chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Myalgia, Rhinorrhoea
Clinical narrative: Mild swelling, tenderness at injection site;  day 2 post-injection - mild dyspnea on exertion, cough, rhinorrhea, no fever;  day 3 post-injection - fatigue, muscle aches, dyspnea on exertion worsened affecting activities of daily living, cough + rhinorrhea worse but no meds taken, left upper quadrant abdominal pain with mild tenderness, difficulty sleeping due to cough, pulse ox SPO2 85 - 90 during dyspneic episodes but 90 - 95 remainder of time, no fever day 4 post-injection - mild dyspnea on exertion at beginning of day, cough improved - mild and non-productive, rhinorrhea improved
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Food allergy, Gluten sensitivity, Inflammatory bowel disease
Clinical narrative: 1. Inflammatory Bowel Disease - unable to tolerate foods such as gluten and red meat - this is ongoing
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Arm swollen, hot, red and sore - area about 3 inch diameter
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Exposure during pregnancy, Product administered to patient of inappropriate age
Clinical narrative: Medication error occurred.  A high dose flu vaccine was given instead of the regular flu vaccine.  Patient is approx 23 weeks and 4 days pregnant.  EDD-1/14/24
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Adult failure to thrive, COVID-19, Cardiac failure congestive
Clinical narrative: Hospitalization for COVID-19 infection with hypoxemia, failure to thrive, abdominal pain/elevated lipase, acute on chronic kidney disease, diastolic congestive heart failure on dates 8/22/2023- 9/18/2023. Treated with dexamethasone.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Left ventricular failure, Lipase increased
Clinical narrative: Hospitalization for COVID-19 infection with hypoxemia, failure to thrive, abdominal pain/elevated lipase, acute on chronic kidney disease, diastolic congestive heart failure on dates 8/22/2023- 9/18/2023. Treated with dexamethasone.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Hypertension, Pneumonia, Procalcitonin increased
Clinical narrative: Hospitalization for Covid019 Pneumonia, elevated procalcitonin with concern for underlying bacterial pneumonia, acute on chronic hypoxic respiratory failure, severe sepsis due to pneumonia with hypertension on dates 9/10/2023- 9/19/2023. Treated with dexamethasone, baricitinib, Remdesivir.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, Sepsis
Clinical narrative: Hospitalization for Covid019 Pneumonia, elevated procalcitonin with concern for underlying bacterial pneumonia, acute on chronic hypoxic respiratory failure, severe sepsis due to pneumonia with hypertension on dates 9/10/2023- 9/19/2023. Treated with dexamethasone, baricitinib, Remdesivir.
Age: 88.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Patient received authorized Pfizer COVID-19 bivalent vaccine.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Vertigo
Clinical narrative: Vertigo dizziness
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: Very tired nausea headache achiness
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: N/a
Age: 50.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Pain, Toothache
Clinical narrative: Starting about 10:00, I experienced what seemed like every nerve firing in my body at the same time. This included toothache, headache and general body ache. This lasted for about five hours and then dissipated by about 3:00 in the morning.
Age: 13.0
Sex: M
Vaccine: FLUC4, HPV9, MNQ
Symptoms: Wrong product administered
Clinical narrative: PATIENT RECEIVED MENQUADFI VACCINE IN ERROR.
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Pain, Pain in extremity
Clinical narrative: Painful left arm. I could not left arm without intense  pain
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of product administration
Clinical narrative: This vaccination was given too early.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Gait disturbance, Lumbar puncture, Musculoskeletal disorder
Clinical narrative: problems walking / the completely paralyzed  walking or movement fuctions./ Hospitalized for 5 months   never fully regained complete
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: problems walking / the completely paralyzed  walking or movement fuctions./ Hospitalized for 5 months   never fully regained complete
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Dyspnoea, Nausea
Clinical narrative: difficulty breathing,  nausea, dizziness, BP 203/80; resolved in 1 hour; she was taken to the ED and symptoms resolved without medication
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID vaccine breakthrough case. Pfizer 4/2/21 ER8730, 4/23/21 EW0162, 12/17/21 33130BA, 5/25/22 FN2908, and 11/23/22 bivalent GJ3274
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Cough, Headache, Respiratory tract congestion
Clinical narrative: symptoms stated on 9/19/23 of HA, cough, congestion, temp
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: symptoms stated on 9/19/23 of HA, cough, congestion, temp
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Breast pain, Breast swelling, Fatigue, Gaze palsy, Injection site reaction
Clinical narrative: "My left arm is very swollen and injection site looks like a huge wasp sting. I have an ongoing stinging pain in my left axilla, swelling and pain of my LT breast, as well as pain in my LT TMJ. Fever of 100.0, H/A, fatigue and runny nose. These sx started Fri. Pm  and my LT arm feels at its worse this morning" - 9/10/23
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in jaw, Peripheral swelling, Rhinorrhoea
