chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Feeling of body temperature change, Full blood count normal, Gait inability
Clinical narrative: This was the first Pfizer vaccine I had received after 3 Moderna vaccines. The event itself actually began two days before with a 2 minute severe dizzy and spinning episode that went away in 10 minutes time. Then for the next day and a half, I was fine and didn't have any problems. I didn't know that was part of what was going to happen. This happened on a Saturday afternoon. On Monday 09/12/2022, I went to work and at 8:45 AM, I had another severe nausea spinning episode that lasted 15 to 20 minutes. I waited and calmed down and went back to what I thought was normal. I continued with my work day but watched my vitals throughout the day. At about 12:45PM that afternoon, I had the most severe attack of the dizziness and nausea and felt a strong temperature change in my body. I had to stop work for about 35-45 minutes. I was able to safely drive my vehicle back to work. At that point, I could not walk back inside to where I work because I was spinning and experiencing nausea. I was clammy and dry heaving. I was pretty nervous. A passer by who works in my facility walked by and I asked him to call 911. They got here in 5-6 minutes and assessed my condition. They got me into the emergency vehicle and they brought me to the ER. They ran a series of tests such as blood pressure, pulse, and a mobile CAT scan to assess if I was having a stroke or another kind of health event. During that ride, they mentioned it could be a bout of vertigo. On our way to the ER, I was also vomiting. When we got to the ER, they assessed what was happening and I was admitted into the ER. They kept watch until the next day so I could speak with a physical therapist. Everyone at this point had noted that it could be vestibular neuritis. I was kept there until the spinning had decreased greatly. They prescribed Meclizine and I did feel better. I was not cleared for work for about 3 weeks, and just recently I was released for half days of work. I still feel the effects of wooziness and low level nausea. I can still drive and I'm currently involved in on going assessments with multiple doctor visits and physical therapy visits for the foreseeable future. I have recovered from the event but still have some after effects.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Laboratory test normal, Metabolic function test normal, Nausea, Nervousness
Clinical narrative: This was the first Pfizer vaccine I had received after 3 Moderna vaccines. The event itself actually began two days before with a 2 minute severe dizzy and spinning episode that went away in 10 minutes time. Then for the next day and a half, I was fine and didn't have any problems. I didn't know that was part of what was going to happen. This happened on a Saturday afternoon. On Monday 09/12/2022, I went to work and at 8:45 AM, I had another severe nausea spinning episode that lasted 15 to 20 minutes. I waited and calmed down and went back to what I thought was normal. I continued with my work day but watched my vitals throughout the day. At about 12:45PM that afternoon, I had the most severe attack of the dizziness and nausea and felt a strong temperature change in my body. I had to stop work for about 35-45 minutes. I was able to safely drive my vehicle back to work. At that point, I could not walk back inside to where I work because I was spinning and experiencing nausea. I was clammy and dry heaving. I was pretty nervous. A passer by who works in my facility walked by and I asked him to call 911. They got here in 5-6 minutes and assessed my condition. They got me into the emergency vehicle and they brought me to the ER. They ran a series of tests such as blood pressure, pulse, and a mobile CAT scan to assess if I was having a stroke or another kind of health event. During that ride, they mentioned it could be a bout of vertigo. On our way to the ER, I was also vomiting. When we got to the ER, they assessed what was happening and I was admitted into the ER. They kept watch until the next day so I could speak with a physical therapist. Everyone at this point had noted that it could be vestibular neuritis. I was kept there until the spinning had decreased greatly. They prescribed Meclizine and I did feel better. I was not cleared for work for about 3 weeks, and just recently I was released for half days of work. I still feel the effects of wooziness and low level nausea. I can still drive and I'm currently involved in on going assessments with multiple doctor visits and physical therapy visits for the foreseeable future. I have recovered from the event but still have some after effects.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Retching, Vertigo, Vomiting
Clinical narrative: This was the first Pfizer vaccine I had received after 3 Moderna vaccines. The event itself actually began two days before with a 2 minute severe dizzy and spinning episode that went away in 10 minutes time. Then for the next day and a half, I was fine and didn't have any problems. I didn't know that was part of what was going to happen. This happened on a Saturday afternoon. On Monday 09/12/2022, I went to work and at 8:45 AM, I had another severe nausea spinning episode that lasted 15 to 20 minutes. I waited and calmed down and went back to what I thought was normal. I continued with my work day but watched my vitals throughout the day. At about 12:45PM that afternoon, I had the most severe attack of the dizziness and nausea and felt a strong temperature change in my body. I had to stop work for about 35-45 minutes. I was able to safely drive my vehicle back to work. At that point, I could not walk back inside to where I work because I was spinning and experiencing nausea. I was clammy