chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Dyspepsia, Dyspnoea, Enteritis, Gastrointestinal disorder
Clinical narrative: Admission Date: 9/9/2024 Discharge Date: Sep 12, 2024 Discharge Disposition:  home or self care DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: ST elevation myocardial infarction (STEMI), unspecified artery [I21.3] HF (heart failure) [I50.9] NSTEMI (non-ST elevated myocardial infarction) [I21.4]  HOSPITAL COURSE: Patient is a 67yr old female with a history of CAD, COPD, GERs, Seizuere 2/2 TBI, Takotsubo cardiomyopathy who presented with chest pain and SOB. She is seen today in room post cath. She says she feels better but has some indigestion/dyspepsia.   Takotsubo cardiomyopathy - Elevated trop is secondary to takotsubo cardiomyopathy confirmed post cath. She has just been through a stressful time as her husband just passed away. Plan is for DAPT, statin,  and to follow up with cards to start GDMT with BB, ACE/ARB/ARNI, sGLT2 and spironolactone as tolerated. She feels better today and plan is for discharge to follow up with cardiology.  CAD with mild LAD stenosis - incidental finding s/p successful stenting of the mid LAD. Plan is for ASA, plavix, statin.  Anxiety with Depression in setting of recent bereavement - will place on trazodone 25mg prn and to follow up with PCP.  Discharged to Home.                   EMERGENCY  09/04/2024  CHIEF COMPLAINT: GENERALIZED BODY ACHES  Assessment/Plan  DIAGNOSIS at time of disposition:  1. COVID  2. Nausea and vomiting, unspecified vomiting type   ED Course as of 09/05/24 0103 Wed Sep 04, 2024 1341 Patient 67-year-old female presenting for generalized body aches, nausea, nonbloody, nonbilious vomiting.  On exam appears unwell but overall nontoxic, not septic.  Grossly seen vomiting clear emesis in trash bin.  Presentation suggestive of possible uncomplicated viral GI illness; colitis/enteritis, acute gastropathy.  Hepatobiliary etiologies considered however no right upper quadrant abdominal pain.  Pancreatitis possible.  Will provide symptomatic treatment and collect laboratory studies assess for elevated lipase, cholestasis or other signs of acute intra-abdominal pathology.  Low concern for atypical ACS.  Thu Sep 05, 2024 0052 SARS-CoV-2 (COVID-19), Influenza A/B, RSV PCR(!) Positive for COVID.  Labs notable for hemolyzed potassium, minimally elevated calcium appeared.  No evidence of cholestasis.  Hemoglobin creatinine stable.  Patient given antiemetics, analgesics and fluid rehydration with moderate improvement of symptoms.  Discussed close outpatient follow-up and strict return precautions and she was agreeable.  Discharged to Home
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin, Haemolysis, Influenza A virus test, Influenza B virus test, Malaise
Clinical narrative: Admission Date: 9/9/2024 Discharge Date: Sep 12, 2024 Discharge Disposition:  home or self care DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: ST elevation myocardial infarction (STEMI), unspecified artery [I21.3] HF (heart failure) [I50.9] NSTEMI (non-ST elevated myocardial infarction) [I21.4]  HOSPITAL COURSE: Patient is a 67yr old female with a history of CAD, COPD, GERs, Seizuere 2/2 TBI, Takotsubo cardiomyopathy who presented with chest pain and SOB. She is seen today in room post cath. She says she feels better but has some indigestion/dyspepsia.   Takotsubo cardiomyopathy - Elevated trop is secondary to takotsubo cardiomyopathy confirmed post cath. She has just been through a stressful time as her husband just passed away. Plan is for DAPT, statin,  and to follow up with cards to start GDMT with BB, ACE/ARB/ARNI, sGLT2 and spironolactone as tolerated. She feels better today and plan is for discharge to follow up with cardiology.  CAD with mild LAD stenosis - incidental finding s/p successful stenting of the mid LAD. Plan is for ASA, plavix, statin.  Anxiety with Depression in setting of recent bereavement - will place on trazodone 25mg prn and to follow up with PCP.  Discharged to Home.                   EMERGENCY  09/04/2024  CHIEF COMPLAINT: GENERALIZED BODY ACHES  Assessment/Plan  DIAGNOSIS at time of disposition:  1. COVID  2. Nausea and vomiting, unspecified vomiting type   ED Course as of 09/05/24 0103 Wed Sep 04, 2024 1341 Patient 67-year-old female presenting for generalized body aches, nausea, nonbloody, nonbilious vomiting.  On exam appears unwell but overall nontoxic, not septic.  Grossly seen vomiting clear emesis in trash bin.  Presentation suggestive of possible uncomplicated viral GI illness; colitis/enteritis, acute gastropathy.  Hepatobiliary etiologies considered however no right upper quadrant abdominal pain.  Pancreatitis possible.  Will provide symptomatic treatment and collect laboratory studies assess for elevated lipase, cholestasis or other signs of acute intra-abdominal pathology.  Low concern for atypical ACS.  Thu Sep 05, 2024 0052 SARS-CoV-2 (COVID-19), Influenza A/B, RSV PCR(!) Positive for COVID.  Labs notable for hemolyzed potassium, minimally elevated calcium appeared.  No evidence of cholestasis.  Hemoglobin creatinine stable.  Patient given antiemetics, analgesics and fluid rehydration with moderate improvement of symptoms.  Discussed close outpatient follow-up and strict return precautions and she was agreeable.  Discharged to Home
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Respiratory syncytial virus test, SARS-CoV-2 test positive, Stress
