chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Liver function test normal, SARS-CoV-2 test positive, Troponin normal, Urine analysis normal, White blood cell count normal
Clinical narrative: Per web report received by Public Health Department and per state Immunization Registry; Presented 11/03/2022 to  Hospital ED for evaluation of sudden onset of slurred speech and confusion that started at 3 PM. Patient was last known to feel well at bedtime yesterday. In the emergency department, symptoms spontaneously improved. Patient was positive for COVID-19 per 4-plex PCR. Patient is vaccinated: Denies having cough, shortness of breath, congestion, or sore throat. Patient has generalized weakness with confusion. Saturating well on room air, no indication for initiating antibiotic management or steroid therapy -Isolation per protocol, plan for 10 days of isolation starting from 11/3/2022. Pfizer 02/02/2021 lot EN5318;  Pfizer 02/23/2021 lot EN6200;  Pfizer 09/22/2021 lot 301308A;  Pfizer BvlntBstr 12+ 11/01/2022 lot GJ6665 Per web report this Patient was recently started on Zanaflex for back pain, 11/03/2022 is day 3 of using Zanaflex. Urinalysis negative for UTI. WBC 8.9, hemoglobin 11.6, random blood sugar 142, creatinine 1.5/consistent with previously, potassium 4.3, anion gap 8, bicarbonate 28, normal liver function test, normal initial troponin, lipase 31, INR 2.2CT. note stated head stroke protocol negative for acute findings. Differential diagnosis of metabolic encephalopathy, infection, TIA/CVA, medication reaction, other. Stroke protocol initiated. CT head negative. The patient was not a tPA candidate because patient is on daily Xarelto. INR 2.2. Symptoms essentially completely resolved. Patient also had a COVI D-19 vaccination 11/1/2022. Patient given 4 baby aspirin. Per web report there was no evidence of UTI or other infections. Patient was admitted to the hospital to continue care. Public Health Department has no further information on this patient?s hospitalization or outcome. Please contact provider for any additional information.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oral candidiasis, SARS-CoV-2 test positive
Clinical narrative: I developed oral thrush. I?ve never had any oral problems before, not even a cavity. The doctor said that he had seen it in a few patients who have had Covid before. Whether that?s from the vaccine or actual Covid, I?m not sure. I did test positive for Covid a week after getting my shot in May.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Pain, Tremor
Clinical narrative: Extreme shaking of entire body for 90 minutes and extreme pain in entire body and joints for 90 minutes.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Contusion, Rash, Rash erythematous, Swelling
Clinical narrative: Developed what looked like a heat rash, which then consumed his entire body with a swollen very red rash that turned into bruising all over his skin.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Tinnitus, loud ringing in the ears
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Caregiver complains of bilateral foot swelling beginning 11/6/22, more pronounced on left with bilateral foot pain;  caregiver treated condition with elevation of legs, tylenol, ibuprofen and allegra;  swelling was present for 24 hours and then resolved;
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received a bivalent Pfizer vaccine when he should have received a monovalent Pfizer vaccine. He had not received any doses prior to receiving the bivalent vaccine
Age: 3.0
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient was given a kinrix at age 3- no symptoms
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Ringing in the ears, still happening.
Age: 56.0
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mental status changes
Clinical narrative: 09/11/22 presents to ED for "altered mental status". PMHx of "HTN, DM"
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine had expired one week before administration.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Feeling cold, Myalgia, Nausea
Clinical narrative: Chills, Nausea, Fatigue, Muscle Aches
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 09/11/22 presents to EC ED for "shortness of breath, corona virus concern". PMHx of "autism, bipoloar disorder, hypothyroidism"
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Myalgia, Nausea
Clinical narrative: Nausea, Fatigue, CHills, Muscle aaches
Age: 17.0
Sex: M
Vaccine: UNK, HEPA, MENB, MNQ
Symptoms: Back pain, Balance disorder, Musculoskeletal stiffness
Clinical narrative: Back pain, stiffness in back and neck.  Difficulty with balance.
Age: 17.0
Sex: M
Vaccine: UNK, HEPA, MENB, MNQ
Symptoms: Condition aggravated, Gait disturbance, Headache, Hypersomnia, Lethargy
Clinical narrative: Back pain, stiffness in back and neck.  Difficulty with balance.
