chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Subdural haematoma, White blood cell count increased
Clinical narrative: 85y.o. male who per ER with significant past medical history of CAD, CVA, dementia, HLD, HTN and MI  who presents to Hospital on 0823 with a chief complaint of fall.  History was collected from patient and EMS. Reports that he was taking his morning walk, when he passed out and woke up in a pool of blood. Pt does not remember events of incident, and notes that he is not taking any thinners except for baby aspirin. Patient denies any fevers, chills, cough, nausea, vomiting, abdominal pain, dysuria, increased urinary frequency, melena, hematochezia, chest pain, or shortness of breath. The patient has deterioration of neurological status and evidence of an enlarging acute subdural hematoma with worsening midline shift on CT scan of the head. Pt has remained with elevated WBC count and fever started 0902 with Tmax 100.4F. He denies any changes. Feels constipated past several days and foley remains indwelling.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Asthenia, Blood sodium decreased, COVID-19, Catheterisation cardiac abnormal
Clinical narrative: 80y.o. female with PMHx including ESRD on PD who was admitted on 8/23/22 for hypotension, fatigue/weakness, and falls. She was found to be hyponatremic with NA 114 and COVID+, completed Remdesivir. Hospitalization complicated by NSTEMI, found to have new EF of 20%. Cardiac catheterization on 8/29 notable for minimal CAD. She reports dry heaves but no vomiting. States nausea is sometimes correlated to her therapy sessions. She also related nausea to PD exchanges. She is able to tolerate some PO intake, but appetite is poor. She reports recent diarrhea that is now improved. Patient to discharge home with family/social support.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Coronary artery disease, Decreased appetite, Diarrhoea, Ejection fraction decreased, Fall
Clinical narrative: 80y.o. female with PMHx including ESRD on PD who was admitted on 8/23/22 for hypotension, fatigue/weakness, and falls. She was found to be hyponatremic with NA 114 and COVID+, completed Remdesivir. Hospitalization complicated by NSTEMI, found to have new EF of 20%. Cardiac catheterization on 8/29 notable for minimal CAD. She reports dry heaves but no vomiting. States nausea is sometimes correlated to her therapy sessions. She also related nausea to PD exchanges. She is able to tolerate some PO intake, but appetite is poor. She reports recent diarrhea that is now improved. Patient to discharge home with family/social support.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Hyponatraemia, Hypotension, Nausea, Retching
Clinical narrative: 80y.o. female with PMHx including ESRD on PD who was admitted on 8/23/22 for hypotension, fatigue/weakness, and falls. She was found to be hyponatremic with NA 114 and COVID+, completed Remdesivir. Hospitalization complicated by NSTEMI, found to have new EF of 20%. Cardiac catheterization on 8/29 notable for minimal CAD. She reports dry heaves but no vomiting. States nausea is sometimes correlated to her therapy sessions. She also related nausea to PD exchanges. She is able to tolerate some PO intake, but appetite is poor. She reports recent diarrhea that is now improved. Patient to discharge home with family/social support.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 80y.o. female with PMHx including ESRD on PD who was admitted on 8/23/22 for hypotension, fatigue/weakness, and falls. She was found to be hyponatremic with NA 114 and COVID+, completed Remdesivir. Hospitalization complicated by NSTEMI, found to have new EF of 20%. Cardiac catheterization on 8/29 notable for minimal CAD. She reports dry heaves but no vomiting. States nausea is sometimes correlated to her therapy sessions. She also related nausea to PD exchanges. She is able to tolerate some PO intake, but appetite is poor. She reports recent diarrhea that is now improved. Patient to discharge home with family/social support.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Acute kidney injury, Acute respiratory failure, Blood creatinine increased, Blood sodium increased, Body temperature increased
Clinical narrative: 79y.o. male who presents with altered mental status. Patient is a poor historian, majority of history is taken from wife over the phone. Patient tested positive for covid on August 12, 2022 at his nursing home. Patient has advanced dementia, not conversational at baseline. He was living with his wife at home until August 1, 2022 when he moved into a nursing home. A few weeks ago, he started having poor oral intake and worsening confusion.  In the EC, temp 102 degF, blood pressure 168/104, heart rate 134, respiratory rate 36, pulse ox 89% on 6L nasal canula. Labs significant for sodium 162, creatinine 3.07, troponin 0.11, WBC 19.6. COVID test positive.  Patient found to be in acute hypoxic respiratory failure due to covid, MSSA bacteremia, VTE, AKI and hypernatremia. Family including wife and daughter, decided to transition patient to hospice care. Patient assessed and unresponsive to verbal and tactile stimuli, pulseless, respirations and heartsounds absent. Pupils dilated, fixed, and unresponsive to light. Date and time of death pronounced on 8/31/22 at 1600.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Cardiac arrest, Confusional state, Death, Embolism venous
