chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Approximately 8 months after receiving my vaccine I tested positive for COVID-19. Started having headache late afternoon and by the evening I was feeling worse and had scratchy throat. Went to the urgent care to be tested because I knew I had an exposure. The rapid test at urgent care was positive. Worst symptoms where couching, chest burning, and SOB. Symptoms proceeded for nearly a month. I took two rounds of steroids and two inhalers during the course of my illness. Still experience mild SOB and chest discomfort, with effort.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Anaphylactic reaction, Erythema, Respiration abnormal, Tachypnoea
Clinical narrative: PATIENT RECEIVED INFLUENZA VACCINE AT HOSPITAL RETAIL PHARMACY. PATIENT IS EMPLOYEE OF THE HOSPITAL AND RETURNED TO SHIFT. PATIENT RESPONDED WITH MODERATE TO SEVERE ANAPHYLACTIC REACTION ABOUT 10 MINUTES AFTER ADMINISTRATION. Patient was tachypneic red in the face and chest upon arrival breathing heavily no auditory wheezing.  She does note history of asthma.  She denies any fever chills recent sick contacts or travel.  Denies any prior reaction to the flu vaccine in the past never had allergic reaction or anaphylaxis to prior influenza vaccine.  Denies any headache dizziness lightheadedness denies any chest pain.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer monovalent instead of Pfizer bivalent as a Covid-19 booster dose.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient presented to the office for administration of Moderna Bilvalent Vaccine. However when documenting the administration of the vaccine 3 hours later, it was noted that the incorrect vaccine was pulled and administered. The patient received a monovalent booster dose instead of the bivalent booster dose.  CDC was contacted and after discussing with the CDC, the patient was notified of the error and that they will be eligible for a bivalent booster dose in 2 months.  The patient remained in office for 15 minutes post vaccination and did not experience any adverse reactions during that time.
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain
Clinical narrative: Extreme amount of pain. Patient could barely lift her arm the next morning. It resolved in less than 48 hours.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient presented to the office for administration of Moderna Bilvalent Vaccine. However when documenting the administration of the vaccine 3 hours later, it was noted that the incorrect vaccine was pulled and administered. The patient received a monovalent booster dose instead of the bivalent booster dose. Regulatory authority was contacted and after discussing with the regulatory authority, the patient was notified of the error and that they will be eligible for a bivalent booster dose in 2 months. The patient remained in office for 15 minutes post vaccination and did not experience any adverse reactions during that time.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the monovalent covid Pfizer vaccine instead of the bivalent covid Pfizer vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Colitis, Computerised tomogram abdomen abnormal, Diarrhoea, Dyspnoea
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "79-year-old female with past medical history significant for chronic obstructive pulmonary disease, DVT and AFib.  She presented to the emergency department on 10/10/2022 with a chief complaint of shortness of breath and diarrhea.  On arrival she was found to have some colitis as well as positive for COVID-19 infection.  She was originally admitted to the ICU due to borderline hypotension on arrival.  CT imaging showed evidence of colitis as well as a renal mass.  She was started on antibiotics as well as steroids.  Her symptoms were slow to improve but continued to improve over the course of her stay.  On day of discharge patient was tolerating her home oxygen and occasionally room air.  She will be discharged home on the completion of her antibiotics and steroids.  She will be sent home with home care and was told to follow-up with her PCP as well as she was sent a referral to Urology for the finding of this renal mass.  On day of discharge she was in improved and stable condition, was ready to go home and was given strict return precautions to which she verbalized understanding"
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypotension, Intensive care, Renal mass, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "79-year-old female with past medical history significant for chronic obstructive pulmonary disease, DVT and AFib.  She presented to the emergency department on 10/10/2022 with a chief complaint of shortness of breath and diarrhea.  On arrival she was found to have some colitis as well as positive for COVID-19 infection.  She was originally admitted to the ICU due to borderline hypotension on arrival.  CT imaging showed evidence of colitis as well as a renal mass.  She was started on antibiotics as well as steroids.  Her symptoms were slow to improve but continued to improve over the course of her stay.  On day of discharge patient was tolerating her home oxygen and occasionally room air.  She will be discharged home on the completion of her antibiotics and steroids.  She will be sent home with home care and was told to follow-up with her PCP as well as she was sent a referral to Urology for the finding of this renal mass.  On day of discharge she was in improved and stable condition, was ready to go home and was given strict return precautions to which she verbalized understanding"
