for COVID-19.  Spoke to Covid navigator and unfortunately the patient does not meet qualifications to receive the Mab infusion at this time.  Notify the patient of these results.   Patient Education    There are no Patient Instructions on file for this visit.     History Chief Complaint Patient presents with ? Cough     symptoms started on Sunday  ? Fever ? Sinusitis     Patient is a 61 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 2 days ago. Sinus pain and pressure Yes Fever/ chills Yes Headache Yes Body aches Yes Cough Yes Sob Yes Sore throat No Nausea/ vomiting/ diarrhea. No Loss of taste or smell No Medications used:Yes Nyquil liquid Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: No History of asthma, bronchitis, pneumonia. No Pt received COVID vaccination.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Gout
Clinical narrative: Gout in 2nd toe on right foot.  Treated with methyl prednisone, tylenol, voltaren, and heating pad.  Has decreased in intensity but not fully resolved.  Also some fatigue.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal X-ray, Abdominal pain, C-reactive protein, Chest X-ray, Computerised tomogram abdomen
Clinical narrative: Increased abdominal pain and bloody stools.  Now has a perforated bowel and is in need of surgical intervention
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Haematochezia, Intestinal perforation, Metabolic function test, Urine analysis
Clinical narrative: Increased abdominal pain and bloody stools.  Now has a perforated bowel and is in need of surgical intervention
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: COVID-19, Dyspnoea, Hypoxia, Mechanical ventilation, Obesity
Clinical narrative: Received Moderna vaccines on 2/17/21, 3/17/21. Tested positive for COVID 19 by PCR on 10/29/21. admitted to Hospital on 10/29/21 w/ SOB, hypoxia, pneumonia. Underlying obesity BMI 54. Started on Remdesivir, dexamethasone. Currently on ventilator
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Received Moderna vaccines on 2/17/21, 3/17/21. Tested positive for COVID 19 by PCR on 10/29/21. admitted to Hospital on 10/29/21 w/ SOB, hypoxia, pneumonia. Underlying obesity BMI 54. Started on Remdesivir, dexamethasone. Currently on ventilator
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: Death
Clinical narrative: Received Moderna vaccines on 2/17/21, 3/17/21. Tested positive for COVID 19 by PCR on 10/29/21. admitted to Hospital on 10/29/21 w/ SOB, hypoxia, pneumonia. Underlying obesity BMI 54. Started on Remdesivir, dexamethasone. Currently on ventilator
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Echocardiogram, Gait inability, Headache, Hemiparesis
Clinical narrative: Around 48 hrs after injection I experienced right sided weakness/numbness in leg and arm, pressure in right eye, right face numbness. Went to urgent care and they referred me to Hospital. Had CT scans and MRI without contrast, MRI w/ contrast, ultrasound, and ECHO done over next three ER visits. Had about 4-5 episodes of right sided weakness/numbness with inability to walk on right leg.  Dr.s said migraine with aura, and inflammation of cervical and lumbar discs and prescribed Mobic 15mg as for 30 days. Haven?t had an episode since completing  Mobic but do get occasional headaches which I never get headaches before.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Intervertebral discitis, Migraine with aura, Ocular discomfort, Scan with contrast
Clinical narrative: Around 48 hrs after injection I experienced right sided weakness/numbness in leg and arm, pressure in right eye, right face numbness. Went to urgent care and they referred me to Hospital. Had CT scans and MRI without contrast, MRI w/ contrast, ultrasound, and ECHO done over next three ER visits. Had about 4-5 episodes of right sided weakness/numbness with inability to walk on right leg.  Dr.s said migraine with aura, and inflammation of cervical and lumbar discs and prescribed Mobic 15mg as for 30 days. Haven?t had an episode since completing  Mobic but do get occasional headaches which I never get headaches before.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: Around 48 hrs after injection I experienced right sided weakness/numbness in leg and arm, pressure in right eye, right face numbness. Went to urgent care and they referred me to Hospital. Had CT scans and MRI without contrast, MRI w/ contrast, ultrasound, and ECHO done over next three ER visits. Had about 4-5 episodes of right sided weakness/numbness with inability to walk on right leg.  Dr.s said migraine with aura, and inflammation of cervical and lumbar discs and prescribed Mobic 15mg as for 30 days. Haven?t had an episode since completing  Mobic but do get occasional headaches which I never get headaches before.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood urine present, Body temperature increased, Headache, Heart rate increased
