chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent administered instead of bivalent.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: Patient did not have any adverse reaction
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymphadenopathy
Clinical narrative: The doctor found an enlarged lymph node in the right groin area during a routine examination. He suggested I make an appointment with a general surgeon for further evaluation.
Age: 54.0
Sex: F
Vaccine: FLUC4
Symptoms: Abdominal discomfort, Arthralgia, Coeliac disease, Condition aggravated, Diarrhoea
Clinical narrative: Pt reports "celiac-like" symptoms that began approximately 15 minutes after receiving flu vaccine. Pt reports "constant diarrhea" beginning 15 minutes after vaccine, continuing through the night and into the following morning (11/18/22). Pt also reports fatigue, nausea, joint pain and "a rumbling feeling" in her stomach onset 15 minutes after vaccine. Pt reports that she is gluten intolerant and has diagnosed Celiac Disease, but verbalizes that she did not eat any gluten products during or after the day of her vaccine.  Pt did not report symptoms to this Clinic until today (11/18/22 at approx 0745) and verbalized that symptoms were ongoing.
Age: 54.0
Sex: F
Vaccine: FLUC4
Symptoms: Fatigue, Nausea
Clinical narrative: Pt reports "celiac-like" symptoms that began approximately 15 minutes after receiving flu vaccine. Pt reports "constant diarrhea" beginning 15 minutes after vaccine, continuing through the night and into the following morning (11/18/22). Pt also reports fatigue, nausea, joint pain and "a rumbling feeling" in her stomach onset 15 minutes after vaccine. Pt reports that she is gluten intolerant and has diagnosed Celiac Disease, but verbalizes that she did not eat any gluten products during or after the day of her vaccine.  Pt did not report symptoms to this Clinic until today (11/18/22 at approx 0745) and verbalized that symptoms were ongoing.
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Heart rate decreased, Hypotension, Immediate post-injection reaction, Loss of consciousness, Posture abnormal
Clinical narrative: Immediately after vaccination with both pfizer bivalent and flu - patient lost consciousness, possible seizure-like shaking. He was slumped over in the chair. Pharmacist began shouting but he didn't respond. Ambulance was called. Patient very slowly regained consciousness - came in and out for several minutes while 911 dispatch on the phone. Thorough check by EMS - low BP and pulse. Improved over time. Patient declined transport to hospital.
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Immediately after vaccination with both pfizer bivalent and flu - patient lost consciousness, possible seizure-like shaking. He was slumped over in the chair. Pharmacist began shouting but he didn't respond. Ambulance was called. Patient very slowly regained consciousness - came in and out for several minutes while 911 dispatch on the phone. Thorough check by EMS - low BP and pulse. Improved over time. Patient declined transport to hospital.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: COVID19 booster vaccine vial not discarded from previous day, incorrectly use to vaccinate patient d/t communication error between medical staff. Notified HCP Dr., as well as manager, CMA. No follow up treatment necessary d/t vaccine still being viable. CMA contacted Agency & spoke with staff for direction toward how to handle situation. CMA also contacted Pfizer manufacturer and was instructed that a punctured vial is good for 24 hours between degrees of 35 F and 86 F.  Going forward officer closer will discard open vial, as well as a double check of morning opener will double check that old vial has been discarded & new vial has been opened. Dr. was advised regarding situation and per Dr. no further action is necessary.
