chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Decreased appetite, Diarrhoea, Erythema, Fatigue, Feeling abnormal
Clinical narrative: Patient is a 70-year-old woman who got her high-dose influenza vaccine on 11/03/2023 in our office. She had a severe local reaction with a red, swollen arm and enlarged lymph nodes in the left axilla. She felt achy and tired after the shot. On 11/09/ 23 she developed a scratchy sore throat which proceeded to cause head congestion, headache, anorexia some diarrhea. She continued to feel poorly. She began to cough and used Robitussin. Currently she is coughing up light green sputum. She checked for COVID on 11/ 7 or 11/8 / 23 and again this morning. Both were negative. She is not short of breath. No chest pain or wheezing noted.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Local reaction, Lymphadenopathy, Oropharyngeal pain, Pain
Clinical narrative: Patient is a 70-year-old woman who got her high-dose influenza vaccine on 11/03/2023 in our office. She had a severe local reaction with a red, swollen arm and enlarged lymph nodes in the left axilla. She felt achy and tired after the shot. On 11/09/ 23 she developed a scratchy sore throat which proceeded to cause head congestion, headache, anorexia some diarrhea. She continued to feel poorly. She began to cough and used Robitussin. Currently she is coughing up light green sputum. She checked for COVID on 11/ 7 or 11/8 / 23 and again this morning. Both were negative. She is not short of breath. No chest pain or wheezing noted.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling, Productive cough, Respiratory tract congestion, SARS-CoV-2 test negative, Sputum discoloured
Clinical narrative: Patient is a 70-year-old woman who got her high-dose influenza vaccine on 11/03/2023 in our office. She had a severe local reaction with a red, swollen arm and enlarged lymph nodes in the left axilla. She felt achy and tired after the shot. On 11/09/ 23 she developed a scratchy sore throat which proceeded to cause head congestion, headache, anorexia some diarrhea. She continued to feel poorly. She began to cough and used Robitussin. Currently she is coughing up light green sputum. She checked for COVID on 11/ 7 or 11/8 / 23 and again this morning. Both were negative. She is not short of breath. No chest pain or wheezing noted.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Throat irritation
Clinical narrative: Patient is a 70-year-old woman who got her high-dose influenza vaccine on 11/03/2023 in our office. She had a severe local reaction with a red, swollen arm and enlarged lymph nodes in the left axilla. She felt achy and tired after the shot. On 11/09/ 23 she developed a scratchy sore throat which proceeded to cause head congestion, headache, anorexia some diarrhea. She continued to feel poorly. She began to cough and used Robitussin. Currently she is coughing up light green sputum. She checked for COVID on 11/ 7 or 11/8 / 23 and again this morning. Both were negative. She is not short of breath. No chest pain or wheezing noted.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Fall, Syncope
Clinical narrative: Patient received a flu vaccine, stood up to quick and experienced a vasovagal syncope incident.  Patient fell backwards, was assessed by Nursing personnel and EMS - was alert and responsive
Age: 30.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Painful, itchy rash that's hot to the touch, on upper left arm at the injection site, has persisted for several days
Age: 71.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Muscular weakness, Myalgia
Clinical narrative: pt reporting sore/weak muscle of right arm 18 days after receiving Abrysvo vaccine in the right arm
Age: 26.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Exposure during pregnancy
Clinical narrative: Client was vaccinated with MMR and Varicella vaccines at around 16 weeks pregnant. Estimated date is 03/02/2024. No complications currently in this pregnancy as reported by patient.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: Itchy rash described as hives over trunk and arms starting 3 days after vaccine
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: on 11/11/23 left deltoid noted red, warm and swollen, denies any pain.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Resident expired 11/06/2023 at 03:40pm
Age: 26.0
Sex: F
Vaccine: DTAPIPVHIB, FLU4
Symptoms: No adverse event, Product substitution error
Clinical narrative: Tdap supply unavailable at time of visit. Support staff chose incorrect substitution (Pentacel) and administered. Staff administering discovered the error at time of administration/documentation. Staff notified provider at time of the event for review/risk assessment. Reporting completed. Patient notified. Patient advised to monitor for s/s of any changes/reaction and to follow up with any s/s changes, or complications. No adverse reaction reported by patient.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Encephalopathy, Hypokalaemia, Thrombocytopenia
Clinical narrative: Hospitalized 10/2/22-10/7/22 Confusion,  UTI, encephalopathy, thrombocytopenia, hypokalemia, debility,
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Hospitalized 10/2/22-10/7/22 Confusion,  UTI, encephalopathy, thrombocytopenia, hypokalemia, debility,
Age: 4.0
Sex: M
Vaccine: COVID19, FLUN4
Symptoms: Fatigue, Product administered to patient of inappropriate age, Pyrexia, Vomiting, Wrong product administered
Clinical narrative: Adult Covid vaccine given. Vomiting, fever, tired the following day (11/9)
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Angioedema
Clinical narrative: Facial/Orbital Angioedema started 11/11/23
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Laboratory test, Pain in extremity, X-ray limb
Clinical narrative: Patient complained of leg pain after vaccines but seemed appropriate given context - the next day parent noticed some redness and swelling of the left leg, which became much worse at the end of the day 11/09/2023.  Swelling reported entire thigh to knee, parents were advised to take patient to the ER for follow up.   He was administered benadryl and discharged home for follow up in office the next day.
