chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.08
Sex: M
Vaccine: DTPPVHBHPB, PNC13, RV5, DTPPVHBHPB, PNC13, RV5
Symptoms: Crying, Diarrhoea, Hypersomnia, Infantile spitting up, Injection site swelling
Clinical narrative: Significant right leg swelling hours after getting vaccine.  100.2 temp.  Had a high pitched scream like he was in a lot of pain and was not consolable. Tylenol and icing the area helped. slept a lot.  had a lot of blowouts and spitting up more than usual.   was doing a lot better the next day.
Age: 0.08
Sex: M
Vaccine: DTPPVHBHPB, PNC13, RV5, DTPPVHBHPB, PNC13, RV5
Symptoms: Pain, Screaming
Clinical narrative: Significant right leg swelling hours after getting vaccine.  100.2 temp.  Had a high pitched scream like he was in a lot of pain and was not consolable. Tylenol and icing the area helped. slept a lot.  had a lot of blowouts and spitting up more than usual.   was doing a lot better the next day.
Age: 0.08
Sex: M
Vaccine: DTPPVHBHPB, PNC13, RV5, DTPPVHBHPB, PNC13, RV5
Symptoms: Diarrhoea, Hypersomnia, Infantile spitting up, Peripheral swelling, Product use issue
Clinical narrative: Significant right leg swelling hours after getting vaccine.  100.2 temp.  Had a high pitched scream like he was in a lot of pain and was not consolable. Tylenol and icing the area helped. slept a lot.  had a lot of blowouts and spitting up more than usual.   was doing a lot better the next day.
Age: 0.08
Sex: M
Vaccine: DTPPVHBHPB, PNC13, RV5, DTPPVHBHPB, PNC13, RV5
Symptoms: Screaming
Clinical narrative: Significant right leg swelling hours after getting vaccine.  100.2 temp.  Had a high pitched scream like he was in a lot of pain and was not consolable. Tylenol and icing the area helped. slept a lot.  had a lot of blowouts and spitting up more than usual.   was doing a lot better the next day.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 10.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor, Vomiting
Clinical narrative: Nausea, dizzy, vomited. She was pale and diaphoretic. No loss of consciousness. We had her lay down and applied a cool towel to her forehead. After 5 minutes, she seemed back to her baseline.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: patient was given pfizer vaccine that was stored in the freezer past temperature excursion allowed. Patient's gaurdian and patient has NO complaints or adverse events.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Vaccine administered beyond use date.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Headache, Influenza like illness, Malaise
Clinical narrative: Regarding the vaccines:  With the exception of the first dose, all shots were Moderna and I had fever, headaches and flu-like symptoms for about 48 hours.   The latest event was 2 positive COVID tests and symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Regarding the vaccines:  With the exception of the first dose, all shots were Moderna and I had fever, headaches and flu-like symptoms for about 48 hours.   The latest event was 2 positive COVID tests and symptoms.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Antiplatelet therapy, Arthralgia, COVID-19, Catheterisation cardiac
Clinical narrative: Moderna Dose 1 5/8/21 (026B21A) Moderna Dose 2 6/9/21 (038B21A) COVID Positive 2/6/22  2/6/22: This is a 65-year-old male with history of obesity, coronary artery disease status post stenting in the past, hyperlipidemia and type 2 diabetes mellitus who presented to the emergency department with pain in the left shoulder. Patient has been having worsening left shoulder pain for the past few days. Pain is moderate to severe intensity, radiates down the left arm, pressure-like, without noticeable relieving or exacerbating factors. There is associated shortness of breath and dizziness. He has no fever, chills, cough, vomiting or abdominal pain. Patient has history of coronary artery disease and had stents placed in 2001. He is on p.o. aspirin 81 mg daily at home. He has not been following with Cardiology since then.   In the emergency department, patient had an EKG that showed ST elevations in the inferior leads. He was noted to be in sinus bradycardia.  His E had a negative troponin level. He received 4 p.o. aspirin tablets prior to coming to the emergency department. Patient was started on IV heparin drip. Cardiology was consulted and he was taking to the cath lab.  2/9/22: Dual anti-platelet therapy per Cardiology with p.o. aspirin and Brilinta  P.o. amiodarone 200 mg daily  P.o. atorvastatin 80 mg daily  P.o. Eliquis for DVT prophylaxis  Hemodynamically stable for discharge  Will discharge home  Follow-up with PCP in 3-5 days  Follow up with Cardiology as outpatient  Patient and wife agree with plan of care
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Dyspnoea, Electrocardiogram ST segment elevation, Inappropriate schedule of product administration
Clinical narrative: Moderna Dose 1 5/8/21 (026B21A) Moderna Dose 2 6/9/21 (038B21A) COVID Positive 2/6/22  2/6/22: This is a 65-year-old male with history of obesity, coronary artery disease status post stenting in the past, hyperlipidemia and type 2 diabetes mellitus who presented to the emergency department with pain in the left shoulder. Patient has been having worsening left shoulder pain for the past few days. Pain is moderate to severe intensity, radiates down the left arm, pressure-like, without noticeable relieving or exacerbating factors. There is associated shortness of breath and dizziness. He has no fever, chills, cough, vomiting or abdominal pain. Patient has history of coronary artery disease and had stents placed in 2001. He is on p.o. aspirin 81 mg daily at home. He has not been following with Cardiology since then.   In the emergency department, patient had an EKG that showed ST elevations in the inferior leads. He was noted to be in sinus bradycardia.  His E had a negative troponin level. He received 4 p.o. aspirin tablets prior to coming to the emergency department. Patient was started on IV heparin drip. Cardiology was consulted and he was taking to the cath lab.  2/9/22: Dual anti-platelet therapy per Cardiology with p.o. aspirin and Brilinta  P.o. amiodarone 200 mg daily  P.o. atorvastatin 80 mg daily  P.o. Eliquis for DVT prophylaxis  Hemodynamically stable for discharge  Will discharge home  Follow-up with PCP in 3-5 days  Follow up with Cardiology as outpatient  Patient and wife agree with plan of care
