chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anal abscess, Anorectal disorder, Chest discomfort, Clostridium difficile infection
Clinical narrative: The COVID-19 symptoms I had lasted 3 weeks and it hung on to my upper nose. I had it in my chest and would spit up blood at some points. I was very stuffed up and contacted my Allergist. I had lots of headaches and I'm used to migraines which I get a lot of. My GI was very upset at first and I had bad diarrhea. And it really tackled my head and nose, and made me very fatigued. I'm still dealing with fatigue now. I received the infusion but it made things worse. Right at the end of COVID-19 I felt very sensitive in my rectum with bowel movements. I went to the doctor when I started getting low grade fevers. They sent me to the GI and they found a perianal abscess and had surgery for that. Then I got C-diff that was resistant to medication. It finally went away the first of September.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Clostridium test positive, Computerised tomogram abnormal, Diarrhoea, Fatigue, Haemoptysis
Clinical narrative: The COVID-19 symptoms I had lasted 3 weeks and it hung on to my upper nose. I had it in my chest and would spit up blood at some points. I was very stuffed up and contacted my Allergist. I had lots of headaches and I'm used to migraines which I get a lot of. My GI was very upset at first and I had bad diarrhea. And it really tackled my head and nose, and made me very fatigued. I'm still dealing with fatigue now. I received the infusion but it made things worse. Right at the end of COVID-19 I felt very sensitive in my rectum with bowel movements. I went to the doctor when I started getting low grade fevers. They sent me to the GI and they found a perianal abscess and had surgery for that. Then I got C-diff that was resistant to medication. It finally went away the first of September.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Migraine, Nasal congestion, Nasal disorder
Clinical narrative: The COVID-19 symptoms I had lasted 3 weeks and it hung on to my upper nose. I had it in my chest and would spit up blood at some points. I was very stuffed up and contacted my Allergist. I had lots of headaches and I'm used to migraines which I get a lot of. My GI was very upset at first and I had bad diarrhea. And it really tackled my head and nose, and made me very fatigued. I'm still dealing with fatigue now. I received the infusion but it made things worse. Right at the end of COVID-19 I felt very sensitive in my rectum with bowel movements. I went to the doctor when I started getting low grade fevers. They sent me to the GI and they found a perianal abscess and had surgery for that. Then I got C-diff that was resistant to medication. It finally went away the first of September.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Surgery
Clinical narrative: The COVID-19 symptoms I had lasted 3 weeks and it hung on to my upper nose. I had it in my chest and would spit up blood at some points. I was very stuffed up and contacted my Allergist. I had lots of headaches and I'm used to migraines which I get a lot of. My GI was very upset at first and I had bad diarrhea. And it really tackled my head and nose, and made me very fatigued. I'm still dealing with fatigue now. I received the infusion but it made things worse. Right at the end of COVID-19 I felt very sensitive in my rectum with bowel movements. I went to the doctor when I started getting low grade fevers. They sent me to the GI and they found a perianal abscess and had surgery for that. Then I got C-diff that was resistant to medication. It finally went away the first of September.
Age: 43.0
Sex: F
Vaccine: FLUC4
Symptoms: Flushing, Heart rate increased, Peripheral swelling, Pruritus
Clinical narrative: Swelling of the arm, itching, flushing of face, increased heart rate
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Tremor
Clinical narrative: Woke up with extreme shaking and mouth and teeth moving and rattling violently
Age: 76.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt reported swelling, itching, and redness that extended down to bicep.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was under-dosed and given 0.25 ml rather than 0.5 ml
Age: 1.92
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired dose of Moderna COVID vaccine. Dose had beyond use date of 9/27 @  0027, but dose given to patient on 9/27 @ 1355. Patient currently in a prolonged admission at hospital and received both doses during stay. Patient remains admitted for non-vaccine-related reasons.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: received 2.5 ml instead of .5 ml
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Mass, Skin warm
Clinical narrative: M om stated patient is having redness, warm to touch and spreading redness up the patient leg. The patient is lumping on the leg. Patient do not have a fever at this time.  The injection site is the left thigh.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was scheduled to receive a Pfizer bivalent dose and he received a monovalent dose. The vaccine given was also expired.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: No adverse events reported for pt- CDC determined expiration date was prior to immunization date after shot was given on 10/10- was moved back to 9.30- must report
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Back pain, Flank pain, Laboratory test normal
Clinical narrative: I had a pain on the Left side of the thorax, on the lower side of my back, by the bottom rib; this pain persisted and worsen from that time and has moved from the back to the front, on the level of my rib, on the left side. I will go to see a doctor tomorrow.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired and given BUD
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was under-dosed and given 0.25 ml rather than 0.5 ml
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Glossodynia, Lymphadenopathy, Swollen tongue
Clinical narrative: Patient reported to pharmacy on 10/11/2022 the following:  On 9/21/2022, 2 days after vaccine was administered, patient's tongue felt "weird", tip of tongue began to get "sore", tongue started swelling, lymph nodes started swelling.  Patient took Tylenol.  After 2 days symptoms were gone.  Patient did not seek medical attention during this time or after.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: received 2.5 ml instead of .5 ml
Age: 35.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Employees arm is reddened, warm, and painful
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Exposure to SARS-CoV-2, Fatigue, Loss of personal independence in daily activities
Clinical narrative: Provider d/c note:  "Patient is a pleasant 83 YO  female who presented 9/30/2022  9:44 AM to inpatient rehab after primary admission to hospital for profound weakness due to covid 19.  She says she began to notice symptoms on the evening of Sept 22 with stuffy nose that proceeded to a productive cough.  Her husband had covid and she tested + at home on Sept. 23.  By the next day she was profoundly weak and needed help getting around whereby she was able to do things independently with a walker previously.   She has a hx of malignant melanoma with mets to the brain diagnosed in April 2022.  She will have f/u MRI and CT scans as an ouptatinet in approx 3 weeks.   She says she has begun to recover physically from the covid and is nearly back to the strength and function she had on discharge from inpatient rehab on her previous visit.  She did however have trouble completing therapy at hospital due to fatigue.  She says her cough improves daily and is down to only about 6 coughs / day."