Clinical narrative: "My left arm is very swollen and injection site looks like a huge wasp sting. I have an ongoing stinging pain in my left axilla, swelling and pain of my LT breast, as well as pain in my LT TMJ. Fever of 100.0, H/A, fatigue and runny nose. These sx started Fri. Pm  and my LT arm feels at its worse this morning" - 9/10/23
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID vaccine breakthrough case. Moderna 2/18/21 023M20A, 3/18/21 002B21A, 12/3/21 012H21B and Pfizer bivalent 10/5/22 GJ6665
Age: 3.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 3yo patient was given kinrix vaccine while getting catch up vaccinations. The DTAP and IPV vaccines were the 3rd does of the series
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Bell's palsy, Choking, Computerised tomogram head abnormal, Drooling, Dysphagia
Clinical narrative: I received an  employee influenza vaccine on 09/15/2023. That night I began having a sore throat with difficulty swallowing and incontrollable drooling noted throughout the night. I woke up choking several times. Monday morning, I felt a little better and came to work .   Monday 09/18/2023 one of the doctors at the clinic mentioned that  my left eye looking abnormal but I thought nothing of it. I did mention that my eye has been burning really bad all day, but thought nothing of it because when I suffer with my migraines it effect that eye. I get really sharp pain, which I was not experience any signs of migraine on this day.     Tuesday 09/19/2023 morning while performing my morning hygiene, I notice my face was pulling to the right side.  I Went to urgent care that morning 09/19/2023 and was diagnosed with Bell's Palsy on left side and sinusitis. The doctor mention that my left eye is not closing all the way and i have numbness noted to left side of the face.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Eye irritation, Eyelid function disorder, Facial paralysis, Hypoaesthesia, Mucosal hypertrophy
Clinical narrative: I received an  employee influenza vaccine on 09/15/2023. That night I began having a sore throat with difficulty swallowing and incontrollable drooling noted throughout the night. I woke up choking several times. Monday morning, I felt a little better and came to work .   Monday 09/18/2023 one of the doctors at the clinic mentioned that  my left eye looking abnormal but I thought nothing of it. I did mention that my eye has been burning really bad all day, but thought nothing of it because when I suffer with my migraines it effect that eye. I get really sharp pain, which I was not experience any signs of migraine on this day.     Tuesday 09/19/2023 morning while performing my morning hygiene, I notice my face was pulling to the right side.  I Went to urgent care that morning 09/19/2023 and was diagnosed with Bell's Palsy on left side and sinusitis. The doctor mention that my left eye is not closing all the way and i have numbness noted to left side of the face.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Oropharyngeal pain, Pregnancy test urine negative, Sinusitis
Clinical narrative: I received an  employee influenza vaccine on 09/15/2023. That night I began having a sore throat with difficulty swallowing and incontrollable drooling noted throughout the night. I woke up choking several times. Monday morning, I felt a little better and came to work .   Monday 09/18/2023 one of the doctors at the clinic mentioned that  my left eye looking abnormal but I thought nothing of it. I did mention that my eye has been burning really bad all day, but thought nothing of it because when I suffer with my migraines it effect that eye. I get really sharp pain, which I was not experience any signs of migraine on this day.     Tuesday 09/19/2023 morning while performing my morning hygiene, I notice my face was pulling to the right side.  I Went to urgent care that morning 09/19/2023 and was diagnosed with Bell's Palsy on left side and sinusitis. The doctor mention that my left eye is not closing all the way and i have numbness noted to left side of the face.
Age: 87.0
Sex: F
Vaccine: FLUA4, RSV
Symptoms: Body temperature increased, Fatigue
Clinical narrative: Temp of 101.2, wiped out
Age: 77.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, Chills, Fatigue, Feeling cold, Heart rate increased
Clinical narrative: Pulse rate was too fast, over 100 and do have AFIB so I took some medication and it helped bring my heart rate down, Sore throat, weak/fatigued, chills and very cold.
Age: 77.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Oropharyngeal pain
Clinical narrative: Pulse rate was too fast, over 100 and do have AFIB so I took some medication and it helped bring my heart rate down, Sore throat, weak/fatigued, chills and very cold.
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Fall, Head injury, Nystagmus, Syncope
Clinical narrative: Patient was standing at our drop off window post-vaccination. She developed syncope and fell straight back onto her head. Patient says it wasn't a hard fall but pharmacy staff could tell that it was bad based on the loud thud that occurred. Patient sat for 15 minutes drinking water. Blood pressure was measured at 90/66. I (pharmacist) performed a horizontal gaze nystagmus test to determine if a concussion occurred. A nystagmus (involuntary jerking of the eyes) was present, so I gave the patient the option of waiting for an ambulance or going to an urgent care clinic. She opted to go to the local urgent care clinic.
Age: 73.0
Sex: F
Vaccine: COVID19-2, DTAPIPVHIB, COVID19
Symptoms: Arthralgia, Chills, Cold sweat, Dizziness, Feeling cold
Clinical narrative: * RECEIVED THE COMIRNATY 12+ , by Pfizer*.  Excessively cold, shivering, teeth chattering, could not get warm, skin cold, nausea, dizziness, bad headache, joint aches, very sore arm at injection site and rotator cuff repair on left side very painful. Began slowly approximately 4-5 hours after   injection and became increasingly worse.