Clinical narrative: Admission Date: 9/9/2024 Discharge Date: Sep 12, 2024 Discharge Disposition:  home or self care DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: ST elevation myocardial infarction (STEMI), unspecified artery [I21.3] HF (heart failure) [I50.9] NSTEMI (non-ST elevated myocardial infarction) [I21.4]  HOSPITAL COURSE: Patient is a 67yr old female with a history of CAD, COPD, GERs, Seizuere 2/2 TBI, Takotsubo cardiomyopathy who presented with chest pain and SOB. She is seen today in room post cath. She says she feels better but has some indigestion/dyspepsia.   Takotsubo cardiomyopathy - Elevated trop is secondary to takotsubo cardiomyopathy confirmed post cath. She has just been through a stressful time as her husband just passed away. Plan is for DAPT, statin,  and to follow up with cards to start GDMT with BB, ACE/ARB/ARNI, sGLT2 and spironolactone as tolerated. She feels better today and plan is for discharge to follow up with cardiology.  CAD with mild LAD stenosis - incidental finding s/p successful stenting of the mid LAD. Plan is for ASA, plavix, statin.  Anxiety with Depression in setting of recent bereavement - will place on trazodone 25mg prn and to follow up with PCP.  Discharged to Home.                   EMERGENCY  09/04/2024  CHIEF COMPLAINT: GENERALIZED BODY ACHES  Assessment/Plan  DIAGNOSIS at time of disposition:  1. COVID  2. Nausea and vomiting, unspecified vomiting type   ED Course as of 09/05/24 0103 Wed Sep 04, 2024 1341 Patient 67-year-old female presenting for generalized body aches, nausea, nonbloody, nonbilious vomiting.  On exam appears unwell but overall nontoxic, not septic.  Grossly seen vomiting clear emesis in trash bin.  Presentation suggestive of possible uncomplicated viral GI illness; colitis/enteritis, acute gastropathy.  Hepatobiliary etiologies considered however no right upper quadrant abdominal pain.  Pancreatitis possible.  Will provide symptomatic treatment and collect laboratory studies assess for elevated lipase, cholestasis or other signs of acute intra-abdominal pathology.  Low concern for atypical ACS.  Thu Sep 05, 2024 0052 SARS-CoV-2 (COVID-19), Influenza A/B, RSV PCR(!) Positive for COVID.  Labs notable for hemolyzed potassium, minimally elevated calcium appeared.  No evidence of cholestasis.  Hemoglobin creatinine stable.  Patient given antiemetics, analgesics and fluid rehydration with moderate improvement of symptoms.  Discussed close outpatient follow-up and strict return precautions and she was agreeable.  Discharged to Home
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased, Vomiting
Clinical narrative: Admission Date: 9/9/2024 Discharge Date: Sep 12, 2024 Discharge Disposition:  home or self care DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: ST elevation myocardial infarction (STEMI), unspecified artery [I21.3] HF (heart failure) [I50.9] NSTEMI (non-ST elevated myocardial infarction) [I21.4]  HOSPITAL COURSE: Patient is a 67yr old female with a history of CAD, COPD, GERs, Seizuere 2/2 TBI, Takotsubo cardiomyopathy who presented with chest pain and SOB. She is seen today in room post cath. She says she feels better but has some indigestion/dyspepsia.   Takotsubo cardiomyopathy - Elevated trop is secondary to takotsubo cardiomyopathy confirmed post cath. She has just been through a stressful time as her husband just passed away. Plan is for DAPT, statin,  and to follow up with cards to start GDMT with BB, ACE/ARB/ARNI, sGLT2 and spironolactone as tolerated. She feels better today and plan is for discharge to follow up with cardiology.  CAD with mild LAD stenosis - incidental finding s/p successful stenting of the mid LAD. Plan is for ASA, plavix, statin.  Anxiety with Depression in setting of recent bereavement - will place on trazodone 25mg prn and to follow up with PCP.  Discharged to Home.                   EMERGENCY  09/04/2024  CHIEF COMPLAINT: GENERALIZED BODY ACHES  Assessment/Plan  DIAGNOSIS at time of disposition:  1. COVID  2. Nausea and vomiting, unspecified vomiting type   ED Course as of 09/05/24 0103 Wed Sep 04, 2024 1341 Patient 67-year-old female presenting for generalized body aches, nausea, nonbloody, nonbilious vomiting.  On exam appears unwell but overall nontoxic, not septic.  Grossly seen vomiting clear emesis in trash bin.  Presentation suggestive of possible uncomplicated viral GI illness; colitis/enteritis, acute gastropathy.  Hepatobiliary etiologies considered however no right upper quadrant abdominal pain.  Pancreatitis possible.  Will provide symptomatic treatment and collect laboratory studies assess for elevated lipase, cholestasis or other signs of acute intra-abdominal pathology.  Low concern for atypical ACS.  Thu Sep 05, 2024 0052 SARS-CoV-2 (COVID-19), Influenza A/B, RSV PCR(!) Positive for COVID.  Labs notable for hemolyzed potassium, minimally elevated calcium appeared.  No evidence of cholestasis.  Hemoglobin creatinine stable.  Patient given antiemetics, analgesics and fluid rehydration with moderate improvement of symptoms.  Discussed close outpatient follow-up and strict return precautions and she was agreeable.  Discharged to Home
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Headache, Hypoaesthesia oral, Product administration error
Clinical narrative: administration error - the pharmacy manager called and advised that either my husband and I did not receive the RSV vaccine. The nurse did not mix both vials and is unclear which one of us did not receive the vaccine. Both had diluent but the powder was not mixed in one of the vials. They are not clear which one of us did not get the full vaccine. My husband was extremely tired after the vaccine (like when he got COVID shot), and my tongue got numb like an allergy feeling and I had a slight headache. Waiting for instructions from pharmacy and doctor on next steps.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: ERYTHEMA, SWELLING, ITCHING, HOT TO TOUCH
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, MNQ, PNC20, VARCEL
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Menquadfi vaccine (Meningococcal A, C, Y, W) instead of two vial dose of Menveo vaccine (Meningococcal A, C, Y, W). Due to age, incorrect version of the Meningococcal A, C, Y, W vaccine was given to the child. VFC notified Clinic of this error, clinic researched the issue, and notified the Provider involved.
