chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hallucination, auditory, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Complaints of altered mental status, auditory hallucinations. tested positive for Covid-19.  Supportive treatment with zinc, Singulair, vitamin-C, vitamin-D, NAC. PRN antiemetics, antitussive, bronchodilator.  oxygen saturation at greater than 92%.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angioedema, Hypoxia
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA ANGIOEDEMA, SUBSEQ
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Admitted with shortness of breath for 7 days and identified to have covid 19 . Testing for COVID19 is POSITIVE.  Acute hypoxic respiratory failure due to COVID-19 pneumonia POA.  remdesivir ordered , dexamethasone.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19 pneumonia, Chest X-ray abnormal, Chills
Clinical narrative: Presented with shortness of breath. EMS reported her pulse ox was in 80s.  It went up to 96% with 4 L oxygen supplement.  She is now on Airvo 40 L/min.  Her problem started 1 week ago with fever and chills.  She has been coughing.  She has lost taste and smell.  She has body ache.  No diarrhea. Her appetite has been low.  She has received 2 doses of Pfizer vaccine.  Her test for COVID-19 is positive.  Chest x-ray showed evidence of COVID pneumonia.  . Dexamethasone IV. Po Zinc.  Actemra was given.  Remdesivir was initiated, however, was discontinued due to abnormal LFTs.  Patient was placed on empiric Rocephin and doxycycline
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea, Liver function test abnormal, Pain
Clinical narrative: Presented with shortness of breath. EMS reported her pulse ox was in 80s.  It went up to 96% with 4 L oxygen supplement.  She is now on Airvo 40 L/min.  Her problem started 1 week ago with fever and chills.  She has been coughing.  She has lost taste and smell.  She has body ache.  No diarrhea. Her appetite has been low.  She has received 2 doses of Pfizer vaccine.  Her test for COVID-19 is positive.  Chest x-ray showed evidence of COVID pneumonia.  . Dexamethasone IV. Po Zinc.  Actemra was given.  Remdesivir was initiated, however, was discontinued due to abnormal LFTs.  Patient was placed on empiric Rocephin and doxycycline
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with shortness of breath. EMS reported her pulse ox was in 80s.  It went up to 96% with 4 L oxygen supplement.  She is now on Airvo 40 L/min.  Her problem started 1 week ago with fever and chills.  She has been coughing.  She has lost taste and smell.  She has body ache.  No diarrhea. Her appetite has been low.  She has received 2 doses of Pfizer vaccine.  Her test for COVID-19 is positive.  Chest x-ray showed evidence of COVID pneumonia.  . Dexamethasone IV. Po Zinc.  Actemra was given.  Remdesivir was initiated, however, was discontinued due to abnormal LFTs.  Patient was placed on empiric Rocephin and doxycycline
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Complaining of shortness of breath and cough for the past few days.  diagnosed covid positive one day ago with sx starting 5 days ago.  Short course of remdesivir for 3 days.  Decadron 6 mg daily.  Azithromycin.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: ACUTE RESPIRATORY FAILURE HYPOXIA
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patients arm is swollen, red , painful, and hot to touch approximately 2 inches below injection site. Patient complained of high temperature the day of injection and pain at injection site. Reaction below the injection site developed 2 days after vaccination. Patient was advised to contact physician and has an appointment with physician this afternoon.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: CHRONIC HYPOTENSION 4/17/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Disorientation, Erythema, Fall, Feeling abnormal, Head discomfort
Clinical narrative: Patient received vaccine around 1230 and was sitting in chair by father. started to feel odd, dad went to get a bottle of water, at 1235 patient fell forward out of chair and landed on arms, chest, and face. pharmacy staff saw patient fall and rushed out to assist him, patient came back to consciousness within seconds. he had a red mark on side of face and was disoriented. he was given bottle of water and started to feel better immediately. Emergency services was called as soon as he fell, patient was able to rest against chair and then moved up into the chair upon his request. he began to have some ringing and pressure in the back of his head but it subsided shortly after. Emergency services arrived and took over the scene, patient was A&O x3, then patient was monitored and vital were collected. patient elected to travel to the ER with parent rather than emergency services.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Loss of consciousness, Tinnitus
Clinical narrative: Patient received vaccine around 1230 and was sitting in chair by father. started to feel odd, dad went to get a bottle of water, at 1235 patient fell forward out of chair and landed on arms, chest, and face. pharmacy staff saw patient fall and rushed out to assist him, patient came back to consciousness within seconds. he had a red mark on side of face and was disoriented. he was given bottle of water and started to feel better immediately. Emergency services was called as soon as he fell, patient was able to rest against chair and then moved up into the chair upon his request. he began to have some ringing and pressure in the back of his head but it subsided shortly after. Emergency services arrived and took over the scene, patient was A&O x3, then patient was monitored and vital were collected. patient elected to travel to the ER with parent rather than emergency services.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV, PNC13, VARCEL, UNK, UNK, MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient inadvertently received Proquad and Varivax at appointment. No side effects noted at this time.
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV, PNC13, VARCEL, UNK, UNK, MMRV, VARCEL
Symptoms: Rash
Clinical narrative: Patient inadvertently received Proquad and Varivax at appointment. No side effects noted at this time.