Clinical narrative: 79y.o. male who presents with altered mental status. Patient is a poor historian, majority of history is taken from wife over the phone. Patient tested positive for covid on August 12, 2022 at his nursing home. Patient has advanced dementia, not conversational at baseline. He was living with his wife at home until August 1, 2022 when he moved into a nursing home. A few weeks ago, he started having poor oral intake and worsening confusion.  In the EC, temp 102 degF, blood pressure 168/104, heart rate 134, respiratory rate 36, pulse ox 89% on 6L nasal canula. Labs significant for sodium 162, creatinine 3.07, troponin 0.11, WBC 19.6. COVID test positive.  Patient found to be in acute hypoxic respiratory failure due to covid, MSSA bacteremia, VTE, AKI and hypernatremia. Family including wife and daughter, decided to transition patient to hospice care. Patient assessed and unresponsive to verbal and tactile stimuli, pulseless, respirations and heartsounds absent. Pupils dilated, fixed, and unresponsive to light. Date and time of death pronounced on 8/31/22 at 1600.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Hypernatraemia, Hypophagia, Laboratory test abnormal, Mental status changes, Mydriasis
Clinical narrative: 79y.o. male who presents with altered mental status. Patient is a poor historian, majority of history is taken from wife over the phone. Patient tested positive for covid on August 12, 2022 at his nursing home. Patient has advanced dementia, not conversational at baseline. He was living with his wife at home until August 1, 2022 when he moved into a nursing home. A few weeks ago, he started having poor oral intake and worsening confusion.  In the EC, temp 102 degF, blood pressure 168/104, heart rate 134, respiratory rate 36, pulse ox 89% on 6L nasal canula. Labs significant for sodium 162, creatinine 3.07, troponin 0.11, WBC 19.6. COVID test positive.  Patient found to be in acute hypoxic respiratory failure due to covid, MSSA bacteremia, VTE, AKI and hypernatremia. Family including wife and daughter, decided to transition patient to hospice care. Patient assessed and unresponsive to verbal and tactile stimuli, pulseless, respirations and heartsounds absent. Pupils dilated, fixed, and unresponsive to light. Date and time of death pronounced on 8/31/22 at 1600.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Pulse absent, Pupil fixed, Respiratory arrest, SARS-CoV-2 test positive, Staphylococcal bacteraemia
Clinical narrative: 79y.o. male who presents with altered mental status. Patient is a poor historian, majority of history is taken from wife over the phone. Patient tested positive for covid on August 12, 2022 at his nursing home. Patient has advanced dementia, not conversational at baseline. He was living with his wife at home until August 1, 2022 when he moved into a nursing home. A few weeks ago, he started having poor oral intake and worsening confusion.  In the EC, temp 102 degF, blood pressure 168/104, heart rate 134, respiratory rate 36, pulse ox 89% on 6L nasal canula. Labs significant for sodium 162, creatinine 3.07, troponin 0.11, WBC 19.6. COVID test positive.  Patient found to be in acute hypoxic respiratory failure due to covid, MSSA bacteremia, VTE, AKI and hypernatremia. Family including wife and daughter, decided to transition patient to hospice care. Patient assessed and unresponsive to verbal and tactile stimuli, pulseless, respirations and heartsounds absent. Pupils dilated, fixed, and unresponsive to light. Date and time of death pronounced on 8/31/22 at 1600.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Troponin increased, Unresponsive to stimuli, White blood cell count increased
Clinical narrative: 79y.o. male who presents with altered mental status. Patient is a poor historian, majority of history is taken from wife over the phone. Patient tested positive for covid on August 12, 2022 at his nursing home. Patient has advanced dementia, not conversational at baseline. He was living with his wife at home until August 1, 2022 when he moved into a nursing home. A few weeks ago, he started having poor oral intake and worsening confusion.  In the EC, temp 102 degF, blood pressure 168/104, heart rate 134, respiratory rate 36, pulse ox 89% on 6L nasal canula. Labs significant for sodium 162, creatinine 3.07, troponin 0.11, WBC 19.6. COVID test positive.  Patient found to be in acute hypoxic respiratory failure due to covid, MSSA bacteremia, VTE, AKI and hypernatremia. Family including wife and daughter, decided to transition patient to hospice care. Patient assessed and unresponsive to verbal and tactile stimuli, pulseless, respirations and heartsounds absent. Pupils dilated, fixed, and unresponsive to light. Date and time of death pronounced on 8/31/22 at 1600.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Vitiligo
Clinical narrative: A few weeks after initial vaccine, I developed vitiligo across my body. Arms, back, legs, hands, feet.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient seen for a well check 08/26/2022. His mom requested the COVID-19 vaccine (Moderna). I got the vaccine ready and put in the information for the 6 years to 11 years old. I thought the patient was 6, but I failed to double check the age. The patient was actually 5. Instead of giving the 0.25mL dose, he got 0.5mL instead.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 08/27/22 presents to EC ED for "shortness of breath". PMHx of "alcohol abuse"
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Headache
Clinical narrative: Massive headache for 36 hours, tylenol and advil applied every 4-6 hours, to minimal effect
