chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Immediate post-injection reaction, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Injection site was red and itchy immediately after injection. Hydrocortisone cream was applied to the site and the itching was relieved. As the day progressed, the injection site and surrounding tissue started to swell, eventually resulting in a welt approximately 4 inches wide and 2 inches long. The area was warm, painful to the touch, and felt swollen/the skin felt tight. As the welt grew, the welt itself was white/pale with a red border. (I have a series of pictures that I'm happy to share if that would be helpful). At 3:10pm, the welt's border was traced with permanent marker to monitor its spread. Approximately 5pm, an ice pack was applied to the area as an attempt to reduce the inflammation with no success. No signs of anaphylaxis were present, but an urgent care visit was scheduled. Per the urgent care provider, this was a localized allergic reaction. A steroid shot was injected and prescriptions for Pepcid, Zyrtec, and a Medrol dose pack were provided.
Age: 42.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth, Skin tightness
Clinical narrative: Injection site was red and itchy immediately after injection. Hydrocortisone cream was applied to the site and the itching was relieved. As the day progressed, the injection site and surrounding tissue started to swell, eventually resulting in a welt approximately 4 inches wide and 2 inches long. The area was warm, painful to the touch, and felt swollen/the skin felt tight. As the welt grew, the welt itself was white/pale with a red border. (I have a series of pictures that I'm happy to share if that would be helpful). At 3:10pm, the welt's border was traced with permanent marker to monitor its spread. Approximately 5pm, an ice pack was applied to the area as an attempt to reduce the inflammation with no success. No signs of anaphylaxis were present, but an urgent care visit was scheduled. Per the urgent care provider, this was a localized allergic reaction. A steroid shot was injected and prescriptions for Pepcid, Zyrtec, and a Medrol dose pack were provided.
Age: 42.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Injection site was red and itchy immediately after injection. Hydrocortisone cream was applied to the site and the itching was relieved. As the day progressed, the injection site and surrounding tissue started to swell, eventually resulting in a welt approximately 4 inches wide and 2 inches long. The area was warm, painful to the touch, and felt swollen/the skin felt tight. As the welt grew, the welt itself was white/pale with a red border. (I have a series of pictures that I'm happy to share if that would be helpful). At 3:10pm, the welt's border was traced with permanent marker to monitor its spread. Approximately 5pm, an ice pack was applied to the area as an attempt to reduce the inflammation with no success. No signs of anaphylaxis were present, but an urgent care visit was scheduled. Per the urgent care provider, this was a localized allergic reaction. A steroid shot was injected and prescriptions for Pepcid, Zyrtec, and a Medrol dose pack were provided.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune thyroiditis, Hypothyroidism, Rheumatoid arthritis
Clinical narrative: Autoimmune response resulting in rheumatoid arthritis, hypothyroidism, hashimotos.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Bacteraemia, Bladder hypertrophy, Blood creatinine increased, COVID-19, Chest X-ray normal
Clinical narrative: DATE OF ADMISSION: 1/7/2025 DATE OF DISCHARGE: 1/12/25  Discharge Diagnoses: Sepsis secondary to UTI with bacteremia and COVID-19  - Blood cultures growing Klebsiella  - Urine culture growing Klebsiella  - CT A/P 1/7 right distal ureter stone measuring 6 mm unchanged from July 2024 and with no hydronephrosis.  Diffusely thickened bladder wall.  - Given no chest imaging findings of COVID-19 pneumonia and no hypoxia, the patient does not qualify for steroids.  - Received 5 days of IV Rocephin while hospitalized.  I will prescribe Keflex on discharge to complete a 14 day course of antibiotics.  Atrial fibrillation//severe aortic stenosis//HTN   - TTE 9/2023:  EF 70-75%, severe aortic stenosis  - Unsure why he is not on anticoagulation.  It looks like he was started on Eliquis in October 2023, but was discontinued at some point for which I can not find any documentation.  - Resume home Lasix and Norvasc  CKD 3   - Baseline creatinine appears to be around 1.4  Hospital Course:  89-year-old male with past history of severe aortic stenosis, CKD 3, CVA, hypertension, and AFib.  Patient was admitted 01/08 after presenting with symptoms malaise, dysuria and nausea/vomiting.  Patient was found to COVID-19 as well as a UTI.  He was started on IV Rocephin.  His urine and blood cultures were positive for Klebsiella.  Over the course of his hospital stay, his clinical picture has improved.  He is stable for discharge back to his long-term care facility on oral antibiotics.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Dysuria, Klebsiella test positive, Malaise, Nausea
