chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Vaccination site swelling, Vaccination site warmth
Clinical narrative: PATIENT HAD SLIGHT SWELLING, REDNESS AND WARMTH IN VACCINE AREA
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Dyspnoea, Nausea, SARS-CoV-2 test positive
Clinical narrative: Patient came to ED with abdominal pain, nausea, and vomiting and some shortness of breath.  Patient tested Covid positive and was admitted to the hospital and treated with remdesivir.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient came to ED with abdominal pain, nausea, and vomiting and some shortness of breath.  Patient tested Covid positive and was admitted to the hospital and treated with remdesivir.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Autoimmune thyroiditis, Feeling abnormal, Hypothyroidism, Neck pain
Clinical narrative: Developed Hashimotos Hypothyroidism  Neck and upper shoulder pain
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized with COVID while vaccinated.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized with COVID while vaccinated.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products, Tinnitus
Clinical narrative: About 4 months after 2nd Janssen Covid dose I developed Tinnitus, which has been seriously troubling me since. It is unrelenting. I live where I received my 1st dose of AstraZeneca. After 8-week I went back to the same clinic to get the 2nd dose, but they had no vaccines of any type. I traveled and tried to get another Covid vaccine dose but no one would give me a vaccine of any type because I had received the AstraZeneca. So, I went to a Dept of Health clinic and explained my situation. After some checking I was okayed to receive the Janssen dose, which no one in wanted. 6 months after returning I went for another dose of the Janssen treatment.
Age: 14.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: After orientating Mom on the vaccination process, the child is vaccinated. After vaccinating the minor, patient refers to feeling dizzy and begins to presents which suffers temporary loss of consciousness. She was offered the necessary care and first aid to stabilize the patient. After several minutes in observation the patient is stable, alert and oriented, Mom is recommended to visit a doctor.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized with COVID while vaccinated.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient was given pediatric dose (age 5-11) instead of adult dose booster. She was given 0.3ml of Pediatric dose.
Age: 58.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site warmth
Clinical narrative: Bruising/redness at site of injection.  At its peak the redness went halfway down upper arm and was warm to touch.  She took 25mg diphenhydramine and within an hour or two the reaction seemed much better.  On Monday, August 1st when she showed her arm to me,  The redness was localized at injection site and was the size of a lemon with no significant swelling.  By August 3rd, the redness had resolved.  Patient was instructed to take diphenhydramine  as needed or loratidine 10mg daily.
Age: 34.0
Sex: M
Vaccine: FLUC4
Symptoms: Extra dose administered
Clinical narrative: Extra dose given during current season. Previous dose 11/9/21
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, UNK
Symptoms: Crying, Irritability, Skin discolouration, Vomiting
Clinical narrative: PATIENT WOKE FROM HER NAP IRRITABLE APPROXIMATELY 4 HRS AFTER RECEIVING VACCINES. SHE HAS ONE EPISODE OF EMESIS, AND HAD PURPLE COLORATION TO HER RIGHT LEG BELOW THE KNEE THE LASTED 5-10 MINUTES SO PARENT TOOK PATIENT TO ER. PATIENT WAS AFEBRILE, WELL APPEARING, TOLERING FEEDS, AND NO DISCOLORATION TO THE LEG WITH BRISK CAP REFILL. PATIENT WAS GIVEN TYLENOL IN THE ER. NO LAB WORK WAS DONE. EXTREME FUSSINESS AND CRYING LASTED 45 MINUTES. LEFT LEG WAS THE SITE WHERE VACCINES WERE GIVEN.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized with COVID while vaccinated.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized with COVID while vaccinated.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 3 doses Moderna. This is repeat test, initial positive on 7/27/2022.
Age: 75.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal discomfort, Asthenia, Chills, Dizziness, Erythema
Clinical narrative: R arm red hair reddened hot swollen approximately 10? x 8?   Nausea vomiting shivering muscle pain upset stomach pain lasting 3 days Swelling lasting 5 days weakness dizziness
Age: 75.0
Sex: M
Vaccine: UNK
Symptoms: Hair colour changes, Myalgia, Nausea, Pain, Peripheral swelling
Clinical narrative: R arm red hair reddened hot swollen approximately 10? x 8?   Nausea vomiting shivering muscle pain upset stomach pain lasting 3 days Swelling lasting 5 days weakness dizziness
Age: 75.0
Sex: M
Vaccine: UNK
Symptoms: Skin warm, Swelling, Vomiting
Clinical narrative: R arm red hair reddened hot swollen approximately 10? x 8?   Nausea vomiting shivering muscle pain upset stomach pain lasting 3 days Swelling lasting 5 days weakness dizziness
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient Hospitalized with COVID while vaccinated.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient Hospitalized with COVID while vaccinated.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: I just got back from a cruise and when I got home I started feeling like I had a cold. After a couple of days I still didn't feel well, so I took a home COVID-19 test and it was positive. I went to the clinic inside of a local store and was prescribed PAXLOVID. Said it was a very mild breakthrough, he really didn't think it was COVID at first.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized with COVID while vaccinated.
