chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Confusional state, Cough, Full blood count normal, Headache, Heart rate increased
Clinical narrative: COVID+ 1/7/2023.  Vaccination Status - J&J x2   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA-C Admission Date: 1/7/2023 Discharge Date: 1/19/2023   HOSPITAL PROBLEMS 1. Covid-19 Infection 2. Atelectasis 3. Afib 4. Hypothyroidism 5. Depression 6. Hyperglycemia secondary to steroid use 7. Prediabetes 8. Hyponatremia DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 87 y.o. female with history of AFib RVR on Eliquis.  Presented to emergency department with 5 days of headache and nausea and cough.  She was COVID positive, tachycardic in the 130s and afebrile.  Initial labs including complete blood count, procalcitonin, UA and CRP were normal.  She did have mild hyponatremia.  She required 2 L of nasal cannula in the emergency department.  CTA thorax negative for pulmonary embolus but showed bibasilar atelectasis with chronic left-sided hiatal hernia.  She was admitted for acute hypoxic respiratory failure in the setting of COVID-19.   While admitted she received remdesivir for 5 days. She was also on Decadron 6 mg for 8 days.  She was intermittently confused however respiratory status improved overall.  She was weaned to room air during on day 2 of admission.  She did require 2 L nasal cannula at night, baseline is CPAP.  She would often refuse her CPAP when offered.   Course was complicated by persistently elevated heart rate above 100 reaching 130 at times.  She was initially on home dose of metoprolol 75 mg twice a day.  There was no improvement with increase to 100 mg twice a day.  Eventually Cardizem 120 mg daily was added on 01/10.  Heart rate significantly improved and was persistently in the 80s.   She was evaluated by PT/OT who recommended subacute rehab.  She was medically stable for discharge to SAR on 01/19/2023.
Age: 86.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Hiatus hernia, Hyponatraemia, Nausea, Positive airway pressure therapy, Procalcitonin normal
Clinical narrative: COVID+ 1/7/2023.  Vaccination Status - J&J x2   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA-C Admission Date: 1/7/2023 Discharge Date: 1/19/2023   HOSPITAL PROBLEMS 1. Covid-19 Infection 2. Atelectasis 3. Afib 4. Hypothyroidism 5. Depression 6. Hyperglycemia secondary to steroid use 7. Prediabetes 8. Hyponatremia DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 87 y.o. female with history of AFib RVR on Eliquis.  Presented to emergency department with 5 days of headache and nausea and cough.  She was COVID positive, tachycardic in the 130s and afebrile.  Initial labs including complete blood count, procalcitonin, UA and CRP were normal.  She did have mild hyponatremia.  She required 2 L of nasal cannula in the emergency department.  CTA thorax negative for pulmonary embolus but showed bibasilar atelectasis with chronic left-sided hiatal hernia.  She was admitted for acute hypoxic respiratory failure in the setting of COVID-19.   While admitted she received remdesivir for 5 days. She was also on Decadron 6 mg for 8 days.  She was intermittently confused however respiratory status improved overall.  She was weaned to room air during on day 2 of admission.  She did require 2 L nasal cannula at night, baseline is CPAP.  She would often refuse her CPAP when offered.   Course was complicated by persistently elevated heart rate above 100 reaching 130 at times.  She was initially on home dose of metoprolol 75 mg twice a day.  There was no improvement with increase to 100 mg twice a day.  Eventually Cardizem 120 mg daily was added on 01/10.  Heart rate significantly improved and was persistently in the 80s.   She was evaluated by PT/OT who recommended subacute rehab.  She was medically stable for discharge to SAR on 01/19/2023.