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Gait disturbance, Gait inability, Immediate post-injection reaction, Immobile
Clinical narrative: Immediately after the injection at 4pm my arm became sore and immobile.   That same evening I woke up at 2am and was freezing cold.  I crawled to my closet to get my warmest sweater and put it on.  I was not able to walk.  I crawled back to my bed.  Several minutes later I began shaking uncontrollably.   I was unable to control the shaking for over 15 minutes.  I knew at the time I was experiencing a seizure but could do nothing to control it.   The violent shaking finally stopped.  I looked at the clock and it was 2:20am.   The following morning I was not able to get out of bed until 9am.    For over a week I could barely walk and was not able to work.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Mobility decreased, Pain in extremity, Seizure, Sleep disorder
Clinical narrative: Immediately after the injection at 4pm my arm became sore and immobile.   That same evening I woke up at 2am and was freezing cold.  I crawled to my closet to get my warmest sweater and put it on.  I was not able to walk.  I crawled back to my bed.  Several minutes later I began shaking uncontrollably.   I was unable to control the shaking for over 15 minutes.  I knew at the time I was experiencing a seizure but could do nothing to control it.   The violent shaking finally stopped.  I looked at the clock and it was 2:20am.   The following morning I was not able to get out of bed until 9am.    For over a week I could barely walk and was not able to work.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Immediately after the injection at 4pm my arm became sore and immobile.   That same evening I woke up at 2am and was freezing cold.  I crawled to my closet to get my warmest sweater and put it on.  I was not able to walk.  I crawled back to my bed.  Several minutes later I began shaking uncontrollably.   I was unable to control the shaking for over 15 minutes.  I knew at the time I was experiencing a seizure but could do nothing to control it.   The violent shaking finally stopped.  I looked at the clock and it was 2:20am.   The following morning I was not able to get out of bed until 9am.    For over a week I could barely walk and was not able to work.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain
Clinical narrative: Body aches, headache, chills
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, Chest X-ray abnormal, Cough, Exposure to SARS-CoV-2
Clinical narrative: 92y.o. female with multiple medical problems including hypertension, hypothyroidism, chronic constipation, and CKD admitted on 8/28/22 for metabolic encephalopathy related to severe hyponatremia (Na 106). Workup revealed tea and toast syndrome with SIADH component. Per her son, patient initially tested positive for COVID ~2 weeks ago and was COVID+ at hospital on admission. ID consulted with no specific COVID tx recommended. CXR on 9/1 shows bibasilar and perihilar airspace disease, she continues to have dry cough. Patient required MICU stay 8/27-8//31 with improvement of symptoms.  Sodium has improved with oral fluid restriction of 1000cc and 1 g salt tablets (9/2-present). Urine studies suggestive of SIADH, likely component from COVID. The patient will be discharged with son in a 1SH with 1 stairs to enter.  The patient has a fair prognosis for returning to this environment.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Inappropriate antidiuretic hormone secretion, Intensive care, Lung disorder, Malnutrition
Clinical narrative: 92y.o. female with multiple medical problems including hypertension, hypothyroidism, chronic constipation, and CKD admitted on 8/28/22 for metabolic encephalopathy related to severe hyponatremia (Na 106). Workup revealed tea and toast syndrome with SIADH component. Per her son, patient initially tested positive for COVID ~2 weeks ago and was COVID+ at hospital on admission. ID consulted with no specific COVID tx recommended. CXR on 9/1 shows bibasilar and perihilar airspace disease, she continues to have dry cough. Patient required MICU stay 8/27-8//31 with improvement of symptoms.  Sodium has improved with oral fluid restriction of 1000cc and 1 g salt tablets (9/2-present). Urine studies suggestive of SIADH, likely component from COVID. The patient will be discharged with son in a 1SH with 1 stairs to enter.  The patient has a fair prognosis for returning to this environment.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: 92y.o. female with multiple medical problems including hypertension, hypothyroidism, chronic constipation, and CKD admitted on 8/28/22 for metabolic encephalopathy related to severe hyponatremia (Na 106). Workup revealed tea and toast syndrome with SIADH component. Per her son, patient initially tested positive for COVID ~2 weeks ago and was COVID+ at hospital on admission. ID consulted with no specific COVID tx recommended. CXR on 9/1 shows bibasilar and perihilar airspace disease, she continues to have dry cough. Patient required MICU stay 8/27-8//31 with improvement of symptoms.  Sodium has improved with oral fluid restriction of 1000cc and 1 g salt tablets (9/2-present). Urine studies suggestive of SIADH, likely component from COVID. The patient will be discharged with son in a 1SH with 1 stairs to enter.  The patient has a fair prognosis for returning to this environment.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered Pfizer covid vaccine for 6 months-4 year dose instead of the 5-11 year dose.
