chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: HEPA
Symptoms: Asthenia, Haemorrhage, Hypoaesthesia, Mobility decreased, Pain in extremity
Clinical narrative: Left arm pain. Some bleeding at the time of administration. Weakness. Unable to raise arm, needs to support left arm with right arm. Feels like arm fell asleep.
Age: 3.0
Sex: F
Vaccine: DTPPVHBHPB
Symptoms: Blood test, Computerised tomogram head, Conjunctivitis, Crying, Dysphemia
Clinical narrative: When she first got the shot she was in a lot of pain crying off and on at night on Oct 16th then I noticed a stutter Oct 23rd on Oct 24th I dropped her at childcare she looked and seemed fine her Childcare lady sent me a text saying her eye looked really watery and pink I took her to the urgent care after picking her up the Dr there said she had a stye and pink eye her temperature was 99.1 I have the after visit information then. We went home took a bath around  7:35 PM  and she was fine she started having a reaction and looking off into space at around 9:57 PM then I looked closer and she was twitching her fingers her legs and then her mouth started twitching and then her eyes closed and she started foaming at the mouth I called 911 and they came right away and we went to the hospital we were in the hospital from Thursday 10:30pm or so and got transferred to Hospital and was there until Saturday Oct 26th at 4PM
Age: 3.0
Sex: F
Vaccine: DTPPVHBHPB
Symptoms: Foaming at mouth, Hordeolum, Lacrimation increased, Muscle twitching, Pain
Clinical narrative: When she first got the shot she was in a lot of pain crying off and on at night on Oct 16th then I noticed a stutter Oct 23rd on Oct 24th I dropped her at childcare she looked and seemed fine her Childcare lady sent me a text saying her eye looked really watery and pink I took her to the urgent care after picking her up the Dr there said she had a stye and pink eye her temperature was 99.1 I have the after visit information then. We went home took a bath around  7:35 PM  and she was fine she started having a reaction and looking off into space at around 9:57 PM then I looked closer and she was twitching her fingers her legs and then her mouth started twitching and then her eyes closed and she started foaming at the mouth I called 911 and they came right away and we went to the hospital we were in the hospital from Thursday 10:30pm or so and got transferred to Hospital and was there until Saturday Oct 26th at 4PM
Age: 3.0
Sex: F
Vaccine: DTPPVHBHPB
Symptoms: Staring, White blood cell count decreased
Clinical narrative: When she first got the shot she was in a lot of pain crying off and on at night on Oct 16th then I noticed a stutter Oct 23rd on Oct 24th I dropped her at childcare she looked and seemed fine her Childcare lady sent me a text saying her eye looked really watery and pink I took her to the urgent care after picking her up the Dr there said she had a stye and pink eye her temperature was 99.1 I have the after visit information then. We went home took a bath around  7:35 PM  and she was fine she started having a reaction and looking off into space at around 9:57 PM then I looked closer and she was twitching her fingers her legs and then her mouth started twitching and then her eyes closed and she started foaming at the mouth I called 911 and they came right away and we went to the hospital we were in the hospital from Thursday 10:30pm or so and got transferred to Hospital and was there until Saturday Oct 26th at 4PM
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient's parent(father) was notified that the incorrect Covid vaccine was given.  Teammate assured dad that she did consult the doctor about the incorrect vaccine given (higher dosage) and that the patient might have soreness in arm and mild symptoms. Patient's father did state she was doing well, and he appreciated the call to let him know about what happen. No adverse reaction occurred.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Impaired work ability, Loss of personal independence in daily activities, Magnetic resonance imaging, Peripheral vascular disorder, Skin discolouration
Clinical narrative: have been having serious leg issues after covid vaccines. first thought it was due to a spider bite. but it has been ongoing. have been now diagnosed as PVD. possible leg clots affecting flow. only 1 vein each leg now functional. has seriously affected ability to work and carry on daily activities
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Skin ulcer, Ultrasound Doppler
Clinical narrative: have been having serious leg issues after covid vaccines. first thought it was due to a spider bite. but it has been ongoing. have been now diagnosed as PVD. possible leg clots affecting flow. only 1 vein each leg now functional. has seriously affected ability to work and carry on daily activities
Age: 18.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient was behind on vaccines and provider and this writer wanted to get vaccines down to a few. patient received 5 vaccines anyway. We gave her a couple of combination vaccines. Kinrix (DTap, IPV). this vaccine is only from 4-6 years of age.  Patient was notified of the mistake and the provider also aware of mistake.
