chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19, FLU4, COVID19, FLUC3
Symptoms: Vomiting
Clinical narrative: please note pharmacy did not give manufacturer of FLU so what i selected might be inaccurate .  THE ADVERSE REACTION WAS TO COVID  5 shots prior version zero reaction this new formula massive reaction : 1) threw up three times  2) created major muscle spasms in my lower back & front pelvic area was in horrific pain did not sleep for two days missed family reunion . 3) pee changed color to orange 4) just started to feel normal 10.1.2023   I emailed my doctor (did not go in person ) CALLED CDC for help and called pharmacy for help
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid 19 breakthrough infection
Age: 81.0
Sex: F
Vaccine: DTAP, FLUA4, PPV, RSV, VARZOS
Symptoms: Dehydration, Muscular weakness, Urinary tract infection
Clinical narrative: Patient received influenza, TDaP, Pneumococcal, COVID-19 and Zostavax vaccines on-site at her assisted living facility.  She is not aware of the manufacturer or brands.
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Blood test, Chest discomfort, Cough, Dyspnoea, Immunisation reaction
Clinical narrative: She got her vaccine, everything was fine.  After she got home, about 2 hours later she started coughing nonstop coughing, which then sent her into a heavy chest, could not get her breath, could not hardly talk and struggling to breath.  She called 911 who gave her breathing treatments and took her to the ER.  They admitted her gave her oxygen, steroid, breathing treatment.  By the next morning she was doing better and she came  home yesterday afternoon.  States it was a rough go on Saturday.  She was sent home with steroids and antibiotics to make sure she had no infection, and to continue her regular home medications and inhalers.    Had four previous COVID vaccines with no difficulties.  Never had problems with flu vaccines.  Her doctor agreed that it was the COVID vaccine that sent her into respiratory issues.
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Respiratory disorder, X-ray
Clinical narrative: She got her vaccine, everything was fine.  After she got home, about 2 hours later she started coughing nonstop coughing, which then sent her into a heavy chest, could not get her breath, could not hardly talk and struggling to breath.  She called 911 who gave her breathing treatments and took her to the ER.  They admitted her gave her oxygen, steroid, breathing treatment.  By the next morning she was doing better and she came  home yesterday afternoon.  States it was a rough go on Saturday.  She was sent home with steroids and antibiotics to make sure she had no infection, and to continue her regular home medications and inhalers.    Had four previous COVID vaccines with no difficulties.  Never had problems with flu vaccines.  Her doctor agreed that it was the COVID vaccine that sent her into respiratory issues.
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Chills, Feeling cold, Influenza like illness, Myalgia, Pain
Clinical narrative: 12 hours later, in the lower part of my body from the waist down I had aching muscles. it was very pronounced. It continued til 1 pm the next day. I felt like I had the flu. I was cold/had chills. I did not have a fever. I took Tylenol which helped with the achiness.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Did not check the expiration date on the vaccine and administered
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Patient got Spikevax on 9/26/23, and on 9/27/23, he started having low grade fever that lasted 1 day and redness at injection site. No other symptoms (no swelling, not warm to touch, not itchy)
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Chest pain, Laboratory test normal, Myalgia
Clinical narrative: Patient reported that she had "muscle pain in the chest", and she went to the ER.  ER did tests and nothing was abnormal.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis, Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Cellulitis, redness, swelling, warmth, pain
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysphonia, Feeling abnormal, Hyperhidrosis, Immediate post-injection reaction, Swelling
Clinical narrative: Patient had an immediate reaction after receiving the  vaccination. Immediately a bump (1/2 inch) was seen and patient  became diaphoretic, voices distorted  and feeling bad. EMS was called with her approval. Patient was denied request for water to prevent aspiration. EMS came but did not transport patient as she reported feeling better. A technician/employee was with the patient the entire time. The pharmacist was in and out of the room frequently to monitor her status while speaking to EMS
Age: 58.0
Sex: F
Vaccine: FLUA4
Symptoms: Arthralgia, Breast pain, Discomfort, Dyspnoea, Dysstasia
Clinical narrative: She got her vaccine, she was going to expect some pain.  She started getting a chronic pain from her left shoulder, up to her neck like a tired feeling which was around 8:30.  It started as a dull pain, then started increasing.  When she went to bed she felt like a heaviness in her left side from the armpit to the breast area, difficulty breathing.  She did not know if it was her heart or her lungs.  It felt funny, every 5 minutes she would get a shooting pain, like a sharp shocking pain.  She got a little bit of reflux and took a TUMS so that she could rest, but could not due to the pain that kept coming on.  When she got up in the morning she took Ibuprofen to help.  It started happening again and felt dull pain a  again and would come back, pain, then back to excruciating pain that she could not stand up after she came back from work.  She did not want to go to the hospital as she does not want a big bil.  She did not go to work today due to the fatigue.  She bought a Salonpas patch, which did help with some of her pain.  She has been getting reflux everytime when she eats, but does not have a problem with reflux.    She saw her doctor on the 15th for routine check up, has taken flu shot for years, and this is the first time that she had been giving a flu shot and felt so bad.  She is still getting the dull pain up her shoulder, in the back of her neck that feels like fatigue.  Really bad pain on the side of her breast like a pulled muscles inside, which is very very painful.  The breathing is hard for her to breath and catch her breath.  She has not had any history of breathing problems either.  She had just had her physical on the 15th and everything was fine until she took the flu shot on Wednesday.    She called her doctors office and they could not see her, and not go to the UC for increased bills.
