chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 1/26/21 lot# El9261;  Pfizer 2/17/21 lot# EL9265
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 1/4/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: No adverse event
Clinical narrative: Parent declined HPV, but was administered by RN instead of requested Meningitis ACYW. No adverse events noted.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 Janssen vaccines Janssen 4/12/21 lot# 042A21A;  Janssen 12/1/21 lot# 2115521A
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Sex: U
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Dose was placed into the refrigerator initially on 4-MAY-2023 and was administered between 6-JUN-2023 to 9-JUN-2023.; No adverse event; Patient received vaccine after the 30 day BUD between 6-JUN-2023 to 9-JUN-2023.; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received vaccine after the 30 day BUD between 6-JUN-2023 to 9-JUN-2023.), PRODUCT STORAGE ERROR (Dose was placed into the refrigerator initially on 4-MAY-2023 and was administered between 6-JUN-2023 to 9-JUN-2023.) and NO ADVERSE EVENT (No adverse event) in an adult patient of an unknown gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7185B) for COVID-19 prophylaxis.     No Medical History information was reported.    In June 2023, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. In June 2023, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received vaccine after the 30 day BUD between 6-JUN-2023 to 9-JUN-2023.). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Dose was placed into the refrigerator initially on 4-MAY-2023 and was administered between 6-JUN-2023 to 9-JUN-2023.) and NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received vaccine after the 30 day BUD between 6-JUN-2023 to 9-JUN-2023.), PRODUCT STORAGE ERROR (Dose was placed into the refrigerator initially on 4-MAY-2023 and was administered between 6-JUN-2023 to 9-JUN-2023.) and NO ADVERSE EVENT (No adverse event) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown Route), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (Patient received vaccine after the 30 day BUD between 6-JUN-2023 to 9-JUN-2023.) and PRODUCT STORAGE ERROR (Dose was placed into the refrigerator initially on 4-MAY-2023 and was administered between 6-JUN-2023 to 9-JUN-2023.).    No concomitant information was reported. Suspect product dosage text was reported as unknown. It was reported that patient did not report other symptoms and no additional doses medications or treatments administered in response.  The case contains information for patient 5th out of 9 patients.   This case was linked to US-MODERNATX, INC.-MOD-2023-729624 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-729624:Master case
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Chest pain, Chills, Fatigue
Clinical narrative: Initial pain in arm; in the evening, starting around 9 hours post-injection (8 PM), began to have other aches & pains: chest, back, joints. After going to bed, began to have chills, more aches (legs), fever, headache. Woke around midnight (13 hours post-injection) and noticed nasal congestion, more intense fever, and legs and feet felt "heavy" when walking; unable to get back to sleep (despite staying in bed). Took temperature around 3:45 AM (almost 17 hours post injection) and temperature was 101.1. Took NyQuil, went back to bed, fell asleep around 4 AM. Woke after an hour, but stayed in bed and went back to sleep. Got up around 8 AM (21 hours post-injection), still achy but not as much. Tired. No fever. Mostly recovered at this point.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Initial insomnia, Limb discomfort, Middle insomnia, Nasal congestion
Clinical narrative: Initial pain in arm; in the evening, starting around 9 hours post-injection (8 PM), began to have other aches & pains: chest, back, joints. After going to bed, began to have chills, more aches (legs), fever, headache. Woke around midnight (13 hours post-injection) and noticed nasal congestion, more intense fever, and legs and feet felt "heavy" when walking; unable to get back to sleep (despite staying in bed). Took temperature around 3:45 AM (almost 17 hours post injection) and temperature was 101.1. Took NyQuil, went back to bed, fell asleep around 4 AM. Woke after an hour, but stayed in bed and went back to sleep. Got up around 8 AM (21 hours post-injection), still achy but not as much. Tired. No fever. Mostly recovered at this point.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Initial pain in arm; in the evening, starting around 9 hours post-injection (8 PM), began to have other aches & pains: chest, back, joints. After going to bed, began to have chills, more aches (legs), fever, headache. Woke around midnight (13 hours post-injection) and noticed nasal congestion, more intense fever, and legs and feet felt "heavy" when walking; unable to get back to sleep (despite staying in bed). Took temperature around 3:45 AM (almost 17 hours post injection) and temperature was 101.1. Took NyQuil, went back to bed, fell asleep around 4 AM. Woke after an hour, but stayed in bed and went back to sleep. Got up around 8 AM (21 hours post-injection), still achy but not as much. Tired. No fever. Mostly recovered at this point.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 1 dose Janssen
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE
Age: 69.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Joint swelling
Clinical narrative: My joints on my left arm have swollen and are very painful.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Nasopharyngitis, Pyrexia
Clinical narrative: cold symptoms, fever, fatigue
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 1/7/21 lot# EL3246;  Pfizer 1/28/21 lot# EN5318;  Pfizer 10/7/21 lot# FF2590
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebellar stroke
Clinical narrative: ACUTE STROKE OF CEREBELLUM, UNSPECIFIED TYPE AND ARTERY
Age: 18.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: Blood iron decreased, Generalised tonic-clonic seizure, Laboratory test abnormal, Syncope, Vitamin D deficiency
Clinical narrative: syncope and tonic clonic seizure
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 1/31/21 lot# 011L20A;  Moderna 2/28/21 lot# 012L20A;  Moderna 11/2/21 lot# 076C21A
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt is 18 years old needing HEPA vaccine for college. Pt given adult dose in error. Pt did not have any adverse reaction to vaccine given.
