chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Nausea, Pneumonia aspiration, Pyrexia, Speech disorder
Clinical narrative: Recent history: Hemorrhagic cerebrovascular accident (CVA) - Recent hemorrhagic stroke with residual L-sided weakness -Admitted 10/3/22. Discharged 10/17/22 to SNF for rehab Admit 10/24/2022:  Feverish and chilled for about past 5 days and has had a nonproductive cough, generally weak than usual, nausea and vomiting, progressively more weak to the point where he is having difficulty even drinking enough fluids to stay hydrated. Continued left-sided deficits and speech deficits which have not changed.  ED COURSE & MEDICAL DECISION MAKING Presents with a poor appetite, occasional vomiting, severe dehydration resulting in acute renal failure. He also has minimally elevated liver enzymes. Abdominal exam is benign. The above picture is consistent with COVID. He is hydrated aggressively with a liter of normal saline and will need to be admitted for further hydration and supportive care. 10-24-2022 H&P:Assessment/Plan: Principal Problem: COVID-19 Active Problems: Hemorrhagic cerebrovascular accident (CVA), Urinary retention,  Hypernatremia AKI (acute kidney injury),  Elevated LFTs. D. Dimer = not done but pt not hypoxic at this time.  If pt becomes hypoxic, will add dexamethasone and obtain D dimer  No remdesivir in setting of newly elevated LFTs.  11/8/2022: Brief hospital course and Important issues for outpatient follow up: 1. Admitted with COVID-19 infection, aspiration pneumonia etc. along with recent hemorrhagic stroke with left-sided hemiplegia. 2. Overall guarded prognosis with dysphagia from stroke. 3. Hospice was discussed with daughter. Initial plan for home hospice but due to declining respiratory status plan change to HIH on 11/6.  Patient expired at 1600 on 11/7/22.  Submitter does not have access to additional medical records. If further information is needed, please contact the Hospital.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Recent history: Hemorrhagic cerebrovascular accident (CVA) - Recent hemorrhagic stroke with residual L-sided weakness -Admitted 10/3/22. Discharged 10/17/22 to SNF for rehab Admit 10/24/2022:  Feverish and chilled for about past 5 days and has had a nonproductive cough, generally weak than usual, nausea and vomiting, progressively more weak to the point where he is having difficulty even drinking enough fluids to stay hydrated. Continued left-sided deficits and speech deficits which have not changed.  ED COURSE & MEDICAL DECISION MAKING Presents with a poor appetite, occasional vomiting, severe dehydration resulting in acute renal failure. He also has minimally elevated liver enzymes. Abdominal exam is benign. The above picture is consistent with COVID. He is hydrated aggressively with a liter of normal saline and will need to be admitted for further hydration and supportive care. 10-24-2022 H&P:Assessment/Plan: Principal Problem: COVID-19 Active Problems: Hemorrhagic cerebrovascular accident (CVA), Urinary retention,  Hypernatremia AKI (acute kidney injury),  Elevated LFTs. D. Dimer = not done but pt not hypoxic at this time.  If pt becomes hypoxic, will add dexamethasone and obtain D dimer  No remdesivir in setting of newly elevated LFTs.  11/8/2022: Brief hospital course and Important issues for outpatient follow up: 1. Admitted with COVID-19 infection, aspiration pneumonia etc. along with recent hemorrhagic stroke with left-sided hemiplegia. 2. Overall guarded prognosis with dysphagia from stroke. 3. Hospice was discussed with daughter. Initial plan for home hospice but due to declining respiratory status plan change to HIH on 11/6.  Patient expired at 1600 on 11/7/22.  Submitter does not have access to additional medical records. If further information is needed, please contact the Hospital.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Eczema, Erythema, Follicular disorder, Inflammation, Pruritus
Clinical narrative: The small spot of eczema got about six or seven times larger. It was swollen, itchy, red. A week later I developed little red dots that looked like a petechiae rash, that I was later informed was inflamed hair follicles from the swelling. I do not have a fever, no high blood pressure. I was prescribed steroid cream to put on the areas to help with the itching and inflammation.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash erythematous, Swelling
Clinical narrative: The small spot of eczema got about six or seven times larger. It was swollen, itchy, red. A week later I developed little red dots that looked like a petechiae rash, that I was later informed was inflamed hair follicles from the swelling. I do not have a fever, no high blood pressure. I was prescribed steroid cream to put on the areas to help with the itching and inflammation.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the orginal Pfizer vaccine for patients 12 and older for a booster dose rather than the bivalent as intended.  No adverse effects noted.  The original monovalent version of the vaccine was given rather than the new bivalent.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Insomnia
Clinical narrative: 3/03/21 The injection site, had redness, stiffness, soreness, and swelling for two weeks.  Hard to move and lift my arm, difficulty sleeping on the left side.  Ice and motrin helped.  Pain and swelling with the first shot.  Second shot 3/31/21 injection site same as the first tender and swelling at the injection site.   Had to take Benadryl and other allergy OTC medicine for two weeks because of severe itching and rash-like symptoms.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Musculoskeletal stiffness, Pruritus, Rash