Age: 41.0
Sex: F
Vaccine: PNC15
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Swelling at site, hot and red skin at site, muscle pain, headache, trouble sleeping, burning skin at side, bumpy skin at site, itchiness at site
Age: 41.0
Sex: F
Vaccine: PNC15
Symptoms: Injection site warmth, Insomnia, Skin burning sensation
Clinical narrative: Swelling at site, hot and red skin at site, muscle pain, headache, trouble sleeping, burning skin at side, bumpy skin at site, itchiness at site
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Magnetic resonance imaging abnormal, Musculoskeletal stiffness, Pain
Clinical narrative: Immediately after injection, soreness, stiffness and range of motion issues ensued. After 3 weeks, primary care physician (PCP) was contacted. PCP said this was normal. Contacted PCP in May due to continuing issues and had visit on 5/18/21. X-ray taken and PCP referred to Physical Therapy (PT). 2/x week visits began 6/16/21. Icing and home exercises prescribed in between visits. Last visit 8/12/21 and referred back to PCP due to limited progress. PCP referred to orthopedic surgeon. First visit with surgeon on 10/4/21. MRI ordered and showed adhesive capsulitis and small tear. 2/x week PT ordered with first visit on 10/27/21. Continued PT. Underwent Platelet-rich plasma (PRP) injection 3/17/22 due to little progress PRP treament provided no additional relief or progress. ROM still limited. Continued 1/x week PT visits, home exercises and icing until last visit on 8/30/22. Due to not being able to progress further, PT determined their role to have ended. Was told that time may be what is needed to heal. PCP visit on 9/13/22 and was told that time is still needed to improve.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Periarthritis, X-ray
Clinical narrative: Immediately after injection, soreness, stiffness and range of motion issues ensued. After 3 weeks, primary care physician (PCP) was contacted. PCP said this was normal. Contacted PCP in May due to continuing issues and had visit on 5/18/21. X-ray taken and PCP referred to Physical Therapy (PT). 2/x week visits began 6/16/21. Icing and home exercises prescribed in between visits. Last visit 8/12/21 and referred back to PCP due to limited progress. PCP referred to orthopedic surgeon. First visit with surgeon on 10/4/21. MRI ordered and showed adhesive capsulitis and small tear. 2/x week PT ordered with first visit on 10/27/21. Continued PT. Underwent Platelet-rich plasma (PRP) injection 3/17/22 due to little progress PRP treament provided no additional relief or progress. ROM still limited. Continued 1/x week PT visits, home exercises and icing until last visit on 8/30/22. Due to not being able to progress further, PT determined their role to have ended. Was told that time may be what is needed to heal. PCP visit on 9/13/22 and was told that time is still needed to improve.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Dysphonia, Fatigue, Feeling abnormal
Clinical narrative: I started with constantly trying to clear my throat. This started on Monday. By Tuesday November 15, I felt like a cold was starting or it was allergy related or due to a seasonal change. I took CLARITIN. By Tuesday night, my throat felt infected and sore. I took a COVID-19 home test on Tuesday, and it was negative. On Wednesday, I felt like I needed to take a nap by afternoon and the clearing of the throat became a cough with clear mucus. I completed another COVID-19 home on Wednesday, and it was positive. I took another test, and it came back positive as well. I emailed my doctor and asked if he could prescribe the anti-viral treatment due to past issues with cold. I took the first dose on Thursday. My symptoms come and go. This morning I had a raspy voice with lots of mucus that is still clear. I still have the cough and at night I get a slight chill but that has gotten better. Sometimes I am congested and sometimes I have a runny nose. My doctor did not advise me to take any additional test outside of the rapid home test to confirm. I feel a little bit foggier where I forget what I have gone in a room searching for more often than prior to this.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Memory impairment, Oropharyngeal pain, Pharyngitis, Productive cough, Respiratory tract congestion
Clinical narrative: I started with constantly trying to clear my throat. This started on Monday. By Tuesday November 15, I felt like a cold was starting or it was allergy related or due to a seasonal change. I took CLARITIN. By Tuesday night, my throat felt infected and sore. I took a COVID-19 home test on Tuesday, and it was negative. On Wednesday, I felt like I needed to take a nap by afternoon and the clearing of the throat became a cough with clear mucus. I completed another COVID-19 home on Wednesday, and it was positive. I took another test, and it came back positive as well. I emailed my doctor and asked if he could prescribe the anti-viral treatment due to past issues with cold. I took the first dose on Thursday. My symptoms come and go. This morning I had a raspy voice with lots of mucus that is still clear. I still have the cough and at night I get a slight chill but that has gotten better. Sometimes I am congested and sometimes I have a runny nose. My doctor did not advise me to take any additional test outside of the rapid home test to confirm. I feel a little bit foggier where I forget what I have gone in a room searching for more often than prior to this.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Throat clearing
Clinical narrative: I started with constantly trying to clear my throat. This started on Monday. By Tuesday November 15, I felt like a cold was starting or it was allergy related or due to a seasonal change. I took CLARITIN. By Tuesday night, my throat felt infected and sore. I took a COVID-19 home test on Tuesday, and it was negative. On Wednesday, I felt like I needed to take a nap by afternoon and the clearing of the throat became a cough with clear mucus. I completed another COVID-19 home on Wednesday, and it was positive. I took another test, and it came back positive as well. I emailed my doctor and asked if he could prescribe the anti-viral treatment due to past issues with cold. I took the first dose on Thursday. My symptoms come and go. This morning I had a raspy voice with lots of mucus that is still clear. I still have the cough and at night I get a slight chill but that has gotten better. Sometimes I am congested and sometimes I have a runny nose. My doctor did not advise me to take any additional test outside of the rapid home test to confirm. I feel a little bit foggier where I forget what I have gone in a room searching for more often than prior to this.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site reaction, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: Fever of and one through day 3, very sore arm, which developed tender red splotches below the injection site. Mild pruritus.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Rash macular