Clinical narrative: The day after the vaccine 10/27/2021 I had rapid heartrate, extreme headache, temp of 102.1 And then that that night I began to feel better around 8pm. However, I was weak for 3 more days. I then had blood in my urine and was instructed buy my doctor to go to the ER on 11/01/2021. They diagnosed me with a UTI and gave me an antibiotic. It has now been a few days and I am feeling better. There is no more blood in my urine as of today 11/02/2021.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis
Clinical narrative: The day after the vaccine 10/27/2021 I had rapid heartrate, extreme headache, temp of 102.1 And then that that night I began to feel better around 8pm. However, I was weak for 3 more days. I then had blood in my urine and was instructed buy my doctor to go to the ER on 11/01/2021. They diagnosed me with a UTI and gave me an antibiotic. It has now been a few days and I am feeling better. There is no more blood in my urine as of today 11/02/2021.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram, Laboratory test, Myocarditis
Clinical narrative: At around 11;30pm the day after my son received his 2nd Pfizer Covid vaccine, he woke me up and was complaining of significant chest pain.  He could not get comfortable.  I called the consulting nurse, as he was not having problems breathing she said I did not need to take him into the emergency room but to continue to monitor him and suggested giving him ibuprofen, I  had already administered one ibuprofen and then gave him another.  After several hours he was able to get comfortable and go to sleep.  We had a routine visit with the pediatrician two weeks later and we discussed what had happened.  Since he appeared to not have any further symptoms we didn't specifically run any test for the doctor order an EKG.  We ended up having to follow up with a cardiologist and when we describe the event she determined based on what she had seen in other patients and that the ibuprofen stopped the symptoms that it is likely he had myocarditis as a result of the 2nd vaccine.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap normal, Aspartate aminotransferase normal, Basophil count normal, Blood alkaline phosphatase normal
Clinical narrative: Severe Flu symptoms, body aches by 5-21-2021 (Day 3). Went to ER on 5-21-2021 (day 6) with severe acute chest pain from the heart area
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: Severe Flu symptoms, body aches by 5-21-2021 (Day 3). Went to ER on 5-21-2021 (day 6) with severe acute chest pain from the heart area
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Carbon dioxide normal, Chest X-ray abnormal, Chest pain
Clinical narrative: Severe Flu symptoms, body aches by 5-21-2021 (Day 3). Went to ER on 5-21-2021 (day 6) with severe acute chest pain from the heart area
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count abnormal, Electrocardiogram normal, Eosinophil count normal, Glomerular filtration rate normal, Haematocrit normal
Clinical narrative: Severe Flu symptoms, body aches by 5-21-2021 (Day 3). Went to ER on 5-21-2021 (day 6) with severe acute chest pain from the heart area
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin normal, Immature granulocyte count, Influenza, Lung opacity, Lymphocyte count normal
Clinical narrative: Severe Flu symptoms, body aches by 5-21-2021 (Day 3). Went to ER on 5-21-2021 (day 6) with severe acute chest pain from the heart area
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Monocyte count normal, Neutrophil count normal, Nucleated red cells, Pain
Clinical narrative: Severe Flu symptoms, body aches by 5-21-2021 (Day 3). Went to ER on 5-21-2021 (day 6) with severe acute chest pain from the heart area
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Red blood cell count normal, Red cell distribution width normal, SARS-CoV-2 test negative, Troponin I normal
Clinical narrative: Severe Flu symptoms, body aches by 5-21-2021 (Day 3). Went to ER on 5-21-2021 (day 6) with severe acute chest pain from the heart area
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Paraesthesia
Clinical narrative: I had large red, swollen, itchy spot at the injection site. The tingling when down my arm. These symptoms are still ongoing. I email my doctor about this. They gave me a prescription for it.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest X-ray normal, Chest pain, Electrocardiogram normal, Heart rate increased
Clinical narrative: Woke up middle of the night with a rapid, sustained heart rate of 174 bpm. Had some chest pain on left side below armpit, numbness in hands, fever of 100.4 in spite of ibuprofen, apiked blood pressure of 160/100 and extreme thirst.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Pyrexia, Sleep disorder, Thirst
