chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, C-reactive protein, Costochondritis, Myalgia
Clinical narrative: Left subscapularis muscle pain, left triceps pain, left sided costochondritis
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Vaccine received in the pharmacy, administered by a pharmacist, on 12/28/2023 in left deltoid. Patient returned to pharmacy on 01/02/2024 reporting the area at the injection site was red, swollen, warm to touch and painful at times, asking the pharmacist to take a look at the injection area, stating this reaction started shortly after receiving the vaccine on 12/28/2023. Pharmacist examined the injection site, noticed a 1 inch red, raised circular rash at injection site on left arm, slightly warm to touch. Pharmacist advised patient to alert her Doctor/Primary Care Provider of this experience, and advised patient to apply cold compresses and take OTC Benadryl (25 mg, 1 po every 4 to 6 hours as needed) as needed. Pharmacy called PCP office to alert of patient's reaction, leaving detailed voice message upon request on 01/02/2024.
Age: 1.75
Sex: M
Vaccine: DTAPIPVHIB, HEPA, PNC15
Symptoms: Immediate post-injection reaction, Irritability, Pain, Pyrexia
Clinical narrative: Immediately after receiving the combination vaccination, patient developed a fever ( this is the second time having a reaction with a combination vaccine)  this time the fever spiked to 103, he was very irritable, Achey.  this last again about 36 hours.  he is fine as of 1/4/2024 and returned to daycare.  His PCP has decided not to use combination vaccines  again.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blood potassium increased, Blood smear test, COVID-19
Clinical narrative: Patient is a 72 y.o. male patient of MD with history of ESRD, DVT, Afib and Pulm HTN presented to hospital with arthralgias and loss of appetite.   Covid-19 Virus Infection Date of onset of symptoms: 12/6 Symptoms present on admission: Arthralgias, myalgias, mild cough, loss or appetite Date of covid positive test: 12/11/23 Imaging: CXR with no findings Oxygen requirements on admission: None Current oxygen requirements: None Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 12/16   ESRD HD per nephrology   Hypoglycemia Lack of appetite he notes in setting of COVID and plus lack of access to food, mostly just drinking water for 5 days Start diet BG better.  Encourage PO intake helping with meal on wheels  BG much improved.    Chronic HFrEF EF 40% 11/2022 Only on BB Would follow up with PCP or cardiologist    Pancytopenia WBC downtrending from 2.43 > 1.93 PLT 51 K > 43 K No need blood products at this time May be related to COVID Peripheral smear inconclusive  Counts improving  CBC o/p    Weakness From COVID likely PT/OT recs HHC   Afib Resume BB and Eliquis
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure chronic, Chest X-ray normal, Cough, Decreased appetite, Ejection fraction decreased
Clinical narrative: Patient is a 72 y.o. male patient of MD with history of ESRD, DVT, Afib and Pulm HTN presented to hospital with arthralgias and loss of appetite.   Covid-19 Virus Infection Date of onset of symptoms: 12/6 Symptoms present on admission: Arthralgias, myalgias, mild cough, loss or appetite Date of covid positive test: 12/11/23 Imaging: CXR with no findings Oxygen requirements on admission: None Current oxygen requirements: None Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 12/16   ESRD HD per nephrology   Hypoglycemia Lack of appetite he notes in setting of COVID and plus lack of access to food, mostly just drinking water for 5 days Start diet BG better.  Encourage PO intake helping with meal on wheels  BG much improved.    Chronic HFrEF EF 40% 11/2022 Only on BB Would follow up with PCP or cardiologist    Pancytopenia WBC downtrending from 2.43 > 1.93 PLT 51 K > 43 K No need blood products at this time May be related to COVID Peripheral smear inconclusive  Counts improving  CBC o/p    Weakness From COVID likely PT/OT recs HHC   Afib Resume BB and Eliquis
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Hypoglycaemia, Hypophagia, Inadequate diet, Left ventricular failure
Clinical narrative: Patient is a 72 y.o. male patient of MD with history of ESRD, DVT, Afib and Pulm HTN presented to hospital with arthralgias and loss of appetite.   Covid-19 Virus Infection Date of onset of symptoms: 12/6 Symptoms present on admission: Arthralgias, myalgias, mild cough, loss or appetite Date of covid positive test: 12/11/23 Imaging: CXR with no findings Oxygen requirements on admission: None Current oxygen requirements: None Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 12/16   ESRD HD per nephrology   Hypoglycemia Lack of appetite he notes in setting of COVID and plus lack of access to food, mostly just drinking water for 5 days Start diet BG better.  Encourage PO intake helping with meal on wheels  BG much improved.    Chronic HFrEF EF 40% 11/2022 Only on BB Would follow up with PCP or cardiologist    Pancytopenia WBC downtrending from 2.43 > 1.93 PLT 51 K > 43 K No need blood products at this time May be related to COVID Peripheral smear inconclusive  Counts improving  CBC o/p    Weakness From COVID likely PT/OT recs HHC   Afib Resume BB and Eliquis
