chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Vertebral foraminal stenosis
Clinical narrative: Admit date: 1/21/2024  Discharge date: 01/24/24  Admitting Physician: DO   Attending Physician at the Time of Discharge: MD  Primary Care Physician: DO Reason for Admission: Dizziness  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 60 YO male presented to ED with progressive weakness and dizziness.  Notes 2 weeks of cough and dyspnea, with poor appetite.  Lightheadedness is much worse with sitting up or standing, no vertigo.  Notes intermittent difficulty urinating, better when he takes his flomax.  Denies dysuria, pelvic pain, flank pain. Denies bleeding or diarrhea. Chronic black stools on iron.  ED noted firm prostate mass on rectal exam, Urology consulted. (HPI per Dr)  Hospital Course: No notes on file patient is a 60yr old male with a history of HTN, CAD, Hypothyroidism, LUTS, Nasopharyngeal cancer (head and neck), Anxiety, GERD, Smoker who presented with weakness, SOB and falling. He says he has been getting progressively worsening SOB with mild to moderate exertion like walking to the bathroom. Also he has been falling lately - he says while ambulating he would just notice his legs will start shaking, he will get a "head rush" and legs would give way. Today he is seen ambulating in room. PT evaluated and recommended Home with assist.  Sepsis secondary to UTI - Based on leukocytosis, elevated lactate, Urine culture E.coli x2strains. Unsure if there was complete urinary obstruction.  Voiding pretty well at this time.  Improving on antibiotics IV ceftriaxone day#3 based on resolution of leukocytosis and clinical improvement. Will discharge home on keflex  COVID - Assymptomatic  Urinary retention Enlarged prostate.  Increase PSA, unsure significance with the current UTI.  F/u with urology continue flomax.  Syncope/Falls - Could be cardiac or orthostatic.  Echo normal.  Plan is for Event monitor on discharge. Order placed and CM to notify cards office.  AKI likely from volume depletion and sepsis.  Improving with fluids.  Frequent falls with lower ext weakness -  Rule out cervical stenosis. MRI revealed Multilevel spondylosis, most notably at C4-C5 where there is mild central spinal stenosis and moderate bilateral foraminal stenosis. Per NS curbside, findings of mild to moderate foraminal stenosis will not explain his symtoms.   History of head and neck cancer status post radiation and chemotherapy.  No obvious recurrence or metastatic disease could contribute to thyroid changes.  TSH high but T4 OK will need to follow up in2-3 months.  May have subclinical hypothyroid and should be monitored for progression Discharged to Home
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Bradycardia, COVID-19, Culture urine positive, Device related infection
Clinical narrative: Admit date: 1/22/2024  Discharge date: .rd  Admitting Physician:  DO   Attending Physician at the Time of Discharge: DO  Primary Care Physician: No primary care provider on file., None  Reason for Admission: Patient is a 71-year-old female with a past medical history of asthma, AFib, DM2, hypertension, CVA who was admitted with altered mental status and fever. She was found to have COVID which, in combination with her home medications, caused an AKI. This in turn caused increase in serum medication levels including digoxin.    Brief Summary of Hospital Stay: Pt improved with IVF and withholding of some of her medications. Her digoxin level is improving and her encephalopathy has resolved. Her lantus has been decreased. Beta blocker held for bradycardia. Dig also held given dig toxicity. HR well controlled on amiodarone alone. She was treated for an acute catheter related UTI and culture grew enterococcus faecalis and pseudomonas. She will complete a course of antibiotics at home (Cipro).   Issues Requiring Follow Up: Would recommend following renal function to normalization. Would recommend titrating insulins as needed. Also recommend titrating HR controlling meds in case she needs dig or BB restarted. Discharged to SNF
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Drug level increased, Encephalopathy, Enterococcus test positive, Mental status changes, Pseudomonas test positive
Clinical narrative: Admit date: 1/22/2024  Discharge date: .rd  Admitting Physician:  DO   Attending Physician at the Time of Discharge: DO  Primary Care Physician: No primary care provider on file., None  Reason for Admission: Patient is a 71-year-old female with a past medical history of asthma, AFib, DM2, hypertension, CVA who was admitted with altered mental status and fever. She was found to have COVID which, in combination with her home medications, caused an AKI. This in turn caused increase in serum medication levels including digoxin.    Brief Summary of Hospital Stay: Pt improved with IVF and withholding of some of her medications. Her digoxin level is improving and her encephalopathy has resolved. Her lantus has been decreased. Beta blocker held for bradycardia. Dig also held given dig toxicity. HR well controlled on amiodarone alone. She was treated for an acute catheter related UTI and culture grew enterococcus faecalis and pseudomonas. She will complete a course of antibiotics at home (Cipro).   Issues Requiring Follow Up: Would recommend following renal function to normalization. Would recommend titrating insulins as needed. Also recommend titrating HR controlling meds in case she needs dig or BB restarted. Discharged to SNF
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Renal impairment, Toxicity to various agents, Urinary tract infection