Clinical narrative: DATE OF ADMISSION: 1/7/2025 DATE OF DISCHARGE: 1/12/25  Discharge Diagnoses: Sepsis secondary to UTI with bacteremia and COVID-19  - Blood cultures growing Klebsiella  - Urine culture growing Klebsiella  - CT A/P 1/7 right distal ureter stone measuring 6 mm unchanged from July 2024 and with no hydronephrosis.  Diffusely thickened bladder wall.  - Given no chest imaging findings of COVID-19 pneumonia and no hypoxia, the patient does not qualify for steroids.  - Received 5 days of IV Rocephin while hospitalized.  I will prescribe Keflex on discharge to complete a 14 day course of antibiotics.  Atrial fibrillation//severe aortic stenosis//HTN   - TTE 9/2023:  EF 70-75%, severe aortic stenosis  - Unsure why he is not on anticoagulation.  It looks like he was started on Eliquis in October 2023, but was discontinued at some point for which I can not find any documentation.  - Resume home Lasix and Norvasc  CKD 3   - Baseline creatinine appears to be around 1.4  Hospital Course:  89-year-old male with past history of severe aortic stenosis, CKD 3, CVA, hypertension, and AFib.  Patient was admitted 01/08 after presenting with symptoms malaise, dysuria and nausea/vomiting.  Patient was found to COVID-19 as well as a UTI.  He was started on IV Rocephin.  His urine and blood cultures were positive for Klebsiella.  Over the course of his hospital stay, his clinical picture has improved.  He is stable for discharge back to his long-term care facility on oral antibiotics.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Ureterolithiasis, Urinary tract infection, Vomiting
Clinical narrative: DATE OF ADMISSION: 1/7/2025 DATE OF DISCHARGE: 1/12/25  Discharge Diagnoses: Sepsis secondary to UTI with bacteremia and COVID-19  - Blood cultures growing Klebsiella  - Urine culture growing Klebsiella  - CT A/P 1/7 right distal ureter stone measuring 6 mm unchanged from July 2024 and with no hydronephrosis.  Diffusely thickened bladder wall.  - Given no chest imaging findings of COVID-19 pneumonia and no hypoxia, the patient does not qualify for steroids.  - Received 5 days of IV Rocephin while hospitalized.  I will prescribe Keflex on discharge to complete a 14 day course of antibiotics.  Atrial fibrillation//severe aortic stenosis//HTN   - TTE 9/2023:  EF 70-75%, severe aortic stenosis  - Unsure why he is not on anticoagulation.  It looks like he was started on Eliquis in October 2023, but was discontinued at some point for which I can not find any documentation.  - Resume home Lasix and Norvasc  CKD 3   - Baseline creatinine appears to be around 1.4  Hospital Course:  89-year-old male with past history of severe aortic stenosis, CKD 3, CVA, hypertension, and AFib.  Patient was admitted 01/08 after presenting with symptoms malaise, dysuria and nausea/vomiting.  Patient was found to COVID-19 as well as a UTI.  He was started on IV Rocephin.  His urine and blood cultures were positive for Klebsiella.  Over the course of his hospital stay, his clinical picture has improved.  He is stable for discharge back to his long-term care facility on oral antibiotics.
Age: 88.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient mistakenly received a second dose of Arexvy.  He received his original dose on 1/9/24 and a second dose on 1/15/25.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Deep vein thrombosis, Pain in extremity, Peripheral swelling
Clinical narrative: DATE OF ADMISSION: 1/10/2025 DATE OF DISCHARGE:  01/12/2025  Discharge Diagnoses: Acute PE/LLE DVT in the setting of COVID-19 infection  - U/S LLE 1/10: Acute appearing extensive occlusive DVT in the left lower extremity.  - CTA chest 1/10: Acute right PE suspected.  - I personally discussed with IR who recommends medical management with anticoagulation given no clot extension above the inguinal ligament  - Was on heparin drip while hospitalized and will switch to therapeutic Eliquis on discharge.  Chronic HFrEF//HTN  - Continue home aspirin, statin, Coreg  - Continue home Invokana, Repatha, Lasix, lisinopril, and Aldactone for now  - Unsure why he is on digoxin as I can not find any documented diagnoses associated with this.  T2DM with A1c 8.8%  Hospital Course:  76-year-old male with past medical history of hypertension, T2DM, and HFrEF.  Patient was admitted 01/10 for acute left lower extremity DVT and acute PE after presenting with symptoms of left leg pain and swelling.  Patient was also found to be positive for COVID-19.  Patient was started on a heparin drip with subsequent improvement in his symptoms.  He is stable for discharge home on oral anticoagulation.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test positive, Scan with contrast abnormal, Ultrasound Doppler abnormal
Clinical narrative: DATE OF ADMISSION: 1/10/2025 DATE OF DISCHARGE:  01/12/2025  Discharge Diagnoses: Acute PE/LLE DVT in the setting of COVID-19 infection  - U/S LLE 1/10: Acute appearing extensive occlusive DVT in the left lower extremity.  - CTA chest 1/10: Acute right PE suspected.  - I personally discussed with IR who recommends medical management with anticoagulation given no clot extension above the inguinal ligament  - Was on heparin drip while hospitalized and will switch to therapeutic Eliquis on discharge.  Chronic HFrEF//HTN  - Continue home aspirin, statin, Coreg  - Continue home Invokana, Repatha, Lasix, lisinopril, and Aldactone for now  - Unsure why he is on digoxin as I can not find any documented diagnoses associated with this.  T2DM with A1c 8.8%  Hospital Course:  76-year-old male with past medical history of hypertension, T2DM, and HFrEF.  Patient was admitted 01/10 for acute left lower extremity DVT and acute PE after presenting with symptoms of left leg pain and swelling.  Patient was also found to be positive for COVID-19.  Patient was started on a heparin drip with subsequent improvement in his symptoms.  He is stable for discharge home on oral anticoagulation.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: She arrived to office to make us aware of an area of redness and swelling that surrounds the injection site.  Area covers most of the patients upper arm.  She denied any pain or discomfort . She also refused to be seen by the physician assistant, stating she has never had that reaction before and just wanted to make us aware.  Encouraged to use a cold compress and to continue to monitor the area for increased swelling or pain.  She denied any fever, chills, sob, chest pain or throat discomfort as well. ER precautions were given in the event of any worsening or ongoing symptoms. Verbalized understanding of instructions.                                                                                    ***on this form it is marked patient died but it will not allow me to uncheck the box***
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bowel obstruction surgery, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: NP Admission Date: 1/5/2025 Discharge Disposition: Deceased  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Suicidal ideation [R45.851] Acute on chronic respiratory failure (HCC) [J96.20] Chronic obstructive pulmonary disease with (acute) exacerbation (HCC) [J44.1] Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung [J18.9] Lab test positive for detection of COVID-19 virus [U07.1]  HOSPITAL COURSE: 89-year-old female was brought in from nursing facility for respiratory distress, acute on chronic respiratory failure, and was found to have COVID-19 pneumonia complicated by MRSA pneumoniae and MRSA bacteremia.  On admission patient also had questionable suicidal ideation, as she was trying to wrap around tubing of oxygen around her neck to get attention from the staff in the nursing facility.  There was 1 day when patient tried to similar behavior while in the hospital trying to wrap IV tubing around her neck.  Patient was also evaluated by Psychiatry and social worker and had tele sitter in the room.  Due to COVID-19, MRSA pneumoniae and MRSA bacteremia, patient is received treatment with remdesivir, vancomycin.  Initially she had some improvement over a few days, however later Respiratory distress and confusion worsened.  Patient was also found to have severely distended large bowel, required enemas, surgery was following.  After discussion with POA decision was made to transition to comfort care in the evening on 1/11/25.  BiPAP was eventually removed on 01/12/2025 and patient expired peacefully on 01/13/2025.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Confusional state, Death, Enema administration, Intestinal dilatation
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: NP Admission Date: 1/5/2025 Discharge Disposition: Deceased  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Suicidal ideation [R45.851] Acute on chronic respiratory failure (HCC) [J96.20] Chronic obstructive pulmonary disease with (acute) exacerbation (HCC) [J44.1] Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung [J18.9] Lab test positive for detection of COVID-19 virus [U07.1]  HOSPITAL COURSE: 89-year-old female was brought in from nursing facility for respiratory distress, acute on chronic respiratory failure, and was found to have COVID-19 pneumonia complicated by MRSA pneumoniae and MRSA bacteremia.  On admission patient also had questionable suicidal ideation, as she was trying to wrap around tubing of oxygen around her neck to get attention from the staff in the nursing facility.  There was 1 day when patient tried to similar behavior while in the hospital trying to wrap IV tubing around her neck.  Patient was also evaluated by Psychiatry and social worker and had tele sitter in the room.  Due to COVID-19, MRSA pneumoniae and MRSA bacteremia, patient is received treatment with remdesivir, vancomycin.  Initially she had some improvement over a few days, however later Respiratory distress and confusion worsened.  Patient was also found to have severely distended large bowel, required enemas, surgery was following.  After discussion with POA decision was made to transition to comfort care in the evening on 1/11/25.  BiPAP was eventually removed on 01/12/2025 and patient expired peacefully on 01/13/2025.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia staphylococcal, Positive airway pressure therapy, Respiratory distress, SARS-CoV-2 test positive, Staphylococcal bacteraemia
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: NP Admission Date: 1/5/2025 Discharge Disposition: Deceased  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Suicidal ideation [R45.851] Acute on chronic respiratory failure (HCC) [J96.20] Chronic obstructive pulmonary disease with (acute) exacerbation (HCC) [J44.1] Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung [J18.9] Lab test positive for detection of COVID-19 virus [U07.1]  HOSPITAL COURSE: 89-year-old female was brought in from nursing facility for respiratory distress, acute on chronic respiratory failure, and was found to have COVID-19 pneumonia complicated by MRSA pneumoniae and MRSA bacteremia.  On admission patient also had questionable suicidal ideation, as she was trying to wrap around tubing of oxygen around her neck to get attention from the staff in the nursing facility.  There was 1 day when patient tried to similar behavior while in the hospital trying to wrap IV tubing around her neck.  Patient was also evaluated by Psychiatry and social worker and had tele sitter in the room.  Due to COVID-19, MRSA pneumoniae and MRSA bacteremia, patient is received treatment with remdesivir, vancomycin.  Initially she had some improvement over a few days, however later Respiratory distress and confusion worsened.  Patient was also found to have severely distended large bowel, required enemas, surgery was following.  After discussion with POA decision was made to transition to comfort care in the evening on 1/11/25.  BiPAP was eventually removed on 01/12/2025 and patient expired peacefully on 01/13/2025.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Suicidal ideation
