chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19-2, COVID19, FLU4
Symptoms: Rash papular, Swelling, Tenderness
Clinical narrative: She got her vaccines, and had no reaction.  Then around 6:00 AM she woke up with a really sore arm to the point that it was painful to move.  It started to subside and hurts when anything it touching her skin.  There is a rash 1" wide and 3" long across her arm.  It is bulging, swollen, hurts from the injection site all the way down to her wrist, index finger and her thumb.  She did take a Hydrocodone for her back pain and that is not helping with the pain in her arm.  She talked to the pharmacist who gave her the injection, but told her to call her doctor if she got worse and told her to report to us.  She is also extremely tired.
Age: 0.5
Sex: F
Vaccine: COVID19, DTAPHEPBIP, HIBV, PNC13
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event occured.We realized on 11/16/23 that we administered full vial instead of 0.25ml. Therefore, 0.5ml was given.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Flushing, Injection site rash, Rash papular
Clinical narrative: Raised Rash on left arm at administration site, fatigue, flushed feeling 2 days following administration
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, RSV
Symptoms: Asthenia, Dysphonia, Somnolence, Throat irritation
Clinical narrative: I have been feeling very week and drowsy.  My throat feels rough and voice is hoarse.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, RSV
Symptoms: Asthenia, Dysphonia, Somnolence
Clinical narrative: I have been feeling very week and drowsy.  My throat feels rough and voice is hoarse.
Age: 82.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Erythema, Peripheral swelling, Rash
Clinical narrative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
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Condition aggravated, Diarrhoea, Eczema, Nausea, Rash
Clinical narrative: Patient reports that early the morning she was feeling fatigue and not well (unsure if food or hotel sleeping) She denies any fever/n/v or cold like symptoms.  She reports 1 hour after receiving the vaccination feelings of nausea. Later that day, she reports nausea and diarrhea.  Overnight it did not improve and she noted to have rash (eczema) exacerbated. She was seen at local  ER - Hospital for further evaluation.  She was prescribed Zofran. Symptoms improved and she was discharge for ER.  Day one after vaccination, symptoms improved but did not resolve., no fever/diarrhea/vomiting, still c/o nausea. Eczema improved as well.
Age: 82.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Dizziness, Dizziness postural, Fatigue, Headache, Vertigo
Clinical narrative: What I felt the morning after receiving the vaccine was: dizziness upon moving from side to side, dizziness when standing up, and vertigo. Also experiencing severe headache, fatigue. 5 days later I am still experiencing dizziness.  I went to the ENT specialist.- on 11/16/23.
Age: 82.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Dizziness, Fatigue, Feeling abnormal, Vertigo
Clinical narrative: What I felt the morning after receiving the vaccine was: dizziness upon moving from side to side, dizziness when standing up, and vertigo. Also experiencing severe headache, fatigue. 5 days later I am still experiencing dizziness.  I went to the ENT specialist.- on 11/16/23.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus- (high-pitch hissing) in both ears still persists. I have never  before experienced this.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation reaction, Injection site oedema, Injection site reaction
Clinical narrative: Resident received COVID-19 Moderna Spikevax as her 6th injection and keep her up to date on 11/14/2023 at 1pm. On 11/16/2023, Resident was noted to have edematous, red area from her L deltoid down to her elbow. NP was contacted and Resident was prescribed Pepcid 20mg daily x 2 days, Benadryl 50mg daily x 2 days, and Zyrtec 10mg daily x 2 days. Resident is currently being treated for the adverse event. Pharmacy has been notified and Spikevax has been added to this Resident allergies.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: Client developed an edematous, red-purple area distal to the injection site on her left arm and extending to her elbow.  Based on a picture provided to this RN, it appeared to be roughly 8-12 cm in width (around the arm) and roughly 15-18 cm long (longitudinal toward her hand).  Swelling was greater dependent to the injection site.   Client was advised to seek medical attention of a physician or go to the ED of the local hospital urgently.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Sleep disorder, Tenderness
Clinical narrative: Sore muscle near injection site. Evening of day of shot.  Difficulty sleeping. Tenderness / soreness continued to third day.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Impaired work ability, Pain
Clinical narrative: Patient states she immediately had severe pain after the vaccine leading to loss of work the following day.  Says pain was severe for about 3 days but has continued now for 15 days.  States now it only causes pain when moving in certain ways but pain is reported at a 6 currently when occurs.  She has been using acetaminophen and Ibuprofen to treat.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Throat tightness
Clinical narrative: Patient received vaccine at 2:30 pm on 01/07/2021 and then 2 hours later started experiencing tingling in her lips and throat tightness. She then took a 25 mg tablet of Benadryl and experienced some relief before presenting to the emergency department. At the hospital she was given 60 mg of prednisone, in hospital note it was provided that she has started Rosuvastatin the night before but providers did not believe that was the cause of the reaction.
Age: 60.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Atrial fibrillation, Dizziness, Echocardiogram, Electrocardiogram abnormal, Heart rate decreased
Clinical narrative: Heart palpitations and some lightheadedness.  Diagnosed as Atrial Fibrillation following ECG in cardiologist's office.  Confirmed in Hospital ER.  Admitted to Hospital for treatment.  Returned to normal sinus rhythm following 13 hours treatment with medicines to lower heart rate.  Discharged home the following day.
Age: 60.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Palpitations, Sinus rhythm, Troponin I
Clinical narrative: Heart palpitations and some lightheadedness.  Diagnosed as Atrial Fibrillation following ECG in cardiologist's office.  Confirmed in Hospital ER.  Admitted to Hospital for treatment.  Returned to normal sinus rhythm following 13 hours treatment with medicines to lower heart rate.  Discharged home the following day.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: Rash localized to the injection site that was warm to touch.  Advised to seek the attention of a physician or go the ED at the local hospital.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Body temperature increased, Chills, Crying, Decreased appetite
Clinical narrative: Injection site pain, swelling, and redness.  Painful to touch. Injection site temperature 100-101. Body temp 101.  Chills for two days.  Restricted movement of left arm. First 3 days I had crying spells. Red area is 6x12 and growing. Cramping stomach and low appetite. Treatment: reaction to shot, no second shot required. Got a steroid shot, use Benadryl topical and internal.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Injection site pain, swelling, and redness.  Painful to touch. Injection site temperature 100-101. Body temp 101.  Chills for two days.  Restricted movement of left arm. First 3 days I had crying spells. Red area is 6x12 and growing. Cramping stomach and low appetite. Treatment: reaction to shot, no second shot required. Got a steroid shot, use Benadryl topical and internal.
Age: 80.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Product administered at inappropriate site
Clinical narrative: Patient was not given the vaccinations IM. She showed me her injection site, and it was approx 4-5 inches above her elbow on her left arm. Patient had an injection site reaction that included swelling, itching and redness. Her arm was still red and swolled today in the office.
Age: 36.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: Immediate injection site pain which continued for 2 weeks now. Exam indicates subacromial bursitis of right shoulder (vaccination arm). Treatment- subacromial corticosteroid injection 11/16/2023 given and home exercise packet.
Age: 50.0
Sex: F
Vaccine: COVID19, HEP, MMR, TDAP
Symptoms: No adverse event
Clinical narrative: NO ADVERSE REACTIONS NOTED BEFORE CLIENT LEAVING POST VACCINATION AREA.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site discolouration, Injection site pain
Clinical narrative: Injection site soreness and discoloration lasting 10 days and counting
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site mass
Clinical narrative: Bruising of left arm from shoulder to elbow for 2 weeks. Then at 2.5 weeks, lump develops at site of injection.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Inflammation, Joint range of motion decreased, Neck pain
Clinical narrative: severe pain in right arm with inflammation and decreased range of motion in right shoulder (previous surgical site y 1 yr ago) and severe back and neck pain Seen by pcp, started on Prednisone 10 day taper with improvement by day 3
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, Intensive care, Lung consolidation, Positive airway pressure therapy
Clinical narrative: Patient is a 52 YO F with history of seizure disorder, COPD/asthma, ongoing tobacco abuse, HTN, who was admitted with acute hypoxic respiratory failure due to COVID-19 infection. She was started on decadron, remdesivir. Unfortunately, she developed progressive respiratory failure and ultimately was transferred to the ICU for treatment, once she was requiring HFNC and BiPAP. Further workup with CT angiogram of the chest demonstrated new bilateral lower lobe consolidations without evidence of PE. She was started initially on ceftriaxone/azithromycin, which was later broadened to cefepime/vancomycin for a positive MRSA screen. She was transferred back to the floor once she was of BiPAP, and had subsequent improvement over the next few days with weaning down to 3L NC. She was asymptomatic despite hypoxic. Plan was to continue IV antibiotics to complete a 7 day course for possible MRSA pneumonia. On day of discharge, patient requested immediate discharge. She was resistant to any further delay and was not willing to stay for repeat therapy evaluation. She was set up with home oxygen and home care. Will discharge with 3 more days of doxycycline to complete her antibiotic course. She will follow-up with PCP and pulmonology.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, Staphylococcus test positive
Clinical narrative: Patient is a 52 YO F with history of seizure disorder, COPD/asthma, ongoing tobacco abuse, HTN, who was admitted with acute hypoxic respiratory failure due to COVID-19 infection. She was started on decadron, remdesivir. Unfortunately, she developed progressive respiratory failure and ultimately was transferred to the ICU for treatment, once she was requiring HFNC and BiPAP. Further workup with CT angiogram of the chest demonstrated new bilateral lower lobe consolidations without evidence of PE. She was started initially on ceftriaxone/azithromycin, which was later broadened to cefepime/vancomycin for a positive MRSA screen. She was transferred back to the floor once she was of BiPAP, and had subsequent improvement over the next few days with weaning down to 3L NC. She was asymptomatic despite hypoxic. Plan was to continue IV antibiotics to complete a 7 day course for possible MRSA pneumonia. On day of discharge, patient requested immediate discharge. She was resistant to any further delay and was not willing to stay for repeat therapy evaluation. She was set up with home oxygen and home care. Will discharge with 3 more days of doxycycline to complete her antibiotic course. She will follow-up with PCP and pulmonology.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test normal, Coating in mouth, Computerised tomogram normal, Disability, Dizziness
