chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient had not reported any adverse issues or side effects related to the administered dose; GARDASIL 9 (lot: 1780876 expiration: 11/09/2023) on 11/28/2022 needed to have the series restarted when she came into the clinic today; This spontaneous report was received from a physician and refers to a 26-year-old female patient.   The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported.   On 28-Nov-2022, the patient was vaccinated with first dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9) 0.5 mL, once strength, frequency, route of administration, site of administration, and vaccination scheme were not provided; lot # 1780876which has been verified as a valid number, and expiration date reported and validated as 09-Nov-2023) as a prophylaxis. On 04-Mar-2025, the patient was vaccinated with second dose (series restarted) with Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9) (strength, frequency, route of administration, site of administration, vaccination scheme, expiration date, and lot # were not reported) as a prophylaxis (Inappropriate schedule of product administration). The patient had not reported any adverse issues or side effects related to the administered dose.     For the second dose lot # is being requested and will be submitted in received.
Vaccine: RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE reported.; report T/E for ROTATEQ that was administered. T/E date was on 2/18/2025 and ROTATEQ was administered on 2/27/2025; This spontaneous report was received from a nurse concerning to a patient of unspecified age and gender.   The patient's medical history, concurrent conditions, concomitant therapies, and drug reactions/allergies were not reported.  On 18-Feb-2025, doses of  Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) underwent a temperature excursion at a temperature of 32.0 degrees Fahrenheit (F) during a timeframe of 2 hours, 12 minutes and 0 seconds without previous temperature excursions.  On 27-Feb-2025, the patient was vaccinated with an improperly stored dose of Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ), lot #Y009341, expiration date 24-Nov-2025), dose number 1, 1 dosage form administered by Oral route (po) as prophylaxis (product storage error.)  No additional adverse events were reported (no adverse event.)
Age: 1.25
Sex: F
Vaccine: MNQ
Symptoms: Wrong product administered
Clinical narrative: Patient is 15 months olds. She was supposed to receive a Pedvax Hib but a Menveo was giving by accident.
Age: 1.25
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient is 15 months old and was supposed to receive a Pedvax Hib. They were given a menveo instead. The doctor and parents were informed.  There have been no adverse reactions that we are aware of at this point.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Clostridium difficile infection, Clostridium test positive, Diarrhoea
Clinical narrative: Name:   Medical Record #: Age:  83 y.o. DOB:  7/XX/1941  Admit date: 3/17/2025  Discharge date: 03/18/25  Admitting Physician:, DO  Attending Physician at the Time of Discharge:  DO Primary Care Physician:  MD  Reason for Admission: C-diff, Covid  Hospital Course:   Patient presented to the emergency department for diarrhea and worsening generalized weakness.  Upon admission, elevated white count was in the 60s.  Zosyn and vanc was initiated.  Imaging was relatively unremarkable other than bilateral pleural effusions.  Patient did appear dry on initial exam and therefore 1 L bolus was given.  GI PCR returned C difficile positive as well as RV P returned COVID positive.  Patient was treated with oral vanc.  White count down trended every day with patient feeling much better and having less stools per day.  Patient was eating and tolerating diet well.  Patient denied any chest pain, shortness of breath, abdominal pain.  I called the patient's daughter who was amenable for patient's discharge back to facility.  Patient was also amenable to this plan.  We will discharge her with the total 10 day course of oral vanc.  She is also instructed to take her Bumex for diuresis as well as as needed metolazone for extra diuresis.  Patient will be discharged to facility in stable condition.  She understands return precautions.  Patient understands the importance of medication compliance and following up as told.  All questions were answered. Discharged to Skilled Nursing Facility.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Respiratory viral panel, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Name:   Medical Record #: Age:  83 y.o. DOB:  7/XX/1941  Admit date: 3/17/2025  Discharge date: 03/18/25  Admitting Physician:, DO  Attending Physician at the Time of Discharge:  DO Primary Care Physician:  MD  Reason for Admission: C-diff, Covid  Hospital Course:   Patient presented to the emergency department for diarrhea and worsening generalized weakness.  Upon admission, elevated white count was in the 60s.  Zosyn and vanc was initiated.  Imaging was relatively unremarkable other than bilateral pleural effusions.  Patient did appear dry on initial exam and therefore 1 L bolus was given.  GI PCR returned C difficile positive as well as RV P returned COVID positive.  Patient was treated with oral vanc.  White count down trended every day with patient feeling much better and having less stools per day.  Patient was eating and tolerating diet well.  Patient denied any chest pain, shortness of breath, abdominal pain.  I called the patient's daughter who was amenable for patient's discharge back to facility.  Patient was also amenable to this plan.  We will discharge her with the total 10 day course of oral vanc.  She is also instructed to take her Bumex for diuresis as well as as needed metolazone for extra diuresis.  Patient will be discharged to facility in stable condition.  She understands return precautions.  Patient understands the importance of medication compliance and following up as told.  All questions were answered. Discharged to Skilled Nursing Facility.
Age: 65.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient did not experience any adverse reactions. It was brought to our attention the next day by our corporate immunization claims review team that patient had already received this vaccination previously on 12/22/2023. This did not appear in the state immunization database as having occurred and did not trigger a DUR alert in our computer system as well. Pt was informed of duplicate vaccination and stated he was fine and was not angry.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness
Clinical narrative: Patient received vaccine on Thursday and felt fine. Woke up on Saturday AM with dizziness and balance problems. Could not think of a reason other than the vaccine that would cause the issue
Vaccine: HPV9
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse side effects were reported.; GARDASIL 9 that was out of range, unmonitored for an unknown amount of time at unknown temperatures. Lot number was provided, expiration date was unknown. Administered 2/3/2025; This spontaneous report was received from a physician assistant concerning to a 43-year-old patient of unspecified gender.   The patient's medical history, concurrent conditions, concomitant therapies, and drug reactions/allergies were not reported.  On 03-Feb-2025, the patient was vaccinated with an improper stored dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9), pre-filled syringe, lot #1965046, expiration date no provided but upon internal verification established as 22-Jan-2026, 1 dosage form (dosage regimen, anatomical location and route of administration were not provided) administered as prophylaxis. The vaccine dose administered was out of range, unmonitored for an unknown amount of time at unknown temperatures (product storage error.)  No adverse side effects were reported (no adverse event.)  This was one of two reports received from the same reporter.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site erythema
Clinical narrative: Patient states that she developed a headache around 8pm that night and chills. She states that she has a redness 2 inches around the injection site.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Electrocardiogram ambulatory, Endometriosis, Surgery
Clinical narrative: Arritmias, Endometriosis
Age: 85.0
Sex: M
Vaccine: PNC20
Symptoms: Nausea
Clinical narrative: Woke up the next feeling nauseous went away after eating,
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT RECEIVED THE VACCINES ON 03/20/25, ON THE EVENING OF 03/21/25 THE PATIENTS RIGHT THIGH WAS WARM TO TOUCH RED AND SWOLLEN THE SIZE OF A GOLF BALL. THE OFFICE WAS CLOSED SO MOM TOOK HIM TO THE ER
Age: 46.0
Sex: F
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Received Gardasil injection instead of Depo-Provera on 3/17/25.
Age: 66.0
Sex: M
Vaccine: PNC20
Symptoms: Extra dose administered
Clinical narrative: Duplicate vaccine. First given 2/8/2023
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC20, VARCEL
Symptoms: Body temperature increased, Fatigue, Febrile convulsion, Gaze palsy, Tremor
Clinical narrative: febrile seizure with temp  maximum 101.1F without any other signs of illness. Seizure lasted a few minutes. involved eyes rolling back and jerking movements of arms and legs. patient with fatigue and clinginess immediately following seizure. then returned to baseline in ER
Age: 11.0
Sex: F
Vaccine: DF
Symptoms: Chest pain, Cough, Dizziness, Dyspnoea, Headache
Clinical narrative: Day of immunization: chest pain, vomiting, shortness of breath; went to ER. Day after immunization: cough, shortness of breath, fever (102.3), dizziness, headache, tachycardia; went to ER again. 2 days after immunization: rash with proximal streaking presumed to be lymphangitis; admitted to hospital for IV antibiotics
Age: 11.0
Sex: F
Vaccine: DF
Symptoms: Lymphangitis, Pyrexia, Rash, Tachycardia, Vomiting
Clinical narrative: Day of immunization: chest pain, vomiting, shortness of breath; went to ER. Day after immunization: cough, shortness of breath, fever (102.3), dizziness, headache, tachycardia; went to ER again. 2 days after immunization: rash with proximal streaking presumed to be lymphangitis; admitted to hospital for IV antibiotics
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Heart rate decreased, Pallor, Vomiting
Clinical narrative: Pale, pulse dropped 50, vomited a few minutes after standing.
Age: 1.33
Sex: M
Vaccine: PNC20
Symptoms: Full blood count normal, Hyporesponsive to stimuli, Lethargy, Metabolic function test normal
Clinical narrative: Approximately 4 days after he received his vaccine back in January 7, patient had episode of lethargy and decreased responsiveness. Lethargy lasted for approximately 24 hours. She did not contact us about that specifically but the emergency room doctor told her that this felt to be an adverse reaction to the vaccine that he had received.
Age: 0.42
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV1
Symptoms: Pyrexia, Rash
Clinical narrative: Mother called the next day with reports of baby having a rash on chest area extending up to neck area and a fever
Age: 47.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Extra dose administered
Clinical narrative: PATIENT WAS GIVEN AN ADDITIONAL DOSE OF HEPATITIS B
Age: 1.33
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Pyrexia, Rash
Clinical narrative: Rash and high fever
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Nerve compression, Pain in extremity
Clinical narrative: Patient next day went to ER because of pain in arm (doctors thought pinched nerve) and after a week developed shingles
Age: 64.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given a second shot when current CDC recommendations include only one, no side effects
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Reaction recorded by facility. Left arm erythema, mild edema, and pain. One other note, but I am unable to read the healthcare workers handwriting.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Caesarean section, Carpal tunnel syndrome, Duchenne muscular dystrophy gene carrier, Exposure during pregnancy, Food aversion
Clinical narrative: Mom conceived on 4/17/21 and delivered at 39 weeks. Mom experienced carpal tunnel, food aversions, sleep paralysis, and nausea during pregnancy. Labor was induced and began and ended in an emergency c-section. Baby was 6lbs9oz at birth. Baby was delayed with sitting independently (11 months) and walking (19 months) and is still unable to jump or run at 3yrs3mos. He requires assistance moving up and down stairs. He was diagnosed with Duchenne muscular dystrophy on 10/23/24, with an exon deletion of 3-44. Mom was diagnosed as a carrier of the same mutation on 11/14/24. Maternal grandmother tested negative.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gene mutation identification test positive, Induced labour, Nausea, Neonatal disorder, Sleep paralysis
Clinical narrative: Mom conceived on 4/17/21 and delivered at 39 weeks. Mom experienced carpal tunnel, food aversions, sleep paralysis, and nausea during pregnancy. Labor was induced and began and ended in an emergency c-section. Baby was 6lbs9oz at birth. Baby was delayed with sitting independently (11 months) and walking (19 months) and is still unable to jump or run at 3yrs3mos. He requires assistance moving up and down stairs. He was diagnosed with Duchenne muscular dystrophy on 10/23/24, with an exon deletion of 3-44. Mom was diagnosed as a carrier of the same mutation on 11/14/24. Maternal grandmother tested negative.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Magnetic resonance imaging normal, Transient ischaemic attack
Clinical narrative: 1 hour after receiving the vaccination, I had a TIA (transient ischemic attack.)
Age: 37.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia, Burning sensation
Clinical narrative: Pt reports ongoing shoulder pain since the vaccine was administered, which has not dissipated over time. States it "burned excruciatingly" when administered but she wasn't sure if that was normal for HPV vaccine, as this was her first dose. States she recalls thinking at the time that it was administered very high up on her arm. States pain is not debilitating,  but that its significant enough to wake her up at night and affects ability to do certain activities. Pt was treated with lidocaine patch and Medrol Dosepack steroids, with some relief. Pt has been evaluated and treated in Physical therapy, starting 9/3/24. Rates pain between a 1-7 at it's best/worst.  PT describes as "pain along rotator cuff referral pattern, does not go to or past elbow. Abduction more painful than flexion. Abduction  pain at shoulder height and above."
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient had hives that were unrelieved by benadryl. Patient reported that she had a reaction in past to flu vaccine, but did not attribute reaction to vaccine at that time so was not on her record. Provider gave atarax 25mg tablet and a decadron shot 10mg.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Cold-stimulus headache, Electric shock sensation, Influenza like illness
Clinical narrative: Ice Cream headache and shocking sensation to my nervous system. Cold sweats and weakness.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Small fibre neuropathy
Clinical narrative: Ice Cream headache and shocking sensation to my nervous system. Cold sweats and weakness.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Addison's disease, Adrenocortical insufficiency acute
Clinical narrative: Addison disease from Pfizer vaccine was hospitalized for 11 days with addisonion crisis from
Sex: F
Vaccine: PNC21
Symptoms: Asthenia, Fatigue, Nausea, Pyrexia, Vomiting
Clinical narrative: HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; This spontaneous report was received from a physician and refers to a 74-year-old female patient.   The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported.   On 07-Mar-2025, the patient started therapy with Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE), dose number 1, administered by Intramuscular route (lot # and expiration date were not reported) for routine vaccination.  On 07-Mar-2025, the patient experienced nausea, vomiting, fatigue, weakness (asthenia) and a fever (pyrexia).   At the reporting time, the patient had not recovered from the events.   The causal relationship between the events and Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE) was unknown.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling  about 2 in diameter to Right thigh, warmth to touch.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event occurred. On 3/20/25, the patient (8 years old) had appointment at 4:30 PM, and was brought in by his mother to receive vaccines. The mother did not know which vaccines her child needed, but brought in a form from the patient's school with a list of required vaccines, as well as the patient's vaccination record. The pharmacist reviewed the list and vaccination record, and determined that the patient had not yet received the 5th dose of Daptacel (DTaP). The school-required vaccines also indicated that the patient needed a 5th dose of DTaP. The pharmacist informed the patient's mother that he would be receiving Daptacel, and proceeded to check-in the patient and prepare the vaccine. The patient received the Daptacel vaccine 0.5 mL intramuscularly in the left deltoid.  