chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperlipidaemia, Hypernatraemia, Hypotension, Hypothyroidism, Intensive care
Clinical narrative: Physician Discharge Summary   Patient ID: Age: 50 y.o. Admit Date: 7/14/2022  2:57 AM Discharge Date:  7/17/2022 Unit: 4A109/4A109A   Discharge Diagnosis: Principal Problem:   Pneumonia due to COVID-19 virus Active Problems:   Hypernatremia   Elevated troponin   Hyperlipidemia   AKI (acute kidney injury)   Hypothyroidism   Chronic respiratory failure with hypoxia     Hospital Course: 50yo female presented to ED from home with respiratory distress r/t COVID 19. Has significant past medical history, including L sided paralysis due to previous CVA. She has PEG tube and is on 4L NC PTA. Was also hypotensive and in renal failure w/hypernatremia  Continue to decompensate, was intubated and admitted to COVID ICU. Nephrology and Pulm/CCM consulted. Despite full care, she continue to have hemodynamic instability and decompensation. Also developed R UE and LLE loss of pulses and was started on Heparin gtt. Multiple discussions regarding goals of care initiated. Given her overall poor health/debility, family chose to purse comfort/withdrawal of care. This was initiated per protocol and patient expired at 06:42 today.      Consults:   IP CONSULT TO PULMONOLOGY IP CONSULT TO NEPHROLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO DIETARY IP CONSULT TO DIETARY IP CONSULT TO SOCIAL WORK IP CONSULT TO WOUND CARE IP CONSULT TO SOCIAL WORK IP CONSULT TO VASCULAR SURGERY   Significant Diagnostic Studies:    COVID +, Na 156, Cr 2.1 at admission    Disposition:  Funeral home of family's choice   Discharge Condition:  deceased
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse absent, Renal failure, Respiratory distress, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Physician Discharge Summary   Patient ID: Age: 50 y.o. Admit Date: 7/14/2022  2:57 AM Discharge Date:  7/17/2022 Unit: 4A109/4A109A   Discharge Diagnosis: Principal Problem:   Pneumonia due to COVID-19 virus Active Problems:   Hypernatremia   Elevated troponin   Hyperlipidemia   AKI (acute kidney injury)   Hypothyroidism   Chronic respiratory failure with hypoxia     Hospital Course: 50yo female presented to ED from home with respiratory distress r/t COVID 19. Has significant past medical history, including L sided paralysis due to previous CVA. She has PEG tube and is on 4L NC PTA. Was also hypotensive and in renal failure w/hypernatremia  Continue to decompensate, was intubated and admitted to COVID ICU. Nephrology and Pulm/CCM consulted. Despite full care, she continue to have hemodynamic instability and decompensation. Also developed R UE and LLE loss of pulses and was started on Heparin gtt. Multiple discussions regarding goals of care initiated. Given her overall poor health/debility, family chose to purse comfort/withdrawal of care. This was initiated per protocol and patient expired at 06:42 today.      Consults:   IP CONSULT TO PULMONOLOGY IP CONSULT TO NEPHROLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO DIETARY IP CONSULT TO DIETARY IP CONSULT TO SOCIAL WORK IP CONSULT TO WOUND CARE IP CONSULT TO SOCIAL WORK IP CONSULT TO VASCULAR SURGERY   Significant Diagnostic Studies:    COVID +, Na 156, Cr 2.1 at admission    Disposition:  Funeral home of family's choice   Discharge Condition:  deceased
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Physician Discharge Summary   Patient ID: Age: 50 y.o. Admit Date: 7/14/2022  2:57 AM Discharge Date:  7/17/2022 Unit: 4A109/4A109A   Discharge Diagnosis: Principal Problem:   Pneumonia due to COVID-19 virus Active Problems:   Hypernatremia   Elevated troponin   Hyperlipidemia   AKI (acute kidney injury)   Hypothyroidism   Chronic respiratory failure with hypoxia     Hospital Course: 50yo female presented to ED from home with respiratory distress r/t COVID 19. Has significant past medical history, including L sided paralysis due to previous CVA. She has PEG tube and is on 4L NC PTA. Was also hypotensive and in renal failure w/hypernatremia  Continue to decompensate, was intubated and admitted to COVID ICU. Nephrology and Pulm/CCM consulted. Despite full care, she continue to have hemodynamic instability and decompensation. Also developed R UE and LLE loss of pulses and was started on Heparin gtt. Multiple discussions regarding goals of care initiated. Given her overall poor health/debility, family chose to purse comfort/withdrawal of care. This was initiated per protocol and patient expired at 06:42 today.      Consults:   IP CONSULT TO PULMONOLOGY IP CONSULT TO NEPHROLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO DIETARY IP CONSULT TO DIETARY IP CONSULT TO SOCIAL WORK IP CONSULT TO WOUND CARE IP CONSULT TO SOCIAL WORK IP CONSULT TO VASCULAR SURGERY   Significant Diagnostic Studies:    COVID +, Na 156, Cr 2.1 at admission    Disposition:  Funeral home of family's choice   Discharge Condition:  deceased
