chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Aortic stenosis, Arteriogram coronary abnormal, COVID-19, Cardiac stress test abnormal, Catheterisation cardiac abnormal
Clinical narrative: Admit date: 8/11/2024  Discharge date: 8/16/2024   Admitting Physician: No admitting provider for patient encounter.   Attending Physician at the Time of Discharge: MD  Primary Care Physician: MD,    Reason for Admission: COVID infection.   Brief Summary of Hospital Stay:  Patient admitted for mildly symptomatic COVID.  He was not hypoxic so was not started on specific treatment. On admission he did have elevated troponin values with a peak value of 251 and positive delta.  He was also noted to have an elevated Pro-BNP.  Cardiology was consulted and an echocardiogram was obtained finding Aortic stenosis, severe.  He had an Abnormal stress test on 8/14 and Cardiology, Dr perfomred cardiac catheterization on 8/15/24 finding: The left main coronary artery branches into LAD and circumflex.  There is a 50% left mainstem stenosis noted. The left anterior descending artery gives off diagonal branches. There is 90 % ostial stenosis of the LAD is gives off diagonal branches.  Distal LAD is totally occluded supplied by the LIMA graft. The circumflex artery gives off obtuse marginal branchs. There is proximal 70% circumflex stenosis.  The mid circumflex has eccentric 70% stenosis involving and obtuse marginal branch which has a 90% stenosis. The right coronary artery gives off PDA and posterolateral segment. There is small-vessel disease of the right coronary artery without significant stenosis noted.   Bypass graft angiogram demonstrated to occluded bypass graft. Selective LIMA angiogram was performed using a right 4 catheter.  The LIMA graft is patent with anastomosed to the distal LAD. There were no targets amenable to intervention, medical management was recommended.  Follow up as outpatient for discussion of possible transaortic valve replacement for severe aortic stenosis.  Active Problems: Essential hypertension appears controlled. Hypomagnesemia replaced.  Issues Requiring Follow Up: Need for follow up on aortic stenosis.  Discharged to Home.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Coronary artery occlusion, Coronary artery stenosis, Coronary ostial stenosis, Echocardiogram abnormal, Essential hypertension
Clinical narrative: Admit date: 8/11/2024  Discharge date: 8/16/2024   Admitting Physician: No admitting provider for patient encounter.   Attending Physician at the Time of Discharge: MD  Primary Care Physician: MD,    Reason for Admission: COVID infection.   Brief Summary of Hospital Stay:  Patient admitted for mildly symptomatic COVID.  He was not hypoxic so was not started on specific treatment. On admission he did have elevated troponin values with a peak value of 251 and positive delta.  He was also noted to have an elevated Pro-BNP.  Cardiology was consulted and an echocardiogram was obtained finding Aortic stenosis, severe.  He had an Abnormal stress test on 8/14 and Cardiology, Dr perfomred cardiac catheterization on 8/15/24 finding: The left main coronary artery branches into LAD and circumflex.  There is a 50% left mainstem stenosis noted. The left anterior descending artery gives off diagonal branches. There is 90 % ostial stenosis of the LAD is gives off diagonal branches.  Distal LAD is totally occluded supplied by the LIMA graft. The circumflex artery gives off obtuse marginal branchs. There is proximal 70% circumflex stenosis.  The mid circumflex has eccentric 70% stenosis involving and obtuse marginal branch which has a 90% stenosis. The right coronary artery gives off PDA and posterolateral segment. There is small-vessel disease of the right coronary artery without significant stenosis noted.   Bypass graft angiogram demonstrated to occluded bypass graft. Selective LIMA angiogram was performed using a right 4 catheter.  The LIMA graft is patent with anastomosed to the distal LAD. There were no targets amenable to intervention, medical management was recommended.  Follow up as outpatient for discussion of possible transaortic valve replacement for severe aortic stenosis.  Active Problems: Essential hypertension appears controlled. Hypomagnesemia replaced.  Issues Requiring Follow Up: Need for follow up on aortic stenosis.  Discharged to Home.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypomagnesaemia, Microvascular coronary artery disease, Prohormone brain natriuretic peptide increased, Troponin increased, Vascular graft occlusion
Clinical narrative: Admit date: 8/11/2024  Discharge date: 8/16/2024   Admitting Physician: No admitting provider for patient encounter.   Attending Physician at the Time of Discharge: MD  Primary Care Physician: MD,    Reason for Admission: COVID infection.   Brief Summary of Hospital Stay:  Patient admitted for mildly symptomatic COVID.  He was not hypoxic so was not started on specific treatment. On admission he did have elevated troponin values with a peak value of 251 and positive delta.  He was also noted to have an elevated Pro-BNP.  Cardiology was consulted and an echocardiogram was obtained finding Aortic stenosis, severe.  He had an Abnormal stress test on 8/14 and Cardiology, Dr perfomred cardiac catheterization on 8/15/24 finding: The left main coronary artery branches into LAD and circumflex.  There is a 50% left mainstem stenosis noted. The left anterior descending artery gives off diagonal branches. There is 90 % ostial stenosis of the LAD is gives off diagonal branches.  Distal LAD is totally occluded supplied by the LIMA graft. The circumflex artery gives off obtuse marginal branchs. There is proximal 70% circumflex stenosis.  