and dry heaving. I was pretty nervous. A passer by who works in my facility walked by and I asked him to call 911. They got here in 5-6 minutes and assessed my condition. They got me into the emergency vehicle and they brought me to the ER. They ran a series of tests such as blood pressure, pulse, and a mobile CAT scan to assess if I was having a stroke or another kind of health event. During that ride, they mentioned it could be a bout of vertigo. On our way to the ER, I was also vomiting. When we got to the ER, they assessed what was happening and I was admitted into the ER. They kept watch until the next day so I could speak with a physical therapist. Everyone at this point had noted that it could be vestibular neuritis. I was kept there until the spinning had decreased greatly. They prescribed Meclizine and I did feel better. I was not cleared for work for about 3 weeks, and just recently I was released for half days of work. I still feel the effects of wooziness and low level nausea. I can still drive and I'm currently involved in on going assessments with multiple doctor visits and physical therapy visits for the foreseeable future. I have recovered from the event but still have some after effects.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysgeusia, Fatigue, Feeling abnormal
Clinical narrative: I had runny nose on the first day and I took the test, I had a cough, run down and tiredness . I was congested too. It got worse on Monday and you telehealth appointment on Tuesday. The doctor said I should take Paxlovid and treat the symptoms by taking Zinc. After the Paxlovid was great but metallic taste in my mouth
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had runny nose on the first day and I took the test, I had a cough, run down and tiredness . I was congested too. It got worse on Monday and you telehealth appointment on Tuesday. The doctor said I should take Paxlovid and treat the symptoms by taking Zinc. After the Paxlovid was great but metallic taste in my mouth
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Pt to ED 9/25 for abd pain and vomiting. Pt COVID+ 9/25. 9/26 pt complains of abdominal pain, pt has a fever tylenol was ordered. 9/27 pt left vaccine location during shift change, currently A&Ox4.
Age: 36.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site reaction
Clinical narrative: injection site reaction
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ear discomfort, Pain, Tenderness, Tinnitus
Clinical narrative: Approximately 6-7 hours after the booster, I woke up with an achy body and with a very loud white noise in my right ear.  The white noise lasted a couple hours.  I have never had tinnitus before.  Ear is still a little tender a week later.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Increased tinnitus
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive pt, admitted, vacine X2
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive pt, admitted to hospital, vaccinated X2
Age: 92.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lip swelling, Swelling face
Clinical narrative: Swelling of the lips cheeks and nose
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Aphasia, Crying, Frustration tolerance decreased, Screaming
Clinical narrative: By the second day after the vaccine, she lost all ability to speak.  Instead of communicating verbally as she had been, she would screech if excited and cry if upset.    It would show that she knew what she wanted to say but couldn't get the words out.  She would them become frustrated and just screech if excited or again, cry if upset.  This lasted for six months.  I watched her be unable to speak a single word for six months...  She now only repeats what she is told but rarely ever initiates conversations or speaks words of her own choosing.
Age: 22.0
Sex: M
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: Patient did have an allergy to pertussis at age 4 and had a "seizure" at that time. He did have a Tdap done in 2010 and had no reaction.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 09/04/22
Age: 62.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS EXPIRED ON 8/9/22, GIVEN TO PATIENT ON 10/7/22
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 09/06/2022
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Confusional state, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 9/25 for c/o abd pain x 4 hours. Pt COVID+ 9/25, denies SOB. 9/26 Pt is in no apparent distress,  confused but noncombative, respirations regular and unlabored. 9/27 pt discharged.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Oropharyngeal pain, Palatal disorder, Respiratory tract congestion
Clinical narrative: I felt a minor pain in my throat, the soft pallet was swollen, this was on Monday. I was wondering if this could possibly be COVID-19 as I had just returned from a trip. On Tuesday I went to the Doctor and had a PCR test done and was alerted late that evening via the online medical record that it was positive for COVID-19. Once I tested positive, I was given a prescription for Paxlovid but did not take it. The sore throat went away fairly quickly, I still have some congestion and a bit of a cough but otherwise in general I feel fine. I never had a headache or fever.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I felt a minor pain in my throat, the soft pallet was swollen, this was on Monday. I was wondering if this could possibly be COVID-19 as I had just returned from a trip. On Tuesday I went to the Doctor and had a PCR test done and was alerted late that evening via the online medical record that it was positive for COVID-19. Once I tested positive, I was given a prescription for Paxlovid but did not take it. The sore throat went away fairly quickly, I still have some congestion and a bit of a cough but otherwise in general I feel fine. I never had a headache or fever.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 09/07/2022