Age: 27.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: On August 22, 2022, in the afternoon (approximately 1:00 p.m.), a vial was opened from which a 0.1ml ID dose was obtained and from which, due to confusion and error, 3 doses were administered the following day. After this I realize that the vial exceeds the stipulated duration time (8 hours) and proceeds to discard it. This situation was discussed with personnel from the health department who told us that this incident report should be completed. Immediately afterwards and after talking with our Medical Director, Dr., we have decided to make an appointment with our patients for the administration of vaccines in order to complete the number of doses and avoid losses. In this email I include the information of the 3 vaccinated patients. Any doubt, question or recommendation, do not hesitate to communicate I remain on the lookout. Patient does not present adverse reaction to incident.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Sore arm Low grade temperature 100.4°
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, Arthralgia, Bundle branch block left, C-reactive protein, Cardiac pharmacologic stress test
Clinical narrative: Massive inflammation,  Inc in wbc with multiple. Joint pain 2021 Neg for auto immune disease per lab work up Intermittent episodes/exacerbation  joint pain and inflammation 21-22 New onset left bundle branch block ( NO  history of heart disease) Dx routine ekg 4/26/22 SOB with exertion
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram coronary artery, Dyspnoea, Dyspnoea exertional, Echocardiogram, Electrocardiogram
Clinical narrative: Massive inflammation,  Inc in wbc with multiple. Joint pain 2021 Neg for auto immune disease per lab work up Intermittent episodes/exacerbation  joint pain and inflammation 21-22 New onset left bundle branch block ( NO  history of heart disease) Dx routine ekg 4/26/22 SOB with exertion
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Inflammation, Laboratory test normal, Rheumatoid factor, Scan myocardial perfusion
Clinical narrative: Massive inflammation,  Inc in wbc with multiple. Joint pain 2021 Neg for auto immune disease per lab work up Intermittent episodes/exacerbation  joint pain and inflammation 21-22 New onset left bundle branch block ( NO  history of heart disease) Dx routine ekg 4/26/22 SOB with exertion
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased, X-ray limb
Clinical narrative: Massive inflammation,  Inc in wbc with multiple. Joint pain 2021 Neg for auto immune disease per lab work up Intermittent episodes/exacerbation  joint pain and inflammation 21-22 New onset left bundle branch block ( NO  history of heart disease) Dx routine ekg 4/26/22 SOB with exertion
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Rhinorrhoea, Sneezing
Clinical narrative: Severe sneezing and runny nose.  right eye was swollen and then 2 days later other eye began to swell. Sneezing and runny nose started 4 days after 1st shot, but major reaction of eyes swelling occurred about 2 weeks later after running.  The sneezing and runny nose would occur every time after running and the severe reaction was after running a 5k race.
Age: 43.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: On August 22, 2022, in the afternoon (approximately 1:00 p.m.), a vial was opened from which a 0.1ml ID dose was obtained and from which, due to confusion and error, 3 doses were administered the following day. After this I realize that the vial exceeds the stipulated duration time (8 hours) and proceeds to discard it. This situation was discussed with personnel from the health department who told us that this incident report should be completed. Immediately afterwards and after talking with our Medical Director, Dr., we have decided to make an appointment with our patients for the administration of vaccines in order to complete the number of doses and avoid losses. In this email I include the information of the 3 vaccinated patients. Any doubt, question or recommendation, do not hesitate to communicate I remain on the lookout. Patient does not present adverse reaction to incident.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: 9/7/2022 Moderna monovalent given not bivalent. We advised patient in 2 months they can return for a bivalent shot. Patient tolerated well. No adverse reaction.
Age: 22.0
Sex: M
Vaccine: HEP
Symptoms: Injection site rash
Clinical narrative: Pt. arrived at the clinic for final dose of Hep B.  Preparation and administration of vaccine was normal.  Few hours after administration, pt. voiced concerns about rash at the site of administration.  Pt. had a follow up appointment with provider.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain in extremity, Sensory disturbance
Clinical narrative: Inside my hand hurts so bad. I feel like something touch the bone in in my hand. And when it hurts so bad, I feel it in my neck. Everyday it hurts. Right now I can feel it, like something is poking. It's in my left hand, the hand I got the vaccine in. I bare the pain, because it hurts bad.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: 9/7/2022 Moderna Monovalent was given not Bivalent. We advised patient in 2 months they can return for a Bivalent shot. Patient tolerated well. No Adverse reactions.