After the patient and his mother left, the pharmacy clerk attempted to complete the appointment. However, she was not able to select Daptacel as the product used. On the following day, 3/21/25, the pharmacist opened a ticket to see why we were not able to select the vaccine.  informed us that we were not able to select Daptacel because it is only indicated for patients ages 6 months to 6 years old. After reviewing CDC guidelines, the pharmacist determined that the patient was actually indicated for Tdap, and should have received Adacel or Boostrix, instead of Daptacel. However, CDC guidelines also state that Daptacel is still valid for a patient in his age group, and that the patient can then receive a booster of Adacel or Boostrix once he turns 11 years old.  The pharmacist called the patient?s mother using the telephone interpreter service (the patient?s mother only speaks Spanish). The pharmacist informed the patient?s mother of the mistake, and the patient?s mother was understanding and said ?Okay.? The pharmacist also received the patient?s PCP information from his mother and informed the PCP office of the mistake.  For error prevention in the future, the pharmacist will thoroughly check CDC guidelines and age recommendations, and will not administer vaccines unless they are indicated for the patient?s age group.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever and vomiting
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Varicella vaccine given on 3/18/2025 did not realize that patient was already given the MMR 3/01/2025
Age: 56.0
Sex: F
Vaccine: PNC21
Symptoms: Asthenia, Burning sensation, Dry mouth, Dysphagia, Lymphadenopathy
Clinical narrative: Burning going through right and the up the left. I let the nurse know who stated it was normal and i waited in the room for 15 mins. I took a sip of water and i could no swallow. After 15 min i was fine. I went home and an hour later i felt weak in the knees and then i felt like i could not swallow again and my husband took me to the ER. And then everything started to feel better but the doctor stated my lymphoid was swollen which is might be the reason i can not swallow. And he told me to do a follow. My mouth felt super dry and i started having crustiest on the outside of my mouth.
Age: 56.0
Sex: F
Vaccine: PNC21
Symptoms: Renal cancer
Clinical narrative: Burning going through right and the up the left. I let the nurse know who stated it was normal and i waited in the room for 15 mins. I took a sip of water and i could no swallow. After 15 min i was fine. I went home and an hour later i felt weak in the knees and then i felt like i could not swallow again and my husband took me to the ER. And then everything started to feel better but the doctor stated my lymphoid was swollen which is might be the reason i can not swallow. And he told me to do a follow. My mouth felt super dry and i started having crustiest on the outside of my mouth.
Age: 0.17
Sex: M
Vaccine: TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given Boostrix at 2 months of age instead of Vaxelis vaccine. Patient did not show any signs or symptoms of adverse reaction at time of administration. Patient was discharged from clinic after being observed and cleared by Dr.
Age: 52.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Swelling and redness, approximately 7 cm in size, were reported in the left armpit, the same side as the MMR vaccine administration (03/19/25) . The individual also experienced pain when touched, with symptoms beginning on the same day as the vaccine
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient reported a painful rash that developed the next day that has gotten smaller in size and pain as the days progressed.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Pericarditis
Clinical narrative: Pericarditis, treated with ibuprofen outpatient, no symptoms after 5 days
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bicarbonate increased, Blood electrolytes, Blood lactic acid, Blood pH decreased, Brain natriuretic peptide increased
Clinical narrative: Patient experienced new onset diagnosis, "it looks like viral myocarditis" and was hospitalized in the ICU for this.  The timing is related to receipt of his COVID vaccine on 3/14/2025, but onset of symptoms started before the vaccine.  It is unknown whether there is any causality since patient has had respiratory symptoms for approximately 2 weeks, and received the vaccine during his worsening respiratory symptoms.  The cough and SOB may have been related to myocarditis prior to receiving the vaccine, due to recent suspected viral illness.  The timing of the vaccine vs. viral exposure with sick contact clouds the picture.  Patient also has longstanding 40py history of smoking and was diagnosed with a COPD exacerbation, and likely OSA.  The heart failure with EF 11% is NYHA Class IV, Stage C, new onset.  More details from H&P: "63 y.o. year-old male with unknown past medical history who presented with shortness of breath.  Patient has not seen a physician in many years and has not been on any medications at home.  Patient states that he was in his usual state of health up until 2 weeks ago when he developed had a cough.  He states that his granddaughter was also sick with similar symptoms around the same time.  He states that he received COVID-19 vaccine on 3/16 and since then has been having symptoms of cough and shortness of breath.  He states that shortness of breath has been getting progressively worse and so he came to the ED for further evaluation. In the ED, patient was noted to be tachycardic, tachypneic and hypoxic with SpO2 of 53 on room air.  He was subsequently started on 5 L of oxygen via nasal cannula.  Electrolytes showed elevated CO2 consistent with chronic CO2 retention.  ABG showed pH 7.26, pCO2 85.7, HCO3 38.5, lactate 0.7. Patient was started on breathing treatments.  She was called due to respiratory distress and patient was transferred to the ICU.  In ICU patient was started on BiPAP. Further evaluation with echocardiogram showed patient has EF of 11% with global LV hypokinesis and grade 2 diastolic dysfunction.  Cardiology has been consulted for management of heart failure with severely reduced EF. Patient denies any family history of cardiac events. Brother, mother and Sister all died from lung cancer. He does state he gets chest pain and shortness of breath with any physical exertion fro the last 3 months. He also endorses snoring and feeling not well rested after sleeping."