Clinical narrative: Fever of and one through day 3, very sore arm, which developed tender red splotches below the injection site. Mild pruritus.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood test normal, Chills, Decreased appetite, Headache
Clinical narrative: Major headaches, body aches, chills, weakness, rashes, no energy, very little appetite. Visited an Urgent Care facility, a hospital Emergency Room, my doctor?s office, and a Dermatologist.  No one could identify the ailment. Visits occurred between 11/08/22 to 11/18/22.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Illness, Pain, Rash, Urine analysis normal
Clinical narrative: Major headaches, body aches, chills, weakness, rashes, no energy, very little appetite. Visited an Urgent Care facility, a hospital Emergency Room, my doctor?s office, and a Dermatologist.  No one could identify the ailment. Visits occurred between 11/08/22 to 11/18/22.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial tachycardia, Echocardiogram, Electrocardiogram abnormal, Heart rate increased, Palpitations
Clinical narrative: My heart was racing about two days before a routing medical appointment. At the doctor's office, my EKG was abnormal. My heart rate was very high. They started me on a low dose beta blocker and was referred to a cardiologist. I was diagnosed with Atrial Tachycardia. It is currently controlled by taking 50mg of metoprolol two times per day.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Regurgitation
Clinical narrative: My heart was racing about two days before a routing medical appointment. At the doctor's office, my EKG was abnormal. My heart rate was very high. They started me on a low dose beta blocker and was referred to a cardiologist. I was diagnosed with Atrial Tachycardia. It is currently controlled by taking 50mg of metoprolol two times per day.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Myelitis transverse, Refractory cancer
Clinical narrative: Severe Transverse myelitis; refractory cancer treatment
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The issue is the Moderna Expiration date was 11/13/2022, Vaccination given 11/17/2022. No adverse reaction. Moderna has been contacted about the use of AR4504B and is checking to see if an issue. They will get back to me with a report.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Product barcode issue
Clinical narrative: we gave the right vaccines and exp. date was correct but we scan the wrong  QR code
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: monovalent COVID 19 vaccine administered instead of bivalent COVID 19 vaccine
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Headache, Injection site pain, Oropharyngeal pain
Clinical narrative: Pfizer vaccine is used as a booster after my J&J vaccine last  November. I had pain at injection site and fever. I had pfizer vaccine on November2, 2022.  I am healthcare professional. I am supposed to give the shots to people on November 16 but I still tested positive so I did not go.  On November 6. I have high fever and headache all night. Runny nose and start coughing, sore throat and sneezing. Then, I checked rapid test. It turns out that I tested positive for Covid -19.  Then, I went for PCR test. It is positive.  I have those symptoms. I  took Andrographis and Augmentin. A few days later, I felt much better with less coughing and no runny nose. My sore throat went away after 5 days. I had fever only on the night of November  6. I still tested positive with rapid test until 11/15/2022.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Pfizer vaccine is used as a booster after my J&J vaccine last  November. I had pain at injection site and fever. I had pfizer vaccine on November2, 2022.  I am healthcare professional. I am supposed to give the shots to people on November 16 but I still tested positive so I did not go.  On November 6. I have high fever and headache all night. Runny nose and start coughing, sore throat and sneezing. Then, I checked rapid test. It turns out that I tested positive for Covid -19.  Then, I went for PCR test. It is positive.  I have those symptoms. I  took Andrographis and Augmentin. A few days later, I felt much better with less coughing and no runny nose. My sore throat went away after 5 days. I had fever only on the night of November  6. I still tested positive with rapid test until 11/15/2022.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Arthritis, Autoimmune thyroiditis, Blood test, Condition aggravated
Clinical narrative: On 6 Oct in the afternoon I experienced severe joint pain and stiffness in the right hand. I had not experienced any problems with the old arthritis since about 2002.  This subsided in about 2 hours but the hand occasionally gets achy now.  A blood draw from the back of the hand on 25 October brought excruciating pain (10) as I have never experienced.  On the 15 Oct I was on a 3 day heart monitor and had incidents of resting pulse at 150bpm.   On the 16th I was aware of feeling hot while at rest.  Temp was 100, pulse was 125.  I had experienced high resting pulse rates 3 years before and this was attributed to the Hashimoto's.  Three days later the cardiologist informed me of the intermittent tachycardia and he could not treat such fluctuations.  By now I developed a swelling of the throat, and soreness in the area of the thyroid.  I contacted my endocrinologist but he stated the tachycardia could not be caused by the thyroiditis.  This contradicts my previous endocrinologist.    Labs to test thyroid levels were severely delayed due to clerk error and showed no increase in the T3 or T4.  The thyroid is still swollen although it has decrease with use of aspirin (99 mg /day).
