chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 10/6/2022 - 10/14/2022 Presentation to the ED: SHORTNESS OF BREATH, CHEST CONGESTION.  COVID + date: 10/6/22. Treatment: Remdesivir and Decadron. Discharge to: HOME W/ HEALTHCARE SERVICES.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Use beyond the administered day.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Dosage administered beyond use date.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Diarrhoea, Electrolyte substitution therapy, Faeces discoloured, Flatulence
Clinical narrative: 10/6/ 2First night, chills.  10/7-10/13  mustard yellow water diarrhea, gas Visited urgent care  Rx Imodium and electrolytes , one day of use diarrhea cleared up
Age: 36.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Vacinated pt admitted with covid infection. No info on vaccine
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The patient signed up to receive the Updated Bivalent booster but was accidentally given the Origianl Pfizer vaccination instead. No adverse reaction was reported.
Age: 62.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Use beyond the administered day.
Age: 55.0
Sex: F
Vaccine: PNC20
Symptoms: Asthenia, Balance disorder, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Discussion:  Pt reports she received the pneumonia vaccine on 10/18/22 and  when she went home from the appt, she reports she had purple welts on her  face. She reports she 50 mg of Benadryl, waiting one hour, took another 50 mg  of Benadry and pt. reports within 3 hours, the areas lightened. Pt reports  she washed her face "really good that night".  Pt reports when she woke up  the next day, the welts were gone. In addition to the purple facial welts, pt.  reports she was SOB, but just that night, diarrhea, 2 bouts today so far.  She  reports yesterday she did have an accident as she was unable to get to the  bathroom.  She reports she had a cramping feeling under the breasts, stating  "it felt like something was being pushed against my chest". Pt reports this  sensation lasted until midafternoon yesterday.  It is gone today. She reports  she has no appetite and states she she tries to eat something, she becomes  nauseated and is only able to take a few bites.  Pt reports "I'm hardly  eating anything".  She reports she is  feeling weak and having difficulty with  her balance, which she just noticed this morning while in the shower.  She  denies any dizziness or blurry vision. Pt reports she has body aches and a  lump under the left axilla although she is unable to tell me any other  symptoms associated with this lump as she is "not home".   Pt was advised when she began SOB, she should have proceeded to the ER for  evaluation. The weakness, body aches and lump under the left axilla could be  the body's reaction building immunity due to the vaccine, but I will address  with provider for recommendations.   Pt reports she had a fever when the vaccine was administered.  I advised pt.  her temp listed in the chart is 99.8.  A fever would be 101 or higher.   She had not other cold/flu symptoms at the time of the vaccine.
Age: 55.0
Sex: F
Vaccine: PNC20
Symptoms: Muscle spasms, Nausea, Nodule, Pain, Skin discolouration
Clinical narrative: Discussion:  Pt reports she received the pneumonia vaccine on 10/18/22 and  when she went home from the appt, she reports she had purple welts on her  face. She reports she 50 mg of Benadryl, waiting one hour, took another 50 mg  of Benadry and pt. reports within 3 hours, the areas lightened. Pt reports  she washed her face "really good that night".  Pt reports when she woke up  the next day, the welts were gone. In addition to the purple facial welts, pt.  reports she was SOB, but just that night, diarrhea, 2 bouts today so far.  She  reports yesterday she did have an accident as she was unable to get to the  bathroom.  She reports she had a cramping feeling under the breasts, stating  "it felt like something was being pushed against my chest". Pt reports this  sensation lasted until midafternoon yesterday.  It is gone today. She reports  she has no appetite and states she she tries to eat something, she becomes  nauseated and is only able to take a few bites.  Pt reports "I'm hardly  eating anything".  She reports she is  feeling weak and having difficulty with  her balance, which she just noticed this morning while in the shower.  She  denies any dizziness or blurry vision. Pt reports she has body aches and a  lump under the left axilla although she is unable to tell me any other  symptoms associated with this lump as she is "not home".   Pt was advised when she began SOB, she should have proceeded to the ER for  evaluation. The weakness, body aches and lump under the left axilla could be  the body's reaction building immunity due to the vaccine, but I will address  with provider for recommendations.   Pt reports she had a fever when the vaccine was administered.  I advised pt.  her temp listed in the chart is 99.8.  A fever would be 101 or higher.   She had not other cold/flu symptoms at the time of the vaccine.
