chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: None immediate, but approx 2 months later = increasing fatigue, muscle ache, tremor, neurological decline (both cognitive and mood) malaise and ?felt lousy?, unmotivated. Months 2-5 = Increasing anxiety, depression, diminishing affect,  dramatically worse tremor, anxiety/dread.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Anal incontinence, Diarrhoea, Fatigue, Gait inability, Nausea
Clinical narrative: Patient states symptoms began the same day he got the covid vaccine (9/24) lasted approx, 48 hours --he reports he lost complete control of bowel and bladder, was vomiting, was unable to use  legs due to feeling of paralysis, and was very fatigued --he states N/V/D were resolved last night (9/26), was able to use his legs, able to walk this am (9/27), fatigue has improved
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary incontinence, Vomiting
Clinical narrative: Patient states symptoms began the same day he got the covid vaccine (9/24) lasted approx, 48 hours --he reports he lost complete control of bowel and bladder, was vomiting, was unable to use  legs due to feeling of paralysis, and was very fatigued --he states N/V/D were resolved last night (9/26), was able to use his legs, able to walk this am (9/27), fatigue has improved
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin, Ultrasound scan, Vaginal haemorrhage
Clinical narrative: Was in 1st trimester pregnant and began bleeding shortly after and ended up miscarrying approx 3 weeks later. Embryo stopped developing after shot
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cachexia, Diarrhoea, Dysstasia, Fatigue
Clinical narrative: After the second vaccine:Severe total body pain for 4 hours beginning 8 hours after the second vaccine, weakness in the legs so severe that I could not stand, vomiting, nausea, diarrhea , chills, profuse sweating, heartache,  total fatigue.  After the first vaccine: extreme fatigue and two days after the first vaccine swollen glands for a two days. After about a week a felt back to normal after the second vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hyperhidrosis, Lymphadenopathy, Muscular weakness, Nausea
Clinical narrative: After the second vaccine:Severe total body pain for 4 hours beginning 8 hours after the second vaccine, weakness in the legs so severe that I could not stand, vomiting, nausea, diarrhea , chills, profuse sweating, heartache,  total fatigue.  After the first vaccine: extreme fatigue and two days after the first vaccine swollen glands for a two days. After about a week a felt back to normal after the second vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: After the second vaccine:Severe total body pain for 4 hours beginning 8 hours after the second vaccine, weakness in the legs so severe that I could not stand, vomiting, nausea, diarrhea , chills, profuse sweating, heartache,  total fatigue.  After the first vaccine: extreme fatigue and two days after the first vaccine swollen glands for a two days. After about a week a felt back to normal after the second vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Sick relative
Clinical narrative: Covid positive house hold member
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Extreme Fatigue - I wasn't well; I couldn't do my normal activities; my neck bothered me and caused headaches. I have also experienced dizziness and a little nausea - it's an equilibrium thing as if I've been drinking. It gets kind of scary, like I'm going to drop. Because of the Cushings, I have, it may be causing my body to deal with more than I can. Worse of it 04:00 am last Monday - my headache was so bad I had to stand up. Any pressure on the neck exacerbates my headache. At 04:00 am I couldn't take it right away but a little later it was 101.7 degree fever -it would climb and break and for three days (had chills with it); and then it seemed like I was having Menopausal hot flashes where I don't feel feverish but just break out in a sweat. I'm doing that right now. (The worst days were up to the first 72 hours after 04:00 am). I am going to see an Orthopedic surgeon for necks (in case my symptoms are not from the vaccine) on October 5 (postponed to this because I have a fever) - this is for my neck and head. The headaches get scary - it seems like they get so bad. I had two years ago - a brain tumor removed - that's what Cushing can do. They removed it successfully - the endocrine system try to recover and the adrenals are fighting (so the dizziness and the faint is what might be happening in response to that).  The headache and the neck - these symptoms have me highly suspicious. Last night, it was scary, it's as if I'm walking on a boat, like I've been drinking, my balance got so off and I got nauseous and my head is killing me and my bowels are loose and make me feel kind of sick on Thursday - and got Tested.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Hyperhidrosis, Loss of personal independence in daily activities, Malaise, Musculoskeletal discomfort