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV, PNC13, VARCEL, UNK, UNK, MMRV, VARCEL
Symptoms: Accidental overdose, No adverse event
Clinical narrative: Patient inadvertently received Proquad and Varivax at appointment. No side effects noted at this time.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Anion gap, Atrioventricular block first degree, Blood chloride normal, Blood creatine, Blood glucose normal
Clinical narrative: EKG: Sinus bradycardia with 1st degree AV block  Nonspecific intraventricular block  T wave abnormality, consider inferior ischemia  Abnormal ECG      CBC:     RBC'S 4.10 - 5.70 M/uL 5.74 High (H)    HGB 13.0 - 17.0 g/dL 12.0 Low (L)    HCT 39.0 - 51.0 % 41.3   MCV 80 - 100 fL 72 Low (L)    RDW, RBC 12.0 - 16.5 % 17.6 High (H)      Chem7:     NA 135 - 145 mEq/L 134 Low (L)      K 3.5 - 5.3 mEq/L 4.1     CL 100 - 111 mEq/L 107     CO2 24 - 33 mEq/L 18 Low (L)      ANION GAP4 SERPL 5 - 16 mEq/L 9     BUN 7 - 27 mg/dL 47 High (H)      GLUC 60 - 159 mg/dL 107  See comments  CREAT <=1.34 mg/dL 3.01 High (H)      ESTIMATED GFR >=60 mL/min/1.73 m2 20 Low (L)      UA GLuc > 500      -Covid test completed:   CORONAVIR PAN 2019-NCOV, NAA, QL COVID DETECTED        - Chart reviewed and care discussed with:   ED staff, pt, ED COC mng   - Level of care recommendation:  Possible observation  RN  7/31/2023 4:50 PM      Note Details  Author (R.N.) File Time 7/31/2023  5:37 PM Author Type REGISTERED NURSE Status Addendum Last Editor (R.N.) Specialty GENERAL, OTHER Hospital Acct Admit Date 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023   Revision History   Detailed Report  Note shared with patient Care Timeline  07/31   Admitted from ED (Observation) 1749 08/01   Discharged 1538
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea increased, COVID-19, Carbon dioxide
Clinical narrative: EKG: Sinus bradycardia with 1st degree AV block  Nonspecific intraventricular block  T wave abnormality, consider inferior ischemia  Abnormal ECG      CBC:     RBC'S 4.10 - 5.70 M/uL 5.74 High (H)    HGB 13.0 - 17.0 g/dL 12.0 Low (L)    HCT 39.0 - 51.0 % 41.3   MCV 80 - 100 fL 72 Low (L)    RDW, RBC 12.0 - 16.5 % 17.6 High (H)      Chem7:     NA 135 - 145 mEq/L 134 Low (L)      K 3.5 - 5.3 mEq/L 4.1     CL 100 - 111 mEq/L 107     CO2 24 - 33 mEq/L 18 Low (L)      ANION GAP4 SERPL 5 - 16 mEq/L 9     BUN 7 - 27 mg/dL 47 High (H)      GLUC 60 - 159 mg/dL 107  See comments  CREAT <=1.34 mg/dL 3.01 High (H)      ESTIMATED GFR >=60 mL/min/1.73 m2 20 Low (L)      UA GLuc > 500      -Covid test completed:   CORONAVIR PAN 2019-NCOV, NAA, QL COVID DETECTED        - Chart reviewed and care discussed with:   ED staff, pt, ED COC mng   - Level of care recommendation:  Possible observation  RN  7/31/2023 4:50 PM      Note Details  Author (R.N.) File Time 7/31/2023  5:37 PM Author Type REGISTERED NURSE Status Addendum Last Editor (R.N.) Specialty GENERAL, OTHER Hospital Acct Admit Date 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023   Revision History   Detailed Report  Note shared with patient Care Timeline  07/31   Admitted from ED (Observation) 1749 08/01   Discharged 1538
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Electrocardiogram T wave abnormal, Electrocardiogram abnormal, Full blood count, Glomerular filtration rate decreased, Glucose urine present
Clinical narrative: EKG: Sinus bradycardia with 1st degree AV block  Nonspecific intraventricular block  T wave abnormality, consider inferior ischemia  Abnormal ECG      CBC:     RBC'S 4.10 - 5.70 M/uL 5.74 High (H)    HGB 13.0 - 17.0 g/dL 12.0 Low (L)    HCT 39.0 - 51.0 % 41.3   MCV 80 - 100 fL 72 Low (L)    RDW, RBC 12.0 - 16.5 % 17.6 High (H)      Chem7:     NA 135 - 145 mEq/L 134 Low (L)      K 3.5 - 5.3 mEq/L 4.1     CL 100 - 111 mEq/L 107     CO2 24 - 33 mEq/L 18 Low (L)      ANION GAP4 SERPL 5 - 16 mEq/L 9     BUN 7 - 27 mg/dL 47 High (H)      GLUC 60 - 159 mg/dL 107  See comments  CREAT <=1.34 mg/dL 3.01 High (H)      ESTIMATED GFR >=60 mL/min/1.73 m2 20 Low (L)      UA GLuc > 500      -Covid test completed:   CORONAVIR PAN 2019-NCOV, NAA, QL COVID DETECTED        - Chart reviewed and care discussed with:   ED staff, pt, ED COC mng   - Level of care recommendation:  Possible observation  RN  7/31/2023 4:50 PM      Note Details  Author (R.N.) File Time 7/31/2023  5:37 PM Author Type REGISTERED NURSE Status Addendum Last Editor (R.N.) Specialty GENERAL, OTHER Hospital Acct Admit Date 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023   Revision History   Detailed Report  Note shared with patient Care Timeline  07/31   Admitted from ED (Observation) 1749 08/01   Discharged 1538