Sex: U
Vaccine: COVID19-2
Symptoms: Chest pain
Clinical narrative: Chest hurt; This spontaneous case was reported by a patient and describes the occurrence of CHEST PAIN (Chest hurt) in a  patient of an unknown age and gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced CHEST PAIN (Chest hurt). At the time of the report, CHEST PAIN (Chest hurt) outcome was unknown.            No concomitant medications were reported. No treatment medications were reported.   Most recent FOLLOW-UP information incorporated above includes: On 20-Jun-2023: Live Follow up received that contains no new information.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Pfizer 2/28/21 lot# En6201;  Pfizer 3/21/21 lot# EN6207;  Pfizer 12/15/21 lot# 33130BA;
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 2/15/21 lot# 015M20A;  Moderna 3/15/21 lot# 038K20A
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines  Pfizer 6/8/21 lot# ER8736;  Pfizer 6/29/21 lot# Ew0187
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines  Moderna 5/4/21 lot# 024C21A;  Moderna 6/1/21 lot# 050C21A
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 4/21/21 lot# EW0162;  Pfizer 5/13/21 lot# Ew0172;  Pfizer 01/20/22 lot# FL3198
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis, Pulmonary embolism
Clinical narrative: ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN ACUTE DVT OF LEFT POPLITEAL VEIN ACUTE PULMONARY EMBOLISM
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient said she started to feel soreness around injection site a couple of days after getting vaccine and that it spread.  She reports there is also redness on her upper mid arm.  One week after vaccine she is still experiencing redness and soreness and it has gotten worse.
Sex: U
Vaccine: COVID19-2, COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: The Moderna Bivalent 6M <6Y Bivalent 6m-5y Dark Pink Cap, 20 doses/2-dose vial was ordered in order to administer primary series doses to patients.  I believed I read that the labels were not correct and could be used for the primary series.  When the patient received the first dose of the vaccine our EMR and  did not flag any error.  I administered a 2nd dose yesterday on 6/21/23 as well and when I was reconciling vaccines it did not appear that the vaccine was deducted from inventory due to the "lot not being found.  I manually deleted the vaccine that was uploaded and re-entered the vaccine so the inventory would update.  At that time the dose was coming up as not valid (it was valid when it was uploaded but not manually entered).  I then looked further into it and realized the vaccine was a smaller a dose and should have been used for a booster.  There were no other known adverse effects.  I am currently researching to see what needs to be done but it appears the patient should be re- vaccinated.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient should have recieved a pediatric dose and recieved an adult dose instead.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Injection site swelling, Pain in extremity
Clinical narrative: COVID-19; With each vaccine they only had a little sore arm for a few days; swelling on injection site for a few days; would get tired/very tired/very exhausted; This spontaneous case was reported by a nurse and describes the occurrence of COVID-19 (COVID-19), PAIN IN EXTREMITY (With each vaccine they only had a little sore arm for a few days), INJECTION SITE SWELLING (swelling on injection site for a few days) and FATIGUE (would get tired/very tired/very exhausted) in an 80-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.     No Medical History information was reported.    On 06-Sep-2022, the patient received seventh dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. In October 2022, the patient experienced FATIGUE (would get tired/very tired/very exhausted). On an unknown date, the patient experienced COVID-19 (COVID-19), PAIN IN EXTREMITY (With each vaccine they only had a little sore arm for a few days) and INJECTION SITE SWELLING (swelling on injection site for a few days). At the time of the report, COVID-19 (COVID-19) and FATIGUE (would get tired/very tired/very exhausted) outcome was unknown and PAIN IN EXTREMITY (With each vaccine they only had a little sore arm for a few days) and INJECTION SITE SWELLING (swelling on injection site for a few days) had resolved.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication was reported. Patient thought he had a he had strep. Patient was prescribed with all kinds of antibiotics but nothing worked.   This case was linked to US-MODERNATX, INC.-MOD-2023-729751, US-MODERNATX, INC.-MOD-2023-729758, US-MODERNATX, INC.-MOD-2023-729747, US-MODERNATX, INC.-MOD-2023-729726 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-729751:Monovalent Product of Wife US-MODERNATX, INC.-MOD-2023-729758:Monovalent Product of Husband US-MODERNATX, INC.-MOD-2023-729747:Wife Bivalent product case US-MODERNATX, INC.-MOD-2023-729726:Other patient case