Age: 19.0
Sex: M
Vaccine: MENB
Symptoms: Expired product administered
Clinical narrative: Administered the vaccine in the left deltoid of the patient. When entering in the information in the computer system to have record of the administration of immunization, the vaccination was noticed to be expired.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized with COVID while vaccinated.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 1 dose Janssen.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized with COVID while vaccinated.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Syncope
Clinical narrative: patient had syncopal event approx5 minutes after vaccine injection.  Did not lose consciousness - placed on floor on back with legs elevated - color returned within minutes and patient was smiling and laughing. Family declined '911' being contacted
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 3 doses Moderna.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".   Patient reported no adverse reactions.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Feeling abnormal
Clinical narrative: On July 25, 2022 I felt a little bit bad but tested negative. On the next day I had a throat pain and nasty cough and I tested positive. I began to have a headache and I lost my taste and smell and nauseated. My symptoms lasted for 11 days. The doctor prescribed me cough medicine. The doctor did not recommended PAXLOVID for me. I do not have any lingering symptoms and feel like myself again.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On July 25, 2022 I felt a little bit bad but tested negative. On the next day I had a throat pain and nasty cough and I tested positive. I began to have a headache and I lost my taste and smell and nauseated. My symptoms lasted for 11 days. The doctor prescribed me cough medicine. The doctor did not recommended PAXLOVID for me. I do not have any lingering symptoms and feel like myself again.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Chills, Influenza A virus test negative, Influenza B virus test, Nausea, Pyrexia
Clinical narrative: Vaccines given at 0900. Fever, chills, nausea, vomiting started at 1100. Presented to clinic at 1200. Given Tylenol, Zofran and IV fluids. Discharged from clinic around 1500.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative, Vomiting
Clinical narrative: Vaccines given at 0900. Fever, chills, nausea, vomiting started at 1100. Presented to clinic at 1200. Given Tylenol, Zofran and IV fluids. Discharged from clinic around 1500.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Rash, Rash maculo-papular, Rash pruritic, Throat irritation
Clinical narrative: Pt reported rash beginning the evening of 07/29/2022. On 08/01/2022 rash, maculopapular, spread over entire body - including soles of feet & palms. Pt. reported rash itching & her throat itching.  Evaluated by urgent care. Discharged w/instructions to take benadryl 25 mg tabs x7d, use calamine lotion for itching & apply ice to rash.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient hospitalized with COVID while vaccinated. Expired: 08/09/2022.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: hospitalization of fully vaccinated covid positive pt
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Rash, Throat tightness
Clinical narrative: Developed hive like rash covering R arm, R upper back, chest and spreading.  Throat began to tighten.  Given 50 mg of Benadry and sent to ER
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage, Neoplasm
Clinical narrative: GI Bleed, PE, and tumor
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt arrived to receive covid vaccine booster, with grandmother's consent. Handed provider vaccination card, which showed 2 prior Pfizer doses. The above vaccine was administered, only for patient to then say "There was a sticker for my 3rd shot on my card, it fell off." Thus pt was inadvertently administered a 4th dose of the Pfizer Covid Vaccine. Pt is not immunocompromised, and thus did not qualify for a 4th dose. He was informed of what happened and left with no adverse reaction to vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Influenza virus test negative, Malaise, Nasal congestion, Oropharyngeal pain
Clinical narrative: Starting 08/01/2022, I woke up with a very sore throat. The next day, I had a stuffy nose and thought it was the hotel air. On 08/02/2022, I got home and felt sickly, and took an at home test which was negative and then I went to urgent care and they did a COVID/strep test but they were both negative. On 08/05/2022, I went to another urgent care and got a COVID-19 test, Strep test and Flu test which all came back negative. The doctor put me on a Z-PAK because he didn't like the way my throat looked. I started feeling better by 08/06/2022. I feel fine today but still have some runny nose/nasal congestion and my voice hasn't returned to normal yet (I lost my voice on Saturday).
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Starting 08/01/2022, I woke up with a very sore throat. The next day, I had a stuffy nose and thought it was the hotel air. On 08/02/2022, I got home and felt sickly, and took an at home test which was negative and then I went to urgent care and they did a COVID/strep test but they were both negative. On 08/05/2022, I went to another urgent care and got a COVID-19 test, Strep test and Flu test which all came back negative. The doctor put me on a Z-PAK because he didn't like the way my throat looked. I started feeling better by 08/06/2022. I feel fine today but still have some runny nose/nasal congestion and my voice hasn't returned to normal yet (I lost my voice on Saturday).
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Aspartate aminotransferase increased, Bacteriuria, COVID-19
Clinical narrative: Per web report received from hospital. Patient with no significant past medical history, presented to the ED via ambulance for evaluation of altered mental status. The patient was somewhat of a poor historian. She was oriented to person and place. She recalled she went to a store for shopping. Patient did not know what happened next.  She stated she was feeling fine and did not want to stay in the hospital.  She was unsure why she is currently in the ED. Patient denied any headache, fever, or chills.  Denied any chest pain, palpitations, nausea, vomiting, abdominal pain, diarrhea, or dysuria. Per ED documentation, patient was found with altered mental status in shopping center parking lot. Patient was brought via EMS to hospital for further evaluation. Record noted that patient's diagnosis of altered mental status/acute metabolic encephalopathy of unclear etiology. Hospital notes stated this could be related to COVID-19 infection.  CT scan of the head was negative for any acute intracranial process.  No focal signs of acute stroke.  COVID treatment was instituted, and the patient was monitored for changes in mentation. Hospital note stated primary diagnosis of COVID-19 infection, symptomatic. Not hypoxemic. Chest x-ray showed mild right upper lobe pneumonitis.  Note stated Labs showed lymphopenia and laboratory orders for inflammatory markers ordered. Patient was started on Decadron 6 mg daily due to symptoms and monitor.  Oxygen supplementation was ordered p.r.n.  Speech evaluation was ordered due to concern for aspiration. Additional diagnosis of hypothyroidism, untreated.  Hospital not stated that it is unclear if this is contributing to her altered mental status.  The patient was started on Synthroid. Hospital notes stated addition diagnosis of Bacteriuria, due to probable acute urinary tract infection present on admission.  Patient was started on IV Ceftriaxone and follow up on urine culture ordered. Additionally, patient had a normal anion gap metabolic acidosis, hypokalemia, Hypomagnesemia, of which supplemental potassium and magnesium and IV fluids for hydration and acute kidney injury were given and BMP monitored. Hospital note stated abnormal LFTs. LFTs on admission with slightly elevated AST; could be from COVID 19 infection. Patient was monitored for deep venous thrombosis and was put on prophylaxis Heparin. Additional note stated the patient declined and patient transferred to Hospice and died on 1/10/2022 from complications of acute on chronic respiratory failure and covid pneumonia at 12:02 with family present.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram head normal, Death, Hypokalaemia
Clinical narrative: Per web report received from hospital. Patient with no significant past medical history, presented to the ED via ambulance for evaluation of altered mental status. The patient was somewhat of a poor historian. She was oriented to person and place. She recalled she went to a store for shopping. Patient did not know what happened next.  She stated she was feeling fine and did not want to stay in the hospital.  She was unsure why she is currently in the ED. Patient denied any headache, fever, or chills.  Denied any chest pain, palpitations, nausea, vomiting, abdominal pain, diarrhea, or dysuria. Per ED documentation, patient was found with altered mental status in shopping center parking lot. Patient was brought via EMS to hospital for further evaluation. Record noted that patient's diagnosis of altered mental status/acute metabolic encephalopathy of unclear etiology. Hospital notes stated this could be related to COVID-19 infection.  CT scan of the head was negative for any acute intracranial process.  No focal signs of acute stroke.  COVID treatment was instituted, and the patient was monitored for changes in mentation. Hospital note stated primary diagnosis of COVID-19 infection, symptomatic. Not hypoxemic. Chest x-ray showed mild right upper lobe pneumonitis.  Note stated Labs showed lymphopenia and laboratory orders for inflammatory markers ordered. Patient was started on Decadron 6 mg daily due to symptoms and monitor.  Oxygen supplementation was ordered p.r.n.  Speech evaluation was ordered due to concern for aspiration. Additional diagnosis of hypothyroidism, untreated.  Hospital not stated that it is unclear if this is contributing to her altered mental status.  The patient was started on Synthroid. Hospital notes stated addition diagnosis of Bacteriuria, due to probable acute urinary tract infection present on admission.  Patient was started on IV Ceftriaxone and follow up on urine culture ordered. Additionally, patient had a normal anion gap metabolic acidosis, hypokalemia, Hypomagnesemia, of which supplemental potassium and magnesium and IV fluids for hydration and acute kidney injury were given and BMP monitored. Hospital note stated abnormal LFTs. LFTs on admission with slightly elevated AST; could be from COVID 19 infection. Patient was monitored for deep venous thrombosis and was put on prophylaxis Heparin. Additional note stated the patient declined and patient transferred to Hospice and died on 1/10/2022 from complications of acute on chronic respiratory failure and covid pneumonia at 12:02 with family present.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hypomagnesaemia, Hypothyroidism, Inflammatory marker test, Laboratory test abnormal, Liver function test abnormal