Age: 55.0
Sex: F
Vaccine: PNC20
Symptoms: Urticaria
Clinical narrative: Discussion:  Pt reports she received the pneumonia vaccine on 10/18/22 and  when she went home from the appt, she reports she had purple welts on her  face. She reports she 50 mg of Benadryl, waiting one hour, took another 50 mg  of Benadry and pt. reports within 3 hours, the areas lightened. Pt reports  she washed her face "really good that night".  Pt reports when she woke up  the next day, the welts were gone. In addition to the purple facial welts, pt.  reports she was SOB, but just that night, diarrhea, 2 bouts today so far.  She  reports yesterday she did have an accident as she was unable to get to the  bathroom.  She reports she had a cramping feeling under the breasts, stating  "it felt like something was being pushed against my chest". Pt reports this  sensation lasted until midafternoon yesterday.  It is gone today. She reports  she has no appetite and states she she tries to eat something, she becomes  nauseated and is only able to take a few bites.  Pt reports "I'm hardly  eating anything".  She reports she is  feeling weak and having difficulty with  her balance, which she just noticed this morning while in the shower.  She  denies any dizziness or blurry vision. Pt reports she has body aches and a  lump under the left axilla although she is unable to tell me any other  symptoms associated with this lump as she is "not home".   Pt was advised when she began SOB, she should have proceeded to the ER for  evaluation. The weakness, body aches and lump under the left axilla could be  the body's reaction building immunity due to the vaccine, but I will address  with provider for recommendations.   Pt reports she had a fever when the vaccine was administered.  I advised pt.  her temp listed in the chart is 99.8.  A fever would be 101 or higher.   She had not other cold/flu symptoms at the time of the vaccine.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, UNK, UNK
Symptoms: Arthralgia, COVID-19, Fall, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 10/8/2022 - 10/18/2022  Presentation to the ED: FALL W/ R KNEE AND LEG PAIN.  COVID + date: 10/13/2022. Treatment: Decadron and remdesivir, SUPPLEMENTAL OXYGEN.  Discharge to: SNF
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Myalgia, Neuralgia
Clinical narrative: Sharp, intermittent pain in  upper right leg (quad muscle) and repeated weakness.  Based on physician consultation, seems like nerve pain.  Currently monitoring for improvement and will follow up with testing.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The patient came in to receive an updated Bivalent Pfizer booster but was accidentally given the original Pfizer vaccine
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cold sweat, Decreased appetite
Clinical narrative: On 8/23/2022, I had chills symptoms. I took the COVID-19 home test on 8/24/2022 and the result was positive. I had chills and aches, cold sweats, I lost all my energy.  I had no appetite. I lost 10 pounds. I spent 4 days in bed. I did not sleep well. I took an anti-congestion. No sore throat. I never lost my sense of smell or taste. On 8/24/2022 I called my doctor and was prescribed the Paxlovid. I started taking it on 8/26/2022. On 8/31/2022, I tested negative.  On 9/1/2022 is when I started feeling a little better. 10/20/2022.  I have a lot of my energy back. I am trying to put the weight back on. I am on the road to recovery.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Poor quality sleep, SARS-CoV-2 test positive, Weight decreased
Clinical narrative: On 8/23/2022, I had chills symptoms. I took the COVID-19 home test on 8/24/2022 and the result was positive. I had chills and aches, cold sweats, I lost all my energy.  I had no appetite. I lost 10 pounds. I spent 4 days in bed. I did not sleep well. I took an anti-congestion. No sore throat. I never lost my sense of smell or taste. On 8/24/2022 I called my doctor and was prescribed the Paxlovid. I started taking it on 8/26/2022. On 8/31/2022, I tested negative.  On 9/1/2022 is when I started feeling a little better. 10/20/2022.  I have a lot of my energy back. I am trying to put the weight back on. I am on the road to recovery.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Urticaria
Clinical narrative: Pt broke out in hives/rash all over body
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Device issue, Haemodialysis, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 10/12/2022 - 10/18/2022 Presentation to the ED: DIALYSIS PORT CLOGGED. NEEDING HEMODIALYSIS.  COVID + date: 10/13/22. Treatment: No indication for COVID therapy.  Discharge to: SNF.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: vaccinated pt admitted to inpatient with positive covid infection no info on vaccine
Age: 12.0
Sex: M
Vaccine: FLUA4, HPV9
Symptoms: Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: Influenza vaccine provided to RIGHT deltoid. Tolerated well. HPV to LEFT deltoid. Immediate after HPV vaccination patient became pale and passed out. He was laid down with feet elevated and he came to within 4 seconds.  BP100/68 P 68. Water and crackers provided. After 15 minutes BP 110/78 P89 Sp02 99.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient received Fluzone HD which is indicated for patients age 65+. The patient is 59.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came to receive a updated Bivalent Pfizer booster but was accidentally given the original Pfizer vaccine
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient  had already received the bivalent  vaccine  once  on 09/12/2022 from another pharmacy and  miscommunication lead to us giving another  dose  of the bivalent  vaccine. patient was/is  stable and  have not reported any side effects or adverse reactions
Age: 68.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pharmacy accidentally administered expired vaccine for both doses (6/16/22 and 7/18/22), expiration date was 2/8/22. Error was discovered when checking stock for an upcoming appointment. Manufacturer has been contacted and they recommend not considering these doses valid and repeating them. Patient is aware and wants to repeat doses at the pharmacy. Patient does not report any adverse events.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Exposure to SARS-CoV-2, Headache, Malaise, Oropharyngeal pain
Clinical narrative: On 10/17/2022 tested due to exposure and mild symptoms, and tested positive. On first day I experienced slight headache, congestion, and sore throat. On day 2 began having runny nose. Reached out to PCP on 10/17/2022 and began PAXLOVID the same day. Began experiencing improvements in symptoms between 12-24 hours after beginning anti-viral.