Age: 58.0
Sex: F
Vaccine: FLUA4
Symptoms: Fatigue, Gastrooesophageal reflux disease, Impaired work ability, Neck pain, Pain
Clinical narrative: She got her vaccine, she was going to expect some pain.  She started getting a chronic pain from her left shoulder, up to her neck like a tired feeling which was around 8:30.  It started as a dull pain, then started increasing.  When she went to bed she felt like a heaviness in her left side from the armpit to the breast area, difficulty breathing.  She did not know if it was her heart or her lungs.  It felt funny, every 5 minutes she would get a shooting pain, like a sharp shocking pain.  She got a little bit of reflux and took a TUMS so that she could rest, but could not due to the pain that kept coming on.  When she got up in the morning she took Ibuprofen to help.  It started happening again and felt dull pain a  again and would come back, pain, then back to excruciating pain that she could not stand up after she came back from work.  She did not want to go to the hospital as she does not want a big bil.  She did not go to work today due to the fatigue.  She bought a Salonpas patch, which did help with some of her pain.  She has been getting reflux everytime when she eats, but does not have a problem with reflux.    She saw her doctor on the 15th for routine check up, has taken flu shot for years, and this is the first time that she had been giving a flu shot and felt so bad.  She is still getting the dull pain up her shoulder, in the back of her neck that feels like fatigue.  Really bad pain on the side of her breast like a pulled muscles inside, which is very very painful.  The breathing is hard for her to breath and catch her breath.  She has not had any history of breathing problems either.  She had just had her physical on the 15th and everything was fine until she took the flu shot on Wednesday.    She called her doctors office and they could not see her, and not go to the UC for increased bills.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Wrong product administered
Clinical narrative: none, patient was given flu vaccine , parent previously signed a declination for the flu.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Flushing, Lip swelling, Pruritus, Rash
Clinical narrative: flushing, rash, itching to face and neck, swelling of lips treated with PO Benadryl when event reported, continued to use Benadryl until 9/24 when felt recovered
Sex: U
Vaccine: COVID19-2, FLUC4
Symptoms: Chest pain
Clinical narrative: Description: Pain in the chest, on the left. A few seconds, a few sensations. Moderate - I noticed it, it was very unusual and unexpected. This does not happen to me usually. It was around 21:30, when I was about to go to sleep.  Treatment: I did not know what to do, sat down on the sofa, waited till it goes away, and then went to bed and slept through the night.  Outcome: it went away, I did not ask for medical help on the next day and resumed my usual activities
Age: 1.83
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Headache, Pyrexia, Rash
Clinical narrative: Fever, Headache, dizziness and rash
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain, Back pain, Blood test normal, Computerised tomogram kidney abnormal, Decreased appetite
Clinical narrative: No appetite, my body completely stopped working, I was immobile. I could barely function. 5 days later I was able to move and I need to go to the pharmacy. I was in the line and I had a stabbing pain in my low back. It was excruciating. I went home and the pain moved up to the right quadrant flank that moved into belly pain. It was almost like kidney stones and then it dropped into the right groin. There was no blood in my urine or stool. I took pain medication baclacin and vultarin, I tried rest and laying down. Nothing worked. It lasted from 9am until 3pm I called a friend to let them know what was happening and I took more baclacin. It got worse. I called my friend again and I was taken to the emergency room and they did urinalysis and blood work and a CT scan for kidney stones but it was not kidney stones. I was given IV fluids. I was having so much pain I was starting to have seizures. I had to stop them or id potentially have a brain bleed. They got it under control. The pain was still not under control. They had to give me fentanyl which I hate with a passion! They got the pain to stop. They discovered that blood/urine/kidney stones were all clear. O2 was 100% and my blood pressure was good. They found minor cyst on the kidneys but it was unlikely to have cause this. I now have severe diarrhea.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Flank pain, Groin pain, Immobile, Renal cyst
Clinical narrative: No appetite, my body completely stopped working, I was immobile. I could barely function. 5 days later I was able to move and I need to go to the pharmacy. I was in the line and I had a stabbing pain in my low back. It was excruciating. I went home and the pain moved up to the right quadrant flank that moved into belly pain. It was almost like kidney stones and then it dropped into the right groin. There was no blood in my urine or stool. I took pain medication baclacin and vultarin, I tried rest and laying down. Nothing worked. It lasted from 9am until 3pm I called a friend to let them know what was happening and I took more baclacin. It got worse. I called my friend again and I was taken to the emergency room and they did urinalysis and blood work and a CT scan for kidney stones but it was not kidney stones. I was given IV fluids. I was having so much pain I was starting to have seizures. I had to stop them or id potentially have a brain bleed. They got it under control. The pain was still not under control. They had to give me fentanyl which I hate with a passion! They got the pain to stop. They discovered that blood/urine/kidney stones were all clear. O2 was 100% and my blood pressure was good. They found minor cyst on the kidneys but it was unlikely to have cause this. I now have severe diarrhea.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Seizure, Urine analysis normal