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, SARS-CoV-2 test positive, Sinus bradycardia, Troponin normal
Clinical narrative: Moderna Dose 1 5/8/21 (026B21A) Moderna Dose 2 6/9/21 (038B21A) COVID Positive 2/6/22  2/6/22: This is a 65-year-old male with history of obesity, coronary artery disease status post stenting in the past, hyperlipidemia and type 2 diabetes mellitus who presented to the emergency department with pain in the left shoulder. Patient has been having worsening left shoulder pain for the past few days. Pain is moderate to severe intensity, radiates down the left arm, pressure-like, without noticeable relieving or exacerbating factors. There is associated shortness of breath and dizziness. He has no fever, chills, cough, vomiting or abdominal pain. Patient has history of coronary artery disease and had stents placed in 2001. He is on p.o. aspirin 81 mg daily at home. He has not been following with Cardiology since then.   In the emergency department, patient had an EKG that showed ST elevations in the inferior leads. He was noted to be in sinus bradycardia.  His E had a negative troponin level. He received 4 p.o. aspirin tablets prior to coming to the emergency department. Patient was started on IV heparin drip. Cardiology was consulted and he was taking to the cath lab.  2/9/22: Dual anti-platelet therapy per Cardiology with p.o. aspirin and Brilinta  P.o. amiodarone 200 mg daily  P.o. atorvastatin 80 mg daily  P.o. Eliquis for DVT prophylaxis  Hemodynamically stable for discharge  Will discharge home  Follow-up with PCP in 3-5 days  Follow up with Cardiology as outpatient  Patient and wife agree with plan of care
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Salivary hypersecretion, Strawberry tongue
Clinical narrative: Strawberry tongue and excessive saliva
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Injection site pain, Product administered to patient of inappropriate age
Clinical narrative: Vaccine administering error: At our COVID vaccination clinic, patient was accidentally given Moderna COVID vaccine (18 and up) 0.3 ml instead of 0.25ml as the 2nd COVID vaccine booster.  Patient was contacted the same day and notified this vaccine administering error. Then patient was contacted again the next day to follow up. Patient did not have any other signs or symptoms except pain in the injection site.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blood immunoglobulin A, Blood immunoglobulin G, Blood immunoglobulin M, Blood test, Chest X-ray
Clinical narrative: Local pain to injection site, widespread body aches, fever and chills by that night.   Next day: persistent fever and body aches, headaches, nausea   First Week: developed skin rash on right lateral thigh, later diagnosed as eczema (still persistent and uncontrolled to this day)  Bilateral Respiratory wheezes and chest pain when working out (never had pre vaccine)
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Eczema, Electrocardiogram, Headache
Clinical narrative: Local pain to injection site, widespread body aches, fever and chills by that night.   Next day: persistent fever and body aches, headaches, nausea   First Week: developed skin rash on right lateral thigh, later diagnosed as eczema (still persistent and uncontrolled to this day)  Bilateral Respiratory wheezes and chest pain when working out (never had pre vaccine)
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Pain, Pyrexia, Rash
Clinical narrative: Local pain to injection site, widespread body aches, fever and chills by that night.   Next day: persistent fever and body aches, headaches, nausea   First Week: developed skin rash on right lateral thigh, later diagnosed as eczema (still persistent and uncontrolled to this day)  Bilateral Respiratory wheezes and chest pain when working out (never had pre vaccine)
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Local pain to injection site, widespread body aches, fever and chills by that night.   Next day: persistent fever and body aches, headaches, nausea   First Week: developed skin rash on right lateral thigh, later diagnosed as eczema (still persistent and uncontrolled to this day)  Bilateral Respiratory wheezes and chest pain when working out (never had pre vaccine)
Sex: M
Vaccine: HIBV
Symptoms: Expired product administered, No adverse event
Clinical narrative: The patient was given an expired vaccine on 06/22/22 @10:40 am.  The vaccine had expired on 05/29/22.  Dr. and nursing supervisor informed by this nurse. This nurse called mom and informed her of the above incident and inquired about any adverse signs and or side effects pt. is experiencing.  Mother reported that presently he seemed fine and showed no ill signs or symptoms.  Mother encouraged to call Dr. at any time if his condition changes or for any concerns.  I expressed deep apology
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 61.0
Sex: F
Vaccine: HEP
Symptoms: Cognitive disorder, Dysarthria
Clinical narrative: Employee started experiencing symptoms of slurred speech and periods of zoning out on 10/21/2021. She saw her physician on 10/27/2021 believing she was experiencing symptoms of an underlying condition. The employee and physician were not suspecting the vaccine as the cause at that time. On 06/09/2022 the employees physician determined the Vaccine as the cause. The employee has not experienced any symptoms since 11/17/2021.