Clinical narrative: Admit date: 1/22/2024  Discharge date: .rd  Admitting Physician:  DO   Attending Physician at the Time of Discharge: DO  Primary Care Physician: No primary care provider on file., None  Reason for Admission: Patient is a 71-year-old female with a past medical history of asthma, AFib, DM2, hypertension, CVA who was admitted with altered mental status and fever. She was found to have COVID which, in combination with her home medications, caused an AKI. This in turn caused increase in serum medication levels including digoxin.    Brief Summary of Hospital Stay: Pt improved with IVF and withholding of some of her medications. Her digoxin level is improving and her encephalopathy has resolved. Her lantus has been decreased. Beta blocker held for bradycardia. Dig also held given dig toxicity. HR well controlled on amiodarone alone. She was treated for an acute catheter related UTI and culture grew enterococcus faecalis and pseudomonas. She will complete a course of antibiotics at home (Cipro).   Issues Requiring Follow Up: Would recommend following renal function to normalization. Would recommend titrating insulins as needed. Also recommend titrating HR controlling meds in case she needs dig or BB restarted. Discharged to SNF
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Client had been vaccinated with High Dose Influenza Lot #U8156DA on 10/26/2023 at another facility. He said he had forgotten he had already been vaccinated this year. No adverse s/s stated by client.
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received DTaP instead of TDAP vaccine. There are not symptoms related to vaccination. Patient and provider were advised.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: On Friday January 12,2023, it was identified that a box of state issued Pentacel lot #UJ805AA was found to have only a single vial containing the powdered portion of the vaccine left in a box that was thought to be empty previously contained 10 vials (for a total of 5 doses after reconstitution). This lends credibility to the fact that a patient who received this vaccine/ lot number between the  dates of October 16, 2023 and December 21st, 2023 received sterile diluent instead of the vaccine intended.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Skin warm
Clinical narrative: Mother reported to N.P the area large, erythematous and warm to touch - no pain.  Mild erythema noted, no pain to palpation.  conservative care with tylenol/motrin and/or cool packs to help with symptoms
Age: 20.0
Sex: M
Vaccine: ANTH, JEV1, TYP
Symptoms: Blood glucose decreased, Incontinence, Loss of consciousness, Syncope
Clinical narrative: PT went unconscious, Responsive to Pain stimuli,  Incontinence, seem by medical provider, EMS determined low blood glucose, Vasosyncope
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Myalgia, Pain
Clinical narrative: After completing the last injection, my arm was red, inflamed and painful at injection site.  I was told this is normal and it should go away in a few days.  While my arm doesn't exhibit redness or raised at site - there is a continuous pain where the injection was given.  I actually asked my doctor if the needle could have broken off at the injection site and perhaps that is what is causing the pain.  She assured me the needle did not break off.  It is has been 24 months and the pain is still present.  I feelslike a deep muscular pain and throbs.  It effects me at work because it is used for manipulating the mouse on the computer.  I have looked up information regarding this and spoken to medical professionals. I have looked into "Covid Arm" which others I know have experienced.  Medical professionals just dismiss it.  The pain is constant and worse at night when trying to sleep.  It interuppts my sleep.  I try using analgesics - however it does nothing for the pain in my right arm.  I also try using CBD balm - and again there is no relief.  I wondered if the pharmacy tech who administered the vaccination hit a ligament or muscle that she shouldn't have.  I am going to ask my medical provider for an MRI of my right arm to see if that can determine what is happening in my arm.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Tachycardia
Clinical narrative: I?m experiencing tachycardia that is lasting for hours. Resting and standing.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: On Friday January 12,2023, it was identified that a box of VFC issued Pentacel lot #UJ805AA was found to have only a single vial containing the powdered portion of the vaccine left in a box that was thought to be empty, which previously contained 10 vials (for a total of 5 doses after reconstitution). This lends credibility to the fact that one patient who received this vaccine/ lot number between the dates of October 16, 2023 and December 21st, 2023 received sterile diluent instead of the vaccine intended. Per the medication tracking sheet, five patients were administered this VFC vaccine/ lot number between these dates.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Antineutrophil cytoplasmic antibody positive, Biopsy skin abnormal, Computerised tomogram thorax abnormal, Cutaneous vasculitis, Full blood count abnormal
Clinical narrative: Developed ANCA + systemic vasculitis (no prior hisotry) including cutaneous leukocytoclastic vasculitis and life threatening diffuse alveolar hemorrhage.  Symptoms began around 11/14, about 1 week following Moderna vaccination and resulted in hospital admission due to progressive alveolar hemorrhage on 1/25/2024
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Lung opacity, Pulmonary alveolar haemorrhage
Clinical narrative: Developed ANCA + systemic vasculitis (no prior hisotry) including cutaneous leukocytoclastic vasculitis and life threatening diffuse alveolar hemorrhage.  Symptoms began around 11/14, about 1 week following Moderna vaccination and resulted in hospital admission due to progressive alveolar hemorrhage on 1/25/2024
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD per auxillarry sticker said 12/18/23. One  shots had been provided to the patient on 12/21/23 from that box.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Skin lesion
Clinical narrative: Received Varivax, shortly after he developed an indurated lesion at the site and surrounding redness. Gave Benadryl and within 10 minutes the site was drastically improved.