The mid circumflex has eccentric 70% stenosis involving and obtuse marginal branch which has a 90% stenosis. The right coronary artery gives off PDA and posterolateral segment. There is small-vessel disease of the right coronary artery without significant stenosis noted.   Bypass graft angiogram demonstrated to occluded bypass graft. Selective LIMA angiogram was performed using a right 4 catheter.  The LIMA graft is patent with anastomosed to the distal LAD. There were no targets amenable to intervention, medical management was recommended.  Follow up as outpatient for discussion of possible transaortic valve replacement for severe aortic stenosis.  Active Problems: Essential hypertension appears controlled. Hypomagnesemia replaced.  Issues Requiring Follow Up: Need for follow up on aortic stenosis.  Discharged to Home.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood follicle stimulating hormone increased, Blood oestrogen, Blood testosterone, Menstrual disorder, Progesterone
Clinical narrative: Complete dissapearing of normal monthly cycle
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Asymptomatic bacteriuria, Blood bilirubin increased, Blood creatinine increased
Clinical narrative: Admission Date: 8/20/2024 Discharge Date: Aug 22, 2024 Discharge Disposition:  home health care   Active Issues Requiring Follow-up:  #Acute hypoxic respiratory failure in setting of COVID 19 pneumonia,improved - Symptomatic management as needed  #CKD stage 3a - CR 1.10, eGFR 49 (baseline eGFR 49, Cr 1.21 6/29/24) - avoid nephrotoxic agents  #Acute microcytic anemia due to Iron deficiency - Hgb 9.1, MCV 80.1, Iron 32 - start iron supplementation  #asymptomatic bacteriuria #microscopic hematuria - contine doxycycline 1 tablet 2 times a day for 5 days  #T2DM - HgA1C 6.6% - continue home meds  #Hypokalemia, resolved  #Hypoalbuminemia #hypoproteinemia, improved - RD recs appreciated, low concern for malnutrition  #Elevated bilirrubin, resolved  #Hyponatremia, resolved  Pending Labs     Order Current Status   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result  Future Appointments Date Time Provider Department Center 8/27/2024  9:00 AM  10/15/2024  3:30 PM   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]  HOSPITAL COURSE: 87yo with dementia who lives alone at home comes in for evaluation of weakness. Granddaughters notice that she can't even walk now and her baseline is ambulatory without assistive devices. She became sick 3 weeks ago with a cough and was initially improving but has not been eating much the past several days. Now she has progressive generalized weakness and barely able to help the transferring. No focal weakness or numbness. Had a significant stroke >10 yrs ago which has left her cognitively impaired but no focal neuro deficits at baseline. Grand daughters at bedside deny any sick contacts. Report an elevated temperature (99 degrees) but no obvious fever.   Patient was weaned off O2, cough improved. She was placed on PO abx for presumed UTI. She was medically optimized and hemodynamically stable at time of discharge. She will follow up with PCP.  Discharged to Home Health Care.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron decreased, COVID-19 pneumonia, Chronic kidney disease, Cough, Gait inability
Clinical narrative: Admission Date: 8/20/2024 Discharge Date: Aug 22, 2024 Discharge Disposition:  home health care   Active Issues Requiring Follow-up:  #Acute hypoxic respiratory failure in setting of COVID 19 pneumonia,improved - Symptomatic management as needed  #CKD stage 3a - CR 1.10, eGFR 49 (baseline eGFR 49, Cr 1.21 6/29/24) - avoid nephrotoxic agents  #Acute microcytic anemia due to Iron deficiency - Hgb 9.1, MCV 80.1, Iron 32 - start iron supplementation  #asymptomatic bacteriuria #microscopic hematuria - contine doxycycline 1 tablet 2 times a day for 5 days  #T2DM - HgA1C 6.6% - continue home meds  #Hypokalemia, resolved  #Hypoalbuminemia #hypoproteinemia, improved - RD recs appreciated, low concern for malnutrition  #Elevated bilirrubin, resolved  #Hyponatremia, resolved  Pending Labs     Order Current Status   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result  Future Appointments Date Time Provider Department Center 8/27/2024  9:00 AM  10/15/2024  3:30 PM   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]  HOSPITAL COURSE: 87yo with dementia who lives alone at home comes in for evaluation of weakness. Granddaughters notice that she can't even walk now and her baseline is ambulatory without assistive devices. She became sick 3 weeks ago with a cough and was initially improving but has not been eating much the past several days. Now she has progressive generalized weakness and barely able to help the transferring. No focal weakness or numbness. Had a significant stroke >10 yrs ago which has left her cognitively impaired but no focal neuro deficits at baseline. Grand daughters at bedside deny any sick contacts. Report an elevated temperature (99 degrees) but no obvious fever.   Patient was weaned off O2, cough improved. She was placed on PO abx for presumed UTI. She was medically optimized and hemodynamically stable at time of discharge. She will follow up with PCP.  Discharged to Home Health Care.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Glycosylated haemoglobin normal, Haematuria, Haemoglobin decreased, Hypoalbuminaemia