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 10/17/2022 tested due to exposure and mild symptoms, and tested positive. On first day I experienced slight headache, congestion, and sore throat. On day 2 began having runny nose. Reached out to PCP on 10/17/2022 and began PAXLOVID the same day. Began experiencing improvements in symptoms between 12-24 hours after beginning anti-viral.
Age: 1.5
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Weight bearing difficulty
Clinical narrative: Pt started with erythematous area on on lower medial left leg, right above the ankle on Monday afternoon after receiving vaccines.  Pt became non-weight bearing on Thursday.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Lymph node pain, Oropharyngeal pain
Clinical narrative: I tested positive for Covid-19 on August23, 2022 I experienced the following: Low grade fever; sore throat; painful neck lymph nodes; fatigue; headaches. I was taking Motrin for my symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I tested positive for Covid-19 on August23, 2022 I experienced the following: Low grade fever; sore throat; painful neck lymph nodes; fatigue; headaches. I was taking Motrin for my symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient was accidentally given two doses of COVID booster. One in left arm and one in right arm.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy skin abnormal, Lichen planus, Rash, Treponema test
Clinical narrative: Patient received COVID-19 vaccine (1st dose on 4/30/21, 2nd dose on 5/21/21, and booster on 12/22/21). Patient developed rash on June 1, 2022 on the left arm which spread to eventually cover full body around July. Patient saw me at the end of September 2022. We did two skin biopsies, which were consistent with Lichen Planus. Patient does not take any medications and has not had hepatitis virus, which can be associated with development of lichen planus. There have been other reports of COVID-19 vaccine inducing lichen planus.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Vaccinated pt admitted with covid infection. No vaccine info
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Headache, Malaise, Oropharyngeal pain, Pain in extremity
Clinical narrative: After the vaccine, I had a slight sore arm that lasted for one day. I started feeling symptoms on 10/13/2022 of a sore throat and headache. On 10/14/2022 I took a home test for COVID-19 and it was positive. I contacted my doctor's office, and they have a COVID-19 team that I talked to about my symptoms and the positive test. They sent in a prescription for PAXLOVID. I tested negative on 10/19/2022.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: After the vaccine, I had a slight sore arm that lasted for one day. I started feeling symptoms on 10/13/2022 of a sore throat and headache. On 10/14/2022 I took a home test for COVID-19 and it was positive. I contacted my doctor's office, and they have a COVID-19 team that I talked to about my symptoms and the positive test. They sent in a prescription for PAXLOVID. I tested negative on 10/19/2022.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Pt received the Bivalent Moderna Vaccine - he has 3 Moderna previous to this vaccine Pt reports Bilateral tinnitus apprx 8 hrs after receiving vaccine.  Pt went to Audiologist on Thursday 10-20-22 2 days after vaccination).  Received high dose prednisone taper (10 days taper)
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Myalgia, Pyrexia, Respiratory tract congestion
Clinical narrative: On 10/06/2022  in the morning I woke up with congestion. The next few days I  had fatigue, fever,  and muscle aches. On 10/08/2022  I did a telehealth  with my doctor who prescribed me Paxlovid for 5 days  and Tylenol as needed.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On 10/06/2022  in the morning I woke up with congestion. The next few days I  had fatigue, fever,  and muscle aches. On 10/08/2022  I did a telehealth  with my doctor who prescribed me Paxlovid for 5 days  and Tylenol as needed.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Office would draw up all COVID booster vaccines at the beginning of the day and discard vial. They kept a sticky note with bivalent  NDC, lot and expiration date and used that data to enter into the database. At some point the realized that on some days they had pulled and administered monovalent instead of the bivalent booster as intended. Office is unable to say with certainty who received monovalent or bivalent.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Drain placement, Fluid retention, SARS-CoV-2 test positive, Swelling
Clinical narrative: Vaccinated pt tested positive for covid infection as an inpatient. No info on vaccine
Age: 55.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Seizure
Clinical narrative: pt started having a seizure
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Product storage error
Clinical narrative: Office would draw up all COVID booster vaccines at the beginning of the day and discard vial. They kept a sticky note with bivalent  NDC, lot and expiration date and used that data to enter into the database. At some point the realized that on some days they had pulled and administered monovalent instead of the bivalent booster as intended. Office is unable to say with certainty who received monovalent or bivalent.