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiogenic shock
Clinical narrative: CARDIOGENIC SHOCK
Age: 50.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 18.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was supposed to receive Men B vaccine and instead received MenQuadFi dose #3. Patient had no adverse reactions in the office.   Patient left the office.  Nurse Manage reviewed with manufacturer of vaccine and they stated to watch for side effects due to vaccine being administered at 2 years instead of 4 years post second dose.  Dr. reviewed above with mother in the afternoon via phone.  Mother aware and reported no side effects to MD.  Mother will report any adverse effects to the office.
Age: 1.25
Sex: M
Vaccine: HIBV
Symptoms: Product preparation error
Clinical narrative: sterile water was used to reconstitute instead of NS
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose of moderna bivalient was given to adult (0.25 mL)
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, Respiratory tract congestion
Clinical narrative: Pt arrived to the hospital with weakness and congestion. He reports a cough for a month. Pt was tested for COVID and was positive and was admitted for sepsis from post COVID pneumonia.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pt arrived to the hospital with weakness and congestion. He reports a cough for a month. Pt was tested for COVID and was positive and was admitted for sepsis from post COVID pneumonia.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 3/31/21 lot# 017B21A;  Moderna 4/28/21 lot# 006C21A;  Moderna 10/29/21 lot# 017F21A
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose of moderna bivalient given to adult (0.25 mL)
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose of moderna bivalent given to adult (0.25 mL)
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Pneumonia, Tobacco user
Clinical narrative: COPD w/ acute exacerbation, Tobacco user, pneumonia
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal discomfort, Malaise
Clinical narrative: Employee stated she was not feeling well the next day and had a upset stomach all day. Employee reported illness 24 hours later.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/2/21 lot# EN6207  Pfizer 4/22/21 lot# Ew0150
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19
Clinical narrative: Covid-19; This spontaneous case was reported by a patient family member or friend and describes the occurrence of COVID-19 (Covid-19) in a 66-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. In March 2023, the patient experienced COVID-19 (Covid-19). At the time of the report, COVID-19 (Covid-19) outcome was unknown.            Concomitant product use was not provided by the reporter.  It was reported that patient did not had loss of taste.  Treatment information was not provided.   This case was linked to US-MODERNATX, INC.-MOD-2023-729732 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-729732:same reporter (Husband case)
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypersensitivity
Clinical narrative: ALLERGIC REACTION, INIT
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 4/7/21 lot# 017B21A;  Moderna 9/16/21 lot# 053C21A;  Moderna 11/10/21 lot# 062E21A;  Moderna 7/25/22 lot# 006M21A
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/16/21 lot# EW0150;  Pfizer 5/7/21 lot# Ew0172
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 4/21/21 lot# Ew0171;  Pfizer 5/12/21 lot# Ew0177;  Pfizer 12/27/21 lot# 330258D
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Hypersensitivity, Laryngitis, Oropharyngeal pain
Clinical narrative: I had felt fatigued and achy after receiving the vaccine for about a day. In 05/2023, I had a very bad sore throat. I went to a doctor and got diagnosed with strep throat. It was really bad, and I couldn't talk.  I got a prescription for an antibiotic, steroid and cough medicine. As of today, the strep throat has cleared up and I'm dealing with allergies.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Streptococcus test positive
Clinical narrative: I had felt fatigued and achy after receiving the vaccine for about a day. In 05/2023, I had a very bad sore throat. I went to a doctor and got diagnosed with strep throat. It was really bad, and I couldn't talk.  I got a prescription for an antibiotic, steroid and cough medicine. As of today, the strep throat has cleared up and I'm dealing with allergies.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 4/26/21 lot# Ew0162;  Pfizer 5/27/21 lot# Ew0172;  Moderna 11/9/21 lot# 067F21A
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Pneumonia
Clinical narrative: HYPOXIA 4/8/2023 PNEUMONIA
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 1/27/21 lot# El9261;  Pfizer 2/25/21 lot# EN6202
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Feeling abnormal, Influenza like illness, Malaise, Respiratory tract congestion
Clinical narrative: I just was not feeling well and was feeling worse due to having to get up early. I felt awful like I was coming down with the flu and congested, I took my temperature and it was one hundred  point one.  I took a home COVID-19  test and it was positive.  The next morning I went to urgent care and recieved a Paxlovid presciption and I had a rebound case with that in about eight days and it was about ten days before I felt better.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I just was not feeling well and was feeling worse due to having to get up early. I felt awful like I was coming down with the flu and congested, I took my temperature and it was one hundred  point one.  I took a home COVID-19  test and it was positive.  The next morning I went to urgent care and recieved a Paxlovid presciption and I had a rebound case with that in about eight days and it was about ten days before I felt better.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Inappropriate schedule of product administration, Product preparation issue
Clinical narrative: The patient needed Polio, DTAP, and HIB. The provider opted to use the combination vaccination Pentacel. During the preparation of the Pentacel vaccine the DTAP and Polio component was drawn up but not combined with the HIB component. The patient was then administered the DTAP and Polio only. The patient's guardian was notified that the patient is missing the HIB component of vaccination. The patient has been scheduled for June 30, 2023 to receive the missing HIB vaccination.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Moderna 2/9/21 lot# 031L20A;  Moderna 3/9/21 lot# 032M20A;  Modern 10/27/21 lot# 076C21A;  Moderna 7/19/22 lot# 013B22A;  MOderna 11/3/22 lot# AS7148B
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Myocardial ischaemia
Clinical narrative: DEMAND ISCHEMIA
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Coagulopathy, Pericardial effusion, Pericarditis, Perineal abscess
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE 4/18/2023 PERICARDIAL EFFUSION ACUTE PERICARDITIS, UNSPECIFIED 3/24/2023 PERICARDIAL EFFUSION COAGULOPATHY, UNSPECIFIED TYPE 4/18/2023 ATRIAL FIBRILLATION, PAROXYSMAL ACUTE PERICARDITIS, UNSPECIFIED 3/24/2023 ATRIAL FIBRILLATION, PAROXYSMAL COAGULOPATHY, UNSPECIFIED TYPE 4/18/2023 PERINEUM ABSCESS ACUTE PERICARDITIS, UNSPECIFIED 3/24/2023 PERINEUM ABSCESS
Sex: U
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine was expied on 19-May-2023, the vial was initially stored in the refrigerator thawed and injected on 31-May-2023; No adverse event; Pharmacist is calling to report that several nursing home patients received expired Bivalent booster dose of Moderna COVID-19 vaccine; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Pharmacist is calling to report that several nursing home patients received expired Bivalent booster dose of Moderna COVID-19 vaccine), PRODUCT STORAGE ERROR (Vaccine was expied on 19-May-2023, the vial was initially stored in the refrigerator thawed and injected on 31-May-2023) and NO ADVERSE EVENT (No adverse event) in an elderly patient of an unknown gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7147B) for COVID-19 prophylaxis.     No Medical History information was reported.    On 31-May-2023, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 31-May-2023, the patient experienced EXPIRED PRODUCT ADMINISTERED (Pharmacist is calling to report that several nursing home patients received expired Bivalent booster dose of Moderna COVID-19 vaccine). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccine was expied on 19-May-2023, the vial was initially stored in the refrigerator thawed and injected on 31-May-2023) and NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Pharmacist is calling to report that several nursing home patients received expired Bivalent booster dose of Moderna COVID-19 vaccine), PRODUCT STORAGE ERROR (Vaccine was expied on 19-May-2023, the vial was initially stored in the refrigerator thawed and injected on 31-May-2023) and NO ADVERSE EVENT (No adverse event) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (Pharmacist is calling to report that several nursing home patients received expired Bivalent booster dose of Moderna COVID-19 vaccine) and PRODUCT STORAGE ERROR (Vaccine was expied on 19-May-2023, the vial was initially stored in the refrigerator thawed and injected on 31-May-2023).    No concomitant medications were reported. They were all in intact carton. Vial size was 2.5 ml and the vial did not underwent any temperature excursions. No treatment medications were reported.  This case contains information for the 6 of 20 patients described by the reporter.   This case was linked to US-MODERNATX, INC.-MOD-2023-727268 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-727268:Patient 3 out of 20 (Master case)
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test normal, Hypertension, Urine analysis normal
Clinical narrative: 6/11/23 I had my blood pressure taken and it showed high blood pressure. I am not sure for how long this had been going on. On 6/12/23 , I went to Urgent Care and my blood pressure was high. I was told to change my lifestyle and monitor my blood pressure. I will make a return appointment next week.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiac failure congestive
Clinical narrative: Pfizer vaccine was administered outside of clinic- reported by patient- ? NO LOT NUMBER WERE SUPPLIED -------------------------------------------------------------------------------------------------------------------------------  ACUTE NON ST ELEVATION MI 4/4/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 5/6/2023 - 5/8/2023 (2 days) Presentation to the ED: generalized weakness COVID + date: 5/6/2023  Treatment: supportive therapy.  Discharge to: home.  EW0178 8/26/2021 FK9895 4/16/2022 061F22A 10/12/2022
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 5/5/2023 - 5/10/2023 (5 days) Presentation to the ED: Worsening productive cough COVID + date: 5/5/2023 Treatment: Rocephin and doxycycline. IV Decadron Discharge to: HOME.  EL9269 2/8/2021 EN6200 3/2/2021 FF2588 10/1/2021 054A22A 6/4/2022
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Congenital scoliosis
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 4/19/2023 ABNL HEAD CT SCAN    CONGENITAL SCOLIOSIS
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Hypotension, Pulmonary embolism
Clinical narrative: ACUTE NON ST ELEVATION MI ACUTE NON ST ELEVATION MI (NSTEMI), TYPE 2 MI (SUPPLY/DEMAND) HYPOTENSION ACUTE PULMONARY EMBOLISM 1/30/2023  &   1/29/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Amyotrophic lateral sclerosis, Dyspnoea, Electromyogram, Nerve conduction studies, Pulmonary function test
Clinical narrative: Shortness of breath, tremors, and eventually diagnosed with ALS
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: Shortness of breath, tremors, and eventually diagnosed with ALS
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 5/12/2023 - 5/15/2023 (3 days) Presentation to the ED: fever  COVID + date: 5/12/2023  Treatment: supportive care Discharge to: home.  011L20A 1/6/2021 012M20A 2/2/2021 939901 939901
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus, Visual impairment
Clinical narrative: ABOUT A HALF AN HOUR AFTER RECEIVING THE 2ND AND 4TH MODERNA VACCINES, THERE WAS VIOLIN SOUNDS BEHIND LEFT EAR THAT LASTED AROUND 5 MINUTES. ALSO HAD VISION CHANGES AT THE SAME TIME THAT INCLUDE COLORS SIMILAR TO A HALLLUCINATION.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Hypotension, Pulmonary embolism
Clinical narrative: ACUTE NON ST ELEVATION MI ACUTE NON ST ELEVATION MI (NSTEMI), TYPE 2 MI (SUPPLY/DEMAND) HYPOTENSION ACUTE PULMONARY EMBOLISM