Clinical narrative: Since 2021 of June I have had pain in my left ear and neck and head and ears constantly ringing andconstant headaches, also head every day feels like my scalp is being pulled tight. Daily nausea, dizziness,gets so bad I cannot walk. My mouth has a horrible coating on tongue everyday.  I had a infusion done a few months prior to getting covid vaccines because I got covid. I have been to numerous doctors for everything I have and suffer with everyday, had labs, CT scans, MRI and nothing any doctor has tried has worked and I have had these debilitating issues for 3 years now and have been told not to take anymore covid shots cause everything I have wrong is from covid shots. I have no quality of life.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ear pain, Gait inability, Headache, Immunisation reaction, Magnetic resonance imaging normal
Clinical narrative: Since 2021 of June I have had pain in my left ear and neck and head and ears constantly ringing andconstant headaches, also head every day feels like my scalp is being pulled tight. Daily nausea, dizziness,gets so bad I cannot walk. My mouth has a horrible coating on tongue everyday.  I had a infusion done a few months prior to getting covid vaccines because I got covid. I have been to numerous doctors for everything I have and suffer with everyday, had labs, CT scans, MRI and nothing any doctor has tried has worked and I have had these debilitating issues for 3 years now and have been told not to take anymore covid shots cause everything I have wrong is from covid shots. I have no quality of life.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Neck pain, Quality of life decreased, Tension headache, Tinnitus
Clinical narrative: Since 2021 of June I have had pain in my left ear and neck and head and ears constantly ringing andconstant headaches, also head every day feels like my scalp is being pulled tight. Daily nausea, dizziness,gets so bad I cannot walk. My mouth has a horrible coating on tongue everyday.  I had a infusion done a few months prior to getting covid vaccines because I got covid. I have been to numerous doctors for everything I have and suffer with everyday, had labs, CT scans, MRI and nothing any doctor has tried has worked and I have had these debilitating issues for 3 years now and have been told not to take anymore covid shots cause everything I have wrong is from covid shots. I have no quality of life.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tongue coated
Clinical narrative: Since 2021 of June I have had pain in my left ear and neck and head and ears constantly ringing andconstant headaches, also head every day feels like my scalp is being pulled tight. Daily nausea, dizziness,gets so bad I cannot walk. My mouth has a horrible coating on tongue everyday.  I had a infusion done a few months prior to getting covid vaccines because I got covid. I have been to numerous doctors for everything I have and suffer with everyday, had labs, CT scans, MRI and nothing any doctor has tried has worked and I have had these debilitating issues for 3 years now and have been told not to take anymore covid shots cause everything I have wrong is from covid shots. I have no quality of life.
Age: 3.0
Sex: M
Vaccine: FLU4, HEPA
Symptoms: Extra dose administered
Clinical narrative: Patient was accidentally given an extra pediatric Hep A.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO ADVERSE REACTIONS NOTED BEFORE LEAVING POST VACCINATION AREA.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Brain fog, Computerised tomogram head normal, Confusional state
Clinical narrative: Patient exhibited symptoms of a TIA or possible stroke about 4 days after receiving the SpikeVAX 12+ Covid injection. He felt as though he couldn't catch his breath. About 20 minutes later, he began speaking out of context of the questions asked of him. Then his speech became unintelligible for several minutes. He was confused and could not follow verbal instructions. His walk was slightly off balance. Upon the arrival of EMTs, he could not verbalize the name of the watch the EMT pointed to on his own wrist. He could not verbalize the year. He received an IV in the ambulance in transit to the Emergency Department of the nearest trauma center. The EMT stated the iv fluids seem to be helping as Patient began to better answer questions. He exhibited slight drifting of his right arm per the EMT. Days later, he still has some brain fog.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Magnetic resonance imaging head normal, Neurological symptom, Speech disorder
Clinical narrative: Patient exhibited symptoms of a TIA or possible stroke about 4 days after receiving the SpikeVAX 12+ Covid injection. He felt as though he couldn't catch his breath. About 20 minutes later, he began speaking out of context of the questions asked of him. Then his speech became unintelligible for several minutes. He was confused and could not follow verbal instructions. His walk was slightly off balance. Upon the arrival of EMTs, he could not verbalize the name of the watch the EMT pointed to on his own wrist. He could not verbalize the year. He received an IV in the ambulance in transit to the Emergency Department of the nearest trauma center. The EMT stated the iv fluids seem to be helping as Patient began to better answer questions. He exhibited slight drifting of his right arm per the EMT. Days later, he still has some brain fog.