Clinical narrative: Extreme Fatigue - I wasn't well; I couldn't do my normal activities; my neck bothered me and caused headaches. I have also experienced dizziness and a little nausea - it's an equilibrium thing as if I've been drinking. It gets kind of scary, like I'm going to drop. Because of the Cushings, I have, it may be causing my body to deal with more than I can. Worse of it 04:00 am last Monday - my headache was so bad I had to stand up. Any pressure on the neck exacerbates my headache. At 04:00 am I couldn't take it right away but a little later it was 101.7 degree fever -it would climb and break and for three days (had chills with it); and then it seemed like I was having Menopausal hot flashes where I don't feel feverish but just break out in a sweat. I'm doing that right now. (The worst days were up to the first 72 hours after 04:00 am). I am going to see an Orthopedic surgeon for necks (in case my symptoms are not from the vaccine) on October 5 (postponed to this because I have a fever) - this is for my neck and head. The headaches get scary - it seems like they get so bad. I had two years ago - a brain tumor removed - that's what Cushing can do. They removed it successfully - the endocrine system try to recover and the adrenals are fighting (so the dizziness and the faint is what might be happening in response to that).  The headache and the neck - these symptoms have me highly suspicious. Last night, it was scary, it's as if I'm walking on a boat, like I've been drinking, my balance got so off and I got nauseous and my head is killing me and my bowels are loose and make me feel kind of sick on Thursday - and got Tested.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Extreme Fatigue - I wasn't well; I couldn't do my normal activities; my neck bothered me and caused headaches. I have also experienced dizziness and a little nausea - it's an equilibrium thing as if I've been drinking. It gets kind of scary, like I'm going to drop. Because of the Cushings, I have, it may be causing my body to deal with more than I can. Worse of it 04:00 am last Monday - my headache was so bad I had to stand up. Any pressure on the neck exacerbates my headache. At 04:00 am I couldn't take it right away but a little later it was 101.7 degree fever -it would climb and break and for three days (had chills with it); and then it seemed like I was having Menopausal hot flashes where I don't feel feverish but just break out in a sweat. I'm doing that right now. (The worst days were up to the first 72 hours after 04:00 am). I am going to see an Orthopedic surgeon for necks (in case my symptoms are not from the vaccine) on October 5 (postponed to this because I have a fever) - this is for my neck and head. The headaches get scary - it seems like they get so bad. I had two years ago - a brain tumor removed - that's what Cushing can do. They removed it successfully - the endocrine system try to recover and the adrenals are fighting (so the dizziness and the faint is what might be happening in response to that).  The headache and the neck - these symptoms have me highly suspicious. Last night, it was scary, it's as if I'm walking on a boat, like I've been drinking, my balance got so off and I got nauseous and my head is killing me and my bowels are loose and make me feel kind of sick on Thursday - and got Tested.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea
Clinical narrative: Hospitalization weakness and shortness of breath.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest discomfort, Dyspnoea, Echocardiogram
Clinical narrative: Shortness of breath. Heaviness/ pressure in chest
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Pulmonary embolism, Respiratory failure
Clinical narrative: Large multiple pulmonary emboli with hypoxic respiratory failure.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhagic disorder, Laboratory test, Ultrasound scan
Clinical narrative: abnormal bleeding for 22 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage
Clinical narrative: GI BLEED
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose was given too early after the previous dose.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Insomnia, Loss of personal independence in daily activities, Mobility decreased, Pyrexia
Clinical narrative: I was unable to perform daily activities. I couldn't sleep and it was hard to move and walk as well.  I also ran a fever of 100.08.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood potassium decreased, Blood test, Chest X-ray normal, Chest pain
Clinical narrative: I'm due November 22, I got my vaccine when I hit my 3rd trimester. I got tachycardia that afternoon it lasted 3 days, I got light headed and nauseated, I felt weak. I still been having chest pain on and off. They monitored me for an afternoon about 5 hours in labor and Delivery.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Electrocardiogram, Exposure during pregnancy, Influenza virus test negative
Clinical narrative: I'm due November 22, I got my vaccine when I hit my 3rd trimester. I got tachycardia that afternoon it lasted 3 days, I got light headed and nauseated, I felt weak. I still been having chest pain on and off. They monitored me for an afternoon about 5 hours in labor and Delivery.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test negative, Tachycardia