Age: 53.0
Sex: F
Vaccine: HEPAB
Symptoms: Expired product administered, No adverse event, Poor quality product administered
Clinical narrative: Pharmacy accidentally administered dose of expired vaccine to patient on 7/20/22. Vaccine expired 2/8/22. Error was discovered when checking stock for an upcoming appointment. Manufacturer was contacted and they advised that the expired dose should be considered invalid.  I explained this to the patient and she has scheduled an appointment to repeat the dose. Patient did not report any adverse events.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Blood test normal, Culture urine negative, Mobility decreased, Myalgia
Clinical narrative: The day after I got my vaccine, I began to experience back aches, muscle aches, nausea, congestion. My arm was also so sore that I could barely move it. After about a week, I went to a local urgent care because I couldn't get in with my doctor. They did blood work and urinalysis but could not find anything. He advised that I take 600 milligram ibuprofen. I'm still experiencing back pain and I have a follow up appointment with my primary care doctor. I believe that the shot was administered incorrectly.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pain in extremity, Respiratory tract congestion, Urine analysis normal
Clinical narrative: The day after I got my vaccine, I began to experience back aches, muscle aches, nausea, congestion. My arm was also so sore that I could barely move it. After about a week, I went to a local urgent care because I couldn't get in with my doctor. They did blood work and urinalysis but could not find anything. He advised that I take 600 milligram ibuprofen. I'm still experiencing back pain and I have a follow up appointment with my primary care doctor. I believe that the shot was administered incorrectly.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Feeling hot, Neck pain, Paraesthesia, Paraesthesia oral
Clinical narrative: Twenty minutes after the shot, I was driving home and my face got hot, red, and tingly. I drive back to the pharmacy. The pharmacist recommended Benadryl and suggested I go to an urgent care if it got worse. I took the Benadryl at 04:30PM. The sides of my throat started feeling tight as I was driving home so I went to an urgent care. Urgent care told me to go to the ER because they were closing. At the ER, I waited for about four or five hours. The ER doctor gave me a dose of steroids. By that time, my neck was blotchy. The Benadryl must have been working because my throat felt fine. The next day, I felt fine. Halfway through the day on Sunday, I started feeling a tingling on the right side of my lower lip and my tongue. My face was red as well. I went back to the ER. They gave me another oral dose of steroids and a prescription to fill. I'm still taking the steroid. Yesterday, I had a telehealth call. I told her I'm still having the tingling. She mentioned it could be from the steroid. She said to call back next week if continues. I also had neck pain, but I have a chronic neck issue.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash macular, Throat tightness
Clinical narrative: Twenty minutes after the shot, I was driving home and my face got hot, red, and tingly. I drive back to the pharmacy. The pharmacist recommended Benadryl and suggested I go to an urgent care if it got worse. I took the Benadryl at 04:30PM. The sides of my throat started feeling tight as I was driving home so I went to an urgent care. Urgent care told me to go to the ER because they were closing. At the ER, I waited for about four or five hours. The ER doctor gave me a dose of steroids. By that time, my neck was blotchy. The Benadryl must have been working because my throat felt fine. The next day, I felt fine. Halfway through the day on Sunday, I started feeling a tingling on the right side of my lower lip and my tongue. My face was red as well. I went back to the ER. They gave me another oral dose of steroids and a prescription to fill. I'm still taking the steroid. Yesterday, I had a telehealth call. I told her I'm still having the tingling. She mentioned it could be from the steroid. She said to call back next week if continues. I also had neck pain, but I have a chronic neck issue.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: I experienced ringing in my ears and a feeling like my ears are stopped up. This came about 72 to 96 hours after the vaccine. I used a combination of 91% alcohol and 3% Hydrogen Peroxide on a 1 to 1 ratio. I pour it in my ear and drain and do the other one. It does not seem helpful; it just makes my ears feel clean. The doctor asked me to come in on November 8 but I am going tomorrow as I am tired of waiting. It has gotten worse since the original onset.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Product storage error
Clinical narrative: Office would draw up all COVID booster vaccines at the beginning of the day and discard vial. They kept a sticky note with bivalent  NDC, lot and expiration date and used that data to enter into the system. At some point the realized that on some days they had pulled and administered monovalent instead of the bivalent booster as intended. Office is unable to say with certainty who received monovalent or bivalent.