Clinical narrative: No appetite, my body completely stopped working, I was immobile. I could barely function. 5 days later I was able to move and I need to go to the pharmacy. I was in the line and I had a stabbing pain in my low back. It was excruciating. I went home and the pain moved up to the right quadrant flank that moved into belly pain. It was almost like kidney stones and then it dropped into the right groin. There was no blood in my urine or stool. I took pain medication baclacin and vultarin, I tried rest and laying down. Nothing worked. It lasted from 9am until 3pm I called a friend to let them know what was happening and I took more baclacin. It got worse. I called my friend again and I was taken to the emergency room and they did urinalysis and blood work and a CT scan for kidney stones but it was not kidney stones. I was given IV fluids. I was having so much pain I was starting to have seizures. I had to stop them or id potentially have a brain bleed. They got it under control. The pain was still not under control. They had to give me fentanyl which I hate with a passion! They got the pain to stop. They discovered that blood/urine/kidney stones were all clear. O2 was 100% and my blood pressure was good. They found minor cyst on the kidneys but it was unlikely to have cause this. I now have severe diarrhea.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, Blood test, Computerised tomogram, Loss of personal independence in daily activities, Respiratory disorder
Clinical narrative: I put my asthma in overdrive. Had to go the doctor and get meds and miss a few days a work. Two weeks later I have still having breathing problems and can't do normal activities.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Rash, Swelling, Urticaria
Clinical narrative: pt had a rash, redness, swelling and blisters/hives on right side of neck, chest an face.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: she felt dizzy and nausous. in few minutes, she felt hot. She set down for 15 min and we gave her ice pack and water. She felt better and left.
Sex: M
Vaccine: COVID19, DTPPVHBHPB, FLU4, PNC13, RV5
Symptoms: Incorrect product formulation administered, Wrong product administered
Clinical narrative: Incorrect product formulation administered; Wrong product administered; This non-serious case was received during the Vaccines Adverse Event Reporting System (VAERS) monitoring on 12-JUL-2023 with the following VAERS Primary ID. The original narrative from the sender is the following:  Patient was given Moderna Bivalent Pink cap, as first dose.  No known symptoms. Patient will be revaccinated. Primary care provider called and advised parents of the incident.  The causal relationship between Vaxelis and the events " Incorrect product formulation administered and wrong product administered." was assessed as not applicable due to the nature of the reported events.  No further information is expected.  is not working, added State under vaccine facility information and Reporter State.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin
Clinical narrative: Back and rib pain to skin
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Biopsy breast abnormal, Breast cancer female, Breast mass, Lymphoedema, Lymphoma
Clinical narrative: Lymphedema in the upper left arm and left breast. Several weeks later a soft mass was felt near the breast areola area. Contacted primary care Dr. Adverse condition worsened.  Examined by primary care Dr. and was referred to Breast Oncologist for examination.  Treated with medications (topical and oral antibiotics), symptoms/swelling subsided. Then had a recurrence.
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Magnetic resonance imaging breast abnormal, Mammogram normal, Swelling
Clinical narrative: Lymphedema in the upper left arm and left breast. Several weeks later a soft mass was felt near the breast areola area. Contacted primary care Dr. Adverse condition worsened.  Examined by primary care Dr. and was referred to Breast Oncologist for examination.  Treated with medications (topical and oral antibiotics), symptoms/swelling subsided. Then had a recurrence.
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Musculoskeletal stiffness
Clinical narrative: This is the new covid vaccine  Severe diarrhea lasting for 4 days Stiffness Headaches
Age: 59.0
Sex: F
Vaccine: COVID19, FLUN4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: I received the Moderna Spikevax 12+. I received on the 28th, around 4pm, by evening, the area was swollen, and hot to touch, and about the size of the entire deltoid. Hurt all night and sore. It continued for 24  hours with the red. An area of erythema with a diameter of 3 inches and enlarged with intermit series of feeling like bee stings in different areas on my upper arm, and itching over the entire area of redness, as well as above and below to the elbow. Have continued 96 hours post injection. It's sore, warm, and itching. Have taken oral pain relievers such as tylenol or nsaid, as well as applying the past 96 hours either hydrocor diclofenac gel.  Continued to be warm, swollen, and redness. Last night I have taken pictures for the past 3 days, it was 3 inches in diameter, redness around injection site was. Injection site left red papula of a sore, about the size a marker pen would leave on my arm.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain fog, Feeling hot, Joint lock, Thirst
Clinical narrative: patient states extremely hot and thirsty, knees locked up when he tried to stand and walk, had significant brain fog.  patient notified md. patient states as of today 10/2 he is slowly improving
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthropathy, Brain fog, Feeling hot, Gait disturbance, Sleep disorder
Clinical narrative: patient states extremely hot and thirsty, knees locked up when he tried to stand and walk, had significant brain fog.  patient notified md. patient states as of today 10/2 he is slowly improving
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Somnolence
Clinical narrative: patient states extremely hot and thirsty, knees locked up when he tried to stand and walk, had significant brain fog.  patient notified md. patient states as of today 10/2 he is slowly improving
Age: 15.0
Sex: M
Vaccine: IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administered after being out of temp range. Per Dr. who spoke to guardian no adverse reactions have been noticed at this time.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse outcomes.
