chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Abdomen scan, Anxiety, Dyspnoea, Electrocardiogram, Hyperhidrosis
Clinical narrative: Patient said that the evening after receiving the vaccination he started feeling very anxious, having shortness of breath from time to time as well as sweating profusely. This is his first covid vaccine he has received. This came and went over the next few days. on 10/16/22 he visited the emergency room for his symptoms and was prescribed hydroxyzine 25mg. Even after the hydroxyzine he is still having the same bouts of anxiety. Today 10/18/22 he came to the pharmacy to report his symptoms. He also contacted his primary care physician to let them know as well.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is under 5 years of and was given Pfizer 5-11 years of age as a second dose , No adverse event at the time of the vaccine. patient has waited for 15 minute post vaccine and she did not show any ill effect
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Angiogram pulmonary abnormal, Blood HIV RNA below assay limit, Blood culture negative, Blood immunoglobulin G normal, Blood immunoglobulin M
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Borrelia test negative, Cardiac dysfunction, Cardiac imaging procedure abnormal, Chest pain, Chills
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Computerised tomogram thorax, Cytomegalovirus test negative, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Epstein-Barr virus test negative, Fatigue, Gynaecomastia, HIV antibody negative, HIV antigen negative
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Hepatitis viral test negative, Imaging procedure artifact, Left ventricular dysfunction, Lung opacity, Mycoplasma test
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Night sweats, Nodule, Oral disorder, Oropharyngeal pain, Pain in extremity
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Parvovirus B19 test negative, Pleural effusion, Productive cough, Pulmonary oedema, Pulmonary septal thickening
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Pyrexia, Rash, SARS-CoV-2 test negative, Scan with contrast abnormal, Sensitive skin
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Sputum discoloured, Streptococcus test negative, Tachycardia, Troponin increased, Vomiting
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Adenovirus test, Blood HIV RNA, Borrelia test positive, C-reactive protein increased, Chest X-ray abnormal
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Cytomegalovirus test negative, Dyspnoea, Dyspnoea exertional, Echocardiogram, Echovirus test negative
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Enterovirus test negative, Epstein-Barr virus test negative, Fatigue, Hepatitis viral test negative, Hypertension
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Immunology test, Laboratory test, Left ventricular dysfunction, Legionella test, Measles antibody negative
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Mycoplasma test positive, Myocarditis, Oedema peripheral, Orthopnoea, Parvovirus B19 test positive
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Pyrexia, Rash, Rubella antibody negative, Streptococcus test negative, Troponin increased
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 37.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Viral test negative
Clinical narrative: This is a 37-year-old male who presented to the hospital with chest pain and shortness of breath.  He admitted to the cardiology service with concern for vaccine induced myocarditis. Patient was in his USOH until 10/5/22   Timeline of events: 10/5/ 2022: Patient received Moderna bivalent booster vaccine as well as flu shot.  Patient was previously vaccinated against COVID with 4 previous Moderna vaccines tolerated each.  Patient also had mild COVID infection in July 2022. That evening had fatigue and mild fever. 10/7/22 flew away for the weekend with his wife. Did not eat any raw fish or undercooked meats. Was still having fevers and chills during this trip 10/9 fevers and chills persisted.  -developed chest pain and SOB -developed rash. First noted small nodules on fingers, then lesions in mouht and finally rash on trunk.  Non-pruritic. The nodules nor mouth lesions are not painful.  Denies anogenital lesions.  Went to Urgent care who directed him to ED. Went to hospital. His troponins were 242-- >202-- >108, and echo showed his heart "wasn't pumping optimally". He underwent Chest Ct but was told it would take 2 days to get results so he left and came here instead (10/10)      Pt has been having night sweats since 10/5/22 No arthralgias or LAD No nausea, vomited once 10/9 Feels like scalp on top of his head is "sensititve". This is worse when febrile  +mild cough productive of brown sputum SOB and Chest pain have now resolved.  Today notes some pain on his L 1st MTP great toe. No erythema or warmth +mild sore throat    Pt has a 7 year old son who has not been ill Works in finance No exposures to pets, farm animals, birds No outdoor hobbies No known exposure to TB. Had ppd testing 2019 that was negative   6 weeks ago had a sinus infection; was treated with Medrol dose pack, Zpack and albuterol.