Clinical narrative: Per web report received from hospital. Patient with no significant past medical history, presented to the ED via ambulance for evaluation of altered mental status. The patient was somewhat of a poor historian. She was oriented to person and place. She recalled she went to a store for shopping. Patient did not know what happened next.  She stated she was feeling fine and did not want to stay in the hospital.  She was unsure why she is currently in the ED. Patient denied any headache, fever, or chills.  Denied any chest pain, palpitations, nausea, vomiting, abdominal pain, diarrhea, or dysuria. Per ED documentation, patient was found with altered mental status in shopping center parking lot. Patient was brought via EMS to hospital for further evaluation. Record noted that patient's diagnosis of altered mental status/acute metabolic encephalopathy of unclear etiology. Hospital notes stated this could be related to COVID-19 infection.  CT scan of the head was negative for any acute intracranial process.  No focal signs of acute stroke.  COVID treatment was instituted, and the patient was monitored for changes in mentation. Hospital note stated primary diagnosis of COVID-19 infection, symptomatic. Not hypoxemic. Chest x-ray showed mild right upper lobe pneumonitis.  Note stated Labs showed lymphopenia and laboratory orders for inflammatory markers ordered. Patient was started on Decadron 6 mg daily due to symptoms and monitor.  Oxygen supplementation was ordered p.r.n.  Speech evaluation was ordered due to concern for aspiration. Additional diagnosis of hypothyroidism, untreated.  Hospital not stated that it is unclear if this is contributing to her altered mental status.  The patient was started on Synthroid. Hospital notes stated addition diagnosis of Bacteriuria, due to probable acute urinary tract infection present on admission.  Patient was started on IV Ceftriaxone and follow up on urine culture ordered. Additionally, patient had a normal anion gap metabolic acidosis, hypokalemia, Hypomagnesemia, of which supplemental potassium and magnesium and IV fluids for hydration and acute kidney injury were given and BMP monitored. Hospital note stated abnormal LFTs. LFTs on admission with slightly elevated AST; could be from COVID 19 infection. Patient was monitored for deep venous thrombosis and was put on prophylaxis Heparin. Additional note stated the patient declined and patient transferred to Hospice and died on 1/10/2022 from complications of acute on chronic respiratory failure and covid pneumonia at 12:02 with family present.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphopenia, Mental status changes, Metabolic acidosis, Metabolic encephalopathy, Metabolic function test
Clinical narrative: Per web report received from hospital. Patient with no significant past medical history, presented to the ED via ambulance for evaluation of altered mental status. The patient was somewhat of a poor historian. She was oriented to person and place. She recalled she went to a store for shopping. Patient did not know what happened next.  She stated she was feeling fine and did not want to stay in the hospital.  She was unsure why she is currently in the ED. Patient denied any headache, fever, or chills.  Denied any chest pain, palpitations, nausea, vomiting, abdominal pain, diarrhea, or dysuria. Per ED documentation, patient was found with altered mental status in shopping center parking lot. Patient was brought via EMS to hospital for further evaluation. Record noted that patient's diagnosis of altered mental status/acute metabolic encephalopathy of unclear etiology. Hospital notes stated this could be related to COVID-19 infection.  CT scan of the head was negative for any acute intracranial process.  No focal signs of acute stroke.  COVID treatment was instituted, and the patient was monitored for changes in mentation. Hospital note stated primary diagnosis of COVID-19 infection, symptomatic. Not hypoxemic. Chest x-ray showed mild right upper lobe pneumonitis.  Note stated Labs showed lymphopenia and laboratory orders for inflammatory markers ordered. Patient was started on Decadron 6 mg daily due to symptoms and monitor.  Oxygen supplementation was ordered p.r.n.  Speech evaluation was ordered due to concern for aspiration. Additional diagnosis of hypothyroidism, untreated.  Hospital not stated that it is unclear if this is contributing to her altered mental status.  The patient was started on Synthroid. Hospital notes stated addition diagnosis of Bacteriuria, due to probable acute urinary tract infection present on admission.  Patient was started on IV Ceftriaxone and follow up on urine culture ordered. Additionally, patient had a normal anion gap metabolic acidosis, hypokalemia, Hypomagnesemia, of which supplemental potassium and magnesium and IV fluids for hydration and acute kidney injury were given and BMP monitored. Hospital note stated abnormal LFTs. LFTs on admission with slightly elevated AST; could be from COVID 19 infection. Patient was monitored for deep venous thrombosis and was put on prophylaxis Heparin. Additional note stated the patient declined and patient transferred to Hospice and died on 1/10/2022 from complications of acute on chronic respiratory failure and covid pneumonia at 12:02 with family present.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonitis, Urinary tract infection