Age: 7.0
Sex: M
Vaccine: MNQ
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient received single vial dose of Menveo vaccine (Meningococcal A, C, Y, & W-135) instead of two-vial dose of Menveo vaccine (Meningococcal A, C, Y, & W). Due to age, incorrect dose was given to the child. VFC notified Clinic of this error, clinic researched the issue, and notified the Provider involved. Single dose Menveo vaccines were removed from the clinic. A VEARS report with VFC will also be filed to obtain further guidance regarding next steps.
Age: 0.42
Sex: M
Vaccine: RV5
Symptoms: Inappropriate schedule of product administration
Clinical narrative: ROTATEQ ADMINISTERED AT 15 WEEKS FOR A FIRST DOSE
Age: 17.0
Sex: M
Vaccine: HPV9, MENB
Symptoms: Nausea, Pallor
Clinical narrative: Gave 2 vaccines patient was nauseous/pale
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Patient called about an hour after her vaccine and reported potential itchy/scratchy throat. I advised her to come back immediately if she was close or to call EMS in case of anaphylaxis.  Tried to follow up after to see if symptoms developed further but could not get a hold of her, so item 21 below is unknown
Age: 71.0
Sex: M
Vaccine: COVID19, FLU4, VARZOS
Symptoms: Aphasia, Blood test, Chest X-ray, Disorientation, Gait inability
Clinical narrative: The day after vaccination ( 9/13/24) patient couldn't walk or talk, was disoriented, had 103 degree F fever, and a headache. Patient was taken to his primary physician and then taken via ambulance to the ED.  Patient got IV fluids, chest x-ray, blood work and Tylenol at the ER. Patient felt much better by 9/14/24 and no longer had symptoms on 9/15/24.
Age: 71.0
Sex: M
Vaccine: COVID19, FLU4, VARZOS
Symptoms: Headache, Pyrexia
Clinical narrative: The day after vaccination ( 9/13/24) patient couldn't walk or talk, was disoriented, had 103 degree F fever, and a headache. Patient was taken to his primary physician and then taken via ambulance to the ED.  Patient got IV fluids, chest x-ray, blood work and Tylenol at the ER. Patient felt much better by 9/14/24 and no longer had symptoms on 9/15/24.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Urticaria, Vaccination site erythema, Vaccination site reaction, Vaccination site swelling
Clinical narrative: About 10 minutes after vaccine administration parents verbalized pt having erythema and a bump to vaccine site. RN assessed site and noticed erythema and 1 hive to MMR site. MD at clinic notified to assess pt. MD orders to administered 2.5 mL PO Benadryl in clinic. Med administered per orders. Prescription sent to pharmacy for parents to have at home. Pt stable while at clinic. No angioedema observed. Parents educated on s/s of allergic reaction and when to call 911.
Age: 5.0
Sex: F
Vaccine: DTPPVHBHPB
Symptoms: Vaccination error
Clinical narrative: Patient received vaccine in error.
Age: 5.0
Sex: F
Vaccine: PNC20
Symptoms: Vaccination error
Clinical narrative: Vaccine given in error
Age: 0.83
Sex: F
Vaccine: MNQ
Symptoms: Incorrect dose administered, Single component of a two-component product administered
Clinical narrative: Patient received single vial dose of Menveo vaccine (Meningococcal A, C, Y, W-135) instead of two vial dose of Menveo vaccine (Meningococcal A, C, Y, W-135). Due to age, incorrect dose was given to the child. Agency notified Clinic of this error, clinic researched the issue, and notified the Provider involved. Single dose Menveo vaccines were removed from the clinic.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Cough, Influenza virus test negative, Laboratory test abnormal, Pneumonia, Pyrexia
Clinical narrative: PATIENT CAME TO OFFICE O 8/27/24 WITH COMPLAINT OF FEVER SINCE 8/24/24.  HOME COVID TEST NEG. IN OFFICE FLU AND STREP BOTH NEG. ADDITIONAL LABS ORDERED. 8/28/24 PATIENT COMPLAIN OF COUGH. PREDNISONE STARTED. ON 8/29/24 PATIENT TESTED POSITIVE FOR PNEUMONIA AND STARTED ON VENTOLIN, CEFDINIR AND AZITHROMYCIN. MOM REQUESTED WE REPORT SYMPTOMS D/T DEVELOPING SYMPTOMS CLOSE AFTER RECEIVING HPV.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: PATIENT CAME TO OFFICE O 8/27/24 WITH COMPLAINT OF FEVER SINCE 8/24/24.  HOME COVID TEST NEG. IN OFFICE FLU AND STREP BOTH NEG. ADDITIONAL LABS ORDERED. 8/28/24 PATIENT COMPLAIN OF COUGH. PREDNISONE STARTED. ON 8/29/24 PATIENT TESTED POSITIVE FOR PNEUMONIA AND STARTED ON VENTOLIN, CEFDINIR AND AZITHROMYCIN. MOM REQUESTED WE REPORT SYMPTOMS D/T DEVELOPING SYMPTOMS CLOSE AFTER RECEIVING HPV.