Clinical narrative: I'm due November 22, I got my vaccine when I hit my 3rd trimester. I got tachycardia that afternoon it lasted 3 days, I got light headed and nauseated, I felt weak. I still been having chest pain on and off. They monitored me for an afternoon about 5 hours in labor and Delivery.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: Moderna COVID-19 Vaccine EUA Patient received Moderna Vaccines on 1/8/2021 and 2/2/2021 at  Allergy & Asthma. Patient presented to  Vaccination Clinic -  on 9/10/2021, and received a Pfizer vaccine.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Gave Moderna to a child
Age: 0.58
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Patient broke out in hives.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Coagulation test
Clinical narrative: Patient had a stroke on left cerebral stroke on 9/24/21.  She is an otherwise healthy child and no existing cardiac, neurologic, or hematologic causes were identified during her hospitalization.  She did have some hypercoagulation labs pending at time of discharge from the hospital.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Computerised tomogram abdomen, Computerised tomogram thorax abnormal, Continuous haemodiafiltration
Clinical narrative: Patient admitted to hospital  for altered mental status, was fully vaccinated for COVID. Course complicated by  COVID+ multifocal pneumonia, profound metabolic acidosis, AKI, and a CT A/P , CVVH to HD. Patient was discharged to rehab.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic acidosis, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient admitted to hospital  for altered mental status, was fully vaccinated for COVID. Course complicated by  COVID+ multifocal pneumonia, profound metabolic acidosis, AKI, and a CT A/P , CVVH to HD. Patient was discharged to rehab.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive church contact
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization  for trauma and COVID positive on screening
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Head injury, Headache, Swelling
Clinical narrative: pt sat down 10 minutes after shot. when she got up to talk to her husband she felt lightheaded and fainted.  she was flat on the ground . after a few minutes she came to , opened her eyes, she was coherant , still lightheaded, headache and bump on her head . paramedicts took her to hospital
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: pt sat down 10 minutes after shot. when she got up to talk to her husband she felt lightheaded and fainted.  she was flat on the ground . after a few minutes she came to , opened her eyes, she was coherant , still lightheaded, headache and bump on her head . paramedicts took her to hospital
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Menstrual disorder
Clinical narrative: abnormal bleeding (my period was not due for another 12 days)
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Ear pain, Fatigue, Feeling abnormal, Herpes zoster
Clinical narrative: Day 1 - 4:100-102.4 degree fever; Day 5 -10: Exaustion feeling, not feeling like self, back pain and felt like other systems were effected (possibly liver and kidneys); Day 6 - 7 - semen had very dark color, not normal; Day 11 -  ear ache started; Day 13 -  ear ache, face rash; Day 15 -  went to doctor and said the vaccine caused shingles outbreak; Day 16 -  brownish specks in semen, semen dark colored and not normal; Day 21 -  still dealing with shingles outbreak and severe ear pain
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Semen discolouration, Vaccination complication
Clinical narrative: Day 1 - 4:100-102.4 degree fever; Day 5 -10: Exaustion feeling, not feeling like self, back pain and felt like other systems were effected (possibly liver and kidneys); Day 6 - 7 - semen had very dark color, not normal; Day 11 -  ear ache started; Day 13 -  ear ache, face rash; Day 15 -  went to doctor and said the vaccine caused shingles outbreak; Day 16 -  brownish specks in semen, semen dark colored and not normal; Day 21 -  still dealing with shingles outbreak and severe ear pain
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Myalgia
Clinical narrative: Intense muscle pain in arms and legs still ongoing after 3 days, along with fatigue and joint pain.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash macular
Clinical narrative: 24 hours after receiving my Covid booster shot, I started to get large red itchy blotches on my left back starting near the back of the armpit area to the top of my tailbone. The next day I also noticed both my wrists had the same red itchy blotches.  I took some over the counter antihistamine and used topical hydrocortisone cream.  On day three, the red blotches and itchy skin appear to be clearing up.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Throat clearing, Throat irritation, Throat tightness
Clinical narrative: Approximately 5 hours after initial dosage began to have scratchy throat with constant clearing and closing feeling.  ( same as with bee stings) immediately took 3- 25mg Benadryl, had epi pen on hand but didn't have to use.  Went away within 30min-1 hour. Spoke with PCP but no visit necessary.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization being treated for anaphylaxis and covid screening positive.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Headache, Impaired work ability, Injection site pain
