chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram head, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Muscular weakness, Paraesthesia
Clinical narrative: Ascending muscle weakness and tingling to the lower and upper extremities
Age: 11.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt was accidentally administered the Comirnaty Pfizer COVID vaccine that is only indicated for ages 12 and above. No known adverse events (yet).
Age: 8.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 8 year old was inadvertently administered  Covid vaccine licensed for age 12 and over.  Mother was notified of error on 10/25/2024.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: On 10/24/2024, the 10-year-old patient was mistakenly given the Pfizer COVID-19 vaccine for ages 12 years and up. No immediate adverse reactions occurred at the time of administration. Attempted to make contact with the parents but no answer, left voicemail.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient walked in the pharmacy and requested a flu vaccine. System was not checked and patient received the vaccine. Patient already received the flu shot a month and a half ago.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Wrong product administered
Clinical narrative: Parent declined covid vaccine, but covid vaccine was administered accidentally without consent from parent.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Fatigue, Pain
Clinical narrative: Presents with complaints of left shoulder pain.  Onset on September 27th several hours after getting COVID vaccine in the left arm and flu vaccine in the right arm.  3 hours after getting the vaccines she felt like ?a sac of bricks hit knee. ?  She felt weak achy washed out.  Those systemic symptoms lasted 2-3 days.  Both shoulders however were sore but the left shoulder remained sore and actually has gotten more sore as time persists.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Basal cell carcinoma, Blood test, Computerised tomogram, Imaging procedure, Magnetic resonance imaging
Clinical narrative: Since receiving the vaccine, I have had several unusual medical occurrences. I have had a relatively healthy lifestyle until that point. I have now had Basal Cell Carcinoma removed from my face, and am presently experiencing neurological symptoms to include Optic Neuritis. Still undergoing testing.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Micrographic skin surgery, Neurological symptom, Optic neuritis
Clinical narrative: Since receiving the vaccine, I have had several unusual medical occurrences. I have had a relatively healthy lifestyle until that point. I have now had Basal Cell Carcinoma removed from my face, and am presently experiencing neurological symptoms to include Optic Neuritis. Still undergoing testing.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia oral, Swelling of eyelid, Urticaria
Clinical narrative: EE states, "Received flu shot at 1400 on 10/22/24. At 0330 on 10/23/24, I woke up with hives in my arms and neck. My tongue is also numb and my eyelids feel swollen."
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure immeasurable, Cardio-respiratory arrest, Dyspnoea, Dysstasia, Heart rate increased
Clinical narrative: from clinic note 10/24/24@ 11:04 EDT "employee reports h/o syncope (sent to ER) with flu vaccine around 1998. interested in having vaccine today. discussed exemption option, pros and cons of flu vaccine. discussed case with dr who also interviewed the patient. employee opted to have vaccine today with Dr. present. initial seem to tolerate vaccine well, however after about 5-7 minutes after vaccine while sitting employee noted to appear sluggish by staff.    upon arrival to reevaluate employee; she was noted to have , trouble with gait when asked to stand. employee assisted back  down to her chair with assistance. appeared to be 'hyperventilating', trouble breathing (holding throat). rapid respirations  improved with verbal communication. (rapid HR palpated by NP- at employee side during entire event). unable to obtain accurate BP or 02 sat (poor wave form on machine). color remained normal throughout event, minimal sweating noted to nose only , rest of the body visible body dry. rapid response called initially. after employee grabbed her chest then Code blue called. evaluated by code blue team and transported to ER via wheel chair for further evaluation with ER staff.   panic attack vs adverse reaction to flu vaccine in question"
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Hyperventilation, Oxygen saturation immeasurable, Respiratory rate increased, Sluggishness
Clinical narrative: from clinic note 10/24/24@ 11:04 EDT "employee reports h/o syncope (sent to ER) with flu vaccine around 1998. interested in having vaccine today. discussed exemption option, pros and cons of flu vaccine. discussed case with dr who also interviewed the patient. employee opted to have vaccine today with Dr. present. initial seem to tolerate vaccine well, however after about 5-7 minutes after vaccine while sitting employee noted to appear sluggish by staff.    upon arrival to reevaluate employee; she was noted to have , trouble with gait when asked to stand. employee assisted back  down to her chair with assistance. appeared to be 'hyperventilating', trouble breathing (holding throat). rapid respirations  improved with verbal communication. (rapid HR palpated by NP- at employee side during entire event). unable to obtain accurate BP or 02 sat (poor wave form on machine). color remained normal throughout event, minimal sweating noted to nose only , rest of the body visible body dry. rapid response called initially. after employee grabbed her chest then Code blue called. evaluated by code blue team and transported to ER via wheel chair for further evaluation with ER staff.   panic attack vs adverse reaction to flu vaccine in question"
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PT RECEIVED ADULT DOSE OF PFIZER.  UNABLE TO REACH PARENT BUT NO ADE REPORTED.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13
Symptoms: Febrile convulsion, Pyrexia, Respiratory pathogen panel, SARS-CoV-2 test negative, Urine analysis normal
Clinical narrative: Febrile seizure starting 07/26/2024. Patient was rushed to the ER via ambulance where he was administered Tylenol and ibuprofen to break the fever. Once he was stable enough & cleared, he was discharged. ER doctor directed us to administer infants motrin and suppositories to keep fever down. His symptoms lasted 6 days. 08/03/2024 was the first day he no longer needed medication.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Urticaria
Clinical narrative: EE reports, "got flu shot and broke out in hives and redness"
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: PATIENT RECEIVED DOSE LAST YEAR BUT STATED NO SIDE EFFECTS ONCE FOLLOWED UP TODAY
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Blister, Herpes simplex, Oral herpes
Clinical narrative: Patient developed his first cold sore/HSVI 5 days after his covid-19 vaccine. He also developed 5 or 6 small blisters that looked like pox or chicken pox blisters.
Age: 59.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT RECEIVED HIGH DOSE VS REGULAR FLU VACCINE.  UNABLE TO REACH PATIENT BUT NO ADE REPORTED
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMRV
Symptoms: Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Left thigh swelling, erythema, warmth, starting within 12 hours of injection, increasing in size to include most of left thigh, fever, refusal to walk.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Dr. spoke with the patient, administered the second dose of RSV vaccine, and observed no adverse reactions following the dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Vertigo, nausea
Age: 66.0
Sex: M
Vaccine: COVID19, FLU3, FLU3
Symptoms: Arrhythmia, Arthralgia, Fatigue, Headache
Clinical narrative: Arithmias, fatigue, headaches ,joint pain.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site induration, Injection site pain, Injection site swelling, Pain
Clinical narrative: The actual injection was more painful than any other previous vaccine received. After the injection, there was pain that continued to worsen throughout day 1. The pain additionally radiated down the entire arm to the hand by evening of day 1. The next morning, day 2, patient had limited range of motion and continued pain. The pain continued to worsen throughout day 2, and by mid-day, patient could not raise his arm without significant sharp, throbbing pain - pain scale rating 9-10 out of 10. Patient stated it felt like a nail had been driven into the shoulder. Pain was more localized, less pain than previous day throughout his entire arm. Morning of day 3, the injection area is swollen and firm. There is slight improvement in both range of motion and pain - pain scale rating 5-6 out of 10 at rest, and 7-8 out of 10 with movement or touch. Of note, the injection was administered too high in the arm, which has good muscle mass. Also, patient stated that pharmacist was leaning over a counter and in an awkward position when administering the vaccine. The records at the pharmacy indicate it was given in the left deltoid, but it was administered in the right arm/shoulder area. Patient has taken several doses of OTC ibuprofen, with some relief.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Product administered at inappropriate site
Clinical narrative: The actual injection was more painful than any other previous vaccine received. After the injection, there was pain that continued to worsen throughout day 1. The pain additionally radiated down the entire arm to the hand by evening of day 1. The next morning, day 2, patient had limited range of motion and continued pain. The pain continued to worsen throughout day 2, and by mid-day, patient could not raise his arm without significant sharp, throbbing pain - pain scale rating 9-10 out of 10. Patient stated it felt like a nail had been driven into the shoulder. Pain was more localized, less pain than previous day throughout his entire arm. Morning of day 3, the injection area is swollen and firm. There is slight improvement in both range of motion and pain - pain scale rating 5-6 out of 10 at rest, and 7-8 out of 10 with movement or touch. Of note, the injection was administered too high in the arm, which has good muscle mass. Also, patient stated that pharmacist was leaning over a counter and in an awkward position when administering the vaccine. The records at the pharmacy indicate it was given in the left deltoid, but it was administered in the right arm/shoulder area. Patient has taken several doses of OTC ibuprofen, with some relief.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Eye discharge, Ocular hyperaemia
Clinical narrative: Patient reports she woke up the next morning with red eyes, with drainage.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient came to pharmacy to receive Fluad 65+ and Comirnaty vaccines. By error, patient also received a dose of Fluarix in addition to the other 2 shots.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased
Clinical narrative: Patient reported decreased range of motion two days after receiving vaccine. Does not believe it was due to the administration technique but rather a side effect of the vaccine itself. Patient already receives physical therapy for unrelated issues and discussed with his doctor.
Age: 74.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: On shot site, the next day I had an red oval shape, 1 and 1/2 inches long and 1 inch wide, that was itching continously. I put on anti-itch cream , which helped some.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis atopic, Erythema, Pruritus
Clinical narrative: atopic dermatitis, beginning Oct. 19,continuing through today, Oct.25, large red patches on legs back, sides , stomach, neck, with moderate to severe itching. treatment : steroid cream plus non prescription cream applied daily.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Dysphonia, Hypoaesthesia, Influenza like illness, Paraesthesia
Clinical narrative: -FLU LIKE SYMPTOMS / -DIARRHEA / -CHANGE IN VOICE / -THROAT AND TONGUE SWELLING / -ARM TINGLING AND NUMBNESS / -SWELLING. PATIENT WAS TRANSPORTED TO THE HOSPITAL.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal swelling, Swelling, Swollen tongue
Clinical narrative: -FLU LIKE SYMPTOMS / -DIARRHEA / -CHANGE IN VOICE / -THROAT AND TONGUE SWELLING / -ARM TINGLING AND NUMBNESS / -SWELLING. PATIENT WAS TRANSPORTED TO THE HOSPITAL.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID
Age: 72.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Audiogram normal, Dizziness, Electronystagmogram
Clinical narrative: Dizziness since 09/15/2024. Has not gone away and is continuous
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong product administered
Clinical narrative: Vaccine given in error, incorrect vaccine
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging, Muscular weakness, Ultrasound scan
Clinical narrative: ONSET OF PROGRESS WEAKNESS OF ARMS & LEGS, RESULTING IN HOSPITALIZATION FOR GUILLAIN BARRE SYNDROME
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Patient received her flu vaccine in her right arm on 9/30, and experienced normal pain at the injection site and soar arm for the first 48 hours, however the pain in her right arm continues, and arm/shoulder movement is restricted. Continues to have pain in her deltoid muscle and abduction to the right shoulder is limited to about 70-80 degrees.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Paraesthesia
Clinical narrative: Patient received flu vaccine at mass vaccine flu drive. 10 minutes after receiving the vaccine, patient reported dizziness, nausea, and tingling to face and extremities. She was assessed by 2 providers and 2 nurses. Vital signs stable. She was placed in horizontal position, legs elevated, and provided with juice and crackers. She did not improve so she was transported to the clinic where she was assessed and vitals done q 15 minutes for one hour.  No interventions performed other than monitoring. After one hour patient reported symptoms had subsided and she was released back to work.
Age: 42.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth, Pain in extremity
Clinical narrative: Both arms were very sore after the injection. One hour later, the right arm (COVID) was hot to the touch, and the injection site was swollen and red. It was about the circumference of a golf ball. The next day, raised hives were visible around the injection site on the right arm (COVID). The injection site was bright red and hot to the touch. I took 100mg of Benadryl to keep the swelling down. I woke up this morning (10/25/24) with a very sore arm. The injection is still bright red and the size of the circumference of a golf ball. Hot to touch and very sore.  Hives were smaller, but still visible.
Age: 42.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Skin warm
Clinical narrative: Both arms were very sore after the injection. One hour later, the right arm (COVID) was hot to the touch, and the injection site was swollen and red. It was about the circumference of a golf ball. The next day, raised hives were visible around the injection site on the right arm (COVID). The injection site was bright red and hot to the touch. I took 100mg of Benadryl to keep the swelling down. I woke up this morning (10/25/24) with a very sore arm. The injection is still bright red and the size of the circumference of a golf ball. Hot to touch and very sore.  Hives were smaller, but still visible.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Fatigue, Gait disturbance
Clinical narrative: Significant L arm, axillary and neck pain spreading to all joints in upper and lower body with difficulty walking/bearing weight.  Diffuse muscle pain, PowerBook and neck pain.  Hypersensitivity to touch.  Chills and Rigors.  Headache including Icepick like pain at times.  Chest pain and lower rib pain bilaterally.  Symptoms lasted for over a week with severity decreasing over time.  Fatigue and activity intolerance persist today.  I have had a reaction to each booster increasing in severity.  This reaction was the worst by far.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Musculoskeletal chest pain, Myalgia, Neck pain, Pain in extremity
Clinical narrative: Significant L arm, axillary and neck pain spreading to all joints in upper and lower body with difficulty walking/bearing weight.  Diffuse muscle pain, PowerBook and neck pain.  Hypersensitivity to touch.  Chills and Rigors.  Headache including Icepick like pain at times.  Chest pain and lower rib pain bilaterally.  Symptoms lasted for over a week with severity decreasing over time.  Fatigue and activity intolerance persist today.  I have had a reaction to each booster increasing in severity.  This reaction was the worst by far.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Primary stabbing headache, Sensitive skin, Weight bearing difficulty
Clinical narrative: Significant L arm, axillary and neck pain spreading to all joints in upper and lower body with difficulty walking/bearing weight.  Diffuse muscle pain, PowerBook and neck pain.  Hypersensitivity to touch.  Chills and Rigors.  Headache including Icepick like pain at times.  Chest pain and lower rib pain bilaterally.  Symptoms lasted for over a week with severity decreasing over time.  Fatigue and activity intolerance persist today.  I have had a reaction to each booster increasing in severity.  This reaction was the worst by far.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: rash
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash all over body.  This is the second time this has happened exactly two weeks after getting a Covid shot.  The first time was in 2022.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Burning sensation, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Employee states when she received the shot she noted severe burning at the time. employee has had the Hep B shot prior without issue. That night the employee stated she noted her arm to be very painful red and swollen with a 3 x 3 area of swelling and redness
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Blood glucose normal, Hyperhidrosis, Pallor, Tremor
Clinical narrative: Patient received flu shot at approximately 11:40am and was instructed to sit and rest for 15 minutes afterwards. Patient stood up and started walking around after sitting for approximately 5-10 minutes. As patient was leaving the Health Department office at 11:56am, he began shaking with tremors and appeared as though he may fall over. Police officer present, who grabbed a chair and immediately put patient into a sitting position. 911 was called. Patient was very weak and experiencing perspiration across his forehead and hands. Patient never lost consciousness or stopped breathing. Two nurses present who attempted to review pt medical history and keep him awake while waiting for EMS. Patient reported he did not eat breakfast this morning but did still take 40 units of insulin. EMS arrived and checked blood sugar, which was in the 170s range, which patient reported was his "normal". Blood pressure was approximately 145/90. Patient began to report feeling better but still appeared pale and weak. Patient provided with water bottle and some m&ms candy to eat. Patient repeatedly refused medical advice to go to the hospital to be checked out. EMS helped patient exit from the building and then had patient sit down for several more minutes before patient signed refusal form.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pain
Clinical narrative: Muscular pain that did not resolve after 1 week. Got worsening with pain on movements and activity. No swelling around the puncture site. No s/s of infection . Limited range of motion.
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Dyspnoea, Injection site pain, Injection site swelling
Clinical narrative: Patient's son reported swelling and burning at the injection site. Also reported trouble breathing.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Brain fog, Injection site urticaria, Myalgia, Nausea
Clinical narrative: fever 101F, muscle and joint pain, nausea (vomiting), hives below injection site, brain fog
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: fever 101F, muscle and joint pain, nausea (vomiting), hives below injection site, brain fog
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Student has a large reddened area on her left arm at the injection site. Student reported it started on the morning of 10/25/24. The injection was given on 10/22/24. The student reported it is itching. Student reported that it is not painful.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Patient had a syncopal episode after receiving the flu vaccine.
Age: 19.0
Sex: F
Vaccine: FLU3, MNQ
Symptoms: Wrong product administered
Clinical narrative: Vaccine given was MCV4 (Menveo) instead of Bexsero (Men B). Vaccine was verified by provider before administration
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: Unable to lift left arm to shoulder, radiating pain from the site of vaccination, soreness, difficulty moving arm. Treatment is warm compresses. Employee to see her PCP on Monday (10/28/24).
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Started with sore arm. Arm is still sore down side to elbow. Ring finger and little finger get numb. Arm hurts to lift it.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Lymphadenopathy, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: Patient reports she obtained the Moderna Covid 19 vaccine to her left deltoid area from store.  Later the same evening she was having 9/10 arm pain  that radiated to her axilla area.  The next morning she awoke with lymphadenopathy, swelling, and bruising to her axillary area under her left arm.  She alerted the pharmacy and they told her this was a normal reaction.  The swelling and pain peaked on Wednesday so she contacted her PCP and they told her to take OTC analgesics.  Contacted PCP today as it was not better and they had her follow up with us at urgent care clinic.  Site today with moderate swelling, bruising under the axilla area to the top of breast, mobile lymphadenopathy to the axiillary lymph nodes.  No warmth noted or erythema on exam.
Age: 68.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Fatigue, Musculoskeletal stiffness, Pain in extremity, Skin warm
Clinical narrative: rubor and calor on right upper arm, fatigue, stiffness, pain
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Chills, Electrocardiogram normal, Eructation
Clinical narrative: COVID like symptoms: strong Body aches, Chills, Feverish, lasted for 5-6 hours. Feeling unwell. Went to Emergency Room on 10/08/24, with pressure in the middle of chest and continuous belching. I never had these types of  symptoms before. I visited my Dr. on 10/22 because of continued, uncomfortable pressure on the upper right portion of my chest under breast and during the examination she noticed that my heart rate was elevated.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Influenza virus test negative, Malaise, Pain, Pyrexia
Clinical narrative: COVID like symptoms: strong Body aches, Chills, Feverish, lasted for 5-6 hours. Feeling unwell. Went to Emergency Room on 10/08/24, with pressure in the middle of chest and continuous belching. I never had these types of  symptoms before. I visited my Dr. on 10/22 because of continued, uncomfortable pressure on the upper right portion of my chest under breast and during the examination she noticed that my heart rate was elevated.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, X-ray normal
Clinical narrative: COVID like symptoms: strong Body aches, Chills, Feverish, lasted for 5-6 hours. Feeling unwell. Went to Emergency Room on 10/08/24, with pressure in the middle of chest and continuous belching. I never had these types of  symptoms before. I visited my Dr. on 10/22 because of continued, uncomfortable pressure on the upper right portion of my chest under breast and during the examination she noticed that my heart rate was elevated.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Sleep disorder
Clinical narrative: Pt called 10 days after injection to report that significant pain occurred in her left shoulder, starting about 2 - 3 hours after her flu shot was given.  Pt states that the pain is such that it awakens her at night and is interfering with the physical therapy that she is getting on her left shoulder.  Pain is constant and worsens with movement.  Injection site is not red, not hot, not swollen.  Pain improves with heat and supporting the left arm with the right keeping the left elbow flexed.  Topical diclofenac, Tylenol and medical marijuana have not helped.  Pt tried a Lidocaine patch and it didn't stick due to clothing dragging on it.  At initial call, recommended continuing heat, using whatever means necessary to position Lidopatch and ensure she was doing pendulum-type exercises on the shoulder to minimize risk of frozen shoulder.  At follow up appointment 2 weeks after the vaccination, pt stated her symptoms are improved.  Any physical exam deficits pt stated were at baseline prior to the shot and are the reason she is getting physical therapy.  She does have some tenderness to palpation upper left arm and medial, there is minimal non-pitting edema, there is no erythema nor heat.  Pt declined any intervention at this time and wants to see how her symptoms progress.  She is to continue heat and both passive/active movement of the shoulder (particularly pendulum swings or stirring humerus in the shoulder joint).  She agreed to let office know status.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Patient felt lightheaded and dizzy. Vitals taken. Healthcare personnel stayed at patient's side until episode resolved.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Erythema, Influenza like illness, Pain
Clinical narrative: APPROXIMATELY 4 HOURS AFTER VACCINATION, THE PATIENT REPORTS FEELING FLU-LIKE SYMPTOMS: FEVER, CHILLS, LIGHTHEADEDNESS, DIZZINESS AS WELL AS BODY ACHES. SHE ALSO REPORTS A SWOLLEN ARM WITH REDNESS AND FEVER. SHE HAS NEVER HAD THIS TYPE OF REACTION BEFORE AND IS STILL EXPERIENCING THESE SAME OR SIMILAR SYMPTOMS 1 WEEK POST VACCINATION
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: APPROXIMATELY 4 HOURS AFTER VACCINATION, THE PATIENT REPORTS FEELING FLU-LIKE SYMPTOMS: FEVER, CHILLS, LIGHTHEADEDNESS, DIZZINESS AS WELL AS BODY ACHES. SHE ALSO REPORTS A SWOLLEN ARM WITH REDNESS AND FEVER. SHE HAS NEVER HAD THIS TYPE OF REACTION BEFORE AND IS STILL EXPERIENCING THESE SAME OR SIMILAR SYMPTOMS 1 WEEK POST VACCINATION
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: I called the parent and told her what happened. Mom understood. No other actions occurred.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given a senior dose of a vaccine but was not old enough
Age: 3.0
Sex: F
Vaccine: RAB
Symptoms: Crying, Dyspnoea, Hallucination, Pyrexia, Screaming
Clinical narrative: Per phone call from mother, "hallucinations, fever, SOB, tachycardia, shaking, crying and screaming."  Mother did not seek medical attention, advised to contact PCP or Immunologist.
Age: 3.0
Sex: F
Vaccine: RAB
Symptoms: Tachycardia, Tremor
Clinical narrative: Per phone call from mother, "hallucinations, fever, SOB, tachycardia, shaking, crying and screaming."  Mother did not seek medical attention, advised to contact PCP or Immunologist.
Age: 34.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Depression, Suicidal ideation
Clinical narrative: Started feeling down the day after the vaccine (Weds). By Weds night was feeling extremely depressed. By Thursday night I was feeling suicidal. This morning, Friday, I am not sure if I can go on. These symptoms onset extremely suddenly.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Oropharyngeal pain, Pyrexia, Vomiting
Clinical narrative: sore throat, fever, chills, vomiting and diarrhea
Age: 55.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Chills, Fatigue, Pyrexia, Somnolence
Clinical narrative: Slight fever, chills - about 4 hours, very tired and sleepy - 24 hrs
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Eyelids pruritus, Impaired work ability, Lacrimation increased, Periorbital swelling
Clinical narrative: 10/22/2024- Pt woke up in AM with eyes swollen shut. She came into work but eventually left because she wanted to go home and take Benadryl. Took Benadryl once she returned home. 2 hours later eyes still swollen but not as much. No history of allergies. No complaints for itchiness.  Later that day pt. called her PMD and he instructed her to take more Benadryl at bedtime. 10/23/2024 - Follow up with pt.  Pt c/o itchy eyelids, Throat, and eyes were watery. Eyes are still slightly swollen but are getting better. 10/25/2024- Pt congested. face is really itchy . Both cheeks are red and puffy- eyes are getting better but still puffy.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Respiratory tract congestion, Skin swelling, Swelling of eyelid, Throat irritation
Clinical narrative: 10/22/2024- Pt woke up in AM with eyes swollen shut. She came into work but eventually left because she wanted to go home and take Benadryl. Took Benadryl once she returned home. 2 hours later eyes still swollen but not as much. No history of allergies. No complaints for itchiness.  Later that day pt. called her PMD and he instructed her to take more Benadryl at bedtime. 10/23/2024 - Follow up with pt.  Pt c/o itchy eyelids, Throat, and eyes were watery. Eyes are still slightly swollen but are getting better. 10/25/2024- Pt congested. face is really itchy . Both cheeks are red and puffy- eyes are getting better but still puffy.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR
Symptoms: Eye pruritus, Feeling hot, Induration, Ocular hyperaemia, Peripheral swelling
Clinical narrative: Left arm swollen. Hot and feels hard when touched. Red eyes with mild fever, running nose, and itchy eyes. Mother gave child ondansetron and took her a shower. Will send mupirocin ointment.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: Left arm swollen. Hot and feels hard when touched. Red eyes with mild fever, running nose, and itchy eyes. Mother gave child ondansetron and took her a shower. Will send mupirocin ointment.
Age: 42.0
Sex: F
Vaccine: PNC20
Symptoms: Brain fog, Chills, Dizziness, Nausea, Pain in extremity
Clinical narrative: nausea, vomiting, dizziness, chills, arm pain, brain fog
Age: 42.0
Sex: F
Vaccine: PNC20
Symptoms: Vomiting
Clinical narrative: nausea, vomiting, dizziness, chills, arm pain, brain fog
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Pain and swelling in affected arm.
Age: 82.0
Sex: F
Vaccine: PNC20
Symptoms: Rash
Clinical narrative: Patient had a rash following her vaccine
Age: 36.0
Sex: F
Vaccine: PNC20
Symptoms: Influenza like illness, Injection site swelling, Injection site warmth, Malaise, Mobility decreased
Clinical narrative: Feeling sick with flu-like symptoms, such as muscle aches and body aches. Can barely move her arm, injection area is warm to the touch and swollen. Reported via email 10.25.2024
Age: 36.0
Sex: F
Vaccine: PNC20
Symptoms: Myalgia, Pain
Clinical narrative: Feeling sick with flu-like symptoms, such as muscle aches and body aches. Can barely move her arm, injection area is warm to the touch and swollen. Reported via email 10.25.2024
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Rash erythematous
Clinical narrative: Rash/redness surrounding area in square shape.  sharp pain in region.  Rash seems to be worsening.  Has not tried any treatments or sought medical attention.  Has  not had this reaction to flu shot in the past.
Age: 3.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt received Dupixent 200mg every 4wks and was given Varicella and MMR accidently today. No symptoms as of yet.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: left shoulder pain with limited ROM and pain
Age: 65.0
Sex: F
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Hives by 6pm same day. Still treating Hived 10/24/24 with cortisone cream & Benedryl
Age: 77.0
Sex: F
Vaccine: FLU3, RSV
Symptoms: Malaise
Clinical narrative: Sick
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given High-Dose flu vaccine although only indicated for patients over 65
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Incorrect route of product administration, Injection site discharge, Injection site erythema
Clinical narrative: By 3:20pm she felt severe itching, redness, and burning to her right arm and neck like she'd been stuck with a hot poker. She took Benadryl 25mg tablet with no relief after 10 minutes, so she took a second dose of Benadryl 25mg liquid Benadryl p.o. After the incident she took Benadryl every 6 hours, methlprednisone tapered dose to lessen itching and redness. That same weekend the site became more painful, increased redness, and swelling to the area with fluid-filled blisters and sloughing of skin. Patient had never received a Modnera COVID vaccine, but had received 6 Pfizer vaccines in the past and did not report a single adverse reaction. Based on the doctor's review, it was determined that the COVID shot had been given in the subcutaneous tissue rather than intramuscular. The administrator of the vaccine indicated "...Oh, it's leaking..." and then was covered with a circular bandaid.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site vesicles, Pruritus, Skin exfoliation
Clinical narrative: By 3:20pm she felt severe itching, redness, and burning to her right arm and neck like she'd been stuck with a hot poker. She took Benadryl 25mg tablet with no relief after 10 minutes, so she took a second dose of Benadryl 25mg liquid Benadryl p.o. After the incident she took Benadryl every 6 hours, methlprednisone tapered dose to lessen itching and redness. That same weekend the site became more painful, increased redness, and swelling to the area with fluid-filled blisters and sloughing of skin. Patient had never received a Modnera COVID vaccine, but had received 6 Pfizer vaccines in the past and did not report a single adverse reaction. Based on the doctor's review, it was determined that the COVID shot had been given in the subcutaneous tissue rather than intramuscular. The administrator of the vaccine indicated "...Oh, it's leaking..." and then was covered with a circular bandaid.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given High-Dose flu vaccine but is under 65 years of age
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: This vaccine was administered in error.  Patient had received Arexvy  on 11-11-2023 so this administration was not necessary, a duplicate and outside of CDC guideline.  Patient has reported no adverse effects
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: Patient noticed a lump appeared at injection site. After 3 weeks, lump had only decreased slightly. Patient complained of some itching and pain around injection site as well. Patient did rub area to help decrease size of lump.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Atrial flutter, Cardiac monitoring abnormal, Electrocardiogram abnormal, Herpes zoster
Clinical narrative: cardiac monitor detected atrial fibrillation on 09/28/2024; subsequently converted to atrial flutter which continues to the present day (10/25/2024);  patient also developed shingles outbreak on 10/08/2024 despite having received Shingrix vaccinations # 1 & 2 in 2018
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Pain and difficulty moving both wrists and both shoulders which started about the day following flu vaccine. Difficulty putting booties on ~3 or 4 days later. No follow up treatment was received despite being referred out. Patient reported improvement of symptoms 1 week later.
Age: 12.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient did not experience any physical adverse effects from duplicate Tdap and Flu vaccines.
Age: 59.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Diarrhoea, Frequent bowel movements, Headache, Migraine
Clinical narrative: later in the day after the vaccine she developed a headache. By next morning her headache turned into a migraine headache and later that night she developed a severe diarrhea.  She has to go to the bathroom about 15 times per night. Her bowels are like jelly and are liquified.  She went to Dr a couple of days later. She was given a steroid shot and precribed loperamide 2mg and ondansetron hcl 8mg.  Her appetite seems okay and not had a fever but continues to have diarrhea.  She will follow up with her doctor if she is not well by the following Monday.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was offered and accepted a COVID booster during her office visit. Patient received the vaccine with no issue. After the appointment the patients father told the medical secretary the patient has received the covid booster with an outside provider last month.  This information was not mentioned until after the administration of the vaccine.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient had no adverse effects.  A third Shingrix was administered in error, outside CDC guidelines.  Patient has already completed a 2 shot series
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Blood magnesium, Blood thyroid stimulating hormone, Chest X-ray, Chest discomfort, Computerised tomogram thorax
Clinical narrative: 10/22/24 - Pt immediately had pain at vaccine administration site after vaccine given. Felt lump and redness down back of R arm and go in front of R arm. Felt hot and flushed. Afebrile. 10/22/24 - Urgent Care: Pt experienced allergic reaction to influenza vaccine. C/o tenderness and redness to the area as well as chest heaviness and shortness of breath.  Symptoms worsen with respirations. IM Solumedrol and oral Famotidine administered. 10/23/24 - ER: Shortness of breath, facial swelling, chest heaviness. Numbness and tingling in hands and feet. Same day discharge. 10/25/24: Symptoms improving. C/o continued numbness and tingling in hands and feet.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Differential white blood cell count, Dyspnoea, Electrocardiogram, Erythema, Feeling hot
Clinical narrative: 10/22/24 - Pt immediately had pain at vaccine administration site after vaccine given. Felt lump and redness down back of R arm and go in front of R arm. Felt hot and flushed. Afebrile. 10/22/24 - Urgent Care: Pt experienced allergic reaction to influenza vaccine. C/o tenderness and redness to the area as well as chest heaviness and shortness of breath.  Symptoms worsen with respirations. IM Solumedrol and oral Famotidine administered. 10/23/24 - ER: Shortness of breath, facial swelling, chest heaviness. Numbness and tingling in hands and feet. Same day discharge. 10/25/24: Symptoms improving. C/o continued numbness and tingling in hands and feet.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Fibrin D dimer, Flushing, Full blood count, Human chorionic gonadotropin, Hypersensitivity
Clinical narrative: 10/22/24 - Pt immediately had pain at vaccine administration site after vaccine given. Felt lump and redness down back of R arm and go in front of R arm. Felt hot and flushed. Afebrile. 10/22/24 - Urgent Care: Pt experienced allergic reaction to influenza vaccine. C/o tenderness and redness to the area as well as chest heaviness and shortness of breath.  Symptoms worsen with respirations. IM Solumedrol and oral Famotidine administered. 10/23/24 - ER: Shortness of breath, facial swelling, chest heaviness. Numbness and tingling in hands and feet. Same day discharge. 10/25/24: Symptoms improving. C/o continued numbness and tingling in hands and feet.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injection site pain, Limb mass, Metabolic function test
Clinical narrative: 10/22/24 - Pt immediately had pain at vaccine administration site after vaccine given. Felt lump and redness down back of R arm and go in front of R arm. Felt hot and flushed. Afebrile. 10/22/24 - Urgent Care: Pt experienced allergic reaction to influenza vaccine. C/o tenderness and redness to the area as well as chest heaviness and shortness of breath.  Symptoms worsen with respirations. IM Solumedrol and oral Famotidine administered. 10/23/24 - ER: Shortness of breath, facial swelling, chest heaviness. Numbness and tingling in hands and feet. Same day discharge. 10/25/24: Symptoms improving. C/o continued numbness and tingling in hands and feet.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Scan with contrast, Swelling face, Tenderness, Troponin
Clinical narrative: 10/22/24 - Pt immediately had pain at vaccine administration site after vaccine given. Felt lump and redness down back of R arm and go in front of R arm. Felt hot and flushed. Afebrile. 10/22/24 - Urgent Care: Pt experienced allergic reaction to influenza vaccine. C/o tenderness and redness to the area as well as chest heaviness and shortness of breath.  Symptoms worsen with respirations. IM Solumedrol and oral Famotidine administered. 10/23/24 - ER: Shortness of breath, facial swelling, chest heaviness. Numbness and tingling in hands and feet. Same day discharge. 10/25/24: Symptoms improving. C/o continued numbness and tingling in hands and feet.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Amnesia, Blood test, Catheterisation cardiac abnormal, Computerised tomogram, Fatigue
Clinical narrative: Developed body aches day of vaccine.  Next day started feeling much worse with severe fatigue and feeling unwell.  10/21/24 Did a telehealth visit and sent her to ER.  Was admitted and has no recall of events for 2 days but have been told she had "classic stroke" symptoms.  Diagnosed with myocarditis after heart cath and ruling out other things.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Magnetic resonance imaging, Malaise, Myocarditis, Neurological symptom, Pain
Clinical narrative: Developed body aches day of vaccine.  Next day started feeling much worse with severe fatigue and feeling unwell.  10/21/24 Did a telehealth visit and sent her to ER.  Was admitted and has no recall of events for 2 days but have been told she had "classic stroke" symptoms.  Diagnosed with myocarditis after heart cath and ruling out other things.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Dehydration, Immediate post-injection reaction, Syncope
Clinical narrative: Patient fainted approximately 5-10 minutes after vaccine administration. Patient appeared fine immediately after administration and left the vaccination area. Patient fainted at the front of the store. 911 was called and patient was taken to the hospital. Patient was diagnosed with fainting due to fight or flight response and dehydration.
Age: 1.08
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse symptoms at this point.  Wrong dose was given.  Adult dose given
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This was a vaccine administration error.  This 8 year old patient was accidentally given the Moderna covid-19 vaccine for ages 12+ (0.5 mL) instead of the 0.25 mL dose for 6 months-11 yrs.  The parent was notified.  There has been no adverse reaction reported to date.
Age: 1.67
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Tylenol 15 mg/kg = 190 mg = ~5-5.5 mL  IBU 10 mg/kg = 130 mg = ~5-5.5 mL Give q6 hours as needed for sx
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Asthenia, Dizziness, Fatigue, Loss of consciousness, Syncope
Clinical narrative: The patient passed out within 5 minutes of the administration event. The symptoms include: fatigue, weakness, lightheadedness, syncope.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This was a vaccine administration error.  This 5 year old patient was accidentally given the Moderna covid-19 vaccine for ages 12+ (0.5 mL) instead of the 0.25 mL dose for 6 months-11 yrs.  The parent was notified.  There has been no adverse reaction reported to date.
Age: 1.08
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Local reaction
Clinical narrative: Today after patient received MMR, Varicella, and Hepatitis A vaccination, patient started to have a localized reaction on both legs and forehead. Nurse Practitioner immediately reported to patient and observed patient for 20 minutes.  No shortness of breath, patient was alert and responding. Mother was holding patient.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT HAS A SWOLLEN ARM AT THE SITE OF INJECTION SPREADING ABOUT 2 INCHES, ITS HARD AND WARM TO THE TOUCH. SLIGHLTY ITCHY. SLIGHTLY RED IN THE AREA
Age: 92.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Approximately 15-20 minutes after administration of fluzone HD 65+ patient felt dizzy/faint and briefly loss conscience. EMS was called and patient was alert and oriented at EMS arrival. Patient was taken to hospital  for further monitoring.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Gait inability, Migraine, Myalgia
Clinical narrative: Very high fever over 103, severe muscle aches, migraine headache, diarrhea, lack of appetite, unable to walk due to pain.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Very high fever over 103, severe muscle aches, migraine headache, diarrhea, lack of appetite, unable to walk due to pain.
Age: 76.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient states that arm has been sore and in pain since she received the vaccines. Since it has been longer than a couple days, patient was referred to MD.  She saw MD recently but didn't mention it to them.
Age: 5.0
Sex: F
Vaccine: IPV
Symptoms: Chest X-ray abnormal, Lung infiltration, Pneumonia, Pruritus, Pyrexia
Clinical narrative: Hives and fever started approximately 2 hours following vaccination.  Patient had been experiencing cough x 2 months. CXR showed LLL infiltrate. Treated with prednisolone. Also advised mother to use Zyrtec and/or Benadryl PRN for itching. Tx pneumonia with Azithromycin and Albuterol. Vital signs stable at visit on 10/25/24.