Age: 79.0
Sex: F
Vaccine: FLU3, RSV
Symptoms: Extra dose administered, Malaise
Clinical narrative: patient requested and received an RSV (Abrysvo) vaccination after having received an RSV (Arexvy) vaccine approximately one year prior. also received a high dose flu vaccine at the same time. patient reported mild malaise in the evening following vaccination so she went to bed early and woke up in the morning "feeling great". no other adverse effects were reported.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Severe left shoulder pain and reduced ROM. Concern for SIRVA.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Fall, Syncope
Clinical narrative: Vasovagal syncope. Two minutes after vaccine administration patient was sitting upright and began to complain of dizziness and fell from a seated position to the floor. He was assisted back on to the exam table where he continued to complain of severe lightheadedness. After about 25 minutes of lying flat with his feet elevated the dizziness resolved and the patient was able to walk out of the clinic unassisted.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 65.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Rash
Clinical narrative: PATIENT (EMPLOYEE) DEVELOPE A RASH THAT BEGAN ON HER LOWER EXTREMETIES AND SLOWLY MOVED UP HER BODY. PATIENT CONTACTED PCP WHO INSTRUCTED HER TO CONTACT OUR OFFICE (EMPLOYEE HEALTH) TO REPORT VAERS. PATIENT INSTRUCTED BY PCP TO TAKE BENADRYL AND ZYRTEC FOR THE RASH.
Age: 63.0
Sex: F
Vaccine: COVID19, FLU3, HEPAB, PNC20, TDAP, VARZOS
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Muscular weakness, Paraesthesia
Clinical narrative: Patient reports weakness in left arm, with limited ability to hold objects in hand; also slight numbness and tingling in fingers.
Age: 19.0
Sex: F
Vaccine: HPV9
Symptoms: Product substitution issue
Clinical narrative: This occured on 10/3/24 . After a discussion between the patient and the provider CNP I was told the provider would order the vaccine, the registry was pulled and reviewed by said provider and insurance was also verified with patient. I did give this vaccine as I remember being told by individual from registry that a 19  year old could qualify for a vaccine if they were still on parent's insurance. As she was I believed it was ok to give this vaccine.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Typical Covid symptoms of sore throat, congestion, cough, fever with acute onset.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Typical Covid symptoms of sore throat, congestion, cough, fever with acute onset.
Age: 72.0
Sex: M
Vaccine: FLU3, RSV
Symptoms: Ascending flaccid paralysis, Back pain, Endotracheal intubation, Fall, Immunoglobulin therapy
Clinical narrative: Patient received vaccines on October 10th, presented to hospital for worsening neck, back pain and BLE weakness and falls. Pt developed ascending paralysis. Pt was sent to second hospital for higher level of neuro services. Patient currently intubated/vent,  in the NVICU.  Pt receiving IVIG and PLEX treatment.
Age: 72.0
Sex: M
Vaccine: FLU3, RSV
Symptoms: Intensive care, Mechanical ventilation, Muscular weakness, Neck pain, Plasmapheresis
Clinical narrative: Patient received vaccines on October 10th, presented to hospital for worsening neck, back pain and BLE weakness and falls. Pt developed ascending paralysis. Pt was sent to second hospital for higher level of neuro services. Patient currently intubated/vent,  in the NVICU.  Pt receiving IVIG and PLEX treatment.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Palpitations
Clinical narrative: Heart Pounding and jumping around. Severe dizziness and almost falling.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Vasovagal syncope to ground. LOC x 10 seconds. Returned to baseline after PO and observed in office for >30 minutes.
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 10/29/24 - SQ injection given in right posterior arm without incidence. 10/30/24 - Red raised area to the right posterior upper arm 10/31/24 area extended to large red area that is warm to the touch.  Patient seen by her own physician and given Rocephin injection and oral Keflex.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, FLU3, RSV
Symptoms: Amnesia, Asthenia, Decreased appetite, Dizziness, Dysstasia
Clinical narrative: Loss of ability to walk, stand/ total loss of muscle strength in lower extremities, Loss of bladder control, excessive fatigue. memory loss, dizziness, loss of appetite
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, FLU3, RSV
Symptoms: Fatigue, Gait inability, Laboratory test, Urinary incontinence
Clinical narrative: Loss of ability to walk, stand/ total loss of muscle strength in lower extremities, Loss of bladder control, excessive fatigue. memory loss, dizziness, loss of appetite
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, FLU3, RSV
Symptoms: Gait disturbance, Gait inability, Hypoaesthesia, Muscular weakness, Walking aid user
Clinical narrative: Loss of ability to walk, stand/ total loss of muscle strength in lower extremities, Loss of bladder control, excessive fatigue. memory loss, dizziness, loss of appetite
Age: 0.42
Sex: M
Vaccine: DTPPVHBHPB, PNC15, RV1
Symptoms: Diarrhoea haemorrhagic, Pyrexia
Clinical narrative: Patient developed profuse diarrhea with smears of blood noted in diarrhea, also developed subjective fever
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Itchy hives. Self treated with 50mg of Benadryl- diphenhydramine.  Unknown Influenza vaccine details.
