chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: COVID19, FLU4
Symptoms: Urticaria
Clinical narrative: Urticaria, across right side of neck, jaw, and torso; This spontaneous case was received on 26-Oct-2023 from other non-healthcare professional (consumer) via Pfizer (reference number 202300323410) and concerned a patient of unknown demographics.  The patient's concurrent conditions included prolactinoma. The patient's concomitant medications included cabergoline, used for unreported indication.  On 26-Sep-2023 the patient was vaccinated with Afluria Quadrivalent (influenza vaccine inact split 4v, anatomical location: left arm, dose, indication and route of administration: not reported). The batch number was not reported.  On the same date the patient was vaccinated with non-company, co-suspect Pfizer BioNTech COVID-19 vaccine, Bivalent (active ingredients: not specified; anatomical location: right arm; dose, route of administration and indication: not reported). The batch number was not reported.  On 06-Oct-2023, ten days after receiving Afluria Quadrivalent and non-company, co-suspect Pfizer BioNTech COVID-19 vaccine, the patient experienced urticaria, across right side of neck, jaw, and torso.  On an unspecified day in Oct-2023, the patient received loratadine and hydrocortisone cream as treatment.  At the time of the initial reporting on 26-Oct-2023, the patient had not recovered from the event.  The reporter did not provide a causality assessment.   The case was assessed as non-serious.  Company comment: The event of urticaria is assessed as unassessable to Afluria Quadrivalent due to unsuggestive temporal relationship.; Sender's Comments: The event of urticaria is assessed as unassessable to Afluria Quadrivalent due to unsuggestive temporal relationship.
Sex: F
Vaccine: UNK
Symptoms: Burning sensation, Discomfort, Poor quality sleep, Rash, Urticaria
Clinical narrative: She had a burning rash on her back; This morning she has a slight hint of discomfort.; hive reaction; She has a significant rash; she isn't sleeping well; This spontaneous case was reported by a patient family member or friend and describes the occurrence of BURNING SENSATION (She had a burning rash on her back), DISCOMFORT (This morning she has a slight hint of discomfort.), INSOMNIA (she isn't sleeping well), URTICARIA (hive reaction) and RASH (She has a significant rash) in a female patient of an unknown age who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On an unknown date, the patient experienced BURNING SENSATION (She had a burning rash on her back), DISCOMFORT (This morning she has a slight hint of discomfort.), INSOMNIA (she isn't sleeping well), URTICARIA (hive reaction) and RASH (She has a significant rash). The patient was treated with DEXTROMETHORPHAN HYDROBROMIDE, DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL DM) at an unspecified dose and frequency; PREDNISONE at an unspecified dose and frequency; FAMOTIDINE (PEPCIDIN) at an unspecified dose and frequency; HYDROXYZINE at an unspecified dose and frequency and LORATADINE (CLARITIN [LORATADINE]) at an unspecified dose and frequency. At the time of the report, BURNING SENSATION (She had a burning rash on her back), DISCOMFORT (This morning she has a slight hint of discomfort.), INSOMNIA (she isn't sleeping well), URTICARIA (hive reaction) and RASH (She has a significant rash) had not resolved.        The action taken with mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown) was unknown.       No concomitant medication was reported. Patient has been treated with (antihistamine), oatmeal baths, topical creams.   Reporter did not allow further contact
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: pharmacist administered Fluzone High-Dose, to a patient who had already received the vaccine with no reported adverse event; Initial information received on 24-Oct-2023 regarding an unsolicited valid  non-serious case received from a physician.  This case involves a 65 years old female patient and pharmacist administered Influenza Quadrival A-B High Dose Hv Vaccine [Fluzone High-Dose Quadrivalent], to the patient who had already received the vaccine with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included Elasomeran (Spikevax) for Prophylactic vaccination.  On 18-Oct-2023, the patient received 0.7 ml  of suspect Influenza Quadrival A-B High Dose Hv Vaccine (with an unknown formulation, expiry date and lot number) (Strength: Standard, Frequency: once) via intramuscular route in unknown administration site (UTR: abbreviation not possible) for prophylactic vaccination (Immunisation). On 23-Oct-2023 she also received same dose of the same vaccine .  On 23-Oct-2023, the pharmacist administered Influenza Quadrival A-B High Dose Hv Vaccine, to a patient who had already received the vaccine with no reported adverse event (extra dose administered) (latency: 5 days).  It was reported, Supervisor reporting that another pharmacist administered Fluzone High-Dose, to a patient who had already received the vaccine. This situation is reported as a medication error due to administering 2 Fluzone HD vaccines in a period of 5 days. The caller states that the patient had his first influenza Fluzone High-Dose on 18Oct2023 and then again on 23Oct2023. Caller is also inquiring if they should look for double the potential side effects.    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.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site discomfort, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Injection site inflamed and spreading post 72 hours. I injection site red and tender to touch. Discomfort 6/10
Age: 10.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Arthralgia, Crying, Headache, Hypersomnia, Pain in extremity
Clinical narrative: Headaches, crying, pain from ankle to hip , sleeping all the time extreme sensitivity to light
Age: 10.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Photophobia
Clinical narrative: Headaches, crying, pain from ankle to hip , sleeping all the time extreme sensitivity to light
Age: 59.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Diarrhoea, Dizziness, Syncope
Clinical narrative: Dizziness, fainting about 8 hours after receiving dose.  The following week, possibly related or combined with other factors: diarrhea, dizziness, fainting
Age: 33.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Conjunctivitis
Clinical narrative: Woke up this morning with conjunctivitis
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Chest pain, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient admitted for chest pain, occurred 2 days PTA as well as SOB. Tested positive for Covid-19. Patient was treated with antibiotics. Patient had a mild AKI that resolved by discharge. Patient has remained on room air. Patient discharged home.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Diabetic ketoacidosis, Inflammatory marker increased
Clinical narrative: In the emergency department, patient was found to be in DKA.  He was started on insulin drip.  Patient tested positive for covid.   Inflammatory markers are elevated.  Chest x-ray consistent with bilateral infiltrates. Patient diagnosed with covid-19 pneumonia. Patient remained on room air. Patient was discharged home.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Insulin therapy, Lung infiltration, SARS-CoV-2 test positive
Clinical narrative: In the emergency department, patient was found to be in DKA.  He was started on insulin drip.  Patient tested positive for covid.   Inflammatory markers are elevated.  Chest x-ray consistent with bilateral infiltrates. Patient diagnosed with covid-19 pneumonia. Patient remained on room air. Patient was discharged home.