Age: 17.0
Sex: M
Vaccine: UNK, HEPA, MENB, MNQ
Symptoms: Tic
Clinical narrative: Back pain, stiffness in back and neck.  Difficulty with balance.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine had expired one week prior to administration
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered 1.5mL of vaccine instead of the correct dose of 0.3mL. Patient received a total of 5 doses from the vial. The vials contain 6 doses and one dose had previously been pulled. The remainder of the vial was administered to the patient.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo
Clinical narrative: Vertigo 48 hours after injection. No resolution as of time of form
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 1.8mL of the vaccine equaling a total of 6 doses when patient should have received 0.3mL equaling one dose.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt admitted to the hospital 11/1 with Covid
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: 09/11/22 presents to ED for "fall". PMHx of "HTN, T2DM"
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: A 4-year-old male patient developed a rash at the puncture area 22 minutes after being vaccinated with his first dose of Moderna 6month-5y/o.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Pelvic pain, SARS-CoV-2 test positive
Clinical narrative: 09/11/22 presents to ED for "pelvic pain". PMHx of"mitral valve disorder, depression, neobladder, fibromyalgia, anxiety, COPD"
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Bradycardia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: COVID+ 11/5/22.  Vaccination status - Moderna x3, + pfizer bivalent x1       BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 11/4/2022 Discharge Date: 11/07/2022    Active Hospital Problems   Diagnosis Date Noted POA ? Community acquired pneumonia, bilateral 11/05/2022 No     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Community acquired pneumonia, unspecified laterality [J18.9] Community acquired pneumonia, bilateral [J18.9]   HOSPITAL COURSE: Patient is a 87 y.o. female with a past medical history of hypertension, GERD, hypothyroidism, CVA and lupus, who presents today with altered mental status.  She was recently hospitalized for acute CVA 9/11-9/14.  Patient was discharged on 9/30 to assisted living facility. She just came back to her son's house a week ago. Patient was notified that there was several COVID cases the living facility where she stayed.  Last week, patient developed productive cough, rhinorrhea, sinus congestion, nausea, lethargy, sleepiness. Patient reported diarrhea this Wednesday, but she was taking prunes for her constipation.  Coming in today, there are concerns about altered mental status, shortness of breath, and chills. EMS gave 1L fluid. Patient's mental status significantly improved on arrival at the ED.  chest x-ray was performed concerning for pneumonia.  Patient had a positive COVID test.  It also was found that patient had elevated procal and leukocytosis, for which she was covered for community-acquired pneumonia with Rocephin and Zithromax.  She was also started on remdesivir.  A repeat urinalysis came back concerning and urine culture were obtained. Patient was discharged with 2 days left of antibiotics.  Pt with ED visit at Hospital on 11/9/22 with   CHIEF COMPLAINT: LOW BLOOD PRESSURE Assessment/Plan  DIAGNOSIS at time of disposition: 1. Weakness  MEDICAL DECISION MAKING: 87-year-old female with recent COVID-19/pneumonia hospitalization presents to the emergency department with global weakness that has been worsening now only since recent hospitalization but about over the past year.  Awake and alert, slightly slow on exam.  She is bradycardic with normal blood pressure in the emergency department.  On repeat exam, she seems slightly more awake after IV fluids.  Labs are largely reassuring with signs of mild dehydration.  I spoke to the patient and her son at length both about her disposition and potential medication changes.  The patient is on Toprol and clonidine.  I recommended decreasing both of these medications with early outpatient follow-up.  The patient's son was comfortable taking her home, I encouraged her to eat and drink more at home.  I do feel that the patient is likely suffering from side effects of over medication.  She was discharged home in stable condition for early outpatient follow-up.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Constipation, Culture urine, Dehydration, Diarrhoea
Clinical narrative: COVID+ 11/5/22.  Vaccination status - Moderna x3, + pfizer bivalent x1       BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 11/4/2022 Discharge Date: 11/07/2022    Active Hospital Problems   Diagnosis Date Noted POA ? Community acquired pneumonia, bilateral 11/05/2022 No     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Community acquired pneumonia, unspecified laterality [J18.9] Community acquired pneumonia, bilateral [J18.9]   HOSPITAL COURSE: Patient is a 87 y.o. female with a past medical history of hypertension, GERD, hypothyroidism, CVA and lupus, who presents today with altered mental status.  She was recently hospitalized for acute CVA 9/11-9/14.  Patient was discharged on 9/30 to assisted living facility. She just came back to her son's house a week ago. Patient was notified that there was several COVID cases the living facility where she stayed.  Last week, patient developed productive cough, rhinorrhea, sinus congestion, nausea, lethargy, sleepiness. Patient reported diarrhea this Wednesday, but she was taking prunes for her constipation.  Coming in today, there are concerns about altered mental status, shortness of breath, and chills. EMS gave 1L fluid. Patient's mental status significantly improved on arrival at the ED.  chest x-ray was performed concerning for pneumonia.  Patient had a positive COVID test.  It also was found that patient had elevated procal and leukocytosis, for which she was covered for community-acquired pneumonia with Rocephin and Zithromax.  She was also started on remdesivir.  A repeat urinalysis came back concerning and urine culture were obtained. Patient was discharged with 2 days left of antibiotics.  Pt with ED visit at Hospital on 11/9/22 with   CHIEF COMPLAINT: LOW BLOOD PRESSURE Assessment/Plan  DIAGNOSIS at time of disposition: 1. Weakness  MEDICAL DECISION MAKING: 87-year-old female with recent COVID-19/pneumonia hospitalization presents to the emergency department with global weakness that has been worsening now only since recent hospitalization but about over the past year.  Awake and alert, slightly slow on exam.  She is bradycardic with normal blood pressure in the emergency department.  On repeat exam, she seems slightly more awake after IV fluids.  Labs are largely reassuring with signs of mild dehydration.  I spoke to the patient and her son at length both about her disposition and potential medication changes.  The patient is on Toprol and clonidine.  I recommended decreasing both of these medications with early outpatient follow-up.  The patient's son was comfortable taking her home, I encouraged her to eat and drink more at home.  I do feel that the patient is likely suffering from side effects of over medication.  She was discharged home in stable condition for early outpatient follow-up.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Hypotension, Lethargy, Leukocytosis
Clinical narrative: COVID+ 11/5/22.  Vaccination status - Moderna x3, + pfizer bivalent x1       BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 11/4/2022 Discharge Date: 11/07/2022    Active Hospital Problems   Diagnosis Date Noted POA ? Community acquired pneumonia, bilateral 11/05/2022 No     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Community acquired pneumonia, unspecified laterality [J18.9] Community acquired pneumonia, bilateral [J18.9]   HOSPITAL COURSE: Patient is a 87 y.o. female with a past medical history of hypertension, GERD, hypothyroidism, CVA and lupus, who presents today with altered mental status.  She was recently hospitalized for acute CVA 9/11-9/14.  Patient was discharged on 9/30 to assisted living facility. She just came back to her son's house a week ago. Patient was notified that there was several COVID cases the living facility where she stayed.  Last week, patient developed productive cough, rhinorrhea, sinus congestion, nausea, lethargy, sleepiness. Patient reported diarrhea this Wednesday, but she was taking prunes for her constipation.  Coming in today, there are concerns about altered mental status, shortness of breath, and chills. EMS gave 1L fluid. Patient's mental status significantly improved on arrival at the ED.  chest x-ray was performed concerning for pneumonia.  Patient had a positive COVID test.  It also was found that patient had elevated procal and leukocytosis, for which she was covered for community-acquired pneumonia with Rocephin and Zithromax.  She was also started on remdesivir.  A repeat urinalysis came back concerning and urine culture were obtained. Patient was discharged with 2 days left of antibiotics.  Pt with ED visit at Hospital on 11/9/22 with   CHIEF COMPLAINT: LOW BLOOD PRESSURE Assessment/Plan  DIAGNOSIS at time of disposition: 1. Weakness  MEDICAL DECISION MAKING: 87-year-old female with recent COVID-19/pneumonia hospitalization presents to the emergency department with global weakness that has been worsening now only since recent hospitalization but about over the past year.  Awake and alert, slightly slow on exam.  She is bradycardic with normal blood pressure in the emergency department.  On repeat exam, she seems slightly more awake after IV fluids.  Labs are largely reassuring with signs of mild dehydration.  I spoke to the patient and her son at length both about her disposition and potential medication changes.  The patient is on Toprol and clonidine.  I recommended decreasing both of these medications with early outpatient follow-up.  The patient's son was comfortable taking her home, I encouraged her to eat and drink more at home.  I do feel that the patient is likely suffering from side effects of over medication.  She was discharged home in stable condition for early outpatient follow-up.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mental status changes, Nausea, Pneumonia, Procalcitonin increased, Productive cough
Clinical narrative: COVID+ 11/5/22.  Vaccination status - Moderna x3, + pfizer bivalent x1       BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 11/4/2022 Discharge Date: 11/07/2022    Active Hospital Problems   Diagnosis Date Noted POA ? Community acquired pneumonia, bilateral 11/05/2022 No     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Community acquired pneumonia, unspecified laterality [J18.9] Community acquired pneumonia, bilateral [J18.9]   HOSPITAL COURSE: Patient is a 87 y.o. female with a past medical history of hypertension, GERD, hypothyroidism, CVA and lupus, who presents today with altered mental status.  She was recently hospitalized for acute CVA 9/11-9/14.  Patient was discharged on 9/30 to assisted living facility. She just came back to her son's house a week ago. Patient was notified that there was several COVID cases the living facility where she stayed.  Last week, patient developed productive cough, rhinorrhea, sinus congestion, nausea, lethargy, sleepiness. Patient reported diarrhea this Wednesday, but she was taking prunes for her constipation.  Coming in today, there are concerns about altered mental status, shortness of breath, and chills. EMS gave 1L fluid. Patient's mental status significantly improved on arrival at the ED.  chest x-ray was performed concerning for pneumonia.  Patient had a positive COVID test.  It also was found that patient had elevated procal and leukocytosis, for which she was covered for community-acquired pneumonia with Rocephin and Zithromax.  She was also started on remdesivir.  