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient presented to the office for administration of Moderna Bilvalent Vaccine. However when documenting the administration of the vaccine 3 hours later, it was noted that the incorrect vaccine was pulled and administered. The patient received a monovalent booster dose instead of the bivalent booster dose.  CDC was contacted and after discussing with the CDC, the patient was notified of the error and that they will be eligible for a bivalent booster dose in 2 months.  The patient remained in office for 15 minutes post vaccination and did not experience any adverse reactions during that time.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Femoral neck fracture, SARS-CoV-2 test positive
Clinical narrative: RESIDENT, TESTED + FOR COVID 11-4-21 AND LATER HAD LEFT FEMORAL NECK FRACTURE TRANSFERRED To HOSP 11/09/2021.   DECEASED 12-19-2021
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient presented to the office for administration of Moderna Bilvalent Vaccine. However when documenting the administration of the vaccine 3 hours later, it was noted that the incorrect vaccine was pulled and administered. The patient received a monovalent booster dose instead of the bivalent booster dose.  CDC was contacted and after discussing with the CDC, the patient was notified of the error and that they will be eligible for a bivalent booster dose in 2 months.  The patient remained in office for 15 minutes post vaccination and did not experience any adverse reactions during that time.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Grimacing, Injected limb mobility decreased, Injection site pain, Shoulder injury related to vaccine administration, Tenderness
Clinical narrative: Left shoulder injury related to flu Vaccine  Administration. She reports " I think the vaccine went to high and went into my bursa. It hurt at the time, but I just thought it was normal flu pain., Then that evening I could barley move my arm. I am still having pain and have to use my other arm to lift the arm above my head".   On exam : Left arm deltoid area no redness, swelling, ecchymosis. Slight tenderness with palpation. Able to bring arm above head in full ROM with assistance, grimaces with ROM.  Hand grip strength 5/5.  She reports taking Ibuprofen 400mg/day and just started using Diclofenac gel. She reports pain on scale of 1-10 is a 5.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the Pfizer monovalent covid vaccine instead of the Pfizer bivalent covid vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient presented to the office for administration of Moderna Bilvalent Vaccine. However when documenting the administration of the vaccine 3 hours later, it was noted that the incorrect vaccine was pulled and administered. The patient received a monovalent booster dose instead of the bivalent booster dose.  CDC was contacted and after discussing with the CDC, the patient was notified of the error and that they will be eligible for a bivalent booster dose in 2 months.  The patient remained in office for 15 minutes post vaccination and did not experience any adverse reactions during that time.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Chills, muscle aches, minor headache on the evening of.  The next day, extreme soreness on length of upper, outside right arm (injection arm), fatigue which resolved by end of day.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient presented to the office for administration of Moderna Bilvalent Vaccine. However when documenting the administration of the vaccine 3 hours later, it was noted that the incorrect vaccine was pulled and administered. The patient received a monovalent booster dose instead of the bivalent booster dose.  CDC was contacted and after discussing with the CDC, the patient was notified of the error and that they will be eligible for a bivalent booster dose in 2 months.  The patient remained in office for 15 minutes post vaccination and did not experience any adverse reactions during that time.
Age: 22.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Chest pain, Fatigue, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: I experienced fatigue, congestion and a runny nose. I also had chest pains.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Arthralgia, Body temperature increased, Fatigue, Headache, Impaired work ability
Clinical narrative: Severe fatigue, muscle and joint pain, headache, low grade temp, could not get out of bed or work. Sx not resolved with 48 to 72 hours. Sought medical treatment.
