chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash, Rash erythematous
Clinical narrative: When patient came for her second dose of her Moderna shot today, she reported that she got a rash from her first dose. The rash occurred 1 week after her first dose. She stated the rash was around the injection site and progressed around her deltoid muscle.  She said the rash was red and painful to the touch. She said she put Hydrocortisone cream around the area and took one dose of Benadryl. The rash lasted 1 week per the patient. She did not seek any medical attention after she noticed the rash. This reaction seems like common reaction referred to as "Covid arm." The CDC still recommends that patients should get the second dose of the Covid shot even if they had this reaction. The patient received the second dose of the vaccine and was told that if she did get a reaction to let us know and to report it to VSAFE.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Fatigue, Feeling abnormal, Head discomfort
Clinical narrative: About 2 hours after receiving shot, I was feeling very run-down and sore. My neck had pressure building at the base. Left work early to get rest. My next day entire head and shoulders were pressurized and shooting pains down neck, through arms, numbing left side of body  cramping feet and arms, all triggering anxiety /panic attacks. By Friday I sought help. Urgent care sent me ER because they?d be able to run better tests.  ER gave me an Ativan and sent me mental health referral.  After a couple more days of trying to rest and get ease, went to different urgent care. Received muscle relaxer for cramping, and appointment for primary care provider.  Saw ENT dr for throat, referred to neurologist, had MRI for neck pressure and painful spinal release sensation I feel every morning. Follow-up is end of June. Brain in fog, pressure in head building still daily.  Acupuncturist gave me info for this  Reporting. Been to acupuncture twice, not improving yet.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Impaired work ability, Magnetic resonance imaging, Muscle spasms, Musculoskeletal discomfort
Clinical narrative: About 2 hours after receiving shot, I was feeling very run-down and sore. My neck had pressure building at the base. Left work early to get rest. My next day entire head and shoulders were pressurized and shooting pains down neck, through arms, numbing left side of body  cramping feet and arms, all triggering anxiety /panic attacks. By Friday I sought help. Urgent care sent me ER because they?d be able to run better tests.  ER gave me an Ativan and sent me mental health referral.  After a couple more days of trying to rest and get ease, went to different urgent care. Received muscle relaxer for cramping, and appointment for primary care provider.  Saw ENT dr for throat, referred to neurologist, had MRI for neck pressure and painful spinal release sensation I feel every morning. Follow-up is end of June. Brain in fog, pressure in head building still daily.  Acupuncturist gave me info for this  Reporting. Been to acupuncture twice, not improving yet.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nasoendoscopy, Pain, Pain in extremity, Panic attack
Clinical narrative: About 2 hours after receiving shot, I was feeling very run-down and sore. My neck had pressure building at the base. Left work early to get rest. My next day entire head and shoulders were pressurized and shooting pains down neck, through arms, numbing left side of body  cramping feet and arms, all triggering anxiety /panic attacks. By Friday I sought help. Urgent care sent me ER because they?d be able to run better tests.  ER gave me an Ativan and sent me mental health referral.  After a couple more days of trying to rest and get ease, went to different urgent care. Received muscle relaxer for cramping, and appointment for primary care provider.  Saw ENT dr for throat, referred to neurologist, had MRI for neck pressure and painful spinal release sensation I feel every morning. Follow-up is end of June. Brain in fog, pressure in head building still daily.  Acupuncturist gave me info for this  Reporting. Been to acupuncture twice, not improving yet.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Arthralgia, Blood test, Body temperature increased, C-reactive protein
Clinical narrative: Received the Pfizer 2nd dose on 9th April. Following day (04/10), I had body ache, fatigue, mild temperature 99.8, back neck and upper arm/shoulder pain. While I recovered from the ache and fatigue the next day (04/11), the neck pain continued for a couple of weeks. On 23rd April, the pain aggravated and I took a 2 Advil's (2 tablets of 200mg each) which made the overall pain extremely critical. The pain was mainly in the neck, upper arm, tingling in the fingers, grinding jaw pain, all symptomatic to a cardiac pain.  I visited the Urgent care and they suggested I rush to Emergency care. See the notes attached. I was detected with Myocardial infraction or Heart Inflammation (as there was an increasing Troponin). They did an Angiogram to detect any blockages but was cleared of all blockages or major heart conditions. Was hospitalized for 2 days and was on observation for any new pains, repeat or increase in symptoms. Heart inflammation continues to be there and I am unable to take any anti inflammatory as that aggravates the cardiac/ MI pain. No prior history of heart disease etc. Will be visiting for repeat tests with the Cardiologist in coming weeks. Since there were no prior heart condition and since this initiated day after the 2nd vaccine, i strongly believe this is a side effect from the vaccine dose.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Fatigue, Full blood count, Hospitalisation