Clinical narrative: After the 2nd dose around 8 PM on 01/06/2021 I had some side effects that were expected like achiness and headache for a couple of days and also tiredness that lasted for 30 days. It was an extreme tiredness and most days I would come home early from work and just go to bed. I just felt very incredibly tired but not sleepy. My doctor said if it lasted more than a month than they would look to see if it was anything else. I also got a tremendous pain in arm where I got vaccine and that night I was drawing and doing some artwork and all of a sudden I got a horrible pain in left arm from fingertips to the shoulder and that's when everything else started. The next day the arm pain was gone.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: After the 2nd dose around 8 PM on 01/06/2021 I had some side effects that were expected like achiness and headache for a couple of days and also tiredness that lasted for 30 days. It was an extreme tiredness and most days I would come home early from work and just go to bed. I just felt very incredibly tired but not sleepy. My doctor said if it lasted more than a month than they would look to see if it was anything else. I also got a tremendous pain in arm where I got vaccine and that night I was drawing and doing some artwork and all of a sudden I got a horrible pain in left arm from fingertips to the shoulder and that's when everything else started. The next day the arm pain was gone.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Inappropriate schedule of product administration, Rash
Clinical narrative: Headache,  rash to arm , light headedness, mental fogginess - resolved with rest , Benadryl , tylenol
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Ear pain, Headache, Nausea, Peripheral swelling
Clinical narrative: Her arm became swollen, her head hurts so bad til it is making her ear hurt, nausea and feel weak.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Four months after I got my second shot, I was diagnosed with Shingles on my R forehead extending over the R eye and R temple
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Patient suffered a severe stroke 25 days post vaccination of dose 2 of moderna covid vaccination. Pt is now on hospice.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Peripheral swelling
Clinical narrative: arm  swelling, rash at site of injecion , treatment _ tylenol and cold compress
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Syncope
Clinical narrative: patient had a syncopal episode while sitting in chair, fell backward striking back of head on ground, pt. states he did not eat breakfast
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Within 15 minutes of receiving vaccine, c/o tingliing in right upper extremity.  Hand strength equal, color pink and warm.  Overall color pink, and denies any other symptom.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 treatment, Chronic obstructive pulmonary disease, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted on 4/5/21 and was fully vaccinated for COVID-19. During admission, patient was managed/treated for COPD and a COVID-19 infection. Patient was  discharged from on 4/10/2021
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: The patient felt like there was "hair in her throat". The patient stated that she feels this way when she has issues with allergies. This occurred around 20 minutes after vaccination. 25mg of Benadryl was administered orally. The patient was feeling good and released. She was instructed to take another 25mg of Benadryl at home in 4-6 hours if she needed. She was also instructed to tell provider about this reaction before receiving her second dose of the Pfizer vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: There was an opened unlabeled vial of Moderna in the fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from agency are reviewed.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Face injury, Hyperhidrosis, Loss of consciousness, Palpitations
Clinical narrative: patient stated that within 3 minutes he started to feel faint and his heart started racing. he started to sweat and passed out in floor. Gash on eyebrow
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Electroencephalogram normal, Immediate post-injection reaction, Magnetic resonance imaging head normal
Clinical narrative: Day after first vaccine, fainted. Periodic dizziness. Urgent care diagnosed vasovagal syncope. 2nd dose 7/12/21 Immediately after 2nd dose, dizziness, odd noises in ear, nystagmus, later Dr. determined it was vertigo.  September 27 still experiencing vertigo multiple times per day.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Nystagmus, Syncope, Tinnitus, Vertigo
Clinical narrative: Day after first vaccine, fainted. Periodic dizziness. Urgent care diagnosed vasovagal syncope. 2nd dose 7/12/21 Immediately after 2nd dose, dizziness, odd noises in ear, nystagmus, later Dr. determined it was vertigo.  September 27 still experiencing vertigo multiple times per day.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: No issues immediately after injection.  A week later, injection site was red, hard/swollen, hot to touch and spreading.  I do have photograph of the angry arm.  Went to health center, she thought it was cellulitis,  was prescribed antibiotics.   Site was marked with a sharpie to monitor spread.  Revisited health center a 3/2/21 for follow up, still warm to touch, but much better.    On 3/8/21, did read the article on Delayed Large Local Reactions to mRNA-1273 by doctor, et al.    