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram ambulatory abnormal, Feeling hot, Laboratory test, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: On 6 Oct in the afternoon I experienced severe joint pain and stiffness in the right hand. I had not experienced any problems with the old arthritis since about 2002.  This subsided in about 2 hours but the hand occasionally gets achy now.  A blood draw from the back of the hand on 25 October brought excruciating pain (10) as I have never experienced.  On the 15 Oct I was on a 3 day heart monitor and had incidents of resting pulse at 150bpm.   On the 16th I was aware of feeling hot while at rest.  Temp was 100, pulse was 125.  I had experienced high resting pulse rates 3 years before and this was attributed to the Hashimoto's.  Three days later the cardiologist informed me of the intermittent tachycardia and he could not treat such fluctuations.  By now I developed a swelling of the throat, and soreness in the area of the thyroid.  I contacted my endocrinologist but he stated the tachycardia could not be caused by the thyroiditis.  This contradicts my previous endocrinologist.    Labs to test thyroid levels were severely delayed due to clerk error and showed no increase in the T3 or T4.  The thyroid is still swollen although it has decrease with use of aspirin (99 mg /day).
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pharyngeal swelling, Tachycardia, Thyroid pain, Thyroxine normal, Tri-iodothyronine normal
Clinical narrative: On 6 Oct in the afternoon I experienced severe joint pain and stiffness in the right hand. I had not experienced any problems with the old arthritis since about 2002.  This subsided in about 2 hours but the hand occasionally gets achy now.  A blood draw from the back of the hand on 25 October brought excruciating pain (10) as I have never experienced.  On the 15 Oct I was on a 3 day heart monitor and had incidents of resting pulse at 150bpm.   On the 16th I was aware of feeling hot while at rest.  Temp was 100, pulse was 125.  I had experienced high resting pulse rates 3 years before and this was attributed to the Hashimoto's.  Three days later the cardiologist informed me of the intermittent tachycardia and he could not treat such fluctuations.  By now I developed a swelling of the throat, and soreness in the area of the thyroid.  I contacted my endocrinologist but he stated the tachycardia could not be caused by the thyroiditis.  This contradicts my previous endocrinologist.    Labs to test thyroid levels were severely delayed due to clerk error and showed no increase in the T3 or T4.  The thyroid is still swollen although it has decrease with use of aspirin (99 mg /day).
