chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: A few days after receiving my Moderna booster, I started experiencing chest discomfort when I laid down in the evening. Doctor suggested that I take Advil. That helped for a few weeks, but the discomfort came back. I was then prescribed Colchicine. That helped for a number of months. When i tried to come off of the medication, the discomfort came back even worse. I was then prescribed Arcalyst. This caused side effects (numb feet and clammy feeling) and didn't help with the chest discomfort. I have since been taking indomethacin. It seems to help with the discomfort, but I continue to experience flare-ups on a regular basis.
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Covid bivalent vaccine is no longer authorized to be given after 09/12/2023, pt was given vaccine on 09/13/2023
Age: 80.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pyrexia
Clinical narrative: Temp 101. Thats pretty high for me. I just have a high fever. I do not ever run a fever this high. This is day 2 of high fever.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes
Clinical narrative: 8/15/2023 - 8/31/2023 (16 days) Date of Admission: 8/15/2023  Discharge Date:  08/31/2023 Discharge Disposition: Skilled Nursing Facility (SNF) with Certification in Anticipation of Skilled Care  past medical history of chronic anemia, coronary artery disease, dementia, gastroparesis, osteoarthritis, hypothyroidism, hypertension, hyperlipidemia, ALF resident, who presented with increasing altered mental status over the past several weeks prior to arrival.   Patient currently breathing well on ambient air.  Discontinue dexamethasone.  Discontinue remdesivir.  Status post 6 days of Rocephin.  5/24/2021 Janssen 205A21A
Age: 7.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Age of patient was looked at wrong in (charting system), and gave what was appropriate for a 13 y/o (age thought patient was) instead of a 7 year old.  HPV vaccine given on 9/20/23 at approximately 1710 to right deltoid. Parent of child was called the morning of 9/21/23 (once had interpreter available) and mom states child is doing well and has had no reactions.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac stress test normal, Chest pain, Dyspnoea
Clinical narrative: 8/16/2023 - 8/17/2023 (27 hours) Date of Admission: 8/16/2023  Discharge Date:  08/17/2023 Discharge Disposition: Home or Self Care   past medical history of familial nonischemic cardiomyopathy since age 12, heart failure with reduced ejection fraction of 40% improved from 13%, colon polyp status post polypectomy in November of 2021, recent COVID-19 infection, recent negative stress test as an outpatient this past February, who presented with increasing shortness of breath and chest pain over the past 2 days prior to arrival.  4/17/2021 Moderna 037B21A 3/17/2021 Moderna 006B21A
Age: 12.0
Sex: F
Vaccine: DTAPIPV, HEPA, PNC13, UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient arrived for well child visit.  To limit amount of injections, nursing drew up quadracel not realizing it is recommended for children 4-6 years of age and patient is only 18 months.  Nursing informed of error on Tuesday, September 19, 2023 10:12 AM through email from coding department as injection flagged an error due to age of patient.  Nursing looked into error to confirm which immunization was given and found it was given in error.  CDC contacted to inquire about any harmful or saftey concerns given immunization not recommended for children under 4 years of age. Per CDC on 9/20/22: Generally there is no reason to believe that giving a patient the wrong vaccine would be harmful - even if the vaccine isn't indicated for that patient (for example, because of the patient's age). Often these doses can simply be ignored, unless the vaccine that was given is contraindicated for that patient. In that case, appropriate measures should be taken. -An exception to this recommendation involves the meningococcal ACWY vaccine Menveo. With Menveo, the dry serogroup A component is normally reconstituted with a liquid component containing the C, W, and Y serogroups. If the liquid CWY component is accidentally given alone without the A component, the dose may be counted, unless the patient is planning to travel outside the country.. This is because serogroup A disease is rare in the country. 2- "VAERS" Call: Healthcare providers are required by law to report to VAERS : Any adverse event listed in the VAERS Table of Reportable Events Following Vaccination that occurs within the specified time period after vaccinations. An adverse event listed by the vaccine manufacturer as a contraindication to further doses of the vaccine. -Healthcare providers are strongly encouraged to report to VAERS: Any adverse event that occurs after the administration of a vaccine licensed, whether it is or is not clear that a vaccine caused the adverse event. -They strongly discourages variations from the recommended: Route, Site, Volume, or Number of doses of any vaccine. 3- "Do Vaccine Administration Errors Represent a Safety Risk?" -Most vaccine administration errors, such as giving a vaccine at the wrong age or giving an expired vaccine or the wrong amount of vaccine, should not cause a safety concern. The problem is usually not that these errors are unsafe, but that the vaccine might not work as well. That is why vaccine doses given in error often need to be repeated.  Mom was contacted on 9/21/23 to discuss but there was no answer.  Nursing left message for Mom to return call to nursing to discuss.
Age: 46.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient presented to appt with PCP.  Patient requested to receive Shingrix vaccine.  Patient is only 46 years old and not recommended until age 50.  Patient was given vaccine when nurse got approval from PCP. No adverse reactions noted.
Age: 57.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Chills, Malaise, Nausea, Pain, Vomiting
Clinical narrative: Body aches/chills started around 7:00 on 20SEP2023.  Nausea hit at about 9:00 and then vomiting shortly after.  Had taken 2 tylenol but they came back up.  After vomiting, took 400mg ibuprofen. Today (21SEP2023) only nausea/vomiting remain.  Vomited at about 8:15 this morning.  Feeling blah (malaise) now but chills and body aches are gone.  Took 400mg ibuprofen this morning.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pneumonia, Pneumonia bacterial, Superinfection
Clinical narrative: 8/18/2023 - 8/20/2023 (2 days) Date of Admission: 8/18/2023  Discharge Date: 08/20/23 Discharge Disposition: Home or Self Care  past medical history of hypertension, hyperlipidemia, pre diabetes, peripheral neuropathy, peripheral arterial disease, osteoarthritis, chronic disease stage I, obesity.  no indication for Decadron due to no hypoxia or requirement of oxygen.  On remdesivir currently day 3.   On empiric Rocephin and Zithromax in hospital to cover for probable superimposed community-acquired bacterial pneumonia as the symptoms going on for more than 10 days.  012M20A 1/28/2021 Moderna  002A21A  3/1/2021 037F21A  11/9/2021 033K212A 4/18/2022 014H22A 11/5/2022
Age: 0.5
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Covid bivalent vaccine not authorized after 09/12/2023, pt was given the vaccine on 09/13/2023.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Implantable cardiac monitor insertion, Presyncope
Clinical narrative: 8/19/2023 - 9/10/2023 (22 days) Date of Admission: 8/19/2023  Discharge Date: 09/10/23 Discharge Disposition: Skilled Nursing Facility (SNF) with Medicare Certification in Anticipation of Skilled Care past medical history  -presyncope and  loop recorder in place -prior fall with intracranial hemorrhage in 2021  4/12/2021  046B21A 3/10/2021 044A21A 10/26/2022 AS716
Age: 30.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: none
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Chest pain, Dyspnoea, Nausea
Clinical narrative: 8/21/2023 - 8/23/2023 (2 days) Date of Admission: 8/21/2023  Discharge Date: 08/23/2023 Discharge Disposition: Home or Self Care  past medical is significant for bladder cancer, BPH, rheumatoid arthritis, cervical spine fracture involving C2-3, coronary artery disease status post stent and  hyperlipidemia presents emergency room complain of abdominal pain associated with nausea and vomiting and chest pain associated some shortness of breath  regarding COVID-19 infection patient requiring no oxygen no medication indicated treated as supportive care only
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 8/21/2023 - 8/23/2023 (2 days) Date of Admission: 8/21/2023  Discharge Date: 08/23/2023 Discharge Disposition: Home or Self Care  past medical is significant for bladder cancer, BPH, rheumatoid arthritis, cervical spine fracture involving C2-3, coronary artery disease status post stent and  hyperlipidemia presents emergency room complain of abdominal pain associated with nausea and vomiting and chest pain associated some shortness of breath  regarding COVID-19 infection patient requiring no oxygen no medication indicated treated as supportive care only
Age: 4.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: pt was given a covid bivalent vaccine on 09/13/2023, it is no longer authorized stated on 09/12/2023.
Age: 63.0
Sex: F
Vaccine: IPV
Symptoms: Cystitis, Immunisation reaction, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling and redness and heat on the site location.   Went to urgent care and they said cystitis , however, Pharmacy said Covid arm.  Took few days to calm it down
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Full blood count abnormal, Rash, Swelling face, Viral infection
Clinical narrative: Patient presents for appt with PCP.  Patient was given yearly flu vaccination.  Patient has received 4 doses of flu vaccine previously.  All the same brand.  Mother called the next day at 1510 stating that her daughter had a swollen face and a rash. Mother was directed to take child to ER.  Mother did take child to local ER.  ER doctor drew a CBC and diagnosed child with a viral illness.  Swelling was around child's nose area.  Rash was on the face, chest and back.
Age: 35.0
Sex: F
Vaccine: FLU4, RSV, TDAP
Symptoms: Exposure during pregnancy, No adverse event
Clinical narrative: Medication error:  no adverse event.   RSV hasn't been approved by ACIP yet.  No adverse event.   Patient pregnant  wk 33.
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Dizziness, Fatigue, Nausea, Pain
Clinical narrative: Soreness,fatigue,dizziness,and nausea
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event/symptoms noted
Age: 18.0
Sex: M
Vaccine: FLUC4
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT HAD NO ADVERSE EVENTS. VACCINE WAS ADMINISTERED OUTSIDE OF STATE SUPPLY TERMS AND CONDITIONS
Age: 69.0
Sex: M
Vaccine: RSV
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Red rash about the size of a quarter may have started on the 19th of Sept.   Some mild itching.  When bandage came off on 20th of September is when notices.
Age: 75.0
Sex: M
Vaccine: PNC20
Symptoms: Asthenia, Atrial fibrillation, Malaise
Clinical narrative: Patient felt very sick and weak after getting both Shingrix and Prevnar 20 together. Went to ER and was diagnosed with A-fib. Is not on medication to treat A-fib.