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Mean cell volume decreased, Metabolic function test, Red blood cell count increased
Clinical narrative: EKG: Sinus bradycardia with 1st degree AV block  Nonspecific intraventricular block  T wave abnormality, consider inferior ischemia  Abnormal ECG      CBC:     RBC'S 4.10 - 5.70 M/uL 5.74 High (H)    HGB 13.0 - 17.0 g/dL 12.0 Low (L)    HCT 39.0 - 51.0 % 41.3   MCV 80 - 100 fL 72 Low (L)    RDW, RBC 12.0 - 16.5 % 17.6 High (H)      Chem7:     NA 135 - 145 mEq/L 134 Low (L)      K 3.5 - 5.3 mEq/L 4.1     CL 100 - 111 mEq/L 107     CO2 24 - 33 mEq/L 18 Low (L)      ANION GAP4 SERPL 5 - 16 mEq/L 9     BUN 7 - 27 mg/dL 47 High (H)      GLUC 60 - 159 mg/dL 107  See comments  CREAT <=1.34 mg/dL 3.01 High (H)      ESTIMATED GFR >=60 mL/min/1.73 m2 20 Low (L)      UA GLuc > 500      -Covid test completed:   CORONAVIR PAN 2019-NCOV, NAA, QL COVID DETECTED        - Chart reviewed and care discussed with:   ED staff, pt, ED COC mng   - Level of care recommendation:  Possible observation  RN  7/31/2023 4:50 PM      Note Details  Author (R.N.) File Time 7/31/2023  5:37 PM Author Type REGISTERED NURSE Status Addendum Last Editor (R.N.) Specialty GENERAL, OTHER Hospital Acct Admit Date 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023   Revision History   Detailed Report  Note shared with patient Care Timeline  07/31   Admitted from ED (Observation) 1749 08/01   Discharged 1538
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Red cell distribution width, SARS-CoV-2 test positive, Sinus bradycardia
Clinical narrative: EKG: Sinus bradycardia with 1st degree AV block  Nonspecific intraventricular block  T wave abnormality, consider inferior ischemia  Abnormal ECG      CBC:     RBC'S 4.10 - 5.70 M/uL 5.74 High (H)    HGB 13.0 - 17.0 g/dL 12.0 Low (L)    HCT 39.0 - 51.0 % 41.3   MCV 80 - 100 fL 72 Low (L)    RDW, RBC 12.0 - 16.5 % 17.6 High (H)      Chem7:     NA 135 - 145 mEq/L 134 Low (L)      K 3.5 - 5.3 mEq/L 4.1     CL 100 - 111 mEq/L 107     CO2 24 - 33 mEq/L 18 Low (L)      ANION GAP4 SERPL 5 - 16 mEq/L 9     BUN 7 - 27 mg/dL 47 High (H)      GLUC 60 - 159 mg/dL 107  See comments  CREAT <=1.34 mg/dL 3.01 High (H)      ESTIMATED GFR >=60 mL/min/1.73 m2 20 Low (L)      UA GLuc > 500      -Covid test completed:   CORONAVIR PAN 2019-NCOV, NAA, QL COVID DETECTED        - Chart reviewed and care discussed with:   ED staff, pt, ED COC mng   - Level of care recommendation:  Possible observation  RN  7/31/2023 4:50 PM      Note Details  Author (R.N.) File Time 7/31/2023  5:37 PM Author Type REGISTERED NURSE Status Addendum Last Editor (R.N.) Specialty GENERAL, OTHER Hospital Acct Admit Date 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023  ED to Hosp-Admission (Discharged) on 7/31/2023   Revision History   Detailed Report  Note shared with patient Care Timeline  07/31   Admitted from ED (Observation) 1749 08/01   Discharged 1538
Age: 81.0
Sex: F
Vaccine: HEPA, HEPAB, IPV, TDAP, TYP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The patient was due for second dose of adult Hepatitis A (Havrix) vaccine.  Patient was inadvertently given a Twinrix dose. Patient was then given a pediatric dose of Hepatitis A (Havrix) on the same day, to equal a full adult dose of Hepatitis A vaccine. Patient was informed that if she wants to complete her three-dose Hepatitis B series, she would need two additional doses of Engerix-B or Heplisav-B.  Patient denied any symptoms, complications, or adverse effects from the vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Angina unstable
Clinical narrative: UNSTABLE ANGINA
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Body temperature increased
Clinical narrative: Patient presented to ER with a reported temp of 106F. Patient was given IV fluids and Tylenol, Temp taken at ER 99.6
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: OBSTRUCTIVE SLEEP APNEA 12/18/2021  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Embolic stroke, Symptom recurrence
Clinical narrative: ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 4/18/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 1.08
Sex: F
Vaccine: MMR
Symptoms: Rash, Rash erythematous, Rash papular
Clinical narrative: Development of erythematous papular rash starting one day after vaccine.  Rash began on head and spread down body.  Rash still present 12 days later, though papules are fading to more flesh tone.  No additional symptoms.