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram abnormal, Ultrasound breast abnormal
Clinical narrative: Mammogram on 8/16/22 showed an area in R Breast that needed further scans.  2nd mammogram & ultrasound on 8/23/22 showed an enlarged lymph node in R Breast.  Radiologist stated this could be due to having a recent Covid-19 Vaccine, and that it was a common occurrence.  They will do another ultrasound in 3 months to check lymph node status.  NOTE that I also received the Shingrix Vaccine on the same day (not positive which vaccine was in which arm, but each shot was in a different arm).
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Resident expired.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: No adverse event, Product preparation error
Clinical narrative: On August 26th at 0949 a RN went to obtain a Menveo vaccination. She noted one bottle of diluent without a powder to go with the diluent.  Staff interviewed involving the 5 previous patient administrations.  They all confirm they did not drop or break an orange vial of powder.  Unable to determine which patient received the incorrect diluent for the Menveo powder.  No adverse events.  All 5 patients are being contacted for re-vaccination of Menveo vaccine.
Age: 77.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Injection site reaction, Tendonitis
Clinical narrative: acute onset of right shoulder pain after vaccine receipt , worsened over the subsequent 3 weeks, clinically acute tendonitis of the right shoulder on office visit 8/31/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Resident expired.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Asthenia, Atrial fibrillation, Blood test normal, Dyspnoea exertional
Clinical narrative: Starting in November it was a incidental finding. I was having issues with my pulsometer so I tested it on my self and the wave form was very abnormal. After checking on one of my peers and she came back with normal with a normal wave form. I placed EKG stickers on ,myself and discovered a sinus rhythm with frequent premature atrial contractions. My heart rate was 95 but I was only profusing at a rate of 60. I spoke to a fellow provider and he had me to put on his Apple watch and check my EKG which read Atrial Fibrillation. My doctor advised me that it could flip into A-Fib at any time. I went to the ER and had EKG and full workout. No heart attack was detected but I was still in this arrhythmia.  By January, I made an appointment with a cardiologist and had an EKG. He indicated that he thought it was my thyroid and put me on a strong beta blocker. I was prescribed Metoprolol 50mg and asked me to double the dose to 100 mg. I was able to tolerate the 50 with just feeling tired. When I switched to 100 mg, I was at work and could hardly get out of my chair. I checked my heart rate which was at about 40. My blood pressure was 90/40. I immediately stopped the medication. I was sent a halter monitor in the mail. I wore it for 3 days. I noticed that when attempting to climb stairs I was short of breath. The completed an echocardiogram. My ejection fraction went from 73 to  61%. The cardiologist referred me to an Electrophysiology Cardiologist. I was able to see him in middle June. He showed me the results of the halter and told me I was on the verge of going into A-Fib. He placed me on a different medication and stopped the Metoprolol all together. I had Thyroid lab completed and the results were normal. I was placed on Plaquenide and Cardizem. I am still having the same symptoms of shortness of breath and lack of energy. I do want to add that I was survivor of  Cancer an received Taxol which the doctor thought could be related.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Ejection fraction normal, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Fatigue
