chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Error: Expired Product Administered-
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Error: Expired Product Administered-
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Hypotension-Mild
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 6/2/23: Lump 3 inches from the injection site and 2 inches in diameter, swollen, tender, warm, 2 days after shot; took ibuprofen. 6/3/23: Redness increased in size approximately 1 inch the day after, with the addition of moderate itching; no treatment. 6/4/23: Improvement of same size but less red, less warm, less itchy; no treatment.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth
Clinical narrative: 6/2/23: Lump 3 inches from the injection site and 2 inches in diameter, swollen, tender, warm, 2 days after shot; took ibuprofen. 6/3/23: Redness increased in size approximately 1 inch the day after, with the addition of moderate itching; no treatment. 6/4/23: Improvement of same size but less red, less warm, less itchy; no treatment.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autonomic nervous system imbalance, Dyspnoea, Headache, Insomnia, Muscle contractions involuntary
Clinical narrative: Dysautonomia, tinnitus, muscle fasculations, paresthesias, irretractable insomnia, irretractable headaches. Heart palpitations, shortness of breath.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Paraesthesia, Tinnitus
Clinical narrative: Dysautonomia, tinnitus, muscle fasculations, paresthesias, irretractable insomnia, irretractable headaches. Heart palpitations, shortness of breath.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Chills, Decreased appetite, Fatigue, Injection site erythema
Clinical narrative: Stomach pain, fever, chills,. Pain, redness, swelling at injection site. Loss of appetite, exhaustion,.loss of bladder control while sleeping.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Injection site swelling, Pyrexia, Urinary incontinence
Clinical narrative: Stomach pain, fever, chills,. Pain, redness, swelling at injection site. Loss of appetite, exhaustion,.loss of bladder control while sleeping.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Paraesthesia, Pruritus, Rash, Rash erythematous, Urticaria
Clinical narrative: Severe hives (red rash, tingly, slight itch) covering torso, arms, upper legs.  The hives appeared Saturday, June 3, 36 hours after injection.  Hives are still present today, Sunday, June 4.none
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Face injury, Fall, Haemorrhage, Loss of consciousness
Clinical narrative: 10 minutes after adminstration, patient stood next to the consult window waiting for his papers to be signed by me. He became light headed and fell to the ground hitting his face. His face sustained a bit of blood from the fall. His mom was with him the whole time to assist him. He regained consciousness. I asked him if he had anything to eat that morning or was hydrated, he replied no. I gave him water & crackers and he was improving. Medics were called and checked on him. He was released from them a bit after.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: My ears started ringing after I got my vaccine.  I don't have any hearing loss.  It hasn't gotten any better.  I found out about VAERS on the Radio.  Please research this.
Age: 85.0
Sex: M
Vaccine: PNC20
Symptoms: Blood test, Dizziness, Malaise, Nausea, Pyrexia
Clinical narrative: Nausea, fever, malaise, dizziness Patient went to hospital and was admitted, Still at Hospital 4 days later.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Onset of COVID infection - chills, fever (101), diahrrea, nausea,aches, cough, congestion, fatigue, shortness of breath
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Nausea, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Onset of COVID infection - chills, fever (101), diahrrea, nausea,aches, cough, congestion, fatigue, shortness of breath
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Death
Clinical narrative: Patient expired 6/2/2023.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Accident at work, No adverse event, Skin laceration, Suture insertion, Wrong product administered
Clinical narrative: On 04/28/2023 patient came into urgent care for a right thumb laceration at 12pm. Writer administered TDAP vaccination at approximately 1:45 pm  instead of ordered TD vaccination. Patient did not have any abnormal signs or symptoms at time  after vaccine was administered.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Altered state of consciousness, General physical condition abnormal, Hyperhidrosis, Injection related reaction, Lacrimation increased
Clinical narrative: Patient got shaky at first, then passed out completely at about 2 min post injection. Patient was passed out for about 1 to 1.5 min. Patient was pale, sweaty, teary eyed, semi lucid. Gave patient cool compresses, spoke with her continually to help regain consciousness, Sent for her husband. She claimed injection  could be felt going in. Patient stayed in IMZ booth for about 30 minutes, She left looking much better with her husband ,guiding her out to their car.. Patient seems to have recovered pretty well
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Loss of consciousness, Nervousness, Pallor
Clinical narrative: Patient got shaky at first, then passed out completely at about 2 min post injection. Patient was passed out for about 1 to 1.5 min. Patient was pale, sweaty, teary eyed, semi lucid. Gave patient cool compresses, spoke with her continually to help regain consciousness, Sent for her husband. She claimed injection  could be felt going in. Patient stayed in IMZ booth for about 30 minutes, She left looking much better with her husband ,guiding her out to their car.. Patient seems to have recovered pretty well
Age: 72.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Injection site pain, Injection site swelling, Local reaction, Pain in extremity
Clinical narrative: Patient had Prevnar 20 immunization on 6/1/23. Patient reported having injection site swelling, localized redness/rash, and mild pain in her right arm. Patient had Shingles vaccine in the left arm that same day and said she didn't have any issues with that vaccine in the left arm. Patient contacted the pharmacy on 6/2/23 and notified the pharmacy of the reaction. I instructed the patient to take an over-the-counter antihistamine to help with localized swelling/rash on her right arm. Patient said she already took 1 dose of Benadryl 25mg capsule at home. I advised patient she can continue to take Benadryl 25mg and follow directions per official package labeling. Patient said she did NOT experience anaphylaxis and she did not have trouble breathing. I advised patient to continue to monitor symptoms: if symptoms worsens or patient has trouble breathing/experience anaphylaxis, then she must call EMS and go to ER immediately. Patient stated it is just localized reaction on the right arm. Also, advised patient to take acetaminophen or an NSAID to help alleviate symptoms due to mild injection site pain.
