chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspepsia, Dyspnoea, Electrocardiogram normal, Eructation, Fatigue
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt complains of flu like symptoms and severe headache.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Feeling hot, Head discomfort, Headache, Incorrect dose administered
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt complains of flu like symptoms and severe headache.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Muscle disorder, Pain in extremity, Product preparation issue, Pyrexia
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt complains of flu like symptoms and severe headache.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin normal
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt complains of flu like symptoms and severe headache.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Cyanosis, Dysphagia, SARS-CoV-2 test, Urticaria
Clinical narrative: I was unable to swallow, hives, blue hands and feet, low potassium.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received the pediatric dose for the second shot. Patient's mother, was informed regarding this error. Her initial dose was the adult dose of Pfizer vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Dyspnoea, Pain, Pyrexia
Clinical narrative: Uncontrollable Shaking High Fever (Above 101) Chills Upset Stomach  Vomiting Body Aches Bumps on legs Trouble Breathing
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Tremor, Vomiting
Clinical narrative: Uncontrollable Shaking High Fever (Above 101) Chills Upset Stomach  Vomiting Body Aches Bumps on legs Trouble Breathing
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Diarrhoea, Fatigue
Clinical narrative: 11 hours after vaccine my daughter complained of chills and body aches then by morning she had a fever with chills/body aches/ headache. She spiked a fever a few times that day and as high as 103.7 at 1030pm on Dec 11. She received Motrin and then at 5am Tylenol for another fever. She then complained on stomach pain with multiple episodes of diarrhea on dec 12 as well as a fever that night of 102 with severe headache, body aches/joint pain/chills which she then received Motrin and was taken to the Emergency room where she tested negative for rsv/influenza/covid. She was given oral Tylenol and intravenous fluids as well as zofran and was discharged. Dec 13 she missed school due to her recent ER visit and had multiple more episodes of diarrhea and fatigue. She then complained of fatigue for the next 2 days and still is not 100%.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza virus test negative, Metabolic function test, Pain, Pyrexia
Clinical narrative: 11 hours after vaccine my daughter complained of chills and body aches then by morning she had a fever with chills/body aches/ headache. She spiked a fever a few times that day and as high as 103.7 at 1030pm on Dec 11. She received Motrin and then at 5am Tylenol for another fever. She then complained on stomach pain with multiple episodes of diarrhea on dec 12 as well as a fever that night of 102 with severe headache, body aches/joint pain/chills which she then received Motrin and was taken to the Emergency room where she tested negative for rsv/influenza/covid. She was given oral Tylenol and intravenous fluids as well as zofran and was discharged. Dec 13 she missed school due to her recent ER visit and had multiple more episodes of diarrhea and fatigue. She then complained of fatigue for the next 2 days and still is not 100%.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: 11 hours after vaccine my daughter complained of chills and body aches then by morning she had a fever with chills/body aches/ headache. She spiked a fever a few times that day and as high as 103.7 at 1030pm on Dec 11. She received Motrin and then at 5am Tylenol for another fever. She then complained on stomach pain with multiple episodes of diarrhea on dec 12 as well as a fever that night of 102 with severe headache, body aches/joint pain/chills which she then received Motrin and was taken to the Emergency room where she tested negative for rsv/influenza/covid. She was given oral Tylenol and intravenous fluids as well as zofran and was discharged. Dec 13 she missed school due to her recent ER visit and had multiple more episodes of diarrhea and fatigue. She then complained of fatigue for the next 2 days and still is not 100%.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Axillary pain, Chills, Condition aggravated, Cough