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Mobility decreased, Myalgia
Clinical narrative: Severe fatigue, muscle and joint pain, headache, low grade temp, could not get out of bed or work. Sx not resolved with 48 to 72 hours. Sought medical treatment.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient presented to the office for administration of Moderna Bilvalent Vaccine. However when documenting the administration of the vaccine 3 hours later, it was noted that the incorrect vaccine was pulled and administered. The patient received a monovalent booster dose instead of the bivalent booster dose.  CDC was contacted and after discussing with the CDC, the patient was notified of the error and that they will be eligible for a bivalent booster dose in 2 months.  The patient remained in office for 15 minutes post vaccination and did not experience any adverse reactions during that time.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Pfizer monovalent covid vaccine instead of the Pfizer bivalent covid vaccine.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash erythematous
Clinical narrative: Heavy red rash all over body except hands and feet
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Dizziness, Dyspnoea, Respiratory failure
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Pt is a 78 YO female with a PMHx of COPD, CAD, and HTN who presented with shortness of breath and lightheadedness. Pt was found to have sepsis and acute on chronic hypoxic respiratory failure likely multifactorial in the setting of possible COVID PNA vs bacterial PNA vs COPD exacerbation. Pt was started on Decadron, Remdesivir, Ceftriaxone, and Doxycycline on top of her home inhalers (replaced with what is available at the hospital). Pt initially required HFNC, but was able to be weaned off to 3L NC. Pt was asked about the possibility of skilled nursing rehab, but declined and stated that she has good social support at home. Pt discharged to home in stable condition with 1 day of Cefdinir, doxycycline, and Decadron to finish 5-day course of antibiotics and steroid"
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Pt is a 78 YO female with a PMHx of COPD, CAD, and HTN who presented with shortness of breath and lightheadedness. Pt was found to have sepsis and acute on chronic hypoxic respiratory failure likely multifactorial in the setting of possible COVID PNA vs bacterial PNA vs COPD exacerbation. Pt was started on Decadron, Remdesivir, Ceftriaxone, and Doxycycline on top of her home inhalers (replaced with what is available at the hospital). Pt initially required HFNC, but was able to be weaned off to 3L NC. Pt was asked about the possibility of skilled nursing rehab, but declined and stated that she has good social support at home. Pt discharged to home in stable condition with 1 day of Cefdinir, doxycycline, and Decadron to finish 5-day course of antibiotics and steroid"
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Client came through the line.  11yrs old.  Should not have received the above product.  She received the 12-adult product instead of the 5-11.  Spoke with her mother 10/24/22.  Stated child's only complaint was both arms were sore.  She received flu in L arm and COVID Bivalent in right arm
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 41.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Headache, Oropharyngeal pain, Productive cough, Pyrexia
Clinical narrative: On Friday 10/21/22, I started feeling bad, I had a sore throat. I tested with a home COVID-19 test as my son called to let us know that he had tested positive. I forgot to call my doctor as all this happened over this weekend I will call them once we get later. The weekend was pretty bad with the headache, fever, sore throat and now mucus and coughing. I am now taking MUCINEX to help keep the mucus from settling in my lungs and giving me pneumonia. I am drinking lots of fluid and taking some prednisone that I have on hand.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test
Clinical narrative: On Friday 10/21/22, I started feeling bad, I had a sore throat. I tested with a home COVID-19 test as my son called to let us know that he had tested positive. I forgot to call my doctor as all this happened over this weekend I will call them once we get later. The weekend was pretty bad with the headache, fever, sore throat and now mucus and coughing. I am now taking MUCINEX to help keep the mucus from settling in my lungs and giving me pneumonia. I am drinking lots of fluid and taking some prednisone that I have on hand.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: The bivalent vaccine given was the first covid vaccine the patient has received.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Fatigue, Headache, Heart rate increased, Malaise
Clinical narrative: Fever, high pulse, low O2, chest pain, congestion, runny nose, extreme fatigue, headache, and very mild arm injection pain. Still sick - day 6
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oxygen saturation decreased, Pain in extremity, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Fever, high pulse, low O2, chest pain, congestion, runny nose, extreme fatigue, headache, and very mild arm injection pain. Still sick - day 6