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Metastases to central nervous system, Metastatic malignant melanoma, Nasal congestion, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Provider d/c note:  "Patient is a pleasant 83 YO  female who presented 9/30/2022  9:44 AM to inpatient rehab after primary admission to hospital for profound weakness due to covid 19.  She says she began to notice symptoms on the evening of Sept 22 with stuffy nose that proceeded to a productive cough.  Her husband had covid and she tested + at home on Sept. 23.  By the next day she was profoundly weak and needed help getting around whereby she was able to do things independently with a walker previously.   She has a hx of malignant melanoma with mets to the brain diagnosed in April 2022.  She will have f/u MRI and CT scans as an ouptatinet in approx 3 weeks.   She says she has begun to recover physically from the covid and is nearly back to the strength and function she had on discharge from inpatient rehab on her previous visit.  She did however have trouble completing therapy at hospital due to fatigue.  She says her cough improves daily and is down to only about 6 coughs / day."
Age: 16.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electroencephalogram abnormal, Epilepsy, Generalised tonic-clonic seizure
Clinical narrative: Tonic-clonic seizure. Diagnosis of epilepsy.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was under-dosed and given 0.25 ml rather than 0.5 ml
Age: 43.0
Sex: M
Vaccine: UNK
Symptoms: Electrocardiogram, Heart rate decreased
Clinical narrative: Following my 1st (and last) COVID-19 booster shot my resting heart rate dropped significantly for nearly a month. I am a very healthy middle-aged male who goes to the doctor regularly for allergy shots. I use the clinic, so each time I go they do the initial screening and check your vitals.  For about 5 straight weeks my heart rate was between 35 and 50 bpm, down from a normal rate of 55-60 for me. I was never admitted to the hospital, but was held over multiple times for monitoring and was sent for an EKG and had monitoring done. The only explanation was my heart was a "slow poke" after the COVID-19 booster. I have since recovered and returned to normal, but this was scary.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19-2, FLU4
Symptoms: Extra dose administered, Incorrect product formulation administered
Clinical narrative: 14 year old was given Pfizer 5-11 monovalent accidentally as her booster dose. It was realized at the time of the visit, so we were able to re-vaccinate with the Pfizer bivalent booster at that time.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Malaise, Nausea, Sleep disorder
Clinical narrative: vaccination provided around 12:15 p.m. on 10/12. No immediate reaction.  Around 2:30 I began to feel ill, nauseous, with strong pain in my stomach area below the breastbone. It lasted for about 3 hours and began to subside, although I still was feeling ill.  I slept fitfully during the night. Feel fairly well today, and no pain.
Age: 91.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: I was unaware nursing staff already gave her the flu vaccine.  They brought her to me and asked for both flu and covid vaccines.  After the fact when reconciling records we noticed that nursing staff also gave the flu vaccine.  She received a duplicate flu vaccine.  Nursing staff were going to monitor for adverse effects and let me know if she developed side effects.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Joint noise, Ophthalmological examination abnormal, Photopsia, Retinal tear, Vitreous floaters
Clinical narrative: Flashing in right eye on the day adverse event occurred, next day after the event floaters in eye, next day visit to eye doctor, diagnosis torn retina, next day outpatient laser surgery to repair retina, next day neck crepitus, which I have never had before starts and has not gone away to date.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Asthenia, Back pain, Condition aggravated, Pain in extremity
Clinical narrative: I had mild symptoms when I woke up and as the day progressed, they got worse. Extreme joint pain from the waist down. It was beyond pain, and I didn't want to live. It lasted about 3 days. I also had pain above my waist, but the debilitating pain was from my back down. I took TYLENOL and it was not effective. I took an old prescription of gabapentin on the 3rd day and that's when I started to feel better. The symptoms started to subside after day 3. That night I was able to sleep. The 2 nights prior, I kept ice packs on my back and legs to help with the pain and I was not able to sleep. All of the symptoms have gone away. I normally have a slight back pain and sciatica, but this was much more severe than that and was constant over a 3 day no matter what position I was in. I have a future appointment with a nurse practitioner on Monday October 17 and I will be discussing these symptoms with them at that time.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sleep disorder
Clinical narrative: I had mild symptoms when I woke up and as the day progressed, they got worse. Extreme joint pain from the waist down. It was beyond pain, and I didn't want to live. It lasted about 3 days. I also had pain above my waist, but the debilitating pain was from my back down. I took TYLENOL and it was not effective. I took an old prescription of gabapentin on the 3rd day and that's when I started to feel better. The symptoms started to subside after day 3. That night I was able to sleep. The 2 nights prior, I kept ice packs on my back and legs to help with the pain and I was not able to sleep. All of the symptoms have gone away. I normally have a slight back pain and sciatica, but this was much more severe than that and was constant over a 3 day no matter what position I was in. I have a future appointment with a nurse practitioner on Monday October 17 and I will be discussing these symptoms with them at that time.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Provider d/c note:  "63 YO male with a past medical history of CAD s/p CABG and ICD placement in 2020, s/p coronary stent placement in 07/2022, CKD stage III, DM, CHF (last echo 07/2022 EF 50-55%), bilateral cataracts 2/2 chronic steroid use, multiple skin basal cell carcinoma of the skin s/p excisions, and IGG4 deficiency on Rituximab q6 months following doctor; Who presented to the ED with complaints of difficulty in breathing, dry cough, and nasal drainage onset about 1 week ago. Covid positive. CXR result,  Mild bibasilar interstitial/alveolar opacities. D-dimer 1,500, Pulm CTA ordered clear for PE. Mild bibasilar interstitial/alveolar opacities concerning for pneumonia.Admitted for Acute Respiratory insufficieny  likely 2/2 pneumonia .Blood culture and sputum culture  ordered. Started on cefepime and doxycycline. Schedule nebs and mucolytic. Patient improved with therapy, sputum culture showed few pseudomonas cells. Desaturation test done. He need required  O2 with exertion. Continue treatment with levofloxacin at home. "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Fibrin D dimer, Lung opacity, Oxygen saturation decreased, Pneumonia
Clinical narrative: Provider d/c note:  "63 YO male with a past medical history of CAD s/p CABG and ICD placement in 2020, s/p coronary stent placement in 07/2022, CKD stage III, DM, CHF (last echo 07/2022 EF 50-55%), bilateral cataracts 2/2 chronic steroid use, multiple skin basal cell carcinoma of the skin s/p excisions, and IGG4 deficiency on Rituximab q6 months following doctor; Who presented to the ED with complaints of difficulty in breathing, dry cough, and nasal drainage onset about 1 week ago. Covid positive. CXR result,  Mild bibasilar interstitial/alveolar opacities. D-dimer 1,500, Pulm CTA ordered clear for PE. Mild bibasilar interstitial/alveolar opacities concerning for pneumonia.Admitted for Acute Respiratory insufficieny  likely 2/2 pneumonia .Blood culture and sputum culture  ordered. Started on cefepime and doxycycline. Schedule nebs and mucolytic. Patient improved with therapy, sputum culture showed few pseudomonas cells. Desaturation test done. He need required  O2 with exertion. Continue treatment with levofloxacin at home. "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pseudomonas test positive, SARS-CoV-2 test positive, Sinus operation, Sputum culture positive