Clinical narrative: Woke up middle of the night with a rapid, sustained heart rate of 174 bpm. Had some chest pain on left side below armpit, numbness in hands, fever of 100.4 in spite of ibuprofen, apiked blood pressure of 160/100 and extreme thirst.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Cough, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: Office Visit   10/18/2021  Family Medicine Cough  Dx Cough  Reason for Visit  Chief Complaint   Exposure to COVID-19 virus X'S 3 WEEKS was seen at UC      ASSESSMENT and PLAN: Patient was seen today for cough.  Patient presents with ? Cough    1. Cough/exposure COVID 19. Concern that she has now started to have a fever. Will check chest xray and COVID test. If evidence of bacterial infection, will start zpak likely. I recommend a trial of pred taper and monitoring symptoms. Symptomatic treatment with albuterol PRN and codeine cough syrup PRN at bed time. Should stay well hydrated. Let us know if symptoms are worsening or not improving.    The patient was advised to follow up at the next regularly scheduled visit or sooner PRN.    Note reviewed- UC   The patient was advised to follow up at the next regularly scheduled visit or sooner PRN.   SUBJECTIVE: Had a cough in her chest and was getting better but now has a fever of 101. This happened over the weekend. Has been using inhaler. Has been using medication which helped. Using OTC mucinex. Initially started 3 weeks ago and then went to UC one week ago. Was started on steroids and cough medication which was not helpful. Cough at night is keeping her up and having some discomfort from coughing. Was on a 10 day pred taper.    Denies nausea, vomiting Denies sick contacts Has been vaccinated against COVID Denies diarrhea Denies runny nose, congestion    10/19/21 10:07 AM Note COVID 19 test POSITIVE    Patient was notified of positive test results from test completed on 10/18/2021 Signs and symptoms: 1. When did your symptoms start? 10/16/2021 2. What symptoms have you experienced? Fever, cough, SOB, laryngitis     Close contact questions: 1.   # in household: 3 2.   Have you been in close contact with anyone two days before symptoms including going to work while you were sick? yes
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Laryngitis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Office Visit   10/18/2021  Family Medicine Cough  Dx Cough  Reason for Visit  Chief Complaint   Exposure to COVID-19 virus X'S 3 WEEKS was seen at UC      ASSESSMENT and PLAN: Patient was seen today for cough.  Patient presents with ? Cough    1. Cough/exposure COVID 19. Concern that she has now started to have a fever. Will check chest xray and COVID test. If evidence of bacterial infection, will start zpak likely. I recommend a trial of pred taper and monitoring symptoms. Symptomatic treatment with albuterol PRN and codeine cough syrup PRN at bed time. Should stay well hydrated. Let us know if symptoms are worsening or not improving.    The patient was advised to follow up at the next regularly scheduled visit or sooner PRN.    Note reviewed- UC   The patient was advised to follow up at the next regularly scheduled visit or sooner PRN.   SUBJECTIVE: Had a cough in her chest and was getting better but now has a fever of 101. This happened over the weekend. Has been using inhaler. Has been using medication which helped. Using OTC mucinex. Initially started 3 weeks ago and then went to UC one week ago. Was started on steroids and cough medication which was not helpful. Cough at night is keeping her up and having some discomfort from coughing. Was on a 10 day pred taper.    Denies nausea, vomiting Denies sick contacts Has been vaccinated against COVID Denies diarrhea Denies runny nose, congestion    10/19/21 10:07 AM Note COVID 19 test POSITIVE    Patient was notified of positive test results from test completed on 10/18/2021 Signs and symptoms: 1. When did your symptoms start? 10/16/2021 2. What symptoms have you experienced? Fever, cough, SOB, laryngitis     Close contact questions: 1.   # in household: 3 2.   Have you been in close contact with anyone two days before symptoms including going to work while you were sick? yes
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Received a full Moderna dose which is intended for immunocompromised patients. Should have been given a half dose for the booster.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Burning sensation, Chest discomfort, Computerised tomogram, Discomfort
Clinical narrative: After my first shot I had a strong burning, ripping sensation on my left side near my lung/diaphragm. This continued for three weeks after the first shot. After the second shot (October 14), two weeks to the day, my chest was tight and felt like a heavy object was on it,. I was short of breath. The symptoms continued to worsen and the pain around my left lung became unbearable, I was unable to fill my lungs and could not catch my breath so I went to the ER.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Pericarditis, Pulmonary pain, Scan with contrast
Clinical narrative: After my first shot I had a strong burning, ripping sensation on my left side near my lung/diaphragm. This continued for three weeks after the first shot. After the second shot (October 14), two weeks to the day, my chest was tight and felt like a heavy object was on it,. I was short of breath. The symptoms continued to worsen and the pain around my left lung became unbearable, I was unable to fill my lungs and could not catch my breath so I went to the ER.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: After my first shot I had a strong burning, ripping sensation on my left side near my lung/diaphragm. This continued for three weeks after the first shot. After the second shot (October 14), two weeks to the day, my chest was tight and felt like a heavy object was on it,. I was short of breath. The symptoms continued to worsen and the pain around my left lung became unbearable, I was unable to fill my lungs and could not catch my breath so I went to the ER.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Blood culture, Electroencephalogram, Full blood count abnormal, Haematocrit normal, Haemoglobin normal