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide increased, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Diastolic dysfunction
Clinical narrative: Patient experienced new onset diagnosis, "it looks like viral myocarditis" and was hospitalized in the ICU for this.  The timing is related to receipt of his COVID vaccine on 3/14/2025, but onset of symptoms started before the vaccine.  It is unknown whether there is any causality since patient has had respiratory symptoms for approximately 2 weeks, and received the vaccine during his worsening respiratory symptoms.  The cough and SOB may have been related to myocarditis prior to receiving the vaccine, due to recent suspected viral illness.  The timing of the vaccine vs. viral exposure with sick contact clouds the picture.  Patient also has longstanding 40py history of smoking and was diagnosed with a COPD exacerbation, and likely OSA.  The heart failure with EF 11% is NYHA Class IV, Stage C, new onset.  More details from H&P: "63 y.o. year-old male with unknown past medical history who presented with shortness of breath.  Patient has not seen a physician in many years and has not been on any medications at home.  Patient states that he was in his usual state of health up until 2 weeks ago when he developed had a cough.  He states that his granddaughter was also sick with similar symptoms around the same time.  He states that he received COVID-19 vaccine on 3/16 and since then has been having symptoms of cough and shortness of breath.  He states that shortness of breath has been getting progressively worse and so he came to the ED for further evaluation. In the ED, patient was noted to be tachycardic, tachypneic and hypoxic with SpO2 of 53 on room air.  He was subsequently started on 5 L of oxygen via nasal cannula.  Electrolytes showed elevated CO2 consistent with chronic CO2 retention.  ABG showed pH 7.26, pCO2 85.7, HCO3 38.5, lactate 0.7. Patient was started on breathing treatments.  She was called due to respiratory distress and patient was transferred to the ICU.  In ICU patient was started on BiPAP. Further evaluation with echocardiogram showed patient has EF of 11% with global LV hypokinesis and grade 2 diastolic dysfunction.  Cardiology has been consulted for management of heart failure with severely reduced EF. Patient denies any family history of cardiac events. Brother, mother and Sister all died from lung cancer. He does state he gets chest pain and shortness of breath with any physical exertion fro the last 3 months. He also endorses snoring and feeling not well rested after sleeping."
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Heart failure with reduced ejection fraction, Hypercapnia
Clinical narrative: Patient experienced new onset diagnosis, "it looks like viral myocarditis" and was hospitalized in the ICU for this.  The timing is related to receipt of his COVID vaccine on 3/14/2025, but onset of symptoms started before the vaccine.  It is unknown whether there is any causality since patient has had respiratory symptoms for approximately 2 weeks, and received the vaccine during his worsening respiratory symptoms.  The cough and SOB may have been related to myocarditis prior to receiving the vaccine, due to recent suspected viral illness.  The timing of the vaccine vs. viral exposure with sick contact clouds the picture.  Patient also has longstanding 40py history of smoking and was diagnosed with a COPD exacerbation, and likely OSA.  The heart failure with EF 11% is NYHA Class IV, Stage C, new onset.  More details from H&P: "63 y.o. year-old male with unknown past medical history who presented with shortness of breath.  Patient has not seen a physician in many years and has not been on any medications at home.  Patient states that he was in his usual state of health up until 2 weeks ago when he developed had a cough.  He states that his granddaughter was also sick with similar symptoms around the same time.  He states that he received COVID-19 vaccine on 3/16 and since then has been having symptoms of cough and shortness of breath.  He states that shortness of breath has been getting progressively worse and so he came to the ED for further evaluation. In the ED, patient was noted to be tachycardic, tachypneic and hypoxic with SpO2 of 53 on room air.  He was subsequently started on 5 L of oxygen via nasal cannula.  Electrolytes showed elevated CO2 consistent with chronic CO2 retention.  ABG showed pH 7.26, pCO2 85.7, HCO3 38.5, lactate 0.7. Patient was started on breathing treatments.  She was called due to respiratory distress and patient was transferred to the ICU.  In ICU patient was started on BiPAP. Further evaluation with echocardiogram showed patient has EF of 11% with global LV hypokinesis and grade 2 diastolic dysfunction.  Cardiology has been consulted for management of heart failure with severely reduced EF. Patient denies any family history of cardiac events. Brother, mother and Sister all died from lung cancer. He does state he gets chest pain and shortness of breath with any physical exertion fro the last 3 months. He also endorses snoring and feeling not well rested after sleeping."