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Erythema, Malaise, Swelling
Clinical narrative: Swelling, Redness, Itchiness
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chest X-ray, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Tested positive at Nursing home on 9/29/23, presented to ED on 9/30/23 with respiratory symptoms. PCR positive 9/30/23.
Age: 80.0
Sex: F
Vaccine: RSV
Symptoms: Rash, Rash pruritic
Clinical narrative: patient called the day following vaccine administration to report a few small itchy bumps on her lower arm after receiving the Arexvy vaccine in the same arm.  Followed up with patient and the bumps are clearing up. Today (10/2) she reports that there is no more itching and less bumps
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started feeling ill 2 days after I got the vaccine.  Today, the third day after the vaccine, I still wasn't feeling well and was running a fever still.  I tested myself for COVID and it was positive.  I looked up online and it said the vaccine wouldn't cause a false positive, so I'm relatively certain I have COVID.  I have not been exposed as far as I know, and it seems really coincidental that I would get COVID immediately following the vaccine.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Fatigue, Pain in extremity, Peripheral swelling
Clinical narrative: FOLLOWING DAY CHILLS & FEVER (DID NOT TAKE TEMPERATURE) FATIGUE SWELLING REDNESS INCREASED PAIN HOT AND SWOLLEN SLIGHTLY ALONG UPPER ARM . FIRST APPEARED AS RED BLOTCHES THEN BECAME A SOLID BAND APPROX 4 INCHES ACROSS ARM
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash macular, Skin warm
Clinical narrative: FOLLOWING DAY CHILLS & FEVER (DID NOT TAKE TEMPERATURE) FATIGUE SWELLING REDNESS INCREASED PAIN HOT AND SWOLLEN SLIGHTLY ALONG UPPER ARM . FIRST APPEARED AS RED BLOTCHES THEN BECAME A SOLID BAND APPROX 4 INCHES ACROSS ARM
Sex: M
Vaccine: DTAP, IPV
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administered after being out of temp range. Per Dr. who spoke to guardian no adverse reactions have been noticed at this time.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Loss of personal independence in daily activities, Nausea, Pyrexia
Clinical narrative: At around 12 hrs later, developed fever, chills.  12 hrs later, moderate to severe migraine type headache with nausea and vomiting. Unable to perform normal everyday tasks for the following  36 hrs
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: At around 12 hrs later, developed fever, chills.  12 hrs later, moderate to severe migraine type headache with nausea and vomiting. Unable to perform normal everyday tasks for the following  36 hrs
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Headache, Myalgia, Pyrexia
Clinical narrative: fever; chills; headache; myalgias; dizzy
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Lip swelling, Rash, Rash pruritic, Swelling face
Clinical narrative: Developed pruritic rash on trunk, limbs, and face, along with swelling of face/lips.   Evaluated at urgent care 9/29/2023. Treated with 5 day course of prednisone, along with zyrtec, famotidine.
Age: 1.33
Sex: F
Vaccine: HIBV, PNC13, TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No symptoms or signs were noticed nor provided.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Muscular weakness, Myalgia, Pallor
Clinical narrative: I went to work after the vaccine and I got a bad headache and my muscles around my heart were hurting and my heart was racing. My muscles all over were weak. I was pale and cold and my heart was still racing that night.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: I went to work after the vaccine and I got a bad headache and my muscles around my heart were hurting and my heart was racing. My muscles all over were weak. I was pale and cold and my heart was still racing that night.
Age: 11.0
Sex: F
Vaccine: MENB, TDAP
Symptoms: No adverse event, Product administration error
Clinical narrative: inadvertently given Bexsero no adverse reaction noted.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Cough, Headache, Inflammation, Influenza virus test negative
Clinical narrative: Tuesday evening my entire body was inflamed. All my joints were in so much pain.  This continued for 2 days straight.  I felt  sick for many days after.   My body aches, mild cough and headache. On Friday I went to the Urgent Care.  They tested me for Covid, Flu, and Strep.  All negative. The Dr said it seems to be a reaction to the vaccine. Saturday I woke up with a fever of 100.5. I did a virtual urgent care visit.   The Dr told me is seems to be a reaction to the vaccine or possibly a virus so he gave me Augmentin and benzonate for the cough.  Sunday morning I woke up with a fever of 101.5 and I started coughing badly.   Last night I had a fever of 102. Today I am still sick with body aches, headache, terrible cough and joint pain.   I called pharmacy to confirm they gave me the Flu vaccine and not the Covid vaccine because the joint pain and feeling sick is how I felt after I took the Covid vaccine. They confirmed they gave me the flu vaccine.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Malaise, Pain, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Tuesday evening my entire body was inflamed. All my joints were in so much pain.  This continued for 2 days straight.  I felt  sick for many days after.   My body aches, mild cough and headache. On Friday I went to the Urgent Care.  They tested me for Covid, Flu, and Strep.  All negative. The Dr said it seems to be a reaction to the vaccine. Saturday I woke up with a fever of 100.5. I did a virtual urgent care visit.   The Dr told me is seems to be a reaction to the vaccine or possibly a virus so he gave me Augmentin and benzonate for the cough.  Sunday morning I woke up with a fever of 101.5 and I started coughing badly.   Last night I had a fever of 102. Today I am still sick with body aches, headache, terrible cough and joint pain.   I called pharmacy to confirm they gave me the Flu vaccine and not the Covid vaccine because the joint pain and feeling sick is how I felt after I took the Covid vaccine. They confirmed they gave me the flu vaccine.
Age: 78.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Asthenia, Myalgia
Clinical narrative: patient reports all over muscle and joint pain lasting longer than 1 week. states its borderline debilitating
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: Infanrix had expired on 9/16/2023 and was administered on 10/02/2023. Manufacturer was contacted and reported that the vaccine is effective 30 days after expiration. CDC recommends a repeat vaccine. Patients mother was informed and encouraged to speak with patient's physician. Mother reports she is not worried about it at this time.
Age: 65.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Allergy test positive, Anaphylactoid reaction, Blood pressure decreased, Diarrhoea, Fall
Clinical narrative: I had a delayed reaction (typical of Alpha-Gal), which started about 1:30 AM on Saturday. Anaphylaxis related symptoms began with severe diarrhea and a drop in blood pressure. When I felt I might be able to make it to the cabinet to get benadryl (diphenhydramine antihistamine) to control my syptoms, I got up and tried to get to the cabinet. My drop in blood pressure became severe, I dropped the pill bottle, fell down, and continued to have severe diarrhea. When I was able to get up long enough to take some benadryl, I took three of them (which will usually knock back the symptoms), and got back on the toilet, where I continued to have diarrhea for some time longer before the benadryl took effect. Following research into the vaccinations given, Pfizer's website indicates bovine ingredients in the manufacturing process of Prevnar 20. I was unable to determine if Fluzone HD contained mammal products.
Age: 65.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Food allergy, Hypersensitivity
Clinical narrative: I had a delayed reaction (typical of Alpha-Gal), which started about 1:30 AM on Saturday. Anaphylaxis related symptoms began with severe diarrhea and a drop in blood pressure. When I felt I might be able to make it to the cabinet to get benadryl (diphenhydramine antihistamine) to control my syptoms, I got up and tried to get to the cabinet. My drop in blood pressure became severe, I dropped the pill bottle, fell down, and continued to have severe diarrhea. When I was able to get up long enough to take some benadryl, I took three of them (which will usually knock back the symptoms), and got back on the toilet, where I continued to have diarrhea for some time longer before the benadryl took effect. Following research into the vaccinations given, Pfizer's website indicates bovine ingredients in the manufacturing process of Prevnar 20. I was unable to determine if Fluzone HD contained mammal products.
Age: 11.0
Sex: M
Vaccine: MENB, TDAP
Symptoms: No adverse event, Product administration error
Clinical narrative: inadvertently given Bexsero no adverse reaction noted.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Wrong diluent used: MA used sterile water instead of saline to dilute vaccine. No adverse symptoms
Age: 68.0
Sex: F
Vaccine: FLUA4
Symptoms: Back pain, Chest discomfort, Dizziness
Clinical narrative: light headed, chest tightness, back muscle pain
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Wrong diluent used: MA used sterile water instead of saline to dilute vaccine. No adverse symptoms or outcome for patient
Sex: F
Vaccine: FLUC4, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Medication error:  ordered for TDAP, was administered Flucelvax in error.  Patient DID desire seasonal flu vaccine and had not yet received it.  This was accepted by both patient and provider.  TDAP also administered as ordered. No adverse reaction.
Age: 76.0
Sex: F
Vaccine: FLUA4
Symptoms: Vaccination site bruising
Clinical narrative: Patient has a large bruise form on her left arm at the site of vaccination and the surrounding area.  It began to appear the day after vaccination and it was still present one week later and in the yellow-purple phase of bruising.  Patient reported at time of vaccination that she was on a blood thinner.  The bruising seemed to be more severe than normal even with the knowledge that patient is on a blood thinner.
Age: 41.0
Sex: M
Vaccine: UNK
Symptoms: Neuropathy peripheral, Small fibre neuropathy
Clinical narrative: Small Fiber Neuropathy in feet and legs.
Age: 0.33
Sex: M
Vaccine: DTPPVHBHPB, PNC15, RV5
Symptoms: Alanine aminotransferase increased, B-lymphocyte count increased, Coronary artery disease, Cytogenetic analysis normal, Echocardiogram abnormal
Clinical narrative: Patient developed a rash and fever 4 days after his vaccine and was eventually diagnosed with Kawasaki disease with secondary HLH (hemophagocytic lymphohistiocytosis).
Age: 0.33
Sex: M
Vaccine: DTPPVHBHPB, PNC15, RV5
Symptoms: Haemophagocytic lymphohistiocytosis, Hypoalbuminaemia, Hypofibrinogenaemia, Immunoglobulin therapy, Inflammatory marker increased
Clinical narrative: Patient developed a rash and fever 4 days after his vaccine and was eventually diagnosed with Kawasaki disease with secondary HLH (hemophagocytic lymphohistiocytosis).
Age: 0.33
Sex: M
Vaccine: DTPPVHBHPB, PNC15, RV5
Symptoms: Kawasaki's disease, Natural killer cell activity decreased, Pyrexia, Rash, Serum ferritin increased
Clinical narrative: Patient developed a rash and fever 4 days after his vaccine and was eventually diagnosed with Kawasaki disease with secondary HLH (hemophagocytic lymphohistiocytosis).
Age: 0.33
Sex: M
Vaccine: DTPPVHBHPB, PNC15, RV5
Symptoms: Splenomegaly, Sterile pyuria, Thrombocytosis
Clinical narrative: Patient developed a rash and fever 4 days after his vaccine and was eventually diagnosed with Kawasaki disease with secondary HLH (hemophagocytic lymphohistiocytosis).
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose given to soon
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Erythema, Injection site pain, Peripheral swelling, Pruritus
Clinical narrative: The first day or 2 after the shot I had injection site pain but that was not a big deal. Very Itchy spots that are raised and red on thighs, abdomen, and arms above the elbow bilateral starting with a few spots and progressing into more. I have used topical steroid cream that helped some but not completely.
Age: 17.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Blood test abnormal, Cardiac imaging procedure normal, Carditis, Chest pain, Echocardiogram normal
Clinical narrative: On and off chest pain beginning about 18 hours after vaccine administration.  Took him to ER after 24 hours of symptoms. Triponin numbers were elevated upon arrival (157) and continued rising (170).  He was admitted to hospital for 3 days while undergoing continued blood tests to monitor Triponin, heart echo, and cardiac MRI.  Was symptomatic with chest pain on and off throughout hospital stay. Suspected myocarditis from vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Myocarditis, Troponin increased
Clinical narrative: On and off chest pain beginning about 18 hours after vaccine administration.  Took him to ER after 24 hours of symptoms. Triponin numbers were elevated upon arrival (157) and continued rising (170).  He was admitted to hospital for 3 days while undergoing continued blood tests to monitor Triponin, heart echo, and cardiac MRI.  Was symptomatic with chest pain on and off throughout hospital stay. Suspected myocarditis from vaccine.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Flushing, Rash macular
Clinical narrative: 10 minutes after getting the flu shot pt experienced splotchy skin reaction when she looked in mirror.  States this happened w/ first covid shot as well, and she's taken Benadryl in the past w/ subsequent covid shots. Presented to RN w flushed face, neck, chest w/ small amount of splotchyness to neck.  No SOB,  NO dizzyness, No itchyness. Brought to RN room of clinic for observation,.  DR. assessed . Vital stable Offered  Pepcid PO by MD.  Declined by pt.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Injection site pruritus, Injection site rash, Pain
Clinical narrative: Patient states that shortly after receiving spikevax she started experiencing all over body aches and burning on the top of her feet and toe joints (she believes this may be a flare up of fibromyalgia).  She also has a rash and itching at site of the injection.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Anticoagulant therapy, Atrial fibrillation, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is a 72 y.o. male with a history of afib, asthma, hypertension who presented from home on 8/31/2023 with dyspnea and hypoxemia; found to be COVID positive. He rapidly decompensated requiring ICU transfer on 9/2. Stabilized on BIPAP and oxygenation progressively improved. He was transferred out of ICU on 9/4. Patient received remdesivir and steroids with improvement. He was sent home on 2 lit Oxygen.         Assessment and Plan   Acute Hypoxemic Respiratory Failure - in setting of COVID-19 pneumonia. Bacterial superinfection unlikely - CXR on 9/1 without focal infiltrate - Weaned oxygen to 2L nasal canula. He was sent home on oxygen as unable wean to room air   COVID-19 pneumonia - Tested positive at home 8/30/23. Symptom onset 8/27/23.  - Vaccinated with Pfizer, last dose reportedly 10/2022.  - Received IV remdesivir and steroids. Short steroid taper planned at discharge     - Received Baricitinib while admitted   Hyperglycemia - No history of diabetes. Related to steroids causing prandial sensitivity - A1c 5.3 on 9/4. Cont sliding scale coverage   Atrial fibrillation -RVR related to acute illness and hypoxemia. No rate control at home but maintained on Eliquis BID -Continue Eliquis -Transitioned reg cardizem to Cardizem CD 240 mg on 9/6. HR controlled   Asthma -Per history. Uses albuterol less than once per week. -Albuterol nebulizer PRN Prostate CA -Follows with urologist Dr.   -Most recent PSA 0.16 -Maintained on q6 month lupron, daily casodex and flomax   HTN - Transitioned home amlodipine to diltiazem for Afib rate control   Hyperlipidemia - Continue atorvastatin   Hx ischemic stroke -Presented in July 2022 with dysarthria and left facial droop, found to have several infarcts, thought to be cardioembolic in origin. Questionable history of multiple TIAs -Follows with neurologist Dr.  -Cont eliquis 5 mg BID
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Condition aggravated, Dyspnoea, Glycosylated haemoglobin normal, Hyperglycaemia
Clinical narrative: Patient is a 72 y.o. male with a history of afib, asthma, hypertension who presented from home on 8/31/2023 with dyspnea and hypoxemia; found to be COVID positive. He rapidly decompensated requiring ICU transfer on 9/2. Stabilized on BIPAP and oxygenation progressively improved. He was transferred out of ICU on 9/4. Patient received remdesivir and steroids with improvement. He was sent home on 2 lit Oxygen.         Assessment and Plan   Acute Hypoxemic Respiratory Failure - in setting of COVID-19 pneumonia. Bacterial superinfection unlikely - CXR on 9/1 without focal infiltrate - Weaned oxygen to 2L nasal canula. He was sent home on oxygen as unable wean to room air   COVID-19 pneumonia - Tested positive at home 8/30/23. Symptom onset 8/27/23.  - Vaccinated with Pfizer, last dose reportedly 10/2022.  - Received IV remdesivir and steroids. Short steroid taper planned at discharge     - Received Baricitinib while admitted   Hyperglycemia - No history of diabetes. Related to steroids causing prandial sensitivity - A1c 5.3 on 9/4. Cont sliding scale coverage   Atrial fibrillation -RVR related to acute illness and hypoxemia. No rate control at home but maintained on Eliquis BID -Continue Eliquis -Transitioned reg cardizem to Cardizem CD 240 mg on 9/6. HR controlled   Asthma -Per history. Uses albuterol less than once per week. -Albuterol nebulizer PRN Prostate CA -Follows with urologist Dr.   -Most recent PSA 0.16 -Maintained on q6 month lupron, daily casodex and flomax   HTN - Transitioned home amlodipine to diltiazem for Afib rate control   Hyperlipidemia - Continue atorvastatin   Hx ischemic stroke -Presented in July 2022 with dysarthria and left facial droop, found to have several infarcts, thought to be cardioembolic in origin. Questionable history of multiple TIAs -Follows with neurologist Dr.  -Cont eliquis 5 mg BID
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia, Illness, Intensive care, Malaise, Positive airway pressure therapy
Clinical narrative: Patient is a 72 y.o. male with a history of afib, asthma, hypertension who presented from home on 8/31/2023 with dyspnea and hypoxemia; found to be COVID positive. He rapidly decompensated requiring ICU transfer on 9/2. Stabilized on BIPAP and oxygenation progressively improved. He was transferred out of ICU on 9/4. Patient received remdesivir and steroids with improvement. He was sent home on 2 lit Oxygen.         Assessment and Plan   Acute Hypoxemic Respiratory Failure - in setting of COVID-19 pneumonia. Bacterial superinfection unlikely - CXR on 9/1 without focal infiltrate - Weaned oxygen to 2L nasal canula. He was sent home on oxygen as unable wean to room air   COVID-19 pneumonia - Tested positive at home 8/30/23. Symptom onset 8/27/23.  - Vaccinated with Pfizer, last dose reportedly 10/2022.  - Received IV remdesivir and steroids. Short steroid taper planned at discharge     - Received Baricitinib while admitted   Hyperglycemia - No history of diabetes. Related to steroids causing prandial sensitivity - A1c 5.3 on 9/4. Cont sliding scale coverage   Atrial fibrillation -RVR related to acute illness and hypoxemia. No rate control at home but maintained on Eliquis BID -Continue Eliquis -Transitioned reg cardizem to Cardizem CD 240 mg on 9/6. HR controlled   Asthma -Per history. Uses albuterol less than once per week. -Albuterol nebulizer PRN Prostate CA -Follows with urologist Dr.   -Most recent PSA 0.16 -Maintained on q6 month lupron, daily casodex and flomax   HTN - Transitioned home amlodipine to diltiazem for Afib rate control   Hyperlipidemia - Continue atorvastatin   Hx ischemic stroke -Presented in July 2022 with dysarthria and left facial droop, found to have several infarcts, thought to be cardioembolic in origin. Questionable history of multiple TIAs -Follows with neurologist Dr.  -Cont eliquis 5 mg BID
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Prostatic specific antigen decreased, SARS-CoV-2 test positive
Clinical narrative: Patient is a 72 y.o. male with a history of afib, asthma, hypertension who presented from home on 8/31/2023 with dyspnea and hypoxemia; found to be COVID positive. He rapidly decompensated requiring ICU transfer on 9/2. Stabilized on BIPAP and oxygenation progressively improved. He was transferred out of ICU on 9/4. Patient received remdesivir and steroids with improvement. He was sent home on 2 lit Oxygen.         Assessment and Plan   Acute Hypoxemic Respiratory Failure - in setting of COVID-19 pneumonia. Bacterial superinfection unlikely - CXR on 9/1 without focal infiltrate - Weaned oxygen to 2L nasal canula. He was sent home on oxygen as unable wean to room air   COVID-19 pneumonia - Tested positive at home 8/30/23. Symptom onset 8/27/23.  - Vaccinated with Pfizer, last dose reportedly 10/2022.  - Received IV remdesivir and steroids. Short steroid taper planned at discharge     - Received Baricitinib while admitted   Hyperglycemia - No history of diabetes. Related to steroids causing prandial sensitivity - A1c 5.3 on 9/4. Cont sliding scale coverage   Atrial fibrillation -RVR related to acute illness and hypoxemia. No rate control at home but maintained on Eliquis BID -Continue Eliquis -Transitioned reg cardizem to Cardizem CD 240 mg on 9/6. HR controlled   Asthma -Per history. Uses albuterol less than once per week. -Albuterol nebulizer PRN Prostate CA -Follows with urologist Dr.   -Most recent PSA 0.16 -Maintained on q6 month lupron, daily casodex and flomax   HTN - Transitioned home amlodipine to diltiazem for Afib rate control   Hyperlipidemia - Continue atorvastatin   Hx ischemic stroke -Presented in July 2022 with dysarthria and left facial droop, found to have several infarcts, thought to be cardioembolic in origin. Questionable history of multiple TIAs -Follows with neurologist Dr.  -Cont eliquis 5 mg BID
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 5 year old + formulation administered instead of 6 mo to 4 yr.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Patient is complaining of sore arm of injection site for over 2 weeks
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus, Injection site rash, Injection site reaction
Clinical narrative: Started as raised urticaria red bumps on day 2 after shot , approximately 1.5i inches in diameter and also swelling of upper arm shot area ; on day 3 additional slight peeling of top layer of skin in this red area,  enlarging red area to 2 inches, upper arm area still swollen; day 4-5-6 progressed to only a reddened area, butterfly wing shaped , of ~ 3 inches , with slight skin peeling resolving but still remained the smaller (1.5) area, within, of raised bumps, some slight itchiness and arm swelling still present ; day7 red area resolving/decreasing, itchiness resolved, raised bumps gone, swelling down; all signs of redness, edema and urticaria resolved by day 10. No doctor office reporting or appoinment made regarding this vaccine issue
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Injection site swelling, Injection site urticaria, Skin exfoliation
Clinical narrative: Started as raised urticaria red bumps on day 2 after shot , approximately 1.5i inches in diameter and also swelling of upper arm shot area ; on day 3 additional slight peeling of top layer of skin in this red area,  enlarging red area to 2 inches, upper arm area still swollen; day 4-5-6 progressed to only a reddened area, butterfly wing shaped , of ~ 3 inches , with slight skin peeling resolving but still remained the smaller (1.5) area, within, of raised bumps, some slight itchiness and arm swelling still present ; day7 red area resolving/decreasing, itchiness resolved, raised bumps gone, swelling down; all signs of redness, edema and urticaria resolved by day 10. No doctor office reporting or appoinment made regarding this vaccine issue
Age: 0.33
Sex: F
Vaccine: HEP
Symptoms: Wrong product administered
Clinical narrative: the M<a grabbed the wrong tray in and administered Hep B and Patient was not due for Hep B at the time of that visit
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase increased, Anticoagulant therapy, Aspartate aminotransferase increased, Atrial fibrillation
Clinical narrative: Patient is a 88 y.o. male with a history of atrial fibrillation (not on AC), HFpEF, HTN who presented to RMH 8/28/2023 with shortness of breath. Found to have acute hypoxic respiratory failure due to COVID-19 and placed on BiPAP and admitted to the ICU. Course complicated by slow improvement. Consulted for transfer of care.    1. Acute hypoxic respiratory failure: not on O2 at baseline. Required BiPAP/HHFNC on admit. Due to COVID-19. S/p ceftriaxone for possible superimposed bacterial pneumonia (last dose 9/3/23). Weaned to NC by 8/30/23, RA on 9/6/23. Pulmonary hygiene. 2. Severe COVID-19: tested positive 8/28/23. Continued dexamethasone (end 9/6/23) and remdesivir (end 9/1/23). 3. Elevated troponin: admit EKG non-acute. TTE 8/28/23 showed new septal WMA, which is mild and not significant per cardiology. Suspect demand ischemia. S/p heparin gtt. Continued home ASA; initiated statin. Cardio recommended outpatient follow-up for repeat echo/stress test once acute illness resolved.  4. Acute on chronic HFpEF: TTE 8/28/23 as above. BNP on admit elevated. Continue spot IV diuresis as able. Cardio followed. 5. Hypernatremia: suspect hypovolemic. Na 150 on 8/31/23. Held further diuresis and started gentle IVFs 8/31/23. Resolved.  6. Paroxysmal atrial fibrillation: was off of AC due to frequent falls. Watchman was attempted but unsuccessful. ECG on admit NSR. Cardio recommended revisiting AC vs LAA closure as outpatient. 7. Acute RLE edema: LEVD on admit negative for DVT. Suspect related to trauma. Supportive care.  8. Elevated LFTs: admit AST 47, ALT 42, ALP wnl, T bili wnl. Suspect due to COVID-19. Improving. 9. Chronic Thrombocytopenia: baseline Plt ~80; stable. Trend. 10. HTN: home meds held on admit; resumed slowly. Inderal reduced due to bradycardia. Titrate meds prn.  11. CAD: s/p PCI to the LAD in 2004. Continued med mgmt.  12. Moderate Malnutrition: POA. Dietician followed.  13. Code status: Full, confirmed with patient and wife 9/5