chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Angiocardiogram, Angiogram, Asthenia, Bradycardia
Clinical narrative: Symptoms: Onset of neuropathy hand tremors and weakness in lower extremities. Onset of pulsatile tinitus Onset cardiac symptoms: left atrial enlargement; tachycardia and bradycardia; heart palpitations; high blood pressure; elevated heart rate;  Onset Right-sighted migraines/headaches Onset Edema (right foot) Onset Difficulty walking (use cane for support) Onset Extreme debilitating fatigue, including dyspnea
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Electroencephalogram, Electronystagmogram
Clinical narrative: Symptoms: Onset of neuropathy hand tremors and weakness in lower extremities. Onset of pulsatile tinitus Onset cardiac symptoms: left atrial enlargement; tachycardia and bradycardia; heart palpitations; high blood pressure; elevated heart rate;  Onset Right-sighted migraines/headaches Onset Edema (right foot) Onset Difficulty walking (use cane for support) Onset Extreme debilitating fatigue, including dyspnea
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Gait disturbance, Heart rate increased, Hypertension, Left atrial enlargement
Clinical narrative: Symptoms: Onset of neuropathy hand tremors and weakness in lower extremities. Onset of pulsatile tinitus Onset cardiac symptoms: left atrial enlargement; tachycardia and bradycardia; heart palpitations; high blood pressure; elevated heart rate;  Onset Right-sighted migraines/headaches Onset Edema (right foot) Onset Difficulty walking (use cane for support) Onset Extreme debilitating fatigue, including dyspnea
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head, Migraine, Muscular weakness, Neuropathy peripheral, Oedema peripheral
Clinical narrative: Symptoms: Onset of neuropathy hand tremors and weakness in lower extremities. Onset of pulsatile tinitus Onset cardiac symptoms: left atrial enlargement; tachycardia and bradycardia; heart palpitations; high blood pressure; elevated heart rate;  Onset Right-sighted migraines/headaches Onset Edema (right foot) Onset Difficulty walking (use cane for support) Onset Extreme debilitating fatigue, including dyspnea
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Scan myocardial perfusion, Tachycardia, Tinnitus, Tremor
Clinical narrative: Symptoms: Onset of neuropathy hand tremors and weakness in lower extremities. Onset of pulsatile tinitus Onset cardiac symptoms: left atrial enlargement; tachycardia and bradycardia; heart palpitations; high blood pressure; elevated heart rate;  Onset Right-sighted migraines/headaches Onset Edema (right foot) Onset Difficulty walking (use cane for support) Onset Extreme debilitating fatigue, including dyspnea
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler, Ultrasound scan, Walking aid user
Clinical narrative: Symptoms: Onset of neuropathy hand tremors and weakness in lower extremities. Onset of pulsatile tinitus Onset cardiac symptoms: left atrial enlargement; tachycardia and bradycardia; heart palpitations; high blood pressure; elevated heart rate;  Onset Right-sighted migraines/headaches Onset Edema (right foot) Onset Difficulty walking (use cane for support) Onset Extreme debilitating fatigue, including dyspnea
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test positive, Mouth swelling, Oral allergy syndrome, Pharyngeal swelling, Rhinitis allergic
Clinical narrative: Developed oral allergy syndrome secondary to worsening seasonal allergies. These symptoms developed several months after the original injection in the form of seasonal allergies. Despite wearing N95 face masks, patient still experienced worsening allergic rhinitis with no relief from OTC medication including daily Benadryl use. On July 22 of 2023 these allergies expanded to foods when patient ate an apple and developed severe swelling in the upper throat and mouth.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Seasonal allergy
Clinical narrative: Developed oral allergy syndrome secondary to worsening seasonal allergies. These symptoms developed several months after the original injection in the form of seasonal allergies. Despite wearing N95 face masks, patient still experienced worsening allergic rhinitis with no relief from OTC medication including daily Benadryl use. On July 22 of 2023 these allergies expanded to foods when patient ate an apple and developed severe swelling in the upper throat and mouth.
Age: 43.0
Sex: M
Vaccine: MNQ
Symptoms: Wrong product administered
Clinical narrative: Patient was intended to receive haemophilus vaccination but Menveo administered instead. Patient is in need of both vaccines so no harm done.
Age: 1.25
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: Staff gave expired vaccine and did not realize it expired the day before. Called parents they declined to redo vaccine over
Age: 37.0
Sex: M
Vaccine: FLU4, HEPAB, TYP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Dysarthria, Dysphagia, Guillain-Barre syndrome, Magnetic resonance imaging spinal abnormal, Miller Fisher syndrome
Clinical narrative: 1 week prior to hospitalization presented with dysarthria, dysphagia, paresthesia in b/l feet, hands, abdomen.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Paraesthesia, Swallow study
Clinical narrative: 1 week prior to hospitalization presented with dysarthria, dysphagia, paresthesia in b/l feet, hands, abdomen.