Sex: U
Vaccine: DTAPIPV
Symptoms: Circumstance or information capable of leading to medication error, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient came in for 4 month old check up. Patient was due for Infarix .5mL dose, and was injected with Kinrix (GSK) 0.5mL suspension. The order was initially placed correctly by physician, the wrong vial was pulled from the refrigerator.   Medication administered to or used by the patient  Yes  Type of staff made initial error Medical Assistant  Reporter's recommendations Review of Sound alike Look alike medications, reviewed policy on verifying orders are entered prior to pulling, as well as what is pulled is correct. Stop Think Act Review (STAR) was discussed as well. Thoroughly identify location of vaccines based on ages
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Acne, Bacterial infection, Cheilitis, Herpes simplex test negative, Herpes zoster
Clinical narrative: Patient developed fluid filled vesicles on the lips around 12 hours after receiving both a flu and COVID vaccine. At the time the vaccine were administered there was a red inflamed lip due to acne where the vesicles appeared that appeared likely to be due an bacterial infection. The patient went to urgent care the day the vesicles on the lips appeared and was prescribed a 24-hour course of Valtrex and 7-day course of antibiotics. Despite treatment the patient went to the ER and was admitted to the hospital three days after the vaccines were administered with Herpes Zoster spreading from the lip up to the edge of the eye on the same side of the face. The patient was in the hospital for three days and was switched from oral Valtrex to to IV Valtrex to stop the spread the Herpes Zoster from spreading. Oral Valtrex did little to slow the progression of HZV. Patient was discharged from the hospital with shingles rash drying and some some limited inflammation in the cornea that managed successfully with steroid eye drops.
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Keratitis, Lip blister, Lip erythema
Clinical narrative: Patient developed fluid filled vesicles on the lips around 12 hours after receiving both a flu and COVID vaccine. At the time the vaccine were administered there was a red inflamed lip due to acne where the vesicles appeared that appeared likely to be due an bacterial infection. The patient went to urgent care the day the vesicles on the lips appeared and was prescribed a 24-hour course of Valtrex and 7-day course of antibiotics. Despite treatment the patient went to the ER and was admitted to the hospital three days after the vaccines were administered with Herpes Zoster spreading from the lip up to the edge of the eye on the same side of the face. The patient was in the hospital for three days and was switched from oral Valtrex to to IV Valtrex to stop the spread the Herpes Zoster from spreading. Oral Valtrex did little to slow the progression of HZV. Patient was discharged from the hospital with shingles rash drying and some some limited inflammation in the cornea that managed successfully with steroid eye drops.
Sex: U
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Proquad and Varivax vaccines were given to same patient at same visit by accident. Proquad lot# X007085 Exp. 09/04/2024 Merck and Co. Inc NDC# 00006-417-00 Varivax Lot# X006980 Exp. 03/07/2025 Merck and Co., Inc. NCD 00006-487-00  Medication administered to or used by the patient Yes  Outcome Pt is doing fine and did not have side effects.  Reporter's recommendations All new and seasoned nurses will have another nurse verify the vaccines they are about to give by another nurse before administering. All nursing staff have been educated about making sure you are giving the correct vaccine and STOP and double check.   Severity Error reached patient; no patient harm
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Muscle spasms, Pyrexia
Clinical narrative: The Pfizer Covid vaccine I took several days ago has given me cramps, diarrhea, chills and some fever
Sex: F
Vaccine: COVID19-2
Symptoms: Angioedema, Chest discomfort, Pharyngeal swelling, Swollen tongue
Clinical narrative: 10002424:ANGIOEDEMA - Patient received the Moderna Covid bivalent booster on 12/14/22. Approximately 2 hours later she began experiencing tongue and throat swelling, and chest tightness. She was administered 0.3 mg IM epinephrine in urgent care and was transferred to the local ER. She was given 50 mg diphenhydramine en route to the ER by EMS, and Solu-Medrol in the ER. Upon evaluation in the ER she did not have any tongue swelling and was not experiencing any respiratory distress. She was observed for 2 hours and then discharged. Patient had previously received three doses of the Moderna monovalent vaccine with no reactions.