Age: 85.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: vaccinated pt admitted with covid infection. no info on vaccine
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond use date.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid, cold symptoms, fatigue, no fever
Age: 70.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: vaccinated pt admitted with covid infection. No vaccine info available
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Office would draw up all COVID booster vaccines at the beginning of the day and discard vial. They kept a sticky note with bivalent  NDC, lot and expiration date and used that data to enter into the EMR. At some point the realized that on some days they had pulled and administered monovalent instead of the bivalent booster as intended. Office is unable to say with certainty who received monovalent or bivalent.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: redness, swelling, warmth to right arm 4 hours post vaccine
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: vaccinated pt admitted to inpatient facility. No info on vaccine
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 24.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond use date.
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received Pfizer Covid Omicron vaccine as a first dose in the primary series.  No adverse reaction.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Product storage error
Clinical narrative: Office would draw up all COVID booster vaccines at the beginning of the day and discard vial. They kept a sticky note with bivalent  NDC, lot and expiration date and used that data to enter into the database. At some point the realized that on some days they had pulled and administered monovalent instead of the bivalent booster as intended. Office is unable to say with certainty who received monovalent or bivalent.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Dysstasia, Gait inability, Magnetic resonance imaging, X-ray
Clinical narrative: couldn't walk or stand
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond use date.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: I accidentally administered a Bivalent dose for the patient's primary series. Patient was supposed to receive a monovalent dose. Upon acknowledging my error, I immediately notified the patient and informed her that we would be proceeding with CDC recommended guidelines. "If a bivalent Pfizer-BioNTech vaccine is administered for a primary series dose: Do not repeat the dose. The primary and booster dosages are the same; the bivalent dose can be counted as a primary series dose. Continue with the recommended vaccination schedule (i.e., complete the primary series with a monovalent Pfizer-BioNTech vaccine, then administer a bivalent booster dose at least 2 months after completion of the primary series)."   I made notifications on the patient's 8-week appointment for her second dose so that she would receive a monovalent dose. Patient was a bit apprehensive, but I assured her that we were following CDC recommended health guidelines and we would be completing her first series with a monovalent on her next dose. Patient understood and acknowledged the health recommendations.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 39.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond use date.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Product storage error
Clinical narrative: Office would draw up all COVID booster vaccines at the beginning of the day and discard vial. They kept a sticky note with bivalent  NDC, lot and expiration date and used that data to enter into the EMR. At some point the realized that on some days they had pulled and administered monovalent instead of the bivalent booster as intended. Office is unable to say with certainty who received monovalent or bivalent.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 10/3/2022 - 10/12/2022 Presentation to the ED: WORSENED AMS.  COVID + date: 10/12/22. Treatment: none specific to COVID. Discharge to: SNF (Skilled nursing facility).