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Hyperhidrosis, Hypersomnia, Injection site erythema, Injection site pain
Clinical narrative: PT STATES AREA BECAME RED AND SWOLLEN, PAINFUL. PT BECAME FATIGUED AND SLEPT REMAING OF DAY - FEVER, SWEATS LATER IN EVENING. REMAINS WITH TENDERNESS AND SWELLING TO ARM. STATES IS APPROX 2.5 INCHES X 1.5 INCH
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: PT STATES AREA BECAME RED AND SWOLLEN, PAINFUL. PT BECAME FATIGUED AND SLEPT REMAING OF DAY - FEVER, SWEATS LATER IN EVENING. REMAINS WITH TENDERNESS AND SWELLING TO ARM. STATES IS APPROX 2.5 INCHES X 1.5 INCH
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient developed hives all over body.  Symptoms began today (8/17/23) at lunch, on his left arm, then started to spread.  Is very itchy.      OTC Benadryl 12.5mg/5mL, 20mL admin in office @ 1:45pm, 8/17/23.    Prescription for Prednisone 10mg tablets, tapering dosing over next 5 days sent to pharmacy for patient.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paresis
Clinical narrative: RIGHT FACIAL MUSCLE WEAKNESS
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: ALLERGIC REACTION, SUBSEQ
Age: 16.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Fall, Loss of consciousness
Clinical narrative: Patient received HPV and MenQuadfi vaccine, pt was in waiting room when this nurse was notified that patient fell into mothers' arms in waiting room. Patient regained consciousness, was then brought into an exam room in where patient was placed in supine position with legs elevated. Vitals taken and recorded; MD notified. Patient was given juice, water, and ice pack. Patient felt much better, was monitored for 10-15 minutes. MD assessed patient. Patient observed for another 10 minutes. Patient was able to sit up slowly and then 5 minutes later proceeded to stand up slowly and walk around. Patient then left with parent who felt comfortable and safe monitoring child outside of the office.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received adjuvant suspension component only without vial of lyophilized gE Antigen. No adverse event has been reported by patient or caregivers. As soon as this clinic found out that patient only received adjuvant suspension component, patient was notified and received 1st dose of Shingrix with lyophilized gE Antigen on 8/17/23.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Condition aggravated, Confusional state, Dizziness, Fatigue, Laboratory test normal
Clinical narrative: ATTACHED IS ER PHYSICIAN DOCUMENT :      reported approximately 15 minutes after the vaccine was administered patient had a seizure.  Mom did not witness the seizure there is no discrete record of what occurred though mom believes that it was one of her, "silent seizures."  Mom states that child has not recovered from her postictal period as she normally would have and patient agrees she feels that she is still more lightheaded fatigued and confused than she normally is.  Mom is concerned that she may have had multiple silent seizures since she has been home
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Postictal state, Seizure
Clinical narrative: ATTACHED IS ER PHYSICIAN DOCUMENT :      reported approximately 15 minutes after the vaccine was administered patient had a seizure.  Mom did not witness the seizure there is no discrete record of what occurred though mom believes that it was one of her, "silent seizures."  Mom states that child has not recovered from her postictal period as she normally would have and patient agrees she feels that she is still more lightheaded fatigued and confused than she normally is.  Mom is concerned that she may have had multiple silent seizures since she has been home
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Erythema, Formication, Headache, Hypoaesthesia
Clinical narrative: 20 min. after getting vaccine pt started to say they felt like there was a bunch of ants crawling on him and he had red cheeks. He also stated that he couldn't feel his knee. He did vomit, feel dizzy and his head hurt. He was given 10 ml of Benadryl and saw slight improvement  but patient still said his he could not feel his knee. Dr. did look patient over and mom stated she would have to take patient in either was so she wanted the emergency department called. They ended up showing up and assessed the patient and mom said that she will take the pt to the ER
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Vomiting
Clinical narrative: 20 min. after getting vaccine pt started to say they felt like there was a bunch of ants crawling on him and he had red cheeks. He also stated that he couldn't feel his knee. He did vomit, feel dizzy and his head hurt. He was given 10 ml of Benadryl and saw slight improvement  but patient still said his he could not feel his knee. Dr. did look patient over and mom stated she would have to take patient in either was so she wanted the emergency department called. They ended up showing up and assessed the patient and mom said that she will take the pt to the ER
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Computerised tomogram normal, Headache, Neuralgia
Clinical narrative: Patient came into the pharmacy and reported nerve pain around back of his head after receiving the Shingrix vaccine.  He was examined by his neurologist and CT scan was performed.  According to patient, he stated that CT scan is clear. His doctor gave him Valtrex, Gabapentin, and Ibuprofen to treat his nerve pain.