Age: 86.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: SARS-CoV-2 test positive, Tachycardia, Urine analysis normal
Clinical narrative: COVID+ 1/7/2023.  Vaccination Status - J&J x2   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA-C Admission Date: 1/7/2023 Discharge Date: 1/19/2023   HOSPITAL PROBLEMS 1. Covid-19 Infection 2. Atelectasis 3. Afib 4. Hypothyroidism 5. Depression 6. Hyperglycemia secondary to steroid use 7. Prediabetes 8. Hyponatremia DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 87 y.o. female with history of AFib RVR on Eliquis.  Presented to emergency department with 5 days of headache and nausea and cough.  She was COVID positive, tachycardic in the 130s and afebrile.  Initial labs including complete blood count, procalcitonin, UA and CRP were normal.  She did have mild hyponatremia.  She required 2 L of nasal cannula in the emergency department.  CTA thorax negative for pulmonary embolus but showed bibasilar atelectasis with chronic left-sided hiatal hernia.  She was admitted for acute hypoxic respiratory failure in the setting of COVID-19.   While admitted she received remdesivir for 5 days. She was also on Decadron 6 mg for 8 days.  She was intermittently confused however respiratory status improved overall.  She was weaned to room air during on day 2 of admission.  She did require 2 L nasal cannula at night, baseline is CPAP.  She would often refuse her CPAP when offered.   Course was complicated by persistently elevated heart rate above 100 reaching 130 at times.  She was initially on home dose of metoprolol 75 mg twice a day.  There was no improvement with increase to 100 mg twice a day.  Eventually Cardizem 120 mg daily was added on 01/10.  Heart rate significantly improved and was persistently in the 80s.   She was evaluated by PT/OT who recommended subacute rehab.  She was medically stable for discharge to SAR on 01/19/2023.
Age: 15.0
Sex: F
Vaccine: COVID19-2, HPV9
Symptoms: Chest pain, Chills, Pyrexia
Clinical narrative: Received phone report from teen client's mother.  Teen had fever  and chills 3 to 4 hours after injection. This AM teen is having chest pain.  Regular breathing  without difficultly, no fever, and is sleeping.  Pediatrician will visit them in home this PM. Advised  if worse symptoms before pediatrcian visit to go to ER.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 15.0
Sex: F
Vaccine: MMRV
Symptoms: Wrong product administered
Clinical narrative: MMRV administered instead of MMR and Varicella from separate vials.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site discomfort, Injection site erythema, Injection site pain
Clinical narrative: Reports that she noticed a red mark developing at the injection site approx 2 days later that began to increase in size.  States also began to experience pain and discomfort to the site (8/10 in severity).  Was seen in Urgent Care and started on cephalexin on 12/20/22.  States that the MD reported that the redness/pain to her upper right arm could be a reaction to the vaccine but the MD felt it was likely cellulitis.  MD reports that her symptoms were completely resolved by the time she completed the antibiotic treatment.  Has complete use of  her right arm.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Client received vaccine before 18th birthday (was 17 years, 10 months old).  No reports of adverse symptoms.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Head injury, Loss of consciousness, Magnetic resonance imaging, Neck pain
Clinical narrative: After I got the vaccine, I had to use the bathroom where I passed out and hit my head. They sent an ambulance when I woke up I was in the hospital and was there for 6 days. 10/20/2022-10/26/2022. Still have neck and shoulder pain.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: After I got the vaccine, I had to use the bathroom where I passed out and hit my head. They sent an ambulance when I woke up I was in the hospital and was there for 6 days. 10/20/2022-10/26/2022. Still have neck and shoulder pain.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO adverse reaction reported/ administration was done after best used date.
Age: 1.17
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received 12 month vaccines. Had patient wait 10-15 mins after vaccines were given. Checked patient at 10:40, and noticed patient had redness and slight swelling on right thigh where Varicella vaccine was administered. Called primary provider to get a second look and opinion on thigh. Provider prescribed Benadryl for mild reaction to Varicella  vaccine.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO adverse reaction reported/ administration was done after best used date.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 11.0
Sex: M
Vaccine: COVID19-2, FLU4, MNQ, TDAP
Symptoms: Incorrect dose administered
Clinical narrative: ADOLESCENT COVID BOOSTER GIVEN TO AN 11 YO PATIENT
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Gtven Pfizer Booster was putting the information  .had checked the expiration and thougtht it said 2/2/23 . Gave vaccine and didn't relized it had expired on 1/20/23..