Age: 50.0
Sex: M
Vaccine: COVID19-2, VARZOS
Symptoms: Death
Clinical narrative: Person was found deceased in their apartment on 10/18/2022 no further information available
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Effective beyond administered day.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: Office would draw up all COVID booster vaccines at the beginning of the day and discard vial. They kept a sticky note with bivalent  NDC, lot and expiration date and used that data to enter into the EMR. At some point the realized that on some days they had pulled and administered monovalent instead of the bivalent booster as intended. Office is unable to say with certainty who received monovalent or bivalent.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain
Clinical narrative: Patient received the updated Pfizer Bivalent COVID vaccine on 9/20/22 at local pharmacy in the left arm. She reports that she has had pain in her left arm since the vaccine was administered though it is slowly getting better. She does report 2 autoimmune conditions but did not report the exact nature of those conditions.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait inability, Injection site mass, Injection site reaction, Injection site swelling
Clinical narrative: The night of vaccine- reaction started locally at injection site - kidney sized lump where injection progressed to approx  3 1/2 x2 in in size, raised, increased warmth to injection site followed by muscle pain and nausea. Pt also reports experiencing s/s of being unable to ambulate d/t severe whole body pain and a dizzy feeling. Pt was worried if she got out of bed she would fall because she was in so much pain.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Myalgia, Nausea, Pain
Clinical narrative: The night of vaccine- reaction started locally at injection site - kidney sized lump where injection progressed to approx  3 1/2 x2 in in size, raised, increased warmth to injection site followed by muscle pain and nausea. Pt also reports experiencing s/s of being unable to ambulate d/t severe whole body pain and a dizzy feeling. Pt was worried if she got out of bed she would fall because she was in so much pain.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mass, Pain
Clinical narrative: I noticed another small lump when in the shower. I had a follow up appointment to check the October 19 to have the lump checked that I received previously. Upon checking she felt an additional smaller lump. I have a follow up appointment in January. I also had my flu shot 2 days prior to the booster. She prescribed 600 mg of MOTRIN and muscle relaxer. I had helped slightly. I take it at night, so it does not wake me up. The doctor has not done anything to treat it, she is just keeping an eye on it. She may possibly do a biopsy in the future if I wanted, I want to have it done. The pain comes and goes. Some days are better than others. It normally bothers me at bight when I try to lie down.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram normal, Dyspnoea, Dyspnoea exertional, Electrocardiogram normal
Clinical narrative: I went to walk around the neighborhood and I relieved that I was out of breath. I checked my apple watch and my heart rate was elevated more than usual. When I sat down it was a little bit better. It got to the point when I was changing my clothes I had shortness of breath. I went to the ER and they checked the see if I had blood clots. I did not have blood clots. I have been seeing several different doctors and specialist. Nobody can explain what is going on with me. I have been doing IBS treatment and I still have the shortness of breath.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Heart rate increased, X-ray normal
Clinical narrative: I went to walk around the neighborhood and I relieved that I was out of breath. I checked my apple watch and my heart rate was elevated more than usual. When I sat down it was a little bit better. It got to the point when I was changing my clothes I had shortness of breath. I went to the ER and they checked the see if I had blood clots. I did not have blood clots. I have been seeing several different doctors and specialist. Nobody can explain what is going on with me. I have been doing IBS treatment and I still have the shortness of breath.
Age: 40.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Blood test abnormal, Chest X-ray abnormal, Confusional state, Disorientation
Clinical narrative: On 09/21/2022, around mid-day, I started feeling mildly nauseous and fatigued. It continued and increased until 09/25/2022. At that point, I was also having confusion and some disorientation. I was also feeling weaker and was not eating very much. I went to the emergency room on 09/25/2022 where I was given intravenous fluids and was diagnosed with an acute urinary tract infection and hypokalemia. I was released that day with a prescription for an antibiotic and a Potassium supplement. While I was there, they treated me with an I.V. of Potassium and anti-nausea medication. I have never had a urinary tract infection before, so this was an abnormal situation for me.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram, Fatigue, Hypokalaemia, Hypophagia, Nausea
Clinical narrative: On 09/21/2022, around mid-day, I started feeling mildly nauseous and fatigued. It continued and increased until 09/25/2022. At that point, I was also having confusion and some disorientation. I was also feeling weaker and was not eating very much. I went to the emergency room on 09/25/2022 where I was given intravenous fluids and was diagnosed with an acute urinary tract infection and hypokalemia. I was released that day with a prescription for an antibiotic and a Potassium supplement. While I was there, they treated me with an I.V. of Potassium and anti-nausea medication. I have never had a urinary tract infection before, so this was an abnormal situation for me.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Urinary tract infection, Urine analysis abnormal
Clinical narrative: On 09/21/2022, around mid-day, I started feeling mildly nauseous and fatigued. It continued and increased until 09/25/2022. At that point, I was also having confusion and some disorientation. I was also feeling weaker and was not eating very much. I went to the emergency room on 09/25/2022 where I was given intravenous fluids and was diagnosed with an acute urinary tract infection and hypokalemia. I was released that day with a prescription for an antibiotic and a Potassium supplement. While I was there, they treated me with an I.V. of Potassium and anti-nausea medication. I have never had a urinary tract infection before, so this was an abnormal situation for me.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Pain, Pyrexia
Clinical narrative: COVID pos on 9/18/2022. Symptoms; body aches, cough; low grade fever and debilitating fatigue. I was prescribed a 5-day course of Paxlovid. However, I contracted COVID a second time on 10/04/2022. It was a very mild case so there are no symptoms to report. Tested COVID neg on 10/10/2022
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID pos on 9/18/2022. Symptoms; body aches, cough; low grade fever and debilitating fatigue. I was prescribed a 5-day course of Paxlovid. However, I contracted COVID a second time on 10/04/2022. It was a very mild case so there are no symptoms to report. Tested COVID neg on 10/10/2022
Age: 13.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Pain, Pyrexia
Clinical narrative: CLEINT EXPERIENCED FEVER AND BODY ACHES ONE DAY FOLLOWING VACCINATION. IBUPROPHEN TAKEN FOR SYMPTOM RELIEF.  CLIENT PRESENTED FOR MENINGOCOCCAL ACWY VACCINATION ON 10.13.2022. PHARMACY STAFF ADMINISTERED FLUCELVAX IN ERROR. VACCINATION ERROR WAS DISCOVERD BY PARENT OF CLIENT. PHARMACY STAFF CONFIRMED INFLUENZA VACCINE WAS GIVEN TO CLIENT.