With that research information, I was ready for the second shot (3/16/21).  Once the injection site started to turn pink, I took Benedryl and did not have angry Moderna arm as the first injection.  Much more soreness and fatigue the second time around though.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: No issues immediately after injection.  A week later, injection site was red, hard/swollen, hot to touch and spreading.  I do have photograph of the angry arm.  Went to health center, she thought it was cellulitis,  was prescribed antibiotics.   Site was marked with a sharpie to monitor spread.  Revisited health center a 3/2/21 for follow up, still warm to touch, but much better.    On 3/8/21, did read the article on Delayed Large Local Reactions to mRNA-1273 by doctor, et al.    With that research information, I was ready for the second shot (3/16/21).  Once the injection site started to turn pink, I took Benedryl and did not have angry Moderna arm as the first injection.  Much more soreness and fatigue the second time around though.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Asthenia, Blood creatinine normal, Blood culture, Blood potassium decreased
Clinical narrative: diagnosed with  COVID-19 on last Friday on September 10.  His wife also has it.  Was sent from  home because of increasing tiredness, generalized weakness and confusion.   Apparently, he was saturating only 89% on room air at home but here he is  saturating in the upper 90s.  The patient is quite hard of hearing and appears  to be a poor historian.  He denied any headache, dizziness, chest pain.  Says  occasionally cough but does not bring up any sputum.  Denies any shortness of  breath.  No nausea, vomiting, or diarrhea.  His lab work however shows a  sodium of 112 with a baseline being around 132.  His potassium was 3.2.   Creatinine is normal at 1.1.  The patient also history of hypothyroidism, but  for some reason I do not see any Synthroid on his medication list and his TSH  is slightly high at 4.77 and a free T4 is a pending as we speak.  Chest x-ray  shows some patchy right-sided opacity, possible COVID-19 related pneumonia and  the patient was started on Rocephin and Zithromax and then the hospitalist  service was called for admission.  A nephrology consult was also obtained; and  because the patient has a change in mental status with a sodium of 112 he has  been started on 3% normal saline to be given 25 mL/h x10 hours only which is  250 mL, and we will do BMP and sodium q.4 hours.  The etiology of his sudden and  acute hyponatremia is unclear.  Patient denies drinking large amounts of water  and is on not on any new medications.  I have stopped his hydrochlorothiazide  for now also because he is hyponatremic.  Will put him on seizure and fall  precautions. On 9/24/24: Temp 102 - improving              Most likely secondary to chronic prostatitis             Procalcitonin 0.12, CRP 105             Flomax              Keep Foley at discharge, Urology outpatient follow-up             Blood Culture pending             Urine culture no growth (was on antibiotic)             Chest x-ray no new findings             Was on ceftriaxone and azithromycin             Antibiotic changed Zosyn and Levaquin             Currently continuing Levaquin             Occasional spikes can be secondary to chronic prostatitis needs long-term antibiotics. Discharged on 9/25/21
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, Blood thyroid stimulating hormone normal, Body temperature increased, C-reactive protein increased, COVID-19
Clinical narrative: diagnosed with  COVID-19 on last Friday on September 10.  His wife also has it.  Was sent from  home because of increasing tiredness, generalized weakness and confusion.   Apparently, he was saturating only 89% on room air at home but here he is  saturating in the upper 90s.  The patient is quite hard of hearing and appears  to be a poor historian.  He denied any headache, dizziness, chest pain.  Says  occasionally cough but does not bring up any sputum.  Denies any shortness of  breath.  No nausea, vomiting, or diarrhea.  His lab work however shows a  sodium of 112 with a baseline being around 132.  His potassium was 3.2.   Creatinine is normal at 1.1.  The patient also history of hypothyroidism, but  for some reason I do not see any Synthroid on his medication list and his TSH  is slightly high at 4.77 and a free T4 is a pending as we speak.  Chest x-ray  shows some patchy right-sided opacity, possible COVID-19 related pneumonia and  the patient was started on Rocephin and Zithromax and then the hospitalist  service was called for admission.  A nephrology consult was also obtained; and  because the patient has a change in mental status with a sodium of 112 he has  been started on 3% normal saline to be given 25 mL/h x10 hours only which is  250 mL, and we will do BMP and sodium q.4 hours.  The etiology of his sudden and  acute hyponatremia is unclear.  Patient denies drinking large amounts of water  and is on not on any new medications.  I have stopped his hydrochlorothiazide  for now also because he is hyponatremic.  Will put him on seizure and fall  precautions. On 9/24/24: Temp 102 - improving              Most likely secondary to chronic prostatitis             Procalcitonin 0.12, CRP 105             Flomax              Keep Foley at discharge, Urology outpatient follow-up             Blood Culture pending             Urine culture no growth (was on antibiotic)             Chest x-ray no new findings             Was on ceftriaxone and azithromycin             Antibiotic changed Zosyn and Levaquin             Currently continuing Levaquin             Occasional spikes can be secondary to chronic prostatitis needs long-term antibiotics. Discharged on 9/25/21