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Obstructive sleep apnoea syndrome, PCO2 increased, Positive airway pressure therapy
Clinical narrative: Patient experienced new onset diagnosis, "it looks like viral myocarditis" and was hospitalized in the ICU for this.  The timing is related to receipt of his COVID vaccine on 3/14/2025, but onset of symptoms started before the vaccine.  It is unknown whether there is any causality since patient has had respiratory symptoms for approximately 2 weeks, and received the vaccine during his worsening respiratory symptoms.  The cough and SOB may have been related to myocarditis prior to receiving the vaccine, due to recent suspected viral illness.  The timing of the vaccine vs. viral exposure with sick contact clouds the picture.  Patient also has longstanding 40py history of smoking and was diagnosed with a COPD exacerbation, and likely OSA.  The heart failure with EF 11% is NYHA Class IV, Stage C, new onset.  More details from H&P: "63 y.o. year-old male with unknown past medical history who presented with shortness of breath.  Patient has not seen a physician in many years and has not been on any medications at home.  Patient states that he was in his usual state of health up until 2 weeks ago when he developed had a cough.  He states that his granddaughter was also sick with similar symptoms around the same time.  He states that he received COVID-19 vaccine on 3/16 and since then has been having symptoms of cough and shortness of breath.  He states that shortness of breath has been getting progressively worse and so he came to the ED for further evaluation. In the ED, patient was noted to be tachycardic, tachypneic and hypoxic with SpO2 of 53 on room air.  He was subsequently started on 5 L of oxygen via nasal cannula.  Electrolytes showed elevated CO2 consistent with chronic CO2 retention.  ABG showed pH 7.26, pCO2 85.7, HCO3 38.5, lactate 0.7. Patient was started on breathing treatments.  She was called due to respiratory distress and patient was transferred to the ICU.  In ICU patient was started on BiPAP. Further evaluation with echocardiogram showed patient has EF of 11% with global LV hypokinesis and grade 2 diastolic dysfunction.  Cardiology has been consulted for management of heart failure with severely reduced EF. Patient denies any family history of cardiac events. Brother, mother and Sister all died from lung cancer. He does state he gets chest pain and shortness of breath with any physical exertion fro the last 3 months. He also endorses snoring and feeling not well rested after sleeping."
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, Tachycardia, Tachypnoea, Ventricular hypokinesia, Viral myocarditis
Clinical narrative: Patient experienced new onset diagnosis, "it looks like viral myocarditis" and was hospitalized in the ICU for this.  The timing is related to receipt of his COVID vaccine on 3/14/2025, but onset of symptoms started before the vaccine.  It is unknown whether there is any causality since patient has had respiratory symptoms for approximately 2 weeks, and received the vaccine during his worsening respiratory symptoms.  The cough and SOB may have been related to myocarditis prior to receiving the vaccine, due to recent suspected viral illness.  The timing of the vaccine vs. viral exposure with sick contact clouds the picture.  Patient also has longstanding 40py history of smoking and was diagnosed with a COPD exacerbation, and likely OSA.  The heart failure with EF 11% is NYHA Class IV, Stage C, new onset.  More details from H&P: "63 y.o. year-old male with unknown past medical history who presented with shortness of breath.  Patient has not seen a physician in many years and has not been on any medications at home.  Patient states that he was in his usual state of health up until 2 weeks ago when he developed had a cough.  He states that his granddaughter was also sick with similar symptoms around the same time.  He states that he received COVID-19 vaccine on 3/16 and since then has been having symptoms of cough and shortness of breath.  He states that shortness of breath has been getting progressively worse and so he came to the ED for further evaluation. In the ED, patient was noted to be tachycardic, tachypneic and hypoxic with SpO2 of 53 on room air.  He was subsequently started on 5 L of oxygen via nasal cannula.  Electrolytes showed elevated CO2 consistent with chronic CO2 retention.  ABG showed pH 7.26, pCO2 85.7, HCO3 38.5, lactate 0.7. Patient was started on breathing treatments.  She was called due to respiratory distress and patient was transferred to the ICU.  In ICU patient was started on BiPAP. Further evaluation with echocardiogram showed patient has EF of 11% with global LV hypokinesis and grade 2 diastolic dysfunction.  Cardiology has been consulted for management of heart failure with severely reduced EF. Patient denies any family history of cardiac events. Brother, mother and Sister all died from lung cancer. He does state he gets chest pain and shortness of breath with any physical exertion fro the last 3 months. He also endorses snoring and feeling not well rested after sleeping."