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 5/17/2023 - 5/20/2023 (3 days) Presentation to the ED: weakness and AMS COVID + date: 5/17/2023 Treatment: antiviral remdesivir, bronchodilator therapy and oxygen therapy Discharge to: SNF.   011J20A 1/12/2021 028L20A 2/9/2021 066F21A 11/12/2021
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Neuropathy peripheral
Clinical narrative: G62.9 PERIPHERAL NEUROPATHY 3/1/2023 ATRIAL FIBRILLATION, PERMANENT I21.A1 TYPE 2 MI 4/20/2023 ATRIAL FIBRILLATION, PERMANENT G62.9 PERIPHERAL NEUROPATHY 3/1/2023 ATRIAL FIBRILLATION, PERMANENT I21.A1 TYPE 2 MI 4/20/2023 ATRIAL FIBRILLATION, PERMANENT
Age: 81.0
Sex: M
Vaccine: COVID19-2, PNC20
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna Bivalent Covid Vaccine was given one day after its expiration date of 6/18/2023. Pt experienced no symptoms or signs of adverse reaction.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Hypoxia, Type 2 diabetes mellitus
Clinical narrative: R09.02 HYPOXIA 4/19/2023 DM 2 WO COMPLICATIONS R09.02 HYPOXIA 4/19/2023 GERD COUNSELING
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Affective disorder, Depression, Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MILD 11/23/2022 MOOD DISORDER PHYSIO COND W/DEPRESSIVE FEATURE
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure
Clinical narrative: CHRONIC RESPIRATORY FAILURE
Age: 29.0
Sex: F
Vaccine: HPV9
Symptoms: Product storage error
Clinical narrative: Temp excursion in the vaccine refrigerator over the weekend and HPV 9 vaccine given to patient.  Patient declined a booster dose.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aortic arteriosclerosis, Cellulitis, Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM 3/18/2023 ATHEROSCLEROSIS OF AORTA  ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/18/2023 ATHEROSCLEROSIS OF AORTA ACUTE PULMONARY EMBOLISM 3/18/2023 CELLULITIS  ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/18/2023 CELLULITIS
Age: 53.0
Sex: M
Vaccine: PNC20
Symptoms: Circumstance or information capable of leading to medication error, Injection site pain
Clinical narrative: Following Administration, patient noted a burning pain in his left arm where the vaccine was administered. RN did note that the patient appeared to flex and move his arm during the administration. RN did assess and monitor patient for a short time after administration and ensured he had good range of motion. Patient was encouraged to continue moving his arm, use self cares (ice), and notify us if symptoms did not improve. Patient's provider was notified.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Patient arm felt itchy after vaccination and noticed small area of redness at injection site. This AM redness developed into a 2 1/4 wide x 1.5 L erythematous, tender, raised area at injection site and pain with moving arm. Treated for suspected cellulitis with cephalexin 500 mg BID x 7 days. Ibuprofen for pain.  advised to apply topical hydrocortisone cream for itchiness -prescribed on 6/22/23
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Pruritus
Clinical narrative: Patient arm felt itchy after vaccination and noticed small area of redness at injection site. This AM redness developed into a 2 1/4 wide x 1.5 L erythematous, tender, raised area at injection site and pain with moving arm. Treated for suspected cellulitis with cephalexin 500 mg BID x 7 days. Ibuprofen for pain.  advised to apply topical hydrocortisone cream for itchiness -prescribed on 6/22/23
Age: 1.33
Sex: F
Vaccine: MMR
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Nurse administered 2nd dose of MMR earlier than recommended age.  AE reviewed after vaccine was administered and parent informed to monitor for symptoms. Currently no AEs reported by parent.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE ST ELEVATION MI, INFERIOR WALL
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient should have recieved a certain dose but recieved an adult dose of Bivalent.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 67.0
Sex: M
Vaccine: PNC20
Symptoms: Inappropriate schedule of product administration, No adverse event, Product administration error
Clinical narrative: Pt was without adverse event, but did have administration error.  was given a 2nd dose of PCV 20 6 mo following his first dose.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Product preparation issue
Clinical narrative: No adverse event.  Just administered the liquid vial portion of the Menveo, did not reconstitute with the powder vial of the vaccine.