Age: 85.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Loss of consciousness, Mobility decreased
Clinical narrative: Patient experience: dizziness, loss of consciousness twice and unaware of how much time has passed. Due to cormobidies patient could not get up and had to call 911
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxillary sticker said 12/18/23. One  shots had been provided to the patient on 12/21/23 from that box.
Age: 0.08
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Rash papular
Clinical narrative: Systemic raised rash, no difficulty breathing. Benadryl given and resolved within 30 min.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: On Friday January 12,2023, it was identified that a box of VFC issued Pentacel lot #UJ805AA was found to have only a single vial containing the powdered portion of the vaccine left in a box that was thought to be empty, which previously contained 10 vials (for a total of 5 doses after reconstitution). This lends credibility to the fact that one patient who received this vaccine/ lot number between the dates of October 16, 2023 and December 21st, 2023 received sterile diluent instead of the vaccine intended. Per the medication tracking sheet, five patients were administered this VFC vaccine/ lot number between these dates.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxillary sticker said 12/18/23. One  shots had been provided to the patient on 12/23/23 from that box.
Age: 0.42
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: On Friday January 12,2023, it was identified that a box of VFC issued Pentacel lot #UJ805AA was found to have only a single vial containing the powdered portion of the vaccine left in a box that was thought to be empty, which previously contained 10 vials (for a total of 5 doses after reconstitution). This lends credibility to the fact that one patient who received this vaccine/ lot number between the dates of October 16, 2023 and December 21st, 2023 received sterile diluent instead of the vaccine intended. Per the medication tracking sheet, five patients were administered this VFC vaccine/ lot number between these dates.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxillary sticker said 12/18/23. One  shots had been provided to the patient on 01/03/2024 from that box. No adverse reaction, side effect or injury has been reported so far by the patient.
Age: 48.0
Sex: F
Vaccine: FLUC4, HEP, HEPA, TDAP, HEP, HEPA, TDAP, UNK
Symptoms: Contusion, Fatigue, Haematocrit decreased, Haemoglobin decreased, Lymphocyte percentage decreased
Clinical narrative: PLENTY OF BRUISES IN HER ARMS AND ALL OVER HER BODY.   AT THAT TIME SHE FEELS SO TIRED, SO SHE CAN'T GET UP TO WORK.
Age: 48.0
Sex: F
Vaccine: FLUC4, HEP, HEPA, TDAP, HEP, HEPA, TDAP, UNK
Symptoms: Red blood cell count decreased
Clinical narrative: PLENTY OF BRUISES IN HER ARMS AND ALL OVER HER BODY.   AT THAT TIME SHE FEELS SO TIRED, SO SHE CAN'T GET UP TO WORK.
Age: 48.0
Sex: F
Vaccine: FLUC4, HEP, HEPA, TDAP, HEP, HEPA, TDAP, UNK
Symptoms: Contusion, Fatigue, Haematocrit decreased, Haemoglobin decreased, Impaired work ability
Clinical narrative: PLENTY OF BRUISES IN HER ARMS AND ALL OVER HER BODY.   AT THAT TIME SHE FEELS SO TIRED, SO SHE CAN'T GET UP TO WORK.
Age: 48.0
Sex: F
Vaccine: FLUC4, HEP, HEPA, TDAP, HEP, HEPA, TDAP, UNK
Symptoms: Lymphocyte percentage decreased, Red blood cell count decreased
Clinical narrative: PLENTY OF BRUISES IN HER ARMS AND ALL OVER HER BODY.   AT THAT TIME SHE FEELS SO TIRED, SO SHE CAN'T GET UP TO WORK.
Age: 69.0
Sex: F
Vaccine: MMRV, MMRV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The patient was notified that the wrong combination  vaccine was given. No Adverse symptoms or sings at this time.
Age: 69.0
Sex: F
Vaccine: MMRV, MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient was notified that the wrong combination  vaccine was given. No Adverse symptoms or sings at this time.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxillary sticker said 12/18/23. One  shots had been provided to the patient on 01/03/2024 from that box. No adverse reaction, side effect or injury has been reported so far by the patient.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxillary sticker said 12/18/23. One  shots had been provided to the patient on 01/03/2024 from that box. No adverse reaction, side effect or injury has been reported so far by the patient.
