chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Adverse reaction, Dizziness
Clinical narrative: Patient called to report an adverse reaction to her flu shot she received over the weekend. Patient stated she got the shot on Saturday and later that day that she began feeling dizzy. She stated the dizziness got worse and she felt like she was going to pass out so she stayed home. Patient stated by Monday she was feeling fine, but read over the paper she received when she got her flu shot and it said to call and report if adverse reaction were experienced.
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated, Dehydration, Feeding disorder, Fluid intake reduced
Clinical narrative: Covid bivalent administered to my 90 year old mother on 10/13/2022 in healthcare setting and by 10/16/2022 she was vomiting and became unresponsive. IV started for hydration. Placed on hospice 10/19/2022. She is awake but continues to be declining since the COVID bivalent. She had been eating and drinking without difficulty prior but now barely drinking and not able to eat except for few bites of pureed food. She had received all prior boosters without incident. Since she is now on hospice, we have not gotten any blood work or additional testing. She turned 91. I would not recommend this bivalent to anyone with any underlying conditions. At 91, she was in good condition but had progressing renal failure and memory loss. The renal failure due to no intake has to be much worse. No meds able to be swallowed at this point so BP elevated.
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Unresponsive to stimuli, Vomiting
Clinical narrative: Covid bivalent administered to my 90 year old mother on 10/13/2022 in healthcare setting and by 10/16/2022 she was vomiting and became unresponsive. IV started for hydration. Placed on hospice 10/19/2022. She is awake but continues to be declining since the COVID bivalent. She had been eating and drinking without difficulty prior but now barely drinking and not able to eat except for few bites of pureed food. She had received all prior boosters without incident. Since she is now on hospice, we have not gotten any blood work or additional testing. She turned 91. I would not recommend this bivalent to anyone with any underlying conditions. At 91, she was in good condition but had progressing renal failure and memory loss. The renal failure due to no intake has to be much worse. No meds able to be swallowed at this point so BP elevated.
Age: 50.0
Sex: M
Vaccine: COVID19-2
Symptoms: Death
Clinical narrative: Death after recent Moderna bivalent COVID vaccine - LOT AS7146B
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test positive, Blood sodium decreased, Chills, Culture urine positive, Diarrhoea
Clinical narrative: Patient was exceptionally tired 10/24/2022 to 10/27/2022. The evening of 10/27/2022 she had diarrhea and emesis. She had nausea but not dysuria. It was suspected there was a UTI leading up to sepsis, so she was brought to the ER at 5 am 10/28/2022. Subject presented to the ER at Medical Center 10/28/2022 with fever, chills, myalgias. In the ER she has documented pyuria. Upon arrival her vital signs were temp 99.6. heart rate 122 and regular, SBP 145/90, 97% on 2 L nasal cannula. UA was drawn and reveals positive nitrates with 25 white blood cells and few bacteria. She was initiated on vancomycin and Zosyn for treatment of sepsis either from a urinary source or perhaps recurrent C. difficile colitis. Initial cultures results display likely UTI with possible worsening C. diff infection. Patient was diagnosed with Sepsis, due to unspecified organism. She is being treated with ceftriaxone and cipro. Subject was administered the Janssen Ad26.CoV2.S vaccine on 10/17/2022. This adverse event is unrelated to the Janssen Ad26.CoV2.S vaccine that was administered on 10/17/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haematocrit decreased, Haemoglobin decreased, Laboratory test, Mean cell haemoglobin decreased
Clinical narrative: Patient was exceptionally tired 10/24/2022 to 10/27/2022. The evening of 10/27/2022 she had diarrhea and emesis. She had nausea but not dysuria. It was suspected there was a UTI leading up to sepsis, so she was brought to the ER at 5 am 10/28/2022. Subject presented to the ER at Medical Center 10/28/2022 with fever, chills, myalgias. In the ER she has documented pyuria. Upon arrival her vital signs were temp 99.6. heart rate 122 and regular, SBP 145/90, 97% on 2 L nasal cannula. UA was drawn and reveals positive nitrates with 25 white blood cells and few bacteria. She was initiated on vancomycin and Zosyn for treatment of sepsis either from a urinary source or perhaps recurrent C. difficile colitis. Initial cultures results display likely UTI with possible worsening C. diff infection. Patient was diagnosed with Sepsis, due to unspecified organism. She is being treated with ceftriaxone and cipro. Subject was administered the Janssen Ad26.CoV2.S vaccine on 10/17/2022. This adverse event is unrelated to the Janssen Ad26.CoV2.S vaccine that was administered on 10/17/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Nitrite urine present, Pyrexia, Pyuria
Clinical narrative: Patient was exceptionally tired 10/24/2022 to 10/27/2022. The evening of 10/27/2022 she had diarrhea and emesis. She had nausea but not dysuria. It was suspected there was a UTI leading up to sepsis, so she was brought to the ER at 5 am 10/28/2022. Subject presented to the ER at Medical Center 10/28/2022 with fever, chills, myalgias. In the ER she has documented pyuria. Upon arrival her vital signs were temp 99.6. heart rate 122 and regular, SBP 145/90, 97% on 2 L nasal cannula. UA was drawn and reveals positive nitrates with 25 white blood cells and few bacteria. She was initiated on vancomycin and Zosyn for treatment of sepsis either from a urinary source or perhaps recurrent C. difficile colitis. Initial cultures results display likely UTI with possible worsening C. diff infection. Patient was diagnosed with Sepsis, due to unspecified organism. She is being treated with ceftriaxone and cipro. Subject was administered the Janssen Ad26.CoV2.S vaccine on 10/17/2022. This adverse event is unrelated to the Janssen Ad26.CoV2.S vaccine that was administered on 10/17/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Urinary tract infection, Urine analysis abnormal, Vomiting, White blood cells urine positive
