chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anion gap, Chest X-ray normal, Differential white blood cell count, Electrocardiogram abnormal, Full blood count
Clinical narrative: On 10/24/2022, I woke up at 01:40AM with heart palpitations. They felt very extreme, like fish flopping around in my chest. I checked my radio pulse, and it was very faint. I waited for a bit to see if it would go away. I woke my husband up ten minutes later. He checked my pulse for a few minutes and suggested that we go to the emergency room. After getting around, my pulse felt more regular, so we decided to hold off. I called my doctor who wanted me to be checked out and advised that I go to an urgent care sense I couldn't be seen with her that day. At urgent care, they performed and EKG and advised that I go to the emergency room based on changes from a previous EKG. At the emergency room they monitored me for 2 hours. The emergency room physician looked at my EKG and said that he didn't see the evidence that they saw at the urgent care and thought I was fine. However, in the written charts that were read by the cardiologist, it states that the changes in the EKG were consistent with what they said at urgent care. I will be following up with my doctor in the near future. They also advised that I have a halter monitor and an echocardiogram to address the heart palpitations because they lasted at least 30 minutes.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lipase normal, Metabolic function test, Palpitations, Pulse abnormal, Sensory disturbance
Clinical narrative: On 10/24/2022, I woke up at 01:40AM with heart palpitations. They felt very extreme, like fish flopping around in my chest. I checked my radio pulse, and it was very faint. I waited for a bit to see if it would go away. I woke my husband up ten minutes later. He checked my pulse for a few minutes and suggested that we go to the emergency room. After getting around, my pulse felt more regular, so we decided to hold off. I called my doctor who wanted me to be checked out and advised that I go to an urgent care sense I couldn't be seen with her that day. At urgent care, they performed and EKG and advised that I go to the emergency room based on changes from a previous EKG. At the emergency room they monitored me for 2 hours. The emergency room physician looked at my EKG and said that he didn't see the evidence that they saw at the urgent care and thought I was fine. However, in the written charts that were read by the cardiologist, it states that the changes in the EKG were consistent with what they said at urgent care. I will be following up with my doctor in the near future. They also advised that I have a halter monitor and an echocardiogram to address the heart palpitations because they lasted at least 30 minutes.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Troponin I
Clinical narrative: On 10/24/2022, I woke up at 01:40AM with heart palpitations. They felt very extreme, like fish flopping around in my chest. I checked my radio pulse, and it was very faint. I waited for a bit to see if it would go away. I woke my husband up ten minutes later. He checked my pulse for a few minutes and suggested that we go to the emergency room. After getting around, my pulse felt more regular, so we decided to hold off. I called my doctor who wanted me to be checked out and advised that I go to an urgent care sense I couldn't be seen with her that day. At urgent care, they performed and EKG and advised that I go to the emergency room based on changes from a previous EKG. At the emergency room they monitored me for 2 hours. The emergency room physician looked at my EKG and said that he didn't see the evidence that they saw at the urgent care and thought I was fine. However, in the written charts that were read by the cardiologist, it states that the changes in the EKG were consistent with what they said at urgent care. I will be following up with my doctor in the near future. They also advised that I have a halter monitor and an echocardiogram to address the heart palpitations because they lasted at least 30 minutes.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Hypoaesthesia, Lymphadenopathy, Malaise
Clinical narrative: After my vaccination I developed a lump under my left arm and both glands in my neck had swelled up as well. They had general soreness and pain, however, under my arm it lasted for weeks until it went away. My neck gland swelling went down in a few days. Now there is no longer any swelling going on. October 17th 2022, I came down with severe COVID-19 symptoms and went to a doctor's office and they sent me home to take an at home test. For the at home test it came out positive and they prescribed me an antiviral, PAXLOVID, and a steroid for seven days. As of now I am feeling much better and I believe the PAXLOVID helped out tremendously. However, a major issue I am having is fatigue and my face is still numb, My taste buds are also slightly off. Suddenly I have developed a body shake or trembling that occurs randomly.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain, SARS-CoV-2 test positive, Taste disorder, Tremor
Clinical narrative: After my vaccination I developed a lump under my left arm and both glands in my neck had swelled up as well. They had general soreness and pain, however, under my arm it lasted for weeks until it went away. My neck gland swelling went down in a few days. Now there is no longer any swelling going on. October 17th 2022, I came down with severe COVID-19 symptoms and went to a doctor's office and they sent me home to take an at home test. For the at home test it came out positive and they prescribed me an antiviral, PAXLOVID, and a steroid for seven days. As of now I am feeling much better and I believe the PAXLOVID helped out tremendously. However, a major issue I am having is fatigue and my face is still numb, My taste buds are also slightly off. Suddenly I have developed a body shake or trembling that occurs randomly.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: I had my vaccination on 04/25/2021. Immediately after I started to get dizzy. They kept me there for 30+ minutes as they monitored me. They gave me juice and water. The dizziness lasted for about an hour. The dizziness came and went over the next few days.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea, Fibrin D dimer increased, Pain in extremity
Clinical narrative: Developed swelling, leg pain and shortness of breath within 10-14 days following his 1st covid 19 vaccine, was diagnosed with a DVT and pulmonary embolism on CT scan in the hospital, did require hospitalization.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Swelling, Ultrasound Doppler abnormal
Clinical narrative: Developed swelling, leg pain and shortness of breath within 10-14 days following his 1st covid 19 vaccine, was diagnosed with a DVT and pulmonary embolism on CT scan in the hospital, did require hospitalization.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse events noted. Vaccine was accidentally given 2 weeks prior to recommended dosing of 2 months from previous dose; CDC recommended giving an additional 0.5mL dose of Moderna Bivalent 8 weeks following the previous dose of Moderna Bivalent.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 09/04/22 presents to ED for "shortness of breath". PMHx of "diabetes type 2, obesity, anxiety"
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Bell's palsy, Blood test normal, Computerised tomogram normal, Facial paralysis, Ocular discomfort
Clinical narrative: Received Flulaval on Thursday 10/13/22 .  Developed symptom of left eyelid drooping on Sunday 10/16/22.  Eye symptom persisted with left eye discomfort and symptom of left side of mouth drooping developed by 10/21/22 along with continued eye and mouth droop.  ED visit on 10/22/22 to rule out symptoms of stroke or Bells Palsy.   ED visit to Hospital.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Body temperature decreased, COVID-19, Chills, Cough, Dysphonia
Clinical narrative: The night I received the vaccine, I started to feel very tired. I also had chills, aches, and a headache. I didn't sleep well. I had a 99.9-degree temperature. When I woke up the next morning, my fever was 101.4-degrees. I took some TYLENOL to bring down the fever. The chills were gone, but I still had aches and a headache. A couple of hours later, I took my temperature again. My temperature had dropped to 100.4-degrees. Three hours later, I took my temperature again. It was 99.3-degrees. I still had the body aches, but I didn't feel as tired. When I woke up from a nap, my temperature was 98.3-degrees. I felt much better. I was still a little achy, but the headache was gone. That evening, my temperature was exactly 98.6-degrees. Saturday and Sunday, I had a sore arm and a slight headache that was intermittent. On Monday, I felt fine until about 09:00PM. I had a sore throat and stuffy nose. On Tuesday morning. I had a sore throat, a scratchy cough, and a runny nose. I did not have a fever. I took a COVID-19 test that morning, and it was positive. I called my doctor. That afternoon, I had a telehealth visit. Since I'm considered high risk, she prescribed PAXLOVID. I started it that evening. Yesterday morning, my head was stuffed up and my voice was hoarse. After I showered, I felt a lot better. I still had a slight cough and a runny nose. Last night, my cough got worse. Today, I feel pretty good, but I still have a slight cough and runny nose. I still don't have a fever.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: The night I received the vaccine, I started to feel very tired. I also had chills, aches, and a headache. I didn't sleep well. I had a 99.9-degree temperature. When I woke up the next morning, my fever was 101.4-degrees. I took some TYLENOL to bring down the fever. The chills were gone, but I still had aches and a headache. A couple of hours later, I took my temperature again. My temperature had dropped to 100.4-degrees. Three hours later, I took my temperature again. It was 99.3-degrees. I still had the body aches, but I didn't feel as tired. When I woke up from a nap, my temperature was 98.3-degrees. I felt much better. I was still a little achy, but the headache was gone. That evening, my temperature was exactly 98.6-degrees. Saturday and Sunday, I had a sore arm and a slight headache that was intermittent. On Monday, I felt fine until about 09:00PM. I had a sore throat and stuffy nose. On Tuesday morning. I had a sore throat, a scratchy cough, and a runny nose. I did not have a fever. I took a COVID-19 test that morning, and it was positive. I called my doctor. That afternoon, I had a telehealth visit. Since I'm considered high risk, she prescribed PAXLOVID. I started it that evening. Yesterday morning, my head was stuffed up and my voice was hoarse. After I showered, I felt a lot better. I still had a slight cough and a runny nose. Last night, my cough got worse. Today, I feel pretty good, but I still have a slight cough and runny nose. I still don't have a fever.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Poor quality sleep, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: The night I received the vaccine, I started to feel very tired. I also had chills, aches, and a headache. I didn't sleep well. I had a 99.9-degree temperature. When I woke up the next morning, my fever was 101.4-degrees. I took some TYLENOL to bring down the fever. The chills were gone, but I still had aches and a headache. A couple of hours later, I took my temperature again. My temperature had dropped to 100.4-degrees. Three hours later, I took my temperature again. It was 99.3-degrees. I still had the body aches, but I didn't feel as tired. When I woke up from a nap, my temperature was 98.3-degrees. I felt much better. I was still a little achy, but the headache was gone. That evening, my temperature was exactly 98.6-degrees. Saturday and Sunday, I had a sore arm and a slight headache that was intermittent. On Monday, I felt fine until about 09:00PM. I had a sore throat and stuffy nose. On Tuesday morning. I had a sore throat, a scratchy cough, and a runny nose. I did not have a fever. I took a COVID-19 test that morning, and it was positive. I called my doctor. That afternoon, I had a telehealth visit. Since I'm considered high risk, she prescribed PAXLOVID. I started it that evening. Yesterday morning, my head was stuffed up and my voice was hoarse. After I showered, I felt a lot better. I still had a slight cough and a runny nose. Last night, my cough got worse. Today, I feel pretty good, but I still have a slight cough and runny nose. I still don't have a fever.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: There is no report from patient, the company notified us of the event due to being administered after expiration date.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood creatine phosphokinase MB, Blood magnesium, Blood thyroid stimulating hormone, Cardiac monitoring, Differential white blood cell count
Clinical narrative: Arm became red and swollen,  patient noted increased heart rate and at times dizziness
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Electrocardiogram, Erythema, Fibrin D dimer, Full blood count
Clinical narrative: Arm became red and swollen,  patient noted increased heart rate and at times dizziness
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Heart rate increased, Laboratory test, Metabolic function test, Peripheral swelling, Troponin I
Clinical narrative: Arm became red and swollen,  patient noted increased heart rate and at times dizziness
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urine analysis
Clinical narrative: Arm became red and swollen,  patient noted increased heart rate and at times dizziness
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Confusional state, Encephalitis, Headache, Laboratory test, Magnetic resonance imaging
Clinical narrative: 9/26/22- headache 9/27/22- headache/fever 9/29/22- headache, neck pain, seizure, confusion  Admitted to Hospital on 9/29, dx with encephalitis.  Discharged 10/6/22 w/ ongoing neuro symptoms/neuropsych follow up
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Neck pain, Neurological symptom, Pyrexia, Seizure
Clinical narrative: 9/26/22- headache 9/27/22- headache/fever 9/29/22- headache, neck pain, seizure, confusion  Admitted to Hospital on 9/29, dx with encephalitis.  Discharged 10/6/22 w/ ongoing neuro symptoms/neuropsych follow up
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Visual impairment
Clinical narrative: I had my vaccination on 04/04/2021. Immediately I felt dizzy. They had me go wait and monitor me for reactions. My vision started to spin. It did dissipate and I drove home. The dizziness lasted the one day.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Condition aggravated, Magnetic resonance imaging, Migraine, Nasal septum deviation
Clinical narrative: Four months after the second dose, I suffered a severe migraine that was the first I had in ten years (3rd migraine ever).  Following the migraine, I proceeded to suffer 9 more migraines over the next two months, all severe and with no other known triggers.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash macular, Rash pruritic
Clinical narrative: Days after vax starting to develop circular itching random bug bite looking blotches but bigger than a mosquito bite. Pretty sure it started on the same side of my body as where the shot was placed right side.. Start on my leg then arm after a few days started on the other side.  Maybe 10 isolated 5-7 mm lesions total. Today I had a similar legion at the site of a nickel snap touching my skin but nickel was not involved in the origin of the other lesions
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLU4, FLU4
Symptoms: COVID-19, Cough, Pyrexia, Rash, Respiratory tract congestion
Clinical narrative: Positive Covid test, 10/19/2022 Cogestion, coughing, fever of 101.7 Teleconferencce 10/23/2022: prescription for Lagevrio Three days of Lagevrio: rash on ribs and back, so Lagevrio discontinued Continuing to test positive at this writing, No fever for four days
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLU4, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Positive Covid test, 10/19/2022 Cogestion, coughing, fever of 101.7 Teleconferencce 10/23/2022: prescription for Lagevrio Three days of Lagevrio: rash on ribs and back, so Lagevrio discontinued Continuing to test positive at this writing, No fever for four days
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Angiogram normal, Atrial flutter, Blood test, Brain natriuretic peptide increased, Cardiac stress test abnormal
Clinical narrative: 25-30 hours later woke up with shortness of breath and chest pressure in night. Next am 99.4 fever, general malaise. Next night woke up again with shortness of breath, chest pressure. Fever of 100.4 in am. Urgent care that afternoon sent me to the ER.
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Chest X-ray, Chest discomfort, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: 25-30 hours later woke up with shortness of breath and chest pressure in night. Next am 99.4 fever, general malaise. Next night woke up again with shortness of breath, chest pressure. Fever of 100.4 in am. Urgent care that afternoon sent me to the ER.
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Malaise, Myocardial necrosis marker, Pyrexia, Sleep disorder
Clinical narrative: 25-30 hours later woke up with shortness of breath and chest pressure in night. Next am 99.4 fever, general malaise. Next night woke up again with shortness of breath, chest pressure. Fever of 100.4 in am. Urgent care that afternoon sent me to the ER.
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was to receive primary series dose 2.  However, patient received Pfizer  bivalent formulation instead of primary series monovalent formulation as second dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt came in for pfizer covid bivalent booster but the pfizer covid monovalent vaccine was given inadvertently
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive covid test in fully vaccinated and boostered x2 pt.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Chills, Decreased appetite, Hyperhidrosis, Injection site swelling, Pain
Clinical narrative: chills, fever, sweating, loss of appetite, soreness, swelling at injection site, itching
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Pruritus, Pyrexia
Clinical narrative: chills, fever, sweating, loss of appetite, soreness, swelling at injection site, itching
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Tachycardia
Clinical narrative: Patient reports experiencing tachycardia approximately 2 weeks after receiving Moderna COVID-19 Vaccine booster dose.   She reports her resting heart rate was approximately 150.  The patient consulted with her healthcare provider and had additional testing.  No further details about tests or results are available to pharmacist.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Pain, Product administered to patient of inappropriate age, Pyrexia, Wrong product administered
Clinical narrative: Patient was administered 0.3 ml undiluted pediatric bivalent booster instead of adult bivalent.  Patient experienced normal post-vaccination reaction symptoms including: headache, fever, body aches.  Patient said symptoms were not severe.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: My son let me know that he tested positive, and we all live in the same house. After a couple days, I started running a fever and tested positive for COVID-19 on 9/13/22. By the next morning I had a sore throat, and body aches. I called my doctor, and he told me about PAXLOVID, and I turned it down that day. I called back the next day and had them call it in. I started feeling better a couple days after taking it.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: My son let me know that he tested positive, and we all live in the same house. After a couple days, I started running a fever and tested positive for COVID-19 on 9/13/22. By the next morning I had a sore throat, and body aches. I called my doctor, and he told me about PAXLOVID, and I turned it down that day. I called back the next day and had them call it in. I started feeling better a couple days after taking it.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient here to receive Pfizer bivalent booster.  However, vaccinator incorrectly gave the monovalent(primary series) pfizer formulation instead.  No ADE noted following vaccination. Pt's caregiver was contacted and notified of error.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Emotional distress, Erythema, Fatigue, Injection site pain, Pruritus
Clinical narrative: Employee is a Contractor who works at Dental Clinic. She reports itching began15 minutes after injection but did not report. States noticed tenderness/soreness to Left arm injection site @ 1830. States awakened following day, 27 October, with puffy face, rash in face, itching, groggy and fatigue. She then went to work and was took Ibuprofen 800 mg. Arrived to Occupational Health Clinic 27 October with flat red areas on forehead, cheeks and around mouth. Reports feeling tired. Also, very emotional due to recent passing of her grandmother.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Somnolence, Swelling face
Clinical narrative: Employee is a Contractor who works at Dental Clinic. She reports itching began15 minutes after injection but did not report. States noticed tenderness/soreness to Left arm injection site @ 1830. States awakened following day, 27 October, with puffy face, rash in face, itching, groggy and fatigue. She then went to work and was took Ibuprofen 800 mg. Arrived to Occupational Health Clinic 27 October with flat red areas on forehead, cheeks and around mouth. Reports feeling tired. Also, very emotional due to recent passing of her grandmother.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, COVID-19, Cough, Diarrhoea, Fatigue
Clinical narrative: I contracted COVID-19 on 10/24/2022 with symptoms of headache, sore throat, runny nose, congestion, cough, abdominal pain, diarrhea, body aches, and fatigue. I was prescribed Paxlovid during my virtual visit on 10/26/2022. My symptoms are beginning to improve today 10/27/2022.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I contracted COVID-19 on 10/24/2022 with symptoms of headache, sore throat, runny nose, congestion, cough, abdominal pain, diarrhea, body aches, and fatigue. I was prescribed Paxlovid during my virtual visit on 10/26/2022. My symptoms are beginning to improve today 10/27/2022.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 10/24/2022 with symptoms of headache, sore throat, runny nose, congestion, cough, abdominal pain, diarrhea, body aches, and fatigue. I was prescribed Paxlovid during my virtual visit on 10/26/2022. My symptoms are beginning to improve today 10/27/2022.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PATIENT DID NOT REPORT AN ADVERSE EVENT, COMPANY NOTIFIED US OF ADMINISTERING VACCINE AFTER EXPIRATION DATE
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: I developed a cough and nasal congestion early 10/14, tested negative for COVID. Re-tested 10/15, tested positive. I phoned my physician and was prescribed Paxlovid based on my phone call, began Paxlovid on 10/15. My symptoms rapidly improved, and I never had a fever. I tested negative on 10/19 and again on 10/21. After I reported my positive test to V-Safe, I was called by the CDC. They said it could be helpful to complete a VAERS form to document the post- vaccine case.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Interchange of vaccine products
Clinical narrative: Patient's 1st dose of COVID vaccine was Pfizer MV and then was given a Moderna MV dose for a 2nd dose.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Auscultation, Back pain, Choking, Cough, Dyspnoea
Clinical narrative: Patient received influenza vaccine at 1700. At 1702, patient looked like he was choking, and was coughing. Client stated he needed water, but spit up/vomited shortly after receiving. Client reported his back hurt, and mom noted that client's hands and face appeared flushed. Patient blood pressure was 110/70, and expiratory wheezes noted on auscultation. Client sat down and rest, symptoms improving. EMS was called for evaulation and epinephrine was drawn but NOT administered. EMS cleared patient with vitals of SPO2 at 98%, and heart rate of 89. Mom refused transport and was comfortable taking client home. Phone call made to mom on 10/27/2022 at 1100. Mom reported client was hot like he had a fever during the night and this morning, and gave him acetaminophen times two. Also reported one episode of difficulty breathing that resolved within a couple of minutes. Mom reports that client does have asthma and does have a rescue inhaler that they do not usually use. RN noted to parent to use as prescribed and to go to the emergency room for unresolved breathing difficulty or other concerns. Mom notes that client went to school today and has been tolerating well.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Flushing, Skin warm, Vomiting, Wheezing
Clinical narrative: Patient received influenza vaccine at 1700. At 1702, patient looked like he was choking, and was coughing. Client stated he needed water, but spit up/vomited shortly after receiving. Client reported his back hurt, and mom noted that client's hands and face appeared flushed. Patient blood pressure was 110/70, and expiratory wheezes noted on auscultation. Client sat down and rest, symptoms improving. EMS was called for evaulation and epinephrine was drawn but NOT administered. EMS cleared patient with vitals of SPO2 at 98%, and heart rate of 89. Mom refused transport and was comfortable taking client home. Phone call made to mom on 10/27/2022 at 1100. Mom reported client was hot like he had a fever during the night and this morning, and gave him acetaminophen times two. Also reported one episode of difficulty breathing that resolved within a couple of minutes. Mom reports that client does have asthma and does have a rescue inhaler that they do not usually use. RN noted to parent to use as prescribed and to go to the emergency room for unresolved breathing difficulty or other concerns. Mom notes that client went to school today and has been tolerating well.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test in fully vaccinated and boosteredx2 pt
Age: 78.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Underdose
Clinical narrative: Wrong dose of Moderna COVID Bivalent vaccine was given on 10/14/2022 at 0.25mL instead of the 0.5mL (As146B). Another 0.25mL was given today 10/27/2022 (061F22A)
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, COVID-19, Cerebral ischaemia, Cerebrovascular accident, Cough
Clinical narrative: COVID + 10/25/22 - Vaccination Status - Moderna x4, including bivalent BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: DO Admission Date: 10/24/2022 Discharge Date: Oct 26, 2022     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute CVA (cerebrovascular accident) [I63.9] Cerebrovascular accident (CVA), unspecified mechanism [I63.9] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: 68 y.o. old female with hx of COPD, tobacco abuse, HLD, and anxiety/depression who was admitted for 4 day history of LUE numbness/tingling and episode of dysarthria with imaging showing early/subacute ischemic CVA in the right central sulcus.  Neurology was consulted.  An MRI of the brain was done.  There was findings of congenital venous malformations.  Neurosurgery was consulted.  They did not feel there was anything to be done in patient emergently.  They recommended follow-up with their team in 2-4 weeks.  This information was placed in her discharge paperwork. Pt also with ongoing cough and recent viral URI symptoms with most recent symptom onset about 10 days prior to admission with patient found to be COVID-19 positive. Pt initially maintaining her saturations on room air, but developed acute hypoxic respiratory insufficiency with O2 sats down to 85% on room air. Pt started on supplemental O2 via NC with quick improvement with initiation of dexamethasone and remdesivir. PT OT evaluated the patient and patient felt she was at baseline and did not require Sar placement.  Patient required a small amount of O2 with ambulation and this was arranged prior to discharge.  Patient felt ready to go home and was medically stable for discharge.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysarthria, Hypoaesthesia, Imaging procedure abnormal, Magnetic resonance imaging head abnormal, Malformation venous
Clinical narrative: COVID + 10/25/22 - Vaccination Status - Moderna x4, including bivalent BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: DO Admission Date: 10/24/2022 Discharge Date: Oct 26, 2022     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute CVA (cerebrovascular accident) [I63.9] Cerebrovascular accident (CVA), unspecified mechanism [I63.9] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: 68 y.o. old female with hx of COPD, tobacco abuse, HLD, and anxiety/depression who was admitted for 4 day history of LUE numbness/tingling and episode of dysarthria with imaging showing early/subacute ischemic CVA in the right central sulcus.  Neurology was consulted.  An MRI of the brain was done.  There was findings of congenital venous malformations.  Neurosurgery was consulted.  They did not feel there was anything to be done in patient emergently.  They recommended follow-up with their team in 2-4 weeks.  This information was placed in her discharge paperwork. Pt also with ongoing cough and recent viral URI symptoms with most recent symptom onset about 10 days prior to admission with patient found to be COVID-19 positive. Pt initially maintaining her saturations on room air, but developed acute hypoxic respiratory insufficiency with O2 sats down to 85% on room air. Pt started on supplemental O2 via NC with quick improvement with initiation of dexamethasone and remdesivir. PT OT evaluated the patient and patient felt she was at baseline and did not require Sar placement.  Patient required a small amount of O2 with ambulation and this was arranged prior to discharge.  Patient felt ready to go home and was medically stable for discharge.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oxygen saturation decreased, Paraesthesia, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: COVID + 10/25/22 - Vaccination Status - Moderna x4, including bivalent BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: DO Admission Date: 10/24/2022 Discharge Date: Oct 26, 2022     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute CVA (cerebrovascular accident) [I63.9] Cerebrovascular accident (CVA), unspecified mechanism [I63.9] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: 68 y.o. old female with hx of COPD, tobacco abuse, HLD, and anxiety/depression who was admitted for 4 day history of LUE numbness/tingling and episode of dysarthria with imaging showing early/subacute ischemic CVA in the right central sulcus.  Neurology was consulted.  An MRI of the brain was done.  There was findings of congenital venous malformations.  Neurosurgery was consulted.  They did not feel there was anything to be done in patient emergently.  They recommended follow-up with their team in 2-4 weeks.  This information was placed in her discharge paperwork. Pt also with ongoing cough and recent viral URI symptoms with most recent symptom onset about 10 days prior to admission with patient found to be COVID-19 positive. Pt initially maintaining her saturations on room air, but developed acute hypoxic respiratory insufficiency with O2 sats down to 85% on room air. Pt started on supplemental O2 via NC with quick improvement with initiation of dexamethasone and remdesivir. PT OT evaluated the patient and patient felt she was at baseline and did not require Sar placement.  Patient required a small amount of O2 with ambulation and this was arranged prior to discharge.  Patient felt ready to go home and was medically stable for discharge.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Urticaria
Clinical narrative: Patient 16 y.o. at the time of vaccination, has no pertinent allergies or relevant hx. Patient received dose #1 of the Pfizer monovalent series (Lot #EW0167) 0.3 mL IM to the right arm at Store on 4/26/21 without issue. Patient received dose #2 of the Pfizer monovalent series (Lot #EW0168) 0.3 mL IM to the right arm at Store on 5/19/21. At an unknown time lapse from the second dose administration the patient experienced generalized urticaria (location unknown). The patient followed up with PCP, CRNP, at Medical Group regarding urticaria on 5/25/21; it is unknown what treatment/care patient received for the reaction but hives resolved. At an unknown time following the second dose administration patient also developed a cough with SOB for which she went to an urgent care and received a 5 day steroid course; the cough and SOB resolved.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse events reported from dose. Dose of Moderna Bivalent (0.5mL) given on 10/13/22 was accidentally given 2 weeks prior to recommended dose range of 2 months from previous Moderna Monovalent dose. CDC recommended us give a second dose of Bivalent 8 weeks from previous Bivalent dose to ensure adequate coverage.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, COVID-19, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: I contracted COVID-19. I had a sore throat, headache, runny nose, joint pain, and experienced a lot of tiredness. I took a five day course of Paxlovid. I am also taking Dayquil medication.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19. I had a sore throat, headache, runny nose, joint pain, and experienced a lot of tiredness. I took a five day course of Paxlovid. I am also taking Dayquil medication.
Age: 44.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: MPX administration. No bleb noticed. Pt educated regarding re administration. Pt verbalized understanding, another vaccinator readministered the vaccine successfully.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Back injury, Back pain, Contusion
Clinical narrative: Patient called local Public Health Office today 10/28/2022 to report bruise on arm since vaccination on 10/12/2022 & pain behind her knee on the right side. Encouraged Pt. to apply warm and cold compresses to bruise & encouraged pt. to contact her primary care provider to report the pain in back of knee on right leg.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient requested the flu shot today and filled out the correct paperwork for the influenza vaccine. I was giving the flu shots and the Pfizer Bivalent Booster doses to several people, and I accidentally picked up the Pfizer Bivalent Booster dose instead of the Influenza vaccine and gave it to her. She previously had the Pfizer Bivalent Booster dose on 10/3/22. She has not reported any side effects so far. I did report this to a physician and a pharmacist that I work with.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Feeling abnormal, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: She got her vaccine, the arm swelled up the top part of it, 3/4 of her arm swelled up and it was a huge red spot at the injection site that was big and hard.  It was severely itching, the kind that you cannot stop itching.  The pain up to her shoulders, upper to her neck to the point that she could not use her right arm for 2 days as it hurt so bad.  She could not use it to eat and so she had to do functions with the left arm instead.  She also felt very lethargic and felt like she was not with it, which continued for about a week.  The swelling went down after a week but part of the arm was still swollen, still hard, still red and still itching really bad.  Then she swelling and redness went from her arms to itching really bad.  It finally all stopped after about 2-3 weeks.  She did not go to her doctor and treated it on her own.     With the first vaccine, about 2 hours after the vaccine she started running a low grade fever which she had for 2 days.  She got redness and swelling at the shot site, probably got the size of 2-3" wide but red in the middle of it with a hardness in the area.  She just felt really really bad for those 2 days.   She called her doctor and he told her to wait a while until the newest version came out.   She is now afraid to get another shot as she has had reactions and the medical issues that she has.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site swelling, Lethargy, Loss of personal independence in daily activities, Mobility decreased, Neck pain
Clinical narrative: She got her vaccine, the arm swelled up the top part of it, 3/4 of her arm swelled up and it was a huge red spot at the injection site that was big and hard.  It was severely itching, the kind that you cannot stop itching.  The pain up to her shoulders, upper to her neck to the point that she could not use her right arm for 2 days as it hurt so bad.  She could not use it to eat and so she had to do functions with the left arm instead.  She also felt very lethargic and felt like she was not with it, which continued for about a week.  The swelling went down after a week but part of the arm was still swollen, still hard, still red and still itching really bad.  Then she swelling and redness went from her arms to itching really bad.  It finally all stopped after about 2-3 weeks.  She did not go to her doctor and treated it on her own.     With the first vaccine, about 2 hours after the vaccine she started running a low grade fever which she had for 2 days.  She got redness and swelling at the shot site, probably got the size of 2-3" wide but red in the middle of it with a hardness in the area.  She just felt really really bad for those 2 days.   She called her doctor and he told her to wait a while until the newest version came out.   She is now afraid to get another shot as she has had reactions and the medical issues that she has.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: She got her vaccine, the arm swelled up the top part of it, 3/4 of her arm swelled up and it was a huge red spot at the injection site that was big and hard.  It was severely itching, the kind that you cannot stop itching.  The pain up to her shoulders, upper to her neck to the point that she could not use her right arm for 2 days as it hurt so bad.  She could not use it to eat and so she had to do functions with the left arm instead.  She also felt very lethargic and felt like she was not with it, which continued for about a week.  The swelling went down after a week but part of the arm was still swollen, still hard, still red and still itching really bad.  Then she swelling and redness went from her arms to itching really bad.  It finally all stopped after about 2-3 weeks.  She did not go to her doctor and treated it on her own.     With the first vaccine, about 2 hours after the vaccine she started running a low grade fever which she had for 2 days.  She got redness and swelling at the shot site, probably got the size of 2-3" wide but red in the middle of it with a hardness in the area.  She just felt really really bad for those 2 days.   She called her doctor and he told her to wait a while until the newest version came out.   She is now afraid to get another shot as she has had reactions and the medical issues that she has.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong patient
Clinical narrative: Error: Wrong Patient-
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Episodic, persistent headache over the next 8 weeks (& still ongoing)