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Dizziness, Laryngospasm, Life support
Clinical narrative: 3 separate times laryngeal spasm lasting a minute felt like he swallowed water wrong over a period of 3 weeks started after booster.  Also felt lightheaded several times which never happened before.  11/18/2021 toursades de pointes  leading to cardiac arrest.   Removed from life support 12/04/2021
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Torsade de pointes
Clinical narrative: 3 separate times laryngeal spasm lasting a minute felt like he swallowed water wrong over a period of 3 weeks started after booster.  Also felt lightheaded several times which never happened before.  11/18/2021 toursades de pointes  leading to cardiac arrest.   Removed from life support 12/04/2021
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Was given the Pfizer monovalent covid vaccine and not the Pfizer bivalent covid vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer monovalent instead of Pfizer bivalent as a Covid-19 booster dose.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 75.0
Sex: M
Vaccine: FLU4
Symptoms: Back pain, Mobility decreased
Clinical narrative: Intense middle of back pain, patient said he had hard time moving
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Recalled product administered
Clinical narrative: A PEDIATRIC PFIZER VACCINE WAS GIVEN THAT WAS PART OF A SHORT-DATED EXPIRED PRODUCT RECALL.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Electrocardiogram, Laboratory test, Malaise, Pericarditis
Clinical narrative: I developed pericarditis following the vaccine.  I am still currently sick and under treatment.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Pfizer monovalent covid vaccine was given instead of Pfizer bivalent covid vaccine.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac disorder, Heart rate increased, Nausea, Nervous system disorder
Clinical narrative: I had nausea, vomiting, palpitations, increased heart rate. I tested positive for COVID 19 on 09/21/2022. I sent an email to my provider, and he advised me what to do. I had to rest and let my body go through the symptoms. It has attack cardiac, neurological system, and my thyroid. I never recovered from the first breakthrough case I had in March after being fully vaccinated. I am going thru physical therapy and cardiac therapy.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, SARS-CoV-2 test positive, Thyroid disorder, Vaccine breakthrough infection, Vomiting
Clinical narrative: I had nausea, vomiting, palpitations, increased heart rate. I tested positive for COVID 19 on 09/21/2022. I sent an email to my provider, and he advised me what to do. I had to rest and let my body go through the symptoms. It has attack cardiac, neurological system, and my thyroid. I never recovered from the first breakthrough case I had in March after being fully vaccinated. I am going thru physical therapy and cardiac therapy.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Atrial fibrillation, Atrial flutter, Brachiocephalic artery stenosis, COVID-19
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) history of paroxysmal aflutter, asthma, DM2, hypertension, hyperlipidemia, MDD, GERD presented to cough, abdominal pain, emesis, and shortness of breath initially. Transferred to ICU for septic shock symptoms and known to have klebsiella bacteremia c/b renal abscess, initially managed with levophed, vasopressin and BiPAP. She was treated with ceftriaxone and gentamycin initially, weaned down to ceftriaxone with ID following after she was stabilized and transferred to the floor. Plan will be to send with midline placed for prolonged IV ceftriaxone course. She also had a left ureteral stent placed during this admission. She also has right brachiocephalic and left subclavian stenosis, surgery was consulted with no plans for interventions during this admission. Cardiology also consulted about the same, but no plans for stent at this time, will defer to oupatient follow up with cardiology. Restarted on high intensity statin. She also had episode of atrial fibrillation/flutter, cardiology consulted and resumed her home lopressor. She later self converted to Normal Sinus Rhythm. Also was COVID+ with pneumonia, s/p isolation period and treated with symbicort and spiriva and NC O2, weaned down to home 2L NC. She additionally had acute ITP which was treated with steroids and IVIG. Currently, medically stable for discharge. "
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Immune thrombocytopenia, Immunoglobulin therapy, Intensive care