Clinical narrative: Patient was exceptionally tired 10/24/2022 to 10/27/2022. The evening of 10/27/2022 she had diarrhea and emesis. She had nausea but not dysuria. It was suspected there was a UTI leading up to sepsis, so she was brought to the ER at 5 am 10/28/2022. Subject presented to the ER at Medical Center 10/28/2022 with fever, chills, myalgias. In the ER she has documented pyuria. Upon arrival her vital signs were temp 99.6. heart rate 122 and regular, SBP 145/90, 97% on 2 L nasal cannula. UA was drawn and reveals positive nitrates with 25 white blood cells and few bacteria. She was initiated on vancomycin and Zosyn for treatment of sepsis either from a urinary source or perhaps recurrent C. difficile colitis. Initial cultures results display likely UTI with possible worsening C. diff infection. Patient was diagnosed with Sepsis, due to unspecified organism. She is being treated with ceftriaxone and cipro. Subject was administered the Janssen Ad26.CoV2.S vaccine on 10/17/2022. This adverse event is unrelated to the Janssen Ad26.CoV2.S vaccine that was administered on 10/17/2022.
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Palpitations
Clinical narrative: palpitations and chest pain beginning after Johnson & Johnson COVID vaccination in November 2021 along with past medical history notable for prior traumatic brain injury in 2020 with complete resolution of symptoms.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative: No information given from date of vaccine #2 and date of death.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is 75y.o. male who died on 05/03/2021 with h/o COPD on 2.5 L, CAD (CTO proximal LAD - 2013), HTN, DMII, HFpEF, OSA on CPAP. Pt received Moderna Covid-19 vaccination on 02/27/2021. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case   dose 1 Moderna 5/12/21  023C21A dose 2 Moderna 6/9/21  050C21A dose 3 Moderna 11/26/21  039F21A
Age: 1.25
Sex: F
Vaccine: PNC13
Symptoms: Dyskinesia, Insomnia, Protrusion tongue, Scratch
Clinical narrative: Mother reported repetitive hang wringing, tongue hanging out of child's mouth and scratching her tongue with her hands, repetitive pulling on ears, and insomnia. The child was unable to sleep, skipped her afternoon nap and still would not fall asleep as late as 1 am.    The mother did report unusual movements after the 4-month set of vaccines but did not know which one was the cause. Had an "excitation response." Reported that the 1st cousin had the same thing.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Pfizer 3/4/21  EN6204 dose 2 Pfizer 3/25/21 ER8733
Age: 24.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Abdominal pain lower, Asthenia, Decreased appetite, Fatigue, Temperature regulation disorder
Clinical narrative: Approximately 12 hours after dosage, I started to feel fatigued, weak, lack of appetite, and an inability to regulate my body temperature. I also felt abdominal pain below my belly button, along with recording a temperature of 99.1. I have been taking Motrin every 4-6 hours and have been resting since these symptoms started. As for the abdominal pain, I started taking Gas-X mid afternoon on November 2nd.   As of this report, I have not recovered from these symptoms.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, COVID-19, Hypersensitivity, Pruritus
Clinical narrative: Two weeks after receiving a booster dose of Moderna I developed severe, itchy hives that covered my entire body. The hives lasted seven months.  After the booster wore off, hives ended for two weeks before I contracted Covid-19. Approximately two weeks after recovering, the hives are back. It would seem the Moderna booster triggered an allergic reaction to covid antibodies. I now have to rely on allergy pills to simply live comfortably. Additionally, it has lead to breast and armpit pain/discomfort that comes alongside the hives and is relieved only by antihistamines.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Two weeks after receiving a booster dose of Moderna I developed severe, itchy hives that covered my entire body. The hives lasted seven months.  After the booster wore off, hives ended for two weeks before I contracted Covid-19. Approximately two weeks after recovering, the hives are back. It would seem the Moderna booster triggered an allergic reaction to covid antibodies. I now have to rely on allergy pills to simply live comfortably. Additionally, it has lead to breast and armpit pain/discomfort that comes alongside the hives and is relieved only by antihistamines.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child is 5 years 3 ;months and had modern as primary series. Presented with parent and requested Moderna Bivalent.  Child was given 0.25ml of Moderna Bivalent. Father contact 11/3/2022 and 48 hours post vaccination child has no side affects from vaccine at this time. Child Pediatrician informed as well
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: During a flu vaccine clinic for employees at facility, this employee was inadvertently given expired influenza vaccine.  The vaccine administered was for the 2021-2022 season and expired on 6/30/2022.  The employee was made aware of the this mistake, did not present with any adverse clinical reaction, and will be administered the influenza vaccine for the 2022-2023 season as soon as clinically appropriate.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered the day after the 30 day shelf life of being refrigerated. The patient reports no adverse reactions. Pt was Notified and offered a repeat dose and declined at this time.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive November 1 2022.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: During a flu vaccine clinic for employeesof facility, this employee was inadvertently given expired influenza vaccine.  The vaccine administered was for the 2021-2022 season and expired on 6/30/2022.  The employee was made aware of the this mistake, did not present with any adverse clinical reaction, and will be administered the influenza vaccine for the 2022-2023 season as soon as clinically appropriate.