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia, Injection site pain, Injection site reaction, Injection site swelling, Pain
Clinical narrative: Throbbing Pain on injection site, throbbing pain along arm, throbbing pain in shoulder, pain has progressively got worse over the past week. Large bump at injection site
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Pain in extremity
Clinical narrative: Throbbing Pain on injection site, throbbing pain along arm, throbbing pain in shoulder, pain has progressively got worse over the past week. Large bump at injection site
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 6.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Expired product administered
Clinical narrative: Patient was given the Covid 19 Vaccine on 1/24/23 and it best by use date was 1/20/23.  Patient had no issue after the shot was given.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered
Clinical narrative: Patient was on a catch-up schedule for vaccine, and I was unaware as a result the child was given 4-year-old vaccines, this resulted in patient receiving and extra DTAP AND VARICELLA. Child was observed for 15 minutes after vaccines given per protocol, no adverse reaction noted.
Age: 1.33
Sex: F
Vaccine: COVID19-2
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Pfizer 6m-4yo bivalent  covid vaccine given to patients for their third dose who received two moderna doses for their primary series. No adverse effects. Per CDC they said patients do not need to be revaccinated and are still considered up to date.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure, Complications of transplanted heart, Disease complication, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Over the time span of about 6 months (May 2021 to December 2021) she noted worsening fatigue and shortness of breath. She thought this may be due to her hypothyroidism however when she did not improve and presented to the hospital. She was admitted to Hospital from 12/10/21 to 12/14/21. During this time, she had an echo which showed EF of 15-20% and severe heart failure. She received heart transplant on February 5th, 2022, with Dr.  She has since been hospitalized multiple times due to complications relating to heart failure and transplant, immunosuppressant agents.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Fatigue, Heart transplant, Immunosuppressant drug therapy
Clinical narrative: Over the time span of about 6 months (May 2021 to December 2021) she noted worsening fatigue and shortness of breath. She thought this may be due to her hypothyroidism however when she did not improve and presented to the hospital. She was admitted to Hospital from 12/10/21 to 12/14/21. During this time, she had an echo which showed EF of 15-20% and severe heart failure. She received heart transplant on February 5th, 2022, with Dr.  She has since been hospitalized multiple times due to complications relating to heart failure and transplant, immunosuppressant agents.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 63.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Fatigue, Throat irritation
Clinical narrative: fatigue, itchy throat, dizziness
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received an extra bi-valent booster vaccine. His vaccine card was marked as "Pfizer 10/04/2022" rather than "Pfizer Bivalent 10/04/2022". Therefore, we knew he was 2 months out from his last dose, but it was Pfizer bivalent rather than monovalent.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient went to ER 10 hours after getting a vaccination because she had a fever of 107F.
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was supposed to receive 2nd dose and patient received bivalent booster.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Decreased appetite, Fatigue, Malaise, Nasal congestion
Clinical narrative: I did not have a reaction to the vaccine. On 01/13/2023 I started feeling sick. I had a tickle in the throat and stuffy nose. The next day, I thought it was a cold and didn't think anything about it. I tested positive for COVID-19 on 01/15/2023. I talked to my doctor in the online portal. I got a prescription for PAXLOVID. I tolerated the medication but had a metal taste in my mouth. I had no appetite and very tired. I was able to do most of my work as normal.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I did not have a reaction to the vaccine. On 01/13/2023 I started feeling sick. I had a tickle in the throat and stuffy nose. The next day, I thought it was a cold and didn't think anything about it. I tested positive for COVID-19 on 01/15/2023. I talked to my doctor in the online portal. I got a prescription for PAXLOVID. I tolerated the medication but had a metal taste in my mouth. I had no appetite and very tired. I was able to do most of my work as normal.
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebrovascular accident, Computerised tomogram head, Death
Clinical narrative: Mom had a stroke less than a month after receiving this vaccine. She was hospitalized and then subsequently died  in the nursing home.