Age: 73.0
Sex: F
Vaccine: COVID19-2, DTAPIPVHIB, COVID19
Symptoms: Headache, Injection site pain, Nausea, Procedural pain
Clinical narrative: * RECEIVED THE COMIRNATY 12+ , by Pfizer*.  Excessively cold, shivering, teeth chattering, could not get warm, skin cold, nausea, dizziness, bad headache, joint aches, very sore arm at injection site and rotator cuff repair on left side very painful. Began slowly approximately 4-5 hours after   injection and became increasingly worse.
Age: 73.0
Sex: F
Vaccine: COVID19-2, DTAPIPVHIB, COVID19
Symptoms: Arthralgia, Chills, Dizziness, Dry mouth, Headache
Clinical narrative: * RECEIVED THE COMIRNATY 12+ , by Pfizer*.  Excessively cold, shivering, teeth chattering, could not get warm, skin cold, nausea, dizziness, bad headache, joint aches, very sore arm at injection site and rotator cuff repair on left side very painful. Began slowly approximately 4-5 hours after   injection and became increasingly worse.
Age: 73.0
Sex: F
Vaccine: COVID19-2, DTAPIPVHIB, COVID19
Symptoms: Nasopharyngitis, Nausea, Pain in extremity
Clinical narrative: * RECEIVED THE COMIRNATY 12+ , by Pfizer*.  Excessively cold, shivering, teeth chattering, could not get warm, skin cold, nausea, dizziness, bad headache, joint aches, very sore arm at injection site and rotator cuff repair on left side very painful. Began slowly approximately 4-5 hours after   injection and became increasingly worse.
Age: 78.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Asthenia, Diarrhoea
Clinical narrative: She got her vaccines, she had diarrhea and general weakness.  She has not taken anything for her symptoms.  She is hoping that they will stop shortly.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arrhythmia, Scan myocardial perfusion, Supraventricular tachycardia, Troponin normal, Ventricular tachycardia
Clinical narrative: Development of Asymptomatic cardiac arrhythmias including 7% PCV's, isolated runs of Ventricular tachycardia and supraventricular tachycardia
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Peripheral swelling, Pruritus, Throat irritation
Clinical narrative: At around 1500  throat was itching and felt like I was short of breath.   swelling in right arm and hand. severe itching in the right arm and hand. as per patient
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity
Clinical narrative: Sore arm when woke up at 6am ,backache at 9:15am for arm used therawork relief foam when started hasn't worked yet, haven't done anything for the back and headache at 9:30 am haven't done anything for headache
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 60.0
Sex: F
Vaccine: COVID19-2, RSV
Symptoms: Asthenia, Blood thyroid stimulating hormone, Blood thyroid stimulating hormone normal, Brain fog, Decreased appetite
Clinical narrative: Normal upon awakening, normal breakfast of 16 oz decaf tea + Larabar, then fairly sudden onset of extreme grogginess/ foggy head and difficulty focusing on screen (working from home) ~9:30-10 AM. Upon standing to go lay on couch, experienced extreme dizziness with nausea.  Laying down made dizziness and nausea better, but not grogginess.  Tried Epley maneuvers, which seemed to help the only time I've had vertigo in the past (3.5 years ago).  The movement only made things worse.  After a quick call to coworker and text to husband, proceeded to go to sleep and continue sleeping until 3 PM.  Awoke still groggy/tired, but tried going to bathroom and getting water.  Standing still led to nausea.  Continued to rest and Slowly worked to sitting up in reclined position.  Around 5 PM, took BP with home unit and it was normal (127/77, 58 BPM).  Slowly ate a piece of whole wheat bread and drank water to avoid low blood sugar exacerbation or dehydration. After sleeping overnight, symptoms were resolved other than a slight weak/shaky feeling and reduced appetite, and I was able to drive to a 9:00 dentist appointment.  Around 10:30 started feeling mild numbness in and above the upper lip (maybe related to dentist?? though no numbing agent was used). The very mild upper lip numbness and some reduction in appetite continue, but the primary symptoms have resolved. Have never experienced symptoms like this before and only had one case ever of vertigo 3.5 years ago, which was different in that it was true vertigo (room spinning upon standing, had to hold door frame to avoid falling). No other cause is evident, pending upcoming CT scan. All prior COVID vaccines (and any other vaccines) have only produced normal symptoms - pain at site of injection, some flu-like achiness within 24 hrs., etc. Daughter was hospitalized with severe reaction to contracting RSV at age 2.5 years, so I wonder if this could be a reaction to the RSV vaccine, or possibly to having two vaccines on the same day.