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pancytopenia, Platelet count decreased, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: Patient is a 72 y.o. male patient of MD with history of ESRD, DVT, Afib and Pulm HTN presented to hospital with arthralgias and loss of appetite.   Covid-19 Virus Infection Date of onset of symptoms: 12/6 Symptoms present on admission: Arthralgias, myalgias, mild cough, loss or appetite Date of covid positive test: 12/11/23 Imaging: CXR with no findings Oxygen requirements on admission: None Current oxygen requirements: None Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 12/16   ESRD HD per nephrology   Hypoglycemia Lack of appetite he notes in setting of COVID and plus lack of access to food, mostly just drinking water for 5 days Start diet BG better.  Encourage PO intake helping with meal on wheels  BG much improved.    Chronic HFrEF EF 40% 11/2022 Only on BB Would follow up with PCP or cardiologist    Pancytopenia WBC downtrending from 2.43 > 1.93 PLT 51 K > 43 K No need blood products at this time May be related to COVID Peripheral smear inconclusive  Counts improving  CBC o/p    Weakness From COVID likely PT/OT recs HHC   Afib Resume BB and Eliquis
Age: 81.0
Sex: F
Vaccine: RSV
Symptoms: Vaccination site erythema, Vaccination site pain, Vaccination site pruritus
Clinical narrative: Patient reported having redness, itching and pain at the site of vaccine. Patient saw her dermatologist who advised her to ice the area
Age: 68.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Angiogram cerebral normal, Angiogram normal, Angiotensin converting enzyme normal, Anti-ganglioside antibody negative, Blood immunoglobulin G normal
Clinical narrative: 68-year-old male with past medical history of hypertension, hyperlipidemia, vitamin D deficiency, and benign paroxysmal positional vertigo who presented to ED on 12/12/2022 with blurred vision, and was admitted for double vision to Neurology service. Developed sudden onset non-fluctuating diplopia starting 12/10. Had frontal headache for a few days prior to ED presentation but resolved by then.  Drooping eye lid noted on the L by wife on 12/12.  He received flu and shingrix vaccine concurrently about 24 days prior to symptom onset.  Note he was non-adherent with his medications for hypertension and hyperlipidemia.  On exam he had a pupil-sparing left cranial nerve Ill palsy.  Rest of neurological and general physical exam normal.  GBS/Miller Fischer Syndrome was considered given cranial neuropathy and history of recent vaccines but this was later excluded as there was no albuminocytologic dissociation on CSF and reflexes were intact throughout. CSF studies all normal.  No obvious structural/vascular abnormalities seen on MRI/MRV/MRA with and without contrast of the head. There are no radiographic signs of sarcoidosis. ESR, CRP, TSH, free T4 within normal limits, Lyme antibody negative. Last A 1c in 04/2022 was within normal limits making a diabetic cranial neuropathy unlikely. Myasthenia ice pack test which did not improve ptosis, thus making myasthenia less likely. He did report a history of shingles induced hearing loss in right ear and imbalance (2019), which had resolved with steroids. Based on above, patient was diagnosed with pupil-sparing CNIII palsy, etiology thought to be infectious (VZV). Follow-up Neurology visit scheduled for Feb 16, 2023.  Neurology to follow-up on several labs pending at discharge and PCP follow-up for HTN, HL management.
Age: 68.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Blood thyroid stimulating hormone normal, Borrelia test negative, C-reactive protein normal, CSF test normal, Cranial nerve disorder
Clinical narrative: 68-year-old male with past medical history of hypertension, hyperlipidemia, vitamin D deficiency, and benign paroxysmal positional vertigo who presented to ED on 12/12/2022 with blurred vision, and was admitted for double vision to Neurology service. Developed sudden onset non-fluctuating diplopia starting 12/10. Had frontal headache for a few days prior to ED presentation but resolved by then.  Drooping eye lid noted on the L by wife on 12/12.  He received flu and shingrix vaccine concurrently about 24 days prior to symptom onset.  Note he was non-adherent with his medications for hypertension and hyperlipidemia.  On exam he had a pupil-sparing left cranial nerve Ill palsy.  Rest of neurological and general physical exam normal.  GBS/Miller Fischer Syndrome was considered given cranial neuropathy and history of recent vaccines but this was later excluded as there was no albuminocytologic dissociation on CSF and reflexes were intact throughout. CSF studies all normal.  No obvious structural/vascular abnormalities seen on MRI/MRV/MRA with and without contrast of the head. There are no radiographic signs of sarcoidosis. ESR, CRP, TSH, free T4 within normal limits, Lyme antibody negative. Last A 1c in 04/2022 was within normal limits making a diabetic cranial neuropathy unlikely. Myasthenia ice pack test which did not improve ptosis, thus making myasthenia less likely. He did report a history of shingles induced hearing loss in right ear and imbalance (2019), which had resolved with steroids. Based on above, patient was diagnosed with pupil-sparing CNIII palsy, etiology thought to be infectious (VZV). Follow-up Neurology visit scheduled for Feb 16, 2023.  Neurology to follow-up on several labs pending at discharge and PCP follow-up for HTN, HL management.