Age: 61.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: redness, itching, warmth at site of injection starting 2 days after injection, 8 days after injection still having redness/warmth at injection site; OTC benadryl cream and OTC tylenol
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Dizziness, Influenza A virus test, Influenza B virus test, Muscle fatigue, Night sweats
Clinical narrative: Symptoms started the evening after vaccines. Started with hives all over, night sweats, facial swelling, muscle fatigue, dizziness.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Swelling face, Urticaria
Clinical narrative: Symptoms started the evening after vaccines. Started with hives all over, night sweats, facial swelling, muscle fatigue, dizziness.
Age: 21.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxillary sticker said 12/18/23. One  shots had been provided to the patient on 01/03/2024 from that box. No adverse reaction, side effect or injury has been reported so far by the patient.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxillary sticker said 12/18/23. One  shots had been provided to the patient on 01/07/2024 from that box. No adverse reaction, side effect or injury has been reported so far by the patient.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxillary sticker said 12/18/23. One  shots had been provided to the patient on 01/07/2024 from that box. No adverse reaction, side effect or injury has been reported so far by the patient.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxiliary sticker-label said 12/18/23. One  shots had been provided to the patient on 01/08/2024 from that box. No adverse reaction, side effect or injury has been reported so far by the patient.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer's Comirnaty vaccine (NDC 00069-2392-10; Lot Number:HG9498) had an expiration date of 1/31/24 but the BUD (Best Use Date) per auxillary sticker-label said 12/18/23. One  shots had been provided to the patient on 01/09/2024 from that box. No adverse reaction, side effect or injury has been reported so far by the patient.
Age: 33.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN EXPIRED ON 12/27/2023. CALLED MERCK MANUFACTURE AND SPOKE WITH MERCK SUPPORT VACCINE POTENCY. ALL THE OTHER VACCINES WERE PROPERLY DISCARTED
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received influenza vaccine despite already having received influenza vaccine earlier in the season. Confirmed after time of injection/visit. No reported symptoms.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Was providing a vaccine clinic on site at patients place of work for a second dose. He was unaware that he had previously received a Shingrix dose several years ago and believed he was due for his second dose. Patient was administered a 3rd dose of shingrix.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: no sx
Age: 4.0
Sex: F
Vaccine: MMRV, PNC20
Symptoms: Expired product administered
Clinical narrative: I misread the expiration date, so expired vaccine was inadvertently given. The vaccine expired Jan 24, 2024 not Jun 24, 2024.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Product preparation issue
Clinical narrative: The Act Hib portion of the Pentacel vaccine was not reconstituted, therefore patient did not receive the Hib portion of the vaccine. The error was identified on 1/8/2024 and reported to the office manager. After pulling report, patient was identified as the patient that did not receive the Hib portion of the vaccine. Provider and manufacturer were notified and recomendations were received on how to proceed. Once all information was gathered, patient's mother was contacted and notified. Pts mother was provided with information on how we will proceed in getting patient back on vaccine schedule. Patient's mother erbalized understanding and had no futher questions or concerns. Staff member was spoken with and cause and
Age: 0.75
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: 11/13/23 COVID dose was administered too early.  No adverse reaction was noted and he did not need any medical care.
Age: 87.0
Sex: F
Vaccine: FLUC4
Symptoms: Diarrhoea, Feeding disorder, Pruritus, Somnolence
Clinical narrative: Unable to eat for 2 days. Very sleepy, severe diarrhea and itching in torso area not relived by medication
Age: 65.0
Sex: M
Vaccine: PNC20
Symptoms: Asthenia, Chills, Injection site pain, Pain
Clinical narrative: Chills, site soreness, body aches, weakness, all night and into the next day. It is 11:44 am 1/26/2024 and I am still sore and weak. Chills ended somewhere in the night. My body temp is 99.8.