Clinical narrative: Provider d/c note:  "63 YO male with a past medical history of CAD s/p CABG and ICD placement in 2020, s/p coronary stent placement in 07/2022, CKD stage III, DM, CHF (last echo 07/2022 EF 50-55%), bilateral cataracts 2/2 chronic steroid use, multiple skin basal cell carcinoma of the skin s/p excisions, and IGG4 deficiency on Rituximab q6 months following doctor; Who presented to the ED with complaints of difficulty in breathing, dry cough, and nasal drainage onset about 1 week ago. Covid positive. CXR result,  Mild bibasilar interstitial/alveolar opacities. D-dimer 1,500, Pulm CTA ordered clear for PE. Mild bibasilar interstitial/alveolar opacities concerning for pneumonia.Admitted for Acute Respiratory insufficieny  likely 2/2 pneumonia .Blood culture and sputum culture  ordered. Started on cefepime and doxycycline. Schedule nebs and mucolytic. Patient improved with therapy, sputum culture showed few pseudomonas cells. Desaturation test done. He need required  O2 with exertion. Continue treatment with levofloxacin at home. "
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy to animal, COVID-19, Hypersensitivity, SARS-CoV-2 test positive, Sneezing
Clinical narrative: 3 months after getting the 4th vaccine (2nd booster) I experienced hay fever-like symptoms: severe sneezing and a scratchy throat. This might have been triggered by an allergic reaction to the cats at the home where I had spent the night.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: 3 months after getting the 4th vaccine (2nd booster) I experienced hay fever-like symptoms: severe sneezing and a scratchy throat. This might have been triggered by an allergic reaction to the cats at the home where I had spent the night.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: PATIENT PRESENTED TO OUR PHARMACY  CLAIMING TO BE NEEDING TO START THE SHINGLES SERIES. WE WERE UNDER THE ASSUMPTION THAT WE WERE GIVING DOSE ONE. AFTER GIVING INJECTION, SYSTEM SHOWED PATIENT HAD ALREADY RECEIVED FULL SERIES OF 2 VACCINATIONS 8/3/2019 AND 1/5/2020.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer booster was given on 10/8/2022.  It was brought to our attention on 10/12/2022 that vaccine expired 09/30/2022 instead of 10/31/22 the pharmacy had noted.  Spoke with patient's mother and patient has had no adverse reaction.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Hypoaesthesia
Clinical narrative: Numbness right upper arm lateral aspect and base of right thumb since 7:15 am today
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Facial pain, Fatigue, Headache, Mass, Pain
Clinical narrative: Headache, slight general soreness, slight fatigue, mild fever, painful bumps and lesions on head and face
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia, Swelling
Clinical narrative: Headache, slight general soreness, slight fatigue, mild fever, painful bumps and lesions on head and face
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Father was notified Child received expired Pfizer. Explained Pfizer expired the day before administration. Father denies child having any adverse events.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Back pain, COVID-19, Delivery, Dysuria
Clinical narrative: Fetal demise in COVID detected patient.  Provider ED noteL  "33-year-old female G4P3 at 18 weeks presenting for vaginal bleeding that started today.  Patient denies previous history of this or other complications with other pregnancies.  States that she has not felt baby move.  Endorses being treated for a yeast infection with Monistat if she is not able to do Diflucan given her current pregnancy.  Denies any concern for sexually transmitted infections or vaginal discharge.  Reports a light pink vaginal bleeding when she wiped today.  Has not been going through more than 1 pad per hour.  Denies any urinary symptoms.  Denies any fever.  Reports some right-sided low back pain.  Denies any contractions.   CNM note:  She had pos home Covid test 10/1/22 and just started ASA 162mg daily and wonders if this is related to her sx" Provider d/c note:  "Hospital Course:  Patient presented to the ED for evaluation of possible UTI / pyelonephritis secondary to dysuria and right low back pain.  Upon initial evaluation in the ED FHR could not be identified.  A formal ultrasound was performed to confirm second trimester demise.  The fetal demise was confirmed.  Her GA was 18w3d by LMP dating which was consistent with 10 wk ultrasound.  Estimated GA at time of death was unable to be estimated as the fetus was noted to have generalized skin edema and femur length was not assessed.  No other gross anomalies were noted, but a full anatomy survey was not performed.   She was also diagnosed with a UT and started on Keflex 500 mg in the ED.   She was transferred to L&D for induction.  She underwent an uncomplicated induction of labor with initial dose of 600 mcg followed by 2 doses of 400 mcg ever 4 - 6 hours.  She delivered the fetus intact at  04:21 am on 10/9/2022.  The placenta remained in place until 7:50 am despite an additional dose of misoprostol and Hemabate.  Her bleeding was minimal until her procedure.  Her QBL total from the time of fetal delivery to procedure complete was 640 ml, with the vast majority occurring during removal of the placenta.   Patient did well following the procedure.  Her bleeding and pain were minimal.  She requested discharge home.  She remained stable with minimal vaginal bleeding.  Her RLQ pain was resolved.  She denied any flank pain and she did not have any CVA tendernss."