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Mental status changes, Nausea
Clinical narrative: Hospitalization: 9/23/2022 - 9/27/2022.  Presentation to the ED: AMS, COUGH, NAUSEA, VOMITING, DIARRHEA.  COVID-19 + date: 9/23/22. Treatment: NO TREATMENT GIVEN SPECIFICALLY FOR COVID INFECTION. Discharge to: Home or Self Care.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Hospitalization: 9/23/2022 - 9/27/2022.  Presentation to the ED: AMS, COUGH, NAUSEA, VOMITING, DIARRHEA.  COVID-19 + date: 9/23/22. Treatment: NO TREATMENT GIVEN SPECIFICALLY FOR COVID INFECTION. Discharge to: Home or Self Care.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received my second Pfizer booster for COVID-19 on 4/27/2022. I traveled to an international airport on 9/6/2022 on a domestic flight. Of course, there is no way to be certain that this is when and where I came into contact with COVID-19, but I strongly suspect it. On the morning of 9/8/2022, I was experiencing symptoms that included runny nose, a mild fever, and dry cough. I went to an urgent care to get a rapid test, and the result was negative. The symptoms continued to develop and would not go away. On 9/10/2022, I took a home test, which yielded a positive result. I then did a telehealth visit with the urgent care and informed them of my test result, and they immediately prescribed me PAXLOVID. I began taking PAXLOVID on 9/10/2022. Within 24 hours of starting it, the symptoms subsided substantially. I finished the 5-day course and was completely symptom-free by the end of the course. About 2-3 days later, I took another home test and got a negative result. Since then, I have not had any residual issues, and I believe starting the PAXLOVID early helped.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: No adverse event, Product dose omission issue
Clinical narrative: Patient received only DTaP-IPV vial of Pentacel vaccine. Patient did not receive Hib powder vial for reconstitution.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaphylactic shock, Blood test, Influenza virus test negative, Lip swelling, SARS-CoV-2 test negative
Clinical narrative: One week after the vaccination, on 9/29/2022, in the morning I broke out in hives from head to toe. I had 2 urgent care visits and I ended up in the emergency room on 10/1/2022. I had anaphylaxis shock. My lips were swelling. I was given Intravenous prednisone and Benadryl. I was in the emergency room for about 4 hours. The hives were gone by Sunday night, 10/2/2022.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: One week after the vaccination, on 9/29/2022, in the morning I broke out in hives from head to toe. I had 2 urgent care visits and I ended up in the emergency room on 10/1/2022. I had anaphylaxis shock. My lips were swelling. I was given Intravenous prednisone and Benadryl. I was in the emergency room for about 4 hours. The hives were gone by Sunday night, 10/2/2022.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Ten hours after vaccine, I had chills with fever for 2 hours.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None- Pt did not report any adverse reactions. Pt was adminitered Pfizer Vaccine before knowing later it was considered expired.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiac disorder, Death
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: no information-Mild, Additional Details: patient wife called on 10/03/22 at 4 pm to informed on duty pharmacist that her husbund died today. pharmacist asked is it due to vaccine? she replied due to weak heart. she also asked pharmcist to do vaccine events reporting. above section i have to select pain on site due to complete this form however wife did not mention anything over the phone about pain on site.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood test abnormal, Dyspnoea, Ketoacidosis
Clinical narrative: I went to the the ER on 5/1 due to difficulties breathing.  They started me on an IV and did blood test.  I was in ketoacidosis and had low potassium and was in the hospital for 3 days. They gave me insulin.  I went to my NP on 5/11
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: On August 29, 2022, I took an at home COVID-19 test and tested positive. I contacted my doctor, and they could not prescribe me PAXLOVID due to my other prescribed medication. I went in for a doctor's visit and they prescribed me an antibiotic, but I don't recall the name.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure abnormal, COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/21/22 - 9/25/22. Presentation to the ED: ABNORMAL BP READING.  COVID-19 + date: 9/21/22. Treatment: Rocephin & azithromycin.  Discharge to: HOSPICE. PATIENT DECEASED 9/28/22.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: This writer (Covid/Flu Vaccine clinic Supervisor RN) and (Lead RN) were notified by clinic staff to check on patient.    Patient (accompanied by wife) received Pfizer Bivalent Booster Covid Vaccine at 10:46am. About 5 minutes post vaccination, patient was seated in the observation area when he felt light headed and passed out for a few seconds.    This writer (Covid/Flu Vaccine clinic Supervisor RN) and (Lead RN) assessed patient, took VS, elevated patient's legs, provided juice and water, and an ice pack to patient's neck. Shortly after these interventions, patient felt much better and VS stabilized.    However this writer advised recommendation is for him accompanied by wife to go to UC for further assessment to ensure medical stability/safety. Patient was also educated that for future vaccinations, recommendation is for him to receive it while lying down. Patient and patient's wife both verbalized understanding.
