chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Laboratory test normal, Loss of personal independence in daily activities, Metabolic function test normal, Poor quality sleep
Clinical narrative: Severe post-COVID 19 vaccine polyarthritis  Within 10 hours of receiving the first mRNA Pfizer vaccine, I experienced joint pain and crepitus in the cervical spine, right shoulder, left hip, bilateral knees, and left foot.  The pain lasted 3-4 days.  4-5/10 pain  Within 10 hours of receiving the second mRNA Pfizer vaccine, I experienced joint in the same joints, but the pain lasted 3 to 4 months.  By July 2020, I experienced recurrence of the symptoms every 2 weeks.  The pain was 4-5/10.  My rheumatologist said the phenomenon of experiencing a flare up of my symptoms months after the vaccine was called "immunologic echo."  Because I experienced these symptoms 10 hours after receiving the mRNA vaccine, he said it was probably a vaccine reaction.  He also said it could be but less likely reactive arthritis.  He said I could never take another mRNA vaccine again.  Because I am a health care worker, mandatory COVID 19 booster shot was needed.  So I had a Janssen booster, dsDNA.  Within 10 hours, I experienced intense pain in all the joints described above and in addition a new symptom of joint pain, crepitus, and decreased motion of my left hand joints.  This pain was intense 8/10, and required pain medications daily for 3 months (alternative motrin, tylenol, and occasional benadryl).  I could not walk, drive, type, sleep well, and do usual activities.  I had to take medical disability leave and needed physical therapy.   My joint pain significantly improved within 6 months and depression symptoms within 10 months.  My rheumatologist said he has confidence that I will make full recovery.    My autoimmune work up and laboratory blood work were normal,  only the ANA and anti-cardiolipin antibodies were positive.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis normal
Clinical narrative: Severe post-COVID 19 vaccine polyarthritis  Within 10 hours of receiving the first mRNA Pfizer vaccine, I experienced joint pain and crepitus in the cervical spine, right shoulder, left hip, bilateral knees, and left foot.  The pain lasted 3-4 days.  4-5/10 pain  Within 10 hours of receiving the second mRNA Pfizer vaccine, I experienced joint in the same joints, but the pain lasted 3 to 4 months.  By July 2020, I experienced recurrence of the symptoms every 2 weeks.  The pain was 4-5/10.  My rheumatologist said the phenomenon of experiencing a flare up of my symptoms months after the vaccine was called "immunologic echo."  Because I experienced these symptoms 10 hours after receiving the mRNA vaccine, he said it was probably a vaccine reaction.  He also said it could be but less likely reactive arthritis.  He said I could never take another mRNA vaccine again.  Because I am a health care worker, mandatory COVID 19 booster shot was needed.  So I had a Janssen booster, dsDNA.  Within 10 hours, I experienced intense pain in all the joints described above and in addition a new symptom of joint pain, crepitus, and decreased motion of my left hand joints.  This pain was intense 8/10, and required pain medications daily for 3 months (alternative motrin, tylenol, and occasional benadryl).  I could not walk, drive, type, sleep well, and do usual activities.  I had to take medical disability leave and needed physical therapy.   My joint pain significantly improved within 6 months and depression symptoms within 10 months.  My rheumatologist said he has confidence that I will make full recovery.    My autoimmune work up and laboratory blood work were normal,  only the ANA and anti-cardiolipin antibodies were positive.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Condition aggravated, Dermatitis atopic, Eczema, Rash
Clinical narrative: Patient states she developed Rash and Eczema exacerbation a few days around 10/23/22 after vaccination.  Patient did not report to provider until 11/8/22.  Rash resolved but Eczema exacerbation still an issue.  Patient has a dermatologist who treats are skin issues and was seen in Dermatologist office 10 days before vaccination for atopic dermatitis follow up.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Night sweats, Oropharyngeal pain, Pain
Clinical narrative: I had my vaccination 05/08/2022. On 10/18/2022 I started to experience a sore throat achiness fatigue no fever. On 10/20/2022 I had night sweats and I had tested COVID-19 positive. I was prescribed PAXLOVID for 5 days. Currently on 11/08/2022 I am still experiencing fatigue and congestion.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination 05/08/2022. On 10/18/2022 I started to experience a sore throat achiness fatigue no fever. On 10/20/2022 I had night sweats and I had tested COVID-19 positive. I was prescribed PAXLOVID for 5 days. Currently on 11/08/2022 I am still experiencing fatigue and congestion.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: I developed hives on my chest, neck, both cheeks, and forehead approximately 3-4 hours after the vaccine that resolved overnight after taking  Benadryl large red raised bump (4 inches by 2 inches oval) that was warm to the touch at injection site that began 1 hour after injection and lasted 2 days, then turned into purple bruise that persisted for 2 more days itching at injection site beginning  1 hour after administering and persisted 4 days