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Deafness unilateral, Ear pain, Facial paralysis, Herpes zoster
Clinical narrative: On 19DEC2022 I tested positive for COVID-19 my symptoms were mild on 21DEC2022 I had an earache in my left ear and my bottom lip was turned up a little bit, my doctor prescribed a Steroid Methylprednisolone on 27DEC2022. The next day I woke and my face was droopy I had vision and hearing problems on the left side I did a telehealth visit with my Doctor I was diagnosed with Ramsey Hunts disease, he prescribed Valtrex and told me to quit taking the steroid he had prescribed and he prescribed anther stronger steroid. I also have Gabapentin for pain due to the Shingles.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster oticus, Lip disorder, Malaise, Pain, SARS-CoV-2 test positive
Clinical narrative: On 19DEC2022 I tested positive for COVID-19 my symptoms were mild on 21DEC2022 I had an earache in my left ear and my bottom lip was turned up a little bit, my doctor prescribed a Steroid Methylprednisolone on 27DEC2022. The next day I woke and my face was droopy I had vision and hearing problems on the left side I did a telehealth visit with my Doctor I was diagnosed with Ramsey Hunts disease, he prescribed Valtrex and told me to quit taking the steroid he had prescribed and he prescribed anther stronger steroid. I also have Gabapentin for pain due to the Shingles.
Age: 14.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR, MNQ, TDAP, UNK
Symptoms: Wrong product administered
Clinical narrative: should have given a Varicella shot instead of a Proquad
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiogenic shock, Coronary angioplasty, Coronary arterial stent insertion, Differential white blood cell count
Clinical narrative: Heart Attack 03/17/22 followed by Coronary Angioplasty and 2 Stents & 5 days in hospital. V-Tach 04/13/22 requiring shock, 3 day hospital at Hospital Small blood clot in heart delayed implant of defibrillator at that time.  Implant of defibrillator completed 05/18/2022 at Hospital
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Echocardiogram abnormal, Ejection fraction decreased, Full blood count, Implantable defibrillator insertion
Clinical narrative: Heart Attack 03/17/22 followed by Coronary Angioplasty and 2 Stents & 5 days in hospital. V-Tach 04/13/22 requiring shock, 3 day hospital at Hospital Small blood clot in heart delayed implant of defibrillator at that time.  Implant of defibrillator completed 05/18/2022 at Hospital
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Intracardiac thrombus, Laboratory test, Myocardial infarction, Scan with contrast abnormal, Troponin I
Clinical narrative: Heart Attack 03/17/22 followed by Coronary Angioplasty and 2 Stents & 5 days in hospital. V-Tach 04/13/22 requiring shock, 3 day hospital at Hospital Small blood clot in heart delayed implant of defibrillator at that time.  Implant of defibrillator completed 05/18/2022 at Hospital
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular tachycardia
Clinical narrative: Heart Attack 03/17/22 followed by Coronary Angioplasty and 2 Stents & 5 days in hospital. V-Tach 04/13/22 requiring shock, 3 day hospital at Hospital Small blood clot in heart delayed implant of defibrillator at that time.  Implant of defibrillator completed 05/18/2022 at Hospital
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 50.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 0.83
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Petechiae
Clinical narrative: Petechiae on cheeks and posterior forearms started about 3 days after having 1/16/22 COVID vaccine. Treated with Vanicream, hydrocortisone and triamcinolone with no improviement.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: PATIENT GIVEN 3RD COVID 19 VACCINE ON 10/28/2021 - MODERNA LOT#012F21A. PATIENT DIED OF COVID 08/18/2022.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Hypoaesthesia, Imaging procedure, Impaired work ability, Induration
Clinical narrative: Patient stated that she went from being able to work to having to have help to do daily tasks. The first dose she went completely numb for about 30 minutes on her left side. She only took the second dose because of work. After receiving the vaccine she had a large lump/knot on her left arm and it is still there, very hard. She has been very weak. She has not recovered her strength and this has lead to her losing her job at the nursing home she worked at.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb mass, Loss of employment, Loss of personal independence in daily activities
