chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: PNC20, RSV
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, HIV test negative, HTLV test, Hypoaesthesia
Clinical narrative: Patient went to ER after developing lower extremity weakness 3 days after vaccines were given.  he was admitted  to hospital and work up was done. Discharge Diagnoses (Problems): 1. AIDP (acute inflammatory demyelinating polyneuropathy), 04/27/2024 2. Lower extremity paralysis, 04/27/2024  3. Urinary incontinence, 04/27/2024  4. Leg numbness, 04/27/2024  5. COPD (chronic obstructive pulmonary disease), 04/27/2024  Discharge Disposition  MRU inpatient rehab  Hospital Course :   65-year-old male with past medical history significant for depression, anxiety, Lumbar spinal stenosis s/p L4-5, L5-S1 fusion, chronic pain/pain management, left leg and bottom of left foot numbness, chronic right hip pain/OA, COPD, Insomnia, and HLD presented to ED with worsening bilateral leg numbness/weakness ascending up to abdomen. Patient has chronic left leg numbness due to spinal surgery he was getting progressively more weak associated with numbness which brought him to the hospital. Patient had received RSV and Prevnar 20 a week ago.  MRI brain was unremarkable. Patient had LP.  CSF studies consistent with cytoalbuminic dissociation with normal cell count.  Evaluated by Neurology, on IVIG day 4/5.  EMG c/w AIDP. IV steroids discontinued given that after discussion with two radiologists, there is no evidence of spinal cord compression. To check vital capacity and NIF every 8-12 hours. VC 21.65, NF -50. Telemetry due to risk of dysautonomia. Plasmapheresis deferred.  #AIDP  -Likely due to vaccine induced AIDP than Guillain-Barre syndrome  -Initially treated with Solu-Medrol and IVIG.   -Solu-Medrol discontinued as there is no evidence of spinal cord compression -Neurology followed.  Negative RPR, HIV, HTLV, Cx.  ANA, rheumatoid factor negative.  -s/p Day 5/5 IVIG ending 5/1/24   #Urinary incontinence    -Secondary to above continue Foley catheter #COPD (chronic obstructive pulmonary disease)    -Continued home medications while inpatient #Hyperlipemia     -Continued home medications while inpatient #Lumbar spondylosis #Insomnia  -Resumed trazodone while inpatient #Vitamin B12 deficiency    -s/p inpatient IM replete. Consider outpatient oral vit B12 #constipation, due to decreased ambulation and loss of feeling to push stool  -increased BM regimen with minor BM on 5/2  -KUB with normal gas pattern #depression and anxiety; adjustment disorder  -patient requested Cymbalta 30mg, started 5/3 evening  -prn xanax   Discharge to MRU   Per Neurology: MRI brain with no acute findings.  MRI cervical spine with multilevel disc bulg. No spinal cord changes or significant narrowing. Discussed with radiologist.  MRI of the thoracic and T-spine with and without contrast reported as unremarkable for spinal cord changes or significant narrowing. Discussed with radiologist.  CSF studies consistent with cytoalbuminic dissociation, protein 261 with normal white blood cell.  Elevated RBC is most likely traumatic in nature.  EMG RLE consistent with AIDP.
Age: 65.0
Sex: M
Vaccine: PNC20, RSV
Symptoms: Immunoglobulin therapy, Intervertebral disc protrusion, Laboratory test normal, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal abnormal
Clinical narrative: Patient went to ER after developing lower extremity weakness 3 days after vaccines were given.  he was admitted  to hospital and work up was done. Discharge Diagnoses (Problems): 1. AIDP (acute inflammatory demyelinating polyneuropathy), 04/27/2024 2. Lower extremity paralysis, 04/27/2024  3. Urinary incontinence, 04/27/2024  4. Leg numbness, 04/27/2024  5. COPD (chronic obstructive pulmonary disease), 04/27/2024  Discharge Disposition  MRU inpatient rehab  Hospital Course :   65-year-old male with past medical history significant for depression, anxiety, Lumbar spinal stenosis s/p L4-5, L5-S1 fusion, chronic pain/pain management, left leg and bottom of left foot numbness, chronic right hip pain/OA, COPD, Insomnia, and HLD presented to ED with worsening bilateral leg numbness/weakness ascending up to abdomen. Patient has chronic left leg numbness due to spinal surgery he was getting progressively more weak associated with numbness which brought him to the hospital. Patient had received RSV and Prevnar 20 a week ago.  MRI brain was unremarkable. Patient had LP.  CSF studies consistent with cytoalbuminic dissociation with normal cell count.  Evaluated by Neurology, on IVIG day 4/5.  EMG c/w AIDP. IV steroids discontinued given that after discussion with two radiologists, there is no evidence of spinal cord compression. To check vital capacity and NIF every 8-12 hours. VC 21.65, NF -50. Telemetry due to risk of dysautonomia. Plasmapheresis deferred.  #AIDP  -Likely due to vaccine induced AIDP than Guillain-Barre syndrome  -Initially treated with Solu-Medrol and IVIG.   -Solu-Medrol discontinued as there is no evidence of spinal cord compression -Neurology followed.  Negative RPR, HIV, HTLV, Cx.  ANA, rheumatoid factor negative.  -s/p Day 5/5 IVIG ending 5/1/24   #Urinary incontinence    -Secondary to above continue Foley catheter #COPD (chronic obstructive pulmonary disease)    -Continued home medications while inpatient #Hyperlipemia     -Continued home medications while inpatient #Lumbar spondylosis #Insomnia  -Resumed trazodone while inpatient #Vitamin B12 deficiency    -s/p inpatient IM replete. Consider outpatient oral vit B12 #constipation, due to decreased ambulation and loss of feeling to push stool  -increased BM regimen with minor BM on 5/2  -KUB with normal gas pattern #depression and anxiety; adjustment disorder  -patient requested Cymbalta 30mg, started 5/3 evening  -prn xanax   Discharge to MRU   Per Neurology: MRI brain with no acute findings.  MRI cervical spine with multilevel disc bulg. No spinal cord changes or significant narrowing. Discussed with radiologist.  MRI of the thoracic and T-spine with and without contrast reported as unremarkable for spinal cord changes or significant narrowing. Discussed with radiologist.  CSF studies consistent with cytoalbuminic dissociation, protein 261 with normal white blood cell.  Elevated RBC is most likely traumatic in nature.  EMG RLE consistent with AIDP.
Age: 65.0
Sex: M
Vaccine: PNC20, RSV
Symptoms: Mobility decreased, Monoplegia, Muscular weakness, Neurogenic bowel, Rheumatoid factor negative
Clinical narrative: Patient went to ER after developing lower extremity weakness 3 days after vaccines were given.  he was admitted  to hospital and work up was done. Discharge Diagnoses (Problems): 1. AIDP (acute inflammatory demyelinating polyneuropathy), 04/27/2024 2. Lower extremity paralysis, 04/27/2024  3. Urinary incontinence, 04/27/2024  4. Leg numbness, 04/27/2024  5. COPD (chronic obstructive pulmonary disease), 04/27/2024  Discharge Disposition  MRU inpatient rehab  Hospital Course :   65-year-old male with past medical history significant for depression, anxiety, Lumbar spinal stenosis s/p L4-5, L5-S1 fusion, chronic pain/pain management, left leg and bottom of left foot numbness, chronic right hip pain/OA, COPD, Insomnia, and HLD presented to ED with worsening bilateral leg numbness/weakness ascending up to abdomen. Patient has chronic left leg numbness due to spinal surgery he was getting progressively more weak associated with numbness which brought him to the hospital. Patient had received RSV and Prevnar 20 a week ago.  MRI brain was unremarkable. Patient had LP.  CSF studies consistent with cytoalbuminic dissociation with normal cell count.  Evaluated by Neurology, on IVIG day 4/5.  EMG c/w AIDP. IV steroids discontinued given that after discussion with two radiologists, there is no evidence of spinal cord compression. To check vital capacity and NIF every 8-12 hours. VC 21.65, NF -50. Telemetry due to risk of dysautonomia. Plasmapheresis deferred.  #AIDP  -Likely due to vaccine induced AIDP than Guillain-Barre syndrome  -Initially treated with Solu-Medrol and IVIG.   -Solu-Medrol discontinued as there is no evidence of spinal cord compression -Neurology followed.  Negative RPR, HIV, HTLV, Cx.  ANA, rheumatoid factor negative.  -s/p Day 5/5 IVIG ending 5/1/24   #Urinary incontinence    -Secondary to above continue Foley catheter #COPD (chronic obstructive pulmonary disease)    -Continued home medications while inpatient #Hyperlipemia     -Continued home medications while inpatient #Lumbar spondylosis #Insomnia  -Resumed trazodone while inpatient #Vitamin B12 deficiency    -s/p inpatient IM replete. Consider outpatient oral vit B12 #constipation, due to decreased ambulation and loss of feeling to push stool  -increased BM regimen with minor BM on 5/2  -KUB with normal gas pattern #depression and anxiety; adjustment disorder  -patient requested Cymbalta 30mg, started 5/3 evening  -prn xanax   Discharge to MRU   Per Neurology: MRI brain with no acute findings.  MRI cervical spine with multilevel disc bulg. No spinal cord changes or significant narrowing. Discussed with radiologist.  MRI of the thoracic and T-spine with and without contrast reported as unremarkable for spinal cord changes or significant narrowing. Discussed with radiologist.  CSF studies consistent with cytoalbuminic dissociation, protein 261 with normal white blood cell.  Elevated RBC is most likely traumatic in nature.  EMG RLE consistent with AIDP.
Age: 65.0
Sex: M
Vaccine: PNC20, RSV
Symptoms: Treponema test negative, Urinary incontinence, Urinary system x-ray normal, Vitamin B12 deficiency
Clinical narrative: Patient went to ER after developing lower extremity weakness 3 days after vaccines were given.  he was admitted  to hospital and work up was done. Discharge Diagnoses (Problems): 1. AIDP (acute inflammatory demyelinating polyneuropathy), 04/27/2024 2. Lower extremity paralysis, 04/27/2024  3. Urinary incontinence, 04/27/2024  4. Leg numbness, 04/27/2024  5. COPD (chronic obstructive pulmonary disease), 04/27/2024  Discharge Disposition  MRU inpatient rehab  Hospital Course :   65-year-old male with past medical history significant for depression, anxiety, Lumbar spinal stenosis s/p L4-5, L5-S1 fusion, chronic pain/pain management, left leg and bottom of left foot numbness, chronic right hip pain/OA, COPD, Insomnia, and HLD presented to ED with worsening bilateral leg numbness/weakness ascending up to abdomen. Patient has chronic left leg numbness due to spinal surgery he was getting progressively more weak associated with numbness which brought him to the hospital. Patient had received RSV and Prevnar 20 a week ago.  MRI brain was unremarkable. Patient had LP.  CSF studies consistent with cytoalbuminic dissociation with normal cell count.  Evaluated by Neurology, on IVIG day 4/5.  EMG c/w AIDP. IV steroids discontinued given that after discussion with two radiologists, there is no evidence of spinal cord compression. To check vital capacity and NIF every 8-12 hours. VC 21.65, NF -50. Telemetry due to risk of dysautonomia. Plasmapheresis deferred.  #AIDP  -Likely due to vaccine induced AIDP than Guillain-Barre syndrome  -Initially treated with Solu-Medrol and IVIG.   -Solu-Medrol discontinued as there is no evidence of spinal cord compression -Neurology followed.  Negative RPR, HIV, HTLV, Cx.  ANA, rheumatoid factor negative.  -s/p Day 5/5 IVIG ending 5/1/24   #Urinary incontinence    -Secondary to above continue Foley catheter #COPD (chronic obstructive pulmonary disease)    -Continued home medications while inpatient #Hyperlipemia     -Continued home medications while inpatient #Lumbar spondylosis #Insomnia  -Resumed trazodone while inpatient #Vitamin B12 deficiency    -s/p inpatient IM replete. Consider outpatient oral vit B12 #constipation, due to decreased ambulation and loss of feeling to push stool  -increased BM regimen with minor BM on 5/2  -KUB with normal gas pattern #depression and anxiety; adjustment disorder  -patient requested Cymbalta 30mg, started 5/3 evening  -prn xanax   Discharge to MRU   Per Neurology: MRI brain with no acute findings.  MRI cervical spine with multilevel disc bulg. No spinal cord changes or significant narrowing. Discussed with radiologist.  MRI of the thoracic and T-spine with and without contrast reported as unremarkable for spinal cord changes or significant narrowing. Discussed with radiologist.  CSF studies consistent with cytoalbuminic dissociation, protein 261 with normal white blood cell.  Elevated RBC is most likely traumatic in nature.  EMG RLE consistent with AIDP.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site pruritus, Injection site rash, Pyrexia, Rash
Clinical narrative: Patient developed a fever soon after vaccine .  24 hours after the vaccine, she developed a rash over back and rash  spread to all extremities and mild rash seen on side of face. Rash is more over left thigh , mild itching where vaccine was given. low grade fever. no other symptoms
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Laboratory test, Urticaria
Clinical narrative: Patient with hives to bilateral arms, legs, thighs, and buttocks.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Lymphadenopathy
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Lymph Node Swelling-Mild
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Chills, Dizziness, Injection site erythema, Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Shakiness-Mild, Systemic: Weakness-Medium
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Tremor
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Shakiness-Mild, Systemic: Weakness-Medium
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Atrial fibrillation, Cerebrovascular accident
Clinical narrative: Systemic: Cardiac Disorder (diagnosed by MD)-Medium, Systemic: Atrial fibrillation-Medium, Systemic: Stroke-Medium, Additional Details: Patient reported that his smart watch alerted him 6 hours after the vaccine that he was in a. fib. He was alerted again 8-10 days after the vaccine that he was again in a.fib. On March 8, 2024 he was admitted to the hospital from having a stroke.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted in the aisle on her way out of the store. Patient and father were trying to leave when I caught up to them. I convinced them to stay for a bit and sit on the bench outside of the store. Patient laid down for a while and I gave her a bottle of water from which she took small sips. I returned to check on her twice and both times she said she was feeling better. At the last time I checked on her she was reporting feeling ok and ready to leave
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Site: Redness at Injection Site-Medium, Systemic: redness around site with heat and some pain-Medium, Additional Details: patient stated it started about a day or two after shot and gradually worsened over the next 3 days.  instructed totake motrin for pain. and if it doesnt resolve in the next day or two to see a physician, Other Vaccines:  VaccineTypeBrand: prevnar 20; Manufacturer: pfizer; LotNumber: hn5978; Route: im; BodySite: right arm; Dose: first; VaxDate: 06/24/2024
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Acne, Chest discomfort, Chest pain, Increased tendency to bruise, Pain
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: Patients states at 1st he would get "purple dots" on both arms, elbows,shoulders and shoulder blades accompany with pain. The "pimples" would follow & are a quarter inche in diameter. No itching noted. The pimples then crust over and turn white with dry flakes. He went to PCP & was prescribed Cefdinir, Medrol dose pak and Triamcinolone. Patients did not get any relief & states has spread to legs and chest. Also states his skin has gotten thin and easily bruise and bleeds.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Skin atrophy, Skin discolouration, Skin exfoliation, Skin haemorrhage
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: Patients states at 1st he would get "purple dots" on both arms, elbows,shoulders and shoulder blades accompany with pain. The "pimples" would follow & are a quarter inche in diameter. No itching noted. The pimples then crust over and turn white with dry flakes. He went to PCP & was prescribed Cefdinir, Medrol dose pak and Triamcinolone. Patients did not get any relief & states has spread to legs and chest. Also states his skin has gotten thin and easily bruise and bleeds.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Anaphylactic reaction, Arthralgia, Asthenia, Autoimmune disorder
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Bell's palsy, Blood disorder, Cardiac disorder, Cerebrovascular accident, Chest discomfort
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest pain, Chills, Confusional state, Diarrhoea, Dizziness
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysphagia, Dyspnoea, Eye swelling, Fatigue, Flushing
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Hyperhidrosis, Hypertension, Hyperventilation, Hypoaesthesia
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypotension, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site swelling, Insomnia, Lethargy, Lymphadenopathy, Mouth swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Multisystem inflammatory syndrome, Myocardial infarction, Nausea, Nervous system disorder, Pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Paraesthesia, Pruritus, Pyrexia, Rash, Seizure
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Swelling face, Swollen tongue, Syncope, Tachycardia, Throat tightness
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Tinnitus, Tremor, Unresponsive to stimuli, Visual impairment, Vomiting
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Mild, Systemic: Bell's Palsy-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Heart Attack-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Joint Pain-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Mild, Systemic: Nausea-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Severe, Systemic: Stroke-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Severe
Age: 76.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: At the time of patient reporting reaction is resolving and no longer bothering patient as much as before. Patient will continue to apply an ice pack to help swelling and pain.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blindness, Confusional state, Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: loss of vision-Medium
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Asthenia, Dizziness, Fatigue, Injection site pain, Lethargy
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Weakness-Mild, Additional Details: Patient received 2 doses of RSV vaccine (Arexy). First dose was given 9/6/2023 and second dose 5/24/24. Patient complains of heart palpitations, dizziness, and lethary. Patient was seen at urgent care and following up with PCP. RSV vaccine manufacturer was contacted, but have limited data on patients receiving 2 doses of this vaccine.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Palpitations
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Weakness-Mild, Additional Details: Patient received 2 doses of RSV vaccine (Arexy). First dose was given 9/6/2023 and second dose 5/24/24. Patient complains of heart palpitations, dizziness, and lethary. Patient was seen at urgent care and following up with PCP. RSV vaccine manufacturer was contacted, but have limited data on patients receiving 2 doses of this vaccine.
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: Patient described shoulder pain, Other Vaccines:  VaccineTypeBrand: Shingrix; Manufacturer: GSK; LotNumber: 53XH9; Route: IM; BodySite: Shoulder; Dose: 1; VaxDate: 06/13/2024
Age: 67.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Chest pain, Fatigue, Pulmonary pain
Clinical narrative: patient states after getting immunization at approx 3pm on 7/2/24 woke up the next morning feeling very tired and her chest hurt "her chest and lungs hurt." Pt called pharmacy on 7/5/24 to report and states is better now but wanted it to be reported.
Age: 67.0
Sex: M
Vaccine: HPV9
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event. Administered outside scope of indication
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Pallor, Visual impairment
Clinical narrative: Administered Gardasil vaccine. Had patient waiting for their reaction time. No more than five minutes into waiting, her mom came out and got me saying she was having a reaction. When I got into the room the patient was pale and she told me she was light headed and seeing black spots. I laid her down on the exam table, and she gained her color back. She was able to talk to me and tell me where she was, who she was, how old she was, etc. and what had happened. Gave patient some water and placed a cold towel on her forehead, had her lay/ sit on table until she felt okay. Dr. advised her to be hydrated and to eat something before coming to her next doctors appointment.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Contusion, Dizziness, Fall, Injection site erythema
Clinical narrative: Patient reported severe dizziness and sedation around 5 hours post-vaccination. These adverse effects led to the patient having a fall the evening of the vaccination day, causing severe bruising and pain in the right hip and right leg areas. Patient also reported widespread redness around the injection site still present 3 days post-vaccination. Patient has been on analgesics, but still reports pain around injection site, right hip and right leg. As of 3 days post-vaccination, the dizziness and sedation have improved somewhat but not entirely.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Pain in extremity, Sedation
Clinical narrative: Patient reported severe dizziness and sedation around 5 hours post-vaccination. These adverse effects led to the patient having a fall the evening of the vaccination day, causing severe bruising and pain in the right hip and right leg areas. Patient also reported widespread redness around the injection site still present 3 days post-vaccination. Patient has been on analgesics, but still reports pain around injection site, right hip and right leg. As of 3 days post-vaccination, the dizziness and sedation have improved somewhat but not entirely.
Age: 24.0
Sex: F
Vaccine: RAB
Symptoms: Anxiety, Paraesthesia oral, Throat tightness
Clinical narrative: 30 min after vaccine #1, client returned to clinic reporting feeling tightness in her throat and lips were tingly.  Also reports dx of anxiety and presumed that could also cause reported s/e.  No rash, breathing unlabored.  10:00am-Pulse 83 regular, Respirations- 15 easy, B/P 110/65 sitting R arm, SPO2=99% resting on room air, Lungs clear.  10:10am- Pulse 84 regular, Respirations- 16 easy, B/P 110/70, sitting R arm, SPO2=99% resting on room air, lungs clear.  Patient states "I can breathe fine, but when i swallow it just feels a bit tight in my throat"  No rash noted & no other complaints.  10:20am- Pulse 82 regular, Respirations- 15 easy, B/P 110/70 sitting R arm, SPO2= 100% resting on room air, lungs clear with no SOB or complaints of difficulty breathing.  10:30am- Pulse 80 regular, Respirations- 15 easy, B/P 120/70 sitting R arm, SPO2=100% resting on room air, lungs clear.  Again denies known allergies.  Released from care at 10:50am and instructed to have someone accompany her for vaccine dose #2.  Instructed to call 9-1-1 if s/s worsen i.e. worsened tingling of face or lips, worsened or unrelenting tightness in throat, breathing becomes more difficult, rash appears etc.  Patient understood instructions and said "I still feel fine, the tight in my throat has not gotten any worse, I feel fine now."
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Blood test abnormal, Giant cell arteritis, Laboratory test, Somnolence
Clinical narrative: Increasing drowsiness from the beginning of 2022 until seen by physician on June 1, 2022.  Blood test results were alarming enough that he advised going to the emergency room.  Initially admitted for a UTI, but 2 days later she lost all vision and it never returned.  Diagnosed with Giant Cell Arteritis
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Increasing drowsiness from the beginning of 2022 until seen by physician on June 1, 2022.  Blood test results were alarming enough that he advised going to the emergency room.  Initially admitted for a UTI, but 2 days later she lost all vision and it never returned.  Diagnosed with Giant Cell Arteritis
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Loss of consciousness, Nausea, Pallor
Clinical narrative: Right after I gave her the shot (i gave it really slow because it was gardasil) I told her to sit a while. Her dad was with her. In about 2-3 minutes she turned really pale I told her to put her head between her legs . Then  said she needed to vomit and I got her a garbage can.. I got her a cold rag, with dad holding her head. she came to pretty quick. Her dad  Told her to lay down and put her legs up on chair. got her a cold water. She sat up pretty quickly and drank some water.  then she got back in her chair and sat awhile before getting up.  When she left she was ok
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Expired product administered
Clinical narrative: Patient was given a varicella that expired on 04/12/2024. Dr. is aware and called Merck. Dr. will be notifying family.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: Allergic reaction to her first dose of Heplisav on 6/4/24. Pt reports that she broke into a rash/hives on her back and  along her arm shortly after getting vaccinated. She stated that it started on her  back and progessed to her arm.