A repeat urinalysis came back concerning and urine culture were obtained. Patient was discharged with 2 days left of antibiotics.  Pt with ED visit at Hospital on 11/9/22 with   CHIEF COMPLAINT: LOW BLOOD PRESSURE Assessment/Plan  DIAGNOSIS at time of disposition: 1. Weakness  MEDICAL DECISION MAKING: 87-year-old female with recent COVID-19/pneumonia hospitalization presents to the emergency department with global weakness that has been worsening now only since recent hospitalization but about over the past year.  Awake and alert, slightly slow on exam.  She is bradycardic with normal blood pressure in the emergency department.  On repeat exam, she seems slightly more awake after IV fluids.  Labs are largely reassuring with signs of mild dehydration.  I spoke to the patient and her son at length both about her disposition and potential medication changes.  The patient is on Toprol and clonidine.  I recommended decreasing both of these medications with early outpatient follow-up.  The patient's son was comfortable taking her home, I encouraged her to eat and drink more at home.  I do feel that the patient is likely suffering from side effects of over medication.  She was discharged home in stable condition for early outpatient follow-up.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus congestion, Somnolence, Urine analysis abnormal
Clinical narrative: COVID+ 11/5/22.  Vaccination status - Moderna x3, + pfizer bivalent x1       BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 11/4/2022 Discharge Date: 11/07/2022    Active Hospital Problems   Diagnosis Date Noted POA ? Community acquired pneumonia, bilateral 11/05/2022 No     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Community acquired pneumonia, unspecified laterality [J18.9] Community acquired pneumonia, bilateral [J18.9]   HOSPITAL COURSE: Patient is a 87 y.o. female with a past medical history of hypertension, GERD, hypothyroidism, CVA and lupus, who presents today with altered mental status.  She was recently hospitalized for acute CVA 9/11-9/14.  Patient was discharged on 9/30 to assisted living facility. She just came back to her son's house a week ago. Patient was notified that there was several COVID cases the living facility where she stayed.  Last week, patient developed productive cough, rhinorrhea, sinus congestion, nausea, lethargy, sleepiness. Patient reported diarrhea this Wednesday, but she was taking prunes for her constipation.  Coming in today, there are concerns about altered mental status, shortness of breath, and chills. EMS gave 1L fluid. Patient's mental status significantly improved on arrival at the ED.  chest x-ray was performed concerning for pneumonia.  Patient had a positive COVID test.  It also was found that patient had elevated procal and leukocytosis, for which she was covered for community-acquired pneumonia with Rocephin and Zithromax.  She was also started on remdesivir.  A repeat urinalysis came back concerning and urine culture were obtained. Patient was discharged with 2 days left of antibiotics.  Pt with ED visit at Hospital on 11/9/22 with   CHIEF COMPLAINT: LOW BLOOD PRESSURE Assessment/Plan  DIAGNOSIS at time of disposition: 1. Weakness  MEDICAL DECISION MAKING: 87-year-old female with recent COVID-19/pneumonia hospitalization presents to the emergency department with global weakness that has been worsening now only since recent hospitalization but about over the past year.  Awake and alert, slightly slow on exam.  She is bradycardic with normal blood pressure in the emergency department.  On repeat exam, she seems slightly more awake after IV fluids.  Labs are largely reassuring with signs of mild dehydration.  I spoke to the patient and her son at length both about her disposition and potential medication changes.  The patient is on Toprol and clonidine.  I recommended decreasing both of these medications with early outpatient follow-up.  The patient's son was comfortable taking her home, I encouraged her to eat and drink more at home.  I do feel that the patient is likely suffering from side effects of over medication.  She was discharged home in stable condition for early outpatient follow-up.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer COVID vaccine instead of bivalent booster. Per CDC will have patient return to received correct vaccine in at least 2 months.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: 09/11/22 presents to ED for "fall". PMHx of "SIADH, HTN, and CAD (on Plavix)"
Age: 22.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was due to receive her second dose of Pfizer Monovalent vaccine to complete her primary series. Pt was administered a Bivalent Pfizer booster instead. No adverse reactions were reported at the time.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Accidently give Proquad and Varivax at the same time. The patient had no adverse effects.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 09/11/22 presents to EC ED for "fatigue, corona virus concern". PMHx of "severe kyphocoliosis, chronic pain"
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Pt was given Pfizer Bivalent dose of 0.5 ml.  Given her age, she should have been given 0.2 ml
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive on home test for COVID on August 11, 2022
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given Pfizer Bivalent dose of 0.5 ml.  Given age, 0.2 ml should have been given
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Voice mail left directly from the parent of patient.  "Hi I'm calling for patient and my question is on Monday he got three vaccines on his left arm and I understand it's supposed to be swollen but is it normal for it to be like super swollen there's like a big long like starting from his shoulder all the way down to his elbow and it's red patchy and he's still running a slight fever and if you can please give me a call back. Just making sure if it's more more for if I should make him an appointment with his doctor. Thank you."
