chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product expiration date issue
Clinical narrative: Manufacture revised the expiration date to 8/31/2022 after the vaccine was administered.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: 11/7/2021 My left arm was red, swollen, aching, throbbing, felt like fever and itching. It just covered half of my arm. I went to the doctor on 11/9/2021 and she put me on antibiotics. It took about five days for it all to go away.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV9, MNQ
Symptoms: Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: Approx 1015 am, immediately following 4th vaccine injection (mening) pt. became pale, swayed to the side and fainted.  Nurse lowered her to the lfoor slowly, put legs up, by the time she was on the floor, she was awake.  She had not eaten breakfast prior to appointment and stated later she has fainted before with vaccination (x1).  This was not shared with nurse.  Felt completely fine after juice and a snack (15 minutes).
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Arthralgia, Back pain, Blood test, Chest X-ray
Clinical narrative: Got vaccine on 11/21/2022 around 5:15pm woke the next morning with chest pain and random joint pain all over body, heart palpitations experienced chills; abdominal pain and lower back pain. Felt as though I was going to faint. Random phantom pain all over body and severe headache.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Chills, Dizziness, Headache, Palpitations
Clinical narrative: Got vaccine on 11/21/2022 around 5:15pm woke the next morning with chest pain and random joint pain all over body, heart palpitations experienced chills; abdominal pain and lower back pain. Felt as though I was going to faint. Random phantom pain all over body and severe headache.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Phantom limb syndrome, Urine analysis
Clinical narrative: Got vaccine on 11/21/2022 around 5:15pm woke the next morning with chest pain and random joint pain all over body, heart palpitations experienced chills; abdominal pain and lower back pain. Felt as though I was going to faint. Random phantom pain all over body and severe headache.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer monovalent vaccine when he should have received Pfizer bivalent vaccine. Patient will need to be evaluated to determine if a follow up booster will be administered in two months to provide bivalent coverage
Age: 58.0
Sex: F
Vaccine: FLUC4
Symptoms: Pruritus, Rash erythematous, Rash papular
Clinical narrative: Violent elevated red rash with much itching started several hours after.  Treated self with Benadryl po and hydrocortisone cream
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Herpes zoster, Pain
Clinical narrative: I got the vaccine, and a few days later, I developed shingles. This started 4 weeks ago, and I'm still experiencing the symptoms. I informed my doctor who prescribed me famciclovir, a 7-day treatment for my symptoms. Currently, I still have pain from the shingles and that's the only residual thing I have right now.
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUR4
Symptoms: No adverse event, Product preparation error, Underdose
Clinical narrative: THERE WAS NO ACTUAL ADVERSE EVENT.  PATIENT WAS GIVEN THE UNDILUTED PEDIATRIC VACCINE (0.3ML) DOSE INSTEAD OF THE ADULT DOSE.  I FOLLOWED UP WITH THE PATIENT 24 HOURS LATER AND THEY SAID THEY FEEL FINE AND DIDN'T HAVE ANY SIDE EFFECTS.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was administered Pfizer Bivalent . Called patient phone # and left message
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer monovalent vaccine when he was supposed to receive Pfizer bivalent vaccine. It is unknown at this time if it will be recommended for the patient to receive an additional booster in two months for bivalent coverage
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Manufacture revise the expiration date to 8/31/2022 after the vaccine have  been admistered.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received a booster dose of the Pfizer bivalent vaccine approved for ages 12 and older. The patient was only 11 and should not have received the vaccine. According to mom, patient did not experience any abnormal adverse events. The mom did not express concern.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Headache, Malaise, Pain in extremity
Clinical narrative: I only had a sore arm after the vaccine for a day. I started not feeling well on 11/17/2022 with a bad cough, runny nose and a headache. On 11/18/2022, I tested positive for COVID-19 with a home test. I contacted my doctor and was given prescription for Paxlovid. I responded well to the medication and no rebound. As of today, I still have congestion and was advised to not retest until this Saturday, 11/26/2022.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I only had a sore arm after the vaccine for a day. I started not feeling well on 11/17/2022 with a bad cough, runny nose and a headache. On 11/18/2022, I tested positive for COVID-19 with a home test. I contacted my doctor and was given prescription for Paxlovid. I responded well to the medication and no rebound. As of today, I still have congestion and was advised to not retest until this Saturday, 11/26/2022.
Age: 24.0
Sex: M
Vaccine: RAB
Symptoms: Product administered at inappropriate site
Clinical narrative: Rabies vaccine (Imovax) and Rabies Immune Globulin were given in same extremity (right arm).