Age: 72.0
Sex: F
Vaccine: PNC20
Symptoms: Peripheral swelling, Rash
Clinical narrative: Patient had Prevnar 20 immunization on 6/1/23. Patient reported having injection site swelling, localized redness/rash, and mild pain in her right arm. Patient had Shingles vaccine in the left arm that same day and said she didn't have any issues with that vaccine in the left arm. Patient contacted the pharmacy on 6/2/23 and notified the pharmacy of the reaction. I instructed the patient to take an over-the-counter antihistamine to help with localized swelling/rash on her right arm. Patient said she already took 1 dose of Benadryl 25mg capsule at home. I advised patient she can continue to take Benadryl 25mg and follow directions per official package labeling. Patient said she did NOT experience anaphylaxis and she did not have trouble breathing. I advised patient to continue to monitor symptoms: if symptoms worsens or patient has trouble breathing/experience anaphylaxis, then she must call EMS and go to ER immediately. Patient stated it is just localized reaction on the right arm. Also, advised patient to take acetaminophen or an NSAID to help alleviate symptoms due to mild injection site pain.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Product preparation issue
Clinical narrative: Patient did not have an adverse reaction the Professional Director wants me to report this incident. On 05/19/2023 We had an Off-Site Immunization.The patient was given and adjuvant for shingrix ,the pharmacist realized that it was not mixed she explained it to the patient and was given the shingrix vaccine.(mixed with adjuvant)  Patient was counselled about the side effects of  the vaccine.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Neuralgia, Pain in extremity
Clinical narrative: PT REPORTED FEELING A PAIN IN ARM UPON INSERTION OF NEEDLE AND INJECTION OF VACCINE THAT DID NOT SUBSIDE.  LATER IN THE EVENING SHE REPORTED THAT ARM WAS STILL VERY PAINFUL AND SAID IT WAS LIKE A NERVE PAIN. SHE SAID SHE WAS THINKING OF GOING  TO THE EMERGENCY ROOM BECAUSE SHE DID NOT FEEL SHE COULD GET THROUGH THE NIGHT WITH THE PAIN.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoaesthesia
Clinical narrative: patient states some numbness in left index fingertip
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Rash
Clinical narrative: PT GOT THE VACCINE ON 5/20/23, REPORTED THE RASH (POSSIBLE RELATED TO THE VACCINE) ON 6/3/23 THAT HAS BEEN CLEAR BY TAKING BENADRYL.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Arthralgia, Diarrhoea, Fatigue, Nausea
Clinical narrative: Mild to moderate nausea for a couple of days; fatigue for a week; belly pain and diarrhea for a few days; and increased joint pain for a few days.
