chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: After the second shot I developed extreme insomnia and anxiety and was functioning on very little sleep. I then developed a very strange shortness of breath and was misdiagnosed at first doctors visit with perimenepausel anxiety. A few later I started retaining water in my legs and went to urgent care at the advice of my doctor since she had no appointments asap.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac imaging procedure abnormal, Chest pain, Computerised tomogram, Dizziness
Clinical narrative: I got the Janssen Vaccine on June 26, 2021. A couple days later in July 2021 during running and other physical activities, I started to feel chest pain, dizziness, and shortness of breath, and non-frequent heart palpitations as well. This is something I have never previously dealt with before I got the vaccine. These symptoms began to be showing during rest (normal activities) as well, as time went on. I have had these symptoms ongoing from July 2021 - Present. I have received treatment for suspected conditions (such as Myocarditis and Pericarditis, although no test result or diagnosis indicated I have either of these). This treatment appeared to be of little help to my symptoms that I have been feeling, but it did not make any symptoms better or worse. This treatment included taking Colchicine and Ibuprofen on a daily basis for 6 months (September 2021 - March 2022). I was also prescribed Prednisone that I was taking in specific doses for a certain amount of time in April 2022.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea at rest, Dyspnoea exertional, Echocardiogram, Hypertrophic cardiomyopathy
Clinical narrative: I got the Janssen Vaccine on June 26, 2021. A couple days later in July 2021 during running and other physical activities, I started to feel chest pain, dizziness, and shortness of breath, and non-frequent heart palpitations as well. This is something I have never previously dealt with before I got the vaccine. These symptoms began to be showing during rest (normal activities) as well, as time went on. I have had these symptoms ongoing from July 2021 - Present. I have received treatment for suspected conditions (such as Myocarditis and Pericarditis, although no test result or diagnosis indicated I have either of these). This treatment appeared to be of little help to my symptoms that I have been feeling, but it did not make any symptoms better or worse. This treatment included taking Colchicine and Ibuprofen on a daily basis for 6 months (September 2021 - March 2022). I was also prescribed Prednisone that I was taking in specific doses for a certain amount of time in April 2022.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pain, Palpitations, Pericarditis, Troponin
Clinical narrative: I got the Janssen Vaccine on June 26, 2021. A couple days later in July 2021 during running and other physical activities, I started to feel chest pain, dizziness, and shortness of breath, and non-frequent heart palpitations as well. This is something I have never previously dealt with before I got the vaccine. These symptoms began to be showing during rest (normal activities) as well, as time went on. I have had these symptoms ongoing from July 2021 - Present. I have received treatment for suspected conditions (such as Myocarditis and Pericarditis, although no test result or diagnosis indicated I have either of these). This treatment appeared to be of little help to my symptoms that I have been feeling, but it did not make any symptoms better or worse. This treatment included taking Colchicine and Ibuprofen on a daily basis for 6 months (September 2021 - March 2022). I was also prescribed Prednisone that I was taking in specific doses for a certain amount of time in April 2022.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular hypertrophy
Clinical narrative: I got the Janssen Vaccine on June 26, 2021. A couple days later in July 2021 during running and other physical activities, I started to feel chest pain, dizziness, and shortness of breath, and non-frequent heart palpitations as well. This is something I have never previously dealt with before I got the vaccine. These symptoms began to be showing during rest (normal activities) as well, as time went on. I have had these symptoms ongoing from July 2021 - Present. I have received treatment for suspected conditions (such as Myocarditis and Pericarditis, although no test result or diagnosis indicated I have either of these). This treatment appeared to be of little help to my symptoms that I have been feeling, but it did not make any symptoms better or worse. This treatment included taking Colchicine and Ibuprofen on a daily basis for 6 months (September 2021 - March 2022). I was also prescribed Prednisone that I was taking in specific doses for a certain amount of time in April 2022.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood creatine phosphokinase, Blood thyroid stimulating hormone, C-reactive protein increased, Decreased appetite, Differential white blood cell count
Clinical narrative: Severe chills, rigors and diffuse pain including exquisite temporal and occipital neuralgia and inflammatory swellling over the left temple. also anorexia, nausea, malaise. This was followed by 4 days of severe pain in legs requiring assistance to lift the left leg to cross the right - concern over acute rhabdomyloysis. Diffuse polyneuritis symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling cold, Full blood count, Inflammation, Malaise, Metabolic function test
Clinical narrative: Severe chills, rigors and diffuse pain including exquisite temporal and occipital neuralgia and inflammatory swellling over the left temple. also anorexia, nausea, malaise. This was followed by 4 days of severe pain in legs requiring assistance to lift the left leg to cross the right - concern over acute rhabdomyloysis. Diffuse polyneuritis symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mobility decreased, Nausea, Occipital neuralgia, Pain, Pain in extremity
Clinical narrative: Severe chills, rigors and diffuse pain including exquisite temporal and occipital neuralgia and inflammatory swellling over the left temple. also anorexia, nausea, malaise. This was followed by 4 days of severe pain in legs requiring assistance to lift the left leg to cross the right - concern over acute rhabdomyloysis. Diffuse polyneuritis symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Serum ferritin increased, Swelling
Clinical narrative: Severe chills, rigors and diffuse pain including exquisite temporal and occipital neuralgia and inflammatory swellling over the left temple. also anorexia, nausea, malaise. This was followed by 4 days of severe pain in legs requiring assistance to lift the left leg to cross the right - concern over acute rhabdomyloysis. Diffuse polyneuritis symptoms.
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product preparation error
Clinical narrative: Patient received an undiluted dose of the Pfizer COVID-19  5-11 vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Fatigue, Laboratory test abnormal, SARS-CoV-2 test positive
Clinical narrative: 09/14/22 presents to ED for "fatigue, abnormal labs". PMHx of "BPH, glaucoma, essential hypertension, history of prostate cancer, prediabetes, osteoarthritis"
Age: 90.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine was exposed to storage temperature outside the recommended ranges. Patient did not need any treatment and did not have any symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Photopsia, Vitreous detachment
Clinical narrative: The very next day I called on November 1st 2022. I didn't feel sick I just started seeing flashes in my right eye. I had surgery (cataracts last year) right eye surgery was in the right side on Nov 10,2021 and then the left on Dec 1,2021. The vitreous detachment and it causes flashing and its common in older aged people.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient is a 86 y.o. female admitted to the hospital on 10/11/2022 for generalized weakness and confusion.  She was found to have acute metabolic encephalophy which was thought to be due to dehydration as evidenced by AKI with contribution from memory impairment.  Patient was also found to be positive for COVID, not requiring any O2 supplement.   Patient was medically optimized and was stable at time of discharge.  She was discharged.   Discharge Diagnosis and Associated Hospital Course   COVID-19 infection - Presented 10/11 with: acute encephalopathy, weakness, cough  - Symptom onset: ~10/4 - Positive COVID-19: 10/11 here - CXR: Increased interstitial markings bilaterally, either due to edema or infiltrates, slightly more prominent since the previous - Oxygen status: SaO2 normal on room air - Decadron & remdesivir not indicated - Stable for dc from a respiratory standpoint   Acute metabolic encephalopathy Generalized weakness - May be secondary to dehydration as evidence by AKI compounded on memory impairment (no formal dx of dementia). UA not that impressive for UTI and otherwise asymptomatic. Treated with Ancef in ED but urine culture grew no pathogens - Medically cleared for discharge plans at discharge   AKI (resolved) - Creatinine on admission was 1.28 - Resolved with IV fluid   Essential hypertension  - Continue Norvasc and lisinopril    Uncontrolled DM - HbA1c 8.9%  - Takes metformin at home - Held metformin due to recent AKI   GERD - Asymptomatic - Continue pantoprazole
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Cough, Culture urine negative, Dehydration, Diabetes mellitus inadequate control
Clinical narrative: Patient is a 86 y.o. female admitted to the hospital on 10/11/2022 for generalized weakness and confusion.  She was found to have acute metabolic encephalophy which was thought to be due to dehydration as evidenced by AKI with contribution from memory impairment.  Patient was also found to be positive for COVID, not requiring any O2 supplement.   Patient was medically optimized and was stable at time of discharge.  She was discharged.   Discharge Diagnosis and Associated Hospital Course   COVID-19 infection - Presented 10/11 with: acute encephalopathy, weakness, cough  - Symptom onset: ~10/4 - Positive COVID-19: 10/11 here - CXR: Increased interstitial markings bilaterally, either due to edema or infiltrates, slightly more prominent since the previous - Oxygen status: SaO2 normal on room air - Decadron & remdesivir not indicated - Stable for dc from a respiratory standpoint   Acute metabolic encephalopathy Generalized weakness - May be secondary to dehydration as evidence by AKI compounded on memory impairment (no formal dx of dementia). UA not that impressive for UTI and otherwise asymptomatic. Treated with Ancef in ED but urine culture grew no pathogens - Medically cleared for discharge plans at discharge   AKI (resolved) - Creatinine on admission was 1.28 - Resolved with IV fluid   Essential hypertension  - Continue Norvasc and lisinopril    Uncontrolled DM - HbA1c 8.9%  - Takes metformin at home - Held metformin due to recent AKI   GERD - Asymptomatic - Continue pantoprazole
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Essential hypertension, Gastrooesophageal reflux disease, Glycosylated haemoglobin increased, Interstitial lung disease, Lung infiltration