Age: 86.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient asked for a flu shot and was given a flu shot.  At the end of the conversation she said, " I don't know why this is necessary?"  I asked her why a flu shot would not be and she said, "No, I wanted a COVID shot."  Patient stated she had a flu shot at another Pharmacy.  Informed patient of the misunderstanding and no adverse side effects have been reported.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: patient reported arm pain in a week and now reporting of loss of movement on upper (vaccinated arm) @injection site
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, Oropharyngeal pain
Clinical narrative: I had a sore throat, nasal congestion, cough, and fatigue. I tested positive for COVID-19 at home. I spoke to my doctor and they prescribed me PAXLOVID.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had a sore throat, nasal congestion, cough, and fatigue. I tested positive for COVID-19 at home. I spoke to my doctor and they prescribed me PAXLOVID.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness
Clinical narrative: Next day after vaccination patient stated she passed out.
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Injection site pain
Clinical narrative: Patient in waiting room post injection and 10 mins later she expressed her lip was slightly numb.  I took her to procedure room and she stated it felt numb.  She was able to walk normally into room.  She stated she had not eaten or drank anything this morning,  Pt was speaking in full sentences and no signs or symptoms of swelling or dysphagia noted.  Pt was able to drink water and crackers and tolerated well.  O2 sat 96 percent.  pt remained in observation for 1/2 hour and left stating she felt better.  I followed up with her today and she stated her hand and arm felt numb an hour later or she said the site was painful too.  8/10 on pain scale which has subsided she said,  She was able to work on Sunday and Monday and feels better today she said.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: Patient called 10/18/22 asking for the date of her last dose to give to her doctor appointment due to increasing arm pain since her last covid shot on 8/25/22. Patient states her arm hurt (pain scale of 8-10) after 4-5 days of receiving the shot. The pain radiated to her shoulder 1-1.5 weeks after and she now cannot raise her arm without feeling pain. She used the tens unit which did provide some relief. Patient also got the 1st and 2nd Moderna dose with us but did not have any issues until this 3rd (booster) Moderna dose. She read from somewhere that the covid shot could possibly cause this type of arm pain as an adverse effect so she wants to see her doctor to check.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given Pfizer Monovalent instead of Pfizer Bivalent.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Taste disorder
Clinical narrative: We ate when we got home at noon.  Usually when coming off of a fast everything tastes so delicious, so yummy.  My meal did not.  I didn't even want to finish it, but I did.  Drinking water, which I consume lots of, tasted HORRIBLE.  Yuck.  It made me feel nauseous.  At supper again my meal tasted bad, and the water was sickening to the taste.  This continued until about 2 pm the next day (Oct 18).  It is now nearly 6 pm.  Food tastes okay, water tastes a little off, but drinkable.  Am back to normal.  Yay!