Age: 43.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: redness, swelling, itching, size of a baseball
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Fibromyalgia
Clinical narrative: I developed fibromyalgia. There is no history of fibromyalgia in my family.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Injected limb mobility decreased, Injection site pain, Injection site swelling, Nausea
Clinical narrative: On Wed May 31st woke up with stomach ache and severe nausea. Small pea sized bump at injection site and it was tender. Thursday June 1, most of nausea had resolved but bump at injection site was now marble sized and went from tender to painful.  By Saturday June 3rd it had increased in size to a golf ball and was extremely painful to touch and arm movement was restricted due to pain. Today is Sunday June 4th and it has increased in size to about a small tennis ball. It is still very painful.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Pain
Clinical narrative: On Wed May 31st woke up with stomach ache and severe nausea. Small pea sized bump at injection site and it was tender. Thursday June 1, most of nausea had resolved but bump at injection site was now marble sized and went from tender to painful.  By Saturday June 3rd it had increased in size to a golf ball and was extremely painful to touch and arm movement was restricted due to pain. Today is Sunday June 4th and it has increased in size to about a small tennis ball. It is still very painful.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Sudden onset tinnitus
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: A pharmacy technician administered the correct Pediatric Pfizer Bivalent COVID vaccine to the patient (5 yo) but forgot to dilute the vaccine as indicated. Technician didn't showed Pharmacist the dose before being administered to the patient and administered the vaccine without the vaccine being diluted. When the event was known close to 10 pm, the Pharmacist called the patient's mother at 10 pm regarding the patient's condition after vaccine administration. The patient's mother stated that the patient was doing well and didn't had any fever or pain related to the vaccine administration.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Ageusia, Blood cholesterol increased, Dental implantation, Gait disturbance, Laboratory test
Clinical narrative: Can't taste nothing or it's a repulsive taste, you sent no warnings about boosters
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Peripheral arterial occlusive disease, Taste disorder
Clinical narrative: Can't taste nothing or it's a repulsive taste, you sent no warnings about boosters
Sex: U
Vaccine: HEPA
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE/PQC; HCP called to report the patient was given a dose of VAQTA after the dose was stored improperly; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. Information regarding the patient's concomitant therapies, concurrent conditions, medical history and historical drugs was not provided.  On 05-MAY-2023, the patient was vaccinated with hepatitis a vaccine, inactivated (VAQTA) intramuscular injection, 0.5 milliliter, lot #X003791, expiration date: 01-JUN-2024, administered for prophylaxis (strength, and route of administration were not provided).  The improperly stored dose of the suspect vaccine experienced a temperature excursion of 34 degree fahrenheit for 7 hours; no previous temperature excursions were reported.  No adverse symptoms were reported.
Age: 4.0
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE/No PQC; HCP called to report TE with PROQUAD.  PROQUAD was administered to 3 patients after the most recent prior excursion on 4/11/2023 and before the current excursion on 5/4/2023. Date of administration was unknown at time of call. Consent to contact is y; This spontaneous report was received from the Medical Assistant referring to a 4-year-old patient of unknown gender. The patient's medical history, concurrent conditions, and concomitant therapies were not provided.  On an unknown date in 2023, the patient was vaccinated with measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) (recombinant Human albumin) injection, 0.5 milliliter, lot #W012728, expiration date: 16-OCT-2023, administered for prophylaxis (anatomical location, strength, and route of administration were not provided) after the "most recent prior" excursion on 11-APR-2023, and before the current excursion on 04-MAY-2023 (product storage error). No additional adverse events.  The causality between events and suspect therapy was not provided.  This is one of the three reports from the same reporter.; Sender's Comments:  US-009507513-2305USA003128: US-009507513-2305USA003072:
Sex: U
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Influenza, Injection site pain, Malaise
Clinical narrative: injection site soar; chills; weakness; muscles sore; it's like I have the flu; I fell crappy all over; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of injection site pain in a elderly patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   On an unknown date, the patient received Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced injection site pain (Verbatim: injection site soar), chills (Verbatim: chills), weakness (Verbatim: weakness), muscle soreness (Verbatim: muscles sore), influenza (Verbatim: it's like I have the flu) and feeling unwell (Verbatim: I fell crappy all over). The outcome of the injection site pain, chills, weakness, muscle soreness, influenza and feeling unwell were not resolved.   It was unknown if the reporter considered the injection site pain, chills, weakness, muscle soreness, influenza and feeling unwell to be related to Shingles vaccine.     It was unknown if the company considered the injection site pain, chills, weakness, muscle soreness, influenza and feeling unwell to be related to Shingles vaccine.   Additional Information: GSK Receipt Date: 26-MAY-2023 This case was reported by the patient via (Shingrix GSK) interactive digital media. The patient received shingles shot and experienced injection site soar, muscles sore, chills, weakness, and was feeling like the had the flu and felt crappy all over. The follow-up could not be possible as no contact details were available.
Sex: U
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: injection site soar; chills; weakness; muscles sore; it's like I have the flu; I fell crappy all over; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of injection site pain in a elderly patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   On an unknown date, the patient received Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced injection site pain (Verbatim: injection site soar), chills (Verbatim: chills), weakness (Verbatim: weakness), muscle soreness (Verbatim: muscles sore), influenza (Verbatim: it's like I have the flu) and feeling unwell (Verbatim: I fell crappy all over). The outcome of the injection site pain, chills, weakness, muscle soreness, influenza and feeling unwell were not resolved.   It was unknown if the reporter considered the injection site pain, chills, weakness, muscle soreness, influenza and feeling unwell to be related to Shingles vaccine.     It was unknown if the company considered the injection site pain, chills, weakness, muscle soreness, influenza and feeling unwell to be related to Shingles vaccine.   Additional Information: GSK Receipt Date: 26-MAY-2023 This case was reported by the patient via (Shingrix GSK) interactive digital media. The patient received shingles shot and experienced injection site soar, muscles sore, chills, weakness, and was feeling like the had the flu and felt crappy all over. The follow-up could not be possible as no contact details were available.