Clinical narrative: Patient stated that she went from being able to work to having to have help to do daily tasks. The first dose she went completely numb for about 30 minutes on her left side. She only took the second dose because of work. After receiving the vaccine she had a large lump/knot on her left arm and it is still there, very hard. She has been very weak. She has not recovered her strength and this has lead to her losing her job at the nursing home she worked at.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site mass, Injection site pruritus
Clinical narrative: Regarding this issue, though the issues occurred not long after the shot, I don't know the exact month or date of occurrence of the flareups of itchiness in my upper left arm which would later include a knot.  The flareups would occur at random times in the exact spot that I received the shot and I was unsure if maybe my arm was still healing from the shot. Time went on and the flareups would go away but later that year would occur again and I became very concerned when I started feeling a lumpy knot in that same area and it felt close to the skin.  I made contact with the clinic where I received the shot and told them about the matter. Nurse, with that clinic, asked me about the timeframe that I received the shot and I informed her, then she mentioned about the possibility of it being unlikely that the shot caused it and talked about me getting a referral to dermatology.  Sometime afterwards and in the same arm, I would also notice a different type of knot which was further down from the previous knot area and seemed closer to the bone. Jan 5th, I contacted my primary provider Nurse about the matter including the information from Nurse. Jan 6th, my primary provider responded that I would need to have an appt with someone for pictures to be taken of the area in order to be referred to dermatology.  Employee contacted me to make an appt to be seen and I offered to be seen the same day she called but they could not see me until Jan 12th.  On Jan 12th, she checked the knot on my arm which by that time was smaller and she wanted to check with my provider to see what she wanted her to do. My provider came in the patient room to check my arm and talked about the probability of the knot being a lymph node and for me to not touch it for about a month and if it goes down then that is good. They did not take any pictures nor do any ultrasound.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Platelet count increased, SARS-CoV-2 test negative
Clinical narrative: On 12/22/2022 in the morning I had a doctor's appointment at 08:30am since I had blood work done my doctor wanted to discuss the results. My doctor told me that my platelet count was high so, he do another follow-up appointment on 04/01/2023 at 08:30am requesting blood work again to verify the issue my platelet count. He said after the blood tests results we can decide from there about treatments. I feel normal but its just concerning what caused my platelet count to be so high. I received other COVID-19 vaccinations but nothing happened except for a sore arm each time.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Influenza like illness, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: flu-like symptoms, increase m=home O2 requirements, fever and chills on 12/8/23
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 14.0
Sex: F
Vaccine: FLU4, MNQ
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: hives and rash to hands, arms, legs starting the following morning.  Came to health department, recommended benadryll for relief of itching.  told family to continue to monitor and follow with primary care if persists beyond 2 weeks.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given Bivalent booster today, pt did not have information on CDC card that pt received bivalent booster on 10/19/22. Facility did not make RN aware either. Pt tolerated the vaccine well, pt monitored for 15 minutes, pt had no signs/symptoms of any reactions.  Facility to monitor for any future adverse reactions and will notify health department.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Documented in database that patient received Moderna booster, but patient did received Pfizer booster.