Clinical narrative: Nov, sinus and went to urgent and was told to drink lots of fluid and left glades under left chin. 8Dec2021, 1st day fatigue and sore arm left arm for 2 days. 12/9/2021 night lead to chills. Muscles ache and decreased appetite and cough and just not feeling well, headache on and off. Hot and cold feeling. Oxygen levels were perfect. Through Sunday, I called in sick and went to doctor on Monday, my asthma kicked in. I couldn't go to work. Zithromax 250 milligram tables for 5 days and prednisone I didn't take this. No COVID test done. The arm, inside and armpit was sore like razor burn and the middle of the left arm was sore, no redness, phlegm which was brown and when I blew my nose, it was clear on Thursday/Friday.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Feeling of body temperature change, Headache, Malaise
Clinical narrative: Nov, sinus and went to urgent and was told to drink lots of fluid and left glades under left chin. 8Dec2021, 1st day fatigue and sore arm left arm for 2 days. 12/9/2021 night lead to chills. Muscles ache and decreased appetite and cough and just not feeling well, headache on and off. Hot and cold feeling. Oxygen levels were perfect. Through Sunday, I called in sick and went to doctor on Monday, my asthma kicked in. I couldn't go to work. Zithromax 250 milligram tables for 5 days and prednisone I didn't take this. No COVID test done. The arm, inside and armpit was sore like razor burn and the middle of the left arm was sore, no redness, phlegm which was brown and when I blew my nose, it was clear on Thursday/Friday.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Sinus disorder, Spirometry, Sputum discoloured
Clinical narrative: Nov, sinus and went to urgent and was told to drink lots of fluid and left glades under left chin. 8Dec2021, 1st day fatigue and sore arm left arm for 2 days. 12/9/2021 night lead to chills. Muscles ache and decreased appetite and cough and just not feeling well, headache on and off. Hot and cold feeling. Oxygen levels were perfect. Through Sunday, I called in sick and went to doctor on Monday, my asthma kicked in. I couldn't go to work. Zithromax 250 milligram tables for 5 days and prednisone I didn't take this. No COVID test done. The arm, inside and armpit was sore like razor burn and the middle of the left arm was sore, no redness, phlegm which was brown and when I blew my nose, it was clear on Thursday/Friday.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chronic spontaneous urticaria, Mechanical urticaria, Pharyngeal swelling, Pruritus
Clinical narrative: Woke up with itchy hands.  Hives started to appear all over body quickly within 12 hours.  Hives were not resolved with basic antihistamines.  Next day hives had progressed and swollen throat presented.  Was seen by doctor and was given a epinephrine shot and a steroid shot.  Neither helped.  Three days later was seen in ER for worsening symptoms.  An IV of steroids, benadryl, and pepcid AC did not help.  A visit to the allergist followed the next day where I was diagnosed with spontaneous urticaria and dermagraphia.   I was put on a regimen of Zyrtec 2x a day along with Pepcid 2x a day, Benadryl as needed.  This has helped the presentation and itchiness of the hives but dermagraphia remains.  Any lapse in taking of meds results in another outbreak.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Woke up with itchy hands.  Hives started to appear all over body quickly within 12 hours.  Hives were not resolved with basic antihistamines.  Next day hives had progressed and swollen throat presented.  Was seen by doctor and was given a epinephrine shot and a steroid shot.  Neither helped.  Three days later was seen in ER for worsening symptoms.  An IV of steroids, benadryl, and pepcid AC did not help.  A visit to the allergist followed the next day where I was diagnosed with spontaneous urticaria and dermagraphia.   I was put on a regimen of Zyrtec 2x a day along with Pepcid 2x a day, Benadryl as needed.  This has helped the presentation and itchiness of the hives but dermagraphia remains.  Any lapse in taking of meds results in another outbreak.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: None reported at the time of event. No signs and or symptoms noted at the time of event.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: PATIENT WAS ADMINISTERED 0.3ML OF UNDILUTED PFIZER VACCINE. PT WILL BE  OFFERED AN MD EVALUATING TO INCLUDE AN EKG AND TROPONIN LEVEL. WE HAVE BEEN UNABLE TO CONTACT PATIENT.
Age: 40.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter
Clinical narrative: States she feels her heart "flutter". Checked her vital signs, gave her water and crackers and provided support.  She has a history of palpitations and anxiety, Dr. spoke with her as well. She was feeling better before she was discharged. BP 127/60 P 75 SR R 18 O2 100%
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Dose 1 given 2/2/2021 Pfizer Lot # EL9264  Patient was hospitalized for Covid 19
Age: 72.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product administration duration, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 24.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: pt received full moderna dose and not booster dose, no adverse reaction was reported
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given booster dose of the Moderna vaccine early.