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse events were actually noted, however patient had already received Prevnar20 through MD office & was unable to ran through insurance. The vaccine was still given by pharmacist on duty, therefore patient has received 2 doses of the Prevnar20.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: none
Age: 71.0
Sex: M
Vaccine: PNC20, RSV
Symptoms: Asthenia, Gait inability, Hypotonia
Clinical narrative: pt. wife called and said that he got weak the day he received the vaccines and the next day he couldn't walk and had not muscle tone
Age: 35.0
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: Influenza vaccine was ordered, Prevnar 20 was administered.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Hyperaesthesia, Myalgia, Nausea
Clinical narrative: Body aches (muscles, joints): 9pm 1/25/24 to current; fever: 10/11pm 1/25/24 to 1:10pm to current; headaches: 3am 1/26/24 to current; skin sensitivity: 5am 1/26/24 to current; nausea: 7am 1/26/24 to current
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Body aches (muscles, joints): 9pm 1/25/24 to current; fever: 10/11pm 1/25/24 to 1:10pm to current; headaches: 3am 1/26/24 to current; skin sensitivity: 5am 1/26/24 to current; nausea: 7am 1/26/24 to current
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Mobility decreased, Pain, Pain in extremity, Ultrasound scan, X-ray
Clinical narrative: soreness in arm, hard to move arm, throbbing pain in arm
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong product administered
Clinical narrative: Client came to the health department to receive her 2nd Heplisav (hep B).  Tdap was given instead.  Tdap was not due until 04/2025.  Client was called and made aware that wrong  vaccine was given.  Explained Tdap given 1 year early and that she would still need to receive her 2nd Heplisav
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: Influenza vaccine was ordered, Prevnar 20 was administered.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Local reaction
Clinical narrative: Local injection site reaction--swelling , erythema, itching. No pain, fever. No other symptoms.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: We had 3 patients from 11/1/23   11/6/23 that received Menveo vaccine to reconstitute. One of the 3 patients received only the diluent, the vaccine was not reconstituted. As per manufacturer representant, revaccination is not necessary unless patient who did not received full dose is going to travel to outside of the country. Pts were informed.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: High dose flu vaccine was administered to patient even though they were not 65+.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block complete, Computerised tomogram head, Computerised tomogram spine, Drug screen positive, Exposure during pregnancy
Clinical narrative: 3 pregnancy total     EDC 6--2-24      seizure like activity, passed out, syncope , SVT and complete heart block resolved with atropine
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Loss of consciousness, Seizure like phenomena, Supraventricular tachycardia, Syncope
Clinical narrative: 3 pregnancy total     EDC 6--2-24      seizure like activity, passed out, syncope , SVT and complete heart block resolved with atropine
Age: 46.0
Sex: M
Vaccine: FLU4
Symptoms: Diarrhoea, Fatigue
Clinical narrative: body fatigue and terrible diarrhea for three consecutive days.
Age: 70.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Eye pruritus, Lacrimation increased, Oropharyngeal pain, Productive cough
Clinical narrative: Onset  over next several days of congestion, post-nasal drip, coughing, sore throat, itching watery eyes.   Productive cough worsened.  No temperature elevation.  Self-mediated with OTC  products until sore throat pushed me to local urgent care clinic.
Age: 70.0
Sex: M
Vaccine: UNK
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative, Streptococcus test negative, Upper-airway cough syndrome
Clinical narrative: Onset  over next several days of congestion, post-nasal drip, coughing, sore throat, itching watery eyes.   Productive cough worsened.  No temperature elevation.  Self-mediated with OTC  products until sore throat pushed me to local urgent care clinic.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: Sore throat, stuffy nose
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: We had 3 patients from 11/1/23 ? 11/6/23 that received Menveo vaccine to reconstitute. One of the 3 patients received only the diluent, the vaccine was not reconstituted. As per GlaxoSmithKline representant revaccination is not necessary unless patient who did not received full dose is going to travel to outside of the country. Patient was advised.
Age: 13.0
Sex: M
Vaccine: UNK
Symptoms: Dizziness
Clinical narrative: pateint felt dizzy after hpv vaccine within observation time 10 minutes. His heart rate, blood pressure and exam within normal limits after resting.    supine postion for 5 minutes and his symptoms resolved.
Age: 0.42
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: On Friday January 12,2023, it was identified that a box of VFC issued Pentacel lot #UJ805AA  was found to have only a single vial containing the powdered portion of the vaccine left in a box  that was thought to be empty, which previously contained 10 vials (for a total of 5 doses after reconstitution). This lends credibility to the fact that one patient who received this vaccine/ lot number between the dates of October 16, 2023 and December 21st, 2023 received sterile diluent instead of the vaccine intended. Per the medication tracking sheet, five patients were administered this VFC vaccine/ lot number between these dates.
Age: 11.0
Sex: U
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: We had 3 patients from 11/1/23 ? 11/6/23 that received Menveo vaccine to reconstitute. One of the 3 patients received only the diluent, the vaccine was not reconstituted. As per GlaxoSmithKline representant revaccination is not necessary unless patient who did not received full dose is going to travel to outside of the country. Patient was advised.