Clinical narrative: Received the Pfizer 2nd dose on 9th April. Following day (04/10), I had body ache, fatigue, mild temperature 99.8, back neck and upper arm/shoulder pain. While I recovered from the ache and fatigue the next day (04/11), the neck pain continued for a couple of weeks. On 23rd April, the pain aggravated and I took a 2 Advil's (2 tablets of 200mg each) which made the overall pain extremely critical. The pain was mainly in the neck, upper arm, tingling in the fingers, grinding jaw pain, all symptomatic to a cardiac pain.  I visited the Urgent care and they suggested I rush to Emergency care. See the notes attached. I was detected with Myocardial infraction or Heart Inflammation (as there was an increasing Troponin). They did an Angiogram to detect any blockages but was cleared of all blockages or major heart conditions. Was hospitalized for 2 days and was on observation for any new pains, repeat or increase in symptoms. Heart inflammation continues to be there and I am unable to take any anti inflammatory as that aggravates the cardiac/ MI pain. No prior history of heart disease etc. Will be visiting for repeat tests with the Cardiologist in coming weeks. Since there were no prior heart condition and since this initiated day after the 2nd vaccine, i strongly believe this is a side effect from the vaccine dose.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myocardial infarction, Neck pain, Pain, Paraesthesia, Red blood cell sedimentation rate normal
Clinical narrative: Received the Pfizer 2nd dose on 9th April. Following day (04/10), I had body ache, fatigue, mild temperature 99.8, back neck and upper arm/shoulder pain. While I recovered from the ache and fatigue the next day (04/11), the neck pain continued for a couple of weeks. On 23rd April, the pain aggravated and I took a 2 Advil's (2 tablets of 200mg each) which made the overall pain extremely critical. The pain was mainly in the neck, upper arm, tingling in the fingers, grinding jaw pain, all symptomatic to a cardiac pain.  I visited the Urgent care and they suggested I rush to Emergency care. See the notes attached. I was detected with Myocardial infraction or Heart Inflammation (as there was an increasing Troponin). They did an Angiogram to detect any blockages but was cleared of all blockages or major heart conditions. Was hospitalized for 2 days and was on observation for any new pains, repeat or increase in symptoms. Heart inflammation continues to be there and I am unable to take any anti inflammatory as that aggravates the cardiac/ MI pain. No prior history of heart disease etc. Will be visiting for repeat tests with the Cardiologist in coming weeks. Since there were no prior heart condition and since this initiated day after the 2nd vaccine, i strongly believe this is a side effect from the vaccine dose.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Trismus, Troponin I increased
Clinical narrative: Received the Pfizer 2nd dose on 9th April. Following day (04/10), I had body ache, fatigue, mild temperature 99.8, back neck and upper arm/shoulder pain. While I recovered from the ache and fatigue the next day (04/11), the neck pain continued for a couple of weeks. On 23rd April, the pain aggravated and I took a 2 Advil's (2 tablets of 200mg each) which made the overall pain extremely critical. The pain was mainly in the neck, upper arm, tingling in the fingers, grinding jaw pain, all symptomatic to a cardiac pain.  I visited the Urgent care and they suggested I rush to Emergency care. See the notes attached. I was detected with Myocardial infraction or Heart Inflammation (as there was an increasing Troponin). They did an Angiogram to detect any blockages but was cleared of all blockages or major heart conditions. Was hospitalized for 2 days and was on observation for any new pains, repeat or increase in symptoms. Heart inflammation continues to be there and I am unable to take any anti inflammatory as that aggravates the cardiac/ MI pain. No prior history of heart disease etc. Will be visiting for repeat tests with the Cardiologist in coming weeks. Since there were no prior heart condition and since this initiated day after the 2nd vaccine, i strongly believe this is a side effect from the vaccine dose.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Discomfort, Echocardiogram, Magnetic resonance imaging heart, Musculoskeletal discomfort
Clinical narrative: Received the Pfizer 2nd dose on 9th April. Following day (04/10), I had body ache, fatigue, mild temperature 99.8, back neck and upper arm/shoulder pain. While I recovered from the ache and fatigue the next day (04/11), the neck pain continued for a couple of weeks. On 23rd April, the pain aggravated and I took a 2 Advil's (2 tablets of 200mg each) which made the overall pain extremely critical. The pain was mainly in the neck, upper arm, tingling in the fingers, grinding jaw pain, all symptomatic to a cardiac pain.  I visited the Urgent care and they suggested I rush to Emergency care. See the notes attached. I was detected with Myocardial infraction or Heart Inflammation (as there was an increasing Troponin). They did an Angiogram to detect any blockages but was cleared of all blockages or major heart conditions. Was hospitalized for 2 days and was on observation for any new pains, repeat or increase in symptoms. Heart inflammation continues to be there and I am unable to take any anti inflammatory as that aggravates the cardiac/ MI pain. No prior history of heart disease etc. Will be visiting for repeat tests with the Cardiologist in coming weeks. Since there were no prior heart condition and since this initiated day after the 2nd vaccine, i strongly believe this is a side effect from the vaccine dose.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Pain in jaw, Troponin decreased