Age: 64.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, SARS-CoV-2 test positive, Sinus congestion, Sinus headache, Throat irritation
Clinical narrative: I had my vaccination on 10/26/2022. On 12/31/2022 I started to experience a sinus headache, sinus congestion and a scratchy throat. I tested COVID-19 positive on 01/07/2023. I contacted my physicians office on 01/09/2023 and was prescribed PAXLOVID. I presently feel good on 01/26/2023.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient is a resident, pt received 2nd bivalent booster today. RN unaware that pt received initial bivalent pfizer vaccine on 10/14/22 because this information was not written on CDC vaccine card or provided by supervisor of facility. Pt tolerated vaccine well, monitored for 15 minutes, no signs or symptoms of any adverse reactions at that time. Facility will continue to monitor and will notify local health department for any future adverse reactions.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Ear pain
Clinical narrative: I received my Covid-19 vaccine on 01/24/2022. On the evening of 10/09/2022 I started having horrible diarrhea. The next day's I experienced ear pain, sore throat fever and shortage of breath. On 10/12/2022 I tested positive for Covid-19 and contacted my doctor. I was not prescribed medication for Covid. Symptoms lasted about 2 weeks. After about 2 month I had Covid again with continuing on going symptoms of coughing, fever, brain fog, sore throat, ear pain, diarrhea, and  congestion
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I received my Covid-19 vaccine on 01/24/2022. On the evening of 10/09/2022 I started having horrible diarrhea. The next day's I experienced ear pain, sore throat fever and shortage of breath. On 10/12/2022 I tested positive for Covid-19 and contacted my doctor. I was not prescribed medication for Covid. Symptoms lasted about 2 weeks. After about 2 month I had Covid again with continuing on going symptoms of coughing, fever, brain fog, sore throat, ear pain, diarrhea, and  congestion
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age, Product administration error
Clinical narrative: Pt given Adult Pfizer Bi-Valent Booster in accidental error. Pt family member, caregiver; mother informed of event. Informed of  outcome of reporting to regulation agency and clinic system reporting.  Understood information.  Relayed information of clinical trials of processing for vaccination of adult dosing on pediatric pts and outcome of that with no significant adverse effects as background on case but not as supplemental evidence for appropriate use.   Informed of administration of adult dose for booster was in accidental  error for pt, understood.   Relayed to caregiver to monitor  pt for adverse effects, pt may expect increased tenderness and may need additional rest. Pt caregiver will follow-up with clinic to report issues, should there be any and stay in contact with f/u  personnel . Relayed can expect a call from clinic system and regional for monitoring.   Pt tolerated injection well, at time of visit.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: INADVERTENT DOSE NOT AN ALLERGIC REACTION: Patient came in for a pfizer bivalent booster dose and failed to mention and show us that he had already received a Moderna bivalent booster at another retail pharmacy. He mentioned that he only received vaccine doses with us and we checked his profile to ensure his last dose was with us. He had received his moderna series on 3/5/21, and 4/6/21 with his two regular boosters on 10/22/2021 and 3/30/22. According to his vaccine record he was able to receive the new bivalent booster. Prior to administering I verified on website and saw all the ones listed on his file. Right before administering I asked him again if he had received vaccines elsewhere in the past 2 months or at any other location just to be on the safe side. Again, the patient stated that he thought he had received one end of last year but that did not show on our end and he said he receives all vaccines with us. I administered the vaccine and went into the website again to print him his vaccine record. Upon printing I realized that a moderna bivalent was showing up on 9/29/22 from retail pharmacy in another category of the spreadsheet. I asked patient about this and he said he had forgotten about that one and failed to provide proof of that vaccine when he registered for the vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 10.0
Sex: M
Vaccine: FLU4, HEPA
Symptoms: Head injury, Loss of consciousness, Pallor, Somnolence
Clinical narrative: Gave vaccines and 5 minutes later patient passed out from a seated position in chair. Elevated leg, lay on exam table, was drowsy for several mins. Gave juice and crackers. Cold compress applied to neck and ice to bump on forehead. Within 15 mins was able to stand but was still pale. Returned to laying on exam table for about 15mins. Then he was feeling  better and was able to leave clinic with mother after provider checked on patient again. Precautions given by  PA  since patient did hit his forehead.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood pressure increased, COVID-19, Dizziness, Headache, Hyponatraemia