Age: 39.0
Sex: F
Vaccine: COVID19, HPV9, UNK
Symptoms: Arthralgia, Immediate post-injection reaction, Injected limb mobility decreased, Nausea, Pain
Clinical narrative: I sat in a chair in a private pharmacy room. The pharmacist started with injecting the COVID and Influenza vaccines in my left arm. Both were satisfactory. The pharmacist then moved to my right arm for the HPV vaccine. As soon as the HPV injection began, I immediately felt intense pain in my right shoulder, followed by moderate nausea. I leaned forward in the chair in discomfort for a couple minutes, then moved to the floor, lying on my back in an attempt to alleviate the nausea. During this time, the pharmacist got me a bottle of water. After a few more minutes, the nausea mostly passed. I stood up and left the pharmacy. I continued to have moderate dull soreness in my right shoulder, which increased to an intense stabbing pain with certain arm movements, as if only one or a few specific muscles were affected. This included raising my elbow above shoulder level. Lying on my right side in bed was also painful. Acetaminophen seemed to help to take the edge off the pain and help me function normally throughout the day. Now, 3 weeks later, the pain is reduced and I regained some range of motion, but the issue remains. I finally visited a nurse practitioner. She recommended physical therapy. I plan to make an appointment for that. As a side note, I don't think I even really noticed the soreness I usually get from the COVID and Flu vaccines, and if it was there it passed quickly as expected.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Creatinine urine, Hypoaesthesia, Mean platelet volume increased, Neutrophil count normal, Pregnancy test negative
Clinical narrative: per patient, she started to feel numbness at her feet and it traveling up her legs; felt slow, i.e. talking and responding slow; felt a ball in her throat
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Sensation of foreign body, Urine abnormality, White blood cells urine
Clinical narrative: per patient, she started to feel numbness at her feet and it traveling up her legs; felt slow, i.e. talking and responding slow; felt a ball in her throat
Age: 65.0
Sex: F
Vaccine: PNC21
Symptoms: Rash, Rash erythematous
Clinical narrative: red rash on arm a couple days following administration and rash seems to be spreading
Age: 24.0
Sex: M
Vaccine: FLU3
Symptoms: Cold sweat, Cough, Dyspnoea, Hyperhidrosis, Hyperventilation
Clinical narrative: Coughing, hyperventilating, difficulty breathing, tachycardia, sweating, cool/clammy skin, Sp02 - 94/95, HR - 110, ~160 after Epi Pen injection, 50mg Benadryl IM administered.
Age: 24.0
Sex: M
Vaccine: FLU3
Symptoms: Tachycardia
Clinical narrative: Coughing, hyperventilating, difficulty breathing, tachycardia, sweating, cool/clammy skin, Sp02 - 94/95, HR - 110, ~160 after Epi Pen injection, 50mg Benadryl IM administered.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Adverse food reaction, Presyncope
Clinical narrative: near syncope. occurred after pt ate a peanut butter cup. Pt also had allergic reaction after previous vaccination by this provider.
Age: 3.0
Sex: M
Vaccine: TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction within 15 minutes of the immunization. Patient was given Boostrix which is for 10 years and older and patient is 3 year old.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: Day 1-3 , sore arm, chills, mild fever, body aches. Day 11-17 hives, rash, severe itching.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Day 1-3 , sore arm, chills, mild fever, body aches. Day 11-17 hives, rash, severe itching.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropod bite, Panic attack, Psychotic disorder
Clinical narrative: On day 6 after vaccine, patient had what appeared to be an acute panic/psychotic episode prompted by a tick bite.  She has never had panic before and enjoys  insects.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Anaemia, Back pain, Guillain-Barre syndrome, Hypoaesthesia, Hyponatraemia
Clinical narrative: Patient developed acute onset of severe pain in neck and back and numbness/tingling in hands and feet, was admitted to the hospital including a brief ICU stay, diagnosed with and treated for Guillain-Barre Syndrome, course complicated by PRES, acute hyponatremia with seizure and anemia
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Intensive care, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Neck pain
Clinical narrative: Patient developed acute onset of severe pain in neck and back and numbness/tingling in hands and feet, was admitted to the hospital including a brief ICU stay, diagnosed with and treated for Guillain-Barre Syndrome, course complicated by PRES, acute hyponatremia with seizure and anemia
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Paraesthesia, Posterior reversible encephalopathy syndrome, Seizure
Clinical narrative: Patient developed acute onset of severe pain in neck and back and numbness/tingling in hands and feet, was admitted to the hospital including a brief ICU stay, diagnosed with and treated for Guillain-Barre Syndrome, course complicated by PRES, acute hyponatremia with seizure and anemia
Age: 91.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site cellulitis, Injection site rash
Clinical narrative: Resident on 10/30/24 noted with cellulitic rash to left upper arm near deltoid.  Resident was evaluated by PA and was started on Keflex 500mg 3xday for 7 days on 10/30.24.  On 10/31/24 resident again evaluated by PA and cellulitis is improving/receding.
Age: 1.0
Sex: F
Vaccine: MMRV, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt was given Pro-Quad and Varicella instead of MMR and Varicella.  No adverse reaction noted at this time.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Fatigue, Neck pain, Pain
Clinical narrative: Tired night of vaccine. Shooting pain in shoulder, neck pain beginning day after vaccine.