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Asthenia, Blood lactic acid, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/9/23 Discharge Disposition:  Home without services DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM:f Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 70 y.o. female with medical history significant for ischemic cardiomyopathy, coronary artery disease, hypertension, type 2 diabetes who presents today with weakness. Patient endorses subjective fever and chills short, shortness of breath, cough, headaches, nausea, 1 episode of vomiting at home, poor appetite and body aches.  Patient  was diagnosed with COVID 9/5/23, patient went to hospital with similar complaints. Taking Tylenol at home has not been helping, lives with her daughter who has been helping take care of her.  Patient is experiencing increasing fatigue and weakness and is unable to take care of herself.  Patient continues to smoke 3 cigarettes a day, denies alcohol or using illicit drugs.   In emergency department, complete blood count CMP unremarkable, lactic acid mildly elevated 2.2, chest x-ray significant for right-sided pneumonia.  Due to her weakness and COVID pneumonia patient will be admitted. She was seen by PT/OT who determined no need for services.She had improvement in her symptoms and was discharged home in stable conditions
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Chills, Cough, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/9/23 Discharge Disposition:  Home without services DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM:f Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 70 y.o. female with medical history significant for ischemic cardiomyopathy, coronary artery disease, hypertension, type 2 diabetes who presents today with weakness. Patient endorses subjective fever and chills short, shortness of breath, cough, headaches, nausea, 1 episode of vomiting at home, poor appetite and body aches.  Patient  was diagnosed with COVID 9/5/23, patient went to hospital with similar complaints. Taking Tylenol at home has not been helping, lives with her daughter who has been helping take care of her.  Patient is experiencing increasing fatigue and weakness and is unable to take care of herself.  Patient continues to smoke 3 cigarettes a day, denies alcohol or using illicit drugs.   In emergency department, complete blood count CMP unremarkable, lactic acid mildly elevated 2.2, chest x-ray significant for right-sided pneumonia.  Due to her weakness and COVID pneumonia patient will be admitted. She was seen by PT/OT who determined no need for services.She had improvement in her symptoms and was discharged home in stable conditions
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Full blood count normal, Headache, Loss of personal independence in daily activities, Metabolic function test, Nausea
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/9/23 Discharge Disposition:  Home without services DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM:f Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 70 y.o. female with medical history significant for ischemic cardiomyopathy, coronary artery disease, hypertension, type 2 diabetes who presents today with weakness. Patient endorses subjective fever and chills short, shortness of breath, cough, headaches, nausea, 1 episode of vomiting at home, poor appetite and body aches.  Patient  was diagnosed with COVID 9/5/23, patient went to hospital with similar complaints. Taking Tylenol at home has not been helping, lives with her daughter who has been helping take care of her.  Patient is experiencing increasing fatigue and weakness and is unable to take care of herself.  Patient continues to smoke 3 cigarettes a day, denies alcohol or using illicit drugs.   In emergency department, complete blood count CMP unremarkable, lactic acid mildly elevated 2.2, chest x-ray significant for right-sided pneumonia.  Due to her weakness and COVID pneumonia patient will be admitted. She was seen by PT/OT who determined no need for services.She had improvement in her symptoms and was discharged home in stable conditions
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Pain, Pyrexia, Tobacco user, Vomiting
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/9/23 Discharge Disposition:  Home without services DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM:f Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 70 y.o. female with medical history significant for ischemic cardiomyopathy, coronary artery disease, hypertension, type 2 diabetes who presents today with weakness. Patient endorses subjective fever and chills short, shortness of breath, cough, headaches, nausea, 1 episode of vomiting at home, poor appetite and body aches.  Patient  was diagnosed with COVID 9/5/23, patient went to hospital with similar complaints. Taking Tylenol at home has not been helping, lives with her daughter who has been helping take care of her.  Patient is experiencing increasing fatigue and weakness and is unable to take care of herself.  Patient continues to smoke 3 cigarettes a day, denies alcohol or using illicit drugs.   In emergency department, complete blood count CMP unremarkable, lactic acid mildly elevated 2.2, chest x-ray significant for right-sided pneumonia.  Due to her weakness and COVID pneumonia patient will be admitted. She was seen by PT/OT who determined no need for services.She had improvement in her symptoms and was discharged home in stable conditions
Age: 91.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Diarrhoea, Headache, Middle insomnia