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: I developed hives on my chest, neck, both cheeks, and forehead approximately 3-4 hours after the vaccine that resolved overnight after taking  Benadryl large red raised bump (4 inches by 2 inches oval) that was warm to the touch at injection site that began 1 hour after injection and lasted 2 days, then turned into purple bruise that persisted for 2 more days itching at injection site beginning  1 hour after administering and persisted 4 days
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer Covid19 monovalent vaccine instead of the Pfizer Covid19 bivalent booster dose.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Cough, Fatigue, Myalgia, SARS-CoV-2 test
Clinical narrative: My symptoms were severe myalgias, fatigue, moderate cough, some chills no fever. My doctor treated me with PAXLOVID and all symptoms have gradually improved.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, CSF culture negative, Chills, Computerised tomogram normal
Clinical narrative: Patient did report feeling ill 1-2 days following the vaccine. He reported conscious whole body shaking (?rigors), for 7 minutes. On 9/26, 13 days following the vaccination, he reported feeling hot but did not have any fever. He reported a funny smell immediately preceding the seizure. He then had a witnessed tonic clonic seizure. No prior history of seizures. Inpatient workup was notable for urine drug screen only positive for cannabinoids and opioids, lumbar puncture (with normal microbiologic studies). MRI and CT/CTA all did not show a lesion. EEG was normal without epileptiform activity. He was discharged with plan for neurology follow up.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Cryptococcus test, Drug screen positive, Electroencephalogram normal, Feeling hot, Fungal test
Clinical narrative: Patient did report feeling ill 1-2 days following the vaccine. He reported conscious whole body shaking (?rigors), for 7 minutes. On 9/26, 13 days following the vaccination, he reported feeling hot but did not have any fever. He reported a funny smell immediately preceding the seizure. He then had a witnessed tonic clonic seizure. No prior history of seizures. Inpatient workup was notable for urine drug screen only positive for cannabinoids and opioids, lumbar puncture (with normal microbiologic studies). MRI and CT/CTA all did not show a lesion. EEG was normal without epileptiform activity. He was discharged with plan for neurology follow up.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Generalised tonic-clonic seizure, Lumbar puncture normal, Magnetic resonance imaging head normal, Malaise, Nucleated red cells
Clinical narrative: Patient did report feeling ill 1-2 days following the vaccine. He reported conscious whole body shaking (?rigors), for 7 minutes. On 9/26, 13 days following the vaccination, he reported feeling hot but did not have any fever. He reported a funny smell immediately preceding the seizure. He then had a witnessed tonic clonic seizure. No prior history of seizures. Inpatient workup was notable for urine drug screen only positive for cannabinoids and opioids, lumbar puncture (with normal microbiologic studies). MRI and CT/CTA all did not show a lesion. EEG was normal without epileptiform activity. He was discharged with plan for neurology follow up.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Parosmia, Scan with contrast normal, Seizure, Tremor, Urine cannabinoids increased
Clinical narrative: Patient did report feeling ill 1-2 days following the vaccine. He reported conscious whole body shaking (?rigors), for 7 minutes. On 9/26, 13 days following the vaccination, he reported feeling hot but did not have any fever. He reported a funny smell immediately preceding the seizure. He then had a witnessed tonic clonic seizure. No prior history of seizures. Inpatient workup was notable for urine drug screen only positive for cannabinoids and opioids, lumbar puncture (with normal microbiologic studies). MRI and CT/CTA all did not show a lesion. EEG was normal without epileptiform activity. He was discharged with plan for neurology follow up.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: Rash on upper body - chest and back of shoulders
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Chills, Muscular weakness, Pain, Pyrexia
Clinical narrative: patients son reports for patient pain, full body aches, muscle weakness, fever, chills
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Blood culture, Blood gases, Chest X-ray abnormal, Electrocardiogram, Fall
Clinical narrative: This 96 year-old man was found on the floor of his home in the morning after he rolled and fell out of bed (height 1 to 2 feet) and was unable to pull himself back into bed. Because of somnolence and difficulty speaking, he was transported to the Emergency Department. His medical history was significant for recurrent mechanical falls, chronic obstructive pulmonary disease, obstructive sleep apnea, benign prostatic hypertrophy requiring intermittent catheterization, paroxysmal atrial fibrillation on anticoagulation, well-documented mild neurocognitive decline, and receipt of a bivalent COVID-19 booster injection the previous day. He was tachypneic (respiratory rate in the 30?s) and hypoxemic requiring supplemental oxygen at 2 L/min (no O2 at baseline). A chest radiograph showed right lower lobe reticulonodular opacities concerning for aspiration or pneumonia. He was given IV fluids and treated with ceftriaxone and azithromycin in addition to his usual maintenance medications. He was evaluated by neurology and physical therapy specialists. Over the ensuing 36 hours he improved to his usual baseline. He was discharged in medically stable condition to his home with follow-up health care plans in place, including visiting nurse service.
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Hypoxia, Lung opacity, Metabolic function test, Mobility decreased, Pulmonary mass
Clinical narrative: This 96 year-old man was found on the floor of his home in the morning after he rolled and fell out of bed (height 1 to 2 feet) and was unable to pull himself back into bed. Because of somnolence and difficulty speaking, he was transported to the Emergency Department. His medical history was significant for recurrent mechanical falls, chronic obstructive pulmonary disease, obstructive sleep apnea, benign prostatic hypertrophy requiring intermittent catheterization, paroxysmal atrial fibrillation on anticoagulation, well-documented mild neurocognitive decline, and receipt of a bivalent COVID-19 booster injection the previous day. He was tachypneic (respiratory rate in the 30?s) and hypoxemic requiring supplemental oxygen at 2 L/min (no O2 at baseline). A chest radiograph showed right lower lobe reticulonodular opacities concerning for aspiration or pneumonia. He was given IV fluids and treated with ceftriaxone and azithromycin in addition to his usual maintenance medications. He was evaluated by neurology and physical therapy specialists. Over the ensuing 36 hours he improved to his usual baseline. He was discharged in medically stable condition to his home with follow-up health care plans in place, including visiting nurse service.
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Respiratory viral panel, Somnolence, Speech disorder, Tachypnoea, Urine analysis
Clinical narrative: This 96 year-old man was found on the floor of his home in the morning after he rolled and fell out of bed (height 1 to 2 feet) and was unable to pull himself back into bed. Because of somnolence and difficulty speaking, he was transported to the Emergency Department. His medical history was significant for recurrent mechanical falls, chronic obstructive pulmonary disease, obstructive sleep apnea, benign prostatic hypertrophy requiring intermittent catheterization, paroxysmal atrial fibrillation on anticoagulation, well-documented mild neurocognitive decline, and receipt of a bivalent COVID-19 booster injection the previous day. He was tachypneic (respiratory rate in the 30?s) and hypoxemic requiring supplemental oxygen at 2 L/min (no O2 at baseline). A chest radiograph showed right lower lobe reticulonodular opacities concerning for aspiration or pneumonia. He was given IV fluids and treated with ceftriaxone and azithromycin in addition to his usual maintenance medications. He was evaluated by neurology and physical therapy specialists. Over the ensuing 36 hours he improved to his usual baseline. He was discharged in medically stable condition to his home with follow-up health care plans in place, including visiting nurse service.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse events reported. Wrong vaccination - patient was suppose to get bivalent booster
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received exp vaccine
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Mom check in patient and sibling appointment for influenza and Pfizer Bivalent Pediatric Booster, at time of check in, Pharmacist mentioned to mom apologetically that we did not currently have Pediatric Bivalent in stock, that next door at local Clinic, we were made aware that vaccine was in stock and family could inquire in wanted.  Mom insisted that we go ahead to administer influenza vaccine to both children and she would look into bivalent booster at a later time.  After the vaccines were typed and claims were processed with that influenza vaccine in bin with consent forms, I got the attention of the administrator, and Graduate Intern, and mentioned that she had checked earlier that day, that we did indeed newly have the Pediatric Bivalent in stock. I suggested if willing she could administer if she would like.  She asked mom, and mom gratefully agreed.  A few hours later, when I relieved Graduate Intern for her break, she briefly mentioned that that Bivalent Pediatric vaccine needed to be typed with the specific NDC.  In passing I asked if the vaccine was diluted. Graduate Intern's face went ghost white to break.    After doing a little research, I called mom to notify her of the error that was made.  I mentioned to look for possible side effects, usual to covid vaccines and to report to us anything out of the usual, but not alarmingly that she needed to rush to the ER, that initial studies were made with higher doses.  I did assure her that VAERs would be reported and we would also have an internal reporting and to please notify us of any unusual adverse reactions so we can update patient's  file and VAERS.  We discussed what I would do as a mom, and what I suggest as a clinician and she felt, better relieved.  She only asked that any additional information if we get any to please let her know and she appreciated that we called to let her know.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Received exp vaccine
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer Covid19 monovalent vaccine instead of the Pfizer Covid19 bivalent booster dose.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Patient received influenza vaccine instead of tetanus vaccine. Patient was informed of the mistake and both supervisor and provider were notified. Provider also spoke to patient afterwards.
