chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: UNK
Symptoms: Medication error, No adverse event, Poor quality product administered, Product storage error
Clinical narrative: door left open, max/low temperature reached: negative 5.6 C duration out of labelled range: 8 hours due to human error with no reported adverse event; patients were administered PENTACEL after not being suitable to use post temperature excursion with no reported adverse event; Initial information received on 13-Feb-2023 regarding an unsolicited valid non-serious case received from a other health professional.  This case involves 3 patients of unknown demographics and it was reported that door left open, max/low temperature reached: negative 5.6 c duration out of labelled range: 8 hours due to human error and patients were administered diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine [Pentacel (vero)] after not being suitable to use post temperature excursion with no reported adverse event.   The patient's past medical history, medical treatment(s), vaccination(s), concomitants and family history were not provided.   On an unknown date, it was reported that door left open, max/low temperature reached: negative 5.6 c duration out of labelled range: 8 hours due to human error (product storage error) and patients were administered diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine [Pentacel (vero)] suspension for injection (batch number: UJ737AAA and expiry date: 18-Sep-2023; strength, route, dose: unknown) for immunization after not being suitable to use post temperature excursion (poor quality product administered) (unknown latency).    Action taken: Not applicable.  At time of reporting, the outcome was Unknown for the event.   This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.; Sender's Comments:  01489121: 01489000: 01489121: 01489128: 01489149: 01489082:
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: None stated.
Age: 63.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Vaccinated and got COVID
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Glaucoma
Clinical narrative: patient reported 2/14/23 that they believe high dose caused her to have eye problems (glaucoma).
Age: 58.0
Sex: F
Vaccine: UNK, UNK, UNK, UNK
Symptoms: Animal bite, Animal scratch, Culture negative, Full blood count normal, Haemorrhage
Clinical narrative: I WAS IN A TRAINING WHEN I LEFT THE PARKING LOT AND GOING TO MY CURRENT WORK OFFICE A PACK OF DOGS LAUNCHED ON ME, MANAGING TO SCRATCH AND DRAW BLOOD FROM MY LEFT LEG. BLOOD CAME OUT OF THOSE TEARS WHEN SEEING CONTACT OF SALIVA AND BLOOD ON NOV 8, 2022, I WAS REFERRED TO THE INSURANCE FUND. DURING THIS DAY I WAS ATTENDED BY DR, WHO REFERRED ME TO THE EPIDEMIOLOGIST NURSE. FIRST DOSE OF THE RAMUNIET VACCINE WAS NOV/29/2022. SECOND DOSE DEC/2/2022, THIRD DOSE DEC 6, 2022 AND FOURTH DOSE DEC/13/2022. AFTER ABOUT 4-5 DAYS I HAD A SMALL LUMP THAT I HAD TO FOLLOW TREATING ME ON THE RIGHT LEG BECOMING A LITTLE ULCER THAT TODAY I AM TREATING WITH THE INFECTOLOGIST. I PREVIOUSLY SEEN WITH SURGEON. HE OPENED AND TAKEN OUT WHAT I HAD TAKING TWO DOSES OF ANTIBIOTICS BEFORE REFERRING TO THE INFECTIONOLOGIST. THIS DR GIVES ME ANOTHER DOSE OF ANTIBIOTIC AT THE FINISH OF THEM. HE MADE A CULTURE THAT CAME OUT NEGATIVE, IT IS RECORDED IN HIS MEDICAL RECORDS. TODAY I CONTINUE CURING THIS LITTLE ULCER ON MONDAYS AND THURSDAYS IN DR'S OFFICE.
Age: 58.0
Sex: F
Vaccine: UNK, UNK, UNK, UNK
Symptoms: Mass, Metabolic function test normal, Skin laceration, Skin ulcer, Urine analysis normal
Clinical narrative: I WAS IN A TRAINING WHEN I LEFT THE PARKING LOT AND GOING TO MY CURRENT WORK OFFICE A PACK OF DOGS LAUNCHED ON ME, MANAGING TO SCRATCH AND DRAW BLOOD FROM MY LEFT LEG. BLOOD CAME OUT OF THOSE TEARS WHEN SEEING CONTACT OF SALIVA AND BLOOD ON NOV 8, 2022, I WAS REFERRED TO THE INSURANCE FUND. DURING THIS DAY I WAS ATTENDED BY DR, WHO REFERRED ME TO THE EPIDEMIOLOGIST NURSE. FIRST DOSE OF THE RAMUNIET VACCINE WAS NOV/29/2022. SECOND DOSE DEC/2/2022, THIRD DOSE DEC 6, 2022 AND FOURTH DOSE DEC/13/2022. AFTER ABOUT 4-5 DAYS I HAD A SMALL LUMP THAT I HAD TO FOLLOW TREATING ME ON THE RIGHT LEG BECOMING A LITTLE ULCER THAT TODAY I AM TREATING WITH THE INFECTOLOGIST. I PREVIOUSLY SEEN WITH SURGEON. HE OPENED AND TAKEN OUT WHAT I HAD TAKING TWO DOSES OF ANTIBIOTICS BEFORE REFERRING TO THE INFECTIONOLOGIST. THIS DR GIVES ME ANOTHER DOSE OF ANTIBIOTIC AT THE FINISH OF THEM. HE MADE A CULTURE THAT CAME OUT NEGATIVE, IT IS RECORDED IN HIS MEDICAL RECORDS. TODAY I CONTINUE CURING THIS LITTLE ULCER ON MONDAYS AND THURSDAYS IN DR'S OFFICE.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Medication error, Product storage error
Clinical narrative: medication error. Vaccine not viable due to temperature excursion.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Back pain, Bladder pain, Chest discomfort, Chills