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy thyroid gland, Neck pain, Odynophagia, Pain in jaw, Thyroid function test
Clinical narrative: Pain at anterior neck and lower jaw, thyroid swelling, pain swallowing for two months after vaccination. This was 4th dose of Covid -19 vaccine
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroiditis, Ultrasound thyroid
Clinical narrative: Pain at anterior neck and lower jaw, thyroid swelling, pain swallowing for two months after vaccination. This was 4th dose of Covid -19 vaccine
Age: 61.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, Cough, Diarrhoea, Dry mouth, Exposure to SARS-CoV-2
Clinical narrative: Exposed to COVID-19 on either Nov. 13 or 14 per notification system on Nov. 16 AM after 5-day trip for a national conference with 6,000 people. Sore throat started on Tuesday, Nov. 15 PM after flying home. Tested negative at home on Wed, Nov. 16. Went to Urgent Care on Friday, Nov. 18 for PCR test with results provided on Nov. 19th as positive for COVID. Received Rx for Paxlovid and have taken all but final two doses to date (Nov. 23, 2022). Symptoms Nov. 18-22 included fever (100.1 highest), sore throat, cough, chest congestion, body aches, headache, diarrhea (for only 1 day), dry mouth. Felt mostly like a bad cold or the flu. Started feeling better on Nov. 20 after starting Paxlovid regime. Fever only lasted 1.5 day.s No fever since Nov.  19th, PM. Still minor coughing and chest congestion. Minor headache on 11/23/22.
Age: 61.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Headache, Influenza like illness, Nasopharyngitis, Oropharyngeal pain, Pain
Clinical narrative: Exposed to COVID-19 on either Nov. 13 or 14 per notification system on Nov. 16 AM after 5-day trip for a national conference with 6,000 people. Sore throat started on Tuesday, Nov. 15 PM after flying home. Tested negative at home on Wed, Nov. 16. Went to Urgent Care on Friday, Nov. 18 for PCR test with results provided on Nov. 19th as positive for COVID. Received Rx for Paxlovid and have taken all but final two doses to date (Nov. 23, 2022). Symptoms Nov. 18-22 included fever (100.1 highest), sore throat, cough, chest congestion, body aches, headache, diarrhea (for only 1 day), dry mouth. Felt mostly like a bad cold or the flu. Started feeling better on Nov. 20 after starting Paxlovid regime. Fever only lasted 1.5 day.s No fever since Nov.  19th, PM. Still minor coughing and chest congestion. Minor headache on 11/23/22.
Age: 61.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Exposed to COVID-19 on either Nov. 13 or 14 per notification system on Nov. 16 AM after 5-day trip for a national conference with 6,000 people. Sore throat started on Tuesday, Nov. 15 PM after flying home. Tested negative at home on Wed, Nov. 16. Went to Urgent Care on Friday, Nov. 18 for PCR test with results provided on Nov. 19th as positive for COVID. Received Rx for Paxlovid and have taken all but final two doses to date (Nov. 23, 2022). Symptoms Nov. 18-22 included fever (100.1 highest), sore throat, cough, chest congestion, body aches, headache, diarrhea (for only 1 day), dry mouth. Felt mostly like a bad cold or the flu. Started feeling better on Nov. 20 after starting Paxlovid regime. Fever only lasted 1.5 day.s No fever since Nov.  19th, PM. Still minor coughing and chest congestion. Minor headache on 11/23/22.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The covid-19 Bi-Valent Booster was administered to the patient without a written consent form. The immunizing pharmacist traveled to Assisted Living facility to administer both influenza and Covid 19 immunizations. All residents at the facility received both of these vaccinations. After the vaccines were administered, it was brought to our attention that patient only wanted to receive the influenza vaccine and not the Covid vaccine. She received both doses. This event happened roughly 3 hours ago and no adverse events have been witnessed at this time.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Oropharyngeal pain
Clinical narrative: On 11/15/2022 I felt tired congested and not myself. On Wednesday woke up very congested, sore throat, cough, and fatigued. Took at home COVID-19 test. Went to urgent care the afternoon of Wednesday and was prescribed antibiotics. I began antibiotics and got no relief. On Saturday I called my insurance's health line. The nurse I spoke with forwarded my case to a nurse practitioner and I was prescribed PAXLOVID. Began PAXLOVID on Saturday and began feeling better on Sunday. My symptoms have improved marginally everyday since beginning the PAXLOVID.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On 11/15/2022 I felt tired congested and not myself. On Wednesday woke up very congested, sore throat, cough, and fatigued. Took at home COVID-19 test. Went to urgent care the afternoon of Wednesday and was prescribed antibiotics. I began antibiotics and got no relief. On Saturday I called my insurance's health line. The nurse I spoke with forwarded my case to a nurse practitioner and I was prescribed PAXLOVID. Began PAXLOVID on Saturday and began feeling better on Sunday. My symptoms have improved marginally everyday since beginning the PAXLOVID.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Erythema
Clinical narrative: pt presented to the clinic 2 days following injection with a large red, non warm area on right thigh.  Pt was afebrile.  suggested to use benadryl as well as warm packs .
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 11/22/2022.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Ear congestion, Nasal congestion, Respiratory tract congestion
Clinical narrative: I had a little sleep disturbance, stuffy nose with sniffles, a tickle in the back of throat that prompted a horrible sounding cough. The strongest symptom was head congestion which went into my ears. I tested positive for COVID-19 on November 07, 2022.  I took Dayquil, Motrin and Sudafed as well as Vitamin C. My oxygen rate remained 96% or above and I never ran a fever. I was symptom free after 7 days.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sleep disorder, Throat irritation
Clinical narrative: I had a little sleep disturbance, stuffy nose with sniffles, a tickle in the back of throat that prompted a horrible sounding cough. The strongest symptom was head congestion which went into my ears. I tested positive for COVID-19 on November 07, 2022.  I took Dayquil, Motrin and Sudafed as well as Vitamin C. My oxygen rate remained 96% or above and I never ran a fever. I was symptom free after 7 days.