Clinical narrative: I awoke with pain in every joint in my body one 11-9-22 . As the day went on the pain was more intense. I had taken some  in the morning. So around 2 p.m. I took two Aspirin.  Around 2:30 P.M. I experienced  diarrhea which was very watery. I also had  a fever of  99.3 degrees.  and a slight headache.  During that night I awoke with  joint pain all over my body.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Induration, Joint swelling, Pruritus
Clinical narrative: Mom explained that pt.'s entire left shoulder was visibly swollen, rock hard, red, and itchy. She said that it was pt.'s first ever flu vaccination, so she took pt. into the doctor for evaluation. She said that the doctor mentioned that it would most likely resolve on it's own, but the doctor prescribed steroids in the meantime
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Blood sodium decreased, COVID-19, Chest X-ray normal, Cognitive disorder
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 9/4/2023 Discharge Date:  9/06/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Generalized weakness [R53.1] Urinary tract infection associated with indwelling urethral catheter, subsequent encounter [T83.511D, N39.0] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a an 83-year-old male with a history of hypothyroidism, dyslipidemia, hypertension, seizures, CVA and urinary retention with chronic indwelling catheter who presented to Emergency Department for a fall.  Patient fell out of bed the night prior and hit his head on the nightstand.  He denies LOC and is not anticoagulated.  This was an unwitnessed fall.  Patient lives at a memory care center and when his family came to visit him the day of arrival they noticed he was not interacting as his normal self.  Patient was alert and oriented upon exam x4 and very pleasant. Patient was seen in ED on 8/29 and diagnosed with urinary tract infection and sent home on cefuroxime. UC with Enterococcus faecalis.  He was admitted and discharged on 8/19  for seizure and Neurology recommended that his Depakote dose be increased. He denies fever, chills, nausea, or vomiting.  He does complain of productive cough for the past few days.  On arrival to the ED, his vital signs were stable.  Labs significant for hyponatremia.  Sodium 122. Viral PCR panel positive for COVID-19.  UA with infection.  CXR negative. head CT negative for acute findings, there is encephalomalacia from prior infarct.  Patient received a L of IV normal saline and a dose of fosfomycin.  Patient accepted to Hospital Service for management of hyponatremia.  Patient is admitted and slowly improved over the next 2 days.  He had persistent cognitive deficits which are likely his baseline.  He tolerated antibiotic therapy.  His sodium stabilized.  Arrangements were made for him to return to the memory care center given his worsening cognitive function.  He was seen on day of discharge stable and discharged back follow-up outpatient with primary care provider and urologist.   35 minutes were spent discharging this patient over 50% was in coordination of care and face-to-face counseling with family
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram head abnormal, Condition aggravated, Culture urine positive, Device related infection, Encephalomalacia
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 9/4/2023 Discharge Date:  9/06/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Generalized weakness [R53.1] Urinary tract infection associated with indwelling urethral catheter, subsequent encounter [T83.511D, N39.0] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a an 83-year-old male with a history of hypothyroidism, dyslipidemia, hypertension, seizures, CVA and urinary retention with chronic indwelling catheter who presented to Emergency Department for a fall.  Patient fell out of bed the night prior and hit his head on the nightstand.  He denies LOC and is not anticoagulated.  This was an unwitnessed fall.  Patient lives at a memory care center and when his family came to visit him the day of arrival they noticed he was not interacting as his normal self.  Patient was alert and oriented upon exam x4 and very pleasant. Patient was seen in ED on 8/29 and diagnosed with urinary tract infection and sent home on cefuroxime. UC with Enterococcus faecalis.  He was admitted and discharged on 8/19  for seizure and Neurology recommended that his Depakote dose be increased. He denies fever, chills, nausea, or vomiting.  He does complain of productive cough for the past few days.  On arrival to the ED, his vital signs were stable.  Labs significant for hyponatremia.  Sodium 122. Viral PCR panel positive for COVID-19.  UA with infection.  CXR negative. head CT negative for acute findings, there is encephalomalacia from prior infarct.  Patient received a L of IV normal saline and a dose of fosfomycin.  Patient accepted to Hospital Service for management of hyponatremia.  Patient is admitted and slowly improved over the next 2 days.  He had persistent cognitive deficits which are likely his baseline.  He tolerated antibiotic therapy.  His sodium stabilized.  Arrangements were made for him to return to the memory care center given his worsening cognitive function.  He was seen on day of discharge stable and discharged back follow-up outpatient with primary care provider and urologist.   35 minutes were spent discharging this patient over 50% was in coordination of care and face-to-face counseling with family
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Enterococcus test positive, Fall, Head injury, Hyponatraemia, Mental status changes