Age: 68.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Cranial nerve paralysis, Diplopia, Eyelid ptosis, Facial paralysis, Headache
Clinical narrative: 68-year-old male with past medical history of hypertension, hyperlipidemia, vitamin D deficiency, and benign paroxysmal positional vertigo who presented to ED on 12/12/2022 with blurred vision, and was admitted for double vision to Neurology service. Developed sudden onset non-fluctuating diplopia starting 12/10. Had frontal headache for a few days prior to ED presentation but resolved by then.  Drooping eye lid noted on the L by wife on 12/12.  He received flu and shingrix vaccine concurrently about 24 days prior to symptom onset.  Note he was non-adherent with his medications for hypertension and hyperlipidemia.  On exam he had a pupil-sparing left cranial nerve Ill palsy.  Rest of neurological and general physical exam normal.  GBS/Miller Fischer Syndrome was considered given cranial neuropathy and history of recent vaccines but this was later excluded as there was no albuminocytologic dissociation on CSF and reflexes were intact throughout. CSF studies all normal.  No obvious structural/vascular abnormalities seen on MRI/MRV/MRA with and without contrast of the head. There are no radiographic signs of sarcoidosis. ESR, CRP, TSH, free T4 within normal limits, Lyme antibody negative. Last A 1c in 04/2022 was within normal limits making a diabetic cranial neuropathy unlikely. Myasthenia ice pack test which did not improve ptosis, thus making myasthenia less likely. He did report a history of shingles induced hearing loss in right ear and imbalance (2019), which had resolved with steroids. Based on above, patient was diagnosed with pupil-sparing CNIII palsy, etiology thought to be infectious (VZV). Follow-up Neurology visit scheduled for Feb 16, 2023.  Neurology to follow-up on several labs pending at discharge and PCP follow-up for HTN, HL management.
Age: 68.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Herpes simplex test negative, Intracranial contrast-enhanced magnetic resonance venography, Magnetic resonance imaging head normal, Neurological examination normal, Polymerase chain reaction negative
Clinical narrative: 68-year-old male with past medical history of hypertension, hyperlipidemia, vitamin D deficiency, and benign paroxysmal positional vertigo who presented to ED on 12/12/2022 with blurred vision, and was admitted for double vision to Neurology service. Developed sudden onset non-fluctuating diplopia starting 12/10. Had frontal headache for a few days prior to ED presentation but resolved by then.  Drooping eye lid noted on the L by wife on 12/12.  He received flu and shingrix vaccine concurrently about 24 days prior to symptom onset.  Note he was non-adherent with his medications for hypertension and hyperlipidemia.  On exam he had a pupil-sparing left cranial nerve Ill palsy.  Rest of neurological and general physical exam normal.  GBS/Miller Fischer Syndrome was considered given cranial neuropathy and history of recent vaccines but this was later excluded as there was no albuminocytologic dissociation on CSF and reflexes were intact throughout. CSF studies all normal.  No obvious structural/vascular abnormalities seen on MRI/MRV/MRA with and without contrast of the head. There are no radiographic signs of sarcoidosis. ESR, CRP, TSH, free T4 within normal limits, Lyme antibody negative. Last A 1c in 04/2022 was within normal limits making a diabetic cranial neuropathy unlikely. Myasthenia ice pack test which did not improve ptosis, thus making myasthenia less likely. He did report a history of shingles induced hearing loss in right ear and imbalance (2019), which had resolved with steroids. Based on above, patient was diagnosed with pupil-sparing CNIII palsy, etiology thought to be infectious (VZV). Follow-up Neurology visit scheduled for Feb 16, 2023.  Neurology to follow-up on several labs pending at discharge and PCP follow-up for HTN, HL management.
Age: 68.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Red blood cell sedimentation rate normal, Scan with contrast normal, Thyroxine free normal, Treponema test negative, Varicella virus test negative
Clinical narrative: 68-year-old male with past medical history of hypertension, hyperlipidemia, vitamin D deficiency, and benign paroxysmal positional vertigo who presented to ED on 12/12/2022 with blurred vision, and was admitted for double vision to Neurology service. Developed sudden onset non-fluctuating diplopia starting 12/10. Had frontal headache for a few days prior to ED presentation but resolved by then.  Drooping eye lid noted on the L by wife on 12/12.  He received flu and shingrix vaccine concurrently about 24 days prior to symptom onset.  Note he was non-adherent with his medications for hypertension and hyperlipidemia.  On exam he had a pupil-sparing left cranial nerve Ill palsy.  Rest of neurological and general physical exam normal.  GBS/Miller Fischer Syndrome was considered given cranial neuropathy and history of recent vaccines but this was later excluded as there was no albuminocytologic dissociation on CSF and reflexes were intact throughout. CSF studies all normal.  No obvious structural/vascular abnormalities seen on MRI/MRV/MRA with and without contrast of the head. There are no radiographic signs of sarcoidosis. ESR, CRP, TSH, free T4 within normal limits, Lyme antibody negative. Last A 1c in 04/2022 was within normal limits making a diabetic cranial neuropathy unlikely. Myasthenia ice pack test which did not improve ptosis, thus making myasthenia less likely. He did report a history of shingles induced hearing loss in right ear and imbalance (2019), which had resolved with steroids. Based on above, patient was diagnosed with pupil-sparing CNIII palsy, etiology thought to be infectious (VZV). Follow-up Neurology visit scheduled for Feb 16, 2023.  Neurology to follow-up on several labs pending at discharge and PCP follow-up for HTN, HL management.