Clinical narrative: Received the Pfizer 2nd dose on 9th April. Following day (04/10), I had body ache, fatigue, mild temperature 99.8, back neck and upper arm/shoulder pain. While I recovered from the ache and fatigue the next day (04/11), the neck pain continued for a couple of weeks. On 23rd April, the pain aggravated and I took a 2 Advil's (2 tablets of 200mg each) which made the overall pain extremely critical. The pain was mainly in the neck, upper arm, tingling in the fingers, grinding jaw pain, all symptomatic to a cardiac pain.  I visited the Urgent care and they suggested I rush to Emergency care. See the notes attached. I was detected with Myocardial infraction or Heart Inflammation (as there was an increasing Troponin). They did an Angiogram to detect any blockages but was cleared of all blockages or major heart conditions. Was hospitalized for 2 days and was on observation for any new pains, repeat or increase in symptoms. Heart inflammation continues to be there and I am unable to take any anti inflammatory as that aggravates the cardiac/ MI pain. No prior history of heart disease etc. Will be visiting for repeat tests with the Cardiologist in coming weeks. Since there were no prior heart condition and since this initiated day after the 2nd vaccine, i strongly believe this is a side effect from the vaccine dose.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus, ringing in my left started 6 hours after the first dose and has continued non-stop for a week.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cardiac stress test, Computerised tomogram, Dizziness, Dyspnoea
Clinical narrative: Extreme fatigue, short of breath, light headed, irregular heart beats Started 3/22.  ER 4/2-4/3.  Extensive testing.  D-Dimer 2,121 no blood clot.  Zio Patch places.  All tests were basically in normal range. Started to feel better early May
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fibrin D dimer normal, Heart rate irregular, Scan myocardial perfusion, Ultrasound scan
Clinical narrative: Extreme fatigue, short of breath, light headed, irregular heart beats Started 3/22.  ER 4/2-4/3.  Extensive testing.  D-Dimer 2,121 no blood clot.  Zio Patch places.  All tests were basically in normal range. Started to feel better early May
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: Extreme fatigue, short of breath, light headed, irregular heart beats Started 3/22.  ER 4/2-4/3.  Extensive testing.  D-Dimer 2,121 no blood clot.  Zio Patch places.  All tests were basically in normal range. Started to feel better early May
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Patient was walking in the store, said she started feeling anxious and light headed and began to feel like she was going to pass out.  The manager came and got me and we went to her.  She was seated and I gave her water.  After about 10 minutes she said she felt better and said she wanted to leave.  I walked her to her car, helped her load her groceries in the car and she left with her sister.  An incident report was written by store management
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Woke up and said it felt like an elephant on his chest, still had heavy pressure at 11.. Went to pediatrician  - spirometry and heart basics, BP and pulse ox okay. Prescribed albuterol in hopes it would help in a few days. Took first dose at 1pm and feels slightly better.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Electrocardiogram, Loss of consciousness
Clinical narrative: Within 30 seconds passed out. Woke up and about 5 minutes later passed out again, with eyes open and could hear but couldn't talk. Epi Pen administered by Pharmacist around 8 minutes after shot.  Taken by ambulance to ER
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Syncope, Unresponsive to stimuli
Clinical narrative: Within 30 seconds passed out. Woke up and about 5 minutes later passed out again, with eyes open and could hear but couldn't talk. Epi Pen administered by Pharmacist around 8 minutes after shot.  Taken by ambulance to ER
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Oligomenorrhoea
Clinical narrative: The vaccine has effected my menstrual cycle. My cycle was delayed until the beginning of May 2021. Once my cycle started it has not stopped.  It has now been almost 3 weeks. The flow is very light almost non existent at times. This is not typical for me.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Catheter placement, Pulmonary embolism
Clinical narrative: Admitted with bilateral pulmonary emboli. Treated with anticoagulation via pulmonary catheter
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Ear pain, Facial paralysis
Clinical narrative: Developed ear pain evening of 4/21/2021 (side unknown), ear pain continued and worsened. Early AM on 04/25/2021, developed facial drooping on same side as ear pain. Medical exam consistent with Bell Palsy.  Grade !!!.Valtrex was prescribed along with eye drops.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Pain in extremity, Peripheral swelling, Rash
Clinical narrative: Large swelling and Rash patch on right arm. Sore arm. Weakness and dizziness.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Daughter was administered the wrong vaccine. She is only 17 years old.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Throat tightness
Clinical narrative: chest and throat tightness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: The patient presented over 2 weeks after onset of symptoms. She reported developing a constant, pruritic, erythematous, raised rash after receiving her vaccine that did not resolve with antihistamines at home.  She was concerned it was an allergic reaction.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Fatigue, Nasal congestion, Oropharyngeal pain