Age: 2.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient received TDAP vaccine when actually due for DTAP. No adverse reaction noted at the moment. Provider spoke with mom and dad for possible future symptoms.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Gait inability, Headache, Laboratory test, Muscular weakness
Clinical narrative: Around 2am I woke up feeling weird. I tried to get up but my legs were not working. I woke my husband and he carried me to the restroom and back. I just felt so strange all over! My right leg had needles and pins which was painful. I had a headache and was so groggy and I couldn't think straight. I felt in shock. My husband called 911 and they took me to hospital. I was never admitted, but I was kept in an exam room for 2.5-3 days to see if a neurologist could find out why I couldn't walk. They couldn't find a neurologist for most of that time. I was taken to another hospital. I was admitted and saw a neurologist there. He thought I had Parkinson's   my records were sent over from the first hospital. I had 2 "things" on my spine according to my son who is an ICU doctor. The neurologist did not agree. I was released but not treated for anything. I was able to get into the another Hospital. The doctor there said I did not meet the criteria for Parkinson's disease. I was not diagnosed with anything. I was told I just had neuropathy in my leg with the pins and needles. I had my second shingles vaccine on 1/13/2024 and had the same experience physically but not quite as extreme. I couldnt move my legs and the prickling was starting again in my left leg. I had a headache and was groggy. I did not go to the doctor since I did not get treatment the first time. I still have the pins and needles in my leg and weakness in my legs still today (1/26/24) but it is much better than it was.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal disorder, Neuropathy peripheral, Pain in extremity, Paraesthesia, Shock
Clinical narrative: Around 2am I woke up feeling weird. I tried to get up but my legs were not working. I woke my husband and he carried me to the restroom and back. I just felt so strange all over! My right leg had needles and pins which was painful. I had a headache and was so groggy and I couldn't think straight. I felt in shock. My husband called 911 and they took me to hospital. I was never admitted, but I was kept in an exam room for 2.5-3 days to see if a neurologist could find out why I couldn't walk. They couldn't find a neurologist for most of that time. I was taken to another hospital. I was admitted and saw a neurologist there. He thought I had Parkinson's   my records were sent over from the first hospital. I had 2 "things" on my spine according to my son who is an ICU doctor. The neurologist did not agree. I was released but not treated for anything. I was able to get into the another Hospital. The doctor there said I did not meet the criteria for Parkinson's disease. I was not diagnosed with anything. I was told I just had neuropathy in my leg with the pins and needles. I had my second shingles vaccine on 1/13/2024 and had the same experience physically but not quite as extreme. I couldnt move my legs and the prickling was starting again in my left leg. I had a headache and was groggy. I did not go to the doctor since I did not get treatment the first time. I still have the pins and needles in my leg and weakness in my legs still today (1/26/24) but it is much better than it was.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Sleep disorder, Somnolence, Thinking abnormal
Clinical narrative: Around 2am I woke up feeling weird. I tried to get up but my legs were not working. I woke my husband and he carried me to the restroom and back. I just felt so strange all over! My right leg had needles and pins which was painful. I had a headache and was so groggy and I couldn't think straight. I felt in shock. My husband called 911 and they took me to hospital. I was never admitted, but I was kept in an exam room for 2.5-3 days to see if a neurologist could find out why I couldn't walk. They couldn't find a neurologist for most of that time. I was taken to another hospital. I was admitted and saw a neurologist there. He thought I had Parkinson's   my records were sent over from the first hospital. I had 2 "things" on my spine according to my son who is an ICU doctor. The neurologist did not agree. I was released but not treated for anything. I was able to get into the another Hospital. The doctor there said I did not meet the criteria for Parkinson's disease. I was not diagnosed with anything. I was told I just had neuropathy in my leg with the pins and needles. I had my second shingles vaccine on 1/13/2024 and had the same experience physically but not quite as extreme. I couldnt move my legs and the prickling was starting again in my left leg. I had a headache and was groggy. I did not go to the doctor since I did not get treatment the first time. I still have the pins and needles in my leg and weakness in my legs still today (1/26/24) but it is much better than it was.
Age: 16.0
Sex: M
Vaccine: HPV9, MENB, VARCEL
Symptoms: Lip swelling, Rash, Rash erythematous
Clinical narrative: Student developed a swollen lower lip and a possible red rash on his upper chest and back ( not itchy) about 2 hours after vaccines were given. The student did not tell us about the reaction until the next day when his lip was much improved. The student gave himself no treatment or medication. The lip continued to swell during the evening. and he took a photo of his lip. Student also states that his happened the month before when receiving other vaccines ( HPV #1, Varicella #1, MCV, Tdap, Hep A, and Polio) he did not tell us about this reaction. Student declined Benadryl. When I saw student 24 hours later the lip was back to normal and there was still a red rash on his chest.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: redness from elbow to fingertips on both hands..swelling as well
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Injection site nodule, Injection site papule, Injection site rash, Injection site swelling
Clinical narrative: PARENTS NOTICED A RASH ON BOTH OF HER THIGHS ON SATURDAY 1/20/24. SHE WAS NOT BOTHERED BY THE RASH. IT WAS NOTED TO BE RAISED, WELL PERFUSED WITH NODULAR LESIONS, NON-ERYTHEMATOUS & NON-TENDER ON BILATERAL THIGHS WITH ASSOCIATED SUPERFICIAL PAPULAR LESIONS SPREAD OUT DIFFUSELY.