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Foetal death, Foetal hypokinesia, Fungal infection, Labour induction, Maternal exposure before pregnancy
Clinical narrative: Fetal demise in COVID detected patient.  Provider ED noteL  "33-year-old female G4P3 at 18 weeks presenting for vaginal bleeding that started today.  Patient denies previous history of this or other complications with other pregnancies.  States that she has not felt baby move.  Endorses being treated for a yeast infection with Monistat if she is not able to do Diflucan given her current pregnancy.  Denies any concern for sexually transmitted infections or vaginal discharge.  Reports a light pink vaginal bleeding when she wiped today.  Has not been going through more than 1 pad per hour.  Denies any urinary symptoms.  Denies any fever.  Reports some right-sided low back pain.  Denies any contractions.   CNM note:  She had pos home Covid test 10/1/22 and just started ASA 162mg daily and wonders if this is related to her sx" Provider d/c note:  "Hospital Course:  Patient presented to the ED for evaluation of possible UTI / pyelonephritis secondary to dysuria and right low back pain.  Upon initial evaluation in the ED FHR could not be identified.  A formal ultrasound was performed to confirm second trimester demise.  The fetal demise was confirmed.  Her GA was 18w3d by LMP dating which was consistent with 10 wk ultrasound.  Estimated GA at time of death was unable to be estimated as the fetus was noted to have generalized skin edema and femur length was not assessed.  No other gross anomalies were noted, but a full anatomy survey was not performed.   She was also diagnosed with a UT and started on Keflex 500 mg in the ED.   She was transferred to L&D for induction.  She underwent an uncomplicated induction of labor with initial dose of 600 mcg followed by 2 doses of 400 mcg ever 4 - 6 hours.  She delivered the fetus intact at  04:21 am on 10/9/2022.  The placenta remained in place until 7:50 am despite an additional dose of misoprostol and Hemabate.  Her bleeding was minimal until her procedure.  Her QBL total from the time of fetal delivery to procedure complete was 640 ml, with the vast majority occurring during removal of the placenta.   Patient did well following the procedure.  Her bleeding and pain were minimal.  She requested discharge home.  She remained stable with minimal vaginal bleeding.  Her RLQ pain was resolved.  She denied any flank pain and she did not have any CVA tendernss."
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound antenatal screen abnormal, Urinary tract infection, Vaginal haemorrhage
Clinical narrative: Fetal demise in COVID detected patient.  Provider ED noteL  "33-year-old female G4P3 at 18 weeks presenting for vaginal bleeding that started today.  Patient denies previous history of this or other complications with other pregnancies.  States that she has not felt baby move.  Endorses being treated for a yeast infection with Monistat if she is not able to do Diflucan given her current pregnancy.  Denies any concern for sexually transmitted infections or vaginal discharge.  Reports a light pink vaginal bleeding when she wiped today.  Has not been going through more than 1 pad per hour.  Denies any urinary symptoms.  Denies any fever.  Reports some right-sided low back pain.  Denies any contractions.   CNM note:  She had pos home Covid test 10/1/22 and just started ASA 162mg daily and wonders if this is related to her sx" Provider d/c note:  "Hospital Course:  Patient presented to the ED for evaluation of possible UTI / pyelonephritis secondary to dysuria and right low back pain.  Upon initial evaluation in the ED FHR could not be identified.  A formal ultrasound was performed to confirm second trimester demise.  The fetal demise was confirmed.  Her GA was 18w3d by LMP dating which was consistent with 10 wk ultrasound.  Estimated GA at time of death was unable to be estimated as the fetus was noted to have generalized skin edema and femur length was not assessed.  No other gross anomalies were noted, but a full anatomy survey was not performed.   She was also diagnosed with a UT and started on Keflex 500 mg in the ED.   She was transferred to L&D for induction.  She underwent an uncomplicated induction of labor with initial dose of 600 mcg followed by 2 doses of 400 mcg ever 4 - 6 hours.  She delivered the fetus intact at  04:21 am on 10/9/2022.  The placenta remained in place until 7:50 am despite an additional dose of misoprostol and Hemabate.  Her bleeding was minimal until her procedure.  Her QBL total from the time of fetal delivery to procedure complete was 640 ml, with the vast majority occurring during removal of the placenta.   Patient did well following the procedure.  Her bleeding and pain were minimal.  She requested discharge home.  She remained stable with minimal vaginal bleeding.  Her RLQ pain was resolved.  She denied any flank pain and she did not have any CVA tendernss."
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Restlessness
Clinical narrative: 1 week post vaccine person was restless overnight and went into cardiac arrest.