Age: 81.0
Sex: F
Vaccine: COVID19, FLUA4, PNC20
Symptoms: Condition aggravated, Confusional state, Fatigue, Gait disturbance, Migraine
Clinical narrative: 81 year old female, history of migraines, history of dementia, like primary progressive aphasia. On October 23, 2023 she received the following vaccinations from Pharmacy: Prevnar20 Lot#HF1068 Spikevax 2023-24 Lot#30320086 Fluad quad 2023-24 (Seqires) Lot#371626 On October 24, 2023 approximately 01:00 the patient experienced two episodes of vomiting. The next day she complained of severe fatigue. She also experienced aggravation of underlying disorder: increased confusion, migraine triggered. She required help to avoid falling due to unstable gait.
Age: 81.0
Sex: F
Vaccine: COVID19, FLUA4, PNC20
Symptoms: Vomiting
Clinical narrative: 81 year old female, history of migraines, history of dementia, like primary progressive aphasia. On October 23, 2023 she received the following vaccinations from Pharmacy: Prevnar20 Lot#HF1068 Spikevax 2023-24 Lot#30320086 Fluad quad 2023-24 (Seqires) Lot#371626 On October 24, 2023 approximately 01:00 the patient experienced two episodes of vomiting. The next day she complained of severe fatigue. She also experienced aggravation of underlying disorder: increased confusion, migraine triggered. She required help to avoid falling due to unstable gait.
Age: 75.0
Sex: F
Vaccine: RSV, RSV, RSV, RSV, RSV, RSV
Symptoms: Fatigue, Vaccination site erythema, Vaccination site hypersensitivity, Vaccination site induration, Vaccination site mass
Clinical narrative: I received Arrexy RSV vaccination on Thursday 10 19 2023. There was no immediate issues. My vaccination site on my upper left arm became very sore and swollen in the next 24 hours. It still aches today more than I have ever experienced with any vaccine. It itches very much. There is a hard lump and swelling remains although it has sibsided. The skin is pinkish and very sensitive. I can use my arm although it does ache. I have no other major symptoms, only slight fatigue that was much more on the 2nd day. I thought I should report what is happening.
Age: 75.0
Sex: F
Vaccine: RSV, RSV, RSV, RSV, RSV, RSV
Symptoms: Vaccination site pain, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: I received Arrexy RSV vaccination on Thursday 10 19 2023. There was no immediate issues. My vaccination site on my upper left arm became very sore and swollen in the next 24 hours. It still aches today more than I have ever experienced with any vaccine. It itches very much. There is a hard lump and swelling remains although it has sibsided. The skin is pinkish and very sensitive. I can use my arm although it does ache. I have no other major symptoms, only slight fatigue that was much more on the 2nd day. I thought I should report what is happening.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling cold, Headache, Pain, Secretion discharge
Clinical narrative: Reporting a reaction to Pfizer COVID 2023-24 vax given at approximately 3:52 PM Monday, 10/16/2023, Lot#HF9298 at Pharmacy Previous COVID vaccinations were also Pfizer. Previous vax was 02/2023 (a different medical facility). I had no long term adverse reaction to that other than an annoying metallic taste which lingered for several weeks. This had also occurred with pervious vaccinations. ?. At 3:59 while waiting 15 minutes after vaccinations I began to get a metallic taste. However, I felt fine and continued to feel fine until late in the evening ?. At approximately 11 PM I suddenly - got an extreme frontal lobe headache (HIGHLY UNUSAL UNDER ANY CIRCUMSTANCES FOR ME), - loud ringing in my ears, -felt cold, -and began to shake violently as though I had no obvious lymph node swelling. -Shortly thereafter, I experienced pain near, but not in several joints, notably where I had had previous injuries. - I drank a lot of water and went to bed with more clothing and covering than typical & slept very fitfully because of pain in the previously mentioned areas and the headache, accompanied by ear ringing. And having to urinate because of the water I'd been drinking. -I basically shook from my bed to the toilet in a repeated cycle. - I got up on Tuesday at approximately 4:30PM feeling better but still having the same symptoms, reduced in intensity. I took 325mg of aspirin and felt substantially better. - a few hours later I began to generate large amounts of mucus. This lessened substantially by Wednesday along the previous symptoms. -As of this writing Thursday late afternoon, my symptoms appear to continue to diminish. I am feeling almost normal, but am still experiencing a slight headache and constant ear ringing.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Tremor
Clinical narrative: Reporting a reaction to Pfizer COVID 2023-24 vax given at approximately 3:52 PM Monday, 10/16/2023, Lot#HF9298 at Pharmacy Previous COVID vaccinations were also Pfizer. Previous vax was 02/2023 (a different medical facility). I had no long term adverse reaction to that other than an annoying metallic taste which lingered for several weeks. This had also occurred with pervious vaccinations. ?. At 3:59 while waiting 15 minutes after vaccinations I began to get a metallic taste. However, I felt fine and continued to feel fine until late in the evening ?. At approximately 11 PM I suddenly - got an extreme frontal lobe headache (HIGHLY UNUSAL UNDER ANY CIRCUMSTANCES FOR ME), - loud ringing in my ears, -felt cold, -and began to shake violently as though I had no obvious lymph node swelling. -Shortly thereafter, I experienced pain near, but not in several joints, notably where I had had previous injuries. - I drank a lot of water and went to bed with more clothing and covering than typical & slept very fitfully because of pain in the previously mentioned areas and the headache, accompanied by ear ringing. And having to urinate because of the water I'd been drinking. -I basically shook from my bed to the toilet in a repeated cycle. - I got up on Tuesday at approximately 4:30PM feeling better but still having the same symptoms, reduced in intensity. I took 325mg of aspirin and felt substantially better. - a few hours later I began to generate large amounts of mucus. This lessened substantially by Wednesday along the previous symptoms. -As of this writing Thursday late afternoon, my symptoms appear to continue to diminish. I am feeling almost normal, but am still experiencing a slight headache and constant ear ringing.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Device leakage, Underdose