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Anticoagulant therapy, Carotid artery occlusion, Cerebrovascular accident, Coronary artery bypass, Deep vein thrombosis
Clinical narrative: Suspicion for Vaccine Induced Thrombotic Thrombocytopenia  -Presented to the ER 10/20/2022 and diagnosed with  Bilateral PE w/right heart strain  ? heparin infusion started  -Left ICA CVA on heparin  a few hours later ?occlusion lysed with tenecteplase  and mechanical thrombectomy 10/20/2022 Patient was intubated in the ER  and transferred to the intensive care unit  -Gross Hematuria anticoagulation was held for a period of time while bleeding  -Anticoagulation switched to argatroban and eventually transitioned to warfarin  -extensive DVT ? left lower extremity discovered on imaging  11/3/2022 Of note previous admission to the hospital on 10/16/2022 for Ileus small bowel  Of note previous admission to the hospital for  5 Vessel  CABG 10/7/2022, discharged on 10/12/2022 raising concern for Heparin induced thrombocytopenia ? however testing is not clear between HIT/T or VITT see lab results below
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Endotracheal intubation, Haematuria, Heparin-induced thrombocytopenia test, Heparin-induced thrombocytopenia test positive, Ileus
Clinical narrative: Suspicion for Vaccine Induced Thrombotic Thrombocytopenia  -Presented to the ER 10/20/2022 and diagnosed with  Bilateral PE w/right heart strain  ? heparin infusion started  -Left ICA CVA on heparin  a few hours later ?occlusion lysed with tenecteplase  and mechanical thrombectomy 10/20/2022 Patient was intubated in the ER  and transferred to the intensive care unit  -Gross Hematuria anticoagulation was held for a period of time while bleeding  -Anticoagulation switched to argatroban and eventually transitioned to warfarin  -extensive DVT ? left lower extremity discovered on imaging  11/3/2022 Of note previous admission to the hospital on 10/16/2022 for Ileus small bowel  Of note previous admission to the hospital for  5 Vessel  CABG 10/7/2022, discharged on 10/12/2022 raising concern for Heparin induced thrombocytopenia ? however testing is not clear between HIT/T or VITT see lab results below
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Imaging procedure abnormal, Intensive care, Platelet count normal, Right ventricular dysfunction, Thrombectomy
Clinical narrative: Suspicion for Vaccine Induced Thrombotic Thrombocytopenia  -Presented to the ER 10/20/2022 and diagnosed with  Bilateral PE w/right heart strain  ? heparin infusion started  -Left ICA CVA on heparin  a few hours later ?occlusion lysed with tenecteplase  and mechanical thrombectomy 10/20/2022 Patient was intubated in the ER  and transferred to the intensive care unit  -Gross Hematuria anticoagulation was held for a period of time while bleeding  -Anticoagulation switched to argatroban and eventually transitioned to warfarin  -extensive DVT ? left lower extremity discovered on imaging  11/3/2022 Of note previous admission to the hospital on 10/16/2022 for Ileus small bowel  Of note previous admission to the hospital for  5 Vessel  CABG 10/7/2022, discharged on 10/12/2022 raising concern for Heparin induced thrombocytopenia ? however testing is not clear between HIT/T or VITT see lab results below
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Thrombolysis
Clinical narrative: Suspicion for Vaccine Induced Thrombotic Thrombocytopenia  -Presented to the ER 10/20/2022 and diagnosed with  Bilateral PE w/right heart strain  ? heparin infusion started  -Left ICA CVA on heparin  a few hours later ?occlusion lysed with tenecteplase  and mechanical thrombectomy 10/20/2022 Patient was intubated in the ER  and transferred to the intensive care unit  -Gross Hematuria anticoagulation was held for a period of time while bleeding  -Anticoagulation switched to argatroban and eventually transitioned to warfarin  -extensive DVT ? left lower extremity discovered on imaging  11/3/2022 Of note previous admission to the hospital on 10/16/2022 for Ileus small bowel  Of note previous admission to the hospital for  5 Vessel  CABG 10/7/2022, discharged on 10/12/2022 raising concern for Heparin induced thrombocytopenia ? however testing is not clear between HIT/T or VITT see lab results below
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Received exp vaccine
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: None reported. Patient received wrong vaccination -- monovalent booster instead of bivalent booster
Age: 22.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Chest pain, Chills, Electrocardiogram normal, Fibrin D dimer
Clinical narrative: Patient received covid booster and then that evening had chills and developed 3/10 left side chest pain. Currently undergoing evaluation
Age: 22.0
Sex: F
Vaccine: COVID19-2
Symptoms: Troponin
Clinical narrative: Patient received covid booster and then that evening had chills and developed 3/10 left side chest pain. Currently undergoing evaluation
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse events. Patient received monovalent booster instead of bivalent booster.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse reaction -- patient received monovalent booster instead of the bivalent booster
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Chest X-ray, Chest pain, Computerised tomogram normal
Clinical narrative: Roughly 10 months after the vaccine I started developing chest pain. I went to the ER where I was diagnosed with multiple pulmonary emboli in my lungs and a blood clot in my right arm. I was prescribed blood thinning medication and discharged same day. I have now been on blood thinning medication since 08/2022. Scheduled for a follow up in December.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Pulmonary embolism, SARS-CoV-2 test negative, Thrombosis, Ultrasound scan