Clinical narrative: seizure-like activity Pt had 3 seizures. After first seizure, pt was taken to ED, had 2 additional seizures requiring Ativan to subdue the seizure. He was then started on Keppra.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Platelet count increased, Seizure, Seizure like phenomena, White blood cell count increased
Clinical narrative: seizure-like activity Pt had 3 seizures. After first seizure, pt was taken to ED, had 2 additional seizures requiring Ativan to subdue the seizure. He was then started on Keppra.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Fatigue, Headache, Nausea, Rash
Clinical narrative: Headache and fatigue six hours after continuing to next day, then severe headache, nausea, vomitting, unable to keep even water down, lasting for over 12 hours, lost sense of taste for 24 hours, and developed rash behind right ear.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache and fatigue six hours after continuing to next day, then severe headache, nausea, vomitting, unable to keep even water down, lasting for over 12 hours, lost sense of taste for 24 hours, and developed rash behind right ear.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Muscular weakness, Pain
Clinical narrative: Experienced arm pain after shot.  Continues today, with sharp intermitting pain radiating along arm.  Occasional art weakness.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Vaccine positive rechallenge
Clinical narrative: moderna booster on 10/30/21. chest pain for 8 hours on 10/31/21. no pain since then.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Swelling
Clinical narrative: all lymph glands swelled as well as right ear and remained swollen for 6 weeks
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: A 3 weeks and 3 days after the vaccine I woke up and noticed a swollen lymph gland in the groin area of my left leg. I took Cipro and after about 10 days it finally left. I'm not sure if it is vaccine related but because it did occur after the vaccine, I am reporting it.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Groin pain, Pain
Clinical narrative: At post vaccination day number 5, began experiencing excruciating left hip pain radiating into the lower back and groin.  These symptoms were nearly relieved before receiving a second dose when the symptoms suddenly and immediately arose again.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Product preparation error
Clinical narrative: Accidentally administered normal saline instead of Moderna vaccine dose to his right deltoid muscle. Error was identified, recipient was informed and administered correct Moderna dose.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Pulmonary embolism, Thrombosis, Ultrasound Doppler
Clinical narrative: Blood clots. Pulmonary Embolism.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia
Clinical narrative: Systemic: Hoarseness-Medium, Additional Details: Hoarseness but nothing beyond that
Age: 50.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pain, Pain, Sleep disorder
Clinical narrative: A few hours after administration, employee experienced pain at injection site, worsening upon movement. Pain on a scale of 0-10 was a "5" lasting 24-48 hours. After that and through today, pain in a "3". It wakes her upon sleep when rolling onto that side (L). At rest, there's no pain today. Movement elicits pain.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hypertension, Injection site pain, Nausea, Vomiting
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Hypertension-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium
Age: 13.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Pallor
Clinical narrative: She felt faint and got pale. Was sat down. Given water and orange juice. She felt better after 15 minutes
Age: 48.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Hypoaesthesia, Pain in extremity