Age: 60.0
Sex: F
Vaccine: COVID19-2, RSV
Symptoms: Differential white blood cell count normal, Dizziness, Fatigue, Full blood count normal, Hypoaesthesia oral
Clinical narrative: Normal upon awakening, normal breakfast of 16 oz decaf tea + Larabar, then fairly sudden onset of extreme grogginess/ foggy head and difficulty focusing on screen (working from home) ~9:30-10 AM. Upon standing to go lay on couch, experienced extreme dizziness with nausea.  Laying down made dizziness and nausea better, but not grogginess.  Tried Epley maneuvers, which seemed to help the only time I've had vertigo in the past (3.5 years ago).  The movement only made things worse.  After a quick call to coworker and text to husband, proceeded to go to sleep and continue sleeping until 3 PM.  Awoke still groggy/tired, but tried going to bathroom and getting water.  Standing still led to nausea.  Continued to rest and Slowly worked to sitting up in reclined position.  Around 5 PM, took BP with home unit and it was normal (127/77, 58 BPM).  Slowly ate a piece of whole wheat bread and drank water to avoid low blood sugar exacerbation or dehydration. After sleeping overnight, symptoms were resolved other than a slight weak/shaky feeling and reduced appetite, and I was able to drive to a 9:00 dentist appointment.  Around 10:30 started feeling mild numbness in and above the upper lip (maybe related to dentist?? though no numbing agent was used). The very mild upper lip numbness and some reduction in appetite continue, but the primary symptoms have resolved. Have never experienced symptoms like this before and only had one case ever of vertigo 3.5 years ago, which was different in that it was true vertigo (room spinning upon standing, had to hold door frame to avoid falling). No other cause is evident, pending upcoming CT scan. All prior COVID vaccines (and any other vaccines) have only produced normal symptoms - pain at site of injection, some flu-like achiness within 24 hrs., etc. Daughter was hospitalized with severe reaction to contracting RSV at age 2.5 years, so I wonder if this could be a reaction to the RSV vaccine, or possibly to having two vaccines on the same day.
Age: 60.0
Sex: F
Vaccine: COVID19-2, RSV
Symptoms: Metabolic function test, Nausea, Nervousness, SARS-CoV-2 test negative, Somnolence
Clinical narrative: Normal upon awakening, normal breakfast of 16 oz decaf tea + Larabar, then fairly sudden onset of extreme grogginess/ foggy head and difficulty focusing on screen (working from home) ~9:30-10 AM. Upon standing to go lay on couch, experienced extreme dizziness with nausea.  Laying down made dizziness and nausea better, but not grogginess.  Tried Epley maneuvers, which seemed to help the only time I've had vertigo in the past (3.5 years ago).  The movement only made things worse.  After a quick call to coworker and text to husband, proceeded to go to sleep and continue sleeping until 3 PM.  Awoke still groggy/tired, but tried going to bathroom and getting water.  Standing still led to nausea.  Continued to rest and Slowly worked to sitting up in reclined position.  Around 5 PM, took BP with home unit and it was normal (127/77, 58 BPM).  Slowly ate a piece of whole wheat bread and drank water to avoid low blood sugar exacerbation or dehydration. After sleeping overnight, symptoms were resolved other than a slight weak/shaky feeling and reduced appetite, and I was able to drive to a 9:00 dentist appointment.  Around 10:30 started feeling mild numbness in and above the upper lip (maybe related to dentist?? though no numbing agent was used). The very mild upper lip numbness and some reduction in appetite continue, but the primary symptoms have resolved. Have never experienced symptoms like this before and only had one case ever of vertigo 3.5 years ago, which was different in that it was true vertigo (room spinning upon standing, had to hold door frame to avoid falling). No other cause is evident, pending upcoming CT scan. All prior COVID vaccines (and any other vaccines) have only produced normal symptoms - pain at site of injection, some flu-like achiness within 24 hrs., etc. Daughter was hospitalized with severe reaction to contracting RSV at age 2.5 years, so I wonder if this could be a reaction to the RSV vaccine, or possibly to having two vaccines on the same day.
Age: 60.0
Sex: F
Vaccine: COVID19-2, RSV
Symptoms: Vertigo, Vision blurred
Clinical narrative: Normal upon awakening, normal breakfast of 16 oz decaf tea + Larabar, then fairly sudden onset of extreme grogginess/ foggy head and difficulty focusing on screen (working from home) ~9:30-10 AM. Upon standing to go lay on couch, experienced extreme dizziness with nausea.  Laying down made dizziness and nausea better, but not grogginess.  Tried Epley maneuvers, which seemed to help the only time I've had vertigo in the past (3.5 years ago).  The movement only made things worse.  After a quick call to coworker and text to husband, proceeded to go to sleep and continue sleeping until 3 PM.  Awoke still groggy/tired, but tried going to bathroom and getting water.  Standing still led to nausea.  Continued to rest and Slowly worked to sitting up in reclined position.  Around 5 PM, took BP with home unit and it was normal (127/77, 58 BPM).  Slowly ate a piece of whole wheat bread and drank water to avoid low blood sugar exacerbation or dehydration. After sleeping overnight, symptoms were resolved other than a slight weak/shaky feeling and reduced appetite, and I was able to drive to a 9:00 dentist appointment.  Around 10:30 started feeling mild numbness in and above the upper lip (maybe related to dentist?? though no numbing agent was used). The very mild upper lip numbness and some reduction in appetite continue, but the primary symptoms have resolved. Have never experienced symptoms like this before and only had one case ever of vertigo 3.5 years ago, which was different in that it was true vertigo (room spinning upon standing, had to hold door frame to avoid falling). No other cause is evident, pending upcoming CT scan. All prior COVID vaccines (and any other vaccines) have only produced normal symptoms - pain at site of injection, some flu-like achiness within 24 hrs., etc. Daughter was hospitalized with severe reaction to contracting RSV at age 2.5 years, so I wonder if this could be a reaction to the RSV vaccine, or possibly to having two vaccines on the same day.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Blindness, Dizziness
Clinical narrative: Patient felt dizzy and vision went black while checking out from appointment with parent.  Patient was lowered to the ground with feet elevated. Patient was given juice and crackers.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Local reaction, Vessel puncture site injury
Clinical narrative: - local reaction to flu shot with brusing and surrounding redness, no itching or systemic symptoms - benadryl given, ice applied and monitored for 30 minutes with decreased redness and no new sx noted - prn ice and continue to monitor, call if redness returns - likely secondary to needle hitting a small blood vessel.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiac failure congestive
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 5/13/2023 ACUTE NON ST ELEVATION MI CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Mobility decreased
Clinical narrative: Limited Range of Motion past 90 degrees overhead, pain 5/10  No swelling, redness, drainage, no fever
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: No adverese event reported.   It is already reported that the vaccine was used on the same day that the Bivalent Covid-19 Vaccination was stopped. When we informed the staff, this person had been vaccinated.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Myalgia
Clinical narrative: Severe myalgia in left thigh muscle
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Nodule, Pruritus, Skin warm
Clinical narrative: Large knot in left arm with itchiness and heat to the touch.