Age: 22.0
Sex: F
Vaccine: COVID19-2, TDAP
Symptoms: Wrong product administered
Clinical narrative: Patient received a Tdap instead HPV9
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Discomfort, Injected limb mobility decreased, Injection site pain, Insomnia, Loss of personal independence in daily activities
Clinical narrative: Severe pain with movement of left arm and shoulder at certain angles, unable to reach, lift. Limited use of left arm. Deltoid area and shoulder. Uncomfortable to sleep, and do routine activities such as washing hair or putting hair up in a ponytail. Sometimes when triggered with movement, pain is so excruciating that tears are part of the reaction. The nurse who administered the vaccine mentioned she was going to change the needle from a 19 gauge because it had the wrong needle. I am not sure if this is due to improper administration.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pain in extremity, Tearfulness
Clinical narrative: Severe pain with movement of left arm and shoulder at certain angles, unable to reach, lift. Limited use of left arm. Deltoid area and shoulder. Uncomfortable to sleep, and do routine activities such as washing hair or putting hair up in a ponytail. Sometimes when triggered with movement, pain is so excruciating that tears are part of the reaction. The nurse who administered the vaccine mentioned she was going to change the needle from a 19 gauge because it had the wrong needle. I am not sure if this is due to improper administration.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Cellulitis, Dialysis, Fluid intake restriction
Clinical narrative: Dr.  SNF Nurse:   Station 1 B Medical Center:  COVID Pool Name: P SNF COVID19 LAB NSA   Chief Complaint (reason for call):  1. Pt is req'g transfer to Er for paracentesis and abd pain, 8/10, declined pain med             Sensation is similar to 08/11/2023 and transferred             rec'd coumadin last night   08/11/2023 parcentesis, removed approx 5 liters       Pt voiced has same feeling and req'g paracentesis   Lung sounds clear, no wheezing/cough, no sob/dyspnea Dialysis tues/thurs/sat, had dialysis yesterday   No order to measure abd girth No order for freq weights   Prev weight:        08/12/2023: 185.68 lbs       08/10/2023: 190.08          Nurses' Request: Transfer    OTHER: REQUEST TRANSFER FOR PARACENTESIS    Current meds: coumadin, fluid restriction 1500ml/day, cefepime iv during dialysis for cellulitis   Significant medical: (as it related to symptoms) .Patient Active Problem List:          HX OF GASTRIC BYPASS SURGERY       HX OF STROKE     ATRIAL FIBRILLATION, UNSPECIFIED   DM 2 W CKD STAGE 5 (GFR <15) W HTN     ESRD ON DIALYSIS     RECTAL BLEEDING     PRESENCE OF CARDIAC PACEMAKER   PULMONARY HTN  CELLULITIS    DM 2 W ULCER OF RIGHT MIDFOOT       DM 2 W GANGRENE   DM 2 W ULCER OF RIGHT FOOT, BONE INVOLVEMENT WO NECROSIS   HX OF LEFT BELOW KNEE AMPUTATION   AMPUTATION STUMP DEHISCENCE, LEFT LEG     HEMODIALYSIS CATHETER INFECTION   PRESSURE ULCER OF COCCYX STAGE 3 (FULL THICKNESS SKIN LOSS)   INFECTION OF THE EXIT SITE FOR CENTRAL VENOUS CATHETER   Medication Route: Oral   Allergies: Nsaids, non-selective [non-steroidal anti-inflammatory agents]; Lisinopril; and Metformin   Vital signs: T 98.0, HR 80, R 18, B/P 132/72, O2 Sat 97, on ra, Pain 8/10, declined pain med   POLST: Date of POLST 05/15/2023 scanned: full   Advised to call Clinic if no orders within 2 hours.  Advised to call back anytime for new or worsening symptoms or for any other questions or concerns.     AMBULANCE INFORMATION:   Patient Room #: 113 bed B Weight (less than 350 lbs.): 185.6 lbs. Equipment needed: None Isolation precautions: None Closest ED:    COVID Screening Questions:  2. Is the patient COVID 19 positive or a PUI? No 3. Is the patient currently under isolation for COVID 19?] No 4. Is anyone in facility COVID + or PUI? No 5. Does the patient have a fever? No 6. Does the patient have a cough? No         Note Details  Author Jun, (R.N.) File Time 8/13/2023 11:57 AM Author Type REGISTERED NURSE Status Signed Last Editor Jun, (R.N.) Specialty GENERAL, OTHER  Continuing Care Telephone on 8/13/2023  Continuing Care Telephone on 8/13/2023   Detailed Report  Note shared with patient Additional Documentation  Encounter Info:  Billing Info, History, Allergies, Detailed Report   Linked Episodes  Skilled Nursing Facility - May 2023 Noted 5/14/2023  Orders Placed  None Medication Renewals and Changes   None  Medication List  Visit Diagnoses
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Paracentesis