Age: 0.17
Sex: F
Vaccine: MNQ
Symptoms: Incorrect dose administered
Clinical narrative: Patient received single vial dose of Menveo vaccine (Meningococcal A, C, Y, & W-135) instead of two-vial dose of Menveo vaccine (Meningococcal A, C, Y, & W). Due to age, incorrect dose was given to the child. Agency notified Clinic of this error, clinic researched the issue, and notified the Provider involved. Single dose Menveo vaccines were removed from the clinic. A VEARS report with Agency will also be filed to obtain further guidance regarding next steps.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES - HOSPITALIZED 8/25/24-8/29/24, TRANSFERRED TO BED 8/29/24-9/2/24, DISCHARGED HOME ON HOSPICE CARE
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest discomfort, Cough, Dyspnoea, Fatigue, Insomnia
Clinical narrative: To any who are concern,  I received Covid-19 Pfizer vaccine from Pharmacy on 09/04/2024 and became EXTREMELY ill in 3 days with chest tightness and very hard to breath then I began to cough Dark Yellow phlegm continuously for 5 days.  No Fever.  I took over the counter chest Guaifenesin 1200 mg medication it seems to help a little but still bad cough with Yellow Phlegm. 5 days of little sleep and now I am extremely tired all the time. Still coughing.  Even today with most the symptom gone still I cough once a while with light yellow phlegm or none sometimes.  I think it should be WARNED to those receiving the new COVID-19 vaccine.  Regards,
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Malaise, Productive cough, Sputum discoloured
Clinical narrative: To any who are concern,  I received Covid-19 Pfizer vaccine from Pharmacy on 09/04/2024 and became EXTREMELY ill in 3 days with chest tightness and very hard to breath then I began to cough Dark Yellow phlegm continuously for 5 days.  No Fever.  I took over the counter chest Guaifenesin 1200 mg medication it seems to help a little but still bad cough with Yellow Phlegm. 5 days of little sleep and now I am extremely tired all the time. Still coughing.  Even today with most the symptom gone still I cough once a while with light yellow phlegm or none sometimes.  I think it should be WARNED to those receiving the new COVID-19 vaccine.  Regards,
Age: 0.75
Sex: F
Vaccine: MNQ
Symptoms: Incorrect dose administered
Clinical narrative: Patient received single vial dose of Menveo vaccine (Meningococcal A, C, Y, W-135) instead of two vial dose of Menveo vaccine (Meningococcal A, C, Y, W-135).  Due to age, incorrect dose was given to the child. Agency notified Clinic of this error, clinic researched the issue, and notified the Provider involved. Single dose Menveo vaccines were removed from the clinic.
Age: 37.0
Sex: F
Vaccine: TDAP, UNK
Symptoms: Hyperaesthesia teeth, Lethargy, Toothache
Clinical narrative: I received both a TDAP and a flu shot on Friday afternoon.  I felt lethargic on Saturday, but nothing significant.  By Sunday morning, I developed excruciating tooth pain in all of my upper teeth, but mainly my front teeth.  My teeth were extremely sensitive to hot/cold and I was having a hard time eating/drinking anything after this occurred.  I took ibuprofen (in 400 mg doses, 3x throughout the day) to relieve the pain, but ibuprofen was barely helping.  This was the first time I've had such a strong reaction to vaccinations.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Oedema peripheral, Skin swelling
Clinical narrative: Patient reported bilateral lower extremity edema (swollen ankles and top of feet were puffy) 2 days after receiving his flu and covid vaccination.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Headache, Treatment failure
Clinical narrative: Patient reported Tuesday evening he began getting a headache worse than he has ever felt before. He reports feeling the headache consistently for the next several days despite OTC treatment. Sunday he began developing small "blister-like" bubbles on the palms and outside of both hands, particularly worse on the left side
Age: 46.0
Sex: F
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Dizziness
Clinical narrative: patient felt dizzy and ambulance was called.  ambulance checked patient out and patient vital sign normal.  patient decline to go hospital with ambulance because patient said she was feeling fine.
