chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood potassium decreased, Blood thyroid stimulating hormone normal, COVID-19, Condition aggravated
Clinical narrative: Patient is a 64 y.o. female patient of, CNP with history of DM type 2 without insulin use, HTN, HLD and depression who presented to Doctors Hospital with shortness of breath and hypoxia. Problem based management in the hospital is as follows:   Acute respiratory failure with hypoxia, resolved Covid-19 Virus Infection Date of onset of symptoms: 10/10 Symptoms present on admission: Fatigue and shortness of breath.  Date of covid positive test: 10/13 Vaccination status: vaccinated Imaging: CTPA showed severe multivessel coronary calcifications.  0.7 cm noncalcified nodule and anterior lateral right mid chest, 0.4 cm stable noncalcified nodule in posterior medial left lower chest.  A 1.4 cm hypodense nodule within the left lobe of the thyroid gland. Oxygen requirements on admission: 2 L Current oxygen requirements: Room air Medical therapy: remdesivir and steroids while inpatient, discharged on steroid taper Consultants following: ID were consulted Anticipated special isolation end date: 10/20   Elevated troponin Likely related to COVID-19 infection Troponin 30 then 24, delta -6 EKG with mild ST depressions in lateral leads otherwise unremarkable. Patient denies any chest pain No further inpatient work-up indicated   Chronic back pain and left hip pain Reports acute aggravation over the last week or so Has history of previous back surgery with a scar but she is unable to explain what kind of surgery was She takes gabapentin 600 mg nightly, changed to 200 3 times daily for now. Recommend continued outpatient follow-up with surgery  Hypokalemia, resolved K3.4 on arrival Replaced Recheck tomorrow   Lung nodules Noted on CTPA as above Recommend repeat CT chest in 6 months   Thyroid nodule Noted on CTPA as above TSH WNL Recommend outpatient thyroid ultrasound   DM Type II without insulin use or complications Uncontrolled.  Takes metformin at home Held oral meds and SSI for now   Benign Essential HTN Takes amlodipine, Hyzaar at home Continue home meds Continue monitoring   Mixed Hyperlipidemia Continued home dose statin    GERD Continued home PPI   Anxiety and depression Continued home BuSpar, Depakote and Zoloft   Insomnia Continued home Ambien as needed   After 2 days of hospital stay, patient was doing well so he was discharged in stable condition. Advised to f/u with PCP and spine surgery. All questions and concerns were addressed before discharge.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Dyspnoea, Electrocardiogram ST segment depression, Essential hypertension, Fatigue
Clinical narrative: Patient is a 64 y.o. female patient of, CNP with history of DM type 2 without insulin use, HTN, HLD and depression who presented to Doctors Hospital with shortness of breath and hypoxia. Problem based management in the hospital is as follows:   Acute respiratory failure with hypoxia, resolved Covid-19 Virus Infection Date of onset of symptoms: 10/10 Symptoms present on admission: Fatigue and shortness of breath.  Date of covid positive test: 10/13 Vaccination status: vaccinated Imaging: CTPA showed severe multivessel coronary calcifications.  0.7 cm noncalcified nodule and anterior lateral right mid chest, 0.4 cm stable noncalcified nodule in posterior medial left lower chest.  A 1.4 cm hypodense nodule within the left lobe of the thyroid gland. Oxygen requirements on admission: 2 L Current oxygen requirements: Room air Medical therapy: remdesivir and steroids while inpatient, discharged on steroid taper Consultants following: ID were consulted Anticipated special isolation end date: 10/20   Elevated troponin Likely related to COVID-19 infection Troponin 30 then 24, delta -6 EKG with mild ST depressions in lateral leads otherwise unremarkable. Patient denies any chest pain No further inpatient work-up indicated   Chronic back pain and left hip pain Reports acute aggravation over the last week or so Has history of previous back surgery with a scar but she is unable to explain what kind of surgery was She takes gabapentin 600 mg nightly, changed to 200 3 times daily for now. Recommend continued outpatient follow-up with surgery  Hypokalemia, resolved K3.4 on arrival Replaced Recheck tomorrow   Lung nodules Noted on CTPA as above Recommend repeat CT chest in 6 months   Thyroid nodule Noted on CTPA as above TSH WNL Recommend outpatient thyroid ultrasound   DM Type II without insulin use or complications Uncontrolled.  Takes metformin at home Held oral meds and SSI for now   Benign Essential HTN Takes amlodipine, Hyzaar at home Continue home meds Continue monitoring   Mixed Hyperlipidemia Continued home dose statin    GERD Continued home PPI   Anxiety and depression Continued home BuSpar, Depakote and Zoloft   Insomnia Continued home Ambien as needed   After 2 days of hospital stay, patient was doing well so he was discharged in stable condition. Advised to f/u with PCP and spine surgery. All questions and concerns were addressed before discharge.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Hypokalaemia, Hypoxia, Insomnia, Pulmonary mass
Clinical narrative: Patient is a 64 y.o. female patient of, CNP with history of DM type 2 without insulin use, HTN, HLD and depression who presented to Doctors Hospital with shortness of breath and hypoxia. Problem based management in the hospital is as follows:   Acute respiratory failure with hypoxia, resolved Covid-19 Virus Infection Date of onset of symptoms: 10/10 Symptoms present on admission: Fatigue and shortness of breath.  Date of covid positive test: 10/13 Vaccination status: vaccinated Imaging: CTPA showed severe multivessel coronary calcifications.  0.7 cm noncalcified nodule and anterior lateral right mid chest, 0.4 cm stable noncalcified nodule in posterior medial left lower chest.  A 1.4 cm hypodense nodule within the left lobe of the thyroid gland. Oxygen requirements on admission: 2 L Current oxygen requirements: Room air Medical therapy: remdesivir and steroids while inpatient, discharged on steroid taper Consultants following: ID were consulted Anticipated special isolation end date: 10/20   Elevated troponin Likely related to COVID-19 infection Troponin 30 then 24, delta -6 EKG with mild ST depressions in lateral leads otherwise unremarkable. Patient denies any chest pain No further inpatient work-up indicated   Chronic back pain and left hip pain Reports acute aggravation over the last week or so Has history of previous back surgery with a scar but she is unable to explain what kind of surgery was She takes gabapentin 600 mg nightly, changed to 200 3 times daily for now. Recommend continued outpatient follow-up with surgery  Hypokalemia, resolved K3.4 on arrival Replaced Recheck tomorrow   Lung nodules Noted on CTPA as above Recommend repeat CT chest in 6 months   Thyroid nodule Noted on CTPA as above TSH WNL Recommend outpatient thyroid ultrasound   DM Type II without insulin use or complications Uncontrolled.  Takes metformin at home Held oral meds and SSI for now   Benign Essential HTN Takes amlodipine, Hyzaar at home Continue home meds Continue monitoring   Mixed Hyperlipidemia Continued home dose statin    GERD Continued home PPI   Anxiety and depression Continued home BuSpar, Depakote and Zoloft   Insomnia Continued home Ambien as needed   After 2 days of hospital stay, patient was doing well so he was discharged in stable condition. Advised to f/u with PCP and spine surgery. All questions and concerns were addressed before discharge.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thyroid mass, Troponin increased, Type 2 diabetes mellitus, Type V hyperlipidaemia
Clinical narrative: Patient is a 64 y.o. female patient of, CNP with history of DM type 2 without insulin use, HTN, HLD and depression who presented to Doctors Hospital with shortness of breath and hypoxia. Problem based management in the hospital is as follows:   Acute respiratory failure with hypoxia, resolved Covid-19 Virus Infection Date of onset of symptoms: 10/10 Symptoms present on admission: Fatigue and shortness of breath.  Date of covid positive test: 10/13 Vaccination status: vaccinated Imaging: CTPA showed severe multivessel coronary calcifications.  0.7 cm noncalcified nodule and anterior lateral right mid chest, 0.4 cm stable noncalcified nodule in posterior medial left lower chest.  A 1.4 cm hypodense nodule within the left lobe of the thyroid gland. Oxygen requirements on admission: 2 L Current oxygen requirements: Room air Medical therapy: remdesivir and steroids while inpatient, discharged on steroid taper Consultants following: ID were consulted Anticipated special isolation end date: 10/20   Elevated troponin Likely related to COVID-19 infection Troponin 30 then 24, delta -6 EKG with mild ST depressions in lateral leads otherwise unremarkable. Patient denies any chest pain No further inpatient work-up indicated   Chronic back pain and left hip pain Reports acute aggravation over the last week or so Has history of previous back surgery with a scar but she is unable to explain what kind of surgery was She takes gabapentin 600 mg nightly, changed to 200 3 times daily for now. Recommend continued outpatient follow-up with surgery  Hypokalemia, resolved K3.4 on arrival Replaced Recheck tomorrow   Lung nodules Noted on CTPA as above Recommend repeat CT chest in 6 months   Thyroid nodule Noted on CTPA as above TSH WNL Recommend outpatient thyroid ultrasound   DM Type II without insulin use or complications Uncontrolled.  Takes metformin at home Held oral meds and SSI for now   Benign Essential HTN Takes amlodipine, Hyzaar at home Continue home meds Continue monitoring   Mixed Hyperlipidemia Continued home dose statin    GERD Continued home PPI   Anxiety and depression Continued home BuSpar, Depakote and Zoloft   Insomnia Continued home Ambien as needed   After 2 days of hospital stay, patient was doing well so he was discharged in stable condition. Advised to f/u with PCP and spine surgery. All questions and concerns were addressed before discharge.
Age: 72.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Extremely pain and swelling at the injection site
Age: 14.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Loss of consciousness
Clinical narrative: Child passed out shortly after the second vaccine was administered, similarly to their sibling. The Covid shot was administered first, followed by the flu shot. EMS called but children regained consciousness. No transport to medical facility was given.
Age: 69.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Chills, Pyrexia, Seizure
Clinical narrative: Patient received vaccine on 10/30 - she had fever and chills on 30 th  patient has a seizure on 31st
Age: 82.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pain, Product administered at inappropriate site
Clinical narrative: patient came in to complain that the vaccinator on duty injected the vaccine too low in the arm . As well as a red band along the arm and pain in the area .
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction, Syncope, Vomiting
Clinical narrative: patient said he felt dizzy immediately after receiving Gardiasil. . .he had a syncopal episode with sweating for about 2 -3 minutes and he also had about 10 seconds of clear vomitus.   He never completely fainted .   He never lost consciousness.   After about 15-20 mins patient said he was feeling fine and he walked out of the clinic
Age: 33.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Nausea, Neck pain, Vomiting
Clinical narrative: I woke up with nausea around 230 am and led to vomiting for about 3-4 hours straight. The rest of the day was extremely achy in the area where spot took place as well as the neck. This lasted about 24 hours and the following day was minimal aches. all symptoms gone by 48 hours
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient consented to receive influenza vaccine. COVID vaccine inadvertently administered instead.
Age: 68.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Blood test normal, Borrelia test negative, Chest X-ray normal, Computerised tomogram head normal, Dizziness
Clinical narrative: visual disturbance-everything was glowing, nausea, dizziness, fainted 2x, vomited 6x, profuse sweating, urinary incontinence, unresponsive.   was transported by rescue to emergency dept. was given pill for nausea, iv, and ekg en route.  was given 2nd iv fluids, comprehensive bloodwork, chest xray, cat scan of brain.   symptoms resolved after 5 hours
Age: 68.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Electrocardiogram, Electroencephalogram normal, Hyperhidrosis, Nausea, Syncope
Clinical narrative: visual disturbance-everything was glowing, nausea, dizziness, fainted 2x, vomited 6x, profuse sweating, urinary incontinence, unresponsive.   was transported by rescue to emergency dept. was given pill for nausea, iv, and ekg en route.  was given 2nd iv fluids, comprehensive bloodwork, chest xray, cat scan of brain.   symptoms resolved after 5 hours
Age: 68.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Thyroid function test normal, Ultrasound Doppler normal, Unresponsive to stimuli, Urinary incontinence, Visual impairment
Clinical narrative: visual disturbance-everything was glowing, nausea, dizziness, fainted 2x, vomited 6x, profuse sweating, urinary incontinence, unresponsive.   was transported by rescue to emergency dept. was given pill for nausea, iv, and ekg en route.  was given 2nd iv fluids, comprehensive bloodwork, chest xray, cat scan of brain.   symptoms resolved after 5 hours
Age: 68.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Vomiting
Clinical narrative: visual disturbance-everything was glowing, nausea, dizziness, fainted 2x, vomited 6x, profuse sweating, urinary incontinence, unresponsive.   was transported by rescue to emergency dept. was given pill for nausea, iv, and ekg en route.  was given 2nd iv fluids, comprehensive bloodwork, chest xray, cat scan of brain.   symptoms resolved after 5 hours
Age: 68.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Blood test, Electrocardiogram, Foaming at mouth, Loss of consciousness, Magnetic resonance imaging
Clinical narrative: visual disturbance-everything was glowing, nausea, dizziness, fainted 2x, vomited 6x, profuse sweating, urinary incontinence, unresponsive.   was transported by rescue to emergency dept. was given pill for nausea, iv, and ekg en route.  was given 2nd iv fluids, comprehensive bloodwork, chest xray, cat scan of brain.   symptoms resolved after 5 hours
Age: 33.0
Sex: F
Vaccine: RSV, RSV, RSV, RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue, Wrong product administered
Clinical narrative: Patient came in 34 weeks pregnant looking for the RSV vaccine. Instead of the approved Abrysvo RSV vaccine, Arexvy RSV was given. No major side effects have been reported.
Age: 33.0
Sex: F
Vaccine: RSV, RSV, RSV, RSV
Symptoms: Exposure during pregnancy, Product use issue
Clinical narrative: Patient came in 34 weeks pregnant looking for the RSV vaccine. Instead of the approved Abrysvo RSV vaccine, Arexvy RSV was given. No major side effects have been reported.
Age: 33.0
Sex: F
Vaccine: RSV, RSV, RSV, RSV
Symptoms: Blood pressure increased, Exposure during pregnancy, Product administered to patient of inappropriate age, Product use issue, Wrong product administered
Clinical narrative: Patient came in 34 weeks pregnant looking for the RSV vaccine. Instead of the approved Abrysvo RSV vaccine, Arexvy RSV was given. No major side effects have been reported.
Age: 33.0
Sex: F
Vaccine: RSV, RSV, RSV, RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age, Product use issue
Clinical narrative: Patient came in 34 weeks pregnant looking for the RSV vaccine. Instead of the approved Abrysvo RSV vaccine, Arexvy RSV was given. No major side effects have been reported.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient came in requesting updated 2023-2024 covid vaccine.  Administered vaccine 11/3/23.  Patient received the same vaccine at pharmacy as well on 09/29/2023.  Patient was not aware that she received the vaccine twice.  Said she thought she was receiving "the old" covid vaccine when she went to Pharmacy.
Age: 1.5
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Pfizer COVID vaccine 6mo-4yr was diluted with sterile water instead of normal saline.
Age: 67.0
Sex: F
Vaccine: TYP
Symptoms: Dizziness, Headache, Hypersomnia, Nausea, Pyrexia
Clinical narrative: After 1st pill,  had a headache,  fever of 100.2, dizziness and nausea till next day.  Till tylenol which reduced fever and headache.  After pill #2, had severe nausea and slept all day.  After pill #3 had nausea.  No symptoms after pill #4.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Ageusia, Anosmia, Asthenia, COVID-19
Clinical narrative: TESTED + FOR COVID 9-26,   WENT TO er 10-08 FOR DYSPNEA, LOSS OF SENSE OF TASTE AND SMELL,  WEAKNESS AND WAS ADMITTED 10-9 WITH COPD EXACERBATION,  DIASTOLIC HEART FAILURE, COVID, ACUTE KIDNEY INJURY , DECEASED 11-3-23 IN THE HOSPITAL
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Death, Dyspnoea, Left ventricular failure
Clinical narrative: TESTED + FOR COVID 9-26,   WENT TO er 10-08 FOR DYSPNEA, LOSS OF SENSE OF TASTE AND SMELL,  WEAKNESS AND WAS ADMITTED 10-9 WITH COPD EXACERBATION,  DIASTOLIC HEART FAILURE, COVID, ACUTE KIDNEY INJURY , DECEASED 11-3-23 IN THE HOSPITAL
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: TESTED + FOR COVID 9-26,   WENT TO er 10-08 FOR DYSPNEA, LOSS OF SENSE OF TASTE AND SMELL,  WEAKNESS AND WAS ADMITTED 10-9 WITH COPD EXACERBATION,  DIASTOLIC HEART FAILURE, COVID, ACUTE KIDNEY INJURY , DECEASED 11-3-23 IN THE HOSPITAL
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Electrocardiogram, Febrile convulsion, Full blood count
Clinical narrative: Patient taken by EMS to ED for possible seizure like activity. Suspect for likely a febrile seizure.
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Fatigue, Headache, Induration, Nodule
Clinical narrative: -arm red hot with bullseye and hard knot - very sore - low fever, headache, fatigue
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Pain in extremity, Pyrexia, Rash, Skin warm
Clinical narrative: -arm red hot with bullseye and hard knot - very sore - low fever, headache, fatigue
Age: 23.0
Sex: F
Vaccine: COVID19, FLUC4, HPV9, TDAP
Symptoms: Asthenia, Feeling cold, Lethargy, Nervousness
Clinical narrative: Patient received 4 vaccines and after a few minutes started feeling, week, shaky, cold and lethargic. She was advised to sit down. She was given water and a cold pack was applied to the back of the neck. After 10 minutes, she was still feeling the same, so 911 was called. Paramedics came and assessed the patient. Vital signs were normal. She started feeling better so paramedics did not take her to the hospital. She was advised not to drive herself so she contacted a family member and she was picked up. We tried to follow up with her a few days later but she didn't respond to our call.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Contusion, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient states they received vaccine and starting soon after had "excruciating" pain in the injection arm, underneath the arm in the armpit area. Patient states they were barely able to move the arm for about three days. After this pain began to resolve a large area of bruising in the same area around the armpit area, extending down to the side of the breast, about the size of the palm of her hand, which is still present to day 11/7/23. Patient also received a FLUAD vaccine in the other arm at the same time and has had no complaints with that vaccine.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash
Clinical narrative: Patient reported having seven bumps develop around the immunization area and also having the bumps there for several weeks. Patient said she has had a shoulder implant on that arm.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Dyspepsia
Clinical narrative: Severe increased abdominal pain diarrhea heartburn. I get bouts of this but nothing like this.
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injection site pain, Myalgia
Clinical narrative: Patient c/o injection site pain at time of injection on 10/18/23.  She came back to visit clinic doctor c/o deltoid pain on 11/7/23.  She also said she is still in pain from injection site, and numbness in fingers on the same arm.
Age: 68.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received two flu shots. one on 9/24/23 and one on 9/11/23. Pt states he has had no adverse effects.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Myalgia, Pyrexia
Clinical narrative: Chills, mild fever, muscle soreness lasting 2+ days
Age: 68.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Erythema, Haematoma, Oedema peripheral, Pain
Clinical narrative: Erythema, edema, pain, redness x 1 week.  Current treatment includes recommending Zyrtec and hydroxyzine and pepcid.   Advise patient to watch for worsening symptoms EXAM: mild erythema and edema on the right arm and hematoma on the left arm
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dysgeusia, Nasal discomfort, Oropharyngeal discomfort
Clinical narrative: After flu injection, Patient stated she could taste salt in her mouth. Followed by her nose and throat felt funny/weird. Patient continued to say she had only received one flu vaccine in the past and had a "reaction" to it. She states she has a history of anxiety with medical procedures. Pulse Ox 96% on room air and heart rate 98. Patient declined the need to call emergency medical services. Patient continued to be alert and active. Vital signs remained stable. Benedryl 50 mg PO oral solution given. Patient observed for 30. No signs or symptoms of distress noted.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Hyperhidrosis
Clinical narrative: chills and shivering for about 5 hours, then sweats for a few hours.  Fatigue for one day.
Age: 84.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: No adverse event, Vaccine positive rechallenge, Wrong product administered
Clinical narrative: A nurse was giving vaccines on 11/6.  She had a dose of pfizer covid in the vaccination room for a patient, but realized the patient requested moderna instead of pfizer, so she returned to the pharmacy to get a dose of moderna, but left the dose of pfizer in the room, intending to use it for a later patient who requested pfizer.  The next patient who came in was receiving Arexvy, which needs to be reconstituted.  The nurse inadvertently used the syringe containing the pfizer dose to mix and then inject the Arexvy, so the patient received a dose of Arexvy and pfizer at the same time.  She realized it later as she was looking for the dose of pfizer she knew she had saved back and couldn't find it.  The patient was reporting no adverse effects as of about 6 hours after receiving the vaccine.  I told him to expect slightly more general vaccine side effects (fatigue, headache, etc), but he had not sought medical attention as of the time of this report.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Affect lability, Angiogram cerebral normal, Computerised tomogram head normal, Echocardiogram abnormal, Flushing
Clinical narrative: Patient had flu shot on 10/25.  Immediately felt "flushed" and developed a headache.  Headache lasted a week, and then (11/1) she developed emotional lability and then seizure-like activity (tonic clonic full body movements).  Was hospitalized 11/1-11/3.  EEG and neurology consult pending.  (History of hemorrhagic stroke with seizure activity in 8/2013, 10 years ago)
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Immediate post-injection reaction, Magnetic resonance imaging head normal, Mitral valve incompetence, Seizure like phenomena
Clinical narrative: Patient had flu shot on 10/25.  Immediately felt "flushed" and developed a headache.  Headache lasted a week, and then (11/1) she developed emotional lability and then seizure-like activity (tonic clonic full body movements).  Was hospitalized 11/1-11/3.  EEG and neurology consult pending.  (History of hemorrhagic stroke with seizure activity in 8/2013, 10 years ago)
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Tonic clonic movements
Clinical narrative: Patient had flu shot on 10/25.  Immediately felt "flushed" and developed a headache.  Headache lasted a week, and then (11/1) she developed emotional lability and then seizure-like activity (tonic clonic full body movements).  Was hospitalized 11/1-11/3.  EEG and neurology consult pending.  (History of hemorrhagic stroke with seizure activity in 8/2013, 10 years ago)
Age: 22.0
Sex: M
Vaccine: FLUC4
Symptoms: Feeling hot, Immediate post-injection reaction, Injection site discomfort, Injection site pain, Sluggishness
Clinical narrative: Soreness in the upper right arm at injection site starting approximately 3 weeks following vaccination date. There was some immediate discomfort at the time of vaccination followed by soreness at the injection site. I felt sluggish and warm during the evening hours; I did not take my temperature at the time. Initial soreness and sluggish behavior resolved within 1-2 days following injection.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Hypoxia
Clinical narrative: SOB, T  99.3, hypoxia
Age: 82.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Patient states a rash appeared on his chest three days after immunization was administered, no rash at injection site, on his chest only.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Arthritis, Condition aggravated, Mobility decreased, Pain
Clinical narrative: When I woke up the following day I had terrible inflammation in my joints and especially in my back where I have 5 different diagnosis in my back. I could barely move and I was in horrible pain! I already have severe arthritis and it was magnified greatly for 2 days.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Dizziness, Headache, Hot flush, Nausea
Clinical narrative: nausea, chest tightness, HA, hot flashes, dizziness
Age: 67.0
Sex: M
Vaccine: PNC20
Symptoms: Unevaluable event
Clinical narrative: Patient was given a prior dose of PVC 23 on 04/15/2015
Age: 63.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: ABOUT 12 HOURS AFTER VACCINATION PATIENT EXPERIENCED INJECTION SITE ITCHING, PAIN, REDNESS AND SWELLING ABOUT THE SIZE OF HER PALM. AT THIS TIME THE SYMPTOMS HAVE NOT IMPROVED. PATIENT WAS TOLD SHE COULD USE TYLENOL OR MOTRIN FOR PAIN AND SWELLING AND HYDROCORTISONE FOR ITCH. SHE WAS TOLD TO SEEK MEDICAL ATTENTION IF SYMPTOMS DID NOT IMPROVE INA FEW DAYS. SHE SAID SHE MAY CALL HER MD
Age: 72.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Extra dose administered
Clinical narrative: Client was given a high dose flu shot today (11/7/23) after client received a high dose flu shot on 10/18/23.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: SpikeVax
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: Pain radiates through shoulder down arm to forearm.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: PT is 8 years of age and was given a Dtap instead of a Tdap
Age: 66.0
Sex: M
Vaccine: FLUA4
Symptoms: Arthralgia, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Patient came into pharmacy on Tuesday, 7 November , 2023 and said that he experienced a sore arm the day after receiving  Fluad on 3 November 2023. The patient seemed to be in pain and had difficulty in removing his sweater. The patient's arm was examined, there were no visible rash or swelling on the shoulder at the injection site. Patient indicated that it was painful  on top of his shoulder between his neck and shoulder. Patient's right hand was swollen. Patient stated that the pain improved when he took Ibuprofen, he also stated that he was on Prednisone daily as he had a kidney transplant. Patient purchased Diphenhydramine and was going to follow up with his physician and will report back to the pharmacy in 2 days
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: Broke out with hives over most of my body. Severe itchyness and pain. Doctor prescribed Predozone. Was also taking Benadryl.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Immediate pain, swelling of the R upper arm. Redness, warmth persistent for weeks, and on 11/7/2023 on day of exam she continues to have mild redness and soreness at the distal deltoid muscle
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Fatigue, Mobility decreased
Clinical narrative: Patient experienced shivers at night, she was too weak to sit up in bed, she was unable to reach for her lamp to turn the light on, she could not get out of bed, and she was fatigued for a week. She reported being too weak to get up at night to go to the restroom.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid, Cerebellar infarction, Cerebral calcification, Cerebral cavernous malformation
Clinical narrative: headache and dizziness started 3 days after vaccination. found to have hematoma in brain on 10/26/23.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral haematoma, Cerebral ischaemia, Cerebrovascular disorder, Dizziness, Headache
Clinical narrative: headache and dizziness started 3 days after vaccination. found to have hematoma in brain on 10/26/23.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Vasogenic cerebral oedema, White matter lesion
Clinical narrative: headache and dizziness started 3 days after vaccination. found to have hematoma in brain on 10/26/23.
Age: 80.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Injection site erythema, Injection site rash, Skin reaction
Clinical narrative: Vaccine name:   Comirnaty 30MCG/0.3 ML INJ PFIZ Local skin reaction, reddened area 8cm by 4 cm left upper arm at injection site.  Area is still the same now 6 weeks after the injection The skin has not broken down but the rash persists.
Age: 74.0
Sex: M
Vaccine: COVID19-2, RSV, COVID19, RSV
Symptoms: Asthenia, Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness, Transfusion
Clinical narrative: Pt started losing feeling/ strength in feet and within 24 hrs loss of feeling/ strength in whole body. Pt is currently in hospital getting plasma transfusions for Guillain-Barre syndrome.
Age: 74.0
Sex: M
Vaccine: COVID19-2, RSV, COVID19, RSV
Symptoms: Asthenia, Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness
Clinical narrative: Pt started losing feeling/ strength in feet and within 24 hrs loss of feeling/ strength in whole body. Pt is currently in hospital getting plasma transfusions for Guillain-Barre syndrome.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Insomnia, Respiratory tract congestion
Clinical narrative: Headache/congestion/insomnia
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: 6 month to 4 year multidose, not mixed with required diluent. Bacteriostatic 0.9% Sodium Chloride used, by mistake.
Age: 2.92
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Peripheral swelling, Swelling
Clinical narrative: 11/2/23 Mother reported to clerk  that child's arm is swollen all the way around from the top of the shoulder to his elbow on day 2 after having the Dtap on Tuesday. It is 1.5 inches bigger in circumference than the other arm.  She reported to clerk that she was calling the child's pcp.  Attempt to call mother to discuss, no answer/left message.   11/2/23 1614, Mother returned phone call and reports that child's pcp consulted by telephone and was directed to the ER.  She reports child was diagnosed with cellulitis at the ER and prescribed amoxicillin.  She reports that swelling has spread up to his shoulder blade.
Age: 53.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Wrong product administered
Clinical narrative: Incorrect vaccine Administered. Patient wanted Influenza vaccine.
Age: 53.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Anxiety, Headache, Inappropriate schedule of product administration, Vomiting, Wrong product administered
Clinical narrative: Incorrect vaccine Administered. Patient wanted Influenza vaccine.
Age: 0.67
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: 6 month to 4 year multidose vial, not mixed with required diluent. Bacteriostatic 0.9% Sodium Chloride, used by mistake.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Chest pain, Dyspnoea, Immediate post-injection reaction
Clinical narrative: 76 y o woman with hx of htn and enlarged pancreas with spinter of oddi spams presents to the ER with sudden transient chet pain, shortness of breath and back pain immdiately after receiving the flu vaccine in the right delton (Fluzon high dose). She says after the vaccine she stood up and walked out of the pharmacy and started having shortness of breath and then chest pain and then back pain. She was able to walk back over the the pharmacist to request for help and he ushered her to a near by chair and a rapid response was activated. Her symptoms lasted for about 10 minutes or less and then resolved.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest pain, Fatigue, Sleep disorder, Vomiting
Clinical narrative: BURNING IN BOTH ARMS, GOING ACROSS HER CHEST.  UNDER HER COLLAR BONE.  TERRIBLE SLEEP PATTERN, VOMITTED TWICE, AND VERY TIRED
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Arm got red, swelled up, and created a fluid pocket around injection site, injection site pain for at least 4 days
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine was given. Patient should have received the monoclonal antibody Nirsevimab.   Patient did NOT have any adverse effects after administration.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Computerised tomogram normal, Dizziness, Headache, Lumbar puncture
Clinical narrative: Pseudotumor Cerebri/Intercranial Hypertension October 19 - Received this year's Covid Vaccine (Spikevax by Moderna). I was having no symptoms of any illness at this time. October 23 - I went to the eye doctor with blurred vision and blind spots. He said my optic nerve was elevated into my eye and we needed to expedite an appointment to neurology. He advised that if I started to feel worse, I should go to the ER. Also ordered a CT. October 26 AM - CT with and without contrast (results were normal) October 26PM - I started to get weak, dizzy, and nauseous, headache, blurry vision, blind spots that came and went. Went to ER where they did a Lumbar Puncture. Opening pressure was 43. November 1 - Went back to ER with same symptoms as before (headache, blurred vision, blind spots, dizzy, weak, nauseous). They did an MRI with and without contrast as well as an MR Venogram. All tests came back normal. They performed another Lumbar Puncture. Opening pressure was 45.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Nausea, Venogram normal, Vision blurred, Visual impairment
Clinical narrative: Pseudotumor Cerebri/Intercranial Hypertension October 19 - Received this year's Covid Vaccine (Spikevax by Moderna). I was having no symptoms of any illness at this time. October 23 - I went to the eye doctor with blurred vision and blind spots. He said my optic nerve was elevated into my eye and we needed to expedite an appointment to neurology. He advised that if I started to feel worse, I should go to the ER. Also ordered a CT. October 26 AM - CT with and without contrast (results were normal) October 26PM - I started to get weak, dizzy, and nauseous, headache, blurry vision, blind spots that came and went. Went to ER where they did a Lumbar Puncture. Opening pressure was 43. November 1 - Went back to ER with same symptoms as before (headache, blurred vision, blind spots, dizzy, weak, nauseous). They did an MRI with and without contrast as well as an MR Venogram. All tests came back normal. They performed another Lumbar Puncture. Opening pressure was 45.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Covid 6 month to 4 year multidose vial, not mixed with required diluent. Bacteriostatic 0.9% Sodium Chloride used, by mistake.
Age: 1.25
Sex: M
Vaccine: DTAP, PNC13
Symptoms: COVID-19, Influenza A virus test, Influenza B virus test, Injection site erythema, Injection site nodule
Clinical narrative: 1 cm tender shotty nodule with slight erythema, just 1 cm medical to vaccination site fever 103 degrees F irritability
Age: 1.25
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Injection site pain, Pyrexia, Respiratory syncytial virus test, SARS-CoV-2 test positive
Clinical narrative: 1 cm tender shotty nodule with slight erythema, just 1 cm medical to vaccination site fever 103 degrees F irritability
Age: 77.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Mental impairment, Nuchal rigidity, Pyrexia
Clinical narrative: 3 days after administration of above vaccines, patient developed high fever and severe neck rigidity, decreased mentation. Fevers and neck rigidity persisted for 6 days. Presentation concerning for aseptic meningitis
Age: 3.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Product preparation error
Clinical narrative: Patient was given an undiluted dose of Covid-19 vaccine, Pfizer, Age 6m-4y. Vial was not diluted prior to administration. Nursing supervisor was notified on 10/31/23. Provider was notified on 11/1/23. Family was notified on 11/1/23 and confirmed patient had no symptoms of adverse reaction.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site haemorrhage, Injection site pain
Clinical narrative: Guardian reports reddened area at injection site, approx 1 inch x 2 inch; patient reports tenderness to touch Drops of blood noted at time of injection, no more than standard size bandaid; no bleeding afterward No fever noted, no itching at site, no raised area; no signs of systemic reaction noted. Will continue to monitor and provide comfort strategies Will call Provider and seek medical attention if symptoms worsen
Age: 53.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Burning sensation, Ear pain, Facial pain, Hypersensitivity, Influenza like illness
Clinical narrative: She got her vaccines, and she did not have a lot of reaction, just soreness as well as the day after just sore.  Then she felt like she was getting the flu, had the sick feeling like something was coming on.  It was not as bad as the other COVID shots.  The next day is when her head was on fire, the base of her back by her ears hurt when she moved her eyebrows on the left side.  She also had tingling down her arm.  She feels it radiated to the right side but it goes all the way down to her left leg.  It is just a tingling sensation.  She does not know what it is.  When she is in the shower the water hits her head and feel slike it is burning.  When she rubs her hands across her thighs sometimes it is such a prickly sensation.  Behind her left ear is sore.  Within the next few days her armpit lymph node was huge on the left side.  It just got so big, and then suddenly that went away.  Eventually the pain in her arm and soreness went away.  The tingling is still present and will not go away.  Sometimes it felt like it was moving, didn't feel like it was always only in the center of her head, sometimes if felt like it was a little more halfway down, but has stayed in the middle of her head.  At the neck as well as behind her ear, it goes behind her jaw as well.  It goes down her shoulders, top half of her arm, and then downward.  She had a bunionplasty and ankle surgery on 8/31/23 and it was getting better and suddenly when the bunionplasty is is very super sensitive again and she does not know if this is the surgery itself, or maybe starting to go into other areas.    She has contacted her doctor yesterday as she was on a virtual appointment with another doctor and he told her that it could be the COVID shot, and had no clue until she internet searched it and has an appointment to see her tomorrow.
Age: 53.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Malaise, Pain, Paraesthesia
Clinical narrative: She got her vaccines, and she did not have a lot of reaction, just soreness as well as the day after just sore.  Then she felt like she was getting the flu, had the sick feeling like something was coming on.  It was not as bad as the other COVID shots.  The next day is when her head was on fire, the base of her back by her ears hurt when she moved her eyebrows on the left side.  She also had tingling down her arm.  She feels it radiated to the right side but it goes all the way down to her left leg.  It is just a tingling sensation.  She does not know what it is.  When she is in the shower the water hits her head and feel slike it is burning.  When she rubs her hands across her thighs sometimes it is such a prickly sensation.  Behind her left ear is sore.  Within the next few days her armpit lymph node was huge on the left side.  It just got so big, and then suddenly that went away.  Eventually the pain in her arm and soreness went away.  The tingling is still present and will not go away.  Sometimes it felt like it was moving, didn't feel like it was always only in the center of her head, sometimes if felt like it was a little more halfway down, but has stayed in the middle of her head.  At the neck as well as behind her ear, it goes behind her jaw as well.  It goes down her shoulders, top half of her arm, and then downward.  She had a bunionplasty and ankle surgery on 8/31/23 and it was getting better and suddenly when the bunionplasty is is very super sensitive again and she does not know if this is the surgery itself, or maybe starting to go into other areas.    She has contacted her doctor yesterday as she was on a virtual appointment with another doctor and he told her that it could be the COVID shot, and had no clue until she internet searched it and has an appointment to see her tomorrow.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac dysfunction, Myocardial infarction, Myocardial injury
Clinical narrative: I had 4 heart attacks and 90 % heart function decrease  permanent heatt damage
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity, Vaccination site pain
Clinical narrative: THE PATIENT CALLED THE PHARMACY YESTERDAY STATING THAT HIS RIGHT ARM STILL HURTS WHERE HE GOT HIS COVID VACCINE (HE GOT SPIKEVAX) AND WAS INQUIRING ABOUT HOW LONG IT MIGHT LAST.  HE SAID IT STILL WAS SORE AT THE INJECTION SIGHT AND SLIGHTLY DOWN HIS ARM.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered, Incorrect product formulation administered
Clinical narrative: Error: Bivalent vaccine administered instead of the 2023-2024 formulation.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Blood test abnormal, Cortical visual impairment, Malaise, Myalgia, Platelet count decreased
Clinical narrative: About 5.5 hrs after Comirnaty & Fluad simultaneous injection, along with notable myalgias and malaise, a 6-10 second full visual field oblique, colored wavy lines perception occurred. It was present equally with one or the other eye closed, implying cortical event. It fully resolved and has not recurred.  2 days later a long scheduled annual bloodwork testing returned normal except for lowest platelet count seen down to 120,000.  Repeat blood work is scheduled in several months per routine testing. No excessive bleeding or other events occurred.  Presumably this was a very brief TIA?
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Transient ischaemic attack, Visual field defect
Clinical narrative: About 5.5 hrs after Comirnaty & Fluad simultaneous injection, along with notable myalgias and malaise, a 6-10 second full visual field oblique, colored wavy lines perception occurred. It was present equally with one or the other eye closed, implying cortical event. It fully resolved and has not recurred.  2 days later a long scheduled annual bloodwork testing returned normal except for lowest platelet count seen down to 120,000.  Repeat blood work is scheduled in several months per routine testing. No excessive bleeding or other events occurred.  Presumably this was a very brief TIA?
Age: 9.0
Sex: F
Vaccine: FLUC4
Symptoms: COVID-19, Extra dose administered, Wrong product administered
Clinical narrative: Patient presented with Mother and sister. Mom and sibling needed a Flu and COVID vaccination, while patient requested a COVID vaccine. After reviewing documentation, the nurse actually gave the patient a flu vaccine and not the requested COVID vaccine. Patient had already received the flu vaccine on 9/20/2023.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Asthenia, Botulism, Crying, Eyelid ptosis, Hypotonia
Clinical narrative: Descending symmetric weakness, ptosis, weak cry, flaccid extremities beginning acutely 1 day after vaccinations and continued for 3 days prior to arrival to hospital. Botulism was primary consideration and treatment ongoing. Could not formally rule out Guillain-Barre.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered, Incorrect product formulation administered
Clinical narrative: Error: Bivalent vaccine administered instead of the 2023-2024 formulation.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered, Incorrect product formulation administered
Clinical narrative: Error: Bivalent vaccine administered instead of the 2023-2024 formulation.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Pyrexia, Vomiting
Clinical narrative: Sunday evening Nov 5th, he developed a high grade fever, 101.4 and rose to 102.6, parent gave him some fever reducer and that helped but several hours later in the middle of the night, he woke up vomiting. Fever was persistently high through the day and patient went to the emergency department with his father. He still has a persistent cough. Parent is still seeking treatment.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered, Wrong product administered
Clinical narrative: Error: Bivalent vaccine administered instead of the 2023-2024 formulation.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Hypoaesthesia oral
Clinical narrative: The patient received her vaccine then went to go get other scripts at check out. During this time she stated that her lips started to feel numb. We brought her back into the consultation room for her to sit down and to further observe her. A few minutes later the patient stated that she was feeling better and the numbness started going away. She stated that she has never had a reaction to a vaccine before. She stated again that she was fine and left with her spouse. No medical intervention was needed.  Called the patient the next day and again she stated she was fine and the numbness was gone by the time she got home.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered, Incorrect product formulation administered
Clinical narrative: Error: Bivalent vaccine administered instead of the 2023-2024 formulation.
Age: 81.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema
Clinical narrative: Red area on skin surface at injection site.  No pain, no other issues.  Red area persists as of 11/6/23.   Size approximately 1 inch by 4 inches.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Pain from elbow down to index finger and thumb. patient thinks radial nerve hit
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Error: Bivalent vaccine administered instead of the 2023-2024 formulation.