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: Patient states his right arm is still sore after getting his flu shot on 9/9/22. I asked him to lift arm and he said it starts to ache when he lifts it up. He does have full range of motion - he can lift it up; however, it aches as he lifts it. He will be following up with his primary care physician.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Irritability
Clinical narrative: Dizziness, muscle pain, fever, weakness. headache, irritability, tired
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia, Pyrexia
Clinical narrative: Dizziness, muscle pain, fever, weakness. headache, irritability, tired
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: 8 year old patient received Pfizer bivalent instead of monovalent. patient was observed for 15 minutes, no adverse reactions noted.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ear pain, Facial pain, Headache, Neck pain, Pain
Clinical narrative: Systemic: ear pain and pain in neck-Severe, Systemic: Headache-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: patient reports having severe headache with auroa along with severe ear pain and pain in side of face when turning her neck
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Visual impairment
Clinical narrative: Systemic: ear pain and pain in neck-Severe, Systemic: Headache-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: patient reports having severe headache with auroa along with severe ear pain and pain in side of face when turning her neck
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/26/2022 - 10/1/2022.  Presentation to the ED: AMS (Altered mental status) COVID-19 + date: 9/24/2022.  Treatment: NO SPECIFIC TREATMENT FOR COVID-19. Discharge to: Private.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Endoscopic retrograde cholangiopancreatography, Hypotension, Nausea
Clinical narrative: Pt to ED 10/3 for c/o persistent abd pain with n/v. RRT called for hypotension. Pt COVID+ 10/3. 10/4 Pt is A&Ox4 ,airway is patent, speech is clear, respirations are even and unlabored. 10/4 to OR for ERCP. 10/5 pt is aox4,on RA not in distress,ambulatory, denies pain or sob. 10/6 pt discharged.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Pt to ED 10/3 for c/o persistent abd pain with n/v. RRT called for hypotension. Pt COVID+ 10/3. 10/4 Pt is A&Ox4 ,airway is patent, speech is clear, respirations are even and unlabored. 10/4 to OR for ERCP. 10/5 pt is aox4,on RA not in distress,ambulatory, denies pain or sob. 10/6 pt discharged.
Age: 24.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Peripheral swelling, Vomiting
Clinical narrative: Patient reports dizziness, vomiting, very swollen left arm, went to hospital ER and was treated but she doesn't know with what.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product preparation issue
Clinical narrative: no adverse reaction but the vaccine was not dilute properly prior to administration. pt reports arm pain and nothing else
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Peripheral swelling, Pyrexia
Clinical narrative: Chills and low grade fever evening and late morning after vaccines. Arm swelling and redness started late that night and lasted for 5 days. Patient also received Pfizer booster vaccine and flu shot on the same day.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Lethargy, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/26/2022 - 10/1/2022 Presentation to the ED: Weakness and lethargy.  COVID-19 + date: 9/26/22. Treatment: VANCOMYCIN. Discharge to: SNF.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chest discomfort, Cold sweat, Dizziness, Dyspnoea
Clinical narrative: Patient received the vaccine around 10 am and returned to her workstation without any issues initially.  Returned to where the flu clinic was being held and stated she was feeling light headed, weak, slightly clammy and had some heaviness in her chest.  One of the pharmacists on duty got a chair for her to sit down and gave the patient water to sip on while having her take deep breaths.  Patient reported her throat felt "like it was not all the way open" but denied that it was closing up.  In terms of her breathing she stated that her chest felt heavier than normal but did not indicate it was more difficult to breath.  the pharmacist observed the patient for another few minutes and the symptoms did not get any worse.  Blood pressure was taken and patient's respiratory rate was observed, both appeared to be normal.  Patient then stated she felt like she was feeling tired and was going to pass out.  She was given crackers for some calories in case she was experiencing low blood sugar.  They did not seem to change the patient's symptoms.  After another 10 minutes or so, breathing still seemed normal and patient was not having any issues with communicating, the patient then asked if there was anything we could give to her.  We offered benadryl and explained that we had epipens if needed however it did not appear she was having an anaphylactic reaction but more of a syncopial one.  The patient accepted 50 mg of benadryl and was counseled appropriately on side effects with her meds.  Her mom picked her up to take her home and rest.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Presyncope, Throat tightness