Clinical narrative: Admission Date: 8/20/2024 Discharge Date: Aug 22, 2024 Discharge Disposition:  home health care   Active Issues Requiring Follow-up:  #Acute hypoxic respiratory failure in setting of COVID 19 pneumonia,improved - Symptomatic management as needed  #CKD stage 3a - CR 1.10, eGFR 49 (baseline eGFR 49, Cr 1.21 6/29/24) - avoid nephrotoxic agents  #Acute microcytic anemia due to Iron deficiency - Hgb 9.1, MCV 80.1, Iron 32 - start iron supplementation  #asymptomatic bacteriuria #microscopic hematuria - contine doxycycline 1 tablet 2 times a day for 5 days  #T2DM - HgA1C 6.6% - continue home meds  #Hypokalemia, resolved  #Hypoalbuminemia #hypoproteinemia, improved - RD recs appreciated, low concern for malnutrition  #Elevated bilirrubin, resolved  #Hyponatremia, resolved  Pending Labs     Order Current Status   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result  Future Appointments Date Time Provider Department Center 8/27/2024  9:00 AM  10/15/2024  3:30 PM   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]  HOSPITAL COURSE: 87yo with dementia who lives alone at home comes in for evaluation of weakness. Granddaughters notice that she can't even walk now and her baseline is ambulatory without assistive devices. She became sick 3 weeks ago with a cough and was initially improving but has not been eating much the past several days. Now she has progressive generalized weakness and barely able to help the transferring. No focal weakness or numbness. Had a significant stroke >10 yrs ago which has left her cognitively impaired but no focal neuro deficits at baseline. Grand daughters at bedside deny any sick contacts. Report an elevated temperature (99 degrees) but no obvious fever.   Patient was weaned off O2, cough improved. She was placed on PO abx for presumed UTI. She was medically optimized and hemodynamically stable at time of discharge. She will follow up with PCP.  Discharged to Home Health Care.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokalaemia, Hyponatraemia, Hypophagia, Hypoproteinaemia, Iron deficiency anaemia
Clinical narrative: Admission Date: 8/20/2024 Discharge Date: Aug 22, 2024 Discharge Disposition:  home health care   Active Issues Requiring Follow-up:  #Acute hypoxic respiratory failure in setting of COVID 19 pneumonia,improved - Symptomatic management as needed  #CKD stage 3a - CR 1.10, eGFR 49 (baseline eGFR 49, Cr 1.21 6/29/24) - avoid nephrotoxic agents  #Acute microcytic anemia due to Iron deficiency - Hgb 9.1, MCV 80.1, Iron 32 - start iron supplementation  #asymptomatic bacteriuria #microscopic hematuria - contine doxycycline 1 tablet 2 times a day for 5 days  #T2DM - HgA1C 6.6% - continue home meds  #Hypokalemia, resolved  #Hypoalbuminemia #hypoproteinemia, improved - RD recs appreciated, low concern for malnutrition  #Elevated bilirrubin, resolved  #Hyponatremia, resolved  Pending Labs     Order Current Status   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result  Future Appointments Date Time Provider Department Center 8/27/2024  9:00 AM  10/15/2024  3:30 PM   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]  HOSPITAL COURSE: 87yo with dementia who lives alone at home comes in for evaluation of weakness. Granddaughters notice that she can't even walk now and her baseline is ambulatory without assistive devices. She became sick 3 weeks ago with a cough and was initially improving but has not been eating much the past several days. Now she has progressive generalized weakness and barely able to help the transferring. No focal weakness or numbness. Had a significant stroke >10 yrs ago which has left her cognitively impaired but no focal neuro deficits at baseline. Grand daughters at bedside deny any sick contacts. Report an elevated temperature (99 degrees) but no obvious fever.   Patient was weaned off O2, cough improved. She was placed on PO abx for presumed UTI. She was medically optimized and hemodynamically stable at time of discharge. She will follow up with PCP.  Discharged to Home Health Care.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mean cell volume normal, Microcytic anaemia, Type 2 diabetes mellitus, Urinary tract infection
Clinical narrative: Admission Date: 8/20/2024 Discharge Date: Aug 22, 2024 Discharge Disposition:  home health care   Active Issues Requiring Follow-up:  #Acute hypoxic respiratory failure in setting of COVID 19 pneumonia,improved - Symptomatic management as needed  #CKD stage 3a - CR 1.10, eGFR 49 (baseline eGFR 49, Cr 1.21 6/29/24) - avoid nephrotoxic agents  #Acute microcytic anemia due to Iron deficiency - Hgb 9.1, MCV 80.1, Iron 32 - start iron supplementation  #asymptomatic bacteriuria #microscopic hematuria - contine doxycycline 1 tablet 2 times a day for 5 days  #T2DM - HgA1C 6.6% - continue home meds  #Hypokalemia, resolved  #Hypoalbuminemia #hypoproteinemia, improved - RD recs appreciated, low concern for malnutrition  #Elevated bilirrubin, resolved  #Hyponatremia, resolved  Pending Labs     Order Current Status   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result   Peripheral Blood Culture Preliminary result  Future Appointments Date Time Provider Department Center 8/27/2024  9:00 AM  10/15/2024  3:30 PM   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]  HOSPITAL COURSE: 87yo with dementia who lives alone at home comes in for evaluation of weakness. Granddaughters notice that she can't even walk now and her baseline is ambulatory without assistive devices. She became sick 3 weeks ago with a cough and was initially improving but has not been eating much the past several days. Now she has progressive generalized weakness and barely able to help the transferring. No focal weakness or numbness. Had a significant stroke >10 yrs ago which has left her cognitively impaired but no focal neuro deficits at baseline. Grand daughters at bedside deny any sick contacts. Report an elevated temperature (99 degrees) but no obvious fever.   Patient was weaned off O2, cough improved. She was placed on PO abx for presumed UTI. She was medically optimized and hemodynamically stable at time of discharge. She will follow up with PCP.  Discharged to Home Health Care.
Age: 69.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient received duplicate dose on 8/22/24  (first dose on 1/2/24)
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Capillary nail refill test abnormal, Heart rate decreased, Hypotonia, Lethargy, Nausea
Clinical narrative: Within 1-2 minutes of receiving immunizations child became pale, flaccid and cool to touch. Capillary refill was delayed at 4-5 seconds. patient stated felt nauseated but did not vomit.  Was responsive to voice but lethargic, no seizure activity noted, no respiratory distress or anaphylactic reaction noted. patient was moved from chair to sofa and feet elevated above heart. 0905 BP 60/40, pulse 42, O2 sat 99%, 0915 BP 78/52, pulse 75, O2 sat 99%, 0920- pulse dropping 50 bpm- EMS called, 0925 BP 100/70, pulse 65, O2 sat 99%. patient remains lethargic but responsive to voice. taken via ambulance to ER . Incident began at 0857 and ended with EMS transport at 0935.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pallor, Peripheral coldness
Clinical narrative: Within 1-2 minutes of receiving immunizations child became pale, flaccid and cool to touch. Capillary refill was delayed at 4-5 seconds. patient stated felt nauseated but did not vomit.  Was responsive to voice but lethargic, no seizure activity noted, no respiratory distress or anaphylactic reaction noted. patient was moved from chair to sofa and feet elevated above heart. 0905 BP 60/40, pulse 42, O2 sat 99%, 0915 BP 78/52, pulse 75, O2 sat 99%, 0920- pulse dropping 50 bpm- EMS called, 0925 BP 100/70, pulse 65, O2 sat 99%. patient remains lethargic but responsive to voice. taken via ambulance to ER . Incident began at 0857 and ended with EMS transport at 0935.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No signs and symptoms
Age: 54.0
Sex: F
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received a dose of vaccine that were not yet eligible for (eligibility would start at age 60)
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Spinal X-ray, Swelling
Clinical narrative: Pt came in for walk-in appt on 8/22/24  after receiving TDAP vaccine on 8/16 in LD. Reports 2 days after vaccination started noticing swelling on L lower anterior neck and shoulder swelling, Site of injection no swelling or redness. Pain 6/10.
Age: 0.58
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No issues.  Child too old to start series at 7 months.  In our protocol under Dose 1(Special Notes) it says "If dose 1 was given at >/= 15 weeks, the series may be continued".
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Discomfort, Headache, Incorrect route of product administration, Injection site erythema
Clinical narrative: TDaP vaccination was pulled instead of TB.  0.1 mL of TDaP given intradermal in left forearm.  Within 2 days patient reports headache, low grade fever, swollen lymphnodes in left armpit, and discomfort.  Follow up appointment reveals axillary lymphadenopathy, nodies enlarged, mobile and tender.  Rash on Left forearm with erythema and blanchable measuring 1.0 cm x 7.0 cm.  Diagnosis include Axillary lymphadenopathy and cellulitis
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site rash, Lymph node pain, Lymphadenopathy, Product administered at inappropriate site, Pyrexia
Clinical narrative: TDaP vaccination was pulled instead of TB.  0.1 mL of TDaP given intradermal in left forearm.  Within 2 days patient reports headache, low grade fever, swollen lymphnodes in left armpit, and discomfort.  Follow up appointment reveals axillary lymphadenopathy, nodies enlarged, mobile and tender.  Rash on Left forearm with erythema and blanchable measuring 1.0 cm x 7.0 cm.  Diagnosis include Axillary lymphadenopathy and cellulitis
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong product administered
Clinical narrative: TDaP vaccination was pulled instead of TB.  0.1 mL of TDaP given intradermal in left forearm.  Within 2 days patient reports headache, low grade fever, swollen lymphnodes in left armpit, and discomfort.  Follow up appointment reveals axillary lymphadenopathy, nodies enlarged, mobile and tender.  Rash on Left forearm with erythema and blanchable measuring 1.0 cm x 7.0 cm.  Diagnosis include Axillary lymphadenopathy and cellulitis
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Rash
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy
Clinical narrative: PT RECEIVED IMZ ON THURSDAY 8/15, BY FRIDAY 8/16 PT HAS SWOLLEN LYMPH NODES ON CLAVICAL ON THE LEFT SIDE THAT IS STILL VISIBLY SWOLLEN ON 8/23.  PT HAD ROUTINE FOLLOW UP WITH NEUROLOGIST WHO CONFIRMED THE SWOLLEN NODES WERE DUE FROM THE VACCINE & TOLD PT NOT TO TAKE THE 2ND DOSE IN THE SERIES.  PER NEUROLOGIST PT IS TO FOLLOW UP WITH PCP.
Age: 17.0
Sex: F
Vaccine: MMR
Symptoms: No adverse event, Wrong product administered
Clinical narrative: MINOR SCHEDULED APPOINTMENT FOR THE MENINGITIS VACCINE AND WAS GIVEN MMR VACCINE BY ACCIDENT. NO ADVERSE EVENTS REPORTED TO PHARMACY ACCEPT FOR THE WRONG VACCINE WAS GIVEN TO PATIENT
Age: 7.0
Sex: M
Vaccine: MMRV
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient was inadvertently given Proquad (MMR and varicella) instead of MMR alone.  Thus patient received 2 doses of varicella vaccine on 8/20/2024.  Patient's family made aware.  Patient had no side effects per their report.  Interpreter used.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient received Boostrix  as a third dose since 12/2023. pharmacist failed to check system before giving the Tdap vaccine. When Pharmacist enter to system and found that patient  received 1 dose in 12/2023 and 1 dose in 02/2024 in 2 different clinics. Pharmacist informed pt about the error and will follow up with her doctor and as well as monitor any side effect in few days
Age: 6.0
Sex: F
Vaccine: COVID19, DTAP, HEPA, IPV, MMRV, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: PATIENT WAS INADVERTENTLY GIVEN PROQUAD(MMR AND VARICELLA) INSTEAD OF MMR ALONE.  THUS PATIENT RECEIVED 2 DOSES OF VARICELLA VACCINE ON 8/20/24.  PATIENT'S FAMILY MADE AWARE.  PATIENT HAD NO SIDE EFFECTS PER THEIR REPORT.  INTERPRETER USED.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, HPV9
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient was given HPV9 in error during routine 15 month well child check.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: We had a freezer excursion this morning and in verifying viability with the manufacturer, Here is what happened:  On 7/17, we received our Varivax order. We noted on the packing slip that the package ?must be received by? 7/16. Merck was contacted to report the late delivery and they informed us we could still use the vaccine but with a shortened expiration date. Today (8/1/2024) I called Merck due to the new excursion. They research each unique lot for viability. I informed them of the lot received on 7/17, and the rep today stated we were given incorrect viability information on the late shipment in our prior call as the rep miscoded the problem as a temperature excursion rather than a late shipment. The recommendation given was that any patient who received the affected lot from 7/17 should be considered invalid and the remaining inventory removed and returned.  Patient given vaccine 7/24 prior to discovering lot should have been discarded. No known harm to patient
Age: 3.0
Sex: F
Vaccine: COVID19, HEPA, IPV, MMRV, VARCEL
Symptoms: Wrong product administered
Clinical narrative: PATIENT GIVEN DOSE OF PROQUAD (MMR/VARICELLA) WHEN ONLY VARICELLA ALONE WAS NEEDED.  THUS PATIENT RECEIIVED 2 DOSES OF VARICELLA CONTAINING VACCINE AND AN INVALID DOSE OF MMR.
Age: 93.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Injection site reaction, Rash
Clinical narrative: Painful rash on upper left arm
Age: 93.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Injection site reaction, Pruritus, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Painful rash on upper left arm
Age: 64.0
Sex: F
Vaccine: FLUR4, HEPAB, TDAP, VARZOS
Symptoms: Blood test abnormal, Chills, Dyspnoea, Pyrexia
Clinical narrative: pt stated that she was admitted to the hospital and they want to put her on a heart monitor. she has a fever and chills and is short of breath. she also stated that her "enzymes were up" but was unsure which ones
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: 101 degree feaver
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Heart rate irregular
Clinical narrative: Irregular heartbeat, bradycardia - ongoing
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Heart rate decreased, Pallor, Presyncope
Clinical narrative: this patient had a vagal reaction after receiving vaccines. His HR dropped to 42, he became pale. He's fine now after lying down for approx 15 minutes.
Age: 61.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Chest X-ray, Chest pain, Electrocardiogram normal, Injection site pain
Clinical narrative: Received injection on 8/21/24 at 1200.  When awoke the next morning experiencing left shoulder pain.  Pain in left arm, left shoulder, into chest, throat and down her neck.   On morning of 8/23/24 improvement noted.  Left arm swollen and sore where injection was received.
Age: 61.0
Sex: F
Vaccine: HEP
Symptoms: Injection site swelling, Laboratory test, Neck pain, Oropharyngeal pain, Pain in extremity
Clinical narrative: Received injection on 8/21/24 at 1200.  When awoke the next morning experiencing left shoulder pain.  Pain in left arm, left shoulder, into chest, throat and down her neck.   On morning of 8/23/24 improvement noted.  Left arm swollen and sore where injection was received.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, PNC15
Symptoms: Injection site erythema, Injection site vesicles, Weight bearing difficulty
Clinical narrative: Blister at administration site with redness and not wanting to apply weight. Symptoms have improved with Ibuprofen.
Age: 73.0
Sex: F
Vaccine: RSV, TDAP
Symptoms: Fatigue, Nausea, Pyrexia, Rash
Clinical narrative: Symptoms: fatigue, nausea, fever, rash on face. Fever has resolved. Continues to have fatigue, nausea and rash on face being treated with steroid cream.
Age: 73.0
Sex: F
Vaccine: FLUA4, RSV
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Joint stiffness
Clinical narrative: She got her vaccines, the next day she felt a little achy, a little tired and chilled out for the day.  The next day she started noticing her muscles were contracting, stiffening, but she could bend her knees and that started to hurt.  Yesterday it got really bad, she could not pick up a pencil off the floor, could not pull up her pants due to severe pain, so she went to her internist.  It's all she can do to get up from a chair and has to plop back down as her knees give way.  Her internist told her to give it a couple to 3 days, and see what happens.  He feels it's a quick symptom of the vaccine.  He did not give her anything for her condition as she is already on pain medicines due to a car accident in the past.   There is a pain that goes from her shoulder blade down her arm about 6" on the right.
Age: 73.0
Sex: F
Vaccine: FLUA4, RSV
Symptoms: Loss of personal independence in daily activities, Muscle contractions involuntary, Musculoskeletal pain, Pain
Clinical narrative: She got her vaccines, the next day she felt a little achy, a little tired and chilled out for the day.  The next day she started noticing her muscles were contracting, stiffening, but she could bend her knees and that started to hurt.  Yesterday it got really bad, she could not pick up a pencil off the floor, could not pull up her pants due to severe pain, so she went to her internist.  It's all she can do to get up from a chair and has to plop back down as her knees give way.  Her internist told her to give it a couple to 3 days, and see what happens.  He feels it's a quick symptom of the vaccine.  He did not give her anything for her condition as she is already on pain medicines due to a car accident in the past.   There is a pain that goes from her shoulder blade down her arm about 6" on the right.
Age: 17.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received extra dose of HPV. Patient had already received doses on 08/20/2019 an 09/08/2020. Dose given on 8/5/24 was unnecessary. Patient made aware, no harm done.
Age: 1.17
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Only part of the component of Pentacel was given to patient the liquid DTaP-IPV component given alone. The other component  in the green top which has the HIB Component  (lyophilized powder) with sterile water. was not given, therefore child will need to come back and only receive the Hib vaccine. Spoke to Provider and no harm just reach out to parent and inform and schedule other dose that's needed.
Age: 0.75
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: VACCINE ADMINISTERED WAS BEYOND BUD.  NO ADVERSE EVENTS REPORTED. STAFF CONTACTED PT'S MOTHER TO ADVISE HER OF THE INCIDENT AND TO MAKE ANOTHER APPOINTMENT FOR THE VACCINATION.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Muscular weakness, Nausea
Clinical narrative: On 8/21/24 patient woke up feeling light headed, dizzy, nausea and that limbs were weak. Patient was seen on 8/23/24 because symptoms continued. Patient's physical examination was normal. Family is going to observe symptoms and call if they do not improve.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal pain, Abdominal pain upper, Herpes zoster, Pyrexia
Clinical narrative: He got his vaccines, felt fine.  The next day he felt fine, and the day after that he felt that his body felt feverish, but when he pressed on it it felt better, it did not hurt.  He waited and noticed what he thought was a bug bite on his left stomach area.  Yesterday the pain began to circulate from the stomach to the back.  He went to see his PCP and she said she did not see a rash and thought that he had shingles.  She gave him Lidocaine patches for the pain, valcyclovir antiviral, which he just took the first one.  He just cannot believe that he has shingles from the vaccine that he just got 10 days ago.  He also has 2 friends that have had the vaccine and also got shingles from it.   He has had 5 COVID vaccines with no problems.  He has had many vaccines as he has traveled out of the country and has never had a reaction.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Axillary pain, Feeling abnormal, Herpes zoster, Magnetic resonance imaging normal, Malaise
Clinical narrative: He got his vaccines, felt fine.  The next day he felt fine, and the day after that he felt that his body felt feverish, but when he pressed on it it felt better, it did not hurt.  He waited and noticed what he thought was a bug bite on his left stomach area.  Yesterday the pain began to circulate from the stomach to the back.  He went to see his PCP and she said she did not see a rash and thought that he had shingles.  She gave him Lidocaine patches for the pain, valcyclovir antiviral, which he just took the first one.  He just cannot believe that he has shingles from the vaccine that he just got 10 days ago.  He also has 2 friends that have had the vaccine and also got shingles from it.   He has had 5 COVID vaccines with no problems.  He has had many vaccines as he has traveled out of the country and has never had a reaction.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Neuralgia, Pain, Rash
Clinical narrative: He got his vaccines, felt fine.  The next day he felt fine, and the day after that he felt that his body felt feverish, but when he pressed on it it felt better, it did not hurt.  He waited and noticed what he thought was a bug bite on his left stomach area.  Yesterday the pain began to circulate from the stomach to the back.  He went to see his PCP and she said she did not see a rash and thought that he had shingles.  She gave him Lidocaine patches for the pain, valcyclovir antiviral, which he just took the first one.  He just cannot believe that he has shingles from the vaccine that he just got 10 days ago.  He also has 2 friends that have had the vaccine and also got shingles from it.   He has had 5 COVID vaccines with no problems.  He has had many vaccines as he has traveled out of the country and has never had a reaction.
Age: 8.0
Sex: F
Vaccine: DTAPIPV, HEPA, UNK
Symptoms: Wrong product administered
Clinical narrative: wrong immunization was ordered by doctor and administered by me.
