chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Magnetic resonance imaging, Migraine, Muscular weakness, Speech disorder, Transient ischaemic attack
Clinical narrative: 9/19/2022  I have chronic migraines and thought this was one of those on my flight. I took Ubrelvy and sumatriptan and it did not help my migraine, it became worse.  After you arrived, I started having Right-handed numbness and weakness. Medical personnel at the airport took me to a medical facility within the airport. They checked me out and said I was fine. I got on the train. Later that day, I had right leg numbness and weakness.  I was confused and had aphasia during all this.  Eventually, the symptoms abated. The next morning, I had right-handed numbness again, so I went to the hospital. I was in the hospital for 8 days.  MRI, CT, NGO and Doppler tests were performed. I was on aspirin then switched me to LMWH. I began having Blood pressure issues. They gave me LMWH, gave me compression hose and IV hydration. At discharge, I was doing okay.  I still have some minor deficits in my speech and an occlusion in my right carotid artery which should resolve on its own. Diagnosis: an ischemic stroke in the superficial territory in the left middle cerebral artery revealed by recurrent TIA?s involving the right hemi body and due to an inclusive dissection  of the left internal carotid artery.
Age: 1.92
Sex: M
Vaccine: COVID19
Symptoms: Cough, Ear infection, Nasopharyngitis
Clinical narrative: Cough and cold led to ear infection treated with antibiotics
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine given after storage below recommended temperature
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired and given BUD
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Alopecia totalis, Condition aggravated
Clinical narrative: Alopecia Totalis occured within a week of vaccination   Patient identified.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 59.0
Sex: F
Vaccine: TD
Symptoms: Myalgia
Clinical narrative: The muscle in my upper right arm has been sore since the date of injection.  The shot was given by the clinic.  After going on leave, 12 September 2022, I was directed to my Primary Care Giver.  I contacted the clinic two times about soreness prior to leave.  Vaccine Manufacturer:  Sanofi Pasteur  /  Dosage:  0.5 ml
Age: 1.75
Sex: F
Vaccine: HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: MA  made the mistake of grabbing the adult dose hep a from private due to the state hep a being gone.  MA did document the borrowed vaccines from private, but was not aware we had a adult and pediatric dose of private hep A.  Pt has not called clinic or reported to clinic with any symptoms of any sort.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 29.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine given after storage below recommended temperature
Age: 37.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Injection site pain, Injection site swelling, Injection site warmth, Lethargy
Clinical narrative: The day I got the shot, I developed a headache, and felt kind of lethargic. The injection site was warm, swollen, and sore. Then, the next day, I developed a rash on my arms, all the way into the palm of my hands, and it itched really bad. That night the rash had spread around my waist, around my legs, down to my ankles, and on my stomach. It was very itchy. My doctor prescribed a cortisone cream to help with the itching. I am doing much better now. I used the cream until it was gone, and the rash slowly cleared up, but the injection site is still very sore.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash pruritic
Clinical narrative: The day I got the shot, I developed a headache, and felt kind of lethargic. The injection site was warm, swollen, and sore. Then, the next day, I developed a rash on my arms, all the way into the palm of my hands, and it itched really bad. That night the rash had spread around my waist, around my legs, down to my ankles, and on my stomach. It was very itchy. My doctor prescribed a cortisone cream to help with the itching. I am doing much better now. I used the cream until it was gone, and the rash slowly cleared up, but the injection site is still very sore.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Cough, Decreased appetite, Dehydration
Clinical narrative: I tested twice and it was negative; then Aug 23rd my husband started with a bad cough. We had just returned from travel from the hospital. First came the really bad sore throat and cough that would not stop, fever, congestion, and fatigue. Six hours later no appetite. I called the doctor and started PAXLOVID on Aug 24th. I slept a lot and had a fever for the first 3 days. One of my worst symptoms was diarrhea that started on the Aug 26 (for 9 days day and night and was uncontrollable) really heavy with severe stomach cramps and had nausea for 2 days really bad. I also had dizziness. I went to urgent care because I was feeling really dehydrated. I had a temp on the 31st. The last day of PAXLOVID (day 5) I had severe diarrhea, went to the bathroom 9 times. In urgent care I was put on a BRAT diet and gave me a prescription for the diarrhea and stomach cramps. On 9/3 I was the last day of full diarrhea. By 9/6 I was feeling better but was still with a cough that last 6 weeks from that point. It was the first time I had COVID-19.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Hypersomnia, Inflammation