Age: 84.0
Sex: F
Vaccine: COVID19, UNK, UNK
Symptoms: Cough, Dyspnoea, Fatigue
Clinical narrative: Shortness of breath, fatigue, and cough ongoing over 2 days
Age: 1.08
Sex: M
Vaccine: UNK
Symptoms: Rash pruritic, Scab
Clinical narrative: Mother of child reported that after varicella vaccine (ProQuad) on 8/31/20, baby had itchy scabs (rash) all over body starting on 9/9/20 . Ped attributed it to chickenpox vax. Symptoms are resolving but still present. Took Benadryl.  Mother of child thinks he has low immune system, but pediatrician doesn't think so.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond use date.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Urticaria
Clinical narrative: FEW DAYS FOLLOWING THIRD DOSE OF MODERNA VACCINE, PATIENT DEVELOPED HIVES WITH PAIN. MOTHER IS REPORTING ADVERSE EVENT TO US TODAY, AND HIVES HAVE NOT FULLY RESOLVED.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Vertigo
Clinical narrative: Headaches, Nausea, Vertigo next morning and persistent   Approximately 10 times since 2/24/22.   Never before have I experienced any of these symptoms for any reason.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: UNDERAGE NO ADVERSE EVENTS
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, General physical health deterioration, Interchange of vaccine products
Clinical narrative: Patient presented to the emergency department via EMS on 5/27/2022 with altered mental status, tested Covid-19 positive via PCR that day, and subsequently diagnosed with pneumonia due to Covid-19 and was admitted. Patient continued to overall decline during admission and ultimately passed away on 6/4/2022. In medical chart, Covid-19 is not listed as a cause of death.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the emergency department via EMS on 5/27/2022 with altered mental status, tested Covid-19 positive via PCR that day, and subsequently diagnosed with pneumonia due to Covid-19 and was admitted. Patient continued to overall decline during admission and ultimately passed away on 6/4/2022. In medical chart, Covid-19 is not listed as a cause of death.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Injection site pain, Vaccination error
Clinical narrative: Vaccine administering error: At our COVID vaccination clinic, patient was accidentally given Moderna COVID vaccine (18 and up) 0.3 ml instead of 0.25ml as the 2nd COVID vaccine booster.  Patient was contacted the same day and notified this vaccine administering error. Then patient was contacted again the next day to follow up. Patient did not have any other signs or symptoms except pain in the injection site.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fluid retention, Imaging procedure
Clinical narrative: Per pt they got the first booster on 1/18/22 and since then they have had fluid retention in arm. pt stated he needed a report because his doctor and lawyer told him he needed surgery due to water in arm and that it was caused by the covid shot.