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: NP Admission Date: 1/5/2025 Discharge Disposition: Deceased  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Suicidal ideation [R45.851] Acute on chronic respiratory failure (HCC) [J96.20] Chronic obstructive pulmonary disease with (acute) exacerbation (HCC) [J44.1] Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung [J18.9] Lab test positive for detection of COVID-19 virus [U07.1]  HOSPITAL COURSE: 89-year-old female was brought in from nursing facility for respiratory distress, acute on chronic respiratory failure, and was found to have COVID-19 pneumonia complicated by MRSA pneumoniae and MRSA bacteremia.  On admission patient also had questionable suicidal ideation, as she was trying to wrap around tubing of oxygen around her neck to get attention from the staff in the nursing facility.  There was 1 day when patient tried to similar behavior while in the hospital trying to wrap IV tubing around her neck.  Patient was also evaluated by Psychiatry and social worker and had tele sitter in the room.  Due to COVID-19, MRSA pneumoniae and MRSA bacteremia, patient is received treatment with remdesivir, vancomycin.  Initially she had some improvement over a few days, however later Respiratory distress and confusion worsened.  Patient was also found to have severely distended large bowel, required enemas, surgery was following.  After discussion with POA decision was made to transition to comfort care in the evening on 1/11/25.  BiPAP was eventually removed on 01/12/2025 and patient expired peacefully on 01/13/2025.
Age: 44.0
Sex: F
Vaccine: RAB
Symptoms: Chest X-ray, Hypoaesthesia, Inflammation, Laboratory test, Magnetic resonance imaging head
Clinical narrative: Today she had her second rabies vaccine for pre-exposure at 09:30. After the vaccine at around 12pm she starting having numbness and tingling in her face on the left side of her face and into her left hand. She denies and throat, tongue or lip swelling, no difficulty breathing. Patient reports recent long illness of lingering URI symptoms with cough and nausea.   Treatment  : Benadryl 25mg given orally with no change of symptoms , 30mg IM toradol and 10mg cyclobenzaprine orally in attempt to decrease local inflammation - patient had decreased neck pain after but numbness persisted. Dr., neurologist, agreed to come evaluate patient.
Age: 44.0
Sex: F
Vaccine: RAB
Symptoms: Magnetic resonance imaging spinal, Neck pain, Paraesthesia
Clinical narrative: Today she had her second rabies vaccine for pre-exposure at 09:30. After the vaccine at around 12pm she starting having numbness and tingling in her face on the left side of her face and into her left hand. She denies and throat, tongue or lip swelling, no difficulty breathing. Patient reports recent long illness of lingering URI symptoms with cough and nausea.   Treatment  : Benadryl 25mg given orally with no change of symptoms , 30mg IM toradol and 10mg cyclobenzaprine orally in attempt to decrease local inflammation - patient had decreased neck pain after but numbness persisted. Dr., neurologist, agreed to come evaluate patient.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal loss of weight, Allergy test positive, Blood immunoglobulin G decreased, Brain fog, Diarrhoea
Clinical narrative: Intense full body itching, rashes, dermatographia, and hives that rotate in location and began two days after vaccine (10/23/24) and have not resolved despite aggressive antihistamine therapy and topical steroid cream. Accompanied by intermittent itchy, red eyes.  Severe diarrhea with unintended weight loss, generalized fatigue and malaise, brain fog.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Fatigue, Full blood count, Malaise, Mechanical urticaria
Clinical narrative: Intense full body itching, rashes, dermatographia, and hives that rotate in location and began two days after vaccine (10/23/24) and have not resolved despite aggressive antihistamine therapy and topical steroid cream. Accompanied by intermittent itchy, red eyes.  Severe diarrhea with unintended weight loss, generalized fatigue and malaise, brain fog.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Milk allergy, Ocular hyperaemia, Pruritus, Rash, Tryptase
Clinical narrative: Intense full body itching, rashes, dermatographia, and hives that rotate in location and began two days after vaccine (10/23/24) and have not resolved despite aggressive antihistamine therapy and topical steroid cream. Accompanied by intermittent itchy, red eyes.  Severe diarrhea with unintended weight loss, generalized fatigue and malaise, brain fog.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vitamin D deficiency, White blood cell count decreased
Clinical narrative: Intense full body itching, rashes, dermatographia, and hives that rotate in location and began two days after vaccine (10/23/24) and have not resolved despite aggressive antihistamine therapy and topical steroid cream. Accompanied by intermittent itchy, red eyes.  Severe diarrhea with unintended weight loss, generalized fatigue and malaise, brain fog.
Age: 1.25
Sex: M
Vaccine: TDAP
Symptoms: No adverse event
Clinical narrative: PT HAD NO ADVERSE REACTIONS TO Tdap VACCINE
Age: 75.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Oropharyngeal pain, Pain in extremity
Clinical narrative: patient states that approximately 4 hours after vaccine administration on 01/15/25 he developed a sore throat. He also mentioned sore arms but has gMG and this is not uncommon. No other symptoms
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Fatigue, Headache, Malaise
Clinical narrative: All over muscle pain, headaches, fatigue, weakness, exhaustion, malaise, back pain, neck pain, leg pain. Inability to sleep due to pain. Trouble sitting at work all day due to all over pain.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Pain, Pain in extremity, Sleep disorder
Clinical narrative: All over muscle pain, headaches, fatigue, weakness, exhaustion, malaise, back pain, neck pain, leg pain. Inability to sleep due to pain. Trouble sitting at work all day due to all over pain.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Since the third shot I have had paresthesia in my right arm .  Worse in the right shoulder radiating from my elbow to my right side of my chin
Age: 80.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Gave patient 2 doses of Arexvy first dose was given in 2023 outside of guidelines.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Blood electrolytes normal, Blood test normal, Cyanosis, Faeces discoloured, Lethargy
Clinical narrative: Per chart review patient had 3rd vaccine on 10/20/2022 and had an influenza vaccine on the same day. On 10/21/2022 patient was seen in ER for a 5-minute episode of turning blue in the lips with no apnea and was saturating 92% by EMS. She also had 6 episodes of nonbloody nonbilious emesis with dark-colored stools. She denies any shortness of breath, cough or other symptoms.Patient received work up to confirm there was no issue with her VP shunt. MRI as well as an x-ray to check for positioning and function. Both of these results have come back as normal and we have reached out to our neurosurgery colleagues and they do not recommend any further work-up or treatment at this time. We also looked at your blood samples and blood electrolytes and so far all of these labs have remained normal.  The ER concluded that: Although we do not have a reason for why she became lethargic, and blue earlier today we have ruled out any emergent causes that may be of concern and require immediate intervention. Unclear evidence if episode directly related to COVID vaccine.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Vomiting, X-ray normal
Clinical narrative: Per chart review patient had 3rd vaccine on 10/20/2022 and had an influenza vaccine on the same day. On 10/21/2022 patient was seen in ER for a 5-minute episode of turning blue in the lips with no apnea and was saturating 92% by EMS. She also had 6 episodes of nonbloody nonbilious emesis with dark-colored stools. She denies any shortness of breath, cough or other symptoms.Patient received work up to confirm there was no issue with her VP shunt. MRI as well as an x-ray to check for positioning and function. Both of these results have come back as normal and we have reached out to our neurosurgery colleagues and they do not recommend any further work-up or treatment at this time. We also looked at your blood samples and blood electrolytes and so far all of these labs have remained normal.  The ER concluded that: Although we do not have a reason for why she became lethargic, and blue earlier today we have ruled out any emergent causes that may be of concern and require immediate intervention. Unclear evidence if episode directly related to COVID vaccine.
Age: 5.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Underdose
Clinical narrative: Incorrect dose of Covid-19 administered. Client was 5 at time of administration but received the 6-month to 4-year-old dose (yellow top vial, 3 mcg/0.3 mL) instead of the 5 to 11-year-old dose (blue top vial, 10 mcg/0.3 mL). Notified client's mom who did not state any adverse reactions to incorrect dose. Relayed the recommendation for child to receive the correct dose for his age.
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient didn't recall getting an RSV vaccine prior to today.  System was down so we were unable to verify via that site.  Learned after the fact that patient had received the vaccine a year ago.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Labelled drug-drug interaction issue, No adverse event
Clinical narrative: This person called on 1/7/25 and requested two vaccines urgently before her physical on 1/9/25. She was fluent in language. The person said she did not have any vaccine records but was told by agency she needed these vaccines(Polio and Varicella) prior to her physical. She filled out all the required paperwork, including the screening form. She marked "no" to any vaccines in the prior month. I tried to look her up in our vaccine registry but she had not been entered yet. I administered the Varicella and IPV. During the 15 minute waiting peroid I entered the vaccines into the registry. I printed her a few copies and told her that all vaccines she received would automatically go into the registry. This is when she pulled out a vaccine from the local free clinic and I took it to enter those vaccines later. When I reviewed those vaccines after she left, I found that she had received MMR on 1/6/25. Seeing this, I knew that the Varicella I just gave her was invalid. I have spoken to her twice since this date and there are no side effects or reactions.  The patient is aware of the error and that she will need to be revaccinated with the Varicella because that dose was invalid.
Age: 13.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Fatigue, Lymphadenopathy, Pain
Clinical narrative: Swelling of 3 separate lymph nodes on same side (left) as flu and Covid vaccines which were administered one 1/13/25. Causing moderate-severe pain and extreme levels of fatigue.
Age: 13.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Abdominal pain, Dizziness, Pyrexia
Clinical narrative: Mother refers that the teen was dizzy, has a fever and abdominal pain.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Affect lability, Amyotrophic lateral sclerosis, Asthenia, Electromyogram, Hypoaesthesia
Clinical narrative: The night after receiving my first dose of the Moderna Vaccine I couldn't sleep and was restless, when I woke I couldn't tern my neck. My muscles were essentially seized. I had numbness and tingling throughout my body but mostly in my left side. It was painful to attempt to move. I had very little movement of my left hand. Virtually no strength in my grip. I was "frozen."  I went to the medical department at my work, They sent me/approved/agreed that I should see a orthopedic specialist because it appeared to be an issue with my neck. A couple days later I was seen by Dr. He took an MRI, prescribed Percocet, and physical therapy.  I attended physical therapy for about a 2 months (oct/nov 2021). The numbness/tingling /pain subsided. I remained weaker than I had been prior to the vaccination. I stopped going to physical therapy believing I could live with my altered strength.   Over the course of the next year and a half I felt increasing weakness in my left arm. I consistently saw my strength decrease, and a fair amount of muscle wasting in my left hand.  In the spring of 2023 I noticed my entire body was experiencing muscle fasciculations and I could now feel left leg weakness. It also became I apparent I had been suffering from pseudobulbar affect. In June of 2023 I got an MRI, and was diagnosed with ALS.  Since then I have been treated by clinic and currently I am at the second clinic.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Joint range of motion decreased, Magnetic resonance imaging abnormal, Metabolic function test, Mobility decreased
Clinical narrative: The night after receiving my first dose of the Moderna Vaccine I couldn't sleep and was restless, when I woke I couldn't tern my neck. My muscles were essentially seized. I had numbness and tingling throughout my body but mostly in my left side. It was painful to attempt to move. I had very little movement of my left hand. Virtually no strength in my grip. I was "frozen."  I went to the medical department at my work, They sent me/approved/agreed that I should see a orthopedic specialist because it appeared to be an issue with my neck. A couple days later I was seen by Dr. He took an MRI, prescribed Percocet, and physical therapy.  I attended physical therapy for about a 2 months (oct/nov 2021). The numbness/tingling /pain subsided. I remained weaker than I had been prior to the vaccination. I stopped going to physical therapy believing I could live with my altered strength.   Over the course of the next year and a half I felt increasing weakness in my left arm. I consistently saw my strength decrease, and a fair amount of muscle wasting in my left hand.  In the spring of 2023 I noticed my entire body was experiencing muscle fasciculations and I could now feel left leg weakness. It also became I apparent I had been suffering from pseudobulbar affect. In June of 2023 I got an MRI, and was diagnosed with ALS.  Since then I have been treated by clinic and currently I am at the second clinic.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle atrophy, Muscle contractions involuntary, Muscular weakness, Musculoskeletal stiffness, Pain
Clinical narrative: The night after receiving my first dose of the Moderna Vaccine I couldn't sleep and was restless, when I woke I couldn't tern my neck. My muscles were essentially seized. I had numbness and tingling throughout my body but mostly in my left side. It was painful to attempt to move. I had very little movement of my left hand. Virtually no strength in my grip. I was "frozen."  I went to the medical department at my work, They sent me/approved/agreed that I should see a orthopedic specialist because it appeared to be an issue with my neck. A couple days later I was seen by Dr. He took an MRI, prescribed Percocet, and physical therapy.  I attended physical therapy for about a 2 months (oct/nov 2021). The numbness/tingling /pain subsided. I remained weaker than I had been prior to the vaccination. I stopped going to physical therapy believing I could live with my altered strength.   Over the course of the next year and a half I felt increasing weakness in my left arm. I consistently saw my strength decrease, and a fair amount of muscle wasting in my left hand.  In the spring of 2023 I noticed my entire body was experiencing muscle fasciculations and I could now feel left leg weakness. It also became I apparent I had been suffering from pseudobulbar affect. In June of 2023 I got an MRI, and was diagnosed with ALS.  Since then I have been treated by clinic and currently I am at the second clinic.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Restlessness
Clinical narrative: The night after receiving my first dose of the Moderna Vaccine I couldn't sleep and was restless, when I woke I couldn't tern my neck. My muscles were essentially seized. I had numbness and tingling throughout my body but mostly in my left side. It was painful to attempt to move. I had very little movement of my left hand. Virtually no strength in my grip. I was "frozen."  I went to the medical department at my work, They sent me/approved/agreed that I should see a orthopedic specialist because it appeared to be an issue with my neck. A couple days later I was seen by Dr. He took an MRI, prescribed Percocet, and physical therapy.  I attended physical therapy for about a 2 months (oct/nov 2021). The numbness/tingling /pain subsided. I remained weaker than I had been prior to the vaccination. I stopped going to physical therapy believing I could live with my altered strength.   Over the course of the next year and a half I felt increasing weakness in my left arm. I consistently saw my strength decrease, and a fair amount of muscle wasting in my left hand.  In the spring of 2023 I noticed my entire body was experiencing muscle fasciculations and I could now feel left leg weakness. It also became I apparent I had been suffering from pseudobulbar affect. In June of 2023 I got an MRI, and was diagnosed with ALS.  Since then I have been treated by clinic and currently I am at the second clinic.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Rash, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Patient reports about 24 hours after vaccination, she developed a rash on the left side of her clavicle spreading up her neck and around to the front. The rash is red, slightly warmer and itchy per the patient. The next day (following allergy shots) the rash was worsening. She has treated it with hydrocortisone with some relief. I advised that she take diphenhydramine for about 24 hours, If the symptoms worsen or do not go away with the anti-histamines, I advised seeking medical care for assessment and treatment, and requested to be informed if that is the course of action she has to take.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient received a dose in October of 2024 and received an extra dose today.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Pt. reports the night of the vaccine her arm swelled to the size of a golf ball, and was very painful, and warm to touch.  Pt. also reports her left arm continued to swell from her shoulder to her elbow, and remained swollen for 2 weeks.
Age: 86.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema
Clinical narrative: 9cm by 10cm erythematous area around vaccine injection site
Age: 0.17
Sex: M
Vaccine: HIBV
Symptoms: Product preparation issue
Clinical narrative: Pt was in office for appt and was given three injections for vaccinations. When charting these vaccinations two of these were confirmed but the third vaccine given was just the normal saline as it was not reconstituted correctly by this RN. Dr. and pts mother aware.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Laboratory test, Ventricular assist device insertion
Clinical narrative: Extended hospitalization following immunization, treated for heart failure and an LVAD was implanted to sustain heart function and blood circulation. Hospitalization was for a duration of 2 month from admission to release with LVAD.
Age: 70.0
Sex: M
Vaccine: RSV
Symptoms: Muscle spasms, Nasopharyngeal swab, Oropharyngeal pain, Productive cough, Sputum discoloured
Clinical narrative: Muscle cramps the same night, then soar throat and upper respiratory infection starting 2 days after vaccination. Persistent Green Pflem producing cough.
Age: 70.0
Sex: M
Vaccine: RSV
Symptoms: Upper respiratory tract infection
Clinical narrative: Muscle cramps the same night, then soar throat and upper respiratory infection starting 2 days after vaccination. Persistent Green Pflem producing cough.
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Erythema, Fatigue, Gait disturbance, Hypoaesthesia, Peripheral swelling
Clinical narrative: fatigue  several hours after injection received 1/14/2025.  upon awakening day after injection 1/15/2025 had numbness of both hands and feet (difficulty walking) with swelling sans erythema of hands   all symptoms resolved by 1800 on 1/15/2025
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Nothing happened
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient stated that she felt light headed the morning after the vaccine and may have fainted. She said that happens when she is dehydrated also but was concerned that it could also be the vaccine
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Client received 3 flu shots in 1 season. Client did not recall receiving. No symptoms or side effects were noted.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Progressively worsening red, warm, swollen injection site (6.25cmx9.25cm) with complaints of itching
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: low grade fever for 48 hours, local inflammatory response at vaccine site (warmth, redness, swelling, pain), hives for 2 days, residual rash for 7 days
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: low grade fever for 48 hours, local inflammatory response at vaccine site (warmth, redness, swelling, pain), hives for 2 days, residual rash for 7 days
Age: 65.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Glaucoma, Headache, Lacrimation increased, Photosensitivity reaction, Uveitis
Clinical narrative: Patient stated she had a severe headache that moved to her eye. photosensitivity, and watery eyes. Called emergency eye line and earliest she could be seen was 12/31/2024. She was diagnosed with uveitis which has now progressed into her being treated for glaucoma.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Mobility decreased, Pain in extremity, Skin warm
Clinical narrative: Patient received Prevnar vaccination at pharmacy, I do not have lot number, would have to contact them for this. Patient developed redness, warmth, and pain with limitations on range of motion in the right arm that extended and spread down the arm and onto the elbow joint. There was no local inflammation noted.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram, Full blood count, Gait disturbance, Gait inability
Clinical narrative: Within 3 days of receiving my second vaccine I could not walk without a cane.  I began having pain which began in my right hip/leg and which is now in both legs from hip to feet .  I can no longer walk and went from a cane to a rollator and now heading to a wheelchair!
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pain in extremity, Walking aid user, X-ray
Clinical narrative: Within 3 days of receiving my second vaccine I could not walk without a cane.  I began having pain which began in my right hip/leg and which is now in both legs from hip to feet .  I can no longer walk and went from a cane to a rollator and now heading to a wheelchair!
Age: 64.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Condition aggravated, Seizure
Clinical narrative: Both vaccines were administered to same arm (LEFT deltoid) per pt request d/t the right arm being his "bowling arm." Pt remained in reclined position until he sat upright in reclining chair and began to seize at 13:37. RN, CNM and employee were called to Lab for assistance. Pt put back into reclining position and BP cuff/O2 probe applied, VS obtained. At this point, pt was able to state that he seizes when "he gets shots." Pt states his last seizure was when he"got shots last." 1340 - 78/43 HR62 O2 95%; 1343 - 89/55 HR66 95%; 1344 - HR65 97%; 1345 - 96/62 HR64 92%. 1347- EMS arrived; Pt very responsive, answering questions appropriately, pt adamantly refuses EMS services/transport to hospital and signed Medical Transportation Refusal Form.  1348 - 98/62 HR67 95%. EMS left and pt was wheeled via wheelchair to waiting area to meet his escort home (a friend). Pt got out of wheelchair and walked to vehicle without complications.
Age: 73.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Confusional state, Injection site reaction, Pyrexia
Clinical narrative: Patient came to the pharmacy 2 days after the vaccinations. She said that the evening of the vaccinations she got a large injection reaction on her right arm where she was given the Shingrix. She also complained of a fever and mental confusion.  Patient's husband took her to the ER and the ER doctor said the reaction was bad, but "normal" for vaccinations. He was more concerned about the mental confusion and a possibility of a stroke in progress. Patient did not want to stay in the hospital and left. ER doctor did not give the patient anything to treat the vaccination reaction. The patient went to her PCP days later for the same complaints. The family doctor told her that she was having a severe systemic reaction to the vaccine and never to get the 2nd dose in the series and to alert us (the pharmacy that gave her the vaccine).
Age: 18.0
Sex: F
Vaccine: FLU3, MNQ
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No known adverse event at this time;  Reporting that an additional dose (#3) of the Meningococcal ACWY vaccine was given with a complete documentation of the 2-dose series.
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient had Arexvy on 10/27/2023 but came in to get another dose of Arexvy on 01/15/2025. None of the adverse effects has been reported. Notified patient of error and counseled on potential adverse events.
Age: 58.0
Sex: F
Vaccine: PNC20, PNC20
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient reports to our pharmacy today 01/16/2025 at 4pm. Patient states she received a Prevnar 20 vaccine on 01/09/2025 and developed an injection site reaction characterized by redness and swelling extending down from the injection site. The patient observed the redness progressively increasing in size over the next few days. However, she reports that the symptoms are now improving, with the redness starting to diminish. Reaction appears to be resolving without further intervention. Patient hasn't taken any otc medication or anything to relieve it. She feels it getting better day by day and reports no struggle with daily activities. I advised patient to monitor affected area for any signs of worsening or systemic symptoms (fever, chills, etc). If redness or swelling persists or worsens, the patient should seek medical evaluation.
Age: 58.0
Sex: F
Vaccine: PNC20, PNC20
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pyrexia
Clinical narrative: Patient reports to our pharmacy today 01/16/2025 at 4pm. Patient states she received a Prevnar 20 vaccine on 01/09/2025 and developed an injection site reaction characterized by redness and swelling extending down from the injection site. The patient observed the redness progressively increasing in size over the next few days. However, she reports that the symptoms are now improving, with the redness starting to diminish. Reaction appears to be resolving without further intervention. Patient hasn't taken any otc medication or anything to relieve it. She feels it getting better day by day and reports no struggle with daily activities. I advised patient to monitor affected area for any signs of worsening or systemic symptoms (fever, chills, etc). If redness or swelling persists or worsens, the patient should seek medical evaluation.
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Echocardiogram, Myocarditis
Clinical narrative: myocarditis diagnosed 12/14/2024
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Severe erythema, swelling, ?cellulitis
Age: 65.0
Sex: F
Vaccine: PNC21
Symptoms: Headache, Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus
Clinical narrative: INJECTION SITE SORENESS, REDNESS, ITCHING, INFLAMMATION, HOT TO TOUCH AND A HEADACHE THAT LASTED ALL DAY THE NEXT DAY
Age: 65.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site warmth
Clinical narrative: INJECTION SITE SORENESS, REDNESS, ITCHING, INFLAMMATION, HOT TO TOUCH AND A HEADACHE THAT LASTED ALL DAY THE NEXT DAY
Age: 37.0
Sex: F
Vaccine: HPV9
Symptoms: Limb discomfort, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: The patient reported a reaction to the HPV vaccine, which resulted in swelling and persistent pain in her arm. The patient reported that the pain was so severe that it feels like she is holding a weight and it has been difficult for her to lift her arm.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Major swelling on 4th day, redness, major soreness
Age: 10.0
Sex: F
Vaccine: FLU3, FLU3, TDAP, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt was to be given Havrix and Flulaval at 01/16/2025 appt. Though Havrix was documented in our vaccine log, along with flulaval, Tdap was pulled & given to the pt. along with Flulaval. Provider ordering the vaccinations was immediately notified along with the nurse manager & the medical director. With the assistance of our facilities interpreter, the mistake was descriped to the pt and her father.  Both understood the error. Pt & father will make a new appt to receive the Havarix vaccine. Pt left our clinic with no adverse side effects.
Age: 43.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Abdominal pain lower, Abortion spontaneous, Exposure during pregnancy, Malaise, Muscle spasms
Clinical narrative: Pt began having lower abdominal pain about 8 hours after vaccines. Took tylenol, did not help. Started having some vaginal discharge the next morning, Felt vaguely unwell until 1/15/2025 when increasing pain and cramping and pt had miscarriage. Pt was approximately 11 weeks pregnant and Due Aug 15, 2025. Pt denies having prior episodes of spotting, cramping during this pregnancy.