Age: 85.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Urticaria
Clinical narrative: Red welt, white in the middle, red around; circular in nature
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered
Clinical narrative: Patient received a 2nd dose of MMRV, and DTAP\IPV vaccine. he has already receive his correct does 11/11/22 for his 4 year well child check.  he came in for a 4 year well child check on 9/15/23.  It was missed that he already had his check up and vaccines in Nov,2022
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Literally, one of the worst headaches I?ve ever had.  Definitely a 9 on the 10 scale, and I almost went to Urgent Care, but couldn?t drive.  The  medication reduced it to around a 7-8, where it is staying.  Came on in the early morning, 2:30 am, and I still have it at 11:20 am.  This is very unusual for me, and I know my headaches.  This is the first time I took a Moderna shot, all my others have been Pfizer, which gave me only a mild (3-4) headache that lasted about 12 hrs.  I know headaches are common side effects, but this one seems more brutal than I?ve heard from other Moderna patients.  If the headache isn?t gone this evening, I will drive to Urgent Care, but I?m counting on the Fiorinal and the Tylenol 4 to keep it bearable.  I really had no other symptoms.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Anticoagulant therapy, Contusion, Deep vein thrombosis, Limb discomfort, Superficial vein thrombosis
Clinical narrative: On evening of 9/12/2023 my right thigh felt bruised and a tight sensation. There was an area of swelling an inch and a half across. The next morning at about 4am the area of swelling had increase down the inside of my thigh amount 3 inches in length. The area was more tender. Initially I went to Urgent care and they recommended that I go to Hospital. I had an Ultrasound and it was confirmed that I had an occlusive thrombus in my right greater saphenous vein. I was started on Xarelto 10mg qd because of the area near the femoral and popliteal veins and risk of progression to a DVT. I was referred to Vasular Surgery on 9/18/23.  A repeat Ultrasound showed that I also had DVT in my right soleus vein as well as the thrombus in the anterior branch of the right greater saphenous vein. My dose of Xarelto was increased to 15mg bid for three weeks then to be decreased to 20mg qid. Also, recommended use of compression socks. I do have a  history of varicose veins in both legs with previous surgical intervention in the 1980s. I am not sure if the blood clots are due to the RSV  vaccine, but did have the vaccine one week prior on 9/5/23.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Swelling, Tenderness, Ultrasound Doppler abnormal, Venous occlusion
Clinical narrative: On evening of 9/12/2023 my right thigh felt bruised and a tight sensation. There was an area of swelling an inch and a half across. The next morning at about 4am the area of swelling had increase down the inside of my thigh amount 3 inches in length. The area was more tender. Initially I went to Urgent care and they recommended that I go to Hospital. I had an Ultrasound and it was confirmed that I had an occlusive thrombus in my right greater saphenous vein. I was started on Xarelto 10mg qd because of the area near the femoral and popliteal veins and risk of progression to a DVT. I was referred to Vasular Surgery on 9/18/23.  A repeat Ultrasound showed that I also had DVT in my right soleus vein as well as the thrombus in the anterior branch of the right greater saphenous vein. My dose of Xarelto was increased to 15mg bid for three weeks then to be decreased to 20mg qid. Also, recommended use of compression socks. I do have a  history of varicose veins in both legs with previous surgical intervention in the 1980s. I am not sure if the blood clots are due to the RSV  vaccine, but did have the vaccine one week prior on 9/5/23.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: PATIENT REPORTS PAIN AND REDNESS AT INJECTION SITE THE NIGHT AFTER ADMINISTRATION. TODAY THE UPPER ARM IS STILL RED, BUT NO LONGER PAINFUL.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site cellulitis, Injection site hypersensitivity, Injection site pain, Injection site swelling
Clinical narrative: On 9/11/2023,  4 days after receiving the vaccine, I noticed a red tender swollen area about the size of a bandaid on my right upper arm below injection site which continued to enlarge to the size of an index card. I sought medical treatment on 09/13/2023,  day 6 post vaccine,  at Urgent Care and was seen by NP. She was unsure if cellulitis or adverse allergice reaction. Prescribed cephalexin and methylpredisone.  I had an extremely painful right upper arm, more pain than any previous vaccines. I returned to the same pharmacy and showed the inflamed area to the pharmacist who adminstered the vaccine. She indicated that she would report the lot and serial number to the manufacturer.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness
Clinical narrative: Patient felt lightheaded and states she felt like she was going to pass out.
Age: 84.0
Sex: M
Vaccine: COVID19, FLU4, RSV
Symptoms: Gait inability, Muscular weakness
Clinical narrative: bilateral lower extremity weakness - unable to ambulate
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: A 15month old male was given an expired dose of DTAP . DTAP expired on 09/16/23, and it was given on 9/18/23.  There were no adverse affects following in clinic. The parent was notified, and followed up with 3 days later by phone. She did not report any health concerns about the patient.  Per CDC guidelines,  I recommended that MOP return to have this shot given again.      Vaccine Type: Infanrix-DTaP    Mfr: GlaxoSmithKline    Dose: 0.5 ml    Route: IM
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injected limb mobility decreased, Neck pain, Pain in extremity
Clinical narrative: Patient reports extreme pain to right arm, shoulder, and neck. Patient reports pain is so severe she is not able to move and pain is more significant than the soreness that typically occurs after vaccination.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia
Clinical narrative: PT STATES SHE HAS HAD SEVERE JOINT PAIN ON HER LEFT SIDE FROM HEAD TO TOE.  SHE HAS SEEN A DR FOR THIS AND HAS ANOTHER APPT ON 10/4 FOR FURTHER TREATMENT
Age: 18.0
Sex: F
Vaccine: FLUC4
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT HAD NO ADVERSE EVENTS. VACCINE WAS ADMINISTERED OUTSIDE OF STATE SUPPLY TERMS AND CONDITIONS
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: N /A
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Axillary pain, Pain, Paraesthesia
Clinical narrative: Pt. presented 24 hours after receiving PPSV23, with severe pain in the axilla, radiating down the R flank. Tingling sensation in the fingers, pain with ROM. Site of injection did not appear erythemic, swollen, or bruised. Axilla was exquisitely painful, but no lymphadenopathy appreciated. passive ROM painful and limiting. CMS intact, extremity is warm. Pt. was given 25 mg Benadryl, ibuprophen 600 mg TID. Advised to ice area and return for worsening or new symptoms.