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) history of paroxysmal aflutter, asthma, DM2, hypertension, hyperlipidemia, MDD, GERD presented to cough, abdominal pain, emesis, and shortness of breath initially. Transferred to ICU for septic shock symptoms and known to have klebsiella bacteremia c/b renal abscess, initially managed with levophed, vasopressin and BiPAP. She was treated with ceftriaxone and gentamycin initially, weaned down to ceftriaxone with ID following after she was stabilized and transferred to the floor. Plan will be to send with midline placed for prolonged IV ceftriaxone course. She also had a left ureteral stent placed during this admission. She also has right brachiocephalic and left subclavian stenosis, surgery was consulted with no plans for interventions during this admission. Cardiology also consulted about the same, but no plans for stent at this time, will defer to oupatient follow up with cardiology. Restarted on high intensity statin. She also had episode of atrial fibrillation/flutter, cardiology consulted and resumed her home lopressor. She later self converted to Normal Sinus Rhythm. Also was COVID+ with pneumonia, s/p isolation period and treated with symbicort and spiriva and NC O2, weaned down to home 2L NC. She additionally had acute ITP which was treated with steroids and IVIG. Currently, medically stable for discharge. "
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, SARS-CoV-2 test positive, Septic shock, Subclavian artery stenosis
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) history of paroxysmal aflutter, asthma, DM2, hypertension, hyperlipidemia, MDD, GERD presented to cough, abdominal pain, emesis, and shortness of breath initially. Transferred to ICU for septic shock symptoms and known to have klebsiella bacteremia c/b renal abscess, initially managed with levophed, vasopressin and BiPAP. She was treated with ceftriaxone and gentamycin initially, weaned down to ceftriaxone with ID following after she was stabilized and transferred to the floor. Plan will be to send with midline placed for prolonged IV ceftriaxone course. She also had a left ureteral stent placed during this admission. She also has right brachiocephalic and left subclavian stenosis, surgery was consulted with no plans for interventions during this admission. Cardiology also consulted about the same, but no plans for stent at this time, will defer to oupatient follow up with cardiology. Restarted on high intensity statin. She also had episode of atrial fibrillation/flutter, cardiology consulted and resumed her home lopressor. She later self converted to Normal Sinus Rhythm. Also was COVID+ with pneumonia, s/p isolation period and treated with symbicort and spiriva and NC O2, weaned down to home 2L NC. She additionally had acute ITP which was treated with steroids and IVIG. Currently, medically stable for discharge. "
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Ureteral stent insertion, Vomiting
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) history of paroxysmal aflutter, asthma, DM2, hypertension, hyperlipidemia, MDD, GERD presented to cough, abdominal pain, emesis, and shortness of breath initially. Transferred to ICU for septic shock symptoms and known to have klebsiella bacteremia c/b renal abscess, initially managed with levophed, vasopressin and BiPAP. She was treated with ceftriaxone and gentamycin initially, weaned down to ceftriaxone with ID following after she was stabilized and transferred to the floor. Plan will be to send with midline placed for prolonged IV ceftriaxone course. She also had a left ureteral stent placed during this admission. She also has right brachiocephalic and left subclavian stenosis, surgery was consulted with no plans for interventions during this admission. Cardiology also consulted about the same, but no plans for stent at this time, will defer to oupatient follow up with cardiology. Restarted on high intensity statin. She also had episode of atrial fibrillation/flutter, cardiology consulted and resumed her home lopressor. She later self converted to Normal Sinus Rhythm. Also was COVID+ with pneumonia, s/p isolation period and treated with symbicort and spiriva and NC O2, weaned down to home 2L NC. She additionally had acute ITP which was treated with steroids and IVIG. Currently, medically stable for discharge. "
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Pfizer monovalent covid vaccine was given instead of the bivalent Pfizer covid vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received Pfizer monovalent instead of Pfizer bivalent as a Covid-19 booster dose.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Pain, SARS-CoV-2 test positive
Clinical narrative: First symptoms were headache and body ache. The next morning, 9/4/2022 I tested positive on an at home rapid COVID-19 test. I then had a telehealth visit with the doctor who prescribed PAXLOVID. He advised to stop taking supplements until after PAXLOVID was finished. I began taking PAXLOVID and TYLENOL. Headache and body ache cleared up while on medication. Fatigue and breathlessness after that, lasting about 10 days to 2 weeks. Day 5 of PAXLOVID, I tested positive on an at home rapid COVID-19 test. I did not test negative until day 10, 9/14/2022.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Reporting pharmacy error in administration: We requested and were told that we were receiving and received the Pfizer Bivalent vaccine.  However, the next day, the pharmacy called to say they had given us the wrong vaccine.  They said they gave us Pfizer's old booster, not the updated bivalent booster.  They told us that we would now have to wait two more months before getting the bivalent booster.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling of eyelid
