chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Mobility decreased, Sleep disorder
Clinical narrative: Woke following morning with significant pain and limited use of left shoulder;  reported to office at 7 days post vaccination that still not able to lift left arm above chest level and has pain that wakes her in the night, denies redness or swelling.  some improvement reported without intervention (initially had to lift arm with other hand)
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Culture negative, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received covid -19 vaccine on 11/20//24 Wednesday on the left arm. Patient noticed injection site reaction the next morning.  Swelling, red, warm to the touch.  Patient applied Benadryl ointment at around 9am 11/21//2024. Patient noticed a blister on Thursday and this prompted her to do Virtual care visit  about 6-7pm.  Patient was advised to take arthritis Tylenol for pain, apply ice, and Neosporin and was with warm soapy water.  Then, patient went to clinic saw a physician assistant for second opinion who recommended that the patient see a Dermatologist and was also the provider who prescribed Clindamycin. Then, patient saw dermatologist who prescribed Tacrolimus Ointment. Dermatologist did a culture to see if the site had a fugus. Results came back negative or clear of fugus.  Patient will see her primary care doctor this coming Monday for another opinion 12/16/24.
Age: 36.0
Sex: M
Vaccine: COVID19, FLU3, TYP
Symptoms: Blood test normal, Chromaturia, Malaise, Urine analysis normal
Clinical narrative: I received my vaccines at the Community Health Clinic at 10am on 12/9/24. I am unsure of the type of seasonal influenza vaccine and the lot # is difficult to read on my vaccination card. I do not remember the last time I received a seasonal flu vaccine. The first 2 doses of the COVID19 vaccine were Moderna and received in Jan/Feb 2021. I received two Pfizer COVID19 boosters in November 2021 and September 2022 prior to the booster received on 12/9/24. No adverse side effects were felt with these. I had previously received a Typhoid vaccine in 2017 and did not have any adverse side effects.                                                                         In the evening of 12/9/24 following the vaccines, I started to feel general malaise, assumed to be normal after some vaccinations and took 1 tablet of Advil around 9pm.  On 12/10/24, the general malaise continued and I took 1 tablet of Advil at 4am, 11am, and 5pm to counter the effects.  At some point during 12/10/24, I noticed my urine was darker than usual and perhaps slightly foamy. On the morning 12/11/24, I felt much better (normal), though the discolored urine persisted. I visited the Clinic at 8am 12/11/24.
Age: 1.08
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC20, VARCEL
Symptoms: Ocular hyperaemia, Periorbital swelling
Clinical narrative: Patient has redness and swelling around his eyes within 15-30 mins after vaccine administration. No other active distress noted. Patient assessed by the nurse practitioner. Parent denied any allergies prior to the vaccination. Patient had also received Motrin few hours prior to vaccination. Parent was asked to monitor the patient for any signs of acute distress and go to the nearest emergency if any signs noted. Parent was advised to give Benadryl based on baby's weight.  Follow up was done with parent on 12/04/2024 via phone and parent mentioned that the periorbital swelling and redness went away after the dose of Benadryl. No other signs of distress noted after they left the facility on 12/03/2024.
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Abdominal discomfort, Abdominal pain upper, Headache, Injection site pruritus, Injection site rash
Clinical narrative: sore arm starting same day lasting 5 days, headache starting day 2 lasting 2 days, rash at site of shingles vaccine starting same day lasting 1 week, itching at site of shingles vaccine starting day 2 lasting 1 week, fever starting day 2 lasting 2 days, stomach cramp upset starting  day 2 lasting 1 day
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: sore arm starting same day lasting 5 days, headache starting day 2 lasting 2 days, rash at site of shingles vaccine starting same day lasting 1 week, itching at site of shingles vaccine starting day 2 lasting 1 week, fever starting day 2 lasting 2 days, stomach cramp upset starting  day 2 lasting 1 day
Age: 78.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Second dose given. No symptoms presently
Age: 65.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Arthralgia, Contusion
Clinical narrative: Pt had shoulder pain starting on 12/01/24. He said bruising started on 12/06/24. These reactions are delayed since they were 12 days after vaccine administration. The bruising is around most of his biceps and some of his triceps region. He went to his physician and he said it will be a few weeks of recovery. Pt has history of shoulder replacements in both shoulders. He is also on warfarin.