Clinical narrative: Patient was being given a flu shot and the fluid came out at the bottom of the needle /top of the syringe hub. Patient had to be give another injection as a result. During the investigation the needle was removed and placed on a standard syringe. The needle and syringe worked normally at that point. when the needle was reapplied to the flu vaccine, it appeared that the fluid came out of the hub of the flu vaccine. Vaccine was Fluarix Quadrivalent Lot number 9CE79. NDC 5816090941.
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Feeling hot, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: received the fluzone flu shot at 9 am, by 9:10, started getting hot in area and red. By 9:25 started itching and then arm started swelling. Tried to relieve with ice, didn't help. Then got dizzy and hot and nauseated. Went down to RN who administered shot and she called employee health and I saw a PA at 10:10. She said this is a common side effect and prescribed ibuprofen and benadaryl. Took 1/2 a tablet at 10:45 of Benadryl and within 20 minutes symptoms were relieved and then arm started hurting. No other symptoms occurred the rest of the day besides sore arm.
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: received the fluzone flu shot at 9 am, by 9:10, started getting hot in area and red. By 9:25 started itching and then arm started swelling. Tried to relieve with ice, didn't help. Then got dizzy and hot and nauseated. Went down to RN who administered shot and she called employee health and I saw a PA at 10:10. She said this is a common side effect and prescribed ibuprofen and benadaryl. Took 1/2 a tablet at 10:45 of Benadryl and within 20 minutes symptoms were relieved and then arm started hurting. No other symptoms occurred the rest of the day besides sore arm.
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Diabetic ketoacidosis, Intensive care
Clinical narrative: Filing on behalf of my senior mother. During continued use of the drug Ozempic, consistent vomiting and dehydration became alarming. On October 6th, severe dehydration from vomiting induced by Ozempic and a flu shot administered 2 days prior triggered diabetic ketoacidosis resulting in hospitalization and a stay in the ICU. For reference, the flu shot does not regularly have such adverse side effects in the patient.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Computerised tomogram head, Condition aggravated, Echocardiogram normal, Insomnia
Clinical narrative: 1. Increase in severity and duration of vestibular migraines. I've always had migraines, but they increased from perhaps one per week to several per week, lasting days. No pain reliever works. Sometimes I am up the entire night with severe pain. I don't take an of the standard migraine meds because I don't want to have them in my body. I take Ibuprofen and Tylenol and even decongestants offer some relief. I continue to suffer these episodes. My doctor's suggestion was migraine meds...PT told me vestibular and while her manual PT did work, I cannot afford to go 2x per week, which was the only way I had some relief. 2. Heart palpitations - I have an underlying heart condition (Mitral valve disease) and was told by my cardiologist that it was fine to take the vaccine. I was concerned reading about possible vaccine issues affecting the heart, but I was so fearful at that time, and wanted to protect my mother, I still took the vaccine. I saw a cardiologist in 2021, but there was nothing conclusive and he didn't see anything too serious. He denied that the vaccine could have harmed my heart further. I currently have palpitations, which happen a lot of the time when I get my migraines. I have an appointment with a new cardiologist in December, once I move. 3. Insomnia - I suffer from severe insomnia, some of it related to migraines. I cannot sleep.  I have been and still am extremely healthy. Despite the migraines and heart issues, I work out 5 days a week, travel extensively, and live an active life. Never did I imagine I would suffer a debilitating issue like this.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pain, Palpitations, Sleep disorder, Vestibular migraine
Clinical narrative: 1. Increase in severity and duration of vestibular migraines. I've always had migraines, but they increased from perhaps one per week to several per week, lasting days. No pain reliever works. Sometimes I am up the entire night with severe pain. I don't take an of the standard migraine meds because I don't want to have them in my body. I take Ibuprofen and Tylenol and even decongestants offer some relief. I continue to suffer these episodes. My doctor's suggestion was migraine meds...PT told me vestibular and while her manual PT did work, I cannot afford to go 2x per week, which was the only way I had some relief. 2. Heart palpitations - I have an underlying heart condition (Mitral valve disease) and was told by my cardiologist that it was fine to take the vaccine. I was concerned reading about possible vaccine issues affecting the heart, but I was so fearful at that time, and wanted to protect my mother, I still took the vaccine. I saw a cardiologist in 2021, but there was nothing conclusive and he didn't see anything too serious. He denied that the vaccine could have harmed my heart further. I currently have palpitations, which happen a lot of the time when I get my migraines. I have an appointment with a new cardiologist in December, once I move. 3. Insomnia - I suffer from severe insomnia, some of it related to migraines. I cannot sleep.  I have been and still am extremely healthy. Despite the migraines and heart issues, I work out 5 days a week, travel extensively, and live an active life. Never did I imagine I would suffer a debilitating issue like this.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Insomnia, Mitral valve disease, Palpitations, Vestibular migraine
Clinical narrative: 1. Increase in severity and duration of vestibular migraines. I've always had migraines, but they increased from perhaps one per week to several per week, lasting days. No pain reliever works. Sometimes I am up the entire night with severe pain. I don't take an of the standard migraine meds because I don't want to have them in my body. I take Ibuprofen and Tylenol and even decongestants offer some relief. I continue to suffer these episodes. My doctor's suggestion was migraine meds...PT told me vestibular and while her manual PT did work, I cannot afford to go 2x per week, which was the only way I had some relief. 2. Heart palpitations - I have an underlying heart condition (Mitral valve disease) and was told by my cardiologist that it was fine to take the vaccine. I was concerned reading about possible vaccine issues affecting the heart, but I was so fearful at that time, and wanted to protect my mother, I still took the vaccine. I saw a cardiologist in 2021, but there was nothing conclusive and he didn't see anything too serious. He denied that the vaccine could have harmed my heart further. I currently have palpitations, which happen a lot of the time when I get my migraines. I have an appointment with a new cardiologist in December, once I move. 3. Insomnia - I suffer from severe insomnia, some of it related to migraines. I cannot sleep.  I have been and still am extremely healthy. Despite the migraines and heart issues, I work out 5 days a week, travel extensively, and live an active life. Never did I imagine I would suffer a debilitating issue like this.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Cough, Fatigue, Fibrin D dimer, Pneumonia
Clinical narrative: to ED c/o fatigue, cough, + pneumonia. TX: decadron, remdesivir, zinc, o2 2lpm, lovenox, D-dimer 0.73, CRP 5.25, ferritin 357; d/c'd home on O2
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin increased
Clinical narrative: to ED c/o fatigue, cough, + pneumonia. TX: decadron, remdesivir, zinc, o2 2lpm, lovenox, D-dimer 0.73, CRP 5.25, ferritin 357; d/c'd home on O2
Age: 83.0
Sex: M
Vaccine: COVID19, FLU4, RSV
Symptoms: Jugular vein thrombosis, Peripheral swelling, Subclavian vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Left upper extremity deep venous thrombosis of L jugular and L subclavian. Symptoms of L arm swelling started 10/24/23 and blood clot was diagnosed by ultrasound on 11/1/23
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac arrest, Cough, Death, Haemofiltration
Clinical narrative: to ED c/o cough, + pneumonia, TX: toci, decadron, req vasopressors for hypotension, CRRT, develops afib, cardiac arrest on 10/26, made DNR 10/27, pt expired 10/28
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Pneumonia, Vasopressive therapy
Clinical narrative: to ED c/o cough, + pneumonia, TX: toci, decadron, req vasopressors for hypotension, CRRT, develops afib, cardiac arrest on 10/26, made DNR 10/27, pt expired 10/28
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Vaccine administered at approx 1300.  EE reports having itching and swelling to left arm and site at approx 1630.  EE took oral benadryl at home.  Swelling and itching has ceased.  Redness noted to site, approx 2.5 inches in diameter.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bacterial infection, COVID-19 pneumonia, Cardio-respiratory arrest, Cough
Clinical narrative: Presented with worsening cough, SOB. Severe sepsis secondary to COVID-19 pneumonia  and acute respiratory failure, COVID pneumonia and suspected gram negative bacteria. Code blue called on 02/02 because of unresponsiveness. Resp status improved - adjusted O2 down to 2LRemdesivir complete. Off Veletri, S/p Actemra, Cont IV Merrem - switched from cefepime 2/5 due to AMS, Per iD pt can be dced on home O2 and on eliquis 2.5 BID, levaquin , singulair and vit D . tapered steroids
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Sepsis, Unresponsive to stimuli
Clinical narrative: Presented with worsening cough, SOB. Severe sepsis secondary to COVID-19 pneumonia  and acute respiratory failure, COVID pneumonia and suspected gram negative bacteria. Code blue called on 02/02 because of unresponsiveness. Resp status improved - adjusted O2 down to 2LRemdesivir complete. Off Veletri, S/p Actemra, Cont IV Merrem - switched from cefepime 2/5 due to AMS, Per iD pt can be dced on home O2 and on eliquis 2.5 BID, levaquin , singulair and vit D . tapered steroids
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Muscle rigidity, Muscle tightness, Myalgia, Nausea
Clinical narrative: Severe light headedness, severe nausea, all muscles are rigid, tense, sore
Age: 49.0
Sex: F
Vaccine: COVID19-2, RAB
Symptoms: Arthralgia, Asthenia, Inflammation, Mobility decreased
Clinical narrative: COVID Booster given 05 Oct. Second Rabies booster given October 6th in same arm. Soreness and weakness has persisted in joint for weeks and was not improving quickly. No swelling just pain, inflammation, and difficulty lifting and moving things with left elbow. Given methyl prednisone shot followed by standard taper which is finishes tomorrow 02-Nov. Still experiencing some pain, but there is improvement. (These dates are correct) if I put the wrong dates earlier in the form.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Injection site rash
Clinical narrative: Large rash on the underpart of the arm in which I was vaccinated.
Age: 71.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Dry skin, Erythema, Erythema of eyelid, Eyelids pruritus, Injection site erythema
Clinical narrative: 36 hours after Shingrix, noticed eye swelling and itchiness.   At 48 hours, right eyelid 1.2-3/4 swollen shut with redness and itchiness on eyelid & under eye skin. Left eye not quite as swollen but also itchiness.  Looked like I had been punched in the eyes (without the bruising). Left arm vaccine site 3-inch area of rough and pink to red skin. Took Benadryl & Ibuprofen every 4-6 hours. At 72 hours symptoms started lessening but still had skin redness on eyelids and under eye.   Took Benadryl & Ibuprofen but at about 6-8 hours between. At 96 hours still some swelling, redness & itchiness
Age: 71.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Injection site reaction, Swelling of eyelid
Clinical narrative: 36 hours after Shingrix, noticed eye swelling and itchiness.   At 48 hours, right eyelid 1.2-3/4 swollen shut with redness and itchiness on eyelid & under eye skin. Left eye not quite as swollen but also itchiness.  Looked like I had been punched in the eyes (without the bruising). Left arm vaccine site 3-inch area of rough and pink to red skin. Took Benadryl & Ibuprofen every 4-6 hours. At 72 hours symptoms started lessening but still had skin redness on eyelids and under eye.   Took Benadryl & Ibuprofen but at about 6-8 hours between. At 96 hours still some swelling, redness & itchiness
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies positive, Asthenia, Blood bicarbonate, Blood creatinine increased, Blood potassium increased
Clinical narrative: Admitted with worsening weakness, decreased appetite, vomiting, nausea. Tested positive for Covid 1/22/22. On admission, she was hypotensive and hypothermic with LA of 13. Na was 155, pot 5.8, bicarb 9, and Cr 4.81. She was volume resuscitated and started on broad spectrum abx. She was ultimately felt to have aspiration pna and completed a course of clindamycin.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium increased, COVID-19, Decreased appetite, Hypotension, Hypothermia
Clinical narrative: Admitted with worsening weakness, decreased appetite, vomiting, nausea. Tested positive for Covid 1/22/22. On admission, she was hypotensive and hypothermic with LA of 13. Na was 155, pot 5.8, bicarb 9, and Cr 4.81. She was volume resuscitated and started on broad spectrum abx. She was ultimately felt to have aspiration pna and completed a course of clindamycin.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pneumonia aspiration, Resuscitation, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Admitted with worsening weakness, decreased appetite, vomiting, nausea. Tested positive for Covid 1/22/22. On admission, she was hypotensive and hypothermic with LA of 13. Na was 155, pot 5.8, bicarb 9, and Cr 4.81. She was volume resuscitated and started on broad spectrum abx. She was ultimately felt to have aspiration pna and completed a course of clindamycin.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Chills, Cough, Dizziness
Clinical narrative: Presented to the ED with fever and myalgias. Symptoms started yesterday with fever, chills, generalized muscle aches, nausea, dizziness, cough and fatigue. Pt took aleve without improvement in her symptoms. Pt denies diarrhea, abdominal pain or vomiting. Pt is vaccinated with pfizer in March. In the ED, COVID test came positive and was admitted for management. Pt then became unresponsive with asystole on the monitor, started chest compression for 1 minute before return of pulse.Pt initially not hypoxic but now needing 4 liters oxygen supplementation. Infectious disease consulted regarding covid 19 infection. She was started on IV Decadron and IV Remdesivir for 5 days ordered by ID. She is doing better. She was weaned to room air.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoxia, Myalgia, Nausea, Pulse absent
Clinical narrative: Presented to the ED with fever and myalgias. Symptoms started yesterday with fever, chills, generalized muscle aches, nausea, dizziness, cough and fatigue. Pt took aleve without improvement in her symptoms. Pt denies diarrhea, abdominal pain or vomiting. Pt is vaccinated with pfizer in March. In the ED, COVID test came positive and was admitted for management. Pt then became unresponsive with asystole on the monitor, started chest compression for 1 minute before return of pulse.Pt initially not hypoxic but now needing 4 liters oxygen supplementation. Infectious disease consulted regarding covid 19 infection. She was started on IV Decadron and IV Remdesivir for 5 days ordered by ID. She is doing better. She was weaned to room air.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Resuscitation, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Presented to the ED with fever and myalgias. Symptoms started yesterday with fever, chills, generalized muscle aches, nausea, dizziness, cough and fatigue. Pt took aleve without improvement in her symptoms. Pt denies diarrhea, abdominal pain or vomiting. Pt is vaccinated with pfizer in March. In the ED, COVID test came positive and was admitted for management. Pt then became unresponsive with asystole on the monitor, started chest compression for 1 minute before return of pulse.Pt initially not hypoxic but now needing 4 liters oxygen supplementation. Infectious disease consulted regarding covid 19 infection. She was started on IV Decadron and IV Remdesivir for 5 days ordered by ID. She is doing better. She was weaned to room air.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Cough, Dyspnoea, Fatigue
Clinical narrative: Admitted with SOB, cough, weakness, fatigue. Newly dx Afib w/ RVR. Increasing O2 requirement. He received 7 days of dexamethasone, 5 days of remdesivir, s/p tocilizumab 12/5, ceftriaxone X 6d, azithromycin X 3d, s/p cefepime 12/2
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Memory impairment, Physical deconditioning
Clinical narrative: Came to emergency room with generalized weakness and memory deficit. Patient was admitted with COVID 19 pneumonia without hypoxemic respiratory failure.  Patient was treated with vitamin-C, zinc, Lovenox and oral steroids.  He remained off supplemental oxygen. Found to be very deconditioned and was discharged to SNF.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Headache, Nausea, Oropharyngeal pain
Clinical narrative: Admitted to hospital w/ headache, nausea, vomiting, cough, increasing SOB. Received Remdesivir.  Patient has a little headache and some nausea and now with some sore throat, now all resolved.  Denies cough or shortness of breath.  Currently on room air.  Infectious Disease on board.   completed remdesivir for 3 days per ID
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Admitted to hospital w/ headache, nausea, vomiting, cough, increasing SOB. Received Remdesivir.  Patient has a little headache and some nausea and now with some sore throat, now all resolved.  Denies cough or shortness of breath.  Currently on room air.  Infectious Disease on board.   completed remdesivir for 3 days per ID
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Rash maculo-papular
Clinical narrative: Generalized maculopapular rash with onset around trunk and more generalized spread. Rash developed 2 days after vaccination. No difficulty breathing. No vomiting. No fever. No other sick symptoms at time of clinic evaluation for the rash. Rash appearing non-pruritic.  Rash appearing to slowly resolve spontaneously since onset.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Early the next morning load buzzing in both ears, I still have it to date   11/01/2023.  I had the buzzing in both ears for a short while after the Covid Vaccine and booster before but in about a week it went away.  I have never had any issues before with this.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Limb discomfort, Pain in extremity
Clinical narrative: R-Arm hurts really bad, have a bad headache, and my legs are very heavy.
Age: 14.0
Sex: M
Vaccine: TYP
Symptoms: Pruritus, Urticaria
Clinical narrative: First does Sun Oct 30 at 7:30 pm. No reaction.  Second dose Tuesday Oct 31 at 7:30 pm.  At 8:45 pm the inside of both thighs had hives and itched.  He went to bed and woke in the morning at 5:45 am to no hives on his legs but hives on both forearms and both tops of his feet.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Joint swelling
Clinical narrative: Patient reported redness and swelling around there elbow a couple days following administration of the vaccine.  Patient was counseled to take ibuprofen and continue to monitor and follow up if no improvement.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Client had received flu vaccine at hospital 9-8-23. When nurse asked client, she did not remember getting a flu vaccination.  Nurse did not check MICC for vaccination status prior to vaccinating.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid 19 Breakthrough Infection
Age: 86.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Conjunctivitis, Crying, Diarrhoea, Fatigue
Clinical narrative: 10/7/23: Extreme fatigue, chills, headaches 10/16: uncontrollable crying, congestion, nausea, diarrhea, extreme fatigue 10:19- Present:  extreme fatigue, bilateral conjunctivitis, runny nose, itching all over
Age: 86.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Nausea, Pruritus, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: 10/7/23: Extreme fatigue, chills, headaches 10/16: uncontrollable crying, congestion, nausea, diarrhea, extreme fatigue 10:19- Present:  extreme fatigue, bilateral conjunctivitis, runny nose, itching all over
Age: 5.0
Sex: F
Vaccine: UNK
Symptoms: Injection site inflammation, Injection site swelling
Clinical narrative: Swollen and inflamed extending from the site of injection to the elbow
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: 3.5 in x 6.0 in area of redness, warmth and swelling
Age: 3.0
Sex: M
Vaccine: COVID19-2
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: A dose of Pfizer Bivalent was administered to a client who had two Moderna doses prior. For the age group of client, bivalent should have been of Moderna brand as well. Client had no adverse reactions per parent.
Age: 1.0
Sex: M
Vaccine: DTAP, DTAPIPVHIB, HEP, IPV
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given double dose of DTAP & IPOL because of being given Pentacel as well.  No issues as of now that we are aware of.
Age: 17.0
Sex: F
Vaccine: COVID19, MENB
Symptoms: Interchange of vaccine products, No adverse event, Wrong product administered
Clinical narrative: Patient was given the wrong product.   She started the Meningococcal B series on 10/10/2022 at a different facility with Bexsero.  The patient was given a dose of Men B Trumenba at this visit 10/26/2023.  The products are not interchangeable.   The patient was scheduled back for another dose of Trumenba in 6 months.   There were no adverse reactions to this vaccine.
Age: 0.33
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Wrong patient received product
Clinical narrative: Patient is only 4 months old.  Nurse went into wrong exam room with the wrong patient and administered vaccines intended for the 15 month old in the next room.  The patient also received Vaqta, MMR and Varivax which was the correct order.  PNP consulted with RN which is the Immunization Nurse Consultant.  Instructed that patient may experience a slight rash or reaction but to watch the child for adverse reactions and if any problems go to ED.  Patient brought back the next day for follow-up.  Mom stated patient was smiling active and playful without fever.  Minimal redness and swelling at injection sites.  No problems at this time.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Feeding disorder, Feeling abnormal, Feeling hot, Fluid intake reduced
Clinical narrative: She got her vaccine, about 6:00 PM she was hot and she felt like she had been hit by a truck.  She kept getting hotter, her arm hurt but not horribly.  She was so hot that she realized that she had a fever, it got to 105 throughout the night.  Her arms and legs were paralyzed and her jaw, she could not talk as it was jaw.  Her teeth mashed down to far that she could not open her mouth.  The fever was unbearable as well as her arms and legs until they became paralyzed and she could not walk or get to the bathroom.  By the next morning it seemed that the paralysis was gone, but the fever was still there, not as high, not as dizzy and she could talk and could move her jaws.  She felt like she had been hurt in a car accident as she was hurting everywhere.  By the next day on Saturday 10/14/23  everything was about over.  She thought was going to die.  She cannot take aspirin or any of those products as she has only one kidney and could not take anything for her fever.  She was not able to get dressed or get out of the house due to the paralysis.  She was not able to eat or drink anything at this time as she could not unclench her draw, possibly like lock-jaw.    She talked to the pharmacist and explained to her what happened, and she gave her our phone # to call and report it.    She is feeling better, she is still tired and has CHF, and does not know if that's any reaction.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Monoplegia, Pain, Pain in extremity, Pyrexia
Clinical narrative: She got her vaccine, about 6:00 PM she was hot and she felt like she had been hit by a truck.  She kept getting hotter, her arm hurt but not horribly.  She was so hot that she realized that she had a fever, it got to 105 throughout the night.  Her arms and legs were paralyzed and her jaw, she could not talk as it was jaw.  Her teeth mashed down to far that she could not open her mouth.  The fever was unbearable as well as her arms and legs until they became paralyzed and she could not walk or get to the bathroom.  By the next morning it seemed that the paralysis was gone, but the fever was still there, not as high, not as dizzy and she could talk and could move her jaws.  She felt like she had been hurt in a car accident as she was hurting everywhere.  By the next day on Saturday 10/14/23  everything was about over.  She thought was going to die.  She cannot take aspirin or any of those products as she has only one kidney and could not take anything for her fever.  She was not able to get dressed or get out of the house due to the paralysis.  She was not able to eat or drink anything at this time as she could not unclench her draw, possibly like lock-jaw.    She talked to the pharmacist and explained to her what happened, and she gave her our phone # to call and report it.    She is feeling better, she is still tired and has CHF, and does not know if that's any reaction.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Trismus
Clinical narrative: She got her vaccine, about 6:00 PM she was hot and she felt like she had been hit by a truck.  She kept getting hotter, her arm hurt but not horribly.  She was so hot that she realized that she had a fever, it got to 105 throughout the night.  Her arms and legs were paralyzed and her jaw, she could not talk as it was jaw.  Her teeth mashed down to far that she could not open her mouth.  The fever was unbearable as well as her arms and legs until they became paralyzed and she could not walk or get to the bathroom.  By the next morning it seemed that the paralysis was gone, but the fever was still there, not as high, not as dizzy and she could talk and could move her jaws.  She felt like she had been hurt in a car accident as she was hurting everywhere.  By the next day on Saturday 10/14/23  everything was about over.  She thought was going to die.  She cannot take aspirin or any of those products as she has only one kidney and could not take anything for her fever.  She was not able to get dressed or get out of the house due to the paralysis.  She was not able to eat or drink anything at this time as she could not unclench her draw, possibly like lock-jaw.    She talked to the pharmacist and explained to her what happened, and she gave her our phone # to call and report it.    She is feeling better, she is still tired and has CHF, and does not know if that's any reaction.
Age: 0.67
Sex: M
Vaccine: HIBV
Symptoms: No adverse event
Clinical narrative: Patient had no adverse reaction
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Feeling cold, Pain, Pyrexia, Somnolence
Clinical narrative: Fever, chills, aches,pain, upset stomach, sleepy
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure increased, Chest discomfort, Eye pruritus, Throat irritation
Clinical narrative: 0810: Pt complained of itchy throat, eyes and she complained of "foggy" chest as described by the pt.