Age: 30.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dyspnoea, Neck pain, Oropharyngeal discomfort
Clinical narrative: Start having symptoms September 1 after getting the JYNNEOS vaccine. Inability to breathe at times, feel like something was stuck in my throat x one week and neck pain.
Age: 55.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Arthralgia, Diarrhoea, Ear pain, Fatigue, Injection site erythema
Clinical narrative: Diarrhea 8/31/22 at 1:00 AM. Redness, itching, induration at injection site beginning 9/1/22. Vomited x 1 on 9/1/22. Ongoing fatigue beginning on 8/31/22 . Intermittent shoulder and hip pain x 4 days beginning on 8/31/22. Sore throat x 1 day on 9/6/22.  Client stated inside of mouth was raw for one day on 9/6/22. Client complained of earache on 9/7/22 x 1 day.
Age: 55.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site induration, Injection site pruritus, Oropharyngeal pain, SARS-CoV-2 test negative, Stomatitis
Clinical narrative: Diarrhea 8/31/22 at 1:00 AM. Redness, itching, induration at injection site beginning 9/1/22. Vomited x 1 on 9/1/22. Ongoing fatigue beginning on 8/31/22 . Intermittent shoulder and hip pain x 4 days beginning on 8/31/22. Sore throat x 1 day on 9/6/22.  Client stated inside of mouth was raw for one day on 9/6/22. Client complained of earache on 9/7/22 x 1 day.
Age: 55.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Vomiting
Clinical narrative: Diarrhea 8/31/22 at 1:00 AM. Redness, itching, induration at injection site beginning 9/1/22. Vomited x 1 on 9/1/22. Ongoing fatigue beginning on 8/31/22 . Intermittent shoulder and hip pain x 4 days beginning on 8/31/22. Sore throat x 1 day on 9/6/22.  Client stated inside of mouth was raw for one day on 9/6/22. Client complained of earache on 9/7/22 x 1 day.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization
Age: 42.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, Wrong technique in product usage process
Clinical narrative: The initial intradermal administration attempt did not result in a wheel. No physical adverse events occured. There was a successful second attempt by an expert in intradermal administration, and was done intradermally.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chest X-ray normal, Condition aggravated, Dysphonia, Dyspnoea
Clinical narrative: To emergency on day 3 with shortness of breath.  D-dimer negative, in a fib.  Has been on inhalers, with significant hoarseness and post nasal drainage since.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer normal, Upper-airway cough syndrome
Clinical narrative: To emergency on day 3 with shortness of breath.  D-dimer negative, in a fib.  Has been on inhalers, with significant hoarseness and post nasal drainage since.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pfizer given as second vaccine in primary series, patient had Moderna for first dose in primary series.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was to receive new Pfizer Covid 19 Bivalent Booster but instead received Primary Pfizer Covid 19 Vaccine. Patient had no reaction, tolerated well, and released home.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong technique in product usage process
Clinical narrative: Technician inserted needle into my left arm, acted as though I was given a shot and then said oh my I am not sure if there was any vaccine in the needle, let me give you another shot. I declined a second shot because I was unsure of potential adverse effects if in fact there was serum in the needle. She stated she was going to contact the CDC in the morning to get instruction on what to do next. She also stated she would review security cameras to see if she had prepared the shot correctly and that she would contact me the next day. Upon leaving my husband called and spoke with her insisting she review the cameras at that time. She claimed she did and that she was 99% sure she gave me a proper injection. This morning she left me a voicemail advising me to return to the pharmacy. In the meantime I contacted CDC myself to be sure I was given proper direction. I have also contacted the office of my physician as I was told to do by CDC nurse.  At this time I am awaiting direction from CDC and my physicians office.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was to receive new Pfizer Covid 19 Bivalent Booster but instead received Primary Pfizer Covid 19 Vaccine. Patient had no reaction, tolerated well, and released home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Dysphagia, Headache, Nausea
Clinical narrative: I experienced my muscles in my throat not wanting to work to where I could not swallow, body aches, nausea, loss of taste/smell, fever, headache, rash and runny nose.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: I experienced my muscles in my throat not wanting to work to where I could not swallow, body aches, nausea, loss of taste/smell, fever, headache, rash and runny nose.