Age: 68.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Venogram normal, Vision blurred
Clinical narrative: 68-year-old male with past medical history of hypertension, hyperlipidemia, vitamin D deficiency, and benign paroxysmal positional vertigo who presented to ED on 12/12/2022 with blurred vision, and was admitted for double vision to Neurology service. Developed sudden onset non-fluctuating diplopia starting 12/10. Had frontal headache for a few days prior to ED presentation but resolved by then.  Drooping eye lid noted on the L by wife on 12/12.  He received flu and shingrix vaccine concurrently about 24 days prior to symptom onset.  Note he was non-adherent with his medications for hypertension and hyperlipidemia.  On exam he had a pupil-sparing left cranial nerve Ill palsy.  Rest of neurological and general physical exam normal.  GBS/Miller Fischer Syndrome was considered given cranial neuropathy and history of recent vaccines but this was later excluded as there was no albuminocytologic dissociation on CSF and reflexes were intact throughout. CSF studies all normal.  No obvious structural/vascular abnormalities seen on MRI/MRV/MRA with and without contrast of the head. There are no radiographic signs of sarcoidosis. ESR, CRP, TSH, free T4 within normal limits, Lyme antibody negative. Last A 1c in 04/2022 was within normal limits making a diabetic cranial neuropathy unlikely. Myasthenia ice pack test which did not improve ptosis, thus making myasthenia less likely. He did report a history of shingles induced hearing loss in right ear and imbalance (2019), which had resolved with steroids. Based on above, patient was diagnosed with pupil-sparing CNIII palsy, etiology thought to be infectious (VZV). Follow-up Neurology visit scheduled for Feb 16, 2023.  Neurology to follow-up on several labs pending at discharge and PCP follow-up for HTN, HL management.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Unknown, positive home test
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Covid Vaccine expired 2 days prior to administration per post-thaw expiration date 12/31/23. Mother informed opted not to repeat the dose.  No adverse event.
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: Fever & Diarrhea beginning 12/28/2023 and lasting 2 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Computerised tomogram thorax abnormal, Echocardiogram, Pericardial effusion
Clinical narrative: On November 8, 2023 I began having chest pains which worsened overnight and went to the ER on November 9. ER conducted a CT scan and chest x-ray but no cause was found and I was discharged. On December 23, 2023 I began feeling a similar chest pain - pain worsened significantly at night (more painful than in November) and at ~12:45am on December 24, 2023 I went to the ER. CT in the ER showed pericarditis with moderate pericardial effusion (1.5cm increasing to 1.7cm on December 25 and down to 1.1cm on December 26) and I was admitted to the hospital and put on Ibuprofen (600mg 3x/day) and colchicine (0.6mg every 12 hours). I was ultimately discharged on December 26 continuing this drug regimen and receiving outpatient cardiology care and monitoring.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: On November 8, 2023 I began having chest pains which worsened overnight and went to the ER on November 9. ER conducted a CT scan and chest x-ray but no cause was found and I was discharged. On December 23, 2023 I began feeling a similar chest pain - pain worsened significantly at night (more painful than in November) and at ~12:45am on December 24, 2023 I went to the ER. CT in the ER showed pericarditis with moderate pericardial effusion (1.5cm increasing to 1.7cm on December 25 and down to 1.1cm on December 26) and I was admitted to the hospital and put on Ibuprofen (600mg 3x/day) and colchicine (0.6mg every 12 hours). I was ultimately discharged on December 26 continuing this drug regimen and receiving outpatient cardiology care and monitoring.
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Asthenia, Fatigue, Sudden onset of sleep
Clinical narrative: I had dinner and I felt ok, then around 7:30pm, I was watching tv, and I started feeling a slight tightness in my chest. Then after that, I kept nodding off, but it's not something I do. My husband will be talking to me, and all of a sudden, I would be asleep. I don't know, but I didn't realize I was going to sleep, but then I would wake up and it would happen again. I drunk fluids, and tried sitting up and walking a little bit. Cause I have a disability of walking. I would say by 11:00pm, it subsided a great deal. But I still felt a great deal of fatigue and weakness.
Age: 42.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Varicella was given to pt during the 28 day waiting period before giving another live vaccine
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Ill-defined disorder, Mucous membrane pemphigoid, Oral disorder, Oral pain, Oral soft tissue biopsy
Clinical narrative: She got her vaccine, and had no problems, was asymptomatic.  She went to the dentist before her vaccines, and everything was fine, then went again in December, and a lesion was noted inside her mouth.  A biopsy was done and diagnosed with mucous membrane pemphigoid.  The lesion was removed as a biopsy in the office.  She was put on oral steroid rinse and pain relieving Lidocaine based jelly orally for the pain.   She continues to have problems off and on and can cause many problems with eyes, lungs and forming of lesions in your body, esophagus and can affect any mucous membrane in the body and can be aggressive or indolent but one never knows which way it will go.   She was a healthy individual prior to the vaccines, and since the vaccine this has happened.  The dentist that found the lesion is Dr.  She does continue to use the medicines of oral rinse and the pain jelly when she has recurrence.  So far it is confined to her mouth and they can happen at any time, weekly, monthly etc., and nothing triggering her to warn her she is going to have a flare.
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Oral surgery
Clinical narrative: She got her vaccine, and had no problems, was asymptomatic.  She went to the dentist before her vaccines, and everything was fine, then went again in December, and a lesion was noted inside her mouth.  A biopsy was done and diagnosed with mucous membrane pemphigoid.  The lesion was removed as a biopsy in the office.  She was put on oral steroid rinse and pain relieving Lidocaine based jelly orally for the pain.   She continues to have problems off and on and can cause many problems with eyes, lungs and forming of lesions in your body, esophagus and can affect any mucous membrane in the body and can be aggressive or indolent but one never knows which way it will go.   She was a healthy individual prior to the vaccines, and since the vaccine this has happened.  The dentist that found the lesion is Dr.  She does continue to use the medicines of oral rinse and the pain jelly when she has recurrence.  So far it is confined to her mouth and they can happen at any time, weekly, monthly etc., and nothing triggering her to warn her she is going to have a flare.
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Varicella was given to pt during the 28 day period after receiving a live virus vaccine
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bundle branch block left, Echocardiogram, Pericarditis
Clinical narrative: developed left branch bundle block and pericarditis
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Feeling hot, Pruritus
Clinical narrative: Redness, warmth, itching, and patient ultimately developed cellulitis.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with COVID
Age: 77.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Fall, Influenza virus test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: 24 hours after I received the vaccination I fell and could not get up. I had to have the EMTs get me upright, sitting but I fell again. I was taken to ER.  I am still recovering.
Age: 77.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Fall
Clinical narrative: 24 hours after I received the vaccination I fell and could not get up. I had to have the EMTs get me upright, sitting but I fell again. I was taken to ER.  I am still recovering.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Heart rate increased, Laboratory test, Mass, Primary mediastinal large B-cell lymphoma
Clinical narrative: A few weeks after the injection, I had a rash all over my chest.  Around this time, my blood pressure and pulse were noted to be elevated. My pulse and blood pressure remained elevated and by October of the same year, due to increasing symptoms I was diagnosed with primary mediastinal large B cell lymphoma.  It appears My blood pressure and heart rate were elevated due to SVC compression from the mass.  I don?t believe  any of this was a coincidence.  The reporting process  all but ensures people can?t successfully link their cancer to the  vaccine.   You all need to keep track of this stuff to note ant patterns that develop.  Clearly, all vaccine adverse effects aren?t expected to occur immediately following the vaccination.  In the interest of public health and safety, your organization needs to investigate and track adverse effects that don?t occur immediately following the vaccination.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Superior vena cava occlusion
Clinical narrative: A few weeks after the injection, I had a rash all over my chest.  Around this time, my blood pressure and pulse were noted to be elevated. My pulse and blood pressure remained elevated and by October of the same year, due to increasing symptoms I was diagnosed with primary mediastinal large B cell lymphoma.  It appears My blood pressure and heart rate were elevated due to SVC compression from the mass.  I don?t believe  any of this was a coincidence.  The reporting process  all but ensures people can?t successfully link their cancer to the  vaccine.   You all need to keep track of this stuff to note ant patterns that develop.  Clearly, all vaccine adverse effects aren?t expected to occur immediately following the vaccination.  In the interest of public health and safety, your organization needs to investigate and track adverse effects that don?t occur immediately following the vaccination.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with COVID
Age: 68.0
Sex: M
Vaccine: PNC13
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine had expired on 11/30/2023. The patient did no experience any adverse effects from receiving the vaccine.
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Bell's palsy, Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging spinal
Clinical narrative: 11/27/23 started with Bells Palsy. Admitted 11/29/23 with Guillain- Barre Syndrome
Age: 37.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Chills, Erythema, Fatigue, Headache, Injection site pain
Clinical narrative: Received  flu and COVID vaccine on 1/2/24. Followed with general body aches, chills, fatigue, headache, pain at the site of injection treated with advil and tylenol with some improvement. Now with residual arm pain. Also C/o rash in face as red ovals like hives yesterday worse in face and neck also rest of body, treated with banedryl with resolution over following hours. NO rash today.
Age: 37.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Pain, Pain in extremity, Rash, Urticaria
Clinical narrative: Received  flu and COVID vaccine on 1/2/24. Followed with general body aches, chills, fatigue, headache, pain at the site of injection treated with advil and tylenol with some improvement. Now with residual arm pain. Also C/o rash in face as red ovals like hives yesterday worse in face and neck also rest of body, treated with banedryl with resolution over following hours. NO rash today.
Age: 1.25
Sex: M
Vaccine: HIBV, PNC20
Symptoms: Injected limb mobility decreased, Injection site reaction, Irritability, Limb discomfort
Clinical narrative: Patient with significant left upper extremity discomfort and irritability.  Refusing to use left arm.    No other known trauma.  2 small local reactions of left deltoid from immunizations.   Treated with Motrin at home.  Had improvement with discomfort within 24 hours but still with limited movement of left upper extremity at time of report.
Age: 1.0
Sex: M
Vaccine: RSV
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient received adult RSV vaccine, Abrysvo, instead of infant RSV vaccine, Beyfortus.  Facility's DON notified patient's mother of incident and recommended that patient come back in 2 weeks for follow up to receive correct dose.
