chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test abnormal, Magnetic resonance imaging, Muscular weakness, Nightmare, Pain
Clinical narrative: Reaction started within 2 hours after receiving her 2nd Pfizer Vaccine on 3/17/2021.  All over body tremors;  severe adverse body temperature changes from freezing to severe sweating all over;  unable to regulate body temperature normally; intense headache; severe pelvic burning pain; urinary frequency; intense right upper quadrant pain; legs would jerk in the air when standing; horrible onset of restless leg syndrome; onset of high blood pressure; immediate onset of chronic fatigue; all over muscle weakness; intense nightmares & sleeping disturbances; immediate onset of chronic urinary tract infection which has required two years of chronic antibiotics and IV antibiotic port at times; abnormal labs - elevated AST and ALT liver enzymes; low abnormal IGG, IGM and IGA; elevated Red Blood Count, Hemoglobin and Hematocrit; chronic urinary lab cultures; diagnosis, surgery and radiation for Invasive Ductal Carcinoma Breast Cancer.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pelvic pain, Pollakiuria, Radiotherapy, Red blood cell count increased, Restless legs syndrome
Clinical narrative: Reaction started within 2 hours after receiving her 2nd Pfizer Vaccine on 3/17/2021.  All over body tremors;  severe adverse body temperature changes from freezing to severe sweating all over;  unable to regulate body temperature normally; intense headache; severe pelvic burning pain; urinary frequency; intense right upper quadrant pain; legs would jerk in the air when standing; horrible onset of restless leg syndrome; onset of high blood pressure; immediate onset of chronic fatigue; all over muscle weakness; intense nightmares & sleeping disturbances; immediate onset of chronic urinary tract infection which has required two years of chronic antibiotics and IV antibiotic port at times; abnormal labs - elevated AST and ALT liver enzymes; low abnormal IGG, IGM and IGA; elevated Red Blood Count, Hemoglobin and Hematocrit; chronic urinary lab cultures; diagnosis, surgery and radiation for Invasive Ductal Carcinoma Breast Cancer.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder, Tremor, Ultrasound scan, Urinary tract infection
Clinical narrative: Reaction started within 2 hours after receiving her 2nd Pfizer Vaccine on 3/17/2021.  All over body tremors;  severe adverse body temperature changes from freezing to severe sweating all over;  unable to regulate body temperature normally; intense headache; severe pelvic burning pain; urinary frequency; intense right upper quadrant pain; legs would jerk in the air when standing; horrible onset of restless leg syndrome; onset of high blood pressure; immediate onset of chronic fatigue; all over muscle weakness; intense nightmares & sleeping disturbances; immediate onset of chronic urinary tract infection which has required two years of chronic antibiotics and IV antibiotic port at times; abnormal labs - elevated AST and ALT liver enzymes; low abnormal IGG, IGM and IGA; elevated Red Blood Count, Hemoglobin and Hematocrit; chronic urinary lab cultures; diagnosis, surgery and radiation for Invasive Ductal Carcinoma Breast Cancer.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: No adverse event
Clinical narrative: No adverse reaction.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Hypoxia
Clinical narrative: weakness, myalgias, body aches x3 days, could not get out of bed, called EMS.  +COVID X 5 days ago. hypoxia secondary to covid pneumonia. hold remdisivir due to renal. decadron, zinc.  consider Toci if deteriorates.  gental rehydration. new onset AFIB fro COVID, start lovenox and metoprolol. O2 at 4L.  Sats dropped on 1/24 requiring 15L HF O2. Tocilizumab given. Weaning O2. 3L O2 when Dc to NH.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Oxygen saturation decreased, Pain, SARS-CoV-2 test positive
Clinical narrative: weakness, myalgias, body aches x3 days, could not get out of bed, called EMS.  +COVID X 5 days ago. hypoxia secondary to covid pneumonia. hold remdisivir due to renal. decadron, zinc.  consider Toci if deteriorates.  gental rehydration. new onset AFIB fro COVID, start lovenox and metoprolol. O2 at 4L.  Sats dropped on 1/24 requiring 15L HF O2. Tocilizumab given. Weaning O2. 3L O2 when Dc to NH.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Cough, Rhinorrhoea
Clinical narrative: On 8/22/2023, Mother called clinic due to concern for patient experiencing possible side effects from vaccination. Patient received vaccines on 8-17-2023 (first doses of MMR, Varicella, and hepatitis A). Mother reported that patient has been having runny nose, intermittent cough since patient got the vaccines. No fever. Mother said that the cough is getting worse and that "it's getting down to his chest with nasal dripping" and patient is unable to sleep at night. Mother also reported that she gave patient 3.76 mL of Tylenol orally (based on weight) every 4 hours because Mother thinks that patient is also teething. No complaints of localized injection reactions. RN advise mother of patient to bring patient to the nearest urgent care for further care and evaluation due to cough "getting worse". Mother unable to detect if child is wheezing or not during the call. Education imparted to Mother of patient, and she verbalized understanding and agreed to bring child to the nearest urgent care.