Clinical narrative: Patient received flu vaccine at flu clinic at about 1 PM and returned to the flu clinic at about 3 PM with c/o left arm, hip, and knee pain and eft sided facial numbness. I was contacted from the flu clinic regarding this patient and I instructed her to send him to the Emergency Room for evaluation.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: Childs, 10/19/21 10:44 AM Note; Pt has a ST, HA, fatigue, runny nose, slight SOB coughing, no taste or smell, sxs started since Sunday.  Telemedicine   10/19/2021 Family Medicine Suspected COVID-19 virus infection  Dx Covid-19 Screening Patient Instructions @ASSESSMENT@ 44 y.o. female  1. Suspected COVID-19 virus infection -The patient will self isolate until COVID-19 results are back.  The patient will update me if symptoms fail to improve or worsen in any regard. - COVID-19 PCR; Future. Visit performed via video visit due to limitations with in office evaluation secondary to COVID-19 Pandemic.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Childs, 10/19/21 10:44 AM Note; Pt has a ST, HA, fatigue, runny nose, slight SOB coughing, no taste or smell, sxs started since Sunday.  Telemedicine   10/19/2021 Family Medicine Suspected COVID-19 virus infection  Dx Covid-19 Screening Patient Instructions @ASSESSMENT@ 44 y.o. female  1. Suspected COVID-19 virus infection -The patient will self isolate until COVID-19 results are back.  The patient will update me if symptoms fail to improve or worsen in any regard. - COVID-19 PCR; Future. Visit performed via video visit due to limitations with in office evaluation secondary to COVID-19 Pandemic.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest injury, Chest pain, Musculoskeletal chest pain
Clinical narrative: Pt presents c/o pain in his A/C joint and the ribs along the side of the sternum starting shortly after his second dose of Pfizer vaccine. Sx have persisted now for ~6 weeks. He had an injury to both areas in a motorcycle accident ~3 years ago but had fully recovered and had no pain until recently. He denies new injury, redness, swelling, bruising. He has tried OTC pain meds without relief.  Assessment/Plan  Costochondral chest pain/Arthralgia of left acromioclavicular joint -     meloxicam (MOBIC) 15 MG tablet; Take 1 tablet by mouth daily. -     Consider ortho referral if not improving.  -     Sx began soon after second Pfizer dose, will report as possible vaccine reaction
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness
Clinical narrative: Lightheaded and dizzy
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Nausea, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: PATIENT CALLED TO REPORT ABOUT 24 HOURS AFTER RECEIVING VACCINE THAT HE ATE LUNCH, THEN STARTED FEELING NAUSEOUS AND SWEATY, THEN HE VOMITTED X1 AND FAINTED, WAS OUT FOR ABOUT 1-2 MINS PER HIS WIFE. HE IS FEELING FINE NOW, DIDNT REPORT TO US UNTIL A WEEK AFTER HIS SHOT. PATIENT HAS HAD SYNCOPE PRIOR, BUT LAST TIME WAS ABOUT A YEAR AGO, SO HE IS ATTRIBUTING THIS TO HIS COVID VACCINE MODERNA BOOSTER SHOT
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: PATIENT CALLED TO REPORT ABOUT 24 HOURS AFTER RECEIVING VACCINE THAT HE ATE LUNCH, THEN STARTED FEELING NAUSEOUS AND SWEATY, THEN HE VOMITTED X1 AND FAINTED, WAS OUT FOR ABOUT 1-2 MINS PER HIS WIFE. HE IS FEELING FINE NOW, DIDNT REPORT TO US UNTIL A WEEK AFTER HIS SHOT. PATIENT HAS HAD SYNCOPE PRIOR, BUT LAST TIME WAS ABOUT A YEAR AGO, SO HE IS ATTRIBUTING THIS TO HIS COVID VACCINE MODERNA BOOSTER SHOT
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Extra dose administered, Neuromyopathy
Clinical narrative: Significant increase in symptoms of neuromuscular problems. I had to seek medical treatment. The increase in symptoms is slowly getting better over the last three weeks.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Received a full Moderna dose which is intended for immunocompromised patients. Should have been given a half dose for the booster.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, COVID-19, Dizziness, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Based on results of an antibody test, my doctor suspects that I experienced a breakthrough COVID-19 infection beginning July 14, about 2 months after my second Pfizer dose (May 3). I continue to suffer persistent fatigue from that infection. Fatigue and related problems (intestinal discomfort, light dizziness/lightheadedness) were my only clear symptoms during the infection itself, and continue to be my only symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Exposure during pregnancy, Gestational hypertension, SARS-CoV-2 test positive
Clinical narrative: 10/29/21 patient presents to a local HCF for elevated BPS, gestational hypertension, third semester, asymptomatic COVID-19 infection. No pertinent past medical history.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Paraesthesia
Clinical narrative: BP, which had been normal in the morning, prior to the vaccination, rose to 166/85 around 2 p.m,, then to 199/86 around 4 pm.I was light-headed, and had tingling sensation in my feet.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Blood test, Dyspnoea, Lymphadenopathy, Sensation of foreign body