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: No adverse event
Clinical narrative: No adverse reactions noted or stated by patient.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: I contracted Covid-19 2 weeks after my 4th vaccination.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild, Additional Details: LARGE BRUSING AREA IN THE ARM
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Incorrect timing of administration: Pt was given dose 2 moderna 0.5ml  at day 21 instead of day 28.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Morphoea, Rash, Rash erythematous
Clinical narrative: 4 weeks after second COVID vaccine a large rash on my torso began forming and turned rubbery and red.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond use date.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Acute kidney injury, Blood culture negative, COVID-19
Clinical narrative: Moderna Dose 1 1/7/21 (025L20A) Moderna Dose 2 2/4/21 (057G20A) COVID Positive 1/5/22 COVID Negative 1/30/22 COVID Negative 2/4/21 COVID Positive 2/5/22  1/30/22: 57-year-old male with a past medical history significant for heart failure with reduced ejection fraction, CKD stage 4, history of dilated cardiomyopathy, hypertension, hepatic encephalopathy and alcoholic liver disease comes in for increased swelling of lower extremities abdomen and arms.  Patient is a very poor historian history is primarily obtained from ED provider sign-out and chart review.  Reportedly patient was recently admitted to medical service for similar complaints was to discharge, reportedly has not taken his Lasix as outpatient now is coming back in for increased swelling. Blood work demonstrates mildly elevated troponin, mild AKI on CKD,, leukocytosis, chest x-ray reportedly negative.  Patient received Lasix was not requiring any supplemental oxygen request was made to admit to medical service for further treatment evaluation.  Bedside patient is sitting comfortably in bed currently denies any lightheadedness, dizziness, chills, fever, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain or discomfort.  As noted has swelling in all extremities abdomen feels tightness. Endorses tobacco use, alcohol consumption though very evasive on how much she consumes and when his last intake was, unclear on marijuana/recreational drugs.  Unclear on sick contacts, recent travel outside the area or family history even though inquired.  Reportedly has gotten COVID-19 vaccination per chart unclear on booster.  2/15/22: Patient is a 58-year-old male history of nonischemic dilated cardiomyopathy due to alcohol admitted to the hospital for acute decompensated systolic CHF and acute kidney injury on CKD.  Under the guidance of Nephrology patient was treated with IV diuretic, as time progressed patient clinically improved.  Patient's hospitalization was complicated by MSSA bacteremia of unclear source, Infectious Disease was consulted patient was treated with IV antibiotics, patient completed transthoracic echocardiogram which was negative, transesophageal echocardiogram which is negative, repeat blood cultures were negative, ID recommended p.o. Keflex on discharge for completion.  Incidentally patient was also noted to be positive for COVID-19 without respiratory symptoms.  Patient was evaluated by therapy prior to discharge recommended home VNA.  Patient will be discharged home with VNA recommended follow-up with PCP within 1 week.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Cardiac failure congestive, Chest X-ray normal, Chronic kidney disease, Echocardiogram normal
Clinical narrative: Moderna Dose 1 1/7/21 (025L20A) Moderna Dose 2 2/4/21 (057G20A) COVID Positive 1/5/22 COVID Negative 1/30/22 COVID Negative 2/4/21 COVID Positive 2/5/22  1/30/22: 57-year-old male with a past medical history significant for heart failure with reduced ejection fraction, CKD stage 4, history of dilated cardiomyopathy, hypertension, hepatic encephalopathy and alcoholic liver disease comes in for increased swelling of lower extremities abdomen and arms.  Patient is a very poor historian history is primarily obtained from ED provider sign-out and chart review.  Reportedly patient was recently admitted to medical service for similar complaints was to discharge, reportedly has not taken his Lasix as outpatient now is coming back in for increased swelling. Blood work demonstrates mildly elevated troponin, mild AKI on CKD,, leukocytosis, chest x-ray reportedly negative.  Patient received Lasix was not requiring any supplemental oxygen request was made to admit to medical service for further treatment evaluation.  Bedside patient is sitting comfortably in bed currently denies any lightheadedness, dizziness, chills, fever, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain or discomfort.  As noted has swelling in all extremities abdomen feels tightness. Endorses tobacco use, alcohol consumption though very evasive on how much she consumes and when his last intake was, unclear on marijuana/recreational drugs.  Unclear on sick contacts, recent travel outside the area or family history even though inquired.  Reportedly has gotten COVID-19 vaccination per chart unclear on booster.  2/15/22: Patient is a 58-year-old male history of nonischemic dilated cardiomyopathy due to alcohol admitted to the hospital for acute decompensated systolic CHF and acute kidney injury on CKD.  Under the guidance of Nephrology patient was treated with IV diuretic, as time progressed patient clinically improved.  Patient's hospitalization was complicated by MSSA bacteremia of unclear source, Infectious Disease was consulted patient was treated with IV antibiotics, patient completed transthoracic echocardiogram which was negative, transesophageal echocardiogram which is negative, repeat blood cultures were negative, ID recommended p.o. Keflex on discharge for completion.  Incidentally patient was also noted to be positive for COVID-19 without respiratory symptoms.  Patient was evaluated by therapy prior to discharge recommended home VNA.  Patient will be discharged home with VNA recommended follow-up with PCP within 1 week.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular failure, Leukocytosis, Peripheral swelling, SARS-CoV-2 test positive, Staphylococcal bacteraemia