Age: 4.0
Sex: F
Vaccine: DTPPVHBHPB, HEPA, MMRV, PNC15, DTPPVHBHPB, HEPA, MMRV, PNC15
Symptoms: Gait disturbance, Pain in extremity
Clinical narrative: About 2 hrs after vaccination, child refused to walk complaining of pain in leg.  Given Ibuprophen and no relief and continued to refuse to walk.  Slept through night and woke up and continues to refuse to walk complaining of pain in Left thigh.  Pain is worse when bending over and bearing weight.   Mother brought child back to clinic on 8/22, observed her difficulty walking.  No swelling or redness present at site.  Both legs are similar in size.  Pedal pulses present and no discoloration of skin.  Child denies radiating pain and is only localized to site of injection. Instructed mother to continue to monitor ambulation.  To rest leg today and continue to offer pain meds as needed.  To f/u with MD if s/s worsen or do not improve after 48hrs.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 0.83
Sex: M
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Urticaria on contralateral leg and ipsilateral cheek.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: ALLERGIC REACTION, INIT
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXEMIA
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Bladder catheterisation, Blood creatinine, COVID-19, Culture negative
Clinical narrative: fever, AMS, +COVID. start zinc, Vit C.  on RA, has elevated WBC ( either UTI or lungs?); on abx. Cr worsening, pt mental status more altered. Nephro consulted, pt straight cath with 700 out. foley placed. started flomax.  noted to be septic with underlying AKI. cultures negtive. No covid symptoms during admission. Dc to nursing home
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Pyrexia, SARS-CoV-2 test positive, Sepsis, White blood cell count increased
Clinical narrative: fever, AMS, +COVID. start zinc, Vit C.  on RA, has elevated WBC ( either UTI or lungs?); on abx. Cr worsening, pt mental status more altered. Nephro consulted, pt straight cath with 700 out. foley placed. started flomax.  noted to be septic with underlying AKI. cultures negtive. No covid symptoms during admission. Dc to nursing home
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid 19 Breakthrough Infection
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Cardiac imaging procedure, Chest pain, Chills, Dyspepsia, Eye swelling
Clinical narrative: Chills, Fever, Rapid, Rapid Heart rate, severe stomach/indigestion problems, headache and chest pains.  Swelling of the eyes as well as watering of the eyes for several days.  Sensitivity to light and severe hoy flashes
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Gastric disorder, Headache, Heart rate increased, Hot flush, Lacrimation increased
Clinical narrative: Chills, Fever, Rapid, Rapid Heart rate, severe stomach/indigestion problems, headache and chest pains.  Swelling of the eyes as well as watering of the eyes for several days.  Sensitivity to light and severe hoy flashes
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Photophobia, Pyrexia
Clinical narrative: Chills, Fever, Rapid, Rapid Heart rate, severe stomach/indigestion problems, headache and chest pains.  Swelling of the eyes as well as watering of the eyes for several days.  Sensitivity to light and severe hoy flashes
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Nausea, Pain in extremity, Pharyngeal swelling, Pyrexia, Stridor
Clinical narrative: She got her vaccine, mother called and said she had fever within an hour of getting the vaccine.  She also had arm pain, nausea, vomiting, visual changes, stridor.  Mom was advised by the clinic by one of the doctors, who reassured the mother that these were reactions to the vaccine, fever can last up to 2 days, but should be better by tomorrow.  Patient should hydrate, take Ibuprofen and advised to take to ER if she was having swelling of throat, and other symptoms.  Mom voiced understanding.  The symptoms resolved as far as the clinic is aware.  The arm pain did continue until 6/29/23 when they saw her in the clinic for that.  Was told to use Ibuprofen or Tylenol for pain or a topical patch. The clinic did not get any other calls after that.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Visual impairment, Vomiting
Clinical narrative: She got her vaccine, mother called and said she had fever within an hour of getting the vaccine.  She also had arm pain, nausea, vomiting, visual changes, stridor.  Mom was advised by the clinic by one of the doctors, who reassured the mother that these were reactions to the vaccine, fever can last up to 2 days, but should be better by tomorrow.  Patient should hydrate, take Ibuprofen and advised to take to ER if she was having swelling of throat, and other symptoms.  Mom voiced understanding.  The symptoms resolved as far as the clinic is aware.  The arm pain did continue until 6/29/23 when they saw her in the clinic for that.  Was told to use Ibuprofen or Tylenol for pain or a topical patch. The clinic did not get any other calls after that.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Dyspnoea, Pyrexia
Clinical narrative: admit for SOB, fever, weakness, chills. had +COVID test 10 days prior, repeat test +. O2 sats 94 on RA, desats to 84-90 with exertion. started on dexamethasone and zinc. Outside window for remdisivir.  passed walk study.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: admit for SOB, fever, weakness, chills. had +COVID test 10 days prior, repeat test +. O2 sats 94 on RA, desats to 84-90 with exertion. started on dexamethasone and zinc. Outside window for remdisivir.  passed walk study.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, COVID-19 pneumonia, Dyspnoea
Clinical narrative: weakness, SOB, nausea. Acute resp failure with hypoxia, Pneumonia secondary to COVID, AKI.  O2 at 2L. Not a candidate for remdisivir due to AKI/CKD. Solu-medrol, Doxycyline. failed walk study.  DC home with O2
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Nausea, Walking distance test abnormal