Clinical narrative: Per web report received from hospital. Patient with no significant past medical history, presented to the ED via ambulance for evaluation of altered mental status. The patient was somewhat of a poor historian. She was oriented to person and place. She recalled she went to a store for shopping. Patient did not know what happened next.  She stated she was feeling fine and did not want to stay in the hospital.  She was unsure why she is currently in the ED. Patient denied any headache, fever, or chills.  Denied any chest pain, palpitations, nausea, vomiting, abdominal pain, diarrhea, or dysuria. Per ED documentation, patient was found with altered mental status in shopping center parking lot. Patient was brought via EMS to hospital for further evaluation. Record noted that patient's diagnosis of altered mental status/acute metabolic encephalopathy of unclear etiology. Hospital notes stated this could be related to COVID-19 infection.  CT scan of the head was negative for any acute intracranial process.  No focal signs of acute stroke.  COVID treatment was instituted, and the patient was monitored for changes in mentation. Hospital note stated primary diagnosis of COVID-19 infection, symptomatic. Not hypoxemic. Chest x-ray showed mild right upper lobe pneumonitis.  Note stated Labs showed lymphopenia and laboratory orders for inflammatory markers ordered. Patient was started on Decadron 6 mg daily due to symptoms and monitor.  Oxygen supplementation was ordered p.r.n.  Speech evaluation was ordered due to concern for aspiration. Additional diagnosis of hypothyroidism, untreated.  Hospital not stated that it is unclear if this is contributing to her altered mental status.  The patient was started on Synthroid. Hospital notes stated addition diagnosis of Bacteriuria, due to probable acute urinary tract infection present on admission.  Patient was started on IV Ceftriaxone and follow up on urine culture ordered. Additionally, patient had a normal anion gap metabolic acidosis, hypokalemia, Hypomagnesemia, of which supplemental potassium and magnesium and IV fluids for hydration and acute kidney injury were given and BMP monitored. Hospital note stated abnormal LFTs. LFTs on admission with slightly elevated AST; could be from COVID 19 infection. Patient was monitored for deep venous thrombosis and was put on prophylaxis Heparin. Additional note stated the patient declined and patient transferred to Hospice and died on 1/10/2022 from complications of acute on chronic respiratory failure and covid pneumonia at 12:02 with family present.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: Patient and parents were instructed to wait 15 minutes after getting vaccinations. Patient experienced syncope for less than a minute at 4:00pm in waiting area at clinic after receiving HPV vaccine around 3:30p.m. He regained consciousness and sat up at table. Patient was given water and cool air. VS : BP 100/60, T 36C, HR 64, R 16. Patient was able to verbalize that he felt ok and stated his name and birthday. Patient?s parents present with patient.  Parents denied any allergies or current medications.  Parents educated to monitor patient for any adverse reactions at home and to have patient eat. VIS form given to parents. Via interpreter they verbalized understanding of instructions.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Angiogram cerebral, Arteriogram carotid, Blood test, Chest X-ray, Computerised tomogram abdomen
Clinical narrative: Headache, Nausea, Vomiting, Sudden spike High Blood Pressure over 225/110 on 06/26/ & 07/13/2022. Both time admitted in ER then on 06/26 two days as Inpatient and on 07/13/2022 for three days as Inpatient for evaluation, observation and diagnostic checkup.  during hospital admission also done blood tests. After discharge from hospital followup with dr's office and doing diagnostics testing as outpatient. At present recovering at home with medical leave  of absence.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Computerised tomogram spine, Diagnostic procedure, Echocardiogram, Headache, Hypertension
Clinical narrative: Headache, Nausea, Vomiting, Sudden spike High Blood Pressure over 225/110 on 06/26/ & 07/13/2022. Both time admitted in ER then on 06/26 two days as Inpatient and on 07/13/2022 for three days as Inpatient for evaluation, observation and diagnostic checkup.  during hospital admission also done blood tests. After discharge from hospital followup with dr's office and doing diagnostics testing as outpatient. At present recovering at home with medical leave  of absence.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Impaired work ability, Magnetic resonance imaging head, Nausea, Scan with contrast, Ultrasound Doppler
Clinical narrative: Headache, Nausea, Vomiting, Sudden spike High Blood Pressure over 225/110 on 06/26/ & 07/13/2022. Both time admitted in ER then on 06/26 two days as Inpatient and on 07/13/2022 for three days as Inpatient for evaluation, observation and diagnostic checkup.  during hospital admission also done blood tests. After discharge from hospital followup with dr's office and doing diagnostics testing as outpatient. At present recovering at home with medical leave  of absence.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Nausea, Vomiting, Sudden spike High Blood Pressure over 225/110 on 06/26/ & 07/13/2022. Both time admitted in ER then on 06/26 two days as Inpatient and on 07/13/2022 for three days as Inpatient for evaluation, observation and diagnostic checkup.  during hospital admission also done blood tests. After discharge from hospital followup with dr's office and doing diagnostics testing as outpatient. At present recovering at home with medical leave  of absence.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Motor dysfunction, Muscle spasms, Tic
Clinical narrative: involuntary muscle spasms, loss of motor control, tics following Dtap.   He had this after dtap/hep B/IPV combo vaccine on 7/16 and the day after developed new tics/ movements where he extends his head
Age: 29.0
Sex: M
Vaccine: TDAP
Symptoms: Injury
Clinical narrative: Patient requested vaccine in pharmacy setting prompted by an injury. Was not caught in time and vaccine was administered to patient. Patient has been followed up with and does not have a primary care provider or other provider for us to follow up with. Patient was recommended to seek additional care since he has obtained an injury.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Diarrhoea, Dizziness, Pyrexia
Clinical narrative: dizziness, vomiting fevers, diarrhea, generalized abdominal pain, home test positive on 8/2/22. Tested positive at hospital on 8/7/22.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: dizziness, vomiting fevers, diarrhea, generalized abdominal pain, home test positive on 8/2/22. Tested positive at hospital on 8/7/22.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Bladder hypertrophy, Blood test, Blood urine present, Computerised tomogram abnormal
Clinical narrative: I started having pelvic area pressure and a little pain at the end of urinating. They diagnosed it as left lower quadrant abdominal pain, infective urethritis, cystitis, and urethritis. They believed that I had a bladder infection and they would know more when the culture sample comes back. They prescribed an antibiotic.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cystitis, Discomfort, Dysuria, Lymphocyte count normal, Monocyte count increased
Clinical narrative: I started having pelvic area pressure and a little pain at the end of urinating. They diagnosed it as left lower quadrant abdominal pain, infective urethritis, cystitis, and urethritis. They believed that I had a bladder infection and they would know more when the culture sample comes back. They prescribed an antibiotic.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Nitrite urine present, Urethritis, Urine analysis abnormal
Clinical narrative: I started having pelvic area pressure and a little pain at the end of urinating. They diagnosed it as left lower quadrant abdominal pain, infective urethritis, cystitis, and urethritis. They believed that I had a bladder infection and they would know more when the culture sample comes back. They prescribed an antibiotic.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urine ketone body present, Urine leukocyte esterase positive, White blood cell count increased
Clinical narrative: I started having pelvic area pressure and a little pain at the end of urinating. They diagnosed it as left lower quadrant abdominal pain, infective urethritis, cystitis, and urethritis. They believed that I had a bladder infection and they would know more when the culture sample comes back. They prescribed an antibiotic.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Dose 3 was given 5 weeks early.   No issues, signs or symptoms at this time.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Laboratory test abnormal, Vitamin B12 abnormal
Clinical narrative: Went in for my yearly lab work in 04/2022, my doctor called and stated that CBC and B-12 were abnormal. My doctor put in on B-12 1000mg a day supplement and asked to to redraw lab in 8 weeks. When I went in for the second lab draw my B-12 was elevated and CBC was still abnormal. I have another blood draw in October of this year.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Gave patient  vaccine that was expired 07/13 and we gave it to her 07/15. Patient hasn't called in regards to a reaction.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: I have restless leg syndrome and Fall of 2021 I noticed I was having mild joint pain every once in awhile in my arms and legs and just a bit achy. It just felt like I had walked a mile or worked out.  After my second booster in May of 2022 I noticed my joint pain was more severe in my arms, hips, knees ankles and feet. The pain would come and go more often and would bother me most when I am at rest and then move again. My doctor recommended that I see a neurologist. My appointment is scheduled for August 31, 2022.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: First Vaccine given on 1/27/2021. Pfizer. Lot: el9261. Site and route unknown
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: A dose volume of 0.25 mL was used, this was an incorrect dose volume used on 11/20/2021. Correct dose volume should have been 0.5 mL for 3rd shot as part of primary series for moderately to severely immunocompromised individuals.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Gait disturbance, Musculoskeletal stiffness, Myalgia, Pain in extremity
Clinical narrative: I experienced severe muscle pain in my back and legs. My muscles seized up and I had trouble walking for two weeks.