Age: 13.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Wrong product administered
Clinical narrative: CLEINT EXPERIENCED FEVER AND BODY ACHES ONE DAY FOLLOWING VACCINATION. IBUPROPHEN TAKEN FOR SYMPTOM RELIEF.  CLIENT PRESENTED FOR MENINGOCOCCAL ACWY VACCINATION ON 10.13.2022. PHARMACY STAFF ADMINISTERED FLUCELVAX IN ERROR. VACCINATION ERROR WAS DISCOVERD BY PARENT OF CLIENT. PHARMACY STAFF CONFIRMED INFLUENZA VACCINE WAS GIVEN TO CLIENT.
Age: 13.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Pain, Pyrexia
Clinical narrative: patient's parent had requested menveo vaccine, was billed for and administered flucelvax  patient experienced slightly elevated temperature (approx 100F) the following day 10/14
Age: 13.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Wrong product administered
Clinical narrative: patient's parent had requested menveo vaccine, was billed for and administered flucelvax  patient experienced slightly elevated temperature (approx 100F) the following day 10/14
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: PT GIVEN 0.25ML DOSE. NO ADVERSE EVENTS NOTED.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Middle ear effusion, Vertigo
Clinical narrative: Vertigo caused by acute effusion of both middle ears
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Multiple use of single-use product, No adverse event, Underdose
Clinical narrative: Patient was here to get IM Testosterone.  Patient brings own vials from pharmacy.  Partial dose of 0.3 ml was drawn up from previously used vial.  Remaining dose of 0.4 mls was mistakenly drawn up from Covid Bivalent vial in the same syringe.  This was administered to patient.  After administration of medication, RN noticed the error.  Patients last monovalent dose was given 08/08/22.  Dr., lead provider was notified of incident.  Patient was informed of incident and advised of symptoms to report.  Patient did not report any symptoms at this time.  Patients PCP, Dr. was notified of incident.  Will follow up with patient in 48 hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Malaise, Pain
Clinical narrative: 10/17/2022 in the evening when I was going to bed, my injection site was sore. And I took Tylenol. 10/18/2022- My arm was still sore. I took more Tylenol. Throughout the day, I felt achy, and I had general malaise. That evening I took more Tylenol. 10/19/2022 - I had soreness around the injection site. My arm was swollen. And I took more Tylenol. I went to see the nurse at the school I work, and she advised me to take Tylenol. I put an ice pack on it that evening. 10/20/2022- I had a headache, still swelling around the injection site. I took Tylenol this morning. It is still sore to the touch, and it is slightly red.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: 10/17/2022 in the evening when I was going to bed, my injection site was sore. And I took Tylenol. 10/18/2022- My arm was still sore. I took more Tylenol. Throughout the day, I felt achy, and I had general malaise. That evening I took more Tylenol. 10/19/2022 - I had soreness around the injection site. My arm was swollen. And I took more Tylenol. I went to see the nurse at the school I work, and she advised me to take Tylenol. I put an ice pack on it that evening. 10/20/2022- I had a headache, still swelling around the injection site. I took Tylenol this morning. It is still sore to the touch, and it is slightly red.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Device leakage, Product administration error, Underdose
Clinical narrative: administration error: upon pushing out the liquid inside the syringe, it leaked out of the junction between the needle and syringe
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PT GIVEN 0.25ML. NO ADVERSE EVENTS NOTED.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Injection site erythema, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: Circular area ~2 inch diameter of erythema at the injection site.   Patient reports initially had a small red knot at the vaccine injection site She reports now having redness, swelling, and warmth at the injection site, which has spread No fever Had a headache with it Can't lay on that side when trying to sleep due to pain
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Sleep disorder
Clinical narrative: Circular area ~2 inch diameter of erythema at the injection site.   Patient reports initially had a small red knot at the vaccine injection site She reports now having redness, swelling, and warmth at the injection site, which has spread No fever Had a headache with it Can't lay on that side when trying to sleep due to pain
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Effective beyond administered day.