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: monovalent COVID 19 vaccine given instead of bivalent
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error, Underdose
Clinical narrative: Pt was given a Pfizer Bivalent Booster Grey 12ys and old vaccine, by a newly hired LPN in orientation, that had been out of the fridge since 11/16/22 @ 0120 and was not discarded at the end of the 11/16/2022 day.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, Pain in extremity, Pyrexia
Clinical narrative: After the vaccine, she complained of arm soreness for a day or two. She tested positive for COVID-19 on 08/05/2022. We alternated between MOTRIN and TYLENOL for her symptoms. She had a fever, mild cough and mild nasal congestion which lasted about 48 hours.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: After the vaccine, she complained of arm soreness for a day or two. She tested positive for COVID-19 on 08/05/2022. We alternated between MOTRIN and TYLENOL for her symptoms. She had a fever, mild cough and mild nasal congestion which lasted about 48 hours.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Headache, Injection site pain, Lymphadenopathy, Musculoskeletal chest pain
Clinical narrative: Pt c/o R shoulder pain radiating up to neck and down to ribs. Started 2 days after Tdap administration. Injection site was high up on R deltoid. Some lymphadenopathy. Pain 7.5/10. No rashes, hives, swelling, induration, erythema, numbness/tingling. Symptoms unrelieved w/ NSAIDS. Pt also c/o frontal h/a x 3 days.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Neck pain, Pain, Product administered at inappropriate site
Clinical narrative: Pt c/o R shoulder pain radiating up to neck and down to ribs. Started 2 days after Tdap administration. Injection site was high up on R deltoid. Some lymphadenopathy. Pain 7.5/10. No rashes, hives, swelling, induration, erythema, numbness/tingling. Symptoms unrelieved w/ NSAIDS. Pt also c/o frontal h/a x 3 days.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: rxn -- severe headache, chills, fever, sweats, vomiting, body aches - 36 hours before starting to feel better
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: rxn -- severe headache, chills, fever, sweats, vomiting, body aches - 36 hours before starting to feel better
Age: 94.0
Sex: F
Vaccine: COVID19-2
Symptoms: Death
Clinical narrative: Patient expired.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysarthria, Facial paresis, Hemiparesis, Intensive care, Magnetic resonance imaging
Clinical narrative: 1 week after vaccination client noted weakness in L) side of face, arm, and hand.  Also slurred speech.  Presented in ER and given tPA medication and flown to a specialty hospital .  she was placed in ICU for 24 hours and then moved to general floor for another 12 hours and then released.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Muscular weakness
Clinical narrative: 1 week after vaccination client noted weakness in L) side of face, arm, and hand.  Also slurred speech.  Presented in ER and given tPA medication and flown to a specialty hospital .  she was placed in ICU for 24 hours and then moved to general floor for another 12 hours and then released.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent COVID 19 vaccine administered instead of bivalent
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ultrasound scan, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding for 14 days. No treatment. Bleeding eventually stopped
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mobility decreased, Musculoskeletal stiffness, Neck pain
Clinical narrative: Bilateral posterior neck pain and stiffness, started 17 hours after injection. DIfficulty moving head and turning neck side to side.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: monovalent COVID 19 vaccine administered instead of bivalent COVID 19 vaccine
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Seizure
Clinical narrative: patient had an seizure episode the day following the shot
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram ambulatory abnormal, Fatigue, Feeling abnormal, Ventricular extrasystoles
Clinical narrative: Two days after the second Pfizer injection developed profound fatigue, brain fog, shortness of breath, and frequent PVCs. This persisted for ten weeks, confirmed via Holter Monitor. Still battling fatigue and brain fog.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On Novemer 13 came down with chills. The following day had chills, cough, congestion and tested with at home antigen test and was positive.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I received my first Moderna booster for COVID-19 on 10/17/2021. I had a known exposure to COVID-19 on 10/9/2022. I then self-isolated immediately afterwards, and I then began to have a sore throat on 10/11/2022. I used a nasal swab test that day, and it yielded a negative result. I then took a swab of my throat and got a positive result. On 10/12/2022, I took more nasal swabs, which then yielded a positive result. Over the next 6 days, my symptoms developed from a severe sore throat to coughing and sinus congestion. I then began to test negative on home antigen tests on day 7 and continued to test negative until day 10, which was the last day of the isolation. We then tested again on day 11 and got a negative result. On 10/14/2022, I received a monoclonal antibody  treatment, which I believe improved the symptoms pretty quickly. On 10/17/2022, I took a Mucinex tablet every 12 hours (2 in total), because I was very congested. I don't know if they helped, since I was still pretty congested afterwards.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: I received my first Moderna booster for COVID-19 on 10/17/2021. I had a known exposure to COVID-19 on 10/9/2022. I then self-isolated immediately afterwards, and I then began to have a sore throat on 10/11/2022. I used a nasal swab test that day, and it yielded a negative result. I then took a swab of my throat and got a positive result. On 10/12/2022, I took more nasal swabs, which then yielded a positive result. Over the next 6 days, my symptoms developed from a severe sore throat to coughing and sinus congestion. I then began to test negative on home antigen tests on day 7 and continued to test negative until day 10, which was the last day of the isolation. We then tested again on day 11 and got a negative result. On 10/14/2022, I received a monoclonal antibody  treatment, which I believe improved the symptoms pretty quickly. On 10/17/2022, I took a Mucinex tablet every 12 hours (2 in total), because I was very congested. I don't know if they helped, since I was still pretty congested afterwards.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Incorrect dose administered, Oropharyngeal pain, Pain in extremity, Product preparation issue
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient complained of sore arm for "a few days", headache x 1 day, and sore throat.