Clinical narrative: Patient seen in the ED on 11/20/22 for elevated blood pressure. In the ED, she reported that since being diagnosed with COVID-19 on 11/14, she has had elevated blood readings accompanied by nausea, lightheadedness, headaches, and tremors. COVID-19 PCR retest done in the ED on 11/20 was also positive. Ultimately, patient was admitted 11/20 - 11/21 for acute on chronic symptomatic hyponatremia and COVID-19 infection, not pneumonia. The hyponatremia was felt to possibly be in part related to COVID-19 infection.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nausea, SARS-CoV-2 test positive, Tremor
Clinical narrative: Patient seen in the ED on 11/20/22 for elevated blood pressure. In the ED, she reported that since being diagnosed with COVID-19 on 11/14, she has had elevated blood readings accompanied by nausea, lightheadedness, headaches, and tremors. COVID-19 PCR retest done in the ED on 11/20 was also positive. Ultimately, patient was admitted 11/20 - 11/21 for acute on chronic symptomatic hyponatremia and COVID-19 infection, not pneumonia. The hyponatremia was felt to possibly be in part related to COVID-19 infection.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Hypoaesthesia, Laboratory test normal, Lumbar puncture normal, Magnetic resonance imaging neck
Clinical narrative: On May 22, 2022, patient woke up and his left leg was numb.  He thought he was having a stroke and went to the emergency room. He was hospitalized for 3 days while they ran tests to see what was causing it (CT scan, lab work, MRI of the neck).  They were unable to determine the cause and referred him to a neurologist.  The neurologist  ran 5 MRIs and many labs without finding anything and referred him to an infectious disease doctor.  The infectious disease doctor ran several labs and could not find anything that would have caused this and referred him back to the neurologist.  The neurologist did a spinal tap, then sent him to an oncologist.  The oncologist did a second spinal tap and said no cancer.  Patient went back to the neurologist who said that there was nothing they could do and would have him follow-up in 6 months.  He went back to Dr. (his PCP) because of his ears sounding like he is in a barrel.  Dr. gave him a steroid shot and advised him to have a VAERS report submitted.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Tinnitus
Clinical narrative: On May 22, 2022, patient woke up and his left leg was numb.  He thought he was having a stroke and went to the emergency room. He was hospitalized for 3 days while they ran tests to see what was causing it (CT scan, lab work, MRI of the neck).  They were unable to determine the cause and referred him to a neurologist.  The neurologist  ran 5 MRIs and many labs without finding anything and referred him to an infectious disease doctor.  The infectious disease doctor ran several labs and could not find anything that would have caused this and referred him back to the neurologist.  The neurologist did a spinal tap, then sent him to an oncologist.  The oncologist did a second spinal tap and said no cancer.  Patient went back to the neurologist who said that there was nothing they could do and would have him follow-up in 6 months.  He went back to Dr. (his PCP) because of his ears sounding like he is in a barrel.  Dr. gave him a steroid shot and advised him to have a VAERS report submitted.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood test, Cardiac monitoring abnormal, Computerised tomogram head
Clinical narrative: TIA (Transient Ischemic Attack) on 4/22/2022 affecting tongue only and for a total of about 45 minutes from onset to no symptoms remaining. Had been traveling via car when TIA occurred while a passenger. Had driven approx. 14 hours prior day and approx. 9 hours day of TIA. Went to walk-in next morning who referred to ER, who performed tests like CT scan, blood work, etc. They put a 30 day monitor on me and subsequently diagnosed A-Fib, and I'm now on Eliquis.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TIA (Transient Ischemic Attack) on 4/22/2022 affecting tongue only and for a total of about 45 minutes from onset to no symptoms remaining. Had been traveling via car when TIA occurred while a passenger. Had driven approx. 14 hours prior day and approx. 9 hours day of TIA. Went to walk-in next morning who referred to ER, who performed tests like CT scan, blood work, etc. They put a 30 day monitor on me and subsequently diagnosed A-Fib, and I'm now on Eliquis.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: She received the bi-valent booster vaccine as her first covid vaccine, had no previous primary doses
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Eye oedema, Eye swelling, Eyelid oedema
Clinical narrative: Swelling around both eyes. Lids and undereye edema.  No itch or pain.  Worse on 1/26/23 AM - slowly resolving.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Death, Lethargy, Malaise, Pyrexia
Clinical narrative: Death. Pt became ill with fever, congestion, lethargy on 1/24/23.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Respiratory viral panel, Urine analysis
Clinical narrative: Death. Pt became ill with fever, congestion, lethargy on 1/24/23.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 25.0
Sex: M
Vaccine: FLU4, HEPA, HPV9, VARCEL
Symptoms: Underdose
Clinical narrative: We gave the ped-adol dose of Hep A to the patient instead of the adult dose.