Clinical narrative: On  May 17, 2021, I tested positive for COVID-19 despite being fully vaccinated back in February.  It started with a runny/stuffy nose, tiredness, sore throat on May 13 and I lost my taste on May 17.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: On  May 17, 2021, I tested positive for COVID-19 despite being fully vaccinated back in February.  It started with a runny/stuffy nose, tiredness, sore throat on May 13 and I lost my taste on May 17.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Janssen vial diluted and given to patient.  Vial mix up. vial was mistaken to be Pfizer by tech
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test, Pruritus, Rash
Clinical narrative: SMALL BUMPS/RASH WITH WHITE HEADS OVER BODY THAT BEGAN ON CHEST AND GROIN APPROX 6 HRS AFTER; PROGRESSED TO ENTIRE BODY WITHIN 24 HOURS- ITCHING. APPEARS AS CHICKEN POX.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Post vaccine pt became dizzy and lightheaded. Pt transferred to med obs via wc. Pt reports immediately feeling better after sitting down on litter. Vitals obtained and monitored. Pt  had no complaint of chest pain. Pt had no complaint of SOB. Pt released at 14:10. Vitals as follows: 1359 SITTING BP 116/67 HR 62 RR 16 SpO2 98% 1410 STANDING BP 119/79 HR 62 RR 16 SpO2 98%
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Neck pain, Pain, Pyrexia
Clinical narrative: Pt had pain starting in the neck and going up to the head starting about 9 hours after the shot. She says she also had fever, chills, and body aches at that time. The neck was hot to the touch.  As of 5/16 the fever had gone down, but the neck is still hot to the touch. Pt also says her neck and body still hurts. She has tried taking ibuprofen which helped somewhat. The neck pain is her primary concern. She was going to call Dr. this morning 5/17.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Pt had pain starting in the neck and going up to the head starting about 9 hours after the shot. She says she also had fever, chills, and body aches at that time. The neck was hot to the touch.  As of 5/16 the fever had gone down, but the neck is still hot to the touch. Pt also says her neck and body still hurts. She has tried taking ibuprofen which helped somewhat. The neck pain is her primary concern. She was going to call Dr. this morning 5/17.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Joint swelling, Movement disorder
Clinical narrative: On the third day after the first shot my left knee start hurting very badly it was swollen  I cannot bend my Knee it?s feels like I have a fluid there. I tried  Motrin Tylenol Advil And Aleve nothing  helps . I cannot go to the doctor because I don?t have health insurance.I never had any health problem before  especially I never had any problem with joins or arthritis pain . So many weeks past and I still have a problem with my knee it?s not getting better.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash pruritic, Skin discolouration
Clinical narrative: PATIENT REPORTED A SMALL DARK ITCHY RASH THAT STARTED 2 DAYS AFTER INJECTION AND EXPANDED TO APPROXIMATELY A 6 INCH CIRCLE WHICH HAS GOTTEN  LIGHTER IN COLOR OVER TIME.  SHE ALSO METIONED A SLIGHT HEADACHE SINCE SHE HAD THE VACCINE
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: please note: vaccine was administered at a pharmacy and I do not have access to the lot number patient presented to the clinic on 5/7/2021 with fatigue and a circular area of induration on left arm approx 6cm in diameter. area was red, slightly tender and warm
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Approx 40 minutes after the injection my face became tingly - cheeks, nose, around my mouth, and chin.  It continued to tingle and became numb.  (Felt similar to having Novocain for a dental procedure.  By morning my cheeks and nose felt normal but the numbness/tingly feeling around my mouth and chin lasted about 20 hours. I contacted the care line and she was not initially familiar with this side effect.  She did some research while I was on the line and explained that there have been some reactions of numbness.  She said it was not an emergency and if it persisted beyond 24 hours I should seek medical attention.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Tightness in her throat
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: Tightness in her throat
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Patient called nurse over and complained of SOB.  Paramedics called to patients side.  Heart rate 146.  Unable to obtain blood pressure.  Patient given oral Benedryl and IM epinephrine by paramedics.  Patient transferred to Hospital via ambulance.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient called nurse over and complained of SOB.  Paramedics called to patients side.  Heart rate 146.  Unable to obtain blood pressure.  Patient given oral Benedryl and IM epinephrine by paramedics.  Patient transferred to Hospital via ambulance.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: PATIENT HAD BEEN ON CHAIR MONITORING FOR 14 MINUTES WHEN SHE FAINTED.  NOT CERTAIN IF SHE HAD A SEIZURE. HOSPITAL WAS CALLED TO THE SCENE AND SHE WAS TRANSFERRED TO HOSPITAL FOR OBSERVATION. PHARMACIST SPOKE TO PATIENT'S MOM THIRTY MINUTES LATER AND SHE WAS ENROUTE. MOM STATED SHE WAS DOING OKAY.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Nausea
Clinical narrative: Patient complained of stomach pain, nausea and laid down on the floor.  Vitals signs was taken and stable.  Patient stated that she thought that she had worked herself up over taking  the shot.  She recovered quickly and was watched an additional 30 minutes and went home with her husband by private vehicle.