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP, FLU4, HEPA, HIBV, MMRV
Symptoms: Unevaluable event
Clinical narrative: Patients mother was called and notified by Dr. patient's PCP Office manager made aware of the adverse event. Dr. spoke with MA (Me) in regard to preventing further adverse events.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: PATIENT REPORTED TO PHARMACY LATER THAT DR BELIEVES HE DEVELOPED SHINGLES FROM THE VACCINE.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Balance disorder, Blood test, Gait disturbance, Magnetic resonance imaging head
Clinical narrative: Sudden onset of tingling right lower extremity, weakness, impaired balance, difficulty walking.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Magnetic resonance imaging spinal, Paraesthesia
Clinical narrative: Sudden onset of tingling right lower extremity, weakness, impaired balance, difficulty walking.
Age: 80.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS, VARZOS
Symptoms: Balance disorder, Corneal disorder, Eye pain, Gait disturbance, Infection
Clinical narrative: She got her vaccine, her arm was just sore, very sore.  She has graft VS host disease of her eyes, GVHD and she is treated with steroids in her eyes.  She was doing pretty good and on Friday before that she went and saw her doctors and was fine.  On Monday her eye started really bad pain in her eye, Monday on 1/15/24 was terrible.  Tuesday it was better.  Wednesday it was horrible, she could not walk and had to use a cane due to the pain in her eye.  So Thursday 1/18/24 she called the doctors office and told them that somebody had to see her due to the severe pain.  She was told to come in and saw Dr. at Medical Group, Ophthalmology Dept and he examined her eye and that her epithelium was peeling off her bad, it was really bad.  He could see why she had so much pain.  He said that she had herpes zoster in her eye.   He was put on Acyclovir hydrochloride 1 tablet 3 times a day for 10 days.  He put her also on Moxifloxacin 0.5% eye drops to use 4 x a day.  The real issue about this is that she could not use the steroids anymore in her eye and he also put a bandage over her eye, and told her that it would help.  She went home, and the bad part is that she could not use the steroids due to the herpes as it would interfere with the healing process.  She has the two problems in her eye.  The medicine is helping her symptoms, but she can't use the steroids.  She went to see the doctor again and that it was pretty well healed and is in terrible pain due to not using the steroids in her eyes.  She did message the doctor that her last dose of the medicine he gave her was Sunday and she would start her steroids back on Monday and she has an APT on 2/2/24 and feels she needs to see him sooner.    She had no reactions to the RSV and the Prevnar vaccines in November.   The nurses told her that this was a breakthrough infection and feels that it should have been part of the advertisement for Shingrix that you can get a breakthrough infection.  If she did she would probably not have taken the vaccine.  Nobody informed her that she could get a breakthrough infection or shingles from it, and she is suffering from this as she doesn't only have herpes zoster in her eyes and GVHD in her eyes, and is disgusted that she has to use a cane to walk.  It throws you off balance when you have so much pain in your eyes that you cannot open your eyes and it keeps her off balance.   She does not use a cane on a regular basis.
Age: 80.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS, VARZOS
Symptoms: Ophthalmic herpes zoster, Pain in extremity, Walking aid user
Clinical narrative: She got her vaccine, her arm was just sore, very sore.  She has graft VS host disease of her eyes, GVHD and she is treated with steroids in her eyes.  She was doing pretty good and on Friday before that she went and saw her doctors and was fine.  On Monday her eye started really bad pain in her eye, Monday on 1/15/24 was terrible.  Tuesday it was better.  Wednesday it was horrible, she could not walk and had to use a cane due to the pain in her eye.  So Thursday 1/18/24 she called the doctors office and told them that somebody had to see her due to the severe pain.  She was told to come in and saw Dr. at Medical Group, Ophthalmology Dept and he examined her eye and that her epithelium was peeling off her bad, it was really bad.  He could see why she had so much pain.  He said that she had herpes zoster in her eye.   He was put on Acyclovir hydrochloride 1 tablet 3 times a day for 10 days.  He put her also on Moxifloxacin 0.5% eye drops to use 4 x a day.  The real issue about this is that she could not use the steroids anymore in her eye and he also put a bandage over her eye, and told her that it would help.  She went home, and the bad part is that she could not use the steroids due to the herpes as it would interfere with the healing process.  She has the two problems in her eye.  The medicine is helping her symptoms, but she can't use the steroids.  She went to see the doctor again and that it was pretty well healed and is in terrible pain due to not using the steroids in her eyes.  She did message the doctor that her last dose of the medicine he gave her was Sunday and she would start her steroids back on Monday and she has an APT on 2/2/24 and feels she needs to see him sooner.    She had no reactions to the RSV and the Prevnar vaccines in November.   The nurses told her that this was a breakthrough infection and feels that it should have been part of the advertisement for Shingrix that you can get a breakthrough infection.  If she did she would probably not have taken the vaccine.  Nobody informed her that she could get a breakthrough infection or shingles from it, and she is suffering from this as she doesn't only have herpes zoster in her eyes and GVHD in her eyes, and is disgusted that she has to use a cane to walk.  It throws you off balance when you have so much pain in your eyes that you cannot open your eyes and it keeps her off balance.   She does not use a cane on a regular basis.
