chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Breakthrough Covid-19 Infection
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: VACCINE EXPIRED ON 8/10/2023, WAS GIVEN 8/14/2023
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MILD
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA 3/13/2022 &  4/15/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 80.0
Sex: F
Vaccine: PNC20
Symptoms: Blister, Hypersensitivity, Rash
Clinical narrative: Patient GOT BLISTER ON HER TOE, PAINFUL RASH ON BOTH HANDS. THEN THE RASH STARTED RUNNING UP HER LEGS. THIS STARTED TUESDAY 8/8. BOTH HER PODIATRIST AND PCP DIAGNOSED THAT AS ALLERGIC REACTION THROUGH PROCESS OF ELIMINATION
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Pt. presented to the office to receive the required 7th grade entry vaccine MCV4.  After receiving the IM vaccine, she complained of feeling lightheaded, became pale and sweaty but never lost consciousness.  Mother was present.  PHN raised the client's legs while explaining to her why this was done.  Cool clothes were applied to the back of the neck as well as the forehead.  Mother also assisted with keeping the child's legs elevated.  She continued to talk, was given a Ginger Ale with improvement.  She remained in the clinic for approximately 45 minutes before ambulating out of the office with mother by her side, and without problem.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Deep vein thrombosis, Hypoxia, Pulmonary embolism
Clinical narrative: SADDLE PULMONARY EMBOLISM ACUTE DVT OF BILAT LEGS, UNSPECIFIED VEINS ACUTE DVT, UNSPECIFIED VEIN ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE PULMONARY EMBOLISM HYPOXEMIA
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Expired product administered, No adverse event
Clinical narrative: It was recognized upon adding dose given in the registry that it was expired, family was still in waiting room, no adverse events seen and pt. was playing with his siblings in the waiting room so no s/s of adverse events at this time.  Advised mom to let me know if any seen in upcoming hours/days.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, COVID-19, Dyspnoea, Haematocrit, Haemoglobin
Clinical narrative: "Patient presents with SOB Abnormal Lab Results pt sent here from SNF due to H/H 7.1/21.6 creatnine 3.26.   sepsis secondary to Covid 19.  Tx.  Remdesivir in addition to steroids, antibiotics. discharged  to rehab "
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Sepsis
Clinical narrative: "Patient presents with SOB Abnormal Lab Results pt sent here from SNF due to H/H 7.1/21.6 creatnine 3.26.   sepsis secondary to Covid 19.  Tx.  Remdesivir in addition to steroids, antibiotics. discharged  to rehab "
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: unknown. Vaccine administered outside of EAU date.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site bruising, Injection site pain, Injection site warmth
Clinical narrative: Patient showed up with bruises on the injection site, and reported tenderness and hot. Patient appears to be alert, afebrile, and able to do daily activities. Counseled to monitor the adverse effects and report if it gets worse .
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient experienced swelling at injection site and redness from shoulder to elbow.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris
Clinical narrative: STABLE ANGINA
Age: 13.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Dizziness, Feeling abnormal, Heart rate decreased, Nausea, Vomiting
Clinical narrative: Per provider to administer 6 vaccines to patient today, IPV, MMR, VARICELLA, TDAP, HEP B and MCV4.  Administered IPV, MMR & VARICELLA to patient. After administering all 3, patient began to complain of nausea and dizziness. I let him know we can wait for a few minutes for him to feel better to administer the last 3 vaccines. Patient agrees with plan. Patient then asked for a water bottle. I gave him a bottle of water and asked MA to accompany me to make sure patient is okay. Upon going back to the room, patient's symptoms got worse, stating he still felt bad. We then checked his pulse and 02 which was 40 and 98%. I was concerned that pulse was too low and had provider come in with patient. Patient then had an emesis episode, provided him with emesis bag. Upon check up, provider advised to hold off on giving the last 3 vaccines due to patient's symptoms. He let provider know of this, which she agreed to. She advised to let patient's mom know that due to his symptoms to hold off on vaccines and have him return to administer the remaining ones. I let patient and his mother know of this. Mom proceeded to explain that she prefers if all vaccines are given now, stated that their ride is here now and is being inpatient, that if they do not hurry up they will leave, and mom explained she does not have another ride to take them home. She also stated she is unable to return since she has no one available to bring them back another day. I repeated that unfortunately per provider, she still does not recommend giving remaining vaccines because of symptoms. I went ahead and let my mananger know of this situation. She let me know to waste remaining vaccines and she went in to speak with patient's mother. Patient was scheduled for vaccines at another location.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypotension
Clinical narrative: HYPOTENSION ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 34.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Rash
Clinical narrative: Pt received yellow fever vaccine about 10-15 min prior to coming to office. Pt presented with diffuse mild rash on inner forearms bilaterally and localized redness at injection site. Pt denies SOB, chest tightness, throat swelling, difficulty breathing. Provider consulted and recommended benadryl and monitoring. Pt agreeable.