Age: 13.0
Sex: M
Vaccine: COVID19-2, HPV9
Symptoms: Cold sweat, Pallor, Paraesthesia
Clinical narrative: Patient became very pale and clammy. He stated that he felt tingly all over. He was assessed by Dr. and RN. They laid him flat on the table, and lifted his legs. An ice pack was placed on his neck. They reassessed vital signs. He was given water, crackers and juice. He then was feeling much better.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hyperlipidaemia, Hypernatraemia
Clinical narrative: ACUTE ON CHRONIC RESPIRATORY FAILURE 4/25/2023 HYPERLIPIDEMI, HYPERNATREMIA
Age: 45.0
Sex: F
Vaccine: MENB
Symptoms: No adverse event
Clinical narrative: at this time no adverse events noted
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blast cells, Blood potassium increased, Blood sodium decreased, Blood uric acid increased, Contusion
Clinical narrative: Pt. returned to our office on 5/30/23 with left sided facial swelling.  Mother reported facial swelling started the 3 days after vaccination, increased in size 4 days later and she also had mild nasal congestion. On June 5, she presented to our office again with much increased facial swelling which was very firm. She also was noted to have pallor, bruising on her face and legs, and  an enlarged liver and spleen
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Haemoglobin decreased, Hepatomegaly, Induration, Nasal congestion, Pallor
Clinical narrative: Pt. returned to our office on 5/30/23 with left sided facial swelling.  Mother reported facial swelling started the 3 days after vaccination, increased in size 4 days later and she also had mild nasal congestion. On June 5, she presented to our office again with much increased facial swelling which was very firm. She also was noted to have pallor, bruising on her face and legs, and  an enlarged liver and spleen
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Platelet count decreased, Red blood cell count decreased, Splenomegaly, Swelling face, T-cell type acute leukaemia
Clinical narrative: Pt. returned to our office on 5/30/23 with left sided facial swelling.  Mother reported facial swelling started the 3 days after vaccination, increased in size 4 days later and she also had mild nasal congestion. On June 5, she presented to our office again with much increased facial swelling which was very firm. She also was noted to have pallor, bruising on her face and legs, and  an enlarged liver and spleen
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: White blood cell count increased
Clinical narrative: Pt. returned to our office on 5/30/23 with left sided facial swelling.  Mother reported facial swelling started the 3 days after vaccination, increased in size 4 days later and she also had mild nasal congestion. On June 5, she presented to our office again with much increased facial swelling which was very firm. She also was noted to have pallor, bruising on her face and legs, and  an enlarged liver and spleen
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Myocarditis
Clinical narrative: MYOCARDITIS HYPOTENSION
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cerebrovascular accident
Clinical narrative: ACUTE ST ELEVATION MI, UNSPECIFIED 4/18/2023 ACUTE MI ACUTE MI 4/17/2023 ACUTE MI ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 4/18/2023 ACUTE MI
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure, Symptom recurrence
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 11/8/2022 &  2/16/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic kidney disease, Glomerular filtration rate, Hypoxia, Lower gastrointestinal haemorrhage
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/25/2023 ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 4/11/2023 ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/25/2023 CKD STAGE 4 (GFR 15-29) HYPOXIA 4/11/2023 CKD STAGE 4 (GFR 15-29) ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/25/2023 LOWER GI HEMORRHAGE HYPOXIA 4/11/2023 LOWER GI HEMORRHAGE
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Computerised tomogram thorax normal, Erythema, Headache, Hypertension
Clinical narrative: 12/21/2022 ? I got up in the night and noticed my face was red and itchy and it was spreading. I took Benadryl and it continued to get worse. I went to a walk-in clinic. I was told to take more Benadryl and Pepcid Complete which resolved the issue.  The doctor told me to report this to the pharmacy, which I did. On 12/24/2022, my blood pressure went up high. I had never had issues with my blood pressure before.  My ears began ringing and I had a headache.  I could not get the blood pressure down. I went to the Emergency Room and was kept overnight. I was started on Amlodipine which did not help and I had side effects, so I stopped taking the medication.  I then started taking 7.5mg ? 12.5mg of Hydrochlorothiazide and my blood pressure is now coming down.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Middle insomnia, Pruritus, Scan myocardial perfusion normal, Tinnitus
Clinical narrative: 12/21/2022 ? I got up in the night and noticed my face was red and itchy and it was spreading. I took Benadryl and it continued to get worse. I went to a walk-in clinic. I was told to take more Benadryl and Pepcid Complete which resolved the issue.  The doctor told me to report this to the pharmacy, which I did. On 12/24/2022, my blood pressure went up high. I had never had issues with my blood pressure before.  My ears began ringing and I had a headache.  I could not get the blood pressure down. I went to the Emergency Room and was kept overnight. I was started on Amlodipine which did not help and I had side effects, so I stopped taking the medication.  I then started taking 7.5mg ? 12.5mg of Hydrochlorothiazide and my blood pressure is now coming down.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE 3/29/2023 ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/29/2023 ACUTE RESPIRATORY FAILURE
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Muscle contracture, Myalgia, Pain, Pyrexia