Clinical narrative: 47 Year old female received Moderna COVID-19 vaccine first dose on 01/28/2021. Adverse reaction occurred within 10 minutes which included SOB, Hives on neck and upper back, and a feeling per client statement, ?filter in my throat.? Benadryl 50 mg PO administered to client at HCF in observation room. Client?s symptoms improved during the 30 minute observation and was able to drive home. Upon day 3-4 left lymphnode in neck began to swell for a week and remained swollen for 4 months post vaccine. Client background: August 2020 found out allergy to IV Fluorescein (reaction: vomiting & hives) and treated with Benadryl. Then client found out from this incident she was severely anemic (Hemoglobin 6.7) and was prescribed iron supplements. Sept 2020 had Sx for hysterectomy. Dec 2020 Sx for Colonoscopy. Oct 2021 had another Colonoscopy. Client followed up with PCP MD and second MD whom is a blood chemist specialist (per client) who was already monitoring client after receiving Moderna vaccination and at that time Janssen was not yet available. Both MD?a would not recommend moving forward with MRNA vaccine. Client does not currently have any diagnosed medical conditions (has recovered from all previous surgeries and medical conditions) and is not taking any medications.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 47 Year old female received Moderna COVID-19 vaccine first dose on 01/28/2021. Adverse reaction occurred within 10 minutes which included SOB, Hives on neck and upper back, and a feeling per client statement, ?filter in my throat.? Benadryl 50 mg PO administered to client at HCF in observation room. Client?s symptoms improved during the 30 minute observation and was able to drive home. Upon day 3-4 left lymphnode in neck began to swell for a week and remained swollen for 4 months post vaccine. Client background: August 2020 found out allergy to IV Fluorescein (reaction: vomiting & hives) and treated with Benadryl. Then client found out from this incident she was severely anemic (Hemoglobin 6.7) and was prescribed iron supplements. Sept 2020 had Sx for hysterectomy. Dec 2020 Sx for Colonoscopy. Oct 2021 had another Colonoscopy. Client followed up with PCP MD and second MD whom is a blood chemist specialist (per client) who was already monitoring client after receiving Moderna vaccination and at that time Janssen was not yet available. Both MD?a would not recommend moving forward with MRNA vaccine. Client does not currently have any diagnosed medical conditions (has recovered from all previous surgeries and medical conditions) and is not taking any medications.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Adverse reaction, Influenza like illness, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: PATIENT STATED FLU-LIKE SYMPTOMS; SITE OF INJECTION HAD BECAME RED, ITCHY, SWOLLEN, AND SORE; IT WAS DIME SIZE TO BEGIN WITH AND NOW IS DOLLAR BILL SIZE; PATIENT HAS BEEN SELF-MEDICATING WITH CORTISONE CREAM AND BENADRYL; PATIENT STATED ADVERSE REACTION LASTED LONGER THIS TIME THAN WITH FIRST SHOT; SYMPTOMS HAVE LASTED FOR 5 DAYS; PATIENT STATED SYMPTOMS HAVE NOT WORSENED SINCE ONSET BUT HAVE NOT RESOLVED; PHARMACIST INFORMED PATIENT TO SEEK MEDICAL CARE IF WORSENED; PATIENT DID NOT REPORT ANY BREATHING DIFFICULTIES OR SWELLING OF THE MOUTH
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: PATIENT STATED FLU-LIKE SYMPTOMS; SITE OF INJECTION HAD BECAME RED, ITCHY, SWOLLEN, AND SORE; IT WAS DIME SIZE TO BEGIN WITH AND NOW IS DOLLAR BILL SIZE; PATIENT HAS BEEN SELF-MEDICATING WITH CORTISONE CREAM AND BENADRYL; PATIENT STATED ADVERSE REACTION LASTED LONGER THIS TIME THAN WITH FIRST SHOT; SYMPTOMS HAVE LASTED FOR 5 DAYS; PATIENT STATED SYMPTOMS HAVE NOT WORSENED SINCE ONSET BUT HAVE NOT RESOLVED; PHARMACIST INFORMED PATIENT TO SEEK MEDICAL CARE IF WORSENED; PATIENT DID NOT REPORT ANY BREATHING DIFFICULTIES OR SWELLING OF THE MOUTH
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Headache, Immediate post-injection reaction, Injection site swelling
Clinical narrative: Immediate severe vertigo, blurred vision, and quickly following headache. A few hours following injection onset of joint pain and stiffness, tongue swelling, extreme injection site swelling. Following morning (10-30), severe joint (every single bodily joint in agony) and nerve pain impairing daily tasks and activities, pain induced nausea, vertigo, swollen tongue, sinus congestion. Took diphenhydramine "sleep aid" not containing PEG around noon 10/30 and experienced some symptom relief. Pain returned in a few hours. Additional diphenhydramine taken that night. Morning of 10/31 most symptoms had improved, with some lingering joint and nerve pain and swelling. Most symptoms have subsided by time of reporting (11-2).
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness, Loss of personal independence in daily activities, Nausea, Neuralgia, Sinus congestion
Clinical narrative: Immediate severe vertigo, blurred vision, and quickly following headache. A few hours following injection onset of joint pain and stiffness, tongue swelling, extreme injection site swelling. Following morning (10-30), severe joint (every single bodily joint in agony) and nerve pain impairing daily tasks and activities, pain induced nausea, vertigo, swollen tongue, sinus congestion. Took diphenhydramine "sleep aid" not containing PEG around noon 10/30 and experienced some symptom relief. Pain returned in a few hours. Additional diphenhydramine taken that night. Morning of 10/31 most symptoms had improved, with some lingering joint and nerve pain and swelling. Most symptoms have subsided by time of reporting (11-2).