Age: 13.0
Sex: M
Vaccine: HPV9, MENB, TDAP
Symptoms: Product administration error, Wrong product administered
Clinical narrative: The patient was gave a Meningococcal Group B , instead of Meningococcal Conjugate (MCV4).. There has been no treatment, the parent has been notified along wit a vaccine administration error report has been  submitted.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: During a flu vaccine clinic for employees of facility, this employee was inadvertently given expired influenza vaccine.  The vaccine administered was for the 2021-2022 season and expired on 6/30/2022.  The employee was made aware of the this mistake, did not present with any adverse clinical reaction, and will be administered the influenza vaccine for the 2022-2023 season as soon as clinically appropriate.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Goitre, Thyroid mass, Ultrasound Doppler abnormal, Ultrasound thyroid abnormal
Clinical narrative: Document Type: US Thyroid Document Subject: US Thyroid   * Final Report *  Reason For Exam enlarged thyroid  Report EXAMINATION: Thyroid ultrasound   EXAM Date: 10/11/2022 08:44   HISTORY:  Enlarged thyroid.  COMPARISON: None available.  FINDINGS: Multiple grayscale and color Doppler ultrasound images of the thyroid gland are presented for interpretation.  The right thyroid lobe measures 4.6 cm sagittal by 1.3 cm AP by 1.5 cm transverse. The left thyroid lobe measures 4.1 cm sagittal by 1.2 cm AP by 1.3 cm transverse. The isthmus demonstrates normal thickness measuring approximately 0.2 cm. The right lobe contains a 1.0 cm well-circumscribed hypoechoic and slightly heterogeneous nodule that appears mildly hypervascular. No other nodules are identified in the right or left lobes.   IMPRESSION:  A 1.0 cm nodule in the right thyroid lobe is a TR4 lesion for which follow-up ultrasound is recommended at 1, 2, 3 and 5 years according to current ACR guidelines.   Dictated on: 10/11/2022 1:16 PM    Signature Line This examination and reported findings have been reviewed and confirmed by the undersigned.   Read By:  MD     Click VIEW IMAGE icon to Display Image This document has an image
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram abdomen abnormal, Flank pain, Gait disturbance, Headache
Clinical narrative: Immediately following the second dose of Pfizer, I became very ill.  That evening, I had a very severe headache, body aches, nausea, the following day I vomited profusely upon waking.  I could barely walk, couldn't work.    In the following days, my urine became very frothy and bubbly.    Approximately one month following vaccination (10/25/2021), I presented with severe pain in my right side (same side as injection).  I went to a walk-in clinic, a CT scan was taken showing severe hydronephrosis of my right kidney.   I have no family history of renal disease or any prior inclination that something could be wrong.    Shortly after, a urologist inserted a stent to drain my kidney.  This required a minor surgery.    Approximately one month later, I had robotic pyeloplasty to remove a section of my right ureter to allow my kidney to drain.  My right kidney was left with approximately 5-10% function, which will not recover.  I had another stent placed during that surgery.    Within a month of surgery, I started having pain in my left side.  A renal function scan revealed 5% function in my right kidney and 70% function in my left kidney.    I am still trying to figure out what's wrong.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hydronephrosis, Immediate post-injection reaction, Impaired work ability, Malaise, Nausea
Clinical narrative: Immediately following the second dose of Pfizer, I became very ill.  That evening, I had a very severe headache, body aches, nausea, the following day I vomited profusely upon waking.  I could barely walk, couldn't work.    In the following days, my urine became very frothy and bubbly.    Approximately one month following vaccination (10/25/2021), I presented with severe pain in my right side (same side as injection).  I went to a walk-in clinic, a CT scan was taken showing severe hydronephrosis of my right kidney.   I have no family history of renal disease or any prior inclination that something could be wrong.    Shortly after, a urologist inserted a stent to drain my kidney.  This required a minor surgery.    Approximately one month later, I had robotic pyeloplasty to remove a section of my right ureter to allow my kidney to drain.  My right kidney was left with approximately 5-10% function, which will not recover.  I had another stent placed during that surgery.    Within a month of surgery, I started having pain in my left side.  A renal function scan revealed 5% function in my right kidney and 70% function in my left kidney.    I am still trying to figure out what's wrong.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyeloplasty, Renal function test abnormal, Renal impairment, Robotic surgery
Clinical narrative: Immediately following the second dose of Pfizer, I became very ill.  That evening, I had a very severe headache, body aches, nausea, the following day I vomited profusely upon waking.  I could barely walk, couldn't work.    In the following days, my urine became very frothy and bubbly.    Approximately one month following vaccination (10/25/2021), I presented with severe pain in my right side (same side as injection).  I went to a walk-in clinic, a CT scan was taken showing severe hydronephrosis of my right kidney.   I have no family history of renal disease or any prior inclination that something could be wrong.    Shortly after, a urologist inserted a stent to drain my kidney.  This required a minor surgery.    Approximately one month later, I had robotic pyeloplasty to remove a section of my right ureter to allow my kidney to drain.  My right kidney was left with approximately 5-10% function, which will not recover.  I had another stent placed during that surgery.    Within a month of surgery, I started having pain in my left side.  A renal function scan revealed 5% function in my right kidney and 70% function in my left kidney.    I am still trying to figure out what's wrong.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Surgery, Ureteral stent insertion, Urine abnormality, Urine analysis, Vomiting
Clinical narrative: Immediately following the second dose of Pfizer, I became very ill.  That evening, I had a very severe headache, body aches, nausea, the following day I vomited profusely upon waking.  I could barely walk, couldn't work.    In the following days, my urine became very frothy and bubbly.    Approximately one month following vaccination (10/25/2021), I presented with severe pain in my right side (same side as injection).  I went to a walk-in clinic, a CT scan was taken showing severe hydronephrosis of my right kidney.   I have no family history of renal disease or any prior inclination that something could be wrong.    Shortly after, a urologist inserted a stent to drain my kidney.  This required a minor surgery.    Approximately one month later, I had robotic pyeloplasty to remove a section of my right ureter to allow my kidney to drain.  My right kidney was left with approximately 5-10% function, which will not recover.  I had another stent placed during that surgery.    Within a month of surgery, I started having pain in my left side.  A renal function scan revealed 5% function in my right kidney and 70% function in my left kidney.    I am still trying to figure out what's wrong.
Age: 11.0
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient is outside of the age range, but was overdue to complete vaccination series. No other adverse reactions reported.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Borrelia test negative, CSF culture negative, CSF glucose normal, CSF lymphocyte count normal
Clinical narrative: Developed Miller Fisher syndrome - started with fatigue and headache on 10/27, developed diplopia and fever (fever lasted ~3 days) on 10/29 as well as weakness. Admitted and evaluated - ultimately treated with IVIG
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: CSF neutrophil count increased, CSF oligoclonal band, CSF protein increased, CSF red blood cell count, CSF test normal
Clinical narrative: Developed Miller Fisher syndrome - started with fatigue and headache on 10/27, developed diplopia and fever (fever lasted ~3 days) on 10/29 as well as weakness. Admitted and evaluated - ultimately treated with IVIG
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: CSF white blood cell count increased, Diplopia, Enterovirus test positive, Epstein-Barr virus test negative, Fatigue
Clinical narrative: Developed Miller Fisher syndrome - started with fatigue and headache on 10/27, developed diplopia and fever (fever lasted ~3 days) on 10/29 as well as weakness. Admitted and evaluated - ultimately treated with IVIG
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Human rhinovirus test positive, Immunoglobulin therapy, Magnetic resonance imaging head, Magnetic resonance imaging spinal
Clinical narrative: Developed Miller Fisher syndrome - started with fatigue and headache on 10/27, developed diplopia and fever (fever lasted ~3 days) on 10/29 as well as weakness. Admitted and evaluated - ultimately treated with IVIG
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Miller Fisher syndrome, Pyrexia, Respiratory pathogen panel
Clinical narrative: Developed Miller Fisher syndrome - started with fatigue and headache on 10/27, developed diplopia and fever (fever lasted ~3 days) on 10/29 as well as weakness. Admitted and evaluated - ultimately treated with IVIG
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: 3rd pregnancy with a history of high blood pressure with two previous pregnancies. Expected due date 06/03/2022
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Pt was given a flu shot during a school flu event and at that time, it was not known that the child received a flu shot on 10/27/2022.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Oropharyngeal pain, Pyrexia
Clinical narrative: FEVER, SOB, COUGH, SORE THROAT
Age: 2.0
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient outside of age range, no other adverse reaction reported.
Sex: F
Vaccine: HIBV
Symptoms: Product preparation issue
Clinical narrative: Hiberix was not given with the diluent it comes with and given with sterile water.
Age: 30.0
Sex: F
Vaccine: FLUR4
Symptoms: Rash, Rash pruritic
Clinical narrative: Discovered itchy rash/spot on left hand after receiving flublok vaccine on 10/31. Applied alcohol and hydrocortisone to help relieve itchiness.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cancer female, Breast mass, Mammogram abnormal
Clinical narrative: Patient had 2nd dose of vaccine- she had J&J first on 3/12/21 and then had Moderna in December 2021. She had a screening mammogram in April 2022 that showed a new mass, new from her last mammogram one year prior. Biopsy revealed cancer.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Dizziness, Headache, Pain, Pyrexia
Clinical narrative: Fevere, chills, bodyaches, headache, dizziness
Age: 0.33
Sex: M
Vaccine: HIBV
Symptoms: Product preparation issue
Clinical narrative: Hiberix was not given with the diluent it comes with and given with sterile water.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Chest X-ray normal, Cough, Dyspnoea
Clinical narrative: Patient is an 89-year-old female with an extensive past medical history that includes but is not limited to hypertension, high cholesterol, type 2 diabetes and GERD who presents to the emergency department with complaint of shortness of breath and a positive test for COVID yesterday.  Patient is not the best historian is difficult to get information out of her she basically says she has been having trouble breathing off and on over the entire summer but she was getting worse a few days ago family had her take a COVID test at home and it came back positive.  Reports shortness of breath nonproductive cough wheezing and exertional dyspnea.  Nursing staff reports to me that the patient ambulating from her car to the hospital bed her oxygen saturation fell to 85%.  They placed her on supplemental O2 before my exam.  Patient denies any history of asthma or COPD but per nursing staff she has a nebulizer at home. Associated Symptoms: cough, fatigue, shortness of breath, URI symptoms, wheezing
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Fatigue, Hypoxia, Oxygen saturation decreased, Respiratory symptom
Clinical narrative: Patient is an 89-year-old female with an extensive past medical history that includes but is not limited to hypertension, high cholesterol, type 2 diabetes and GERD who presents to the emergency department with complaint of shortness of breath and a positive test for COVID yesterday.  Patient is not the best historian is difficult to get information out of her she basically says she has been having trouble breathing off and on over the entire summer but she was getting worse a few days ago family had her take a COVID test at home and it came back positive.  Reports shortness of breath nonproductive cough wheezing and exertional dyspnea.  Nursing staff reports to me that the patient ambulating from her car to the hospital bed her oxygen saturation fell to 85%.  They placed her on supplemental O2 before my exam.  Patient denies any history of asthma or COPD but per nursing staff she has a nebulizer at home. Associated Symptoms: cough, fatigue, shortness of breath, URI symptoms, wheezing
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin normal, Wheezing, White blood cell count decreased
Clinical narrative: Patient is an 89-year-old female with an extensive past medical history that includes but is not limited to hypertension, high cholesterol, type 2 diabetes and GERD who presents to the emergency department with complaint of shortness of breath and a positive test for COVID yesterday.  Patient is not the best historian is difficult to get information out of her she basically says she has been having trouble breathing off and on over the entire summer but she was getting worse a few days ago family had her take a COVID test at home and it came back positive.  Reports shortness of breath nonproductive cough wheezing and exertional dyspnea.  Nursing staff reports to me that the patient ambulating from her car to the hospital bed her oxygen saturation fell to 85%.  They placed her on supplemental O2 before my exam.  Patient denies any history of asthma or COPD but per nursing staff she has a nebulizer at home. Associated Symptoms: cough, fatigue, shortness of breath, URI symptoms, wheezing
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Dosage given was 0.25 instead of recommended 0.5
Age: 0.5
Sex: F
Vaccine: HIBV
Symptoms: Product preparation issue
Clinical narrative: Hiberix was not given with the diluent it comes with and given with sterile water.
Age: 11.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Seizure
Clinical narrative: Seizure on 10/30/22
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Chest pain, Migraine, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: Migraine Headaches has heighten in strength and pain level.  A centralized area of pain that moved down my right down, the next day down my right leg, up my left leg, and then on the 4th day it subsided. Muscle tremors all over my body.  Spontaneous spasms in various areas of the body.  Stiffening in my body all over similiar to "charlie horse" muscle cramps.   Alopecia and hair thinning has increased exponentially and a cramp pain in the upper left side of my chest.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Tremor
Clinical narrative: Migraine Headaches has heighten in strength and pain level.  A centralized area of pain that moved down my right down, the next day down my right leg, up my left leg, and then on the 4th day it subsided. Muscle tremors all over my body.  Spontaneous spasms in various areas of the body.  Stiffening in my body all over similiar to "charlie horse" muscle cramps.   Alopecia and hair thinning has increased exponentially and a cramp pain in the upper left side of my chest.
Age: 72.0
Sex: F
Vaccine: COVID19-2, COVID19-2, UNK, UNK
Symptoms: Blood glucose increased, Condition aggravated, Diabetes mellitus, Immunisation reaction
Clinical narrative: MY BLOOD SUGAR WAS OT OF CONTROL FOR 4 DAYS..FIRST 2 DAYS COLD NOT GET  BELOW 300..even WITHOUT  eating and giving insulin injections every 2 1/2 hours?.THE THIRD AND FOURTH DAY COLD NOT GET A BLOOD SUGAR READING BELOW 200.  The adverse reaction subsided on day 5!! I SPOKE TO. Y DIABETES SPECIALIST ON THE PHONE AND MY PRIMARY PHYSICIAN AND WAS GIVEN THIS SITE TO REPORT THIS EVENT..
Age: 41.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Herpes zoster
Clinical narrative: Pt developed herpes zoster infection (shingles) on left neck. He is going to start acyclovir today.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: During a flu vaccine clinic for employees, this employee was inadvertently given expired influenza vaccine.  The vaccine administered was for the 2021-2022 season and expired on 6/30/2022.  The employee was made aware of the this mistake, did not present with any adverse clinical reaction, and will be administered the influenza vaccine for the 2022-2023 season as soon as clinically appropriate.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site haemorrhage, Pain in extremity
Clinical narrative: Excess bleeding at time of injection that bled through the bandaid along with arm soreness lasting longer than 1 week thus far and very slowly improving.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: During a flu vaccine clinic for employees, this employee was inadvertently given expired influenza vaccine.  The vaccine administered was for the 2021-2022 season and expired on 6/30/2022.  The employee was made aware of the this mistake, did not present with any adverse clinical reaction, and will be administered the influenza vaccine for the 2022-2023 season as soon as clinically appropriate.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dehydration, Electrocardiogram normal, Hypotension, Loss of consciousness
Clinical narrative: I was having low blood pressure, which I have never had before. I had 2 instances that this happened, but on one of them, I passed out. When I had the check-in, it asked me if I have had any health issues lately and that is when I thought that this could be linked and decided to report it. I went to the emergency room, and they gave me some fluids, thinking that I was dehydrated. They really didn't do too much.  No medications were prescribed.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Oropharyngeal pain, Pain
Clinical narrative: On July 18 I began feeling achy and tired and had a terrible sore throat. Tested on July 19th and tested positive. July 19-24 I had fatigue, tired, and sore throat. Began PAXLOVID on July 25th and began feeling better on July 29th. Fatigue and brain fog lasted 4-6 weeks.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On July 18 I began feeling achy and tired and had a terrible sore throat. Tested on July 19th and tested positive. July 19-24 I had fatigue, tired, and sore throat. Began PAXLOVID on July 25th and began feeling better on July 29th. Fatigue and brain fog lasted 4-6 weeks.
Age: 41.0
Sex: F
Vaccine: COVID19-2, FLU4, PNC20
Symptoms: Acne, Ear pain, Erythema, Eye swelling, Headache
Clinical narrative: 24 hours after vaccination swelling began on the right jawline. It started a roll under the skin. It progressed to ear and ear was painful. Client went to the clinic 10/31/22 for the ear pain. She also had  a acne breakout on forehead on her right forehead on the day of vaccination too. FNP thought it was swelling due to vaccine and recommended watchful waiting. 11/1/22 client developed sever HA for whole head which OTC analgesics did not help. 11/2/22 swelling increased to include all of right face including eye. No swelling to L side noted. Went back in to clinic 11/2/22 and was started on metronidazole and levofloxacin for paroditis. Swelling continued and client returned to Health facility later the same day and got a steroid injection. Swelling has not improved. Redness is noted on the forehead area since 10/28/22 and at the jawline on 10/31/22.Client has no fever,. Skin is warm where the redness is.
Age: 41.0
Sex: F
Vaccine: COVID19-2, FLU4, PNC20
Symptoms: Parotitis, Skin warm, Swelling face
Clinical narrative: 24 hours after vaccination swelling began on the right jawline. It started a roll under the skin. It progressed to ear and ear was painful. Client went to the clinic 10/31/22 for the ear pain. She also had  a acne breakout on forehead on her right forehead on the day of vaccination too. FNP thought it was swelling due to vaccine and recommended watchful waiting. 11/1/22 client developed sever HA for whole head which OTC analgesics did not help. 11/2/22 swelling increased to include all of right face including eye. No swelling to L side noted. Went back in to clinic 11/2/22 and was started on metronidazole and levofloxacin for paroditis. Swelling continued and client returned to Health facility later the same day and got a steroid injection. Swelling has not improved. Redness is noted on the forehead area since 10/28/22 and at the jawline on 10/31/22.Client has no fever,. Skin is warm where the redness is.
Age: 22.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: During a flu vaccine clinic for employees, this employee was inadvertently given expired influenza vaccine.  The vaccine administered was for the 2021-2022 season and expired on 6/30/2022.  The employee was made aware of the this mistake, did not present with any adverse clinical reaction, and will be administered the influenza vaccine for the 2022-2023 season as soon as clinically appropriate.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Child received lower dose than recommended for his age group. Patient is 6 years old, but received the Pfizer Covid vaccine for 6mth-5yo.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: During a flu vaccine clinic for employees, this employee was inadvertently given expired influenza vaccine.  The vaccine administered was for the 2021-2022 season and expired on 6/30/2022.  The employee was made aware of the this mistake, did not present with any adverse clinical reaction, and will be administered the influenza vaccine for the 2022-2023 season as soon as clinically appropriate.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Hypoaesthesia, Laboratory test normal, Tachycardia
Clinical narrative: Tachycardia, numbness fingers, chest pressure, shortness of breath.,
Age: 38.0
Sex: F
Vaccine: HPV9
Symptoms: Bell's palsy, Carpal tunnel syndrome, Headache
Clinical narrative: On 10/1/2022 the patient began to have a severe headache, four days later she developed Bell's Palsy on the left, same side as the injection. 3 weeks later she was also diagnosed with carpal tunnel on the left. She has been prescribed gabapentin which doesnt seem to be helping. She is now just starting a course of acupuncture therapy for the palsy and headache.
Age: 34.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: During a flu vaccine clinic for employees of facility, this employee was inadvertently given expired influenza vaccine.  The vaccine administered was for the 2021-2022 season and expired on 6/30/2022.  The employee was made aware of the this mistake, did not present with any adverse clinical reaction, and will be administered the influenza vaccine for the 2022-2023 season as soon as clinically appropriate.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Crying, Fall
Clinical narrative: About 13 mins post vaccine, patient suddenly slid off bench to the floor approximately 2 feet. Awoke spontaneously, Small cry, no bumps/ lumps on head or cuts/bruises that is visible. Alert and oriented to self place and month. Upper strength grips equal bilateral. Able to follow commands. HR 54, BP 80/40 resp 20 o2sat 97 and temp 98.2. Recheck after at 09:30 bp 98:58 hr 70 resp 20. Assist to set up offered apple juice and conversing appropriately with the staffs. At 09:42 HR 93 sat at 98%z 09:45 mom arrived to pick up the patient. Reported that patient had the same issue several times in the past 3.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood test normal, Dizziness, Ear pain, Energy increased
Clinical narrative: Back pain started after first dose. I did not initially attribute it to the vaccine. After the second dose: dizziness, migraine, ear ache, tinnitus, inner ear pain, adrenaline rushes, high heart rate
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Inner ear disorder, Migraine, Tinnitus
Clinical narrative: Back pain started after first dose. I did not initially attribute it to the vaccine. After the second dose: dizziness, migraine, ear ache, tinnitus, inner ear pain, adrenaline rushes, high heart rate
Age: 13.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Adolescent received one dose of  adult  Hepatitis A vaccine. Patient was monitored for 30 minutes under supervision of two nurses with no signs and symptoms after observation. No treatment needed. Patient was released to guardian care.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient was given Bivalent dose as the second dose in her primary series.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern only
Age: 75.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: After verifying which vaccine the patient was to receive and after administration, the patient's wife informed me that the patient already received the Moderna bivalent booster last week. Patient has received a total of 2 bivalent boosters.
Age: 55.0
Sex: U
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, erythema, and tenderness at the site with swelling of the soft tissue at the site
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect dose administered
Clinical narrative: Nurse administered 0.5 ml ID instead of 0.1ml ID (gave subcutaneous dose via intradermal route)
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 09/07/22 presents to ED for "fever". PMHx of "hypertension, diabetes, pancreatitis, alcoholic cirrhosis, cholangiocarcinoma"
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dizziness, Eye pain, Hypoaesthesia oral, Lacrimation increased
Clinical narrative: 1pm: Left eye became sensitive to light and was watery and painful. It felt pressured as well.  Both eyelids became partially swollen. 2pm: Became light headed and nauseous Two Benadryl tablets were taken Began feeling weak with throat tingling, lip numbness, and increased nausea 2:30pm Was taken to an urgent care but was told that I could not be seen there and would need to go to the ER. By that time, the Benadryl kicked in and adverse symptoms went away except for eye watering and some pain. I did not go to the ER or anywhere else. 11/03 (next day) Left eye still watery and painful. No other symptoms present and no further Benadryl was taken.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Ocular discomfort, Pain, Pharyngeal paraesthesia, Photophobia
Clinical narrative: 1pm: Left eye became sensitive to light and was watery and painful. It felt pressured as well.  Both eyelids became partially swollen. 2pm: Became light headed and nauseous Two Benadryl tablets were taken Began feeling weak with throat tingling, lip numbness, and increased nausea 2:30pm Was taken to an urgent care but was told that I could not be seen there and would need to go to the ER. By that time, the Benadryl kicked in and adverse symptoms went away except for eye watering and some pain. I did not go to the ER or anywhere else. 11/03 (next day) Left eye still watery and painful. No other symptoms present and no further Benadryl was taken.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling of eyelid
Clinical narrative: 1pm: Left eye became sensitive to light and was watery and painful. It felt pressured as well.  Both eyelids became partially swollen. 2pm: Became light headed and nauseous Two Benadryl tablets were taken Began feeling weak with throat tingling, lip numbness, and increased nausea 2:30pm Was taken to an urgent care but was told that I could not be seen there and would need to go to the ER. By that time, the Benadryl kicked in and adverse symptoms went away except for eye watering and some pain. I did not go to the ER or anywhere else. 11/03 (next day) Left eye still watery and painful. No other symptoms present and no further Benadryl was taken.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was being  seen in the clinic. Provider came out of the patient's room and gave a verbal order for the patient to have a Covid injection but not informing us what series she was needing nor did I verify it in the system. Patient informed the provider that this was her first but did not inform us of that. Patient received Bivalent instead of the original.  She has been informed of the mistake and has no reactions outside of the normal side effects of having the injections which she was informed of before the injections.
Age: 1.0
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered, No adverse event
Clinical narrative: no adverse reactions, administered expired vaccine. vaccine expired 10/29/22, administered 11/2/22
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Patient presented to my office 11/3/22 for an appointment due to the development of hives to bilateral legs, bilateral arms, and anterior and posterior trunk.  Patient reported getting the pfizer bivalent vaccine 11/1/22 at pharmacy.  Then, that evening, developed hives to the legs which continued to spread over the next 36 hours.  Patient reported tolerating all prior doses of pfizer vaccine.  Patient prescribed steroid course and antihistamine for treatment and told to seek care in the ER if she developed more serious signs of reaction such as shortness of breath.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nail discolouration, Skin discolouration
Clinical narrative: Ten to fourteen days after I recovered from COVID-19 I discovered that my middle toes on both feet the nails were dark and the toes up to the knuckle were white. I discovered this when I went to get a pedicure after recovering from having COVID-19 when the nail technician took the nail polish off. It is going away, I can see my normal nail coming back. It does not hurt, I will consult with my physician at my annual physical.
Age: 72.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Hypoaesthesia oral, Lip swelling, Pain in extremity
Clinical narrative: LIPS SWELLING AND NUMBNESS, ARM PAIN (PERSISTING 2 WEEKS AFTER ADMINISTRATION) ON RIGHT ARM (FLU)
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concer
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Alopecia
Clinical narrative: PATIENT REPORTS SIGNIFACANT LOSS OF HAIR SINCE VACCINE WAS GIVEN.
Age: 33.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Bacterial infection, Chills, Cough, Oropharyngeal pain, Pharyngitis
Clinical narrative: I have a terrible sore throat, cough, and chills. This has been going on for about 5 days. They did prescribe penicillin because I have some white spots on the back of my throat. They did a COVID-19 test and it was negative. They are pretty sure it is a bacterial infection.
Age: 33.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative, Urine analysis normal
Clinical narrative: I have a terrible sore throat, cough, and chills. This has been going on for about 5 days. They did prescribe penicillin because I have some white spots on the back of my throat. They did a COVID-19 test and it was negative. They are pretty sure it is a bacterial infection.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 1.33
Sex: F
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: I drew the vaccine and went to go administer the MMR vaccine to the patient. After I finished I came to my laptop to enter the lot number for the vaccine I gave her. As I entered it I got flagged and saw that it was expired, I quickly went to my manager and doctor letting them know it flagged me and that it expired, and they took the next proper actions.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 09/07/22 presents to ED for "shortness of breath". PMHx of "class III congestive heart failure, TIA, hypertension, type 2 diabetes"
Age: 35.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Wrong product administered
Clinical narrative: The patient was accidently given flu shot when they only needed covid vaccine. The patient had received a flu shot month and a half ago already. So, patient was double vaccinated for Flu shot.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Colostomy, SARS-CoV-2 test positive
Clinical narrative: 09/07/22 presents to General Surgery for "colostomy". PMHx of "cardiac history, including severe AS who has chronic proctitis s/p radiation and fecal incontinence"
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern