chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: M
Vaccine: PNC15
Symptoms: No adverse event
Clinical narrative: Patient is well, no symptoms developed
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased, Pain in extremity, Product administered at inappropriate site, Shoulder injury related to vaccine administration
Clinical narrative: 12/16 got COVID shot on left upper arm Site is very painful-right neck to hand pain No numbness or tingling No nuchal rigidity Feels swollen- but not sure   No redness, rash - arm is tatted hard to tell No temps, chills, NV, no drainage from site   The injection was up higher on the left upper arm  Using heat, ice, warm compress, took a muscle relaxer she had from a previous muscular issue, tylenol/ibuprofen   1. Shoulder injury related to vaccine administration (SIRVA) (Primary) - Confirmed history as above  - Tylenol and muscle relaxers last night, applying heat - Having difficulty moving neck w/ full ROM to either side but can go further today than yesterday  - Radiating down arm yesterday into hand, has subsided slightly today Plan:  - History and presentation consistent w/ SIRVA  - NSAID therapy x 1 week w/ food, apply heat, avoid aggravating motions but do not completely stop moving joint  - Sports med referral in case injections, MRI needed (informed pt MRI if pain still at 6 weeks) - PT referral in case ongoing pain  Orders:  -     naproxen 500 mg tablet  Dispense: 30 tablet; Refill: 0 -     CONSULT TO PT/OT (PHYSICAL & OCCUPATIONAL THERAPY) -     CONSULT TO ORTHO
Age: 17.0
Sex: F
Vaccine: FLU4, MENB, MNQ
Symptoms: Pain in extremity
Clinical narrative: Pt reports persistent left arm pain after vaccine administration for one week. Upon further examination here in office 12/21/2023 patient had: no clubbing, cyanosis or edema, normal capillary refill, left shoulder with full range of motion, non-tender, no erythema or swelling.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Mistook her DOB year as her age-14 yrs. Administered the adult dose of Pfizer covid 19 vaccine when it should have been the 6-11 year old vaccine. Mother, was made aware of mistake. She had verbal understanding of the situation and was advised to contact LHD if any adverse reactions occur.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Dizziness, Fatigue
Clinical narrative: 12 hrs. After vaccine, I had severe shaking chills, lasting about 3 hrs. Explosive headache for 36 hrs., excruciating joint  and back pain for 36 hrs.;  lethargy and dizziness through out this time.; extreme fatigue for 3 days. Symptoms subsided on day 3, but continued dizziness and weakness one week later.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lethargy, Tremor
Clinical narrative: 12 hrs. After vaccine, I had severe shaking chills, lasting about 3 hrs. Explosive headache for 36 hrs., excruciating joint  and back pain for 36 hrs.;  lethargy and dizziness through out this time.; extreme fatigue for 3 days. Symptoms subsided on day 3, but continued dizziness and weakness one week later.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is a twin. Mistook his DOB year as age-14 yrs. Administered adult dose of Pfizer covid 19 vaccine when it should have been the 6-11 year old vaccine. Mother was made aware of mistake. Mother had a verbal understanding of the situation and was advised to contact HD if any adverse reactions occur.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Fatigue, Injected limb mobility decreased, Injection site pain
Clinical narrative: Severe pain at injection site continuing and spreading to shoulder and limiting range of motion in left arm and shoulder.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: Patient given an additional HepB and IPV vaccine due to parent did not provide all vaccination records for patient.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 71.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered
Clinical narrative: The patient has received a second dose of Moderna 2023-2024 and Influenza on 12/11/2023. The first dose that the patient received was on 10/03/2023.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Erythema, Myalgia, Pain in extremity, Swelling
Clinical narrative: After every Covid 19 vaccination which were all given in her Left deltoid 2/17/21, 3/19/21. 11/4/22 pt experienced swelling, erythema and pain to her left shoulder and arm which lasted 2 weeks. Since her vaccinations patient has chronic pain in her left arm, with sharp pains in the deltoid muscle which come and go. Pt will not be getting any further covid 19 vaccines as a result. She has also been infected with Covid twice since her vaccinations.
Age: 62.0
Sex: F
Vaccine: RSV
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: Pt calls with concerns of soreness and itchiness at the site of injection approximately 7 days after initial injection.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, Wrong patient received product
Clinical narrative: PATIENT INADVERTENTLY GIVEN FLU VACCINE MEANT FOR SIBLING. PATIENT HAD FLU VACCINE EARLIER THE SAME DAY AT ANOTHER FACILITY.
Age: 65.0
Sex: F
Vaccine: RSV
Symptoms: Asthenia, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: There was no swelling or redness at the injection site on 11/03/2023. Around 12:30 pm, I was getting dressed to go out and felt fine. Within 15 minutes, I felt weak, fatigued, headache, chills and feverish. I was so weak and tired, that I could barely get undressed and in pajamas to go to bed.  I took temperature and it was 102 degrees. I took some Tylenol and call Pharmacist. In an hour, my fever was up to 103 degrees and stayed there for 36 hours, along with all of the other symptoms. On 11/05/23, the fever had come down to 100 degrees and the chills stopped. I was still tired and weak, but not as bad as I was on 11/03 and 11/04.  On 11/06, the fever came down to 99.5 degrees and I was starting to feel better. By 11/07, everything seemed to be back to normal.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Local reaction, Paraesthesia
Clinical narrative: Had localized reaction and also numbness of right pinky toe and right side of foot. Numbness lasted for 1 month, then turned into tingling which is ongoing.
Age: 31.0
Sex: F
Vaccine: MNQ, TDAP, TYP, YF
Symptoms: Chest discomfort, Dry throat, Injection site urticaria, Pruritus
Clinical narrative: Approximately 10-15 minutes following above vaccinations (at 9:55 am), patient began to have hives at the injection site where the Yellow Fever vaccine was administered. There were approximately 3 hives within 1-2 inches from injection site. She then began to feel some dry sensation in her throat and was transferred to Urgent Care at 10:00am (located in same building at medical facility). Began to report itching on her chin and then several minutes later a slight heaviness in the chest.   Patient was transferred to Urgent Care, was treated with Cetirizine Hydrochloride 10 mg at 10:22am, then Epinephrin injection at 10:59 am. Additionally was given 1 Liter of Normal Saline by IV which started at 11:05 am.   She was monitored for 1.5 hours and was discharged home with full resolution of symptoms.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 10.0
Sex: M
Vaccine: MMR
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Administered an additional dose of MMR vaccine. Patient came in with handwritten vaccine card. Card was difficult to read, Patient showed no adverse reactions,  First MMR dose on 09/23/2014 Second dose 10/21/2016 Third dose administered 12/20/2023
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event occured, pt was given an inadequate dose of vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Pain, Pain in extremity, Urticaria
Clinical narrative: Covid vaccine given on 12/13, on 12/14 had pain and discomfort to lt arm, armpit area and very difficult to move/lift arm due to pain.  On 12/16 started getting hives that come and go to arms, neck, hands and upper body.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No Adverse effect, pt was administered insufficient dose for age.
Age: 0.83
Sex: F
Vaccine: DTAPHEPBIP, PNC13
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Clinic records/ software did not reflect the previous vaccinations on 8/8/23 until after the appointment.   NO ILL EFFECTS NOTED FROM ADDITIONAL VACCINES
Age: 80.0
Sex: M
Vaccine: RSV
Symptoms: Injection site pain
Clinical narrative: They gave me the injection, it was in my upper arm. It started that day, in pain. I told the girl that this hurts, and she said yea it is because the serum is thick. But it's been hurting every since and it's been 5 weeks or so and it  should not hurt this long.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Hidradenitis, Malaise
Clinical narrative: Severe hidradenitis flare started in left axilla 3-4 days after Moderna COVID19 vaccine (Fall 2023). previously hidradenitis has been well controlled and in remission with mild flares. this was first Moderna vaccine patient received and had 3 days of feeling ill afterwards as well.
Age: 60.0
Sex: F
Vaccine: RSV
Symptoms: Fatigue, Rash, Respiratory tract congestion
Clinical narrative: Patient received the RSV vaccine on 12-14-23 and developed a rash later that night when she was at home. The rash continued to spread over the next day or so to most of the body. It was up and down her arms, under her arms, both elbows, under the breast all the way down to where the legs meet the torso. Patient did not seek any medical treatment but did start taking Benadryl on 12-17-23. Patient informed us of the rash on 12-20-23. She also stated that the rash is starting to subside. Other symptoms she felt were tired and congested.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Chills, Cough
Clinical narrative: He got his vaccine, he had chills, fever, was shaking and had pain in his arm.  Mostly he had fever which was 99.5 but she was shaking horribly with the chills and freezing.  He had this for one day, 24 hours.  He did not have any other symptoms other than fatigue which lasted for about 10 days.  About 4 weeks after the vaccine he was having chills, horrible headache and fatigue with no energy and a cough, with shortness of breath, could not sleep on her back and had to sleep in a sitting position as he could not lay down or he would start coughing, and runny nose and congestion.  He went to the doctor and they diagnosed him as having COVID and gave him Tylenol which did not help much, cough medicines and also nasal drops.  Tylenol helped slightly but slowly.  The cough medicine did not help much and he still continues to cough.  He has been using steam inhalation and a remedy he found online and more humidity in his home and steamy conditions has helped more with the cough than the medicine.  He is having a dry cough which he has had a for a long time.  He has sensitivity to cold air, could not go outside as the cough becomes worse.  Before the vaccine he was going outside and enjoying the fresh air and now he cannot.  He got asthma after the vaccination.  He was fine prior to the vaccine, and feels that the vaccine did not work as he got COVID vaccine which did not help him as he expected it to.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Feeling cold, Headache, Influenza virus test
Clinical narrative: He got his vaccine, he had chills, fever, was shaking and had pain in his arm.  Mostly he had fever which was 99.5 but she was shaking horribly with the chills and freezing.  He had this for one day, 24 hours.  He did not have any other symptoms other than fatigue which lasted for about 10 days.  About 4 weeks after the vaccine he was having chills, horrible headache and fatigue with no energy and a cough, with shortness of breath, could not sleep on her back and had to sleep in a sitting position as he could not lay down or he would start coughing, and runny nose and congestion.  He went to the doctor and they diagnosed him as having COVID and gave him Tylenol which did not help much, cough medicines and also nasal drops.  Tylenol helped slightly but slowly.  The cough medicine did not help much and he still continues to cough.  He has been using steam inhalation and a remedy he found online and more humidity in his home and steamy conditions has helped more with the cough than the medicine.  He is having a dry cough which he has had a for a long time.  He has sensitivity to cold air, could not go outside as the cough becomes worse.  Before the vaccine he was going outside and enjoying the fresh air and now he cannot.  He got asthma after the vaccination.  He was fine prior to the vaccine, and feels that the vaccine did not work as he got COVID vaccine which did not help him as he expected it to.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Pain in extremity, Pyrexia, Rhinorrhoea, Sleep disorder
Clinical narrative: He got his vaccine, he had chills, fever, was shaking and had pain in his arm.  Mostly he had fever which was 99.5 but she was shaking horribly with the chills and freezing.  He had this for one day, 24 hours.  He did not have any other symptoms other than fatigue which lasted for about 10 days.  About 4 weeks after the vaccine he was having chills, horrible headache and fatigue with no energy and a cough, with shortness of breath, could not sleep on her back and had to sleep in a sitting position as he could not lay down or he would start coughing, and runny nose and congestion.  He went to the doctor and they diagnosed him as having COVID and gave him Tylenol which did not help much, cough medicines and also nasal drops.  Tylenol helped slightly but slowly.  The cough medicine did not help much and he still continues to cough.  He has been using steam inhalation and a remedy he found online and more humidity in his home and steamy conditions has helped more with the cough than the medicine.  He is having a dry cough which he has had a for a long time.  He has sensitivity to cold air, could not go outside as the cough becomes worse.  Before the vaccine he was going outside and enjoying the fresh air and now he cannot.  He got asthma after the vaccination.  He was fine prior to the vaccine, and feels that the vaccine did not work as he got COVID vaccine which did not help him as he expected it to.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: He got his vaccine, he had chills, fever, was shaking and had pain in his arm.  Mostly he had fever which was 99.5 but she was shaking horribly with the chills and freezing.  He had this for one day, 24 hours.  He did not have any other symptoms other than fatigue which lasted for about 10 days.  About 4 weeks after the vaccine he was having chills, horrible headache and fatigue with no energy and a cough, with shortness of breath, could not sleep on her back and had to sleep in a sitting position as he could not lay down or he would start coughing, and runny nose and congestion.  He went to the doctor and they diagnosed him as having COVID and gave him Tylenol which did not help much, cough medicines and also nasal drops.  Tylenol helped slightly but slowly.  The cough medicine did not help much and he still continues to cough.  He has been using steam inhalation and a remedy he found online and more humidity in his home and steamy conditions has helped more with the cough than the medicine.  He is having a dry cough which he has had a for a long time.  He has sensitivity to cold air, could not go outside as the cough becomes worse.  Before the vaccine he was going outside and enjoying the fresh air and now he cannot.  He got asthma after the vaccination.  He was fine prior to the vaccine, and feels that the vaccine did not work as he got COVID vaccine which did not help him as he expected it to.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Covid Vaccine for 12+ was administered instead of the Covid 5-11y. This was discovered after patient left the clinic. MD and imms support center notified. Via telephone consultation,  MD notified parent  and advised to visit PCM or Emergency Dept if an issue arose that could not be handled virtually.
Age: 77.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19, FLU4, HPV9
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Ultrasound Doppler normal, X-ray
Clinical narrative: Right upper extremity pain. Patient received 2 COVID vaccinations on Thursday.  On Saturday, noticed some redness, pain and swelling of the right upper extremity. Obtained a RUE u/s in the outpatient setting which was negative. Also started on Prednisone. Felt as though the pain has been worsening (redness/swelling improved), prompting evaluation in the ER. No fever. Taking Aleve and Tylenol. Completed xrays in ER on 12/20 which were negative.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal discomfort, Cough, Dizziness, Headache
Clinical narrative: EMPLOYEE STARTED EXPERIENCING UPSET STOMACH, LIGHTHEADEDNESS, COUGH AND HEADACHE APPROXIMATELY 3 HOURS AFTER RECEIVING HEP-B VACCINE. EMPLOYEE STATED SYMPTOMS BEGAN TO SUBSIDE NEXT DAY 12/19/2023
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Patient received the low dose flu shot instead of the high dose flu shot for patients 65 and over
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I have developed a rash in the front of my neck area.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU4, HEPA, HIBV
Symptoms: Gait disturbance, Influenza virus test negative, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: In the evening after vaccination site, right thigh became red, painful and swollen at injection site, worsening for 38 hours. Mom gave Tylenol, Motrin and applied ice. Patient refused to walk on right leg
Age: 1.5
Sex: M
Vaccine: DTAP, FLU4, HEPA, HIBV
Symptoms: Pyrexia, SARS-CoV-2 test negative, Streptococcus test positive
Clinical narrative: In the evening after vaccination site, right thigh became red, painful and swollen at injection site, worsening for 38 hours. Mom gave Tylenol, Motrin and applied ice. Patient refused to walk on right leg
Age: 16.0
Sex: F
Vaccine: MMRV
Symptoms: Chills, Eye discharge, Lymphadenopathy, Malaise, Pain
Clinical narrative: On 10/15/2023, the patient began feeling unwell. On 10/16/2023 she developed fevers, chills, and body aches. She was evaluated at an urgent care on 10/19/2023. Flu/covid/RSV negative. She was treated with prednisone. Her fever, HA, and other symptoms resolved but then on 10/25/2023 she noticed enlarged lymph nodes in her neck as well as rash on her neck and chest. The rash progressed over the next week from her chest to stomach, back, arms legs and scalp. No involvement of palms or soles. She reported that the rash was itchy but not painful. She also had some eye puffiness and drainage. On 11/7 she saw NP and was given eye drops and the eye symptoms resolved.   She was evaluated by PCP (myself) on 11/10/2023. At that time the rash of her posterior neck was improving. She was still  seeing some new spots on her legs and lower back. The rash was red with some areas of bumps that had opened and scabbed over. She was advised to treat at home with supportive measures for itching and reassured that the rash would likely continue to resolve. She was encouraged to notify office if rash did not fully resolve over the next several days. The case was discussed with our local health department as well.