Clinical narrative: Injection site soreness after 3 hours, no redness or swelling After 9 hours slight nausea (ate only a few crackers and 2 slices of cheese) After 10 hours chills and fever of 102, redness across chest and neck, back pain, significant aching of all muscles in arms and legs, slight dizziness and slight blurred vision (no rash and no significant redness at injection site), slightly elevated heart rate and some tightness in chest After 12 hours fever of 101, after taking 1000mg acetaminophen, persistence of previous symptoms After 16 hours, onset of urinary tract infection symptoms--need to urinate, stinging--persisting over the next 5 hours (feeling need to urinate every 20 minutes), little sleep (drinking green tea), other symptoms subsided After 21 hours bad headache, treated with 1,000mg acetaminophen After 24 hours symptoms subsided, fever of 100.8 and dropping After 28 hours temperature normal, general weakness persists After 43 hours UTI-like symptoms persist, pain in bladder area and lower back, slight headache
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Dysuria, Erythema, Headache, Heart rate increased
Clinical narrative: Injection site soreness after 3 hours, no redness or swelling After 9 hours slight nausea (ate only a few crackers and 2 slices of cheese) After 10 hours chills and fever of 102, redness across chest and neck, back pain, significant aching of all muscles in arms and legs, slight dizziness and slight blurred vision (no rash and no significant redness at injection site), slightly elevated heart rate and some tightness in chest After 12 hours fever of 101, after taking 1000mg acetaminophen, persistence of previous symptoms After 16 hours, onset of urinary tract infection symptoms--need to urinate, stinging--persisting over the next 5 hours (feeling need to urinate every 20 minutes), little sleep (drinking green tea), other symptoms subsided After 21 hours bad headache, treated with 1,000mg acetaminophen After 24 hours symptoms subsided, fever of 100.8 and dropping After 28 hours temperature normal, general weakness persists After 43 hours UTI-like symptoms persist, pain in bladder area and lower back, slight headache
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Insomnia, Lower urinary tract symptoms, Micturition urgency, Myalgia
Clinical narrative: Injection site soreness after 3 hours, no redness or swelling After 9 hours slight nausea (ate only a few crackers and 2 slices of cheese) After 10 hours chills and fever of 102, redness across chest and neck, back pain, significant aching of all muscles in arms and legs, slight dizziness and slight blurred vision (no rash and no significant redness at injection site), slightly elevated heart rate and some tightness in chest After 12 hours fever of 101, after taking 1000mg acetaminophen, persistence of previous symptoms After 16 hours, onset of urinary tract infection symptoms--need to urinate, stinging--persisting over the next 5 hours (feeling need to urinate every 20 minutes), little sleep (drinking green tea), other symptoms subsided After 21 hours bad headache, treated with 1,000mg acetaminophen After 24 hours symptoms subsided, fever of 100.8 and dropping After 28 hours temperature normal, general weakness persists After 43 hours UTI-like symptoms persist, pain in bladder area and lower back, slight headache
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Vision blurred
Clinical narrative: Injection site soreness after 3 hours, no redness or swelling After 9 hours slight nausea (ate only a few crackers and 2 slices of cheese) After 10 hours chills and fever of 102, redness across chest and neck, back pain, significant aching of all muscles in arms and legs, slight dizziness and slight blurred vision (no rash and no significant redness at injection site), slightly elevated heart rate and some tightness in chest After 12 hours fever of 101, after taking 1000mg acetaminophen, persistence of previous symptoms After 16 hours, onset of urinary tract infection symptoms--need to urinate, stinging--persisting over the next 5 hours (feeling need to urinate every 20 minutes), little sleep (drinking green tea), other symptoms subsided After 21 hours bad headache, treated with 1,000mg acetaminophen After 24 hours symptoms subsided, fever of 100.8 and dropping After 28 hours temperature normal, general weakness persists After 43 hours UTI-like symptoms persist, pain in bladder area and lower back, slight headache
Age: 1.58
Sex: M
Vaccine: HEPA, HIBV, TDAP
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine type was given.  Patient was given Adacel (Tdap) and should have been given DTaP (Infanrix).   No additional treatment was needed for the patient.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Colitis, Exposure to SARS-CoV-2, Feeling abnormal
Clinical narrative: After the vaccine, I had soreness and just not feeling good for about three days. I was exposed to COVID-19 at the hospital when I had surgery and with my sister. I tested positive for COVID-19 on 12/16/2023. I got a prescription for PAXLOVID. I tolerated the medication, but it tasted terrible and made me nauseated. I had a rebound case of COVID-19 and tested positive again 12/27/2023. From 01/06/2023 to 01/12/2023, I had ongoing gastrointestinal issues. On  01/16/2022 I went to the emergency room because my stomach pain got worse. The emergency room doctor said I had colitis. I was referred to a gastroenterologist and he said I did not have the right symptoms for colitis. I am on a diet to eliminate foods to see if that will help my colon. At this time, they don't know what caused my symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Medical diet, Pain, SARS-CoV-2 test positive, Surgery
Clinical narrative: After the vaccine, I had soreness and just not feeling good for about three days. I was exposed to COVID-19 at the hospital when I had surgery and with my sister. I tested positive for COVID-19 on 12/16/2023. I got a prescription for PAXLOVID. I tolerated the medication, but it tasted terrible and made me nauseated. I had a rebound case of COVID-19 and tested positive again 12/27/2023. From 01/06/2023 to 01/12/2023, I had ongoing gastrointestinal issues. On  01/16/2022 I went to the emergency room because my stomach pain got worse. The emergency room doctor said I had colitis. I was referred to a gastroenterologist and he said I did not have the right symptoms for colitis. I am on a diet to eliminate foods to see if that will help my colon. At this time, they don't know what caused my symptoms.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Balance disorder, Dizziness, Feeling abnormal, Pruritus, Respiratory tract congestion
Clinical narrative: STARTED ITCHING 40 MINS AFTER THE INJECTION MILD CHEST CONGESTION CALLED DOC ABOUT THE ITCHING TOOK BENYDRL I TOOK MUCINEX FOR THE CONGESTION AND THAT CLEARED IT UP MY EYES / MY VISION HAS GOTTEN BLURRY AND STTRANGE FEELING IN MY HEAD I FEEL REALLY DIZZY AND UNBALANCED I AM JUST NOT MY USUAL SELF
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vision blurred
Clinical narrative: STARTED ITCHING 40 MINS AFTER THE INJECTION MILD CHEST CONGESTION CALLED DOC ABOUT THE ITCHING TOOK BENYDRL I TOOK MUCINEX FOR THE CONGESTION AND THAT CLEARED IT UP MY EYES / MY VISION HAS GOTTEN BLURRY AND STTRANGE FEELING IN MY HEAD I FEEL REALLY DIZZY AND UNBALANCED I AM JUST NOT MY USUAL SELF
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pallor, Urticaria
Clinical narrative: Vaccine given 8am 2/13/23, redness and swelling at site of Dtap/IPV at 8am 2/14/23 and lingering by 2/15/23 - no pain, no itch - hive like at times. no overlying blistering. eval on 2/15/23 with a 7.5cm diameter area of redness and swelling with induration at site of injection 2.5cmx3.5cm and slight blanching.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLU4, PNC20
Symptoms: Medication error, Product storage error
Clinical narrative: Medication error. Vaccine not viable due to temperature excursion.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aortic valve replacement, Asymptomatic COVID-19, SARS-CoV-2 test positive, Sternotomy
Clinical narrative: Pt was admitted on 1/27 for reoperative sternotomy and aortic valve replacement. She had a COVID test on 2/14 due to admission to the inpatient rehab unit. She was asymptomatic at the time, but the COVID test was positive.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute cutaneous lupus erythematosus, Alanine aminotransferase increased, Antinuclear antibody positive, Aspartate aminotransferase increased, Biopsy skin abnormal
Clinical narrative: Acute onset on 10/25/22 of facial lesions (erythematous maculae). This later evolved into diffuse erythematous annular rash confirmed to be acute cutaneous lupus erythematosus.  Patient received Dermatology consultation confirming the rash following observation.  Initial skin biopsy was non-specific.  However, by Jan 2023, lab tests aligned with systemic lupus erythematosus, prompting Rheumatology consultation at local Hospital Medical Center.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood albumin normal, Blood bilirubin increased, Blood immunoglobulin A, Blood immunoglobulin G normal, Blood immunoglobulin M
Clinical narrative: Acute onset on 10/25/22 of facial lesions (erythematous maculae). This later evolved into diffuse erythematous annular rash confirmed to be acute cutaneous lupus erythematosus.  Patient received Dermatology consultation confirming the rash following observation.  Initial skin biopsy was non-specific.  However, by Jan 2023, lab tests aligned with systemic lupus erythematosus, prompting Rheumatology consultation at local Hospital Medical Center.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: C-reactive protein, Complement factor C3, Complement factor C4, Dermatitis, Full blood count
Clinical narrative: Acute onset on 10/25/22 of facial lesions (erythematous maculae). This later evolved into diffuse erythematous annular rash confirmed to be acute cutaneous lupus erythematosus.  Patient received Dermatology consultation confirming the rash following observation.  Initial skin biopsy was non-specific.  However, by Jan 2023, lab tests aligned with systemic lupus erythematosus, prompting Rheumatology consultation at local Hospital Medical Center.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test normal, Lymphocyte count normal, Metabolic function test, Neutrophil count decreased, Rash macular
Clinical narrative: Acute onset on 10/25/22 of facial lesions (erythematous maculae). This later evolved into diffuse erythematous annular rash confirmed to be acute cutaneous lupus erythematosus.  Patient received Dermatology consultation confirming the rash following observation.  Initial skin biopsy was non-specific.  However, by Jan 2023, lab tests aligned with systemic lupus erythematosus, prompting Rheumatology consultation at local Hospital Medical Center.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Red blood cell sedimentation rate normal, Rheumatoid factor, Serum ferritin increased, Skin lesion, Urine analysis
Clinical narrative: Acute onset on 10/25/22 of facial lesions (erythematous maculae). This later evolved into diffuse erythematous annular rash confirmed to be acute cutaneous lupus erythematosus.  Patient received Dermatology consultation confirming the rash following observation.  Initial skin biopsy was non-specific.  However, by Jan 2023, lab tests aligned with systemic lupus erythematosus, prompting Rheumatology consultation at local Hospital Medical Center.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urine protein/creatinine ratio, White blood cell count decreased
Clinical narrative: Acute onset on 10/25/22 of facial lesions (erythematous maculae). This later evolved into diffuse erythematous annular rash confirmed to be acute cutaneous lupus erythematosus.  Patient received Dermatology consultation confirming the rash following observation.  Initial skin biopsy was non-specific.  However, by Jan 2023, lab tests aligned with systemic lupus erythematosus, prompting Rheumatology consultation at local Hospital Medical Center.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Feeling cold, Malaise
Clinical narrative: I was getting ready for bed and I noticed I had chills, bumps on my arm and I was cold. Immediately I thought of COVID-19. Recently I had made a trip. I went to bed and woke up feverish and knew I was sick my temperature was one hundred and one when took my temperature, later in the afternoon I was positive for COVID-19. I called the night clinic and got a doctor online, he returned my call and asked when I tested positive and prescribed for me PAXLOVID and antibiotics for my cough.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rash, SARS-CoV-2 test positive
Clinical narrative: I was getting ready for bed and I noticed I had chills, bumps on my arm and I was cold. Immediately I thought of COVID-19. Recently I had made a trip. I went to bed and woke up feverish and knew I was sick my temperature was one hundred and one when took my temperature, later in the afternoon I was positive for COVID-19. I called the night clinic and got a doctor online, he returned my call and asked when I tested positive and prescribed for me PAXLOVID and antibiotics for my cough.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diarrhoea, Hypophagia, Nasopharyngitis, Nausea, Productive cough
Clinical narrative: I had a heavy cold that lasted three weeks, thick phlegm, nausea, vomiting, diarrhea, I was fighting dehydration as I was unable to keep anything in my body. I called and made an appointment with my primary care physician, he did not run any tests RSV was prevalent in the area and we had a young child staying with us at the time. I was told to hydrate and that there was nothing they could give me to get over the RSV.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: I had a heavy cold that lasted three weeks, thick phlegm, nausea, vomiting, diarrhea, I was fighting dehydration as I was unable to keep anything in my body. I called and made an appointment with my primary care physician, he did not run any tests RSV was prevalent in the area and we had a young child staying with us at the time. I was told to hydrate and that there was nothing they could give me to get over the RSV.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Influenza virus test negative, Lymph node pain, Oropharyngeal discolouration, Oropharyngeal pain
Clinical narrative: 11/13: Pain in left lymph node, temp 100.3 11/14: Pain in left lymph node, sore throat, diarrhea,  temp 99.9 11/15-11/17: Sore throat, white spots in throat, tested negative for Strep, Flu, Covid at Dr's office 12/4-12/8: Sore throat, no white spots. Negative for Covid. 12/28-1/11: Sore throat, post nasal drip. Negative Covid test.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative, Upper-airway cough syndrome
Clinical narrative: 11/13: Pain in left lymph node, temp 100.3 11/14: Pain in left lymph node, sore throat, diarrhea,  temp 99.9 11/15-11/17: Sore throat, white spots in throat, tested negative for Strep, Flu, Covid at Dr's office 12/4-12/8: Sore throat, no white spots. Negative for Covid. 12/28-1/11: Sore throat, post nasal drip. Negative Covid test.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Left sided chest pain  over heart
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Magnetic resonance imaging head abnormal, Thalamic stroke
Clinical narrative: I had a small stroke.  Thalamic Stoke. I believe this is a result of the Pfizer Booster I had Nov 30, 2022
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, COVID-19, Death, Dry gangrene, Dysphagia
Clinical narrative: 3RD DOSE COVID VACCINE, COMIRNATY, GIVEN 8/25/22, LOT #FP7138; pt brought to local hospital for AMS and SOB; positive for COVID; O2 supplementation eventually requiring intubation; given dexamethasone, remdesivir, monoclonal antibodies, bronchodilators; was able to be extubated 8/10/22; dry gangrene left foot; angiogram revealed chronic occluded SFA; ongoing dysphagia, PEG tube placed; 8/25/22 DC'd to local Health and Rehab Center where he passed away
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Gastrostomy, Mental status changes, Peripheral artery occlusion
Clinical narrative: 3RD DOSE COVID VACCINE, COMIRNATY, GIVEN 8/25/22, LOT #FP7138; pt brought to local hospital for AMS and SOB; positive for COVID; O2 supplementation eventually requiring intubation; given dexamethasone, remdesivir, monoclonal antibodies, bronchodilators; was able to be extubated 8/10/22; dry gangrene left foot; angiogram revealed chronic occluded SFA; ongoing dysphagia, PEG tube placed; 8/25/22 DC'd to local Health and Rehab Center where he passed away
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE COVID VACCINE, COMIRNATY, GIVEN 8/25/22, LOT #FP7138; pt brought to local hospital for AMS and SOB; positive for COVID; O2 supplementation eventually requiring intubation; given dexamethasone, remdesivir, monoclonal antibodies, bronchodilators; was able to be extubated 8/10/22; dry gangrene left foot; angiogram revealed chronic occluded SFA; ongoing dysphagia, PEG tube placed; 8/25/22 DC'd to local Health and Rehab Center where he passed away
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood albumin decreased, Dyskinesia, Headache, Influenza like illness
Clinical narrative: extreme headache, vomiting yellow bile, fever, body jerking uncontrollably when fever starts, whole body with bad flu like synptoms, could only lay down or sit in recliner, wasnt able to shower for 10 days because too weak, kidney infection, didnt start feeling better until after 3 weeks, still am very weak and cant stay up more than 1 hour without needing to lay down
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Kidney infection, Loss of personal independence in daily activities, Mobility decreased, Vomiting
Clinical narrative: extreme headache, vomiting yellow bile, fever, body jerking uncontrollably when fever starts, whole body with bad flu like synptoms, could only lay down or sit in recliner, wasnt able to shower for 10 days because too weak, kidney infection, didnt start feeling better until after 3 weeks, still am very weak and cant stay up more than 1 hour without needing to lay down
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain
Clinical narrative: Around September 21, 2022 I started having the pain in my abdomen that I knew was pancreas. I have chronic pancreatitis, so I know the pain all too well. I called and made an appointment with my gastroenterologist. We discussed what I was experiencing, he decided not to run any test or change my medication and that together we would wait and watch what happens. I do not feel any better since September, I feel that this is an ongoing issue for me.
Age: 1.75
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Ear infection, Influenza virus test negative, Nasal congestion
Clinical narrative: Around 9/9/22, he started getting nasal congestion and a cough. We took him to the doctor 9/23/22. We took him to the doctor, and they diagnosed an ear infection. They prescribed amoxicillin. This lasted for about 3 weeks. Then on 1/6/23, he had a fever cough, vomiting and diarrhea. We took him to the doctor and COVID-19 was ruled out. He suspected that it was Adenovirus. This continued through 1/25/23. He started tugging at his ears and we took him to the doctor again and he was diagnosed with a double ear infection 1/30/23. They prescribed amoxicillin again. He got better, then on 2/10/23 he started getting stuffy again, coughing, and runny nose. He started vomiting yesterday and had a mild fever. We kept home from daycare, but we have not taken him to the doctor for this yet. It is still very new.
Age: 1.75
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory syncytial virus test negative, Rhinorrhoea, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Around 9/9/22, he started getting nasal congestion and a cough. We took him to the doctor 9/23/22. We took him to the doctor, and they diagnosed an ear infection. They prescribed amoxicillin. This lasted for about 3 weeks. Then on 1/6/23, he had a fever cough, vomiting and diarrhea. We took him to the doctor and COVID-19 was ruled out. He suspected that it was Adenovirus. This continued through 1/25/23. He started tugging at his ears and we took him to the doctor again and he was diagnosed with a double ear infection 1/30/23. They prescribed amoxicillin again. He got better, then on 2/10/23 he started getting stuffy again, coughing, and runny nose. He started vomiting yesterday and had a mild fever. We kept home from daycare, but we have not taken him to the doctor for this yet. It is still very new.
Age: 1.75
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Around 9/9/22, he started getting nasal congestion and a cough. We took him to the doctor 9/23/22. We took him to the doctor, and they diagnosed an ear infection. They prescribed amoxicillin. This lasted for about 3 weeks. Then on 1/6/23, he had a fever cough, vomiting and diarrhea. We took him to the doctor and COVID-19 was ruled out. He suspected that it was Adenovirus. This continued through 1/25/23. He started tugging at his ears and we took him to the doctor again and he was diagnosed with a double ear infection 1/30/23. They prescribed amoxicillin again. He got better, then on 2/10/23 he started getting stuffy again, coughing, and runny nose. He started vomiting yesterday and had a mild fever. We kept home from daycare, but we have not taken him to the doctor for this yet. It is still very new.
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Beyond use date for this vial was 2/7/23, vaccine given on 2/10/23. Patient was monitored for 15 minutes after administration per protocol and no adverse reaction noted.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Dyspnoea
Clinical narrative: Presented to the local ER on 2/14/23 with complaints of fever, cough, generalized weakness, chill, shortness of breath and wheezing.  Placed in observation status with a diagnosis of Covid, hypoxemia, hypotension and altered mental status.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Mental status changes, Pyrexia, Wheezing
Clinical narrative: Presented to the local ER on 2/14/23 with complaints of fever, cough, generalized weakness, chill, shortness of breath and wheezing.  Placed in observation status with a diagnosis of Covid, hypoxemia, hypotension and altered mental status.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Blood glucose abnormal, COVID-19, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/2/2023 Discharge Date: Feb 13, 2023  PRESENTING PROBLEM: Hypoxia [R09.02] Acute congestive heart failure, unspecified heart failure type [I50.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 83 yr old F with PMHx of diastolic heart failure, Hx of CVA with LUE paralysis and LLE weakness, atrial fibrillation on warfarin, pulmonary hypertension on 3 L of oxygen presented to ED with worsening shortness of breath and cough.   Patient stated that few days prior to admission - her husband tested positive for COVID-19 and given the proximity to him she also started a low some symptoms of cough and shortness of breath.    Her oxygen needs went up from 3 liters/minute to 5-6 liters/minute in ED.  Chest x-ray done in the emergency room showed pulmonary vascular congestion with bilateral infiltrates which is atelectasis versus pneumonia. Testing was +COVID on PCR. She was admitted on decadron for COVID and IV lasix for pulmonary congestion. TTE showed EF 65%. Her O2 needs returned to baseline 3L. She was transitioned to home lasix regimen.   PT/OT recommended SAR placement. Regards to her DM II - glucose levels remained labile while on Decadron but ultimately improved. She completed her isolations period and was discharged to SAR in stable condition on her baseline oxygen (3L) on 2/13/23.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Cough, Dyspnoea, Echocardiogram normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/2/2023 Discharge Date: Feb 13, 2023  PRESENTING PROBLEM: Hypoxia [R09.02] Acute congestive heart failure, unspecified heart failure type [I50.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 83 yr old F with PMHx of diastolic heart failure, Hx of CVA with LUE paralysis and LLE weakness, atrial fibrillation on warfarin, pulmonary hypertension on 3 L of oxygen presented to ED with worsening shortness of breath and cough.   Patient stated that few days prior to admission - her husband tested positive for COVID-19 and given the proximity to him she also started a low some symptoms of cough and shortness of breath.    Her oxygen needs went up from 3 liters/minute to 5-6 liters/minute in ED.  Chest x-ray done in the emergency room showed pulmonary vascular congestion with bilateral infiltrates which is atelectasis versus pneumonia. Testing was +COVID on PCR. She was admitted on decadron for COVID and IV lasix for pulmonary congestion. TTE showed EF 65%. Her O2 needs returned to baseline 3L. She was transitioned to home lasix regimen.   PT/OT recommended SAR placement. Regards to her DM II - glucose levels remained labile while on Decadron but ultimately improved. She completed her isolations period and was discharged to SAR in stable condition on her baseline oxygen (3L) on 2/13/23.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction normal, Exposure to SARS-CoV-2, Hypoxia, Lung infiltration, Pneumonia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/2/2023 Discharge Date: Feb 13, 2023  PRESENTING PROBLEM: Hypoxia [R09.02] Acute congestive heart failure, unspecified heart failure type [I50.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 83 yr old F with PMHx of diastolic heart failure, Hx of CVA with LUE paralysis and LLE weakness, atrial fibrillation on warfarin, pulmonary hypertension on 3 L of oxygen presented to ED with worsening shortness of breath and cough.   Patient stated that few days prior to admission - her husband tested positive for COVID-19 and given the proximity to him she also started a low some symptoms of cough and shortness of breath.    Her oxygen needs went up from 3 liters/minute to 5-6 liters/minute in ED.  Chest x-ray done in the emergency room showed pulmonary vascular congestion with bilateral infiltrates which is atelectasis versus pneumonia. Testing was +COVID on PCR. She was admitted on decadron for COVID and IV lasix for pulmonary congestion. TTE showed EF 65%. Her O2 needs returned to baseline 3L. She was transitioned to home lasix regimen.   PT/OT recommended SAR placement. Regards to her DM II - glucose levels remained labile while on Decadron but ultimately improved. She completed her isolations period and was discharged to SAR in stable condition on her baseline oxygen (3L) on 2/13/23.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary congestion, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/2/2023 Discharge Date: Feb 13, 2023  PRESENTING PROBLEM: Hypoxia [R09.02] Acute congestive heart failure, unspecified heart failure type [I50.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 83 yr old F with PMHx of diastolic heart failure, Hx of CVA with LUE paralysis and LLE weakness, atrial fibrillation on warfarin, pulmonary hypertension on 3 L of oxygen presented to ED with worsening shortness of breath and cough.   Patient stated that few days prior to admission - her husband tested positive for COVID-19 and given the proximity to him she also started a low some symptoms of cough and shortness of breath.    Her oxygen needs went up from 3 liters/minute to 5-6 liters/minute in ED.  Chest x-ray done in the emergency room showed pulmonary vascular congestion with bilateral infiltrates which is atelectasis versus pneumonia. Testing was +COVID on PCR. She was admitted on decadron for COVID and IV lasix for pulmonary congestion. TTE showed EF 65%. Her O2 needs returned to baseline 3L. She was transitioned to home lasix regimen.   PT/OT recommended SAR placement. Regards to her DM II - glucose levels remained labile while on Decadron but ultimately improved. She completed her isolations period and was discharged to SAR in stable condition on her baseline oxygen (3L) on 2/13/23.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 11/4/21, #077C21B; 4TH DOSE MODERNA COVID VACCINE GIVEN 7/26/22, #051B22A; pt resides in health care facility, pt had a positive COVID test 8/5/22; pt passed away in the health care facility
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Joint range of motion decreased
Clinical narrative: Lost motion in left shoulder since shot not bone related
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt came in requesting the new Pfizer booster.  His vaccine card stated he had already received 4 primary doses of Pfizer.   Completed screening process and administered Pfizer Bivalent Booster to patient, providing appropriate patient education.  While creating new Covid vaccine card for patient, noted from his chart that he had also received a dose in Sept 2022. Also found   second card in his vaccine holder listing that dose.  Pt was feeling well at the end of his 15 minutes of observation after the vaccine and I gave him his new vaccine card.  In later review and charting, I found that this Sept 2022 dose was a bivalent booster dose, not a monovalent booster.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Unevaluable event
Clinical narrative: Temp of 99.8
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: On 02/04/2023, I began to feel headache, sinus congestion, sore throat, chest congestion and cough. I went to the urgent care and had a COVID-19 test and a Strep test. COVID-19 was positive. Strep test was negative. The doctor gave me a PAXLOVID prescription, which I did take.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinus congestion, Streptococcus test negative
Clinical narrative: On 02/04/2023, I began to feel headache, sinus congestion, sore throat, chest congestion and cough. I went to the urgent care and had a COVID-19 test and a Strep test. COVID-19 was positive. Strep test was negative. The doctor gave me a PAXLOVID prescription, which I did take.
Age: 0.08
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Musculoskeletal stiffness, Pallor, Respiratory arrest, Skin discolouration
Clinical narrative: ON 2/11/23, child taken to ED by parents.  Per ED documentation, patient presented to the ED "for 3 episodes lasting 10 seconds, with 10 seconds of resolution in between, where the patient stopped breathing and became stiff, was initially pale and then turned purple around his face."
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 11/23/21, #939905; 4TH DOSE MODERNA COVID VACCINE GIVEN 4/19/22, #065K21A; pt had a positive COVID test on 8/8/22 in the facility; she passed away in the facility on 8/30/22
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Cough, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: Hospitalized 6/6/23-6/9/23 Hypotensive, hypoxia, dizziness, cough, body aches, diarrhea, dyspnea, congestion, UTI, AKI, PNA,
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Pain, Pneumonia, Respiratory tract congestion
Clinical narrative: Hospitalized 6/6/23-6/9/23 Hypotensive, hypoxia, dizziness, cough, body aches, diarrhea, dyspnea, congestion, UTI, AKI, PNA,
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Hospitalized 6/6/23-6/9/23 Hypotensive, hypoxia, dizziness, cough, body aches, diarrhea, dyspnea, congestion, UTI, AKI, PNA,
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: Congestion; fatigue; sinus issues; scratchy throat. I thought I had a cold, then after a few days the cough and the 101 fever came in. The fever only lasted one day on 101 and it went down to 99 for the next 2 days. I called the doctor and was prescribed PAXLOVID. The temperature went away after 24 hours. The cough also became sporadic. I still have this taste in the back of my mouth that tastes like reflux with acid, however I have not lost any taste at all. The biggest symptom I had was the exhaustion. It is better now but it is still lingering after weeks.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinus disorder, Taste disorder, Throat irritation
Clinical narrative: Congestion; fatigue; sinus issues; scratchy throat. I thought I had a cold, then after a few days the cough and the 101 fever came in. The fever only lasted one day on 101 and it went down to 99 for the next 2 days. I called the doctor and was prescribed PAXLOVID. The temperature went away after 24 hours. The cough also became sporadic. I still have this taste in the back of my mouth that tastes like reflux with acid, however I have not lost any taste at all. The biggest symptom I had was the exhaustion. It is better now but it is still lingering after weeks.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 2/8/22, #045L21A; 4TH DOSE MODERNA COVID VACCINE GIVEN 7/11/22, #017B22A; pt tested positive for COVID in facility on 8/5/22; DNR; comfort care; pt passed away in the facility
Age: 51.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Injection site vesicles, Rash, Rash vesicular
Clinical narrative: 51 yo F who was not known to have had chicken pox and was varicella antibody negative was vaccinated with Varivax (varicella Zoster) vaccine on 1/26/2023 at 1019.  Lot # W022605. Placed SC in right arm.  Patient called clinic 2/8 due to soreness with some vesicles at injection site and on her shoulder.  Video visit set up for 2/10/23.  Patient reported an area on her face at that time.  MD assessed and determined patient had vesicular rash.   No fevers or chills. May have had a mild headache.  Reaction consistent with a mild vaccine reaction and not a true varicella infection. Reassurance given. Patient does not need to isolate and can receive the second vaccine in the series.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Feeling abnormal, Myalgia, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I didn't feel good on 01/10/2023 with being extremely tired and muscles hurt. I tested positive for COVID-19 on 01/10/2023. I contacted the urgent care center and was prescribed PAXLOVID. I felt better with 3 days after starting the medication. I also took MUCINEX and FLONASE to help with my symptoms. As of today, I continue to have fatigue and just feel tired all the time.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Blood test, Chest X-ray abnormal, Chest pain, Computerised tomogram thorax abnormal
Clinical narrative: On 12/21/2022, I had a mild case of chest pain which I thought was just gas. I took TUMS and PEPCID and it subsided within the hour. I didn't have the chest pain again until 12/28/2022 and that occurred in the evening. The same thing happened but the pain persisted. When I took a deep breath, it was very painful. Thursday, I was fine, then Friday it happened again and the chest pain was radiating to my right shoulder. I thought something more was going on, so on the 12/31/2022 I went to the urgent care. I went first thing in the morning and the doctor there ran some tests. The D-dimer indicated some blood clot activity. He immediately put me on XARELTO twice a day. He did a chest x-ray but was unable to do a CT scan. They did the CT scan with contrast on 01/03/2023 and that test came back that I had blood clots in both lungs. They continued me XARELTO 15 mg in the morning and evening. I was scheduled to see my PCP the following week for follow up. On Saturday 01/07/2023, I had the chest pains again and went back to the ER. They did more blood tests to see if there was a heart attack and they also did an x-ray. They noted it was a little bit of pleurisy because of the blood clots. They kept me on the blood thinner. The physician thought maybe this could have been due to recent travel. I saw my PCP and she has now ordered an ultrasound of both legs and I have that on 02/20/2023. I've continued on XARELTO. I started 15 mg in the morning and evening for the first 21 days. Now I've gone down to 20mg per day.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fibrin D dimer increased, Injection site pain, Pain, Painful respiration, Pleurisy
Clinical narrative: On 12/21/2022, I had a mild case of chest pain which I thought was just gas. I took TUMS and PEPCID and it subsided within the hour. I didn't have the chest pain again until 12/28/2022 and that occurred in the evening. The same thing happened but the pain persisted. When I took a deep breath, it was very painful. Thursday, I was fine, then Friday it happened again and the chest pain was radiating to my right shoulder. I thought something more was going on, so on the 12/31/2022 I went to the urgent care. I went first thing in the morning and the doctor there ran some tests. The D-dimer indicated some blood clot activity. He immediately put me on XARELTO twice a day. He did a chest x-ray but was unable to do a CT scan. They did the CT scan with contrast on 01/03/2023 and that test came back that I had blood clots in both lungs. They continued me XARELTO 15 mg in the morning and evening. I was scheduled to see my PCP the following week for follow up. On Saturday 01/07/2023, I had the chest pains again and went back to the ER. They did more blood tests to see if there was a heart attack and they also did an x-ray. They noted it was a little bit of pleurisy because of the blood clots. They kept me on the blood thinner. The physician thought maybe this could have been due to recent travel. I saw my PCP and she has now ordered an ultrasound of both legs and I have that on 02/20/2023. I've continued on XARELTO. I started 15 mg in the morning and evening for the first 21 days. Now I've gone down to 20mg per day.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulmonary thrombosis, Scan with contrast abnormal
Clinical narrative: On 12/21/2022, I had a mild case of chest pain which I thought was just gas. I took TUMS and PEPCID and it subsided within the hour. I didn't have the chest pain again until 12/28/2022 and that occurred in the evening. The same thing happened but the pain persisted. When I took a deep breath, it was very painful. Thursday, I was fine, then Friday it happened again and the chest pain was radiating to my right shoulder. I thought something more was going on, so on the 12/31/2022 I went to the urgent care. I went first thing in the morning and the doctor there ran some tests. The D-dimer indicated some blood clot activity. He immediately put me on XARELTO twice a day. He did a chest x-ray but was unable to do a CT scan. They did the CT scan with contrast on 01/03/2023 and that test came back that I had blood clots in both lungs. They continued me XARELTO 15 mg in the morning and evening. I was scheduled to see my PCP the following week for follow up. On Saturday 01/07/2023, I had the chest pains again and went back to the ER. They did more blood tests to see if there was a heart attack and they also did an x-ray. They noted it was a little bit of pleurisy because of the blood clots. They kept me on the blood thinner. The physician thought maybe this could have been due to recent travel. I saw my PCP and she has now ordered an ultrasound of both legs and I have that on 02/20/2023. I've continued on XARELTO. I started 15 mg in the morning and evening for the first 21 days. Now I've gone down to 20mg per day.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Cerebrovascular accident, Computerised tomogram, Echocardiogram, Electrocardiogram
Clinical narrative: Stroke - 01/09/2022 Left side motor skills very diminihed
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Fine motor skill dysfunction, Laboratory test, Magnetic resonance imaging
Clinical narrative: Stroke - 01/09/2022 Left side motor skills very diminihed
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Pain, Pain in extremity, Pruritus
Clinical narrative: One site is red and swollen. It is hot to the touch. It does hurt. No fevers. He only complains that his arm is sore and itchy. No stomach ache or nausea. No throat itchy. No rash.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Skin warm
Clinical narrative: One site is red and swollen. It is hot to the touch. It does hurt. No fevers. He only complains that his arm is sore and itchy. No stomach ache or nausea. No throat itchy. No rash.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Patient was given an undiluted dose of the Phizer bivalent for age (5-11), 0.2 mLs.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Gait disturbance, Nausea, Posture abnormal
Clinical narrative: Approximately 10 minutes after receipt of vaccine, patient appeared to be slumped over on chair she was directed to sit at for post observation period of 15 minutes, she was awakened and stated she felt nauseous and medical aid was offered to which she refused but she did accept water, she was also unsteady on her feet when she located to another chair. Her daughter was notified to pick her up and stated that she always has reactions following vaccines. When her daughter arrived she escorted her out to her vehicle along with another associate for assistance and the entire duration she was observed to be unsteady on her feet and ambulating slowly.