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt received the vaccine Pentacel in error instead of Quadracel that was needed for their age/Vaccination requirement. Verified with DOH that patient does not need repeated Dtap/IPV d/t the timing of the vaccine being out of age range recommendation for vaccine.
Age: 10.0
Sex: M
Vaccine: HPV9
Symptoms: No adverse event
Clinical narrative: none
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Disorientation, Malaise, Poor quality sleep, Pyrexia, Screaming
Clinical narrative: On 3-22-25 he had a fever and possible febrile seizure.  He slept poorly on Friday. On Saturday at family members house mother suspected he wasn't feeling good and a bit warm. However that nigh he woke up 45 mins later somewhat disoriented. First thing mom noted that his hands started to shake. He then had his whole body was shaking. He then had a high pitched scream. Father picked him up and he continued to have some shaking. Eyes were staring blankly. No LOC. He did not pee himself, he is potty trained. All in all the shaking was < 5 mins. No vomiting. No color change. He was seen in the office and well appearing. He had a normal neurological exam. Family was advised to watch for future events.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Skin warm, Staring, Streptococcus test negative, Tremor
Clinical narrative: On 3-22-25 he had a fever and possible febrile seizure.  He slept poorly on Friday. On Saturday at family members house mother suspected he wasn't feeling good and a bit warm. However that nigh he woke up 45 mins later somewhat disoriented. First thing mom noted that his hands started to shake. He then had his whole body was shaking. He then had a high pitched scream. Father picked him up and he continued to have some shaking. Eyes were staring blankly. No LOC. He did not pee himself, he is potty trained. All in all the shaking was < 5 mins. No vomiting. No color change. He was seen in the office and well appearing. He had a normal neurological exam. Family was advised to watch for future events.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Pharyngeal swelling, Pruritus, Swelling, Swelling face
Clinical narrative: Swollen face & neck/throat & itchiness were the symptoms. I went to urgent care and was prescribed over the counter Benadryl & and EpiPen & prednisone
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Hypopnoea, Pallor, Sepsis
Clinical narrative: RESIDENT NOTED WITH CHANGE IN CONDITION EVENT ON 3/22/2025 1330- OXYGEN SATURATION @85%  ON 2L OXYGEN VIA NASAL CANNULA, SHALLOW RESPIRATONS, SKIN COLOR NOTED TO BE PALE. VITAL SIGNS: BP 117/66, P 121 (IRREGULAR), RR 12, T 97.2, SPO2 85% VIA 2L NC, BS 191. NON-REBREATHER MASK PLACED ON RESIDENT WITH O2 SATURATION AT 100%. MD NOTIFIED WITH ORDER TO TRANSFER RESIDENT TO HOSPITAL FOR FURTHER EVALUATION, RESIDENT TRANSFERRED TO HOSPITAL WITH DX OF SEPSIS.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Aphonia, Condition aggravated, Eyelid discolouration, Swelling of eyelid, Tinnitus
Clinical narrative: Both eyelids swollen and discolored; total loss of voice. Was advised to take 25mg diphenhydramine and 10mg Zyrtec. In ER was given 40mg prednisone PO and observed for several hours. Was discharged when voice started to return. Sent home on diphenhydramine 50mg PO q6h x 1week, Zyrtec 10mg q24h x 1 month, prednisone 50mg q24h x 5 additional days, famotidine 20mg q24h. Personal MD recommended using diphenhydramine PRN instead of q6h. Also recommended continuing prednisone 10mg  q24h for 1 month following the 5 days of 50mg. Advised to continue the Zyrtec and famotidine for that month. Since then tinnitus is louder.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Aphonia, Erythema, Eye swelling, Eyelid oedema, Ocular hyperaemia
Clinical narrative: Both eyelids swollen and discolored; total loss of voice. Was advised to take 25mg diphenhydramine and 10mg Zyrtec. In ER was given 40mg prednisone PO and observed for several hours. Was discharged when voice started to return. Sent home on diphenhydramine 50mg PO q6h x 1week, Zyrtec 10mg q24h x 1 month, prednisone 50mg q24h x 5 additional days, famotidine 20mg q24h. Personal MD recommended using diphenhydramine PRN instead of q6h. Also recommended continuing prednisone 10mg  q24h for 1 month following the 5 days of 50mg. Advised to continue the Zyrtec and famotidine for that month. Since then tinnitus is louder.
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling at injection site
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Hypopnoea, Oedema peripheral, Pallor, Respiratory failure, Use of accessory respiratory muscles
Clinical narrative: ON 3/23/2025 @1830 RESIDENT NOTED WITH SHALLOW RESPIRATIONS W/ USE OF ACCESSORY MUSCLES. VS: BP 134/93, P 60 REGULAR, RR 12, T 97.3 SPO2 100% ON 2L VIA NON-REBREATHER MASK,  PALE SKIN, RESIDENT NOTED WITH +1 BILATERAL EDEMA TO LEGS. MD NOTIFIED WITH ORDER TO TRANSFER TO HOSPITAL FOR FURTHER EVALUATION. DX OF RESPIRATORY FAILURE @ HOSPITAL.