Age: 35.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Fatigue, Product use issue, Wrong product administered
Clinical narrative: Pregnant patient was administer Abrexy instead of Abrysvo.  Pt experienced fatigue, no other symptoms
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Tinnitus, Vertigo
Clinical narrative: Nausea, vertigo, loud sounds in ear, long term tinnitus in both ears
Age: 1.25
Sex: F
Vaccine: PNC13
Symptoms: Full blood count normal, Measles antibody, Otitis media acute, Petechiae, Platelet count normal
Clinical narrative: Patient developed a generalized morbilliform rash starting in face and spreading all over her body, petechial on face and legs and erythematous-macular on the rest, except palms and soles. One day of low grade fevers. No cough, coriza, or conjunctivitis. She was diagnosed with acute otitis media on day 1 of rash.  Rash started 9 days after MMR vaccine was given. CBC ordered: normal platelets and CBC count. Measles IgM: pending results. Patient still with generalized rash: treatment is supportive. No contact with sick people, no recent travels. Family members had Hand foot mouth disease 2 weeks before this rash.
Age: 1.25
Sex: F
Vaccine: PNC13
Symptoms: Pyrexia, Rash, Rash macular, Rash morbilliform
Clinical narrative: Patient developed a generalized morbilliform rash starting in face and spreading all over her body, petechial on face and legs and erythematous-macular on the rest, except palms and soles. One day of low grade fevers. No cough, coriza, or conjunctivitis. She was diagnosed with acute otitis media on day 1 of rash.  Rash started 9 days after MMR vaccine was given. CBC ordered: normal platelets and CBC count. Measles IgM: pending results. Patient still with generalized rash: treatment is supportive. No contact with sick people, no recent travels. Family members had Hand foot mouth disease 2 weeks before this rash.
Age: 70.0
Sex: F
Vaccine: TDAP
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Rash pruritic
Clinical narrative: Patient stated feeling like "hit by a truck" the next morning after IMZ administration. Patient reported sore throat, arm hurting, and itch/rash.
Age: 1.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: No adverse event, Product preparation error
Clinical narrative: Dose of Pentacel was administered to patient incorrectly. Medical assistant reconstituted the lyophilized powder component of the vaccine (only contains ActHIB) with sterile water instead of using the liquid component of the vaccine (supplied in a second vial) to reconstitute. This resulted in patient only receiving the ActHIB portion of the vaccine and the dose needs to be repeated; currently in process of rescheduling the patient. No harm occurred, only inconvenience to family.
Age: 53.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Feeling abnormal, Injection site bruising, Injection site cellulitis, Injection site erythema, Injection site haematoma
Clinical narrative: Patient requested that both vaccines be administered in her right deltoid (RD) on day of administration (08/19/2024).  Both vaccines administered using aseptic technique at RD, spaced apart by 1" distance between injection sites. Patient reported soreness at site of injection same day as injection (08/19/24).  Patient reported onset of "don't feel good" with body achiness alleviated with PO Tylenol on 08/20/24 (this was in addition to continued pain at the sites of injection).  Patient returned to clinic and was re-evaluated for continued general malaise, bruising, and warmth at arm adjacent to injection sites on 08/23/24.  Provider assessment revealed small hematoma palpable at site of injection at RD along with a well-demarcated area of erythema and associated warmth spreading from site of injection down the upper right arm (RA) toward the elbow.  Provider prescribed PO antibiotics for treatment of cellulitis -- Cephalexin (Keflex) 500 MG capsule, take 1 capsule by mouth in the morning and 1 capsule by mouth in the evening x 7 days.
Age: 53.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Injection site pain, Injection site warmth, Malaise, Pain
Clinical narrative: Patient requested that both vaccines be administered in her right deltoid (RD) on day of administration (08/19/2024).  Both vaccines administered using aseptic technique at RD, spaced apart by 1" distance between injection sites. Patient reported soreness at site of injection same day as injection (08/19/24).  Patient reported onset of "don't feel good" with body achiness alleviated with PO Tylenol on 08/20/24 (this was in addition to continued pain at the sites of injection).  Patient returned to clinic and was re-evaluated for continued general malaise, bruising, and warmth at arm adjacent to injection sites on 08/23/24.  Provider assessment revealed small hematoma palpable at site of injection at RD along with a well-demarcated area of erythema and associated warmth spreading from site of injection down the upper right arm (RA) toward the elbow.  Provider prescribed PO antibiotics for treatment of cellulitis -- Cephalexin (Keflex) 500 MG capsule, take 1 capsule by mouth in the morning and 1 capsule by mouth in the evening x 7 days.
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Back pain, Hypoaesthesia, Injection site pain, Musculoskeletal stiffness, Paraesthesia
Clinical narrative: Patient reported left deltoid soreness and stiffness and back pain x 3 days that went away but vaccine site soreness persists. Patient came to the clinic today and reported felt some left arm tingling and numbness yesterday but today he was fine, but vaccine site soreness still remains.
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: X-ray normal
Clinical narrative: Patient reported left deltoid soreness and stiffness and back pain x 3 days that went away but vaccine site soreness persists. Patient came to the clinic today and reported felt some left arm tingling and numbness yesterday but today he was fine, but vaccine site soreness still remains.
Age: 29.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: No adverse event
Clinical narrative: no adverse side effects reported
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Inappropriate schedule of product administration, Laboratory test, No adverse event
Clinical narrative: Patient on a modified vaccine schedule by parent decision. Patient received Varicella vaccine on 02/26/2023 and then the MMR vaccine was administered on 03/13/2024 just 16 days later. When they are given separate, instruction is to give 28 days apart.  There were no known symptoms or signs of reaction at the time. Currently, school is asking for a repeat vaccine of the MMR.