Age: 13.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Hypoaesthesia, Mobility decreased, Muscular weakness, Sensory loss, Tenderness
Clinical narrative: right arm numbness, weakness.  Felt loss of sensation and unable to lift arm past 90 degrees and make a fist.  Difficult to illicit reflexes, able to hold hands above head, but slowly falls and able to grip finger but not firmly.  per neuro, should improve with time.
Age: 13.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Asthenia, Grip strength decreased, Hypoaesthesia, Mobility decreased
Clinical narrative: right arm numbness, weakness.  Felt loss of sensation and unable to lift arm past 90 degrees and make a fist.  Difficult to illicit reflexes, able to hold hands above head, but slowly falls and able to grip finger but not firmly.  per neuro, should improve with time.
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Rash, Urticaria
Clinical narrative: I am traveling in less than 2 weeks and was advised to get a flu shot. I went to Pharmacy, I filled out the paperwork, and marked yes to being allergic to Neomycin. It is on the top of the printout I received afterward. The next day I noticed an itching feeling on my right breast. I just had an open biopsy done so I looked at it and there was a raised red rash. The next morning (Saturday 8/19) I was changing out my sleepwear and my entire abdomen was covered in red dots. I got a mirror out and my back was covered in red dots. Then these dots showed up on my arms and upper thighs. Eventually they coalesced with the surrounding dots in the rash and now I have big red blotches on my entire body. I researched GSK's ingredients in Fluarix and it does contain a trace of gentamicin and with my neomycin allergy I have a cross over allergy to a similar drug. The injection is one huge red mark on my left arm.
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Injection site erythema, Post procedural erythema, Procedural site reaction, Pruritus, Rash
Clinical narrative: I am traveling in less than 2 weeks and was advised to get a flu shot. I went to Pharmacy, I filled out the paperwork, and marked yes to being allergic to Neomycin. It is on the top of the printout I received afterward. The next day I noticed an itching feeling on my right breast. I just had an open biopsy done so I looked at it and there was a raised red rash. The next morning (Saturday 8/19) I was changing out my sleepwear and my entire abdomen was covered in red dots. I got a mirror out and my back was covered in red dots. Then these dots showed up on my arms and upper thighs. Eventually they coalesced with the surrounding dots in the rash and now I have big red blotches on my entire body. I researched GSK's ingredients in Fluarix and it does contain a trace of gentamicin and with my neomycin allergy I have a cross over allergy to a similar drug. The injection is one huge red mark on my left arm.
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Rash erythematous, Rash macular, Rash papular
Clinical narrative: I am traveling in less than 2 weeks and was advised to get a flu shot. I went to Pharmacy, I filled out the paperwork, and marked yes to being allergic to Neomycin. It is on the top of the printout I received afterward. The next day I noticed an itching feeling on my right breast. I just had an open biopsy done so I looked at it and there was a raised red rash. The next morning (Saturday 8/19) I was changing out my sleepwear and my entire abdomen was covered in red dots. I got a mirror out and my back was covered in red dots. Then these dots showed up on my arms and upper thighs. Eventually they coalesced with the surrounding dots in the rash and now I have big red blotches on my entire body. I researched GSK's ingredients in Fluarix and it does contain a trace of gentamicin and with my neomycin allergy I have a cross over allergy to a similar drug. The injection is one huge red mark on my left arm.
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Blood pressure measurement, Injection site erythema, Pruritus, Rash, Rash erythematous
Clinical narrative: I am traveling in less than 2 weeks and was advised to get a flu shot. I went to Pharmacy, I filled out the paperwork, and marked yes to being allergic to Neomycin. It is on the top of the printout I received afterward. The next day I noticed an itching feeling on my right breast. I just had an open biopsy done so I looked at it and there was a raised red rash. The next morning (Saturday 8/19) I was changing out my sleepwear and my entire abdomen was covered in red dots. I got a mirror out and my back was covered in red dots. Then these dots showed up on my arms and upper thighs. Eventually they coalesced with the surrounding dots in the rash and now I have big red blotches on my entire body. I researched GSK's ingredients in Fluarix and it does contain a trace of gentamicin and with my neomycin allergy I have a cross over allergy to a similar drug. The injection is one huge red mark on my left arm.
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Rash macular, Rash papular
Clinical narrative: I am traveling in less than 2 weeks and was advised to get a flu shot. I went to Pharmacy, I filled out the paperwork, and marked yes to being allergic to Neomycin. It is on the top of the printout I received afterward. The next day I noticed an itching feeling on my right breast. I just had an open biopsy done so I looked at it and there was a raised red rash. The next morning (Saturday 8/19) I was changing out my sleepwear and my entire abdomen was covered in red dots. I got a mirror out and my back was covered in red dots. Then these dots showed up on my arms and upper thighs. Eventually they coalesced with the surrounding dots in the rash and now I have big red blotches on my entire body. I researched GSK's ingredients in Fluarix and it does contain a trace of gentamicin and with my neomycin allergy I have a cross over allergy to a similar drug. The injection is one huge red mark on my left arm.
Sex: U
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: No additional AE/PQC; An expired dose of PNEUMOVAX-23 vial was administered/Vaccine expired on 10-AUG-2023; This spontaneous report was received from a nurse and referred to a patient of unknown age and gender.  The patient's medical history, concurrent conditions and concomitant therapies were not reported.  On 23-AUG-2023, the patient was vaccinated with an expired dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection, lot number W007356 has been verified to be a valid lot number for vial formulation, expiration date reported and validated as 10-AUG-2023), administered intramuscularly (IM) as prophylaxis (strength, vaccination scheme and anatomical location were not provided). The product did not have any previous temperature excursions and the patient reported no symptoms.
Age: 0.17
Sex: M
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: second dose and third dose on 02JUN2003 and 13JAN2004; second dose and third dose on 02JUN2003 and 13JAN2004; This spontaneous report has been received from a physician via immunization record from a legal case in litigation (2307USA009419), concerning a 5-month-old male patient. The patient's medical history, concurrent conditions and concomitant therapies were captured in 2307USA009419.  On 06-MAR-2003, the patient was vaccinated with the first dose of hepatitis b vaccine (recombinant) (manufacturer unknown) for prophylaxis (strength, dose, lot #, expiry date, and route of administration were not provided). On 02-JUN-2003 and 13-JAN-2004, the patient was vaccinated with the second and third doses of hepatitis b vaccine (recombinant) (manufacturer unknown), respectively (inappropriate schedule of product administration).; Sender's Comments:  US-009507513-2307USA009419:
Sex: U
Vaccine: HIBV
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No PQC or additional AE reported.; Nurse reported that they administered a booster dose of PEDVAXHIB to a patient too soon. the booster dose was administered on 7/10/2023. No PQC or additional AE reported.; This spontaneous report was received from a nurse, referring to a patient of unknown age and gender. The patient's pertinent medical history, concurrent conditions, concomitant medications, previous drug reactions, or allergies were not reported.  On 14-MAR-2023 and 06-JUN-2023, the patent was vaccinated with the first and second dose respectively of haemophilus b conjugate vaccine (meningococcal protein conjugate) (LIQUID PEDVAXHIB) (strength, anatomical site of vaccination, route of administration, lot number and expiration date were not reported) as prophylaxis.  On 10-JUL-2023, the patient was vaccinated with a booster dose of haemophilus b conjugate vaccine (meningococcal protein conjugate) (LIQUID PEDVAXHIB) (strength, anatomical site of vaccination and route of administration were not reported; lot number T042013, expiration date was reported and validated as 22-JUL-2023) as prophylaxis, too soon (inappropriate schedule of product administration). No additional adverse event reported.
Sex: U
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: who is not on hemodialysis, who received 2 doses of the 20mcg/ml formulation in order to achieve a 40mcg dose; This non-serious case was reported by a pharmacist via other manufacturer and described the occurrence of overdose in a adult patient who received HBV (Engerix B) for prophylaxis.   Concurrent medical conditions included cancer. Additional patient notes included The patient was not on hemodialysis.. Concomitant products included HEPATITIS B VACCINE (ENGERIX B).   On an unknown date, the patient received the 2nd dose of Engerix B 20 mcg/mg. On an unknown date, an unknown time after receiving Engerix B and ENGERIX B, the patient experienced overdose (Verbatim: who is not on hemodialysis, who received 2 doses of the 20mcg/ml formulation in order to achieve a 40mcg dose).  The outcome of the overdose was unknown.   Additional Information: GSK Receipt date: 16-AUG-2023 A pharmacist reported that a patient who received 2 doses of adult Engerix B. Pharmacist stated that the patient was a cancer patient, who was not on hemodialysis, who received 2 doses of the 20mcg/ml formulation in order to achieve a 40mcg dose which led to Overdose. No patient demographics were provided, and no additional information provided
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Drug ineffective
Clinical narrative: COVID 19 Treatment; COVID 19 Treatment; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 65-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 16Nov2022 as dose 4 (booster), single (Batch/Lot number: unknown) at the age of 65 years, in right arm for covid-19 immunisation; coviD-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown) and as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "GERD" (unspecified if ongoing); "high cholesterol" (unspecified if ongoing). No known allergies. The patient's concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "not recovered" and all described as "COVID 19 Treatment". Therapeutic measures were taken as a result of drug ineffective, covid-19. Additional information: patient received COVID 19 Treatment Paxlovid from 14Aug2023 to 19Aug2023.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.
Sex: M
Vaccine: COVID19
Symptoms: Hallucination
Clinical narrative: He spoke about sound streams, fax burns/he felt like he had a zoom call in his head, it is damaging the structure of his life/thought crimes had been committed; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: HALLUCINATION (medically significant), outcome "unknown", described as "He spoke about sound streams, fax burns/he felt like he had a zoom call in his head, it is damaging the structure of his life/thought crimes had been committed".  Clinical information: Reportedly, the patient needed to have some questions answered about Pfizer vaccines. He went on about someone having access to his vaccine. He spoke about sound streams, fax burns, and access being granted to an unidentified source. Other things stated were that his vaccine was being meddled with, he had self-reported team members had been accessing, he felt like he had a zoom call in his head, it is damaging the structure of his life. He needed to secure the fault line in totality, how did she get ahold of the vaccine pin, didn't trust communication lines, didn't know if the county has access or kids have it, thought crimes had been committed, he had the vaccine injected and thought it would stop. He was being used as an experiment.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, UNK
Symptoms: Rash, Rash erythematous, Rash pruritic, Skin discolouration, Urticaria
Clinical narrative: Red itchy rash with multiple pale colors wheals encircling the entire chest from center of chest and few inches below. Resembled the same reaction to an environmental allergy test. Benadryl 25 mg given as well as showered in case there was another cause.
Age: 0.5
Sex: U
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Administered the 1st dose in May2023 of the bivalent vaccine from the vial with a dark pink cap and a yellow border; no adverse event; This spontaneous case was reported by an other health care professional and describes the occurrence of WRONG PRODUCT ADMINISTERED (Administered the 1st dose in May2023 of the bivalent vaccine from the vial with a dark pink cap and a yellow border) and NO ADVERSE EVENT (no adverse event) in a 6-month-old patient of an unknown gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.     No Medical History information was reported.    On an unknown date, the patient received first dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced WRONG PRODUCT ADMINISTERED (Administered the 1st dose in May2023 of the bivalent vaccine from the vial with a dark pink cap and a yellow border) and NO ADVERSE EVENT (no adverse event). At the time of the report, WRONG PRODUCT ADMINISTERED (Administered the 1st dose in May2023 of the bivalent vaccine from the vial with a dark pink cap and a yellow border) and NO ADVERSE EVENT (no adverse event) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (no adverse event) to be not related. No further causality assessment was provided for WRONG PRODUCT ADMINISTERED (Administered the 1st dose in May2023 of the bivalent vaccine from the vial with a dark pink cap and a yellow border).    Concomitant product use was not provided by the reporter.  It was reported that, the patient was previously unvaccinated.  Treatment information was not provided.
Age: 26.0
Sex: F
Vaccine: RAB
Symptoms: Accidental exposure to product, Exposure via skin contact, No adverse event, Syringe issue, Underdose
Clinical narrative: vaccine totally leaked as it ran down on patient's arm and the floor and patient said she didn't feel anything going through her arm with no reported adverse event; Initial information received on 25-Aug-2023 regarding an unsolicited valid non-serious case received from a other health professional.  This case involves a 26 years old female patient who experienced rabies (HDC) vaccine [Imovax Rabies] vaccine totally leaked as it ran down on patient's arm and the floor and patient said she didn't feel anything going through her arm with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On 25-Aug-2023, the patient received a dose of 1.0 ml once of suspect rabies (HDC) vaccine (Powder and solvent for suspension for injection) (lot: V1D882M; expiry date: 20-Sep-2024; strength: standard) via unknown route in the left deltoid for Immunization and vaccine totally leaked as it ran down on patient's arm and the floor and patient said she didn't feel anything going through her arm with no reported adverse event (accidental exposure to product) (unknown latency).  It was reported, "Public Health Nurse was administering IMOVAX to a patient but the vaccine leaked around the hub of the syringe they prepared. Nurse added that the hub is kind of offset a little bit and there's bubbles in the hub area of our syringe."  Action taken was not applicable.  At time of reporting, the outcome was Unknown for the event.   This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Influenza like illness, Paraesthesia
Clinical narrative: Flu like symptoms, intermittent tingling, joint aches below the waist
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Injection site erythema, Injection site swelling, Injection site warmth, Lethargy
Clinical narrative: Injection Site swollen, hot to touch and redness expanding from 1 inch circumference to 3-inch circumference in 72 hours. Patient also experience headache and was lethargic.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Administered Shingrix in R deltoid. Area began to swell up to "quarter size". Called provider to evaluate. Provider circled swollen area. Provider instructed pt to use warm  compress + call office with any increase in size or further s/s. Pt stated he felt fine.
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Test (+) 6/19/2023; hospitalized 7/26/23-8/2/23; Hospice 8/2/23; expired 8
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Tested (+) 6/30/2023; expired 8/11/2023
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Fall
Clinical narrative: Patient and his mother approached check out on 8/29/23 And I had just began to say we need to update his picture, I looked up @ him he fell forward with no notice. I heard a huge thumping sound - then he was gone from my site - on office floor. I rushed up on my feet to go get help. I was followed by a crowd of people rushing to help. Someone offered to call 911 & my coworker did. Dr said we did not need to call 911 that it was going to be ok. She & the head nurse were attending with his mother so I returned to my spot.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Chest X-ray normal, Malaise, Nausea
Clinical narrative: Chief Complaint: Covid-19 (COVID + on Monday) complaining of general malaise, nausea and vomiting.  No signs of any pulmonary infiltrates on chest x-ray. Currently on room air. Monitor for now.   positive for COVID-19.  Patient was noted to be in acute renal failure.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Chief Complaint: Covid-19 (COVID + on Monday) complaining of general malaise, nausea and vomiting.  No signs of any pulmonary infiltrates on chest x-ray. Currently on room air. Monitor for now.   positive for COVID-19.  Patient was noted to be in acute renal failure.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cough, Dyspnoea, Musculoskeletal chest pain
Clinical narrative: Chief Complaint: SOB.  rib pain which worsens when he coughs.  Reports having a pre-procedural COVID test which was negative last week.  Start oxygen protocol to keep saturation greater than 92%.  Start dexamethasone 6 mg daily for 10 days.  Acute hypoxic respiratory failure- sec to covid pneumonia-. Initially required O2 and later  breathing well on RA.  COVID-19 pneumonia- on steroids and remdesivir day 4/5. Was supportive care with sinc, cit C, vit D.  Discharged today to against medical advice.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Chief Complaint: SOB.  rib pain which worsens when he coughs.  Reports having a pre-procedural COVID test which was negative last week.  Start oxygen protocol to keep saturation greater than 92%.  Start dexamethasone 6 mg daily for 10 days.  Acute hypoxic respiratory failure- sec to covid pneumonia-. Initially required O2 and later  breathing well on RA.  COVID-19 pneumonia- on steroids and remdesivir day 4/5. Was supportive care with sinc, cit C, vit D.  Discharged today to against medical advice.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dysarthria, Facial paralysis, Fall, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint: Slurred Speech (LKN yesterday at facility, , but c/o worsening and left facial droop. COVID + 10 days ago) and Fall (2 days ago, denies injury, on coumadin).  Diagnosed with Covid over 10 days ago.  Patient out of the window for any aggressive treatment.  Currently fairly stable with minimal use of oxygen. Hold off on steroids. Vitamins and other supplementation.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Emotional distress, Rales, SARS-CoV-2 test positive
Clinical narrative: Patient presents with Shortness Of Breath,is on home oxygen. Physical examination revealed regularly irregular tachycardic heart rhythm, rales to the bases, mild distress.  Patient positive for COVID-19vitamin C and zinc,IV dexamethasone,IV meropenem.  discharged today to rehab.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Tachyarrhythmia
Clinical narrative: Patient presents with Shortness Of Breath,is on home oxygen. Physical examination revealed regularly irregular tachycardic heart rhythm, rales to the bases, mild distress.  Patient positive for COVID-19vitamin C and zinc,IV dexamethasone,IV meropenem.  discharged today to rehab.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Chief Complaint: COVID 19,cough, congestion, shortness of breath. positive COVID 19 test 2 days ago.  Acute hypoxemic respiratory failure ; secondary to covid pneumonia  Admit to medical service  Supplemental oxygen , IV solumedrol  Zinc, vitamin C  IV abx ,  Covid pneumonia with hypoxemia and early cytokine storm  IV dexamethasone , and abx  Started on remdesevir.  discharged today to Hospital  Zinc vitamin C and singulair
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint: COVID 19,cough, congestion, shortness of breath. positive COVID 19 test 2 days ago.  Acute hypoxemic respiratory failure ; secondary to covid pneumonia  Admit to medical service  Supplemental oxygen , IV solumedrol  Zinc, vitamin C  IV abx ,  Covid pneumonia with hypoxemia and early cytokine storm  IV dexamethasone , and abx  Started on remdesevir.  discharged today to Hospital  Zinc vitamin C and singulair
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Exposure to SARS-CoV-2, Fall, Musculoskeletal chest pain, Positive airway pressure therapy
Clinical narrative: Chief Complaint: chest wall pain s/p fall.  Recently exposed to Covid. Continue oxygen to maintain adequate oxygenation.  BiPAP  Intravenous steroids.  body was released to the funeral home
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea exertional
Clinical narrative: Chief Complaint: Covid-19.  SOB on exertion.  was diagnosed with COVID infection on 01/28/ 22.  Started on remdesivir, IV Zithromax and cefepime. Continue IV Solu-Medrol 60 mg q.12 hours. Continue vitamin-D and zinc.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Dyspnoea, Nausea
Clinical narrative: Chief Complaint: SOB.  pt was COVID tested 10 days ago and tested positive for it. He ten tested negative again as of 2 days ago but has had persistent N/V, SOB, and fever.  Pneumonia due to COVID19- airborne isolation. Zinc, Singulair, Lovenox. Currently requiring 3L NC. Start dexamethasone, remdesivir. discharged today to home.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Chief Complaint: SOB.  pt was COVID tested 10 days ago and tested positive for it. He ten tested negative again as of 2 days ago but has had persistent N/V, SOB, and fever.  Pneumonia due to COVID19- airborne isolation. Zinc, Singulair, Lovenox. Currently requiring 3L NC. Start dexamethasone, remdesivir. discharged today to home.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol poisoning, COVID-19, Physical assault, SARS-CoV-2 test positive, Splenic rupture
Clinical narrative: REASON FOR ADMISSION: Splenic laceration, alcohol intoxication, aggravated assault.  covid 19 positive upon admission
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Chief Complaint: shortness of breath. COVID x5 days ago.  COVID pneumonia.  IV Decadron, IV remdesvir.  Oxygen, duo nebs.  admitted to Hospice.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dementia, Hypophagia, Hypothyroidism
Clinical narrative: Chief Complaint: Altered Mental Status.  weak, has had decreased oral intake and lethargic.dementia, hypothyroidism, vitamin-D deficiency.  Tested positive for covid today worsening oral intake.  dexamethasone and antibiotics.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Mental status changes, SARS-CoV-2 test positive, Vitamin D deficiency
Clinical narrative: Chief Complaint: Altered Mental Status.  weak, has had decreased oral intake and lethargic.dementia, hypothyroidism, vitamin-D deficiency.  Tested positive for covid today worsening oral intake.  dexamethasone and antibiotics.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive, Scalp haematoma
Clinical narrative: Chief Complaint: Fall , Weakness, scalp hematoma.  COVID positive.  O2 requirement,home with home health.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypotension, Hypoxia, Pyrexia, Septic shock
Clinical narrative: Chief Complaint Patient presents with Hypotension Fever (75 Years or >)Respiratory Problem Hypoxia with O2 sat 70 on 5 L/ NC at NH.  diagnosed in sept with COVID.  Worsening hypoxia secondary to COVID-19.  Steroids, antibiotics.  Septic shock (HCC).
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint: Shortness Of Breath. Patient tested positive for Covid. Pt had COVID in December 2021 .  Covid infection was mild and was treated at home.  Continue supplemental oxygen.  home with home health and home oxygen.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint: Covid Like Symptoms (pt reports covid s/s w epigastric x 10 days PTA).  Patient COVID-19 screen also came positive. This diarrhea could be superimposed with COVID-19.  discharged  to home
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection.  Vaccinating facility: Hospital.
Age: 50.0
Sex: F
Vaccine: COVID19-2, VARZOS
Symptoms: Influenza like illness, Injection site erythema, Injection site hypersensitivity, Injection site swelling
Clinical narrative: She got her vaccine, she had flu like symptoms for the first 24 hours.  After that her right arm on the upper portion where the shot was administered she has extreme swelling, red, swollen and looks like an allergic reaction.  She took a shower, put ice on it, took some Ibuprofen.  The area is a baseball size on her arm, swollen and red.  She is going to call her doctor today.    She has not had any reactions to previous vaccines that she has had.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Contraindication to vaccination, No adverse event
Clinical narrative: Patient has a past medical history of Ataxia Telangiectasia. Live vaccines are contraindicated when a patient has this diagnosis. No adverse reaction to vaccines as of this report.
Age: 23.0
Sex: M
Vaccine: COVID19-2
Symptoms: Mast cell activation syndrome, Rash
Clinical narrative: Rashes on arms/torso. Patient later went to the immunologist and was diagnosed with MCAS.  The immunologists said since it started a couple of days after the vaccine it may have been caused by it.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Migraine, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Patient received shingrix shot in the pharmacy. Within an hour, she experienced arm pain. Patient reported that she could not eat dinner due to severe nausea, vomiting, diarrhea, and migraine. Patient experienced a fever throughout the night. The next morning, she still experienced nausea.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Patient received shingrix shot in the pharmacy. Within an hour, she experienced arm pain. Patient reported that she could not eat dinner due to severe nausea, vomiting, diarrhea, and migraine. Patient experienced a fever throughout the night. The next morning, she still experienced nausea.
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Injection site rash, Injection site reaction, Rash, Skin lesion
Clinical narrative: small localized rash around injection site. small lesions noted. afebrile. Mom instructed to keep child awayn from unimmunized individuals until lesions are crusted over.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out following vaccines
Age: 34.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Brain fog, Fall, Injection site reaction, Lethargy, Unresponsive to stimuli
Clinical narrative: Patient received the Boostrix first with no reactions. Patient then received the Engerix-B vaccine and commented that he could "feel" that one more than the other. Soon after him saying that he slumped forward in his chair and was unresponsive for what seemed like less than 30 seconds. Patient then came to, but seemed foggy mentally and was lethargic. EMS was called and patient was taken to the ER.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Blood glucose, Dizziness, Fall, Presyncope
Clinical narrative: approximately around 11:40  am patient had a vasovagal episode a few moments after recieving the vaccine.  She stated she felt very dizzy, then fell to the floor
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Medication error, No adverse event, Single component of a two-component product administered
Clinical narrative: No adverse event.  Medication error.  Only liquid was given, not the powder.
Age: 13.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Pain, Wrong product administered
Clinical narrative: unplanned dose of Tdap given with HPV when Mening ACWY and HPV were to be given together. Mother was contacted by RN on 8/30/2023 at 09:50 and explained unplanned Tdap was given. Mother said child was a little sore, but had no other complaints. Mother was informed that Mening ACWY could be scheduled at her convenience and also made aware of due dates for next vaccines and referred to the Immunization Registry.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diverticulitis, Diverticulum intestinal, Neuropathy peripheral
Clinical narrative: G62.9 PERIPHERAL NEUROPATHY 4/10/2023 DIVERTICULITIS DIVERTICULOSIS OF COLON
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: I have pain in my right arm.
Age: 33.0
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient was to receive Hepatitis B vaccine.  In error, the patient received a 4th dose of HPV instead of Hep B
Age: 6.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Erythema, Hypersomnia, Lethargy, Pain
Clinical narrative: Starting on day 6 Lethargic, day 7 got a 101.3 fever for 3 days, aches, red under eyes, ankles hurt. After 3 days of fever and more days of lethargy she got 2 days of body rash. 14 days since injections and she is still not fully back to normal energy.  Gave ibuprofen as needed and rest. Slept 12+ hours with the fever.
Age: 6.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Starting on day 6 Lethargic, day 7 got a 101.3 fever for 3 days, aches, red under eyes, ankles hurt. After 3 days of fever and more days of lethargy she got 2 days of body rash. 14 days since injections and she is still not fully back to normal energy.  Gave ibuprofen as needed and rest. Slept 12+ hours with the fever.
Age: 4.0
Sex: M
Vaccine: RAB
Symptoms: Wrong patient received product
Clinical narrative: Child was not supposed to get vaccine. Writer gave vaccine to wrong child. Discussed with pharmacist and PCP and have not concerns that he received it. Followed up with patient and family 8/30/2023 and child is doing fine.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of product administration
Clinical narrative: administered too soon. Pt received 1st dose of MCV at age 11. Pt was given Menquadfi age 13, was due in 2025.
Age: 22.0
Sex: F
Vaccine: MMRV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Nurse gave patient ProQuad instead of MMR. The patient is an adult and had no Varicella nor Rubella immunity.  Patient was monitored after vaccine. Patient was informed by the nurse that she received both MMR and Varicella in one vaccine.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Cardiac ablation, Echocardiogram, Tachycardia
Clinical narrative: Tachycardia, Atrial Flutter
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 OBSTRUCTIVE SLEEP APNEA 5/4/2023 HX OF TRANSIENT ISCHEMIA ATTACK
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: BILATERAL ARM SWELLING/ PAIN
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Skin discolouration
Clinical narrative: Received Hepatitis B#3 on 8/23 and he reports later that night he noted that his hands and feet had an orange discoloration.  Pt. denies having any sore throat, fever, rash or open lesions develop.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash erythematous, Rash pruritic, Vaccination site rash
Clinical narrative: The vaccine info listed on my vaccine card is in case I entered it wrong.  Shortly after my vaccine, About 30-45 minutes later, I began to feel itchy. as the day went on the itch became worse, by the tie I got home around 6:15 pm, I observed a red rash all along by upper back on both sides of my body as well as my shoulder near the vaccine site.  I went to the store and bought Benadryl, I took 2.  I woke several times in the night itchy all over my body, I woke this morning 08/30/2023 still itchy, the rash is still there.  I have a Dr. appointment with my primary care physician today, at 11:00am. The itchiness is terrible.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Incorrect product formulation administered
Clinical narrative: Child was given the CYW liquid vial of vaccine which had not been mixed with the A part of the vaccine. No reactions from child. GSK and CDC notified. Advised child does not need to be vaccinated with A unless traveling abroad. Family notified.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Rash
Clinical narrative: Injection site redness and soreness.  Patient is taking diphenhydramine to reduce skin rash.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Dyspnoea, Echocardiogram, Electrocardiogram, Extrasystoles
Clinical narrative: I developed dermatographia the same day I got the first vaccine. The night after getting the 2nd vaccine I developed a high fever and severe muscle pain. I also had severe shortness of breath. The shortness of breath lasted for the next couple of weeks until I developed nearly constant PVCs. I had/ have bigeminy, trigeminy, and other random PVCs which I was told are multifocal. Two years later my condition has not improved and I am miserable every day.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Magnetic resonance imaging heart, Mechanical urticaria, Myalgia, Pyrexia
Clinical narrative: I developed dermatographia the same day I got the first vaccine. The night after getting the 2nd vaccine I developed a high fever and severe muscle pain. I also had severe shortness of breath. The shortness of breath lasted for the next couple of weeks until I developed nearly constant PVCs. I had/ have bigeminy, trigeminy, and other random PVCs which I was told are multifocal. Two years later my condition has not improved and I am miserable every day.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: I developed dermatographia the same day I got the first vaccine. The night after getting the 2nd vaccine I developed a high fever and severe muscle pain. I also had severe shortness of breath. The shortness of breath lasted for the next couple of weeks until I developed nearly constant PVCs. I had/ have bigeminy, trigeminy, and other random PVCs which I was told are multifocal. Two years later my condition has not improved and I am miserable every day.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Diplopia, Feeling abnormal, Vision blurred
Clinical narrative: Patient's step -father called to the HD and reports that he received a call from the school nurse stating that the patient was reporting "feeling weird, seeing double and having a hard time focusing".
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Single component of a two-component product administered
Clinical narrative: Client was given the CWY vial of vaccine not mixed with the A part of vaccine in other vial. Client had no reaction. Client notified with guidance from disease control. Child does not need to be vaccinated at this time since A is not prevalent, unless the child will be traveling abroad.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Headache, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: Headache, temp, stuffy nose
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Nausea, Pain, Rash, Rash maculo-papular
Clinical narrative: Full body aches, nausea, vomiting, diarrhea, maculopapular rash of face
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Vomiting
Clinical narrative: Full body aches, nausea, vomiting, diarrhea, maculopapular rash of face
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Product preparation error
Clinical narrative: The vaccine was not mixed with the diluent in the box with the vaccine but with sterile diluent.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness
Clinical narrative: Patient had lightheadedness and got dizzy. Patient had syncope type symptoms
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: client called 8/30/23 to report "I kind of broke out in a rash, I am taking Benadryl and applying itch cream". Client left this info on voicemail of this clinic nurse. Client called back 8/30/23 @ 12:00 pm to report welt-like rash started itching 8/28/23 after bedtime. Welts and itching (by next morning 8/29/23) then spread to both arms, front of chest and both armpits. Has not gotten worse since yesterday. Benadryl and itch cream are helping.
Age: 61.0
Sex: M
Vaccine: UNK
Symptoms: Chest X-ray normal, Musculoskeletal chest pain, Painful respiration, Pleural effusion
Clinical narrative: Rib pain, opposite side of injection. Fluid in chest cavity. Painful breathing.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis
Clinical narrative: G51.0 RIGHT FACIAL PALSY 3/27/2023 (blank)
Sex: F
Vaccine: UNK
Symptoms: Auscultation, COVID-19, Fatigue, Premature labour, Protein urine present
Clinical narrative: pt is not vaccinated 08/20/23 59.4 kg (131 lb)     Physical Exam: General: Alert, well appearing and in no distress and speaking in full sentences. Appears tired but non toxic appearing.  Heart: regular rate and rhythm Lungs: clear to auscultation, no wheezes, rales or rhonchi, symmetric air entry Abdomen: soft, nontender, gravid Vertex confirmed by bedside ultrasound Transabdominal ultrasound: Presentation: cephalic, Fluid: normal appearing Transvaginal ultrasound: cervical length 4.05 cm   Cervical Exam:    deferred   The exam was chaperoned by RN.     Uterine Activity: Mode: TOCO DYNAMOMETER;MONITOR APPLIED  Uterine irritability noted  Fetal Assessment: Baseline Fetal Heart Rate (Baby A): 160     Membranes and Fluid:    intact     Urine dipstick shows positive for trace protein, moderate ketones.     Patient Assessment: Reassuring fetal status and Uterine contractions, rule-out labor  Active Hospital Problems   Diagnosis   ? (Principal) PRETERM UTERINE CONTRACTIONS       Plan: Observe, Reevaluate in about 2 hours COVID test sent IV Fluids (1 Liter) Pending Study Results at Discharge: None   Issues to be Addressed in Follow-up: COVID -19   Addendum: Pt received IV fluid bolus. UC's resolved. Informed pt of +COVID test. Discussed r/b of paxlovid-declines paxlovid. Reaction (sz) after tylenol use in childhood so listed as an allergy and declines. D/C home and sent message to clinic staff to arrange RN phone calls to check in given unvaccinated.                Note Details  Author (M.D.) File Time 8/21/2023  1:51 AM Author Type Physician Status Addendum Last Editor (M.D.) Specialty Obstetrics & Gynecology Hospital Acct # Admit Date 8/20/2023  Admission (Discharged) on 8/20/2023  Admission (Discharged) on 8/20/2023   Revision History   Detailed Report  Note shared with patient Care Timeline  08/21   Discharged 0203