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Longer than Recommended Interval; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of drug dose administration interval too long in a male patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix (got his first Shingrix dose in August of 2021).   On 26-MAY-2023, the patient received the 2nd dose of Shingrix. On 26-MAY-2023, an unknown time after receiving Shingrix, the patient experienced drug dose administration interval too long (Verbatim: Longer than Recommended Interval). The outcome of the drug dose administration interval too long was unknown.   Additional Information: GSK Receipt Date: 26-MAY-2023 The pharmacist reported that the patient came in for the second vaccine last night (obviously not within the recommended time frame for the second dose). The patient believed that he should just start the series over and got a dose on the day of reporting and then another in 2 to 6 months later. The reporter did not believe that was indicated, but the patient did not believe the reporter. The reporter asked if she could get more information from GSK about how to help him to proceed. The reporter consented to follow up. The patient received the 2nd dose of Shingrix later than recommended interval, which led to lengthening of vaccination schedule.
Sex: F
Vaccine: MENB
Symptoms: Expired product administered
Clinical narrative: administered an expired dose of Bexero yesterday; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of expired vaccine used in a female patient who received Men B NVS (Bexsero) (expiry date APR-2023) for prophylaxis.   On 30-MAY-2023, the patient received Bexsero. On 30-MAY-2023, an unknown time after receiving Bexsero, the patient experienced expired vaccine used (Verbatim: administered an expired dose of Bexero yesterday). The outcome of the expired vaccine used was unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 31-MAY-2023 The expiration date was mid-April but reporter did not had not the exact date. The pharmacist could not provide patient's complete date of birth. The reporter consented to follow up. One day before reporting, the patient was inadvertently administered an expired dose of Bexsero, which led to expired vaccine used.
Age: 82.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Incomplete course of vaccination, Rash
Clinical narrative: Developed rash on her right side of the abdomen; Patient never received Shingrix second dose yet; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of rash in a 82-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included shingles and chickenpox.   On 15-SEP-2022, the patient received the 1st dose of Shingrix. On an unknown date, the patient received the 2nd dose of Shingrix. In SEP-2022, 2 days after receiving Shingrix and not applicable after receiving Shingrix, the patient experienced rash (Verbatim: Developed rash on her right side of the abdomen). On an unknown date, the patient experienced incomplete course of vaccination (Verbatim: Patient never received Shingrix second dose yet). In SEP-2022, the outcome of the rash was resolved. The outcome of the incomplete course of vaccination was unknown.   It was unknown if the reporter considered the rash to be related to Shingrix.     It was unknown if the company considered the rash to be related to Shingrix.   Additional Information: GSK Receipt Date: 31-MAY-2023 The pharmacist reported that an adult female patient received Shingrix first dose and 2 or 3 days after the shot she developed rush on her right side of the abdomen.  It was just on one side but it have never blistered. The rash lasted for 3 or 4 days.  Prior to this Shingrix vaccine, patient also had shingles before and chicken pox twice.  Patient never received Shingrix second dose yet, although it has been more than 6 month since the first dose.  The reporter consented to follow up. Till the time of reporting, the patient did not receive 2nd dose of Shingrix, which led to incomplete course of vaccination.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Inflammation, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: patient clims arm is inflammed & hurts.  I did not notice any redness or swelling but pt claimed that her arm hurt.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 8/3/2022 & 8/6/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Epilepsy, Symptom recurrence, Transient ischaemic attack
Clinical narrative: EPILEPSY, UNSPECIFIED TRANSIENT CEREBRAL ISCHEMIA 12/3/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: pt had redness and swelling to rt thigh.