Age: 83.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Fatigue, Hallucination, visual, Insomnia, Pain, Sleep disorder
Clinical narrative: Patient reports that she had aches and pain the following day. She took acetaminophen to help with that. In the evening, she attempted to go to bed but every time she closed her eyes she experienced visual hallucinations. She denies that they were scary-just very vivid, like they were playing out in real life, and disturbing due to never having before. Reports barely sleeping that night. The next day, 9/13/24, the hallucinations were gone but she was exhausted due to trying to stay awake all night to avoid the hallucinations.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Limb discomfort, Pain in extremity, Pruritus, Skin warm
Clinical narrative: Patient came into the pharmacy today with complaints of a sore right arm and that it feels like a knot. I touched it with the back of my hand, and it felt warm to the touch. Patient initially complained that her arm was itchy and was taking Benadryl as needed. Her arm wasn't that sore where she felt like she needed to go get it checked out, just more so uncomfortable.  I informed the patient to ice her arm 15 minutes on, and then 15 minutes off, and to take Tylenol every 4 hours as needed for the discomfort. Continue to take Benadryl if needed and to rub the area of the injection.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Decreased appetite, Dizziness, Headache, Lip swelling
Clinical narrative: She got her vaccine, she had a mild headache as soon as she got it.  When she got to her car she felt feverish, had chills, and fever.  The pharmacist suggested she get Tylenol for her headache, and stopped at store due to her reactions to medicines and asthma.  After about 30 minutes she got  home, she noticed that her top lip was swollen, and the fever is getting worse.  Her temperature was 101._.  She took 2 Tylenol, got her heating pad for her arm as it was hurting really bad, and she said the arm hurt like a police baton had been smacked to her arm.  She told the pharmacist that the pain was bad, and that she had gotten the Prenar 13 in the past (2018) but it did not hurt that bad.  As soon as she was pocket with the needle and the release of the medicine she had severe pain.   She put heat to her arm , and took a cold washcloth and applied to her forehead to get her temp down.  She took a shower and felt light headed and got out soon.  As soon as she got out of the shower she had had itching of her throat around 6:00 PM.  She then started to itch on her arm, she had full blown hives from her shoulder to her elbow.  Her arm was swollen from her shoulder to her hand, and her hands were swollen to the point that she could not make a fist with her right hand.  Today is the first day that she can lift her right arm without it hurting.  Her fever did not go away until the following day until Saturday afternoon.  Her lip swelling went down around midnight, and the hives finally subsided around 2:00 AM, which kept her awake due to the itching.  She totally did not have an appetite at all, and ate just a piece of toast that day.  She said that she will never get the pneumonia vaccine again.  She is to get her COVID booster next week.  She is now better, and her arm is better, she has a better appetite today and ate just soup over the weekend.  This was the worst vaccine that she ever had, and does not want it again.  She did not take anything other than the Tylenol.   She called her doctors office and they told her to continue to take the Tylenol and if it got to the point that she was having difficulty to go to the UC or the ER.  She told them that her throat was swollen, and they asked if she could breathe which she could and there was no necessity to go to the ER or UC.  For the nausea they prescribed Ondansetron which she took and this helped.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Mobility decreased, Nausea, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: She got her vaccine, she had a mild headache as soon as she got it.  When she got to her car she felt feverish, had chills, and fever.  The pharmacist suggested she get Tylenol for her headache, and stopped at store due to her reactions to medicines and asthma.  After about 30 minutes she got  home, she noticed that her top lip was swollen, and the fever is getting worse.  Her temperature was 101._.  She took 2 Tylenol, got her heating pad for her arm as it was hurting really bad, and she said the arm hurt like a police baton had been smacked to her arm.  She told the pharmacist that the pain was bad, and that she had gotten the Prenar 13 in the past (2018) but it did not hurt that bad.  As soon as she was pocket with the needle and the release of the medicine she had severe pain.   She put heat to her arm , and took a cold washcloth and applied to her forehead to get her temp down.  She took a shower and felt light headed and got out soon.  As soon as she got out of the shower she had had itching of her throat around 6:00 PM.  She then started to itch on her arm, she had full blown hives from her shoulder to her elbow.  Her arm was swollen from her shoulder to her hand, and her hands were swollen to the point that she could not make a fist with her right hand.  Today is the first day that she can lift her right arm without it hurting.  Her fever did not go away until the following day until Saturday afternoon.  Her lip swelling went down around midnight, and the hives finally subsided around 2:00 AM, which kept her awake due to the itching.  She totally did not have an appetite at all, and ate just a piece of toast that day.  She said that she will never get the pneumonia vaccine again.  She is to get her COVID booster next week.  She is now better, and her arm is better, she has a better appetite today and ate just soup over the weekend.  This was the worst vaccine that she ever had, and does not want it again.  She did not take anything other than the Tylenol.   She called her doctors office and they told her to continue to take the Tylenol and if it got to the point that she was having difficulty to go to the UC or the ER.  She told them that her throat was swollen, and they asked if she could breathe which she could and there was no necessity to go to the ER or UC.  For the nausea they prescribed Ondansetron which she took and this helped.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Pharyngeal swelling, Pruritus, Pyrexia, Sleep disorder, Throat irritation