Clinical narrative: Starting in November it was a incidental finding. I was having issues with my pulsometer so I tested it on my self and the wave form was very abnormal. After checking on one of my peers and she came back with normal with a normal wave form. I placed EKG stickers on ,myself and discovered a sinus rhythm with frequent premature atrial contractions. My heart rate was 95 but I was only profusing at a rate of 60. I spoke to a fellow provider and he had me to put on his Apple watch and check my EKG which read Atrial Fibrillation. My doctor advised me that it could flip into A-Fib at any time. I went to the ER and had EKG and full workout. No heart attack was detected but I was still in this arrhythmia.  By January, I made an appointment with a cardiologist and had an EKG. He indicated that he thought it was my thyroid and put me on a strong beta blocker. I was prescribed Metoprolol 50mg and asked me to double the dose to 100 mg. I was able to tolerate the 50 with just feeling tired. When I switched to 100 mg, I was at work and could hardly get out of my chair. I checked my heart rate which was at about 40. My blood pressure was 90/40. I immediately stopped the medication. I was sent a halter monitor in the mail. I wore it for 3 days. I noticed that when attempting to climb stairs I was short of breath. The completed an echocardiogram. My ejection fraction went from 73 to  61%. The cardiologist referred me to an Electrophysiology Cardiologist. I was able to see him in middle June. He showed me the results of the halter and told me I was on the verge of going into A-Fib. He placed me on a different medication and stopped the Metoprolol all together. I had Thyroid lab completed and the results were normal. I was placed on Plaquenide and Cardizem. I am still having the same symptoms of shortness of breath and lack of energy. I do want to add that I was survivor of  Cancer an received Taxol which the doctor thought could be related.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Mobility decreased, Supraventricular extrasystoles, Thyroid disorder, Thyroid function test normal
Clinical narrative: Starting in November it was a incidental finding. I was having issues with my pulsometer so I tested it on my self and the wave form was very abnormal. After checking on one of my peers and she came back with normal with a normal wave form. I placed EKG stickers on ,myself and discovered a sinus rhythm with frequent premature atrial contractions. My heart rate was 95 but I was only profusing at a rate of 60. I spoke to a fellow provider and he had me to put on his Apple watch and check my EKG which read Atrial Fibrillation. My doctor advised me that it could flip into A-Fib at any time. I went to the ER and had EKG and full workout. No heart attack was detected but I was still in this arrhythmia.  By January, I made an appointment with a cardiologist and had an EKG. He indicated that he thought it was my thyroid and put me on a strong beta blocker. I was prescribed Metoprolol 50mg and asked me to double the dose to 100 mg. I was able to tolerate the 50 with just feeling tired. When I switched to 100 mg, I was at work and could hardly get out of my chair. I checked my heart rate which was at about 40. My blood pressure was 90/40. I immediately stopped the medication. I was sent a halter monitor in the mail. I wore it for 3 days. I noticed that when attempting to climb stairs I was short of breath. The completed an echocardiogram. My ejection fraction went from 73 to  61%. The cardiologist referred me to an Electrophysiology Cardiologist. I was able to see him in middle June. He showed me the results of the halter and told me I was on the verge of going into A-Fib. He placed me on a different medication and stopped the Metoprolol all together. I had Thyroid lab completed and the results were normal. I was placed on Plaquenide and Cardizem. I am still having the same symptoms of shortness of breath and lack of energy. I do want to add that I was survivor of  Cancer an received Taxol which the doctor thought could be related.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein, COVID-19, Dysphonia, Dyspnoea, Fibrin D dimer