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 9/4/2023 Discharge Date:  9/06/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Generalized weakness [R53.1] Urinary tract infection associated with indwelling urethral catheter, subsequent encounter [T83.511D, N39.0] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a an 83-year-old male with a history of hypothyroidism, dyslipidemia, hypertension, seizures, CVA and urinary retention with chronic indwelling catheter who presented to Emergency Department for a fall.  Patient fell out of bed the night prior and hit his head on the nightstand.  He denies LOC and is not anticoagulated.  This was an unwitnessed fall.  Patient lives at a memory care center and when his family came to visit him the day of arrival they noticed he was not interacting as his normal self.  Patient was alert and oriented upon exam x4 and very pleasant. Patient was seen in ED on 8/29 and diagnosed with urinary tract infection and sent home on cefuroxime. UC with Enterococcus faecalis.  He was admitted and discharged on 8/19  for seizure and Neurology recommended that his Depakote dose be increased. He denies fever, chills, nausea, or vomiting.  He does complain of productive cough for the past few days.  On arrival to the ED, his vital signs were stable.  Labs significant for hyponatremia.  Sodium 122. Viral PCR panel positive for COVID-19.  UA with infection.  CXR negative. head CT negative for acute findings, there is encephalomalacia from prior infarct.  Patient received a L of IV normal saline and a dose of fosfomycin.  Patient accepted to Hospital Service for management of hyponatremia.  Patient is admitted and slowly improved over the next 2 days.  He had persistent cognitive deficits which are likely his baseline.  He tolerated antibiotic therapy.  His sodium stabilized.  Arrangements were made for him to return to the memory care center given his worsening cognitive function.  He was seen on day of discharge stable and discharged back follow-up outpatient with primary care provider and urologist.   35 minutes were spent discharging this patient over 50% was in coordination of care and face-to-face counseling with family
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Productive cough, SARS-CoV-2 test positive, Seizure, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 9/4/2023 Discharge Date:  9/06/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Generalized weakness [R53.1] Urinary tract infection associated with indwelling urethral catheter, subsequent encounter [T83.511D, N39.0] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a an 83-year-old male with a history of hypothyroidism, dyslipidemia, hypertension, seizures, CVA and urinary retention with chronic indwelling catheter who presented to Emergency Department for a fall.  Patient fell out of bed the night prior and hit his head on the nightstand.  He denies LOC and is not anticoagulated.  This was an unwitnessed fall.  Patient lives at a memory care center and when his family came to visit him the day of arrival they noticed he was not interacting as his normal self.  Patient was alert and oriented upon exam x4 and very pleasant. Patient was seen in ED on 8/29 and diagnosed with urinary tract infection and sent home on cefuroxime. UC with Enterococcus faecalis.  He was admitted and discharged on 8/19  for seizure and Neurology recommended that his Depakote dose be increased. He denies fever, chills, nausea, or vomiting.  He does complain of productive cough for the past few days.  On arrival to the ED, his vital signs were stable.  Labs significant for hyponatremia.  Sodium 122. Viral PCR panel positive for COVID-19.  UA with infection.  CXR negative. head CT negative for acute findings, there is encephalomalacia from prior infarct.  Patient received a L of IV normal saline and a dose of fosfomycin.  Patient accepted to Hospital Service for management of hyponatremia.  Patient is admitted and slowly improved over the next 2 days.  He had persistent cognitive deficits which are likely his baseline.  He tolerated antibiotic therapy.  His sodium stabilized.  Arrangements were made for him to return to the memory care center given his worsening cognitive function.  He was seen on day of discharge stable and discharged back follow-up outpatient with primary care provider and urologist.   35 minutes were spent discharging this patient over 50% was in coordination of care and face-to-face counseling with family
Age: 42.0
Sex: F
Vaccine: FLUR4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Patient contacted office as she received a Flublok on 10/4/23 administered by APRN.  Patient feels the vaccine was given too high, she did have some pain with injection but presumed it was normal. She then has continued to have pain and issues with motion. She has had advil and steroids without resolution. She is working with her PCP to see arm specialist.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Hospitalized 10/3/22-10/5/22 Cough, body aches, SOB, weakness, fatigue, dizziness, dyspnea,
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Hospitalized 10/3/22-10/5/22 Cough, body aches, SOB, weakness, fatigue, dizziness, dyspnea,
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, X-ray limb normal
Clinical narrative: Received flu vaccine on 9/26/23. Came to Ortho clinic on 10/12/2023 c/o intermittent right should pain.  She had previously gone to urgent care where an x-ray was done.  No findings of needle breaking off.  Prescribed steroids and PT per Ortho.
Age: 31.0
Sex: M
Vaccine: FLUC4
Symptoms: Extra dose administered
Clinical narrative: Pt received 2 flu shots within 1 week of each other
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm
Clinical narrative: redness and warm to touch
Age: 36.0
Sex: M
Vaccine: HEPA
Symptoms: Extra dose administered
Clinical narrative: Pt received 2 doses of Havrix 7 days apart
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Bacterial test, Blood bicarbonate, Blood urine, Bronchiolitis
Clinical narrative: Discharge Provider: MD  Primary Care Physician at Discharge: DO Admission Date: 9/26/2023  Discharge Date: 10/5/2023 DETAILS OF HOSPITAL STAY: Acute respiratory failure (HCC) [J96.00] Respiratory failure, acute (HCC) [J96.00] Acute hypoxic respiratory failure (HCC) [J96.01]   HOSPITAL COURSE:   Patient is a 2 y.o. male with PMHx abnormal congenital neurologic findings, focal epilepsy, infantile spasm, G-tube dependence, and OSA who presented initially for acute hypoxemic respiratory failure secondary to Rhino-entero virus bronchiolitis and urinary tract infection. Patient developed cough and congestion. He is on 0.5L O2 at home during the night. His twin sister was also sick during this time. Dad stated his work of breathing increased and they came to the ED after trying his sick day regimen without relief.    In ED, Patient had a gas which showed pH 7.2, CO2 67, Bicarb 27. Trialed NIPPV which greatly improved work of breathing. Given dose of Vancomycin and Rocephin. Urinalysis demonstrated small blood, WBC more than 180 and no bacteria. CXR read as consistent with viral process, no focal consolidation. Patient was admitted for acute hypoxic respiratory failure.   In the PICU, he was weaned to HFNC <1L, on Xopenex q4h, Vest q4 hours and tolerated this regimen. He follows the ketogenic diet and works with the neuro nutritionist and following his sick day feeding plan (on step 3 of 4). He had a decrease in bowel movements and miralax was added on to relieve this issue. He was started on 14 days of Augmentin for his UTI, with good urine output. He continued on his seizure meds without seizures. He did develop a wound on the bridge of his nose.    He was admitted to the general pediatrics floor and weaned to RA (baseline 0.5L at night). He was tolerating his full feeds and remained hemodynamically stable. He was sent home to complete augmentin for UTI and completed his VCUG that showed no reflux.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Carbon dioxide, Chest X-ray abnormal, Cough, Cystogram, Cystogram normal
Clinical narrative: Discharge Provider: MD  Primary Care Physician at Discharge: DO Admission Date: 9/26/2023  Discharge Date: 10/5/2023 DETAILS OF HOSPITAL STAY: Acute respiratory failure (HCC) [J96.00] Respiratory failure, acute (HCC) [J96.00] Acute hypoxic respiratory failure (HCC) [J96.01]   HOSPITAL COURSE:   Patient is a 2 y.o. male with PMHx abnormal congenital neurologic findings, focal epilepsy, infantile spasm, G-tube dependence, and OSA who presented initially for acute hypoxemic respiratory failure secondary to Rhino-entero virus bronchiolitis and urinary tract infection. Patient developed cough and congestion. He is on 0.5L O2 at home during the night. His twin sister was also sick during this time. Dad stated his work of breathing increased and they came to the ED after trying his sick day regimen without relief.    In ED, Patient had a gas which showed pH 7.2, CO2 67, Bicarb 27. Trialed NIPPV which greatly improved work of breathing. Given dose of Vancomycin and Rocephin. Urinalysis demonstrated small blood, WBC more than 180 and no bacteria. CXR read as consistent with viral process, no focal consolidation. Patient was admitted for acute hypoxic respiratory failure.   In the PICU, he was weaned to HFNC <1L, on Xopenex q4h, Vest q4 hours and tolerated this regimen. He follows the ketogenic diet and works with the neuro nutritionist and following his sick day feeding plan (on step 3 of 4). He had a decrease in bowel movements and miralax was added on to relieve this issue. He was started on 14 days of Augmentin for his UTI, with good urine output. He continued on his seizure meds without seizures. He did develop a wound on the bridge of his nose.    He was admitted to the general pediatrics floor and weaned to RA (baseline 0.5L at night). He was tolerating his full feeds and remained hemodynamically stable. He was sent home to complete augmentin for UTI and completed his VCUG that showed no reflux.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea, Enterovirus infection, Infrequent bowel movements, Intensive care, Mechanical ventilation
Clinical narrative: Discharge Provider: MD  Primary Care Physician at Discharge: DO Admission Date: 9/26/2023  Discharge Date: 10/5/2023 DETAILS OF HOSPITAL STAY: Acute respiratory failure (HCC) [J96.00] Respiratory failure, acute (HCC) [J96.00] Acute hypoxic respiratory failure (HCC) [J96.01]   HOSPITAL COURSE:   Patient is a 2 y.o. male with PMHx abnormal congenital neurologic findings, focal epilepsy, infantile spasm, G-tube dependence, and OSA who presented initially for acute hypoxemic respiratory failure secondary to Rhino-entero virus bronchiolitis and urinary tract infection. Patient developed cough and congestion. He is on 0.5L O2 at home during the night. His twin sister was also sick during this time. Dad stated his work of breathing increased and they came to the ED after trying his sick day regimen without relief.    In ED, Patient had a gas which showed pH 7.2, CO2 67, Bicarb 27. Trialed NIPPV which greatly improved work of breathing. Given dose of Vancomycin and Rocephin. Urinalysis demonstrated small blood, WBC more than 180 and no bacteria. CXR read as consistent with viral process, no focal consolidation. Patient was admitted for acute hypoxic respiratory failure.   In the PICU, he was weaned to HFNC <1L, on Xopenex q4h, Vest q4 hours and tolerated this regimen. He follows the ketogenic diet and works with the neuro nutritionist and following his sick day feeding plan (on step 3 of 4). He had a decrease in bowel movements and miralax was added on to relieve this issue. He was started on 14 days of Augmentin for his UTI, with good urine output. He continued on his seizure meds without seizures. He did develop a wound on the bridge of his nose.    He was admitted to the general pediatrics floor and weaned to RA (baseline 0.5L at night). He was tolerating his full feeds and remained hemodynamically stable. He was sent home to complete augmentin for UTI and completed his VCUG that showed no reflux.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Rhinovirus infection, Urinary tract infection, White blood cells urine positive, Wound
Clinical narrative: Discharge Provider: MD  Primary Care Physician at Discharge: DO Admission Date: 9/26/2023  Discharge Date: 10/5/2023 DETAILS OF HOSPITAL STAY: Acute respiratory failure (HCC) [J96.00] Respiratory failure, acute (HCC) [J96.00] Acute hypoxic respiratory failure (HCC) [J96.01]   HOSPITAL COURSE:   Patient is a 2 y.o. male with PMHx abnormal congenital neurologic findings, focal epilepsy, infantile spasm, G-tube dependence, and OSA who presented initially for acute hypoxemic respiratory failure secondary to Rhino-entero virus bronchiolitis and urinary tract infection. Patient developed cough and congestion. He is on 0.5L O2 at home during the night. His twin sister was also sick during this time. Dad stated his work of breathing increased and they came to the ED after trying his sick day regimen without relief.    In ED, Patient had a gas which showed pH 7.2, CO2 67, Bicarb 27. Trialed NIPPV which greatly improved work of breathing. Given dose of Vancomycin and Rocephin. Urinalysis demonstrated small blood, WBC more than 180 and no bacteria. CXR read as consistent with viral process, no focal consolidation. Patient was admitted for acute hypoxic respiratory failure.   In the PICU, he was weaned to HFNC <1L, on Xopenex q4h, Vest q4 hours and tolerated this regimen. He follows the ketogenic diet and works with the neuro nutritionist and following his sick day feeding plan (on step 3 of 4). He had a decrease in bowel movements and miralax was added on to relieve this issue. He was started on 14 days of Augmentin for his UTI, with good urine output. He continued on his seizure meds without seizures. He did develop a wound on the bridge of his nose.    He was admitted to the general pediatrics floor and weaned to RA (baseline 0.5L at night). He was tolerating his full feeds and remained hemodynamically stable. He was sent home to complete augmentin for UTI and completed his VCUG that showed no reflux.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: pH body fluid
Clinical narrative: Discharge Provider: MD  Primary Care Physician at Discharge: DO Admission Date: 9/26/2023  Discharge Date: 10/5/2023 DETAILS OF HOSPITAL STAY: Acute respiratory failure (HCC) [J96.00] Respiratory failure, acute (HCC) [J96.00] Acute hypoxic respiratory failure (HCC) [J96.01]   HOSPITAL COURSE:   Patient is a 2 y.o. male with PMHx abnormal congenital neurologic findings, focal epilepsy, infantile spasm, G-tube dependence, and OSA who presented initially for acute hypoxemic respiratory failure secondary to Rhino-entero virus bronchiolitis and urinary tract infection. Patient developed cough and congestion. He is on 0.5L O2 at home during the night. His twin sister was also sick during this time. Dad stated his work of breathing increased and they came to the ED after trying his sick day regimen without relief.    In ED, Patient had a gas which showed pH 7.2, CO2 67, Bicarb 27. Trialed NIPPV which greatly improved work of breathing. Given dose of Vancomycin and Rocephin. Urinalysis demonstrated small blood, WBC more than 180 and no bacteria. CXR read as consistent with viral process, no focal consolidation. Patient was admitted for acute hypoxic respiratory failure.   In the PICU, he was weaned to HFNC <1L, on Xopenex q4h, Vest q4 hours and tolerated this regimen. He follows the ketogenic diet and works with the neuro nutritionist and following his sick day feeding plan (on step 3 of 4). He had a decrease in bowel movements and miralax was added on to relieve this issue. He was started on 14 days of Augmentin for his UTI, with good urine output. He continued on his seizure meds without seizures. He did develop a wound on the bridge of his nose.    He was admitted to the general pediatrics floor and weaned to RA (baseline 0.5L at night). He was tolerating his full feeds and remained hemodynamically stable. He was sent home to complete augmentin for UTI and completed his VCUG that showed no reflux.
Age: 25.0
Sex: F
Vaccine: COVID19, FLUC4, UNK
Symptoms: Loss of consciousness, Syncope
Clinical narrative: After administration of the Spikevax, the final injection, the patient had syncopal episode and lost consciousness for a brief time.
Age: 28.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Was walking to check out of clinic and became dizzy.  Appeared to lose consciousness twice for less than 5 seconds.  PA helped patient to lie down on the floor and she felt better in minutes.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site mass, Vaccination site ulcer
Clinical narrative: Patient reports vaccine site developed a hard lump which ulcerated after a few days. Site did not appear infected and has since healed without intervention
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ageusia
Clinical narrative: lost taste
Age: 76.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthropathy, Haematoma, Mobility decreased, Musculoskeletal disorder
Clinical narrative: Patient developed hematoma size described as large.  Patient has had joint issues since the shot and cannot fully use her left arm as she has in the past.  It has become difficult to lift above 90 degrees.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: area below injection 2x3 was red and hot
Age: 78.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Joint range of motion decreased, Musculoskeletal stiffness
Clinical narrative: Client presented to the office, "My flu vaccine was administered too high." Left shoulder, arm pain and stiffness upon awakening the following morning, October, 3 2023. Client states, "I initially could not move my arm." Client gained limited range of motion back over the week with slight improvement in pain and stiffness. Client started home exercises after 1 week, applied ice for comfort with minimal improvement. Continues to experience constant pain in left upper arm to elbow, pain will radiate to hand at times. Intermittent tingling of left hand on top and to the fingers.
Age: 78.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pain, Pain in extremity, Paraesthesia, Product administered at inappropriate site
Clinical narrative: Client presented to the office, "My flu vaccine was administered too high." Left shoulder, arm pain and stiffness upon awakening the following morning, October, 3 2023. Client states, "I initially could not move my arm." Client gained limited range of motion back over the week with slight improvement in pain and stiffness. Client started home exercises after 1 week, applied ice for comfort with minimal improvement. Continues to experience constant pain in left upper arm to elbow, pain will radiate to hand at times. Intermittent tingling of left hand on top and to the fingers.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Injection site pruritus, Pruritus, Rash
Clinical narrative: Patient had itching at the injection site and rash to hands bilatearlly with itching  to hands and arms bilaterally
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given past best use date (BUD). BUD for this vaccine was 10/29/2023 and vaccine was administered on 11/03/2023.
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: The Patient was expecting to get a shingles shot on this day but it was ran and given as a flu shot. This resulted in the patient getting a second flu shot.  When he came for his "second" shingles shot is when we realized he had gotten two flu shots.
Age: 3.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Expired product administered
Clinical narrative: Patient was given a COVID vaccine, first ever, after the vaccine expired on 10/28/2023.
Age: 73.0
Sex: F
Vaccine: UNK
Symptoms: Mobility decreased, Muscular weakness, Myalgia, Pain in extremity
Clinical narrative: APPROXIMATELY 3 HOURS AFTER ADMINISTRATION, PT DEVELOPED EXTREME WEAKNESS IN THE ARM AT THE DELTOID REGION AS WELL AS PAIN. PATIENT HAS BEEN SLOWY RECOVERING. A DECREASE IN PAIN LEVEL EVERY DAY AS WELL AS INCREASE ABILITY TO MOVE LIMB. SYMPTOMS RESEMBLE A "SIRVA" (SHOULDER INJURY RELATED TO VACCINE ADMINISTRATION) TYPE REACTION NOTED IN LITERATURE.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt received Pfizer 57-117 vaccine in error. No noted adverse side effects.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Rash maculo-papular
Clinical narrative: Maculopapular eruption on chest, arms, axilla and groin
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient didn't have any side effects initially; however on the 10th patient broke out in rash starting on the head and torso and then completely covering body that resembles chicken pox. she is following up with doctor however rash is super itchy and doesn't resemble shingles
Age: 75.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: No adverse event, Underdose
Clinical narrative: Pt received 5y - 11y covid vaccine in error. No noted adverse side effects.
Age: 16.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Exposure during pregnancy, Extra dose administered, No adverse event
Clinical narrative: Patient was administered TDAP at 28 weeks gestation on 9/7/23 and readministered on 10/17/23 @ 33 weeks gestion. No adverse reaction noted, patient has been seen in the office for 2 appointments since the injections. estimated due date 11/30/23.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: After patient had immunization they were taken to check out and asked to wait in the lobby for 15-20 mins. After being in the lobby a few mins mom noticed that patient became pale and sweaty. Mom notified front desk staff and nurse went to lobby and brought patient back to clinical area. BP checked every 3 mins X 3 and patient was given some coke and peanut butter crackers and cool cloth was placed on patients forehead and neck area. After about 5-6 mins patient began to feel better and color returned to skin. BP @ 3:50 pm- 79/47 P-90; BP @ 3:53 pm- 107/64 P-108; BP @ 3:56pm- 99/72 P-101. Patient was released back to lobby and advised mom to wait an additional 15 mins.
Age: 24.0
Sex: M
Vaccine: COVID19-2
Symptoms: Autopsy, Cardiomyopathy, Death
Clinical narrative: sudden onset cardiomyopathy that resulted in death
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The medical assistant gave the patient  the 0.25mL but the patient should have received the 0.5mL dose.
Age: 64.0
Sex: M
Vaccine: RSV
Symptoms: Injection site mass, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Lump and itching at injection site, slightly warm to touch, soreness.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The nurse gave the patient the 0.25mL dose when it should have been the 0.5mL dose.
Age: 35.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Chills, Fear, Heavy menstrual bleeding, Pyrexia, Vaginal haemorrhage
Clinical narrative: Around 9pm the day I received the shot my heart rate was at 105 while I had been laying down and relaxing for at least an hour. This continued through the night. I also had a fever and chills, which I expected.  On Thursday, 11/16/23 I started my period and it was EXTREMELY heavier than normal and lasted 2 more days than normal. I called the pharmacy and Pfizer and confirmed this was not a listed side effect. However, I found other women reporting this and news articles noting studies and reports that this has happened to other women. This needs to be listed as a side effect because it's very scary when it's happening to you, and affects women's day to day life. I'm also scared that it's affected my body in a permanent way, and have no information about it. I was scared I was going to bleed too much and had very large blood clots for days which is not normal for me.
Age: 35.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Heart rate increased, Heavy menstrual bleeding
Clinical narrative: Around 9pm the day I received the shot my heart rate was at 105 while I had been laying down and relaxing for at least an hour. This continued through the night. I also had a fever and chills, which I expected.  On Thursday, 11/16/23 I started my period and it was EXTREMELY heavier than normal and lasted 2 more days than normal. I called the pharmacy and Pfizer and confirmed this was not a listed side effect. However, I found other women reporting this and news articles noting studies and reports that this has happened to other women. This needs to be listed as a side effect because it's very scary when it's happening to you, and affects women's day to day life. I'm also scared that it's affected my body in a permanent way, and have no information about it. I was scared I was going to bleed too much and had very large blood clots for days which is not normal for me.
Age: 65.0
Sex: F
Vaccine: COVID19, FLUA4, FLUA4
Symptoms: Extra dose administered
Clinical narrative: Pt received flu vaccine twice in same day in error. Side effects of flu vaccine discussed.
Age: 74.0
Sex: M
Vaccine: COVID19-2, FLU4, RSV, VARZOS
Symptoms: Headache, Heart rate increased
Clinical narrative: INCREASE HEART RATE, HEADACHE
Age: 12.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: No adverse event
Clinical narrative: There was no adverse reaction to the vaccine.  Patient waited 15 minutes as instructed.
Age: 69.0
Sex: M
Vaccine: FLU4, PNC20
Symptoms: Wrong product administered
Clinical narrative: Patient received a dose of flu vaccine instead of a PCV-20. There was no harm experienced by the patient. The correct PCV-20 vaccine was administered during the same encounter.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product packaging quantity issue
Clinical narrative: Administered 0.5 mls from single dose vial to left deltoid IM instead of 0.25 mls. Single dose vial was overfilled. Mother called and notified of error, explained how error occurred, educated on potential side effects and stated supervisor will follow up on child's well being.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cardiac monitoring normal, Echocardiogram, Headache, Loss of consciousness
Clinical narrative: Starting passing out n headaches brain forgetfulness,  told doctor sent to heart specialist,  still complain  n went to another doc. Had dappled of neck n heart, heart monitor, mri of brain,  heart is great but now have white matter on brain after shots, but didn't have 2 year before, still just passport, n life is so different
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Magnetic resonance imaging heart, Memory impairment, Ultrasound Doppler, White matter lesion
Clinical narrative: Starting passing out n headaches brain forgetfulness,  told doctor sent to heart specialist,  still complain  n went to another doc. Had dappled of neck n heart, heart monitor, mri of brain,  heart is great but now have white matter on brain after shots, but didn't have 2 year before, still just passport, n life is so different
Age: 68.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Rash, Rash pruritic
Clinical narrative: pt said almost immediately after getting the vaccines she broke out in a rash on her lower back.  It spread from side to side and higher on her lower back.  It itches severely.  she went to a dermatologist and they did now know what the cause was but gave her a steroid shot and "medication" that did not seem to help.
Age: 0.5
Sex: U
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Unevaluable event
Clinical narrative: Patient used Sign Language, patient had two IZ and the wrong last name was written on the VAR, the clinic was understaffed for the number of patients I was seeing. In addition, I work on another project and was distracted when another coworker stopped by my station to ask questions while with a patient.
Age: 17.0
Sex: M
Vaccine: FLUC4
Symptoms: Malaise, Panic attack
Clinical narrative: Starting that night and then now a few weeks later, not feeling well, then onset of panic attacks daily, multiple times a day
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Rash, Rash pruritic
Clinical narrative: Reports that 2 days after vaccination developed a pruritic rash in the antecubital area, thighs, under breast, and on back. Takes Zyrtec routinely. Has taken Benadryl since rash developed. Had chills one day but no other symptoms. Was looked at by medical director and given directions for treatment.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Extreme pain, swelling, and bruising at the injection site. Bruising/pain subsiding 4 days after injection
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Frustration tolerance decreased, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Persistent hives/rash all over my body. Hot red raised & itching!
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin warm, Urticaria
Clinical narrative: Persistent hives/rash all over my body. Hot red raised & itching!
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Pain in extremity, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: patient noted soreness in the arm the day off (11/10) during the evening, swelling to the size of a baseball.  But by saturday morning (11/11) the swelling had moved moved down her arm towards her elbow (residing just above the elbow crease under the bicept) and had brusing (approxamately 3x5 inches) and was warm and tender to the touch. Patient came into the pharmacy Sunday 11/12 and stated brusing was slightly lightening and this reporter observed the brusing, no obvious inflamation. Patient reported during the day her arm (above the brusing) has started lightly itching. Patient stated she obtained her vaccination in the standing position