Clinical narrative: She got her vaccine, she had a mild headache as soon as she got it.  When she got to her car she felt feverish, had chills, and fever.  The pharmacist suggested she get Tylenol for her headache, and stopped at store due to her reactions to medicines and asthma.  After about 30 minutes she got  home, she noticed that her top lip was swollen, and the fever is getting worse.  Her temperature was 101._.  She took 2 Tylenol, got her heating pad for her arm as it was hurting really bad, and she said the arm hurt like a police baton had been smacked to her arm.  She told the pharmacist that the pain was bad, and that she had gotten the Prenar 13 in the past (2018) but it did not hurt that bad.  As soon as she was pocket with the needle and the release of the medicine she had severe pain.   She put heat to her arm , and took a cold washcloth and applied to her forehead to get her temp down.  She took a shower and felt light headed and got out soon.  As soon as she got out of the shower she had had itching of her throat around 6:00 PM.  She then started to itch on her arm, she had full blown hives from her shoulder to her elbow.  Her arm was swollen from her shoulder to her hand, and her hands were swollen to the point that she could not make a fist with her right hand.  Today is the first day that she can lift her right arm without it hurting.  Her fever did not go away until the following day until Saturday afternoon.  Her lip swelling went down around midnight, and the hives finally subsided around 2:00 AM, which kept her awake due to the itching.  She totally did not have an appetite at all, and ate just a piece of toast that day.  She said that she will never get the pneumonia vaccine again.  She is to get her COVID booster next week.  She is now better, and her arm is better, she has a better appetite today and ate just soup over the weekend.  This was the worst vaccine that she ever had, and does not want it again.  She did not take anything other than the Tylenol.   She called her doctors office and they told her to continue to take the Tylenol and if it got to the point that she was having difficulty to go to the UC or the ER.  She told them that her throat was swollen, and they asked if she could breathe which she could and there was no necessity to go to the ER or UC.  For the nausea they prescribed Ondansetron which she took and this helped.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Urticaria
Clinical narrative: She got her vaccine, she had a mild headache as soon as she got it.  When she got to her car she felt feverish, had chills, and fever.  The pharmacist suggested she get Tylenol for her headache, and stopped at store due to her reactions to medicines and asthma.  After about 30 minutes she got  home, she noticed that her top lip was swollen, and the fever is getting worse.  Her temperature was 101._.  She took 2 Tylenol, got her heating pad for her arm as it was hurting really bad, and she said the arm hurt like a police baton had been smacked to her arm.  She told the pharmacist that the pain was bad, and that she had gotten the Prenar 13 in the past (2018) but it did not hurt that bad.  As soon as she was pocket with the needle and the release of the medicine she had severe pain.   She put heat to her arm , and took a cold washcloth and applied to her forehead to get her temp down.  She took a shower and felt light headed and got out soon.  As soon as she got out of the shower she had had itching of her throat around 6:00 PM.  She then started to itch on her arm, she had full blown hives from her shoulder to her elbow.  Her arm was swollen from her shoulder to her hand, and her hands were swollen to the point that she could not make a fist with her right hand.  Today is the first day that she can lift her right arm without it hurting.  Her fever did not go away until the following day until Saturday afternoon.  Her lip swelling went down around midnight, and the hives finally subsided around 2:00 AM, which kept her awake due to the itching.  She totally did not have an appetite at all, and ate just a piece of toast that day.  She said that she will never get the pneumonia vaccine again.  She is to get her COVID booster next week.  She is now better, and her arm is better, she has a better appetite today and ate just soup over the weekend.  This was the worst vaccine that she ever had, and does not want it again.  She did not take anything other than the Tylenol.   She called her doctors office and they told her to continue to take the Tylenol and if it got to the point that she was having difficulty to go to the UC or the ER.  She told them that her throat was swollen, and they asked if she could breathe which she could and there was no necessity to go to the ER or UC.  For the nausea they prescribed Ondansetron which she took and this helped.
Age: 0.5
Sex: F
Vaccine: MNQ
Symptoms: Incorrect dose administered
Clinical narrative: Patient received single vial dose of Menveo vaccine (Meningococcal A, C, Y, & W-135) instead of two-vial dose of Menveo vaccine (Meningococcal A, C, Y, & W). Due to age, incorrect dose was given to the child. VFC notified clinic of this error, clinic researched the issue, and notified the Provider involved. Single dose Menveo vaccines were removed from the clinic. A VEARS report with VFC will also be filed to obtain further guidance regarding next steps.
Age: 78.0
Sex: F
Vaccine: COVID19, FLU4, VARZOS
Symptoms: Device leakage, No adverse event, Underdose
Clinical narrative: During Shingrix vaccine injection, the fluid leaked from between the needle hub and the syringe. Comirnaty and Fluzone were given without issues. Patient came in next day on 09/16/2024 and said she was feeling fine
Age: 49.0
Sex: M
Vaccine: FLUC4
Symptoms: Chills, Tremor
Clinical narrative: Chills, shaking 4 days after injection. No other systemic symptoms noted.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Welt  on body and itching especially hands, butall over body.
Age: 3.0
Sex: F
Vaccine: COVID19, FLUN4
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: Incorrect dose of COVID vaccine administered without appropriate diluent . Parent notified , patient did not exhibit and signs and symptoms after administration .
Age: 72.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Condition aggravated, Pain, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: She got her vaccines, that afternoon her left arm swelled up.  It seemed to get worse ,and it's still swollen, but it has gone down.  She has always had arm swelling in the past, but not like this.  She did put Cortisone cream on it, but it just seemed to hang on swollen, and still has a litlte bit swollen.  It was hot to touch, but it is not now.  She asked the pharmacist and asked if she should report it, and she felt that she should.  She did get a fever, but not sick in any other way other than the swollen arm.  On the 10th she took 2 Tylenol for her pain and symptoms.  It is still slowly improving and still a litlte bit of swelling.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Back pain, Circumstance or information capable of leading to medication error, Extra dose administered, Fatigue
Clinical narrative: On Saturday, September 14, I stopped at the vaccine tent to get 1 Influenza shot and 1 covid shot. As soon as I got the 2nd shot (both in the left arm), the pharmacy tech realized he accidentally gave me 2 influenza shots and no covid shot. He said they would fill out an error form and that if I felt sick the next day, I should contact pharmacy. I felt fine on Sunday, but today (Monday) I woke up with severe muscle aches all over my bad, severe back pain, extremely sensitive skin all over my body, pain in all joints, extreme fatigue, and a really bad headache. I'm feeling progressively worse as the day goes on. He said I probably wouldn't feel sick after receiving an accidental double dose, but I most definitely do feel very sick. I probably won't go to a doctor unless it continues to get worse. I just wanted to report that this happened because the tech wasn't paying attention and made a mistake. There should be prevention practices in place to help avoid mistakes like this. He did end up giving me the covid injection in my right arm afterwards.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Feeling abnormal, Headache, Malaise, Myalgia, Sensitive skin
Clinical narrative: On Saturday, September 14, I stopped at the vaccine tent to get 1 Influenza shot and 1 covid shot. As soon as I got the 2nd shot (both in the left arm), the pharmacy tech realized he accidentally gave me 2 influenza shots and no covid shot. He said they would fill out an error form and that if I felt sick the next day, I should contact pharmacy. I felt fine on Sunday, but today (Monday) I woke up with severe muscle aches all over my bad, severe back pain, extremely sensitive skin all over my body, pain in all joints, extreme fatigue, and a really bad headache. I'm feeling progressively worse as the day goes on. He said I probably wouldn't feel sick after receiving an accidental double dose, but I most definitely do feel very sick. I probably won't go to a doctor unless it continues to get worse. I just wanted to report that this happened because the tech wasn't paying attention and made a mistake. There should be prevention practices in place to help avoid mistakes like this. He did end up giving me the covid injection in my right arm afterwards.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Wrong product administered
Clinical narrative: On Saturday, September 14, I stopped at the vaccine tent to get 1 Influenza shot and 1 covid shot. As soon as I got the 2nd shot (both in the left arm), the pharmacy tech realized he accidentally gave me 2 influenza shots and no covid shot. He said they would fill out an error form and that if I felt sick the next day, I should contact pharmacy. I felt fine on Sunday, but today (Monday) I woke up with severe muscle aches all over my bad, severe back pain, extremely sensitive skin all over my body, pain in all joints, extreme fatigue, and a really bad headache. I'm feeling progressively worse as the day goes on. He said I probably wouldn't feel sick after receiving an accidental double dose, but I most definitely do feel very sick. I probably won't go to a doctor unless it continues to get worse. I just wanted to report that this happened because the tech wasn't paying attention and made a mistake. There should be prevention practices in place to help avoid mistakes like this. He did end up giving me the covid injection in my right arm afterwards.
Age: 9.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomitting and low grade fever (101.2), developing about 26 hours after administration.
Age: 75.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site rash
Clinical narrative: patient developed rash in the area of her tdap immunization a few days post administration
Age: 4.0
Sex: F
Vaccine: FLU4, HEPA, VARCEL
Symptoms: Listless, Loss of consciousness, Pallor, Vomiting
Clinical narrative: Patient threw up, and then loss consciousness for about 5 seconds, was listless and pallor noted. Juice was given, child threw up again. patient was observed for 25 mins, by nursing staff and mom was attentive to child during this time. Upon departure, child had regained proper color.
Age: 92.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: Mobility decreased, Pain, Pyrexia
Clinical narrative: On a scale of 1-10, the pain was a 10 on Friday night, pain, fever, throbbing.  Sat was not better.  Today is better than yesterday.  Still hurts like the dickens and does not have full range of motion.  Progressing very slowly.  He has never had an AE to a vaccine before.
Age: 14.0
Sex: F
Vaccine: MENB
Symptoms: Inappropriate schedule of product administration, Wrong product administered
Clinical narrative: Pt was given Meningococcal B vaccine instead of Meningococcal ACWY. Pt still in age range to receive Meningococcal B vaccine but too early according to routine vaccine schedule.
Age: 72.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: swelling , puffiness, rash, and itchiness
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Circumstance or information capable of leading to medication error, Exposure during pregnancy, Wrong product administered
Clinical narrative: Patient made appoinment online for heplisav B and on her form it says energix- Vaccine was given as scheduled and later discovered it was supposed to be 2nd dose of energix- we don't carry that here. She also marked that she was not preganant on form and later said she was
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient was incorrectly administered Pfizer 12+ vaccine, instead of receiving the 5-11 year old dose.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was incorrectly administered Pfizer 12+ Covid vaccine. Patient should have received 5-11 year old dose. Confirmed with Pts primary care provider that no interventions needed. Spoke with Pts mother who denied Pt experiencing any adverse symptoms.
Age: 39.0
Sex: F
Vaccine: DTAP
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient's arm was sore and swollen still after 1 week but was getting better
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebral infarction, Cervical spinal stenosis, Lacunar infarction, SARS-CoV-2 test positive
Clinical narrative: Hospitalization for rule out acute CVA, lacunar infarct right corona radiata, cervical spine stenosis, acute urine retention, tested positive for COVID nine days after admission on  on dates 7/17/24-8/16/24. Treated with dexamethasone, baricitinib, Remdesivir.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary retention
Clinical narrative: Hospitalization for rule out acute CVA, lacunar infarct right corona radiata, cervical spine stenosis, acute urine retention, tested positive for COVID nine days after admission on  on dates 7/17/24-8/16/24. Treated with dexamethasone, baricitinib, Remdesivir.