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Flushing, Hypersensitivity, Paraesthesia oral, Urticaria
Clinical narrative: 31 y/o F pt presented to clinic on 9 Nov 2022 with allergic reaction 1 hour after getting flu vaccine(approx 1030) . Pt presented with hives on torso and back that spread to neck and face, flushing on skin and redness/tingling on/around lips. Pt states she took additional dose of Xyzol when she first noticed hives on chest. Pt states she returned to clinic and was seen by PCM at 1230 as sx worsened. Pt did not have any medications administered in clinic. Pt was given rx for EpiPen and Benadryl with active sx. Pt took 50mg of Benadryl at 1400. Pt did not need to use EpiPen. Pt was given 24 hour qtrs and returned for duty at 0730 hrs on 10 Nov 2022.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site discomfort, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Development within 1 hour of injection of a large, very warm,  erythema and swelling of an avocado size with discomfort  lasting the full day.  Swelling and discomfort improve within 24 hours although persitent of a mild swelling and   large erythema at day 3. No adenopathies .No fever.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: The patient received an adult dose of Moderna COVID vaccine.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Gastrointestinal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: 09/12/22 presents to EC ED for "GI Bleeding". PMHx of "breast ca, HTN, SBO, CAD"
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Bivalent Booster as their first dose in the primary series instead of the monovalent
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given a monovalent pfizer vaccine as a booster. Patient should have been given the bivalent pfizer vaccine. No adverse outcomes. PCP consulted. Patient advised per CDC that repeat dose needed in at least two months.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: The vaccine leaked out at the time of administration and provider recommends the patient repeat the booster in two months to confirm proper vaccination.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain
Clinical narrative: intermittent sharp pain under right armpit.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block complete, Coronary arterial stent insertion, Myocardial infarction, Myocardial injury, Pericarditis
Clinical narrative: on 10/20/2022 had minor heart attack, on 11/03/2022 had major heart attack resulting in 100% blockage required 2 stents, now have pericardist, heart damage
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given a monovalent pfizer vaccine as a booster. Patient should have been given the bivalent pfizer vaccine. No adverse outcomes. PCP consulted. Per CDC, in general, do not repeat dose unless a provider indicates a need for repeat dose with bivalent. Per PCP, no additional dose needed.
Age: 35.0
Sex: M
Vaccine: COVID19-2
Symptoms: Type 1 diabetes mellitus
Clinical narrative: Developed new onset Type 1 diabetes
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aggression, COVID-19, SARS-CoV-2 test positive
Clinical narrative: 09/12/22 presents to ED for "physically attacking staff at nursing facility". PMHx of "COPD, diabetes mellitus, hemorrhoids, generalized anxiety disorder, history of prostate cancer status post RT on finasteride, hypertension, former alcohol abuse"
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered 6 days after vial expiration date. Parent notified by provider. Provider chosen not to revaccinate. Parent agreed, child doing well.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient ordered to receive Bivalent vaccine during hospitalization. When preparing batch of bivalent vaccines, pharmacy erroneously used a monovalent vial and but labeled as bivalent. As a result, patient received the monovalent vaccine when they were intended to receive bivalent.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient received an adult dose of Moderna  Covid 19 vaccine. Parents were notified and informed of incident.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anxiety, Depressed mood, Depression
Clinical narrative: Severe anxiety, depression, and sadness lasting for about 14 hours. I am not prone to emotional swings, I'm normally kind of upbeat, maybe a little flat. I've rarely felt this way.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient ordered to receive Bivalent vaccine during hospitalization. When preparing batch of bivalent vaccines, pharmacy erroneously used a monovalent vial and subsequently labeled as bivalent. As a result, patient received the monovalent vaccine when they were intended to receive bivalent.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Impaired work ability, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: asymptomatic until early Sunday morning Woke up coughing with nasal congestion. Did a COVID at home test  later that morning twice which came back positive. I?ve been out of work since then
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aphasia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: 09/12/22 admitted to inpatient rehabilitation unit for "aphasia" PMHx of "multiple medical problems including vasculopathy, prior CVA in 2013"
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient ordered to receive Bivalent vaccine during hospitalization. When preparing batch of bivalent vaccines, pharmacy erroneously used a monovalent vial and subsequently labeled as bivalent. As a result, patient received the monovalent vaccine when they were intended to receive bivalent.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient ordered to receive Bivalent vaccine during hospitalization. When preparing batch of bivalent vaccines, pharmacy erroneously used a monovalent vial and subsequently labeled as bivalent. As a result, patient received the monovalent vaccine when they were intended to receive bivalent.
Age: 65.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given a monovalent pfizer vaccine as a booster. Patient should have been given the bivalent pfizer vaccine. No adverse outcomes. PCP consulted. Patient advised per CDC that repeat dose needed in at least two months.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Deafness unilateral
Clinical narrative: Loss of hearing in left ear and starting same in the right as of today (11/10/2022).   Urgent care physician recommended fluticasone nasal spray and Pseudoephedrine  No changes in symptoms
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: A 62-year-old female patient receives second dose of bivalent booster, due to lack of documentation and evidence of the bivalent booster dose she received in September.
Age: 30.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Injection site bruising, Injection site erythema, Injection site pruritus, Pain
Clinical narrative: Fatigue, aches systemically  Bruising, itchiness, red ring spreading at injection site
Age: 11.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the incorrect formulation for the COVID Bivalent Booster. No Reaction noted in clinic. Health authority was notified for further guidance.  Revaccination is not necessary.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bladder dysfunction, Peripheral coldness, Respiration abnormal, Sleep disorder, Tremor
Clinical narrative: I woke up at 1:00 a.m. with severe shaking from head to toe.  This caused loss of bladder function.  Hands were ice cold.  This went on for a 1/2 hour.  It happened to me also with the prior booster 3:00 a.m., and the shaking lasted an hour.  My husband also experienced this with his prior booster.  Our family dr. told us to premedicate with Tylenol to avoid this.  I took a Tylenol at 12:00 noon an hour after the booster, but still had this reaction.  I also took a Tylenol at 1:15 a.m., which caused the shaking to subside and calm down.  The shaking is severe and encompassed every fiber of my body.  My breathing was shaky, too, because I tried to take deep breaths.
Age: 60.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Body temperature increased, Chills, Headache, Palpitations, Pyrexia
Clinical narrative: Only reporting side effects for bivalve to Covid 19 Moderna vaccine. No other problems with first moderna shots. Severe chills all first night with temp of 106, headache, racing heart. The next day HR 146, headache and low grade fever continued with Tylenol. Drinking lots water.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia
Clinical narrative: shoulder is sore
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Malaise, Pyrexia, Tremor
Clinical narrative: Low grade fever to begin.  By 11:00 pm I had chills, literally shaking, for over 3 hours.  Finally fell asleep after 2:30 a.m.  Not feeling well 23 hours later, but getting better.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: 09/12/22 presents to ED for "altered mental status". PMHx of "schizophrenia, thrombocytopenia, prior ESBL UTI, HAP"
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Aphonia, Dysphonia, Facial pain, Feeling abnormal, Headache
Clinical narrative: The evening I received my vaccine, I started to feel achy, but it wasn't bad. The next day I woke up feeling ok but as the day went on, I started to feel worse. That afternoon, my fever got up to 101. That night I was unable to sleep from feeling so badly. I think I only slept 2 hours. I took over the counter medication to bring the fever down, but the fever continued to the next day. Saturday, I lost my voice completely. I continued to feel run down and had a headache through until Monday. I also felt stuffy but couldn't blow my nose. I did notice that I started my menstral cycle two weeks early. By Tuesday, my voice was returning but my teeth, nose, and face were hurting, and I could tell I was developing a sinus infection. I went to see my doctor who confirmed my concern of a sinus infection and prescribed antibiotics. At this point my voice is returning but still sounds strange. I'm also still in a lot of pain from my sinus infection in my face, head, teeth, and ears.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Insomnia, Menstrual disorder, Nasal congestion, Pain, Pyrexia
Clinical narrative: The evening I received my vaccine, I started to feel achy, but it wasn't bad. The next day I woke up feeling ok but as the day went on, I started to feel worse. That afternoon, my fever got up to 101. That night I was unable to sleep from feeling so badly. I think I only slept 2 hours. I took over the counter medication to bring the fever down, but the fever continued to the next day. Saturday, I lost my voice completely. I continued to feel run down and had a headache through until Monday. I also felt stuffy but couldn't blow my nose. I did notice that I started my menstral cycle two weeks early. By Tuesday, my voice was returning but my teeth, nose, and face were hurting, and I could tell I was developing a sinus infection. I went to see my doctor who confirmed my concern of a sinus infection and prescribed antibiotics. At this point my voice is returning but still sounds strange. I'm also still in a lot of pain from my sinus infection in my face, head, teeth, and ears.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinalgia, SARS-CoV-2 test, Sinusitis, Toothache
Clinical narrative: The evening I received my vaccine, I started to feel achy, but it wasn't bad. The next day I woke up feeling ok but as the day went on, I started to feel worse. That afternoon, my fever got up to 101. That night I was unable to sleep from feeling so badly. I think I only slept 2 hours. I took over the counter medication to bring the fever down, but the fever continued to the next day. Saturday, I lost my voice completely. I continued to feel run down and had a headache through until Monday. I also felt stuffy but couldn't blow my nose. I did notice that I started my menstral cycle two weeks early. By Tuesday, my voice was returning but my teeth, nose, and face were hurting, and I could tell I was developing a sinus infection. I went to see my doctor who confirmed my concern of a sinus infection and prescribed antibiotics. At this point my voice is returning but still sounds strange. I'm also still in a lot of pain from my sinus infection in my face, head, teeth, and ears.
Age: 68.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given a monovalent pfizer vaccine as a booster. Patient should have been given the bivalent pfizer vaccine as a booster. No adverse outcomes. PCP consulted. Patient advised per CDC that repeat dose needed in at least two months.
Age: 41.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Anosmia, Asthenia, COVID-19, Cough, Fatigue
Clinical narrative: I started getting symptoms Friday night. I had fatigue and exhaustion and was enough to have me unable to walk 35 feet for about 5 days; and I'm used to walking 7 miles a day. I was really congested, sinus, nasal and some coughing for 5 days. I loss sense of smell on Sunday and it returned on Friday. I had a headache that started on Friday and lasted the full week; TYLENOL didn't make it go away. I started PAXLOVID on Sunday. The majority of my symptoms have resolved but I'm not back to my regular energy level and stamina. There is still some lingering fatigue.
Age: 41.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Gait inability, Headache, Nasal congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I started getting symptoms Friday night. I had fatigue and exhaustion and was enough to have me unable to walk 35 feet for about 5 days; and I'm used to walking 7 miles a day. I was really congested, sinus, nasal and some coughing for 5 days. I loss sense of smell on Sunday and it returned on Friday. I had a headache that started on Friday and lasted the full week; TYLENOL didn't make it go away. I started PAXLOVID on Sunday. The majority of my symptoms have resolved but I'm not back to my regular energy level and stamina. There is still some lingering fatigue.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Cough, Loss of consciousness, Pulse absent, Seizure
Clinical narrative: Gave student MenQuadfi @ 13:29. Student then lifted her head and then passed out. I guided the student to the floor gently as the student started seizing. She seized for approx 10 seconds. I then rolled her left side. I felt her carotid artery she had no pulse. Due to me being the only one in the office and three other students I yelled asking them to call emergency services from my office phone. By the time they called student was conscience and coughing. i checked her pulse and it was 78.  I explained to her that we called emergency services and the EMS is on their way. EMS took student outside and stated they will be back to let me know if they will take her in.
Age: 46.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Administered an expired flu vaccine to patient (2021-2022 formulation)
Age: 67.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given a monovalent pfizer vaccine as a booster. Patient should have been given the bivalent pfizer vaccine as a booster. No adverse outcomes. PCP consulted. Patient advised per CDC that repeat dose needed in at least two months.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Decreased appetite, Malaise, Myalgia, Nausea, Pyrexia
Clinical narrative: High fever - up to 103, started feeling unwell a few hours after vaccine, but fever didn't start until that night, and got worse the next day. Muscle aches, loss of appetite, nausea (no vomiting)
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given Pfizer Bivalent dose of 0.5 ml.  0.3 ml should have been given
Age: 3.0
Sex: F
Vaccine: IPV
Symptoms: Wrong product administered
Clinical narrative: Patient received Polio instead of HIB  No treatment advised at this time.  Patient to come at age 4 for revaccination.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given Pfizer Bivalent dose of 0.5 ml.  0.3 ml should have been given
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given Pfizer Bivalent dose of 0.5 ml.  0.3 ml should have been given
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: patient was given 0.3ml  pfizer bivalent 5years-12years not diluted. no adverse reaction or signs and symptoms of allergic reaction noted.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysarthria, Immediate post-injection reaction, Swollen tongue
Clinical narrative: Immediately after receiving dose patient experienced tongue swelling and slurred speech.  She administered her own Epi-Pen at 3:39pm.  Symptoms began to resolve within 2 minutes, Rapid Response Team was called and patient was transported via wheelchair to the facility ER.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given a monovalent pfizer vaccine as a booster. Patient should have been given the bivalent pfizer vaccine as a booster. No adverse outcomes. PCP consulted. Patient advised per CDC that repeat dose needed in at least two months.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given Pfizer Bivalent dose of 0.5 ml.  0.3 ml should have been given
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given Pfizer Bivalent dose of 0.5 ml.  Given age, 0.2 ml should have been given
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered 7 days after vial expiration date. Parent notified by provider. Provider chosen not to revaccinate. Parent agreed, child doing well.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Drainage, Oedema peripheral
Clinical narrative: I have armpit swelling to the point where is was incredibly painful, I had to go to an urgent care center and they performed a procedure there to have it drained.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: Pt was given Pfizer bivalent dose of 0.5 ml.  Pt should have been given peds monovalent primary dose of 0.2 ml
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Basophil count decreased, Blood test, C-reactive protein increased, Eosinophil count decreased, Haemoglobin decreased
Clinical narrative: Menses started within 4 hours of vaccination outside normal cycle. Next morning upon awakening bumps/rash noted to back, abdomen, palms of hands, fingers and all four extremities,.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test abnormal, Menstruation irregular, Rash
Clinical narrative: Menses started within 4 hours of vaccination outside normal cycle. Next morning upon awakening bumps/rash noted to back, abdomen, palms of hands, fingers and all four extremities,.
Age: 88.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: The resident received the Pfizer Bivalent booster on 10/25/22 and then again on 11/9/2022. No adverse effects have been noted at this time.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Breath sounds abnormal, Cough, Fatigue, Head discomfort, Headache
Clinical narrative: The evening of having dose 2 I had body aches, headache, sore throat, coughing and it was like everything in my head was watering. I hurt so bad and when I would breathe it was like I was wheezing when I would take a deep breath and exhale I would wheeze and rattle way deep into my lungs. I also had a lot of pain and exhaustion.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Wheezing
Clinical narrative: The evening of having dose 2 I had body aches, headache, sore throat, coughing and it was like everything in my head was watering. I hurt so bad and when I would breathe it was like I was wheezing when I would take a deep breath and exhale I would wheeze and rattle way deep into my lungs. I also had a lot of pain and exhaustion.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: N/A The patient has not experienced any adverse events.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given Pfizer Bivalent dose of 0.5 ml.  0.3 ml should have been given
Age: 0.33
Sex: F
Vaccine: RV1
Symptoms: Wrong product administered
Clinical narrative: Pt was given Rota vaccine in error. Error reported asap to provider.  Noted upon pt's depature.
Age: 41.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: COVID-19, Cough, Dizziness, Fatigue, Influenza virus test
Clinical narrative: On 11/05/2022, around 08:00 or 09:00PM, I started to notice some body aches and was running a low-grade fever around 99 degrees. I sort of expected this from receiving my vaccine, so I didn't think much at the time. Sunday, I woke up and felt fatigue and still had body aches and general malaise along with some congestion. The fever was gone at that point though. Monday, I started to get a runny nose and sore throat that felt almost like strep throat. I went to a local drive through COVID-19 testing site. They notified me that evening that my results were positive. Since then, I've had a sore throat, runny nose, fatigue, and wet cough. I contacted my doctor the day I received my positive results. They advised that I use Mucinex and Tylenol as well as hydration and rest. They told me to get back with them if any of my symptoms became concerning. I haven't had any shortness of breath, but I am still dealing with phlegmy cough and sore throat. I did experience a little bit of dizziness last night, but I have experienced that before while taking Mucinex and I don't seem to have any dizziness when the Mucinex is not in my system.