chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Moderna Bivalent Booster 0.25mcg was given to patient, was to be given 0.5mcg, wrong dosage given to patient.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain
Clinical narrative: Patient was seen in the office of Dr. with c/o chest pain for 1 week.  Placed on observation status for evaluation and treatment.  Patient was diagnosed with Covid.  Patient was evaluated by cardiology and released from there care.  Patient chest pain was treated with pain medication and patient was discharged home 1/13/23.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient was given a third Shingrix vaccination.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pyrexia
Clinical narrative: Patient evaluated by the ER for c/o cough, SOB and fever at home.  He was diagnosed with Covid and admitted for evaluation and treatment.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Breast conserving surgery, Breast mass, Chemotherapy, Invasive breast carcinoma, Mammogram abnormal
Clinical narrative: Pt has annual routine mammograms which have always been normal. Her mammogram was normal 8/18/21. She was vaccinated for covid 19  in 12/21. On 8/22/22 her mammogram revealed a left breast mass- diagnosed with invasive mammary cancer and is currently ondergoing  chemotherapy treatment and had a partial mastectomy.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Headache, Malaise, Pain, Rhinorrhoea
Clinical narrative: My COVID-19 symptoms started on 12/20/2022 in the evening around 7:00PM- 8:00PM. I had a headaches, sniffles, and body aches. On 12/21/2022 in the morning I did COVID-19 home test which was positive. I called my doctor did a telehealth at 9:00AM in the morning. She prescribed me with molnupiravir for 5 days. I tested negative for COVID-19 infection on 01/07/2023.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: My COVID-19 symptoms started on 12/20/2022 in the evening around 7:00PM- 8:00PM. I had a headaches, sniffles, and body aches. On 12/21/2022 in the morning I did COVID-19 home test which was positive. I called my doctor did a telehealth at 9:00AM in the morning. She prescribed me with molnupiravir for 5 days. I tested negative for COVID-19 infection on 01/07/2023.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Moderna Bivalent Booster 0.25mcg was given to patient, was to be given 0.5mcg. Wrong dosage given.
Age: 1.17
Sex: M
Vaccine: MMR
Symptoms: Needle issue, Syringe issue
Clinical narrative: Needle was not in all the way and gave vaccine. However, vaccine liquid leaked through between needle and syringe.
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, PNC13, RV5
Symptoms: Coronavirus infection, Coronavirus test positive, Pyrexia
Clinical narrative: Fever of 106 treated with Tylenol by mom, patient discharged home
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Moderna Bivalent Booster 0.25mcg was given to patient, was to be given 0.5mcg. Wrong dosage given.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Blood test, Chest X-ray abnormal, Chills, Computerised tomogram
Clinical narrative: Within 2 hours flu-like symptoms.  Worse the next day.  Chills, sweats, fever, headache, temples hurt when I coughed.  Spoke to pharmacist almost daily and was told these were side effects from Shingrix vaccine and should subside by the next day.  By day three my lungs were being affected.  Breathing became difficult, I became very weak, hallucinated and was shaking the chills were so bad. The only reason I did not seek medical assistance earlier was because pharmacist repeatedly told me side effects would subside.  The last time I called told him I was being poisoned and his response was "no you are not".  Oh yes I was!!!!!!!!!!!
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Computerised tomogram thorax abnormal, Cough, Dyspnoea, Hallucination, Headache
Clinical narrative: Within 2 hours flu-like symptoms.  Worse the next day.  Chills, sweats, fever, headache, temples hurt when I coughed.  Spoke to pharmacist almost daily and was told these were side effects from Shingrix vaccine and should subside by the next day.  By day three my lungs were being affected.  Breathing became difficult, I became very weak, hallucinated and was shaking the chills were so bad. The only reason I did not seek medical assistance earlier was because pharmacist repeatedly told me side effects would subside.  The last time I called told him I was being poisoned and his response was "no you are not".  Oh yes I was!!!!!!!!!!!
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Hyperhidrosis, Influenza like illness, Intensive care, Lung disorder, Pneumonia
Clinical narrative: Within 2 hours flu-like symptoms.  Worse the next day.  Chills, sweats, fever, headache, temples hurt when I coughed.  Spoke to pharmacist almost daily and was told these were side effects from Shingrix vaccine and should subside by the next day.  By day three my lungs were being affected.  Breathing became difficult, I became very weak, hallucinated and was shaking the chills were so bad. The only reason I did not seek medical assistance earlier was because pharmacist repeatedly told me side effects would subside.  The last time I called told him I was being poisoned and his response was "no you are not".  Oh yes I was!!!!!!!!!!!
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Tremor, White blood cell count increased
Clinical narrative: Within 2 hours flu-like symptoms.  Worse the next day.  Chills, sweats, fever, headache, temples hurt when I coughed.  Spoke to pharmacist almost daily and was told these were side effects from Shingrix vaccine and should subside by the next day.  By day three my lungs were being affected.  Breathing became difficult, I became very weak, hallucinated and was shaking the chills were so bad. The only reason I did not seek medical assistance earlier was because pharmacist repeatedly told me side effects would subside.  The last time I called told him I was being poisoned and his response was "no you are not".  Oh yes I was!!!!!!!!!!!
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and tested positive for COVID-19, resulting in hospitalization
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: RED RAISED AREA LEFT DELTOID,  ROUND 12CM AREA , TENDER TO TOUCH, MYALGIA .
Age: 0.83
Sex: F
Vaccine: RV5
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given Rotavirus at her 9 month visit instead of her 6 month visit. Provider was informed; checked with parent and the patient and they both were fine.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given half dose of Covid Booster Moderna Bivalent, Patient was given wrong dosage 0.25mcg not 0.5mcg.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Paranasal sinus discomfort, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: I felt very tired after receiving the vaccine for a day.  I tested positive for COVID-19 on 12/30/2022. I had sinus pressure and a tickle. I contacted my doctor, and they did not recommend taking Paxlovid. I took Advil for one day to help me with my symptoms. It took thirteen days to test negative for COVID-19, but I finally tested negative on 01/13/2023.
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pruritus
Clinical narrative: Systemic: Allergic: Itch Generalized-Severe
Age: 17.0
Sex: F
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction to the event. Pt was called and informed.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given half dose of Moderna Bivalent Booster 0.25mcg not 0.5mcg. Wrong dosage given
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Additional Details: Apparently patient faints/becomes diaphoretic at all vaccinations, according to grandfather, ***after*** the incident. No prior report of issues before vaccinating patient. Helped lay patient on ground to avoid injury once it was evident she was losing conciousness. Grabbed orange gatorade for her once conciousness regained to help assist her recovery. After about 10 minutes, patient recovered fully.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Administered the 12+ Pfizer COVID-19 Bivalent vaccine to 11 year old patient. No signs or symptoms present at the time of administration.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 0.5
Sex: M
Vaccine: FLU4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given 2nd dose of flu vaccine after 4 days of original dose instead of 4 weeks later.  No adverse side effects noted.
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: A Pfizer pediatric bivalent COVID vaccine was administered to an 8 year old patient on 12/27/22. It was realized after the fact that the vaccine had a BUD of 12/24/22. I contacted Pfizer to see if they had stability data for 73 days in the refrigerator and to find out if the patient needed to be revaccinated. They didn't immediately have an answer for me. I had to submit a temperature excursion form to their quality team. The response from the team at Pfizer was as follows: We do have stability data to support your excursion from prescribed storage conditions. Stability data supports the storage of unpunctured vials between 2-8 degrees C for up to 75 days. Based on that information, the patient's vaccine was viable and does not need to be readministered.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Cough
Clinical narrative: A bad dry cough that I had to see a lung doctor for medicine
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Headache, Lethargy, Malaise
Clinical narrative: Headache, lethargy,fever, stuffy nose, sore throat, cough developed fourth day with chest tightness. Required doctor visit.  She Is still sick a week later. I believe the shot gave her covid and I hope it doesn?t turn into myocarditis or death
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain
Clinical narrative: Headache, lethargy,fever, stuffy nose, sore throat, cough developed fourth day with chest tightness. Required doctor visit.  She Is still sick a week later. I believe the shot gave her covid and I hope it doesn?t turn into myocarditis or death
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Psoriasis, Rash, Rash pruritic
Clinical narrative: About 1-2 weeks after receiving the vaccine, I developed a very itchy rash under skin folds that then spread to my entire torso and arms. After seeing a PCP and trying multiple treatments that did not work, I saw aDermatologist, who diagnosed with widespread first onset psoriasis.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given half dose of Moderna bivalent booster. Wrong dosage was given.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient received an additional booster shot
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Dizziness, Hypoaesthesia, Syncope
Clinical narrative: Heart pain, irregular heart beat. Numb fingers, fainting,  light headed
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test, Computerised tomogram, Magnetic resonance imaging, Retinal artery occlusion, Visual impairment
Clinical narrative: I woke up with two dark blind spots in my right eye. I called the doctor to inform them on what was going on. They informed me to go to the emergency room. They thought I had a CRVO but they ran me through a CT scan, drew blood twice, and took an MRI scan. I saw an ophthalmologist yesterday 01/12/2023 and was diagnosed with a retina artery occlusion.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/16/22 presents to ED for "shortness of breath". PMHx of "ILD, cerebral atherosclerosis".
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Heart rate irregular, Syncope
Clinical narrative: -Fainting  - Heavy breathing  - Irregular heartbeat - Fever  These symptoms lasted about 24 hours and were similar the one she experienced with previous pfizer covid-19 vaccination in 2021
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever 100.7, chills, body aches, headache x 24 hrs
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Myalgia, Nausea
Clinical narrative: On 1/10/23, Patient reported to the nurse that she started having chills, muscle aches, and nausea.  These symptoms subsided about  24 hours after reporting.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tendon pain
Clinical narrative: A week after having Pfizer bivalent booster I suddenly started having pain in both Achilles tendons, no prior issues of any kind, no change in routine, exercise, shoes etc. it?s been painful and chronic ever since.  Purchased new supportive shoes, performed recommended stretching exercises, ice rest etc. No improvement ,only worse. My prior Covid vaccines were all Moderna. The second Moderna booster (4th Moderna shot)  was only 60 days before bivalent Pfizer booster
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arrhythmia, Cardiac stress test abnormal, Cardiomegaly, Echocardiogram abnormal, Electrocardiogram abnormal
Clinical narrative: ARRHYTHMIA  ENLARGED HEART WALL EKG , STRESS TEST, ECHOCARDIOGRAM RX METOPROLOL 5 MG CONTINUE TO EXPERIENCE IRREGULAR HEARTBEAT
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate irregular
Clinical narrative: ARRHYTHMIA  ENLARGED HEART WALL EKG , STRESS TEST, ECHOCARDIOGRAM RX METOPROLOL 5 MG CONTINUE TO EXPERIENCE IRREGULAR HEARTBEAT
Age: 31.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received a second dose of 2022-2023 flu vaccine
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Brain stem stroke, Computerised tomogram head abnormal, Magnetic resonance imaging head abnormal
Clinical narrative: Brain Stem Strike
Age: 27.0
Sex: F
Vaccine: COVID19, UNK, UNK
Symptoms: Chills, Hyperhidrosis, Influenza virus test negative, Malaise, Nausea
Clinical narrative: Started feeling ill to stomach 5 hours after vaccination. Started violently throwing up and discarded everything in my stomach including stomach acid about 11 1/2 hours after vaccination. Fever started 1/12/2023 about 9 am at 100.8.  Took Motrin to bring fever down. It is now 1/13/2023 at 3:04 pm and I went to urgent care about 30 mins ago being told this did seem like a reaction. I am fever free but still sick to my stomach and still throwing up if I move around too quickly or too often and also am getting cold chills and sweating in a shirt and pants in 46 degree weather. I have never had a reaction to a vaccination before.
Age: 27.0
Sex: F
Vaccine: COVID19, UNK, UNK
Symptoms: Pyrexia, Vomiting
Clinical narrative: Started feeling ill to stomach 5 hours after vaccination. Started violently throwing up and discarded everything in my stomach including stomach acid about 11 1/2 hours after vaccination. Fever started 1/12/2023 about 9 am at 100.8.  Took Motrin to bring fever down. It is now 1/13/2023 at 3:04 pm and I went to urgent care about 30 mins ago being told this did seem like a reaction. I am fever free but still sick to my stomach and still throwing up if I move around too quickly or too often and also am getting cold chills and sweating in a shirt and pants in 46 degree weather. I have never had a reaction to a vaccination before.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Fibromuscular dysplasia, Headache, Magnetic resonance imaging head, Pain in extremity
Clinical narrative: I only had a sore arm for a day or two after receiving the vaccine. The first of August 2022 I started experiencing headaches in the front of my head. I contacted my doctor, and I had a brain MRI and a brain CT scan. After that I was referred to a neurologist and she reviewed the test and diagnosed me with fibromuscular dysplasia. The doctor was not concerned about it at this time but advised to take baby aspirin and magnesium every day.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Previous two covid vaccine doses were imported from Immunization Information System) and were entered as Pfizer was given.  Upon my review yesterday of looking at the immunizations tab and seeing two doses of Pfizer, I gave the 3rd bivalent dosing as per protocol.  Mom called this morning saying that patient got Moderna for first two doses and realized he received Pfizer yesterday.  In reviewing the chart, when you click all the way into those previous doses Moderna is then listed as the manufacturer.  This is not seen from immunization screen we are viewing to check doses.  I believe this is a flaw between communicating which our organization is currently troubleshooting.
Age: 0.17
Sex: M
Vaccine: FLU4
Symptoms: Cough, Wrong product administered
Clinical narrative: the patient was given a fluzone at the 2 month visit by mistake.  the only thing the parent has noticed is that the patient has developed a cough
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Optic ischaemic neuropathy, Visual field defect
Clinical narrative: Acute ischemic Optic Neuropathy (eye stroke) right eye. Loss is peripheral vision.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received Covid booster 1 day passed beyond use date.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Benign hydatidiform mole, Biopsy uterus abnormal, Blood test, Human chorionic gonadotropin, Maternal exposure before pregnancy
Clinical narrative: I was six weeks pregnant when I started bleeding on September 4, 2022. I was not seen formally on 09/06/2022, which was noted that there was no pregnancy in my uterus but they knew from my HCG levels that I was pregnant before,  I had to go back two days later and they Biopsy on the fluid that was in my uterus and it came back abnormal, Molar Pregnancy was what they thought it was but they found out that it was not correct and I was treated with Methotrexiate to stop the rising the HCG levels. Blood work was done on the 6of Sept and they did an ultra sound as well.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound antenatal screen abnormal
Clinical narrative: I was six weeks pregnant when I started bleeding on September 4, 2022. I was not seen formally on 09/06/2022, which was noted that there was no pregnancy in my uterus but they knew from my HCG levels that I was pregnant before,  I had to go back two days later and they Biopsy on the fluid that was in my uterus and it came back abnormal, Molar Pregnancy was what they thought it was but they found out that it was not correct and I was treated with Methotrexiate to stop the rising the HCG levels. Blood work was done on the 6of Sept and they did an ultra sound as well.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/17/22 presents to ED for "shortness of breath". PMHx of " atrial fibrillation on Coumadin, COPD, CHF, coronary artery disease, squamous cell carcinoma of her leg, DVT, anxiety, depression, hypertension, GERD, GI bleed, mitral regurgitation and pulmonary hypertension"
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Mobility decreased, Myocardial infarction, Pain
Clinical narrative: After the 3 week period my husband suffered from a mild heart attack. It was very painful and he complained about not moving his arm for a day or 2 because how painful it was.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The first symptoms I had were a sore throat and a fever. I took TYLENOL for the fever of 101.1. By the next day the fever had gone down. I completed a COVID 19 home test the next morning and received a strong positive. I spoke with the doctor on Tuesday, and I got the PAXLOVID prescription. The symptoms improved and almost went away. I began to get a productive cough. It brought up a lot of material. The symptoms gradually faded. I still have the cough, but it is no longer productive. I do feel I have recovered from my symptoms outside of the cough.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin abnormal, Immunosuppressant drug therapy, Morphoea, Scar
Clinical narrative: Diagnosed  as Generalized Morphea.   Treatment included high doses of steroids & immunosuppressants. Symptoms: hard, oval-shaped patches on my skin on legs, arms, back. Time: This lasted several months with permanent skin scarring.