Clinical narrative: Patient is a 86 y.o. female admitted to the hospital on 10/11/2022 for generalized weakness and confusion.  She was found to have acute metabolic encephalophy which was thought to be due to dehydration as evidenced by AKI with contribution from memory impairment.  Patient was also found to be positive for COVID, not requiring any O2 supplement.   Patient was medically optimized and was stable at time of discharge.  She was discharged.   Discharge Diagnosis and Associated Hospital Course   COVID-19 infection - Presented 10/11 with: acute encephalopathy, weakness, cough  - Symptom onset: ~10/4 - Positive COVID-19: 10/11 here - CXR: Increased interstitial markings bilaterally, either due to edema or infiltrates, slightly more prominent since the previous - Oxygen status: SaO2 normal on room air - Decadron & remdesivir not indicated - Stable for dc from a respiratory standpoint   Acute metabolic encephalopathy Generalized weakness - May be secondary to dehydration as evidence by AKI compounded on memory impairment (no formal dx of dementia). UA not that impressive for UTI and otherwise asymptomatic. Treated with Ancef in ED but urine culture grew no pathogens - Medically cleared for discharge plans at discharge   AKI (resolved) - Creatinine on admission was 1.28 - Resolved with IV fluid   Essential hypertension  - Continue Norvasc and lisinopril    Uncontrolled DM - HbA1c 8.9%  - Takes metformin at home - Held metformin due to recent AKI   GERD - Asymptomatic - Continue pantoprazole
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Metabolic encephalopathy, Pulmonary oedema, SARS-CoV-2 test positive, Urine analysis normal
Clinical narrative: Patient is a 86 y.o. female admitted to the hospital on 10/11/2022 for generalized weakness and confusion.  She was found to have acute metabolic encephalophy which was thought to be due to dehydration as evidenced by AKI with contribution from memory impairment.  Patient was also found to be positive for COVID, not requiring any O2 supplement.   Patient was medically optimized and was stable at time of discharge.  She was discharged.   Discharge Diagnosis and Associated Hospital Course   COVID-19 infection - Presented 10/11 with: acute encephalopathy, weakness, cough  - Symptom onset: ~10/4 - Positive COVID-19: 10/11 here - CXR: Increased interstitial markings bilaterally, either due to edema or infiltrates, slightly more prominent since the previous - Oxygen status: SaO2 normal on room air - Decadron & remdesivir not indicated - Stable for dc from a respiratory standpoint   Acute metabolic encephalopathy Generalized weakness - May be secondary to dehydration as evidence by AKI compounded on memory impairment (no formal dx of dementia). UA not that impressive for UTI and otherwise asymptomatic. Treated with Ancef in ED but urine culture grew no pathogens - Medically cleared for discharge plans at discharge   AKI (resolved) - Creatinine on admission was 1.28 - Resolved with IV fluid   Essential hypertension  - Continue Norvasc and lisinopril    Uncontrolled DM - HbA1c 8.9%  - Takes metformin at home - Held metformin due to recent AKI   GERD - Asymptomatic - Continue pantoprazole
Age: 49.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: COVID-19, Chills, Cough, Fatigue, Pain
Clinical narrative: It was pretty severe, I had a nonstop cough, fever, chills, body ache, tired, fatigue. When I met with the doctor he put me on PAXLOVID and within 2 days I was clear of the symptoms. I had been on a cruise and pretty sure I caught it on there.
Age: 49.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: It was pretty severe, I had a nonstop cough, fever, chills, body ache, tired, fatigue. When I met with the doctor he put me on PAXLOVID and within 2 days I was clear of the symptoms. I had been on a cruise and pretty sure I caught it on there.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, SARS-CoV-2 test positive
Clinical narrative: 09/14/22 presents to ED for "abdominal pain". PMHx of "MVP, HOCM, GERD, depression, and hypothyroidism"
Age: 88.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine was exposed to storage temperature outside the recommended ranges. Patient did not need any treatment and did not have any symptoms.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chronic obstructive pulmonary disease, Condition aggravated, Confusional state
Clinical narrative: TESTED + FOR COVID 9-27-22 AT hospital AFTER presenting with shortness of breath and confusion.  She was a hospice patient  admitted with covid and copd exacerbation and confusion.   finished remdesivir and dexamethasone on 10-1-22 and did not require oxygen .  felt she could go home with hospice to follow.   psych was consulted due to confusion and felt it was medically related.    CXR NEGATIVE FOR PNEUMONIA.     DECEASED 10-11-22 AT HOME.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: TESTED + FOR COVID 9-27-22 AT hospital AFTER presenting with shortness of breath and confusion.  She was a hospice patient  admitted with covid and copd exacerbation and confusion.   finished remdesivir and dexamethasone on 10-1-22 and did not require oxygen .  felt she could go home with hospice to follow.   psych was consulted due to confusion and felt it was medically related.    CXR NEGATIVE FOR PNEUMONIA.     DECEASED 10-11-22 AT HOME.
Age: 59.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Injection site pain, Neuralgia, Pain
Clinical narrative: within a few hours, pt stated had pain radiating from injection site down arm to fingertips, described as nerve pain.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Chills, Dry throat, Feeling abnormal
Clinical narrative: I was having a sore throat it was dry scratchy and weird. It lasted all day and that evening I took a home COVID-19 test, and it was positive. I had a brain fog and muscle aches in my head neck and shoulders. From the 15th through the 22nd I had postnasal drip, a headache with pressure behind my eyes, I was sneezing, I had chills and night sweats, my nasal passages were inflamed painful and burning, I also had the worst of it all through the 17th but from then on, I felt better and better each day. I really just quarantined and stayed home, stayed hydrated, and slept and I felt that it was just a horrible sickness, and I was really sick.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Illness, Myalgia, Nasal discomfort, Nasal inflammation
Clinical narrative: I was having a sore throat it was dry scratchy and weird. It lasted all day and that evening I took a home COVID-19 test, and it was positive. I had a brain fog and muscle aches in my head neck and shoulders. From the 15th through the 22nd I had postnasal drip, a headache with pressure behind my eyes, I was sneezing, I had chills and night sweats, my nasal passages were inflamed painful and burning, I also had the worst of it all through the 17th but from then on, I felt better and better each day. I really just quarantined and stayed home, stayed hydrated, and slept and I felt that it was just a horrible sickness, and I was really sick.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Night sweats, Ocular discomfort, Oropharyngeal pain, Quarantine
Clinical narrative: I was having a sore throat it was dry scratchy and weird. It lasted all day and that evening I took a home COVID-19 test, and it was positive. I had a brain fog and muscle aches in my head neck and shoulders. From the 15th through the 22nd I had postnasal drip, a headache with pressure behind my eyes, I was sneezing, I had chills and night sweats, my nasal passages were inflamed painful and burning, I also had the worst of it all through the 17th but from then on, I felt better and better each day. I really just quarantined and stayed home, stayed hydrated, and slept and I felt that it was just a horrible sickness, and I was really sick.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinalgia, SARS-CoV-2 test positive, Sneezing, Throat irritation, Upper-airway cough syndrome
Clinical narrative: I was having a sore throat it was dry scratchy and weird. It lasted all day and that evening I took a home COVID-19 test, and it was positive. I had a brain fog and muscle aches in my head neck and shoulders. From the 15th through the 22nd I had postnasal drip, a headache with pressure behind my eyes, I was sneezing, I had chills and night sweats, my nasal passages were inflamed painful and burning, I also had the worst of it all through the 17th but from then on, I felt better and better each day. I really just quarantined and stayed home, stayed hydrated, and slept and I felt that it was just a horrible sickness, and I was really sick.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, Pain, Hot at injection site.
Age: 1.17
Sex: F
Vaccine: VARCEL
Symptoms: Extra dose administered
Clinical narrative: Given double does of varicella
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: no adverse event - just given too soon -
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test, Computerised tomogram normal, Vestibular neuronitis
Clinical narrative: 16 days after vaccination I experienced an acute attack of vestibular neuritis resulting in a three day hospitalization and ongoing vestibular balance therapy.  The connection between the Pfizer bi-valent vaccine and subsequent vestibular neuritis was mentioned by by vestibular therapist so I therefore wanted to report the possible connection.
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness postural
Clinical narrative: Pt reported that he felt dizzy as he stood up from observation chair. Vitals: 11:20 122/84,63, spo2 98% -- > 114/76,63, 99% Pt given water.  Pt stable and released from the vaccination site @11:29
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Ear pain, Eye pain, Oropharyngeal pain
Clinical narrative: I had a sore throat, sinus pressure, eye and ear pain, a little cough, low grade fever of 99.8, and a lot of mucus. I tested positive for COVID-19 at home. I texted my doctor and she prescribed me PAXLOVID.
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Paranasal sinus discomfort, Pyrexia, SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: I had a sore throat, sinus pressure, eye and ear pain, a little cough, low grade fever of 99.8, and a lot of mucus. I tested positive for COVID-19 at home. I texted my doctor and she prescribed me PAXLOVID.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Bell's palsy, Eye pain, Eye swelling, Facial paralysis
Clinical narrative: Pt woke up the next morning with drooping to left side of face and eye pain/swelling.  Pt was dx with Bells Palsy.  Believed to be from influenza vaccine. Pt was treated with Prednisone and Valacyclovir.  Symptoms are slowly starting to improve.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received Pfizer primary series dose instead of Pfizer bivalent booster. Pt stable and released from the vaccination site.
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Today I was supposed to be given my first ever covid vaccine, the monovalent. But instead was given the Bivalent Vaccine Booster as my first initial Dose.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Auscultation, COVID-19, Chest X-ray, Crepitations
Clinical narrative: 11/3/2022: Pt admitted to hospital primarily for GI bleed, diarrhea, N&V, hypotension, dizziness, SOB.  Patient does have T-cell leukemia with chronic anemia and thrombocytopenia. He presents to clinic frequently for transfusions and IV fluids. He was there yesterday for the same.  Acute hypoxia - no respiratory symptoms, comfortable on 4 L - suspecting volume overload from IV fluids and transfusion - crackles on auscultation - check chest x-ray . 11/4/2022: Hospital course continues to be more complicated now noted to be in A. fib with RVR  Assessment and plan A. fib with RVR - likely due to hypoxia and respiratory insult Submitter does not have access to full hospital medical record. If further information is needed, please contact the local Hospital
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Gastrointestinal haemorrhage, Hypervolaemia
Clinical narrative: 11/3/2022: Pt admitted to hospital primarily for GI bleed, diarrhea, N&V, hypotension, dizziness, SOB.  Patient does have T-cell leukemia with chronic anemia and thrombocytopenia. He presents to clinic frequently for transfusions and IV fluids. He was there yesterday for the same.  Acute hypoxia - no respiratory symptoms, comfortable on 4 L - suspecting volume overload from IV fluids and transfusion - crackles on auscultation - check chest x-ray . 11/4/2022: Hospital course continues to be more complicated now noted to be in A. fib with RVR  Assessment and plan A. fib with RVR - likely due to hypoxia and respiratory insult Submitter does not have access to full hospital medical record. If further information is needed, please contact the local Hospital