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Abdominal pain, Chills, Headache, Nausea, Pain
Clinical narrative: Headache, chills, abdominal cramps, nausea, body aches
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Pediatric dose administered to adult
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Ocular hyperaemia, Rash
Clinical narrative: Rash on chest and swollen/red eyes
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain in extremity
Clinical narrative: severe pain in right arm
Age: 6.0
Sex: F
Vaccine: COVID19, COVID19, FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt. received extra dose of age appropriate Moderna Covid-19 2023-2024 vaccine.  Patient did not appear to have any adverse reactions as she was monitered for approximately 15 minutes following vaccination.  She was talkative, moving around without difficulty, and engaging with the people around here. Patient encouraged to hydrate and use the arms normally.
Age: 64.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: High Dose flu vaccine was administered instead of regular quadrivalent flu vaccine.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder calculus removal, Calculus urinary, Stent removal, Urinary stone analysis, Urinary tract infection
Clinical narrative: Reason for Admission: stone and UTI.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) was admitted for hydration and antibiotics due to strongly recurrent UTI in setting of urolithiasis and need for remove all stone debris.  She underwent removal of residual stone debris  Hospital Course: No notes on file uncomplicated  Issues Requiring Follow Up: (Who, what, when, and how communicated?) stent removal and stone analysis.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: After receiving vaccine patient had painful arm, difficulty raising arm lasting 1+ week. Tylenol not helping  Informed patient to contact provider
Age: 6.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong product administered
Clinical narrative: Patient was given the wrong vaccine.  Patient was due for Dtap  and was given TDAP .
Age: 100.0
Sex: F
Vaccine: COVID19, FLU4, PNC20
Symptoms: Aortic valve incompetence, Aortic valve thickening, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood creatinine increased
Clinical narrative: Resident was checked on at 1515 to give 1500 med, resident was noticed to be unresponsive at that time. TMA called this nurse into room, assessment started, eye not tracking, mumbled speech noted, right side mouth droop, not following commands. 911 called. VS taken and charted. Resident was to lunch at noon walked with walker to dining room, received ride in wc back to room which is her normal routine, last checked on at 1300, no concerns at that time.   Assessment / Plan Active Problems:   *CVA left-sided with right-sided paresis -Not a candidate for thrombolytic given significant comorbidities as well as age -Patient will be admitted We will repeat CT scan in the morning She will have a 2D echo She will be given aspirin 325 per rectum Patient is not able to swallow
Age: 100.0
Sex: F
Vaccine: COVID19, FLU4, PNC20
Symptoms: Blood urea increased, Bundle branch block left, Central nervous system lesion, Cerebral atrophy, Cerebral calcification
Clinical narrative: Resident was checked on at 1515 to give 1500 med, resident was noticed to be unresponsive at that time. TMA called this nurse into room, assessment started, eye not tracking, mumbled speech noted, right side mouth droop, not following commands. 911 called. VS taken and charted. Resident was to lunch at noon walked with walker to dining room, received ride in wc back to room which is her normal routine, last checked on at 1300, no concerns at that time.   Assessment / Plan Active Problems:   *CVA left-sided with right-sided paresis -Not a candidate for thrombolytic given significant comorbidities as well as age -Patient will be admitted We will repeat CT scan in the morning She will have a 2D echo She will be given aspirin 325 per rectum Patient is not able to swallow
Age: 100.0
Sex: F
Vaccine: COVID19, FLU4, PNC20
Symptoms: Cerebral small vessel ischaemic disease, Cerebrovascular accident, Computerised tomogram head abnormal, Diastolic dysfunction, Dysphagia
Clinical narrative: Resident was checked on at 1515 to give 1500 med, resident was noticed to be unresponsive at that time. TMA called this nurse into room, assessment started, eye not tracking, mumbled speech noted, right side mouth droop, not following commands. 911 called. VS taken and charted. Resident was to lunch at noon walked with walker to dining room, received ride in wc back to room which is her normal routine, last checked on at 1300, no concerns at that time.   Assessment / Plan Active Problems:   *CVA left-sided with right-sided paresis -Not a candidate for thrombolytic given significant comorbidities as well as age -Patient will be admitted We will repeat CT scan in the morning She will have a 2D echo She will be given aspirin 325 per rectum Patient is not able to swallow
Age: 100.0
Sex: F
Vaccine: COVID19, FLU4, PNC20
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Facial paralysis, Glomerular filtration rate decreased
Clinical narrative: Resident was checked on at 1515 to give 1500 med, resident was noticed to be unresponsive at that time. TMA called this nurse into room, assessment started, eye not tracking, mumbled speech noted, right side mouth droop, not following commands. 911 called. VS taken and charted. Resident was to lunch at noon walked with walker to dining room, received ride in wc back to room which is her normal routine, last checked on at 1300, no concerns at that time.   Assessment / Plan Active Problems:   *CVA left-sided with right-sided paresis -Not a candidate for thrombolytic given significant comorbidities as well as age -Patient will be admitted We will repeat CT scan in the morning She will have a 2D echo She will be given aspirin 325 per rectum Patient is not able to swallow