Age: 63.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received PCV 20 vaccine to L deltoid on 11/21/22.  Since then, has been developing redness, swelling, burning sensation, and warmth to injection site x 1 hour after injection.  Denies fever, chills, numbness, tingling, weakness.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event, Product administration error
Clinical narrative: Patient had only received 1 dose in her primary series, was supposed to be getting her 2nd monovalent Pfizer dose. Instead she was given a bivalent Pfizer vaccine. This was an administration error that is required to be reported to VAERS because it is COVID related. No adverse health event occurred.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dysgeusia, Facial pain, Feeling abnormal, Headache
Clinical narrative: Four days before I tested positive for COVID-19 my wife had tested positive. I was having a sore throat but because she was positive, I took a test, and it was positive. I then had a runny nose, a temperature of 99, and just had bad cold symptoms. After about three days in my primary care doctor and my cardiologist wanted me to take Paxlovid, the bad taste was horrible, but I was having horrible anxiety and an uneasiness taking it. About the second day I was having tooth aches and throbbing like sinus issues on the right side of my face. At that point I went to a walk-in clinic, and they gave me ten days of a Doxycycline but after four days of that it did nothing. I was now having that fogginess that comes with COVID. I ended up at my PCP and also at my dentist to see if I really had something going on with my tooth and that was causing my major pain, but they found nothing at the dentist and figured it had to sinus related. Soon after that the sinus pain moved from my right side of my face and to my forehead area and it was present in both places.  On day seven I was told to stop the Doxycycline and put onto Cefuroxime. This new medication eliminated the right side of my face pain, but it remained in the forehead area. I have this horrible fowl smelling slightly metallic smell and taste in my nose and mouth.  I now only have mild cold symptoms but have tested negative for COVID but I am taking Tylenol every day to feel better.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Oropharyngeal pain, Pain, Parosmia, Rhinorrhoea
Clinical narrative: Four days before I tested positive for COVID-19 my wife had tested positive. I was having a sore throat but because she was positive, I took a test, and it was positive. I then had a runny nose, a temperature of 99, and just had bad cold symptoms. After about three days in my primary care doctor and my cardiologist wanted me to take Paxlovid, the bad taste was horrible, but I was having horrible anxiety and an uneasiness taking it. About the second day I was having tooth aches and throbbing like sinus issues on the right side of my face. At that point I went to a walk-in clinic, and they gave me ten days of a Doxycycline but after four days of that it did nothing. I was now having that fogginess that comes with COVID. I ended up at my PCP and also at my dentist to see if I really had something going on with my tooth and that was causing my major pain, but they found nothing at the dentist and figured it had to sinus related. Soon after that the sinus pain moved from my right side of my face and to my forehead area and it was present in both places.  On day seven I was told to stop the Doxycycline and put onto Cefuroxime. This new medication eliminated the right side of my face pain, but it remained in the forehead area. I have this horrible fowl smelling slightly metallic smell and taste in my nose and mouth.  I now only have mild cold symptoms but have tested negative for COVID but I am taking Tylenol every day to feel better.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus disorder, Sinus pain, Toothache
Clinical narrative: Four days before I tested positive for COVID-19 my wife had tested positive. I was having a sore throat but because she was positive, I took a test, and it was positive. I then had a runny nose, a temperature of 99, and just had bad cold symptoms. After about three days in my primary care doctor and my cardiologist wanted me to take Paxlovid, the bad taste was horrible, but I was having horrible anxiety and an uneasiness taking it. About the second day I was having tooth aches and throbbing like sinus issues on the right side of my face. At that point I went to a walk-in clinic, and they gave me ten days of a Doxycycline but after four days of that it did nothing. I was now having that fogginess that comes with COVID. I ended up at my PCP and also at my dentist to see if I really had something going on with my tooth and that was causing my major pain, but they found nothing at the dentist and figured it had to sinus related. Soon after that the sinus pain moved from my right side of my face and to my forehead area and it was present in both places.  On day seven I was told to stop the Doxycycline and put onto Cefuroxime. This new medication eliminated the right side of my face pain, but it remained in the forehead area. I have this horrible fowl smelling slightly metallic smell and taste in my nose and mouth.  I now only have mild cold symptoms but have tested negative for COVID but I am taking Tylenol every day to feel better.