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Vertigo, Vision blurred
Clinical narrative: Immediate severe vertigo, blurred vision, and quickly following headache. A few hours following injection onset of joint pain and stiffness, tongue swelling, extreme injection site swelling. Following morning (10-30), severe joint (every single bodily joint in agony) and nerve pain impairing daily tasks and activities, pain induced nausea, vertigo, swollen tongue, sinus congestion. Took diphenhydramine "sleep aid" not containing PEG around noon 10/30 and experienced some symptom relief. Pain returned in a few hours. Additional diphenhydramine taken that night. Morning of 10/31 most symptoms had improved, with some lingering joint and nerve pain and swelling. Most symptoms have subsided by time of reporting (11-2).
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear discomfort, Nasal congestion, Sinus congestion
Clinical narrative: stuffy nose, sinus congestion, left ear feels full starting on 10/30/21
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Dyspnoea, Electrocardiogram normal, Inappropriate schedule of product administration
Clinical narrative: On 10/28 - Patient was walking to work from her car and became short of breath.  Patient then felt heart palpitations throughout the day.  The SOB, chest tightness, and palpitations happened all weekend according to the patient.  Patient then went to the ER on  the morning of 11/1/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Palpitations
Clinical narrative: On 10/28 - Patient was walking to work from her car and became short of breath.  Patient then felt heart palpitations throughout the day.  The SOB, chest tightness, and palpitations happened all weekend according to the patient.  Patient then went to the ER on  the morning of 11/1/2021.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Gastrointestinal disorder, Headache, Pain
Clinical narrative: Reactions started at 11:30 pm on night of 10/30/21 following the Jansen injection.  Had fever, body aches, chills, headache and gastrointestinal issues for 36 hours.  Still experiencing fatigue as of 11/2/21 following injection
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Reactions started at 11:30 pm on night of 10/30/21 following the Jansen injection.  Had fever, body aches, chills, headache and gastrointestinal issues for 36 hours.  Still experiencing fatigue as of 11/2/21 following injection
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Pain, Pain in extremity
Clinical narrative: I am a cancer free of 8 years, had a double mastectomy no other surgeries or any medication. I took the 1st vaccine(9am) 9/28/21 on a Tuesday, a few days later early Saturday morning while I was sleeping I had heavy legs, I could not move my legs for about 10mins . later the same morning when I got out of the shower around 9am, it felt as if someone was stabbing me in my upper body right side in my back, and no it was not gas,that lasted for about 3-5 mins.   I took the 2nd vaccine 10/29/21 (10am)my arm was sore body was aching and had a very weird headache (I never get headaches) I took tylenol  still get headaches.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Foetal death, Laboratory test, Uterine dilation and curettage
Clinical narrative: I got the vaccine on May 2, 2021. On May 29, 2021, notified the baby was no longer viable and I had to go to the hospital had D & C procedure. I have 2 healthy children and no history of miscarriages. My estimated date of delivery was February 2022.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: Shoulder pain hours after receiving vaccine, along with limited range of motion.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Chest pain, Cough, Diarrhoea
Clinical narrative: Office Visit  10/18/2021 Urgent Care  PA-C  Family Medicine Exposure to COVID-19 virus +1 more  Dx Cough   Reason for Visit  10/18/2021 Chief Complaint Patient presents with ? Cough     mild , exposure to covid     HPI   Assessment/Plan   Pt was seen today for cough.   Diagnoses and all orders for this visit:   Exposure to COVID-19 virus -     COVID-19 PCR   URI, acute   Pt is a 82 y.o. male Presents with slight cough  x 3 days. Symptoms are stable .Patient has tried cough suppressant with moderate relief.  Patient denies fever/chills, ST, nausea/vomiting, diarrhea, abdominal pain, rash, neck stiffness, chest pain, shortness of breath, dizziness.  +covid exposure
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Exposure to SARS-CoV-2, Musculoskeletal stiffness, Nausea
Clinical narrative: Office Visit  10/18/2021 Urgent Care  PA-C  Family Medicine Exposure to COVID-19 virus +1 more  Dx Cough   Reason for Visit  10/18/2021 Chief Complaint Patient presents with ? Cough     mild , exposure to covid     HPI   Assessment/Plan   Pt was seen today for cough.   Diagnoses and all orders for this visit:   Exposure to COVID-19 virus -     COVID-19 PCR   URI, acute   Pt is a 82 y.o. male Presents with slight cough  x 3 days. Symptoms are stable .Patient has tried cough suppressant with moderate relief.  Patient denies fever/chills, ST, nausea/vomiting, diarrhea, abdominal pain, rash, neck stiffness, chest pain, shortness of breath, dizziness.  +covid exposure
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test positive, Upper respiratory tract infection, Vomiting