Age: 0.25
Sex: F
Vaccine: PNC13, RV1
Symptoms: Decreased appetite, Irritability, Lethargy, Muscular weakness, Somnolence
Clinical narrative: Three days of lethargy, unusual sleepiness and "floppiness".  Lack of appetite down by 10 ounces and increased fussiness.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Wound haemorrhage
Clinical narrative: Small cut on foot would not stop bleeding  For 2 days. Doctor used Dermabond to stop bleeding. Usually  small cuts stop quickly. Doctor thought I was using a blood thinner.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Minor daughter was given a vaccine that was not approved for anyone under the age of 18.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Injection site rash, Pain in extremity, Tenderness
Clinical narrative: Pt reports bright blue color at injection site for 5 days.  Area was super tender to touch for 1.5 weeks.  For up to 4 weeks post vaccination area was still painful if struck or hit.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient given Moderna vaccine 12 hours after vial was opened 5/14/2021 @ 10:06 AM. Followed up with patient on 5/17/2021 @ 2:45 pm via telephone. Patient stated she has not had any adverse reactions or allergic reactions to vaccine. Patient states she is feeling fine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiac failure congestive, Dyspnoea
Clinical narrative: Admitted CHF and NSTEMI, CC SOB
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Food aversion, Nausea, Taste disorder, Vomiting
Clinical narrative: Severe aversion to all foods in terms of taste,  texture, and smells. I would throw up, experience severe nausea, or be unable to taste pretty much any food for about a week.   To combat this,  I drank water and had meal replacement smoothies/ drinks when I could stand them.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Nasal congestion, Parosmia, Rhinorrhoea
Clinical narrative: Symptom onset: 5/10/21 Symptoms include: altered sense of smell, cough, nasal congestion and runny nose   Moderna 1/22/2021, 12/23/2020
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Tenderness
Clinical narrative: Arm - a little tender for a couple days after injection but not bad. But noticed red circle at injection site today (05/17/2021), about 3? diameter, but doesn?t hurt and doesn?t feel swollen, just red.  Listing recovery unknown below because not sore (recovered) but yes still red around injection site
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain
Clinical narrative: Under arm left arm  and left breast are in excrutiating pain.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia, Swelling
Clinical narrative: Fever, Pain, Swelling, Exhaustion
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Influenza virus test, Oxygen saturation, SARS-CoV-2 test positive
Clinical narrative: Pt presented to the ED with complaints of worsening oxygenation. Pt was found to be COVID positive post vaccination.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Throat clearing, Throat irritation
Clinical narrative: 5/14/21: 1432 hours- Pfizer dose 1 administered. At 1445 hours patient stated that she had a scratchy feeling in her throat and tightness in her maxillary sinus, pt pointed to sides of nose below eyes. Her voice was clear, RR 17 bpm, O2 97%, HR 93 bpm.  1447 hrs- Informed nurse of adverse reaction 1449 hrs- pts voice was clear, pt drank water without difficulty swallowing  1450 hrs- RN's arrived at the tent 1452 hrs: Patient is clearing her throat and states her throat is still scratchy 1453 hrs- Benadryl 50 mg administered orally per standing orders. 1455 hrs- Pt is talking to talking, her voice is clear and is sipping water. Pt RR is 17 bpm, O2 at 98% on room air, paulse is 89 bpm. Pt voice is clear 1510 hrs: Pt states sinuses are clear and still has mild scratchiness is throat.  1515 hrs; pt denies difficulty breathing, her voice is clear, is she sipping on water.  1518 hrs; Rn paged ems  1520 hrs: vital signs 133/87, HR 75 bpm, RR 17 bpm, O2 97%  1521 hrs: paramedics in tent monitering patient 1525 hrs: paramedics left after speaking to patient 1530 hrs: Pt states she is feeling better and the scratchiness in her throat is less. RN spoke with pt and informed her that she should not take another Pfizer vaccine due to the reaction she had.  1535 hrs- Pt states she is feeling better and is ready to leave. Instructed pt and spouse to call 911 or seek emergency medical help for any breathing difficulty or worsening of symptoms. Patients and spouse state they understood instructions
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, Rash
Clinical narrative: Extreme Body Aches , headache 99.5 fever 6am 5/14;Fever increase to 102 F. By 8am to 6pm then down to 99 F and back to normal by 5/15. Woke up with body rash from neck down to 1/2 torso and center of forehead from 5/15 to  5/16.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Hyperventilation, Pleurisy
Clinical narrative: Had 2nd covid vaccination Friday, May 7 in right arm. Saturday, May 8 in the afternoon started having pain on the left side of my chest with deep breaths, continued to get worse. Sunday, May 9th went to Emergency Room to have diagnosed (pleurisy).  I have never had pleurisy before.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Hypoaesthesia, Nausea
Clinical narrative: "Dizziness, Nausea, elevated BP.  Pt brought to triage area by vaccinator TRN after receiving first dose PFIZER. Pt present with spouse. Pt reported feeling dizziness. Placed on recliner chair. Pt denied experiencing any other abnormal sx - no SOB, chest pain, pain. Hx of fibromyalgia. NP on-site and lead made aware.    V/S: 2:40PM - BP: 178/113 HR: 123, O2: 97% 2:45PM - BP: 144/96, HR: 120, O2: 94% 3:00PM - BP: 128/84, HR: 100, O2: 96%   Monitored pt for 30 min. Offered fluids.  Pt brought via W/C to observation area. NP reevaluated and encouraged pt to seek ED services for further eval d./t pt c/o numbness to Lt arm length. Pt and spouse decide to seek ED at another site: Kaiser. Encouraged to call 911 for any sudden change or worsening of sx. Pt and spouse left site."