Age: 27.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Hyperhidrosis, Nausea, Pallor, Regurgitation
Clinical narrative: At 2:30 PM RN administered 0.1 ml of first dose of Jynneos vaccine Lot # FDP00015 exp date 12/10/2022 via intradermal route to left forearm to Male patient, age 27. Prior to vaccination, patient advised RN that he has a needle phobia (Trypaophobia)  and sometimes gets nauseous following procedures involving needles. RN offered education of intradermal procedure. Patient appreciated education and said he was ready for the vaccine. RN administered the vaccine and asked how the patient was feeling good following the procedure. Patient said he was fine but the RN noted a loss of color in the patient's face and new sweat beading on his forehead. RN told patient to stay seated and offered water, which the patient accepted. Patient then said he was starting to feel nauseous so the RN provided a receptacle for the patient. The patient leant over the receptacle and regurtitated the water he has just sipped. He regurgitated 3 times. RN comforted the patient and slowly transistioned him to a reclining chair. After 3 minutes, the patient was feeling relieved and the RN offered a small snack. The patiet accepted the crackers and started eating a few slowly. He started feeling much better and the RN monitored him for an additional 15 minutes. RN noted a significant improvement in the patient's color and demeanor and was satisfied that the patient was able to safely and comfortably leave the vaccination sight.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Confusional state, Dizziness, Feeling drunk, Immediate post-injection reaction
Clinical narrative: Pt felt dizzy, confused, "like she was drunk" immediately after vaccination. 911 was called and arrived shortly thereafter. Emergency personnel took vitals and questioned patient, determined no allergic reaction was taking place. Did not give any treatment. Pt refused going to hospital for observation.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent Pfizer instead of Bivalent Pfizer
Age: 75.0
Sex: F
Vaccine: FLUA4
Symptoms: Dizziness, Vomiting
Clinical narrative: DIZZINESS AND VOMITING
Age: 18.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Due to a miscommunication on my part, the MA was instructed to administer an adult flu vaccine instead of a Program vaccine (I thought that once the patient was over the age of 18, we could give the adult vaccine). Patient tolerated it well and had no reaction of any sort. Parent was with them during the administration.
Age: 82.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: No adverse events.  Patient called and set up an appointment for a flu shot with a technician.  After the vaccine was administered he presented a Covid Vaccine card.  He had intended to request a Moderna vaccine and had already received a flu shot earlier in the season.
Age: 81.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: No adverse events.  Patient called and set up an appointment for a flu shot with a technician.  After the vaccine was administered she presented a Covid Vaccine card.  She had intended to request a Moderna vaccine and had already received a flu shot earlier in the season.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent pfizer vaccine instead of bivalent vaccine.
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Due to a miscommunication on my part, the MA was instructed to administer an adult flu vaccine instead of a vaccine program (I mistakenly thought that as she was over the age of 18, we could administer the adult vaccine). Patient tolerated the vaccine well and had no reaction of any sort. Both parents were with her the whole time.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Office drew up all vaccines from vial at the beginning of the day and discarded vial. They put the bivalent NDC, lot and expiration on a sticky note and entered all data into the EMR from that sticky note. After a few weeks they realized that some days they had pulled monovalent vial and administered instead of bivalent booster as intended. It is impossible to discern which patient received which vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cellulitis, Pruritus, Rash
Clinical narrative: Patient reported itchiness and a small rash after the vaccine. They went to the doctor's office for an unrelated matter and the PA that saw the patient said she had cellulitis, they didn't prescriber her anything and told her to put ice and take Benadryl.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Fatigue, Nausea, Pyrexia, Sleep disorder
Clinical narrative: I woke up at 2 in the morning from a deep sleep with verigo.   I held onto the bed as it spun.   Then I vomited.    20 minutes later it happened again.    Then I kept getting dizzy every 20 minutes.  I did not move until about 11 a.m.    I needed my husband to hold me up to get to the bathroom.  Every night ater that I was dizzy for a week.    If I layed down, I was dizzy.   standing or sitting I was fine.  I also had a fever and was very tired and nauseous the next day, but that was  normal.   The veritgo and dizziness is not.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: I woke up at 2 in the morning from a deep sleep with verigo.   I held onto the bed as it spun.   Then I vomited.    20 minutes later it happened again.    Then I kept getting dizzy every 20 minutes.  I did not move until about 11 a.m.    I needed my husband to hold me up to get to the bathroom.  Every night ater that I was dizzy for a week.    If I layed down, I was dizzy.   standing or sitting I was fine.  I also had a fever and was very tired and nauseous the next day, but that was  normal.   The veritgo and dizziness is not.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Office drew up all vaccines from vial at the beginning of the day and discarded vial. They put the bivalent NDC, lot and expiration on a sticky note and entered all data into the EMR from that sticky note. After a few weeks they realized that some days they had pulled monovalent vial and administered instead of bivalent booster as intended. It is impossible to discern which patient received which vaccine.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nausea, Vomiting
Clinical narrative: NAUSEA, VOMITTING AFTER 15 MINUTES OF ADMINITRATION OF VACCINE
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Office drew up all vaccines from vial at the beginning of the day and discarded vial. They put the bivalent NDC, lot and expiration on a sticky note and entered all data into the database from that sticky note. After a few weeks they realized that some days they had pulled monovalent vial and administered instead of bivalent booster as intended. It is impossible to discern which patient received which vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Gait inability, Hypoaesthesia, Intervertebral disc disorder
Clinical narrative: New symptoms developed in the months after booster: muscle spasms in chest/ribs, arm numbness and burning sensation in extremities, worsening of fatigue, and finally inability to walk due to leg weakness.  Pt had previously been stable with medications and had normal MRI 1 year previously.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Muscle spasms, Muscular weakness
Clinical narrative: New symptoms developed in the months after booster: muscle spasms in chest/ribs, arm numbness and burning sensation in extremities, worsening of fatigue, and finally inability to walk due to leg weakness.  Pt had previously been stable with medications and had normal MRI 1 year previously.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Office drew up all vaccines from vial at the beginning of the day and discarded vial. They put the bivalent NDC, lot and expiration on a sticky note and entered all data into the EMR from that sticky note. After a few weeks they realized that some days they had pulled monovalent vial and administered instead of bivalent booster as intended. It is impossible to discern which patient received which vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Office drew up all vaccines from vial at the beginning of the day and discarded vial. They put the bivalent NDC, lot and expiration on a sticky note and entered all data into the EMR from that sticky note. After a few weeks they realized that some days they had pulled monovalent vial and administered instead of bivalent booster as intended. It is impossible to discern which patient received which vaccine.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: My symptoms started on 08/14/2022 at night around 7;00PM .  I had headache, runny nose, achy, fever,  and tired. I tested positive on 08/15/2022.  I did the a tele health on 08/16/2022, she prescribed me Paxlovid but I didn't take it because I am very sensitive to medication.   We discussed that if it gets worse  I will take the medication but I didn't had to.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: My symptoms started on 08/14/2022 at night around 7;00PM .  I had headache, runny nose, achy, fever,  and tired. I tested positive on 08/15/2022.  I did the a tele health on 08/16/2022, she prescribed me Paxlovid but I didn't take it because I am very sensitive to medication.   We discussed that if it gets worse  I will take the medication but I didn't had to.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Burning sensation, Chills, Dizziness, Feeling cold, Tremor
Clinical narrative: FREEZING, SHIVERING, SHAKING, DIZZINESS, THEN BURNING UP. STATES AROUND 8PM BEGINNING TO FEEL BETTER.
Age: 59.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Administration site erythema, Administration site induration, Administration site swelling, Erythema, Immediate post-injection reaction
Clinical narrative: Patient complained of pain immediately after administration of the Prevnar 20. The following day administration site was red, swollen, and hard underneath. She complained of redness under skin on both arms but not a rash. She applied cold/ice compress and alternated with Tylenol/Ibuprofen. She said pain is improving.
Age: 59.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Pain
Clinical narrative: Patient complained of pain immediately after administration of the Prevnar 20. The following day administration site was red, swollen, and hard underneath. She complained of redness under skin on both arms but not a rash. She applied cold/ice compress and alternated with Tylenol/Ibuprofen. She said pain is improving.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient got monovalanet booster instead of Bivalent booster
Age: 1.33
Sex: F
Vaccine: MMRV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received Varicella Vaccine and ProQuad a mix of Varicella and MMR. No symptoms