Clinical narrative: Roughly 10 months after the vaccine I started developing chest pain. I went to the ER where I was diagnosed with multiple pulmonary emboli in my lungs and a blood clot in my right arm. I was prescribed blood thinning medication and discharged same day. I have now been on blood thinning medication since 08/2022. Scheduled for a follow up in December.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Chest discomfort, Pain, Pain in extremity
Clinical narrative: Patient received Moderna Bivalent Booster today at 1120 right deltoid in the Vaccine clinic. At 1150 patient notified medical assistant that she was experiencing chest tightness and notified me. Patient stated she felt chest tightness in the middle of the chest that was constant. She denied any chest pain or tingling/numbness of the left arm. Patient stated she was experiencing "arthritis-like pain" in right arm right after vaccine. Described it as sharp pain when moving joints in hands and rated it 4/10. Patient denied shortness of breath. No significant past medical history. Allergic to ibuprofen. Vital signs taken at 1150: BP: 109/69 LA, P: 72, O2: 98% on RA, RR: 24, regular and unlabored. A&Ox4. Patient stated she has chest tightness for her last booster, but went away within 15 minutes.    Patient declined going to Emergency Department. Transferred care to urgent care and handed off to urgent care RN at 1210.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Sensory disturbance
Clinical narrative: Client presented to Covid Vaccination Site on 10/19/2022 to receive first dose of Pfizer Monovalent COVID vaccine Lot#FR2583 on left arm. At 1627 while sitting in the observation area, client notified nurse that he felt ?Pinches all over body.? Client was able to move to gravity chair without assistance. Nurse proceeded to take vital signs; BP:131/77mmHg, HR:65, RR:16, O2:98%. Client reported no know allergies, no medical conditions, and no medications currently taking. Client denies itchiness and shortness of breath. No rash observed on left arm by injection site. Client reported to lead nurse a history of anxiety. Client reported he ate lunch about an hour ago, did not specify what he ate for lunch. At approximately 1638 vital signs; BP: 129/72mmHg, HR: 66, RR:16, O2:99% retaken by nurse. Lead nurse offered to have EMS activated, client denied. Client reported, ?I feel fine.?  Client reported to lead nurse, that he did not want to get vaccinated but had to because a job opportunity came up and a COVID vaccine was required. Client rested for fifteen more minutes in gravity chair. At 1650 client reported, ?I feel good.? Client denies pinches over body. At approximately 1653 vital signs were taken by nurse; BP:128/70mmHG, HR:68, O2:99%. Lead nurse educated client on possible side effects after vaccine and when to seek medical care and to follow up with his primary care provider. Client verbalized understanding. Grandmother stated she was driving. At approximately 1657 client left the facility with a steady gait accompanied by grandmother.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alcohol intolerance, Blood test, Burning sensation, Cardiovascular autonomic function test, Carpal tunnel syndrome
Clinical narrative: I woke up the morning after the 2nd dose of the vaccine unable to walk due to extreme pain on the soles of my feet. This continued and progressed for 6 weeks, unable to walk. Over the next few months, the burning pain then began to spread up his legs then to my hands, and up my arms. These symptoms are still occurring today though I am able to walk enough and push through the pain. I continue to gain symptoms each month. Additional symptoms that I have gained over the past year include carpal tunnel, burning of the ears, back of neck shoulders feet, and hands, rash on thighs, stiffness of all joints of the hand, brain fog, intolerance to physical activity or hot or cold tempuratures, intolerance to alcohol, burning and tingling of the extremities, and red sensitive skin. An EMG confirmed generalized peripheral neuropathy and ruled out Guillain-Barre Syndrome. Doctors have not been able to confirm any other diagnoses nor have they provided any potential treatments.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ear discomfort, Electromyogram abnormal, Erythema, Exercise tolerance decreased, Feeling abnormal
Clinical narrative: I woke up the morning after the 2nd dose of the vaccine unable to walk due to extreme pain on the soles of my feet. This continued and progressed for 6 weeks, unable to walk. Over the next few months, the burning pain then began to spread up his legs then to my hands, and up my arms. These symptoms are still occurring today though I am able to walk enough and push through the pain. I continue to gain symptoms each month. Additional symptoms that I have gained over the past year include carpal tunnel, burning of the ears, back of neck shoulders feet, and hands, rash on thighs, stiffness of all joints of the hand, brain fog, intolerance to physical activity or hot or cold tempuratures, intolerance to alcohol, burning and tingling of the extremities, and red sensitive skin. An EMG confirmed generalized peripheral neuropathy and ruled out Guillain-Barre Syndrome. Doctors have not been able to confirm any other diagnoses nor have they provided any potential treatments.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Gait inability, Joint stiffness, Neuropathy peripheral, Pain
Clinical narrative: I woke up the morning after the 2nd dose of the vaccine unable to walk due to extreme pain on the soles of my feet. This continued and progressed for 6 weeks, unable to walk. Over the next few months, the burning pain then began to spread up his legs then to my hands, and up my arms. These symptoms are still occurring today though I am able to walk enough and push through the pain. I continue to gain symptoms each month. Additional symptoms that I have gained over the past year include carpal tunnel, burning of the ears, back of neck shoulders feet, and hands, rash on thighs, stiffness of all joints of the hand, brain fog, intolerance to physical activity or hot or cold tempuratures, intolerance to alcohol, burning and tingling of the extremities, and red sensitive skin. An EMG confirmed generalized peripheral neuropathy and ruled out Guillain-Barre Syndrome. Doctors have not been able to confirm any other diagnoses nor have they provided any potential treatments.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Rash, Sensitive skin, Temperature intolerance