Clinical narrative: Patient received the vaccine around 10 am and returned to her workstation without any issues initially.  Returned to where the flu clinic was being held and stated she was feeling light headed, weak, slightly clammy and had some heaviness in her chest.  One of the pharmacists on duty got a chair for her to sit down and gave the patient water to sip on while having her take deep breaths.  Patient reported her throat felt "like it was not all the way open" but denied that it was closing up.  In terms of her breathing she stated that her chest felt heavier than normal but did not indicate it was more difficult to breath.  the pharmacist observed the patient for another few minutes and the symptoms did not get any worse.  Blood pressure was taken and patient's respiratory rate was observed, both appeared to be normal.  Patient then stated she felt like she was feeling tired and was going to pass out.  She was given crackers for some calories in case she was experiencing low blood sugar.  They did not seem to change the patient's symptoms.  After another 10 minutes or so, breathing still seemed normal and patient was not having any issues with communicating, the patient then asked if there was anything we could give to her.  We offered benadryl and explained that we had epipens if needed however it did not appear she was having an anaphylactic reaction but more of a syncopial one.  The patient accepted 50 mg of benadryl and was counseled appropriately on side effects with her meds.  Her mom picked her up to take her home and rest.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Computerised tomogram thorax normal, Echocardiogram, Echocardiogram normal, Ejection fraction normal
Clinical narrative: Laboratory and clinical signs of myocarditis. Patient was being routinely screened for myocarditis as his was concominantly starting clozapine so we were monitoring CRP, WBc with Diff, and Troponin weekly.   10/7 #Elevated troponin #Sinus tachycardia  #C/f myocarditis, drug induced vs. Viral Inflammatory markers elevated, and trop mildly elevated but flat. Recent symptomatic COVID infection ~3 weeks ago. Thus far, workup has included a CT PE which was suboptimal due to motion artifact, but did not demonstrate proximal thrombi. TTE demonstrated normal RVEF and size, and a low-normal LVEF. Possible this represents myocarditis, viral or drug induced. Clozaril level is pending. If this comes back at supratherapeutic and he needs to remain on it for psychiatric reasons, would be reasonable to consider lower dose and monitor level. Would not recommend cMRI at this point given he was unable to tolerate PE study yesterday.  - Would recommend lower extremity dopplers to further evaluate for PE/DVT. If positive, could consider repeat CT PE study +/- sedation - discontinue propranolol (d/w primary team) - start metoprolol succinate 25mg daily - start lisinopril 2.5mg daily - if remains on clozaril, would repeat TTE in 2 weeks or sooner if clinical status changes
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Heart rate increased, Inflammatory marker increased, Malaise, Myocarditis
Clinical narrative: Laboratory and clinical signs of myocarditis. Patient was being routinely screened for myocarditis as his was concominantly starting clozapine so we were monitoring CRP, WBc with Diff, and Troponin weekly.   10/7 #Elevated troponin #Sinus tachycardia  #C/f myocarditis, drug induced vs. Viral Inflammatory markers elevated, and trop mildly elevated but flat. Recent symptomatic COVID infection ~3 weeks ago. Thus far, workup has included a CT PE which was suboptimal due to motion artifact, but did not demonstrate proximal thrombi. TTE demonstrated normal RVEF and size, and a low-normal LVEF. Possible this represents myocarditis, viral or drug induced. Clozaril level is pending. If this comes back at supratherapeutic and he needs to remain on it for psychiatric reasons, would be reasonable to consider lower dose and monitor level. Would not recommend cMRI at this point given he was unable to tolerate PE study yesterday.  - Would recommend lower extremity dopplers to further evaluate for PE/DVT. If positive, could consider repeat CT PE study +/- sedation - discontinue propranolol (d/w primary team) - start metoprolol succinate 25mg daily - start lisinopril 2.5mg daily - if remains on clozaril, would repeat TTE in 2 weeks or sooner if clinical status changes
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus tachycardia, Troponin increased
Clinical narrative: Laboratory and clinical signs of myocarditis. Patient was being routinely screened for myocarditis as his was concominantly starting clozapine so we were monitoring CRP, WBc with Diff, and Troponin weekly.   10/7 #Elevated troponin #Sinus tachycardia  #C/f myocarditis, drug induced vs. Viral Inflammatory markers elevated, and trop mildly elevated but flat. Recent symptomatic COVID infection ~3 weeks ago. Thus far, workup has included a CT PE which was suboptimal due to motion artifact, but did not demonstrate proximal thrombi. TTE demonstrated normal RVEF and size, and a low-normal LVEF. Possible this represents myocarditis, viral or drug induced. Clozaril level is pending. If this comes back at supratherapeutic and he needs to remain on it for psychiatric reasons, would be reasonable to consider lower dose and monitor level. Would not recommend cMRI at this point given he was unable to tolerate PE study yesterday.  - Would recommend lower extremity dopplers to further evaluate for PE/DVT. If positive, could consider repeat CT PE study +/- sedation - discontinue propranolol (d/w primary team) - start metoprolol succinate 25mg daily - start lisinopril 2.5mg daily - if remains on clozaril, would repeat TTE in 2 weeks or sooner if clinical status changes
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: administered monovalent should have been bivalent
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Skin laceration
Clinical narrative: Hospitalization: 9/28/2022 - 10/1/2022  Presentation to the ED: R ELBOW LACERATION.  COVID-19 + date: 9/28/22. Treatment: NO TREATMENT SPECIFIC FOR COVID. Discharge to: SNF, (Skilled nursing facility).
