chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Asthenia, Atrial flutter, COVID-19, Dyspnoea
Clinical narrative: Brief Summary of Hospital Stay:  Patient presented to our ED for primary complaint of shortness of breath. On initial workup in the ED, patient was evaluated for a multitude of comorbidities and was noted to be recovering from a COVID infection.  Patient was subsequently transferred to the inpatient unit for appropriate medical care and treatment.  While in the unit, the patient underwent treatment for their primary diagnosis of shortness of breath with complicated urinary tract infection and additional supraventricular tachycardia, which was treated as an inpatient for 13 days.    The patient was given multiple therapies to assist with each of these comorbidities that he presented with.  A full course of ceftriaxone therapy was completed for suspected urinary tract infection, his SVT had resolved spontaneously, and AKI had resumed with IV fluids.  No reoccurrence SVT with identified, and no urinary symptoms were endorsed on repeat interviews.   However, the patient proceeded to develop debility in his lower extremities due to extended hospital stay with a new finding of an atrial flutter rhythm that was in rapid ventricular response.  Therapies worked with the patient and found that he would be a candidate for IPR, but he was ultimately denied this because the inability to tolerate 3 hours of therapy per day.  Additionally, Cardiology was consulted for management of atrial flutter with rapid ventricular response.  His atrial flutter took multiple days to manage, but the patient had his rate controlled with a regimen of high-dose oral diltiazem and oral metoprolol tartrate.   Due to his size and comorbidities, difficulties were had by the care management team to find appropriate placement for the patient.  After diligent efforts, the patient was accepted for skilled nursing care.   With shared decision-making, the optimal location for this patient to be discharged to was to skilled nursing. Patient was discharged to the SNF via third part transport.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test, Supraventricular tachycardia, Urinary tract infection
Clinical narrative: Brief Summary of Hospital Stay:  Patient presented to our ED for primary complaint of shortness of breath. On initial workup in the ED, patient was evaluated for a multitude of comorbidities and was noted to be recovering from a COVID infection.  Patient was subsequently transferred to the inpatient unit for appropriate medical care and treatment.  While in the unit, the patient underwent treatment for their primary diagnosis of shortness of breath with complicated urinary tract infection and additional supraventricular tachycardia, which was treated as an inpatient for 13 days.    The patient was given multiple therapies to assist with each of these comorbidities that he presented with.  A full course of ceftriaxone therapy was completed for suspected urinary tract infection, his SVT had resolved spontaneously, and AKI had resumed with IV fluids.  No reoccurrence SVT with identified, and no urinary symptoms were endorsed on repeat interviews.   However, the patient proceeded to develop debility in his lower extremities due to extended hospital stay with a new finding of an atrial flutter rhythm that was in rapid ventricular response.  Therapies worked with the patient and found that he would be a candidate for IPR, but he was ultimately denied this because the inability to tolerate 3 hours of therapy per day.  Additionally, Cardiology was consulted for management of atrial flutter with rapid ventricular response.  His atrial flutter took multiple days to manage, but the patient had his rate controlled with a regimen of high-dose oral diltiazem and oral metoprolol tartrate.   Due to his size and comorbidities, difficulties were had by the care management team to find appropriate placement for the patient.  After diligent efforts, the patient was accepted for skilled nursing care.   With shared decision-making, the optimal location for this patient to be discharged to was to skilled nursing. Patient was discharged to the SNF via third part transport.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong patient
Clinical narrative: Patient received Afluria IM 10/12/2023.  As per system patient got Fluzone HD 09/21/2023 .  Error Wrong patient
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was given Spikevax vaccine instead of Moderna vaccine.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: swollen/red/warm at injection site
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio decreased, Anion gap, Aspartate aminotransferase normal, Basophil count normal
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Basophil percentage decreased, Bilirubin conjugated, Bilirubin urine, Blood albumin decreased, Blood alkaline phosphatase increased
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood bilirubin unconjugated, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium increased, Blood sodium decreased, Blood urea normal, Blood urine absent
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Carbon dioxide decreased, Chromaturia, Differential white blood cell count abnormal, Eosinophil count decreased
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage decreased, Erythema, Full blood count abnormal, Gait disturbance, Globulins increased
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Glucose urine absent, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Headache
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Henoch-Schonlein purpura, Immature granulocyte count, International normalised ratio increased, Liver function test abnormal, Lymphocyte count
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage, Malaise, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Metabolic function test abnormal, Microscopy, Monocyte count increased, Monocyte percentage increased
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neutrophil count, Neutrophil percentage, Nitrite urine absent, Oedema peripheral
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpable purpura, Platelet count increased, Protein total normal, Protein urine present
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Prothrombin time prolonged, Pyrexia, Red blood cell count normal, Red blood cell nucleated morphology, Red blood cell sedimentation rate increased
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cells urine negative, Red cell distribution width normal, Urinary sediment present, Urine analysis abnormal, Urine ketone body present
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Urobilinogen urine, White blood cell count normal, White blood cells urine, White blood cells urine positive, pH urine normal
Clinical narrative: Henoch Schonlein purpura: On Tuesday morning, Patient woke up feeling "a little crummy" but was able to go to school and felt fine the rest of the day. Denies rhinorrhea, congestion, cough, vomiting, or diarrhea. No sick contacts at home. No recent travel or illnesses. On Tuesday evening, she received her third Moderna COVID vaccine. The prior two vaccines were over a year ago and she had no reactions. She also recently received her flu vaccine 2 weeks prior without a reaction.    On Wednesday morning (day after vaccine), she woke up feeling sore /myalgias the whole day. She also had a dull intermittent headache at vertex scalp. She stayed in bed due to generalized malaise, but was able to eat and drink. Wednesday evening, she noticed a red dot on her dorsal foot. Shortly after, more red dots appeared on both dorsal feet and both ankles became edematous --palpable purpura. No rash elsewhere on the body. She then had difficulty walking due to pain. She presented to her PCP where they measured a fever of 104 and recommended that she go to the ED.
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Angiogram cerebral, Anxiety, Arteriogram carotid, Audiogram, Deafness neurosensory
Clinical narrative: Within approximately 2-3 days of receiving the flu shot, I had small "waves of dizziness" that occurred daily for weeks.  On 10/14/22 I began having a high heart rate, dizziness, heart palpitations, and high blood pressure.  Over the months that followed I also had extreme insomnia, extreme anxiety, and sensorineural hearing loss which resulted in permanent partial hearing loss in my right ear (diagnosed 11/29/22, but ear fullness and pressure and hearing loss began approx. 10/19/22).
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Deafness permanent, Deafness unilateral, Dizziness, Ear discomfort, Electrocardiogram
Clinical narrative: Within approximately 2-3 days of receiving the flu shot, I had small "waves of dizziness" that occurred daily for weeks.  On 10/14/22 I began having a high heart rate, dizziness, heart palpitations, and high blood pressure.  Over the months that followed I also had extreme insomnia, extreme anxiety, and sensorineural hearing loss which resulted in permanent partial hearing loss in my right ear (diagnosed 11/29/22, but ear fullness and pressure and hearing loss began approx. 10/19/22).
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Electrocardiogram ambulatory, Heart rate increased, Hypertension, Insomnia, Magnetic resonance imaging ear
Clinical narrative: Within approximately 2-3 days of receiving the flu shot, I had small "waves of dizziness" that occurred daily for weeks.  On 10/14/22 I began having a high heart rate, dizziness, heart palpitations, and high blood pressure.  Over the months that followed I also had extreme insomnia, extreme anxiety, and sensorineural hearing loss which resulted in permanent partial hearing loss in my right ear (diagnosed 11/29/22, but ear fullness and pressure and hearing loss began approx. 10/19/22).
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Palpitations
Clinical narrative: Within approximately 2-3 days of receiving the flu shot, I had small "waves of dizziness" that occurred daily for weeks.  On 10/14/22 I began having a high heart rate, dizziness, heart palpitations, and high blood pressure.  Over the months that followed I also had extreme insomnia, extreme anxiety, and sensorineural hearing loss which resulted in permanent partial hearing loss in my right ear (diagnosed 11/29/22, but ear fullness and pressure and hearing loss began approx. 10/19/22).
Age: 75.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Patient has rash at the site of injection. It was red,swollen and warm
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Urticaria
Clinical narrative: Patient noticed burning, tenderness at injection site after injection (injection at 9:45am).  Patient noticed a large welp and redness below injection around 5pm.
Sex: F
Vaccine: UNK
Symptoms: Erythema, Feeling hot
Clinical narrative: redness, warmth, sensitive
Age: 78.0
Sex: F
Vaccine: UNK
Symptoms: Chest X-ray normal, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: Started after RSV vaccine with nausea, no vomiting, slight fever (99). Then aches and pains, chills. This continued. She is not sleeping well. The more she drinks, the more she urinates.   Reports started with sneezing. She would start having to blow nose after drinking, but nose spray has been helping.  She now has a deep cough and shortness of breath increased. She was given azithromycin and might of noticed improvement, but she continues with exhaustion and both eyes "feel heavy".   Denies fever.  Appetite has been "ok". She eats to eat.
Age: 78.0
Sex: F
Vaccine: UNK
Symptoms: Full blood count, Metabolic function test, Nausea, Pain, Respiratory viral panel
Clinical narrative: Started after RSV vaccine with nausea, no vomiting, slight fever (99). Then aches and pains, chills. This continued. She is not sleeping well. The more she drinks, the more she urinates.   Reports started with sneezing. She would start having to blow nose after drinking, but nose spray has been helping.  She now has a deep cough and shortness of breath increased. She was given azithromycin and might of noticed improvement, but she continues with exhaustion and both eyes "feel heavy".   Denies fever.  Appetite has been "ok". She eats to eat.
Age: 78.0
Sex: F
Vaccine: UNK
Symptoms: Sneezing
Clinical narrative: Started after RSV vaccine with nausea, no vomiting, slight fever (99). Then aches and pains, chills. This continued. She is not sleeping well. The more she drinks, the more she urinates.   Reports started with sneezing. She would start having to blow nose after drinking, but nose spray has been helping.  She now has a deep cough and shortness of breath increased. She was given azithromycin and might of noticed improvement, but she continues with exhaustion and both eyes "feel heavy".   Denies fever.  Appetite has been "ok". She eats to eat.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site paraesthesia, Pharyngeal paraesthesia, Somnolence
Clinical narrative: Patient came to get her seasonal flu shot. Patient states she has no NKA and is the first time to get the Flu shot. Patient received the vaccine approx. 8:55 a.m. Patient states she started experiencing tingling in the throat and at the injection site approximately 15 minutes later (9:10 a.m).  after administration of vaccine. I contacted Medical Director for recommendations. Dr. recommends patient get 25 mg of Bendadryl. Patient received 25 mg(10 mls) liquid Benadryl with no complications noted. Vital Signs stable at B/P 102/70, pulse 77, SpO2 100%, Lungs clear to auscultation to all lobes. Re-checked symptoms 15 mins later (9:25 a.m.) patient states she still feels some swelling to back of neck. Dr. recommends to administer another 25mg (10mls) of Bendadryl. Patient took medication with no complications. At 9:45 a.m. patient states she feels better, but drowsy. Her husband was called to drive her to clinic to get checked by Dr. I instructed patient to go get checked  at the clinic. Patient verbalized understanding. Dr. aware patient was on her way. I placed a follow up call at 11:21 a.m. to see how patient was doing. She states she did not go the clinic to get checked and went home to rest. She states she is feeling better. She states she does not have no respiratory distress, no swelling, no wheezing  and no other s/s. Patient was instructed again to go to the ER if symptoms worsen. She verbalized understanding. Dr. was notified and aware of patient conversation.
Age: 75.0
Sex: M
Vaccine: FLU4, FLUA4
Symptoms: Cough, Dizziness, Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea, emesis, fever, dizziness, cough, lasted for 5 days. self resolving.
Age: 14.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMRV, MNQ, TDAP, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: CMA mistakenly administered a MMRV instead of MMR to patient. Patient also received varicella on this visit. No adverse reacion noted during post vaccination period.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was not 65 years old when he received the vaccination. He turns 65 in 4 days.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypertension
Clinical narrative: High blood pressure
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure systolic increased, Hypertension
Clinical narrative: High blood pressure
Age: 24.0
Sex: F
Vaccine: COVID19-2, MENB
Symptoms: Pain in extremity, Skin warm, Swelling
Clinical narrative: Left arm pain, swelling, warm to touch.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Nausea, Vomiting
Clinical narrative: severe headache, duration 72  hours severe nausea and vomiting  requiring antiemetic rx  72 hours diffuse joint pain duration 72 hours diffuse myalgia duration 72 hours
Age: 77.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Extra dose administered
Clinical narrative: Patient already received Fluad vaccine 9/19/23 and got another one on 10/10/23.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Periorbital oedema, Urticaria
Clinical narrative: Patient & family confirmed vacciens to be administered.  All vaccine prepared and administered according to facility protocol.   Within 5 minutes following vaccines, patient developed urticaria on face and neck.  Both vaccines (HPV-9 and Flulaval) have been tolerated in previous administrations.  Patient treated with initial dosing of 25mg of benadryl PO liquid.  Upon further assessment, noted periorbital edema was witnessed and patient was administered epipen and another dose of 25mg of benadryl PO liquid.   Airway was never compromised, and patient was alert & oriented during the entire visit.  Patient was transported to local ED via EMS for further evaluation and monitoring.     Medical decision making by Dr.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Glycosylated haemoglobin normal, Hypoaesthesia, Hypoaesthesia oral, Vitamin B12 normal
Clinical narrative: Numbness in all 4 extremities, from elbow down to fingers, and knees down to toes.  Numbness in the lower back.  Numbness in cheeks, both sides, and tongue.   Numbness continues at the same intensity still today 10/12/2023.
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Rash
Clinical narrative: Patient received the vaccine on 9/28 and reports waking up 2 to 3 days later with two large hard bumps on her left arm. The bumps have not resolved as of 10/12/23 and have remained the same in size and consistency throughout the two weeks.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Hypoaesthesia
Clinical narrative: PATIENT RECEIVED VACCINE IN LEFT DELTOID ON 10/02/23. MOM REPORT PATIENT WAS NOT TO FEEL ANYTHING ON HIS LEFT ARM THE NEXT DAY. TOOK CHILD TO HOSPITAL FOR EVALUATION. DETERMINED THAT CHILD HAS FULL ROM BUT NOT FEELING. MD TOLD PARENTS THAT IT COULD BE DUE TO VACCINE OR ADMINISTRATION OF VACCINE AND THAT IT MAY TAKE SEVERAL WEEKS TO HAVE FEELING IN ARM AGAIN.
Age: 83.0
Sex: F
Vaccine: FLUA4
Symptoms: Death
Clinical narrative: pt died of unknown cause 10/3/2023
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 76.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient asked for a COVID vaccine. Pharmacy technician ran a Influenza vaccine. Pharmacist administered the influenza vaccine after confirming name, date of birth and vaccine to patient.  After it was given he asked the pharmacist to fill out the COVID vaccine card and the pharmacist stated that an influenza vaccine was given. He stated he had already gotten the influenza vaccine at his doctor's office a few weeks ago. We gave him the correct vaccine, notified his physician and completed this form. Patient is not likely to have any adverse effects but was counselled on what to look for and pharmacy will follow up with patient in 1 day.
Age: 5.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Urticaria
Clinical narrative: Diffuse hives over torso
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapproved storage unit
Age: 11.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Failure to thrive
Clinical narrative: Patient fainted less than 5 minutes after vaccination. She recovered less than 5 minutes later
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapproved storage unit
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Feeling abnormal
Clinical narrative: Woke feeling a bit dizzy and just "off." Later in the morning took my blood pressure and it was 212/101.  Tried to relax and went for a short walk. Came down to 168/89.  Late afternoon started feeling poorly again. BP had gone up again to 217/101.  Since I was having no other symptoms (headache, chest pain, etc) and wanted to avoid the ER I took a clonidine, which brought it down. Today it's pretty much back to normal. I do have labile blood pressure, probably due to dysautonomia, but never that high for no known reason.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site haemorrhage, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: I cleaned the patient arm with alcohol swab, I injected 0.5ml into the right deltoid muscle.  I activated the safety mechanism on the needle and put it in the sharps container.  Due to the patient being on blood thinners I reached for some gauze as the patient was bleeding.  At the time of me placing the gauze on the injection site a bump started forming.  It grew to the size of a golf ball, was hard, and was very warm to the touch.  I asked the patient if he was feeling ok and he responded that he was fine.   The patient sat in our waiting room and I continued to check in on him for the next 20-30 minutes.  he stated each time that he was feeling fine.  At the end of the waiting period the lump has softened but was still the same size.  The patient stated he felt well and his wife, who was with him, was going to take him home.  I advised he could put and ice pack on it and that he might want to take some Benadryl to help with the reaction.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Amnesia, Fall, Gastrointestinal disorder, Rib fracture
Clinical narrative: began with stomach issues, and it stayed with me until I went to bed.  I got up during the night to go to bathroom, and I was sitting on stool, and after I finished voiding, I found myself sitting on the floor in front of stool.  I was unaware how I got there, and needed to just lie down on the floor
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Fall, Fatigue, Throat irritation, Urticaria
Clinical narrative: I fell over the ice cream machine at service station, a good semeriatan help me get home the day after the vaccine was administered, I woke up with the hives all over my arm with nickel size marks, now it's on both arms and underarm (not the arm pits) just staying tired and weak, with a irritated throat.  Told my doctor and he put me on hydrocortisone for 5 days.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: itchy hives and individual welts under the skin
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Dizziness, Ear discomfort
Clinical narrative: chills, dizziness, clogged ears
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site pain, Insomnia, Neck pain, Pain in extremity, Therapeutic product ineffective
Clinical narrative: THE PT COMPLAINS OF SORENESS AT INJECTION SITE FROM THE BEGINNING BUT NOW IT HAS REACHED UP THE NECK AND DOWN THE ARM.  SHE SAID SHOT WAS GIVEN UP HIGH ON SHOULDER.  IT IS PAINFULL ENOUGH THAT NOTHING IS SHE HAS TRIED IS TAKING THE PAIN AWAY.  PT IS NOT ABLE TO SLEEP AT NIGHT.  I RECOMMENDED CONTACTING PRIMARY DR  AND TRYING IBUPROFEN.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapproved storage unit
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapproved storage unit
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Anti-thyroid antibody, Anti-thyroid antibody negative, Antinuclear antibody negative, Blister, Blood immunoglobulin E normal
Clinical narrative: Full body urticaria with inflammation/swelling which causes severe pain with full body rash, as well as dehydration and fatigue. Caused by any and all UV radiation especially-fluorescent lights.  Long lasting damage to skin caused by fluorescent lights, skin discoloration on face and body. I am 37 year old single female, who has been trapped in my bedroom, at my parents home, in the pitch black, since May. My life has completely been robbed from me and I have not been able to work since 5/19/2023. I was an Operating Room Nurse, I had recently within the last 5 years done a career change, this was my second bachelors degree and had finally started making money in a brutal selfless career. However,  I have now  been on disability, working with staff at facility, I am unable to do any kind of work regardless of accommodation the reaction to the light is to severe.   Diagnosis: L50.1 Idiopathic urticaria, L56.8 blistering due to UV light, L50.2 Urticaria due to cold and heat, L55.9 Sunburn, L50.8 Other urticaria, Photophobia(allergic to fluorescent and halogen lights
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Blood test normal, Blood thyroid stimulating hormone normal, Cold urticaria, Coproporphyrinogen, Dehydration
Clinical narrative: Full body urticaria with inflammation/swelling which causes severe pain with full body rash, as well as dehydration and fatigue. Caused by any and all UV radiation especially-fluorescent lights.  Long lasting damage to skin caused by fluorescent lights, skin discoloration on face and body. I am 37 year old single female, who has been trapped in my bedroom, at my parents home, in the pitch black, since May. My life has completely been robbed from me and I have not been able to work since 5/19/2023. I was an Operating Room Nurse, I had recently within the last 5 years done a career change, this was my second bachelors degree and had finally started making money in a brutal selfless career. However,  I have now  been on disability, working with staff at facility, I am unable to do any kind of work regardless of accommodation the reaction to the light is to severe.   Diagnosis: L50.1 Idiopathic urticaria, L56.8 blistering due to UV light, L50.2 Urticaria due to cold and heat, L55.9 Sunburn, L50.8 Other urticaria, Photophobia(allergic to fluorescent and halogen lights
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Differential white blood cell count normal, Disability, Electrophoresis protein normal, Fatigue, Full blood count normal
Clinical narrative: Full body urticaria with inflammation/swelling which causes severe pain with full body rash, as well as dehydration and fatigue. Caused by any and all UV radiation especially-fluorescent lights.  Long lasting damage to skin caused by fluorescent lights, skin discoloration on face and body. I am 37 year old single female, who has been trapped in my bedroom, at my parents home, in the pitch black, since May. My life has completely been robbed from me and I have not been able to work since 5/19/2023. I was an Operating Room Nurse, I had recently within the last 5 years done a career change, this was my second bachelors degree and had finally started making money in a brutal selfless career. However,  I have now  been on disability, working with staff at facility, I am unable to do any kind of work regardless of accommodation the reaction to the light is to severe.   Diagnosis: L50.1 Idiopathic urticaria, L56.8 blistering due to UV light, L50.2 Urticaria due to cold and heat, L55.9 Sunburn, L50.8 Other urticaria, Photophobia(allergic to fluorescent and halogen lights
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Housebound, Hypersensitivity, Idiopathic urticaria, Impaired work ability, Inflammation
Clinical narrative: Full body urticaria with inflammation/swelling which causes severe pain with full body rash, as well as dehydration and fatigue. Caused by any and all UV radiation especially-fluorescent lights.  Long lasting damage to skin caused by fluorescent lights, skin discoloration on face and body. I am 37 year old single female, who has been trapped in my bedroom, at my parents home, in the pitch black, since May. My life has completely been robbed from me and I have not been able to work since 5/19/2023. I was an Operating Room Nurse, I had recently within the last 5 years done a career change, this was my second bachelors degree and had finally started making money in a brutal selfless career. However,  I have now  been on disability, working with staff at facility, I am unable to do any kind of work regardless of accommodation the reaction to the light is to severe.   Diagnosis: L50.1 Idiopathic urticaria, L56.8 blistering due to UV light, L50.2 Urticaria due to cold and heat, L55.9 Sunburn, L50.8 Other urticaria, Photophobia(allergic to fluorescent and halogen lights
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Metabolic function test normal, Pain, Photodermatosis, Photophobia, Photosensitivity reaction
Clinical narrative: Full body urticaria with inflammation/swelling which causes severe pain with full body rash, as well as dehydration and fatigue. Caused by any and all UV radiation especially-fluorescent lights.  Long lasting damage to skin caused by fluorescent lights, skin discoloration on face and body. I am 37 year old single female, who has been trapped in my bedroom, at my parents home, in the pitch black, since May. My life has completely been robbed from me and I have not been able to work since 5/19/2023. I was an Operating Room Nurse, I had recently within the last 5 years done a career change, this was my second bachelors degree and had finally started making money in a brutal selfless career. However,  I have now  been on disability, working with staff at facility, I am unable to do any kind of work regardless of accommodation the reaction to the light is to severe.   Diagnosis: L50.1 Idiopathic urticaria, L56.8 blistering due to UV light, L50.2 Urticaria due to cold and heat, L55.9 Sunburn, L50.8 Other urticaria, Photophobia(allergic to fluorescent and halogen lights
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Platelet count normal, Porphyrins urine normal, Protein total normal, Quality of life decreased, Rash
Clinical narrative: Full body urticaria with inflammation/swelling which causes severe pain with full body rash, as well as dehydration and fatigue. Caused by any and all UV radiation especially-fluorescent lights.  Long lasting damage to skin caused by fluorescent lights, skin discoloration on face and body. I am 37 year old single female, who has been trapped in my bedroom, at my parents home, in the pitch black, since May. My life has completely been robbed from me and I have not been able to work since 5/19/2023. I was an Operating Room Nurse, I had recently within the last 5 years done a career change, this was my second bachelors degree and had finally started making money in a brutal selfless career. However,  I have now  been on disability, working with staff at facility, I am unable to do any kind of work regardless of accommodation the reaction to the light is to severe.   Diagnosis: L50.1 Idiopathic urticaria, L56.8 blistering due to UV light, L50.2 Urticaria due to cold and heat, L55.9 Sunburn, L50.8 Other urticaria, Photophobia(allergic to fluorescent and halogen lights
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Red blood cell sedimentation rate normal, Skin discolouration, Skin injury, Sunburn, Swelling
Clinical narrative: Full body urticaria with inflammation/swelling which causes severe pain with full body rash, as well as dehydration and fatigue. Caused by any and all UV radiation especially-fluorescent lights.  Long lasting damage to skin caused by fluorescent lights, skin discoloration on face and body. I am 37 year old single female, who has been trapped in my bedroom, at my parents home, in the pitch black, since May. My life has completely been robbed from me and I have not been able to work since 5/19/2023. I was an Operating Room Nurse, I had recently within the last 5 years done a career change, this was my second bachelors degree and had finally started making money in a brutal selfless career. However,  I have now  been on disability, working with staff at facility, I am unable to do any kind of work regardless of accommodation the reaction to the light is to severe.   Diagnosis: L50.1 Idiopathic urticaria, L56.8 blistering due to UV light, L50.2 Urticaria due to cold and heat, L55.9 Sunburn, L50.8 Other urticaria, Photophobia(allergic to fluorescent and halogen lights
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Thyroid function test normal, Thyroxine free normal, Tri-iodothyronine free normal, Tryptase, Urine delta aminolevulinate normal
Clinical narrative: Full body urticaria with inflammation/swelling which causes severe pain with full body rash, as well as dehydration and fatigue. Caused by any and all UV radiation especially-fluorescent lights.  Long lasting damage to skin caused by fluorescent lights, skin discoloration on face and body. I am 37 year old single female, who has been trapped in my bedroom, at my parents home, in the pitch black, since May. My life has completely been robbed from me and I have not been able to work since 5/19/2023. I was an Operating Room Nurse, I had recently within the last 5 years done a career change, this was my second bachelors degree and had finally started making money in a brutal selfless career. However,  I have now  been on disability, working with staff at facility, I am unable to do any kind of work regardless of accommodation the reaction to the light is to severe.   Diagnosis: L50.1 Idiopathic urticaria, L56.8 blistering due to UV light, L50.2 Urticaria due to cold and heat, L55.9 Sunburn, L50.8 Other urticaria, Photophobia(allergic to fluorescent and halogen lights