Clinical narrative: Patient woke up the following morning with swollen eyelids and took 24-hour Allegra.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer monovalent covid vaccine was given instead of bivalent Pfizer covid vaccine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient recieved the Bivalent booster shot instead of receiving the monovalent for second covid shot dose. patient did not have any type of reaction
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Bedridden, COVID-19, Death, Fall
Clinical narrative: pt fell at home, Left hip fracture; admitted to Hosptial and was dx with positive COVID test and UTI; dc'd to SNF; readmitted to hospital with aspiration pneumonia and A Fib; treated with  ABX; transitioned to palliative DNR, comfort care; do not re-hospitalize; 100% bed bound; pt dc'd again to Center for Rehab where he passed away
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hip fracture, Pneumonia aspiration, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: pt fell at home, Left hip fracture; admitted to Hosptial and was dx with positive COVID test and UTI; dc'd to SNF; readmitted to hospital with aspiration pneumonia and A Fib; treated with  ABX; transitioned to palliative DNR, comfort care; do not re-hospitalize; 100% bed bound; pt dc'd again to Center for Rehab where he passed away
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary normal, COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR and COVID complications.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) the patient presented with dyspnea found to be hypoxic and covid positive. CTA did not show pulmonary embolism nor pneumonitis. Started on decadron, remdesivir and given a few doses of diuretic with interval improvement. His o2 sat was great at rest but close to needing o2 on discharge. He states he has nocturnal oxygen he can use but doesn't plan to use it. Discharged with remainder course of 10 days decadron after only getting 3 doses remdesivir."
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Office made an Error in giving Monovalent Vaccine when it was supposed to be the Bivalent Covid Booster on 10-20-22
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Pfizer monovalent covid vaccine was given instead of Pfizer bivalent covid vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Oligomenorrhoea, Polymenorrhoea
Clinical narrative: Period started on the 16th. After that my next period was very early. It started 15 days after. The next was 12 days after. Then 16 days. Then 18 days. Then 16 days. The decreased length of time between periods is continuing. Periods at first were much heavier than usual for about 4 cycles. They then became shorter (i used to bleed for 7 days, i now bleed for 4). These things were all very irregular. My period used to be very predictable and consistent.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer monovalent instead of Pfizer bivalent as a Covid-19 booster dose.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: on 10/4/22, primary care clinic received an email that affected lots of Pfizer COVID 19 vaccines supplied with an expiration date of 10/20/22 had a corrected expiration date of 09/30/22. 4 doses of expired vaccine had already been administered. Parents were notified after recommendation from Pfizer.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash 2 weeks after COVID Vaccine  Symptoms: RASH&OTH NONSPEC SKIN ERUPTION.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injection site pain, Pain in extremity
Clinical narrative: Severe arm/shoulder pain. The pain began with initial needle stick. The pain is still the same if not worse after 21 days
Age: 1.08
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 3rd dose too soon. patient received second dose 3 weeks prior to getting 3rd
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Lethargy, Migraine, Neck pain, Pain
Clinical narrative: Aches and pains in joints, fever, shooting pains in joints, lethargy, migraine, neck pain. Took Tylenol to try and help with the pain. Lasted for over 36 hours.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Aches and pains in joints, fever, shooting pains in joints, lethargy, migraine, neck pain. Took Tylenol to try and help with the pain. Lasted for over 36 hours.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer covid monovalent vaccine was given instead of Pfizer bivalent covid vaccine.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Dose given was 3 days expired at time of vaccination. Dose was given 10/3/2022, vial was manufactured in 10/21 and was considered expired as of 9/30/2022. Family was notified roughly 30 minutes after vaccination occurred, education was provided regarding Covid vaccination. Repeat dose suggested per Pfizer. Client had no reactions, no adverse events reported. Received repeat dose on 10/13/2022.
Age: 62.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: High dose Influenza was administered inadvertently.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient stated she felt light headed @1:35pm. 1st set of vitals BP102/64, pulse 78, Oxygen sta. 98% on room air and RR 25. Pt offered water and was able to keep water down. After 0 min. pt began to feel better and her normal self. Pt states she received influenza vaccine 10/20/22, one day prior to COVID-19 Bivalent booster vaccine. Post status vitals at 1:55pm BP 11070, Pulse 55, RR 18, oxygen saturation 98% on Room Air.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Dysphonia, Headache, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Sinus congestion , cough, headache, sore throat and hoarseness.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sinus congestion
Clinical narrative: Sinus congestion , cough, headache, sore throat and hoarseness.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vaccination site pruritus, Vaccination site rash
Clinical narrative: patient reported itching and rash close to the vaccinate site and the left bicep
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Blood creatine phosphokinase normal, C-reactive protein increased, Decreased appetite, Fatigue
Clinical narrative: 2 weeks of myalgias, joint pain, fatigue, decreased appetite
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myalgia
Clinical narrative: 2 weeks of myalgias, joint pain, fatigue, decreased appetite
Age: 69.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Breast pain, Groin pain, Lymphadenopathy, Rash
Clinical narrative: Lymph nodes swelling especially in groin where it was large and painful and it erupted.  Breasts hurt this time and also during a prior booster.  It seems with each injection the lymph nodes swelling gets worse.
Age: 69.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Discharge, Lymphadenopathy
Clinical narrative: Lymph nodes swelling especially in groin where it was large and painful and it erupted.  Breasts hurt this time and also during a prior booster.  It seems with each injection the lymph nodes swelling gets worse.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Discomfort, Fatigue, Headache, Injection site pain
Clinical narrative: The evening of September 16, my joints began to ache.  The only time I experienced pain like this before was following the second Covid vaccine and the booster.  Then the pain was not relieved with Tylenol but lasted only 24 hours.  The discomfort lasted much longer this time and began to increase over the next week.  Then most joints improved, lingering mostly in my hands, feet and knees.  My knees were the worst, making it difficult to sleep and go up and down stairs.  Although I show signs of osteo arthritis in my knees, I NEVER have pain like this and negotiating stairs is not a problem at all.  By the end of the 3rd week the pain subsided.  When I found a pdf version of the insert sent to health care providers with the vaccine, I learned that 10% of the trial group experienced joint pain.  Sounds like my experience.  Even though I am older than that group, it is the same vaccine I received.  "ADVERSE REACTIONS  In adults 18 through 49 years of age, the most common (?10%) injection-site reactions were tenderness  (48%) and pain (37%); the most common (?10%) solicited systemic adverse reactions were headache  (20%), fatigue (17%), myalgia (13%), and arthralgia (10%) [see Clinical Trials Experience (6.1)]. "
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site reaction, Insomnia, Myalgia, Osteoarthritis, Pain in extremity
Clinical narrative: The evening of September 16, my joints began to ache.  The only time I experienced pain like this before was following the second Covid vaccine and the booster.  Then the pain was not relieved with Tylenol but lasted only 24 hours.  The discomfort lasted much longer this time and began to increase over the next week.  Then most joints improved, lingering mostly in my hands, feet and knees.  My knees were the worst, making it difficult to sleep and go up and down stairs.  Although I show signs of osteo arthritis in my knees, I NEVER have pain like this and negotiating stairs is not a problem at all.  By the end of the 3rd week the pain subsided.  When I found a pdf version of the insert sent to health care providers with the vaccine, I learned that 10% of the trial group experienced joint pain.  Sounds like my experience.  Even though I am older than that group, it is the same vaccine I received.  "ADVERSE REACTIONS  In adults 18 through 49 years of age, the most common (?10%) injection-site reactions were tenderness  (48%) and pain (37%); the most common (?10%) solicited systemic adverse reactions were headache  (20%), fatigue (17%), myalgia (13%), and arthralgia (10%) [see Clinical Trials Experience (6.1)]. "