Age: 56.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: 09/26 I was exposed to a COVID patient. On September 29, 2022, I started having a head cold. On Sept 30, I had overall fatigue. I tested positive on a home test on 10/1/2022 and I went to a minute clinic and received PAXLOVID. I recovered in 3 days.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: CHILD RCVD INFANT FORMULATION (6M-4Y) AT 5YO. PER VACCINE AGE INDICATION CHILD SHOULD'VE RCVD 5Y-11Y FORMULATION.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered at inappropriate site
Clinical narrative: The person administering the injection had some difficulty getting the injection to go where it was supposed to go. I believe it was not injected into my muscle. Also, today (the day after) I do not have any soreness in my arm, and I've  always had soreness in my arm after every flu shot and Covid shot I've had in the past.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Balance test, Dizziness, Headache, Impaired work ability, Vertigo
Clinical narrative: About a month after receiving my fourth dose of Pfizer, I started to notice that I was dizzy at times. I was at work, where I lift things, and I became very dizzy and had a terrible headache. I was sent home from work for three days until I felt a little better. I saw my doctor and was diagnosed with Vertigo. I contracted COVID-19 in January 2021, and I was diagnosed with diabetes after contracting COVID.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Flatulence, Gastrointestinal disorder, Gastrointestinal pain, Nausea
Clinical narrative: Had GI issues, my stomach was queasy and had intestinal pain in the belly, gas, diarrhea & several looser than normal bowel movements
Age: 17.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Client presenting to clinic to receive today a Hepatitis B, Meningitis B and flu shot.  Nurse in administering these vaccines mistakenly administered two doses of the Fluarix vaccine.  Following administering the vaccines, nurse noted that the Meningitis B vaccine had not been administered and instead the Flu vaccine had been administered twice in left and right deltoid.  Nurse spoke to supervisor who contacted agencies for counsel.  Nurse brought client and guardian back to treatment area with interpreter to advise of error and need for dose of Meningitis B.  Client and guardian verbalized understanding and nurse administered dose of Meningitis B to client.  In discussion with agency, client and guardian were advised that there should be no side effect of the double dose of the flu vaccine.  Client and guardian advised to contact clinic if he begins to experience any side effect and to go to ER or call emergency services for any emergent symptoms.  Client observed in clinic for twenty minutes and then left clinic with no reports of feeling ill.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is not having any symptoms at this time. The patient was due for her booster dose of Pfizer 5-11. The nurse had given patient a booster vaccine, but it was Moderna 6-11 VS the Pfizer 5-11 .   Patient was in office and neither of her Pfizer primary series were in our EMR. The provider ordered a Moderna vaccine 6-11. The nurse drew it up and went in the room and discussed first dose of covid 19. Mom then reported to the nurse that this was her booster dose. The nurse looked at the covid 19 vaccine card and noted that she was due for a covid booster off of the dates from her primary series. She then continued and gave the injection. After the nurse went into document the first two doses, she entered them into the commuter system and noticed that Mcg was different than she had given. I then looked at the chart with her and questioned if her primary series was Pfizer or Moderna. I then logged into the system and saw that patient was given Pfizer for her primary series. Regardless Moderna boosters have not been approved for this age group as well and should have not been given.    Nurse had called mother and discussed what had happened and PCP notified as well   Patient had two doses of pfizer for primary series and was due for a booster dose as of 10/12/22 when the dose was given.  Neither doses were in our EMR.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: expired on 5/16/2021
Age: 56.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Anticoagulant therapy, Blood test, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: On 09/22/2022, I noticed while I was at work, that I was having difficulty holding a conversation without being out of breath. I didn't really think anything of it at that point. When I got home, I had more difficulty getting up the stairs than I normally do. I was just really out of breath, more so than normal. Friday, 09/23/2022, I was coming up the stairs and when I got into my home, I walked over to the couch and collapsed, and it took me 30 minutes to recover. The next morning, I went to the local emergency room and after just walking from my car, I collapsed when I made it to the emergency room. They discovered lots of blood clots in both lungs, so they admitted me to the hospital and administered blood thinners. On 09/24/2022, while in the hospital, I began experiencing chest pain. I was released from the hospital on 09/26/2022. The pain in my chest continued and I was still experiencing shortness of breath and could not take too many steps. The pain didn't start to noticeably decline until 10/05/2022. I still experience chest pain when I move wrong or cough too hard.