Clinical narrative: pt sates she had horrible full bottle musclular contractions all night long, fever and aches.  She took an aleve arounfd 5am and seems tohelp with the muscles, however do to continuous contractions all night all muscles in body sore today and extremely tired
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cor pulmonale acute
Clinical narrative: ACUTE COR PULMONALE
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Hypertension, Intensive care unit acquired weakness
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/29/2023 HTN (HYPERTENSION) CRITICAL ILLNESS POLYNEUROPATHY 4/6/2023 HTN (HYPERTENSION) ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/29/2023 NONTRAUMATIC ACUTE KIDNEY INJURY CRITICAL ILLNESS POLYNEUROPATHY 4/6/2023 NONTRAUMATIC ACUTE KIDNEY INJURY
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Date of Admission: 5/23/2023  Discharge Date: 05/27/2023 Discharge Disposition:  Home with home healthcare patient was asymptomatic not requiring oxygen the treatment was all supportive care   5/23/23 COVID+  039K20A  2/15/2021 030A21A 3/15/2021 041J21A  12/17/2021
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia
Clinical narrative: Date of Admission: 5/24/2023  Discharge Date:  05/27/2023 Discharge Disposition: Skilled Nursing Facility (SNF) with Certification in Anticipation of Skilled Care PMH:  of cerebral palsy, coronary artery disease status post PCI, heart failure with preserved ejection fraction, diabetes mellitus, chronic GERD, history of PE status post IVC filter and currently on warfarin, hypertension, hyperlipidemia, tremors, BPH, who presented with increasing weakness.  Patient is currently asymptomatic from this regard. breathing well on ambient air. supportive care.    030A21A  3/4/2021 036B21A 4/6/2021
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the BUD. No adverse symptoms noted.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the BUD. No adverse symptoms noted.
Age: 60.0
Sex: F
Vaccine: HEPAB
Symptoms: Feeling hot, Nausea
Clinical narrative: Pt suddenly started feeling nauseous and hot. We had her lay down and gave her a cold water bottle that she used to cool her neck and head.  We kept checking in on her every few minutes and she was in view of the pharmacist the whole time. after about 15-20 min she started feeling better
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the BUD. No adverse symptoms noted.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the BUD. No adverse symptoms noted.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the BUD. No adverse symptoms noted.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Myalgia, Nausea
Clinical narrative: fever. chills, stomach pain, nausea. muscle aches. fatigue
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: fever. chills, stomach pain, nausea. muscle aches. fatigue
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MILD
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE HYPOTENSION 11/22/2022 --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Extra dose administered
Clinical narrative: Pt, 12-Year-old Female was in the office on 6/19/2023 for a Well Child visit. In the appointment notes it stated she was coming in for her "11 yr", with this information, I checked the immunization records to make sure the patient was up to date, I went through past encounters to "confirm" that she did not have an 11 year well child last year (since she was already 12 years old). While checking past encounter's the appointment note for the last well child appointment stated "10 yr well child." I then pended the routine vaccinations for 11-year-olds (Tdap, HPV and Meningitis A,C,W,Y) I then went into the room to complete the rooming process as I normally would. Toward the end of this process, I informed Mom that since the patient was here for an 11-year checkup, there were routine vaccines due, and I asked if she wanted to do the HPV vaccine. Mom agreed to do the HPV. After Dr. was done conducting his examination, the vaccine orders were signed so I prepared them, put all required information in system and entered the patient's room with them. When I entered the room, the patient stated that "getting shots scare her sometimes" and that "last year they put something on my arm to make it so the shot didn't hurt as much" I then asked her if she got her flu shot last year since I, at this point, thought she missed her 11 yr well child last year and that would have been the only routine vaccine that she should have gotten. She said "yes" and there was no further mention of her getting other vaccinations last year. I proceeded to administer the vaccinations, using the numbing spray as requested by the patient. Mom stated afterward that she forgot her vaccine card that she keeps for her record of pt's vaccinations, but she would add them to it when she got home. I then advised that the information for these would be located on her after visit summary. Patient and mom exited the office. Approximately an hour and a half later, Patient's mom called the office stating that she went to write in the vaccines given at the appointment that day and noticed that she was given these vaccines last year (Meningitis A,C,W,Y and Tdap) and wanted to make sure this was not harmful to the patient. At this time, Dr. was informed of what occurred and advised that there were no ill effects from receiving these again. I looked back in the patient?s chart to see if I missed something and at this time is where I then noticed that there was documentation of the Meningitis A,C,W,Y and Tdap vaccines given last year. When I looked at the immunization record prior to pending these vaccines, I did not realize these were documented from last year. Mom was given reassurance of Dr. advice that there are no ill effects from receiving these twice and mom verbalized no further concern. This incident was then documented in her chart. No reactions have occurred at this time.