Age: 29.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond use date.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PT GIVEN 0.25ML. NO ADVERSE EVENTS NOTED
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: none , pt. was scheduled to received her 2nd dose (primary series) of covid Moderna Vaccine instead  pt received a bivalent Covid Moderna
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Headache, Injected limb mobility decreased, Monoplegia, Neck pain
Clinical narrative: L arm/shoulder/hand paralysis & pain, especially with movement s/p COVID bivalent booster administration. Some mild sxs in RUE, which have resolved. States symptoms started 2-3 hours s/p injection.  By evening pain was intense. Pain radiates from left side of neck all the way down her arm, but most prominent in upper arm. Could barely lift arm.   Also developed HA & whole body tremors day after vaccination.  HAs resolved & tremors much improved. Has taken APAP with modest improvement. Symptoms are not currently worsening.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in extremity, Tremor
Clinical narrative: L arm/shoulder/hand paralysis & pain, especially with movement s/p COVID bivalent booster administration. Some mild sxs in RUE, which have resolved. States symptoms started 2-3 hours s/p injection.  By evening pain was intense. Pain radiates from left side of neck all the way down her arm, but most prominent in upper arm. Could barely lift arm.   Also developed HA & whole body tremors day after vaccination.  HAs resolved & tremors much improved. Has taken APAP with modest improvement. Symptoms are not currently worsening.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PT GIVEN 0.25ML. NO ADVERSE EVENTS NOTED
Age: 68.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness
Clinical narrative: Patient presented to MPX site for 1st dose of Jynneos vaccine. At 5:54 PM, patient received intradermal injection in his right arm by RN Lot #FDP00015 exp 12/14/2022. After proceeding to the observation area, patient reported to RN that he felt dizzy. RN alerted PHN Lead and PHN Co-Lead. At 6:04 PM, patient was advised to stay seated and was handed a bottle of water. Patient states he has no allergies and has been diagnosed with hypertension. He takes metoprolol daily. A first set of vital signs is taken at 6:04 PM: BP: 165/92, O2: 98%, R: 18, and HR: 71bpm. Patient stated that his baseline is normally around 140/90. Patient was encouraged to drink more water. At 6:07 PM patient was helped into the gravity chair and leaned back. Patient states dizziness has not improved or worsened. At 6:09 PM, a second set of vitals were taken, and BP: 166/82, HR: 86 bpm,R: 17, and O2: 98%. Patient is reclined on the gravity chair and his feet are elevated. Patient finishes water bottle and is handed an additional water bottle. Patient was offered and declined a snack. At 6:16 PM patient states he no longer feels dizzy. Patient stated that he drove to the site. Nurses verbalized that we will need to make sure he is safe to drive. At 6:18 PM patient was assisted to the standing position. Patient states he continues to be free of dizziness and feels he is safe to drive. Patient asked to wait to be sure the dizziness does not return. At 6:23 PM patient states he is still not feeling dizzy and is ready to walk to the car. RN and another RN walked with patient to his car. Patient safety ambulated to car and left site in stable condition.
Age: 19.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Effective beyond administered day.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PT GIVEN 0.25ML. NO ADVERSE EVENTS NOTED
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage Administered beyond used date
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rash, Rash erythematous, Skin warm
Clinical narrative: Bright red rash similar in appearance to cellulitis appeared on both legs. Warm to touch. Spread slightly x 3 days.  There were no events leading to this or exposure to irritants.   No response to topical hydrocortisone.   note that this exact rection and resolution occurred in Feb 2021 several days after dose 2. Contacted PCP, scheduled allergist visit but rash had cleared before a date could be scheduled.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond use date.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was due for Orange Top Monovalent COVID 5-11yr dose 2.  Was given Gray Top Bivalent 12 and up Patient tolerated vaccine no reaction