Clinical narrative: Dr.  SNF Nurse:   Station 1 B Medical Center:  COVID Pool Name: P SNF COVID19 LAB NSA   Chief Complaint (reason for call):  1. Pt is req'g transfer to Er for paracentesis and abd pain, 8/10, declined pain med             Sensation is similar to 08/11/2023 and transferred             rec'd coumadin last night   08/11/2023 parcentesis, removed approx 5 liters       Pt voiced has same feeling and req'g paracentesis   Lung sounds clear, no wheezing/cough, no sob/dyspnea Dialysis tues/thurs/sat, had dialysis yesterday   No order to measure abd girth No order for freq weights   Prev weight:        08/12/2023: 185.68 lbs       08/10/2023: 190.08          Nurses' Request: Transfer    OTHER: REQUEST TRANSFER FOR PARACENTESIS    Current meds: coumadin, fluid restriction 1500ml/day, cefepime iv during dialysis for cellulitis   Significant medical: (as it related to symptoms) .Patient Active Problem List:          HX OF GASTRIC BYPASS SURGERY       HX OF STROKE     ATRIAL FIBRILLATION, UNSPECIFIED   DM 2 W CKD STAGE 5 (GFR <15) W HTN     ESRD ON DIALYSIS     RECTAL BLEEDING     PRESENCE OF CARDIAC PACEMAKER   PULMONARY HTN  CELLULITIS    DM 2 W ULCER OF RIGHT MIDFOOT       DM 2 W GANGRENE   DM 2 W ULCER OF RIGHT FOOT, BONE INVOLVEMENT WO NECROSIS   HX OF LEFT BELOW KNEE AMPUTATION   AMPUTATION STUMP DEHISCENCE, LEFT LEG     HEMODIALYSIS CATHETER INFECTION   PRESSURE ULCER OF COCCYX STAGE 3 (FULL THICKNESS SKIN LOSS)   INFECTION OF THE EXIT SITE FOR CENTRAL VENOUS CATHETER   Medication Route: Oral   Allergies: Nsaids, non-selective [non-steroidal anti-inflammatory agents]; Lisinopril; and Metformin   Vital signs: T 98.0, HR 80, R 18, B/P 132/72, O2 Sat 97, on ra, Pain 8/10, declined pain med   POLST: Date of POLST 05/15/2023 scanned: full   Advised to call Clinic if no orders within 2 hours.  Advised to call back anytime for new or worsening symptoms or for any other questions or concerns.     AMBULANCE INFORMATION:   Patient Room #: 113 bed B Weight (less than 350 lbs.): 185.6 lbs. Equipment needed: None Isolation precautions: None Closest ED:    COVID Screening Questions:  2. Is the patient COVID 19 positive or a PUI? No 3. Is the patient currently under isolation for COVID 19?] No 4. Is anyone in facility COVID + or PUI? No 5. Does the patient have a fever? No 6. Does the patient have a cough? No         Note Details  Author Jun, (R.N.) File Time 8/13/2023 11:57 AM Author Type REGISTERED NURSE Status Signed Last Editor Jun, (R.N.) Specialty GENERAL, OTHER  Continuing Care Telephone on 8/13/2023  Continuing Care Telephone on 8/13/2023   Detailed Report  Note shared with patient Additional Documentation  Encounter Info:  Billing Info, History, Allergies, Detailed Report   Linked Episodes  Skilled Nursing Facility - May 2023 Noted 5/14/2023  Orders Placed  None Medication Renewals and Changes   None  Medication List  Visit Diagnoses
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Bile duct stent insertion, Biliary dilatation, Biliary tract dilation procedure
Clinical narrative: Received Covid 19 Moderna dose #1 01/18/2021, dose #2 02/22/2021, dose #3 09/17/2021 and dose #4 04/29/22. Patient had elevated liver enzymes on routine blood work with complaints of itching on 3/7/22. On 5/11/22 following dose #4 patient became confused, jaundice, elvated AST, ALT, ALP and Bililrubin of 8.8. Direct admitted to hospital with CT scan showing dilated heatic ducts and ERCP completed on 5/12/2. Dialation perfomed and plastic Biliary stent placed. Patient had additional ERCP with dilation and stent placement on 6/13/22, 8/29/22, 10/31/22, 2/6/23, 2/8/23, 3/6/23, 7/18/23. Patient had increasing liver fibrosis and resulting in liver failure and death on 7/31/23.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin, Blood test abnormal, Computerised tomogram liver abnormal, Confusional state
Clinical narrative: Received Covid 19 Moderna dose #1 01/18/2021, dose #2 02/22/2021, dose #3 09/17/2021 and dose #4 04/29/22. Patient had elevated liver enzymes on routine blood work with complaints of itching on 3/7/22. On 5/11/22 following dose #4 patient became confused, jaundice, elvated AST, ALT, ALP and Bililrubin of 8.8. Direct admitted to hospital with CT scan showing dilated heatic ducts and ERCP completed on 5/12/2. Dialation perfomed and plastic Biliary stent placed. Patient had additional ERCP with dilation and stent placement on 6/13/22, 8/29/22, 10/31/22, 2/6/23, 2/8/23, 3/6/23, 7/18/23. Patient had increasing liver fibrosis and resulting in liver failure and death on 7/31/23.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Endoscopic retrograde cholangiopancreatography, Hepatic enzyme increased, Hepatic failure, Hepatic fibrosis
Clinical narrative: Received Covid 19 Moderna dose #1 01/18/2021, dose #2 02/22/2021, dose #3 09/17/2021 and dose #4 04/29/22. Patient had elevated liver enzymes on routine blood work with complaints of itching on 3/7/22. On 5/11/22 following dose #4 patient became confused, jaundice, elvated AST, ALT, ALP and Bililrubin of 8.8. Direct admitted to hospital with CT scan showing dilated heatic ducts and ERCP completed on 5/12/2. Dialation perfomed and plastic Biliary stent placed. Patient had additional ERCP with dilation and stent placement on 6/13/22, 8/29/22, 10/31/22, 2/6/23, 2/8/23, 3/6/23, 7/18/23. Patient had increasing liver fibrosis and resulting in liver failure and death on 7/31/23.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Jaundice, Magnetic resonance imaging, Positron emission tomogram, Pruritus
Clinical narrative: Received Covid 19 Moderna dose #1 01/18/2021, dose #2 02/22/2021, dose #3 09/17/2021 and dose #4 04/29/22. Patient had elevated liver enzymes on routine blood work with complaints of itching on 3/7/22. On 5/11/22 following dose #4 patient became confused, jaundice, elvated AST, ALT, ALP and Bililrubin of 8.8. Direct admitted to hospital with CT scan showing dilated heatic ducts and ERCP completed on 5/12/2. Dialation perfomed and plastic Biliary stent placed. Patient had additional ERCP with dilation and stent placement on 6/13/22, 8/29/22, 10/31/22, 2/6/23, 2/8/23, 3/6/23, 7/18/23. Patient had increasing liver fibrosis and resulting in liver failure and death on 7/31/23.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 4/5/2023 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Hypotension
Clinical narrative: I95.9 HYPOTENSION 4/27/2023 CHEST PAIN.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Extra dose administered
Clinical narrative: System HAD A GLITCH. DIDNT SHOW THE VACCINE.  Patient mom did not show child's shot record.  The mom gave me a letter from the school nurse asking that patient be vaccinated.  Shot was not in Immunization System Database.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthma
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/5/2023 ASTHMA, UNSPECIFIED
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Biopsy bone marrow, Blood test, Dissociation, Disturbance in attention
Clinical narrative: Instant swelling of body, panic and dissociation, tinnitus, heat rashes and nausea.  Now I have MCAS, an autoimmune disorder, tinnitus, poor concentration, chronic iron deficiency,  chronic insomnia and relentless fatigue. My muscles twitch all the time I developed allergies to most foods and live off of chicken. I am sick most days and unable to live a normal life.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Food allergy, Generalised oedema, Histamine level, Illness
Clinical narrative: Instant swelling of body, panic and dissociation, tinnitus, heat rashes and nausea.  Now I have MCAS, an autoimmune disorder, tinnitus, poor concentration, chronic iron deficiency,  chronic insomnia and relentless fatigue. My muscles twitch all the time I developed allergies to most foods and live off of chicken. I am sick most days and unable to live a normal life.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Iron deficiency, Loss of personal independence in daily activities, Mast cell activation syndrome, Miliaria
Clinical narrative: Instant swelling of body, panic and dissociation, tinnitus, heat rashes and nausea.  Now I have MCAS, an autoimmune disorder, tinnitus, poor concentration, chronic iron deficiency,  chronic insomnia and relentless fatigue. My muscles twitch all the time I developed allergies to most foods and live off of chicken. I am sick most days and unable to live a normal life.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Nausea, Panic reaction, Tinnitus
Clinical narrative: Instant swelling of body, panic and dissociation, tinnitus, heat rashes and nausea.  Now I have MCAS, an autoimmune disorder, tinnitus, poor concentration, chronic iron deficiency,  chronic insomnia and relentless fatigue. My muscles twitch all the time I developed allergies to most foods and live off of chicken. I am sick most days and unable to live a normal life.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 1.25
Sex: U
Vaccine: HIBV
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: No AE; HCP calling to report PEDVAX HIB was accidentally administered subcutaneously to a 15moth old patient.; This spontaneous report was received from a medical assistant referring to a 15-month-old patient of unknown gender. Information about the patient's pertinent medical history, concurrent conditions and concomitant medications was not provided.  On 10-AUG-2023, the patient was accidentally vaccinated subcutaneously with haemophilus b conjugate vaccine (Meningococcal Protein Conjugate) (LIQUID PEDVAXHIB) intramuscular injection (subcutaneously, lot #W032686, expiration date 12-JUN-2025, exact dose and anatomical location were not provided) for prophylaxis (Intramuscular formulation administered by other route). No additional information. No adverse event (AE) or product quality complaint (PQC) reported (No adverse event).
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AEs; Caller reported vaccine administered after temperature excursions.; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender. No information on patient's medical history, current conditions and concomitant medications was provided.      On 09-AUG-2023 the patient was vaccinated with improperly stored measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) (albumin status: rHA) lot # X011979 and expiration date 18-JUL-2024, 0.5 milliliter, intramuscularly for prophylaxis (dose number and site of administration were not provided) (product storage error and no adverse event). The temperature excursion lasted for 1 hour and 5 minutes in 18.3 degrees Fahrenheit (F). No previous excursion was observed.
Sex: U
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AEs; Caller reported vaccine administered after temperature excursions; This spontaneous report was received from a nurse referring to a patient of unknown age and gender. The patient's medical history, historical drugs, past drug reactions or allergies, concurrent conditions, and concomitant drugs were not provided.   On 31-JUL-2023, the patient was vaccinated with varicella virus vaccine live (Oka/Merck) (VARIVAX) injection (0.5ml, lot#: X006983, expiration date: 07-MAR-2025; strength was not provided) administered intramuscularly (IM) for prophylaxis. The vaccine administered experienced temperature excursion of 18.3F for 1 hour and 5 minutes (product storage error). No additional adverse event (AE) was reported (no adverse event).
Age: 0.17
Sex: F
Vaccine: PNC15
Symptoms: Needle issue, No adverse event
Clinical narrative: No additional AE; the needle separated from the syringe and was left in the patient; the needle separated from the syringe and was left in the patient; This spontaneous report was received from a medical assistant (MA) and refers to a 2-month-old female patient. Information regarding the patient's concurrent conditions, medical history, historical drugs and concomitant therapies was not provided.  On 11-AUG-2023, the patient received a dose of pneumococcal 15v conj vaccine (crm197) (VAXNEUVANCE) injection, 0.5 milliliter, lot #W036242, expiration date reported as 10-OCT-2024 but upon internal validation established as 01-OCT-2024, administered for immunisation (strength, and route of administration were not provided). The MA reported that upon pulling the syringe out, the needle separated from the syringe and was left in the patient (needle issue, needle quality issue). She reported that she was the person that administered the vaccine, she was an experienced user, and that the patient received the full dose of the vaccine without any side effects or injuries. The MA reported that there were no obvious defects or cracks on the syringe, that the needle applied normally and felt tight prior to administration, and there was no leaking of the vaccine prior to or during administration. The syringe did not crack or break. Neither the MA or the patient were injured and the MA was able to pull the needle out of the patient from the hub completely intact. The syringe was not available for retrieval and had already been discarded, there were no pictures of the defect available, and the provider declined a replacement of the vaccine. No additional adverse events reported.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient presented to pharmacy two days after vaccine with redness, swelling, and itching at injection site
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Mother reports patient received vaccines about 48 hours ago  at patient's pediatrician office and is experiencing a reaction that began about 20 hours ago. Mother reports he received TDaP (Boostrix) and meningitis (MenVeo) vaccinations in left deltoid. Mother report she noticed left deltoid now appears a little red and swollen. Patient reports left shoulder is sore. Mother states they do not have vaccine records with them today but is confident in the types of vaccines and location of vaccination.   Mother reports treating patient's symptoms with ice application and ibuprofen 100 mg (last about 2 hours ago).   Left deltoid with circular region of localized erythema and swelling  that expands approximately 9 cm x 9 cm. Patient is stable.  Advised to apply cold compress to the injection site for 20 minutes and repeat every 2-4 hours as needed. Reviewed safe use of OTC analgesic ibuprofen. Advised to wear lightweight clothing over the injection site. Follow up if condition worsens or does not improve with current plan.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: I've been having PVCs in Bigeminy. I'm currently meeting with a cardiologist who informed me it could have been the vaccine and I'm also meeting with an electrophysiologist who put me on flecainide.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Atrial fibrillation, Cardiac failure, Chills, Dyspnoea, Malaise
Clinical narrative: The patient stated that the day after he got his second shingles shot (Saturday 7/29/23) he began feeling very ill.  On Sunday he had fever and chills.  On Monday he said that he went into afib which did not resolve.  He went to the hospital on Thursday to have the afib treated.  He went home but the afib continued off and on.  The following Wednesday he was admitted to the hospital for breathing problems and was diagnosed with heart failure and pneumonia. He has a history of heart valve problems and he states that it now requires surgery.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Pneumonia, Pyrexia
Clinical narrative: The patient stated that the day after he got his second shingles shot (Saturday 7/29/23) he began feeling very ill.  On Sunday he had fever and chills.  On Monday he said that he went into afib which did not resolve.  He went to the hospital on Thursday to have the afib treated.  He went home but the afib continued off and on.  The following Wednesday he was admitted to the hospital for breathing problems and was diagnosed with heart failure and pneumonia. He has a history of heart valve problems and he states that it now requires surgery.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 18.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Fall, Feeling abnormal, Syncope
Clinical narrative: patient was relaxed, aware and talkative immediately following administration of HPV vaccine, while documenting location given patient slow experienced vasovagal syncope, slowly falling forward while in a sitting position. This writer assisted patient to supine position and requested assistance. within 45 seconds patient was regaining consciousness, asking what happened, and stated he was "just chilling" on the floor. Patient was helped into a seating position and given an icepack placed on the back of the neck. patient stated he felt weird, woozy and opted to lie down.  patient remained for about 20 minutes prior to feeling he could leave without concern.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site pain, Radicular pain
Clinical narrative: injection site pain worsening over 2 days associated with intermittent radicular pains
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered, No adverse event
Clinical narrative: patient given additional dose of varicella one week after the 2nd dose had been given.  No adverse reaction or symptoms noticed
Age: 12.0
Sex: M
Vaccine: COVID19-2, HPV9
Symptoms: Underdose
Clinical narrative: I administered 5-11 years biv-booster vaccine to a 12-year-old patient.  I will make sure to recheck the age before administering any vaccines.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, X-ray abnormal
Clinical narrative: Sudden increase in L knee and ankle pain such that could no longer do daily hikes.  Resulted in  months of PT, multiple doctor visits, imaging.  Dx peroneal tendinitis and unknown cause of knee pain, inflammation?
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: patient reported feeling itchy all over body several hours after receiving  vaccine.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given 3rd dose of Shingrix vaccine upon prescription sent from Dr office. patient had actually finished shingrix series in 2019. 3rd dose not indicated. patient did not report Adverse effects and pharmacist counseled pt to report any symptoms
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Pharmacy realized after patient got the vaccine that an expired vaccine was administered
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Pharmacy realized after vaccination that the patient was administered an expired vaccine
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Blindness, Confusional state, Dizziness, Fatigue, Headache
Clinical narrative: Patient reported headache, fatigue and severe muscle pain that he noticed upon waking up.  He also stated he had confusion, lightheadedness and a loss of vision that happened a few minutes after waking.  He was in the process of making a sandwich to get ready for work and couldn't figure out why he was making a sandwich and that he was going to work.  Patient then experienced the loss of vision and lightheadedness that was accompanied by nausea.  He was unable to go to work.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Impaired work ability, Myalgia, Nausea
Clinical narrative: Patient reported headache, fatigue and severe muscle pain that he noticed upon waking up.  He also stated he had confusion, lightheadedness and a loss of vision that happened a few minutes after waking.  He was in the process of making a sandwich to get ready for work and couldn't figure out why he was making a sandwich and that he was going to work.  Patient then experienced the loss of vision and lightheadedness that was accompanied by nausea.  He was unable to go to work.