Age: 17.0
Sex: F
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Flublok given to patient <18 years old
Age: 17.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Headache
Clinical narrative: Headache x 7 days
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Expired product administered
Clinical narrative: Vaccine administered was four days past expiration listed upon product.
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Injection site discolouration
Clinical narrative: Patient reported brown spot in the site of injection.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Rash macular
Clinical narrative: PATIENT DEVELOPED WIDESPREAD MACULAR RASH OVER BODY SOMETIME OVERNIGHT ON 9/19/23 AFTER ADMINISTRATION OF FLUZONE HD (RIGHT DELTOID) AND AREXVY (LEFT DELTOID).  PATIENT HAS  H/O FLUZONE HD ADMINISTRATION WITH NO PAST ISSUES.
Age: 65.0
Sex: M
Vaccine: PNC20
Symptoms: Dizziness, Injection site pain, Nausea, Pulse absent, Syncope
Clinical narrative: Pt immediately stated that the injection hurt. Instructed the pt that this specific rection wasn't normal so this RNN felt we should stop the injection. Pt stated that he wanted to go ahead & push through the pain. This RN told him that I did not recommend that. The pt stated that he wanted this RN to go ahead. This RN injected an additional very small amount of the vaccine but the pt again complained of pain. This RN instructed the pt that I did not feel comfortable going any further & that I was going to stop the injection & pullout the needle. Total amount given 0.01 ml. Seconds later the pt bowed his forward replied to the question of how he was feeling that he was feeling very dizzy, nausea. This RN held the pt up by his chest while opening the door & calling for help. The pt shortly thereafter became unresponsive. Rapid Response called.  attempted to wake the pt & noted that he had no pulse. The pt was moved to the exam table by this RN & 4 - 5 other nurses. The pt began   to open his eyes Care of the pt was transferred to their care. Pt was wheeled to the ED.   ED note:  getting his pneumonia vaccine when he had a syncopal episode.  He states that the nurse was giving the injection gave the shot in a more proximal position than usual on his arm.  He states that the shot initially did not inject fully and there approximately 1 minute worth of readjusting the needle under the skin.  He states this was a very painful experience stated that the pain became overwhelming and he syncopized.  Syncopal episode was witnessed, he did not hit his head.  Per chart review the patient did not have a palpable pulse initially.  However, on reassessment the patient awoke and had a pulse before any CPR was initiated.  Patient denies chest pain or weakness.
Age: 65.0
Sex: M
Vaccine: PNC20
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt immediately stated that the injection hurt. Instructed the pt that this specific rection wasn't normal so this RNN felt we should stop the injection. Pt stated that he wanted to go ahead & push through the pain. This RN told him that I did not recommend that. The pt stated that he wanted this RN to go ahead. This RN injected an additional very small amount of the vaccine but the pt again complained of pain. This RN instructed the pt that I did not feel comfortable going any further & that I was going to stop the injection & pullout the needle. Total amount given 0.01 ml. Seconds later the pt bowed his forward replied to the question of how he was feeling that he was feeling very dizzy, nausea. This RN held the pt up by his chest while opening the door & calling for help. The pt shortly thereafter became unresponsive. Rapid Response called.  attempted to wake the pt & noted that he had no pulse. The pt was moved to the exam table by this RN & 4 - 5 other nurses. The pt began   to open his eyes Care of the pt was transferred to their care. Pt was wheeled to the ED.   ED note:  getting his pneumonia vaccine when he had a syncopal episode.  He states that the nurse was giving the injection gave the shot in a more proximal position than usual on his arm.  He states that the shot initially did not inject fully and there approximately 1 minute worth of readjusting the needle under the skin.  He states this was a very painful experience stated that the pain became overwhelming and he syncopized.  Syncopal episode was witnessed, he did not hit his head.  Per chart review the patient did not have a palpable pulse initially.  However, on reassessment the patient awoke and had a pulse before any CPR was initiated.  Patient denies chest pain or weakness.
Age: 82.0
Sex: M
Vaccine: FLUA4, RSV, RSV
Symptoms: Extra dose administered
Clinical narrative: Patient received two doses of Abrysvo, one in each arm in error. Patient requested to still receive the Fluad vaccine after error occurred.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Administration site pain, Injection site pain
Clinical narrative: Patient states after receiving arexy it hurt when vaccine was administered despite being warned this one stings. she said it really stung. She states that it took about 3 or 4 days then she had severe arm pain from the injection site down to almost her elbow for about 3 to 4 days, then has started to improve.  She has been using OTC APAP and Ibuprofen to treat the pain.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Depressed level of consciousness, Dizziness, Syncope
Clinical narrative: Pt stating she felt dizzy, and then fainted shortly after, pt lowered down on exam table. Legs elevated, MD called to bedside, pt alert by the time MD at bedside. Pulse taken, cool cloths applied. Pt was alert within 40 seconds. Pt stating she had not eaten anything and that she has a fear of needles. VS were taken, pt given crackers. Pt stable and driven home by father.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Skin irritation
Clinical narrative: arm irritation
Age: 2.0
Sex: M
Vaccine: FLUA4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Rash
Clinical narrative: Redness, swelling, itching, and warmth to the injection site. Rash has spread over the course of a few days and has become larger each day (3 days). We were asked to monitor the spot and any other symptoms. Treating with cold compresses and Hydrocortisone. If it continues to spread, antibiotics may be used to treat incase of infection.
Age: 50.0
Sex: F
Vaccine: FLUA4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: THE PATIENT IS ONLY 50 YEARS OLD BUT WAS MISTAKENLY GIVEN THE FLUAD FORMULATION INSTEAD OF THE FLUCELVAX THAT WE WOULD HAVE NORMALLY HAVE GIVEN A PATIENT HER AGE. PHARMACIST GIVING THE VACCINE, NOTIFIED THIS WRITER OF THE ERROR IMMEDIATELY AFTER IT OCCURRED, PATIENT WAS EDUCATED REGARDING THE ERROR AND INFORMED THAT THE VACCINE SHOULD STILL BE EFFECTIVE (ARGUABLY, MORE EFFECTIVE), AND APOLOGIZED FOR THE MISTAKE.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain in extremity, Rash
Clinical narrative: patient has symptoms of shigles on the other arm 1 week after getting the 2nd dose. (rash and soreness on the right arm)
Age: 34.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Myalgia
Clinical narrative: Donor had headache and muscle aches with no treatment.  Donor reported events 5 days after immunization.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Patient received MMR-II in error. Had previously completed series 5/8/2020
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient received accidental 3rd dose of vaccine 12-2022. (dose 1 and 2 of series completed 2020). Patient presented today (9-20-2023) to complete series when it was identified he actually received an extra dose last december. He states no adverse effects or issues from having had extra dose last december.
Age: 57.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Dizziness, Erythema, Headache, Nausea, Pruritus
Clinical narrative: Pt reports that the day she received vaccines, left arm was red and itching on entire upper arm, and she became nauseated and had a headache when she got home. The day after, she started itching all over entire body and itchy rash developed on bilateral lower arms. Did not go to UC or ER, and did not take any medications. Stated that she thought it would go away on its own, so she didn't seek treatment. Currently, pt reports that itching and rash is worse and she feels dizzy. Provider advised pt to take Bendaryl at nights. Provider sent Prednisone to pharmacy for pt to start taking. ER precautions given for worsening symptoms.
Age: 57.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Rash, Rash pruritic
Clinical narrative: Pt reports that the day she received vaccines, left arm was red and itching on entire upper arm, and she became nauseated and had a headache when she got home. The day after, she started itching all over entire body and itchy rash developed on bilateral lower arms. Did not go to UC or ER, and did not take any medications. Stated that she thought it would go away on its own, so she didn't seek treatment. Currently, pt reports that itching and rash is worse and she feels dizzy. Provider advised pt to take Bendaryl at nights. Provider sent Prednisone to pharmacy for pt to start taking. ER precautions given for worsening symptoms.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 68.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Bone pain, Headache, Injection site pain, Joint range of motion decreased
Clinical narrative: It was a very painful injection. Arm hurt. The next day it was more painful. primarily shoulder joint/elbow/base of head in those muscles and those joints. It feels bone deep. I have a limited range of motion on my arm and neck. I cannot turn my head left like i should be able to. It always aches but certain movements can send shooting pain.
Age: 68.0
Sex: F
Vaccine: PNC20
Symptoms: Mobility decreased, Myalgia, Pain, Pain in extremity
Clinical narrative: It was a very painful injection. Arm hurt. The next day it was more painful. primarily shoulder joint/elbow/base of head in those muscles and those joints. It feels bone deep. I have a limited range of motion on my arm and neck. I cannot turn my head left like i should be able to. It always aches but certain movements can send shooting pain.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: The patient received the regular dose flu vaccine rather than the recommended high-dose flu vaccine that was available.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Bell's palsy, Facial paresis, Headache, Spinal pain
Clinical narrative: Patient had his flu vaccine 9/13/23, reports he also had trigger point injections for chronic pain at cervical and lumbar spine that day. Reports that on 9/16 had severe headache and on 9/18 he developed right sided facial weakness, he went to the Emergency department and was diagnosed with Bells Palsy.
Age: 0.33
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Mixed vaccine
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Accidentally given 3 rd to patient
Age: 24.0
Sex: F
Vaccine: FLUC4, TYP, TYP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: There was no adverse event. Patient was given two of the same vaccine.
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Basophil count normal, Basophil percentage, Basophil percentage decreased, Brain oedema
Clinical narrative: New onset atrial fibrillation, systemic inflammation, brain demyelination, and possible myocarditis.  On 6/22/23 he awoke a felt a little weird. At about 11 AM he looked up and had vertigo. He saw everything spinning. Any movement of the head would bring on severe vertigo and he started vomiting. It was bad for about 3 weeks and then improved and it went away after a month. It was constant not episodic. He still has a little lightheadedness.  He was admitted 6/22/23 and found to have atrial fibrillation with RVR. He was treated with ASA 81 mg daily. WBC and CRP and BNP elevated. He had event monitor 8/7 to 9/5/23 showing a run of 9 beats of ventricular tachycardia 8/8/23 1227 AM. He was then started on bisoprolol 5 mg daily, now on 2.5 mg qd. He feels pretty well now.   NCCT 6/22/23 showed a hypodense lesion left temporal lobe.  MR noncontrast 6/24/23 showed a left temporal cystic lesion with surrounding edema and a left periatrial lesion and a small right frontal deep white matter lesion. MR with contrast 7/28/23 showed improvement in the left temporal lesion and no change in the others.  Cardiac MRI pending
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: C-reactive protein increased, Cardiac monitoring abnormal, Central nervous system lesion, Cerebral cyst, Computerised tomogram head abnormal
Clinical narrative: New onset atrial fibrillation, systemic inflammation, brain demyelination, and possible myocarditis.  On 6/22/23 he awoke a felt a little weird. At about 11 AM he looked up and had vertigo. He saw everything spinning. Any movement of the head would bring on severe vertigo and he started vomiting. It was bad for about 3 weeks and then improved and it went away after a month. It was constant not episodic. He still has a little lightheadedness.  He was admitted 6/22/23 and found to have atrial fibrillation with RVR. He was treated with ASA 81 mg daily. WBC and CRP and BNP elevated. He had event monitor 8/7 to 9/5/23 showing a run of 9 beats of ventricular tachycardia 8/8/23 1227 AM. He was then started on bisoprolol 5 mg daily, now on 2.5 mg qd. He feels pretty well now.   NCCT 6/22/23 showed a hypodense lesion left temporal lobe.  MR noncontrast 6/24/23 showed a left temporal cystic lesion with surrounding edema and a left periatrial lesion and a small right frontal deep white matter lesion. MR with contrast 7/28/23 showed improvement in the left temporal lesion and no change in the others.  Cardiac MRI pending
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Demyelination, Dizziness, Echocardiogram normal, Eosinophil count normal, Eosinophil percentage decreased
Clinical narrative: New onset atrial fibrillation, systemic inflammation, brain demyelination, and possible myocarditis.  On 6/22/23 he awoke a felt a little weird. At about 11 AM he looked up and had vertigo. He saw everything spinning. Any movement of the head would bring on severe vertigo and he started vomiting. It was bad for about 3 weeks and then improved and it went away after a month. It was constant not episodic. He still has a little lightheadedness.  He was admitted 6/22/23 and found to have atrial fibrillation with RVR. He was treated with ASA 81 mg daily. WBC and CRP and BNP elevated. He had event monitor 8/7 to 9/5/23 showing a run of 9 beats of ventricular tachycardia 8/8/23 1227 AM. He was then started on bisoprolol 5 mg daily, now on 2.5 mg qd. He feels pretty well now.   NCCT 6/22/23 showed a hypodense lesion left temporal lobe.  MR noncontrast 6/24/23 showed a left temporal cystic lesion with surrounding edema and a left periatrial lesion and a small right frontal deep white matter lesion. MR with contrast 7/28/23 showed improvement in the left temporal lesion and no change in the others.  Cardiac MRI pending
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Eosinophil percentage increased, Feeling abnormal, Granulocyte percentage, Haematocrit increased, Haemoglobin normal
Clinical narrative: New onset atrial fibrillation, systemic inflammation, brain demyelination, and possible myocarditis.  On 6/22/23 he awoke a felt a little weird. At about 11 AM he looked up and had vertigo. He saw everything spinning. Any movement of the head would bring on severe vertigo and he started vomiting. It was bad for about 3 weeks and then improved and it went away after a month. It was constant not episodic. He still has a little lightheadedness.  He was admitted 6/22/23 and found to have atrial fibrillation with RVR. He was treated with ASA 81 mg daily. WBC and CRP and BNP elevated. He had event monitor 8/7 to 9/5/23 showing a run of 9 beats of ventricular tachycardia 8/8/23 1227 AM. He was then started on bisoprolol 5 mg daily, now on 2.5 mg qd. He feels pretty well now.   NCCT 6/22/23 showed a hypodense lesion left temporal lobe.  MR noncontrast 6/24/23 showed a left temporal cystic lesion with surrounding edema and a left periatrial lesion and a small right frontal deep white matter lesion. MR with contrast 7/28/23 showed improvement in the left temporal lesion and no change in the others.  Cardiac MRI pending