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Hypoxia, Nausea, SARS-CoV-2 antibody test negative, SARS-CoV-2 test positive
Clinical narrative: 11/3/2022: Pt admitted to hospital primarily for GI bleed, diarrhea, N&V, hypotension, dizziness, SOB.  Patient does have T-cell leukemia with chronic anemia and thrombocytopenia. He presents to clinic frequently for transfusions and IV fluids. He was there yesterday for the same.  Acute hypoxia - no respiratory symptoms, comfortable on 4 L - suspecting volume overload from IV fluids and transfusion - crackles on auscultation - check chest x-ray . 11/4/2022: Hospital course continues to be more complicated now noted to be in A. fib with RVR  Assessment and plan A. fib with RVR - likely due to hypoxia and respiratory insult Submitter does not have access to full hospital medical record. If further information is needed, please contact the local Hospital
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Transfusion, Vomiting
Clinical narrative: 11/3/2022: Pt admitted to hospital primarily for GI bleed, diarrhea, N&V, hypotension, dizziness, SOB.  Patient does have T-cell leukemia with chronic anemia and thrombocytopenia. He presents to clinic frequently for transfusions and IV fluids. He was there yesterday for the same.  Acute hypoxia - no respiratory symptoms, comfortable on 4 L - suspecting volume overload from IV fluids and transfusion - crackles on auscultation - check chest x-ray . 11/4/2022: Hospital course continues to be more complicated now noted to be in A. fib with RVR  Assessment and plan A. fib with RVR - likely due to hypoxia and respiratory insult Submitter does not have access to full hospital medical record. If further information is needed, please contact the local Hospital
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Impaired driving ability, Injection site haemorrhage, Injection site pain
Clinical narrative: Immediately upon being stuck with the needle, she felt numbness in her left arm and a sharp pain. Once the needle was removed, she had excessive bleeding where multiple gauze pads had to be utilized for pressure and she even bleed through the bandage that was placed.  - She returned to her place of employment, after the injection only to experience ongoing dull ache, intermittent sharp pain and limited range of motion.  - Today, she continues to have constant, ongoing dull aching pain and limited ROM. Pain is exacerbated with certain movements, which causes sharp pain to radiate from her shoulder down her left arm. She is also unable to sleep on her left side, apply pressure or deep touch to the left arm or drive with her left arm; it bothers her to lift a weighted object with her left arm, as she has experienced pain with lifting an 8 oz water bottle to drink from it.  Pt sent for imaging and prescribed ibuprofen.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Pain, Pain in extremity, Sleep disorder, Weight bearing difficulty
Clinical narrative: Immediately upon being stuck with the needle, she felt numbness in her left arm and a sharp pain. Once the needle was removed, she had excessive bleeding where multiple gauze pads had to be utilized for pressure and she even bleed through the bandage that was placed.  - She returned to her place of employment, after the injection only to experience ongoing dull ache, intermittent sharp pain and limited range of motion.  - Today, she continues to have constant, ongoing dull aching pain and limited ROM. Pain is exacerbated with certain movements, which causes sharp pain to radiate from her shoulder down her left arm. She is also unable to sleep on her left side, apply pressure or deep touch to the left arm or drive with her left arm; it bothers her to lift a weighted object with her left arm, as she has experienced pain with lifting an 8 oz water bottle to drink from it.  Pt sent for imaging and prescribed ibuprofen.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: X-ray limb
Clinical narrative: Immediately upon being stuck with the needle, she felt numbness in her left arm and a sharp pain. Once the needle was removed, she had excessive bleeding where multiple gauze pads had to be utilized for pressure and she even bleed through the bandage that was placed.  - She returned to her place of employment, after the injection only to experience ongoing dull ache, intermittent sharp pain and limited range of motion.  - Today, she continues to have constant, ongoing dull aching pain and limited ROM. Pain is exacerbated with certain movements, which causes sharp pain to radiate from her shoulder down her left arm. She is also unable to sleep on her left side, apply pressure or deep touch to the left arm or drive with her left arm; it bothers her to lift a weighted object with her left arm, as she has experienced pain with lifting an 8 oz water bottle to drink from it.  Pt sent for imaging and prescribed ibuprofen.
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Feeling abnormal, Headache, Loss of consciousness, Malaise
Clinical narrative: Hello,  I just wanted you to know that pt. had a reaction to the COVID booster.  She didn't feel good Tuesday evening after she got it.  Was up most of the night feeling dizzy and had a headache.  She threw up Wednesday morning.  She came to tell me that she was not feeling well and I noticed that she was pale.  I no more told her to go ahead and lay back down and she passed out.  She did rest all day and finally felt better late last night
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pallor, Vomiting
Clinical narrative: Hello,  I just wanted you to know that pt. had a reaction to the COVID booster.  She didn't feel good Tuesday evening after she got it.  Was up most of the night feeling dizzy and had a headache.  She threw up Wednesday morning.  She came to tell me that she was not feeling well and I noticed that she was pale.  I no more told her to go ahead and lay back down and she passed out.  She did rest all day and finally felt better late last night
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Guillain-Barre syndrome, Muscular weakness, Patient uncooperative
Clinical narrative: Patient reported on 2/16/21 he had begun to experience weakness in his lower extremities. On 2/26/21 he sought treatment with his primary care physician.  On 3/3/21 was admitted to the hospital and was diagnosed with Gullian-Barre Syndrome.  No other information is available due to uncooperative nature of individual.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Needle issue, No adverse event, Underdose
Clinical narrative: Dose of Tdap administered to client, but at least half of immunization leaked from hub between vaccine and needle due to needle not being secured tightly. Verified with Immunization Program, and recommended follow up dose of Tdap. Parent notified.  Administered following day 11/10/2022 with no adverse reactions noted.
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Injection site pain, Loss of personal independence in daily activities, Muscular weakness, Neck pain, Neuralgia
Clinical narrative: He has nerve pain down his arm to his hand from the injection site down to his pinky and also goes to the back of his neck making his hand weak and more difficult to do things.
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Pain in extremity
Clinical narrative: He has nerve pain down his arm to his hand from the injection site down to his pinky and also goes to the back of his neck making his hand weak and more difficult to do things.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Pain in extremity, Tenderness
Clinical narrative: PATIENT STATES ACHE IN ARM, LUMP WITH A DIMPLE IN THE MIDDLE, HURTS TO TOUCH.
Age: 22.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered, Underdose
Clinical narrative: Incorrect dose administered. Gave her the Children's Moderna.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Petechiae
Clinical narrative: Petechiae on palms of hands and fingers resolved in one day
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: on 11/08/22 pfizer bivalent was inadvertently given as 1st dose in the primary series instead of monovalent version.    pharmacist did not realized the discrepancy until the morning of  10/10/22 at work. pharmacist tried to contact patient but could not reach him. pharmacist left message for patient to call back. will continue to contact pt
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent vaccine product given improperly instead of monovalent primary series dose #1
Age: 64.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: pt rt arm was red, warm to touch and very itchy, per Nurse Practitioner take oral Benadryl to help with itchiness and apply cold compress
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Hypoaesthesia, Influenza like illness, Myalgia, Skin discolouration
Clinical narrative: MODERATE-SEVERE FLU-LIKE SYMPTOMS SEVERE CHILLS AND MUSCLE ACHES NUMBING OF HAND AND FEET TO THE POINT OF TURNING BLUE/PURPLE
Age: 11.0
Sex: M
Vaccine: UNK
Symptoms: Dizziness, Syncope, Trendelenburg position
Clinical narrative: Pt had a syncopal event w/ associated dizziness and lightheadedness.   Vitals: 108/95,67,17 Placed in Trendelenburg position for recovery.  Pt stabilized and left in the care of mother.
Age: 23.0
Sex: M
Vaccine: UNK
Symptoms: Chest discomfort, Dehydration, Dyspnoea, Nausea, Vomiting
Clinical narrative: patient admitted after several days of N/V/SOB/chest tightness shortly after getting  both monkeypox and flu shot. he had never had problems with flu shot. he was admitted for dehydration. He quickly recovered and was discharged after 3 days.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Dysgeusia, Injection site bruising, Musculoskeletal pain, Musculoskeletal stiffness, Pain
Clinical narrative: My neck is stiff.  my legs are in pain.  my arm that received the shot is swollen.  I have a bruise to the entire site of the shot.  shooting pain that radiates to both shoulder blades.  I have a salty taste in my mouth.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: My neck is stiff.  my legs are in pain.  my arm that received the shot is swollen.  I have a bruise to the entire site of the shot.  shooting pain that radiates to both shoulder blades.  I have a salty taste in my mouth.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: During administration, patient pulled away and received 0.5ml or 0.3 ml of Fluzone vaccine
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal distension, Gastrointestinal sounds abnormal
Clinical narrative: Abdominal Bloating  with hyperactive bowel sounds
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Child given the COVID-19 Pfizer bivalent dose for 12+ in error, should have received the 5-11 dose.
Age: 0.17
Sex: F
Vaccine: UNK
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child given Proquad before recommended age. No signs or symptoms of adverse reaction. Parents took child to Family Physician no adverse reaction reported.
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Child was given the bivalent COVID-19 booster for 12 and older, should have received the 5-11 dose.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt had previously received Pfizer Young Pedi dose x2 and then turned 5.  Pt would need to complete the primary series preferably with Pfizer Pedi (5-11) monovalent dose (or alternatively w/ the 6mo-4yr dose).  However, pt was administered the bivalent booster dose for Pfizer Pedi 5-11yrs.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient is 11 years old but was given the Pfizer bivalent dose for patients 12 and over. No adverse events reported at this time.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Patient developed a "full-bodied rash" 3 days following flu shot that lasted about 2 weeks. Treated with benadryl and steroid cream. Patient did not develop any throat swelling, chest pain, or fever.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test abnormal, Blood test, Thyroid disorder
Clinical narrative: Thyroid adnirmalities, possible Hashimotos, possible Graves? disease. High antibodies and physical symptoms
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Haematoma, Keloid scar, Limb discomfort, Nodule, Skin indentation
Clinical narrative: 10/7/22 - Patient's mother reported on her right arm vaccination site had two lumps with discoloration and pain. Advice nurse advised to be seen on 10/7/22. 10/14/22 - Saw a pediatrician and at the time felt the reaction appeared to be an expected side effect from vaccination.  Documents right deltoid with ~1.5 cm subcutaneous induration, no significant tenderness and overlying intact skin with bluish/erythematous macular discoloration.  Recommended follow up in one month if persists. 11/3/22 - PCP documenting soft area that feels consistent with keloid formation then a larger dermal indurated lesion that feels consistent with a hematoma and dimpling with movement of the arm as well as discomfort.  Referral to dermatology. 11/4/22 - Pediatric dermatologist finding of pink soft dermal nodule on right upper arm favoring diagnosis of keloid scar.  Trial of Triamcinolone Ointment and massage for 4 weeks.  Plan to patch test for aluminum.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Vaccination site discolouration, Vaccination site erythema, Vaccination site induration, Vaccination site mass, Vaccination site pain
Clinical narrative: 10/7/22 - Patient's mother reported on her right arm vaccination site had two lumps with discoloration and pain. Advice nurse advised to be seen on 10/7/22. 10/14/22 - Saw a pediatrician and at the time felt the reaction appeared to be an expected side effect from vaccination.  Documents right deltoid with ~1.5 cm subcutaneous induration, no significant tenderness and overlying intact skin with bluish/erythematous macular discoloration.  Recommended follow up in one month if persists. 11/3/22 - PCP documenting soft area that feels consistent with keloid formation then a larger dermal indurated lesion that feels consistent with a hematoma and dimpling with movement of the arm as well as discomfort.  Referral to dermatology. 11/4/22 - Pediatric dermatologist finding of pink soft dermal nodule on right upper arm favoring diagnosis of keloid scar.  Trial of Triamcinolone Ointment and massage for 4 weeks.  Plan to patch test for aluminum.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Adrenocortical insufficiency acute, Asthenia, Blood potassium increased, Dialysis, Electrocardiogram
Clinical narrative: After vaccination, pt became increasingly weak and fatigued.  Pt presented to the ED with hypotension iso vomiting home steroids after COVID vaccine. Of note, pt with multiple admissions 2/2 hypotension 2/2 adrenal crisis and 2/27/21-3/1/21 admission to ICU for hypotension after COVID vaccine (2nd dose)  Patient was admitted 5/1 to MICU after having hypotension s/p COVID vaccination booster 1 day prior to admission and vomiting up home hydrocortisone dose. During the MICU admission, patient was found to have low MAPs and required pressors and high dose steroid (hydrocort 100), which improved blood pressure. An infection workup was completed, which did not yield significant findings. Developed hyperkalemia on admission to ICU with K 6.8 on 5/2, temporized with insulin/d50, w/o EKG changes, prior to dialysis. Resolved after dialysis. Transferred to floor on 5/2 with stable Bps in 110-140s/60/90s. Transitioned on 5/2 from hydrocort 50mg q6h to home hydrocort 10mg bid. Of note, HELD home coreg and losartan during admission iso hypotension, pt to restart outpatient with PCP as tolerated. Patient noted to have previous admission 2/27/21-3/1/21 for hypotension after COVID vaccine, and will likely require increased hydrocortisone for 2 days during future vaccination (if medically indicated) (see below). Discharged after dialysis session on 5/4/22 with stable vitals.   # SIRS s/p COVID vaccination (5/1) and missed hydrocortisone home dose # Primary adrenal insufficiency  # H/o admission 2/27/21-3/1/21 for hypotension after COVID vaccine - s/p hydrocort 100mg x1 (5/1), hydrocort 50mg q6h (5/1-5/3) - continue home hydrocort 10mg bid (8am/4pm) - continue home fludrocortisone 0.2mg daily - For future vaccinations, consider educating patient on doing hydrocort 50mg bid (100 mg total daily) on vaccination day and follow-up with 25mg bid (50 mg total daily) the following day, though caution with future vaccinations given multiple ICU    # ESRD on iHD (MWFSa, w/ R AVF) # Hyperkalemia, resolved Developed hyperkalemia on admission to ICU with K 6.8 on 5/2, temporized with insulin/d50, w/o EKG changes, prior to dialysis. Resolved after dialysis - Renal consulted during admission, appreciate reccs as below:             - continue home lasix 40mg bid             - continue home renvela 800mg tid             - continue sodium bicarb 650mg bid (started during admission)             - continue dialysis MWFSa   # HFpEF (EF 55-60%) # HTN - continue home atovastatin 10mg qhs [] as outpatient, PCP to consider restarting home coreg 3.125mg bid and losartan 12.5mg (on dialysis days) as tolerated   # Primary hypothyrodism - continue home levothyroxine 125mcg daily   # Paranoid schizophrenia - continue home risperidone 2mg daily
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hyperkalaemia, Hypotension, Insulin therapy, Intensive care
Clinical narrative: After vaccination, pt became increasingly weak and fatigued.  Pt presented to the ED with hypotension iso vomiting home steroids after COVID vaccine. Of note, pt with multiple admissions 2/2 hypotension 2/2 adrenal crisis and 2/27/21-3/1/21 admission to ICU for hypotension after COVID vaccine (2nd dose)  Patient was admitted 5/1 to MICU after having hypotension s/p COVID vaccination booster 1 day prior to admission and vomiting up home hydrocortisone dose. During the MICU admission, patient was found to have low MAPs and required pressors and high dose steroid (hydrocort 100), which improved blood pressure. An infection workup was completed, which did not yield significant findings. Developed hyperkalemia on admission to ICU with K 6.8 on 5/2, temporized with insulin/d50, w/o EKG changes, prior to dialysis. Resolved after dialysis. Transferred to floor on 5/2 with stable Bps in 110-140s/60/90s. Transitioned on 5/2 from hydrocort 50mg q6h to home hydrocort 10mg bid. Of note, HELD home coreg and losartan during admission iso hypotension, pt to restart outpatient with PCP as tolerated. Patient noted to have previous admission 2/27/21-3/1/21 for hypotension after COVID vaccine, and will likely require increased hydrocortisone for 2 days during future vaccination (if medically indicated) (see below). Discharged after dialysis session on 5/4/22 with stable vitals.   # SIRS s/p COVID vaccination (5/1) and missed hydrocortisone home dose # Primary adrenal insufficiency  # H/o admission 2/27/21-3/1/21 for hypotension after COVID vaccine - s/p hydrocort 100mg x1 (5/1), hydrocort 50mg q6h (5/1-5/3) - continue home hydrocort 10mg bid (8am/4pm) - continue home fludrocortisone 0.2mg daily - For future vaccinations, consider educating patient on doing hydrocort 50mg bid (100 mg total daily) on vaccination day and follow-up with 25mg bid (50 mg total daily) the following day, though caution with future vaccinations given multiple ICU    # ESRD on iHD (MWFSa, w/ R AVF) # Hyperkalemia, resolved Developed hyperkalemia on admission to ICU with K 6.8 on 5/2, temporized with insulin/d50, w/o EKG changes, prior to dialysis. Resolved after dialysis - Renal consulted during admission, appreciate reccs as below:             - continue home lasix 40mg bid             - continue home renvela 800mg tid             - continue sodium bicarb 650mg bid (started during admission)             - continue dialysis MWFSa   # HFpEF (EF 55-60%) # HTN - continue home atovastatin 10mg qhs [] as outpatient, PCP to consider restarting home coreg 3.125mg bid and losartan 12.5mg (on dialysis days) as tolerated   # Primary hypothyrodism - continue home levothyroxine 125mcg daily   # Paranoid schizophrenia - continue home risperidone 2mg daily
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Mean arterial pressure decreased, Systemic inflammatory response syndrome, Vomiting
Clinical narrative: After vaccination, pt became increasingly weak and fatigued.  Pt presented to the ED with hypotension iso vomiting home steroids after COVID vaccine. Of note, pt with multiple admissions 2/2 hypotension 2/2 adrenal crisis and 2/27/21-3/1/21 admission to ICU for hypotension after COVID vaccine (2nd dose)  Patient was admitted 5/1 to MICU after having hypotension s/p COVID vaccination booster 1 day prior to admission and vomiting up home hydrocortisone dose. During the MICU admission, patient was found to have low MAPs and required pressors and high dose steroid (hydrocort 100), which improved blood pressure. An infection workup was completed, which did not yield significant findings. Developed hyperkalemia on admission to ICU with K 6.8 on 5/2, temporized with insulin/d50, w/o EKG changes, prior to dialysis. Resolved after dialysis. Transferred to floor on 5/2 with stable Bps in 110-140s/60/90s. Transitioned on 5/2 from hydrocort 50mg q6h to home hydrocort 10mg bid. Of note, HELD home coreg and losartan during admission iso hypotension, pt to restart outpatient with PCP as tolerated. Patient noted to have previous admission 2/27/21-3/1/21 for hypotension after COVID vaccine, and will likely require increased hydrocortisone for 2 days during future vaccination (if medically indicated) (see below). Discharged after dialysis session on 5/4/22 with stable vitals.   # SIRS s/p COVID vaccination (5/1) and missed hydrocortisone home dose # Primary adrenal insufficiency  # H/o admission 2/27/21-3/1/21 for hypotension after COVID vaccine - s/p hydrocort 100mg x1 (5/1), hydrocort 50mg q6h (5/1-5/3) - continue home hydrocort 10mg bid (8am/4pm) - continue home fludrocortisone 0.2mg daily - For future vaccinations, consider educating patient on doing hydrocort 50mg bid (100 mg total daily) on vaccination day and follow-up with 25mg bid (50 mg total daily) the following day, though caution with future vaccinations given multiple ICU    # ESRD on iHD (MWFSa, w/ R AVF) # Hyperkalemia, resolved Developed hyperkalemia on admission to ICU with K 6.8 on 5/2, temporized with insulin/d50, w/o EKG changes, prior to dialysis. Resolved after dialysis - Renal consulted during admission, appreciate reccs as below:             - continue home lasix 40mg bid             - continue home renvela 800mg tid             - continue sodium bicarb 650mg bid (started during admission)             - continue dialysis MWFSa   # HFpEF (EF 55-60%) # HTN - continue home atovastatin 10mg qhs [] as outpatient, PCP to consider restarting home coreg 3.125mg bid and losartan 12.5mg (on dialysis days) as tolerated   # Primary hypothyrodism - continue home levothyroxine 125mcg daily   # Paranoid schizophrenia - continue home risperidone 2mg daily
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product lot number issue
Clinical narrative: Wrong  QR code was scanned at administration - inputting an expired lot number. The correct lot, non expired product was administered to pt. No adverse effects noted.