Age: 54.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product administration duration, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Bradycardia, Dehydration, Diarrhoea, Malaise
Clinical narrative: Patient had been sick for about five days with persistent diarrhea. He was beginning to feel he was becoming dehydrated and would need treatment. Therefore, he went ahead with acute treatment with hydration, his diarrhea had improved. His bradycardia was still present despite the fact that we held his atenolol.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt has no complains.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Long Term Care resident received a 4th dose inadvertently, no adverse reaction noted. Family and MD made aware.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Chemotherapy, Pancreatic carcinoma, Pancreatic lesion excision
Clinical narrative: Evaluation resulted in a diagnosis of Pancreatic Cancer. Removal of cancerous lesion on 9/16 and started on chemotherapy.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: After reviewing the record for a client who was interested in a booster of the COVID-19, our team discovered that the client?s 3rd dose of the Janssen vaccine was marked as invalid. After consulting our clinical supervisor, we proceeded with the administration of a booster dose of the Moderna vaccine. Per CDC guidance, boosters do not have to be re-administered regardless of early vaccination. Therefore we are completing a VEARS report due to the administration of 2nd booster. Patient did not experience adverse reaction for the 15 mins monitoring time within our care.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Coordination abnormal, Dizziness, Electroencephalogram, Laboratory test
Clinical narrative: Dizziness and uncoordinated. Started 2 days after vaccine. PCP recommended evaluation at Urgent Care.  Went 12/15 and encouraged me to call if symptoms get worse.  EEG, labs and BP normal.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pruritus, Pyrexia, Rash, Urticaria
Clinical narrative: After the first 24 hours I developed typical low grade fever and chills, but it was accompanied by random itching on my body, but not severe. However, on Sunday late afternoon (48 hours after injection), I developed hives on my neck, chest (predominantly) , inside of elbows, top of my feet and hands. It resolved overnight as if nothing happened. The neck area still had a rash, but controlled. The following Wednesday night (15th), I broke out in hives on the back of my legs, buttocks and back. Again, it resolved overnight, although my neck rash remains.
Age: 81.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient, who is 12 years of age, received the formulation intended for 5-11 years.  No adverse reaction or untoward outcome occurred; reporting to Agency given error in administration.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, No adverse event, Wrong technique in product usage process
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac normal, Hepatic enzyme increased, Laboratory test, Myocardial infarction, Myocardial necrosis marker increased
Clinical narrative: Heart attack walking into the ER on the way in. I had a heart catheterization performed in the hospital at which time, there was no signs of any blockages and issues. Nothing visual at all when they did this procedure. They were looking to see if the stents had moved or if there were any blockages. That's when the doctors became suspicious. They noted that there were heart attacks after vaccines. Neither condition I think can be connected to the vaccine at this time. Non-contagious rash, uncommon in men, after I got the 2nd dose of the vaccine, I got a 2nd rash on top of the original rash. They said it was an HPV disease called squamous cell carcinoma, pre-condition to cancer. Dormant until I got the vaccine. When they put me on the acitretin, put me into a condition called Rhabdomyolysis, takes protein out of muscles. Gave me an irregular heartbeat and pulse rate. Changes in medication since the health event.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Red blood cell count increased, Squamous cell carcinoma
Clinical narrative: Heart attack walking into the ER on the way in. I had a heart catheterization performed in the hospital at which time, there was no signs of any blockages and issues. Nothing visual at all when they did this procedure. They were looking to see if the stents had moved or if there were any blockages. That's when the doctors became suspicious. They noted that there were heart attacks after vaccines. Neither condition I think can be connected to the vaccine at this time. Non-contagious rash, uncommon in men, after I got the 2nd dose of the vaccine, I got a 2nd rash on top of the original rash. They said it was an HPV disease called squamous cell carcinoma, pre-condition to cancer. Dormant until I got the vaccine. When they put me on the acitretin, put me into a condition called Rhabdomyolysis, takes protein out of muscles. Gave me an irregular heartbeat and pulse rate. Changes in medication since the health event.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Decreased appetite, Fatigue, Pain
Clinical narrative: temp 101.6F, no appetite, fatigue, aches
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Pulmonary thrombosis
Clinical narrative: On 11/14/2021 collapsed and taken to local ER.  Blood clots found in each lung with acute hypoxic respiratory failure.  Remained there for four days in ER on oxygen, heparin drip and Nitro via nebulizer, as there were no beds available at the Medical Center.  On the fourth day was transferred there by ambulance where they also found a blood clot in my right calf, in addition to the clot in each lung.  Was there for five days with oxygen, heparin drip, and starting Eliquis in addition to long term Plavix.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope, Thrombosis
Clinical narrative: On 11/14/2021 collapsed and taken to local ER.  Blood clots found in each lung with acute hypoxic respiratory failure.  Remained there for four days in ER on oxygen, heparin drip and Nitro via nebulizer, as there were no beds available at the Medical Center.  On the fourth day was transferred there by ambulance where they also found a blood clot in my right calf, in addition to the clot in each lung.  Was there for five days with oxygen, heparin drip, and starting Eliquis in addition to long term Plavix.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: pt received full dose of moderna and not booster dose, no adverse reactions were reported
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chills, Electrocardiogram normal, Headache
Clinical narrative: 100 degree fever, chills, sweating, heart racing, tightness in chest, headache, full body aches and nausea. Symptoms began late Sunday night (more than 48 hrs after booster vaccine). Monday & Tuesday was able to be out of bed for only short periods before needing to lay back down. Caused night panic attacks Monday & Tuesday night. Wednesday woke up with no fever feeling much better but very weak. Was able to work most of the day but needed a nap in the middle of the day. Thursday (today) I feel mostly better though still feel very weak and winded after walking up a flight of stairs, or being up for more than 15-20 minutes. Other than a slight tightness in my chest and headache, I have no other symptoms.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pain, Palpitations, Panic attack
Clinical narrative: 100 degree fever, chills, sweating, heart racing, tightness in chest, headache, full body aches and nausea. Symptoms began late Sunday night (more than 48 hrs after booster vaccine). Monday & Tuesday was able to be out of bed for only short periods before needing to lay back down. Caused night panic attacks Monday & Tuesday night. Wednesday woke up with no fever feeling much better but very weak. Was able to work most of the day but needed a nap in the middle of the day. Thursday (today) I feel mostly better though still feel very weak and winded after walking up a flight of stairs, or being up for more than 15-20 minutes. Other than a slight tightness in my chest and headache, I have no other symptoms.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 100 degree fever, chills, sweating, heart racing, tightness in chest, headache, full body aches and nausea. Symptoms began late Sunday night (more than 48 hrs after booster vaccine). Monday & Tuesday was able to be out of bed for only short periods before needing to lay back down. Caused night panic attacks Monday & Tuesday night. Wednesday woke up with no fever feeling much better but very weak. Was able to work most of the day but needed a nap in the middle of the day. Thursday (today) I feel mostly better though still feel very weak and winded after walking up a flight of stairs, or being up for more than 15-20 minutes. Other than a slight tightness in my chest and headache, I have no other symptoms.
Age: 78.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient was mistakenly given a 2nd dose of the seasonal influenza vaccine.  He received his first dose on 10/8/21.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None reported at the time of event. No signs and or symptoms noted at the time of event.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache
Clinical narrative: A few days later I was having headache and pain on my left knee, I was told it was going away and now I started Therapy due to the pain. It has helped me some but I'm still not completely recovered.
Age: 56.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event
Clinical narrative: none reported
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Injection site pain, Mobility decreased, Pain
Clinical narrative: pain at injection site, muscle aches, joint aches chills, unable to function
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Erythema, Periorbital swelling, Rash, Rash erythematous
Clinical narrative: Severe puffy eyes, very dry red skin everywhere on face, followed by red dry patches on both arms near bend of elbow. Red rash on both arms. Then both legs very dry skin with red rash. Rash also appeared on chest and shoulders. First the rash started in the face and over time spread to limbs and chest. Very worried, so saw a dermatologist on the 15 of December. Doctor said she has treated many patients for these same symptoms post Covid vaccine.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Dose 1 given 2/12/2021 Moderna 024M20A  Patient was hospitalized for Covid 19
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chills, Cough, Headache, Malaise
Clinical narrative: I had tingling in my hands and itchy all over from head to toes. Asthma intermittent after that, Sep 8 and 10 and Sep 12-14 2021. Doctor didn't let me see in person and could only do tele doctor. Headaches, chills and fatigue arm, left arm pain. Might have asthma and cough but don't fully remember. Fever and generally did not feel well but not as long as the 3rd booster.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Pruritus, Pyrexia
Clinical narrative: I had tingling in my hands and itchy all over from head to toes. Asthma intermittent after that, Sep 8 and 10 and Sep 12-14 2021. Doctor didn't let me see in person and could only do tele doctor. Headaches, chills and fatigue arm, left arm pain. Might have asthma and cough but don't fully remember. Fever and generally did not feel well but not as long as the 3rd booster.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Product preparation issue
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt complains of fatigue, headache, and muscle aches while all are improving.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Migraine, Tinnitus
Clinical narrative: On 10/31 at 3am he thought the alarm was going off for the smoke detectors and realized that was a loud ringing in his ear. After that he has had serious migraines constantly. He went to the ER but they found.
Age: 40.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Product storage error, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to Hospital on 11/11/2021 for COVID related symptoms. This is considered a breakthrough case.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Neuralgia, Pruritus, Rash, Urticaria
Clinical narrative: Hives, rash, unrelenting itching began Friday evening. By Saturday morning fully covering my body and hasn't stopped since. On a heavy fucking dose of steroids, benadryl, and doxepin to make my nerves feel nothing. Full course of steroids and it is still showing up in random places. Appears, dissipates, appears again.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Flushing, Productive cough, Retching
Clinical narrative: within 15 min of administering vaccine - patient had flushing, chest tightening, increased phlegm, gagging, barky cough. Administered epi 0.3 ml, oxygen started and taken to attached ER via wheelchair per provider and nurse was in the ER x 4 hours - had 2nd dose of Epi - IV steroid, nebulizer treatment before being discharged home
Age: 52.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for covid-19 and fully vaccinated
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure, Chest X-ray, Chest pain, Computerised tomogram thorax abnormal, Electrocardiogram
Clinical narrative: Burning chest pain radiating to arms
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haematology test, Hilar lymphadenopathy, Left atrial enlargement, Lung disorder, Mediastinitis
Clinical narrative: Burning chest pain radiating to arms
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Pain, Pain in extremity, Pleural effusion, Pulmonary oedema
Clinical narrative: Burning chest pain radiating to arms
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tissue infiltration, Troponin increased
Clinical narrative: Burning chest pain radiating to arms
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrioventricular block complete, Biopsy heart abnormal, Cardiogenic shock, Myocarditis
Clinical narrative: Burning chest pain radiating to arms
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Extra dose administered, Heavy menstrual bleeding, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Menstruation the week following my booster shot  on December 2, 2021 was extremely painful and heavier than usual. I was unable to get out of bed, teach yoga classes or conduct my daily activities because the pain was debilitating. Advil did not relieve the pain. The debilitating pain lasted approximately 36 hours. Pain continued afterward for 48 hours but was manageable. I am still bleeding after 7 days.   Also noteworthy is that following my first shot in the vaccination series with the Moderna vaccine on March 17, 2021, I had my first period after not having had any period nor spotting for 6 months. My periods have lasted 7-10 days since the first Moderna shot, which is unusual.  In addition, I have had itchy patches appear on my torso, arms and legs which have itched with greater intensity two weeks following my booster shot. I had itchy patches appear following the Moderna shot series, too, but the patches following the booster are greater in number and more intense.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Menstruation the week following my booster shot  on December 2, 2021 was extremely painful and heavier than usual. I was unable to get out of bed, teach yoga classes or conduct my daily activities because the pain was debilitating. Advil did not relieve the pain. The debilitating pain lasted approximately 36 hours. Pain continued afterward for 48 hours but was manageable. I am still bleeding after 7 days.   Also noteworthy is that following my first shot in the vaccination series with the Moderna vaccine on March 17, 2021, I had my first period after not having had any period nor spotting for 6 months. My periods have lasted 7-10 days since the first Moderna shot, which is unusual.  In addition, I have had itchy patches appear on my torso, arms and legs which have itched with greater intensity two weeks following my booster shot. I had itchy patches appear following the Moderna shot series, too, but the patches following the booster are greater in number and more intense.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Multiple use of single-use product, No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness sensation in left side neck and arm in nerve that runs across top of shoulder and down backside of left arm. Tingling sensation, numbness, and weakness had begun about a week after shot and has persisted still to this day 4 months later. It?s not getting worse nor is it getting better. Never experienced anything like this in 56 years of life
Age: 28.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Chest discomfort, Chest pain, Discomfort, Dyspnoea, Myocarditis
Clinical narrative: I received a COVID19 booster shot and a seasonal Flu shot in my left and right arms respectively at around 11:30 AM on 12/14/21. I waited for 20 minutes in their auditorium before leaving. I felt no major effects until the following morning at maybe around 10 AM on 12/15.  I think it could be myocarditis because my chest, specifically around my heart feels tight and even slightly painful at times. I researched other symptoms of myocarditis, but I don't think I'm experiencing shortness of breath or abnormal rhythms. It almost feels like I over-worked my left pectoral muscles... but the feeling is deeper in my chest, so it's probably my heart... which is a new and uncomfortable sensation to say the least.  FYI, I received my second dose of the initial Pfizer vaccine on 4/28/21 and had no major side effects. I have not yet seen a doctor about this, and likely won't as I'm currently uninsured. But, I thought I ought to report my symptoms for the record. I hope the symptoms subside soon.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Pt was due for his second dose of Moderna COVID vaccine primary series which should have been a 0.5 mL dose.  However the medical assistant who administered this dose unintentionally administered 0.25 mL instead (lower than authorized dose). This incident occurred on 12/15/21.  The medical assistant involved notified me of this incident today, 12/16/21.  No adverse effect has occurred.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received booster vaccine Pfizer with the lot #FG3527 and expiration date 02/2022 and vaccine has been stored in the refrigerator and should have been used  until 12/12/2021 and patient received the vaccine on 12/13/2021 , as a result the vaccine could be considered expired for one day. However , patient has not experienced any side effects.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram
Clinical narrative: Waves of chest heaviness
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Pt was hospitalized with covid 19
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: A 15-year-old male received 2 prior doses of Pfizer. Arrived to clinic for booster. Patient assigned to table 4 from registration staff. Minors were spread out among the tables. Clarified no adverse events with past medications/immunizations. He verbalized his DOB. When asked his age he said "16." The 7 rights performed. Administered Pfizer booster 0.3mL dose, IM. No adverse reactions noted. Injection tolerated well. Completed observation without incident. Provider notified of incident. He was just outside of eligibility window, and asked to monitor for any reaction. The leader/patient's legal guardian, assistant and safety officer notified. Appropriate action made. No further follow-up needed at this time.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: rph found out that the product was expired by 1 day in the refrigerator  ., so pharmacy contacted pfizer and they said it is ok and the patient doesn't need revaccination
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received product 8 days past the beyond use date.  Manufacturer contacted and reviewing product stability.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral ischaemia, Cerebrovascular accident, Dysarthria, Magnetic resonance imaging head abnormal
Clinical narrative: Patient experienced a CVA with slurred speech and admitted to the hospital for two days.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pruritus, Erythema, Headache, Malaise
Clinical narrative: First vaccine 12/30/2020 LOT EH9899 - I had the malaise, fever, HA, Sore arm, Diarrhea within 12 hours of injection and lasted about 24 hours. Then just sore arm Second vaccine 01/18/2021 LOT EL3246 -  I had the malaise, fever, HA, body aches, sore arm, within 12 hours of injection and lasted about 24 hours. Then sore and swollen arm that was itchy for about 3-4 days until resolved Third vaccine - I had malaise, fever, HA, chills, body aches within 12 hours if injection and lasted 36 hours. Then had itchy /red ears bilateral with small rash behind ears. Started hydrocortisone cream on Monday 12/13/2021 and used the cream for 3 days. Today 12/16 I forgot to use cream in AM and by 12:00 developed hives on neck and face along with ears still itchy and red and warm to touch.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, Skin warm, Urticaria
Clinical narrative: First vaccine 12/30/2020 LOT EH9899 - I had the malaise, fever, HA, Sore arm, Diarrhea within 12 hours of injection and lasted about 24 hours. Then just sore arm Second vaccine 01/18/2021 LOT EL3246 -  I had the malaise, fever, HA, body aches, sore arm, within 12 hours of injection and lasted about 24 hours. Then sore and swollen arm that was itchy for about 3-4 days until resolved Third vaccine - I had malaise, fever, HA, chills, body aches within 12 hours if injection and lasted 36 hours. Then had itchy /red ears bilateral with small rash behind ears. Started hydrocortisone cream on Monday 12/13/2021 and used the cream for 3 days. Today 12/16 I forgot to use cream in AM and by 12:00 developed hives on neck and face along with ears still itchy and red and warm to touch.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac flutter, Palpitations
Clinical narrative: I experienced heart palpitations and fluttering whenever I sat up in a chair or leaned forward.  This lasted only a few seconds but was consistent beginning 2-3 days after the first dose.  The palpitations and fluttering began to fade about 2.5 weeks later but reappeared after I received the 2nd dose 3 weeks later.  The palpitations/fluttering finally went away 2-3 weeks after the 2nd dose and I have had no issues since.  In total, I experienced the palpitations for about 6 weeks.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Blood culture negative, COVID-19
Clinical narrative: Patient currently inpatient at (5) days admission.  H & P: PT is a 40 y.o. female who presents today with cough, fever, diarrhea weakness Pt is a 40 yo female s/p renal transplant for AGA nephropathy. Pt has been faithful with her anti-rejection regimen. Pt states started with fever 3 weeks ago. Cough 2 weeks ago and tested positive for COVID. She is fully vaccinated but has not had Booster for COVID. She saw her PCP last week and was started on doxycycline and Augmentin. Nausea and Diarrhea started next day. Today she felt much worse and presented to ED   ASSESSMENT / PLAN: Elevated procalcitonin Assessment & Plan 0.54 - treat with broad spectrum antibiotics    Diarrhea Assessment & Plan Possible secondary to Augmentin as started day after this medication was started. Will watch to see if continues on zosyn - gentle hydration  - supportive care   Renal osteodystrophy Assessment & Plan Continue home Ca and Mag   Hypomagnesemia Assessment & Plan 1.4 pt normally takes BID - will increase to TID for 2 days then return to BID  - monitor daily    Hypertension Assessment & Plan Monitor -hold ACE with current AKI, may restart with improvement in renal function   Hyperglycemia Assessment & Plan Over 200 for first time today - a1c in am   Hyperkalemia Assessment & Plan 5.1 today -gentle hydration - follow closely, repeat at 1am today and daily    Hyponatremia Assessment & Plan 130 today  --gentle hydration - follow closely, repeat at 1am today and daily    AKI (acute kidney injury) (HCC) Assessment & Plan Nephrology felt to be prerenal secondary to dehydration secondary to diarrhea, baseline Cr. 1.5-1.8 over last 2 years. Today 2.66, baseline GFR low 30's last 2 years. Today 20 -gentle hydration - follow closely, repeat at 1am today and daily    S/p cadaver renal transplant Assessment & Plan ED provider contacted on call Nephrology. Comfortable with keeping pt here gentle hydration.  - US renal transplant protocol in am -treat with broad spectrum antibiotic -continue anti rejection regimen      * Acute hypoxemic respiratory failure due to COVID-19 (HCC) Assessment & Plan Admit to HCF. Pt positive for COVID per patient at outpt facility will repeat as pt has had symptoms for 3 weeks. If negative could take out of isolation -O2,  -dexamethasone -renal function precludes use of remdismivir - supportive care
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Clostridium test negative, Cough, Dehydration
Clinical narrative: Patient currently inpatient at (5) days admission.  H & P: PT is a 40 y.o. female who presents today with cough, fever, diarrhea weakness Pt is a 40 yo female s/p renal transplant for AGA nephropathy. Pt has been faithful with her anti-rejection regimen. Pt states started with fever 3 weeks ago. Cough 2 weeks ago and tested positive for COVID. She is fully vaccinated but has not had Booster for COVID. She saw her PCP last week and was started on doxycycline and Augmentin. Nausea and Diarrhea started next day. Today she felt much worse and presented to ED   ASSESSMENT / PLAN: Elevated procalcitonin Assessment & Plan 0.54 - treat with broad spectrum antibiotics    Diarrhea Assessment & Plan Possible secondary to Augmentin as started day after this medication was started. Will watch to see if continues on zosyn - gentle hydration  - supportive care   Renal osteodystrophy Assessment & Plan Continue home Ca and Mag   Hypomagnesemia Assessment & Plan 1.4 pt normally takes BID - will increase to TID for 2 days then return to BID  - monitor daily    Hypertension Assessment & Plan Monitor -hold ACE with current AKI, may restart with improvement in renal function   Hyperglycemia Assessment & Plan Over 200 for first time today - a1c in am   Hyperkalemia Assessment & Plan 5.1 today -gentle hydration - follow closely, repeat at 1am today and daily    Hyponatremia Assessment & Plan 130 today  --gentle hydration - follow closely, repeat at 1am today and daily    AKI (acute kidney injury) (HCC) Assessment & Plan Nephrology felt to be prerenal secondary to dehydration secondary to diarrhea, baseline Cr. 1.5-1.8 over last 2 years. Today 2.66, baseline GFR low 30's last 2 years. Today 20 -gentle hydration - follow closely, repeat at 1am today and daily    S/p cadaver renal transplant Assessment & Plan ED provider contacted on call Nephrology. Comfortable with keeping pt here gentle hydration.  - US renal transplant protocol in am -treat with broad spectrum antibiotic -continue anti rejection regimen      * Acute hypoxemic respiratory failure due to COVID-19 (HCC) Assessment & Plan Admit to HCF. Pt positive for COVID per patient at outpt facility will repeat as pt has had symptoms for 3 weeks. If negative could take out of isolation -O2,  -dexamethasone -renal function precludes use of remdismivir - supportive care
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Hyperglycaemia, Hypomagnesaemia, Hyponatraemia, Hypoxia
Clinical narrative: Patient currently inpatient at (5) days admission.  H & P: PT is a 40 y.o. female who presents today with cough, fever, diarrhea weakness Pt is a 40 yo female s/p renal transplant for AGA nephropathy. Pt has been faithful with her anti-rejection regimen. Pt states started with fever 3 weeks ago. Cough 2 weeks ago and tested positive for COVID. She is fully vaccinated but has not had Booster for COVID. She saw her PCP last week and was started on doxycycline and Augmentin. Nausea and Diarrhea started next day. Today she felt much worse and presented to ED   ASSESSMENT / PLAN: Elevated procalcitonin Assessment & Plan 0.54 - treat with broad spectrum antibiotics    Diarrhea Assessment & Plan Possible secondary to Augmentin as started day after this medication was started. Will watch to see if continues on zosyn - gentle hydration  - supportive care   Renal osteodystrophy Assessment & Plan Continue home Ca and Mag   Hypomagnesemia Assessment & Plan 1.4 pt normally takes BID - will increase to TID for 2 days then return to BID  - monitor daily    Hypertension Assessment & Plan Monitor -hold ACE with current AKI, may restart with improvement in renal function   Hyperglycemia Assessment & Plan Over 200 for first time today - a1c in am   Hyperkalemia Assessment & Plan 5.1 today -gentle hydration - follow closely, repeat at 1am today and daily    Hyponatremia Assessment & Plan 130 today  --gentle hydration - follow closely, repeat at 1am today and daily    AKI (acute kidney injury) (HCC) Assessment & Plan Nephrology felt to be prerenal secondary to dehydration secondary to diarrhea, baseline Cr. 1.5-1.8 over last 2 years. Today 2.66, baseline GFR low 30's last 2 years. Today 20 -gentle hydration - follow closely, repeat at 1am today and daily    S/p cadaver renal transplant Assessment & Plan ED provider contacted on call Nephrology. Comfortable with keeping pt here gentle hydration.  - US renal transplant protocol in am -treat with broad spectrum antibiotic -continue anti rejection regimen      * Acute hypoxemic respiratory failure due to COVID-19 (HCC) Assessment & Plan Admit to HCF. Pt positive for COVID per patient at outpt facility will repeat as pt has had symptoms for 3 weeks. If negative could take out of isolation -O2,  -dexamethasone -renal function precludes use of remdismivir - supportive care