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: Pt developed red patches on bilateral forearms to elbow, reported a slight itch which resolved within about 5 minutes with a cold pack. Pt reported that her arms were itchy earlier in the day but patches were not present to arm at time of injection. Pt assessed by Nurse Practitioner in office who advised additional 15 minute monitoring in office . Pt reported itch had resolved. Nurse Practitioner in patient room for reassessment who had ok'd pt to leave office and recommended Benadryl as needed.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Tinnitus, Visual impairment
Clinical narrative: A few minutes after getting her shot and getting up from being seated, the patient experienced ringing in her ears, lightheadedness, and black vision. This lasted for a few minutes. She felt like passing out. Upon blood pressure check, her BP was 99/50 and pulse was 60.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: "Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event."
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Myalgia, Product preparation issue, Pyrexia
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient developed fever and muscle aches x 24 hours that have since resolved.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: "Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event."
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, FLU4, HEP, PNC13, RV5
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient in for her 2 month vaccines. Brother and sister were in for the flu vaccine and inadvertently given to the 2 month old. Mom was notified right away called manufacturer for any adverse side effects to watch out for. Mom said patient will be ok. Called today to check on patient. Mom stated doing well.
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: "Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event."
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient was given .2 of the peds pfizer booster without it first being diluted. This increased the amount the patient was given of the vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Feeling cold, Injection site pruritus, Swollen tongue, Throat irritation
Clinical narrative: 58kg 29 yo F with NKDA and no significant PMH was given COVID-19 vaccine booster and Flu vaccine 10/25 ~1125 at vaccination clinic.  After administration of the influenza shot (lot # CA52L ) in the right arm and the COVID-19 vaccine in her left arm (undocumented lot) the patient complained of pruritis at the injection COVID19 site on the left arm.  Shortly after the arm started to itch, the patient complained of swelling in tongue and itching at throat.  25mg of liquid diphenhydramine was given at 1125.  Symptoms did not improve.  After another 40 minutes, pruritis began to improve but employee complained of feeling cold.  Pt stated she usually takes a Claritin daily and did not take it that morning.  10mg of loratadine given since symptoms were not resolved yet.    Patient went to ED for monitoring.   Discharged later that evening on long acting antihistamine.  Allergy not added to the patient's profile.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Injection site rash, Product preparation issue
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Caregiver reported patient had a rash at vaccine administration site. Will take to pediatrician for an assessment.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: DEVELOPPED FEVER AND RASH AFTER 2ND DOSE OF SHINGRIX
Age: 16.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Syncope
Clinical narrative: Syncope after receiving COVID 19 vaccine, patient recovered within a few minutes after lying down.   Provided patient with water and food.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Crying, Erythema, Vomiting
Clinical narrative: Child had Vaccine given in the right arm at a flu vaccine clinic at the School. Approximately 10 minutes after getting vaccine mother called the school nurse stating child had been vomiting and crying since injection and her arm was red in color. School RN instructed the mom to take the child to a local urgent care or ER. Mother took child after giving benedryl at home and let school nurse that child had become better once at the ER.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Abscess neck, Angiogram, Anxiety, Biopsy, Bronchial secretion retention
Clinical narrative: He was transferred to local Hospital 10/6 with plans for vancomycin, cefepime, and metronidazole through 10/15, ventilator weaning, and rehabilitation.  His course here has been notable for cancer related pain requiring high-dose opioid medications, liberation from mechanical ventilation 10/25, completion of prescribed antibiotics followed by suppressive Bactrim therapy, then recurrent fever 10/31 for which broad-spectrum antibiotics were resumed.  Neck imaging revealed right neck abscesses. Dr. spoke with Dr. (Specialist) 11/1 and he recommended neck drain by IR (done 11/2) with sample to be sent for cultures (negative) and cytology (atypical squamous cells). Course also notable for altered mental status 10/20, neurology consult, CTA and EEG unrevealing, suspected metabolic and/or medication related, hypercalcemia treated with Zometa 10/22, and anxiety. Out of c-collar and TLSO.   On 11/2 I assumed care. 11/9 IR R neck drain removed (wasn't draining much). 11/11 mucus plug/RRT but remained off vent.  11/14 VUMC ENT f/u, biopsy/FNA done, per Dr. this confirms cancer. No surgical options. Not a candidate for chemo or any other therapy due to poor functional status.  Pt and his wife were very clear with me that they would like to go to local hospice care. Before this could be accomplished he developed, on 11/17, worsened mental status then bleeding from prior R neck drain site. It was clear he was dying and we transitioned to comfort care. He died comfortably with his family at the bedside at 1845 today.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Cancer pain, Culture negative, Cytology abnormal, Death, Drain placement
Clinical narrative: He was transferred to local Hospital 10/6 with plans for vancomycin, cefepime, and metronidazole through 10/15, ventilator weaning, and rehabilitation.  His course here has been notable for cancer related pain requiring high-dose opioid medications, liberation from mechanical ventilation 10/25, completion of prescribed antibiotics followed by suppressive Bactrim therapy, then recurrent fever 10/31 for which broad-spectrum antibiotics were resumed.  Neck imaging revealed right neck abscesses. Dr. spoke with Dr. (Specialist) 11/1 and he recommended neck drain by IR (done 11/2) with sample to be sent for cultures (negative) and cytology (atypical squamous cells). Course also notable for altered mental status 10/20, neurology consult, CTA and EEG unrevealing, suspected metabolic and/or medication related, hypercalcemia treated with Zometa 10/22, and anxiety. Out of c-collar and TLSO.   On 11/2 I assumed care. 11/9 IR R neck drain removed (wasn't draining much). 11/11 mucus plug/RRT but remained off vent.  11/14 VUMC ENT f/u, biopsy/FNA done, per Dr. this confirms cancer. No surgical options. Not a candidate for chemo or any other therapy due to poor functional status.  Pt and his wife were very clear with me that they would like to go to local hospice care. Before this could be accomplished he developed, on 11/17, worsened mental status then bleeding from prior R neck drain site. It was clear he was dying and we transitioned to comfort care. He died comfortably with his family at the bedside at 1845 today.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Drain removal, Electroencephalogram, Hypercalcaemia, Imaging procedure abnormal, Mechanical ventilation
Clinical narrative: He was transferred to local Hospital 10/6 with plans for vancomycin, cefepime, and metronidazole through 10/15, ventilator weaning, and rehabilitation.  His course here has been notable for cancer related pain requiring high-dose opioid medications, liberation from mechanical ventilation 10/25, completion of prescribed antibiotics followed by suppressive Bactrim therapy, then recurrent fever 10/31 for which broad-spectrum antibiotics were resumed.  Neck imaging revealed right neck abscesses. Dr. spoke with Dr. (Specialist) 11/1 and he recommended neck drain by IR (done 11/2) with sample to be sent for cultures (negative) and cytology (atypical squamous cells). Course also notable for altered mental status 10/20, neurology consult, CTA and EEG unrevealing, suspected metabolic and/or medication related, hypercalcemia treated with Zometa 10/22, and anxiety. Out of c-collar and TLSO.   On 11/2 I assumed care. 11/9 IR R neck drain removed (wasn't draining much). 11/11 mucus plug/RRT but remained off vent.  11/14 VUMC ENT f/u, biopsy/FNA done, per Dr. this confirms cancer. No surgical options. Not a candidate for chemo or any other therapy due to poor functional status.  Pt and his wife were very clear with me that they would like to go to local hospice care. Before this could be accomplished he developed, on 11/17, worsened mental status then bleeding from prior R neck drain site. It was clear he was dying and we transitioned to comfort care. He died comfortably with his family at the bedside at 1845 today.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Medical device site haemorrhage, Mental status changes, Neoplasm malignant, Pyrexia
Clinical narrative: He was transferred to local Hospital 10/6 with plans for vancomycin, cefepime, and metronidazole through 10/15, ventilator weaning, and rehabilitation.  His course here has been notable for cancer related pain requiring high-dose opioid medications, liberation from mechanical ventilation 10/25, completion of prescribed antibiotics followed by suppressive Bactrim therapy, then recurrent fever 10/31 for which broad-spectrum antibiotics were resumed.  Neck imaging revealed right neck abscesses. Dr. spoke with Dr. (Specialist) 11/1 and he recommended neck drain by IR (done 11/2) with sample to be sent for cultures (negative) and cytology (atypical squamous cells). Course also notable for altered mental status 10/20, neurology consult, CTA and EEG unrevealing, suspected metabolic and/or medication related, hypercalcemia treated with Zometa 10/22, and anxiety. Out of c-collar and TLSO.   On 11/2 I assumed care. 11/9 IR R neck drain removed (wasn't draining much). 11/11 mucus plug/RRT but remained off vent.  11/14 VUMC ENT f/u, biopsy/FNA done, per Dr. this confirms cancer. No surgical options. Not a candidate for chemo or any other therapy due to poor functional status.  Pt and his wife were very clear with me that they would like to go to local hospice care. Before this could be accomplished he developed, on 11/17, worsened mental status then bleeding from prior R neck drain site. It was clear he was dying and we transitioned to comfort care. He died comfortably with his family at the bedside at 1845 today.