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID injection. Diagnosis was acute pulmonary embolism.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17yo female provided moderna vaccine #1
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Hyperhidrosis, Sleep disorder, Tremor
Clinical narrative: I have not had my period since getting the COVID 19 vaccine - moderna. Starting shakeing 2 hours after and broke out in sweats, couldnt sleep but short term affects have since stopped. I am concerned about my period stopping after receiving this.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient has small rash that displayed after the first dose of Moderna.   4/8/21. The second dose of Moderna was administered on 5/7/21. Patient broke out under left armpit  and  chest area. Patient seen in office on 5/14/2021. Patient given Prednisone 20mg   BID  x 5 days and Hydroxyzine 10mg and Triamoncinolme 0.5%  ointment. On 5/17/2021 patient returned with rash that has spread across chest. Kenalog  80 mg given in Right Buttock.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hallucination, Headache, Pruritus, Pyrexia
Clinical narrative: Headache, high fever, hallucinations, chills, swollen face, itchy face
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Headache, high fever, hallucinations, chills, swollen face, itchy face
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atelectasis, Chest pain, Computerised tomogram abnormal, Computerised tomogram thorax, Dyspnoea
Clinical narrative: Difficulty breathing, chest pain, dyspnea on minimal exertion.  Diagnosed with diffuse pulmonary emboli involving the distal main branches as well as the proximal segmental and diffusely throughout the subsegmental branches of both lungs.  Elevated right ventricular over left ventricular ratio greater than 1.0 suggesting right-sided heart strain and increased right-sided heart pressures.  Admitted and treated with IV heparin bolus and infusion.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram ST-T segment abnormal, Lung consolidation, Lung infiltration, Lung opacity
Clinical narrative: Difficulty breathing, chest pain, dyspnea on minimal exertion.  Diagnosed with diffuse pulmonary emboli involving the distal main branches as well as the proximal segmental and diffusely throughout the subsegmental branches of both lungs.  Elevated right ventricular over left ventricular ratio greater than 1.0 suggesting right-sided heart strain and increased right-sided heart pressures.  Admitted and treated with IV heparin bolus and infusion.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Scan with contrast abnormal, Ultrasound Doppler
Clinical narrative: Difficulty breathing, chest pain, dyspnea on minimal exertion.  Diagnosed with diffuse pulmonary emboli involving the distal main branches as well as the proximal segmental and diffusely throughout the subsegmental branches of both lungs.  Elevated right ventricular over left ventricular ratio greater than 1.0 suggesting right-sided heart strain and increased right-sided heart pressures.  Admitted and treated with IV heparin bolus and infusion.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Fatigue, Injection site induration, Injection site pain
Clinical narrative: Redness in chest within an hour (resolved), congestion,  szeezing, runny nose same evening (resolved). Following day dizziness, fatigue. Continued dizziness and fatigue 3 days later (ongoing). Injection site is hard to the touch and sore (ongoing).
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Rhinorrhoea, Sneezing
Clinical narrative: Redness in chest within an hour (resolved), congestion,  szeezing, runny nose same evening (resolved). Following day dizziness, fatigue. Continued dizziness and fatigue 3 days later (ongoing). Injection site is hard to the touch and sore (ongoing).
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized for COVID-19 on 5/16/2021 (COVID PCR test positive 5/16/2021), currently still hospitalized; received Pfizer COVID-19 vaccines on 4/5/21 and 4/27/21
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 16 year old received dose of Moderna instead of Pfizer, which is indicated for age less than 18.  No adverse effects, informed patient, patient's mother. Consulted pediatrician and family medicine physician for recommendations. Per conversations with all parties involved and CDC recommendations, family is planning to have patient receive second dose of Moderna.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Anticoagulant therapy, Arterial thrombosis, Feeling cold, Hypoaesthesia
Clinical narrative: Vaccine in L deltoid. Quickly, pt developed L hand/fingers numbness, coolness. Subsequent pain.  Pt referred to hematologist ultimately 5/5/21. Later started on eliquis. Subsequent imaging confirmed arterial thrombosis in brachial/radial arteries. Symptoms markedly better with eliquis.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral artery thrombosis, Ultrasound Doppler
Clinical narrative: Vaccine in L deltoid. Quickly, pt developed L hand/fingers numbness, coolness. Subsequent pain.  Pt referred to hematologist ultimately 5/5/21. Later started on eliquis. Subsequent imaging confirmed arterial thrombosis in brachial/radial arteries. Symptoms markedly better with eliquis.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Asthenia, Confusional state, Fatigue, Headache
Clinical narrative: Patient called to report that Moderna #2 vaccine received on a Tuesday. Woke up on Wednesday morning with "really bad headache", "very confused" and "very weak". Denied any fever or chills. Now 2 weeks later she still has lingering leg weakness, "very weak" and fatigue and also hair loss.  She says she had no after effects with Moderna #1. She is now "getting back to normal" .