Age: 7.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Kinrix was given past the age of 7 years old.
Age: 9.0
Sex: F
Vaccine: HPV9
Symptoms: Urticaria
Clinical narrative: Patient developed whole-body urticaria within 2-3 hours of the vaccination.  Patient does have a history of chronic intermittent urticaria.
Age: 1.33
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event
Clinical narrative: There was no adverse effect for patient his provider was informed and she  agreed that there would be no issues
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine was given on 8/14/23 but the expiration date was marked 8/11/23.  Patient had no symptoms after receiving the immunization.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Dyspnoea
Clinical narrative: Chief Complaint: SOB, cough.  decadron 10mg daily for now- cefepime, azithro.  Admitted with severe COVID-19 needing 100% optiflow and NRB, family declined intubation and pt had ongoing decline, suffering and thus comfort measures initiated and expired shortly thereafter
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: Pt was given diluent only without the medication.  Had to restick the patient a second time to give the vaccine correctly.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Arthralgia, Atrial fibrillation, Blood creatinine
Clinical narrative: Chief Complaint: Fall.  The patient reports a runny nose, cough, and pain in her left shoulder.  Acute respiratory failure secondary to Pneumonia due to COVID-19 virus- currently on 2 L NC. Start IV Dexamethasone During her hospitalization she also experienced AFib RVR and Cardiology was consulted who adjusted her medications.  The rate of her atrial fibrillation improved with medication adjustments however her overall clinical status continued to decline.  She had an acute kidney injury and Nephrology was consulted without significant improvement in her creatinine.  On the night of 01/27/2022 the patient experienced dark bowel movements with concern for an upper GI bleed and GI was consulted.  They recommended no a aggressive intervention as the patient's son declined due to the patient's overall poor health.  She continued to decline and oxygen requirements increased steadily to 15 L non-rebreather.  With all the aforementioned issues the patient's son was contacted to have a discussion regarding goals of care.  He understood and stated "seems like she's shutting down and I wish you would let her". Hospice was consulted who recommended GIP hospice which was arranged with the help of case management and palliative care.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Faeces discoloured, Fall, General physical health deterioration
Clinical narrative: Chief Complaint: Fall.  The patient reports a runny nose, cough, and pain in her left shoulder.  Acute respiratory failure secondary to Pneumonia due to COVID-19 virus- currently on 2 L NC. Start IV Dexamethasone During her hospitalization she also experienced AFib RVR and Cardiology was consulted who adjusted her medications.  The rate of her atrial fibrillation improved with medication adjustments however her overall clinical status continued to decline.  She had an acute kidney injury and Nephrology was consulted without significant improvement in her creatinine.  On the night of 01/27/2022 the patient experienced dark bowel movements with concern for an upper GI bleed and GI was consulted.  They recommended no a aggressive intervention as the patient's son declined due to the patient's overall poor health.  She continued to decline and oxygen requirements increased steadily to 15 L non-rebreather.  With all the aforementioned issues the patient's son was contacted to have a discussion regarding goals of care.  He understood and stated "seems like she's shutting down and I wish you would let her". Hospice was consulted who recommended GIP hospice which was arranged with the help of case management and palliative care.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Chief Complaint: Fall.  The patient reports a runny nose, cough, and pain in her left shoulder.  Acute respiratory failure secondary to Pneumonia due to COVID-19 virus- currently on 2 L NC. Start IV Dexamethasone During her hospitalization she also experienced AFib RVR and Cardiology was consulted who adjusted her medications.  The rate of her atrial fibrillation improved with medication adjustments however her overall clinical status continued to decline.  She had an acute kidney injury and Nephrology was consulted without significant improvement in her creatinine.  On the night of 01/27/2022 the patient experienced dark bowel movements with concern for an upper GI bleed and GI was consulted.  They recommended no a aggressive intervention as the patient's son declined due to the patient's overall poor health.  She continued to decline and oxygen requirements increased steadily to 15 L non-rebreather.  With all the aforementioned issues the patient's son was contacted to have a discussion regarding goals of care.  He understood and stated "seems like she's shutting down and I wish you would let her". Hospice was consulted who recommended GIP hospice which was arranged with the help of case management and palliative care.