Age: 75.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Chills, Feeling cold, Headache, Migraine, Nausea
Clinical narrative: The patient was halfway home when they started to experience a cold shiver and felt the need to throw up. The patient pulled over on the side of the road and for the next 20 minutes was throwing up. Upon arrival at home, the patient was throwing up 2 hours after vaccination and still experiencing a cold shiver, using two blankets and a coat with no relief. The patient also reported a migraine occuring at this time which they took Tylenol for. They then proceeded to sleep for the rest of the day. The next morning patient reported throwing up had stopped and the headache was still present but alleviating.
Age: 75.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Somnolence, Vomiting
Clinical narrative: The patient was halfway home when they started to experience a cold shiver and felt the need to throw up. The patient pulled over on the side of the road and for the next 20 minutes was throwing up. Upon arrival at home, the patient was throwing up 2 hours after vaccination and still experiencing a cold shiver, using two blankets and a coat with no relief. The patient also reported a migraine occuring at this time which they took Tylenol for. They then proceeded to sleep for the rest of the day. The next morning patient reported throwing up had stopped and the headache was still present but alleviating.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Aphasia, Asthenia, Blood pressure decreased, Dizziness, Dyspnoea
Clinical narrative: ABOUT 30 Mins post injection 1630, severe  nausea and almost vomited. 2 hours in, at 1800 felt dizzy , light headed and body tingles. Blood pressure creeped down, 110/79 to 95/70 then 90/65 then finally 82/60 and HR reached 110. over a period of 30-40 min. Was not able to move, stand up or talk due to severe weakness and shortness of breath. Had 1 prednisone 20 mg tabs ( old pill left off an old script) and 2 x 10mg cetirizine , just under the tongue for faster absorption.  In addition to gateorade as fluids . Reaction stayed till 6 am in the morning, took 12 hours to subside, as BP recovered at 97/80 and HR at  96.  Still feeling short of breath at 9 am, but dizziness subsided. FYI: Been taking flu shot and never had any reaction to any vaccine prior. New formulation?????
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Dysstasia, Mobility decreased, Nausea, Paraesthesia
Clinical narrative: ABOUT 30 Mins post injection 1630, severe  nausea and almost vomited. 2 hours in, at 1800 felt dizzy , light headed and body tingles. Blood pressure creeped down, 110/79 to 95/70 then 90/65 then finally 82/60 and HR reached 110. over a period of 30-40 min. Was not able to move, stand up or talk due to severe weakness and shortness of breath. Had 1 prednisone 20 mg tabs ( old pill left off an old script) and 2 x 10mg cetirizine , just under the tongue for faster absorption.  In addition to gateorade as fluids . Reaction stayed till 6 am in the morning, took 12 hours to subside, as BP recovered at 97/80 and HR at  96.  Still feeling short of breath at 9 am, but dizziness subsided. FYI: Been taking flu shot and never had any reaction to any vaccine prior. New formulation?????
Age: 57.0
Sex: F
Vaccine: PNC20
Symptoms: Fatigue, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: RED AND SWOLLEN AT INJECTION SITE WITHIN 6 HOURS OF INJECTION. HOT TO THE TOUCH. PARTIALLY RESOLVED WITH TYLENOL BUT COMPLETE RESOLUTION OF REDNESS DID NOT OCCUR UNTIL 9/19.  ALSO HAD MUSCLE SPASMS ACROSS LEFT SHOULDER AND BACK OF HEAD THAT ARE LESS PAINFUL NOW BUT NOT COMPLETELY RESOLVED. TIREDNESS FROM TIME OF SHOT UNTIL PRESENT
Age: 57.0
Sex: F
Vaccine: PNC20
Symptoms: Muscle spasms
Clinical narrative: RED AND SWOLLEN AT INJECTION SITE WITHIN 6 HOURS OF INJECTION. HOT TO THE TOUCH. PARTIALLY RESOLVED WITH TYLENOL BUT COMPLETE RESOLUTION OF REDNESS DID NOT OCCUR UNTIL 9/19.  ALSO HAD MUSCLE SPASMS ACROSS LEFT SHOULDER AND BACK OF HEAD THAT ARE LESS PAINFUL NOW BUT NOT COMPLETELY RESOLVED. TIREDNESS FROM TIME OF SHOT UNTIL PRESENT
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Influenza like illness, Nausea
Clinical narrative: 6pm I got worse started having chills, body echs, extreem shaking, high fever, heart palpatations, bonding heart beat, nausea, dizxy achy and very fatigue. Felt like a bad case of the flu except with heart palaptations racing out of control. Did not take anything, I called my doctors office last night and was recommended to go to the ER if needed.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Pyrexia, Tremor
Clinical narrative: 6pm I got worse started having chills, body echs, extreem shaking, high fever, heart palpatations, bonding heart beat, nausea, dizxy achy and very fatigue. Felt like a bad case of the flu except with heart palaptations racing out of control. Did not take anything, I called my doctors office last night and was recommended to go to the ER if needed.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Paraesthesia
Clinical narrative: Teammate states left arm with tingling from shoulder to wrist.  Has red, warm and raised area the size of her fist around the injection site and redness goes up shoulder and down to elbow.  States has had this type of reaction in previous years after her flu vaccine, symptoms usually go away after about 3 days.