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, FLU4, HIBV, PNC15, RSV, DTPPVHBHPB, FLU4, HIBV, PNC15, RSV
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: Child received abryso adult RSV --child received extra dose of HIB also. No adverse event. Mother informed by staff
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, FLU4, HIBV, PNC15, RSV, DTPPVHBHPB, FLU4, HIBV, PNC15, RSV
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child received abryso adult RSV --child received extra dose of HIB also. No adverse event. Mother informed by staff
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: pt complaint of sore arm and shoulder s/p rsv vaccine on 11/9/23
Age: 81.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Erythema, Rash, Skin plaque
Clinical narrative: Rash: Erythematous plaque, blanchable, measuring roughly 5 cm, well-defined with irregular borders, with mild lichenification.  2 targetoid circles with an erythematous ring and central normal skin color are described as the area of where she was injected. Persistent since injection, now about 5 months.
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Nausea
Clinical narrative: patient became nausous and dizzy hours after recieving vaccine that still continues
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Resident feels itchy all over during the night of 1/3/2024-1/4/2024.  No rash noted. PRN Loratadine given and was effective. Physician notified and resident placed on alert for monitoring.
Age: 0.42
Sex: F
Vaccine: DTPPVHBHPB, PNC15, RSV, RV1, DTPPVHBHPB, PNC15, RSV, RV1
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child received abrysvo --no adverse event. Mother informed by DON
Age: 66.0
Sex: F
Vaccine: TYP, YF
Symptoms: Headache, Musculoskeletal stiffness
Clinical narrative: Client phoned our clinic today, 1/4/24 to report stiff neck, when questioned she also reported having a headache yesterday 1/3/24
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Injection site pain, Migraine, Pyrexia
Clinical narrative: Extreme soreness for 2 days at injection site; Migraine and fever/chills
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient given the wrong vaccine without any apparent clinical effects.  Should have received 10 mcg but instead was given 30 mcg dose for patients 12 years and older.  Phone call follow-up after a few days with no symptoms of concern reported.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR
Symptoms: Encephalopathy, Eye movement disorder, Fatigue, Febrile convulsion, Foreign travel
Clinical narrative: The Client developed Acute Encephalopathy within 15 days.      11/16/2023: Febrile Seizure-Seen in EC & DC'd Home      11/17/2023: Vomited twice, more tired, eye deviation noted      11/18/2023: Returned to EC-generalized tonic-clonic seizure-given Keppra      11/19/2023: LP done-mild lymphocytic pleocytosis.       11/21/2023: Antibiotics stopped-Started on Methylprednisolone.      11/21/2023: Negative Meningitis/Encephalitis Panel.      11/22/2023: IVIG started.      11/25/2023: Serum Mycoplasma IgM +, Azithromycin started.       12/20/2023: Discharged home The notes indicate the Client had been traveling for 7-10 months and returned to this country on 10/1/2023.  Final Discharge Diagnosis was Acute Encephalopathy.  The notes indicated possible inflammatory, or infectious, or autoimmune etiology.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR
Symptoms: Generalised tonic-clonic seizure, Immunoglobulin therapy, Laboratory test normal, Lumbar puncture abnormal, Mycoplasma test positive
Clinical narrative: The Client developed Acute Encephalopathy within 15 days.      11/16/2023: Febrile Seizure-Seen in EC & DC'd Home      11/17/2023: Vomited twice, more tired, eye deviation noted      11/18/2023: Returned to EC-generalized tonic-clonic seizure-given Keppra      11/19/2023: LP done-mild lymphocytic pleocytosis.       11/21/2023: Antibiotics stopped-Started on Methylprednisolone.      11/21/2023: Negative Meningitis/Encephalitis Panel.      11/22/2023: IVIG started.      11/25/2023: Serum Mycoplasma IgM +, Azithromycin started.       12/20/2023: Discharged home The notes indicate the Client had been traveling for 7-10 months and returned to this country on 10/1/2023.  Final Discharge Diagnosis was Acute Encephalopathy.  The notes indicated possible inflammatory, or infectious, or autoimmune etiology.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR
Symptoms: Pleocytosis, Vomiting, West Nile virus test negative, White blood cell count increased
Clinical narrative: The Client developed Acute Encephalopathy within 15 days.      11/16/2023: Febrile Seizure-Seen in EC & DC'd Home      11/17/2023: Vomited twice, more tired, eye deviation noted      11/18/2023: Returned to EC-generalized tonic-clonic seizure-given Keppra      11/19/2023: LP done-mild lymphocytic pleocytosis.       11/21/2023: Antibiotics stopped-Started on Methylprednisolone.      11/21/2023: Negative Meningitis/Encephalitis Panel.      11/22/2023: IVIG started.      11/25/2023: Serum Mycoplasma IgM +, Azithromycin started.       12/20/2023: Discharged home The notes indicate the Client had been traveling for 7-10 months and returned to this country on 10/1/2023.  Final Discharge Diagnosis was Acute Encephalopathy.  The notes indicated possible inflammatory, or infectious, or autoimmune etiology.