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vial used open over 12 hours but under 24 hours. Reported to Pfizer, per rep ok as long as under 24 hours.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Exposure during pregnancy, Premature labour, SARS-CoV-2 test positive
Clinical narrative: 09/05/22 presents to Birth Center Triage for "contractions" "38w0d". PMHx of "Hypertension"
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Maternal exposure before pregnancy, SARS-CoV-2 test positive, Uterine contractions during pregnancy
Clinical narrative: 09/05/22 presents to Birth Center Triage for "contractions" "38w0d". PMHx of "Hypertension"
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: During charting of above administered vaccines, noted patient had received 4 year well vaccines two days prior on 10/24 (mom had marked "no" to vaccines in prior 4 weeks on screening form, and printed vaccine records available at time of visit did not list vaccines from 10/24. Vaccines received in duplicate: Fluzone, Lot UJ879AB, given in Left thigh on 10/24/22. MMRV, Lot W020548, given in Right thigh on 10/24/22. Kinrix, Lot 2kl4k, given in Left thigh on 10/24/22.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt. had no record of prior vaccination with covid Vx and was aware he was receiving Dose 1 of Moderna primary series and signed consent form. After receiving vaccine he asked how he could find out where he received other shots?  Thought he went to a clinic or pharmacy.  Told him to check with them and he left.  Then checked vaccine registry and found he had already received Pfizer primary series and booster.  Should have received Moderna Bivalent booster today.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vial used open over 12 hours but under 24 hours. Reported to Pfizer, per rep ok as long as under 24 hours.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, COVID-19, Cough, Diarrhoea, Dizziness
Clinical narrative: It started with sore throat, cough, headache, slight fever and then I progressed to being so dizzy and off balance. Now, I have total nausea and diarrhea. I feel very fatigued. My doctor subscribed PAXLOVID for 5 days. I have shortness of breath if I move around.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Nausea, Oropharyngeal pain
Clinical narrative: It started with sore throat, cough, headache, slight fever and then I progressed to being so dizzy and off balance. Now, I have total nausea and diarrhea. I feel very fatigued. My doctor subscribed PAXLOVID for 5 days. I have shortness of breath if I move around.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: It started with sore throat, cough, headache, slight fever and then I progressed to being so dizzy and off balance. Now, I have total nausea and diarrhea. I feel very fatigued. My doctor subscribed PAXLOVID for 5 days. I have shortness of breath if I move around.
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Joint range of motion decreased
Clinical narrative: Patient reported limited range of motion of right shoulder since receiving her influenza and covid vaccines on October 14th.
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLUA4, COVID19-2, FLUA4
Symptoms: Muscle spasms, Tremor
Clinical narrative: Muscle spasms and tremors
Age: 13.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Flublok vaccination administered to patient who is under the age of 18 years old
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vial used open over 12 hours but under 24 hours. Reported to Pfizer, per rep ok as long as under 24 hours.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, Pneumonia
Clinical narrative: The patient is a 82 y female who was admitted on 10/25/2021 pmhx htn, breast cancer, copd, former smoker, was admitted for acute hypoxic respiratory failure due to covid 19 infection,  she was placed on respiratory protocol, decadron, abx, remdesivir. acute hypoxic respiratory resolved, covid 19 infections, pneumonia improved. Pt is medically stable will be discharged home stable condition, resume home medications, follow up pcp.
Age: 48.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ear discomfort, Fluid retention, Hypoaesthesia
Clinical narrative: Moderna COVID Bivalent administered on 10/21/22. On 10/22/22 Employee reports the day after vaccination that he developed right-sided facial numbness and his ear feels clogged and full of fluid.
Age: 9.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Flublok vaccination administered to patient who is under the age of 18 years old
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received PFizer Monovalent instead of Bivalent
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Chills, Condition aggravated, Fatigue, Feeling cold
Clinical narrative: Woke up during the night and did not feel well, and had a headache. Got up to get Ibuprofen and I fainted and woke up on the kitchen floor with a pounding headache on the back of my head, and learned I had urinated on myself.  Was freezing cold with the chills, and tried to get up and then vomited.  I felt slightly better, cleaned up and took a warm bath, and went back to bed with an ice pack on the back of my head and a hot pack on my lower back (my lower back was sore due to a previous injury, but got worse after fainting in the kitchen).  Fatigue has also been a side effect.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Malaise, Pain, Sleep disorder, Syncope
Clinical narrative: Woke up during the night and did not feel well, and had a headache. Got up to get Ibuprofen and I fainted and woke up on the kitchen floor with a pounding headache on the back of my head, and learned I had urinated on myself.  Was freezing cold with the chills, and tried to get up and then vomited.  I felt slightly better, cleaned up and took a warm bath, and went back to bed with an ice pack on the back of my head and a hot pack on my lower back (my lower back was sore due to a previous injury, but got worse after fainting in the kitchen).  Fatigue has also been a side effect.