Clinical narrative: Hospitalization for COVID-19 infection after COVID-19 immunization is a reportable event.  This 79 year-old male with a history of advanced prostate cancer presented to the outpatient clinic with complaints of sore throat, hoarseness, and symptoms of an upper respiratory infection. Upon examination he was febrile with breathing difficulties requiring O2 at 2 L/min. Upon ambulation to the bathroom he desaturated to 82%. PCR testing for SARS-CoV-2 was positive. He was transferred to hospital and admitted. He was treated with dexamethasone 6mg daily for a total of 10 days and IV remdesivir for 5 days. Improvement in symptom severity and decrements of inflammatory markers ensued. With minimal symptoms he was discharged medically stable after 5 days with detailed follow-up healthcare plans in place.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Full blood count, Inflammatory marker increased, Liver function test, Metabolic function test, Oropharyngeal pain
Clinical narrative: Hospitalization for COVID-19 infection after COVID-19 immunization is a reportable event.  This 79 year-old male with a history of advanced prostate cancer presented to the outpatient clinic with complaints of sore throat, hoarseness, and symptoms of an upper respiratory infection. Upon examination he was febrile with breathing difficulties requiring O2 at 2 L/min. Upon ambulation to the bathroom he desaturated to 82%. PCR testing for SARS-CoV-2 was positive. He was transferred to hospital and admitted. He was treated with dexamethasone 6mg daily for a total of 10 days and IV remdesivir for 5 days. Improvement in symptom severity and decrements of inflammatory markers ensued. With minimal symptoms he was discharged medically stable after 5 days with detailed follow-up healthcare plans in place.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pyrexia, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Hospitalization for COVID-19 infection after COVID-19 immunization is a reportable event.  This 79 year-old male with a history of advanced prostate cancer presented to the outpatient clinic with complaints of sore throat, hoarseness, and symptoms of an upper respiratory infection. Upon examination he was febrile with breathing difficulties requiring O2 at 2 L/min. Upon ambulation to the bathroom he desaturated to 82%. PCR testing for SARS-CoV-2 was positive. He was transferred to hospital and admitted. He was treated with dexamethasone 6mg daily for a total of 10 days and IV remdesivir for 5 days. Improvement in symptom severity and decrements of inflammatory markers ensued. With minimal symptoms he was discharged medically stable after 5 days with detailed follow-up healthcare plans in place.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cerebrovascular accident, Dysarthria, Movement disorder
Clinical narrative: Two severe strokes on July 12, 2022. Was hospitalized at Medical Center.  Cannot move left leg and left hand with slurred speech.  Went to acute care and is not in sub-acute rehabilitation.
Age: 1.08
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The patient came in with her mother today for her second COVID dose.  Her mother forgot her card at home.  When questioned about her previous vaccine, the mother stated the medication was Pfizer.  I questioned her about the date because there was no card to verify the length of time since the last vaccination.  I checked in the child's medical record and verified that the date was August 3, 2022 for the first dose.  I questioned the mother again before giving the vaccine since the template indicated that she had received Moderna for her first dose.  She swore that the medication given for the first dose was Pfizer.  After giving the child the Infant/Toddler dose of Pfizer in her thigh, I told the mother that we needed to make her third dose appointment for her last Pfizer vaccine.   The mother realized at that time that she had misquoted the first dose manufacturer and the first dose was, in fact, Moderna.  Drs. were contacted.  The patient's mother decided she would come back in 8 weeks for a third dose of Pfizer per Dr.  advise.  An appointment was made for October 26th, 2022.  There were no adverse effects from the vaccine administered today.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Agency consulted with public health and environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Agency is working with the public health on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Contracted COVID-19  - 8/22/2022