Age: 16.0
Sex: F
Vaccine: MMRV
Symptoms: Periorbital swelling, Pyrexia, Rash, Rash erythematous, Rash pruritic
Clinical narrative: On 10/15/2023, the patient began feeling unwell. On 10/16/2023 she developed fevers, chills, and body aches. She was evaluated at an urgent care on 10/19/2023. Flu/covid/RSV negative. She was treated with prednisone. Her fever, HA, and other symptoms resolved but then on 10/25/2023 she noticed enlarged lymph nodes in her neck as well as rash on her neck and chest. The rash progressed over the next week from her chest to stomach, back, arms legs and scalp. No involvement of palms or soles. She reported that the rash was itchy but not painful. She also had some eye puffiness and drainage. On 11/7 she saw NP and was given eye drops and the eye symptoms resolved.   She was evaluated by PCP (myself) on 11/10/2023. At that time the rash of her posterior neck was improving. She was still  seeing some new spots on her legs and lower back. The rash was red with some areas of bumps that had opened and scabbed over. She was advised to treat at home with supportive measures for itching and reassured that the rash would likely continue to resolve. She was encouraged to notify office if rash did not fully resolve over the next several days. The case was discussed with our local health department as well.
Age: 16.0
Sex: F
Vaccine: MMRV
Symptoms: Scab
Clinical narrative: On 10/15/2023, the patient began feeling unwell. On 10/16/2023 she developed fevers, chills, and body aches. She was evaluated at an urgent care on 10/19/2023. Flu/covid/RSV negative. She was treated with prednisone. Her fever, HA, and other symptoms resolved but then on 10/25/2023 she noticed enlarged lymph nodes in her neck as well as rash on her neck and chest. The rash progressed over the next week from her chest to stomach, back, arms legs and scalp. No involvement of palms or soles. She reported that the rash was itchy but not painful. She also had some eye puffiness and drainage. On 11/7 she saw NP and was given eye drops and the eye symptoms resolved.   She was evaluated by PCP (myself) on 11/10/2023. At that time the rash of her posterior neck was improving. She was still  seeing some new spots on her legs and lower back. The rash was red with some areas of bumps that had opened and scabbed over. She was advised to treat at home with supportive measures for itching and reassured that the rash would likely continue to resolve. She was encouraged to notify office if rash did not fully resolve over the next several days. The case was discussed with our local health department as well.
Age: 69.0
Sex: M
Vaccine: FLUA4
Symptoms: Impaired healing, Injection site reaction, Injection site scab
Clinical narrative: Patient developed a scab at the injection site after the vaccine that is not healing as of 12/21/2023.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dizziness, Headache, Influenza like illness
Clinical narrative: I was vaccinated on Friday 12/15/23. I began experiencing Flu like symptoms on Sunday.  I started with a stuffy nose which turned into being congested. I woke up feeling sluggish and light headed.  My symptoms grew worse on day 3 following the vaccination.  I started to have chills, constant headaches, a sore throat and more congestion.  It will be a week tomorrow  Friday 12/22/23.  So far, I am still congested. I have headaches that come and go. Over the counter medication are not working. I still feel lethargic and light headed or dizzy and continue to have headaches and occasional tightness in my chest.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, Sluggishness
Clinical narrative: I was vaccinated on Friday 12/15/23. I began experiencing Flu like symptoms on Sunday.  I started with a stuffy nose which turned into being congested. I woke up feeling sluggish and light headed.  My symptoms grew worse on day 3 following the vaccination.  I started to have chills, constant headaches, a sore throat and more congestion.  It will be a week tomorrow  Friday 12/22/23.  So far, I am still congested. I have headaches that come and go. Over the counter medication are not working. I still feel lethargic and light headed or dizzy and continue to have headaches and occasional tightness in my chest.
Age: 70.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Bursitis
Clinical narrative: Patient received shot from our clinic on 10/30/2023. Patient developed shoulder pain and ended up seeing an orthopedic specialist for the shoulder pain thinking she had done something to her shoulder. Orthopedic specialist informed patient that she had bursitis from a shot that was given with a needle that was possibly too long or a shot that was given too high. Patient was started on steroid treatment per orthopedic specialist but said symptoms may last for 3-4 months.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Rash
Clinical narrative: rash
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received two Flulaval quad vaccines during the 2023 season. The first one was administered on 11/6/23 and the patient received a second dose on 11/24/23 as requested by the patient along with another vaccine. Although the state immunization record was reviewed prior to administering the second flu vaccine, it was missed that she had already received one and the patient verbally requested the flu vaccine and did not mark on her vaccine intake form that she had received one recently. Patient reports no adverse reactions at this time.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Pruritus
Clinical narrative: Employee reported: itching and burning sensation on left arm that is getting worse daily after vaccination.
Age: 1.75
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Vaccination error, Wrong product administered
Clinical narrative: Vaccine error. Tdap was given instead of Dtap.
Age: 11.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Inadvertently selected Pentacel instead of Tdap from bin. This does count as a valid dose and no treatment needed. No negative outcome reported.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Acute respiratory failure, Atrial fibrillation, Benign prostatic hyperplasia, Blood creatinine increased
Clinical narrative: Patient is a 74 y.o. male patient of MD with history of anemia, atrial fibrillation, BPH, CAD, COPD, depression, glaucoma, HFrEF, HTN, PE in 2021, prediabetes, and scoliosis, who presented to Medical Center with shortness of breath and hypoxia found to have acute respiratory failure secondary to COVID-19 and Pneumonia.  Hospital course complicated by AKI.   Acute respiratory failure with hypoxia and hypercapnia Secondary to PNA and COVID-19, does have underlying COPD and CHF Pt previously on 2L O2 NC (2021) after a PE but weaned off months ago Requiring 6L O2 NC on admission Weaned to room air (10/13), sats down to mid 80s with ambulation Home O2 eval (10/14) and pt qualifies for home O2 Pulm toilet, IS   Bacterial pneumonia Afebrile, no leukocytosis CXR (10/9) with  patchy left-sided opacities concerning for infection, right basilar opacities could be atelectasis or infiltrate Completed Azithro x 5 days and Ceftriaxone x 7 days   Covid-19 Virus Infection Date of onset of symptoms: 10/8 Symptoms present on admission: Shortness of breath Date of covid positive test: 10/9 Vaccination status: vaccinated Imaging: CXR with patchy L sided opacities and R basilar opacities Oxygen requirements on admission: 6L O2 NC Current oxygen requirements: 3L O2 NC Medical therapy: remdesivir, steroids, rocephin, and zithromax Consultants following: None Anticipated special isolation end date: 10/19/23   AKI, resolved Cr normal at baseline and normal on admission Cr trending to 1.34 (10/11), likely due to hypotension Avoid nephrotoxins Holding lisinopril and hydrochlorothiazide Cr improved to 1.03 (10/13)   Paroxysmal atrial fibrillation Held home Toprol due to hypotension, resumed (10/12) Continue home eliquis   COPD  Secondary to prior tobacco abuse Follows with Dr.  Only on albuterol prn Will send Spiriva at discharge, pt to follow up with pulm   CAD History of MI in 1985 Lexiscan (10/2021) showed  moderate sized severe perfusion defect of the interolateral wall, trivial degree of periinfarction ischemia, findings consistent with prior infarct likely of the CX territory without a significant degree of ischemia, EF 41% Continued home aspirin, atorvastatin Held home Toprol due to hypotension, resumed (10/12)   Chronic HFrEF Euvolemic on admission EF 40% per chart review Hypotensive (10/10), given fluid bolus Holding home toprol, lisinopril and hydrochlorothiazide due to hypotension, resumed toprol (10/12), restarted lower dose lisinopril (10/14), can resume home dose of lisinopril/hydrochlorothiazide at discharge   Hypotension BP dropping to 84/48 (10/10) Hold home metoprolol, lisinopril and hydrochlorothiazide  S/P IVF bolus BP improved (10/11), resumed Toprol (10/12),  restarted lower dose lisinopril (10/14), can resume home dose of lisinopril/hydrochlorothiazide at discharge   BPH Continue home finasteride   Depression Continue home fluoxetine
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Coronary artery disease, Depression
Clinical narrative: Patient is a 74 y.o. male patient of MD with history of anemia, atrial fibrillation, BPH, CAD, COPD, depression, glaucoma, HFrEF, HTN, PE in 2021, prediabetes, and scoliosis, who presented to Medical Center with shortness of breath and hypoxia found to have acute respiratory failure secondary to COVID-19 and Pneumonia.  Hospital course complicated by AKI.   Acute respiratory failure with hypoxia and hypercapnia Secondary to PNA and COVID-19, does have underlying COPD and CHF Pt previously on 2L O2 NC (2021) after a PE but weaned off months ago Requiring 6L O2 NC on admission Weaned to room air (10/13), sats down to mid 80s with ambulation Home O2 eval (10/14) and pt qualifies for home O2 Pulm toilet, IS   Bacterial pneumonia Afebrile, no leukocytosis CXR (10/9) with  patchy left-sided opacities concerning for infection, right basilar opacities could be atelectasis or infiltrate Completed Azithro x 5 days and Ceftriaxone x 7 days   Covid-19 Virus Infection Date of onset of symptoms: 10/8 Symptoms present on admission: Shortness of breath Date of covid positive test: 10/9 Vaccination status: vaccinated Imaging: CXR with patchy L sided opacities and R basilar opacities Oxygen requirements on admission: 6L O2 NC Current oxygen requirements: 3L O2 NC Medical therapy: remdesivir, steroids, rocephin, and zithromax Consultants following: None Anticipated special isolation end date: 10/19/23   AKI, resolved Cr normal at baseline and normal on admission Cr trending to 1.34 (10/11), likely due to hypotension Avoid nephrotoxins Holding lisinopril and hydrochlorothiazide Cr improved to 1.03 (10/13)   Paroxysmal atrial fibrillation Held home Toprol due to hypotension, resumed (10/12) Continue home eliquis   COPD  Secondary to prior tobacco abuse Follows with Dr.  Only on albuterol prn Will send Spiriva at discharge, pt to follow up with pulm   CAD History of MI in 1985 Lexiscan (10/2021) showed  moderate sized severe perfusion defect of the interolateral wall, trivial degree of periinfarction ischemia, findings consistent with prior infarct likely of the CX territory without a significant degree of ischemia, EF 41% Continued home aspirin, atorvastatin Held home Toprol due to hypotension, resumed (10/12)   Chronic HFrEF Euvolemic on admission EF 40% per chart review Hypotensive (10/10), given fluid bolus Holding home toprol, lisinopril and hydrochlorothiazide due to hypotension, resumed toprol (10/12), restarted lower dose lisinopril (10/14), can resume home dose of lisinopril/hydrochlorothiazide at discharge   Hypotension BP dropping to 84/48 (10/10) Hold home metoprolol, lisinopril and hydrochlorothiazide  S/P IVF bolus BP improved (10/11), resumed Toprol (10/12),  restarted lower dose lisinopril (10/14), can resume home dose of lisinopril/hydrochlorothiazide at discharge   BPH Continue home finasteride   Depression Continue home fluoxetine
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea, Ejection fraction, Hypercapnia, Hypotension, Hypoxia
Clinical narrative: Patient is a 74 y.o. male patient of MD with history of anemia, atrial fibrillation, BPH, CAD, COPD, depression, glaucoma, HFrEF, HTN, PE in 2021, prediabetes, and scoliosis, who presented to Medical Center with shortness of breath and hypoxia found to have acute respiratory failure secondary to COVID-19 and Pneumonia.  Hospital course complicated by AKI.   Acute respiratory failure with hypoxia and hypercapnia Secondary to PNA and COVID-19, does have underlying COPD and CHF Pt previously on 2L O2 NC (2021) after a PE but weaned off months ago Requiring 6L O2 NC on admission Weaned to room air (10/13), sats down to mid 80s with ambulation Home O2 eval (10/14) and pt qualifies for home O2 Pulm toilet, IS   Bacterial pneumonia Afebrile, no leukocytosis CXR (10/9) with  patchy left-sided opacities concerning for infection, right basilar opacities could be atelectasis or infiltrate Completed Azithro x 5 days and Ceftriaxone x 7 days   Covid-19 Virus Infection Date of onset of symptoms: 10/8 Symptoms present on admission: Shortness of breath Date of covid positive test: 10/9 Vaccination status: vaccinated Imaging: CXR with patchy L sided opacities and R basilar opacities Oxygen requirements on admission: 6L O2 NC Current oxygen requirements: 3L O2 NC Medical therapy: remdesivir, steroids, rocephin, and zithromax Consultants following: None Anticipated special isolation end date: 10/19/23   AKI, resolved Cr normal at baseline and normal on admission Cr trending to 1.34 (10/11), likely due to hypotension Avoid nephrotoxins Holding lisinopril and hydrochlorothiazide Cr improved to 1.03 (10/13)   Paroxysmal atrial fibrillation Held home Toprol due to hypotension, resumed (10/12) Continue home eliquis   COPD  Secondary to prior tobacco abuse Follows with Dr.  Only on albuterol prn Will send Spiriva at discharge, pt to follow up with pulm   CAD History of MI in 1985 Lexiscan (10/2021) showed  moderate sized severe perfusion defect of the interolateral wall, trivial degree of periinfarction ischemia, findings consistent with prior infarct likely of the CX territory without a significant degree of ischemia, EF 41% Continued home aspirin, atorvastatin Held home Toprol due to hypotension, resumed (10/12)   Chronic HFrEF Euvolemic on admission EF 40% per chart review Hypotensive (10/10), given fluid bolus Holding home toprol, lisinopril and hydrochlorothiazide due to hypotension, resumed toprol (10/12), restarted lower dose lisinopril (10/14), can resume home dose of lisinopril/hydrochlorothiazide at discharge   Hypotension BP dropping to 84/48 (10/10) Hold home metoprolol, lisinopril and hydrochlorothiazide  S/P IVF bolus BP improved (10/11), resumed Toprol (10/12),  restarted lower dose lisinopril (10/14), can resume home dose of lisinopril/hydrochlorothiazide at discharge   BPH Continue home finasteride   Depression Continue home fluoxetine
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Left ventricular failure, Lung opacity, Pneumonia bacterial, SARS-CoV-2 test positive