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Fatigue, Headache, Injection site pain, Injection site reaction, Muscle swelling
Clinical narrative: Muscle pain from injection to c. one week, muscle swelling and stiffness of whole left deltoid from day one to c. one week, headache and fever for one day, fatigue for two days,
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Musculoskeletal stiffness, Pyrexia
Clinical narrative: Muscle pain from injection to c. one week, muscle swelling and stiffness of whole left deltoid from day one to c. one week, headache and fever for one day, fatigue for two days,
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Patient was given correct Hep B vaccine but inappropriate dose for age.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia, Antinuclear antibody positive, Anxiety, Depression, Hypoaesthesia
Clinical narrative: Welt on arm post vax followed by hives, nausea, intermittent vomiting for several weeks post vax.  Progressed to muscle twitching, veins blowing, numbness and tingling in feet, hair loss, depression, anxiety, insomnia, severe vertigo after booster #1
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Insomnia, Muscle twitching, Nausea, Nerve conduction studies, Paraesthesia
Clinical narrative: Welt on arm post vax followed by hives, nausea, intermittent vomiting for several weeks post vax.  Progressed to muscle twitching, veins blowing, numbness and tingling in feet, hair loss, depression, anxiety, insomnia, severe vertigo after booster #1
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria, Vein rupture, Vertigo, Vomiting
Clinical narrative: Welt on arm post vax followed by hives, nausea, intermittent vomiting for several weeks post vax.  Progressed to muscle twitching, veins blowing, numbness and tingling in feet, hair loss, depression, anxiety, insomnia, severe vertigo after booster #1
Age: 0.42
Sex: M
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Abrysvo was inappropriately administered to child, when beforytus should have been administered.  After administration, the patient was observed for 15 mins. There was no evidence of reaction at the injection sites or signs of respiratory distress.  He was interacting normally with parents and crying after the vaccines stopped after roughly a minute.  Unfortunately I pulled the wrong RSV from the fridge and administered it to the patient in his R shoulder. After realizing that I had administered Abrysvo which is indicated for older adults. I reached out to a pharmacist to discuss the implications for the patient including monitoring parameters, side effects, and next steps.  I then called the patient's mother (called on 12/10 at 7:31 PM) to notify her of the error and to counsel on next steps:  - Notified of vaccine error - Emphasized that most reported RSV vaccine administration errors in young children, including infants, have not resulted in serious adverse events, which is demonstrated in case reports - Advised an observation period of 72h for any vaccine reactions such as increased work of breathing, stridor coughing, lethargy, fevers, or other changes in behavior - Action Plan for the Infant: Since the Arexvy vaccine is not studied or approved for infants, the child still requires protection against RSV. Administer nirsevimab (Beyfortus) as recommended by the CDC, ideally within 72 hours of the error, to prevent RSV-associated lower respiratory tract disease. Ensure it is given in a different anatomic site than where the Arexvy vaccine was administered. - The patient's mom voiced understanding and had no further questions. - No signs of adverse reaction at 24h mark Sources:
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal discomfort, Dizziness
Clinical narrative: Employee called in on 9/13/24, stating that she felt "woozy" and stomach was unsettled.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site haemorrhage, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: pt says her arm started bleeding as soon as she got the injection. It started swelling, turned red and was hurting at the injection site and was the size of a baseball. She applied ice packs and took tylenol. She contacted her doctor office as was seen right away. BP was high wheh she go to the office. She was DX with a hematoma. She was prescribed 800 mg for ibuprofen which made BP go up even higher so she only was able to take one pill. She went home and continued to use the ice packs. Her arm is better, BP is back to normal but she still has some pain in arm.
Age: 78.0
Sex: M
Vaccine: YF
Symptoms: Urticaria
Clinical narrative: Generalized urticaria and hives that started 1 hour after vaccination.  Symptoms progressively worsened over a couple hours. Patient was seen in the ER and  given oral prednisone and benadryl. All symptoms resolved within 2 hours.
Age: 0.67
Sex: M
Vaccine: PNC15
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose given too soon from prior dose. Child was older than 7 months at dose 2, dose 3 should have been given 8 weeks or more after dose 2.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given past the refrigerator expiry date of 10 weeks from when it was removed from the deep freezer, but it was NOT past the box expiration date.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received an extra   COVID vaccine
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is a 16 yo male who received the 6m-11yr moderna vaccine.
Age: 3.0
Sex: F
Vaccine: DTPPVHBHPB
Symptoms: Extra dose administered
Clinical narrative: PT GIVEN A VAXELIS (HEP B, POIO, DTAP, AND HIB). PT HAD ALREADY HAD 5 DOSES OF HEP B.  EXTRANEOUS DOSE OF HEP B GIVEN.