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Error occurred when administering a dose of Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Unable to reach family x 4 to report error. No known reactions.
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Incorrect dose administered, Product preparation issue, Pyrexia, Somnolence
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Caregiver reported that patient had a fever and felt more tired/sleepy than normal. Symptoms lasted for ~24 hours then resolved.
Age: 6.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Underdose
Clinical narrative: given smaller dose than was is appropriate for patients age of the covid vaccine
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLU4, VARZOS
Symptoms: Condition aggravated, Rash, Seizure
Clinical narrative: Seizure the day after vaccines, a rash that started on the right arm today.  Patient to call if worsens/does not show improvement soon.
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product administration error, Product preparation error
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg. Patient/caregiver did not report any adverse event.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Blood test abnormal, Gait inability, Guillain-Barre syndrome, Muscle disorder
Clinical narrative: Patient came to the pharmacy today to report an adverse reaction from his Pfizer bivalent booster shot given on 9/26/22.  He reports that he had arm/neck/shoulder soreness approx. 8-12 hours after the vaccination, then 2 days post vaccination he wasn't able to walk anymore and lost muscle function in his legs.  He was hospitalized and diagnosed with guillain-barre syndrome.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Musculoskeletal disorder, Neck pain, Pain in extremity, Red cell distribution width increased
Clinical narrative: Patient came to the pharmacy today to report an adverse reaction from his Pfizer bivalent booster shot given on 9/26/22.  He reports that he had arm/neck/shoulder soreness approx. 8-12 hours after the vaccination, then 2 days post vaccination he wasn't able to walk anymore and lost muscle function in his legs.  He was hospitalized and diagnosed with guillain-barre syndrome.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Death, General physical health deterioration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual received the Moderna product on 02/06/2021, 03/26/2021, and 11/05/2021. They were admitted to hospital on 08/10/2022 for wound care for a non-healing decubitus ulcer. No respiratory symptoms were present but the individual tested positive upon admission to the hospital. Their condition continued to decline and they were discharged to home on 08/15/2022 to receive home hospice care. The individual died on 08/29/2022. It is likely this is an asymptomatic case that was detected incidentally. The individual did not develop any symptoms of COVID-19 at any time.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Wound treatment
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual received the Moderna product on 02/06/2021, 03/26/2021, and 11/05/2021. They were admitted to hospital on 08/10/2022 for wound care for a non-healing decubitus ulcer. No respiratory symptoms were present but the individual tested positive upon admission to the hospital. Their condition continued to decline and they were discharged to home on 08/15/2022 to receive home hospice care. The individual died on 08/29/2022. It is likely this is an asymptomatic case that was detected incidentally. The individual did not develop any symptoms of COVID-19 at any time.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute left ventricular failure, Acute respiratory failure, Aortic arteriosclerosis, Asthenia
Clinical narrative: Admitted 10/30/2022 with chief complaint SOB. Onset of symptoms was gradual starting several days ago with been gradually worsening course since that time. Reports SOB at rest and exertion, associated productive cough, weakness.  Active Problems: Essential hypertension, benign Centrilobular emphysema (CMS/HCC) Diastolic CHF (CMS/HCC) COPD, moderate (CMS/HCC) Adenocarcinoma of left lung (CMS/HCC) Other hyperlipidemia  Acute hypoxic respiratory failure, Acute on chronic diastolic heart failure,  COVID-19 infection pneumonia, Acute systolic heart failure, Hypoxia is multifactorial, DDX, radiation pneumonitis, HF, COVID or a combination of these.  Pulmonology consulted. Patient clearly expressed that he does not want to be intubated. Inpatient hospice. Continue Lasix 40 mg IV b.i.d. and spironolactone. Continue atorvastatin, Coreg. Continue PPI Dexamethasone 6 mg iv daily  11/6/2022: Cause of death: Acute hypoxemic respiratory failure due to COVID-19 infection and acute combined congestive heart failure. Confounding factors include left lung adenocarcinoma, valvular heart disease and acute kidney injury.