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Confusional state, Cough, Culture urine, Fatigue
Clinical narrative: diagnosed with  COVID-19 on last Friday on September 10.  His wife also has it.  Was sent from  home because of increasing tiredness, generalized weakness and confusion.   Apparently, he was saturating only 89% on room air at home but here he is  saturating in the upper 90s.  The patient is quite hard of hearing and appears  to be a poor historian.  He denied any headache, dizziness, chest pain.  Says  occasionally cough but does not bring up any sputum.  Denies any shortness of  breath.  No nausea, vomiting, or diarrhea.  His lab work however shows a  sodium of 112 with a baseline being around 132.  His potassium was 3.2.   Creatinine is normal at 1.1.  The patient also history of hypothyroidism, but  for some reason I do not see any Synthroid on his medication list and his TSH  is slightly high at 4.77 and a free T4 is a pending as we speak.  Chest x-ray  shows some patchy right-sided opacity, possible COVID-19 related pneumonia and  the patient was started on Rocephin and Zithromax and then the hospitalist  service was called for admission.  A nephrology consult was also obtained; and  because the patient has a change in mental status with a sodium of 112 he has  been started on 3% normal saline to be given 25 mL/h x10 hours only which is  250 mL, and we will do BMP and sodium q.4 hours.  The etiology of his sudden and  acute hyponatremia is unclear.  Patient denies drinking large amounts of water  and is on not on any new medications.  I have stopped his hydrochlorothiazide  for now also because he is hyponatremic.  Will put him on seizure and fall  precautions. On 9/24/24: Temp 102 - improving              Most likely secondary to chronic prostatitis             Procalcitonin 0.12, CRP 105             Flomax              Keep Foley at discharge, Urology outpatient follow-up             Blood Culture pending             Urine culture no growth (was on antibiotic)             Chest x-ray no new findings             Was on ceftriaxone and azithromycin             Antibiotic changed Zosyn and Levaquin             Currently continuing Levaquin             Occasional spikes can be secondary to chronic prostatitis needs long-term antibiotics. Discharged on 9/25/21
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyponatraemia, Lung opacity, Mental status changes, Oxygen saturation decreased, Procalcitonin
Clinical narrative: diagnosed with  COVID-19 on last Friday on September 10.  His wife also has it.  Was sent from  home because of increasing tiredness, generalized weakness and confusion.   Apparently, he was saturating only 89% on room air at home but here he is  saturating in the upper 90s.  The patient is quite hard of hearing and appears  to be a poor historian.  He denied any headache, dizziness, chest pain.  Says  occasionally cough but does not bring up any sputum.  Denies any shortness of  breath.  No nausea, vomiting, or diarrhea.  His lab work however shows a  sodium of 112 with a baseline being around 132.  His potassium was 3.2.   Creatinine is normal at 1.1.  The patient also history of hypothyroidism, but  for some reason I do not see any Synthroid on his medication list and his TSH  is slightly high at 4.77 and a free T4 is a pending as we speak.  Chest x-ray  shows some patchy right-sided opacity, possible COVID-19 related pneumonia and  the patient was started on Rocephin and Zithromax and then the hospitalist  service was called for admission.  A nephrology consult was also obtained; and  because the patient has a change in mental status with a sodium of 112 he has  been started on 3% normal saline to be given 25 mL/h x10 hours only which is  250 mL, and we will do BMP and sodium q.4 hours.  The etiology of his sudden and  acute hyponatremia is unclear.  Patient denies drinking large amounts of water  and is on not on any new medications.  I have stopped his hydrochlorothiazide  for now also because he is hyponatremic.  Will put him on seizure and fall  precautions. On 9/24/24: Temp 102 - improving              Most likely secondary to chronic prostatitis             Procalcitonin 0.12, CRP 105             Flomax              Keep Foley at discharge, Urology outpatient follow-up             Blood Culture pending             Urine culture no growth (was on antibiotic)             Chest x-ray no new findings             Was on ceftriaxone and azithromycin             Antibiotic changed Zosyn and Levaquin             Currently continuing Levaquin             Occasional spikes can be secondary to chronic prostatitis needs long-term antibiotics. Discharged on 9/25/21
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Thyroxine free, Ultrasound scan normal