Clinical narrative: weakness, SOB, nausea. Acute resp failure with hypoxia, Pneumonia secondary to COVID, AKI.  O2 at 2L. Not a candidate for remdisivir due to AKI/CKD. Solu-medrol, Doxycyline. failed walk study.  DC home with O2
Age: 0.92
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: A 6 mo-5 yrs Moderna Covid Bivalent Booster was chosen to administer patients first Covid vaccine.  It as brought to my attention that this was a Boosters only dose, requiring patient to receive what used to be the Adult Moderna Covid Bivalent Booster, but is now required for patients of all ages to receive as their first dose. Since it was a boosters only dose, this would be appropriate to administer after patient received the initial doses of the Moderna Bivalent Booster. This vaccine was administered at 12:23 after verifying with patients primary care provider, MD. Patient and mother waited 15 minutes following administration to monitor for any adverse reactions. Patient did not have any adverse reactions or side effects after administration.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Colonoscopy normal, Haematochezia, Haemoglobin decreased, Haemorrhoid operation
Clinical narrative: admit for blood in stool,  hgb 5.6; recevied 2 untis PRBC; COVID + - not symptomatic; EGD done - no bleeding found; colonoscopy done - no bleeding found,  3 rubber band ligations done.  no treatment for COVID.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Oesophagogastroduodenoscopy normal, Red blood cell transfusion, SARS-CoV-2 test positive
Clinical narrative: admit for blood in stool,  hgb 5.6; recevied 2 untis PRBC; COVID + - not symptomatic; EGD done - no bleeding found; colonoscopy done - no bleeding found,  3 rubber band ligations done.  no treatment for COVID.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 1/25/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 19.0
Sex: F
Vaccine: HPV9
Symptoms: Wrong product administered
Clinical narrative: Pt was on schedule for HPV vaccine. Confirmed vaccine prior to administration and patient was unsure of which vaccine she was receiving. Pt called on 8/21/23 to inform office that it was the incorrect vaccine because she received a bill from her insurance.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest pain, Cough, Oropharyngeal pain
Clinical narrative: The patient has a history of COPD and uses 3L O2 at baseline. He was seen in the ED on 7/26/23 for cough for the past week, along with chest pain and throat pain for the past few days. A COVID PCR test performed in the ED resulted positive. He was admitted 7/26/23 - 7/28/23 with discharge diagnoses including COVID infection and acute on chronic respiratory failure with hypoxemia, among other diagnoses. During admission, the patient did require supplemental oxygen to keep O2 sats above 90%. He was able to be weaned off.  He was placed on a 10 day course of Decadron. Of note, the patient has received the primary COVID vaccine series and one booster, which were all administered in 2021.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: The patient has a history of COPD and uses 3L O2 at baseline. He was seen in the ED on 7/26/23 for cough for the past week, along with chest pain and throat pain for the past few days. A COVID PCR test performed in the ED resulted positive. He was admitted 7/26/23 - 7/28/23 with discharge diagnoses including COVID infection and acute on chronic respiratory failure with hypoxemia, among other diagnoses. During admission, the patient did require supplemental oxygen to keep O2 sats above 90%. He was able to be weaned off.  He was placed on a 10 day course of Decadron. Of note, the patient has received the primary COVID vaccine series and one booster, which were all administered in 2021.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Adenocarcinoma pancreas, Asthenia, COVID-19, Diarrhoea, Dyspnoea
Clinical narrative: weakness, SOB, +COVID (on decadron, hold remdisivir), pancreast duct adenocarcinoma. needs whipple procedure - cancelled due to +COVID test. . peritoneal dialysis. diarrhea off and on. No O2 required initially. O2 to 3L on 1/29. O2 levels continue to increase. At 7L on 2/2.  on 2/5 O2 down to 5L NC ( in addition to 12 L oxymask with ambulation).  new onset jaundice. Increased labored breathing. RRT called, placed on BIPAP, Intubated, palliative care. WBC up to 20.37. Patient continued to decline. His vasopressor requirement progressively increased, and he went into severe sepsis profound shockFinally on 02/19/2022 he required 3 vasopressors and continued to decline. patient's family decided for DNR.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Jaundice, Positive airway pressure therapy, SARS-CoV-2 test positive, Sepsis
Clinical narrative: weakness, SOB, +COVID (on decadron, hold remdisivir), pancreast duct adenocarcinoma. needs whipple procedure - cancelled due to +COVID test. . peritoneal dialysis. diarrhea off and on. No O2 required initially. O2 to 3L on 1/29. O2 levels continue to increase. At 7L on 2/2.  on 2/5 O2 down to 5L NC ( in addition to 12 L oxymask with ambulation).  new onset jaundice. Increased labored breathing. RRT called, placed on BIPAP, Intubated, palliative care. WBC up to 20.37. Patient continued to decline. His vasopressor requirement progressively increased, and he went into severe sepsis profound shockFinally on 02/19/2022 he required 3 vasopressors and continued to decline. patient's family decided for DNR.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Shock, White blood cell count increased
Clinical narrative: weakness, SOB, +COVID (on decadron, hold remdisivir), pancreast duct adenocarcinoma. needs whipple procedure - cancelled due to +COVID test. . peritoneal dialysis. diarrhea off and on. No O2 required initially. O2 to 3L on 1/29. O2 levels continue to increase. At 7L on 2/2.  on 2/5 O2 down to 5L NC ( in addition to 12 L oxymask with ambulation).  new onset jaundice. Increased labored breathing. RRT called, placed on BIPAP, Intubated, palliative care. WBC up to 20.37. Patient continued to decline. His vasopressor requirement progressively increased, and he went into severe sepsis profound shockFinally on 02/19/2022 he required 3 vasopressors and continued to decline. patient's family decided for DNR.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY
Age: 1.33
Sex: M
Vaccine: DTAP, MMRV, PNC13
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No adverse even occurred. Patient was given the vaccines too early and provider did not catch beforehand. The immunization registry and pt. chart were different in terms of vaccines. Patents parents were notified of error and they informed the provider that no adverse reaction occurred, the child was doing well. Provider informed parents what to look for in case of any reaction later.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Aspiration joint abnormal, Bordetella test negative, C-reactive protein, Fatigue
Clinical narrative: Only initial reaction noted from vaccine was sore arm and some fatigue. On Oct 1st noted my left elbow and left knee sore with movement. (No precipitating event to cause this.) On Nov 3 woke up in middle of night with extremely painful stiff neck, swollen left knee warm to touch. Left elbow continued sore. Nov 4 difficult to walk, neck pain continued so went to Hospital ER. Seen by PA who did an xray of knee and work up for gout, tick borne diseases (both negative). PA and I (a retired RN) felt this was likely a reaction to the vaccine I had had 10 days prior to symptoms. Discharged from ER with Medrol Dospak and diclofenac topical. Nov 6 right knee now swollen but left improving. Nov 12 OK.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Gait disturbance, Joint effusion, Joint swelling, Musculoskeletal stiffness, Neck pain
Clinical narrative: Only initial reaction noted from vaccine was sore arm and some fatigue. On Oct 1st noted my left elbow and left knee sore with movement. (No precipitating event to cause this.) On Nov 3 woke up in middle of night with extremely painful stiff neck, swollen left knee warm to touch. Left elbow continued sore. Nov 4 difficult to walk, neck pain continued so went to Hospital ER. Seen by PA who did an xray of knee and work up for gout, tick borne diseases (both negative). PA and I (a retired RN) felt this was likely a reaction to the vaccine I had had 10 days prior to symptoms. Discharged from ER with Medrol Dospak and diclofenac topical. Nov 6 right knee now swollen but left improving. Nov 12 OK.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in extremity, Red blood cell sedimentation rate normal, Skin warm, Sleep disorder
Clinical narrative: Only initial reaction noted from vaccine was sore arm and some fatigue. On Oct 1st noted my left elbow and left knee sore with movement. (No precipitating event to cause this.) On Nov 3 woke up in middle of night with extremely painful stiff neck, swollen left knee warm to touch. Left elbow continued sore. Nov 4 difficult to walk, neck pain continued so went to Hospital ER. Seen by PA who did an xray of knee and work up for gout, tick borne diseases (both negative). PA and I (a retired RN) felt this was likely a reaction to the vaccine I had had 10 days prior to symptoms. Discharged from ER with Medrol Dospak and diclofenac topical. Nov 6 right knee now swollen but left improving. Nov 12 OK.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Synovial fluid analysis abnormal, X-ray abnormal
Clinical narrative: Only initial reaction noted from vaccine was sore arm and some fatigue. On Oct 1st noted my left elbow and left knee sore with movement. (No precipitating event to cause this.) On Nov 3 woke up in middle of night with extremely painful stiff neck, swollen left knee warm to touch. Left elbow continued sore. Nov 4 difficult to walk, neck pain continued so went to Hospital ER. Seen by PA who did an xray of knee and work up for gout, tick borne diseases (both negative). PA and I (a retired RN) felt this was likely a reaction to the vaccine I had had 10 days prior to symptoms. Discharged from ER with Medrol Dospak and diclofenac topical. Nov 6 right knee now swollen but left improving. Nov 12 OK.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fall, Hypoxia, Positive airway pressure therapy
Clinical narrative: fall (frequently), dyspnea, fever, COVID+. with mild hypoxia. treated with dexamethazone , zinc,and 2 LO2. Hypoxia resolved after day 3. CPAP at night. titrate O2 to 1L.  PT refused placement. DC home
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: fall (frequently), dyspnea, fever, COVID+. with mild hypoxia. treated with dexamethazone , zinc,and 2 LO2. Hypoxia resolved after day 3. CPAP at night. titrate O2 to 1L.  PT refused placement. DC home
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Flank pain, Injection site induration, Injection site swelling
Clinical narrative: Patient developed lower flank pain on the right side as well as a hard swollen area in the right deltoid.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Dizziness, Fatigue, Palpitations
Clinical narrative: c/o palpitations, weakness, dizziness and fatigue. ST 120, COVID Pneumonia. started on abs, decadron. No hypoxia, remained on RA.
Age: 100.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Mobility decreased, Productive cough, Pyrexia
Clinical narrative: The patient has a history of stage IV kidney disease and bladder cancer s/p cystectomy and urostomy. He was seen in the ED on 7/29/23. Per family, over the past 36 hours the patient has not been moving or talking as much as normal. The patient additionally reported weakness and productive cough. He was found to have a fever of 102.3. A COVID PCR test done in the ED resulted positive. Ultimately, he was admitted 7/29/23 - 8/3/23. Discharge diagnoses include generalized weakness and fever secondary to COVID infection, among other diagnoses. He did not require supplemental oxygen during his admission. Of note, the patient has received the primary COVID vaccine and three boosters.
Age: 100.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Speech disorder
Clinical narrative: The patient has a history of stage IV kidney disease and bladder cancer s/p cystectomy and urostomy. He was seen in the ED on 7/29/23. Per family, over the past 36 hours the patient has not been moving or talking as much as normal. The patient additionally reported weakness and productive cough. He was found to have a fever of 102.3. A COVID PCR test done in the ED resulted positive. Ultimately, he was admitted 7/29/23 - 8/3/23. Discharge diagnoses include generalized weakness and fever secondary to COVID infection, among other diagnoses. He did not require supplemental oxygen during his admission. Of note, the patient has received the primary COVID vaccine and three boosters.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Deep vein thrombosis, Interstitial lung disease, Pulmonary fibrosis
Clinical narrative: patient initially admitted 12/28/2021.  Has had prolonged hospitalization with extremely slow improvement in respiratory status.  unclear if decompensation represents repeat COVID infection, or interstitial lung disease.  unclear if patient will have continued improvement related to post COVID fibrosis.  Poor candidate for transplant. Patient has been weaned down to 5 L of oxygen during the day, but requires 10 L with minimal exertion. Pulmonary has documented that 5 L O2 at rest is likely patient's new baseline  COVID-19 pneumonia -completed remdesivir 1/2, status post tocilizumab 12/29, continue steroids, Possible bacterial pneumonia -completed antibiotics,   Rehab placement attempted but denied by multiple facilities. Pt DC'd to SN facility DVT to Lt popliteal vein and rt peroneal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress
Clinical narrative: patient initially admitted 12/28/2021.  Has had prolonged hospitalization with extremely slow improvement in respiratory status.  unclear if decompensation represents repeat COVID infection, or interstitial lung disease.  unclear if patient will have continued improvement related to post COVID fibrosis.  Poor candidate for transplant. Patient has been weaned down to 5 L of oxygen during the day, but requires 10 L with minimal exertion. Pulmonary has documented that 5 L O2 at rest is likely patient's new baseline  COVID-19 pneumonia -completed remdesivir 1/2, status post tocilizumab 12/29, continue steroids, Possible bacterial pneumonia -completed antibiotics,   Rehab placement attempted but denied by multiple facilities. Pt DC'd to SN facility DVT to Lt popliteal vein and rt peroneal.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Fatigue, Feeling abnormal
Clinical narrative: MOM AND CHILD DESCRIBE PROLONGED EXHAUSTION/FATIGUE FOR MONTHS FOLLOWING HE FIRST HPV VACCINE
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/7/2021  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Intracranial mass, Neuropathy peripheral, Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 OBSTRUCTIVE SLEEP APNEA 3/8/2023 BRAIN MASS G62.9 NEUROPATHY 9/22/2022 BRAIN MASS
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Blood sodium decreased, COVID-19, Condition aggravated, Faeces discoloured
Clinical narrative: The patient was seen in the ED and brought in by EMS on 8/3/23. Earlier that morning, she had labs drawn with abnormal lab results (sodium at 123), which prompted her to be seen in the ED. In the ED, she also reported dark stools, nausea, weakness, and exacerbation of chronic headaches. She was admitted 8/3/23 for hyponatremia. A COVID PCR test performed on 8/4 during her admission resulted as positive. Discharge diagnoses include hyponatremia, SIADH (syndrome of inappropriate ADH production) and COVID-19. During admission, she was started on oral dexamethasone and placed on supplemental O2.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Hyponatraemia, Inappropriate antidiuretic hormone secretion, Laboratory test abnormal, Nausea
Clinical narrative: The patient was seen in the ED and brought in by EMS on 8/3/23. Earlier that morning, she had labs drawn with abnormal lab results (sodium at 123), which prompted her to be seen in the ED. In the ED, she also reported dark stools, nausea, weakness, and exacerbation of chronic headaches. She was admitted 8/3/23 for hyponatremia. A COVID PCR test performed on 8/4 during her admission resulted as positive. Discharge diagnoses include hyponatremia, SIADH (syndrome of inappropriate ADH production) and COVID-19. During admission, she was started on oral dexamethasone and placed on supplemental O2.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The patient was seen in the ED and brought in by EMS on 8/3/23. Earlier that morning, she had labs drawn with abnormal lab results (sodium at 123), which prompted her to be seen in the ED. In the ED, she also reported dark stools, nausea, weakness, and exacerbation of chronic headaches. She was admitted 8/3/23 for hyponatremia. A COVID PCR test performed on 8/4 during her admission resulted as positive. Discharge diagnoses include hyponatremia, SIADH (syndrome of inappropriate ADH production) and COVID-19. During admission, she was started on oral dexamethasone and placed on supplemental O2.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Atrial fibrillation, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: hypoxic, ecephalopathic, influenza A, COPD - reqiring BIPAP, IV diuretics,  steroids, 5 days of tamiflu. 3/3 + COVID test. AFIB with RVR on amioderone; AKI; O2 at 2L - will continue at dc. recommnent SN at dc, family prefer to take pt home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Diuretic therapy, Encephalopathy, Hypoxia, Influenza, Positive airway pressure therapy
Clinical narrative: hypoxic, ecephalopathic, influenza A, COPD - reqiring BIPAP, IV diuretics,  steroids, 5 days of tamiflu. 3/3 + COVID test. AFIB with RVR on amioderone; AKI; O2 at 2L - will continue at dc. recommnent SN at dc, family prefer to take pt home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: hypoxic, ecephalopathic, influenza A, COPD - reqiring BIPAP, IV diuretics,  steroids, 5 days of tamiflu. 3/3 + COVID test. AFIB with RVR on amioderone; AKI; O2 at 2L - will continue at dc. recommnent SN at dc, family prefer to take pt home.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Nurse #1 - grabbed Hep A & was helping Nurse #2. Patient was getting other vaccines at the same time. After patient & parents left both nurses realized that they had gave Hep A adult dose 0.1 mg in stead of child's dose 0.5mg. After letting me know I reached out to our Health Officer. We both looked up the information on website. I also then tried calling parents to let know that the wrong dose of Hep A was given. I was unable to leave any messages that day. I tried calling several times that day 08/04/23. Her phone said unable to leave a message. Then tried calling on 8/07/23- I was able to leave a message that day asking to call me back as soon as possible. Then tried calling back on 8/16/23 & left a message again. Still no response. So I mailed out a letter requesting for mom to call. Today 8/22/23 mom called me back & I explained to her the error in the dose. Mom stated that as far as she knew the patient has been fine. I let her know that I was doing a Vaers report & that I would have Dr. to call her as well. I let her know that she could call me with any other questions/concerns that come up. Also told her that she could reach out patient's family doctor as well. Mom voiced understanding about everything.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cough, Cytokine release syndrome, Death
Clinical narrative: Presented with shortness of breath and cough admitted to ICU for treatment of severe COVID-19 pneumonia and acute hypoxic respiratory failure. Had evidence of cytokine release syndrome and bilateral pneumonia. Decadron, Remdesivir, tocilizumab, Zn, VitC, Vit-D,cefepime,ceftriaxone,BiPAP. Discussed with patient's daughter. Who requested patient remained DNR, DNI. And wanted to pursue comfort measures. Eventually transitioned to comfort care and started on morphine drip.Time of death:  1150
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Intensive care, Pneumonia, Positive airway pressure therapy
Clinical narrative: Presented with shortness of breath and cough admitted to ICU for treatment of severe COVID-19 pneumonia and acute hypoxic respiratory failure. Had evidence of cytokine release syndrome and bilateral pneumonia. Decadron, Remdesivir, tocilizumab, Zn, VitC, Vit-D,cefepime,ceftriaxone,BiPAP. Discussed with patient's daughter. Who requested patient remained DNR, DNI. And wanted to pursue comfort measures. Eventually transitioned to comfort care and started on morphine drip.Time of death:  1150
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Osteoarthritis
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 4/5/2023 OSTEOARTHRITIS OF LEFT KNEE
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Feeling hot, Visual impairment
Clinical narrative: 0945: Patient seated in observation area. Patient speaking to mother and begins to feel lightheaded and what he later described as warm feeling in checks and then eyes begin to get dark.   0950: Patients was assisted to the floor x 3 persons on a mat. Pt was able to state name, location, and birthday. BP checked 130/80, O2 saturation 97%. HR 72 1000 Pt remained A/O x 3. BP checked 126/78, HR 70. O2 sat 98%.  Pt given snacks and juice, observed for an additional 20 minutes. Stated he is feeling fine. Per RN.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Syncope
Clinical narrative: I20.8 STABLE ANGINA 1/30/2023 SYNCOPE
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: admitted with humerous fx from fall, rhabdo, afib with rvr, COVID + asymptomatic at time of admit , placed on zinc. O2 at 2L.  NonSTEMI 2. COVID pnuemonia. stated deamethasone. Hypoxia. O2 increased to 4L. possibly had covid X 2weeks. Out of window for remdisivir.  rhabdo resolving. paroximal AFIB, rate controlled. PT wants to go home. O2 at 3L at DC
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Humerus fracture, Rhabdomyolysis, SARS-CoV-2 test positive
Clinical narrative: admitted with humerous fx from fall, rhabdo, afib with rvr, COVID + asymptomatic at time of admit , placed on zinc. O2 at 2L.  NonSTEMI 2. COVID pnuemonia. stated deamethasone. Hypoxia. O2 increased to 4L. possibly had covid X 2weeks. Out of window for remdisivir.  rhabdo resolving. paroximal AFIB, rate controlled. PT wants to go home. O2 at 3L at DC
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 2/11/2023 &  3/21/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Hypoxia, Incentive spirometry, SARS-CoV-2 test positive
Clinical narrative: The patient has a history of dementia. She arrived to the ED on 8/5/23 by EMS from memory care. At baseline, the patient is usually up walking and talking, however that morning she did not want to get out of bed. The patient was also found to have a temperature of 101.5. O2 sats per EMS were at 86% on room air, so 2L O2 via nasal cannula was provided. In the ED, a COVID PCR test resulted positive. Ultimately, she was admitted 8/5/23-8/7/23. Discharge diagnoses include COVID viral infection with hypoxemia and SIRS due to COVID-19 infection, among other diagnoses. During admission, the patient was treated with oxygen supplements via nasal cannula, dexamethasone, inhalers as needed, incentive spirometer, and pulmonary toileting. She was able to be weaned off supplemental oxygen.  Of note, the patient has received the primary COVID vaccine series and two boosters.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Systemic inflammatory response syndrome
Clinical narrative: The patient has a history of dementia. She arrived to the ED on 8/5/23 by EMS from memory care. At baseline, the patient is usually up walking and talking, however that morning she did not want to get out of bed. The patient was also found to have a temperature of 101.5. O2 sats per EMS were at 86% on room air, so 2L O2 via nasal cannula was provided. In the ED, a COVID PCR test resulted positive. Ultimately, she was admitted 8/5/23-8/7/23. Discharge diagnoses include COVID viral infection with hypoxemia and SIRS due to COVID-19 infection, among other diagnoses. During admission, the patient was treated with oxygen supplements via nasal cannula, dexamethasone, inhalers as needed, incentive spirometer, and pulmonary toileting. She was able to be weaned off supplemental oxygen.  Of note, the patient has received the primary COVID vaccine series and two boosters.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angiogram normal, Computerised tomogram head, Computerised tomogram neck, Computerised tomogram normal, Deafness
Clinical narrative: 10/14/22- pulsatile tinnitus is LEFT EAR 11/15/22- saw PA -advised zertec & Flonaise 12/16/22-PA prescribed methyl prednisone MedrolPak 1/17/23- PCP PRESCRIBED 10 mg prednisone for 30 days 2/28/23 ENT & Audiologist diagnosed low freq mixed hearing loss in left ear 4/27./23 ENT & audiologist confirmed above diagnosis 6/13/23 pulsitile tinnitus continues 24/7-   MRI  w dye done- no notable findings  6/23/23. CT of head & neck- no notable findings 7/27/23. CTA w/wo dye- no notable findings 7/16/23 ENT & audiology appt- found only sensory neural hearing loss (low frequency) in left ear.    ENT  suggests diagnosis of Sudden Sensory Neural hearing loss - refers to another dr.   6/23/23
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Magnetic resonance imaging head normal, Mixed deafness, Scan with contrast normal, Sudden hearing loss, Tinnitus
Clinical narrative: 10/14/22- pulsatile tinnitus is LEFT EAR 11/15/22- saw PA -advised zertec & Flonaise 12/16/22-PA prescribed methyl prednisone MedrolPak 1/17/23- PCP PRESCRIBED 10 mg prednisone for 30 days 2/28/23 ENT & Audiologist diagnosed low freq mixed hearing loss in left ear 4/27./23 ENT & audiologist confirmed above diagnosis 6/13/23 pulsitile tinnitus continues 24/7-   MRI  w dye done- no notable findings  6/23/23. CT of head & neck- no notable findings 7/27/23. CTA w/wo dye- no notable findings 7/16/23 ENT & audiology appt- found only sensory neural hearing loss (low frequency) in left ear.    ENT  suggests diagnosis of Sudden Sensory Neural hearing loss - refers to another dr.   6/23/23
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Third trimester pregnancy, Thrombocytopenia
Clinical narrative: G62.9 PERIPHERAL NEUROPATHY 7/7/2022 GESTATIONAL THROMBOCYTOPENIA, UNSPECIFIED, THIRD TRIMESTER
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Cold sweat, Eye disorder, Fatigue, Feeling abnormal, Heart rate decreased
Clinical narrative: After receiving the vaccine while pt was standing she stated "she felt weird and her eyes looked weird. The she gagged a little and her face was pale so I called for help."  Nursing staff and this physician entered the room to find the patient sitting in a chair, pale, dusky fatigued, and clammy in appearance. This physician immediately ordered vitals be taken in every 10 to 15 minute intervals. Initially, pt's pulse was low at 57-60 and nursing staff was unable to obtain automated blood pressure.  SPo2 remained above 95% on room air during the entire encounter.  Manual blood pressure measurements were then ordered.  Cool compresses were applied and the patient was given fluids (water and soda). Glucose was taken. See scanned result and stable.  Duskiness in the face slowly resolved after 30 minutes. BPs remained stable after taking with a manual blood pressure cuff in the 110s systolic to 70s diastolic and stable x3. (110/70, 110/70 and final automated was 106/67).  Pulse continued to improve over the course of the 30 minutes of obtaining vitals with a final pulse of 76. Pt's color in the face returned to pink and normal from original dusky appearance. Pt was talking and behavior had resumed to baseline.  Per mom, patient has never had this occur with vaccines but has always been anxious with lab draws and IV placements.   After approximately 45 minutes of counseling, obtaining history, performing an exam , repeating vitals, patient was stable to go home . Emergency precautions given such as : change in behavior, pale , clammy skin, dusky appearance, fainting episode, difficulty breathing or any other worrisome sign or symptoms, Mom voiced understanding. Parent and patient instructed to ensure adequate hydration and nutrition status before any vaccines, lab draws or procedures to prevent recurrence in the future.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Pallor, Retching, Syncope
Clinical narrative: After receiving the vaccine while pt was standing she stated "she felt weird and her eyes looked weird. The she gagged a little and her face was pale so I called for help."  Nursing staff and this physician entered the room to find the patient sitting in a chair, pale, dusky fatigued, and clammy in appearance. This physician immediately ordered vitals be taken in every 10 to 15 minute intervals. Initially, pt's pulse was low at 57-60 and nursing staff was unable to obtain automated blood pressure.  SPo2 remained above 95% on room air during the entire encounter.  Manual blood pressure measurements were then ordered.  Cool compresses were applied and the patient was given fluids (water and soda). Glucose was taken. See scanned result and stable.  Duskiness in the face slowly resolved after 30 minutes. BPs remained stable after taking with a manual blood pressure cuff in the 110s systolic to 70s diastolic and stable x3. (110/70, 110/70 and final automated was 106/67).  Pulse continued to improve over the course of the 30 minutes of obtaining vitals with a final pulse of 76. Pt's color in the face returned to pink and normal from original dusky appearance. Pt was talking and behavior had resumed to baseline.  Per mom, patient has never had this occur with vaccines but has always been anxious with lab draws and IV placements.   After approximately 45 minutes of counseling, obtaining history, performing an exam , repeating vitals, patient was stable to go home . Emergency precautions given such as : change in behavior, pale , clammy skin, dusky appearance, fainting episode, difficulty breathing or any other worrisome sign or symptoms, Mom voiced understanding. Parent and patient instructed to ensure adequate hydration and nutrition status before any vaccines, lab draws or procedures to prevent recurrence in the future.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bradycardia, COVID-19, Cystitis, Dyspnoea
Clinical narrative: admit from nursing home with fatigue and increased weakness. Had been COVID + for 10 days prior to admit. c/o SOB - on RA. Tests positive for GI bleed with HGB 7.1. UTI/cystitis, COVID + . Blood transfusion given. Zinc, Vit C&D, singulair and  dexamethasone given. Dexamethasone stopped due to risk for increase in bleeding.  POA declined endoscopy. having bradycardia. PT made DNR and hospice, dc back to nursing home.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Gastrointestinal haemorrhage, Haemoglobin decreased, Laboratory test abnormal, SARS-CoV-2 test positive
Clinical narrative: admit from nursing home with fatigue and increased weakness. Had been COVID + for 10 days prior to admit. c/o SOB - on RA. Tests positive for GI bleed with HGB 7.1. UTI/cystitis, COVID + . Blood transfusion given. Zinc, Vit C&D, singulair and  dexamethasone given. Dexamethasone stopped due to risk for increase in bleeding.  POA declined endoscopy. having bradycardia. PT made DNR and hospice, dc back to nursing home.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Transfusion, Urinary tract infection
Clinical narrative: admit from nursing home with fatigue and increased weakness. Had been COVID + for 10 days prior to admit. c/o SOB - on RA. Tests positive for GI bleed with HGB 7.1. UTI/cystitis, COVID + . Blood transfusion given. Zinc, Vit C&D, singulair and  dexamethasone given. Dexamethasone stopped due to risk for increase in bleeding.  POA declined endoscopy. having bradycardia. PT made DNR and hospice, dc back to nursing home.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac failure congestive, Chronic obstructive pulmonary disease, Non-small cell lung cancer
Clinical narrative: Patient presents from rehab center with Covid Like Symptoms Pt reports testing positive for COVID 1/22.Noted to be having acute on chronic hypoxic respiratory failure, Multifactorial-COPD, CHF, recent covid infection and admitted for further evaluation and treatment, COVID-19 Test Result:  Negative Patient diuresed well improved medications optimized and was discharged to nursing home.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient presents from rehab center with Covid Like Symptoms Pt reports testing positive for COVID 1/22.Noted to be having acute on chronic hypoxic respiratory failure, Multifactorial-COPD, CHF, recent covid infection and admitted for further evaluation and treatment, COVID-19 Test Result:  Negative Patient diuresed well improved medications optimized and was discharged to nursing home.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Rash, Urticaria
Clinical narrative: PATIENT RECEIVED VACCINE AT CLINIC ON 08/08/23. WAS EVALUATED BY OUR CLINIC ON 08/12/23 WITH COMPLAINT OF BREAKING OUT IN RASH AFTER RECEIVING HPV VACCINE. PATIENT HAD URTICARIA TO THE BILATERAL ARMS
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep apnoea syndrome
Clinical narrative: SLEEP APNEA
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Pt states he felt some tingling in his hands and feet along with dizziness after 2nd dose of HPV vaccine. Repeat vitals are stable. As a precaution, pt was sent to the ER for further monitoring. BP is 110/72, pulse 77 and normal, spo2 is 97% on room air. The patient was monitored for 20 minutes prior to instruction to go to the ER for further monitoring. Mom in agreement. Duration of visit was 20 minutes spent monitoring, counseling, answering questions and performing a physical exam.   The patient was sent to ER for monitoring and sent home the same day and diagnosed with "mild reaction to HPV vaccine " per patient case note.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Coronary artery disease, Hypertension, Lung neoplasm malignant, Mental status changes
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/23/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/23/2023 ALTERED MENTAL STATUS, UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/23/2023 LUNG CANCER RIGHT LUNG, UNSPECIFIED PART J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/23/2023 HTN (HYPERTENSION)