chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Rectal haemorrhage, Red blood cell transfusion, Tachycardia, Tremor
Clinical narrative: Admit date: 1/9/2024  Discharge AMA date: 01/11/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: MD  Reason for Admission: Acute blood loss anemia, concern for upper and lower GI bleed   Brief Summary of Hospital Stay:As per H&P Patient is a 35 YO male with h/o alcoholic cirrhosis, portal hypertensive gastropathy, coagulopathy, recurrent pancreatitis, macrocytic anemia, tobacco use disorder, anxiety, and mild intermittent asthma presenting with bright red blood per rectum and gum bleeding that began this morning. Patient report once episode of bleeding during BM. Rectal exam in the ED significant for maroon colored stool and melena. Patient denies any trauma to his mouth. Denies any history of lower GI bleeding and has never had a colonoscopy.   Patient admits last drink was 2 days ago. He has cut back use from a fifth per day to 1/2 a pint. Patient has required ICU level care for complicated alcohol withdrawal in the past. He currently admits to anxiety, lightheadedness, headache, nausea without vomiting, lower abdominal pain, low urine output and tremors. He denies hematemesis, epigastric pain, abdominal distention/swelling, or lower extremity swelling.   Patient reports he tried celexa for a month, but stopped due to increased anxiety. Reports compliance with other home medications.  On arrival to the ED, patient was tachycardic in the 120s. BP has remained stable.  Hospital Course: Patient was placed on octreotide and pantoprazole continuous infusion. He received 2 U PRBC, with improvement in H/H GI was consulted , Potential risks of endoscopic evaluation outweigh potential benefits at this time, EGD deferred. Diet was advanced to CLD.  On 1/11/24, was called to patient's bedside to address request to leave AMA. I had a detailed discussion with the patient involving the risks/benefits and alternatives to signing out AMA. The patient verbalized understanding of the presenting medical illness, treatment options, the risks, benefits and alternatives to treatment, admission and further  workup, including death or worsening of current condition causing permanent lifestyle changes and has decided to sign out AMA, regardless of above mentioned.   I advised the patient to return at any time for worsening symptoms and encouraged follow up with primary care doctor as soon as possible.  Patient is alert and oriented to person, place and time, with no suicidal or homicidal ideations. Patient has verbalized understanding of all risks including the risk of death and agreed to take full responsibility for the decision. Code Status: Current Code Status: Full Code Disposition:  Discharge against medical advice.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Urine output decreased
Clinical narrative: Admit date: 1/9/2024  Discharge AMA date: 01/11/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: MD  Reason for Admission: Acute blood loss anemia, concern for upper and lower GI bleed   Brief Summary of Hospital Stay:As per H&P Patient is a 35 YO male with h/o alcoholic cirrhosis, portal hypertensive gastropathy, coagulopathy, recurrent pancreatitis, macrocytic anemia, tobacco use disorder, anxiety, and mild intermittent asthma presenting with bright red blood per rectum and gum bleeding that began this morning. Patient report once episode of bleeding during BM. Rectal exam in the ED significant for maroon colored stool and melena. Patient denies any trauma to his mouth. Denies any history of lower GI bleeding and has never had a colonoscopy.   Patient admits last drink was 2 days ago. He has cut back use from a fifth per day to 1/2 a pint. Patient has required ICU level care for complicated alcohol withdrawal in the past. He currently admits to anxiety, lightheadedness, headache, nausea without vomiting, lower abdominal pain, low urine output and tremors. He denies hematemesis, epigastric pain, abdominal distention/swelling, or lower extremity swelling.   Patient reports he tried celexa for a month, but stopped due to increased anxiety. Reports compliance with other home medications.  On arrival to the ED, patient was tachycardic in the 120s. BP has remained stable.  Hospital Course: Patient was placed on octreotide and pantoprazole continuous infusion. He received 2 U PRBC, with improvement in H/H GI was consulted , Potential risks of endoscopic evaluation outweigh potential benefits at this time, EGD deferred. Diet was advanced to CLD.  On 1/11/24, was called to patient's bedside to address request to leave AMA. I had a detailed discussion with the patient involving the risks/benefits and alternatives to signing out AMA. The patient verbalized understanding of the presenting medical illness, treatment options, the risks, benefits and alternatives to treatment, admission and further  workup, including death or worsening of current condition causing permanent lifestyle changes and has decided to sign out AMA, regardless of above mentioned.   I advised the patient to return at any time for worsening symptoms and encouraged follow up with primary care doctor as soon as possible.  Patient is alert and oriented to person, place and time, with no suicidal or homicidal ideations. Patient has verbalized understanding of all risks including the risk of death and agreed to take full responsibility for the decision. Code Status: Current Code Status: Full Code Disposition:  Discharge against medical advice.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Eye pain, Feeding disorder, Headache, Insomnia
Clinical narrative: went to clinic dec 9th with headache. was told it was probably a tension headache. come back in 2 weeks if not better. Christmas was 2 weeks, so did not go back, but every other day i was having a headache in the upper right side of my face from about 10am-2pm.  I would take 1 tylenol to help with pain. headaches. the length of the headache increased. i also felt low energy most of december. Jan 5th the big flair up started. The pain in my right eye and above it was intense like a dagger. light and motion of the car were unbearable. couldn't eat or sleep. went to the ER on the 10th for pain relief. They gave me something and I was able to go home and eat something. Pain came back and i went back to my dark room.  I finally put the time line together, and realized it was the shingles shot. After that epiphany, the pain subsided, as the fear was gone. I was planning on going back to the ER, but the pain is diminished.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Photophobia, Primary stabbing headache, Tension headache
Clinical narrative: went to clinic dec 9th with headache. was told it was probably a tension headache. come back in 2 weeks if not better. Christmas was 2 weeks, so did not go back, but every other day i was having a headache in the upper right side of my face from about 10am-2pm.  I would take 1 tylenol to help with pain. headaches. the length of the headache increased. i also felt low energy most of december. Jan 5th the big flair up started. The pain in my right eye and above it was intense like a dagger. light and motion of the car were unbearable. couldn't eat or sleep. went to the ER on the 10th for pain relief. They gave me something and I was able to go home and eat something. Pain came back and i went back to my dark room.  I finally put the time line together, and realized it was the shingles shot. After that epiphany, the pain subsided, as the fear was gone. I was planning on going back to the ER, but the pain is diminished.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea
Clinical narrative: Admit date: 1/8/2024  Discharge date: 1/11/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge:  DO  Primary Care Physician: NP  Reason for Admission: Acute hypoxic respiratory failure due to COVID  Brief Summary of Hospital Stay: 65yoM hx CVA with residual deficits, smoker, seizure disorder and HTN presented from facility for dyspnea, found to be hypoxic and postive for COVID. Current smoker with no PFT on file but likely underlying COPD exacerbation. Treated with O2, steroids, and remdesivir. Weaned to room air in 48 hours and will finish 5 day course decadron.  Other issues: o Acute hypoxic respiratory failure due to COVID 19 and possible COPD exacerbation- no baseline O2 and no PFT on file, resolved, decadron 5d, ppi, remdesivir, wean O2 daily, scheduled inhalers o Hypertension- lisinopril, amlodipine, labetalol o Hx CVA with residual deficits- no recurrence, ASA o Seizure disorder- no activity, phenytoin o Gout with flare?- right knee, on allopurinol/colchicine, will continue and recommend outpatient taper/evaluation o Back pain, neuropathic- duloxetine o BPH- tamsulosin  PE: Constitutional: Non-ill appearing, in NAD  Cardiovascular: RRR.  No pedal edema noted bilaterally Pulmonary: CTA bilaterally, ?wheeze is more oropharyngeal transfer, no stridor, if he breaths more deliberate it resolves immediately, breath sounds normal Abdominal: Soft without tenderness  Neurological: Alert and oriented with chronic left arm contracture   Issues Requiring Follow Up: PCP for post hospital f/u Discharged to Home
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Extremity contracture, Gout, Hypoxia, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Admit date: 1/8/2024  Discharge date: 1/11/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge:  DO  Primary Care Physician: NP  Reason for Admission: Acute hypoxic respiratory failure due to COVID  Brief Summary of Hospital Stay: 65yoM hx CVA with residual deficits, smoker, seizure disorder and HTN presented from facility for dyspnea, found to be hypoxic and postive for COVID. Current smoker with no PFT on file but likely underlying COPD exacerbation. Treated with O2, steroids, and remdesivir. Weaned to room air in 48 hours and will finish 5 day course decadron.  Other issues: o Acute hypoxic respiratory failure due to COVID 19 and possible COPD exacerbation- no baseline O2 and no PFT on file, resolved, decadron 5d, ppi, remdesivir, wean O2 daily, scheduled inhalers o Hypertension- lisinopril, amlodipine, labetalol o Hx CVA with residual deficits- no recurrence, ASA o Seizure disorder- no activity, phenytoin o Gout with flare?- right knee, on allopurinol/colchicine, will continue and recommend outpatient taper/evaluation o Back pain, neuropathic- duloxetine o BPH- tamsulosin  PE: Constitutional: Non-ill appearing, in NAD  Cardiovascular: RRR.  No pedal edema noted bilaterally Pulmonary: CTA bilaterally, ?wheeze is more oropharyngeal transfer, no stridor, if he breaths more deliberate it resolves immediately, breath sounds normal Abdominal: Soft without tenderness  Neurological: Alert and oriented with chronic left arm contracture   Issues Requiring Follow Up: PCP for post hospital f/u Discharged to Home
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass
Clinical narrative: Patient received Comirnaty COVID vaccine on 11/13/2023. Around 12/28/2023, patient developed a small, cyst-like mass on right deltoid, slightly anterior.  No redness, no swelling, no drainage. No lesion or visual abnormalities. Patient seen by workplace occupational health FNP 1/11/2024, and due to it being greater than a month that the symptom began, FNP does not believe it to be vaccine related. Instructed patient to follow up with PCP in a couple weeks if the cyst persists.
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Cardiac stress test, Electrocardiogram, Laboratory test, Myocarditis, Pericarditis
Clinical narrative: Pericarditis/myocarditis
Age: 66.0
Sex: F
Vaccine: RSV
Symptoms: Pruritus
Clinical narrative: Patient called to report she had itching all over body last night and this morning after getting vaccine. Asked if she could use antihistamine to stop itching and rph conformed this was ok. Advised to seek emergency medical attention if rash/ hives or swelling develops and patient confirmed they understood but was not having those reactions, only itching.
Age: 4.0
Sex: M
Vaccine: FLUC4
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: First flu vaccine administered 11/17/2023 and second flu vaccine administered 12/08/2023. No adverse reactions.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Pulsatile Tinnitus
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given expired dose of vaccine. No adverse side effects noted. Patient advised to return to clinic for a viable dose.
Age: 63.0
Sex: M
Vaccine: FLUA4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Wrong dose of Medication was given. No adverse effects were noted.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY VACCINE SERIES
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired dose of vaccine.
Age: 3.0
Sex: M
Vaccine: PNC20
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine was for ages 5-11 years old, the patient was 3 years old at time of vaccination
Age: 72.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Contusion, Oral blood blister, Platelet count decreased
Clinical narrative: Started with bruising on the arms, abdomen, upper thighs and blood blisters in the mouth.  Patient went to her Primary Care Physician and was referred to a Hematologist.   Labwork revealed a decrease in platelets to 12,000.   She was treated with high dose steroids.   The following week the platelet levels dropped to 8,000.  Patient was then treated with Gammagard for 2 days and subsequently improved.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired pediatric dose of COVID vaccine. Patient returned to clinic for viable adult dose of COVID vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Mobility decreased, Muscular weakness, Pain, Pain in extremity
Clinical narrative: My left arm hurt immediately after injection, but that felt normal. I assumed it was normal for it to hurt for a few days, even a few weeks. But it still hurts today. It affects my ability to fully lift my arm. If I lift my arm above shoulder height it hurts. The pain is similar to feeling as if I just got the injection. My left arm is now weaker than my right when exercising or lifting things.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated
Age: 1.33
Sex: M
Vaccine: MENB
Symptoms: Wrong patient received product, Wrong product administered
Clinical narrative: pt was given bexsero vaccine that was meant for his mother, both patients were in the same room, vaccines in seperate boxes but bexsero was administered to patient accidentally by MD.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blood creatine phosphokinase normal, C-reactive protein normal, Differential white blood cell count normal, Feeling abnormal
Clinical narrative: Ever since she had Shingrix vaccine has had incredible side effects.  Says she is feeling awful and it is hard for her to get out of bed, pain from her neck to bottom of back. The worst pain comes when she is in bed.    This started a few weeks after the shot.  Patient has a history of back and leg pain that was being treated by pain management but severity seemed to increase a few weeks after receiving Shingrix vaccine.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Full blood count normal, Metabolic function test normal, Microscopy, Mobility decreased, Pain
Clinical narrative: Ever since she had Shingrix vaccine has had incredible side effects.  Says she is feeling awful and it is hard for her to get out of bed, pain from her neck to bottom of back. The worst pain comes when she is in bed.    This started a few weeks after the shot.  Patient has a history of back and leg pain that was being treated by pain management but severity seemed to increase a few weeks after receiving Shingrix vaccine.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Red blood cell sedimentation rate normal, Urine analysis normal
Clinical narrative: Ever since she had Shingrix vaccine has had incredible side effects.  Says she is feeling awful and it is hard for her to get out of bed, pain from her neck to bottom of back. The worst pain comes when she is in bed.    This started a few weeks after the shot.  Patient has a history of back and leg pain that was being treated by pain management but severity seemed to increase a few weeks after receiving Shingrix vaccine.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, X-ray limb
Clinical narrative: The patient states that her shoulder began to hurt after the vaccine was administered. Six weeks later the patient is still having pain.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: arm pain
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Back injury, Cold sweat, Contusion, Erythema, Lacrimation increased
Clinical narrative: Vaccine (HPV- Gardasil dose #2) administered L deltoid IM -Pt didn t convey any anxiousness during administration.  She was cooperative and tolerated procedure very well. Mom and I talked about checking out process and location of bathroom.  Pt noted she felt fine to go and patient, brother and mom left to check out down the hall. Per mom they booked next appt., mom used the bathroom across from checkout and while mom was in bathroom, patient was waiting outside the door passed out (approximately 8-10 minutes from administration)  and hit water cooler on the way down to the floor. Several staff members nearby immediately went to assist patient. When I arrived approximately thirty seconds later, the patient was attempting to sit up. Her skin felt clammy and she looked pale. She had a 2inch red mark on her upper back. A cool wet towel was applied around her neck and water/juice was offered to drink. RN asked patient when the last time she ate something and patient couldn t recall.  A wheelchair was obtained by a clinical staff member and I brought her back to the exam room. Pt sipped on water. I applied a cool ice pack to above her L eye. Pt had a quarter size light bruise appearing.   Overall, patient s skin returned back to her normal color within five minutes of initial passing out.  I went and notified Dr who went and examined patient. Dr gave her a lollipop, but patient did not consume it while in office.  Dr noted after exam to check on patient in 10-15 minutes and if feeling okay she was cleared to leave. Checked on patient 15 minutes later and patient was teary eyed. We sat and talked the next 10 minutes in regards to the incident and mom noted she was anxious all day about getting a shot.  Mom to call on 1/12/24 to follow up and update clinic on patient's status.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Vaccine (HPV- Gardasil dose #2) administered L deltoid IM -Pt didn t convey any anxiousness during administration.  She was cooperative and tolerated procedure very well. Mom and I talked about checking out process and location of bathroom.  Pt noted she felt fine to go and patient, brother and mom left to check out down the hall. Per mom they booked next appt., mom used the bathroom across from checkout and while mom was in bathroom, patient was waiting outside the door passed out (approximately 8-10 minutes from administration)  and hit water cooler on the way down to the floor. Several staff members nearby immediately went to assist patient. When I arrived approximately thirty seconds later, the patient was attempting to sit up. Her skin felt clammy and she looked pale. She had a 2inch red mark on her upper back. A cool wet towel was applied around her neck and water/juice was offered to drink. RN asked patient when the last time she ate something and patient couldn t recall.  A wheelchair was obtained by a clinical staff member and I brought her back to the exam room. Pt sipped on water. I applied a cool ice pack to above her L eye. Pt had a quarter size light bruise appearing.   Overall, patient s skin returned back to her normal color within five minutes of initial passing out.  I went and notified Dr who went and examined patient. Dr gave her a lollipop, but patient did not consume it while in office.  Dr noted after exam to check on patient in 10-15 minutes and if feeling okay she was cleared to leave. Checked on patient 15 minutes later and patient was teary eyed. We sat and talked the next 10 minutes in regards to the incident and mom noted she was anxious all day about getting a shot.  Mom to call on 1/12/24 to follow up and update clinic on patient's status.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated
Age: 0.33
Sex: F
Vaccine: HEP
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient came for 4 months visit. Hep B dose given along with Pediarix. Patient was supposed to get Hib.  Physician notified and physician spoke with the parents of the patient.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Depressed mood, Injection site reaction, Pyrexia, Rash, Rash erythematous
Clinical narrative: Patient experienced a low-grade fever and was feeling down the Saturday afternoon after receiving the vaccine. Starting on Sunday, she indicated that a rash that was itchy, painful, and red had developed at the injection site.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Rash pruritic
Clinical narrative: Patient experienced a low-grade fever and was feeling down the Saturday afternoon after receiving the vaccine. Starting on Sunday, she indicated that a rash that was itchy, painful, and red had developed at the injection site.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated
Age: 9.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given expired dose of COVID vaccine. No adverse side effects noted. Patient advised to return to clinic for a viable dose of COVID vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: Computerised tomogram thorax abnormal, Pulmonary embolism
Clinical narrative: patient donated blood on 1/9/24; received RSV and Covid vaccines on 1/10 and was admitted to the hospital on 1/11/24 with acute bilateral pulmonary emboli
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated
Age: 74.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Amnesia, Computerised tomogram head normal, Head injury, Loss of consciousness, Nystagmus
Clinical narrative: Patient had a syncopal episode that occurred one day after vaccination with Spikevax and Arexvy. Patient was in her home and was walking and then suddenly she blacked out, hitting her head multiple times on the way down and was taken to the hospital for evaluation at that time. Patient no longer has any residual effects.
Age: 74.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Syncope, Vertigo, Vomiting
Clinical narrative: Patient had a syncopal episode that occurred one day after vaccination with Spikevax and Arexvy. Patient was in her home and was walking and then suddenly she blacked out, hitting her head multiple times on the way down and was taken to the hospital for evaluation at that time. Patient no longer has any residual effects.
Age: 73.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Cerebral infarction, Cerebral small vessel ischaemic disease, Embolic stroke, Glycosylated haemoglobin increased, Low density lipoprotein increased
Clinical narrative: Developed Right LE weakness on Sunday, 1/7/24.  Saw his PCP on 1/11 and referred to ER for stroke like symptoms.  Per Stroke H&P:  "Assessment:  Patient is a 73 yr old male with PMH significant for HLD and anxiety. Here with acute infarct of right corona radiata and subacute infarct of right frontal lobe secondary to cardioembolic vs small vessel disease. LDL 169, A1c 5.1. TNK not given, outside of therapeutic window. "
Age: 73.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Muscular weakness, Neurological symptom
Clinical narrative: Developed Right LE weakness on Sunday, 1/7/24.  Saw his PCP on 1/11 and referred to ER for stroke like symptoms.  Per Stroke H&P:  "Assessment:  Patient is a 73 yr old male with PMH significant for HLD and anxiety. Here with acute infarct of right corona radiata and subacute infarct of right frontal lobe secondary to cardioembolic vs small vessel disease. LDL 169, A1c 5.1. TNK not given, outside of therapeutic window. "
Age: 62.0
Sex: F
Vaccine: RSV
Symptoms: Anxiety, Paraesthesia oral, Pharyngeal swelling, Swollen tongue
Clinical narrative: Patient received vaccine, took about 20 steps away from pharmacy and returned saying she was feeling slight throat swelling and lips tingling.  This was about 3-5 minutes at the most after vaccine was given.  She did not show any signs of trouble breathing.  She did say she felt the throat and tongue swelling worsening and asked for an Epi-pen which we administered in her thigh.  I offered to call EMS and she agreed.  She said the swelling seemed less almost immediately.   While waiting for the ambulance, she asked for a second Epi-pen as she said it was much worse.  We administered that and she said she did feel the effects but was very anxious for the squad to arrive.  They arrived around noon (about 15 to 20 minutes from call).  She immediately instructed the EMTs to get her to the nearest hospital as she said her airway was "eroding".  They loaded her on the stretcher and took her to the hospital.
Age: 21.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Eye irritation, Peripheral swelling, Pruritus, Rash
Clinical narrative: Rash on hands. Irritation, itchiness, and swelling of hands, mainly right hand.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Dizziness, Laboratory test
Clinical narrative: patient awoke at 1am on 12/28/23 to use the restroom.  patient with dizziness to and from bathroom.  patient with difficulty making a sentence, but no actual trouble with the words when he speaks.  no other neuro issues/generalized symptoms.    discussed possible stroke, but out of window of intervention and without other neuro issues, unlikely.  will monitor and go to Emergency Room if worsening, and at least call for apt tomorrow if not improved with rest.  Started empiric prednisone on 1/10/24 patient felt 90% normal on day 1, and started worsening 4-5 hours later.  back to prior feeling.  discussed that no treatment recommended for this issue.  if still having symptoms after prednisone course, patient to call and office to call pfizer for any data.
Age: 54.0
Sex: M
Vaccine: HEPAB
Symptoms: Urticaria
Clinical narrative: pt ad accine administered 12/21/2023 w/o  on 01/08/24 he reports breaking out in hives on the chest which then ran down his arms and legs 01/12/2024. t called the office to report possible reaction and requested this b reported to vares he reports no hx of vaccine reactions, he reports no topical reaction at the inj site
Age: 0.33
Sex: M
Vaccine: HIBV
Symptoms: Peripheral swelling
Clinical narrative: Pt had swelling on front of lower left leg
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient has received a pediatric dose of Engerix B.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Anion gap, Atrial fibrillation, Basophil count normal, Basophil percentage, Blood calcium normal
Clinical narrative: Patient is a 67 year old male with history of hypertension, hyperlipidemia, previous stress-induced cardiomyopathy, mitral valve regurgitation, presents to the ED for evaluation of chest pain palpitations.  He states that his discomfort started at precisely 12:38 AM today.  Described as a pressure throughout his entire chest.  He noticed that his heart was beating irregularly.  He felt slightly short of breath and his home pulse oximeter showed a pulse ox of 92 to 93%.  EMS was called.  He was advised to take a full dose aspirin which he did.  He was given half liter of normal saline in route.  On arrival, he states that he feels much better.  He can still sense that his heart is beating fast but he says it is not irregular anymore and it is not causing any chest discomfort.  He says he has never had this before.  Denies any leg swelling or recent travel.  He is not on any blood thinners. Patient is a ED for evaluation of palpitations.  On arrival he is profoundly tachycardic in the 150s to 160s with an irregularly irregular rhythm.  EKG shows A-fib with RVR.  Blood pressure stable at 123/77.  No immediate indication for emergent cardioversion. On return from x-ray, patient states that his palpitations immediately stopped.  When he was read hooked up to cardiac telemetry, was noted that he had spontaneous the converted without medication/intervention.  Repeat EKG shows rate of 88 without signs of acute ischemia or underlying cardiac dysrhythmia. Patient was monitored in the ED for a total of 4 hours.  After conversion, he has been completely symptom-free.  He is appropriate for discharge.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood potassium normal
Clinical narrative: Patient is a 67 year old male with history of hypertension, hyperlipidemia, previous stress-induced cardiomyopathy, mitral valve regurgitation, presents to the ED for evaluation of chest pain palpitations.  He states that his discomfort started at precisely 12:38 AM today.  Described as a pressure throughout his entire chest.  He noticed that his heart was beating irregularly.  He felt slightly short of breath and his home pulse oximeter showed a pulse ox of 92 to 93%.  EMS was called.  He was advised to take a full dose aspirin which he did.  He was given half liter of normal saline in route.  On arrival, he states that he feels much better.  He can still sense that his heart is beating fast but he says it is not irregular anymore and it is not causing any chest discomfort.  He says he has never had this before.  Denies any leg swelling or recent travel.  He is not on any blood thinners. Patient is a ED for evaluation of palpitations.  On arrival he is profoundly tachycardic in the 150s to 160s with an irregularly irregular rhythm.  EKG shows A-fib with RVR.  Blood pressure stable at 123/77.  No immediate indication for emergent cardioversion. On return from x-ray, patient states that his palpitations immediately stopped.  When he was read hooked up to cardiac telemetry, was noted that he had spontaneous the converted without medication/intervention.  Repeat EKG shows rate of 88 without signs of acute ischemia or underlying cardiac dysrhythmia. Patient was monitored in the ED for a total of 4 hours.  After conversion, he has been completely symptom-free.  He is appropriate for discharge.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Blood sodium normal, Blood urea normal, Brain natriuretic peptide normal, Carbon dioxide normal, Chest X-ray normal
Clinical narrative: Patient is a 67 year old male with history of hypertension, hyperlipidemia, previous stress-induced cardiomyopathy, mitral valve regurgitation, presents to the ED for evaluation of chest pain palpitations.  He states that his discomfort started at precisely 12:38 AM today.  Described as a pressure throughout his entire chest.  He noticed that his heart was beating irregularly.  He felt slightly short of breath and his home pulse oximeter showed a pulse ox of 92 to 93%.  EMS was called.  He was advised to take a full dose aspirin which he did.  He was given half liter of normal saline in route.  On arrival, he states that he feels much better.  He can still sense that his heart is beating fast but he says it is not irregular anymore and it is not causing any chest discomfort.  He says he has never had this before.  Denies any leg swelling or recent travel.  He is not on any blood thinners. Patient is a ED for evaluation of palpitations.  On arrival he is profoundly tachycardic in the 150s to 160s with an irregularly irregular rhythm.  EKG shows A-fib with RVR.  Blood pressure stable at 123/77.  No immediate indication for emergent cardioversion. On return from x-ray, patient states that his palpitations immediately stopped.  When he was read hooked up to cardiac telemetry, was noted that he had spontaneous the converted without medication/intervention.  Repeat EKG shows rate of 88 without signs of acute ischemia or underlying cardiac dysrhythmia. Patient was monitored in the ED for a total of 4 hours.  After conversion, he has been completely symptom-free.  He is appropriate for discharge.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram abnormal, Eosinophil count normal
Clinical narrative: Patient is a 67 year old male with history of hypertension, hyperlipidemia, previous stress-induced cardiomyopathy, mitral valve regurgitation, presents to the ED for evaluation of chest pain palpitations.  He states that his discomfort started at precisely 12:38 AM today.  Described as a pressure throughout his entire chest.  He noticed that his heart was beating irregularly.  He felt slightly short of breath and his home pulse oximeter showed a pulse ox of 92 to 93%.  EMS was called.  He was advised to take a full dose aspirin which he did.  He was given half liter of normal saline in route.  On arrival, he states that he feels much better.  He can still sense that his heart is beating fast but he says it is not irregular anymore and it is not causing any chest discomfort.  He says he has never had this before.  Denies any leg swelling or recent travel.  He is not on any blood thinners. Patient is a ED for evaluation of palpitations.  On arrival he is profoundly tachycardic in the 150s to 160s with an irregularly irregular rhythm.  EKG shows A-fib with RVR.  Blood pressure stable at 123/77.  No immediate indication for emergent cardioversion. On return from x-ray, patient states that his palpitations immediately stopped.  When he was read hooked up to cardiac telemetry, was noted that he had spontaneous the converted without medication/intervention.  Repeat EKG shows rate of 88 without signs of acute ischemia or underlying cardiac dysrhythmia. Patient was monitored in the ED for a total of 4 hours.  After conversion, he has been completely symptom-free.  He is appropriate for discharge.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Eosinophil percentage, Fibrin D dimer, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal
Clinical narrative: Patient is a 67 year old male with history of hypertension, hyperlipidemia, previous stress-induced cardiomyopathy, mitral valve regurgitation, presents to the ED for evaluation of chest pain palpitations.  He states that his discomfort started at precisely 12:38 AM today.  Described as a pressure throughout his entire chest.  He noticed that his heart was beating irregularly.  He felt slightly short of breath and his home pulse oximeter showed a pulse ox of 92 to 93%.  EMS was called.  He was advised to take a full dose aspirin which he did.  He was given half liter of normal saline in route.  On arrival, he states that he feels much better.  He can still sense that his heart is beating fast but he says it is not irregular anymore and it is not causing any chest discomfort.  He says he has never had this before.  Denies any leg swelling or recent travel.  He is not on any blood thinners. Patient is a ED for evaluation of palpitations.  On arrival he is profoundly tachycardic in the 150s to 160s with an irregularly irregular rhythm.  EKG shows A-fib with RVR.  Blood pressure stable at 123/77.  No immediate indication for emergent cardioversion. On return from x-ray, patient states that his palpitations immediately stopped.  When he was read hooked up to cardiac telemetry, was noted that he had spontaneous the converted without medication/intervention.  Repeat EKG shows rate of 88 without signs of acute ischemia or underlying cardiac dysrhythmia. Patient was monitored in the ED for a total of 4 hours.  After conversion, he has been completely symptom-free.  He is appropriate for discharge.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Heart rate irregular, Immature granulocyte count, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal
Clinical narrative: Patient is a 67 year old male with history of hypertension, hyperlipidemia, previous stress-induced cardiomyopathy, mitral valve regurgitation, presents to the ED for evaluation of chest pain palpitations.  He states that his discomfort started at precisely 12:38 AM today.  Described as a pressure throughout his entire chest.  He noticed that his heart was beating irregularly.  He felt slightly short of breath and his home pulse oximeter showed a pulse ox of 92 to 93%.  EMS was called.  He was advised to take a full dose aspirin which he did.  He was given half liter of normal saline in route.  On arrival, he states that he feels much better.  He can still sense that his heart is beating fast but he says it is not irregular anymore and it is not causing any chest discomfort.  He says he has never had this before.  Denies any leg swelling or recent travel.  He is not on any blood thinners. Patient is a ED for evaluation of palpitations.  On arrival he is profoundly tachycardic in the 150s to 160s with an irregularly irregular rhythm.  EKG shows A-fib with RVR.  Blood pressure stable at 123/77.  No immediate indication for emergent cardioversion. On return from x-ray, patient states that his palpitations immediately stopped.  When he was read hooked up to cardiac telemetry, was noted that he had spontaneous the converted without medication/intervention.  Repeat EKG shows rate of 88 without signs of acute ischemia or underlying cardiac dysrhythmia. Patient was monitored in the ED for a total of 4 hours.  After conversion, he has been completely symptom-free.  He is appropriate for discharge.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Mean cell volume normal, Metabolic function test normal, Monocyte count normal, Monocyte percentage increased, Neutrophil count normal
Clinical narrative: Patient is a 67 year old male with history of hypertension, hyperlipidemia, previous stress-induced cardiomyopathy, mitral valve regurgitation, presents to the ED for evaluation of chest pain palpitations.  He states that his discomfort started at precisely 12:38 AM today.  Described as a pressure throughout his entire chest.  He noticed that his heart was beating irregularly.  He felt slightly short of breath and his home pulse oximeter showed a pulse ox of 92 to 93%.  EMS was called.  He was advised to take a full dose aspirin which he did.  He was given half liter of normal saline in route.  On arrival, he states that he feels much better.  He can still sense that his heart is beating fast but he says it is not irregular anymore and it is not causing any chest discomfort.  He says he has never had this before.  Denies any leg swelling or recent travel.  He is not on any blood thinners. Patient is a ED for evaluation of palpitations.  On arrival he is profoundly tachycardic in the 150s to 160s with an irregularly irregular rhythm.  EKG shows A-fib with RVR.  Blood pressure stable at 123/77.  No immediate indication for emergent cardioversion. On return from x-ray, patient states that his palpitations immediately stopped.  When he was read hooked up to cardiac telemetry, was noted that he had spontaneous the converted without medication/intervention.  Repeat EKG shows rate of 88 without signs of acute ischemia or underlying cardiac dysrhythmia. Patient was monitored in the ED for a total of 4 hours.  After conversion, he has been completely symptom-free.  He is appropriate for discharge.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Neutrophil percentage, Palpitations, Platelet count normal, Red blood cell count normal, Red blood cell nucleated morphology
Clinical narrative: Patient is a 67 year old male with history of hypertension, hyperlipidemia, previous stress-induced cardiomyopathy, mitral valve regurgitation, presents to the ED for evaluation of chest pain palpitations.  He states that his discomfort started at precisely 12:38 AM today.  Described as a pressure throughout his entire chest.  He noticed that his heart was beating irregularly.  He felt slightly short of breath and his home pulse oximeter showed a pulse ox of 92 to 93%.  EMS was called.  He was advised to take a full dose aspirin which he did.  He was given half liter of normal saline in route.  On arrival, he states that he feels much better.  He can still sense that his heart is beating fast but he says it is not irregular anymore and it is not causing any chest discomfort.  He says he has never had this before.  Denies any leg swelling or recent travel.  He is not on any blood thinners. Patient is a ED for evaluation of palpitations.  On arrival he is profoundly tachycardic in the 150s to 160s with an irregularly irregular rhythm.  EKG shows A-fib with RVR.  Blood pressure stable at 123/77.  No immediate indication for emergent cardioversion. On return from x-ray, patient states that his palpitations immediately stopped.  When he was read hooked up to cardiac telemetry, was noted that he had spontaneous the converted without medication/intervention.  Repeat EKG shows rate of 88 without signs of acute ischemia or underlying cardiac dysrhythmia. Patient was monitored in the ED for a total of 4 hours.  After conversion, he has been completely symptom-free.  He is appropriate for discharge.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Red cell distribution width normal, Tachycardia, Thyroxine free normal, Troponin T normal, White blood cell count normal
Clinical narrative: Patient is a 67 year old male with history of hypertension, hyperlipidemia, previous stress-induced cardiomyopathy, mitral valve regurgitation, presents to the ED for evaluation of chest pain palpitations.  He states that his discomfort started at precisely 12:38 AM today.  Described as a pressure throughout his entire chest.  He noticed that his heart was beating irregularly.  He felt slightly short of breath and his home pulse oximeter showed a pulse ox of 92 to 93%.  EMS was called.  He was advised to take a full dose aspirin which he did.  He was given half liter of normal saline in route.  On arrival, he states that he feels much better.  He can still sense that his heart is beating fast but he says it is not irregular anymore and it is not causing any chest discomfort.  He says he has never had this before.  Denies any leg swelling or recent travel.  He is not on any blood thinners. Patient is a ED for evaluation of palpitations.  On arrival he is profoundly tachycardic in the 150s to 160s with an irregularly irregular rhythm.  EKG shows A-fib with RVR.  Blood pressure stable at 123/77.  No immediate indication for emergent cardioversion. On return from x-ray, patient states that his palpitations immediately stopped.  When he was read hooked up to cardiac telemetry, was noted that he had spontaneous the converted without medication/intervention.  Repeat EKG shows rate of 88 without signs of acute ischemia or underlying cardiac dysrhythmia. Patient was monitored in the ED for a total of 4 hours.  After conversion, he has been completely symptom-free.  He is appropriate for discharge.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Balance disorder, Erythema, Lethargy, Pain
Clinical narrative: Fever, location site swelling, redness, pain.  Generalized loss of balance.  Sever ringing in left ear, generalized lethargy which lasted about 1 year.  Tinitis has not resolved and intermittent vertigo has not resolved so I thought I should share this information to see if they are common side effects.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling, Tinnitus, Vertigo
Clinical narrative: Fever, location site swelling, redness, pain.  Generalized loss of balance.  Sever ringing in left ear, generalized lethargy which lasted about 1 year.  Tinitis has not resolved and intermittent vertigo has not resolved so I thought I should share this information to see if they are common side effects.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: Patient was administered Cominarty (NDC 00069-2362-10) past the BUD date of 10 weeks. The vaccine expired on 12/06/2023 but the patient received the vaccination on 12/22/2023. The manufacturer was contacted to determine stability of the vaccine and it was confirmed that there was no impact to vaccine quality attributes beyond 75 days. They also referred us to the CDC guidance on re-vaccination and CDC recommends "immediate re-vaccination without any interval". Patient was contacted regarding re-vaccination.  Patient is 6 months pregnant and therefore her OB-GYN contacted to obtain guidance about re-vaccination.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was administered Cominarty (NDC 00069-2362-10) past the BUD date of 10 weeks. The vaccine expired on 12/06/2023 but the patient received the vaccination on 01/02/2024. The manufacturer was contacted to determine stability of the vaccine and it was confirmed that there was no impact to vaccine quality attributes beyond 75 days. They also referred us to the CDC guidance on re-vaccination and CDC recommends "immediate re-vaccination without any interval". Patient was contacted regarding re-vaccination and he would be getting re-vaccinated
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered Cominarty (NDC 00069-2362-10) past the BUD date of 10 weeks. The vaccine expired on 12/06/2023 but the patient received the vaccination on 12/22/2023. The manufacturer was contacted to determine stability of the vaccine and it was confirmed that there was no impact to vaccine quality attributes beyond 75 days. They also referred us to the CDC guidance on re-vaccination and CDC recommends "immediate re-vaccination without any interval". Patient could not be reached to discuss re-vaccination at this time.
Age: 31.0
Sex: M
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered Cominarty (NDC 00069-2362-10) past the BUD date of 10 weeks. The vaccine expired on 12/06/2023 but the patient received the vaccination on 12/27/2023. The manufacturer was contacted to determine stability of the vaccine and it was confirmed that there was no impact to vaccine quality attributes beyond 75 days. They also referred us to the CDC guidance on re-vaccination and CDC recommends "immediate re-vaccination without any interval". Patient  was informed and would like to get re-vaccinated immediately.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered Cominarty (NDC 00069-2362-10) past the BUD date of 10 weeks. The vaccine expired on 12/06/2023 but the patient received the vaccination on 12/29/2023. The manufacturer was contacted to determine stability of the vaccine and it was confirmed that there was no impact to vaccine quality attributes beyond 75 days. They also referred us to the CDC guidance on re-vaccination and CDC recommends "immediate re-vaccination without any interval". Patient  was informed and would like to get re-vaccinated.