Age: 3.0
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Vaccine de-authorized same day
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acidosis, Acute kidney injury, Asthenia, Azotaemia, Bladder dilatation
Clinical narrative: Patient is a 68 y.o. female patient of doctor, DO with history of DM2, CKD, hypothyroid, HTN, HLD, depression, chronic pain, presented to Hospital with cough, weakness, chills, shortness of breath .  Patient did not have any hypoxia during this hospitalization.  Found to have dehydration and acute kidney injury on chronic kidney disease, given IV fluids, symptoms are improving.  She has nausea and a headache but tolerating diet.  Feels comfortable going home later this evening   Assessment and plan  Pneumonia due to COVID-19 URI symptoms resolved Positive for COVID-19 on 8/24/2023 CXR in the ED with bilateral lower lobe opacities Labs in the ED significant for COVID 19 positive, creatinine 3.57, BUN 104, bicarb 17, sodium 133, lactic acid 1.5 Received IV fluids, antibiotics discontinued Did not develop hypoxia   AKI on CKD unknown stage Severe uremia Baseline creatinine around 1.1-1.3 Renal ultrasound showed nonobstructive right intrarenal calculi with otherwise unremarkable renal ultrasound with bladder mildly distended and otherwise unremarkable.  Simple cyst measuring 2.2 x 2.7 x 2.3 cm on left kidney Creatinine on admission 3.57-- > 2.49 with HCO3 down to 16. Started bicarb gtt, acidosis resolved, back to NS Avoid nephrotoxic agents Serum creatinine continues to improve. Discontinue spironolactone Continue candesartan and hydrochlorothiazide at time of discharge Also on Jardiance for renal protection Follow-up BMP in 4 days after discharge   Type 2 diabetes mellitus without long term insulin use Continue Jardiance   Hypothyroidism Continue synthroid   HTN Restart candesartan/hydrochlorthiazide at time of discharge Patient advised to check BP twice a day. Same place, same machine, same time. Maintain log and follow up with primary care physician in 1 week. Call primary care physician office if SBP consistently >180 or <90    HLD Continue statin   Depression Continue bupropion and Latuda   Chronic pain Continue gabapentin
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood bicarbonate decreased, Blood creatinine abnormal, Blood creatinine increased, Blood lactic acid, Blood sodium decreased
Clinical narrative: Patient is a 68 y.o. female patient of doctor, DO with history of DM2, CKD, hypothyroid, HTN, HLD, depression, chronic pain, presented to Hospital with cough, weakness, chills, shortness of breath .  Patient did not have any hypoxia during this hospitalization.  Found to have dehydration and acute kidney injury on chronic kidney disease, given IV fluids, symptoms are improving.  She has nausea and a headache but tolerating diet.  Feels comfortable going home later this evening   Assessment and plan  Pneumonia due to COVID-19 URI symptoms resolved Positive for COVID-19 on 8/24/2023 CXR in the ED with bilateral lower lobe opacities Labs in the ED significant for COVID 19 positive, creatinine 3.57, BUN 104, bicarb 17, sodium 133, lactic acid 1.5 Received IV fluids, antibiotics discontinued Did not develop hypoxia   AKI on CKD unknown stage Severe uremia Baseline creatinine around 1.1-1.3 Renal ultrasound showed nonobstructive right intrarenal calculi with otherwise unremarkable renal ultrasound with bladder mildly distended and otherwise unremarkable.  Simple cyst measuring 2.2 x 2.7 x 2.3 cm on left kidney Creatinine on admission 3.57-- > 2.49 with HCO3 down to 16. Started bicarb gtt, acidosis resolved, back to NS Avoid nephrotoxic agents Serum creatinine continues to improve. Discontinue spironolactone Continue candesartan and hydrochlorothiazide at time of discharge Also on Jardiance for renal protection Follow-up BMP in 4 days after discharge   Type 2 diabetes mellitus without long term insulin use Continue Jardiance   Hypothyroidism Continue synthroid   HTN Restart candesartan/hydrochlorthiazide at time of discharge Patient advised to check BP twice a day. Same place, same machine, same time. Maintain log and follow up with primary care physician in 1 week. Call primary care physician office if SBP consistently >180 or <90    HLD Continue statin   Depression Continue bupropion and Latuda   Chronic pain Continue gabapentin
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood urea increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills
Clinical narrative: Patient is a 68 y.o. female patient of doctor, DO with history of DM2, CKD, hypothyroid, HTN, HLD, depression, chronic pain, presented to Hospital with cough, weakness, chills, shortness of breath .  Patient did not have any hypoxia during this hospitalization.  Found to have dehydration and acute kidney injury on chronic kidney disease, given IV fluids, symptoms are improving.  She has nausea and a headache but tolerating diet.  Feels comfortable going home later this evening   Assessment and plan  Pneumonia due to COVID-19 URI symptoms resolved Positive for COVID-19 on 8/24/2023 CXR in the ED with bilateral lower lobe opacities Labs in the ED significant for COVID 19 positive, creatinine 3.57, BUN 104, bicarb 17, sodium 133, lactic acid 1.5 Received IV fluids, antibiotics discontinued Did not develop hypoxia   AKI on CKD unknown stage Severe uremia Baseline creatinine around 1.1-1.3 Renal ultrasound showed nonobstructive right intrarenal calculi with otherwise unremarkable renal ultrasound with bladder mildly distended and otherwise unremarkable.  Simple cyst measuring 2.2 x 2.7 x 2.3 cm on left kidney Creatinine on admission 3.57-- > 2.49 with HCO3 down to 16. Started bicarb gtt, acidosis resolved, back to NS Avoid nephrotoxic agents Serum creatinine continues to improve. Discontinue spironolactone Continue candesartan and hydrochlorothiazide at time of discharge Also on Jardiance for renal protection Follow-up BMP in 4 days after discharge   Type 2 diabetes mellitus without long term insulin use Continue Jardiance   Hypothyroidism Continue synthroid   HTN Restart candesartan/hydrochlorthiazide at time of discharge Patient advised to check BP twice a day. Same place, same machine, same time. Maintain log and follow up with primary care physician in 1 week. Call primary care physician office if SBP consistently >180 or <90    HLD Continue statin   Depression Continue bupropion and Latuda   Chronic pain Continue gabapentin