Age: 38.0
Sex: M
Vaccine: PNC20
Symptoms: Fatigue, Feeling abnormal, Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Onset of numbness and tingling in lip, fatigue and "feels off" Referred to urgent care center
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bruxism, Chills, Fatigue, Tremor
Clinical narrative: I rcvd the vaccine around 3 and then around 10-10.5 hours later I felt extremely chilled, so much so I had to clench my teeth together. I had uncontrolled shaking almost like tremors. This lasted a little over one hour. I Drank more water to hopefully help. I went back to bed about within a half hour but the tremors came back again with extreme shaking and chills and again I had to clench my teeth. I drank more water. They kept coming in cycles and came less and less until I was able to stay in bed. I was tired the next day but that was the main thing I noticed after receiving the Pfizer covid bivalent booster shot. I don't recall experiencing anything like this with my previous shot on 11/2/2022. I have lasting fatigue.
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pain in extremity
Clinical narrative: joint pain lasting till today , chills and fever , headache , sore arms and muscles
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: joint pain lasting till today , chills and fever , headache , sore arms and muscles
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Brain fog, Chest X-ray, Cognitive disorder
Clinical narrative: Right away had pain, tingling and pressure around right eye and felt light headed. Ongoing ME, POTS, muscle weakness, eye pain and weakness, double vision and difficulty with reading, overall muscle fatigue and weakness, right eye drooping, suspected myasthenia gravis, cognitive concerns, brain fog, difficulty chewing and swallowing, dermatitis, abnormal sweating and lighthadedness and fainting, joint pain and muscle pain, hyperlipidemia, muscle twitching
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Computerised tomogram head, Dermatitis, Diplopia, Discomfort
Clinical narrative: Right away had pain, tingling and pressure around right eye and felt light headed. Ongoing ME, POTS, muscle weakness, eye pain and weakness, double vision and difficulty with reading, overall muscle fatigue and weakness, right eye drooping, suspected myasthenia gravis, cognitive concerns, brain fog, difficulty chewing and swallowing, dermatitis, abnormal sweating and lighthadedness and fainting, joint pain and muscle pain, hyperlipidemia, muscle twitching
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Electromyogram, Eye pain, Eyelid ptosis
Clinical narrative: Right away had pain, tingling and pressure around right eye and felt light headed. Ongoing ME, POTS, muscle weakness, eye pain and weakness, double vision and difficulty with reading, overall muscle fatigue and weakness, right eye drooping, suspected myasthenia gravis, cognitive concerns, brain fog, difficulty chewing and swallowing, dermatitis, abnormal sweating and lighthadedness and fainting, joint pain and muscle pain, hyperlipidemia, muscle twitching
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hyperlipidaemia, Magnetic resonance imaging head, Mastication disorder, Muscle fatigue
Clinical narrative: Right away had pain, tingling and pressure around right eye and felt light headed. Ongoing ME, POTS, muscle weakness, eye pain and weakness, double vision and difficulty with reading, overall muscle fatigue and weakness, right eye drooping, suspected myasthenia gravis, cognitive concerns, brain fog, difficulty chewing and swallowing, dermatitis, abnormal sweating and lighthadedness and fainting, joint pain and muscle pain, hyperlipidemia, muscle twitching
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Muscular weakness, Myalgia, Ophthalmoplegia, Paraesthesia
Clinical narrative: Right away had pain, tingling and pressure around right eye and felt light headed. Ongoing ME, POTS, muscle weakness, eye pain and weakness, double vision and difficulty with reading, overall muscle fatigue and weakness, right eye drooping, suspected myasthenia gravis, cognitive concerns, brain fog, difficulty chewing and swallowing, dermatitis, abnormal sweating and lighthadedness and fainting, joint pain and muscle pain, hyperlipidemia, muscle twitching
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Periorbital pain, Postural orthostatic tachycardia syndrome, Reading disorder, Syncope
Clinical narrative: Right away had pain, tingling and pressure around right eye and felt light headed. Ongoing ME, POTS, muscle weakness, eye pain and weakness, double vision and difficulty with reading, overall muscle fatigue and weakness, right eye drooping, suspected myasthenia gravis, cognitive concerns, brain fog, difficulty chewing and swallowing, dermatitis, abnormal sweating and lighthadedness and fainting, joint pain and muscle pain, hyperlipidemia, muscle twitching
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Patient received Pfizer Bivalent 5-11 year vaccine after it had been diluted (sitting at room temp) for 25 hours. It is unknown at this time if patient has had any adverse symptoms.
Age: 79.0
Sex: M
Vaccine: IPV
Symptoms: Wrong product administered
Clinical narrative: Pt came in to receive a PPD but was given Polio 0.1 ML ID into the left forearm by accident. Once staff realized what happened we checked with the provider in office who stated to keep an eye on the patient and report any reactions by giving our a call or proceeding to the ER but the patient should be okay. Patient's wife was notified of incident and aware of directions and stated understanding. Pt is rescheduled to come back for correct injection 1 week after incident per providers discretion.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Chief ComplaintPatient presents witho Covid-19    SOB. The pt was admitted to the hospital on  1/3/2022 because of COVID-19 pneumonia.  IV Decadron was continued.  Oxygen was weaned.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain, Nausea, Vital functions abnormal, Vomiting
Clinical narrative: The patient was given the 1st vaccine in the Hepatitis 2 step series at 1315 on August 14, 2023. At approximately 1345, the patient reported a burning sensation in her chest and that she had vomited before speaking with the nurse. Vitals were taken and remained slightly elevated, but stable. The patient reported nausea had improved after 1 episode of emesis. Patient was advised of signs and symptoms of anaphylaxsis and worsening symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 7.0
Sex: M
Vaccine: COVID19-2, MMR, TYP
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient also received first dose  of Covid- 19 on 7/31/23 and second dose on 8/11/23.  Second dose not needed this early.  Patient received Typhoid vaccine on 7/31/23 and was reordered and given on 8/11/23.  Patient received MMR-II on 7/31/23 and received dose on 8/11/23.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Expired product administered
Clinical narrative: No signs/symptoms. Vaccine was expired
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Anal incontinence, Disorientation, Dizziness, Muscle rigidity, Seizure like phenomena
Clinical narrative: 15-20 minutes after receiving the Tdap vaccine, patient had seizure-like activity. This activity occurred right after completion of a blood draw. Patient was sitting in the lab chair, the blood had just been collected when she voiced feeling light-headed. Her body became rigid and shaking. Her eyes were open, but not focused, nor tracking when I spoke with her. She did not respond. Her mouth was closed and had her chin tucked down to her chest. She was moving all around in the chair and there were 3 of us helping to keep her safe. This seizure-like activity lasted less than one minute. Within seconds she came back around, her body relaxed, and she was able to focus. Initially she was disoriented and after being reminded that she was the clinic, a few seconds later she remembered the blood draw. She was able to call her dad to meet her in the emergency room. She also reported that had soiled herself with urine.  She was escorted to the emergency room.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Tremor, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: 15-20 minutes after receiving the Tdap vaccine, patient had seizure-like activity. This activity occurred right after completion of a blood draw. Patient was sitting in the lab chair, the blood had just been collected when she voiced feeling light-headed. Her body became rigid and shaking. Her eyes were open, but not focused, nor tracking when I spoke with her. She did not respond. Her mouth was closed and had her chin tucked down to her chest. She was moving all around in the chair and there were 3 of us helping to keep her safe. This seizure-like activity lasted less than one minute. Within seconds she came back around, her body relaxed, and she was able to focus. Initially she was disoriented and after being reminded that she was the clinic, a few seconds later she remembered the blood draw. She was able to call her dad to meet her in the emergency room. She also reported that had soiled herself with urine.  She was escorted to the emergency room.
Age: 51.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Condition aggravated, Limb injury, Mobility decreased, Pain in extremity
Clinical narrative: PATIENT REPORTS HER ARM HAS BEEN SORE FOR OVER A MONTH TO THE POINT OF LOSING MOBILITY IN THE ARM. SHE HAS AN INJURY IN THE ARM THAT SHE OBTAINS STEROID INJECTIONS FOR BUT STATES THE VACCINE (SHINGRIX) MADE IT MUCH WORSE.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Presented w/ SOB, weakness, fever, body ache, cough, fatigue. Tested by PCP, Covid+. Tx for Covid pneumonia w/ IV steroids, Vit C, Zinc. male who was admitted for persistent Covid pneumonia symptoms with respiratory insufficiency and borderline low oxygen levels down to 89% room air.  Patient had been on outpatient antibiotics steroids as an outpatient.  Patient had CT a with no pulmonary embolism but with persistent pneumonia.  Patient was started on IV steroids along with vitamins C and zinc and supportive care and did have some clinical treatment and decrease inflammatory numbers overnight.  Patient remained afebrile but desat to 89% with ambulation with symptoms of sob.  Pt would be setup for home 02 and finish off po meds.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea, Dyspnoea exertional, Fatigue, Inflammatory marker test, Malaise
Clinical narrative: Presented w/ SOB, weakness, fever, body ache, cough, fatigue. Tested by PCP, Covid+. Tx for Covid pneumonia w/ IV steroids, Vit C, Zinc. male who was admitted for persistent Covid pneumonia symptoms with respiratory insufficiency and borderline low oxygen levels down to 89% room air.  Patient had been on outpatient antibiotics steroids as an outpatient.  Patient had CT a with no pulmonary embolism but with persistent pneumonia.  Patient was started on IV steroids along with vitamins C and zinc and supportive care and did have some clinical treatment and decrease inflammatory numbers overnight.  Patient remained afebrile but desat to 89% with ambulation with symptoms of sob.  Pt would be setup for home 02 and finish off po meds.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oxygen saturation decreased, Pain, Pyrexia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Presented w/ SOB, weakness, fever, body ache, cough, fatigue. Tested by PCP, Covid+. Tx for Covid pneumonia w/ IV steroids, Vit C, Zinc. male who was admitted for persistent Covid pneumonia symptoms with respiratory insufficiency and borderline low oxygen levels down to 89% room air.  Patient had been on outpatient antibiotics steroids as an outpatient.  Patient had CT a with no pulmonary embolism but with persistent pneumonia.  Patient was started on IV steroids along with vitamins C and zinc and supportive care and did have some clinical treatment and decrease inflammatory numbers overnight.  Patient remained afebrile but desat to 89% with ambulation with symptoms of sob.  Pt would be setup for home 02 and finish off po meds.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: On Wednesday 8/09 staff administered a Menveo 2 vial vaccine. 1 Powder and 1 liquid that needed to be mixed together. When doing vaccine counts on Friday this was noticed that 3 powders and 4 liquids were left. This made the count off. After further evaluation it was found that the powder was mixed with sterile dilutant and not the liquid that came with the powder.   Spoke to PA-C and he said that the patient is in no danger as this was a sterile dilutant. The patient would need to return back to the office to be revaccinated.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Erythema, Hypertension, Throat irritation
Clinical narrative: Seated client c/o redness of arm about 10 minutes following injection.  Client ambulated by provider and spouse to exam room to lay down on exam table. Client reports feeling dizzy. VS taken. Client hypertensive 174/104 , HR 66, temp 98.7 Oral, rr 22. Lung sounds clear bilaterally. AOx4. Client denies SOB, swelling, confusion, nausea. Client sat up with assistance to have one bite of cracker and a sip of apple juice. No coughing.  Client complained of dizziness again, client was positioned laying down again. Client then complained of "burning" sensation in throat. EMS called. EMS arrived 6-8 minutes. Provider gave report to EMS. Provider and EMS personnel helped client ambulate to the stretcher 2 rooms away.
Age: 1.17
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Instead of receiving the pediatric dose of the Hepatitis A vaccine (0.5 ml), patient was given the adult dose (1 ml). Patient had no reaction to receiving the adult dosage of Hepatitis A vaccine.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Injection site erythema, Injection site warmth, Lethargy, Nausea
Clinical narrative: Patient received her first dose of shingrix on 8/9/23 in her left deltoid. Patient came to the pharmacy today on 8/14/23 and showed her arm was red. Patient reported the following symptoms that started on the day of vaccine administration: Redness at the site of injection, low grade fever, lethargy, itching, shooting pains, swelling of the left arm, administration area hot to touch, stomach ache, nausea and vomiting, "shingles like feeling". Patient reported taking ibuprofen which has helped her symptoms. Patient has not sought treatment yet.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Peripheral swelling, Pruritus, Pyrexia, Vomiting
Clinical narrative: Patient received her first dose of shingrix on 8/9/23 in her left deltoid. Patient came to the pharmacy today on 8/14/23 and showed her arm was red. Patient reported the following symptoms that started on the day of vaccine administration: Redness at the site of injection, low grade fever, lethargy, itching, shooting pains, swelling of the left arm, administration area hot to touch, stomach ache, nausea and vomiting, "shingles like feeling". Patient reported taking ibuprofen which has helped her symptoms. Patient has not sought treatment yet.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: At 10:45 am, RN, administered the 10-mcg Engerix-B (Hep B vaccine) to 53-year-old female client. Client tolerated dose well. After administration, Nurse realized that the Engerix-B 10-mcg pediatric dose had been administered rather than the 20-mcg Hep B adult dose. Nurse explained the situation to the patient and asked her to stay so that Nurse could call the State Immunization Nurse line for expert advice. Patient agreed with the plan. Nurse called State Immunization Nurse. Nurse advised RN to readminister the pediatric 10-mcg dose on the same day. Nurse reported the advice to client, who agreed with the plan. Nurse then administered a second 10-mcg dose to the client at 11:15 am. Client tolerated both doses well and was observed for 15 minutes after each dose.  Client received a total of 20 mcg of the Hep B vaccine on 8/14/2023.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: We had a back-to-school vaccine clinic event on 8/12/2023. The child was given 0.2ml of the Pfizer bivalent (orange cap) non-reconstituted.  The patient was observed at the clinic for 15 minutes after the dose and no side effects were observed. The mom was counselled to watch for side effects when they get home.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: hives on back getting worse as the week went on
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Rash, Rash pruritic, Similar reaction on previous exposure to drug, Vasculitic rash
Clinical narrative: Patient with vascular rash that was painful and itchy on bilateral upper legs. Had similar reaction after 1st gardasil but rash was on ankle.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child was inadvertently given Adult Hep B dose. No complication arose with the child.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blindness unilateral, Cataract operation, Cerebrovascular accident, Computerised tomogram
Clinical narrative: Rash, Swelling of the legs,  Doctor said to elevate legs. I kept going back to him but he kept blowing me off. I told him i have had a stroke or something, he did not believe me. It took me 3 months to get an appointment with Dr. I was so sick that day I had an appointment with him I couldn't make the appointment. The following day, I called and begged to see him saying I was dying. I drove, I don't know how, but I drove and got there and insisted on seeing him. He did a questionnaire and he admitted me. I was transported by Ambulance. I was in the hospital for 7 days and no one knew what to do with me. No diagnoses. I was furious and went home AMA. I went home. I was so sick that the cab driver had to carry me into my house. Later I called my housekeeper to come on the next Sunday, a few days later, and she showed up and I had been sitting on the couch trying to put pants on and I didn't know I had AFIB or a leaky heart valve. I had been wheelchair bound for months not knowing what was wrong.   I was on the toilet trying to get up and had to call for help. He referred to MD Neurologist in city 09/29/2021. I told him there was something wrong. He ordered a CAT scan and CT. He said  I have had 2 strokes. He asked why I was walking with my head down. I told him I was unable to drive and I could not keep my balance. I ended up having a 3rd stroke and am blind in one eye from cataract surgery and stroke. I saw a Dr. who is a retinal specialist after seeing Dr. who did my cataract surgery.   I ( the patient) have ALL of my medical records. Thousands of papers. There may be a few missing from the past 4-6 weeks.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Laboratory test, Malaise, Mobility decreased, Peripheral swelling
Clinical narrative: Rash, Swelling of the legs,  Doctor said to elevate legs. I kept going back to him but he kept blowing me off. I told him i have had a stroke or something, he did not believe me. It took me 3 months to get an appointment with Dr. I was so sick that day I had an appointment with him I couldn't make the appointment. The following day, I called and begged to see him saying I was dying. I drove, I don't know how, but I drove and got there and insisted on seeing him. He did a questionnaire and he admitted me. I was transported by Ambulance. I was in the hospital for 7 days and no one knew what to do with me. No diagnoses. I was furious and went home AMA. I went home. I was so sick that the cab driver had to carry me into my house. Later I called my housekeeper to come on the next Sunday, a few days later, and she showed up and I had been sitting on the couch trying to put pants on and I didn't know I had AFIB or a leaky heart valve. I had been wheelchair bound for months not knowing what was wrong.   I was on the toilet trying to get up and had to call for help. He referred to MD Neurologist in city 09/29/2021. I told him there was something wrong. He ordered a CAT scan and CT. He said  I have had 2 strokes. He asked why I was walking with my head down. I told him I was unable to drive and I could not keep my balance. I ended up having a 3rd stroke and am blind in one eye from cataract surgery and stroke. I saw a Dr. who is a retinal specialist after seeing Dr. who did my cataract surgery.   I ( the patient) have ALL of my medical records. Thousands of papers. There may be a few missing from the past 4-6 weeks.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Wheelchair user
Clinical narrative: Rash, Swelling of the legs,  Doctor said to elevate legs. I kept going back to him but he kept blowing me off. I told him i have had a stroke or something, he did not believe me. It took me 3 months to get an appointment with Dr. I was so sick that day I had an appointment with him I couldn't make the appointment. The following day, I called and begged to see him saying I was dying. I drove, I don't know how, but I drove and got there and insisted on seeing him. He did a questionnaire and he admitted me. I was transported by Ambulance. I was in the hospital for 7 days and no one knew what to do with me. No diagnoses. I was furious and went home AMA. I went home. I was so sick that the cab driver had to carry me into my house. Later I called my housekeeper to come on the next Sunday, a few days later, and she showed up and I had been sitting on the couch trying to put pants on and I didn't know I had AFIB or a leaky heart valve. I had been wheelchair bound for months not knowing what was wrong.   I was on the toilet trying to get up and had to call for help. He referred to MD Neurologist in city 09/29/2021. I told him there was something wrong. He ordered a CAT scan and CT. He said  I have had 2 strokes. He asked why I was walking with my head down. I told him I was unable to drive and I could not keep my balance. I ended up having a 3rd stroke and am blind in one eye from cataract surgery and stroke. I saw a Dr. who is a retinal specialist after seeing Dr. who did my cataract surgery.   I ( the patient) have ALL of my medical records. Thousands of papers. There may be a few missing from the past 4-6 weeks.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, PNC13
Symptoms: Hemiparesis
Clinical narrative: Right Hemiparesis
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paraesthesia
Clinical narrative: Tingling in both lower legs up to the knees.  No focal weakness.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Oropharyngeal pain
Clinical narrative: presents to the hospital with generalized weakness and shortness of breath. Patient also tested positive for COVID-19.  No hypoxemia present. No sepsis present. C/o some shortness of breath, generalized body aches, subjective fever on admission.  Endorses cough and sore throat.  Saturating well on room air at this time
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: presents to the hospital with generalized weakness and shortness of breath. Patient also tested positive for COVID-19.  No hypoxemia present. No sepsis present. C/o some shortness of breath, generalized body aches, subjective fever on admission.  Endorses cough and sore throat.  Saturating well on room air at this time
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Asthenia, Blood lactic acid normal, COVID-19, Chest X-ray abnormal, Dyspnoea
Clinical narrative: presents to the hospital with generalized weakness, shortness of breath and a fall. COVID-19 infection -lactic acid normal on admission -Not hypoxemic but is complaining of shortness of breath on admission.  -CXR on admission 8/2 Bilateral airspace/interstitial opacity, concerning for pneumonitis,-Received Decadron and DuoNeb breathing treatments.  Shortness of breath improved
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Fall, Lung opacity
Clinical narrative: presents to the hospital with generalized weakness, shortness of breath and a fall. COVID-19 infection -lactic acid normal on admission -Not hypoxemic but is complaining of shortness of breath on admission.  -CXR on admission 8/2 Bilateral airspace/interstitial opacity, concerning for pneumonitis,-Received Decadron and DuoNeb breathing treatments.  Shortness of breath improved
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Respiratory failure
Clinical narrative: patient was admitted on 08/03/2023 due to acute on chronic respiratory failure with hypoxia secondary to COVID-19 infection.
Age: 57.0
Sex: M
Vaccine: COVID19, UNK, UNK
Symptoms: COVID-19, Chest discomfort, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: She presented to the emergency department with shortness of breath and chest pressure.  Symptoms have been occurring last 2 days.  According to the patient she tested positive for COVID-19 -received doxycycline to cover possible superimposed bacterial pneumonia.   -received dexamethasone. added pantoprazole 40 mg daily GI prophylaxis while on high-dose steroids
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Sepsis, Superinfection bacterial
Clinical narrative: Sepsis likely secondary to COVID-19 pneumonia with suspected bacterial superinfection
Age: 10.0
Sex: F
Vaccine: DTPPVHBHPB, HEPA, MMR, PNC15, DTPPVHBHPB, HEPA, MMR, PNC15
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: A Vaxelis vaccination was given to a child (age 10), but is only approved for children under 5. The child needed all the components of the vaccination and was the correct time interval.
Age: 10.0
Sex: F
Vaccine: DTPPVHBHPB, HEPA, MMR, PNC15, DTPPVHBHPB, HEPA, MMR, PNC15
Symptoms: Off label use, Product administered to patient of inappropriate age
Clinical narrative: A Vaxelis vaccination was given to a child (age 10), but is only approved for children under 5. The child needed all the components of the vaccination and was the correct time interval.
Age: 71.0
Sex: M
Vaccine: COVID19, UNK, UNK
Symptoms: COVID-19, Chest X-ray abnormal, Lung disorder
Clinical narrative: COVID-19 infection: No hypoxic respiratory failure currently, on room air at present with O2 sats greater than 94%. Mild interstitial prominence on chest x-ray without acute infiltrate Treated with empiric Rocephin and azithromycin to cover any possible superimposed bacterial infection and transition to oral cefdinir and azithromycin on discharge to complete course of treatment. No current indication for remdesivir Treated with Decadron 6 mg daily and transition to p.o. prednisone short course discharge.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission/patient expired after 2 vaccines  Pfizer 1/15/21 lot# EL3249;  Pfizer 2/5/21 lot# EM9810
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Blindness, Dizziness, Skin warm
Clinical narrative: 5 MINUTES AFTER VACCINE WAS ADMINISTRED, PATINET STARTED COMPLAINING OF FEELING LITTLE DIZZY AND NOT ABLE TO SEE AT ALL FOR 10 MINUTES.PT WAS HOT TO TOUCH.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission /patient expired after 2 vaccines  Moderna 7/21/21 Lot# 078C21A;  Moderna 8/18/21 Lot# 002F21A
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, Death, SARS-CoV-2 test
Clinical narrative: Breakthrough case admission /patient expired after 2 vaccines mOderna 4/6/21 lot# 025B21A;  Moderna 4/30/21 lot# 048B21A
Age: 49.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Injection site pruritus, Lymphadenopathy, Oedema peripheral, Peripheral swelling