Clinical narrative: Moderna Dose 1 1/7/21 (025L20A) Moderna Dose 2 2/4/21 (057G20A) COVID Positive 1/5/22 COVID Negative 1/30/22 COVID Negative 2/4/21 COVID Positive 2/5/22  1/30/22: 57-year-old male with a past medical history significant for heart failure with reduced ejection fraction, CKD stage 4, history of dilated cardiomyopathy, hypertension, hepatic encephalopathy and alcoholic liver disease comes in for increased swelling of lower extremities abdomen and arms.  Patient is a very poor historian history is primarily obtained from ED provider sign-out and chart review.  Reportedly patient was recently admitted to medical service for similar complaints was to discharge, reportedly has not taken his Lasix as outpatient now is coming back in for increased swelling. Blood work demonstrates mildly elevated troponin, mild AKI on CKD,, leukocytosis, chest x-ray reportedly negative.  Patient received Lasix was not requiring any supplemental oxygen request was made to admit to medical service for further treatment evaluation.  Bedside patient is sitting comfortably in bed currently denies any lightheadedness, dizziness, chills, fever, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain or discomfort.  As noted has swelling in all extremities abdomen feels tightness. Endorses tobacco use, alcohol consumption though very evasive on how much she consumes and when his last intake was, unclear on marijuana/recreational drugs.  Unclear on sick contacts, recent travel outside the area or family history even though inquired.  Reportedly has gotten COVID-19 vaccination per chart unclear on booster.  2/15/22: Patient is a 58-year-old male history of nonischemic dilated cardiomyopathy due to alcohol admitted to the hospital for acute decompensated systolic CHF and acute kidney injury on CKD.  Under the guidance of Nephrology patient was treated with IV diuretic, as time progressed patient clinically improved.  Patient's hospitalization was complicated by MSSA bacteremia of unclear source, Infectious Disease was consulted patient was treated with IV antibiotics, patient completed transthoracic echocardiogram which was negative, transesophageal echocardiogram which is negative, repeat blood cultures were negative, ID recommended p.o. Keflex on discharge for completion.  Incidentally patient was also noted to be positive for COVID-19 without respiratory symptoms.  Patient was evaluated by therapy prior to discharge recommended home VNA.  Patient will be discharged home with VNA recommended follow-up with PCP within 1 week.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Moderna Dose 1 1/7/21 (025L20A) Moderna Dose 2 2/4/21 (057G20A) COVID Positive 1/5/22 COVID Negative 1/30/22 COVID Negative 2/4/21 COVID Positive 2/5/22  1/30/22: 57-year-old male with a past medical history significant for heart failure with reduced ejection fraction, CKD stage 4, history of dilated cardiomyopathy, hypertension, hepatic encephalopathy and alcoholic liver disease comes in for increased swelling of lower extremities abdomen and arms.  Patient is a very poor historian history is primarily obtained from ED provider sign-out and chart review.  Reportedly patient was recently admitted to medical service for similar complaints was to discharge, reportedly has not taken his Lasix as outpatient now is coming back in for increased swelling. Blood work demonstrates mildly elevated troponin, mild AKI on CKD,, leukocytosis, chest x-ray reportedly negative.  Patient received Lasix was not requiring any supplemental oxygen request was made to admit to medical service for further treatment evaluation.  Bedside patient is sitting comfortably in bed currently denies any lightheadedness, dizziness, chills, fever, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain or discomfort.  As noted has swelling in all extremities abdomen feels tightness. Endorses tobacco use, alcohol consumption though very evasive on how much she consumes and when his last intake was, unclear on marijuana/recreational drugs.  Unclear on sick contacts, recent travel outside the area or family history even though inquired.  Reportedly has gotten COVID-19 vaccination per chart unclear on booster.  2/15/22: Patient is a 58-year-old male history of nonischemic dilated cardiomyopathy due to alcohol admitted to the hospital for acute decompensated systolic CHF and acute kidney injury on CKD.  Under the guidance of Nephrology patient was treated with IV diuretic, as time progressed patient clinically improved.  Patient's hospitalization was complicated by MSSA bacteremia of unclear source, Infectious Disease was consulted patient was treated with IV antibiotics, patient completed transthoracic echocardiogram which was negative, transesophageal echocardiogram which is negative, repeat blood cultures were negative, ID recommended p.o. Keflex on discharge for completion.  Incidentally patient was also noted to be positive for COVID-19 without respiratory symptoms.  Patient was evaluated by therapy prior to discharge recommended home VNA.  Patient will be discharged home with VNA recommended follow-up with PCP within 1 week.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, chills, fever, aches
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Vaccine administered beyond use date.