Age: 11.0
Sex: M
Vaccine: DTAP, HPV9, MNQ
Symptoms: Wrong product administered
Clinical narrative: Gave DTaP instead of Tdap. Manufacturer/Provider recommended to count dose as Tdap.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site infection, Injection site pain, Injection site swelling
Clinical narrative: The patient daughter calls claiming that her mother had pain, redness  and swelling after getting  vaccine on 08/19/2024. Patient went to the doctor's office today and doctor diagnosed that it can be an infection after vaccine. Spoke with the Dr. and explained that it was shingles vaccine on patient left arm and some  of the side effect  are  Erythema , pain, swelling and pruritus. Per Doctor , it can be just the side effect but she leaned towards infection because it is more then 72 hours. She prescribed  MUPIROCIN 2% OIN and CEPHALEXIN 500MG TAB for the patient
Age: 68.0
Sex: M
Vaccine: COVID19-2, TD
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine given past used by date, no reaction
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Inadvertent injection air bubble, Intercepted product preparation error, No adverse event
Clinical narrative: When preparing the prefilled syringe there was a large air bubble that we could not get out of the syringe, however enough drops of the vaccine were spitting out of the syringe that we did not have enough vaccine for the full dose. We wasted 2 vaccine doses because of this. We got a 3rd dose and pulled it out of the prefilled syringe into a new syringe and were able to give the vaccine dose with no further problems. The patient was unaware of the problem and did not have an adverse effects from it.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Chills, Diarrhoea, Dyspepsia, Fatigue
Clinical narrative: She got her vaccine, and about 45 minutes after returning to her home from the vaccine she had a cluster of problems.  Essentially her upper and lower GI tract felt like they were on fire.  This feeling started with her from 7/19/24 until 7/30/24.  She was treating this feeling at home with antacids and other over the counter treatments, Famotadine.  This did eventually by the 30th she was able to have normal stools.  Prior to that she had diarrhea as if she had taken a ghost pepper and her stomach was on fire.  She also had tiredness, muslce pain, fatigue, shivering, fever and nausea all at once.  Those went away and the one that stayed with her was the burning of the upper and lower GI tract.  Since 7/30/24 she has been OK.  She checked with her doctor who felt that she was doing OK.  She spoke with her pharmacist that her reaction was odd enough that she should report it.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: She got her vaccine, and about 45 minutes after returning to her home from the vaccine she had a cluster of problems.  Essentially her upper and lower GI tract felt like they were on fire.  This feeling started with her from 7/19/24 until 7/30/24.  She was treating this feeling at home with antacids and other over the counter treatments, Famotadine.  This did eventually by the 30th she was able to have normal stools.  Prior to that she had diarrhea as if she had taken a ghost pepper and her stomach was on fire.  She also had tiredness, muslce pain, fatigue, shivering, fever and nausea all at once.  Those went away and the one that stayed with her was the burning of the upper and lower GI tract.  Since 7/30/24 she has been OK.  She checked with her doctor who felt that she was doing OK.  She spoke with her pharmacist that her reaction was odd enough that she should report it.
Age: 11.0
Sex: F
Vaccine: DTAP, HPV9, MNQ
Symptoms: Wrong product administered
Clinical narrative: Gave dose of DTaP instead of Tdap. Manufacturer/Provider indicated it will count towards Tdap dose.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine given past used by date, no reaction
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: MD placed order for VFC 25 mcg/0.25 mL dose of the covid 19 vaccine around 0845.  Nurse administer the covid vaccine available in our VFC freezer. After the vaccine was administered nurse attempted to document administration of vaccine, but was unable to do so due to issues with the lot number of the vaccine not matching the order. It was at this time that it was noted that patient was given 50 mcg/0.50mL dose instead of the correct dose ordered. Once MD and clinic management were made aware of the mistake, mother was notified via phone of the mistake that occurred, and was educated on what to monitor for and when to bring patient in to be evaluated. Mother expressed understanding. She reported possible fever as only symptom
Age: 0.17
Sex: M
Vaccine: HIBV
Symptoms: Complication of device removal, Needle issue, No adverse event
Clinical narrative: The hub on the vaccine vial becomes loose if you tighten the needle and the need becomes loose on the hub if you tighten the hub. I checked to be sure both the hub and needle were secure before giving the vaccine, however the needle twisted when injecting the vaccine and came of the hub and stayed in patient's leg after the vaccine was injected.  The patient did receive the full dose of vaccine and there was no adverse effect to the patient.
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no reports adverse effects, no treatment needed
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema
Clinical narrative: Large erythema encompassing most of upper arm. MD prescribed cephalexin and triamcinolone to her.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine given past used by date, no reaction
Age: 74.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Product administered at inappropriate site
Clinical narrative: Pt stated that he was given the injection in the shoulder(close to the bone) as opposed to the deltoid muscle and pointed to a hard, raised red, pimple-sized bump. The skin at the site felt hard. Pt also mentioned he had itchy patchy red rashes from cellulitis which he had prior to the shot on most of the shoulder/deltoid.