Clinical narrative: I tested twice and it was negative; then Aug 23rd my husband started with a bad cough. We had just returned from travel from the hospital. First came the really bad sore throat and cough that would not stop, fever, congestion, and fatigue. Six hours later no appetite. I called the doctor and started PAXLOVID on Aug 24th. I slept a lot and had a fever for the first 3 days. One of my worst symptoms was diarrhea that started on the Aug 26 (for 9 days day and night and was uncontrollable) really heavy with severe stomach cramps and had nausea for 2 days really bad. I also had dizziness. I went to urgent care because I was feeling really dehydrated. I had a temp on the 31st. The last day of PAXLOVID (day 5) I had severe diarrhea, went to the bathroom 9 times. In urgent care I was put on a BRAT diet and gave me a prescription for the diarrhea and stomach cramps. On 9/3 I was the last day of full diarrhea. By 9/6 I was feeling better but was still with a cough that last 6 weeks from that point. It was the first time I had COVID-19.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Nausea, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: I tested twice and it was negative; then Aug 23rd my husband started with a bad cough. We had just returned from travel from the hospital. First came the really bad sore throat and cough that would not stop, fever, congestion, and fatigue. Six hours later no appetite. I called the doctor and started PAXLOVID on Aug 24th. I slept a lot and had a fever for the first 3 days. One of my worst symptoms was diarrhea that started on the Aug 26 (for 9 days day and night and was uncontrollable) really heavy with severe stomach cramps and had nausea for 2 days really bad. I also had dizziness. I went to urgent care because I was feeling really dehydrated. I had a temp on the 31st. The last day of PAXLOVID (day 5) I had severe diarrhea, went to the bathroom 9 times. In urgent care I was put on a BRAT diet and gave me a prescription for the diarrhea and stomach cramps. On 9/3 I was the last day of full diarrhea. By 9/6 I was feeling better but was still with a cough that last 6 weeks from that point. It was the first time I had COVID-19.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: I tested twice and it was negative; then Aug 23rd my husband started with a bad cough. We had just returned from travel from the hospital. First came the really bad sore throat and cough that would not stop, fever, congestion, and fatigue. Six hours later no appetite. I called the doctor and started PAXLOVID on Aug 24th. I slept a lot and had a fever for the first 3 days. One of my worst symptoms was diarrhea that started on the Aug 26 (for 9 days day and night and was uncontrollable) really heavy with severe stomach cramps and had nausea for 2 days really bad. I also had dizziness. I went to urgent care because I was feeling really dehydrated. I had a temp on the 31st. The last day of PAXLOVID (day 5) I had severe diarrhea, went to the bathroom 9 times. In urgent care I was put on a BRAT diet and gave me a prescription for the diarrhea and stomach cramps. On 9/3 I was the last day of full diarrhea. By 9/6 I was feeling better but was still with a cough that last 6 weeks from that point. It was the first time I had COVID-19.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 27.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchospasm, Discomfort, Tachycardia, Urticaria
Clinical narrative: Severe urticaria (areas of confluence on all areas of body with heaping of skin near knees causing discomfort)  and bronchospasm. Tachycardia that improved with hydration and treatment.
Age: 81.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Abdominal discomfort, Abdominal pain, Chills, Diarrhoea, Dysgeusia
Clinical narrative: Itching, Extreme Upset Stomach with very painful cramps repeatedly for hours, chills, nausea, metal taste in mouth, migraine headache, very sore eyes, eyelids and swelling there and underneath eyes, too, weight loss over 48 hours was 5 lbs., Still itches after 3 days (in left arm where it was given. The diarrhea was terrible-just barely made it to the bathroom, repeatedly over 30 hours. Did not know I was capable of having that much in my intestines when I ate little. The pains were like childbirth. Yesterday I could finally eat toast with jelly.
Age: 81.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Eye pain, Hypophagia, Injection site pruritus, Migraine, Nausea
Clinical narrative: Itching, Extreme Upset Stomach with very painful cramps repeatedly for hours, chills, nausea, metal taste in mouth, migraine headache, very sore eyes, eyelids and swelling there and underneath eyes, too, weight loss over 48 hours was 5 lbs., Still itches after 3 days (in left arm where it was given. The diarrhea was terrible-just barely made it to the bathroom, repeatedly over 30 hours. Did not know I was capable of having that much in my intestines when I ate little. The pains were like childbirth. Yesterday I could finally eat toast with jelly.
Age: 81.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pruritus, Swelling of eyelid, Weight decreased
Clinical narrative: Itching, Extreme Upset Stomach with very painful cramps repeatedly for hours, chills, nausea, metal taste in mouth, migraine headache, very sore eyes, eyelids and swelling there and underneath eyes, too, weight loss over 48 hours was 5 lbs., Still itches after 3 days (in left arm where it was given. The diarrhea was terrible-just barely made it to the bathroom, repeatedly over 30 hours. Did not know I was capable of having that much in my intestines when I ate little. The pains were like childbirth. Yesterday I could finally eat toast with jelly.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired and given BUD
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 57.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Pyrexia, Wheezing
Clinical narrative: low grade fever the following morning  pain and redness at injection site the following morning wheezing which began the following night
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine given after storage below recommended temperature
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, SARS-CoV-2 test, Sinus operation
Clinical narrative: I had a scratchy throat, nasal drip and a headache on the left side of my head. I also felt very nauseous. I also felt tired.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: I had a scratchy throat, nasal drip and a headache on the left side of my head. I also felt very nauseous. I also felt tired.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 38.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient told immunizer she was 65, but she was actually 64 and was given the high dose flu shot instead of regular flu shot. No adverse event reported
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: gave primary instead of bivalent, no issues
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Fall, Femur fracture, Pelvic fracture
Clinical narrative: Dizziness the next day around lunch.  Fell on Saturday around 4pm and broke his femur.  Patient denies any local reaction
Age: 86.0
Sex: F
Vaccine: COVID19-2, FLU4, PNC20
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Asthenia, Atelectasis, Blood lactic acid normal
Clinical narrative: Discharge Provider: Primary Care Provider:  Admission Date: 10/4/2022 Discharge Date: Oct 7, 2022  PRESENTING PROBLEM: Shock (HCC) [R57.9] Fever, unspecified fever cause [R50.9] Hypotension, unspecified hypotension type [I95.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) [A41.9] Acute hypoxemic respiratory failure (HCC) [J96.01]   HOSPITAL COURSE: 86-year-old female with asthma, chronic diastolic heart failure, history of complete heart block status post dual-chamber pacemaker, RA on chronic steroids presented to BW ED 10/4 due to weakness and confusion.  On arrival to Emergency Department she was found to be febrile with temperature 39° C, hypoxic with oxygen saturation 88% on room air requiring 2 L nasal cannula supplementation. Patient remained hypotensive after receiving 1.9 L of NS and was started on NE. Chest x-ray revealed mild pulmonary vascular congestion.  Complete blood count, BMP, urinalysis, and lactic acid were unremarkable.  Found to be COVID positive. CT angio negative for PE; bibasilar atelectasis. Repeat CXR revealed hazy left lung base opacity. Patient started on antibiotics for possible bacteria pneumonia. Patient started on stress dose steroids, given on chronic steroids for her RA. Blood pressures improved, weaned off vasopressors.  Increased pacemaker rate to 80bpm.  Transferred out of ICU to Internal medicine service. Weaned off oxygen to RA. PT/OT evaluated patient and initially recommended SAR, but given improvement recommended home with HHC. Patient medically stable for discharge 10/7.
Age: 86.0
Sex: F
Vaccine: COVID19-2, FLU4, PNC20
Symptoms: COVID-19, Chest X-ray abnormal, Confusional state, Full blood count normal, Hypotension
Clinical narrative: Discharge Provider: Primary Care Provider:  Admission Date: 10/4/2022 Discharge Date: Oct 7, 2022  PRESENTING PROBLEM: Shock (HCC) [R57.9] Fever, unspecified fever cause [R50.9] Hypotension, unspecified hypotension type [I95.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) [A41.9] Acute hypoxemic respiratory failure (HCC) [J96.01]   HOSPITAL COURSE: 86-year-old female with asthma, chronic diastolic heart failure, history of complete heart block status post dual-chamber pacemaker, RA on chronic steroids presented to BW ED 10/4 due to weakness and confusion.  On arrival to Emergency Department she was found to be febrile with temperature 39° C, hypoxic with oxygen saturation 88% on room air requiring 2 L nasal cannula supplementation. Patient remained hypotensive after receiving 1.9 L of NS and was started on NE. Chest x-ray revealed mild pulmonary vascular congestion.  Complete blood count, BMP, urinalysis, and lactic acid were unremarkable.  Found to be COVID positive. CT angio negative for PE; bibasilar atelectasis. Repeat CXR revealed hazy left lung base opacity. Patient started on antibiotics for possible bacteria pneumonia. Patient started on stress dose steroids, given on chronic steroids for her RA. Blood pressures improved, weaned off vasopressors.  Increased pacemaker rate to 80bpm.  Transferred out of ICU to Internal medicine service. Weaned off oxygen to RA. PT/OT evaluated patient and initially recommended SAR, but given improvement recommended home with HHC. Patient medically stable for discharge 10/7.
Age: 86.0
Sex: F
Vaccine: COVID19-2, FLU4, PNC20
Symptoms: Hypoxia, Intensive care, Lung opacity, Metabolic function test normal, Pulmonary congestion
Clinical narrative: Discharge Provider: Primary Care Provider:  Admission Date: 10/4/2022 Discharge Date: Oct 7, 2022  PRESENTING PROBLEM: Shock (HCC) [R57.9] Fever, unspecified fever cause [R50.9] Hypotension, unspecified hypotension type [I95.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) [A41.9] Acute hypoxemic respiratory failure (HCC) [J96.01]   HOSPITAL COURSE: 86-year-old female with asthma, chronic diastolic heart failure, history of complete heart block status post dual-chamber pacemaker, RA on chronic steroids presented to BW ED 10/4 due to weakness and confusion.  On arrival to Emergency Department she was found to be febrile with temperature 39° C, hypoxic with oxygen saturation 88% on room air requiring 2 L nasal cannula supplementation. Patient remained hypotensive after receiving 1.9 L of NS and was started on NE. Chest x-ray revealed mild pulmonary vascular congestion.  Complete blood count, BMP, urinalysis, and lactic acid were unremarkable.  Found to be COVID positive. CT angio negative for PE; bibasilar atelectasis. Repeat CXR revealed hazy left lung base opacity. Patient started on antibiotics for possible bacteria pneumonia. Patient started on stress dose steroids, given on chronic steroids for her RA. Blood pressures improved, weaned off vasopressors.  Increased pacemaker rate to 80bpm.  Transferred out of ICU to Internal medicine service. Weaned off oxygen to RA. PT/OT evaluated patient and initially recommended SAR, but given improvement recommended home with HHC. Patient medically stable for discharge 10/7.
Age: 86.0
Sex: F
Vaccine: COVID19-2, FLU4, PNC20
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Shock, Urine analysis normal
Clinical narrative: Discharge Provider: Primary Care Provider:  Admission Date: 10/4/2022 Discharge Date: Oct 7, 2022  PRESENTING PROBLEM: Shock (HCC) [R57.9] Fever, unspecified fever cause [R50.9] Hypotension, unspecified hypotension type [I95.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) [A41.9] Acute hypoxemic respiratory failure (HCC) [J96.01]   HOSPITAL COURSE: 86-year-old female with asthma, chronic diastolic heart failure, history of complete heart block status post dual-chamber pacemaker, RA on chronic steroids presented to BW ED 10/4 due to weakness and confusion.  On arrival to Emergency Department she was found to be febrile with temperature 39° C, hypoxic with oxygen saturation 88% on room air requiring 2 L nasal cannula supplementation. Patient remained hypotensive after receiving 1.9 L of NS and was started on NE. Chest x-ray revealed mild pulmonary vascular congestion.  Complete blood count, BMP, urinalysis, and lactic acid were unremarkable.  Found to be COVID positive. CT angio negative for PE; bibasilar atelectasis. Repeat CXR revealed hazy left lung base opacity. Patient started on antibiotics for possible bacteria pneumonia. Patient started on stress dose steroids, given on chronic steroids for her RA. Blood pressures improved, weaned off vasopressors.  Increased pacemaker rate to 80bpm.  Transferred out of ICU to Internal medicine service. Weaned off oxygen to RA. PT/OT evaluated patient and initially recommended SAR, but given improvement recommended home with HHC. Patient medically stable for discharge 10/7.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: gave primary pfizer instead of bivalent
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received original Pfizer vaccine when came in for the Bivalent vaccine.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: gave primary instead of bivalent pfizer
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Caesarean section, Maternal exposure before pregnancy
Clinical narrative: Admission Date: 10/4/2022 Discharge Date: 10/6/2022   HOSPITAL COURSE: Patient is a 30 y.o. female G3P1021 underwent an uncomplicated cesarean delivery and was discharged home in stable condition.  Delivery complicated by COVID Edinburgh Edinburgh Postnatal Depression Scale Total: 0   ESTIMATED DUE DATE: Estimated Date of Delivery: 10/10/22 GESTATIONAL AGE AT DELIVERY: 39w1d  G3P1021  FINDINGS: NEWBORN STATUS: Living  NEWBORN SEX:  boy      Delivery Date/Time:    7:36 AM           WEIGHT: 3.27 kg  APGAR:  1 minutes 5 minutes 10 minutes  1  4    7
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 19.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was scheduled to receive her 2nd dose of Moderna Monovalent in her primary Covid 19 vaccination series and was accidentally given Moderna Bivalent
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia, Pain, Peripheral swelling
Clinical narrative: PT RECEIVED 2ND DOSE IN SERIES ON THURSDAY AFTERNOON. ON SATURDAY MORNING, SHE WOKE UP WITH MUSCLE ACHES, CHILLS, HEADACHE, HURTING ALL OVER. HER ARM WAS SWOLLEN AND RED.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin reaction
Clinical narrative: PT RECEIVED 2ND DOSE IN SERIES ON THURSDAY AFTERNOON. ON SATURDAY MORNING, SHE WOKE UP WITH MUSCLE ACHES, CHILLS, HEADACHE, HURTING ALL OVER. HER ARM WAS SWOLLEN AND RED.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood bicarbonate increased, Blood gases, Blood lactic acid, Blood pH normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/3/2022 Discharge Date: Oct 5, 2022  PRESENTING PROBLEM: Hypoxia [R09.02] Acute on chronic respiratory failure with hypercapnia [J96.22] Dementia, unspecified dementia severity, unspecified dementia type, unspecified whether behavioral, psychotic, or mood disturbance or anxiety [F03.90] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: The patient is a 75 y.o. male with medical history significant for paroxysmal atrial fibrillation on Eliquis, type 2 diabetes mellitus not insulin dependent, chronic diastolic CHF, hypertension, dyslipidemia, and dementia who presented to the ED for evaluation of altered mentation and hypoxia. At the facility, the patient was noted be hypoxic and was placed on 3L of oxygen. In th ED, his O2 sats were at hight 90s on 2L of oxygen. He was afebrile. CT head was negative for acute process. Labs were significant for WBC 12.44,  lactic acid 2.1. VBG with normal pH, pCO2 83, bicarb 45. COVID-19 PCR was  positive.  CXR was negative for acute infiltrate or consolidation. The patient was started on oral Decadron. He was admitted for further evaluation and management.    The patient was found to have acute hypoxic respiratory insufficiency.  He was given Decadron 6 mg orally daily.  The patient was weaned from 2 L of oxygen to room air.  His respiratory status was monitored closely.   On the day of discharge, the patient denied any chest pain or shortness of breath.  He denied any cough, fever or chills.  No nausea, vomiting or abdominal pain.  The patient was tolerating diet.  His mentation was back to baseline he was oriented x2.  His vital signs have been stable.  Complete blood count was significant for white blood cell count of 19.38.  Leukocytosis was most likely secondary to steroids.  The patient should have a follow-up complete blood count in 2-3 days.  The patient was discharged to his clinic in stable medical condition.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray normal, Computerised tomogram head normal, Dementia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/3/2022 Discharge Date: Oct 5, 2022  PRESENTING PROBLEM: Hypoxia [R09.02] Acute on chronic respiratory failure with hypercapnia [J96.22] Dementia, unspecified dementia severity, unspecified dementia type, unspecified whether behavioral, psychotic, or mood disturbance or anxiety [F03.90] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: The patient is a 75 y.o. male with medical history significant for paroxysmal atrial fibrillation on Eliquis, type 2 diabetes mellitus not insulin dependent, chronic diastolic CHF, hypertension, dyslipidemia, and dementia who presented to the ED for evaluation of altered mentation and hypoxia. At the facility, the patient was noted be hypoxic and was placed on 3L of oxygen. In th ED, his O2 sats were at hight 90s on 2L of oxygen. He was afebrile. CT head was negative for acute process. Labs were significant for WBC 12.44,  lactic acid 2.1. VBG with normal pH, pCO2 83, bicarb 45. COVID-19 PCR was  positive.  CXR was negative for acute infiltrate or consolidation. The patient was started on oral Decadron. He was admitted for further evaluation and management.    The patient was found to have acute hypoxic respiratory insufficiency.  He was given Decadron 6 mg orally daily.  The patient was weaned from 2 L of oxygen to room air.  His respiratory status was monitored closely.   On the day of discharge, the patient denied any chest pain or shortness of breath.  He denied any cough, fever or chills.  No nausea, vomiting or abdominal pain.  The patient was tolerating diet.  His mentation was back to baseline he was oriented x2.  His vital signs have been stable.  Complete blood count was significant for white blood cell count of 19.38.  Leukocytosis was most likely secondary to steroids.  The patient should have a follow-up complete blood count in 2-3 days.  The patient was discharged to his clinic in stable medical condition.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count abnormal, Hypoxia, Laboratory test, Leukocytosis, Mental status changes
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/3/2022 Discharge Date: Oct 5, 2022  PRESENTING PROBLEM: Hypoxia [R09.02] Acute on chronic respiratory failure with hypercapnia [J96.22] Dementia, unspecified dementia severity, unspecified dementia type, unspecified whether behavioral, psychotic, or mood disturbance or anxiety [F03.90] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: The patient is a 75 y.o. male with medical history significant for paroxysmal atrial fibrillation on Eliquis, type 2 diabetes mellitus not insulin dependent, chronic diastolic CHF, hypertension, dyslipidemia, and dementia who presented to the ED for evaluation of altered mentation and hypoxia. At the facility, the patient was noted be hypoxic and was placed on 3L of oxygen. In th ED, his O2 sats were at hight 90s on 2L of oxygen. He was afebrile. CT head was negative for acute process. Labs were significant for WBC 12.44,  lactic acid 2.1. VBG with normal pH, pCO2 83, bicarb 45. COVID-19 PCR was  positive.  CXR was negative for acute infiltrate or consolidation. The patient was started on oral Decadron. He was admitted for further evaluation and management.    The patient was found to have acute hypoxic respiratory insufficiency.  He was given Decadron 6 mg orally daily.  The patient was weaned from 2 L of oxygen to room air.  His respiratory status was monitored closely.   On the day of discharge, the patient denied any chest pain or shortness of breath.  He denied any cough, fever or chills.  No nausea, vomiting or abdominal pain.  The patient was tolerating diet.  His mentation was back to baseline he was oriented x2.  His vital signs have been stable.  Complete blood count was significant for white blood cell count of 19.38.  Leukocytosis was most likely secondary to steroids.  The patient should have a follow-up complete blood count in 2-3 days.  The patient was discharged to his clinic in stable medical condition.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: PCO2 increased, Respiratory failure, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/3/2022 Discharge Date: Oct 5, 2022  PRESENTING PROBLEM: Hypoxia [R09.02] Acute on chronic respiratory failure with hypercapnia [J96.22] Dementia, unspecified dementia severity, unspecified dementia type, unspecified whether behavioral, psychotic, or mood disturbance or anxiety [F03.90] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: The patient is a 75 y.o. male with medical history significant for paroxysmal atrial fibrillation on Eliquis, type 2 diabetes mellitus not insulin dependent, chronic diastolic CHF, hypertension, dyslipidemia, and dementia who presented to the ED for evaluation of altered mentation and hypoxia. At the facility, the patient was noted be hypoxic and was placed on 3L of oxygen. In th ED, his O2 sats were at hight 90s on 2L of oxygen. He was afebrile. CT head was negative for acute process. Labs were significant for WBC 12.44,  lactic acid 2.1. VBG with normal pH, pCO2 83, bicarb 45. COVID-19 PCR was  positive.  CXR was negative for acute infiltrate or consolidation. The patient was started on oral Decadron. He was admitted for further evaluation and management.    The patient was found to have acute hypoxic respiratory insufficiency.  He was given Decadron 6 mg orally daily.  The patient was weaned from 2 L of oxygen to room air.  His respiratory status was monitored closely.   On the day of discharge, the patient denied any chest pain or shortness of breath.  He denied any cough, fever or chills.  No nausea, vomiting or abdominal pain.  The patient was tolerating diet.  His mentation was back to baseline he was oriented x2.  His vital signs have been stable.  Complete blood count was significant for white blood cell count of 19.38.  Leukocytosis was most likely secondary to steroids.  The patient should have a follow-up complete blood count in 2-3 days.  The patient was discharged to his clinic in stable medical condition.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Chills, Dry mouth, Extra dose administered, Fatigue
Clinical narrative: Headache started late afternoon of the shot and lasted through the 2nd day after the shot. By late evening of the shot, I had the other following symptoms that lasted overnight and through the next day: body aches, sore arm, nausea, stomach ache, exhaustion, dry mouth, chills. I took no treatment or over the counter medication.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Nausea, Pain, Pain in extremity
Clinical narrative: Headache started late afternoon of the shot and lasted through the 2nd day after the shot. By late evening of the shot, I had the other following symptoms that lasted overnight and through the next day: body aches, sore arm, nausea, stomach ache, exhaustion, dry mouth, chills. I took no treatment or over the counter medication.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: patient was given monovalent vaccine instead of bivalent vaccine
Age: 64.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the  Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Exposure to SARS-CoV-2, Headache, Pyrexia
Clinical narrative: I knew I got exposed, 8/23/2022, it was an Omicron variant, my son and my husband had it. On 8/27/2022 I had a scratchy throat, on 8/29/2022, I had a fever, chills, runny nose, scratchy throat and a bad headache. I tested myself with a COVID-9 home test on 8/30 in the morning. On 8/30/2022, I went to the urgent care at noon. The doctor did not feel she had to give me another COVID-19 test because she knew I had been exposed to COVID-19. She prescribed me the PAXLOVID. After I started the PAXLOVID on the 4th day, I was already testing negative and feeling well. Except for the PAXLOVID side effects. It had an awful metallic taste in my mouth and one day of diarrhea and then my COVID-19 came back again. On day 9 after I started PAXLOVID and I was done with PAXLOVID, I was positive again for another week. I was not feeling sick. I was just testing positive again. I tested positive for another 6 days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rebound effect, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I knew I got exposed, 8/23/2022, it was an Omicron variant, my son and my husband had it. On 8/27/2022 I had a scratchy throat, on 8/29/2022, I had a fever, chills, runny nose, scratchy throat and a bad headache. I tested myself with a COVID-9 home test on 8/30 in the morning. On 8/30/2022, I went to the urgent care at noon. The doctor did not feel she had to give me another COVID-19 test because she knew I had been exposed to COVID-19. She prescribed me the PAXLOVID. After I started the PAXLOVID on the 4th day, I was already testing negative and feeling well. Except for the PAXLOVID side effects. It had an awful metallic taste in my mouth and one day of diarrhea and then my COVID-19 came back again. On day 9 after I started PAXLOVID and I was done with PAXLOVID, I was positive again for another week. I was not feeling sick. I was just testing positive again. I tested positive for another 6 days.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Expired product administered
Clinical narrative: A:Exp Vaccine Pfizer Given  lot # FL8094. was documentary by pharmacy wrong  B called family (By Dr) no advice evert occurred  Vaccine had been mislabeled with expiration date (differently at time of dose used from pharmacy) Inadvertently administrator an day after expiration date. Called the CDC,Pfizer,and the Family. Only advice effect would be needed to Re-Immunize pt. Family aware, will discuss. but unlikely to wish would re-immunize (due in part to pt anxiety around Vaccines  MD 10/9/22
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, Somnolence, Vomiting
Clinical narrative: felt like I had a fever, sleepy and vomited twice
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Injection site pain, Pain, Pain in extremity, Paraesthesia
Clinical narrative: At the time of the injection, I felt that the injection was painful and remarked to the pharmacists that it hurt way more than usual. When being given the shot I felt a shooting sensation down my arm. After being given the shot, my arm still felt sore for the following days - the pain never went away but wasn't too sever, just somewhat annoying. After about five days (Saturday night, October 8, 2022), my arm was hurting during the night and was affecting my sleep and the pain was getting noticeably worse. My arm and shoulder were hurting throughout the day on Sunday, October 9, 2022. Before going to sleep on Sunday night, I took 2 Tylenol to try to help with the pain. ON Sunday night the pain was no longer just in my arm  but also in my shoulder. It became impossible to sleep through the night on Sunday night because of the pain and I awoke at about 1:30 am after 5 hours of sleep (I need 8 hours). I took another 2 Tylenol and lay in bed for another hour and a half trying to go back to sleep but the pain was so bad no matter what position I low on that I couldn't find any position that would allow me to sleep so I got up. By about 4:30 am this morning the pain continued to get worse in my shoulder and my arm feels slightly tingly.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Sleep disorder
Clinical narrative: At the time of the injection, I felt that the injection was painful and remarked to the pharmacists that it hurt way more than usual. When being given the shot I felt a shooting sensation down my arm. After being given the shot, my arm still felt sore for the following days - the pain never went away but wasn't too sever, just somewhat annoying. After about five days (Saturday night, October 8, 2022), my arm was hurting during the night and was affecting my sleep and the pain was getting noticeably worse. My arm and shoulder were hurting throughout the day on Sunday, October 9, 2022. Before going to sleep on Sunday night, I took 2 Tylenol to try to help with the pain. ON Sunday night the pain was no longer just in my arm  but also in my shoulder. It became impossible to sleep through the night on Sunday night because of the pain and I awoke at about 1:30 am after 5 hours of sleep (I need 8 hours). I took another 2 Tylenol and lay in bed for another hour and a half trying to go back to sleep but the pain was so bad no matter what position I low on that I couldn't find any position that would allow me to sleep so I got up. By about 4:30 am this morning the pain continued to get worse in my shoulder and my arm feels slightly tingly.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Hyperhidrosis, Nausea, Paraesthesia, Paraesthesia oral
Clinical narrative: 1000 Pt to gym to receive flu vaccine. Form reviewed, pt states she has allergic reaction to "sulfic drugs/preservatives" Pt states that she has had previous doses of flu vaccine without any problem. states she had a headache after receiving her COVID vaccine.   Vaccine administered in Left deltoid by RN. Approximately 1020 school nurse called stating that pt is complaining of "tingling in left arm and left side of tongue" Pt walked back to gym without difficulty. Vital signs were taken BP 122/93 P 98 Lungs clear. Pt states she had hives "but you can't see them, they are on the inside" C/O nausea, sweating EMS Notified. School nurse administered 25 mg of liquid Benadryl per pt request. pt
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: 1000 Pt to gym to receive flu vaccine. Form reviewed, pt states she has allergic reaction to "sulfic drugs/preservatives" Pt states that she has had previous doses of flu vaccine without any problem. states she had a headache after receiving her COVID vaccine.   Vaccine administered in Left deltoid by RN. Approximately 1020 school nurse called stating that pt is complaining of "tingling in left arm and left side of tongue" Pt walked back to gym without difficulty. Vital signs were taken BP 122/93 P 98 Lungs clear. Pt states she had hives "but you can't see them, they are on the inside" C/O nausea, sweating EMS Notified. School nurse administered 25 mg of liquid Benadryl per pt request. pt
Age: 58.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the  Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 1.25
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: On 10/07/2022, I accidentally used 1.3 mL of normal saline diluent for the Pfizer-BioNTech COVID vaccine for ages 6 months-<5 years of age. Instructions for this vaccine are very clear that one is supposed to use 2.2 mL of normal saline to dilute the 6 month-<5 years vaccine, but I mistakenly used the The 1.3 mL of diluent used for the ages 5-11 vaccine vials. This under-diluted form of the vaccine was administered to this patient. This means that this patient received a 4.7 mcg/0.2 mL dose of the vaccine instead of the advised 3 mcg/0.2 mL. I have already notified both my office manager and the MD in the office at the time I realized my mistake, and I have reported this incident to both Pfizer and the CDC.  NO ADVERSE REACTION(S) THAT WRITER IS AWARE OF AT THIS TIME (10/10/2022).
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Cough, Dizziness, Gait disturbance
Clinical narrative: At the evening, after the vaccine. He was dizzy, shaky, running a temperature and chills about 36 hours. He can't even go down the hall on his way. He needed to be held on so that he didn't fall over. He felt like flu symptoms and was coughing bad. Temperature was about 100 to 101. We didn't bring him to the hospital because he has these kinds of symptoms as his first and second dose of Moderna. In 2020 Oct before the vaccines he had COVID-19 and was hospitalized for 14 Days and 6 days was in ICU. Just recently we went to urgent care. In 26Aug22 we found out he has Kidney Cancer and was supposed to go in surgery and he had a temperature and was sent home and could not do the surgery. He was positive for RSV. This was on 28Sep2022. The surgery was rescheduled for this Thursday.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza, Renal cancer, Respiratory syncytial virus test positive, SARS-CoV-2 test negative, Tremor
Clinical narrative: At the evening, after the vaccine. He was dizzy, shaky, running a temperature and chills about 36 hours. He can't even go down the hall on his way. He needed to be held on so that he didn't fall over. He felt like flu symptoms and was coughing bad. Temperature was about 100 to 101. We didn't bring him to the hospital because he has these kinds of symptoms as his first and second dose of Moderna. In 2020 Oct before the vaccines he had COVID-19 and was hospitalized for 14 Days and 6 days was in ICU. Just recently we went to urgent care. In 26Aug22 we found out he has Kidney Cancer and was supposed to go in surgery and he had a temperature and was sent home and could not do the surgery. He was positive for RSV. This was on 28Sep2022. The surgery was rescheduled for this Thursday.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Albumin globulin ratio increased, Anti-thyroid antibody positive, Antinuclear antibody negative, Anxiety, Nausea
Clinical narrative: Itchy rash, weight loss, nausea, panic attack, anxiety.   Began in earnest 22 days after 4th vax..
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Panic attack, Rash pruritic, Serum ferritin decreased, Tri-iodothyronine increased, Weight decreased
Clinical narrative: Itchy rash, weight loss, nausea, panic attack, anxiety.   Began in earnest 22 days after 4th vax..
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: patient given monovalent vaccine instead of bivalent vaccine
Age: 37.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the clinic it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Dizziness, Dyspnoea, Influenza virus test negative, Malaise
Clinical narrative: On September 11, 202 I started to have a hard time breathing. I felt very ill and felt like I was going to pass out. I thought I was going into an Asthma attack. That same night I went down to the urgent care, and they tested me for the Flu and COVID-19. I tested positive for COVID-19 but negative for the flu. They sent the positive report over to my primary care doctor and she prescribed me PAXLOVID and another steroid on September 12, 2022.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On September 11, 202 I started to have a hard time breathing. I felt very ill and felt like I was going to pass out. I thought I was going into an Asthma attack. That same night I went down to the urgent care, and they tested me for the Flu and COVID-19. I tested positive for COVID-19 but negative for the flu. They sent the positive report over to my primary care doctor and she prescribed me PAXLOVID and another steroid on September 12, 2022.