Age: 36.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: On 04/25/2022 Occupational Health Nurse (OHN) contacted employee after receiving report from House supervisor that employee was asking him about a reaction after receiving his Covid vaccine.  OHN called employee,  he states he rec'd his booster dose (dose #3) of Pfizer Covid vaccine on Thursday, 04/21/2022, and on 04/23/2022, he noticed his left arm was red and swollen at injection site, denies pain.  OHN assured employee that swelling and redness can occur.  He has rec'd all 3 vaccines in the same arm.  Per the CDC website, it states that redness, and swelling are common side effects. He states it is getting better.  Advised taking Motrin/Tylenol, cool compresses, and drinking plenty of water.  If it does not improve by the end of the week, to contact OHN and we will have evaluated by Infection Control physician. Understanding verbalized.  I also recommended he go to V-Safe and report side effects for CDC monitoring and data collection.   On 11/22/2022, employee stopped by OHN's office asking whether he should get bivalent vaccine after having previous reaction.  After looking back on documentation.  OHN informed employee that redness and swelling at site would not be a reason to not get vaccine.  He further informed me that he later had swelling under his left axilla.   Describing as softball size swelling and redness.  He states it was not painful, and it returned to normal after 2-3 days.   He did not follow-up with OHN or his PCP at the time.  OHN never visually saw swelling.  OHN recommended he contact his PCP for further guidance as to whether he should receive the Bivalent booster or not.  OHN is documenting softball size adverse reaction now, due to just being made aware.
Age: 36.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Unevaluable event
Clinical narrative: On 04/25/2022 Occupational Health Nurse (OHN) contacted employee after receiving report from House supervisor that employee was asking him about a reaction after receiving his Covid vaccine.  OHN called employee,  he states he rec'd his booster dose (dose #3) of Pfizer Covid vaccine on Thursday, 04/21/2022, and on 04/23/2022, he noticed his left arm was red and swollen at injection site, denies pain.  OHN assured employee that swelling and redness can occur.  He has rec'd all 3 vaccines in the same arm.  Per the CDC website, it states that redness, and swelling are common side effects. He states it is getting better.  Advised taking Motrin/Tylenol, cool compresses, and drinking plenty of water.  If it does not improve by the end of the week, to contact OHN and we will have evaluated by Infection Control physician. Understanding verbalized.  I also recommended he go to V-Safe and report side effects for CDC monitoring and data collection.   On 11/22/2022, employee stopped by OHN's office asking whether he should get bivalent vaccine after having previous reaction.  After looking back on documentation.  OHN informed employee that redness and swelling at site would not be a reason to not get vaccine.  He further informed me that he later had swelling under his left axilla.   Describing as softball size swelling and redness.  He states it was not painful, and it returned to normal after 2-3 days.   He did not follow-up with OHN or his PCP at the time.  OHN never visually saw swelling.  OHN recommended he contact his PCP for further guidance as to whether he should receive the Bivalent booster or not.  OHN is documenting softball size adverse reaction now, due to just being made aware.
Age: 36.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: None stated.
Age: 36.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated, Dysphagia
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 11/15/2022 Discharge Date: Nov 18, 2022 COVID Date: 11/15/2022 PRESENTING PROBLEM: Shock [R57.9] Acute respiratory disease due to COVID-19 virus [U07.1, J06.9] resolved Septic shock  COVID Pneumonia  History of pseudomonas colonization  COPD Prior stroke with resultant apraxia Chronic dysphagia on tube feed   HOSPITAL COURSE:   The patient is a 57 year old with history of multiple CVA's 10 years ago, COPD, dysphagia, esophageal strictures with chronic feeding tube who presented to ED 11/15 with fever. He had been seen by his PCP 11/14 and prescribed doxycycline for a presumed CAP but his fever persisted so his wife brought him to ED.  In ED, he was febrile to 38.9, hypoxic requiring 2 L NC and hypotensive with SBP's in the 80's(baseline 90). He was given 2.5 L IVF, zosyn and started on norepi. He had a CXR with bilateral infiltrates and tested positive for COVID so he was given decadron. He was transferred to ICU for further management of his shock. He was given additional IVF, remdesivir and vanc/zosyn/azithro. His O2 was weaned off so remdesivir and decadron were discontinued. His cortisol was 5, stress dose steroids discontinued 11/17 given resolution of hypotension. Septic shock was attributed to COVID-19 pneumonia with possible secondary bacterial infection. He has known history of pseudomonas colonization Prior sputum culture in 2021 grew Pseudomonas intermediate to Cipro and Zosyn.  It was felt that pseudomonas infection is less likely and was transitioned to Augmentin to complete 3 more days course.   For COVID-19 pneumonia, he was initially placed on remdesivir and Decadron.  These medications were stopped after resolution of hypoxemia and hypertension.   After further goal of care discussion, patient wishes to continue aggressive therapy but do not wish to be resuscitated nor does he want to be intubated.  He was made do not resuscitate.   For dysphagia, he was status post PEG placement and will continue enteral feeding.   Patient was evaluated by PT/OT who recommended home with assistance. Patient was discharge in stable condition.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Enteral nutrition, Gastrostomy, Hypertension, Hypotension, Hypoxia
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 11/15/2022 Discharge Date: Nov 18, 2022 COVID Date: 11/15/2022 PRESENTING PROBLEM: Shock [R57.9] Acute respiratory disease due to COVID-19 virus [U07.1, J06.9] resolved Septic shock  COVID Pneumonia  History of pseudomonas colonization  COPD Prior stroke with resultant apraxia Chronic dysphagia on tube feed   HOSPITAL COURSE:   The patient is a 57 year old with history of multiple CVA's 10 years ago, COPD, dysphagia, esophageal strictures with chronic feeding tube who presented to ED 11/15 with fever. He had been seen by his PCP 11/14 and prescribed doxycycline for a presumed CAP but his fever persisted so his wife brought him to ED.  In ED, he was febrile to 38.9, hypoxic requiring 2 L NC and hypotensive with SBP's in the 80's(baseline 90). He was given 2.5 L IVF, zosyn and started on norepi. He had a CXR with bilateral infiltrates and tested positive for COVID so he was given decadron. He was transferred to ICU for further management of his shock. He was given additional IVF, remdesivir and vanc/zosyn/azithro. His O2 was weaned off so remdesivir and decadron were discontinued. His cortisol was 5, stress dose steroids discontinued 11/17 given resolution of hypotension. Septic shock was attributed to COVID-19 pneumonia with possible secondary bacterial infection. He has known history of pseudomonas colonization Prior sputum culture in 2021 grew Pseudomonas intermediate to Cipro and Zosyn.  It was felt that pseudomonas infection is less likely and was transitioned to Augmentin to complete 3 more days course.   For COVID-19 pneumonia, he was initially placed on remdesivir and Decadron.  These medications were stopped after resolution of hypoxemia and hypertension.   After further goal of care discussion, patient wishes to continue aggressive therapy but do not wish to be resuscitated nor does he want to be intubated.  He was made do not resuscitate.   For dysphagia, he was status post PEG placement and will continue enteral feeding.   Patient was evaluated by PT/OT who recommended home with assistance. Patient was discharge in stable condition.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Lung infiltration, Pneumonia, Pyrexia, Respiratory disorder
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 11/15/2022 Discharge Date: Nov 18, 2022 COVID Date: 11/15/2022 PRESENTING PROBLEM: Shock [R57.9] Acute respiratory disease due to COVID-19 virus [U07.1, J06.9] resolved Septic shock  COVID Pneumonia  History of pseudomonas colonization  COPD Prior stroke with resultant apraxia Chronic dysphagia on tube feed   HOSPITAL COURSE:   The patient is a 57 year old with history of multiple CVA's 10 years ago, COPD, dysphagia, esophageal strictures with chronic feeding tube who presented to ED 11/15 with fever. He had been seen by his PCP 11/14 and prescribed doxycycline for a presumed CAP but his fever persisted so his wife brought him to ED.  In ED, he was febrile to 38.9, hypoxic requiring 2 L NC and hypotensive with SBP's in the 80's(baseline 90). He was given 2.5 L IVF, zosyn and started on norepi. He had a CXR with bilateral infiltrates and tested positive for COVID so he was given decadron. He was transferred to ICU for further management of his shock. He was given additional IVF, remdesivir and vanc/zosyn/azithro. His O2 was weaned off so remdesivir and decadron were discontinued. His cortisol was 5, stress dose steroids discontinued 11/17 given resolution of hypotension. Septic shock was attributed to COVID-19 pneumonia with possible secondary bacterial infection. He has known history of pseudomonas colonization Prior sputum culture in 2021 grew Pseudomonas intermediate to Cipro and Zosyn.  It was felt that pseudomonas infection is less likely and was transitioned to Augmentin to complete 3 more days course.   For COVID-19 pneumonia, he was initially placed on remdesivir and Decadron.  These medications were stopped after resolution of hypoxemia and hypertension.   After further goal of care discussion, patient wishes to continue aggressive therapy but do not wish to be resuscitated nor does he want to be intubated.  He was made do not resuscitate.   For dysphagia, he was status post PEG placement and will continue enteral feeding.   Patient was evaluated by PT/OT who recommended home with assistance. Patient was discharge in stable condition.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock, Shock
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 11/15/2022 Discharge Date: Nov 18, 2022 COVID Date: 11/15/2022 PRESENTING PROBLEM: Shock [R57.9] Acute respiratory disease due to COVID-19 virus [U07.1, J06.9] resolved Septic shock  COVID Pneumonia  History of pseudomonas colonization  COPD Prior stroke with resultant apraxia Chronic dysphagia on tube feed   HOSPITAL COURSE:   The patient is a 57 year old with history of multiple CVA's 10 years ago, COPD, dysphagia, esophageal strictures with chronic feeding tube who presented to ED 11/15 with fever. He had been seen by his PCP 11/14 and prescribed doxycycline for a presumed CAP but his fever persisted so his wife brought him to ED.  In ED, he was febrile to 38.9, hypoxic requiring 2 L NC and hypotensive with SBP's in the 80's(baseline 90). He was given 2.5 L IVF, zosyn and started on norepi. He had a CXR with bilateral infiltrates and tested positive for COVID so he was given decadron. He was transferred to ICU for further management of his shock. He was given additional IVF, remdesivir and vanc/zosyn/azithro. His O2 was weaned off so remdesivir and decadron were discontinued. His cortisol was 5, stress dose steroids discontinued 11/17 given resolution of hypotension. Septic shock was attributed to COVID-19 pneumonia with possible secondary bacterial infection. He has known history of pseudomonas colonization Prior sputum culture in 2021 grew Pseudomonas intermediate to Cipro and Zosyn.  It was felt that pseudomonas infection is less likely and was transitioned to Augmentin to complete 3 more days course.   For COVID-19 pneumonia, he was initially placed on remdesivir and Decadron.  These medications were stopped after resolution of hypoxemia and hypertension.   After further goal of care discussion, patient wishes to continue aggressive therapy but do not wish to be resuscitated nor does he want to be intubated.  He was made do not resuscitate.   For dysphagia, he was status post PEG placement and will continue enteral feeding.   Patient was evaluated by PT/OT who recommended home with assistance. Patient was discharge in stable condition.