Clinical narrative: Redness and swelling starting from within arm pit area, lymph nodes. Up across deltoid to posterior of arm.   Approximately 10cm in length, 4cm high, swelling ~1/2 cm.   As of today (Monday 8/14, 3 days post-injection), area is itching.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Struck by lightning
Clinical narrative: Struck by lightening through the ground during a wet thunder storm
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pt inadvertently given 5-11yr old COVID vaccine.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission/patient expired Pfizer 3/17/21 lot# ER2613;  Pfizer 4/7/21 Lot# EW0150; Pfizer 1/12/22 Pfizer FF2590
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC13, RV5
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: Worsening fever over three days (101 then 103 three days later) with loose stool.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission/patient expired after 2 vaccines MOderna 2/16/21 lot# 015M20A ; Modern a3/15/21 lot# 002A21
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Sex: U
Vaccine: HEPA, MMRV
Symptoms: Immediate post-injection reaction, Injection site swelling, Swelling
Clinical narrative: Patient had immediate swelling of immunization site on L leg after administration of MMRV Vaccine. Swelling remained localized and did not spread. Patient's provider was notified and was given a cold pack to reduce swelling. Patient was monitored for 20 minutes and swelling on L Leg decreased over time. Patient was seen with her provider and was released to go home with her mother and sister.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Somnolence, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: At 14:40 mom returns to clinic with child saying he is having a reaction to vaccines.  Patient is awake but drowsy and talking.  Mom states " he became unresponsive in drive thru line."  Child also urinated on himself.  Patient has 2-3 small red spots on chest and 2-3 small red spots on upper back.  Does not have labored breathing and child states does not feel short of breath.  Benadryl given per standing orders.  BP at 14:45 was 130/82.  rechecked BP at 15:00 it was 118/60.  Patient becoming more active.  Talking the whole time.  Mom states history of febrile seizures.  Last one 5 months ago.  No new red spots appearing on body.  Patient is alert and active.  Encouraged mom to watch child closely.  To ER if condition worsens.  Mom verbalized understanding.  Patient walked out with mom.
Age: 7.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Immediate post-injection reaction, Injection site swelling, Swelling
Clinical narrative: Patient had immediate swelling of immunization site on L leg of MMRV Vaccine. Swelling remained localized and did not spread. Patient's provider was notified and was given a cold pack to reduce swelling. Patient was monitored for 20 minutes and swelling decreased over time. Patient was seen with her provider and was released to go home with her mother and sister.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: Menveo vaccine given on 7/7/23 was only the diluent and did not include the powdered portion of the vaccine. Patient was revaccinated with the full dose of Menveo on 8/3/23.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site pain, Pain, Pain in extremity
Clinical narrative: Patient stated that the vaccine hurt very badly when given. It is 7 weeks later and she reports she still has pain in her arm and has shooting pain that travels to her elbow and upper arm.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia
Clinical narrative: pt states left arm is tingling ~2.5 hours after vaccination
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Documentation shows patient was administered Covid 12+ vaccine instead of the age appropriate 5-11 dosing. Staff no longer here to verify accuracy.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Documentation shows patient was administered Covid 12+ vaccine instead of the age appropriate 5-11 dosing. Staff no longer here to verify accuracy.
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: PT stated that he had never received a vaccine before 7/28, but upon further investigation, a record for the same vaccine was found and administered one month before the 2nd dose. PT was notified of the error and claimed not to have received a dose before 7/28, but records show otherwise.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Documentation shows patient was administered Covid 12+ vaccine instead of the age appropriate 5-11 dosing. Staff no longer here to verify accuracy.
Age: 17.0
Sex: M
Vaccine: UNK
Symptoms: Influenza like illness
Clinical narrative: Severe influenza-like symptoms that lasted months.
Age: 66.0
Sex: F
Vaccine: COVID19-2, PNC20, VARZOS
Symptoms: Syncope
Clinical narrative: Pt received the 3 vaccinations and within 5 minutes began experiencing symptoms of vasovagal syncope. Pt proceeded to lie down on a floor mat while the local EMT's were dispatched to handle the situation from there. Pt seemed to continue to experience the symptoms about 15-20 min after they began and while she was take away in an ambulance to a local hospital for further evaluation.
Age: 70.0
Sex: F
Vaccine: PPV, TDAP, VARZOS
Symptoms: Injection site pain, Pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: pt c/o of arm pain radiating down from injection site to rest of lower right arm. Pt states vaccine administration site was "too low". No issue of arm pain with other shoulder. Pt states using lidocaine patch below injection site , and also taking generic Norco to relieve arm/shoulder pain. Pt vaccine on 8/10/23, pain reported on 8/14/23.