Clinical narrative: diagnosed with  COVID-19 on last Friday on September 10.  His wife also has it.  Was sent from  home because of increasing tiredness, generalized weakness and confusion.   Apparently, he was saturating only 89% on room air at home but here he is  saturating in the upper 90s.  The patient is quite hard of hearing and appears  to be a poor historian.  He denied any headache, dizziness, chest pain.  Says  occasionally cough but does not bring up any sputum.  Denies any shortness of  breath.  No nausea, vomiting, or diarrhea.  His lab work however shows a  sodium of 112 with a baseline being around 132.  His potassium was 3.2.   Creatinine is normal at 1.1.  The patient also history of hypothyroidism, but  for some reason I do not see any Synthroid on his medication list and his TSH  is slightly high at 4.77 and a free T4 is a pending as we speak.  Chest x-ray  shows some patchy right-sided opacity, possible COVID-19 related pneumonia and  the patient was started on Rocephin and Zithromax and then the hospitalist  service was called for admission.  A nephrology consult was also obtained; and  because the patient has a change in mental status with a sodium of 112 he has  been started on 3% normal saline to be given 25 mL/h x10 hours only which is  250 mL, and we will do BMP and sodium q.4 hours.  The etiology of his sudden and  acute hyponatremia is unclear.  Patient denies drinking large amounts of water  and is on not on any new medications.  I have stopped his hydrochlorothiazide  for now also because he is hyponatremic.  Will put him on seizure and fall  precautions. On 9/24/24: Temp 102 - improving              Most likely secondary to chronic prostatitis             Procalcitonin 0.12, CRP 105             Flomax              Keep Foley at discharge, Urology outpatient follow-up             Blood Culture pending             Urine culture no growth (was on antibiotic)             Chest x-ray no new findings             Was on ceftriaxone and azithromycin             Antibiotic changed Zosyn and Levaquin             Currently continuing Levaquin             Occasional spikes can be secondary to chronic prostatitis needs long-term antibiotics. Discharged on 9/25/21
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Echocardiogram, Myocarditis, Stress cardiomyopathy, Troponin
Clinical narrative: Acute myocarditis vs stress induced cardiomyopathy 3 days after 3rd dose (booster dose) of Pfizer vaccine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: There was an opened unlabeled vial of Moderna in the fridge. There had not been any mentions of an open Moderna vial . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Ear discomfort, Headache, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: Sore right shoulder pain that radiates down to fingers; arm is weak. Right side of neck is painfully stiff, pain radiates to top right side of head causing headache. Right ear sounds buffered, depending on head pain.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Sore right shoulder pain that radiates down to fingers; arm is weak. Right side of neck is painfully stiff, pain radiates to top right side of head causing headache. Right ear sounds buffered, depending on head pain.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Fatigue, Muscular weakness, Nausea
Clinical narrative: 24 hrs. got dizzy, nausea, tired.  After couple days legs and arms felt tired, achy especially legs and arms.  Got out of chair and could not stand, felt like I was stepping directly on a nerve in my foot, right side of right foot (smaller toes).  Acute pain passed after an hour, was able to walk, but has not gone away.  Stopped jogging since.  Today, 9/27 acute pain came back to right foot, not going away saw doctor.  Pain in back of leg has been regular since first time I felt pain, and again, always feel it, but only sharp pain a couple times.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: 24 hrs. got dizzy, nausea, tired.  After couple days legs and arms felt tired, achy especially legs and arms.  Got out of chair and could not stand, felt like I was stepping directly on a nerve in my foot, right side of right foot (smaller toes).  Acute pain passed after an hour, was able to walk, but has not gone away.  Stopped jogging since.  Today, 9/27 acute pain came back to right foot, not going away saw doctor.  Pain in back of leg has been regular since first time I felt pain, and again, always feel it, but only sharp pain a couple times.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Lymphadenopathy, Mass, Pain in extremity
Clinical narrative: I had a lump has my shift site. I was rubbing it and it went away. Then I had a lump under my arm that lasted for about a month and then it went away. I also felt really lightheaded and I had fog head (could not think clearly). I also had a pain in my arm.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia
Clinical narrative: Facial drooping/slight numbness on left side of face.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: Hospitalization  chest pain and dyspnea known exposure.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: There was an opened unlabeled vial of Moderna in the VFC fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by  RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Dyspnoea, Laboratory test abnormal
Clinical narrative: Patient reported that she started having tightness in her chest and shortness of breath the next day after getting the vaccine...
