chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Impaired work ability
Clinical narrative: sore arm at site of shot, felt tired, had muscle pain, a headache, shivering, fever, stomach pain,  and nausea; woke during the night.  Stayed home from work; symptoms are persistent throughout the day (05/10/2023)
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Middle insomnia, Myalgia, Nausea, Pyrexia
Clinical narrative: sore arm at site of shot, felt tired, had muscle pain, a headache, shivering, fever, stomach pain,  and nausea; woke during the night.  Stayed home from work; symptoms are persistent throughout the day (05/10/2023)
Age: 1.33
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient had no symptoms of adverse effects, however patient was given expired vaccine-vaccine expired on 3/2/23, rcvd the injection on 3/14/23.  Mother and Case Manager were notified, once discovered (3/29/23) during chart review
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after one dose Janssen
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Hypersensitivity, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI ALLERGIC REACTION, SUBSEQ 3/13/2023 -- RECURRENCE OF SAME SYMPTOMS
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 3/11/21 Lot# En6207;  Pfizer 4/1/21 lot# ER8732
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Decreased appetite, Diarrhoea, Fatigue, No adverse event
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVIDD-19 in 04/2023. I had a very runny nose, loss of appetite, diarrhea, fatigue and sore throat. I contacted my doctor, and I got a prescription for Paxlovid. I had not complications taking the medication. As of today, I am feeling better, but I still have a runny nose.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVIDD-19 in 04/2023. I had a very runny nose, loss of appetite, diarrhea, fatigue and sore throat. I contacted my doctor, and I got a prescription for Paxlovid. I had not complications taking the medication. As of today, I am feeling better, but I still have a runny nose.
Age: 60.0
Sex: F
Vaccine: PNC20, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Pt states on the night of the vaccine she started experiencing swelling of the left deltoid, redness, pain, and it was hot to touch. she also states she had fever. Pt states he took advil and put aloe vera on the left arm which help her with the pain, swelling and redness. Pt came to pharmacy today 05/10/2023 and the redness from left deltoid is still visible, which she states putting aloe vera on helps.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Biopsy kidney abnormal, Blood test abnormal, Blood urine present, Chills, Fatigue
Clinical narrative: The day after the booster I had fever, headache, chills and vomiting. I then had blood in my urine. I went to the doctor several days later. I have had several blood tests and a kidney biopsy. I had high protein levels in my blood and learned that I have IGA nephropathy. My symptoms have gotten better but I am fatigued. There is no treatment. My flare up seems to have gotten better.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, IgA nephropathy, Protein total increased, Pyrexia, Vomiting
Clinical narrative: The day after the booster I had fever, headache, chills and vomiting. I then had blood in my urine. I went to the doctor several days later. I have had several blood tests and a kidney biopsy. I had high protein levels in my blood and learned that I have IGA nephropathy. My symptoms have gotten better but I am fatigued. There is no treatment. My flare up seems to have gotten better.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Atrial fibrillation, Bacteraemia, Chest pain, Chronic respiratory failure
Clinical narrative: CHRONIC HYPOTENSION 1/6/2022 ATRIAL FIBRILLATION, UNSPECIFIED CHRONIC RESPIRATORY FAILURE 3/11/2022 ATRIAL FIBRILLATION, UNSPECIFIED HYPOXIA 1/6/2022 ATRIAL FIBRILLATION, UNSPECIFIED CHRONIC HYPOTENSION 1/6/2022 SKIN OR SUBCUTANEOUS TISSUE ABSCESS CHRONIC RESPIRATORY FAILURE 3/11/2022 SKIN OR SUBCUTANEOUS TISSUE ABSCESS HYPOXIA 1/6/2022 SKIN OR SUBCUTANEOUS TISSUE ABSCESS CHRONIC HYPOTENSION 1/6/2022 NONTRAUMATIC ACUTE KIDNEY INJURY CHRONIC RESPIRATORY FAILURE 3/11/2022 NONTRAUMATIC ACUTE KIDNEY INJURY HYPOXIA 1/6/2022 NONTRAUMATIC ACUTE KIDNEY INJURY CHRONIC HYPOTENSION 1/6/2022 BACTEREMIA CHRONIC RESPIRATORY FAILURE 3/11/2022 BACTEREMIA HYPOXIA 1/6/2022 BACTEREMIA CHRONIC HYPOTENSION 1/6/2022 HX OF HEART TRANSPLANT CHRONIC RESPIRATORY FAILURE 3/11/2022 HX OF HEART TRANSPLANT HYPOXIA 1/6/2022 HX OF HEART TRANSPLANT CHRONIC HYPOTENSION 1/6/2022 NONTRAUMATIC ACUTE KIDNEY INJURY CHRONIC RESPIRATORY FAILURE 3/11/2022 NONTRAUMATIC ACUTE KIDNEY INJURY HYPOXIA 1/6/2022 NONTRAUMATIC ACUTE KIDNEY INJURY CHRONIC HYPOTENSION 1/6/2022 CHEST PAIN CHRONIC RESPIRATORY FAILURE 3/11/2022 CHEST PAIN HYPOXIA 1/6/2022 CHEST PAIN