Age: 11.0
Sex: M
Vaccine: MENB, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received Trumenba instead of Menactra. There were no adverse effects.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond use date.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein normal, Full blood count normal, Metabolic function test normal, Red blood cell sedimentation rate normal
Clinical narrative: Chronic joint pain in R wrist,  Achilles tendonitis bilat, R hip pain - pain started a few days post vaccine and has been ongoing despite treatment. Have seen my provider and have been taking anti-inflammatories, and have done recommended therapies.  Xrays do not support level of pain.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tendonitis, X-ray limb normal, X-ray of pelvis and hip normal
Clinical narrative: Chronic joint pain in R wrist,  Achilles tendonitis bilat, R hip pain - pain started a few days post vaccine and has been ongoing despite treatment. Have seen my provider and have been taking anti-inflammatories, and have done recommended therapies.  Xrays do not support level of pain.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Extra dose administered, Fatigue, Hypersensitivity
Clinical narrative: Received my fourth covid vaccine on 5/12/22 Sneezing, congestion and allergy type symptoms on 6/11/22 Began having low grade fevers (99.6 max), fatigue, muscle aches, cough, worse congestion and generally not feeling well 6/12/22 Took a home test 6/12 and tested positive for covid Called my doc and she called in paxlovid 6/13. Took two doses and felt dramatically better by 6/14. No more fevers or aches. Still tired and a cough which continued another day or two. By 6/16 felt completely normal and returned to work.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Malaise, Myalgia, Pyrexia, Respiratory tract congestion
Clinical narrative: Received my fourth covid vaccine on 5/12/22 Sneezing, congestion and allergy type symptoms on 6/11/22 Began having low grade fevers (99.6 max), fatigue, muscle aches, cough, worse congestion and generally not feeling well 6/12/22 Took a home test 6/12 and tested positive for covid Called my doc and she called in paxlovid 6/13. Took two doses and felt dramatically better by 6/14. No more fevers or aches. Still tired and a cough which continued another day or two. By 6/16 felt completely normal and returned to work.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: Received my fourth covid vaccine on 5/12/22 Sneezing, congestion and allergy type symptoms on 6/11/22 Began having low grade fevers (99.6 max), fatigue, muscle aches, cough, worse congestion and generally not feeling well 6/12/22 Took a home test 6/12 and tested positive for covid Called my doc and she called in paxlovid 6/13. Took two doses and felt dramatically better by 6/14. No more fevers or aches. Still tired and a cough which continued another day or two. By 6/16 felt completely normal and returned to work.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Injection site pain, Vaccination error
Clinical narrative: Vaccine administering error: At our COVID vaccination clinic, patient was accidentally given Moderna COVID vaccine (18 and up) 0.3 ml instead of 0.25ml as the 2nd COVID vaccine booster.  Patient was contacted the same day and notified this vaccine administering error. Then patient was contacted again the next day to follow up. Patient did not have any other signs or symptoms except pain in the injection site.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Foetal heart rate abnormal, Ultrasound foetal abnormal
Clinical narrative: Patient received Pfizer COVID Vaccine at approximately 5 weeks pregnant. She reported having a miscarriage
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient received 4th dose when not approved for patient age, patient contacted and made aware. patient is currently ok.
Age: 1.75
Sex: M
Vaccine: DTAP, DTAP, FLU4, FLU4, HEPA, HEPA, MMR
Symptoms: Expired product administered
Clinical narrative: MMR vaccine expired on 6/16/2022 and was administered on 6/20/2022.  Contacted health department and heard from nurse who advised the following:  "when an expired medication is given to patient, the dose needs to be repeated.  Since this was a live vaccine, you should wait at least 4 weeks (28 days) after the previous (expired) dose was given before repeating it.  Although simply repeating dose is preferred, serological testing to check for immunity may be accepted."  Parent of patient has been called and voice mail left requesting they contact clinic to discuss the above information.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Malaise, Vaccine breakthrough infection
Clinical narrative: Patient first diagnosed with Covid infection on 5/19. Patient was seen in the emergency department on 5/28 generally feeling unwell with generalized weakness. Subsequently admitted from 5/28-6/8 for weakness and Covid.  This meets criteria for vaccine breakthrough case review.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse event- underage
Age: 0.75
Sex: M
Vaccine: RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was in office on 6/15 for their 9 month physical exam. They still needed their 6 month vaccines. Provider ordered 6 month vaccines to be given. Both provider and the nurse administering the injections did not realize that RotaTeq vaccine had an 8 month cut off age and should have not been given to this patient. Practice manager and Nurse Manager was notified of event, and incident report was filed. We contacted the manufacturer, Merck, who stated there is no follow up and only adverse effect could be a fever. Patient's parents were notified on 6/23 and they stated he has been fine with no adverse effects since the event.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Chest pain