Age: 1.0
Sex: U
Vaccine: MMR, PNC13, VARCEL
Symptoms: Cough, Influenza virus test negative, Pyrexia, Respiratory syncytial virus test negative, Rhinorrhoea
Clinical narrative: Patient developed febrile illness (rhinorhea, cough) with temperatures 103- 105. Requiring 2 visits with PCP and one urgent care
Age: 1.0
Sex: U
Vaccine: MMR, PNC13, VARCEL
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Patient developed febrile illness (rhinorhea, cough) with temperatures 103- 105. Requiring 2 visits with PCP and one urgent care
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Symptom recurrence
Clinical narrative: PERIPHERAL NEUROPATHY 12/17/2021 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Lung disorder, Pain, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: I had all over body aches for about two days after receiving the vaccine. I tested positive for COVID-19 on 02/14/2023. I contacted my doctor and got a prescription for Paxlovid. I had an upset stomach while taking the medication, but I tolerated it and completed the prescription. It took a long time to get my lungs and respiratory system back to normal.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Hib portion of vaccine was not added to DTAP + IPV portion of vaccine. No adverse reactions. Patient to return to clinic for HIB vaccine. Web-IZ updated to reflect only DTaP and IPV administered.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Pulmonary embolism, Symptom recurrence
Clinical narrative: HYPOTENSION ACUTE PULMONARY EMBOLISM 11/25/2022  &   11/26/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Disorientation, Fall, Musculoskeletal stiffness, Pallor, Seizure like phenomena
Clinical narrative: Pt received dose 2 of HPV. RN asked screening questions no contraindications noted. 0905 am Administered HPV while client was sitting in chair. After vaccine administered client stood up so sibling could receive vaccines. Nurse asked father if he would like children to receive fluoride treatment for children and he stated yes. Nurse asked client if she would like to sit while she did fluoride she stated no she would stand. Nurse asked client to smile , client had blank stare. Nurse asked if she was okay, client stated her head, her arms stiffened and started to fall to floor. Nurse grabbed client in arms hug like position and lowered her to the floor. Client had seizure like activity for approx. 30-45 seconds. Client was pale and disoriented. RN came into room and had clerk call for ambulance, she  got BP cuff and RN took BP, 142/84. Police and EMS arrived client was transported to hospital.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Staring
Clinical narrative: Pt received dose 2 of HPV. RN asked screening questions no contraindications noted. 0905 am Administered HPV while client was sitting in chair. After vaccine administered client stood up so sibling could receive vaccines. Nurse asked father if he would like children to receive fluoride treatment for children and he stated yes. Nurse asked client if she would like to sit while she did fluoride she stated no she would stand. Nurse asked client to smile , client had blank stare. Nurse asked if she was okay, client stated her head, her arms stiffened and started to fall to floor. Nurse grabbed client in arms hug like position and lowered her to the floor. Client had seizure like activity for approx. 30-45 seconds. Client was pale and disoriented. RN came into room and had clerk call for ambulance, she  got BP cuff and RN took BP, 142/84. Police and EMS arrived client was transported to hospital.
Age: 59.0
Sex: F
Vaccine: FLUC4
Symptoms: Bursitis, Computerised tomogram, Pain in extremity, Rotator cuff syndrome, Tendonitis
Clinical narrative: Patient stated her arm was sore for longer than she expected after receiving her flu shot on 11/9/2022. By January  of 2023 she sought medical treatment and was diagnosed with tendonitis and bursitis with impingement of the left shoulder. She underwent a CT scan and was placed in physical therapy. She notified the pharmacy 4/27/23.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral artery occlusion, Cerebrovascular accident, Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MILD ACUTE STROKE DUE TO OCCLUSION OF LEFT MIDDLE CEREBRAL ARTERY
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in jaw
Clinical narrative: Jaw pain in my lower left jaw that feels like I had a tooth extracted. My teeth are fine. It hurts to open my mouth fully. The pain started about 3 hours after receiving the vaccine
Age: 63.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Abdominal discomfort, Abdominal pain upper, Diarrhoea, Faeces discoloured, Flatulence
Clinical narrative: I woke up in the middle of the night with severe cramps and pain  in the stomach, I was up all night long. I had diareha that following day and really had digestive issues the whole time and I still have them after almost 2 weeks. My husband has the same thing. Our stools are darker than normal. Feels like had an colonoscopy done, and my stomach is full of gas. Did only a call with my doctors nurse. No virtual/actual visit at this time
Age: 63.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Gastrointestinal disorder, Muscle spasms, Sleep disorder
Clinical narrative: I woke up in the middle of the night with severe cramps and pain  in the stomach, I was up all night long. I had diareha that following day and really had digestive issues the whole time and I still have them after almost 2 weeks. My husband has the same thing. Our stools are darker than normal. Feels like had an colonoscopy done, and my stomach is full of gas. Did only a call with my doctors nurse. No virtual/actual visit at this time
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Symptom recurrence