Age: 22.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Acne, Haemorrhage, Injection site pain, Injection site vesicles, Malaise
Clinical narrative: Patient developed painful large blister over primary injection site. He also developed small lesions throughout body (back, arms, legs, chest). Some appeared pimple like, some slightly bloody. General malaise but no fevers.  I believe he may have gotten secondary reaction/monkeypox.
Age: 22.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Skin lesion, Viral test
Clinical narrative: Patient developed painful large blister over primary injection site. He also developed small lesions throughout body (back, arms, legs, chest). Some appeared pimple like, some slightly bloody. General malaise but no fevers.  I believe he may have gotten secondary reaction/monkeypox.
Age: 37.0
Sex: M
Vaccine: HEP
Symptoms: Back pain, Defaecation urgency, Dyspnoea, Fluid retention, Hyperhidrosis
Clinical narrative: Patient given Heplisav-B vaccine at 1012, IM in right deltoid. Hypertension as documented. Large fluid gain today. Patient reported sensation of having to have a BM and back pain. He then reported being nauseated and vomited approximately 200 cc bile mixed with his protein drink when he drank most of before treatment ended. Patient became diaphoretic after vomiting. Also reported his lips being numb. Patient refused any more interventions and left the unit.  Rn went to assess patient in his mother's vehicle at 1030. Patient even more diaphoretic and still reporting pain and numb lips. Mom asked, "What did give him?" I told her that he received his Heplisav-B vaccine. She stated, "I'm taking him to the E.R." Patient presented to ER with lip swollen, difficulty breathing, tachycardiac, and diaphoretic. Patient treated with IV fluids, prednisone, epinephrine, Solu-Medrol, and albuterol. at 1111. Patient was monitored for until 3:18pm. Patient was discharged to home with EpiPen.
Age: 37.0
Sex: M
Vaccine: HEP
Symptoms: Hypertension, Hypoaesthesia oral, Lip swelling, Nausea, Pain
Clinical narrative: Patient given Heplisav-B vaccine at 1012, IM in right deltoid. Hypertension as documented. Large fluid gain today. Patient reported sensation of having to have a BM and back pain. He then reported being nauseated and vomited approximately 200 cc bile mixed with his protein drink when he drank most of before treatment ended. Patient became diaphoretic after vomiting. Also reported his lips being numb. Patient refused any more interventions and left the unit.  Rn went to assess patient in his mother's vehicle at 1030. Patient even more diaphoretic and still reporting pain and numb lips. Mom asked, "What did give him?" I told her that he received his Heplisav-B vaccine. She stated, "I'm taking him to the E.R." Patient presented to ER with lip swollen, difficulty breathing, tachycardiac, and diaphoretic. Patient treated with IV fluids, prednisone, epinephrine, Solu-Medrol, and albuterol. at 1111. Patient was monitored for until 3:18pm. Patient was discharged to home with EpiPen.
Age: 37.0
Sex: M
Vaccine: HEP
Symptoms: Tachycardia, Vomiting, Weight increased
Clinical narrative: Patient given Heplisav-B vaccine at 1012, IM in right deltoid. Hypertension as documented. Large fluid gain today. Patient reported sensation of having to have a BM and back pain. He then reported being nauseated and vomited approximately 200 cc bile mixed with his protein drink when he drank most of before treatment ended. Patient became diaphoretic after vomiting. Also reported his lips being numb. Patient refused any more interventions and left the unit.  Rn went to assess patient in his mother's vehicle at 1030. Patient even more diaphoretic and still reporting pain and numb lips. Mom asked, "What did give him?" I told her that he received his Heplisav-B vaccine. She stated, "I'm taking him to the E.R." Patient presented to ER with lip swollen, difficulty breathing, tachycardiac, and diaphoretic. Patient treated with IV fluids, prednisone, epinephrine, Solu-Medrol, and albuterol. at 1111. Patient was monitored for until 3:18pm. Patient was discharged to home with EpiPen.
Age: 2.0
Sex: M
Vaccine: FLUC4
Symptoms: Circumstance or information capable of leading to medication error, Scratch, Underdose
Clinical narrative: Patient came in with mother for influenza vaccine today. Patient was placed in mothers lap with arms and legs secured by parent. I cleansed hands, applied gloves, and thoroughly cleaned the administration site (Left Thigh); upon administration of influenza vaccine, patient jumped and needle came out of skin and scraped patient's leg. The entirety of the vaccine was administered out of the syringe but since patient was not completely secure, I would estimate that approximately 0.1 ml did not make it into patient. Patient's mother was advised that it is up to her if we re-administer in 1 month; she said she would like to think about it. Asked mother to call if she had any questions or concerns.