Age: 17.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No known adverse effects from vaccine given.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Biopsy artery abnormal, Giant cell arteritis, Headache, Pain in jaw
Clinical narrative: GCA - contracted in late May/early June 2024 - temporal impact - loss of some vision and balance issues - jaw pain and mild headaches - diagnosed by temple biopsies - now on steroid and actemra infusions for 7 months.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: GCA - contracted in late May/early June 2024 - temporal impact - loss of some vision and balance issues - jaw pain and mild headaches - diagnosed by temple biopsies - now on steroid and actemra infusions for 7 months.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No known adverse events from vaccine given.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Immediate post-injection reaction, Pain
Clinical narrative: Pt states pain in the area beginning immediately following the vaccine. She has seen primary care who has since referred pt to PT and to Ortho.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Erythema, Gait disturbance, Irritability, Joint swelling, Oedema peripheral
Clinical narrative: Left thigh and knee began swelling night after vaccination.  Had increased swelling the next morning (this morning).  Seen in clinic.  Measurable edema of left thigh and knee, warm to touch, slight erythema.  Mildly antalgic gait but weight bears and plays.  Very fussy with interventions but consoled when left alone by provider.  At this juncture, having MOC treat with ibuprofen 100 mg (5 ml) every 6 hours.. History of throwing up even small amounts of ibuprofen, so if throws it up, feverall 160 mg (80 mg  x 2) every 6 hours. Warm soaks.  RTC tomorrow morning to recheck.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Left thigh and knee began swelling night after vaccination.  Had increased swelling the next morning (this morning).  Seen in clinic.  Measurable edema of left thigh and knee, warm to touch, slight erythema.  Mildly antalgic gait but weight bears and plays.  Very fussy with interventions but consoled when left alone by provider.  At this juncture, having MOC treat with ibuprofen 100 mg (5 ml) every 6 hours.. History of throwing up even small amounts of ibuprofen, so if throws it up, feverall 160 mg (80 mg  x 2) every 6 hours. Warm soaks.  RTC tomorrow morning to recheck.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arrhythmia, Asthenia, Cardiac ablation, Chest pain, Dyspnoea
Clinical narrative: The morning after the 2nd dose I woke with CP, SOB, diaphoresis and severe tachycardia with HR of  168 with extreme weakness and nausea.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Inflammation, Laboratory test, Myocarditis, Nausea
Clinical narrative: The morning after the 2nd dose I woke with CP, SOB, diaphoresis and severe tachycardia with HR of  168 with extreme weakness and nausea.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pericarditis, Tachycardia
Clinical narrative: The morning after the 2nd dose I woke with CP, SOB, diaphoresis and severe tachycardia with HR of  168 with extreme weakness and nausea.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood culture negative, COVID-19, Computerised tomogram abdomen abnormal
Clinical narrative: DATE OF ADMISSION: 12/3/2024 DATE OF DISCHARGE: 12/11/24  Discharge Diagnoses: Septic shock secondary to pneumonia - resolved  - CT C/A/P 12/4:  Right lower lobe pneumonia.  Aortobifemoral bypass graft in the left limb appears occluded.  - Blood cultures negative  - Respiratory culture growing MSSA  - Patient completed course of Rocephin/doxycycline while hospitalized  Acute hypoxic and hypercapnic secondary to the above, acute HFpEF, and COVID-19 - resolved  - TTE 10/2024:  EF 60-65%  - Extubated 12/5  - Completed 7 days of Decadron although there was no findings of COVID-19 pneumonia on imaging.  AKI/hyperkalemia likely secondary to above - improved  - Appreciate nephrology consultation.  Required CRRT initially and then received IV fluids.  Kalemia resolved  PVD s/p left AKA  - Vascular surgery was contacted regarding the occlusion of the bypass graft seen on CT and recommended no acute intervention as this is chronic.  - Continue home aspirin and statin  COPD  - Continue LAMA  T2DM with A1c 9.5%  - Lantus and SSI  Hypertension   - Continue home metoprolol and Norvasc Prior to admission, looks like the patient was taking lisinopril, Lasix, losartan, and hydrochlorothiazide.  These were all since admission due to his AKI and hyperkalemia.  Also, I am unsure why was on lisinopril and losartan both.  May consider restarting one or the other in the future.  OSA on BiPAP  Morbid obesity  Hospital Course:  63-year-old male with past medical history of T2DM, hypertension, COPD, OSA on BiPAP, PVD s/p left AKA, AAA, and HFpEF.  Patient was admitted to the intensive care unit on 12/04 for acute hypoxic and hypercapnic respiratory failure requiring intubation.  He was also noted to be in shock requiring pressor support.  Imaging and labs showed findings consistent with pneumonia and fluid overload.  He was also noted to have significant AKI, and he was positive for COVID.  Patient was started antibiotics and steroids.  Nephrology was consulted and he was started on CRRT.  Patient was able to be extubated on the evening of 12/5 and was transferred out of ICU on 12/06.  Over the course of his hospital stay, his clinical picture continued to.  Patient worked PT/OT we have recommended higher level care.  Patient is stable for discharge to inpatient rehab.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Echocardiogram, Ejection fraction normal, Endotracheal intubation, Glycosylated haemoglobin increased
Clinical narrative: DATE OF ADMISSION: 12/3/2024 DATE OF DISCHARGE: 12/11/24  Discharge Diagnoses: Septic shock secondary to pneumonia - resolved  - CT C/A/P 12/4:  Right lower lobe pneumonia.  Aortobifemoral bypass graft in the left limb appears occluded.  - Blood cultures negative  - Respiratory culture growing MSSA  - Patient completed course of Rocephin/doxycycline while hospitalized  Acute hypoxic and hypercapnic secondary to the above, acute HFpEF, and COVID-19 - resolved  - TTE 10/2024:  EF 60-65%  - Extubated 12/5  - Completed 7 days of Decadron although there was no findings of COVID-19 pneumonia on imaging.  AKI/hyperkalemia likely secondary to above - improved  - Appreciate nephrology consultation.  Required CRRT initially and then received IV fluids.  Kalemia resolved  PVD s/p left AKA  - Vascular surgery was contacted regarding the occlusion of the bypass graft seen on CT and recommended no acute intervention as this is chronic.  - Continue home aspirin and statin  COPD  - Continue LAMA  T2DM with A1c 9.5%  - Lantus and SSI  Hypertension   - Continue home metoprolol and Norvasc Prior to admission, looks like the patient was taking lisinopril, Lasix, losartan, and hydrochlorothiazide.  These were all since admission due to his AKI and hyperkalemia.  Also, I am unsure why was on lisinopril and losartan both.  May consider restarting one or the other in the future.  OSA on BiPAP  Morbid obesity  Hospital Course:  63-year-old male with past medical history of T2DM, hypertension, COPD, OSA on BiPAP, PVD s/p left AKA, AAA, and HFpEF.  Patient was admitted to the intensive care unit on 12/04 for acute hypoxic and hypercapnic respiratory failure requiring intubation.  He was also noted to be in shock requiring pressor support.  Imaging and labs showed findings consistent with pneumonia and fluid overload.  He was also noted to have significant AKI, and he was positive for COVID.  Patient was started antibiotics and steroids.  Nephrology was consulted and he was started on CRRT.  Patient was able to be extubated on the evening of 12/5 and was transferred out of ICU on 12/06.  Over the course of his hospital stay, his clinical picture continued to.  Patient worked PT/OT we have recommended higher level care.  Patient is stable for discharge to inpatient rehab.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperkalaemia, Hypervolaemia, Intensive care, Pneumonia, Respiratory failure
Clinical narrative: DATE OF ADMISSION: 12/3/2024 DATE OF DISCHARGE: 12/11/24  Discharge Diagnoses: Septic shock secondary to pneumonia - resolved  - CT C/A/P 12/4:  Right lower lobe pneumonia.  Aortobifemoral bypass graft in the left limb appears occluded.  - Blood cultures negative  - Respiratory culture growing MSSA  - Patient completed course of Rocephin/doxycycline while hospitalized  Acute hypoxic and hypercapnic secondary to the above, acute HFpEF, and COVID-19 - resolved  - TTE 10/2024:  EF 60-65%  - Extubated 12/5  - Completed 7 days of Decadron although there was no findings of COVID-19 pneumonia on imaging.  AKI/hyperkalemia likely secondary to above - improved  - Appreciate nephrology consultation.  Required CRRT initially and then received IV fluids.  Kalemia resolved  PVD s/p left AKA  - Vascular surgery was contacted regarding the occlusion of the bypass graft seen on CT and recommended no acute intervention as this is chronic.  - Continue home aspirin and statin  COPD  - Continue LAMA  T2DM with A1c 9.5%  - Lantus and SSI  Hypertension   - Continue home metoprolol and Norvasc Prior to admission, looks like the patient was taking lisinopril, Lasix, losartan, and hydrochlorothiazide.  These were all since admission due to his AKI and hyperkalemia.  Also, I am unsure why was on lisinopril and losartan both.  May consider restarting one or the other in the future.  OSA on BiPAP  Morbid obesity  Hospital Course:  63-year-old male with past medical history of T2DM, hypertension, COPD, OSA on BiPAP, PVD s/p left AKA, AAA, and HFpEF.  Patient was admitted to the intensive care unit on 12/04 for acute hypoxic and hypercapnic respiratory failure requiring intubation.  He was also noted to be in shock requiring pressor support.  Imaging and labs showed findings consistent with pneumonia and fluid overload.  He was also noted to have significant AKI, and he was positive for COVID.  Patient was started antibiotics and steroids.  Nephrology was consulted and he was started on CRRT.  Patient was able to be extubated on the evening of 12/5 and was transferred out of ICU on 12/06.  Over the course of his hospital stay, his clinical picture continued to.  Patient worked PT/OT we have recommended higher level care.  Patient is stable for discharge to inpatient rehab.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock, Shock, Sputum culture positive, Vascular graft occlusion
Clinical narrative: DATE OF ADMISSION: 12/3/2024 DATE OF DISCHARGE: 12/11/24  Discharge Diagnoses: Septic shock secondary to pneumonia - resolved  - CT C/A/P 12/4:  Right lower lobe pneumonia.  Aortobifemoral bypass graft in the left limb appears occluded.  - Blood cultures negative  - Respiratory culture growing MSSA  - Patient completed course of Rocephin/doxycycline while hospitalized  Acute hypoxic and hypercapnic secondary to the above, acute HFpEF, and COVID-19 - resolved  - TTE 10/2024:  EF 60-65%  - Extubated 12/5  - Completed 7 days of Decadron although there was no findings of COVID-19 pneumonia on imaging.  AKI/hyperkalemia likely secondary to above - improved  - Appreciate nephrology consultation.  Required CRRT initially and then received IV fluids.  Kalemia resolved  PVD s/p left AKA  - Vascular surgery was contacted regarding the occlusion of the bypass graft seen on CT and recommended no acute intervention as this is chronic.  - Continue home aspirin and statin  COPD  - Continue LAMA  T2DM with A1c 9.5%  - Lantus and SSI  Hypertension   - Continue home metoprolol and Norvasc Prior to admission, looks like the patient was taking lisinopril, Lasix, losartan, and hydrochlorothiazide.  These were all since admission due to his AKI and hyperkalemia.  Also, I am unsure why was on lisinopril and losartan both.  May consider restarting one or the other in the future.  OSA on BiPAP  Morbid obesity  Hospital Course:  63-year-old male with past medical history of T2DM, hypertension, COPD, OSA on BiPAP, PVD s/p left AKA, AAA, and HFpEF.  Patient was admitted to the intensive care unit on 12/04 for acute hypoxic and hypercapnic respiratory failure requiring intubation.  He was also noted to be in shock requiring pressor support.  Imaging and labs showed findings consistent with pneumonia and fluid overload.  He was also noted to have significant AKI, and he was positive for COVID.  Patient was started antibiotics and steroids.  Nephrology was consulted and he was started on CRRT.  Patient was able to be extubated on the evening of 12/5 and was transferred out of ICU on 12/06.  Over the course of his hospital stay, his clinical picture continued to.  Patient worked PT/OT we have recommended higher level care.  Patient is stable for discharge to inpatient rehab.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient received the same Fluad vaccine 2024-2025 twice in one year (first dose on 07/29/2024 and second dose 12/10/2024)
Age: 18.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction reported
Age: 81.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Blood test, Cardiac monitoring, Chest X-ray, Computerised tomogram, Dizziness
Clinical narrative: 12/7/24 around 10:30a felt dizzy so he laid down on the floor. Wife called EMS and he was transported to Hospital via ambulance. He was admitted on 12/7/24. He was in the hospital for about 28 hours and discharged on 12/8/24.  At the hospital he was assessed and tests were run. (EKG, CT scan, X-ray of heart, bloodwork).
Age: 81.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Electrocardiogram
Clinical narrative: 12/7/24 around 10:30a felt dizzy so he laid down on the floor. Wife called EMS and he was transported to Hospital via ambulance. He was admitted on 12/7/24. He was in the hospital for about 28 hours and discharged on 12/8/24.  At the hospital he was assessed and tests were run. (EKG, CT scan, X-ray of heart, bloodwork).
Age: 31.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Extra dose administered
Clinical narrative: Pregnant patient was given Abrysvo injection on 11/5/24 at 32 weeks pregnant and 11/20/24 at 35 weeks pregnant.  Patient should have only received one injection.
Age: 61.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: CSF culture negative, CSF white blood cell count increased, Encephalitis, Pleocytosis
Clinical narrative: Patient developed meningoencephalitis 8 days after receiving shingrix vaccine. CSF with minimal pleocytosis. Culture negative LP.
Age: 61.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Meningitis
Clinical narrative: Patient developed meningoencephalitis 8 days after receiving shingrix vaccine. CSF with minimal pleocytosis. Culture negative LP.
Age: 58.0
Sex: M
Vaccine: RSV
Symptoms: Chills, Pain, Wrong product administered
Clinical narrative: Patient came in for his second Shingrix shot. I pulled the Arexvy vaccine instead and mixed that vaccine .I administered the vaccine before realizing it was Arexvy and not Shingrix. The incident was discovered 2 days later when our inventory was incorrect on the Shingrix and Arexvy vaccine.  Patient started experiencing body aches and chills at 7 am the next morning that lasted all day until he went to sleep. He woke up on 12/10/24 without any symptoms. Patient did not take any extra medication besides his Hydrocodone/APAP as prescribed throughout the day.  His temperature was 97.8, taken yesterday.
Age: 63.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Chest pain, Condition aggravated, Dysphagia, Imaging procedure
Clinical narrative: Following day (11/01/2024) and for 4-5 days after had numerous seizures throughout the day causing me to not perform my job and drive. Also, within the end of November I was admitted to the hospital with chest pains. After having swallowing problems for at least a week. Had never experienced anything like this in my life and never near this situation. Found out I had developed a large amount of fluid around my heart. Doctors said it had been brought on by something viral in my system. I have not been ill at all for months. The only thing it could stem from is the vaccine. I am still having breathing issues and excruciating pain in my upper chest and shoulders. I am having to rely on pain medication and also lost my job.
Age: 63.0
Sex: F
Vaccine: MMR
Symptoms: Impaired driving ability, Impaired work ability, Loss of employment, Pericardial drainage, Pericardial effusion
Clinical narrative: Following day (11/01/2024) and for 4-5 days after had numerous seizures throughout the day causing me to not perform my job and drive. Also, within the end of November I was admitted to the hospital with chest pains. After having swallowing problems for at least a week. Had never experienced anything like this in my life and never near this situation. Found out I had developed a large amount of fluid around my heart. Doctors said it had been brought on by something viral in my system. I have not been ill at all for months. The only thing it could stem from is the vaccine. I am still having breathing issues and excruciating pain in my upper chest and shoulders. I am having to rely on pain medication and also lost my job.
Age: 63.0
Sex: F
Vaccine: MMR
Symptoms: Respiratory disorder, Seizure, Viral infection
Clinical narrative: Following day (11/01/2024) and for 4-5 days after had numerous seizures throughout the day causing me to not perform my job and drive. Also, within the end of November I was admitted to the hospital with chest pains. After having swallowing problems for at least a week. Had never experienced anything like this in my life and never near this situation. Found out I had developed a large amount of fluid around my heart. Doctors said it had been brought on by something viral in my system. I have not been ill at all for months. The only thing it could stem from is the vaccine. I am still having breathing issues and excruciating pain in my upper chest and shoulders. I am having to rely on pain medication and also lost my job.
Age: 0.33
Sex: F
Vaccine: FLU3, HPV9, MNQ, TDAP
Symptoms: Extra dose administered
Clinical narrative: Name wrong in state database x 2 and in office database so did not reconcile correctly. Extra dose of Menquad and TDAP given
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Burning sensation, Hyperhidrosis, Muscular weakness, Paraesthesia
Clinical narrative: At approximate  0745 patient received flu shot, shortly after approximately 30 minutes experienced burning sensation in the finger tips mostly digits 4 and 5. Paresthesias traveling up the arm to the biceps. Initially without any weakness but eventually having difficulty with thumb opposition. Signs and symptoms of brachial plexus neuritis. He was given Solu-Medrol in office which was not effective. Blood pressure was significantly elevated. On re-examination after Solu-Medrol, symptoms travelled into the neck and chest.  Also having sweating on the right upper extremity only. Symptoms have rapidly progressed from his fingertips now to his chest and neck/throat.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Diarrhoea, Injection site bruising, Injection site pain, Injection site pruritus, Pyrexia
Clinical narrative: Patient reported vomiting, diarrhea, fever, itching/burning at injection site, bruising
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Vomiting
Clinical narrative: Patient reported vomiting, diarrhea, fever, itching/burning at injection site, bruising
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Pain in extremity
Clinical narrative: Employee complained of left arm pain immediately after receiving vaccine. Pain has not yet subsided as of this date.
Age: 35.0
Sex: F
Vaccine: RSV
Symptoms: Premature delivery
Clinical narrative: Preterm delivery
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong product administered
Clinical narrative: patient was wanting a covid vaccine but received a flu vaccine
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Immediate post-injection reaction, Nausea
Clinical narrative: Employee complained of nausea and dizziness immediately after getting the vaccine. Employee states that it resolved about 30 minutes post vaccination, but she still wanted it reported.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given past the refrigerator expiry date of 10 weeks from when it was removed from the deep freezer, but it was NOT past the box expiration date.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Pt states that MD told her shot was given in the shoulder joint. Started having pain in near the injection site day after received and continues to have pain in her arm now.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash papular
Clinical narrative: Developed papular rash on both arms
Age: 56.0
Sex: M
Vaccine: FLU3, HEP, HEPA
Symptoms: No adverse event, Underdose
Clinical narrative: PATIENT WAS ADMINISTERED HAVRIX PEDIATRIC DOSE ON 12/10/24.  NO SYMPTOMS, SIGNS OF DISTRESS, OR ADVERSE REACTIONS NOTED.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site dryness, Injection site erythema, Injection site pain
Clinical narrative: Patient visited our other stand-alone public health immunization clinic today 12/11 to report side effects from an administered COVID-19 vaccine on 12/5 at clinic. She reports the same day of her vaccination; she noted a "red ring" like shape around the vaccination site. She reports redness, burning, inflammation, and an "ivory colored" bump in the center of the "ring" on the same day. Today, she reports the "red ring" is still present as if she was burnt by a metal object however it appears "drier". She still reports burning sensation at the site. She denies any spreading or worsening of redness and other symptoms. She denies anaphylactic reaction symptoms. Nurse spoke with patient to collect all information and educated her on local site reaction and skin hypersensitivity to COVID vaccine. Nurse instructed patient to monitor symptoms to and to seek PCP/urgent care for worsening symptoms.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given past the refrigerator expiry date of 10 weeks from when it was removed from the deep freezer, but it was NOT past the box expiration date.
Age: 92.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient called to the clinic to state that he thought he had received two Covid vaccinations and two Flu vaccinations this month, but wasn't 100% certain. Writer reviewed the patient's chart/immunization record and found that the patient did have both injections administered on 10/4/2024 by RN and was given both again today by MA,  during his office visit.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given 5y-11y dose of the covid 19 vaccination and patient is 15 years old.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain, Asthenia, Back pain, Fatigue, Gait disturbance
Clinical narrative: Began feeling fatigue, weakness and pain within an hour of receiving the vaccine. Increased dramatically within the next few hours to the point where walking by myself became very difficult and at times not possible. Also got 102 fever around this time. Headaches and nausea began as well. Next morning(8am) was feeling significantly better but still had severe headache and fever. Throughout the day the pain, fatigue and nausea came back. Doing even minimal physical activity causes fatigue, weakness and pain throughout body, and I have constant headaches(from day 3-6 a rigid, painful neck as well), intermittent nausea and fevers up to 102 that get especially bad in the evening. Staying awake can be difficult at times. I sometimes need to use a cane to support myself as a lot of my pain is especially in my legs. Abdominal pain when taking deep breaths or yawning at times. Significant lower back pain. I've been taking advil but no other treatment.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Nausea, Neck pain, Nuchal rigidity, Pain
Clinical narrative: Began feeling fatigue, weakness and pain within an hour of receiving the vaccine. Increased dramatically within the next few hours to the point where walking by myself became very difficult and at times not possible. Also got 102 fever around this time. Headaches and nausea began as well. Next morning(8am) was feeling significantly better but still had severe headache and fever. Throughout the day the pain, fatigue and nausea came back. Doing even minimal physical activity causes fatigue, weakness and pain throughout body, and I have constant headaches(from day 3-6 a rigid, painful neck as well), intermittent nausea and fevers up to 102 that get especially bad in the evening. Staying awake can be difficult at times. I sometimes need to use a cane to support myself as a lot of my pain is especially in my legs. Abdominal pain when taking deep breaths or yawning at times. Significant lower back pain. I've been taking advil but no other treatment.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Painful respiration, Pyrexia, Somnolence, Walking aid user
Clinical narrative: Began feeling fatigue, weakness and pain within an hour of receiving the vaccine. Increased dramatically within the next few hours to the point where walking by myself became very difficult and at times not possible. Also got 102 fever around this time. Headaches and nausea began as well. Next morning(8am) was feeling significantly better but still had severe headache and fever. Throughout the day the pain, fatigue and nausea came back. Doing even minimal physical activity causes fatigue, weakness and pain throughout body, and I have constant headaches(from day 3-6 a rigid, painful neck as well), intermittent nausea and fevers up to 102 that get especially bad in the evening. Staying awake can be difficult at times. I sometimes need to use a cane to support myself as a lot of my pain is especially in my legs. Abdominal pain when taking deep breaths or yawning at times. Significant lower back pain. I've been taking advil but no other treatment.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient received seasonal vaccine twice this Fall.  She had some body aches and nausea following second shot which have resolved.
Age: 77.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Chest discomfort, Fatigue, Heart rate increased, Tachycardia
Clinical narrative: I received vaccine on 11/30/24 at 11:00 am, went home made lunch, began eating lunch at 11:45am when I experienced what seems to me to be a tachycardia event. My smart watch showed my pulse rose from about 75 bpm to 131 bpm for about 20 minutes.  I found it necessary to lie down for about 3 hours before I felt well enough to get up, but I felt tired, and the chest uneasy,  until about 5 pm the next day, then I felt fine.  I have had A-Fib event over the past 2 years and this event felt similar to the previous ones.   I don?t get A-fib events often, every 3 or 4 months,  and usually fell fine immediately following the event.  So I though this tachycardia event has some connection with the vaccine especially since I felt very tired and uneasy in the chest for more that 24 hours.
Age: 77.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Tachycardia
Clinical narrative: I received vaccine on 11/30/24 at 11:00 am, went home made lunch, began eating lunch at 11:45am when I experienced what seems to me to be a tachycardia event. My smart watch showed my pulse rose from about 75 bpm to 131 bpm for about 20 minutes.  I found it necessary to lie down for about 3 hours before I felt well enough to get up, but I felt tired, and the chest uneasy,  until about 5 pm the next day, then I felt fine.  I have had A-Fib event over the past 2 years and this event felt similar to the previous ones.   I don?t get A-fib events often, every 3 or 4 months,  and usually fell fine immediately following the event.  So I though this tachycardia event has some connection with the vaccine especially since I felt very tired and uneasy in the chest for more that 24 hours.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is age 12.  COVID-19 Spikevax Moderna formula intended for use in patients ages 6 months to 11 years old was administered to patient at 12 years of age.
Age: 8.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Loss of consciousness
Clinical narrative: Pt to clinic for immunizations for school. Hepatitis B and varicella were administered in the right arm. Pt was standing in room while waiting on sibling to receive vaccines. While waiting, the pt passed out 2 minutes after vaccines were administered.  Pt was caught by interpreter and did not suffer an injury. Pt was only unconscious for less than 5 seconds before regaining consciousness.  Pt was set in chair, given juice, and was supervised by clinic healthcare personnel. Pt remained in chair for 10 minutes after drinking juice then was assisted to clinic lobby to wait on completion of the check-out process.
Age: 60.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Patient developed bright red skin, about 2-3 inches in diameter, at injection site the day after the vaccines were given (12/5/24).  Also had a small bump under skin at top right of redness.  On 12/11/24, pt stated that the redness and bump has resolved.
Age: 77.0
Sex: M
Vaccine: UNK
Symptoms: Back pain, Malaise, Pain
Clinical narrative: Aches,  low back pain, feeling lousy
Age: 86.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received shot for the second time unknowingly. He received the same vaccine on 8/24/2024 and asked for a flu shot again in December 2024. The insurance paid for the claim both times; there was no override required in workflow. The patient experienced no adverse effects for the second (extra) vaccine.
Age: 48.0
Sex: M
Vaccine: COVID19, HEP, IPV, VARCEL
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given Covid 19 2023-2024 vaccine past the recommended use date before we received our 2024-2025 inventory.  Patient did not have any adverse effects or symptoms and did not wish to be revaccinated with the 2024-2025 formula Covid vaccine.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness
Clinical narrative: Patient received shingrix shot and roughly 15minutes following the immunization felt faint and was lowered to the floor to prevent falling.  EMT's were called as the husband said the patient had a history of stroke.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Hypersensitivity, Pruritus, Rash
Clinical narrative: Started itching, broke out all over body..all of my allergies super highten diagnosed a topic
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of personal independence in daily activities, Pain in extremity, Shoulder injury related to vaccine administration
Clinical narrative: patient having pain in right arm, can not lift, do normal task such as vacuming
Age: 13.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Patient stated she felt dizzy and nauseous with vaccines. Had syncopal episode with full recovery within seconds.  Patient stated she felt much better after laying down with legs elevated and cool pack applied to her neck and head. Patient made full recovery with total course of symptoms/signs lasting about 20 minutes.
Age: 19.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt due for third dose of Hep B vaccine was given adult Hep B dose ( 20 and older) rather than pediatric Hep B dose ( 19 and younger). Incident report to pt, pt reports no signs of adverse vaccine reaction.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered is for 12 years and above. The patient was 10 at the time vaccine was administered. Patient had no side effects , rash, etc.
Age: 33.0
Sex: M
Vaccine: MMR
Symptoms: Inappropriate schedule of product administration
Clinical narrative: MMR vaccine administered 1 day after Varicella vaccine was administered
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Cerebrovascular accident, Erythema, Hypoaesthesia, Injection site erythema, Joint swelling
Clinical narrative: I was recommended to take the Tdap by Dr , since the last Tdap was 06/16/2014.  The next day, my left shoulder was red, swollen and hurt to touch. Sunday the redness grew approximately 5inches long and 3 inches wide below the injection site.   Monday 11/25 9:30pm i had tingling /numbness in my left hand and numbness on my left side of my face.  Took a shower and went to bed to see if it would help. 1:00am i woke up and still had the same numbness and tingling and went to the ER.   Was diagnosed acute stroke.  Nothing changed in my lifestyle for past year and the only change was the tdap shot.  Specialist Cardiologist and Neurologist do not believe the tdap shot led to stroke. But that was only thing changed in my lifestyle.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Laboratory test normal, Paraesthesia, Tenderness
Clinical narrative: I was recommended to take the Tdap by Dr , since the last Tdap was 06/16/2014.  The next day, my left shoulder was red, swollen and hurt to touch. Sunday the redness grew approximately 5inches long and 3 inches wide below the injection site.   Monday 11/25 9:30pm i had tingling /numbness in my left hand and numbness on my left side of my face.  Took a shower and went to bed to see if it would help. 1:00am i woke up and still had the same numbness and tingling and went to the ER.   Was diagnosed acute stroke.  Nothing changed in my lifestyle for past year and the only change was the tdap shot.  Specialist Cardiologist and Neurologist do not believe the tdap shot led to stroke. But that was only thing changed in my lifestyle.
Age: 49.0
Sex: M
Vaccine: VARZOS
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The patient was inadvertently given Shingrix instead of Varicella. This was caught shortly after administration of the vaccine. The patient did not have any adverse effects from the event that has been reported
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired on 12/9/2024.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Thrombosis
Clinical narrative: The patient's spouse reported that his wife developed blood clots and died as a result of these clots days after getting vaccinated.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: The patient's spouse reported that his wife developed blood clots and died as a result of these clots days after getting vaccinated.
Age: 9.0
Sex: F
Vaccine: HPV9
Symptoms: Fall, Loss of consciousness, Malaise
Clinical narrative: Pt. was in the exam room after vaccination. Told parent she is not feeling well and passed out falling from the chair. She was assisted by clinic staff, placed in Trendelenburg position,  pt was breathing awake and vitals checked, AX4, VS normal , pt was reassessed by HCP ,
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient was given Covid vaccine 2024-2025 12+yrs instead of the Covid 6m-11years. The parent has been informed of the error and stated understanding the mistake that was made. The parent also stated that the patient did not have any side effects or adverse reactions on the day of or in the several days following vaccination.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine- no noted adverse symptoms. Pt was supposed to receive FluBlok.
Age: 80.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis like reaction to injection site
Age: 48.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Arthralgia, Joint noise, Pain
Clinical narrative: noticed left shoulder discomfort 3 days after COVID-19 and flu vaccines given on left shoulder 2 weeks ago on 11/22/2024 ~ 530 pm pain localized to left shoulder worse with left arm extension few sporadic episodes of left shoulder popping
Age: 0.58
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Mass
Clinical narrative: mother of patient left a message stating patient had a knot that was noticeable on holiday, the knot is subsiding
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Patient reports feeling that the vaccine was given too high into her arm -- patient reports initially feeling pain and tingling sensation in her fingers when the shot was administered and since then she consistently reports feeling pain in her arm since that day of 11/06/2024.