Age: 59.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Blood pressure increased, Cardiomegaly, Chest X-ray abnormal, Cough, Electrocardiogram abnormal
Clinical narrative: During my wellness check up I had an ECG and Chest x-ray and it was discovered that I had Pneumonia and an enlarged heart. I had wheezing and coughing due to Pneumonia. I also have had elevated BP of 160/90. I have an upcoming Cardiologist appointment in March to address my enlarged heart.
Age: 59.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pneumonia, Wheezing
Clinical narrative: During my wellness check up I had an ECG and Chest x-ray and it was discovered that I had Pneumonia and an enlarged heart. I had wheezing and coughing due to Pneumonia. I also have had elevated BP of 160/90. I have an upcoming Cardiologist appointment in March to address my enlarged heart.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Seasonal influenza was administered on 9/30/22 and another dose was administered on 1/13/2023
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient reported no adverse reactions to 5th dose of Pfizer vaccine. Upon processing prescriptions administered during the day, it was discovered that patient had received an extra dose of the vaccine in error. Patient was contacted regarding this error but has not called the pharmacy back yet.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Facial paralysis, Laboratory test, Loss of control of legs, Magnetic resonance imaging
Clinical narrative: 7 am 12/28/22 felt leaning towards rt. side, couldn't control rt. arm, extended to rt. leg and facial droop.  went to ER by 7:45 AM, started stroke protocol, CT scan done, given TNK.  transferred to main hospital, admitted to hospital. continued improvement and went home 12/30/22
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Movement disorder, Posture abnormal
Clinical narrative: 7 am 12/28/22 felt leaning towards rt. side, couldn't control rt. arm, extended to rt. leg and facial droop.  went to ER by 7:45 AM, started stroke protocol, CT scan done, given TNK.  transferred to main hospital, admitted to hospital. continued improvement and went home 12/30/22
Age: 17.0
Sex: M
Vaccine: PNC13
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: This patient is 17 year old and did not need PCV 13, but was given inadvertently. NO ADVERSE events noted
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Discomfort, Rhinorrhoea, Sinusitis
Clinical narrative: When I first started, I had a lot of pressure in my face and cough. I started taking over the counter medication thinking it was a cold. It wasn't helping. I called the doctor and was diagnosed with a sinus infection. I was given antibiotics, but they don't seem to be working. I called my doctor again, its been about 6 weeks now and I still have the cough and now a runny nose, but the pressure is gone.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received bivalent preparation of Moderna vaccine as her second dose.  No adverse events were noted/documented.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Death, Full blood count, Hypotension, Metabolic function test
Clinical narrative: Patient received the COVID-19 Bivalent Booster vaccine on 1/5/2023. On 1/7/2023 patient was sent to the hospital due to hypotension and later expired.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Computerised tomogram abnormal, Dizziness, Heart rate irregular
Clinical narrative: He got his vaccine, continued on as normal that day.  At one point he got a muscle spasm in that area for about 5 minutes.  The next morning he felt fine, didn't do much activity that day but resting up for a music gig later.  He set up his musical gear, started to get dizzy and speech was affected.  He was having trouble communicating with the people at the bar, had not been drinking just setting up.  He started packing up thinking this may have been a stroke, which he informed him, who called 9-1-1.  They ambulance came and he went to a local healthcare center.  He had an MRI and a CT scan which confirmed an small vessel ischemic stroke without bleed.  He was in the hospital for 4 days.  He was treated with blood thinners and statin's and aspirin, which he is now.  They put him on Plavix for 21 days, and is now on 81 mg aspirin and on Lipitor 40 mg but now since on the aspirin and has a new PCP which has dropped it down to 20.     His dizziness did go away after his treatment in the hospital.  He has an irregular heart beat which he did not have this in the past.   He is now seeing a Dr.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke, Magnetic resonance imaging abnormal, Muscle spasms, Speech disorder
Clinical narrative: He got his vaccine, continued on as normal that day.  At one point he got a muscle spasm in that area for about 5 minutes.  The next morning he felt fine, didn't do much activity that day but resting up for a music gig later.  He set up his musical gear, started to get dizzy and speech was affected.  He was having trouble communicating with the people at the bar, had not been drinking just setting up.  He started packing up thinking this may have been a stroke, which he informed him, who called 9-1-1.  They ambulance came and he went to a local healthcare center.  He had an MRI and a CT scan which confirmed an small vessel ischemic stroke without bleed.  He was in the hospital for 4 days.  He was treated with blood thinners and statin's and aspirin, which he is now.  They put him on Plavix for 21 days, and is now on 81 mg aspirin and on Lipitor 40 mg but now since on the aspirin and has a new PCP which has dropped it down to 20.     His dizziness did go away after his treatment in the hospital.  He has an irregular heart beat which he did not have this in the past.   He is now seeing a Dr.
Age: 1.08
Sex: F
Vaccine: COVID19
Symptoms: Cardiac function test normal, Pulmonary function test normal, Vomiting projectile
Clinical narrative: Pt was given vaccine in L thigh. At the 10-minute mark of the waiting period she vomited a small amount of undigested food. Roughly 2 minutes later pt began projectile vomiting undigested food in large quantities. This lasted 2-3 minutes. She tolerated this well, did not have any LOC, fussing or crying. VItal remained stable, cardiac and pulmonary exam WNL. 5 minutes later pt began vomiting again, this time asmall amount of mostly bile. She was given a few sips of water without issue.  Pt and mother were instructed to wait in the office for another 45 minutes for monitoring - no incidents occurred during this waiting period. They left the office. Instructed to seek emergency care for any lingering or severe symptoms (i.e; uncontrollable vomiting, lethargy, difficulty breathing). Increase fluid intake and feed smaller more frequent bland meals.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Heart rate irregular, Migraine
Clinical narrative: Migraine like headache (Approx 4+ hours) Noticeable deep heartbeat (several hours Chills (2 hours +)
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Blood creatinine increased, Brain natriuretic peptide increased
Clinical narrative: Patient is a 79 y.o. female patient of MD with history of CKD stage 4, CAD, T2DM, HTN, HLD, GERD, OSA requiring CPAP, and rheumatoid arthritis  presented to Hospital with worsening SOB.   Assessment and Plan   Acute hypoxic respiratory failure, improved COVID-19 pneumonia P/w worsening SOB; had returned home from SNFon 2L NC QHS Troponin negative x2, ntBNP 3528 (204 on 11/28/22) CXR: cardiomegaly and interstitial markings.  EKG: NSR, Qtc 457 Echo in June 2022 showed normal EF of 60 to 65%, no pulm HTN Continue Decadron 6mg daily for 10 days  Albuterol, robitussin-DM, tylenol PRN S/p Levaquin for potential superimposed bacterial pneumonia PT/OT/SW O2 weaned to 2L NC 12/18.  Continue Mucinex, Robitussin-DM, IS/PEP  Plan to discharge home   AKI on CKD-III Initial Cr 1.21, peaked at 2.99. Now 1.98 Prerenal from overdiuresis.  Continue to hold Lasix for another 2 days Follow-up with nephrology clinic in 1 month for longitudinal care   NSTEMI Chronic HFpEF Likely type 2 MI in setting of AHRF and COVID-19 pneumonia Denies chest pain, troponin down trending Echo in June 2022 showed normal EF of 60 to 65%, no pulm HTN Cardiology rec outpatient nuclear stress test   Type 2 DM with hyperglycemia requiring long-term current use of insulin Last A1c 6.1 on 11/28/22  Continue home regimen   Rheumatoid arthritis Chronic presentations without joint swelling or acute deformity Continue home plaquenil   Chronic back pain Multilevel diffuse disc bulging and degenerative disc disease on CT L-spine and mild disease on CT C-spine Known hx of impaired gait in context of RA and plantar fascitis with regular wheeled walker use  PT/OT Lyrica bid Pain control with PRN oxycodone
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19 pneumonia, Cardiac failure, Cardiomegaly, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Patient is a 79 y.o. female patient of MD with history of CKD stage 4, CAD, T2DM, HTN, HLD, GERD, OSA requiring CPAP, and rheumatoid arthritis  presented to Hospital with worsening SOB.   Assessment and Plan   Acute hypoxic respiratory failure, improved COVID-19 pneumonia P/w worsening SOB; had returned home from SNFon 2L NC QHS Troponin negative x2, ntBNP 3528 (204 on 11/28/22) CXR: cardiomegaly and interstitial markings.  EKG: NSR, Qtc 457 Echo in June 2022 showed normal EF of 60 to 65%, no pulm HTN Continue Decadron 6mg daily for 10 days  Albuterol, robitussin-DM, tylenol PRN S/p Levaquin for potential superimposed bacterial pneumonia PT/OT/SW O2 weaned to 2L NC 12/18.  Continue Mucinex, Robitussin-DM, IS/PEP  Plan to discharge home   AKI on CKD-III Initial Cr 1.21, peaked at 2.99. Now 1.98 Prerenal from overdiuresis.  Continue to hold Lasix for another 2 days Follow-up with nephrology clinic in 1 month for longitudinal care   NSTEMI Chronic HFpEF Likely type 2 MI in setting of AHRF and COVID-19 pneumonia Denies chest pain, troponin down trending Echo in June 2022 showed normal EF of 60 to 65%, no pulm HTN Cardiology rec outpatient nuclear stress test   Type 2 DM with hyperglycemia requiring long-term current use of insulin Last A1c 6.1 on 11/28/22  Continue home regimen   Rheumatoid arthritis Chronic presentations without joint swelling or acute deformity Continue home plaquenil   Chronic back pain Multilevel diffuse disc bulging and degenerative disc disease on CT L-spine and mild disease on CT C-spine Known hx of impaired gait in context of RA and plantar fascitis with regular wheeled walker use  PT/OT Lyrica bid Pain control with PRN oxycodone
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram normal, Glycosylated haemoglobin, Interstitial lung abnormality, Scan myocardial perfusion, Troponin increased
Clinical narrative: Patient is a 79 y.o. female patient of MD with history of CKD stage 4, CAD, T2DM, HTN, HLD, GERD, OSA requiring CPAP, and rheumatoid arthritis  presented to Hospital with worsening SOB.   Assessment and Plan   Acute hypoxic respiratory failure, improved COVID-19 pneumonia P/w worsening SOB; had returned home from SNFon 2L NC QHS Troponin negative x2, ntBNP 3528 (204 on 11/28/22) CXR: cardiomegaly and interstitial markings.  EKG: NSR, Qtc 457 Echo in June 2022 showed normal EF of 60 to 65%, no pulm HTN Continue Decadron 6mg daily for 10 days  Albuterol, robitussin-DM, tylenol PRN S/p Levaquin for potential superimposed bacterial pneumonia PT/OT/SW O2 weaned to 2L NC 12/18.  Continue Mucinex, Robitussin-DM, IS/PEP  Plan to discharge home   AKI on CKD-III Initial Cr 1.21, peaked at 2.99. Now 1.98 Prerenal from overdiuresis.  Continue to hold Lasix for another 2 days Follow-up with nephrology clinic in 1 month for longitudinal care   NSTEMI Chronic HFpEF Likely type 2 MI in setting of AHRF and COVID-19 pneumonia Denies chest pain, troponin down trending Echo in June 2022 showed normal EF of 60 to 65%, no pulm HTN Cardiology rec outpatient nuclear stress test   Type 2 DM with hyperglycemia requiring long-term current use of insulin Last A1c 6.1 on 11/28/22  Continue home regimen   Rheumatoid arthritis Chronic presentations without joint swelling or acute deformity Continue home plaquenil   Chronic back pain Multilevel diffuse disc bulging and degenerative disc disease on CT L-spine and mild disease on CT C-spine Known hx of impaired gait in context of RA and plantar fascitis with regular wheeled walker use  PT/OT Lyrica bid Pain control with PRN oxycodone
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt in office today to receive Covid booster. Pt was given >12 Bivalent booster instead of 5-11.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Influenza like illness, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I thought I was getting the flu. The next day I had a fever which went up to 102.7 the next day. I was able to get an appointment the next day. I was given a COVID-19 PCR test on 12/17/2022 and it was positive. I was given the standard medication and I had taken a nighttime cold and flu medication over the counter, so I was beginning to feel better. After 2 or 3 more days, I no longer had any symptoms. I have recovered from all of the symptoms. I have felt very well the last 3 weeks. I recovered very rapidly from it with no lingering effects.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: On January 5, female patient 21 y/o, came in to the office under a procedure encounter to received vaccines as prescribed by provider. She received Hepatitis B, Varicella and MMR. Vaccine administration without adverse effects or complications observed. However, when documenting medical assistant noticed that the Hep B vaccine administration wasn't for adults, patient received the Hep B for adolescent or pediatric (0-19 y/o). Next day the situation was notified to me, and manager and medical director were informed about. Doctor (Medical Director has been trying to contact the patient without success to be notify her to come back. Request sent by MD to Care Coordinator to send a letter to the patient requesting a call back
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood bicarbonate decreased, Blood creatinine increased, Blood culture negative
Clinical narrative: Patient is a 61 y.o. male who is a patient of DO with significant medical history of HTN, bipolar disorder, cardiomyopathy, GERD, HFrEF, HLD, OSA presented to Hospital with dyspnea and hypotension.   Acute respiratory failure with hypoxia Covid-19 Virus Infection Possible community acquired bacterial pneumonia Date of onset of symptoms: 12/17/22 Symptoms present on admission: malaise, dyspnea, cough Date of covid positive test: 12/17/22 Vaccination status: vaccinated Imaging: CXR with bibasilar infiltrates concerning for bacterial overlay,  Though generally uncommon with covid - will check micro data and include antibiotics Cultures: Blood cultures no growth to date.  Sputum culture, pneumonia urine antigens ordered Oxygen requirements on admission: 4L Current oxygen requirements: None Medical therapy: Decadron, Rocephin, Azithromycin Discharge Rx: Decadron to complete 10 days, Omnicef to complete 7 days, azithromycin to complete 5 days   AKI on CKD Metabolic acidosis BUN 66 / Cr 2.72, Bicarb 16 Baseline Cr ~ 1.5 with some baseline variation With both AKI and acidosis, as well as contraindication to repeated bolus with resp failure Bicarb drip started on admission Nephrology consulted Creatinine improved to 1.65 on 12/25 Bicarbonate improved to 23 on 12/25 Follow-up with patient's primary nephrologist as outpatient  Hypotension, resolved HTN Chronic HTN but reportedly hypotensive at home Told to hold antihypertensives and presents normotensive to mildly hypertensive Coreg, hydralazine, nifedipine resumed Valsartan to be held until follow-up with nephrology   PAF Coreg for rate control Eliquis for stroke prophylaxis S/p pacer   Chronic pancreatitis Continue Welchol and Creon   Elevated troponin Troponin 73, chronically elevated, delta flat In absence of chest pain EKG paced without any convincing evidence of ischemia No further inpatient work-up   DM2 with longterm insulin use A1c 7.1 Lantus and SSI   Mood disorder Continue Depakote, Abilify, Buspar Decrease Nocturnal Ativan with respiratory failure   OSA Nonadherent to CPAP Monitor on continuous pulse ox  Chronic HFrEF With recovered EF at 55% Sept '21 Continue Coreg Hold Lasix initially with AKI
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Patient is a 61 y.o. male who is a patient of DO with significant medical history of HTN, bipolar disorder, cardiomyopathy, GERD, HFrEF, HLD, OSA presented to Hospital with dyspnea and hypotension.   Acute respiratory failure with hypoxia Covid-19 Virus Infection Possible community acquired bacterial pneumonia Date of onset of symptoms: 12/17/22 Symptoms present on admission: malaise, dyspnea, cough Date of covid positive test: 12/17/22 Vaccination status: vaccinated Imaging: CXR with bibasilar infiltrates concerning for bacterial overlay,  Though generally uncommon with covid - will check micro data and include antibiotics Cultures: Blood cultures no growth to date.  Sputum culture, pneumonia urine antigens ordered Oxygen requirements on admission: 4L Current oxygen requirements: None Medical therapy: Decadron, Rocephin, Azithromycin Discharge Rx: Decadron to complete 10 days, Omnicef to complete 7 days, azithromycin to complete 5 days   AKI on CKD Metabolic acidosis BUN 66 / Cr 2.72, Bicarb 16 Baseline Cr ~ 1.5 with some baseline variation With both AKI and acidosis, as well as contraindication to repeated bolus with resp failure Bicarb drip started on admission Nephrology consulted Creatinine improved to 1.65 on 12/25 Bicarbonate improved to 23 on 12/25 Follow-up with patient's primary nephrologist as outpatient  Hypotension, resolved HTN Chronic HTN but reportedly hypotensive at home Told to hold antihypertensives and presents normotensive to mildly hypertensive Coreg, hydralazine, nifedipine resumed Valsartan to be held until follow-up with nephrology   PAF Coreg for rate control Eliquis for stroke prophylaxis S/p pacer   Chronic pancreatitis Continue Welchol and Creon   Elevated troponin Troponin 73, chronically elevated, delta flat In absence of chest pain EKG paced without any convincing evidence of ischemia No further inpatient work-up   DM2 with longterm insulin use A1c 7.1 Lantus and SSI   Mood disorder Continue Depakote, Abilify, Buspar Decrease Nocturnal Ativan with respiratory failure   OSA Nonadherent to CPAP Monitor on continuous pulse ox  Chronic HFrEF With recovered EF at 55% Sept '21 Continue Coreg Hold Lasix initially with AKI
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Glycosylated haemoglobin increased, Hypotension, Lung infiltration, Malaise
Clinical narrative: Patient is a 61 y.o. male who is a patient of DO with significant medical history of HTN, bipolar disorder, cardiomyopathy, GERD, HFrEF, HLD, OSA presented to Hospital with dyspnea and hypotension.   Acute respiratory failure with hypoxia Covid-19 Virus Infection Possible community acquired bacterial pneumonia Date of onset of symptoms: 12/17/22 Symptoms present on admission: malaise, dyspnea, cough Date of covid positive test: 12/17/22 Vaccination status: vaccinated Imaging: CXR with bibasilar infiltrates concerning for bacterial overlay,  Though generally uncommon with covid - will check micro data and include antibiotics Cultures: Blood cultures no growth to date.  Sputum culture, pneumonia urine antigens ordered Oxygen requirements on admission: 4L Current oxygen requirements: None Medical therapy: Decadron, Rocephin, Azithromycin Discharge Rx: Decadron to complete 10 days, Omnicef to complete 7 days, azithromycin to complete 5 days   AKI on CKD Metabolic acidosis BUN 66 / Cr 2.72, Bicarb 16 Baseline Cr ~ 1.5 with some baseline variation With both AKI and acidosis, as well as contraindication to repeated bolus with resp failure Bicarb drip started on admission Nephrology consulted Creatinine improved to 1.65 on 12/25 Bicarbonate improved to 23 on 12/25 Follow-up with patient's primary nephrologist as outpatient  Hypotension, resolved HTN Chronic HTN but reportedly hypotensive at home Told to hold antihypertensives and presents normotensive to mildly hypertensive Coreg, hydralazine, nifedipine resumed Valsartan to be held until follow-up with nephrology   PAF Coreg for rate control Eliquis for stroke prophylaxis S/p pacer   Chronic pancreatitis Continue Welchol and Creon   Elevated troponin Troponin 73, chronically elevated, delta flat In absence of chest pain EKG paced without any convincing evidence of ischemia No further inpatient work-up   DM2 with longterm insulin use A1c 7.1 Lantus and SSI   Mood disorder Continue Depakote, Abilify, Buspar Decrease Nocturnal Ativan with respiratory failure   OSA Nonadherent to CPAP Monitor on continuous pulse ox  Chronic HFrEF With recovered EF at 55% Sept '21 Continue Coreg Hold Lasix initially with AKI
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic acidosis, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient is a 61 y.o. male who is a patient of DO with significant medical history of HTN, bipolar disorder, cardiomyopathy, GERD, HFrEF, HLD, OSA presented to Hospital with dyspnea and hypotension.   Acute respiratory failure with hypoxia Covid-19 Virus Infection Possible community acquired bacterial pneumonia Date of onset of symptoms: 12/17/22 Symptoms present on admission: malaise, dyspnea, cough Date of covid positive test: 12/17/22 Vaccination status: vaccinated Imaging: CXR with bibasilar infiltrates concerning for bacterial overlay,  Though generally uncommon with covid - will check micro data and include antibiotics Cultures: Blood cultures no growth to date.  Sputum culture, pneumonia urine antigens ordered Oxygen requirements on admission: 4L Current oxygen requirements: None Medical therapy: Decadron, Rocephin, Azithromycin Discharge Rx: Decadron to complete 10 days, Omnicef to complete 7 days, azithromycin to complete 5 days   AKI on CKD Metabolic acidosis BUN 66 / Cr 2.72, Bicarb 16 Baseline Cr ~ 1.5 with some baseline variation With both AKI and acidosis, as well as contraindication to repeated bolus with resp failure Bicarb drip started on admission Nephrology consulted Creatinine improved to 1.65 on 12/25 Bicarbonate improved to 23 on 12/25 Follow-up with patient's primary nephrologist as outpatient  Hypotension, resolved HTN Chronic HTN but reportedly hypotensive at home Told to hold antihypertensives and presents normotensive to mildly hypertensive Coreg, hydralazine, nifedipine resumed Valsartan to be held until follow-up with nephrology   PAF Coreg for rate control Eliquis for stroke prophylaxis S/p pacer   Chronic pancreatitis Continue Welchol and Creon   Elevated troponin Troponin 73, chronically elevated, delta flat In absence of chest pain EKG paced without any convincing evidence of ischemia No further inpatient work-up   DM2 with longterm insulin use A1c 7.1 Lantus and SSI   Mood disorder Continue Depakote, Abilify, Buspar Decrease Nocturnal Ativan with respiratory failure   OSA Nonadherent to CPAP Monitor on continuous pulse ox  Chronic HFrEF With recovered EF at 55% Sept '21 Continue Coreg Hold Lasix initially with AKI
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vial had been at room temperature 40min past the 24 hour rule. An unpunctured vial at room temperature must be used in 24 hours. Provider and Patient were made aware, patient has decided to not receive another repeat dose at this time.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anticoagulant therapy, Blood culture negative, Blood glucose increased
Clinical narrative: Patient is a 65 y.o. male patient of MD.   Report on admission: This is a 65-year-old male with severe mental retardation and is nonverbal presenting to the emergency department for altered mental status.  Caregiver at the bedside reports that this morning when they tried to get him up he did not want to open his eyes.  She states that he did not want to take his medication and usually he is very good about it.  EMS was called and he was noted to have a blood sugar of 55.  He was given D50 and seems to be more responsive.  Blood sugar at the recheck is over 200.  Upon arrival to the emergency department he is noted to have a blood pressure in the 60s.  Hospital course as below.  Patient improved with medical treatment.  Patient discharged back to group home in stable condition.     1.  COVID, + 12/25/2022: -CT chest without pneumonia -Decadron -Patient back on room air, no indication remdesivir -Lovenox DVT prophylaxis  2.  Acute hypoxic respiratory failure: Resolved -Secondary to above -Wean oxygen as able  3.  Elevated troponin: -Cardiology consulted -ACS ruled out -No further work-up at this time  4.  AKI: Resolved -Monitor labs  5.  Sepsis trigger: -Received broad-spectrum antibiotics in ER -12/25 blood cultures no growth to date -Urine culture negative -Monitor off antibiotics  6.  Acute encephalopathy: -CT head nonacute  7.  Other chronic medical conditions: History of anemia, known aortic aneurysm, bladder incontinence, history depression, nonverbal, OCD, history of seizure, mental retardation