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site bruising, Injection site erythema, Injection site warmth
Clinical narrative: Shoulder had a small healing bruise in the center of a large (3-5 inches in diameter) reddened area. Warm to the touch, even at day 4 post vaccine, when I saw her. Recommended topical diphenhydramine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer monovalent covid vaccine given instread of bivalent Pfizer covid vaccine.
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: High dose influenza administered inadvertently.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Pt was given a vaccine (gray cap) that was left out at room temperature beyond 12 hours (given expired vaccine). No adverse reaction or outcome.
Age: 72.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Cardiac stress test, Chills, Dyspnoea, Electrocardiogram abnormal, Feeling abnormal
Clinical narrative: She got her vaccine, she was told to wait 15-20 minutes and she did and had no reaction.  Everytime she gets a booster she gets flu symptoms and was expecting this reaction.  With this booster after supper she felt unusually not well and took a Tylenol and went to bed early about 8:00 PM.  She went to sleep and about 11:00 PM she felt strange, had shakes, chills and kind of flu symptoms and was not able to get out of bed and in respiratory distress.  She called her NP/daughter-in-law who took her BP/respirations and was below 40 and they called an ambulance as her heart rate was dropping and was not able to get up and breath.  She was rushed to the hospital, thought she had a pulmonary embolism, gave her aspirin, oxygen, IV's, and nitroglycerin.  She requested a different hospital and they took her to the closest one.  Her pulse ox was 38 when she left they left the house, they kept telling her to stay with them.  It was in the 20s when she got to the hospital and checked her all evening and checked for the blood clot.  She was there until about 4:30 AM and was then admitted to the hospital.  Her VS's were stabilized enough that she was admitted.  They wanted to do some more work ups to make sure there were no issues with her heart.  She was in the hospital and had part of a stress test on Friday and finished it on Saturday and deemed that she had a severe allergic reaction due to taking the flu and COVID vaccine at the same time.   She asked them at pharmacy if there was any problem with her taking both vaccines at the same time, and was told that no that the FDA/CDC said it was OK and that there would be no problem.  She was not informed that this was not a different type of flu shot, thought it was her usual yearly flu shot.  She then saw the TV commercial and checked and found out that she had the new vaccine.    She thinks it was terrible reaction that affected her in a terrible way.  The arm with COVID vaccine swollen, red, feverish until a week later when she still had a knot, fever, redness in the arm.  The flu vaccine arm was perfectly OK, it was sore the day after but nothing unusual.  She feels that the booster of the COVID vaccine was the worst reaction.  She was in the hospital for a week back in 2020 with COVID and had pneumonia with that, and it took months to get completely over it, possibly 6 months after that.  Her doctor kept telling her that she would not have the antibodies in her blood, but when she would check her blood she still showed that she didn't need a booster as her levels were still high.   Her doctor said that she should not get a flu/COVID vaccine and she said that she would never take a COVID booster again due to her reaction.  With every booster her symptoms would be a little worse than the previous one.  She is still having some problems with taking a deep breath.  The tests ruled out the pulmonary embolism.  The EKG's showed multiple PVC's in-between her regular heart beat.