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Facility consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare facility is working with the DPHE on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Movement disorder, Nausea
Clinical narrative: 5/6/22: 30 minutes after injection: chills & nausea.  One month intervals 6/?/22, 7/16/22, 8/30/22: chills & nausea.  Treatment: absolute immobility.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. The agency consulted with public health and environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. The agency is working with public health on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Headache, Immediate post-injection reaction, Pain in extremity
Clinical narrative: Sore arm immediately; stomach ache 7 p.m.; headache upon rising the next day.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Hyperhidrosis, Pyrexia, Sepsis
Clinical narrative: Patient stated that they woke up sweating with a fever, had to go into the doctors office and was described as 'septic'.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Facility consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare facility is working with the DPHE on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 7.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Kinrix vaccine was given beyond the recommended age range
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Dizziness, Pruritus
Clinical narrative: Per patient, symptoms started the day after the vaccine, itchiness is only on his upper body, and dizziness after he left the clinic, per patient no numbness or pain. As of today patient is only experiencing light itchiness, denies any other symptom so far
Age: 0.58
Sex: F
Vaccine: DTPPVHBHPB, PNC13, RV5
Symptoms: Crying, Unresponsive to stimuli
Clinical narrative: After giving immunizations instructed Mom to wait with both children for 15 mins in our vaccination room and when returning to give mother the visit summary at 11:40am , baby was sitting in infant seat sound asleep, tired to arouse baby with sternal rub- baby still sleeping, checked pupils with bright light, baby still sleeping. Mother reported that baby's nap time is usually around this time of day and she had been up since 6 am and last feeding was at 10:30am . Asked RN to please hold baby and stay with mom , retrieved our NP and our volunteer to please help assess baby in vaccination room. Applied child size bp cuff on left thigh to obtain bp reading and then baby began to cry and was easily aroused. Baby was then placed in mother's arms and baby was smiling and awake. Informed with help from translating RN that should mother see any changes in baby's respirations or behavior to please go to er or call 911 for evaluation . Let her know that usually in the first 15 mins post vaccination that is when a reaction is likely to occur. Baby Awake and alert and responding to her mother. Discharged in stable condition with mom.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. HCF consulted with the local Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. The HCF is working with the health dept. on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: After the second dosage, did not get my monthly period the following month. In fact, I lost my period for 7 months. Only came back with the help of medications. I never missed periods before.
Age: 24.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Hyperhidrosis, Visual impairment
Clinical narrative: Pt complained of light headed, diaphoretic, vision went blank. Pt calmly placed on flat surface with legs elevated. VS checked.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Cognitive disorder, Computerised tomogram head, Disability, Impaired work ability
Clinical narrative: Unexpected brain aneurysm (subarachnoid hemorrhage) with no warning signs and no family history that nearly resulted in death and resulted in 71 day hospitalization; Permanent cognitive disability and unable to work
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intracranial aneurysm, Subarachnoid haemorrhage
Clinical narrative: Unexpected brain aneurysm (subarachnoid hemorrhage) with no warning signs and no family history that nearly resulted in death and resulted in 71 day hospitalization; Permanent cognitive disability and unable to work
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given outside of recommended expiration date.