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Cold sweat, Disturbance in attention, Fatigue, Feeling abnormal
Clinical narrative: Extreme fatigue, cold sweats for greater than 12 hours, pain in hips, thighs, and legs, inability to focus, very foggy for greater than 12 hours
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: Extreme fatigue, cold sweats for greater than 12 hours, pain in hips, thighs, and legs, inability to focus, very foggy for greater than 12 hours
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt states that she felt like she passed out after injection. Incident not witnessed. She states she has " seized up"  in the past after blood draw. Pt declines EMR assistance. Pt left site in no distress without complaints
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Hypoaesthesia, Limb discomfort, Paraesthesia
Clinical narrative: 3 days after receiving my 1st COVID vaccine, I had a CBC draw.  My platelet count went from < 400 to > 450.  I also experienced heaviness in both my arms and tingling/numbness in my fingers.  Platelet count resolution is TBD (will get retested 6 weeks post 2nd shot).  Heaviness in arms/tingling in fingers resolved after one week.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rashes on many part of the body
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Malaise, Neuralgia, Paraesthesia
Clinical narrative: My first shot was on Feb 4 in my left arm and my second shot was March 4 in my right arm. I had covid arm after both shots. I have autoimmune disease. On May 9, woke up in the night with tingling down my left leg, tingling in my right knee and a very sore spot behind my left ear. I later had tingling in the nerve behind my left area. A day or two later I began to have some discomfort in my left inner ear and generally felt unwell which has persisted with fatigue, sneezing and neuralgia. The suspicion was shingles even though I did not have a visible rash. On May 11 my dermatologist saw no rash on my scalp and an internal medicine  doctor said that my ear was clear. On May 11, I started a 7 day course of valacyclovir. Today is May 17 and I am beginning to feel somewhat better although I am still having some neuralgia symptoms. I have had the shingrix vaccine about 2 years ago and have had shingles twice--once before the vaccine and once afterwards.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia ear, Sneezing
Clinical narrative: My first shot was on Feb 4 in my left arm and my second shot was March 4 in my right arm. I had covid arm after both shots. I have autoimmune disease. On May 9, woke up in the night with tingling down my left leg, tingling in my right knee and a very sore spot behind my left ear. I later had tingling in the nerve behind my left area. A day or two later I began to have some discomfort in my left inner ear and generally felt unwell which has persisted with fatigue, sneezing and neuralgia. The suspicion was shingles even though I did not have a visible rash. On May 11 my dermatologist saw no rash on my scalp and an internal medicine  doctor said that my ear was clear. On May 11, I started a 7 day course of valacyclovir. Today is May 17 and I am beginning to feel somewhat better although I am still having some neuralgia symptoms. I have had the shingrix vaccine about 2 years ago and have had shingles twice--once before the vaccine and once afterwards.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Drug ineffective, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EFFECTS ADMINISTRATION DEVIATION: UNAUTHORIZED AGE GROUP
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came in for J&J vaccine 05/14/2021.  She selected "no" on her questionnaire to the question "have you received the first dose of a COVID-19 vaccine and want to schedule a second dose".  We administered the vaccine and when inputting her information in we noticed she had received a J&J vaccine #3205 on 3/11/2021
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Accidental overdose, Computerised tomogram thorax abnormal, Cough, Dizziness, Echocardiogram
Clinical narrative: I developed a cough on or about beginning of May 1, 2021. After accidentally double dosing myself with my ACE inhibitor I went into the ER on 5/11 with light headedness/high heart rate and cough. After multiple tests were done it was  discovered that I had a large satellite embolism. in my lung and another one in my left leg.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Heart rate increased, Pulmonary thrombosis, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: I developed a cough on or about beginning of May 1, 2021. After accidentally double dosing myself with my ACE inhibitor I went into the ER on 5/11 with light headedness/high heart rate and cough. After multiple tests were done it was  discovered that I had a large satellite embolism. in my lung and another one in my left leg.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: Extended duration of  menstrual bleeding
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Diarrhoea, Injection site pain, Nausea, Vomiting
Clinical narrative: Patient stated Left Arm was very sore after first Pfizer Covid-19 dose, extending up his neck on the left side. He stated arm was still sore at time for second shot (5/17/2021).  Patient opted to have SECOND Covid-19 shot given in RIGHT ARM. He also experienced a couple of days having nausea, vomiting, and diarrhea, concurrently.   Patient complained that his Psoriatic Arthritis became aggravated also after the first  shot also.   Pharmacist askedif he wanted the second Pfizer Covid-19 vaccination and patient stated he did. Pharmacist administered the second shot in the series in the other arm (right) from the first shot (left). Patient was asked to remain for 30 minutes, which he did, then left stating he felt fine.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Hypoaesthesia, Paraesthesia
Clinical narrative: AFTER COVID19 VACCINATION, PATIENT EXPERIENCED NUMBNESS, TINGLING, DIZZINESS, WEAKNESS, LIGHTHEADEDNESS AND DIAPHORESIS AT FOREHEAD. NO LOC, NO DIB, NO SYNCOPE, NO CHEST PAIN. AFTER 15 MINUTES PATIENT WAS ASYMPTOMATIC. LEFT WITH FATHER TO HOME AT 11:16 AM.  VITAL SIGNS:  1100 BP 72/36, HR 88, RR 20 1105 BP 86/46, HR 84, RR 20 1110 BP 88/62, HR 82, RR 20 1115 BP 96/68, HR 80, RR 20 1116 BP 102/70, HR 82, RR 20
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Oral herpes
Clinical narrative: Suddenly Herpes appear on my lip.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Tinnitus
Clinical narrative: Loss of hearing the next day. Always had excellent hearing till second shot. It?s now 30 days after second shot with sufficient loss of hearing. Both ears now ringing. Can?t get into doctor appointment right away. Loss over 30 percent of hearing.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Peripheral vascular disorder
Clinical narrative: Circulatory issues in right lower leg resulting in significant swelling of right ankle for two days.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized within 6 weeks of receiving COVID vaccination. First admission was 3/3/21, second admission was 3/9/21.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Chest pain, Cough, Haemoptysis, Immunoglobulin therapy
Clinical narrative: Suspected VITT treated with bivalirudin 0.08 mg/kg/hr, IVIG, hemoptysis, cough,  chest pain
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thrombocytopenia, Thrombosis, Vaccination complication
Clinical narrative: Suspected VITT treated with bivalirudin 0.08 mg/kg/hr, IVIG, hemoptysis, cough,  chest pain
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time prolonged, Acute kidney injury, Anticoagulant therapy, Atrial fibrillation, COVID-19
Clinical narrative: Suspected VITT treated with bivalirudin 0.08 mg/kg/hr, IVIG, hemoptysis, cough,  chest pain
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Cardiogenic shock, Cardiomyopathy, Computerised tomogram thorax abnormal, Continuous haemodiafiltration
Clinical narrative: Suspected VITT treated with bivalirudin 0.08 mg/kg/hr, IVIG, hemoptysis, cough,  chest pain
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dilatation atrial, Dilatation ventricular, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Suspected VITT treated with bivalirudin 0.08 mg/kg/hr, IVIG, hemoptysis, cough,  chest pain
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemoptysis, Hypoxic-ischaemic encephalopathy, Intensive care, Ischaemic hepatitis, Left ventricular failure
Clinical narrative: Suspected VITT treated with bivalirudin 0.08 mg/kg/hr, IVIG, hemoptysis, cough,  chest pain
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Pulmonary thrombosis, Renal failure, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: Suspected VITT treated with bivalirudin 0.08 mg/kg/hr, IVIG, hemoptysis, cough,  chest pain
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Shock, Tachycardia, Unresponsive to stimuli
Clinical narrative: Suspected VITT treated with bivalirudin 0.08 mg/kg/hr, IVIG, hemoptysis, cough,  chest pain
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Moderna COVID vaccine given for 2nd dose, 1st dose was Pfizer COVID vaccine.  No signs or symptoms of adverse effects noted within 15 minutes of administering the vaccine.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given to pt who is 16 years old. No adverse side effects noted. Pt received counseling from RN and Pharmacist.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Given to pt who is 16 years old. No adverse side effects noted. Pt received counseling from RN and Pharmacist.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was waiting in the waiting room to be vaccinated with Pfizer. While the consent form was being reviewed by the pharmacist and the vaccine was being prepared, the nurse inside the immunization room called the patient and administered the Moderna vaccine without confirming any patient information, age, allergies, etc. Vaccination error was identified when the pharmacist asked if she was vaccinated while delivering the Pfizer vaccine into the immunization room. The patient was sitting in the chair and the nurse stated yes, she just got the Moderna. And the pharmacist asked if she asked any of the questions because the consent form was with the pharmacist and she is 16 years old. From the moment that the error was discovered, the District Manager was immediately notified. Soon after speaking with the DM, the pharmacist contacted CDC and Moderna for more information and guidance. Both informed the pharmacist to schedule the 16 year old patient for her second dose of Moderna at 0.5 mL dose.