Age: 56.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Dyspnoea exertional, Pulmonary thrombosis, Syncope
Clinical narrative: On 09/22/2022, I noticed while I was at work, that I was having difficulty holding a conversation without being out of breath. I didn't really think anything of it at that point. When I got home, I had more difficulty getting up the stairs than I normally do. I was just really out of breath, more so than normal. Friday, 09/23/2022, I was coming up the stairs and when I got into my home, I walked over to the couch and collapsed, and it took me 30 minutes to recover. The next morning, I went to the local emergency room and after just walking from my car, I collapsed when I made it to the emergency room. They discovered lots of blood clots in both lungs, so they admitted me to the hospital and administered blood thinners. On 09/24/2022, while in the hospital, I began experiencing chest pain. I was released from the hospital on 09/26/2022. The pain in my chest continued and I was still experiencing shortness of breath and could not take too many steps. The pain didn't start to noticeably decline until 10/05/2022. I still experience chest pain when I move wrong or cough too hard.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone disorder, Feeling abnormal, Malaise, Mobility decreased
Clinical narrative: I woke up feeling real stiff like the tin man. I was really sick an unable to get out of the bed. I did not go to the doctor. I took over the counter medications. My food taste horrible. I felt like they gave me COVID-19. The aches and pain in my joints were so bad. I started to have heart palpitations after I had the joint pain. My symptoms improved after about 6 months. I went to the doctor for my knees recently and they said that I had bone on bone where I believe they are indicating I have no cartilage in between the knees. If this was there before, I did not have any issues with it. I feel better but I still feel like the shot accelerated my aging process. I am like an old woman all of a sudden. I went to the doctor 2 months ago and had an X-Ray completed. That's where they detected that I had bone on bone in my knees and recommended surgery.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Palpitations, Taste disorder, X-ray abnormal
Clinical narrative: I woke up feeling real stiff like the tin man. I was really sick an unable to get out of the bed. I did not go to the doctor. I took over the counter medications. My food taste horrible. I felt like they gave me COVID-19. The aches and pain in my joints were so bad. I started to have heart palpitations after I had the joint pain. My symptoms improved after about 6 months. I went to the doctor for my knees recently and they said that I had bone on bone where I believe they are indicating I have no cartilage in between the knees. If this was there before, I did not have any issues with it. I feel better but I still feel like the shot accelerated my aging process. I am like an old woman all of a sudden. I went to the doctor 2 months ago and had an X-Ray completed. That's where they detected that I had bone on bone in my knees and recommended surgery.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: About 12 hours after receiving the injection, I started having muscle aches and fever and chills.  During the night the muscle aches and fever worsened and I also began to have an intense headache.  The symptoms lasted for about 36 hours and then lessened.  By 48 hours, most symptoms were gone, except for the headache.    I treated the symptoms with acetaminophen and fluids.    These are the same symptoms I had with each Covid-19 shot and also with Covid-19, itself, which I had in November of 2020.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine after published expiration date 07/07/2022 in error. we failed to read the fine print on the packing slip and thought that the expiration date was the place code. we have  taken corrective measure for this error not to happen again. We have also contacted Moderna and their team is conducting analysis concerning this patient for a product assesment.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine was given on 10/04/2022 but the expiration date was 9/30/2022.  Pfizer mfg was contacted and information was received that the "current available stability data demonstrated product quality is maintained for unpunctured vials for 4 days after expiry date".
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Erythema, Edema, Pruritis
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: SORE THROAT, MILD COUGH, LOW GRADE FEVER.  CONCLUDED PAXLOVID PROTOCOL. SYMPTOMS SUBSIDED WITHIN 5 DAYS.
Age: 48.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient only received a 0.25 dose instead of 0.5
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Heart rate irregular, Laboratory test, Supraventricular extrasystoles, Ventricular extrasystoles
Clinical narrative: Just an irregular heartbeat. It is part atrial fibrillation, PAC's and PVC's.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site inflammation, Injection site pain
Clinical narrative: After the vaccine everything was normal, until the next day in the afternoon I felt like discomfort in the barrel of the brazier, when I returned home, I took off my brazier and saw that I had inflammation on the side of my armpit, the same side where I had received the vaccine, I had pain; hard like 2 weeks. I took pain pills and read myself about the symptoms of the vaccine, and since this was one of the symptoms of the vaccine, I decided not to make an appointment with the Doctor.
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Bell's palsy, Computerised tomogram, Dyskinesia, Eye patch application, Eyelid function disorder
Clinical narrative: Patient reports facial drooping and watering of eye on right side of face.   Patient was taken to ER on 10/11 for suspected stroke and was diagnosed Bell's palsy.  Patient is unable to drink from cup (must use straw), has visible drooping, and is experiencing watery eye due to inability to blink or fully close eye.  Patient is patching eye at night and will see and eye doctor today (10/13/22).  Patient was prescribed prednisone dose pack and valacyclovir, and has slight improvement today.
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Facial paralysis, Lacrimation increased
Clinical narrative: Patient reports facial drooping and watering of eye on right side of face.   Patient was taken to ER on 10/11 for suspected stroke and was diagnosed Bell's palsy.  Patient is unable to drink from cup (must use straw), has visible drooping, and is experiencing watery eye due to inability to blink or fully close eye.  Patient is patching eye at night and will see and eye doctor today (10/13/22).  Patient was prescribed prednisone dose pack and valacyclovir, and has slight improvement today.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: patient only received a 0.25 dose instead of 0.5
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: Massage, Mobility decreased, Muscle spasms, Musculoskeletal stiffness, Neck pain
Clinical narrative: I received a senior dose injection of Fluzone HD 0.7 ML INJ SANO, about 4 PM on October 8, 2022. The injection was into my left deltoid, in a location that seemed higher than previous such injections. About 2 hours later, the left side of my neck became extremely stiff and sore, so that I was unable to turn my head to the left, look down or tolerate any forward tension on my neck, such as when trying to remove a T-shirt. The pain was very intense, and felt like a severe spasm in the left neck tendon which connects to the base of the skull. I took acetaminophen 500 mg and Tizanidine 4 mg (prescribed by my physician) about every 12 hours. I performed gentle stretching exercises and massage of the area and applied heat twice a day, and stayed as active as possible by walking, to stimulate general circulation, all of which kept the pain just barely tolerable. It started to abate after about 60 hours. It has now been 4-1/2 days, and the pain is about 95% resolved.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: no adverse reaction at the time the vaccine was given, vaccine was expired. Manufacture was called and there is a 2 day grace period that vaccine was given in
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: There has been no adverse symptoms for this patient that we are aware of.  This patient received the Bivalent in error as they were not 12 years of age at the time of injeciton
Age: 88.0
Sex: F
Vaccine: COVID19-2, FLU4, PNC20
Symptoms: Loss of consciousness
Clinical narrative: patient blacked out once she got home and went to hospital.