Age: 51.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, No adverse event, Wrong technique in product usage process
Clinical narrative: THe initial intradermal administration attempt did not result in a wheel. No physical adverse event occured. The second intradermal administration was attempted by an expert and was successful.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Biopsy skin abnormal, Burning sensation, Musculoskeletal stiffness, Pain in extremity, Pruritus
Clinical narrative: She had pain in her arm for 3-4 days and a stiff neck. She kept a heating pad on it. In February, she noticed a spot on her feet near her ankle. She would scratch it and it continued to grow. She went to a dermatologist in May when it was small. She had a biopsy. She was not given anything then. She then called last month on 7/29/2022 as it continued to worsen and could not get an appointment due to being so far out. She has an appointment 9/23/2022. The doctor called her in a prescription for metronidazole, which is not working. She is to take them for about 2 weeks, miss a week and then take again until gone. She has been taking them about a month with no effect. She went to a dermatologist, who gave her some medicine for the itching (loratadine 10mg). She continues to have itching. About once a week, she has burning real bad. She has to pat it to get the sensation away. It has spread all over the bottom of her legs, thighs, her hands and her chest. It is also on her stomach. It seems to move from her stomach to her breast, her arms, hands and middle part of her arms.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin disorder, Skin lesion
Clinical narrative: She had pain in her arm for 3-4 days and a stiff neck. She kept a heating pad on it. In February, she noticed a spot on her feet near her ankle. She would scratch it and it continued to grow. She went to a dermatologist in May when it was small. She had a biopsy. She was not given anything then. She then called last month on 7/29/2022 as it continued to worsen and could not get an appointment due to being so far out. She has an appointment 9/23/2022. The doctor called her in a prescription for metronidazole, which is not working. She is to take them for about 2 weeks, miss a week and then take again until gone. She has been taking them about a month with no effect. She went to a dermatologist, who gave her some medicine for the itching (loratadine 10mg). She continues to have itching. About once a week, she has burning real bad. She has to pat it to get the sensation away. It has spread all over the bottom of her legs, thighs, her hands and her chest. It is also on her stomach. It seems to move from her stomach to her breast, her arms, hands and middle part of her arms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph nodes in left arm pit are swollen like a golf ball size and painful.
Age: 1.08
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eczema, Pruritus, Skin haemorrhage, Skin irritation
Clinical narrative: She has a little patch of eczema on her and under her mouth. I treated it for a couple of weeks with 1% hydrocortisone over the counter. She was itching and irritated so I sent her doctor and the doctor called back and said she was going to call in desonide .05% cream to treat the symptoms on September 02. It did seem to help. We are still using it twice a day. The Eczema is a chronic condition but generally it's not as bad to the extent it is bleeding. I do believe she has made a complete recovery from this flare.
Age: 39.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Vein discolouration
Clinical narrative: Client report came in 9/8/22, 1 week after administration that injection site (left forearm) is red and painful, with a firm lump present at injection site. Additional a blood vessel had discolored to purple and then red, and the discoloration is reportedly getting longer each day. Client having no systemic symptoms at this time. Client recommended to see provider for assessment.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Computerised tomogram, Electromyogram, Fall, Gait inability
Clinical narrative: It started fever imidiatley after vaccine, and 4 days later I woke ip at 4 in the morning and my body was just numb, When I went to pull my legs over the side of the bed I just fell straight to the floor. I had to crawl to my roommates door and can barely knot on his door for help. EMS picked me up  My right leg feels like a bag of cement and pins and needles but my left leg is totally paralized and now have dropped foot. Physical therapy gave a drop foot support and can use a walker. I am trying to use a cane but I can't use a cane that well. I'm waiting to see if i can get IgG injection done. I was admitted to the Clinic. on 7/24/22 to 8/22/22  and diagnosed there by Dr. with GBS.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Immediate post-injection reaction, Limb discomfort, Magnetic resonance imaging
Clinical narrative: It started fever imidiatley after vaccine, and 4 days later I woke ip at 4 in the morning and my body was just numb, When I went to pull my legs over the side of the bed I just fell straight to the floor. I had to crawl to my roommates door and can barely knot on his door for help. EMS picked me up  My right leg feels like a bag of cement and pins and needles but my left leg is totally paralized and now have dropped foot. Physical therapy gave a drop foot support and can use a walker. I am trying to use a cane but I can't use a cane that well. I'm waiting to see if i can get IgG injection done. I was admitted to the Clinic. on 7/24/22 to 8/22/22  and diagnosed there by Dr. with GBS.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mobility decreased, Monoplegia, Paraesthesia, Peroneal nerve palsy, Pyrexia
Clinical narrative: It started fever imidiatley after vaccine, and 4 days later I woke ip at 4 in the morning and my body was just numb, When I went to pull my legs over the side of the bed I just fell straight to the floor. I had to crawl to my roommates door and can barely knot on his door for help. EMS picked me up  My right leg feels like a bag of cement and pins and needles but my left leg is totally paralized and now have dropped foot. Physical therapy gave a drop foot support and can use a walker. I am trying to use a cane but I can't use a cane that well. I'm waiting to see if i can get IgG injection done. I was admitted to the Clinic. on 7/24/22 to 8/22/22  and diagnosed there by Dr. with GBS.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sleep disorder, Walking aid user