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Immature granulocyte count, Inflammation, Lymphocyte count increased, Lymphocyte percentage, Lymphocyte percentage decreased
Clinical narrative: New onset atrial fibrillation, systemic inflammation, brain demyelination, and possible myocarditis.  On 6/22/23 he awoke a felt a little weird. At about 11 AM he looked up and had vertigo. He saw everything spinning. Any movement of the head would bring on severe vertigo and he started vomiting. It was bad for about 3 weeks and then improved and it went away after a month. It was constant not episodic. He still has a little lightheadedness.  He was admitted 6/22/23 and found to have atrial fibrillation with RVR. He was treated with ASA 81 mg daily. WBC and CRP and BNP elevated. He had event monitor 8/7 to 9/5/23 showing a run of 9 beats of ventricular tachycardia 8/8/23 1227 AM. He was then started on bisoprolol 5 mg daily, now on 2.5 mg qd. He feels pretty well now.   NCCT 6/22/23 showed a hypodense lesion left temporal lobe.  MR noncontrast 6/24/23 showed a left temporal cystic lesion with surrounding edema and a left periatrial lesion and a small right frontal deep white matter lesion. MR with contrast 7/28/23 showed improvement in the left temporal lesion and no change in the others.  Cardiac MRI pending
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Magnetic resonance imaging head abnormal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count decreased
Clinical narrative: New onset atrial fibrillation, systemic inflammation, brain demyelination, and possible myocarditis.  On 6/22/23 he awoke a felt a little weird. At about 11 AM he looked up and had vertigo. He saw everything spinning. Any movement of the head would bring on severe vertigo and he started vomiting. It was bad for about 3 weeks and then improved and it went away after a month. It was constant not episodic. He still has a little lightheadedness.  He was admitted 6/22/23 and found to have atrial fibrillation with RVR. He was treated with ASA 81 mg daily. WBC and CRP and BNP elevated. He had event monitor 8/7 to 9/5/23 showing a run of 9 beats of ventricular tachycardia 8/8/23 1227 AM. He was then started on bisoprolol 5 mg daily, now on 2.5 mg qd. He feels pretty well now.   NCCT 6/22/23 showed a hypodense lesion left temporal lobe.  MR noncontrast 6/24/23 showed a left temporal cystic lesion with surrounding edema and a left periatrial lesion and a small right frontal deep white matter lesion. MR with contrast 7/28/23 showed improvement in the left temporal lesion and no change in the others.  Cardiac MRI pending
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Monocyte count increased, Monocyte percentage, Monocyte percentage increased, Neutrophil count increased, Neutrophil percentage decreased
Clinical narrative: New onset atrial fibrillation, systemic inflammation, brain demyelination, and possible myocarditis.  On 6/22/23 he awoke a felt a little weird. At about 11 AM he looked up and had vertigo. He saw everything spinning. Any movement of the head would bring on severe vertigo and he started vomiting. It was bad for about 3 weeks and then improved and it went away after a month. It was constant not episodic. He still has a little lightheadedness.  He was admitted 6/22/23 and found to have atrial fibrillation with RVR. He was treated with ASA 81 mg daily. WBC and CRP and BNP elevated. He had event monitor 8/7 to 9/5/23 showing a run of 9 beats of ventricular tachycardia 8/8/23 1227 AM. He was then started on bisoprolol 5 mg daily, now on 2.5 mg qd. He feels pretty well now.   NCCT 6/22/23 showed a hypodense lesion left temporal lobe.  MR noncontrast 6/24/23 showed a left temporal cystic lesion with surrounding edema and a left periatrial lesion and a small right frontal deep white matter lesion. MR with contrast 7/28/23 showed improvement in the left temporal lesion and no change in the others.  Cardiac MRI pending
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Neutrophil percentage increased, Platelet count normal, Red blood cell count increased, Red blood cell nucleated morphology, Red cell distribution width normal
Clinical narrative: New onset atrial fibrillation, systemic inflammation, brain demyelination, and possible myocarditis.  On 6/22/23 he awoke a felt a little weird. At about 11 AM he looked up and had vertigo. He saw everything spinning. Any movement of the head would bring on severe vertigo and he started vomiting. It was bad for about 3 weeks and then improved and it went away after a month. It was constant not episodic. He still has a little lightheadedness.  He was admitted 6/22/23 and found to have atrial fibrillation with RVR. He was treated with ASA 81 mg daily. WBC and CRP and BNP elevated. He had event monitor 8/7 to 9/5/23 showing a run of 9 beats of ventricular tachycardia 8/8/23 1227 AM. He was then started on bisoprolol 5 mg daily, now on 2.5 mg qd. He feels pretty well now.   NCCT 6/22/23 showed a hypodense lesion left temporal lobe.  MR noncontrast 6/24/23 showed a left temporal cystic lesion with surrounding edema and a left periatrial lesion and a small right frontal deep white matter lesion. MR with contrast 7/28/23 showed improvement in the left temporal lesion and no change in the others.  Cardiac MRI pending