Clinical narrative: ACUTE PULMONARY EMBOLISM 11/7/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Deafness unilateral, Ear discomfort, Hypoacusis, Magnetic resonance imaging normal, Middle ear effusion
Clinical narrative: Progress Notes at 6/28/2021  9:59 AM    Author: Service: ? Author Type: Nurse Practitioner   Filed: 6/28/2021 10:02 AM Encounter Date: 6/28/2021 Status: Signed   Editor: (Nurse Practitioner)     SUBJECTIVE: Chief Complaint Patient presents with ? Ringing in Ear     c/o left ear feeling clogged for on week      Patient is a 45 y.o. male with 1 week(s) history of feeling clogged in his left ear and ringing in his left ear. Temperature normal at home. Denies rash, ear drainage. Eating and drinking per normal routine: yes Treatments: Tried Q-tip, with worsening relief Does have a history of seasonal allergies, on Zyrtec daily.   Allergy: Patient has no known allergies.  Nurse Practitioner at 7/8/2021  1:33 PM SUBJECTIVE: Chief Complaint Patient presents with ? c/o left ear still plugged     Patient is a 45 y.o. male with continued left ear fullness and decreased hearing.  Office visit on June 28, 2021 noted to have fluid to bilateral ear, left worse than the right, there was mild erythema on his left TM.  He was advised to take Benadryl at night and Flonase, he felt relief the following day especially of his right ear, but left ear continues to feel full.  Denies rash, ear drainage. Eating and drinking per normal routine: yes   Allergy: Patient has no known allergies.   Review of Systems Constitutional: Negative for chills, diaphoresis, fever, malaise/fatigue and weight loss. HENT: Negative for congestion, ear discharge, ear pain, nosebleeds, sinus pain, sore throat and tinnitus.        + Ear fullness, decreased hearing  Respiratory: Negative for cough, hemoptysis, sputum production, shortness of breath, wheezing and stridor.   Cardiovascular: Negative for chest pain and palpitations. Musculoskeletal: Negative for myalgias. Skin: Negative for itching and rash. Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.  Dr. at 9/14/2021  8:00 AM History of present illness: Patient is a 45-year-old male who reports sometime in January or February he began having a gradual decrease in his hearing on the left, constant high-pitched ringing sensation in the left ear as well as constant left ear pressure and fullness.  At the time he denied vertigo, facial weakness or numbness, headache, upper respiratory infection, nasal congestion, vision change or loss, head trauma.  He also reports of the last 3 years he has had an episode of a spinning vertigo lasting 2 to 3 hours at a time with no associated changes in hearing, ear pressure fullness or changes in ringing.  The last episode happened in the spring 2020.  He is recently been treated with antibiotics by PCP for presumed middle ear effusions.  He still continues to have a moderate hearing loss in left ear, constant ringing in left ear.  He was worked in for tympanograms which are normal type A  Bilaterally consistent with normal middle ear compliance..  He has no reported personal or family history of Ménière's disease.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tinnitus, Tympanic membrane hyperaemia, Tympanometry normal, Vertigo
Clinical narrative: Progress Notes at 6/28/2021  9:59 AM    Author: Service: ? Author Type: Nurse Practitioner   Filed: 6/28/2021 10:02 AM Encounter Date: 6/28/2021 Status: Signed   Editor: (Nurse Practitioner)     SUBJECTIVE: Chief Complaint Patient presents with ? Ringing in Ear     c/o left ear feeling clogged for on week      Patient is a 45 y.o. male with 1 week(s) history of feeling clogged in his left ear and ringing in his left ear. Temperature normal at home. Denies rash, ear drainage. Eating and drinking per normal routine: yes Treatments: Tried Q-tip, with worsening relief Does have a history of seasonal allergies, on Zyrtec daily.   Allergy: Patient has no known allergies.  Nurse Practitioner at 7/8/2021  1:33 PM SUBJECTIVE: Chief Complaint Patient presents with ? c/o left ear still plugged     Patient is a 45 y.o. male with continued left ear fullness and decreased hearing.  Office visit on June 28, 2021 noted to have fluid to bilateral ear, left worse than the right, there was mild erythema on his left TM.  He was advised to take Benadryl at night and Flonase, he felt relief the following day especially of his right ear, but left ear continues to feel full.  Denies rash, ear drainage. Eating and drinking per normal routine: yes   Allergy: Patient has no known allergies.   Review of Systems Constitutional: Negative for chills, diaphoresis, fever, malaise/fatigue and weight loss. HENT: Negative for congestion, ear discharge, ear pain, nosebleeds, sinus pain, sore throat and tinnitus.        + Ear fullness, decreased hearing  Respiratory: Negative for cough, hemoptysis, sputum production, shortness of breath, wheezing and stridor.   Cardiovascular: Negative for chest pain and palpitations. Musculoskeletal: Negative for myalgias. Skin: Negative for itching and rash. Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.  Dr. at 9/14/2021  8:00 AM History of present illness: Patient is a 45-year-old male who reports sometime in January or February he began having a gradual decrease in his hearing on the left, constant high-pitched ringing sensation in the left ear as well as constant left ear pressure and fullness.  At the time he denied vertigo, facial weakness or numbness, headache, upper respiratory infection, nasal congestion, vision change or loss, head trauma.  He also reports of the last 3 years he has had an episode of a spinning vertigo lasting 2 to 3 hours at a time with no associated changes in hearing, ear pressure fullness or changes in ringing.  The last episode happened in the spring 2020.  He is recently been treated with antibiotics by PCP for presumed middle ear effusions.  He still continues to have a moderate hearing loss in left ear, constant ringing in left ear.  He was worked in for tympanograms which are normal type A  Bilaterally consistent with normal middle ear compliance..  He has no reported personal or family history of Ménière's disease.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA PERIPHERAL NEUROPATHY
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 5.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Angioedema, Eye swelling, Food allergy, Lip swelling
Clinical narrative: He ate a Pistachio, and his throat was itchy, eyes and lips swelled up. He was able to eat nuts up until this point. We took him to the doctor, and they diagnosed him with Angioedema. He was prescribed Methylprednisolone, and they also prescribed an EpiPen to have on hand. I gave him Benadryl to help with the reaction as well. He has an appointment with an Allergist today to have some tests done to see what he is allergic to.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hypotension
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY HYPOTENSION
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Sleep apnoea syndrome
Clinical narrative: I did not have an adverse reaction to the Moderna vaccine. I had a preexisting problem with sleeping for unknown amount of time. I was diagnosed with sleep apnea in 05/2023.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Hypersensitivity, Hypotension, Hypoxia
Clinical narrative: HYPOTENSION HYPOXEMIA ANAPHYLAXIS, INIT ALLERGIC REACTION, INIT
Age: 1.17
Sex: M
Vaccine: MMR, PNC15, VARCEL
Symptoms: Allergy to vaccine, Erythema, Injection site urticaria, Swelling
Clinical narrative: Patient developed 2 hives at varicella injection site. Redness resolved but still raised prominently at discharge. Patient discharged home from clinic with prednisolone PO and EpiPen Jr.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Glossodynia, Oropharyngeal pain
Clinical narrative: On 02/10/2023, I had a bit of a soreness at the base of my tongue. I have food allergy reactions, so I thought it was that. The next morning, it was on the other side which was strange. I took an at home COVID-19 test and it was positive. I went to the doctor the next day, they gave me PAXLOVID. Aside from the sore throat, I felt a little tired, but I didn't have any extraordinary cough or anything. I had a bit of a dry cough, but it didn't last. My biggest thing was feeling a little tired. The first day or so of the medication, I just felt like I wanted to sleep. I was still able to work virtually.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence
Clinical narrative: On 02/10/2023, I had a bit of a soreness at the base of my tongue. I have food allergy reactions, so I thought it was that. The next morning, it was on the other side which was strange. I took an at home COVID-19 test and it was positive. I went to the doctor the next day, they gave me PAXLOVID. Aside from the sore throat, I felt a little tired, but I didn't have any extraordinary cough or anything. I had a bit of a dry cough, but it didn't last. My biggest thing was feeling a little tired. The first day or so of the medication, I just felt like I wanted to sleep. I was still able to work virtually.
Age: 74.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Acute respiratory failure, Blood creatinine increased, Blood culture, Blood glucose increased, Blood urea increased
Clinical narrative: Admission Date: 5/8/2023 Discharge Date: May 11, 2023  PRESENTING PROBLEM: Shortness of breath  Hypoxia COVID-19  HOSPITAL COURSE:   75-year-old female with past medical history significant for rheumatoid arthritis (on Rituxan), type 2 diabetes, CKD stage IIIB, hypertension, lymphedema.  She presented to emergency department on 05/08 with several days of fatigue, poor appetite, altered mental status and dyspnea.  Patient also had a fever.  On arrival to hospital patient was found to be hypoxic to 86% requiring administration of nasal cannula.  Labs were notable for leukopenia, mild BUN elevation and creatinine elevation 1.78.  Viral panel was positive for COVID-19.  Chest x-ray was reviewed, showed hyperinflation but otherwise negative for an acute cardiopulmonary process.  Blood cultures were obtained.  She was given dose of Rocephin, DuoNeb and fluids and admitted to Medicine Service for further assessment and management.   For patient's acute hypoxic respiratory failure in setting of COVID-19 pneumonia, she was started on remdesivir and Decadron.  Rocephin was not continued as there was no evidence of community-acquired pneumonia clinically.  Patient's oxygen requirements improved and was able to wean off to room air after several days.  Patient's fatigue was also improving and her mental status returned to baseline.  Physical therapy recommended subacute rehab however patient refused this.  Elected to return home with home healthcare services.   Of note patient was also seen by infectious disease and wound care in the hospital for diabetic ulcer of toe of left foot.  Patient's ulcer was treated with Betadine and dressing changes.  Patient and family have been educated on management of diabetic ulcer of the toe at home.  She was treated with cefazolin for mild cellulitis to left lower extremity completing a 7 day course with Keflex at the time of discharge.   Patient's blood glucose was slightly elevated in the hospital stay, this is secondary to Decadron.  Insulin was slightly increased but will return to prior home dose of long-acting insulin.  Victoza will be resumed at that time as well.  Once Decadron course is completed expect that her blood glucose levels should normalize.   Patient is being discharged home in stable improved condition with home healthcare services.  She should follow up with primary care physician within 1-2 weeks to monitor blood sugar, blood was (BMP, complete blood count).
Age: 74.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: COVID-19, COVID-19 pneumonia, Cellulitis, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Admission Date: 5/8/2023 Discharge Date: May 11, 2023  PRESENTING PROBLEM: Shortness of breath  Hypoxia COVID-19  HOSPITAL COURSE:   75-year-old female with past medical history significant for rheumatoid arthritis (on Rituxan), type 2 diabetes, CKD stage IIIB, hypertension, lymphedema.  She presented to emergency department on 05/08 with several days of fatigue, poor appetite, altered mental status and dyspnea.  Patient also had a fever.  On arrival to hospital patient was found to be hypoxic to 86% requiring administration of nasal cannula.  Labs were notable for leukopenia, mild BUN elevation and creatinine elevation 1.78.  Viral panel was positive for COVID-19.  Chest x-ray was reviewed, showed hyperinflation but otherwise negative for an acute cardiopulmonary process.  Blood cultures were obtained.  She was given dose of Rocephin, DuoNeb and fluids and admitted to Medicine Service for further assessment and management.   For patient's acute hypoxic respiratory failure in setting of COVID-19 pneumonia, she was started on remdesivir and Decadron.  Rocephin was not continued as there was no evidence of community-acquired pneumonia clinically.  Patient's oxygen requirements improved and was able to wean off to room air after several days.  Patient's fatigue was also improving and her mental status returned to baseline.  Physical therapy recommended subacute rehab however patient refused this.  Elected to return home with home healthcare services.   Of note patient was also seen by infectious disease and wound care in the hospital for diabetic ulcer of toe of left foot.  Patient's ulcer was treated with Betadine and dressing changes.  Patient and family have been educated on management of diabetic ulcer of the toe at home.  She was treated with cefazolin for mild cellulitis to left lower extremity completing a 7 day course with Keflex at the time of discharge.   Patient's blood glucose was slightly elevated in the hospital stay, this is secondary to Decadron.  Insulin was slightly increased but will return to prior home dose of long-acting insulin.  Victoza will be resumed at that time as well.  Once Decadron course is completed expect that her blood glucose levels should normalize.   Patient is being discharged home in stable improved condition with home healthcare services.  She should follow up with primary care physician within 1-2 weeks to monitor blood sugar, blood was (BMP, complete blood count).
Age: 74.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Decreased appetite, Diabetic foot, Dyspnoea, Fatigue, Hypoxia
Clinical narrative: Admission Date: 5/8/2023 Discharge Date: May 11, 2023  PRESENTING PROBLEM: Shortness of breath  Hypoxia COVID-19  HOSPITAL COURSE:   75-year-old female with past medical history significant for rheumatoid arthritis (on Rituxan), type 2 diabetes, CKD stage IIIB, hypertension, lymphedema.  She presented to emergency department on 05/08 with several days of fatigue, poor appetite, altered mental status and dyspnea.  Patient also had a fever.  On arrival to hospital patient was found to be hypoxic to 86% requiring administration of nasal cannula.  Labs were notable for leukopenia, mild BUN elevation and creatinine elevation 1.78.  Viral panel was positive for COVID-19.  Chest x-ray was reviewed, showed hyperinflation but otherwise negative for an acute cardiopulmonary process.  Blood cultures were obtained.  She was given dose of Rocephin, DuoNeb and fluids and admitted to Medicine Service for further assessment and management.   For patient's acute hypoxic respiratory failure in setting of COVID-19 pneumonia, she was started on remdesivir and Decadron.  Rocephin was not continued as there was no evidence of community-acquired pneumonia clinically.  Patient's oxygen requirements improved and was able to wean off to room air after several days.  Patient's fatigue was also improving and her mental status returned to baseline.  Physical therapy recommended subacute rehab however patient refused this.  Elected to return home with home healthcare services.   Of note patient was also seen by infectious disease and wound care in the hospital for diabetic ulcer of toe of left foot.  Patient's ulcer was treated with Betadine and dressing changes.  Patient and family have been educated on management of diabetic ulcer of the toe at home.  She was treated with cefazolin for mild cellulitis to left lower extremity completing a 7 day course with Keflex at the time of discharge.   Patient's blood glucose was slightly elevated in the hospital stay, this is secondary to Decadron.  Insulin was slightly increased but will return to prior home dose of long-acting insulin.  Victoza will be resumed at that time as well.  Once Decadron course is completed expect that her blood glucose levels should normalize.   Patient is being discharged home in stable improved condition with home healthcare services.  She should follow up with primary care physician within 1-2 weeks to monitor blood sugar, blood was (BMP, complete blood count).