Clinical narrative: Patient is a 74 y.o. male patient of MD with history of anemia, atrial fibrillation, BPH, CAD, COPD, depression, glaucoma, HFrEF, HTN, PE in 2021, prediabetes, and scoliosis, who presented to Medical Center with shortness of breath and hypoxia found to have acute respiratory failure secondary to COVID-19 and Pneumonia.  Hospital course complicated by AKI.   Acute respiratory failure with hypoxia and hypercapnia Secondary to PNA and COVID-19, does have underlying COPD and CHF Pt previously on 2L O2 NC (2021) after a PE but weaned off months ago Requiring 6L O2 NC on admission Weaned to room air (10/13), sats down to mid 80s with ambulation Home O2 eval (10/14) and pt qualifies for home O2 Pulm toilet, IS   Bacterial pneumonia Afebrile, no leukocytosis CXR (10/9) with  patchy left-sided opacities concerning for infection, right basilar opacities could be atelectasis or infiltrate Completed Azithro x 5 days and Ceftriaxone x 7 days   Covid-19 Virus Infection Date of onset of symptoms: 10/8 Symptoms present on admission: Shortness of breath Date of covid positive test: 10/9 Vaccination status: vaccinated Imaging: CXR with patchy L sided opacities and R basilar opacities Oxygen requirements on admission: 6L O2 NC Current oxygen requirements: 3L O2 NC Medical therapy: remdesivir, steroids, rocephin, and zithromax Consultants following: None Anticipated special isolation end date: 10/19/23   AKI, resolved Cr normal at baseline and normal on admission Cr trending to 1.34 (10/11), likely due to hypotension Avoid nephrotoxins Holding lisinopril and hydrochlorothiazide Cr improved to 1.03 (10/13)   Paroxysmal atrial fibrillation Held home Toprol due to hypotension, resumed (10/12) Continue home eliquis   COPD  Secondary to prior tobacco abuse Follows with Dr.  Only on albuterol prn Will send Spiriva at discharge, pt to follow up with pulm   CAD History of MI in 1985 Lexiscan (10/2021) showed  moderate sized severe perfusion defect of the interolateral wall, trivial degree of periinfarction ischemia, findings consistent with prior infarct likely of the CX territory without a significant degree of ischemia, EF 41% Continued home aspirin, atorvastatin Held home Toprol due to hypotension, resumed (10/12)   Chronic HFrEF Euvolemic on admission EF 40% per chart review Hypotensive (10/10), given fluid bolus Holding home toprol, lisinopril and hydrochlorothiazide due to hypotension, resumed toprol (10/12), restarted lower dose lisinopril (10/14), can resume home dose of lisinopril/hydrochlorothiazide at discharge   Hypotension BP dropping to 84/48 (10/10) Hold home metoprolol, lisinopril and hydrochlorothiazide  S/P IVF bolus BP improved (10/11), resumed Toprol (10/12),  restarted lower dose lisinopril (10/14), can resume home dose of lisinopril/hydrochlorothiazide at discharge   BPH Continue home finasteride   Depression Continue home fluoxetine
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site rash, Rash erythematous, Rash pruritic
Clinical narrative: Moderate, itchy, red rash that covered entire deltoid of right arm. Started night of vaccination and resolved mostly by today (12/21/23). Patient did not take anything orally or topically for the rash.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Wrong product administered
Clinical narrative: Heb B not need should have only been Dtap /IPV
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Necrosis, Ulcer
Clinical narrative: necrosis of tissue - ulcer type of wound - still active and not healing
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Joint noise, Myalgia, Pain, Pain in extremity
Clinical narrative: She got her vaccine, there was no initial reaction.  Two days after it started as a dull pain in her upper arm, and the longer it has gone on the more it has hurt.  When it's absolutely still it's fine, and when she moves it it hurts and when she tries to sleep it hurts, and cannot get a comfortable spot.  The pain is a 7-8 and probably a 6-7 at night.  It has no fever or warmth and she has not run any fever, but her arm feels warm once in a while, but just has the pain that still continues.  She went to see her doctor on 11/11/23 and had a set appointment.   When her arm started hurting she was going to call her doctor but the pharmacy told her to wait until she had her appointment.  When she did see her doctor she was told to put ice on it, and has tried ice and heat and that does not work.  She did not give her any medicine for it.  She did call today to try to get some pain medicine to get some rest, but she has not had anything called in as of yet.    She did call the pharmacy back again and they informed her that there may be aluminum in the vaccine which could be causing her pain.  She has never had a reaction to a shot before this, and it has really thrown her.    Sometimes the pain is in the muscle, and sometimes it feels like it is in the shoulder joint and her should has been popping more lately which it did not do that prior to the vaccine.  The pharmacy told her that is she had any discomfort with it to take Tylenol and she has taken a lot of Tylenol in the past couple of months which does not help., which is why she called her doctor for something stronger to help with the pain.    When she went to her doctor the nurse who came in said that they had some other people that came in with sore arms as well from the vaccine.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Skin warm, Sleep disorder
Clinical narrative: She got her vaccine, there was no initial reaction.  Two days after it started as a dull pain in her upper arm, and the longer it has gone on the more it has hurt.  When it's absolutely still it's fine, and when she moves it it hurts and when she tries to sleep it hurts, and cannot get a comfortable spot.  The pain is a 7-8 and probably a 6-7 at night.  It has no fever or warmth and she has not run any fever, but her arm feels warm once in a while, but just has the pain that still continues.  She went to see her doctor on 11/11/23 and had a set appointment.   When her arm started hurting she was going to call her doctor but the pharmacy told her to wait until she had her appointment.  When she did see her doctor she was told to put ice on it, and has tried ice and heat and that does not work.  She did not give her any medicine for it.  She did call today to try to get some pain medicine to get some rest, but she has not had anything called in as of yet.    