Age: 45.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Urticaria
Clinical narrative: No wheal noted upon first administration.  2nd dose therefore administered.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. HCF consulted with the local Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. The HCF is working with the health dept. on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood electrolytes decreased, Blood magnesium decreased, COVID-19, Dehydration, Tachycardia
Clinical narrative: Breakthrough Covid infection with hospitalization for dehydration after taking Paxlovid. Persistent tachycardia since Covid infection.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid infection with hospitalization for dehydration after taking Paxlovid. Persistent tachycardia since Covid infection.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bundle branch block left, Cardiac disorder, Cardiac dysfunction, Cardiac failure congestive, Cardiac stress test
Clinical narrative: cardiac event resulting in diagnosis of congestive heart failure, left bundle branch block 5 day hospitalization, medication prescribed   shortness of breath, irregular heart function with no previous irregular heart function.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Catheterisation cardiac, Dyspnoea, Echocardiogram, Electrocardiogram, Magnetic resonance imaging heart
Clinical narrative: cardiac event resulting in diagnosis of congestive heart failure, left bundle branch block 5 day hospitalization, medication prescribed   shortness of breath, irregular heart function with no previous irregular heart function.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scan myocardial perfusion, Scan with contrast
Clinical narrative: cardiac event resulting in diagnosis of congestive heart failure, left bundle branch block 5 day hospitalization, medication prescribed   shortness of breath, irregular heart function with no previous irregular heart function.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. HCF consulted with the local Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. The HCF is working with the health dept. on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Facility consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare facility is working with the DPHE on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 57.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site mass, Injection site pain, Injection site rash, Rash, Swelling
Clinical narrative: Developed swelling and rash two days post injection/minor pain and soreness at injection site. At 7 days, injection site still had small rash but arm now has a large hard lump (induration) approx. 1" x 3" with slight pain when pressed. No sign of infection, no temperature, or other symptoms. At 14 days (today), induration is still present, but reduced in size to 1/2" x 2", no residual pain.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Chills, Feeling abnormal, Full blood count
Clinical narrative: Fever, chills, muscle aches  lasting10 hours after first dose 2/17/2021 Fever, chills , extensive muscle aches  lasting 2 days after second dose 3/17/2021 muscle aches continued Fever, chills, nausea,  extensive muscle aches lasting 4 days after first booster 8/26/2021,  all other joint and muscle aches continued as well as memory fog Fever, chills, nausea  lasting 3-4 days after second booster. Extensive body and muscle aches and inflammation as well as gait disturbances and memory fog continuing to present
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Inflammation, Laboratory test, Memory impairment, Myalgia
Clinical narrative: Fever, chills, muscle aches  lasting10 hours after first dose 2/17/2021 Fever, chills , extensive muscle aches  lasting 2 days after second dose 3/17/2021 muscle aches continued Fever, chills, nausea,  extensive muscle aches lasting 4 days after first booster 8/26/2021,  all other joint and muscle aches continued as well as memory fog Fever, chills, nausea  lasting 3-4 days after second booster. Extensive body and muscle aches and inflammation as well as gait disturbances and memory fog continuing to present
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Fever, chills, muscle aches  lasting10 hours after first dose 2/17/2021 Fever, chills , extensive muscle aches  lasting 2 days after second dose 3/17/2021 muscle aches continued Fever, chills, nausea,  extensive muscle aches lasting 4 days after first booster 8/26/2021,  all other joint and muscle aches continued as well as memory fog Fever, chills, nausea  lasting 3-4 days after second booster. Extensive body and muscle aches and inflammation as well as gait disturbances and memory fog continuing to present
Age: 55.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: No Wheal on first or 2nd Intradermal administration. Full Dose given Subcutaneously.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient under age
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under age
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given outside of recommended expiration date.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given outside of recommended expiration date.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Aphasia, Arthralgia, COVID-19