Clinical narrative: 1/7/22 to ED with c/o chest pain and increasing SOB over past month; 2 days prior to ED visit, pt seen in outpatient clinic and placed on antibiotic for possible pneumonia; admitted; found to be positive for COVID; placed on BiPAP; increasing weakness, decreasing appetite; steroids; AHRF secondary to COVID pneumonia; dc'd to inpatient hospice where she passed away
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Decreased appetite, Dyspnoea, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 1/7/22 to ED with c/o chest pain and increasing SOB over past month; 2 days prior to ED visit, pt seen in outpatient clinic and placed on antibiotic for possible pneumonia; admitted; found to be positive for COVID; placed on BiPAP; increasing weakness, decreasing appetite; steroids; AHRF secondary to COVID pneumonia; dc'd to inpatient hospice where she passed away
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Feeling abnormal, Vaccine positive rechallenge
Clinical narrative: PATIENT WAS UNDER THE AGE OF 50 AND RECIEVED FOURTH DOSE AND DID NOT MEET ELIGIBILITY CRITERIA CURRENTLY SET. PATIENT WAS CONTACTED AND IS FEELING SLIGHTLY "RUNDOWN"  WAS COUNSLED ON TREATING SYMPTOMS. NOT DIFFERENT FROM RESPONSE TO OTHER 3 VACCINES.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Administration Error
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Vaccine administered beyond use date.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Caesarean section, Epidural anaesthesia, Epidural blood patch, Exposure during pregnancy, Labour augmentation
Clinical narrative: Patient to Labor and Delivery for premature rupture of membranes, admitted to L&D. Given penicillin for GBS+. Labor augmented with cytotec and pitocin. Patient received epidural. Patient had several prolonged decelerations requiring terbutaline, with minimal cervical change. Patient to OR for failure to progress. Her post operative course was complicated by a spinal headache which resolved with a blood patch. Patient had an unscheduled Cesarean Section.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Post lumbar puncture syndrome, Premature rupture of membranes, Streptococcus test positive
Clinical narrative: Patient to Labor and Delivery for premature rupture of membranes, admitted to L&D. Given penicillin for GBS+. Labor augmented with cytotec and pitocin. Patient received epidural. Patient had several prolonged decelerations requiring terbutaline, with minimal cervical change. Patient to OR for failure to progress. Her post operative course was complicated by a spinal headache which resolved with a blood patch. Patient had an unscheduled Cesarean Section.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Bacille Calmette-Guerin scar reactivation, Chills, Cough, Dysmenorrhoea
Clinical narrative: On 1/16/2021 - 1st dose; I experienced BCG spot was red and inflamed, body aches, joint pain, chills, nausea, head ache. On  2/8/2021 - 2nd dose, I experienced all of the above but magnified even more, plus fatigue, head congestion, cough.    Long term effects has been high blood pressure, heavy and painful menses, thyroid nodules of unknown origin.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Fatigue, Headache, Heavy menstrual bleeding, Hypertension
Clinical narrative: On 1/16/2021 - 1st dose; I experienced BCG spot was red and inflamed, body aches, joint pain, chills, nausea, head ache. On  2/8/2021 - 2nd dose, I experienced all of the above but magnified even more, plus fatigue, head congestion, cough.    Long term effects has been high blood pressure, heavy and painful menses, thyroid nodules of unknown origin.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Sinus congestion, Thyroid mass
Clinical narrative: On 1/16/2021 - 1st dose; I experienced BCG spot was red and inflamed, body aches, joint pain, chills, nausea, head ache. On  2/8/2021 - 2nd dose, I experienced all of the above but magnified even more, plus fatigue, head congestion, cough.    Long term effects has been high blood pressure, heavy and painful menses, thyroid nodules of unknown origin.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Injection site pain
Clinical narrative: Vaccine administering error: At our COVID vaccination clinic, patient was accidentally given Moderna COVID vaccine (18 and up) 0.3 ml instead of 0.25ml as the 2nd COVID vaccine booster.  Patient was contacted the same day and notified this vaccine administering error. Then patient was contacted again the next day to follow up. Patient did not have any other signs or symptoms except pain in the injection site.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Burning sensation, COVID-19, Chills
Clinical narrative: Tested positive for Covid 19 on June 1, 2022 - Fever (102.2 max) - 5 days, chills - 5 days, achy muscles - 1 week, cough (still going after 3 weeks), sore throat - 3 days, stuffy nose (still going after 3 weeks), exhaustion (3 weeks)  Kidney infection and UTI on June 10, 2022.  Back ache (1 week), fullness (10 days), abdominal pain (1 week), burning sensation when urinating (2 days).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysuria, Fatigue, Kidney infection, Myalgia