Age: 19.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Heart rate increased
Clinical narrative: Patient complaining of faster heart rate waiting post vaccination. Patient given privacy, legs elevated, ice pack placed on his back, water given. Patient has a history of anxiety and panic attacks. Patient stated event felt "exactly like a panic attack." Patient assessed and educated by on-site Nurse Practitioner and advised to seek medical attention if needed. Patient waited 30 minutes, symptoms resolved. Patient verbalized they were, "feeling much better."
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Delivery, Malaise, Maternal exposure before pregnancy, Pregnancy
Clinical narrative: symptomatic, tested  positive for covid, mild symptoms
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: symptomatic, tested  positive for covid, mild symptoms
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: on Friday, August 5 at 6:30 pm the incorrect vaccine was administered, from toddler to pediatric to patient of 4 years of age accompanied by her parents. At the time of performing the salvage process it is observed that the toddler vaccine was not administered. The vaccine prepared by Employee was the pediatric vaccine of 5/11 years of age. Case was reported.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: First vaccine given on 2/4/2021. Public Health. Spikevax. Lot: 016M20A. Intramuscular. Right Arm
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: RN asked the patient to confirm that it's her second covid booster. Patient said that it's her second booster. RN checked the patient's vaccination card and didn't see any documentation for her second covid booster. RN gave the patient her covid shot. RN checked and saw that patient received her second booster on 06/15/22. Patient called Private to confirm if she received her second booster. Nurse confirmed that she received it on 06/15/22. Patient didn't feel any adverse reaction from the Covid vaccine. Patient said she feels fine.
Age: 72.0
Sex: F
Vaccine: YF
Symptoms: Feeling hot, Injection site discomfort, Injection site erythema, Injection site warmth
Clinical narrative: "The day after, I noticed  a little red cluster of red dots at the site, the next day it got bigger, the next day it got bigger and it continued to get bigger each day. Now it looks like a raspberry stain with redness around the edges, longer than it is wide and not uniform, it is irregularly shaped. I have minor discomfort at site of injection that comes and goes. The area is not hot to touch. Today I felt warm, my temperature was 98.6 however my normal temperature is 97.6.  More air conditioning for comfort than usual."  No treatment at this time.      Outcome- will monitor the injection site and contact us of any changes or new concerning signs/symptoms.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: First Vaccine given on 12/31/2021. Local Pharmacy. Pfizer. Lot: FH8030. Intramuscular. Left Deltoid.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: It is documented that the patient received 0.3 ml of the vaccine instead of 0.2 ml. I fully believe that the correct dose was given (0.2) and that I did not pull over the correct template and lot number. Patients family was contacted and there were no adverse effects to the patient.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac monitoring, Electrocardiogram, Immunisation reaction, Palpitations
Clinical narrative: Started having heart palpitations around day four after a few days of fever. Went to urgent care day 5 and was told I was having PVCs and likely Vaccine side effect that would subside. They palpitations got worse, occuring every few minutes. So I went to the ER, Hospital. Was told that they're PACs and have pneumonia in my right lung. I've never had pneumonia before, and with it's proximity to my second dose, known for causing heart palpitations I thought I should report it.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Supraventricular extrasystoles, Ventricular extrasystoles, X-ray
Clinical narrative: Started having heart palpitations around day four after a few days of fever. Went to urgent care day 5 and was told I was having PVCs and likely Vaccine side effect that would subside. They palpitations got worse, occuring every few minutes. So I went to the ER, Hospital. Was told that they're PACs and have pneumonia in my right lung. I've never had pneumonia before, and with it's proximity to my second dose, known for causing heart palpitations I thought I should report it.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: The patient received the vaccine indicated for 6 to 11 years old.  So she received half of the recommended dose.