Age: 8.0
Sex: F
Vaccine: HEPA, IPV
Symptoms: Nausea, Tremor, Unresponsive to stimuli
Clinical narrative: Patient was sitting on the side of a bed in the school nurse's office. I administered the Polio-IPV and Hep A vaccines into her left deltoid. I turned away from her to grab the other vaccines she was supposed to receive. I turned and she was laying on the floor and shaking slightly. During this, she was unresponsive for 29 seconds. Following she was alert and knew where she was. A jacket was placed under her head and we had her continue to lay on the floor for several minutes until assisting her up onto the bed.  Her vitals were taken, SpO2 99%, HR 80, BP 110/70. She was offered saltines and water but refused because she said she was nauseated. Her mother was called and came to the school to get her.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Contusion, Joint swelling, Mobility decreased
Clinical narrative: Pain, bruising and swelling of shoulder area. Pain has persisted for 5 weeks, and patient is now experiencing loss of range of motion of the shoulder
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Hypoaesthesia, Myalgia, Pain, Paraesthesia, Sleep disorder
Clinical narrative: The patient states when she received this vaccine was more uncomfortable than normal. Muscle was sore for a few days after the initial injection as to be expected. Several days later she began with a constant aching and is getting worse over time. Most painful with no movement. Tingling and numbness. Feeling it most from neck down to her fingers. Constant painful achy feeling. Unable to sleep. Can't lay on that side. The patient was given a dexamethasone injection and prescribed methylprednisolone pak 4 mg. The patient is to return if her symptoms do not improve.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Incomplete course of vaccination
Clinical narrative: Checked registry forecast to determine what vaccines that the pt needs. Zoster1st dose given on 6/29/23, 2nd dose is due. After receiving vaccine, provider notice that registry data didn?t match database. Called and explained the situation, for some reason the 6/20/24 inj never transferred into registry. Individual explained that this is known to happen. Pt was informed about the event and educated on what to do when experiencing reactions.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: EE reports, "I'm doing fine now." She reports that she is unsure if hives were caused by the flu shot because she noticed hives to her upper thighs before receiving the flu shot. Hives started at approximately 3 pm at tops of bilateral thighs only. EE received flu shot around midnight. At approximately 1:30 AM EE noticed that hives to thighs had resolved but noted new hives to bilateral posterior upper arms. EE reports that hives have resolved with Benadryl.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pyrexia
Clinical narrative: I had a fever ranging from 100.5F-101.1F within 24 hours of receiving the vaccine.  The fever lasted 24 hours.  I also have a rash on my left arm around the vaccination site.  The rash has grown to approximately 2"x4".
Age: 94.0
Sex: F
Vaccine: FLU3, RSV
Symptoms: Back pain
Clinical narrative: Patient states on they day of vaccation after she got home. She devloped pain in the right side of her back, by the right shoulder blade.  The pain gradually got wors, and has been presistent for the past 6 days. She denield any swelling, rash or redness. She also noted that the pain is not getting worse anymore, but it just doesnt go away. Even after using tylenol and warm compress, she denies improvment in pain. Patient was advised to follow up witth pcp or go to the er to further evaluate her situation.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Urticaria
Clinical narrative: Allergic reaction: Swollen eyes, hives on face and neck that began on Monday, October 28 and worsened over the proceeding days, especially in the mornings, leading to an ER visit on morning of Wednesday, October 30. Initially prescribed Augmentin and Zyrtec after a doctor's office visit on Monday, stopped Augmentin after three doses and began a Medrol pack on Wednesday, October 30 after the ER visit. Swelling has lessened, but not gone entirely away, by afternoon of Thursday, October 31 when this report is being submitted.
Age: 1.83
Sex: M
Vaccine: DTAP, FLU3, HEPA, IPV
Symptoms: Extra dose administered
Clinical narrative: Due to a miscommunication between my MA and I the pt was given a 4th dose of IPV when not due until 4 y/o. Pt is alert and oriented after administration of vaccines and does not show any signs of SE. Mother of pt was notified of the accidental dose. She showed understanding and had no significant concerns or questions at time of event.
Age: 57.0
Sex: M
Vaccine: COVID19, PNC13
Symptoms: Chest discomfort, Injection site pruritus, Injection site swelling, Lip swelling, Pruritus
Clinical narrative: pt states after being vaccinated he started itching in the palm of his hands and then it spread all over. He felt like his lips were swelling and that he may have trouble breathing  because he felt like his chest was restricted. His right bicep was swollen on the arm where he had the injection. He rubbed down with rubbing alcohol that seemed to help cool him off and took tylenol. As of today he is better but still has itching around the injection site.
Age: 29.0
Sex: M
Vaccine: PNC20
Symptoms: Inappropriate schedule of product administration
Clinical narrative: I gave the PCV-20 vaccine by mistake, and patient wasn't due for it. I reported it to my Supervisor. My Supervisor called and informed the patient of my mistake, and that there would be no ill effects from the vaccine. Patient was understanding.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Ear discomfort, Throat irritation
Clinical narrative: 5 minutes after receiving the flu vaccine, patient reported scratchy throat, plugged ears.  Patient took an allergy medication(loratadine) and symptoms resolved after 30 minutes.