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: pt waiting 15 minutes observation period no issues about 45 minutes after injection pt had a slight rash then next morning had a full body rash
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Abdominal pain, Acute respiratory failure, Bradycardia, COVID-19, Cardiac failure congestive
Clinical narrative: Patient seen in the ED on 11/21/22 with abdominal pain for the past two weeks and cough that began the night prior. She recently received her second booster on 11/17/22. In the ED, her O2 sats were at 89-90%, so she was placed on 1L O2 by nasal cannula. COVID-19 PCR test was done in the ED which resulted positive. Ultimately, she was admitted 11/21 for acute hypoxic respiratory failure likely due to a combination of COVID-19 and CHF, acute exacerbation of chronic diastolic heart failure, and bradycardia. Patient discharged 11/24/22.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Chronic left ventricular failure, Condition aggravated, Cough, SARS-CoV-2 test positive
Clinical narrative: Patient seen in the ED on 11/21/22 with abdominal pain for the past two weeks and cough that began the night prior. She recently received her second booster on 11/17/22. In the ED, her O2 sats were at 89-90%, so she was placed on 1L O2 by nasal cannula. COVID-19 PCR test was done in the ED which resulted positive. Ultimately, she was admitted 11/21 for acute hypoxic respiratory failure likely due to a combination of COVID-19 and CHF, acute exacerbation of chronic diastolic heart failure, and bradycardia. Patient discharged 11/24/22.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Limb discomfort, Mobility decreased, Pain in extremity
Clinical narrative: Patient reports experiencing intense prolonged arm soreness/discomfort for the past month following receiving this vaccination. Patient states it is now difficult to lift or move the arm and the soreness has not improved at all in the last month. Patient also received a Pfizer Bivalent COVID-19 booster on the same day in the opposite arm, and does not report any prolonged adverse effects related to this vaccine. Patient was referred to their primary care provider for further evaluation/management.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product use issue
Clinical narrative: Patient Received the 2nd dose of the Pfizer-BioNTech 6mo-4years after the BUD. Provider and mother are aware of the situation. Patient will repeat the second dose. No symptoms or signs were reported at the time of the vaccines or after.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: This is the 2nd dose of the Shingrix I received. After receiving the shot at my upper right arm,  the area right below my shot site  was swollen and hot to touch.  When I touched the area, the area was firm and appeared to be red like rash. The redness and hardness in the area lasted about a week after the vaccination.  The odd part is the shot site was fine the whole time but the area right below was the problem area!
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: Pfizer 6m-4yo bivalent  covid vaccine given to patients for their third dose who received two moderna doses for their primary series. No adverse effects. Per disease control they said patients do not need to be revaccinated and are still considered up to date.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blister, Erythema, Skin warm, Swelling
Clinical narrative: REDNESS WARMTH  SWELLING  ENDURATED BLISTERING  REACTION MEASSURED 10X14cm
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Hep B dose #6 given too early. Will repeat vaccine or draw titers.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Oedema, Pyrexia, Respiratory viral panel, Rhonchi
Clinical narrative: low grade fever, increased rhonchi in bilateral lungs, increased Edema on 1/21/23, treated with routine nebs, IV merrem, increased oxygen
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Rash macular, Swollen tongue, Tongue erythema
Clinical narrative: Started with hands and feet itching then started to get red and blotchy all over. Tongue started to swell. Given epinephrine 0.3mg  in left thigh and then monitored x 15 minutes. Redness and swelling of tongue went away.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given proquad and varicella. Patient had no adverse reaction