Age: 63.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Arthralgia, Immediate post-injection reaction, Injection site pain, Pain
Clinical narrative: Patient describes immediate pain on injection and 3 months of continued pain in shoulder with rotation.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product administration error
Clinical narrative: Administration error. Pt over 50 years old, with no known immunocompromising conditions given a 5 dose (3rd booster) of pfizer; the patient had a 4th booster given May 26, 2022 . Pt made aware of un-indicated extra dose given in error. The patient's physician was called to inform. Patient left pharmacy in what appeared as same stay as when arrived; no signs of distress.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cerebellar stroke, Computerised tomogram, Electrocardiogram, Magnetic resonance imaging
Clinical narrative: Cerebellum stroke....2days in hospital.... so far so good ??
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Today Mom called stating the patient was experiencing low grade fever, body aches
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: 07/24/2022 I had just come back from traveling and I was feeling a sore throat, congestion, fatigue, and body aches. I went ahead and gave myself an at home test for COVID-19 and it did come out positive. On Monday I called my doctor's office and after discussing I was given PAXLOVID. I started that the 25th of July and I took that for 3.5 out of 5 days. I was having metallic taste and stomach issues. I slept as much as I needed to from there and I had a very runny nose, congestion, and coughing. I was starting to feel better after a week and then I started to feel worse at the end of the week and began testing positive still. The doctor's believed that I did have a rebound of COVID-19 and instructed me to continue self-medication and finally started to feel better a week after. Today I am feeling much better and the only symptom still is fatigue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 07/24/2022 I had just come back from traveling and I was feeling a sore throat, congestion, fatigue, and body aches. I went ahead and gave myself an at home test for COVID-19 and it did come out positive. On Monday I called my doctor's office and after discussing I was given PAXLOVID. I started that the 25th of July and I took that for 3.5 out of 5 days. I was having metallic taste and stomach issues. I slept as much as I needed to from there and I had a very runny nose, congestion, and coughing. I was starting to feel better after a week and then I started to feel worse at the end of the week and began testing positive still. The doctor's believed that I did have a rebound of COVID-19 and instructed me to continue self-medication and finally started to feel better a week after. Today I am feeling much better and the only symptom still is fatigue.
Age: 76.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Injection site erythema
Clinical narrative: The patient developed redness at the injection site that began to spread down the arm and torso. She used diphenhydramine and said that she was given an oral and topical steroid
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Given 2nd booster when not yet indicated for her age group
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt reports having hives to L side of neck and onto face starting on 8/5/22; progressively improved over 4 days; intermittent itching at 8/9/22. Pt denies any exposures to substances which would cause hives
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Pyrexia, SARS-CoV-2 test negative, Therapeutic response decreased
Clinical narrative: Low grade fever on Sunday night (100.5) progressed to high fever Monday morning at 102.8. Fever was not responsive to medications and remained around 101 until 5pm when it started to come back down.  Patient also had diarrhea on Saturday and Monday
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Decreased appetite, Fatigue, Headache
Clinical narrative: Headache, body aches, nasal congestion (no runny nose - had to blow it out), phlegmy cough, loss of appetite and taste, profuse sweating, tired and sleepy.  Symptoms lasted seven days but got progressively better by the fifth day.  I had to use my Albuterol inhaler more than I usually do.  I still have some very mild chest and nasal congestion.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nasal congestion, Pain, Productive cough, Respiratory tract congestion
Clinical narrative: Headache, body aches, nasal congestion (no runny nose - had to blow it out), phlegmy cough, loss of appetite and taste, profuse sweating, tired and sleepy.  Symptoms lasted seven days but got progressively better by the fifth day.  I had to use my Albuterol inhaler more than I usually do.  I still have some very mild chest and nasal congestion.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence
Clinical narrative: Headache, body aches, nasal congestion (no runny nose - had to blow it out), phlegmy cough, loss of appetite and taste, profuse sweating, tired and sleepy.  Symptoms lasted seven days but got progressively better by the fifth day.  I had to use my Albuterol inhaler more than I usually do.  I still have some very mild chest and nasal congestion.