Clinical narrative: EXTREME nausea that both Zofran and Phenergan wouldn't help. Fatigue, lightheadedness, headache, muscle/body ache, arm soreness. Nausea lasted for weeks and was unable to eat--had to get IV infusions. On 06/25/2021 I had shingles, which also worsened the GI symptoms, which included sharp stomach pains, no appetite, horrible nausea, inability to take fluids or food. (Vomiting is difficult due to a Nissen Fundoplication procedure for GERD in 1999.)  NOTE: I was diagnosed with COVID 02/06/2022, and am currently struggling with long-COVID symptoms (almost 7 months now): difficulty breathing, fatigue, insomnia, joint pain that has worsened, muscle weakness, brain fog/can't recall words/forget things.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Dyspnoea, Fatigue, Feeding disorder
Clinical narrative: EXTREME nausea that both Zofran and Phenergan wouldn't help. Fatigue, lightheadedness, headache, muscle/body ache, arm soreness. Nausea lasted for weeks and was unable to eat--had to get IV infusions. On 06/25/2021 I had shingles, which also worsened the GI symptoms, which included sharp stomach pains, no appetite, horrible nausea, inability to take fluids or food. (Vomiting is difficult due to a Nissen Fundoplication procedure for GERD in 1999.)  NOTE: I was diagnosed with COVID 02/06/2022, and am currently struggling with long-COVID symptoms (almost 7 months now): difficulty breathing, fatigue, insomnia, joint pain that has worsened, muscle weakness, brain fog/can't recall words/forget things.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Fluid intake reduced, Headache, Herpes zoster, Insomnia
Clinical narrative: EXTREME nausea that both Zofran and Phenergan wouldn't help. Fatigue, lightheadedness, headache, muscle/body ache, arm soreness. Nausea lasted for weeks and was unable to eat--had to get IV infusions. On 06/25/2021 I had shingles, which also worsened the GI symptoms, which included sharp stomach pains, no appetite, horrible nausea, inability to take fluids or food. (Vomiting is difficult due to a Nissen Fundoplication procedure for GERD in 1999.)  NOTE: I was diagnosed with COVID 02/06/2022, and am currently struggling with long-COVID symptoms (almost 7 months now): difficulty breathing, fatigue, insomnia, joint pain that has worsened, muscle weakness, brain fog/can't recall words/forget things.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Muscular weakness, Myalgia, Nausea, Pain
Clinical narrative: EXTREME nausea that both Zofran and Phenergan wouldn't help. Fatigue, lightheadedness, headache, muscle/body ache, arm soreness. Nausea lasted for weeks and was unable to eat--had to get IV infusions. On 06/25/2021 I had shingles, which also worsened the GI symptoms, which included sharp stomach pains, no appetite, horrible nausea, inability to take fluids or food. (Vomiting is difficult due to a Nissen Fundoplication procedure for GERD in 1999.)  NOTE: I was diagnosed with COVID 02/06/2022, and am currently struggling with long-COVID symptoms (almost 7 months now): difficulty breathing, fatigue, insomnia, joint pain that has worsened, muscle weakness, brain fog/can't recall words/forget things.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Post-acute COVID-19 syndrome, Vomiting
Clinical narrative: EXTREME nausea that both Zofran and Phenergan wouldn't help. Fatigue, lightheadedness, headache, muscle/body ache, arm soreness. Nausea lasted for weeks and was unable to eat--had to get IV infusions. On 06/25/2021 I had shingles, which also worsened the GI symptoms, which included sharp stomach pains, no appetite, horrible nausea, inability to take fluids or food. (Vomiting is difficult due to a Nissen Fundoplication procedure for GERD in 1999.)  NOTE: I was diagnosed with COVID 02/06/2022, and am currently struggling with long-COVID symptoms (almost 7 months now): difficulty breathing, fatigue, insomnia, joint pain that has worsened, muscle weakness, brain fog/can't recall words/forget things.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Healthcare facility consulted with the regulatory authority and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare facility is working with the regulatory authority on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I tested positive for COVID-19 and had a scratchy throat, running nose, and cough. I saw a doctor on a cruise and he prescribed me Paxlovid. My symptoms lasted 3 to 4 days.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given outside of recommended exp. date
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient under age
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient under age
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given outside of recommended exp. date
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Facility consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare facility is working with the DPHE on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Coagulation test normal, Full blood count normal, Metabolic function test normal, Urine analysis normal
Clinical narrative: HSP dx 3 days after immunization pt had concurrent recovery from URI symptoms so might have been viral trigger vs immune trigger
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given outside of recommended exp. date
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Three year old. Nine days after vaccination she had a fever of 101.9, and threw up. Took her to the Dr., and upon examination the Dr. didn't think it was a reaction to the vaccine. Given a COVID-19 test and it was negative. Took her home and gave her TYLENOL. She was sick for about 3 days, and is better now.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given outside of recommended expiration date.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. HCF consulted with the local Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. The HCF is working with the health dept. on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Medication error, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Nursing staff gave the patient the wrong Covid-19 vaccine ( Moderna ) .  Nursing staff gave a pediatric Moderna (6mos-5yrs) to a 51 y/o  adult patient.  Staff had called the patient and  informed them of this medical error.  Patient came back to the  clinic  on the same day to received the right vaccine and dosage for their age group.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Magnetic resonance imaging, Sudden hearing loss, Tinnitus
Clinical narrative: Sudden Hearing loss  and Tinnitus began on December 15th
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Consulted with the local Dept. of Public Health and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Local Healthcare is working on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac dysfunction, Cardiovascular disorder, Chest discomfort, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: My heart began racing while I was at the doctor once.  I was sent to the heart doctor and they didn't find anything.  I got my second vaccine.  I got my booster.  The kids were sleeping and I was in bed and I couldn't breathe.  I called the ambulance.  My heart was racing.  They thought it was lungs and I felt pressure on my chest.  I went to the ER.  My enzymes from my heart were through the roof.  I had an EKG.  They also looked for blockage.  My heart lines were swollen and my heart was only pumping 20%.  They had started me on blood pressure medicine but that wasn't helping.  The cardiologist stated I have a cardio vascular disease.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Myocardial necrosis marker increased, Myocarditis, Palpitations, Ultrasound scan
Clinical narrative: My heart began racing while I was at the doctor once.  I was sent to the heart doctor and they didn't find anything.  I got my second vaccine.  I got my booster.  The kids were sleeping and I was in bed and I couldn't breathe.  I called the ambulance.  My heart was racing.  They thought it was lungs and I felt pressure on my chest.  I went to the ER.  My enzymes from my heart were through the roof.  I had an EKG.  They also looked for blockage.  My heart lines were swollen and my heart was only pumping 20%.  They had started me on blood pressure medicine but that wasn't helping.  The cardiologist stated I have a cardio vascular disease.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Healthcare facility consulted with the regulatory authority and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare facility is working with the regulatory authority on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine stored beyond 30 days recommended in the refrigerated state. Event reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. It was recommended repeating this dose. Patient sent a letter to inform them of the need to repeat the dose. We are working on a compliance improvement plan. Reinstated vaccination privileges.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient underage.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine stored beyond 30 days recommended in the refrigerated state. Event reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. It was recommended repeating this dose. Patient sent a letter to inform them of the need to repeat the dose. We are working on a compliance improvement plan. Reinstated vaccination privileges.
Age: 16.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Cataplexy, Cognitive disorder, Hyperhidrosis, Hypotonia, Immediate post-injection reaction
Clinical narrative: Patient immediately started feeling diaphoretic, ringing in his ears and unable to understand questions that were asked. He then started to close his eyes at which his mother and myself got him to open his eyes again. He repeated this a couple times becoming very limp. We got him up to the exam table and applied some cold compresses. Once he became alert, gave him some apple and orange juice. Blood pressure was taking twice during this time, which both were normal. Report given to Dr. who said once feeling well can go home.
Age: 16.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Tinnitus
Clinical narrative: Patient immediately started feeling diaphoretic, ringing in his ears and unable to understand questions that were asked. He then started to close his eyes at which his mother and myself got him to open his eyes again. He repeated this a couple times becoming very limp. We got him up to the exam table and applied some cold compresses. Once he became alert, gave him some apple and orange juice. Blood pressure was taking twice during this time, which both were normal. Report given to Dr. who said once feeling well can go home.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Consulted with the local Dept. of Public Health and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Local Healthcare is working on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product administration error
Clinical narrative: Patient came in to get intradermal Jynneos vaccine. Vaccinator staff was unsuccessful in attempting to get the bleb or wheal. Notified pharmacy and OK to give next ID dose by another vaccinator. Patient was also ok with this second attempt. Second attempt successful.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Incorrect route of product administration
Clinical narrative: Vaccine was injected as an intramuscular injection. Public health notified us with our error. Vaccine does not need to be reinjected.