Clinical narrative: It started fever imidiatley after vaccine, and 4 days later I woke ip at 4 in the morning and my body was just numb, When I went to pull my legs over the side of the bed I just fell straight to the floor. I had to crawl to my roommates door and can barely knot on his door for help. EMS picked me up  My right leg feels like a bag of cement and pins and needles but my left leg is totally paralized and now have dropped foot. Physical therapy gave a drop foot support and can use a walker. I am trying to use a cane but I can't use a cane that well. I'm waiting to see if i can get IgG injection done. I was admitted to the Clinic. on 7/24/22 to 8/22/22  and diagnosed there by Dr. with GBS.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Haematoma, Inflammation, Injection site reaction, Mobility decreased, Pain
Clinical narrative: Hematoma, inflammation, swelling, pain and tenderness on right (aprox. 5" circunferente). Extended to inside of the upper arm. Small lesion (1 mm) on the site of administration. Patient referred difficulty to lift the arm (aporx 40%).  Patient have been taking acetaminophen and ice on administration site during the last 3 days.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Skin lesion, Swelling, Tenderness
Clinical narrative: Hematoma, inflammation, swelling, pain and tenderness on right (aprox. 5" circunferente). Extended to inside of the upper arm. Small lesion (1 mm) on the site of administration. Patient referred difficulty to lift the arm (aporx 40%).  Patient have been taking acetaminophen and ice on administration site during the last 3 days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received fever; runny nose; fatigue for 6 days and I took PAXLOVID.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Choking, Cough, Diarrhoea, Pain
Clinical narrative: I woke up at 3AM in the morning coughing choking with burning and pain, I had grey thick mucous this continued straight for six days. I had little lumps in my throat. I had loose bowels as well.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Secretion discharge, Sensation of foreign body, Sleep disorder
Clinical narrative: I woke up at 3AM in the morning coughing choking with burning and pain, I had grey thick mucous this continued straight for six days. I had little lumps in my throat. I had loose bowels as well.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Client returned to clinic due to red and swelling Right arm. She reports it was very painful and the day after getting the vaccine it. She put a heating pad on it which didnt improve it. Today when she got up she noted it was red and swollen. It is warm to the touch today also.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond-use date
Age: 49.0
Sex: M
Vaccine: SMALLMNK
Symptoms: No adverse event, Vaccination error
Clinical narrative: The first intradermal attempt did not result in a wheel. No physical adverse event occured. A second attmept was administered by an expert, and was successful.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Carditis, Chest pain, Electrocardiogram
Clinical narrative: Carditis chest pain felt like heart attack
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED EXPIRED VACCINE
Age: 10.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pediarix inadvertently administered outside of age indication. Patient was 10 years of age at the time of vaccination and Pediarix is licensed through 6 years of age.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Near people who had COVID-19. Had sore throat then took a home COVID-19 test - positive. Had a telehealth appointment and decided not to take any prescriptions. Retested Home COVID-19 test - negative.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient reports shingles outbreak 3 days after her immunization.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Chest X-ray abnormal, Computerised tomogram, Dyspnoea
Clinical narrative: I was having pain in my right rib cage but thought it was gas so I ignored it. In the night it became severe and couldn't breathe. My wife noticed and rushed me to the emergency room. They told me  they found pulmonary embolus in my lungs. I've never had lung issues before in my life. They put me on blood thinners for the rest of my life. They can't identify what caused the issue since I never had any injury. Every now and again I still feel a bit of pain.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Musculoskeletal chest pain, Pleural effusion, Pulmonary embolism, Rib fracture
Clinical narrative: I was having pain in my right rib cage but thought it was gas so I ignored it. In the night it became severe and couldn't breathe. My wife noticed and rushed me to the emergency room. They told me  they found pulmonary embolus in my lungs. I've never had lung issues before in my life. They put me on blood thinners for the rest of my life. They can't identify what caused the issue since I never had any injury. Every now and again I still feel a bit of pain.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast
Clinical narrative: I was having pain in my right rib cage but thought it was gas so I ignored it. In the night it became severe and couldn't breathe. My wife noticed and rushed me to the emergency room. They told me  they found pulmonary embolus in my lungs. I've never had lung issues before in my life. They put me on blood thinners for the rest of my life. They can't identify what caused the issue since I never had any injury. Every now and again I still feel a bit of pain.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 67.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature excursion.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Back pain, Diarrhoea, Fatigue
Clinical narrative: pain in back and stomach cramps for 5 days, fatigue, diarhhea
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Arterial occlusive disease, Autopsy, Death, Myocardial ischaemia
Clinical narrative: Death. He was found June 7th but I spoke to him last in late afternoon of June 5, 2021. He said he would call the next morning but didn't. I finally had a well being check about noon June 7, 2021.