Age: 33.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Given Fluzone HD. No ADR to report. Encouraged patient to report any issues.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dementia, Hypokalaemia, Hyponatraemia, Iron deficiency
Clinical narrative: Hospitalization for COVID-19, possible UTI, metabolic encephalopathy superimposed on dementia, hypokalemia, hyponatremia, iron deficiency on dates 8/1/24- 8/7/24. Treated with other medications not related to COVID-19.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy
Clinical narrative: Hospitalization for COVID-19, possible UTI, metabolic encephalopathy superimposed on dementia, hypokalemia, hyponatremia, iron deficiency on dates 8/1/24- 8/7/24. Treated with other medications not related to COVID-19.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Drug screen positive, Dyspnoea, Tachycardia, Tooth extraction
Clinical narrative: 9/5/24 5:00 PM Covid 2023/24 (2nd dose for those >65yrs), vaccine administered , no adverse side effects noted.                                    9/6/24 AM-C/O Tooth pain , 3:00 PM returned from Dentist, where 2 teeth were extracted, tolerated procedure w/out difficulty.  9:15 PM tachycardic and dyspneic, Oxygen sats 37% on 3L,  Fentanyl patch removed, Narcan given. 10:08 PM Resident expired at ER.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: 9/5/24 5:00 PM Covid 2023/24 (2nd dose for those >65yrs), vaccine administered , no adverse side effects noted.                                    9/6/24 AM-C/O Tooth pain , 3:00 PM returned from Dentist, where 2 teeth were extracted, tolerated procedure w/out difficulty.  9:15 PM tachycardic and dyspneic, Oxygen sats 37% on 3L,  Fentanyl patch removed, Narcan given. 10:08 PM Resident expired at ER.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Adult failure to thrive, Atrial fibrillation, COVID-19, Gait disturbance, Hypertension
Clinical narrative: Hospitalization for Urinary tract infection, COVID-19 positive (diagnosed two weeks before), hypertension, atrial fibrillation, failure to thrive with ambulatory dysfunction on dates 8/4/24- 8/9/24. Treated with other medications not related to COVID-19.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Hospitalization for Urinary tract infection, COVID-19 positive (diagnosed two weeks before), hypertension, atrial fibrillation, failure to thrive with ambulatory dysfunction on dates 8/4/24- 8/9/24. Treated with other medications not related to COVID-19.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Tenderness
Clinical narrative: Patient contacted the pharmacy a few days later after receiving the vaccine with complaints of a large purple color bruise on her left arm.  The patient says it was sore to touch.  I spoke with the patient and suggested for her to use ice packs and the Arnica bruising gel.  A week later the patient came into the pharmacy saying it was still sore and the bruise was still present.  The patient says she used the ice packs but was picking up some bruising gel I recommended.  I informed the patient I would follow up in a few days.  After following up with the patient, she still says there is no improvement and the bruise size is the same.  I informed the patient that we will complete a report so she can see can receive some medical attention.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Cardiac failure congestive, Chronic obstructive pulmonary disease, Chronic respiratory failure
Clinical narrative: Hospitalization for syncopal episode/mechanical fall/head trauma, COVID-19 infection, atrial fibrillation status-post Watchman device, chronic hypoxic respiratory failure/severe COPD, CHF, CAD, thyroid nodule, peripheral vascular disease, chronic pain syndrome on dates 8/11/24- 8/16/24. Treated with dexamethasone and other non-COVID related medications.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery disease, Fall, Head injury, Left atrial appendage closure implant, Pain
Clinical narrative: Hospitalization for syncopal episode/mechanical fall/head trauma, COVID-19 infection, atrial fibrillation status-post Watchman device, chronic hypoxic respiratory failure/severe COPD, CHF, CAD, thyroid nodule, peripheral vascular disease, chronic pain syndrome on dates 8/11/24- 8/16/24. Treated with dexamethasone and other non-COVID related medications.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral vascular disorder, Respiratory failure, Syncope, Thyroid mass
Clinical narrative: Hospitalization for syncopal episode/mechanical fall/head trauma, COVID-19 infection, atrial fibrillation status-post Watchman device, chronic hypoxic respiratory failure/severe COPD, CHF, CAD, thyroid nodule, peripheral vascular disease, chronic pain syndrome on dates 8/11/24- 8/16/24. Treated with dexamethasone and other non-COVID related medications.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Discomfort, Dizziness, Nausea, Pyrexia
Clinical narrative: I developed light headedness, nausea, and then fever/chills starting 12 hours after vaccination, at 3pm on 9/14. After breaking the fever around 11 pm, I slept without too much discomfort and woke up feeling better. However the fever has returned several times already since, once or twice 9/15. Today the 16th, the fever returned around 11 am and I have been feverish until now, 2:30 pm.
Age: 48.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: provided 2nd flu vaccine instead of intended pfizer bivalent vaccine. vaccinated patient with correct vaccine. no adr as of yet, patient will follow up if he has symptoms
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Metabolic encephalopathy, Thrombocytopenia, Urinary tract infection
Clinical narrative: Hospitalization for UTI, COVID-19 infection, acute metabolic encephalopathy, thrombocytopenia, history of liver transplant, atrial fibrillation, diabetes mellitus on dates 8/8/24- 8/19/24. Treated with vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 73.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Insomnia, Myalgia, Nausea, Restless legs syndrome, Tremor
Clinical narrative: Severe nausea, shaking, muscular pain, vomiting, insomnia, restless leg/feet for at  least 36 hours after injection
Age: 73.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Vomiting
Clinical narrative: Severe nausea, shaking, muscular pain, vomiting, insomnia, restless leg/feet for at  least 36 hours after injection
Age: 73.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Full blood count, Illness, Insomnia, Nausea, Tongue disorder
Clinical narrative: Severe nausea, shaking, muscular pain, vomiting, insomnia, restless leg/feet for at  least 36 hours after injection