Age: 73.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient had Abrysvo vaccination after already receiving Arexy vaccination on 9-29-23.    no adverse effects reported at this time - but still need to follow up with patient
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Received flu shot on 10/14/2024 student nor parent reported
Age: 82.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Patient received vaccine on 22 Oct. Developed expanding redness, pain, swelling x 5 days later. Progressively worsening symptoms. No angioedema, ENT or GI symptoms.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient was seen on 10/23/24 and was given Tdap, Menquadfi, and Flu vaccines. However, patient was seen on 9/13/2024 and already received a flu vaccine on that day, so he was given an extra dose. Pt is doing well and as per the provider, there will be no harm to the patient.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dyspnoea, Laryngitis, Viral infection
Clinical narrative: Patient states 3 weeks after the vaccine she had trouble breathing and went to ER.  By her account, she did not receive an official diagnosis and she was sent home after a few days in hospital.  She states her md at the hospital said some people develop trouble breathing after getting the COVID vaccine.  Around 10/28/24 patient reports going back to her PCP and was having laryngitis, cold sweats and was diagnosed with a likely viral infection.  She states she is feeling better now but still has laryngitis.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion
Clinical narrative: Patient received  Fluzone vaccine on 10/21/2024. No ADRs noted at time of administration, and no other vaccines were administered that day. Patient returned to pharmacy on 10/29/2024 to report that she was experiencing excessive bruising on her right arm after vaccination. Patient had bruising throughout her right arm and reported tenderness. Bruising was light in color but covered roughly 60% of patients arm. Patient said she had a scheduled visit with her PCP on 10/28/2024. PCP is Dr. Patient reported that PCP examined arm and believed bruising was do to needle puncturing too deep during vaccine administration. PCP told patient to let arm heal naturally and do not receive any more vaccines until fully healed. Patient was reporting the adverse event for our records but did not desire any further intervention.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chills, Fatigue, Feeling abnormal, Neuralgia
Clinical narrative: pt had the trivalant flu shot. He states he has been really exhausted. The extreme tiredness lasted 2 days. He had to sleep during the day for these 2 days.  He developed chills the day after the shot and felt like he had a fever because he was hot. He had aches and paines that were all over. He had numbness in the throat like pressure is on it. He had lower energy and was weak. He had shooting nerve pains in his feet and legs and some pains in his arms that he suspects is from the vaccine but has had previous sciatica problems before. He just felt over all bad and wanted to report because he has never had a reaction to any other flu vaccine in the past. He was told he had a double dose since he was a senior. All of the symptoms lasted 3 days total. By the following Monday he was better.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pharyngeal hypoaesthesia
Clinical narrative: pt had the trivalant flu shot. He states he has been really exhausted. The extreme tiredness lasted 2 days. He had to sleep during the day for these 2 days.  He developed chills the day after the shot and felt like he had a fever because he was hot. He had aches and paines that were all over. He had numbness in the throat like pressure is on it. He had lower energy and was weak. He had shooting nerve pains in his feet and legs and some pains in his arms that he suspects is from the vaccine but has had previous sciatica problems before. He just felt over all bad and wanted to report because he has never had a reaction to any other flu vaccine in the past. He was told he had a double dose since he was a senior. All of the symptoms lasted 3 days total. By the following Monday he was better.
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV5
Symptoms: Acute encephalitis with refractory, repetitive partial seizures, CSF white blood cell count increased, Cerebral haemorrhage, Encephalitis, Herpes simplex test negative
Clinical narrative: Developed acute necrotizing encephalitis.  Onset of fevers on 10/25/2024 8 hours after vaccines.  Onset of first clinical seizures approximately 24 hours after vaccination on 10/26.  Hospitalized on 10/27/2024.  300 WBC in CSF.    Progressive encephalitis.   BioFire Film Array positive for HHV-6 of unclear significance in immunocompetent patient.  Quantitative HHV-6 CSF PCR is still pending.   Negative for HSV and other typical pathogens associated with neonatal encephalitis.
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV5
Symptoms: Magnetic resonance imaging head abnormal, Polymerase chain reaction, Pyrexia, Roseolovirus test positive
Clinical narrative: Developed acute necrotizing encephalitis.  Onset of fevers on 10/25/2024 8 hours after vaccines.  Onset of first clinical seizures approximately 24 hours after vaccination on 10/26.  Hospitalized on 10/27/2024.  300 WBC in CSF.    Progressive encephalitis.   BioFire Film Array positive for HHV-6 of unclear significance in immunocompetent patient.  Quantitative HHV-6 CSF PCR is still pending.   Negative for HSV and other typical pathogens associated with neonatal encephalitis.
Age: 91.0
Sex: M
Vaccine: FLU3
Symptoms: Death, Dyspnoea
Clinical narrative: Patient called facility and reported shortness of breath evening of vaccine (10/11/24). Was instructed to call doctor. Some time after was hospitalized. Daughter informed pharmacy yesterday that patient passed away in hospital.
Age: 75.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt reported that the morning following her vaccinations she had a red arm, swollen and hot to the touch, pain spread into her upper back by her shoulder.  this lasted about 3 weeks. today 10/31 she still reports that the spot is tender to the touch
Age: 11.0
Sex: M
Vaccine: MNQ, UNK, UNK
Symptoms: Acute disseminated encephalomyelitis, Alpha 1 globulin normal, Alpha 2 globulin normal, Anti-NMDA antibody negative, Antibody test negative
Clinical narrative: Over the weekend of 10/19 Patient developed congestion and rhinorrhea. Monday (10/21) reported headache and was subsequently sent home from school. Otherwise at neurologic baseline. Had PCP appointment on Tuesday at which time he still had some headache and congestion but was well appearing otherwise and received vaccines (Meng ACWY, TDAP, flu). Wednesday he was sent home from school again, this time because of fever (reportedly around 101F). Given fever and congestion parents gave regular Nyquil and Dayquil but otherwise no concern and remained at neurologic baseline. Patient was kept home from school on Thursday but well enough to participate in football practice that night. During the practice he had a helmet to helmet collision but no LOC, vomiting or concern for seizure activity. Jumped right back up and no reported concern for concussion. Reportedly more fatigued on Friday and Saturday but no obvious concerns for parents. Sunday morning mom heard him fumbling around in the bathroom. When she went to check on him he reported that he couldn't see. On further questioning he reported double vision and when cover his left eye reported blurry vision. Mother noticed that while right eye was looking ahead, left eye appeared to deviate inward and upward. This prompted attendance to University Center where he was admitted for further work up.   While sedated for his LP at University Center had episode of lip smacking and, separately during rounds at University Center, he had episode of rhythmic right upper extremity jerking. For this reason University Center planned for EEG but not available at their center so transferred to Hospital. At the Hospital, MRI obtained showing Abnormal T2/FLAIR signal involving bilateral dorsal and medial thalami, as well as the periaqueductal gray matter. Patient remains hospitalized in the pediatric ICU at the time of report submission; leading differential diagnosis is ADEM secondary to vaccination.
Age: 11.0
Sex: M
Vaccine: MNQ, UNK, UNK
Symptoms: Blood glucose normal, Blood phosphorus decreased, Blood sodium decreased, Blood urea normal, C-reactive protein normal
Clinical narrative: Over the weekend of 10/19 Patient developed congestion and rhinorrhea. Monday (10/21) reported headache and was subsequently sent home from school. Otherwise at neurologic baseline. Had PCP appointment on Tuesday at which time he still had some headache and congestion but was well appearing otherwise and received vaccines (Meng ACWY, TDAP, flu). Wednesday he was sent home from school again, this time because of fever (reportedly around 101F). Given fever and congestion parents gave regular Nyquil and Dayquil but otherwise no concern and remained at neurologic baseline. Patient was kept home from school on Thursday but well enough to participate in football practice that night. During the practice he had a helmet to helmet collision but no LOC, vomiting or concern for seizure activity. Jumped right back up and no reported concern for concussion. Reportedly more fatigued on Friday and Saturday but no obvious concerns for parents. Sunday morning mom heard him fumbling around in the bathroom. When she went to check on him he reported that he couldn't see. On further questioning he reported double vision and when cover his left eye reported blurry vision. Mother noticed that while right eye was looking ahead, left eye appeared to deviate inward and upward. This prompted attendance to University Center where he was admitted for further work up.   While sedated for his LP at University Center had episode of lip smacking and, separately during rounds at University Center, he had episode of rhythmic right upper extremity jerking. For this reason University Center planned for EEG but not available at their center so transferred to Hospital. At the Hospital, MRI obtained showing Abnormal T2/FLAIR signal involving bilateral dorsal and medial thalami, as well as the periaqueductal gray matter. Patient remains hospitalized in the pediatric ICU at the time of report submission; leading differential diagnosis is ADEM secondary to vaccination.
Age: 11.0
Sex: M
Vaccine: MNQ, UNK, UNK
Symptoms: CSF glucose normal, CSF oligoclonal band absent, CSF pressure normal, CSF protein increased, CSF red blood cell count positive
Clinical narrative: Over the weekend of 10/19 Patient developed congestion and rhinorrhea. Monday (10/21) reported headache and was subsequently sent home from school. Otherwise at neurologic baseline. Had PCP appointment on Tuesday at which time he still had some headache and congestion but was well appearing otherwise and received vaccines (Meng ACWY, TDAP, flu). Wednesday he was sent home from school again, this time because of fever (reportedly around 101F). Given fever and congestion parents gave regular Nyquil and Dayquil but otherwise no concern and remained at neurologic baseline. Patient was kept home from school on Thursday but well enough to participate in football practice that night. During the practice he had a helmet to helmet collision but no LOC, vomiting or concern for seizure activity. Jumped right back up and no reported concern for concussion. Reportedly more fatigued on Friday and Saturday but no obvious concerns for parents. Sunday morning mom heard him fumbling around in the bathroom. When she went to check on him he reported that he couldn't see. On further questioning he reported double vision and when cover his left eye reported blurry vision. Mother noticed that while right eye was looking ahead, left eye appeared to deviate inward and upward. This prompted attendance to University Center where he was admitted for further work up.   While sedated for his LP at University Center had episode of lip smacking and, separately during rounds at University Center, he had episode of rhythmic right upper extremity jerking. For this reason University Center planned for EEG but not available at their center so transferred to Hospital. At the Hospital, MRI obtained showing Abnormal T2/FLAIR signal involving bilateral dorsal and medial thalami, as well as the periaqueductal gray matter. Patient remains hospitalized in the pediatric ICU at the time of report submission; leading differential diagnosis is ADEM secondary to vaccination.
Age: 11.0
Sex: M
Vaccine: MNQ, UNK, UNK
Symptoms: CSF white blood cell count increased, Carbon dioxide decreased, Cerebral disorder, Condition aggravated, Cryptococcus test
Clinical narrative: Over the weekend of 10/19 Patient developed congestion and rhinorrhea. Monday (10/21) reported headache and was subsequently sent home from school. Otherwise at neurologic baseline. Had PCP appointment on Tuesday at which time he still had some headache and congestion but was well appearing otherwise and received vaccines (Meng ACWY, TDAP, flu). Wednesday he was sent home from school again, this time because of fever (reportedly around 101F). Given fever and congestion parents gave regular Nyquil and Dayquil but otherwise no concern and remained at neurologic baseline. Patient was kept home from school on Thursday but well enough to participate in football practice that night. During the practice he had a helmet to helmet collision but no LOC, vomiting or concern for seizure activity. Jumped right back up and no reported concern for concussion. Reportedly more fatigued on Friday and Saturday but no obvious concerns for parents. Sunday morning mom heard him fumbling around in the bathroom. When she went to check on him he reported that he couldn't see. On further questioning he reported double vision and when cover his left eye reported blurry vision. Mother noticed that while right eye was looking ahead, left eye appeared to deviate inward and upward. This prompted attendance to University Center where he was admitted for further work up.   While sedated for his LP at University Center had episode of lip smacking and, separately during rounds at University Center, he had episode of rhythmic right upper extremity jerking. For this reason University Center planned for EEG but not available at their center so transferred to Hospital. At the Hospital, MRI obtained showing Abnormal T2/FLAIR signal involving bilateral dorsal and medial thalami, as well as the periaqueductal gray matter. Patient remains hospitalized in the pediatric ICU at the time of report submission; leading differential diagnosis is ADEM secondary to vaccination.
Age: 11.0
Sex: M
Vaccine: MNQ, UNK, UNK
Symptoms: Cytomegalovirus test negative, Diplopia, Drug screen negative, Dyskinesia, Ehrlichia test
Clinical narrative: Over the weekend of 10/19 Patient developed congestion and rhinorrhea. Monday (10/21) reported headache and was subsequently sent home from school. Otherwise at neurologic baseline. Had PCP appointment on Tuesday at which time he still had some headache and congestion but was well appearing otherwise and received vaccines (Meng ACWY, TDAP, flu). Wednesday he was sent home from school again, this time because of fever (reportedly around 101F). Given fever and congestion parents gave regular Nyquil and Dayquil but otherwise no concern and remained at neurologic baseline. Patient was kept home from school on Thursday but well enough to participate in football practice that night. During the practice he had a helmet to helmet collision but no LOC, vomiting or concern for seizure activity. Jumped right back up and no reported concern for concussion. Reportedly more fatigued on Friday and Saturday but no obvious concerns for parents. Sunday morning mom heard him fumbling around in the bathroom. When she went to check on him he reported that he couldn't see. On further questioning he reported double vision and when cover his left eye reported blurry vision. Mother noticed that while right eye was looking ahead, left eye appeared to deviate inward and upward. This prompted attendance to University Center where he was admitted for further work up.   While sedated for his LP at University Center had episode of lip smacking and, separately during rounds at University Center, he had episode of rhythmic right upper extremity jerking. For this reason University Center planned for EEG but not available at their center so transferred to Hospital. At the Hospital, MRI obtained showing Abnormal T2/FLAIR signal involving bilateral dorsal and medial thalami, as well as the periaqueductal gray matter. Patient remains hospitalized in the pediatric ICU at the time of report submission; leading differential diagnosis is ADEM secondary to vaccination.
Age: 11.0
Sex: M
Vaccine: MNQ, UNK, UNK
Symptoms: Electroencephalogram abnormal, Electrophoresis protein, Enterovirus test negative, Epstein-Barr virus antibody negative, Escherichia test negative
Clinical narrative: Over the weekend of 10/19 Patient developed congestion and rhinorrhea. Monday (10/21) reported headache and was subsequently sent home from school. Otherwise at neurologic baseline. Had PCP appointment on Tuesday at which time he still had some headache and congestion but was well appearing otherwise and received vaccines (Meng ACWY, TDAP, flu). Wednesday he was sent home from school again, this time because of fever (reportedly around 101F). Given fever and congestion parents gave regular Nyquil and Dayquil but otherwise no concern and remained at neurologic baseline. Patient was kept home from school on Thursday but well enough to participate in football practice that night. During the practice he had a helmet to helmet collision but no LOC, vomiting or concern for seizure activity. Jumped right back up and no reported concern for concussion. Reportedly more fatigued on Friday and Saturday but no obvious concerns for parents. Sunday morning mom heard him fumbling around in the bathroom. When she went to check on him he reported that he couldn't see. On further questioning he reported double vision and when cover his left eye reported blurry vision. Mother noticed that while right eye was looking ahead, left eye appeared to deviate inward and upward. This prompted attendance to University Center where he was admitted for further work up.   While sedated for his LP at University Center had episode of lip smacking and, separately during rounds at University Center, he had episode of rhythmic right upper extremity jerking. For this reason University Center planned for EEG but not available at their center so transferred to Hospital. At the Hospital, MRI obtained showing Abnormal T2/FLAIR signal involving bilateral dorsal and medial thalami, as well as the periaqueductal gray matter. Patient remains hospitalized in the pediatric ICU at the time of report submission; leading differential diagnosis is ADEM secondary to vaccination.
Age: 11.0
Sex: M
Vaccine: MNQ, UNK, UNK
Symptoms: Fatigue, Gaze palsy, Haemoglobin normal, Haemophilus test, Herpes simplex test negative
Clinical narrative: Over the weekend of 10/19 Patient developed congestion and rhinorrhea. Monday (10/21) reported headache and was subsequently sent home from school. Otherwise at neurologic baseline. Had PCP appointment on Tuesday at which time he still had some headache and congestion but was well appearing otherwise and received vaccines (Meng ACWY, TDAP, flu). Wednesday he was sent home from school again, this time because of fever (reportedly around 101F). Given fever and congestion parents gave regular Nyquil and Dayquil but otherwise no concern and remained at neurologic baseline. Patient was kept home from school on Thursday but well enough to participate in football practice that night. During the practice he had a helmet to helmet collision but no LOC, vomiting or concern for seizure activity. Jumped right back up and no reported concern for concussion. Reportedly more fatigued on Friday and Saturday but no obvious concerns for parents. Sunday morning mom heard him fumbling around in the bathroom. When she went to check on him he reported that he couldn't see. On further questioning he reported double vision and when cover his left eye reported blurry vision. Mother noticed that while right eye was looking ahead, left eye appeared to deviate inward and upward. This prompted attendance to University Center where he was admitted for further work up.   While sedated for his LP at University Center had episode of lip smacking and, separately during rounds at University Center, he had episode of rhythmic right upper extremity jerking. For this reason University Center planned for EEG but not available at their center so transferred to Hospital. At the Hospital, MRI obtained showing Abnormal T2/FLAIR signal involving bilateral dorsal and medial thalami, as well as the periaqueductal gray matter. Patient remains hospitalized in the pediatric ICU at the time of report submission; leading differential diagnosis is ADEM secondary to vaccination.
Age: 11.0
Sex: M
Vaccine: MNQ, UNK, UNK
Symptoms: Human herpes virus 6 serology negative, Immunoglobulins normal, Intensive care, Listeria test, Loss of personal independence in daily activities
Clinical narrative: Over the weekend of 10/19 Patient developed congestion and rhinorrhea. Monday (10/21) reported headache and was subsequently sent home from school. Otherwise at neurologic baseline. Had PCP appointment on Tuesday at which time he still had some headache and congestion but was well appearing otherwise and received vaccines (Meng ACWY, TDAP, flu). Wednesday he was sent home from school again, this time because of fever (reportedly around 101F). Given fever and congestion parents gave regular Nyquil and Dayquil but otherwise no concern and remained at neurologic baseline. Patient was kept home from school on Thursday but well enough to participate in football practice that night. During the practice he had a helmet to helmet collision but no LOC, vomiting or concern for seizure activity. Jumped right back up and no reported concern for concussion. Reportedly more fatigued on Friday and Saturday but no obvious concerns for parents. Sunday morning mom heard him fumbling around in the bathroom. When she went to check on him he reported that he couldn't see. On further questioning he reported double vision and when cover his left eye reported blurry vision. Mother noticed that while right eye was looking ahead, left eye appeared to deviate inward and upward. This prompted attendance to University Center where he was admitted for further work up.   While sedated for his LP at University Center had episode of lip smacking and, separately during rounds at University Center, he had episode of rhythmic right upper extremity jerking. For this reason University Center planned for EEG but not available at their center so transferred to Hospital. At the Hospital, MRI obtained showing Abnormal T2/FLAIR signal involving bilateral dorsal and medial thalami, as well as the periaqueductal gray matter. Patient remains hospitalized in the pediatric ICU at the time of report submission; leading differential diagnosis is ADEM secondary to vaccination.