Age: 16.0
Sex: F
Vaccine: MMR
Symptoms: Fall, Head injury, Immediate post-injection reaction
Clinical narrative: pt was given IPV, Hep B then Tdap and lastly MMR.  Pt seemed fine until did MMR.  Pt then immediately leaned over to the right (I was standing on her left side on side of table) and she fell on her head on the floor.  She came to very quickly.  Pt rested laying down for 1/2 hour then felt well enough to return to class.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: I had a fever for a day and a half around 102 which is rare for me. I had some breathing issues that wasn't terrible. It was more congestion but I didn't have a cough. After the fever broke it was fatigue and congestion and little breathing issues. It lasted about a week.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had a fever for a day and a half around 102 which is rare for me. I had some breathing issues that wasn't terrible. It was more congestion but I didn't have a cough. After the fever broke it was fatigue and congestion and little breathing issues. It lasted about a week.
Age: 63.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature excursion.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, COVID-19, Death, Dyspnoea
Clinical narrative: tested + covid 8-14-22;  to  er with shortness of breath, had covid 19 sepsis pneumonia, anemia , thrombocytopenia, hypokalemia and elevated lfts.   H/o metastatic breast cancer. and ITP.    admitted for remdesivir, decadron vitamins electrolyte replacement  .  Required intubation and developed acute kidney injury and etabolic acidosis and contined to decline.  8/19/22 had bleeding issues and it was decided to place her   on comfort measures and expired 8-19-22
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Haemorrhage, Hypokalaemia, Liver function test increased
Clinical narrative: tested + covid 8-14-22;  to  er with shortness of breath, had covid 19 sepsis pneumonia, anemia , thrombocytopenia, hypokalemia and elevated lfts.   H/o metastatic breast cancer. and ITP.    admitted for remdesivir, decadron vitamins electrolyte replacement  .  Required intubation and developed acute kidney injury and etabolic acidosis and contined to decline.  8/19/22 had bleeding issues and it was decided to place her   on comfort measures and expired 8-19-22
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic acidosis, Pneumonia, SARS-CoV-2 test positive, Sepsis, Thrombocytopenia
Clinical narrative: tested + covid 8-14-22;  to  er with shortness of breath, had covid 19 sepsis pneumonia, anemia , thrombocytopenia, hypokalemia and elevated lfts.   H/o metastatic breast cancer. and ITP.    admitted for remdesivir, decadron vitamins electrolyte replacement  .  Required intubation and developed acute kidney injury and etabolic acidosis and contined to decline.  8/19/22 had bleeding issues and it was decided to place her   on comfort measures and expired 8-19-22
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient symptomatic and tested positive for COVID-19 resulting in hospitalization.
Age: 46.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature excursion.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Extra dose administered
Clinical narrative: Employee health not initially presented with full immunization records. MMR provided due to documented need for 2nd dose. Discovered upon data entry that employee had received an initial dose 12/2021 at a previous employer
Age: 58.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, No adverse event, Wrong technique in product usage process
Clinical narrative: The first intradermal attempt did not result in a wheel. No physical adverse event occured. A second attmept was administered by an expert, and was successful.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 1/18/22 at SNF) where he was residing.  From our records, pt passed away at home on 2/11/22.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: SOB
Age: 37.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: Pt was recieving dose 2 of jynneos. Received dose as SQ instead of ID by vaccinator. Clinical staff and pt made aware. Pt was revaccinate by another vaccinator via correct intradermal route.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syringe issue
Clinical narrative: Patient received COVID Bivalent updated booster on 09/7/2022. At the time per EM all dose was given from syringe/needle , retracted in arm, a drop dribbled down patients arm and was cleaned appropriately. EM feels that complete dose was given and  the drop was a small amount. Patient called pharmacy 09/08/2022 in the morning and stated concern that she did not receive full dose. Patient spoke with physician and physician and physician initially believes may not have given full dose. Patient spoke with physician second time and they stated that it would be up to pharmacy to give another dose. No other additional dose was given at this time. I and EM believe full dose was given to patient.  Internal event also completed. Spoke with someone at doctor's office and noted in chart
Age: 50.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature excursion.
Age: 43.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Rash
Clinical narrative: Pt had whole body rash with the vaccine. No angioedema or airway involvement but will not be getting dose #2.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Diarrhoea
Clinical narrative: Diarrhea/stool incontinence (single sudden episode of watery stool)
Age: 25.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Insomnia
Clinical narrative: JYNNEOS *Severe* insomnia for 6 nights following vaccination
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Nausea
Clinical narrative: After being vaccinated, the patient presents dizziness and nausea. She is given the required medical attention and remains under observation until she is stable.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Dyspnoea
Clinical narrative: SOB, COUGH, WEAKNESS, FATIGUE, POOR APPETITE
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, SARS-CoV-2 test positive
Clinical narrative: SOB, COUGH, WEAKNESS, FATIGUE, POOR APPETITE