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Seizure, Vomiting
Clinical narrative: Patient received the vacation (2nd dose) around 8:40am on a Friday. By Saturday 4am, patient was throwing up and wife called EMS who diagnosed "non-epileptic seizures". On Sunday he still had some tingling sensation. I received the call from patient on Monday morning and patient was doing find. He had spoke to his PCP also.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure, Vomiting
Clinical narrative: Patient received the vacation (2nd dose) around 8:40am on a Friday. By Saturday 4am, patient was throwing up and wife called EMS who diagnosed "non-epileptic seizures". On Sunday he still had some tingling sensation. I received the call from patient on Monday morning and patient was doing find. He had spoke to his PCP also.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administration error
Clinical narrative: ADMINISTRATION  ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: There was an opened unlabeled vial of Moderna in the VFC fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Colitis, Colonoscopy, Computerised tomogram, Condition aggravated
Clinical narrative: One week later, I started experiencing abdominal cramping. The next week I started seeing blood in my stools. My colon is now inflammated.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Haematochezia
Clinical narrative: One week later, I started experiencing abdominal cramping. The next week I started seeing blood in my stools. My colon is now inflammated.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: I had headache and dizziness and still have dizziness. I just contacted the pharmacy and they said I can try Tylenol to have the symptoms reduced.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Productive cough, Pyrexia
Clinical narrative: Hospitalized due to dyspnea, hypoxia, fever, productive cough.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: There was an opened unlabeled vial of Moderna in the VFC fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Death, Dyspnoea, General physical health deterioration
Clinical narrative: presented to ED with c/o worsening SOB x 3days, respiratory distress, collapse of left lower lobe secondary to consolidation versus atelectasis; earlier was diagnosed with bilateral pneumonia; has taken her antibiotics; was diagnosed with COVID a few days after pneumonia diagnosis; pt's condition deteriorated and patient died in the hospital
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Lung consolidation, Pneumonia, Pneumothorax, Respiratory distress
Clinical narrative: presented to ED with c/o worsening SOB x 3days, respiratory distress, collapse of left lower lobe secondary to consolidation versus atelectasis; earlier was diagnosed with bilateral pneumonia; has taken her antibiotics; was diagnosed with COVID a few days after pneumonia diagnosis; pt's condition deteriorated and patient died in the hospital
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt was given vaccine beyond 12 hour beyond use date/time after initial vial puncture.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Disability, Impaired work ability, Speech disorder
Clinical narrative: 4/22/2021 suffered a stroke, hospitalized on 4/23/2021 for 3 days! affected right side ,speech was affected. been off work since,Still currently off work  disabilty 9/27/2021
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Pruritus, Rash
Clinical narrative: Rash on my chest, under breasts, arms, and on left shoulder.  Slight  itching.  This lasted till 9/27 , mid day.  Saturday (9/26) felt flu  like  symptoms.  None of this was  accute, but the if the rash hadn't gone away  today,  I was  going to  call my Dr
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Client received Pfizer vaccine (1st dose) that had been reconstituted incorrectly by prepper. Saline amount mixed with vaccine was 0.8 ml-the correct diluent of Saline should have been 1.8 ml. Patient was observed for 30 minutes prior to departure with mom and no complaints of side effects noted. No adverse effects. Client alert and oriented. No compliant of headache, dizziness, visual changes, pain at injection site or instability.