Clinical narrative: Office Visit  10/18/2021 Urgent Care  PA-C  Family Medicine Exposure to COVID-19 virus +1 more  Dx Cough   Reason for Visit  10/18/2021 Chief Complaint Patient presents with ? Cough     mild , exposure to covid     HPI   Assessment/Plan   Pt was seen today for cough.   Diagnoses and all orders for this visit:   Exposure to COVID-19 virus -     COVID-19 PCR   URI, acute   Pt is a 82 y.o. male Presents with slight cough  x 3 days. Symptoms are stable .Patient has tried cough suppressant with moderate relief.  Patient denies fever/chills, ST, nausea/vomiting, diarrhea, abdominal pain, rash, neck stiffness, chest pain, shortness of breath, dizziness.  +covid exposure
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: ABDONINAL PAIN ASSOCIATED WITH NAUSEA AND VOMITING
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Dizziness, Fatigue
Clinical narrative: Extreme chills, 102.5 degree fever, dizziness, headache, pain in legs, trouble walking, unable to eat, barely able to drink, severe pain in shoulder bone, pain in arm, fatigue.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Pain in extremity, Pyrexia
Clinical narrative: Extreme chills, 102.5 degree fever, dizziness, headache, pain in legs, trouble walking, unable to eat, barely able to drink, severe pain in shoulder bone, pain in arm, fatigue.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Glossitis, Tongue pruritus
Clinical narrative: At 1052am post Vaccination during observation patient notified nurses of irritation/itching of the tongue. Vital signs initiated at 10:58am, patient requested Benadryl.   Patient stated that she carries her own Benadryl, frequently taken prior to food intake. Patient was provided Benadryl from the site as  requested. Nurses ensured airways were potent. Three sets of vital signs were taken and within her normal range.  At 11:45am patient states that she felt better and that she no longer felt any discomfort or irritation in her tongue. Patient stated, "She feels comfortable walking home." Patient was educated on if any adverse reaction occurs to seek medical attention. Patient left the site in stable condition with no physical or apparent distress.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Nephrotic syndrome, Renal failure
Clinical narrative: Nyphrotic syndrome/kidney failure
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, High-resolution computerised tomogram of lung, Tachycardia, Troponin normal
Clinical narrative: 10/30/21 chills, temp 99.3, tachycardia 120 bpm to 130 bpm, 02 Sat 92, chest pain.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Upon arrival, patient was informed she was attending a Moderna booster clinic.  Patient acknowledged "that is okay."  Prior to immunizing patient, the nurse reviewed the patients name, DOB, vaccine, dosing and vaccine expiration date.  The nurse ask the patient if she had any questions, the patient stated "no."  The nurse administered the appropriate 0.25ml Moderna and reviewed the patients immunization card with her.  The patient then tells the nurse "Moderna, I wanted the Pfizer vaccine."  The Director of Nursing called the patient on Monday morning (11/1/2021) @ 11:52 to check on the patient's wellbeing post immunization.  There was no answer, so DON left voice message for patient to return the call.  The DON preceded to call the patient, leaving multiple messages and the patient has not return the call.  On 11/1/2021 the DON called the Provider Support Line to inquire if a VAERS reported needed to be filed.  DON was initially told no, but received an email later in the day to file a VAERS report.  This report is filed to report the incident.  Unable to make contact with the patient for any adverse side effects.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient only received a partial dose of the 0.25mL of the booster dose. The vaccine administered with the supplied vanish point syringe. The plunger did not depress the full amount and the patient only received  approximately 0.15mL of the dose. I contacted the manufacturer of the syringes. They verified the amount left in the syringe would be at 0.1mL base by where the plunger stops before the last press to retract the needle.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Client was assessed by EMS and Lead nurse when in the "recovery area" of the parking lot, with shortness of breath, left sided chest pain that comes and goes, metallic taste and flush skin. after receiving her first Pfizer vaccination. a pulse oximeter was placed on the client with a reading of 98% O2 sat and a pulse of 88. No abnormal lung sounds noted on oscillation. Client indicated that she has a history of anxiety, not had never had a reaction "like this" after any vaccination.  Client has a history of allergy to penicillin and Keflex. Client reassured and coached on steady, slow breathing. Client received 25mg Diphenhydramine HCL and . Client indicated that she was feeling "some better". Client reassured and instructed to not leave til symptoms had dissipated.        Client encouraged to call if anything else was needed and to take a Benadryl ahead of time if she is nervous about her second dose.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Client received Janssen dose after having already received a dose of Janssen and a dose of Pfizer
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Vaccine expiration date was 10-27-21 The vaccine was given 10-29-21  due to an oversight.