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Cardiac stress test, Chest discomfort, Echocardiogram, Electrocardiogram normal, Oxygen saturation
Clinical narrative: I had a lot of pressure on the left side of my chest. I stopped doing my resistance training and laid on the mat and it went away. I went to the doctor, and he did an EKG, and it didn't show anything. All my vitals were normal. They also did a test that showed increased pulmonary vascularity. They did Troponin test, and those results were high. Everything else was normal. I have to go in for a follow up Monday to do a stress test and then an Echo test Wednesday. I was advised not to do any vigorous exercises.
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Troponin increased, Vascular resistance pulmonary increased
Clinical narrative: I had a lot of pressure on the left side of my chest. I stopped doing my resistance training and laid on the mat and it went away. I went to the doctor, and he did an EKG, and it didn't show anything. All my vitals were normal. They also did a test that showed increased pulmonary vascularity. They did Troponin test, and those results were high. Everything else was normal. I have to go in for a follow up Monday to do a stress test and then an Echo test Wednesday. I was advised not to do any vigorous exercises.
Age: 36.0
Sex: M
Vaccine: FLUC4
Symptoms: Cardioversion, Loss of consciousness, Palpitations
Clinical narrative: Patient reported to us on 10/13/22 that he thinks he had an adverse reaction to his vaccine. Patient reports that his heart was racing and that he passed out about 1.5 hr after his vaccine. He reports that he was taken to the ER via EMS, his heart was restarted (shocked), and he spent the night. I called the hospital to verify this information and to get diagnosis and treatment. Patient reports that he feels better today.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: patient only received a 0.25 dose instead of 0.5
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antibody test abnormal, Diabetic ketoacidosis, Fatigue, Feeling abnormal, Laboratory test abnormal
Clinical narrative: First dose of Pfizer COVID19 vaccine primary series received April 6, 2021. Second dose of Pfizer COVID19 vaccine received May 4, 2021. Started experiencing symptoms of increased thirst, increased urination, intermittent brain fog, intermittent blurry vision, and fatigue beginning in May 2021. Admitted to ER on July 2, 2021, for diabetic ketoacidosis with a diagnosis of diabetes mellitus. Autoantibody and C-peptide tests confirmed Type 1 Diabetes.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pollakiuria, Thirst, Type 1 diabetes mellitus, Vision blurred
Clinical narrative: First dose of Pfizer COVID19 vaccine primary series received April 6, 2021. Second dose of Pfizer COVID19 vaccine received May 4, 2021. Started experiencing symptoms of increased thirst, increased urination, intermittent brain fog, intermittent blurry vision, and fatigue beginning in May 2021. Admitted to ER on July 2, 2021, for diabetic ketoacidosis with a diagnosis of diabetes mellitus. Autoantibody and C-peptide tests confirmed Type 1 Diabetes.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: patient only received a 0.25 dose instead of 0.5
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: patient only received a 0.25 dose instead of 0.5
Age: 63.0
Sex: M
Vaccine: FLUA4
Symptoms: Incorrect product formulation administered
Clinical narrative: Vaccine is for 65years and older, given to patient who was 63 yars old
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Loss of personal independence in daily activities, Pruritus, Rash erythematous, Urticaria
Clinical narrative: Started developing full-body hives without angioedema 10 days after the COVID vaccine, which has been ongoing.  Symptoms were red rash and itching all over body.  Recommended to start claritin/loratidine 10 mg po daily, and this has helped control the symptoms.  I only rarely experienced hives prior to this, usually self-limited within hours and only in response to certain foods (like if I ate too many carrots with the carrot greens).  I am still experiencing mild flares of hives every 1-2 days but it is very manageable with a daily claritin and is no longer significantly impacting my activities of daily living.  Today is day 16 since the symptoms began, and day 14 since I spoke with my PCP and started taking the claritin.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: patient only received a 0.25 dose instead of 0.5
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: Transitory Ischemic Attack
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: THIS INDIVIDUAL WAS SUPPOSED TO GET BIVALENT BOOSTER, INSTEAD WAS GIVEN PFIZER ADOLESCENT DOSE 0.3ML IM.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: patient only received a 0.25 dose instead of 0.5