Clinical narrative: I woke up the morning after the 2nd dose of the vaccine unable to walk due to extreme pain on the soles of my feet. This continued and progressed for 6 weeks, unable to walk. Over the next few months, the burning pain then began to spread up his legs then to my hands, and up my arms. These symptoms are still occurring today though I am able to walk enough and push through the pain. I continue to gain symptoms each month. Additional symptoms that I have gained over the past year include carpal tunnel, burning of the ears, back of neck shoulders feet, and hands, rash on thighs, stiffness of all joints of the hand, brain fog, intolerance to physical activity or hot or cold tempuratures, intolerance to alcohol, burning and tingling of the extremities, and red sensitive skin. An EMG confirmed generalized peripheral neuropathy and ruled out Guillain-Barre Syndrome. Doctors have not been able to confirm any other diagnoses nor have they provided any potential treatments.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient was vaccinated with an adult dose 0.5mL of Moderna Bivalent.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: The patient experienced redness and swelling of R arm around the area of the Proquad injection
Age: 43.0
Sex: F
Vaccine: COVID19-2, TDAP
Symptoms: COVID-19, Ear pain, Lymphadenopathy, Oropharyngeal pain, Productive cough
Clinical narrative: Sore Throat, pain in ears, Cough with green phlegm, swollen glands.  Treatment is a 7 day course of Amoxicillin taken twice a day. The app doesn't give you an option to explain further about the symptoms. I do  not think the symptoms are related to me receiving the Covid vaccine. I did go to Urgent Care and they did not think it was related either. This is a virus that caused me to develop a sinus infection. I did however test positive for Covid on 6/24/22 after I had received my 4th dose of the Covid vaccine on 6/2/22.  I did however travel from 6/10 - 6/22. I do believe I caught Covid while I was away, most likely the BA.5 variant. It seemed that the 4th dose did not provide protection to prevent me from catching Covid however I did not have a severe case so it did protect me from hospitalization.
Age: 43.0
Sex: F
Vaccine: COVID19-2, TDAP
Symptoms: SARS-CoV-2 test positive, Sinusitis, Sputum discoloured, Streptococcus test
Clinical narrative: Sore Throat, pain in ears, Cough with green phlegm, swollen glands.  Treatment is a 7 day course of Amoxicillin taken twice a day. The app doesn't give you an option to explain further about the symptoms. I do  not think the symptoms are related to me receiving the Covid vaccine. I did go to Urgent Care and they did not think it was related either. This is a virus that caused me to develop a sinus infection. I did however test positive for Covid on 6/24/22 after I had received my 4th dose of the Covid vaccine on 6/2/22.  I did however travel from 6/10 - 6/22. I do believe I caught Covid while I was away, most likely the BA.5 variant. It seemed that the 4th dose did not provide protection to prevent me from catching Covid however I did not have a severe case so it did protect me from hospitalization.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mom called around 11:30 am the next day (11-02-22) reporting that there was small bump around the injection site-plus redness
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Confusional state, Headache, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Patient stated she had a severe headache, numbness in her tongue and hands, and confusion that lasted for about 5 hours.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Fatigue, Feeling of body temperature change, Hot flush, Pain
Clinical narrative: Patient felt really tired, body aches, large area on her arm the became red, hot and painful that is lasting  over the past 4 day along with hot and cold flashes.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Patient felt really tired, body aches, large area on her arm the became red, hot and painful that is lasting  over the past 4 day along with hot and cold flashes.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Atrial fibrillation, Device function test
Clinical narrative: Atrial Fibrillation
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Herpes zoster, Pain, Rash
Clinical narrative: I don't know if this was due to the vaccine. 2 weeks later I started feeling pain on my right abdomen. I had shooting pains going through my body from that area. I got a rash around my breast, armpit, and back all on the right side. I went to the doctor, and he said I have shingles. I still have extreme pain throughout my body and were the rashes are.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test abnormal, Chest pain, Magnetic resonance imaging abnormal, Painful respiration, Pericarditis
Clinical narrative: I went to the doctor as soon as i had chest pain.  It took them almost a year bewteen m,y doctor and cardiologist to diagnose this a pericarditis.  The pain level was a seven every time i breathed in.  My treat ment is to take 800mg ibuprofen 3 times a day and colchicine .6mg twice a day.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest X-ray normal, SARS-CoV-2 test negative
Clinical narrative: I diagnosed with asthma in March, provided bronchodilator and rescue inhaler.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I received a Pfizer Bivalent booster for COVID-19 on 9/21/2022. Early in the morning on 10/23/2022, I woke up with a very stuffy head and a sore throat. That same morning, I took a home COVID-19 test and got a positive result. I called the nurse helpline at the local hospital for guidance; I was advised to take ADVIL to treat my discomfort and to increase the humidity in my environment. I took their advice and used a humidifier, which helped. I also had a hot bath and a hot shower, and those also helped. I had sore throat, head congestion, and extreme fatigue for the entire day and slept for most of the day. On 10/24/2022, I still had head congestion, but I did feel a little better, as I was less fatigued. On 10/25/2022, I called my doctor and made a telehealth appointment, during which I was prescribed PAXLOVID. I began taking the PAXLOVID that evening. I then gradually got better over the following four or five days. On 10/29/2022 and 10/30/2022, I took home COVID-19 tests, both of which yielded a negative result. At the time of this writing, I feel fine and have no residual symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sinus congestion, Somnolence
Clinical narrative: I received a Pfizer Bivalent booster for COVID-19 on 9/21/2022. Early in the morning on 10/23/2022, I woke up with a very stuffy head and a sore throat. That same morning, I took a home COVID-19 test and got a positive result. I called the nurse helpline at the local hospital for guidance; I was advised to take ADVIL to treat my discomfort and to increase the humidity in my environment. I took their advice and used a humidifier, which helped. I also had a hot bath and a hot shower, and those also helped. I had sore throat, head congestion, and extreme fatigue for the entire day and slept for most of the day. On 10/24/2022, I still had head congestion, but I did feel a little better, as I was less fatigued. On 10/25/2022, I called my doctor and made a telehealth appointment, during which I was prescribed PAXLOVID. I began taking the PAXLOVID that evening. I then gradually got better over the following four or five days. On 10/29/2022 and 10/30/2022, I took home COVID-19 tests, both of which yielded a negative result. At the time of this writing, I feel fine and have no residual symptoms.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: pt was given incorrect dosing. was supposed to get 0.3ml and was given 0.5ml
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Blister, Contusion, Pain in extremity, Skin warm
Clinical narrative: 24 hours after administration of the moderna bivalent vaccine, the patient reports developing a large bruise on the arm with blister developing about 4 inches in diameter. This presentation was painful and warm to the touch. Patient presented to the pharmacy 11/7 and still had residual bruise noticeable and marked soreness of the arm. The patient advised us that she is also part of an ongoing RSV (respiratory syncytial virus) vaccine trial and she received the RSV vaccine two months prior in the same arm.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PT WAS GIVEN 0.5ML INSTEAD OF THE STANDARD DOSE FOR PFIZER OF 0.3ML
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient did not have any  common signs or symptoms associated to the vaccine. The Health Department had questions of the temperatures that the vaccine was exposed. There was incident on 9/26/2022 at 08:27 am 9/27/2022 at 11:27 am to where the refrigerator thermometer was connect to the frezeer and the frezeer thermometer was connected to the refrigerator. The temperatures recorders for the refrigerator were  in a range of 4.2 to 4.8 degree centigrades. There was not any visible sign of damage to the vaccine. The Health Department ordered to discard the two vials but was not done inmmediately. The vials were label, do not use but by confusion, the girl was vaccinated with this vaccine. There was a posterior incident and the Department of Health order that another lot could be used and the personnel used the one that should not be used by mistake.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Anxiety, Asthenia, Blood thyroid stimulating hormone increased, Chest discomfort
Clinical narrative: Four days post-vaccination, had "jolts" to left side of chest during sleep, waking up multiple times in the evening. Morning after had heart palpitations and increased heart rate. Urgent Care visit with recommendation and subsequent visit to ER. ER visit ran routine labs and EKG, follow up with PCP recommended. After initial ER visit, two subsequent ER visits, two primary care visits, two urgent care visits. Symptoms include chest palpitations and pressure, constant increased heart rate, sweaty palms and feet, hollowness in stomach feeling, decreased appetite, frequent urination and bowel movement urges, general discomfort and body ache, lightheadedness, and occasional weakness and tingling in limbs. As a result of these symptoms there has been a significant increase in anxiety and increase in depression. Treatment includes: Propranolol10MG as needed, Metroprolol 25MG once daily, and ClonzaePAM .5MG as needed. Symptoms remain and not fully managed. Tests are ongoing.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Decreased appetite, Defaecation urgency, Depression, Discomfort
Clinical narrative: Four days post-vaccination, had "jolts" to left side of chest during sleep, waking up multiple times in the evening. Morning after had heart palpitations and increased heart rate. Urgent Care visit with recommendation and subsequent visit to ER. ER visit ran routine labs and EKG, follow up with PCP recommended. After initial ER visit, two subsequent ER visits, two primary care visits, two urgent care visits. Symptoms include chest palpitations and pressure, constant increased heart rate, sweaty palms and feet, hollowness in stomach feeling, decreased appetite, frequent urination and bowel movement urges, general discomfort and body ache, lightheadedness, and occasional weakness and tingling in limbs. As a result of these symptoms there has been a significant increase in anxiety and increase in depression. Treatment includes: Propranolol10MG as needed, Metroprolol 25MG once daily, and ClonzaePAM .5MG as needed. Symptoms remain and not fully managed. Tests are ongoing.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Electric shock sensation, Electrocardiogram normal, Full blood count normal, Heart rate increased
Clinical narrative: Four days post-vaccination, had "jolts" to left side of chest during sleep, waking up multiple times in the evening. Morning after had heart palpitations and increased heart rate. Urgent Care visit with recommendation and subsequent visit to ER. ER visit ran routine labs and EKG, follow up with PCP recommended. After initial ER visit, two subsequent ER visits, two primary care visits, two urgent care visits. Symptoms include chest palpitations and pressure, constant increased heart rate, sweaty palms and feet, hollowness in stomach feeling, decreased appetite, frequent urination and bowel movement urges, general discomfort and body ache, lightheadedness, and occasional weakness and tingling in limbs. As a result of these symptoms there has been a significant increase in anxiety and increase in depression. Treatment includes: Propranolol10MG as needed, Metroprolol 25MG once daily, and ClonzaePAM .5MG as needed. Symptoms remain and not fully managed. Tests are ongoing.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hyperhidrosis, Metabolic function test normal, Pain, Palpitations, Paraesthesia
Clinical narrative: Four days post-vaccination, had "jolts" to left side of chest during sleep, waking up multiple times in the evening. Morning after had heart palpitations and increased heart rate. Urgent Care visit with recommendation and subsequent visit to ER. ER visit ran routine labs and EKG, follow up with PCP recommended. After initial ER visit, two subsequent ER visits, two primary care visits, two urgent care visits. Symptoms include chest palpitations and pressure, constant increased heart rate, sweaty palms and feet, hollowness in stomach feeling, decreased appetite, frequent urination and bowel movement urges, general discomfort and body ache, lightheadedness, and occasional weakness and tingling in limbs. As a result of these symptoms there has been a significant increase in anxiety and increase in depression. Treatment includes: Propranolol10MG as needed, Metroprolol 25MG once daily, and ClonzaePAM .5MG as needed. Symptoms remain and not fully managed. Tests are ongoing.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pollakiuria, Scan with contrast, Sleep disorder, Urine analysis, X-ray normal
Clinical narrative: Four days post-vaccination, had "jolts" to left side of chest during sleep, waking up multiple times in the evening. Morning after had heart palpitations and increased heart rate. Urgent Care visit with recommendation and subsequent visit to ER. ER visit ran routine labs and EKG, follow up with PCP recommended. After initial ER visit, two subsequent ER visits, two primary care visits, two urgent care visits. Symptoms include chest palpitations and pressure, constant increased heart rate, sweaty palms and feet, hollowness in stomach feeling, decreased appetite, frequent urination and bowel movement urges, general discomfort and body ache, lightheadedness, and occasional weakness and tingling in limbs. As a result of these symptoms there has been a significant increase in anxiety and increase in depression. Treatment includes: Propranolol10MG as needed, Metroprolol 25MG once daily, and ClonzaePAM .5MG as needed. Symptoms remain and not fully managed. Tests are ongoing.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PT WAS GIVEN INCORRECT DOSE. GIVEN 0.5ML SHOULD HAVE HAD 0.3ML
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PT GIVEN 0.5ML AND SHOULD HAVE BEEN 0.3ML
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site haemorrhage, Injection site pain
Clinical narrative: Per patient her arm bleed at time of injection (it has now subsided). Site of reaction is now hurting and in pain.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Culture urine positive, Escherichia test positive, Urinary tract infection, Urine analysis abnormal, White blood cells urine positive
Clinical narrative: I developed a urinary tract infection requiring antibiotics.
Age: 77.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Influenza, Pain, Pruritus
Clinical narrative: Within about 7-10 hours I experienced flu symptoms. Low-grade fever, headache, chill and painful aching throughout my body. It continued until 11/05/2022, before subsiding.  I took Tylenol , 1000 mgs. for headache and fever. On Sunday, 11/06/2022, I experienced itching on both of my legs. Upon examination of my legs I have red dots from my upper thigh to my ankles on both legs. I still have the red dots and the itching has subsided. I applied Cortaid cream and have been taking Benadryl tablets in the evening.  I have had Shingles twice, before this reaction. Jan. 2012 &  Oct. 2019.
Age: 77.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Rash, Rash macular
Clinical narrative: Within about 7-10 hours I experienced flu symptoms. Low-grade fever, headache, chill and painful aching throughout my body. It continued until 11/05/2022, before subsiding.  I took Tylenol , 1000 mgs. for headache and fever. On Sunday, 11/06/2022, I experienced itching on both of my legs. Upon examination of my legs I have red dots from my upper thigh to my ankles on both legs. I still have the red dots and the itching has subsided. I applied Cortaid cream and have been taking Benadryl tablets in the evening.  I have had Shingles twice, before this reaction. Jan. 2012 &  Oct. 2019.
Age: 62.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Chills, Contusion, Migraine, Pain in extremity, Pyrexia
Clinical narrative: Arm pain (4 days), migraine,/chills/fever (day after), swelling (golfball size bump), large bruise (4 days)
Age: 62.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Swelling
Clinical narrative: Arm pain (4 days), migraine,/chills/fever (day after), swelling (golfball size bump), large bruise (4 days)