Age: 28.0
Sex: M
Vaccine: COVID19-2, SMALLMNK, VARZOS
Symptoms: Chlamydial infection, Injection site bruising, Injection site induration, Injection site swelling
Clinical narrative: Patient reports that as of 11/23/2022 at site of MPV vaccine it is indurated, swollen, bruised.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Chest X-ray normal, Dyspnoea exertional, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: DOE with reduced exercise capacity 1 week after Pfizer covid Vaccine #1, worsening.COVID vaccine on April 30 and May 25. Symptoms started in May. Diff includes PE, myositis, bronchospasm. Timing is suspicious for vaccine side effects. labs EKG CXR PFts  echo  CT angio neg 2021 - 2022 Started feeling better in Fall 2021 VO2 and exercise capacity not back to normal, plateaued. Moderna Bivalent vaccine Fall 2022 - felt very sick /achy/ huge axillary LN etc but no DOE. Still athletic.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Immunisation reaction, Laboratory test normal, Lymphadenopathy, Malaise
Clinical narrative: DOE with reduced exercise capacity 1 week after Pfizer covid Vaccine #1, worsening.COVID vaccine on April 30 and May 25. Symptoms started in May. Diff includes PE, myositis, bronchospasm. Timing is suspicious for vaccine side effects. labs EKG CXR PFts  echo  CT angio neg 2021 - 2022 Started feeling better in Fall 2021 VO2 and exercise capacity not back to normal, plateaued. Moderna Bivalent vaccine Fall 2022 - felt very sick /achy/ huge axillary LN etc but no DOE. Still athletic.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pulmonary function test normal, Venous oxygen saturation abnormal
Clinical narrative: DOE with reduced exercise capacity 1 week after Pfizer covid Vaccine #1, worsening.COVID vaccine on April 30 and May 25. Symptoms started in May. Diff includes PE, myositis, bronchospasm. Timing is suspicious for vaccine side effects. labs EKG CXR PFts  echo  CT angio neg 2021 - 2022 Started feeling better in Fall 2021 VO2 and exercise capacity not back to normal, plateaued. Moderna Bivalent vaccine Fall 2022 - felt very sick /achy/ huge axillary LN etc but no DOE. Still athletic.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Neuralgia, Pain in extremity
Clinical narrative: Redness and swelling into bicep of left arm.  Intense nerve pain running into left hip and around front of left thigh.
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Anxiety, Decreased appetite, Headache, Nausea, Panic attack
Clinical narrative: I received a flu shot and a Pfizer Bivalent booster for COVID-19 on 10/26/2022. On 11/18/2022, I was driving when I suddenly felt nauseous. I pulled over on the side of the road and threw up into a storm drain. As I threw up, there was what felt like one big slam from a hammer on the back of my head, and it was the beginning of a severe headache. It took me about 10 minutes to recover. I just stood outside and held onto my car until I felt I would be able to manage driving. I still had the headache at this point, but it was less severe. I then drove to my daughter's and lay down. As I was lying down, the pain slowly faded away. I had never had this happen before, so I didn't know what was going on. I had had nausea the day before, also, but it wasn't as severe. I was just queasy and had a loss of appetite. On 11/20/2022(?), I was on the toilet straining, and the explosion in the back of my head occurred again. I had a severe headache that was like the one I had had on 11/18/2022. I sat on the toilet for a while and massaged the back of my head. The severe pain continued, but for how long I can't say. After the pain eased up a little, I got up and had another lie down. After I went to lie down, the pain lasted for about another hour. On 11/21/2022, the headache started again. This time, there was no explosion. It was in the back of my head, and it felt like a shadow of the headaches I had had on 11/18/2022 and 11/20/2022. The pain lasted all day. After my grandchildren got out of school later in the day, I made arrangements for their care and went with my son to the ER. At the ER, I had a severe anxiety attack or panic attack. Because of the attack, I ended up not being treated at the ER. I then went home. At the time of this writing, the headache from 11/21/2022 continues. The pain isn't so severe, and rather than being concentrated just in the back of the head like the previous headaches, it affects every area of my head. The only parts not affected are the areas behind the ears and the crown of my head. I saw a doctor on 11/22/2022 and I was prescribed 800mg of ibuprofen for my headache and diazepam for my severe anxiety. Since I have been taking the ibuprofen, the pain has persisted, but it is no longer debilitating.