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Subcutaneous abscess
Clinical narrative: CHRONIC HYPOTENSION 1/6/2022 ATRIAL FIBRILLATION, UNSPECIFIED CHRONIC RESPIRATORY FAILURE 3/11/2022 ATRIAL FIBRILLATION, UNSPECIFIED HYPOXIA 1/6/2022 ATRIAL FIBRILLATION, UNSPECIFIED CHRONIC HYPOTENSION 1/6/2022 SKIN OR SUBCUTANEOUS TISSUE ABSCESS CHRONIC RESPIRATORY FAILURE 3/11/2022 SKIN OR SUBCUTANEOUS TISSUE ABSCESS HYPOXIA 1/6/2022 SKIN OR SUBCUTANEOUS TISSUE ABSCESS CHRONIC HYPOTENSION 1/6/2022 NONTRAUMATIC ACUTE KIDNEY INJURY CHRONIC RESPIRATORY FAILURE 3/11/2022 NONTRAUMATIC ACUTE KIDNEY INJURY HYPOXIA 1/6/2022 NONTRAUMATIC ACUTE KIDNEY INJURY CHRONIC HYPOTENSION 1/6/2022 BACTEREMIA CHRONIC RESPIRATORY FAILURE 3/11/2022 BACTEREMIA HYPOXIA 1/6/2022 BACTEREMIA CHRONIC HYPOTENSION 1/6/2022 HX OF HEART TRANSPLANT CHRONIC RESPIRATORY FAILURE 3/11/2022 HX OF HEART TRANSPLANT HYPOXIA 1/6/2022 HX OF HEART TRANSPLANT CHRONIC HYPOTENSION 1/6/2022 NONTRAUMATIC ACUTE KIDNEY INJURY CHRONIC RESPIRATORY FAILURE 3/11/2022 NONTRAUMATIC ACUTE KIDNEY INJURY HYPOXIA 1/6/2022 NONTRAUMATIC ACUTE KIDNEY INJURY CHRONIC HYPOTENSION 1/6/2022 CHEST PAIN CHRONIC RESPIRATORY FAILURE 3/11/2022 CHEST PAIN HYPOXIA 1/6/2022 CHEST PAIN
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/22/21 Lot# ER8735;  Pfizer 5/13/21 lot# Ew0179
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 10/9/21 Lot# FF8839;  Pfizer 10/30/21 Lot# FF2590
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: On 5/6/2023, I woke up with a sore throat. I took a home antigen test that day and got a negative result. I began to feel achy and tired during the day. On 5/7/2023, I took another home antigen test and got a positive result. I had sore throat, body aches, fatigue, and fever. On 5/8/2023, I had all the same symptoms, plus a cough. I took TYLENOL and a cough syrup. I did a video visit with my doctor, who prescribed PAXLOVID. On 5/9/2023, I still pretty much had the same symptoms. Today, I finally feel like I'm getting better. I still have a little bit of a scratchy throat and an occasional cough. The body aches, fatigue, and fever are gone. I feel radically different from how I felt yesterday.
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: On 5/6/2023, I woke up with a sore throat. I took a home antigen test that day and got a negative result. I began to feel achy and tired during the day. On 5/7/2023, I took another home antigen test and got a positive result. I had sore throat, body aches, fatigue, and fever. On 5/8/2023, I had all the same symptoms, plus a cough. I took TYLENOL and a cough syrup. I did a video visit with my doctor, who prescribed PAXLOVID. On 5/9/2023, I still pretty much had the same symptoms. Today, I finally feel like I'm getting better. I still have a little bit of a scratchy throat and an occasional cough. The body aches, fatigue, and fever are gone. I feel radically different from how I felt yesterday.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Hypoxia, Symptom recurrence
Clinical narrative: ACUTE DVT OF LEFT PERONEAL VEIN HYPOXIA 10/28/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Influenza A virus test negative, Influenza B virus test, Malaise
Clinical narrative: I felt lousy all over, achy, no energy, I was coughing crud out of my lungs, I didn't notice that I had a fever. I made an appointment with my doctor, she did a COVID-19 test and an Influenza A and B test. The COVID-19 test came back positive, the Influenza A and B came back negative. I was prescribed doxycycline to take for five day. I do feel better today, every day is getting better, I am coughing a little less every day.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, Productive cough, SARS-CoV-2 test positive
Clinical narrative: I felt lousy all over, achy, no energy, I was coughing crud out of my lungs, I didn't notice that I had a fever. I made an appointment with my doctor, she did a COVID-19 test and an Influenza A and B test. The COVID-19 test came back positive, the Influenza A and B came back negative. I was prescribed doxycycline to take for five day. I do feel better today, every day is getting better, I am coughing a little less every day.
Age: 0.58
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient arrived in clinic to receive their first dose of COVID 19  vaccine. Lower than authorized dose administered.  Administered 10 mcg/0.2mL, NDC: 80777-0283-02 to 7 month old child.  Information provided by the CDC & local source relating to the updated COVID 19 vaccination schedules on 04/18/2023 was not clear.  Specificity of vaccine dose & injection volume in disseminated informations from these sources would have improved our understading. This error was discovered  weeks following it's occurence.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Ear infection, Feeling abnormal, Headache, Hordeolum
Clinical narrative: This started with allergy symptoms Scratchy throat, headache, and feeling bad.  12/22/22 At Home COIVD-19 Test, positive.  Televisit with doctor, who proscribed Lagevrio.  Within a few days, symptoms were greatly diminished.  Once prescription ran out, I felt recovered from COVID-19, but I experienced some other infections, ear, UTI, stye in both eyes in the months that followed.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Infection, SARS-CoV-2 test positive, Throat irritation, Urinary tract infection
Clinical narrative: This started with allergy symptoms Scratchy throat, headache, and feeling bad.  12/22/22 At Home COIVD-19 Test, positive.  Televisit with doctor, who proscribed Lagevrio.  Within a few days, symptoms were greatly diminished.  Once prescription ran out, I felt recovered from COVID-19, but I experienced some other infections, ear, UTI, stye in both eyes in the months that followed.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Malaise, Oropharyngeal pain, Parainfluenzae virus infection
Clinical narrative: 11/14/2022 I had a sore throat. I had a positive at Home COVID test during pregnancy. I went in to have an infusion. After recovering from COVID, I immediately got sick and was hospitalized for 10 days with Para- Influenza Type 3 and acute Respiratory Failure.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy, Respirovirus test positive, SARS-CoV-2 test positive
Clinical narrative: 11/14/2022 I had a sore throat. I had a positive at Home COVID test during pregnancy. I went in to have an infusion. After recovering from COVID, I immediately got sick and was hospitalized for 10 days with Para- Influenza Type 3 and acute Respiratory Failure.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Ear pain, Facial paralysis, Hemiplegia, Lymphadenopathy
Clinical narrative: During the week of 17APR2023 I noticed some hearing loss in my right ear and some ear pain, I thought I had an ear infection. I also had a swollen lymph node behind my right ear. I started to take amoxicillin that I had on hand then 24APR2023 in the afternoon I noticed that the right side of my face was partially paralyzed, I recognized this immediately as probable bells Palsy which my brother had years ago. I researched Bells Palsy and stopped the antibiotic, I scheduled an appointment for 26APR2023 with my Doctor, substituting for my doctor said I may have had Covid lately but my only symptom was a runny nose. A test I did that evening was negative. I was prescribed one week prednisone and valaciclovir, my facial muscles and tone are improving.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: During the week of 17APR2023 I noticed some hearing loss in my right ear and some ear pain, I thought I had an ear infection. I also had a swollen lymph node behind my right ear. I started to take amoxicillin that I had on hand then 24APR2023 in the afternoon I noticed that the right side of my face was partially paralyzed, I recognized this immediately as probable bells Palsy which my brother had years ago. I researched Bells Palsy and stopped the antibiotic, I scheduled an appointment for 26APR2023 with my Doctor, substituting for my doctor said I may have had Covid lately but my only symptom was a runny nose. A test I did that evening was negative. I was prescribed one week prednisone and valaciclovir, my facial muscles and tone are improving.
Age: 48.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: pt did not have a reaction to the vaccine, instead patient received a .5ml dose of energix, not compleating the adult series
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Confusional state, Flushing, Heart rate increased, Pain
Clinical narrative: Confusion, aches, pains, increased heart rate.  Flushed face.  Sent to ER for eval and treat.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Acute kidney injury, Asthenia, Bladder catheterisation, COVID-19, Haemoglobin decreased
Clinical narrative: Patient with history of COVID vaccines who admitted to the hospital with COVID detected PCR. Provider d/c note: "90 YO-year-old male with h/o MDS on Dacogen, AAA, chronic obstructive pulmonary disease, dm 2, hypertension, and dementia presented to the ED for a Hgb 5.2.  Patients clinical course complicated with recurrent blood transfusions (6 units PRBC), AKI, generalized weakness, asymptomatic COVID 19, BPH requiring straight caths, complicated UTI, stage 3 gluteal fold ulcer, and soft blood pressures.  Patient has progressive dementia with family concerns for returning home independently was accepted at SNF for further rehabilitation."
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Hypotension, Loss of personal independence in daily activities, Red blood cell transfusion, SARS-CoV-2 test positive, Skin ulcer
Clinical narrative: Patient with history of COVID vaccines who admitted to the hospital with COVID detected PCR. Provider d/c note: "90 YO-year-old male with h/o MDS on Dacogen, AAA, chronic obstructive pulmonary disease, dm 2, hypertension, and dementia presented to the ED for a Hgb 5.2.  Patients clinical course complicated with recurrent blood transfusions (6 units PRBC), AKI, generalized weakness, asymptomatic COVID 19, BPH requiring straight caths, complicated UTI, stage 3 gluteal fold ulcer, and soft blood pressures.  Patient has progressive dementia with family concerns for returning home independently was accepted at SNF for further rehabilitation."
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Transfusion, Urinary tract infection
Clinical narrative: Patient with history of COVID vaccines who admitted to the hospital with COVID detected PCR. Provider d/c note: "90 YO-year-old male with h/o MDS on Dacogen, AAA, chronic obstructive pulmonary disease, dm 2, hypertension, and dementia presented to the ED for a Hgb 5.2.  Patients clinical course complicated with recurrent blood transfusions (6 units PRBC), AKI, generalized weakness, asymptomatic COVID 19, BPH requiring straight caths, complicated UTI, stage 3 gluteal fold ulcer, and soft blood pressures.  Patient has progressive dementia with family concerns for returning home independently was accepted at SNF for further rehabilitation."
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Hypotension
Clinical narrative: I95.9 HYPOTENSION 4/13/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test abnormal, Contusion, Platelet count decreased, Platelet transfusion
Clinical narrative: I noticed some bruising and contacted my doctor, and they ran some blood work and that is when they noticed my platelets were low. My platelets dropped again and had to be hospitalized for one night and given steroids and platelets. I was taking Tamoxifen at the time, and I stopped, and it seemed to be related to that. My platelets are stabilized at this time.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Contraception, Intermenstrual bleeding, Laboratory test normal, Menstruation delayed, Menstruation irregular
Clinical narrative: After receiving my 3rd dose on 08/2022, I've noticed irregular periods. I had a annual follow up with my doctor on October where I discussed about this issue. I had late/missed periods. I also had spotting. I attributed this to the vaccine because it happened right after I got the vaccine. I also went to OBGYN they did tests and everything was normal. They prescribed gave me birth control to regulate my period. They've done all sorts of exams didn't see any cyst or anything abnormal. As of now I am on birth control which was given for 3 months to see if it helps to regulate my period but I am not seeing any progression yet and it's already for 2 months. They said it might take 3 months for my body to adjust and work so, hopefully it works. Now I am just waiting. I will do a follow up after 3 months and will decided then for next step.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: After receiving my 3rd dose on 08/2022, I've noticed irregular periods. I had a annual follow up with my doctor on October where I discussed about this issue. I had late/missed periods. I also had spotting. I attributed this to the vaccine because it happened right after I got the vaccine. I also went to OBGYN they did tests and everything was normal. They prescribed gave me birth control to regulate my period. They've done all sorts of exams didn't see any cyst or anything abnormal. As of now I am on birth control which was given for 3 months to see if it helps to regulate my period but I am not seeing any progression yet and it's already for 2 months. They said it might take 3 months for my body to adjust and work so, hopefully it works. Now I am just waiting. I will do a follow up after 3 months and will decided then for next step.
Age: 0.5
Sex: M
Vaccine: DTPPVHBHPB, PNC15, RV5, DTPPVHBHPB, PNC15, RV5
Symptoms: Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: He had fever 104 lasting 1 day
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient arrived in clinic to receive their second dose of COVID 19  vaccine. Lower than authorized dose administered.  Administered 10 mcg/0.2mL, NDC: to 3 year old child.  Information provided by the CDC & agency relating to the updated COVID 19 vaccination schedules on 04/18/2023 was not clear.  Specificity of vaccine dose & injection volume in disseminated informations from these sources would have improved our understanding. This error was discovered 2 weeks following it's occurence.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Angina pectoris, Cardiac failure congestive, Coronary artery disease
Clinical narrative: vaccine was administered outside of facility- reported by patient ? NO LOT NUMBER WERE SUPPLIED ------------------------------------------------------------------------------------------------------------ STABLE ANGINA 12/16/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA ACUTE RESPIRATORY FAILURE 12/16/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA STABLE ANGINA 12/16/2021 NONTRAUMATIC ACUTE KIDNEY INJURY ACUTE RESPIRATORY FAILURE 12/16/2021 NONTRAUMATIC ACUTE KIDNEY INJURY STABLE ANGINA 12/16/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA ACUTE RESPIRATORY FAILURE 12/16/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA STABLE ANGINA 12/16/2021 ACUTE TRACHEITIS ACUTE RESPIRATORY FAILURE 12/16/2021 ACUTE TRACHEITIS STABLE ANGINA 12/16/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Tracheitis
Clinical narrative: vaccine was administered outside of facility- reported by patient ? NO LOT NUMBER WERE SUPPLIED ------------------------------------------------------------------------------------------------------------ STABLE ANGINA 12/16/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA ACUTE RESPIRATORY FAILURE 12/16/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA STABLE ANGINA 12/16/2021 NONTRAUMATIC ACUTE KIDNEY INJURY ACUTE RESPIRATORY FAILURE 12/16/2021 NONTRAUMATIC ACUTE KIDNEY INJURY STABLE ANGINA 12/16/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA ACUTE RESPIRATORY FAILURE 12/16/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA STABLE ANGINA 12/16/2021 ACUTE TRACHEITIS ACUTE RESPIRATORY FAILURE 12/16/2021 ACUTE TRACHEITIS STABLE ANGINA 12/16/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, Biopsy liver, COVID-19, Diarrhoea
Clinical narrative: I was having a sore throat on the left side and had bad diarrhea. The next day I had body aches and a fever. My oxygen went down as well. I had a Liver biopsy and was in recovery for that and the oxygen level was going down. I was having the loss the taste of smell. I had done a COVID-19 Home Test which was positive, and they did give me Paxlovid, but I did not take it because of having the biopsy. I was in pain due to the biopsy and then having COVID did not help with this and made it to where I had urinary and incontinence issues.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Oxygen saturation decreased, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I was having a sore throat on the left side and had bad diarrhea. The next day I had body aches and a fever. My oxygen went down as well. I had a Liver biopsy and was in recovery for that and the oxygen level was going down. I was having the loss the taste of smell. I had done a COVID-19 Home Test which was positive, and they did give me Paxlovid, but I did not take it because of having the biopsy. I was in pain due to the biopsy and then having COVID did not help with this and made it to where I had urinary and incontinence issues.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urinary incontinence
Clinical narrative: I was having a sore throat on the left side and had bad diarrhea. The next day I had body aches and a fever. My oxygen went down as well. I had a Liver biopsy and was in recovery for that and the oxygen level was going down. I was having the loss the taste of smell. I had done a COVID-19 Home Test which was positive, and they did give me Paxlovid, but I did not take it because of having the biopsy. I was in pain due to the biopsy and then having COVID did not help with this and made it to where I had urinary and incontinence issues.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Delusion, Depressed mood, Loss of personal independence in daily activities, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR. Provider d/c note: "Reason for Admission: depressed mood, paranoid delusions, suicidal thoughts, reduced self care, Covid-19 active infection    Brief Summary of Hospital Stay: Medications started with Lexapro and Zyprexa and titrated to response. Tolerated medications. Encouraged participation in group therapy addressing reality testing and coping skills. Patient was mostly guarded during stay. Received a court order for treatment. Recovery from covid-19 was unremarkable."
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Suicidal ideation
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR. Provider d/c note: "Reason for Admission: depressed mood, paranoid delusions, suicidal thoughts, reduced self care, Covid-19 active infection    Brief Summary of Hospital Stay: Medications started with Lexapro and Zyprexa and titrated to response. Tolerated medications. Encouraged participation in group therapy addressing reality testing and coping skills. Patient was mostly guarded during stay. Received a court order for treatment. Recovery from covid-19 was unremarkable."
Age: 0.92
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient arrived in clinic to receive their second dose of COVID 19  vaccine. Lower than authorized dose administered.  Administered 10 mcg/0.2mL, NDC: 80777-0283-02 to 11 month  old child.  Information provided by the CDC & Facility relating to the updated COVID 19 vaccination schedules on 04/18/2023 was not clear.  Specificity of vaccine dose & injection volume in disseminated informations from these sources would have improved our understanding. This error was discovered 2 weeks following it's occurence.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Migraine, Pain, Pyrexia
Clinical narrative: Injection site swollen and red. As big around as a baseball. I got a fever that started around 6pm on 5/8/2023 and then a migraine and body aches and pains. Migraine lasted 12 hours. Fever broke around 24 hours. Still have body aches and a swollen arm today 5/10/2023
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 39.0
Sex: F
Vaccine: HPV9, MMR
Symptoms: Joint range of motion decreased, Musculoskeletal stiffness, Pain
Clinical narrative: Patient received HPV dose #1 on 4/4/2023, administer by RN. Patient returned for HPV dose #2 on 5/9/2023, reporting "shoulder stiffness and reduced range of motion of left shoulder".  Patient denies nerve pain and denies tingling or shooting pain. Patient reports decreased range of motion and pain with lifting left arm upwards, however notes improvement over that last month with passive movement exercises. Pt educated to follow-up with PCP as the shoulder stiffness is not completely resolved after previous vacation of HPV #1 dose.
Age: 75.0
Sex: M
Vaccine: PNC20
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site swelling, Oedema peripheral
Clinical narrative: Prevnar vaccine was administered on 05/07/23 11:06 am. Patient stated arm became swollen and red on 05/08/23 08:30 pm. On Tuesday morning axillary area was also swollen. Patient came by the pharmacy on 5/10/23 at 11:00 am to show me his arm. The injection site was red and swollen. It was warm and hard to the touch. The Axillary area was also swollen.
Age: 75.0
Sex: M
Vaccine: PNC20
Symptoms: Peripheral swelling
Clinical narrative: Prevnar vaccine was administered on 05/07/23 11:06 am. Patient stated arm became swollen and red on 05/08/23 08:30 pm. On Tuesday morning axillary area was also swollen. Patient came by the pharmacy on 5/10/23 at 11:00 am to show me his arm. The injection site was red and swollen. It was warm and hard to the touch. The Axillary area was also swollen.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Headache, Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: I was positive for COVID-19 on 03MAR2023, I had a severe headache, very weak and I couldn't do anything. I spoke my doctor and prescribed me medication I don't remember.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  ACUTE PULMONARY EMBOLISM
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blister, Computerised tomogram head normal, Dry eye, Dysphagia, Ear pain
Clinical narrative: On 1/26/2023, I was having lunch with friends. I wasn't feeling well, though. I had a headache and sore throat. I thought that maybe I was getting a cold. My throat was so sore that it was hard to swallow. On 1/27/2023, I went to the doctor. I was told that I had a skin infection on my face, because I had little blisters extending from the bottom lip to the left side of the face and the bottom of the eye and into the ear. It turns out that I was misdiagnosed, though. The following week, I wasn't doing any better, so I returned to the doctor's office. It was then that I was informed that I had shingles. I was prescribed VALTREX. I was also told to use eye drops for dry eye and ear drops. Whenever I spoke, I looked like I had had a stroke, because my lips were twisting. Because of this, I underwent a CT scan to rule out a stroke; fortunately, it turns out that I hadn't had a stroke. The doctor was really concerned, because the sores extended into my left eye and left ear. For that reason, I had to also see an ophthalmologist and an ENT. The ENT took samples of the scabs in my ear and gave me ofloxacin ear drops. The ophthalmologist advised me to use both OTC gel eye drops and eye drops for dry eye. He also told me that I didn't have an infection in the eye, though it was very irritated. It took about three months to recover, for the most part. Even now, I still have lingering pain in the left ear and on the left side of my face, because the nerve has not completely healed.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Eye irritation, Facial pain, Facial paralysis, Headache, Herpes zoster
Clinical narrative: On 1/26/2023, I was having lunch with friends. I wasn't feeling well, though. I had a headache and sore throat. I thought that maybe I was getting a cold. My throat was so sore that it was hard to swallow. On 1/27/2023, I went to the doctor. I was told that I had a skin infection on my face, because I had little blisters extending from the bottom lip to the left side of the face and the bottom of the eye and into the ear. It turns out that I was misdiagnosed, though. The following week, I wasn't doing any better, so I returned to the doctor's office. It was then that I was informed that I had shingles. I was prescribed VALTREX. I was also told to use eye drops for dry eye and ear drops. Whenever I spoke, I looked like I had had a stroke, because my lips were twisting. Because of this, I underwent a CT scan to rule out a stroke; fortunately, it turns out that I hadn't had a stroke. The doctor was really concerned, because the sores extended into my left eye and left ear. For that reason, I had to also see an ophthalmologist and an ENT. The ENT took samples of the scabs in my ear and gave me ofloxacin ear drops. The ophthalmologist advised me to use both OTC gel eye drops and eye drops for dry eye. He also told me that I didn't have an infection in the eye, though it was very irritated. It took about three months to recover, for the most part. Even now, I still have lingering pain in the left ear and on the left side of my face, because the nerve has not completely healed.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Herpes zoster oticus, Lip blister, Malaise, Nervous system disorder, Ophthalmic herpes zoster
Clinical narrative: On 1/26/2023, I was having lunch with friends. I wasn't feeling well, though. I had a headache and sore throat. I thought that maybe I was getting a cold. My throat was so sore that it was hard to swallow. On 1/27/2023, I went to the doctor. I was told that I had a skin infection on my face, because I had little blisters extending from the bottom lip to the left side of the face and the bottom of the eye and into the ear. It turns out that I was misdiagnosed, though. The following week, I wasn't doing any better, so I returned to the doctor's office. It was then that I was informed that I had shingles. I was prescribed VALTREX. I was also told to use eye drops for dry eye and ear drops. Whenever I spoke, I looked like I had had a stroke, because my lips were twisting. Because of this, I underwent a CT scan to rule out a stroke; fortunately, it turns out that I hadn't had a stroke. The doctor was really concerned, because the sores extended into my left eye and left ear. For that reason, I had to also see an ophthalmologist and an ENT. The ENT took samples of the scabs in my ear and gave me ofloxacin ear drops. The ophthalmologist advised me to use both OTC gel eye drops and eye drops for dry eye. He also told me that I didn't have an infection in the eye, though it was very irritated. It took about three months to recover, for the most part. Even now, I still have lingering pain in the left ear and on the left side of my face, because the nerve has not completely healed.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Scab
Clinical narrative: On 1/26/2023, I was having lunch with friends. I wasn't feeling well, though. I had a headache and sore throat. I thought that maybe I was getting a cold. My throat was so sore that it was hard to swallow. On 1/27/2023, I went to the doctor. I was told that I had a skin infection on my face, because I had little blisters extending from the bottom lip to the left side of the face and the bottom of the eye and into the ear. It turns out that I was misdiagnosed, though. The following week, I wasn't doing any better, so I returned to the doctor's office. It was then that I was informed that I had shingles. I was prescribed VALTREX. I was also told to use eye drops for dry eye and ear drops. Whenever I spoke, I looked like I had had a stroke, because my lips were twisting. Because of this, I underwent a CT scan to rule out a stroke; fortunately, it turns out that I hadn't had a stroke. The doctor was really concerned, because the sores extended into my left eye and left ear. For that reason, I had to also see an ophthalmologist and an ENT. The ENT took samples of the scabs in my ear and gave me ofloxacin ear drops. The ophthalmologist advised me to use both OTC gel eye drops and eye drops for dry eye. He also told me that I didn't have an infection in the eye, though it was very irritated. It took about three months to recover, for the most part. Even now, I still have lingering pain in the left ear and on the left side of my face, because the nerve has not completely healed.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Ear discomfort, Fatigue, Nasal congestion, Oropharyngeal pain
Clinical narrative: In early April 2023 I had lots of postnasal drip, coughing, mucus and fatigue.  My nasal passages were swollen.  My ears were bothering me as well because they felt full of fluid.  I also had a sore throat.  These symptoms lasted for about 1 month.  I tested negative for COVID-19.  I went to the doctor on April 19, 2023, and was diagnosed with sinusitis.  I was given antibiotics.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Secretion discharge, Sinusitis, Upper-airway cough syndrome
Clinical narrative: In early April 2023 I had lots of postnasal drip, coughing, mucus and fatigue.  My nasal passages were swollen.  My ears were bothering me as well because they felt full of fluid.  I also had a sore throat.  These symptoms lasted for about 1 month.  I tested negative for COVID-19.  I went to the doctor on April 19, 2023, and was diagnosed with sinusitis.  I was given antibiotics.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neurological symptom, Seizure
Clinical narrative: Seizure/stroke like symptoms
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: ALLERGIC REACTION, INIT
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, SARS-CoV-2 test positive
Clinical narrative: Died on 3-11-23. Had COVID pneumonia at the time.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC15, RV1
Symptoms: Injection site erythema, Injection site mass, Lethargy, Pyrexia
Clinical narrative: 3 cm X 4 cm indurated erythematous lumps at all 3 injection sites to bilateral thighs found by mom on the evening of 5/8/23.  Mom also found her to be feverish and more lethargic on the evening of 5/8/23.  Mom medicated her with infant's Tylenol at home and then brought her into see her pediatrician on 5/9/23.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Headache
Clinical narrative: I had a headache for about a day after receiving the vaccine. I have history of hearing loss in the left ear that required a hearing aid. on 09/23/2022, I woke up with complete hearing loss in my left ear. I thought I needed to replace the battery but that didn't help. I went to my doctor in 10/2022 and he referred me to an ENT.  The ENT started me on a medication hoping that it would help me regain my hearing, but it did not work. At this point, I am adjusting to the hearing lost.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Computerised tomogram limb, Echocardiogram normal, Fall, Femur fracture
Clinical narrative: She has MS and has had multiple falls in the past, but she had 3 falls in 5 days, so we decided it was time to go to the hospital. after this last fall she had to go to the ER, and they diagnosed her with a UTI. She also had a hairline fracture of her right femur due to the fall. There were no changes in medication, but she was hospitalized for 3 nights. She is home and doing better now.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Multiple sclerosis, Stress fracture, Urinary tract infection, X-ray normal
Clinical narrative: She has MS and has had multiple falls in the past, but she had 3 falls in 5 days, so we decided it was time to go to the hospital. after this last fall she had to go to the ER, and they diagnosed her with a UTI. She also had a hairline fracture of her right femur due to the fall. There were no changes in medication, but she was hospitalized for 3 nights. She is home and doing better now.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD 05/04/2023, administered vaccine on 05/10/2023
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE HYPOTENSION
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD 05/04/2023, administered on 05/10/2023
Age: 21.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Area at site of injection is red, edematous, warm to touch, raised, and patient reports the skin around the area itches.
Age: 21.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Pruritus
Clinical narrative: Area at site of injection is red, edematous, warm to touch, raised, and patient reports the skin around the area itches.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: By the 3rd day after injection developed pronounced tinnitus bilaterally, though left side greater than right.  The noise has gotten progressively worse over time with no relief.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulopathy, Complication of pregnancy, Maternal exposure during pregnancy, Symptom recurrence
Clinical narrative: COAGULATION DEFECT IN PREGNANCY, THIRD TRIMESTER 5/30/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Hospitalized on 3-23-23. COVID 19 was one of the diagnoses. Died in the hospital on 4-10-23/
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left arm  with redness, swelling at injection site , and warm to touch
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Loss of personal independence in daily activities, Respiratory tract congestion
Clinical narrative: I tested positive for COVID-19 in December 2022.  I had coughing, head congestion, runny nose but no fever.  The symptoms lasted about 9 days.  I consulted the doctor on December 28th and was prescribed an antiviral.  As of today, the only long-term symptom I have is fatigue after simple chores.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 in December 2022.  I had coughing, head congestion, runny nose but no fever.  The symptoms lasted about 9 days.  I consulted the doctor on December 28th and was prescribed an antiviral.  As of today, the only long-term symptom I have is fatigue after simple chores.
Age: 23.0
Sex: M
Vaccine: MENB
Symptoms: Arthralgia, Joint range of motion decreased, Pain
Clinical narrative: Sharp shoulder pain when lifting arm above my head. Slightly limited range of motion.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE HYPOXIA
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: I had mild arm pain and fatigue for about a day after receiving the vaccine. On 03/21/2023, I had a telehealth visit with my doctor for a sinus infection. I was prescribed amoxicillin for the infection. I tested negative for COVID-19 on 03/21/2023.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE HYPOTENSION
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Retinal haemorrhage, Vitreous floaters
Clinical narrative: Retinal eye bleed   Floating blood in eye.  This has happened within a week of each dose I have received.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Nausea, Vomiting
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/17/2022 NAUSEA AND VOMITING
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Symptom recurrence
Clinical narrative: ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 3/7/2023 &  3/6/2023  --  RECURRENCE OF SAME SYMPTOMS
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Prostate cancer, Subarachnoid haemorrhage
Clinical narrative: I95.9 HYPOTENSION 5/10/2022 PROSTATE CANCER I95.9 HYPOTENSION 5/10/2022 HOSPICE CARE I95.9 HYPOTENSION 5/10/2022 HX OF SUBARACHNOID HEMORRHAGE
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  TRANSIENT CEREBRAL ISCHEMIA
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site reaction, Magnetic resonance imaging normal, Musculoskeletal stiffness, Pain
Clinical narrative: MUSCLE WHERE SHOT WAS GIVEN IS VERY STIFF I HAVE EXTREAM PAIN IF I TRY TO RAISE MY ARM AND ELBOW. WILL ONLY GO UP 50 %
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: MUSCLE WHERE SHOT WAS GIVEN IS VERY STIFF I HAVE EXTREAM PAIN IF I TRY TO RAISE MY ARM AND ELBOW. WILL ONLY GO UP 50 %
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 2/22/2022 & 2/23/2022  --  RECURRENCE OF SAME SYMPTOMS
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: minor is 11 years old but received the Bivalent for 12+yrs
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain lower, Asthenia, Dizziness, Loss of consciousness
Clinical narrative: Dizziness, loss of consciousness , weakness, low abdominal pain
Age: 1.5
Sex: M
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pt was given Tdap instead of a Dtap. Which he still was not due for. Pt recieved a pediarix on 4/19/23 and it had not dropped into system before his next appointment on 4/28/23 so when the system was pulled it appeared pt was still due for a Dtap.  Pt did not have any reactions from the second dose.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Circumstance or information capable of leading to medication error, Incorrect dose administered, Injection site erythema, Nausea
Clinical narrative: Patient did not experience an adverse reaction to the Pfizer vaccination. Patient was given the wrong dosage. Patient received a multi vial dose containing 6 vaccinations that were intended to be given to six people. The vials were in a ziplok bag marked 10 single dose vials. The phlebotomist drew up the entire vial and gave it to the patient not realizing it was a multi dose vial. The other team member reviewing the 5 rights also did not realize it was a multi dose vial. Another team member went to draw up a pfizer vaccine for another patient and realized it was too much vaccine to be a single dose and reported it to the Clinical Lead. The Clinical Lead notified, Clinical Services Manager who driected the Clinical Lead to notify the patient's physician. Dr. directed the Clinical Lead to contact Poison Control who directed the Clinical Lead to review the Fact Sheet (in the vaccine box) or Scan the code to contact Pfizer. The Clincial Lead call and spoke with staff at Pfizer who took all the patient demographics and what occurred. The Clinical Lead was then referred to staff at Pfizer who looked up the possible effects which could be pain in the injection site, headache, muscle pain.  The patient was contacted and explained what had taken place and the patient states she felt good and had no side effects at that time and she was at work. Patient was told if she developed chest pain or shortness of breath to go directly to the Emergency Department. The Clincial Lead then contacted Dr. and notified him of the same. Patient  was contacted again the morning and stated she slept good, felt good. no soreness in the injection site. No headache. No fever. She had a little redness at the injection site and her stomach was queezy this morning. Patient states she sometimes has stomach issues and did not feel it is related to the shot. The Clinical Lead also stated due to the timeframe that had elapsed, she also did not feel the queeziness was not related to the vaccine.  The Clinical Lead then notified Clinical Services Manager to update her on the situation.  Also, notified Dr. of the patient's status.
Age: 4.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered a vaccine that had a refrigerated expiration date of 3/17/2023, and manufacturer expiration date of 1/31/2024. No known harm came to patient and patient did not have an adverse reaction.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: ANAPHYLAXIS, INIT
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Biopsy skin, Pemphigoid
Clinical narrative: Bullous Pemphigoid
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Moderna Booster given passed the BUD (best used by date)