Age: 80.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS, VARZOS
Symptoms: Eye pain, Laboratory test, Vitreous floaters
Clinical narrative: She got her vaccine, her arm was just sore, very sore.  She has graft VS host disease of her eyes, GVHD and she is treated with steroids in her eyes.  She was doing pretty good and on Friday before that she went and saw her doctors and was fine.  On Monday her eye started really bad pain in her eye, Monday on 1/15/24 was terrible.  Tuesday it was better.  Wednesday it was horrible, she could not walk and had to use a cane due to the pain in her eye.  So Thursday 1/18/24 she called the doctors office and told them that somebody had to see her due to the severe pain.  She was told to come in and saw Dr. at Medical Group, Ophthalmology Dept and he examined her eye and that her epithelium was peeling off her bad, it was really bad.  He could see why she had so much pain.  He said that she had herpes zoster in her eye.   He was put on Acyclovir hydrochloride 1 tablet 3 times a day for 10 days.  He put her also on Moxifloxacin 0.5% eye drops to use 4 x a day.  The real issue about this is that she could not use the steroids anymore in her eye and he also put a bandage over her eye, and told her that it would help.  She went home, and the bad part is that she could not use the steroids due to the herpes as it would interfere with the healing process.  She has the two problems in her eye.  The medicine is helping her symptoms, but she can't use the steroids.  She went to see the doctor again and that it was pretty well healed and is in terrible pain due to not using the steroids in her eyes.  She did message the doctor that her last dose of the medicine he gave her was Sunday and she would start her steroids back on Monday and she has an APT on 2/2/24 and feels she needs to see him sooner.    She had no reactions to the RSV and the Prevnar vaccines in November.   The nurses told her that this was a breakthrough infection and feels that it should have been part of the advertisement for Shingrix that you can get a breakthrough infection.  If she did she would probably not have taken the vaccine.  Nobody informed her that she could get a breakthrough infection or shingles from it, and she is suffering from this as she doesn't only have herpes zoster in her eyes and GVHD in her eyes, and is disgusted that she has to use a cane to walk.  It throws you off balance when you have so much pain in your eyes that you cannot open your eyes and it keeps her off balance.   She does not use a cane on a regular basis.
Age: 80.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS, VARZOS
Symptoms: Corneal erosion, Eye pain, Gait disturbance, Ophthalmic herpes zoster, Vaccination failure
Clinical narrative: She got her vaccine, her arm was just sore, very sore.  She has graft VS host disease of her eyes, GVHD and she is treated with steroids in her eyes.  She was doing pretty good and on Friday before that she went and saw her doctors and was fine.  On Monday her eye started really bad pain in her eye, Monday on 1/15/24 was terrible.  Tuesday it was better.  Wednesday it was horrible, she could not walk and had to use a cane due to the pain in her eye.  So Thursday 1/18/24 she called the doctors office and told them that somebody had to see her due to the severe pain.  She was told to come in and saw Dr. at Medical Group, Ophthalmology Dept and he examined her eye and that her epithelium was peeling off her bad, it was really bad.  He could see why she had so much pain.  He said that she had herpes zoster in her eye.   He was put on Acyclovir hydrochloride 1 tablet 3 times a day for 10 days.  He put her also on Moxifloxacin 0.5% eye drops to use 4 x a day.  The real issue about this is that she could not use the steroids anymore in her eye and he also put a bandage over her eye, and told her that it would help.  She went home, and the bad part is that she could not use the steroids due to the herpes as it would interfere with the healing process.  She has the two problems in her eye.  The medicine is helping her symptoms, but she can't use the steroids.  She went to see the doctor again and that it was pretty well healed and is in terrible pain due to not using the steroids in her eyes.  She did message the doctor that her last dose of the medicine he gave her was Sunday and she would start her steroids back on Monday and she has an APT on 2/2/24 and feels she needs to see him sooner.    She had no reactions to the RSV and the Prevnar vaccines in November.   The nurses told her that this was a breakthrough infection and feels that it should have been part of the advertisement for Shingrix that you can get a breakthrough infection.  If she did she would probably not have taken the vaccine.  Nobody informed her that she could get a breakthrough infection or shingles from it, and she is suffering from this as she doesn't only have herpes zoster in her eyes and GVHD in her eyes, and is disgusted that she has to use a cane to walk.  It throws you off balance when you have so much pain in your eyes that you cannot open your eyes and it keeps her off balance.   She does not use a cane on a regular basis.