She did call the pharmacy back again and they informed her that there may be aluminum in the vaccine which could be causing her pain.  She has never had a reaction to a shot before this, and it has really thrown her.    Sometimes the pain is in the muscle, and sometimes it feels like it is in the shoulder joint and her should has been popping more lately which it did not do that prior to the vaccine.  The pharmacy told her that is she had any discomfort with it to take Tylenol and she has taken a lot of Tylenol in the past couple of months which does not help., which is why she called her doctor for something stronger to help with the pain.    When she went to her doctor the nurse who came in said that they had some other people that came in with sore arms as well from the vaccine.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient received an additional dose of Tdap.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Dysphonia, Dyspnoea, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: At end of day after vaccination given, patient stated right arm sore, throat hoarse and itchy, headache , congestion, cough , loss of appetite- took Tylenol and went to sleep. Day 2(12/15/23) notice arm swelling with red circle, took benadryl and tylenol, throat sore - could not talk, mild SOB noted but thought it was because congestion of sinuses,low grade fever . Email sent to employee health on 12/18/23 describing all s/s and Employee Health instructed patient to go to ED ASAP as she was at work and still having adverse effects. Was seen at an urgent care and given antibiotics and OTC allergy med. Employee Health advised patient to go to ED for any other adverse effects or SOB
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Throat irritation
Clinical narrative: At end of day after vaccination given, patient stated right arm sore, throat hoarse and itchy, headache , congestion, cough , loss of appetite- took Tylenol and went to sleep. Day 2(12/15/23) notice arm swelling with red circle, took benadryl and tylenol, throat sore - could not talk, mild SOB noted but thought it was because congestion of sinuses,low grade fever . Email sent to employee health on 12/18/23 describing all s/s and Employee Health instructed patient to go to ED ASAP as she was at work and still having adverse effects. Was seen at an urgent care and given antibiotics and OTC allergy med. Employee Health advised patient to go to ED for any other adverse effects or SOB
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis of the injection site
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Gingival bleeding, Haematocrit decreased, Haemoglobin decreased, Immune thrombocytopenia, Immunoglobulin therapy
Clinical narrative: On December 17, patient developed petechial rash, bleeding gums and found to have severe thrombocytopenia with platelet count <1000. She was diagnosed with ITP, received IVIG and IV dexamethasone, and 1 platelet transfusion. No other likely etiologies identified. She was hospitalized 12/18-12/21/23.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Petechiae, Platelet count decreased, Platelet transfusion, Thrombocytopenia
Clinical narrative: On December 17, patient developed petechial rash, bleeding gums and found to have severe thrombocytopenia with platelet count <1000. She was diagnosed with ITP, received IVIG and IV dexamethasone, and 1 platelet transfusion. No other likely etiologies identified. She was hospitalized 12/18-12/21/23.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Headache, Injection site discolouration, Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: injection site had redness, bump, hives, headache, itching all over body for hours  injection site lasted for 3 days -  still discolored
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Pruritus
Clinical narrative: injection site had redness, bump, hives, headache, itching all over body for hours  injection site lasted for 3 days -  still discolored
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Atrial fibrillation
Clinical narrative: pt developed afib shortly after her immunization and read that this was described in the package insert, wanted her experience recorded
Age: 38.0
Sex: F
Vaccine: HEP, IPV, TDAP, VARCEL
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea, Somnolence
Clinical narrative: Patient received vaccines and immediately reported nausea and dizziness. Lost consciousness, difficult to rouse and unresponsive after several minutes. Medic called and patient transported to ED via ambulance.
Age: 38.0
Sex: F
Vaccine: HEP, IPV, TDAP, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient received vaccines and immediately reported nausea and dizziness. Lost consciousness, difficult to rouse and unresponsive after several minutes. Medic called and patient transported to ED via ambulance.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test abnormal, Pericardial effusion, Vomiting
Clinical narrative: 1 hour after receiving the vaccine I have had shortness of breath and have been throwing up. I am going to the hospital now.
Age: 0.5
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Injection site rash, Rash, Rash papular, Urticaria
Clinical narrative: Urticarial rash surrounding injection site. Ice pack applied. Papular rash on abdomen, back, chest, upper extremities, and lower extremities approximately 10 minutes after vaccines given. Attempted to use Benadryl however patient vomited right after. 8mg methylprednisolone IM injection. Rapid improvement in rash.
Age: 34.0
Sex: F
Vaccine: FLUA4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: while processing claims it was noticed the patient received a high dose flu shot for patients 65 and over, and patient is 34 years old. This was confirmed by the documentation in the patient's chart.