Clinical narrative: 3/03/21 The injection site, had redness, stiffness, soreness, and swelling for two weeks.  Hard to move and lift my arm, difficulty sleeping on the left side.  Ice and motrin helped.  Pain and swelling with the first shot.  Second shot 3/31/21 injection site same as the first tender and swelling at the injection site.   Had to take Benadryl and other allergy OTC medicine for two weeks because of severe itching and rash-like symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac disorder, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: I had a sore arm after receiving the vaccine. I went hiking and I couldn't catch my breath. I was short of breath and my chest felt heavy. I had flu like symptoms, I was fatigued. It was very unusual and not like me. I kept getting unsteady which caused me to faint twice. I've fallen quite a few times within the past year as well. I've also experienced some left side weakness. I did visit a cardiologist who found some issues with my heart. I had the chest pains for an entire year but recently I can tell I'm feeling better.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fall, Fatigue, Gait disturbance, Hemiparesis
Clinical narrative: I had a sore arm after receiving the vaccine. I went hiking and I couldn't catch my breath. I was short of breath and my chest felt heavy. I had flu like symptoms, I was fatigued. It was very unusual and not like me. I kept getting unsteady which caused me to faint twice. I've fallen quite a few times within the past year as well. I've also experienced some left side weakness. I did visit a cardiologist who found some issues with my heart. I had the chest pains for an entire year but recently I can tell I'm feeling better.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Pain in extremity, Syncope
Clinical narrative: I had a sore arm after receiving the vaccine. I went hiking and I couldn't catch my breath. I was short of breath and my chest felt heavy. I had flu like symptoms, I was fatigued. It was very unusual and not like me. I kept getting unsteady which caused me to faint twice. I've fallen quite a few times within the past year as well. I've also experienced some left side weakness. I did visit a cardiologist who found some issues with my heart. I had the chest pains for an entire year but recently I can tell I'm feeling better.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the orginal Pfizer vaccine for patients 12 and older for a booster dose rather than the bivalent as intended.  No adverse effects noted.  The original monovalent version of the vaccine was given rather than the new bivalent.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the orginal Pfizer vaccine for patients 12 and older for a booster dose rather than the bivalent as intended.  No adverse effects noted.  The original monovalent version of the vaccine was given rather than the new bivalent.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: PFIZER BIONTECH COVID-19 VACCINE,BIVALENT. Patient 5 years of age. Received Pfizer bivalent booster for 12+ years
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram head normal, Echocardiogram normal, Electrocardiogram normal, Hypoacusis, Hypoaesthesia
Clinical narrative: 11/14/22 afternoon began having vision changes, right hand numbness, and difficulty understanding people for approximately 1 hour. Went to ER and was given clopidogrel 300mg and aspirin 324mg.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test normal, Magnetic resonance imaging head normal, Visual impairment
Clinical narrative: 11/14/22 afternoon began having vision changes, right hand numbness, and difficulty understanding people for approximately 1 hour. Went to ER and was given clopidogrel 300mg and aspirin 324mg.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Death, Dyspnoea, Fatigue, Pericardial effusion
Clinical narrative: weakness, fatigue, fluid on the heart, shortness of breath (lasted for approximately 10 days), death.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: weakness, fatigue, fluid on the heart, shortness of breath (lasted for approximately 10 days), death.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angiogram, Blood test, Computerised tomogram, Coordination abnormal, Dysgraphia
Clinical narrative: After taking the 4th dose, I experienced severe pain in my arm, extreme weakness, and tiredness; which lasted about 3 days. I took TYLENOL and I put ice on my arm. However, last week on 11/08/2022, all of a sudden I felt weak on my left side and particularly felt this weakness on my leg. I had difficulty walking. I tried to take my temperature, but I had trouble placing the thermometer in my mouth. I was losing coordination. I spoke to my neighbor and she couldn't understand the words that was coming out of my mouth. I went to the hospital that same night and took some tests. I was then transferred to a different hospital the next day. I later went to my neurologist and I was diagnosed with a TIA. I did suffer a stroke in January 2022 after taking my 3rd dose of Moderna but I wasn't sure if it was related to the vaccine. I was unable to walk, lift my leg, and I lost my handwriting ability & lacked coordination. I took part in physical therapy after this occurred. Eventually, I felt there was some improvement, but I feel like there has been a regression in my handwriting skills since taking the 4th dose. It has worsened. I will return to physical therapy soon.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram, Fatigue, Gait disturbance, Hemiparesis, Magnetic resonance imaging
Clinical narrative: After taking the 4th dose, I experienced severe pain in my arm, extreme weakness, and tiredness; which lasted about 3 days. I took TYLENOL and I put ice on my arm. However, last week on 11/08/2022, all of a sudden I felt weak on my left side and particularly felt this weakness on my leg. I had difficulty walking. I tried to take my temperature, but I had trouble placing the thermometer in my mouth. I was losing coordination. I spoke to my neighbor and she couldn't understand the words that was coming out of my mouth. I went to the hospital that same night and took some tests. I was then transferred to a different hospital the next day. I later went to my neurologist and I was diagnosed with a TIA. I did suffer a stroke in January 2022 after taking my 3rd dose of Moderna but I wasn't sure if it was related to the vaccine. I was unable to walk, lift my leg, and I lost my handwriting ability & lacked coordination. I took part in physical therapy after this occurred. Eventually, I felt there was some improvement, but I feel like there has been a regression in my handwriting skills since taking the 4th dose. It has worsened. I will return to physical therapy soon.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mobility decreased, Muscular weakness, Pain in extremity, Speech disorder, Transient ischaemic attack
Clinical narrative: After taking the 4th dose, I experienced severe pain in my arm, extreme weakness, and tiredness; which lasted about 3 days. I took TYLENOL and I put ice on my arm. However, last week on 11/08/2022, all of a sudden I felt weak on my left side and particularly felt this weakness on my leg. I had difficulty walking. I tried to take my temperature, but I had trouble placing the thermometer in my mouth. I was losing coordination. I spoke to my neighbor and she couldn't understand the words that was coming out of my mouth. I went to the hospital that same night and took some tests. I was then transferred to a different hospital the next day. I later went to my neurologist and I was diagnosed with a TIA. I did suffer a stroke in January 2022 after taking my 3rd dose of Moderna but I wasn't sure if it was related to the vaccine. I was unable to walk, lift my leg, and I lost my handwriting ability & lacked coordination. I took part in physical therapy after this occurred. Eventually, I felt there was some improvement, but I feel like there has been a regression in my handwriting skills since taking the 4th dose. It has worsened. I will return to physical therapy soon.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pruritus, Rash
Clinical narrative: Second shot 3/31/21 injection site same as the first tender and swelling at the injection site.   Had to take Benadryl and other allergy OTC medicine for two weeks because of severe itching and rash-like symptoms.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: PFIZER BIONTECH COVID-19 VACCINE,BIVALENT. Patient is 8 years old. Received Pfizer bivalent booster for 12+ years
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the orginal Pfizer vaccine for patients 12 and older for a booster dose rather than the bivalent as intended.  No adverse effects noted.  The original monovalent version of the vaccine was given rather than the new bivalent.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Impaired work ability, Pain, Skin discolouration, Somnolence
Clinical narrative: sleeping since getting, off work, black dot on arm, fatigue, body aches
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: PFIZER BIONTECH COVID-19 VACCINE,BIVALENT. Patient is 9 years old. Received Pfizer bivalent booster for 12+years.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Musical ear syndrome, Sleep disorder
Clinical narrative: Musical ear syndrome (MES), songs followed by old fashioned roller rink organ music which has devolved into only the organ music repeating 4-5 lines over and over. This hasn't stopped,goes 24 hours a day, and interrupts my sleep. It is usually low and in the background. I e been told there is no treatment or cure but that hearing aids might possibly drown it out. Musical Ear Syndrome (MES), in which there are many members who also say they got this as a side effect of a covid vaccination.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Laboratory test, Migraine, Occipital neuralgia
Clinical narrative: Occipital neuralgia  six day migraine  chest pain On going
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Mental status changes
Clinical narrative: Altered mental status and weakness that led to an ER visit and admission
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the original monovalent Pfizer COVID-19 vaccine as their second booster dose instead of the intended bivalent Pfizer COVID-19 vaccine.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the orginal Pfizer vaccine for patients 12 and older for a booster dose rather than the bivalent as intended.  No adverse effects noted.  The original monovalent version of the vaccine was given rather than the new bivalent.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: MODERNAMONOVALENT BOOSTER DOSE WAS ADMINISTERED INSTEAD OF THE MODERNA BIVALENT BOOSTER DOSE
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: rash, treated with benadryl and pepcid
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Lymph node pain, Oropharyngeal pain
Clinical narrative: I experienced a breakthrough case of COVID-19 with a sore throat, dry cough, runny nose, glands were sore, fatigue, fever and tiredness.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I experienced a breakthrough case of COVID-19 with a sore throat, dry cough, runny nose, glands were sore, fatigue, fever and tiredness.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Third shot pain and swelling at the injection site.  Difficulty walking for two days after vaccination.  Severe pain in both legs from hips to ankles.  Had to take Aleve for two days to help relieve symptoms.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: PFIZER-BIONTECH COVID-19 VACCINE, BIVALENT. Patient 7 years old. Received Pfizer bivalent booster for 12+ years
Age: 75.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: COVID-19, Cough, Fall, SARS-CoV-2 test positive
Clinical narrative: Patient had dry cough and fall. Tested positive for Covid. Treatment includes assessment, medication, and admission.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the monovalent Pfizer COVID-19 vaccine as their booster dose instead of the intended bivalent Pfizer COVID-19 vaccine.
Age: 20.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: DURING A COVID OUTREACH CLINIC AT FACILITY, PFIZER BIVALENT VACCINE ADMINISTERED ON 11/09/22. CONSENT WAS FILLED OUT BY FACILITY STAFF AS PATIENT IS NON-VERBAL, WITH CONSENT SIGNED BY FACILITY DIRECTOR. MOST RECENT DOSE DOCUMENTED IN SIIS WAS 10/17/22. NOT DOCUMENTED ON CONSENT. NO ADVERSE SIGNS AND SYMPTOMS OR OUTCOMES OCCURRED. NO TREATMENT REQUIRED.
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Dermatitis allergic, Injection site erythema, Rash
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Mild
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Full blood count, Headache, Palpitations
Clinical narrative: On 11/13/2022 I went on my usual walk and about 30 minutes in I started feeling severe substernal pain; heart racing;diacritic; headache; low grade fever (99.9) ;I took my blood pressure and the monitor was not recording my BP at that time. A family member suggested I go to the ER.  When I arrived at the ER my BP was 139/96  and I was also experiencing frequent urination. I left the ER once my BP and Pulse were regulated. I have a follow up appointment on 11/23/2022.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria, Pyrexia
Clinical narrative: On 11/13/2022 I went on my usual walk and about 30 minutes in I started feeling severe substernal pain; heart racing;diacritic; headache; low grade fever (99.9) ;I took my blood pressure and the monitor was not recording my BP at that time. A family member suggested I go to the ER.  When I arrived at the ER my BP was 139/96  and I was also experiencing frequent urination. I left the ER once my BP and Pulse were regulated. I have a follow up appointment on 11/23/2022.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fall, Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: Patient had a fall and was on the floor for approx one day. Tested positive for covid on hospital admission. Treatment includes supportive care with benzonatate, robitussin, and pulmonary toilet.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: MONOVALENT BOOSTER WAS ADMINISTERED INSTEAD OF A BIVALENT BOOSTER
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Chills, Pyrexia
Clinical narrative: within 24 hours of having the first booster, I experienced general tightness throughout chest area, developed fever and chills - took 1600mg acetaminophin ,,,went to bed and fever went away within 2 hours and I felt better ( I am an NP - didnt feel I was having a heart attack but wont take any more vaccines after this   no radiating pain or shortness of breath
Age: 51.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Extra dose administered
Clinical narrative: ADMINSTRATION ERROR, ALREADY RECEIVED FLU VACCINE ON 9/28/2022.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: patient states he has a lot of pain on his right arm. States he did go to the doctor for his annual visit and informed the doctor. He recommended him to apply some warm cloths
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fall, Loss of consciousness, SARS-CoV-2 test positive, Syncope
Clinical narrative: Pt to ED 10/21 with cc of fall/syncope with LOC. 10/24 Pt is aox3, on RA not in distress, denies pain or discomfort. 10/25 pt COVID+. 10/26 Pt is aox3, on RA not in distress, denies pain or sob. 10/16 pt discharged.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the monovalent Pfizer COVID-19 vaccine as their booster dose instead of the intended bivalent Pfizer COVID-19 vaccine
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Dizziness, unconsciousness
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Lymph node pain, Lymphadenopathy
Clinical narrative: Fever for 3 days, redness, warmth feeling and swelling of a large area in the injection site for 3 days, swelling and soreness of the lymph nodes in the left under arm of the injection site for 3 days.  Patient just took otc Advil and benadryl for 3 days and got relieved on the 4th day.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Fever for 3 days, redness, warmth feeling and swelling of a large area in the injection site for 3 days, swelling and soreness of the lymph nodes in the left under arm of the injection site for 3 days.  Patient just took otc Advil and benadryl for 3 days and got relieved on the 4th day.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS ADMINISTERED POST ITS MANUFACTURER EXPIRATION DATE
Age: 21.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted 5 min after shot, no loc, per pt, did not drink or eat much in the am, pt given food and water, observed for 30 min with no other issues, will reach out to pt to check up later in day
Age: 31.0
Sex: U
Vaccine: COVID19-2
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS ADMINISTERED ON 10/1/2022,  1 DAY PAST ITS MFD EXPIRATION OF 9/30/2022
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal distension, Urticaria
Clinical narrative: Patient started experiencing hives 3hrs after immunization. Also stated stomach bloating. Took patient to the Emergency Room. Prescribed topical steroid and Benadryl.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Influenza like illness, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: Infection site tender as expected.  Ibuprofen was needed for pain.  The next morning 11/07/2021 early woke up to severe flu-like symptoms.  Temperature 104 full body aches, headache, nausea unable to function and do normal activities.  The doctor said that this is a normal reaction and if the symptoms don't get better in a few days to call back.  She was feeling a little better after a week of the initial day of the shot.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: Infection site tender as expected.  Ibuprofen was needed for pain.  The next morning 11/07/2021 early woke up to severe flu-like symptoms.  Temperature 104 full body aches, headache, nausea unable to function and do normal activities.  The doctor said that this is a normal reaction and if the symptoms don't get better in a few days to call back.  She was feeling a little better after a week of the initial day of the shot.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event
Clinical narrative: Patient entered the covid 19 vaccination clinic stating that they needed their bi-valent booster. Both vaccines were administered. After administration and documention, noticed they had already been vaccinated 2+ months ago with the bi-valent. Patient departed the premises prior to being aware of error. Patient did not appear to have any adverse reactions to doses prior to leaving the facility. Attempted to notify patients, but there was no answer.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 10/21 for fatigue and cough. Pt COVID+ 10/21. 10/22 pt is A&O x 4, on room air. 10/23 no new symptoms. 10/24 pt discharged.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the monovalent Pfizer COVID-19 vaccine as their booster dose instead of the intended bivalent Pfizer COVID-19 vaccine.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 1/29/21 Pfizer  EL9265 dose 2 2/19/21 Pfizer  EM9810
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Chills, Headache, Injection site erythema, Injection site pain
Clinical narrative: Erythema, tenderness and warmth with moderate swelling at the site.  Arm pain to left arm. Fever, chills, body aches Severe headache and neck/back pain
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth, Neck pain, Pain, Pain in extremity
Clinical narrative: Erythema, tenderness and warmth with moderate swelling at the site.  Arm pain to left arm. Fever, chills, body aches Severe headache and neck/back pain
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Erythema, tenderness and warmth with moderate swelling at the site.  Arm pain to left arm. Fever, chills, body aches Severe headache and neck/back pain
Age: 2.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood glucose normal, Electrocardiogram normal, Pyrexia, Syncope
Clinical narrative: patient with syncopal episode about 30 minutes after influenza vaccine. Was at home, EMS called. EKG normal, glucose normal, patient returned to baseline quickly (no post-ictal state). No concern for seizure activity. Had fever the following day which resolved within 24 hrs, approximately.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient entered the covid 19 vaccination clinic stating that they needed their bi-valent booster. Both vaccines were administered. After administration and documention, employee noticed they had already been vaccinated 2+ months ago with the bi-valent. Patient departed the premises prior to being aware of error. Patient did not appear to have any adverse reactions to doses prior to leaving the facility. Attempted to notify patients, but there was no answer.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: covid vaccine breakthrough case
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: ped dose administer to an adult pt
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 11/2 for shortness of breath. Pt COVID+ 11/2. 11/3 started on remdesivir & decadron. 11/4 pt left hospital, discharged.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Influenza like illness, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: Infection site tender as expected.  Ibuprofen was needed for pain.  The next morning 12/10/2021 early woke up to severe flu-like symptoms.  Same symptoms as the first shot.  Temperature 104 full body aches, headache, nausea unable to function and do normal activities.  The doctor said that this is a normal reaction and that if the symptoms don't get better in a few days to call back.  She was feeling a little better after a week of the initial day of the shot.   Advised not to get the booster because of the severity of the two vaccines already administered.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Vaccine positive rechallenge
Clinical narrative: Infection site tender as expected.  Ibuprofen was needed for pain.  The next morning 12/10/2021 early woke up to severe flu-like symptoms.  Same symptoms as the first shot.  Temperature 104 full body aches, headache, nausea unable to function and do normal activities.  The doctor said that this is a normal reaction and that if the symptoms don't get better in a few days to call back.  She was feeling a little better after a week of the initial day of the shot.   Advised not to get the booster because of the severity of the two vaccines already administered.
Age: 10.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect dose administered
Clinical narrative: ADMINISTRATION ERROR, WRONG DOSE, PATIENT SHOULD HAVE GOTTEN PFIZER BIVALENT 5-11YEARS OLD, NOT PFIZER BIVALENT 12+
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Bell's Palsy or Idiopathic facial paralysis
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: peds dose administer to an adult pt
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Cold sweat, Pallor, Sensation of foreign body
Clinical narrative: Patient received vaccination at approximately 2:15pm. She received education on signs/symptoms to monitor for post-vaccination. She was asked to sit in the waiting room for her 15 minute observation time (per our policy) with staff at side. At approximately 2:36pm, she was packing her items to leave the site as her observation time had ended. At this time she reported to staff that she felt a "lump" in her throat. RN was notified and arrived to patient's side. RN assessed patient and assisted her to the back medication room. At this time the patient reported to RN "lump" in throat WITHOUT shortness of breath or hoarsness/stridor, slight nausea, and RN observed pallor and clamminess around face and neck. VS were still stable at this time. At approximately 2:46pm, 0.3mg of epinephrine was administered via EpiPen Auto Injector per our policy. EMS were called at 2:47pm and arrived at 2:50pm. VS were continuously be assessed and remained stable with the exception of slightly elevated blood pressure (148/82) after the administration of epinephrine. Patient did not appear to be in distress. Continued to deny shortness of breath or any respiratory involvement. Patient reported at 2:49pm "I am feeling much better after that medication" and "the lump is going away".  EMS and family were now at side. EMS completed their workup. Patient refused EMS services and refused to go to Emergency room per MD order and EMS . VS remained stable. By 3:03pm the patient had much improved pallor and no longer had observable clamminess of the skin. EMS left at approximately 3:06pm. Patient continued to refuse additional treatment, however, RN and other medical staff provided necessary education on signs/symptoms to assess for throughout the day and evening and the coming days. The Medical Director was on the phone with RN after the administration of epi and was providing continued guidance and education to patient. Education was also given to patient regarding monitoring vital signs, foods/medications/known allergens to avoid in the coming days. She was also educated on the absolute need for follow up with a healthcare provider due to her severe reaction. She was also advised on how to proceed with future COVID vaccinations if there were to be any in the future. Patient's daughter was at her side during all educations. Both daughter and patient verbalized understanding. Patient DID sign an AMA form for EMS. At the time that the patient departed, her VS were back to her normal baseline and stable, patient was not in distress and denies all signs/symptoms and any pain or discomfort. Her skin was warm and dry and breathing was regular. No stridor or hoarseness observed/heard.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the monovalent Pfizer COVID-19 vaccine as their booster dose instead of the intended bivalent Pfizer COvID-19 vaccine.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Condition aggravated, Magnetic resonance imaging normal, Tinnitus
Clinical narrative: Tinnitus onset in both ears occurred after initial covid booster administered 11/17/2021 (Moderna lot # 004F21A).  Tinnitus symptoms (volume level) increased after administration of booster on 10/10/2022.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: tenderness, redness, swelling, itchy rash, heat at injection site
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site warmth
Clinical narrative: tenderness, redness, swelling, itchy rash, heat at injection site
Age: 0.08
Sex: M
Vaccine: FLUC4, HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Seasonal influenza vaccine administered prior to minimum recommended age. Administered to a 4wk 4 day old. Vaccine indicated for 6 months and up. Patient remained in clinic for 30 minutes following administration. No adverse reactions noted prior to departure from clinic.
Age: 75.0
Sex: F
Vaccine: FLUC4
Symptoms: Peripheral swelling
Clinical narrative: Patient received dose in left arm which is affected by previous cerebral infraction. Approx 12 hours late there is swelling to entire arm from shoulder to finger tips. Resident care staff have addressed with Tylenol and icing. Swelling remains 24 hours after injection.  No other symptoms or complications. Resident is located in an assisted living facility and remains under observation by staff.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram normal, Magnetic resonance imaging normal, Vertigo
Clinical narrative: Extreme vertigo PT and meds
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Adrenal insufficiency, Back pain, Blood growth hormone abnormal, Computerised tomogram spine, Iron deficiency anaemia
Clinical narrative: Patient was in his usual state of health, working fulltime as a mechanic (history of overweight, gastroescophageal reflux, alcohol abuse, hyperlipidemia). Received Moderna Covid 19 vaccines on 9/11/21 and 10/16/21.  November 2021 he had sudden onset of back pain, noted to have compression fracture 11/29/21, By 10/12/22 all thoracic and lumbar vertebrae with compression fractures, spontaneous rib fractures.   2/2022:  diagnosed with iron deficiency anemia Appears to have developed extensive kidney cysts  between  scan 11/29/21 and 10/12/22 based on changes note in imaging.  6/2022 diagnosed with severe osteopenia Developed Adrenal Insufficiency, dx with a pituitary microadenoma
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Osteopenia, Pituitary tumour benign, Renal cyst, Respiratory disorder
Clinical narrative: Patient was in his usual state of health, working fulltime as a mechanic (history of overweight, gastroescophageal reflux, alcohol abuse, hyperlipidemia). Received Moderna Covid 19 vaccines on 9/11/21 and 10/16/21.  November 2021 he had sudden onset of back pain, noted to have compression fracture 11/29/21, By 10/12/22 all thoracic and lumbar vertebrae with compression fractures, spontaneous rib fractures.   2/2022:  diagnosed with iron deficiency anemia Appears to have developed extensive kidney cysts  between  scan 11/29/21 and 10/12/22 based on changes note in imaging.  6/2022 diagnosed with severe osteopenia Developed Adrenal Insufficiency, dx with a pituitary microadenoma
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rib fracture, Spinal compression fracture
Clinical narrative: Patient was in his usual state of health, working fulltime as a mechanic (history of overweight, gastroescophageal reflux, alcohol abuse, hyperlipidemia). Received Moderna Covid 19 vaccines on 9/11/21 and 10/16/21.  November 2021 he had sudden onset of back pain, noted to have compression fracture 11/29/21, By 10/12/22 all thoracic and lumbar vertebrae with compression fractures, spontaneous rib fractures.   2/2022:  diagnosed with iron deficiency anemia Appears to have developed extensive kidney cysts  between  scan 11/29/21 and 10/12/22 based on changes note in imaging.  6/2022 diagnosed with severe osteopenia Developed Adrenal Insufficiency, dx with a pituitary microadenoma
Age: 82.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site erythema, Injection site rash, Paraesthesia
Clinical narrative: Patient reports rash/redness extending from injection site to elbow along with intermittent tingling in arm
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Herpes zoster, Musculoskeletal pain, Pain, Rash
Clinical narrative: Pain on the left side of my body from my buttocks to my ankle began the evening the same day of getting the booster shot. Two welts/rashes appeared on left leg 4 days after booster. Called doctor next day as rash spread. Doctor looked at rash and diagnosed shingles.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Pain on the left side of my body from my buttocks to my ankle began the evening the same day of getting the booster shot. Two welts/rashes appeared on left leg 4 days after booster. Called doctor next day as rash spread. Doctor looked at rash and diagnosed shingles.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: 2 doses of the Afluria vaccine were administered to patient
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heavy menstrual bleeding, Nasopharyngitis, SARS-CoV-2 test negative, Stress
Clinical narrative: Menstruation began at a typical time (not early or late in the cycle) but bleeding lasted 18 days. Typical length of bleeding for me is 4 days. The bleeding was not heavier than usual. At the two week mark, I visited a doctor, who asked questions about my cycle, performed a pelvic/vaginal exam and confirmed that there wasn't anything obviously wrong, and that I should come back if I was still bleeding in another two weeks. My copper IUD was ruled out as a possibile cause because it is not recent and it was still correctly  in place.   I believe there were two additional contributing factors: I came down with a cold and began experiencing symptoms the same day as I started bleeding. Those symptoms resolved within a week. I took one at-home rapid COVID test on day 2 of cold symptoms, which was negative. I also had just come out of an extended period of high stress due to a significant life event. However, I have been sick before and I have been under a high degree of stress before, but I have never had a period last longer than 7 days.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Computerised tomogram, Dizziness, Mobility decreased, Positron emission tomogram
Clinical narrative: About 28 hours after my injection I had a sudden acute vertigo and vomiting, the next morning I was taking in ambulance to the local medical center, I was treated in the emergency room and I was inpatient for 6 days, for three days I could not raise my head without vomiting, the diagnosis was the Vestibular Neuritis; I was given physical therapy I went home on day 6 and I was required a walker to get around, I still have some dizziness today, not as bad, and I am weekly basis I am seeing Physical Therapy.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo, Vestibular neuronitis, Vomiting, Walking aid user
Clinical narrative: About 28 hours after my injection I had a sudden acute vertigo and vomiting, the next morning I was taking in ambulance to the local medical center, I was treated in the emergency room and I was inpatient for 6 days, for three days I could not raise my head without vomiting, the diagnosis was the Vestibular Neuritis; I was given physical therapy I went home on day 6 and I was required a walker to get around, I still have some dizziness today, not as bad, and I am weekly basis I am seeing Physical Therapy.
Age: 16.0
Sex: F
Vaccine: COVID19-2, MNQ, TDAP
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Adverse event that took place was that the patient received the Moderna bivalent booster before completing the primary 2 dose series. There was no adverse reaction to this, patient's mother was called, and she reported no reactions.
Age: 41.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Underdose
Clinical narrative: Patient given Pediatric dose of Energix 0.5 ML instead of 1 ML. Incident identified immediately while patient was in clinic and patient was given additional dose of Energix 0.5 ML to complete 1 ML.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Asthenia, COVID-19, Chills
Clinical narrative: I received my first Pfizer booster for COVID-19 on 2/28/2022. On the evening of 11/5/2022, I had a very sore throat and developed sinus congestion and postnasal drip. I woke up the morning of 11/6/2022 and I still had a very sore throat. I took a home test for COVID-19, which yielded a positive result. I then took another home test a little while afterwards and got another positive result. I then called the doctor's office, and they told me that I definitely had COVID-19 and that a lab test would not be necessary. They did not prescribe me anything or make recommendations regarding treatment of symptoms at this point. My symptoms worsened. I have arthritis, and my joint pain became worse. I also had jaw pain, which is unusual for me, and pain in the upper teeth. I had a cough, a fever and chills, and pretty extreme fatigue. I then called my doctor's office on 11/9/2022, and on 11/10/2022, they prescribed me PAXLOVID  which I began taking that evening. Up to that point, my symptoms had improved slightly. However, they improved greatly within 24 hours of my beginning the PAXLOVID. I then continued to improve, and by 11/16/2022, I had a negative result on a home test. Before I got the PAXLOVID, I was treating my symptoms with AFRIN nasal spray. I also alternated between ibuprofen and acetaminophen. If it weren't for AFRIN, I would not have been able to breathe because of the severe congestion. At the time of this writing, I would say that I still have yet to make a full recovery, as I am still flushing out the congestion. Also, my full pre-COVID energy level has not yet returned.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Fatigue, Oropharyngeal pain, Pain in jaw
Clinical narrative: I received my first Pfizer booster for COVID-19 on 2/28/2022. On the evening of 11/5/2022, I had a very sore throat and developed sinus congestion and postnasal drip. I woke up the morning of 11/6/2022 and I still had a very sore throat. I took a home test for COVID-19, which yielded a positive result. I then took another home test a little while afterwards and got another positive result. I then called the doctor's office, and they told me that I definitely had COVID-19 and that a lab test would not be necessary. They did not prescribe me anything or make recommendations regarding treatment of symptoms at this point. My symptoms worsened. I have arthritis, and my joint pain became worse. I also had jaw pain, which is unusual for me, and pain in the upper teeth. I had a cough, a fever and chills, and pretty extreme fatigue. I then called my doctor's office on 11/9/2022, and on 11/10/2022, they prescribed me PAXLOVID  which I began taking that evening. Up to that point, my symptoms had improved slightly. However, they improved greatly within 24 hours of my beginning the PAXLOVID. I then continued to improve, and by 11/16/2022, I had a negative result on a home test. Before I got the PAXLOVID, I was treating my symptoms with AFRIN nasal spray. I also alternated between ibuprofen and acetaminophen. If it weren't for AFRIN, I would not have been able to breathe because of the severe congestion. At the time of this writing, I would say that I still have yet to make a full recovery, as I am still flushing out the congestion. Also, my full pre-COVID energy level has not yet returned.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinus congestion, Toothache, Upper-airway cough syndrome
Clinical narrative: I received my first Pfizer booster for COVID-19 on 2/28/2022. On the evening of 11/5/2022, I had a very sore throat and developed sinus congestion and postnasal drip. I woke up the morning of 11/6/2022 and I still had a very sore throat. I took a home test for COVID-19, which yielded a positive result. I then took another home test a little while afterwards and got another positive result. I then called the doctor's office, and they told me that I definitely had COVID-19 and that a lab test would not be necessary. They did not prescribe me anything or make recommendations regarding treatment of symptoms at this point. My symptoms worsened. I have arthritis, and my joint pain became worse. I also had jaw pain, which is unusual for me, and pain in the upper teeth. I had a cough, a fever and chills, and pretty extreme fatigue. I then called my doctor's office on 11/9/2022, and on 11/10/2022, they prescribed me PAXLOVID  which I began taking that evening. Up to that point, my symptoms had improved slightly. However, they improved greatly within 24 hours of my beginning the PAXLOVID. I then continued to improve, and by 11/16/2022, I had a negative result on a home test. Before I got the PAXLOVID, I was treating my symptoms with AFRIN nasal spray. I also alternated between ibuprofen and acetaminophen. If it weren't for AFRIN, I would not have been able to breathe because of the severe congestion. At the time of this writing, I would say that I still have yet to make a full recovery, as I am still flushing out the congestion. Also, my full pre-COVID energy level has not yet returned.