Clinical narrative: Tested positive for Covid 19 on June 1, 2022 - Fever (102.2 max) - 5 days, chills - 5 days, achy muscles - 1 week, cough (still going after 3 weeks), sore throat - 3 days, stuffy nose (still going after 3 weeks), exhaustion (3 weeks)  Kidney infection and UTI on June 10, 2022.  Back ache (1 week), fullness (10 days), abdominal pain (1 week), burning sensation when urinating (2 days).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Tested positive for Covid 19 on June 1, 2022 - Fever (102.2 max) - 5 days, chills - 5 days, achy muscles - 1 week, cough (still going after 3 weeks), sore throat - 3 days, stuffy nose (still going after 3 weeks), exhaustion (3 weeks)  Kidney infection and UTI on June 10, 2022.  Back ache (1 week), fullness (10 days), abdominal pain (1 week), burning sensation when urinating (2 days).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Dyspnoea, Lethargy
Clinical narrative: Patient with past medical history of COPD. She presented to the emergency department with cough, decreased appetite, SOB, and lethargy. She took an at-home Covid test which was positive, Covid PCR test on 5/28 in the emergency department was also positive. Subsequently admitted for management of Covid infection from 5/28-6/2.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with past medical history of COPD. She presented to the emergency department with cough, decreased appetite, SOB, and lethargy. She took an at-home Covid test which was positive, Covid PCR test on 5/28 in the emergency department was also positive. Subsequently admitted for management of Covid infection from 5/28-6/2.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Autonomic nervous system imbalance, Heart rate increased, Postural orthostatic tachycardia syndrome, Tachycardia, Tachycardia paroxysmal
Clinical narrative: During drive home (approximately 40 min post vaccine) had tachycardia event, heart rate went to 153bpm.  After approximately 15 minutes, it started going down.  Since then, I have had numerous subsequent episodes and have been diagnosed with paroxysmal tachycardia, dysautonomia/POTS, and tinnitus.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: During drive home (approximately 40 min post vaccine) had tachycardia event, heart rate went to 153bpm.  After approximately 15 minutes, it started going down.  Since then, I have had numerous subsequent episodes and have been diagnosed with paroxysmal tachycardia, dysautonomia/POTS, and tinnitus.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: 6 year old patient was administered a COVID-19 vaccine 6 months to 4 years.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Erythema, Eye pain, Fatigue, Neuralgia
Clinical narrative: 09/01/21 (PM evening of taking vaccine) - Experienced the routine and anticipated chills, achiness and tiredness from the vaccine. 09/03/2021 (AM) - Dull pain in right eye socket begins. Never experience such pain in past.  09/04/21 - In addition to the dull pain, swelling and redness below right eye begins in upper Maxillary Sinus area.  Swelling is soft but not painful to touch. Swelling is defined to a 1.5' long and .5" high area.  When eyes are closed tightly, the pain in right eye socket is very noticeable.  09/12/21 - Swelling in upper right cheek appears to be slightly less, but general discomfort in right eye socket remains unchanged.  09/13/21 - When jaw is clinched, there is mild pain in upper right back teeth and mild sensation (like nerve pain) when right cheek is touched. It's a unique sensation in the cheek when rubbing fingers over the right cheek.   By the end of Sept 2021, the swelling and pain is essentially gone. Conducted a video call in Sept. 2021 with my doctor, Dr. We concluded that I would keep him informed if symptoms got worse.  The symptoms did not get worse.  I declined my 2nd Shingrix vaccine out of concern of experiencing another reaction.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Ocular discomfort, Pain, Swelling face, Toothache
Clinical narrative: 09/01/21 (PM evening of taking vaccine) - Experienced the routine and anticipated chills, achiness and tiredness from the vaccine. 09/03/2021 (AM) - Dull pain in right eye socket begins. Never experience such pain in past.  09/04/21 - In addition to the dull pain, swelling and redness below right eye begins in upper Maxillary Sinus area.  Swelling is soft but not painful to touch. Swelling is defined to a 1.5' long and .5" high area.  When eyes are closed tightly, the pain in right eye socket is very noticeable.  09/12/21 - Swelling in upper right cheek appears to be slightly less, but general discomfort in right eye socket remains unchanged.  09/13/21 - When jaw is clinched, there is mild pain in upper right back teeth and mild sensation (like nerve pain) when right cheek is touched. It's a unique sensation in the cheek when rubbing fingers over the right cheek.   By the end of Sept 2021, the swelling and pain is essentially gone. Conducted a video call in Sept. 2021 with my doctor, Dr. We concluded that I would keep him informed if symptoms got worse.  The symptoms did not get worse.  I declined my 2nd Shingrix vaccine out of concern of experiencing another reaction.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site haemorrhage, Injection site pain, Product administration error
Clinical narrative: Typical injection site pain that has steadily gotten worse since April 2021. It's almost impossible to lift my arm more than a few inches from my side. That injection was given improperly .. the nurse entered my arm at an angle or something and when she withdrew the needle, very thin blood ran down my arm. I say thin because I'm guessing it was mixed with the vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: admin error