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Vomiting
Clinical narrative: I received a flu shot and a Pfizer Bivalent booster for COVID-19 on 10/26/2022. On 11/18/2022, I was driving when I suddenly felt nauseous. I pulled over on the side of the road and threw up into a storm drain. As I threw up, there was what felt like one big slam from a hammer on the back of my head, and it was the beginning of a severe headache. It took me about 10 minutes to recover. I just stood outside and held onto my car until I felt I would be able to manage driving. I still had the headache at this point, but it was less severe. I then drove to my daughter's and lay down. As I was lying down, the pain slowly faded away. I had never had this happen before, so I didn't know what was going on. I had had nausea the day before, also, but it wasn't as severe. I was just queasy and had a loss of appetite. On 11/20/2022(?), I was on the toilet straining, and the explosion in the back of my head occurred again. I had a severe headache that was like the one I had had on 11/18/2022. I sat on the toilet for a while and massaged the back of my head. The severe pain continued, but for how long I can't say. After the pain eased up a little, I got up and had another lie down. After I went to lie down, the pain lasted for about another hour. On 11/21/2022, the headache started again. This time, there was no explosion. It was in the back of my head, and it felt like a shadow of the headaches I had had on 11/18/2022 and 11/20/2022. The pain lasted all day. After my grandchildren got out of school later in the day, I made arrangements for their care and went with my son to the ER. At the ER, I had a severe anxiety attack or panic attack. Because of the attack, I ended up not being treated at the ER. I then went home. At the time of this writing, the headache from 11/21/2022 continues. The pain isn't so severe, and rather than being concentrated just in the back of the head like the previous headaches, it affects every area of my head. The only parts not affected are the areas behind the ears and the crown of my head. I saw a doctor on 11/22/2022 and I was prescribed 800mg of ibuprofen for my headache and diazepam for my severe anxiety. Since I have been taking the ibuprofen, the pain has persisted, but it is no longer debilitating.
Age: 57.0
Sex: M
Vaccine: TDAP, VARZOS, TDAP, VARZOS
Symptoms: Dizziness, Loss of consciousness, Venipuncture
Clinical narrative: Patient had both vaccines. No immediate adverse effects. Was also having venipuncture for routine labs. Required two venipunctures. During the second venipuncture attempt, he stated he was "woozy" and briefly lost consciousness. Had stable pulse and respirations throughout. Walked out of clinic without any complaints. Both vaccines injections sites were stable.
Age: 57.0
Sex: M
Vaccine: TDAP, VARZOS, TDAP, VARZOS
Symptoms: Syncope
Clinical narrative: Patient had both vaccines. No immediate adverse effects. Was also having venipuncture for routine labs. Required two venipunctures. During the second venipuncture attempt, he stated he was "woozy" and briefly lost consciousness. Had stable pulse and respirations throughout. Walked out of clinic without any complaints. Both vaccines injections sites were stable.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose was given 58 days after previous booster
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness
Clinical narrative: She left the booth to switch with her brother who was also getting a vaccination. When I was done with his I heard the mother saying  that she had passed out.  It was about 4 minutes or so after she had received her vaccination.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Flushing, Immediate post-injection reaction, Nasal pruritus, Tongue pruritus
Clinical narrative: On 11/23/22 - Patient told RN that she always gets some "type of reaction" when she get her COVID vaccine and that her doctor told her to make sure she goes to a facility that is close to a hospital.  Nurse gave the patient the vaccine on the gurney at 12:08.  She stated that she had an Immediate flush reaction.  She said she states she gets this when she has an anxiety attack. She states that she has over a 100 allergies to medication.  Also allergic to lobster and eggs?  No other illness at time of vaccination. Medications include:  Aldactone 50mg and Chlorthalidone 25mg for Hypertension She stated that she took a Benadryl 25 mg prior to coming to covid center.  Patient drove herself to COVID center. 12:12 173/98 Pulse 92 and Sat 97% "Immediate flush" 12:20  142/106 P 89 Sat 98%- nose feels itchy and tongue feels itchy.  Encouraged her to drink her Gatorade that she brought. 12:30  148/88 Pulse 85 Sat 93% "tongue itchy".  " I feel much better than I have in the past once given the vaccine. 12:40  Up to wheel chair with minimal assistance/  VS in w/c 167/97 p 86 Sat 99%.  Still states tongue is a bit itchy.  Very talkative and appears in no distress.  States again how much better she feels than last time.  Instructed to call 911 if symptoms increase (SOB, tongue swelling, difficulty breathing or swallowing.  Nurse escorted patient from facility - no difficulty walking, no dizziness, no SOB or issues when leaving.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient came for a COVID-19 bivalent booster but was inadvertently given  a flu vaccine. This is the second dose of flu vaccine this season. The previous dose was received one month prior per patient. Patient opted to receive the COVID-19 booster after the error was discovered and communicated with the patient. No adverse reaction reported by patient or observed by clinic staff.
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Expired product administered, No adverse event
Clinical narrative: THE VACCINE ACCIDENTALLY ADMISTERED ON 11/22/2022, BUT HAS EXPIRED ON 11/17/2022. PARENTS HASN'T REPORTED ANY SIDE EFFCTS YET.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Biopsy, Blood test, Computerised tomogram, Giant cell arteritis
Clinical narrative: About 30 days after receiving my last vaccine, I started to experience neck pain. I attributed it to possibly doing something wrong, because I'm a very active person. I began to have head and jaw pain as well. I went to the dentist, and he didn't see any problems. He told me to see a neurologist. That neurologist performed temporal biopsies and diagnosed me with temporal arteritis. This doctor told me that I needed to see a Rheumatologist. All three physicians put me on an 80mg dosage of prednisone. The day I started taking the pills, I was experiencing color flashes in my eyes, so the prednisone helped me. I had an appointment with my internist, and he noticed swelling in my ankle. He did a doppler test and noticed there was a blood clot from my calf to just above my knee. I was given ELIQUIS to take twice a day. I have my blood checked every two weeks. I have been taken off of the prednisone after lowering the dosage over time.