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chronic kidney disease, Condition aggravated, Cough, Dehydration, Dyspnoea
Clinical narrative: Patient is a 68 y.o. female patient of doctor, DO with history of DM2, CKD, hypothyroid, HTN, HLD, depression, chronic pain, presented to Hospital with cough, weakness, chills, shortness of breath .  Patient did not have any hypoxia during this hospitalization.  Found to have dehydration and acute kidney injury on chronic kidney disease, given IV fluids, symptoms are improving.  She has nausea and a headache but tolerating diet.  Feels comfortable going home later this evening   Assessment and plan  Pneumonia due to COVID-19 URI symptoms resolved Positive for COVID-19 on 8/24/2023 CXR in the ED with bilateral lower lobe opacities Labs in the ED significant for COVID 19 positive, creatinine 3.57, BUN 104, bicarb 17, sodium 133, lactic acid 1.5 Received IV fluids, antibiotics discontinued Did not develop hypoxia   AKI on CKD unknown stage Severe uremia Baseline creatinine around 1.1-1.3 Renal ultrasound showed nonobstructive right intrarenal calculi with otherwise unremarkable renal ultrasound with bladder mildly distended and otherwise unremarkable.  Simple cyst measuring 2.2 x 2.7 x 2.3 cm on left kidney Creatinine on admission 3.57-- > 2.49 with HCO3 down to 16. Started bicarb gtt, acidosis resolved, back to NS Avoid nephrotoxic agents Serum creatinine continues to improve. Discontinue spironolactone Continue candesartan and hydrochlorothiazide at time of discharge Also on Jardiance for renal protection Follow-up BMP in 4 days after discharge   Type 2 diabetes mellitus without long term insulin use Continue Jardiance   Hypothyroidism Continue synthroid   HTN Restart candesartan/hydrochlorthiazide at time of discharge Patient advised to check BP twice a day. Same place, same machine, same time. Maintain log and follow up with primary care physician in 1 week. Call primary care physician office if SBP consistently >180 or <90    HLD Continue statin   Depression Continue bupropion and Latuda   Chronic pain Continue gabapentin
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Lung opacity, Nausea, Nephrolithiasis, Renal cyst
Clinical narrative: Patient is a 68 y.o. female patient of doctor, DO with history of DM2, CKD, hypothyroid, HTN, HLD, depression, chronic pain, presented to Hospital with cough, weakness, chills, shortness of breath .  Patient did not have any hypoxia during this hospitalization.  Found to have dehydration and acute kidney injury on chronic kidney disease, given IV fluids, symptoms are improving.  She has nausea and a headache but tolerating diet.  Feels comfortable going home later this evening   Assessment and plan  Pneumonia due to COVID-19 URI symptoms resolved Positive for COVID-19 on 8/24/2023 CXR in the ED with bilateral lower lobe opacities Labs in the ED significant for COVID 19 positive, creatinine 3.57, BUN 104, bicarb 17, sodium 133, lactic acid 1.5 Received IV fluids, antibiotics discontinued Did not develop hypoxia   AKI on CKD unknown stage Severe uremia Baseline creatinine around 1.1-1.3 Renal ultrasound showed nonobstructive right intrarenal calculi with otherwise unremarkable renal ultrasound with bladder mildly distended and otherwise unremarkable.  Simple cyst measuring 2.2 x 2.7 x 2.3 cm on left kidney Creatinine on admission 3.57-- > 2.49 with HCO3 down to 16. Started bicarb gtt, acidosis resolved, back to NS Avoid nephrotoxic agents Serum creatinine continues to improve. Discontinue spironolactone Continue candesartan and hydrochlorothiazide at time of discharge Also on Jardiance for renal protection Follow-up BMP in 4 days after discharge   Type 2 diabetes mellitus without long term insulin use Continue Jardiance   Hypothyroidism Continue synthroid   HTN Restart candesartan/hydrochlorthiazide at time of discharge Patient advised to check BP twice a day. Same place, same machine, same time. Maintain log and follow up with primary care physician in 1 week. Call primary care physician office if SBP consistently >180 or <90    HLD Continue statin   Depression Continue bupropion and Latuda   Chronic pain Continue gabapentin
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory symptom, SARS-CoV-2 test positive, Ultrasound kidney abnormal