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Dyspnoea exertional, Heart rate increased
Clinical narrative: Shortness of breath and increased heart rate, which are ongoing. Shortness of breath was more persistent the next day following vaccination, but still pronounced even with little exertion.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Original Moderna given instead of bivalent
Age: 65.0
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose given too soon
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Impaired work ability, Malaise
Clinical narrative: I had a dry cough on Monday, at night I started not feeling well. Tuesday morning I had a sore throat and general fatigue. I tested myself for COVID-19 and was positive. I went to Urgent care and got the antigen test and was negative. They gave me Paxlovid and I took it for the next 5 days. I quarantined and after 3 days I felt better. After 5 days days I went back to work wearing a mask for 6 days. The general symptom was fatigued.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Quarantine, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I had a dry cough on Monday, at night I started not feeling well. Tuesday morning I had a sore throat and general fatigue. I tested myself for COVID-19 and was positive. I went to Urgent care and got the antigen test and was negative. They gave me Paxlovid and I took it for the next 5 days. I quarantined and after 3 days I felt better. After 5 days days I went back to work wearing a mask for 6 days. The general symptom was fatigued.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Disturbance in attention, Fatigue, Feeling abnormal
Clinical narrative: I experienced fatigue, persistent dry cough and fuzzy in the head it was very hard to concentrate.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: monovalent administered should have been bivalent
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Gave patient a high dose flu shot instead of regular dose indicated for 58 year old patient. Patient aware of mix-up and counseled about potential for increased side effects.
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLUA4, PNC20
Symptoms: Laboratory test normal, Loss of consciousness, Sleep disorder
Clinical narrative: PATIENT REPORTED THAT HE LOST CONSCIOUSNESS AFTER WAKING UP IN THE MIDDLE OF THE NIGHT THE DAY FOLLOWING VACCINATION. HE CALLED EMERGENCY AND WAS TAKEN TO THE ER WHERE LABS WERE RUN AND DETERMINDED THAT HE IS IN OTHERWISE GOOD HEALTH. PATIENT CONFIRMED THAT THE ER REMOVED ONE OF HIS BLOOD PRESSURE MEDICATIONS AS A RESULT OF THIS EVENT. PATIENT IS NOW HOME AND IN STABLE CONDITION.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Exposed to Covid sometime between 9-28 and 10-1 in crowded inside gatherings (nightclubs, subways, buses in city)
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received an undiluted form of the Pfizer COVID vaccine. Patient's parents and PCP were contacted. No adverse effects reported at this time
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Myocardial infarction, Pericarditis
Clinical narrative: Pericarditis, Ahrythmia, sub .25T heart attacks
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: monovalent administered should have been bivalent
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: gave non bivalent
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Neck pain, Pain, Pain in extremity
Clinical narrative: sore arm, shooting pain up to neck
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anti-thyroid antibody, Asthenia, Blood thyroid stimulating hormone, Blood triglycerides, Chest X-ray
Clinical narrative: Received Moderna Bivalent Booster on 9/3/2022.   Symptoms began on 9/19/2022 (fever, weakness, sore throat, dry cough).  Treated initially with Amoxicillin.  Symptoms did not improve on Amoxicillin.  Daily fevers as high as 101.7.   Diagnosed with thyroiditis on 10/4/2022.  Currently treated with Prednisone, methimazole and atenolol.   I reported event to Moderna and this is the number we received "Private".
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Full blood count, Influenza A virus test negative, Influenza B virus test, Lipase
Clinical narrative: Received Moderna Bivalent Booster on 9/3/2022.   Symptoms began on 9/19/2022 (fever, weakness, sore throat, dry cough).  Treated initially with Amoxicillin.  Symptoms did not improve on Amoxicillin.  Daily fevers as high as 101.7.   Diagnosed with thyroiditis on 10/4/2022.  Currently treated with Prednisone, methimazole and atenolol.   I reported event to Moderna and this is the number we received "Private".
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Metabolic function test, Oropharyngeal pain, Pyrexia, Red blood cell sedimentation rate, SARS-CoV-2 test negative
Clinical narrative: Received Moderna Bivalent Booster on 9/3/2022.   Symptoms began on 9/19/2022 (fever, weakness, sore throat, dry cough).  Treated initially with Amoxicillin.  Symptoms did not improve on Amoxicillin.  Daily fevers as high as 101.7.   Diagnosed with thyroiditis on 10/4/2022.  Currently treated with Prednisone, methimazole and atenolol.   I reported event to Moderna and this is the number we received "Private".
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Streptococcus test negative, Thyroiditis, Thyroxine free, Ultrasound thyroid, Urine analysis
Clinical narrative: Received Moderna Bivalent Booster on 9/3/2022.   Symptoms began on 9/19/2022 (fever, weakness, sore throat, dry cough).  Treated initially with Amoxicillin.  Symptoms did not improve on Amoxicillin.  Daily fevers as high as 101.7.   Diagnosed with thyroiditis on 10/4/2022.  Currently treated with Prednisone, methimazole and atenolol.   I reported event to Moderna and this is the number we received "Private".
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood homocysteine, Blood magnesium, Blood phosphorus, Blood thyroid stimulating hormone, Coagulation test
Clinical narrative: I incurred Subdural Hemerage, I was in ICU
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Drug screen, Glycosylated haemoglobin, Intensive care, Laboratory test, Lipids
Clinical narrative: I incurred Subdural Hemerage, I was in ICU
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Respiratory viral panel, SARS-CoV-2 test, Subdural haemorrhage, Toxicologic test
Clinical narrative: I incurred Subdural Hemerage, I was in ICU
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Treponema test, Urine analysis, Vitamin B1, Vitamin B12
Clinical narrative: I incurred Subdural Hemerage, I was in ICU
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dehydration, Fatigue, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: Woke with body aches, fever (101 degrees F), sore throat, nasal congestion. Took ibuprofen and used OTC nasal spray to clear sinus. Used ice packs on my face to cool off. Was also very dehydrated and drank copious amounts of water. Next day, fever and aches were gone, but congestion remains, accompanied by fatigue. These symptoms continue through today, 10/07/2022.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Woke with body aches, fever (101 degrees F), sore throat, nasal congestion. Took ibuprofen and used OTC nasal spray to clear sinus. Used ice packs on my face to cool off. Was also very dehydrated and drank copious amounts of water. Next day, fever and aches were gone, but congestion remains, accompanied by fatigue. These symptoms continue through today, 10/07/2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: gave this instead of bivalent
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Pain, Rhinorrhoea
Clinical narrative: RUNNY NOSE, ACHES, COUGH
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient came into office to recieve booster dose of Moderna. at the time we did not have the new booster series so she was given the primary series at the booster dosage of 0.25mL. it was not noticed that the refridgerator exp date was past and the vaccine was past use date.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Administered expired vaccine
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syringe issue
Clinical narrative: Shot administered to patient with majority of dose discharged out side of lure lock of syringe for administration.  Readministered vaccine to patient.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: The day after my arm was sore and I felt a bit listless. On 10/05/22 I was fasting as I was observing one of my holidays, I thought that is why I was fatigued but I took a home COVID-19 test. It came back negative. On 10/06/22, temperature went up to 102.0F and I had body aches, headache, chill so I took another home COVID-19 test. This test came back positive, I called my PCP and had a telehealth visit. She called in Paxlovid that I started taking immediately after I picked it up from the pharmacy. Today 10/07/22 I am feeling better with the exception of a lingering cough.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Listless, Pain, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: The day after my arm was sore and I felt a bit listless. On 10/05/22 I was fasting as I was observing one of my holidays, I thought that is why I was fatigued but I took a home COVID-19 test. It came back negative. On 10/06/22, temperature went up to 102.0F and I had body aches, headache, chill so I took another home COVID-19 test. This test came back positive, I called my PCP and had a telehealth visit. She called in Paxlovid that I started taking immediately after I picked it up from the pharmacy. Today 10/07/22 I am feeling better with the exception of a lingering cough.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 4 hours after my flu injection the site became painful, red, hot to touch and evolved into a 14 cm round area of redness that was hot to touch.   24 hours after the injection the was also swollen and itchy.  48 hours after the injection the symptoms began to slowly resolve.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: given this instead of bivalent
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dizziness, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/29/2022 - 10/4/2022 Presentation to the ED: DIZZINESS. COVID-19 + date: 9/29/22. Treatment: NO TREATMENT SPECIFIC TO COVID. Discharge to: HOME W/ HEALTHCARE SERVICES.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was given an undiluted form of the COVID Pfizer Pediatric vaccine. No adverse effects reported at this moment
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site vesicles
Clinical narrative: Patient arrived at the pharmacy to report that after vaccination with Fluzone HD she developed some blisters in the injection area. She indicated that with the SHINGRIX vaccine she had had another type of reaction. The patient has immunological problems. I pointed out to her that there might be a possibility that her immune problems might have had something to do with his reactions. You were instructed to see your doctor first before receiving any other vaccinations in case you need any medications or actions prior to vaccination. She was very appreciative of the care provided.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: COVID-19, Cough, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: pt states she had pain in her left back scapula.  She had pain in her left arm.  She had a 5" red,  hot, hard spot around the injection site.  It became very itchy that lasted several days.  She developed a dry cough so she used an inhaler.  She tested positive for Covid that Friday after the vaccine which she then had fever along with it. She saw her doctor after getting covid and let them know about the symptoms she had after getting the vaccine.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site warmth, Musculoskeletal pain, Pain in extremity, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: pt states she had pain in her left back scapula.  She had pain in her left arm.  She had a 5" red,  hot, hard spot around the injection site.  It became very itchy that lasted several days.  She developed a dry cough so she used an inhaler.  She tested positive for Covid that Friday after the vaccine which she then had fever along with it. She saw her doctor after getting covid and let them know about the symptoms she had after getting the vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Pain
Clinical narrative: I tested positive for COVID-19 on October 3, 2022 and I experienced a  headache, fever of 101.4; coughing, sneezing; fatigue; body aches;  really bad taste. I was prescribed Paxlovid and a cough suppressant and was told to take mucinex.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sneezing, Taste disorder
Clinical narrative: I tested positive for COVID-19 on October 3, 2022 and I experienced a  headache, fever of 101.4; coughing, sneezing; fatigue; body aches;  really bad taste. I was prescribed Paxlovid and a cough suppressant and was told to take mucinex.
Age: 69.0
Sex: F
Vaccine: HEP
Symptoms: Allergy to vaccine, Blood albumin decreased, Blood glucose normal, Blood potassium normal, Dizziness
Clinical narrative: 8/17/22-Pt and husband in for scheudled clinic. Pt ambulatory with cane, feeling well, no dyspnea. Volume stable, .9 above TW, tx scheduled for later today. Meds and labs reviewed, K remains slightly low at 3.6, discussed with pt and she will increase K food intake slightly. Hgb stable, adequacy in goal. Bone/mineral stable. albumin improved from 2.8 to 3.2. Pt had been complaint free and sudenly c/o feeling dizzy. feet up and took BP which was syst 75. Pt diaphoretic. Palpated a regular pulse in 90s. Pt denied any pain-no chest, jaw, armor abd. Denied feeling short of breath. O2 placed at 3L/min per NC. Obtained glucose by finger stick and resulted at 94. Pt verbalized she had not taken am 9/21/22Pts husband cPts husband called to report pt had similar episode of hypotension and dyspnea as last clinic visit upon returning home today. Stated he called EMS and sent her to ER. Discussed feel Heplisav could be issue. Called ER and spoke with pts nurse, informed that pt had first 2 doses which were uneventful, however likely a reaction at this point.  Called Dr and informed and listed Heplisav as allergy in system.
Age: 69.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Haemoglobin, Hyperhidrosis, Hypotension, Immunisation reaction
Clinical narrative: 8/17/22-Pt and husband in for scheudled clinic. Pt ambulatory with cane, feeling well, no dyspnea. Volume stable, .9 above TW, tx scheduled for later today. Meds and labs reviewed, K remains slightly low at 3.6, discussed with pt and she will increase K food intake slightly. Hgb stable, adequacy in goal. Bone/mineral stable. albumin improved from 2.8 to 3.2. Pt had been complaint free and sudenly c/o feeling dizzy. feet up and took BP which was syst 75. Pt diaphoretic. Palpated a regular pulse in 90s. Pt denied any pain-no chest, jaw, armor abd. Denied feeling short of breath. O2 placed at 3L/min per NC. Obtained glucose by finger stick and resulted at 94. Pt verbalized she had not taken am 9/21/22Pts husband cPts husband called to report pt had similar episode of hypotension and dyspnea as last clinic visit upon returning home today. Stated he called EMS and sent her to ER. Discussed feel Heplisav could be issue. Called ER and spoke with pts nurse, informed that pt had first 2 doses which were uneventful, however likely a reaction at this point.  Called Dr and informed and listed Heplisav as allergy in system.