Age: 100.0
Sex: F
Vaccine: COVID19, FLU4, PNC20
Symptoms: Hemiparesis, Left atrial dilatation, Left ventricular dysfunction, Meningioma, Mitral valve incompetence
Clinical narrative: Resident was checked on at 1515 to give 1500 med, resident was noticed to be unresponsive at that time. TMA called this nurse into room, assessment started, eye not tracking, mumbled speech noted, right side mouth droop, not following commands. 911 called. VS taken and charted. Resident was to lunch at noon walked with walker to dining room, received ride in wc back to room which is her normal routine, last checked on at 1300, no concerns at that time.   Assessment / Plan Active Problems:   *CVA left-sided with right-sided paresis -Not a candidate for thrombolytic given significant comorbidities as well as age -Patient will be admitted We will repeat CT scan in the morning She will have a 2D echo She will be given aspirin 325 per rectum Patient is not able to swallow
Age: 100.0
Sex: F
Vaccine: COVID19, FLU4, PNC20
Symptoms: Mitral valve thickening, Monocyte count increased, Platelet count increased, Pulmonary valve incompetence, QRS axis abnormal
Clinical narrative: Resident was checked on at 1515 to give 1500 med, resident was noticed to be unresponsive at that time. TMA called this nurse into room, assessment started, eye not tracking, mumbled speech noted, right side mouth droop, not following commands. 911 called. VS taken and charted. Resident was to lunch at noon walked with walker to dining room, received ride in wc back to room which is her normal routine, last checked on at 1300, no concerns at that time.   Assessment / Plan Active Problems:   *CVA left-sided with right-sided paresis -Not a candidate for thrombolytic given significant comorbidities as well as age -Patient will be admitted We will repeat CT scan in the morning She will have a 2D echo She will be given aspirin 325 per rectum Patient is not able to swallow
Age: 100.0
Sex: F
Vaccine: COVID19, FLU4, PNC20
Symptoms: Right atrial dilatation, Sinus bradycardia, Speech disorder, Tricuspid valve incompetence, Troponin I normal
Clinical narrative: Resident was checked on at 1515 to give 1500 med, resident was noticed to be unresponsive at that time. TMA called this nurse into room, assessment started, eye not tracking, mumbled speech noted, right side mouth droop, not following commands. 911 called. VS taken and charted. Resident was to lunch at noon walked with walker to dining room, received ride in wc back to room which is her normal routine, last checked on at 1300, no concerns at that time.   Assessment / Plan Active Problems:   *CVA left-sided with right-sided paresis -Not a candidate for thrombolytic given significant comorbidities as well as age -Patient will be admitted We will repeat CT scan in the morning She will have a 2D echo She will be given aspirin 325 per rectum Patient is not able to swallow
Age: 100.0
Sex: F
Vaccine: COVID19, FLU4, PNC20
Symptoms: Ultrasound Doppler, Unresponsive to stimuli, Ventricular hypokinesia, Visual tracking test abnormal
Clinical narrative: Resident was checked on at 1515 to give 1500 med, resident was noticed to be unresponsive at that time. TMA called this nurse into room, assessment started, eye not tracking, mumbled speech noted, right side mouth droop, not following commands. 911 called. VS taken and charted. Resident was to lunch at noon walked with walker to dining room, received ride in wc back to room which is her normal routine, last checked on at 1300, no concerns at that time.   Assessment / Plan Active Problems:   *CVA left-sided with right-sided paresis -Not a candidate for thrombolytic given significant comorbidities as well as age -Patient will be admitted We will repeat CT scan in the morning She will have a 2D echo She will be given aspirin 325 per rectum Patient is not able to swallow
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Palpitations, Pruritus, Skin reaction
Clinical narrative: Heart palpitations overnight. Rapid heartbeat for several hours next morning, often 100-120. Fever 2.2 degrees above my normal morn temp.  Improved over several hours, but remained 1 deg.high. Rest & water. Resolved next day.  Vaccine arm itchy & pink-red patch 2-3 days later. Daily cool compresses, but grew to reddish 3"x5" over 7 days, then faded. Occasional itchiness persisted.  Details. Resting HR was 92; declined to 84; by afternoon, to low 70s.  Much higher than my normal rate of 55-59. Took several days to return to normal.  HR taken by Smart Watch; confirmed by Omron BP device and neck pulse.  Note:  I consulted cardiology office twice via phone.  Not listed on the right, so I checked "office visit" instead.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood immunoglobulin G, Body temperature, Heart rate, Heart rate increased, Palpitations
Clinical narrative: Heart palpitations overnight. Rapid heartbeat for several hours next morning, often 100-120. Fever 2.2 degrees above my normal morn temp.  Improved over several hours, but remained 1 deg.high. Rest & water. Resolved next day.  Vaccine arm itchy & pink-red patch 2-3 days later. Daily cool compresses, but grew to reddish 3"x5" over 7 days, then faded. Occasional itchiness persisted.  Details. Resting HR was 92; declined to 84; by afternoon, to low 70s.  Much higher than my normal rate of 55-59. Took several days to return to normal.  HR taken by Smart Watch; confirmed by Omron BP device and neck pulse.  Note:  I consulted cardiology office twice via phone.  Not listed on the right, so I checked "office visit" instead.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Vaccination site erythema, Vaccination site pruritus
Clinical narrative: Heart palpitations overnight. Rapid heartbeat for several hours next morning, often 100-120. Fever 2.2 degrees above my normal morn temp.  Improved over several hours, but remained 1 deg.high. Rest & water. Resolved next day.  Vaccine arm itchy & pink-red patch 2-3 days later. Daily cool compresses, but grew to reddish 3"x5" over 7 days, then faded. Occasional itchiness persisted.  Details. Resting HR was 92; declined to 84; by afternoon, to low 70s.  Much higher than my normal rate of 55-59. Took several days to return to normal.  HR taken by Smart Watch; confirmed by Omron BP device and neck pulse.  Note:  I consulted cardiology office twice via phone.  Not listed on the right, so I checked "office visit" instead.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO ADVERSE REACTIONS NOTED BEFORE CLIENT LEAVING POST VACCINATION AREA
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Affective disorder, Asthenia, COVID-19, Catatonia, Extrapyramidal disorder
Clinical narrative: Catatonic-like behavior. Patient is a 57 YO female who presented with decompensated unspecified mood disorder and catatonic-like behavior.  PMHx of schizophrenia, generalized anxiety disorder with previous episodes of catatonia, prior CVA, unspecified seizure disorder, essential hypertension, urinary retention, hypertension, T2DM.  Patient was admitted on 10/13/23 from facility due to AMS, poor oral intake, debility.  Has been admitted several times for this chief complaint before.  However was unable to admitted to Facility due to physical debility.  Imaging of head was negative, workup negative for medical etiology.  Psychiatry was consulted inpatient.   During hospital stay, patient weaned off Invega long-acting injectable.  Psychiatry recommends further initiation of antipsychotic following washout period.  She was transitioned off of Keppra for unspecified seizure disorder, to Depakote with concern of exacerbating mood disorder.  Psychiatry recommended beginning Ativan trial for catatonia. Patient continued to have poor oral intake, debility.  Was initiated on memantine, SSRI for concerns of decompensated mood disorder vs. Atypical catatonia.  Cogentin was added regimen for intermittent extrapyramidal symptoms. Patient failed Ativan trial, was weaned.   On 11/03 patient remained medically stable, was accepted to Facility for further psychiatric management.  Unfortunately patient developed fever overnight and was found to have COVID.  Required 10 day isolation.  During this time patient became more alert, but still with frequent atypical catatonic symptoms.  Psychiatry continued to recommend ECT.  Patient was discharged medically stable on 11/14 to Facility.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Imaging procedure, Laboratory test normal, Mental status changes, Pyrexia
Clinical narrative: Catatonic-like behavior. Patient is a 57 YO female who presented with decompensated unspecified mood disorder and catatonic-like behavior.  PMHx of schizophrenia, generalized anxiety disorder with previous episodes of catatonia, prior CVA, unspecified seizure disorder, essential hypertension, urinary retention, hypertension, T2DM.  Patient was admitted on 10/13/23 from facility due to AMS, poor oral intake, debility.  Has been admitted several times for this chief complaint before.  However was unable to admitted to Facility due to physical debility.  Imaging of head was negative, workup negative for medical etiology.  Psychiatry was consulted inpatient.   During hospital stay, patient weaned off Invega long-acting injectable.  Psychiatry recommends further initiation of antipsychotic following washout period.  She was transitioned off of Keppra for unspecified seizure disorder, to Depakote with concern of exacerbating mood disorder.  Psychiatry recommended beginning Ativan trial for catatonia. Patient continued to have poor oral intake, debility.  Was initiated on memantine, SSRI for concerns of decompensated mood disorder vs. Atypical catatonia.  Cogentin was added regimen for intermittent extrapyramidal symptoms. Patient failed Ativan trial, was weaned.   On 11/03 patient remained medically stable, was accepted to Facility for further psychiatric management.  Unfortunately patient developed fever overnight and was found to have COVID.  Required 10 day isolation.  During this time patient became more alert, but still with frequent atypical catatonic symptoms.  Psychiatry continued to recommend ECT.  Patient was discharged medically stable on 11/14 to Facility.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, COVID-19, Chronic respiratory failure, Dyspnoea, Fall
Clinical narrative: Patient has Chronic respiratory failure with hypoxia and hypercapnia (Home oxygen @ 2 L/m) with restrictive lung disease and decreased diffusion capacity.  Developed increased shortness of breath and had evidence of  Acute on chronic respiratory failure with hypoxia and hypercapnia.  This appeared to be due to a COVID-19 infection.  He completed course of steroids, REMDESIVIR.  He is now back at his respiratory baseline. Patient was recommended to go to subacute rehab but wanted to go home but had a fall just before discharge injuring his ankle so he is amenable to going to rehab now. Obtained x-rays of ankle and these were negative for fracture or dislocation.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypercapnia, Hypoxia, Joint injury, Lung diffusion disorder, Restrictive pulmonary disease
Clinical narrative: Patient has Chronic respiratory failure with hypoxia and hypercapnia (Home oxygen @ 2 L/m) with restrictive lung disease and decreased diffusion capacity.  Developed increased shortness of breath and had evidence of  Acute on chronic respiratory failure with hypoxia and hypercapnia.  This appeared to be due to a COVID-19 infection.  He completed course of steroids, REMDESIVIR.  He is now back at his respiratory baseline. Patient was recommended to go to subacute rehab but wanted to go home but had a fall just before discharge injuring his ankle so he is amenable to going to rehab now. Obtained x-rays of ankle and these were negative for fracture or dislocation.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: X-ray limb normal
Clinical narrative: Patient has Chronic respiratory failure with hypoxia and hypercapnia (Home oxygen @ 2 L/m) with restrictive lung disease and decreased diffusion capacity.  Developed increased shortness of breath and had evidence of  Acute on chronic respiratory failure with hypoxia and hypercapnia.  This appeared to be due to a COVID-19 infection.  He completed course of steroids, REMDESIVIR.  He is now back at his respiratory baseline. Patient was recommended to go to subacute rehab but wanted to go home but had a fall just before discharge injuring his ankle so he is amenable to going to rehab now. Obtained x-rays of ankle and these were negative for fracture or dislocation.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Computerised tomogram normal, Laboratory test normal, Magnetic resonance imaging normal, Seizure
Clinical narrative: Pt. had a seizure on May 9th at 720am.  He has never had any seizure activity prior to this.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Cough, Headache, Influenza A virus test positive
Clinical narrative: Fever 103.5 Chills Whole body aches Weakness Cough Runny and stuffy nose Headache
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Nasal congestion, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Fever 103.5 Chills Whole body aches Weakness Cough Runny and stuffy nose Headache
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC20, VARCEL
Symptoms: Ataxia, Cerebellar ataxia, Head titubation, Magnetic resonance imaging head normal
Clinical narrative: Acute cerebellar ataxia, abrupt onset, resulting in head titubation, truncal and axial ataxia.  Currently being monitored
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Coronary arterial stent insertion, Electrocardiogram normal, General physical health deterioration
Clinical narrative: Patient had presented with Generalized weakness and fever.  Found to be positive for COVID-19 but has not manifested hypoxia to suggest the need for steroids or REMDESIVIR.  Therapies attempted to assess but patient had declined. Have encouraged patient to participate and he did finally work with physical therapy who recommended home with assist.   History of CAD (coronary artery disease) (Drug eluting stent LAD 6/2023) on ASPIRIN and CLOPIDOGREL.  Had mildly Elevated troponin values with flat delta, no acute findings on electrocardiogram.  No chest pain.  Likely demand phenomena.     Type 2 diabetes mellitus, without long-term current use of insulin HbA1c 6.9% on no medication.  Essential hypertension blood pressure controlled.  GERD (gastroesophageal reflux disease) proton pump inhibitor  Benign prostatic hyperplasia with urinary hesitancy TAMSULOSIN  CKD (chronic kidney disease) stage 4, GFR 15-29 ml/min stable with recent baseline.   Mild, chronic Normocytic anemia likely related to kidney disease.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate, Glycosylated haemoglobin, Pyrexia, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient had presented with Generalized weakness and fever.  Found to be positive for COVID-19 but has not manifested hypoxia to suggest the need for steroids or REMDESIVIR.  Therapies attempted to assess but patient had declined. Have encouraged patient to participate and he did finally work with physical therapy who recommended home with assist.   History of CAD (coronary artery disease) (Drug eluting stent LAD 6/2023) on ASPIRIN and CLOPIDOGREL.  Had mildly Elevated troponin values with flat delta, no acute findings on electrocardiogram.  No chest pain.  Likely demand phenomena.     Type 2 diabetes mellitus, without long-term current use of insulin HbA1c 6.9% on no medication.  Essential hypertension blood pressure controlled.  GERD (gastroesophageal reflux disease) proton pump inhibitor  Benign prostatic hyperplasia with urinary hesitancy TAMSULOSIN  CKD (chronic kidney disease) stage 4, GFR 15-29 ml/min stable with recent baseline.   Mild, chronic Normocytic anemia likely related to kidney disease.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: No adverse event, Product preparation error, Single component of a two-component product administered
Clinical narrative: Medical Assistant didn't combine the diluent with the powder. Only diluent was administered to patient. No outcome/symptoms reported by patient after diluent was administered. Patient was contacted to reschedule nursing appt. to reapply vaccine.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Chest discomfort, Dyspnoea, Feeling abnormal, Loss of personal independence in daily activities
Clinical narrative: within 30-45 minutes of leaving clinic patient was on his way back to school (driving) when he called me and said he was having trouble breathing and it felt like he had a cement block on his chest.  I told him to pull over and park his car and shut it off.  I drove to him and picked him up and took him back to the clinic.  They observed him for about 30-45 minutes and told us to go home if symptoms got worse take him to the emergency room.  Patient stayed home from school all day, didnt feel good
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fall, Loss of consciousness
Clinical narrative: 2:30 am I awoke and got up to go to the bathroom and get a drink of water. After urination, I went unconscious for a brief period and fell onto the tile floor. I was able to pull myself up and proceeded to the refrigerator where it happened again while filling a glass. Again, I came to and attempted to get back to bed when it happened a third time. My wife awoke and assisted me back to bed. No serious injury just bruised and sore. Took my BP at 10:00am and it was lower than usual (110/62). No further incidents have occurred and blood pressure is normal.
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: The patient never presented with adverse events from the vaccine
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: This patient received 2 Flu vaccines in the month of November.  One Flu vaccine was administered 11/02/2023 and the other Flu vaccine was administered 11/15/2023.
Age: 63.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: No adverse event
Clinical narrative: NO ADVERSE REACTIONS NOTED BEFORE CLIENT LEAVING POST VACCINATION AREA.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pt reports that deltoid area hurt unusually during vaccine and shortly after developed pain and decreased range of motion of L shoulder.    We were advised of this by pt. 5 weeks post vaccine--  decreased range was still an issue and pain, particularly sleeping on Left side.  Exam showed passive ROM limited to 90 degrees flexion and 90 degrees abduction, o/w normal at this time, with tenderness at lower deltoid insertion.  Per pt report via email at 6 weeks post vaccination,  both pain and range were improving.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Cold sweat, Fatigue, Tinnitus, Vision blurred
Clinical narrative: On 8/13/23, 5 days after vaccine, patient had blurry vision, ringing ears,c old sweat for 10 min.  Was exhausted the rest of the day.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Covid 19 vaccine was not Diluted with 1.1 of Dilution. Covid vaccine was given at a strong strenght.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Myalgia
Clinical narrative: PATIENT HAD REDNESS AT INJECTION SITE AND HAD TENDER MUSCLE.  AFFECTED AREA WAS ABOUT 3 X 4 INCHES.  REACTION WAS ALMOST GONE BY TODAY (IN 4 DAYS). TOOK A PICTURE OF THE AFFECTED AREA AND ATTACHED IN PATIENT PROFILE
Age: 65.0
Sex: M
Vaccine: PNC20, RSV
Symptoms: Decreased appetite, Dizziness, Dizziness postural, Mental impairment, Pyrexia
Clinical narrative: I woke up the morning after I got the shot, I was feeling really dizzy, feverish, couldn't stand up because of the dizziness. This lasted 2 days. I didn't eat for a day, and then a little the next day. My head was just spinning. I was able to get up and walk a little 2-3 days after but only a short distance before getting dizzy again. I couldn't think clearly. I still feel lightheaded and feverish.
Age: 65.0
Sex: M
Vaccine: PNC20, RSV
Symptoms: Vertigo
Clinical narrative: I woke up the morning after I got the shot, I was feeling really dizzy, feverish, couldn't stand up because of the dizziness. This lasted 2 days. I didn't eat for a day, and then a little the next day. My head was just spinning. I was able to get up and walk a little 2-3 days after but only a short distance before getting dizzy again. I couldn't think clearly. I still feel lightheaded and feverish.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: The patient never presented with adverse events from the vaccine
Age: 64.0
Sex: M
Vaccine: FLUR4
Symptoms: Computerised tomogram normal, Injected limb mobility decreased, Injection site pain, Magnetic resonance imaging
Clinical narrative: Patient reports that on October 5th, 2023 he received a flu vaccine in his left arm at 18101. He states that vaccine may have been slightly more painful than usual but nothing extreme. Since then, he has been experiencing "excruciating" pain and limited mobility on left side. He has tried ibuprofen with minimal relief. He went to his PCP and they stated that the shot may have been given too high. They ordered CT scan which was normal. He received a follow up MRI of left shoulder this morning and has appointment with an orthopedic group on Monday.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness
Clinical narrative: dizziness occurred about 1 week after receiving vaccine.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: no known adverse events.  patient received wrong dose.  father wrote on consent form patient was 3 years old - patient given. 0.5mL.  Patient DOB reveals patient was 2 years old and correct dose for that age should have been 0.25 mL.  Calls to family have gone unanswered/unreturned to check on status of patient.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Neck pain
Clinical narrative: I woke up the next day with a very sore injection site and very sore neck muscles.
Age: 25.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Nausea, Palpitations
Clinical narrative: Presents to clinic for palpitations, nausea the morning after the vaccines. Recommend EKG at urgent care and Holter monitoring with primary care physician.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site bruising, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: There is a large local reaction to the vaccine. The vaccine was administered too low and appears to have been given subcutaneous instead of intramuscular in deltoid. The injection site is red, bruised, warm to the touch, is hardened/raised, and painful. Healthcare provider recommended antihistamine treatment, cold compress for 20 min. If symptoms do not get better within a few days, return for follow up.