Clinical narrative: Patient is a 68 y.o. female patient of doctor, DO with history of DM2, CKD, hypothyroid, HTN, HLD, depression, chronic pain, presented to Hospital with cough, weakness, chills, shortness of breath .  Patient did not have any hypoxia during this hospitalization.  Found to have dehydration and acute kidney injury on chronic kidney disease, given IV fluids, symptoms are improving.  She has nausea and a headache but tolerating diet.  Feels comfortable going home later this evening   Assessment and plan  Pneumonia due to COVID-19 URI symptoms resolved Positive for COVID-19 on 8/24/2023 CXR in the ED with bilateral lower lobe opacities Labs in the ED significant for COVID 19 positive, creatinine 3.57, BUN 104, bicarb 17, sodium 133, lactic acid 1.5 Received IV fluids, antibiotics discontinued Did not develop hypoxia   AKI on CKD unknown stage Severe uremia Baseline creatinine around 1.1-1.3 Renal ultrasound showed nonobstructive right intrarenal calculi with otherwise unremarkable renal ultrasound with bladder mildly distended and otherwise unremarkable.  Simple cyst measuring 2.2 x 2.7 x 2.3 cm on left kidney Creatinine on admission 3.57-- > 2.49 with HCO3 down to 16. Started bicarb gtt, acidosis resolved, back to NS Avoid nephrotoxic agents Serum creatinine continues to improve. Discontinue spironolactone Continue candesartan and hydrochlorothiazide at time of discharge Also on Jardiance for renal protection Follow-up BMP in 4 days after discharge   Type 2 diabetes mellitus without long term insulin use Continue Jardiance   Hypothyroidism Continue synthroid   HTN Restart candesartan/hydrochlorthiazide at time of discharge Patient advised to check BP twice a day. Same place, same machine, same time. Maintain log and follow up with primary care physician in 1 week. Call primary care physician office if SBP consistently >180 or <90    HLD Continue statin   Depression Continue bupropion and Latuda   Chronic pain Continue gabapentin
Age: 5.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Wrong product administered
Clinical narrative: Pentacel was given in place of quadracel, no treatment was advised per state consultant
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharitis, Eye irritation, Eye pruritus, Facial paralysis, Impaired driving ability
Clinical narrative: Problems with both eyes since about a month after the first vaccine (Moderna) in March 2021, for over two years now. Burning, itching, red, leaking tears, dropping lower eyelids, puffy inflamed upper lids. So bad that it effects my work, my pleasure time, reading, and driving.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Lacrimation increased, Loss of personal independence in daily activities, Ocular hyperaemia, Periorbital swelling
Clinical narrative: Problems with both eyes since about a month after the first vaccine (Moderna) in March 2021, for over two years now. Burning, itching, red, leaking tears, dropping lower eyelids, puffy inflamed upper lids. So bad that it effects my work, my pleasure time, reading, and driving.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 breakthrough Infection
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Patient was administered  the Moderna Bivalent booster on 9/13/23 after the FDA had pulled the Authorization on 9/11/23
Age: 70.0
Sex: M
Vaccine: FLU4, RSV, VARZOS
Symptoms: Dizziness, Fatigue, Joint stiffness, Musculoskeletal stiffness, Myalgia
Clinical narrative: -Blurred vision, Stiff Legs, Physically shaky, Dizziness, Fatigue, Muscle Pain (Legs), Stiff Joints (Legs and hands)   no dx or tx was performed.  Dr is the PCP and the reporting pharmacist called to inform the MD of the patient's side effects.   Immunizing Pharmacist was Pharm D  Patient was advised to call primary care physician.  He declined due to leaving for vacation.
Age: 70.0
Sex: M
Vaccine: FLU4, RSV, VARZOS
Symptoms: Tremor, Vision blurred
Clinical narrative: -Blurred vision, Stiff Legs, Physically shaky, Dizziness, Fatigue, Muscle Pain (Legs), Stiff Joints (Legs and hands)   no dx or tx was performed.  Dr is the PCP and the reporting pharmacist called to inform the MD of the patient's side effects.   Immunizing Pharmacist was Pharm D  Patient was advised to call primary care physician.  He declined due to leaving for vacation.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Laboratory test, Magnetic resonance imaging, Pain in extremity
Clinical narrative: Within a day or two my shoulder hurt considerably and continued to for the next 1 year.  Secondly - my left hand joints/knuckles have all swollen, especially my left index finger which is no longer usable due to pain.  It has affected my right hand also, but not as bad.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Blood test, Chest X-ray, Computerised tomogram, Diarrhoea
Clinical narrative: Got swelling fast heartbeat runs headache weakness
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Heart rate increased, Swelling
Clinical narrative: Got swelling fast heartbeat runs headache weakness
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Local reaction, Pain, Urticaria
Clinical narrative: Patient developed local reaction to vaccine (redness, pain) one day after immunization.  The next day developed full body hives.  Had virtual visit with another provider who prescribed prednisone.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Asthma, Burning sensation, Condition aggravated, Fatigue
Clinical narrative: He got his vaccine, his arm hurt way more than usual, really quick it went sore.  Then as the day went on he started feeling tired and groggy, spacy feeling.  Then just started to get a burning sensation between the back and his shouldre blades, and then back into his chest.  Then legs and body felt hot, but he did not have a fever, almost like sunburn.  The feeling was pretty intense.  He went to sleep and then was woken up around 8-9 and then had stomach tightness, bloating, hot sensation, extremely hot.  He kept trying to walk it off and cough and move, and starting drinking a lot of fluids, and subsided a little bit.  he took his inhaler which kind of helped, but it almost made him feel more congested, and  feels like it triggered a reaction with his asthma.  Made his asthma worse and brought it out.  The symptoms today are better than list night but he is still having the feelings or burning in his abdomen, rib cage, tight feeling.    He has not contacted his doctor.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Pain in extremity, Somnolence
Clinical narrative: He got his vaccine, his arm hurt way more than usual, really quick it went sore.  Then as the day went on he started feeling tired and groggy, spacy feeling.  Then just started to get a burning sensation between the back and his shouldre blades, and then back into his chest.  Then legs and body felt hot, but he did not have a fever, almost like sunburn.  The feeling was pretty intense.  He went to sleep and then was woken up around 8-9 and then had stomach tightness, bloating, hot sensation, extremely hot.  He kept trying to walk it off and cough and move, and starting drinking a lot of fluids, and subsided a little bit.  he took his inhaler which kind of helped, but it almost made him feel more congested, and  feels like it triggered a reaction with his asthma.  Made his asthma worse and brought it out.  The symptoms today are better than list night but he is still having the feelings or burning in his abdomen, rib cage, tight feeling.    He has not contacted his doctor.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Lip swelling
Clinical narrative: Swollen Right Lip noticed on 9/20 at 5am. Treatment: Medrol dose pack and seen by Occupational Medicine Services 9/20 and follow up 9/21.
Age: 63.0
Sex: U
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pediatric dosing was given to Adult patient.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Lethargy, Pyrexia
Clinical narrative: He has been vomiting, fatigue, lethargic, headache, 102.7 fever and noticeable round redness around vaccine site
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: He has been vomiting, fatigue, lethargic, headache, 102.7 fever and noticeable round redness around vaccine site
Age: 13.0
Sex: F
Vaccine: COVID19-2, FLU4, COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Vaccine was administered after the FDA removed the authorization of the Pfizer BioNTech COVID-19 Vaccine, Bivalent on 09/11/2023.
Age: 13.0
Sex: F
Vaccine: COVID19-2, FLU4, COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Vaccine was administered before receiving notice to discard all bivalent covid vaccines
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, PNC13, VARCEL
Symptoms: Blood lead normal, Crying, Haemoglobin normal, Injection site rash, Syncope
Clinical narrative: Pt was here for a WCC visit. Vaccines were administrated at 10:20am.  Not long after, pt fainted for about 10-15 seconds.  Medical assistant picked baby off the table and patted her back.  Patient then became alert and started crying.  Juice given to patient and provider was called. MD came to the patient and stated that he thinks she had a Vasovagal  syncope.  Noted large rash around both injection sites.  Patient was then monitored for about 15-20 min and left acting normal.  Mother was here with patient.  I have reported to VAERS
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMR
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Had reaction to his right thigh within 24 hours. Red swollen, hot to the touch and it continues to grow.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Patient was administered Moderna's bivalent booster on 9/14/2023. The FDA pulled the authorization for this vaccine on 9/11/2023.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Blood creatinine, COVID-19
Clinical narrative: Patient is a 78 y.o. male patient of CNP with history of stroke, epilepsy, coronary artery disease, hyperlipidemia, and hypothyroidism who presented to Hospital with weakness and confusion.   Generalized weakness Acute Metabolic Encephalopathy, resolved Lives alone, unable to walk due to bilateral lower extremity weakness CT brain with no acute intracranial abnormality; extensive multifocal encephalomalacia with large zone of infarction and encephalomalacia within the right frontal lobe; chronic small vessel ischemic disease, clear sinuses Suspect secondary to COVID-19 infection PT and OT evaluated, patient able to ambulate, recommended 2 to 3days/week of therapy   Covid-19 us Infection Acute respiratory failure Date of onset of symptoms: 8/20/2023 Symptoms present on admission: weakness, confusion, dry cough Date of covid positive test: 8/20/2023 Vaccination status: vaccinated Imaging: CXR nonacute Oxygen requirements on admission: room air Current oxygen requirements: With exertion O2 sats dropped to 82% Medical therapy: Started on Decadron 6 mg oral daily, and continued at discharge to complete a short course Anticipated special isolation end date: 8/30/2023 Checked O2 requirement prior to discharge.  Did not qualify for oxygen   Acute kidney injury Chronic urinary incontinence Cr 1.64 (baseline 1.3) Suspect secondary to poor intake due to COVID-19 infection Received IV fluids in the ER but with COVID IV fluids discontinued.   Repeat BMP with creatinine 1.69.  Advised patient to stay another night.  Patient is very upset and reports that he is walking out.  Explained to the patient about possible complications of worsening kidney function.  Patient still wants to leave.  Discussed with daughter. Daughter agreed that she will make sure that he gets his BMP on 8/28/2023   Elevated troponin Initial troponin 53, repeat 52 Denies chest pain EKG without acute ischemic findings Suspect secondary to demand ischemia from COVID infection   Pancytopenia WBC 3.83> 7.62, Hgb 12.7> 12.9, Plt 114> 108 Most likely due to viral infection Has chronic anemia, at baseline