Age: 34.0
Sex: F
Vaccine: RSV, RSV, RSV
Symptoms: Exposure during pregnancy, Premature delivery
Clinical narrative: Preterm birth
Age: 34.0
Sex: F
Vaccine: RSV, RSV, RSV
Symptoms: Blood glucose abnormal, Disease recurrence, Exposure during pregnancy, Gestational diabetes, Premature delivery
Clinical narrative: Preterm birth
Age: 13.0
Sex: F
Vaccine: HEP, IPV, MMR, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: There were no adverse events.  Patient had already completed vaccine series.  Patient recieved doses not due for.
Age: 13.0
Sex: F
Vaccine: FLUN4
Symptoms: Expired product administered
Clinical narrative: Patient received expired flumist. Flumist expired 12/25/23 and was given 1/2/24.
Age: 1.08
Sex: M
Vaccine: HIBV
Symptoms: No adverse event, Product preparation error, Product preparation issue
Clinical narrative: Vaccine inadvertently given as diluent only. Administering staff neglected to retrieve lyophilized medication vial from box prior to preparation. Pt did not suffer any adverse reaction.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Raised, red injection site.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: No adverse event reported.  Patient recieved 3 undiluted doses of Pfizer 6mo-4yrs.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Erythema, Hyperaesthesia, Peripheral swelling
Clinical narrative: Patient made me aware of the adverse event on 1/4/24, patient wasn't being seen for adverse event at this time, was brought up, date of administration of vaccine was 12/1/23 and adverse symptoms were after the vaccine on 12/1/23.  Symptoms included swelling of arm, redness that resolved.  Still has mild sensitivity of left arm.
Age: 10.0
Sex: M
Vaccine: FLUN4
Symptoms: Expired product administered
Clinical narrative: Patient received expired Flumist. Flumist expired 12/25/23 and was given 1/2/24.
Age: 22.0
Sex: M
Vaccine: COVID19-2
Symptoms: Bell's palsy
Clinical narrative: BELLS PALSY
Age: 57.0
Sex: M
Vaccine: FLU4
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: Patient received two doses of Afluria flu vaccine, same lot number. Electronic system does not flag clearly when patient has already received same vaccination. Once vaccine is given or it is marked as refused, it disappears from the system. A second MD order was placed and it did not show up clearly that vaccine already given. Patient received first time on 11/10/23 at 2:08 pm and second time on 12/31/23 at 5:18 pm. had printed report and advised new covering MD based on information on report patient had not received flu shot. Policy and practice trying to be changed to check paper chart and for any flagged messages in system to avoid duplicate orders.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administration error
Clinical narrative: No signs or symptoms recorded. Contacted patient about administration error.
Age: 36.0
Sex: M
Vaccine: FLU4
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: Patient received two doses of Afluria flu vaccine, same lot number. Electronic system does not flag clearly when patient has already received same vaccination. Once vaccine is given or it is marked as refused, it disappears from the system. A second MD order was placed and it did not show up clearly that vaccine already given. Patient received first time on 11/10/23 2:07 pm and second time on 12/30/23 1:32 pm. had printed report and advised new covering MD based on information on report patient had not received flu shot. Policy and practice trying to be changed to check paper chart and for any flagged messages in system to avoid duplicate orders.
Age: 1.25
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was found to have been expired after have been given.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Limb discomfort, Paraesthesia
Clinical narrative: Constant tingling in both legs, torso, continuing for almost three weeks. The tingling is worse in my left leg which feels 'heavy'. I now have tingling in my face, especially the left side. I have an appointment with my primary physician tomorrow.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis
Clinical narrative: DVT IN LEFT LEG
Age: 0.42
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Possible vaccine administration error. Dose #1 was given at 24 weeks 3 days but by calendar is not yet 6 months of age. No adverse outcomes at this time. The age discrepancy was noted immediately after the dose was provided. Report is being filed by me due to my possible error of timing with first influenza vaccine dose.  Mom was counseled on side effects which would be the same as is usual for flu vaccine and was advised I would file a report and look into future dosing/whether a dose could need to be repeated if 24 weeks is officially too early.
Age: 6.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was administered a dose of MMR when he was not due for it.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Productive cough, Rhinorrhoea, Sneezing
Clinical narrative: She got her flu shot and feels that there may be something wrong with the batch that she received that perhaps it was a bad batch.  The same thing happened at the same place about 5 years ago.  Two days ago she started with coughing, runny nose, sneezing, coughing up phlegm and it's constant.  Nothing she has taken over the counter seems to be working.  DM and Guaifenesin does not seem to be working.  She has not gone to a doctor for her condition.   She seems that she may be going to the UC to see what they can tell her.
Age: 16.0
Sex: F
Vaccine: IPV
Symptoms: Abortion spontaneous, Exposure during pregnancy, Vaginal haemorrhage
Clinical narrative: The child did not have any adverse reaction, this report is being generated due to the request of agency since the child is under agency care in our facility. However, the child was pregnant at the time of vaccine administration, with noted vaginal bleeding prior to the arrival at our facility. The child did have a spontaneous abortion shortly after arrival to our facility.
Age: 77.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Abdominal pain upper, Dry mouth
Clinical narrative: Pt says he has dry mouth and stomach pain
Age: 61.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Breast swelling, Breast tenderness, Erythema, Inflammation, Mammogram
Clinical narrative: Fourteen days after my COVID vaccine, I had a giant red swollen area on my right breast. It was the size of an egg, tender, and appeared overnight in the lower left quadrant of my right breast.
Age: 61.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Ultrasound breast
Clinical narrative: Fourteen days after my COVID vaccine, I had a giant red swollen area on my right breast. It was the size of an egg, tender, and appeared overnight in the lower left quadrant of my right breast.
Age: 31.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient/Staff Member reported to me today at approximately 12pm that she had pain, redness, and warmth feelings from the injection site.
Age: 37.0
Sex: M
Vaccine: HEPAB
Symptoms: Dizziness, Electrocardiogram normal, Full blood count normal, Loss of consciousness, Metabolic function test
Clinical narrative: Pt. presented to clinic for his routine physical exam with his wife.  He had only had black coffee to drink this morning, had not eaten anything yet today as he was fasting for his physical/possible labs.  He had his blood drawn in the exam room and then shortly thereafter he received his first Twinrix vaccine in the left arm.  Per the MA, within 5 minutes of receiving his Twinrix vaccine, he felt dizzy and lost consciousness.  The LOC was brief (a few seconds) and he did urinate involuntarily during the episode, but quickly regained consciousness with an immediate return to his mental status baseline (no post-ictal state).
Age: 37.0
Sex: M
Vaccine: HEPAB
Symptoms: Urinary incontinence
Clinical narrative: Pt. presented to clinic for his routine physical exam with his wife.  He had only had black coffee to drink this morning, had not eaten anything yet today as he was fasting for his physical/possible labs.  He had his blood drawn in the exam room and then shortly thereafter he received his first Twinrix vaccine in the left arm.  Per the MA, within 5 minutes of receiving his Twinrix vaccine, he felt dizzy and lost consciousness.  The LOC was brief (a few seconds) and he did urinate involuntarily during the episode, but quickly regained consciousness with an immediate return to his mental status baseline (no post-ictal state).
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Brain fog, Chills, Fatigue, Headache, Hypersomnia
Clinical narrative: Excessive Chills, Fatigue, muscle discomfort, headache, numbness, brain fog starting 5 hours after the shot.  Took tylenol without much affect.  Mostly bedridden for the past 24hrs and cannot go about normal activities. Slept for 14+ hours when I typically sleep 8-9.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Loss of personal independence in daily activities, Mobility decreased, Muscle discomfort
Clinical narrative: Excessive Chills, Fatigue, muscle discomfort, headache, numbness, brain fog starting 5 hours after the shot.  Took tylenol without much affect.  Mostly bedridden for the past 24hrs and cannot go about normal activities. Slept for 14+ hours when I typically sleep 8-9.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, RV1
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered, No adverse event
Clinical narrative: Pt was seen in office for a well child check. Pt's mother agreed to 2 of the recommended immunizations. I misread the Rotarix as Rotateq and mistakenly thought he needed a third dose when he was already complete. Pt showed no signs/symptoms of adverse reaction after receiving. Clinical Lead and provider I was working with were notified. Provider contacted pt's mother and apologized for my mistake, and reassured her that there should be no cause for concern, and to contact the office if needed.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect route of product administration
Clinical narrative: Gave Hep A vaccine subcutaneously instead of IM. Family informed and explained possible adverse effects.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Crepitations, Infection, Influenza virus test negative, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Will treat with abx as crackles can be pneumonia part of fever is likely recent vaccinations on top of an infection.
Age: 1.08
Sex: F
Vaccine: HEP
Symptoms: Body temperature increased, Influenza A virus test negative, Influenza B virus test, Irritability, Skin warm
Clinical narrative: Slightly warm to touch noticed overnight on 12/28/23.  Elevated temps at daycare on 12/28/23 101.8 (temporal) treated with Ibuprofen.  Brought home early from daycare.  Patient slept very fitfully that evening with frequent awakening, fussiness, needed to be held.  Elevated temps treated with Ibuprofen.  Elevated temps cont on Friday 12/29/23 when brought to pediatrician.  Temp found to be 102 (axillary) treated with Ibuprofen.  Tested negative for flu A and B.  Covid test not done d/t patient having COVID in 10/2023. No other viral sx present.  No ear infection indicated.   Temp taken rectally Fri 12/29/2023 evening--104F.  Treated with Ibuprofen.  Elevated temps cont into Saturday 12/30/23 when they appeared to resolve on their own.
Age: 1.08
Sex: F
Vaccine: HEP
Symptoms: Sleep disorder
Clinical narrative: Slightly warm to touch noticed overnight on 12/28/23.  Elevated temps at daycare on 12/28/23 101.8 (temporal) treated with Ibuprofen.  Brought home early from daycare.  Patient slept very fitfully that evening with frequent awakening, fussiness, needed to be held.  Elevated temps treated with Ibuprofen.  Elevated temps cont on Friday 12/29/23 when brought to pediatrician.  Temp found to be 102 (axillary) treated with Ibuprofen.  Tested negative for flu A and B.  Covid test not done d/t patient having COVID in 10/2023. No other viral sx present.  No ear infection indicated.   Temp taken rectally Fri 12/29/2023 evening--104F.  Treated with Ibuprofen.  Elevated temps cont into Saturday 12/30/23 when they appeared to resolve on their own.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Death
Clinical narrative: Patient expired 1/3/2024.