Age: 0.25
Sex: F
Vaccine: RV1
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was started on immunization series 5 days outside of schedule guidelines.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient was given another flu shot, she was given one initially 10/17/2024
Age: 77.0
Sex: F
Vaccine: COVID19, PPV, TDAP, TYP
Symptoms: Extra dose administered
Clinical narrative: CLIENT HAD RECEIVED THE SAME VACCINE PREVIOUSLY ON 09/23/2024, THIS WASN'T SEEN IN HER CHART OF PREVIOUS RECORDS AND INADVERTANTLY GIVEN A SECOND TIME
Age: 0.5
Sex: F
Vaccine: HEPA
Symptoms: No adverse event, Wrong patient
Clinical narrative: No adverse events.  Will be monitoring the baby.  This baby, who is 6 months old, inadvertently received Hep A, which was meant for another child.  The was baby is doing well.  Baby was supposed to receive Pediarix PCV & HIB.  Instead, she received Hep A DTaP PCV.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood thyroid stimulating hormone, Diarrhoea, Feeling cold, Full blood count, Glycosylated haemoglobin
Clinical narrative: Reports fever, vomiting, diarrhea, headache, and hallucinations about 5 hours after injection. Needing several blankets to be warm. Her husband reported "she was talking to things that weren't there."
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Hallucination, Headache, Lumbar puncture, Metabolic function test, Pyrexia
Clinical narrative: Reports fever, vomiting, diarrhea, headache, and hallucinations about 5 hours after injection. Needing several blankets to be warm. Her husband reported "she was talking to things that weren't there."
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Vitamin D, Vomiting
Clinical narrative: Reports fever, vomiting, diarrhea, headache, and hallucinations about 5 hours after injection. Needing several blankets to be warm. Her husband reported "she was talking to things that weren't there."
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Anxiety, Dyskinesia, Fear, Tremor
Clinical narrative: tremors, vibration in the body, shaking, anxiety, fear, uncontrollable body movements,
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: Slight nausea
Age: 54.0
Sex: M
Vaccine: PNC20
Symptoms: Headache, Sinus congestion
Clinical narrative: Patient claiming Sinus congestion; Headache when lay down after immunization, especially when he lays down; Recommended using cetirizine for a week, but no improvement per patient at the moment
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Infant irritability, Injection site erythema, Injection site pruritus, Rash
Clinical narrative: Patient developed redness and itching around the vaccine sites within 5 minutes of injection. She was more irritable than she typically is following vaccines. The reaction was limited to ~ 4 inches around the injection site. Patient was treated with oral Benadryl in office and monitored for 30 minutes with improvement in itching, fussiness, and rash.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: He received 2 shots one in each arm on Friday 3/14/25. The right arm started showing symptoms on Saturday 3/15/25 around 8pm. His right arm had swollen tremendously from his shoulder to his elbow. His skin was hot and red, stiff, and when you touched his arm it was completely hard.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Musculoskeletal stiffness
Clinical narrative: He received 2 shots one in each arm on Friday 3/14/25. The right arm started showing symptoms on Saturday 3/15/25 around 8pm. His right arm had swollen tremendously from his shoulder to his elbow. His skin was hot and red, stiff, and when you touched his arm it was completely hard.
Age: 0.33
Sex: F
Vaccine: RV5
Symptoms: Vomiting
Clinical narrative: patient vomiting during administering.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Injection site erythema, Rash
Clinical narrative: Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Abdominal Pain-Medium, Additional Details: Redness at Injection Site of injection
Age: 83.0
Sex: F
Vaccine: RSV
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Other Vaccines:  VaccineTypeBrand: pneumovax; Manufacturer: merck; LotNumber: y016291; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Headache, Injection site pain, Nausea, Pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Additional Details: pt says she felt nauseated, sore, and someone was standing on her head., Other Vaccines:  VaccineTypeBrand: hepslav b; Manufacturer: dynax; LotNumber: 945662; Route: im; BodySite: left; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: boostrix; Manufacturer: glaskosmith cline; LotNumber: 7kd5d; Route: im; BodySite: left; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: capvaxine; Manufacturer: merck; LotNumber: y013009; Route: im; BodySite: left; Dose: ; VaxDate: UNKNOWN
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Patient said it was onl mild. her arm is still red at the site of the injection but she reported tat it's getting better and 1 advised her to use benadryl and talk to her doctor. and to call 911 if symptoms are getting worse
Age: 58.0
Sex: F
Vaccine: MMR
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild